HomeMy WebLinkAboutHERITAGE PARK BLK 1 LT 19Onsite File
Heritage Park
Block 1
Lot 19
#050-211-47
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241341 PID Number: 050-211-47
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
JASON & CAROLYN SMITH
ABSORPTION FIELD
® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
10413 TRADITION AVENUE, EAGLE RIVER
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
1 .2 GPD/SF
14 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
7 Ft.
Gravel depth beneath pipe
7 Ft.
Subdivision Block Lot
HERITAGE PARK 1 19
Fill added above original grade
VARIES 0.58'— 2' Ft.
Gravel length
45 Ft.
Township Range Section
Gravel width
2 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To! Septic Absorption',
Lift Station
Holding Sewer
Total absorption area
Number of trenches
Dist. between trenches
From Tank Field
Tank Line
630 FtZ
1
14+ Ft.
Well-- 200+
25'+
TANK ® Septic ElS.T.E.P. ElHolding ElOther
Manufacturer
EXISTING
Capacity
Gal.
I
Surface Water
__
100'+
{
Material
Number of compartments
Lot Line
-- 10'+
NA
Foundation
-_ '+
10
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installed by
PIPE MATERIAL House to tank Tank to 3034
drainfield
Installer NORTHERN EXCAVATION
_
Drainfieid 3034 CO/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspeection ction 1" 11/20/24 2nd 11/20/24
Location and description
3`d 11/21/2024 4th
BOTTOM OF SIDING
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
�
r ml
Conditional Approval: Date4'
TM
1 ..• .... ......�.....
Curtis Huffman /
Septic Syst
pp
Approve 1 /
Date —��/
ffF,pF
PF'• CE 128991
�'%•' - I 1 /25/24.
• • ..... •
PROEM*Note:
this approval does not include well permit requirements.
\
\\��tt�►
(Rev/05/02/1 S)
PID:020-042-72 PERMIT:OSP191386
FIRST WATER CONSULTING
HERITAGE PARK BLOCK 1, LOT 19
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241341
Work Type: Septic Upgrade
Tax Code Number: 05021147000
Site Legal Address: HERITAGE PARK BLK 1 LT 19 G:0055
Site Mailing Address: 10413 TRADITION AVE, Eagle River
Owner: SMITH JASON J & CAROLYN L
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
10/9/2024
10/9/2025
20613
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
i
-Reee%ved By: 5� Ln e fi� i�i �-5 GC%i �e t/ Date:
Issued By: Date:
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-211-47
Property owner(s) SMITH JASON J & CAROLYN L Day phone
Mailinq address 10413 TRADITION AVE, EAGLE RIVER, AK 99577
Site address 10413 TRADITION AVE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) HERITAGE PARK BLOCK 1 LOT 19
Legal description (Township, Range & Section)
Lot Size 20,613 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
®
Initial ❑
Single Family (SF)
(w/wo ADU)
Septic Tank
ElUpgrade
X1
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable .Municipal.Codes._
(Signatore.:of.property owner or authorized agent)
Permit/Rush Fees: > 3_� 7 Waiver Fees:
Date of Payment: % V7 Z Y Date of Payment:
Receipt Number: 0600, Receipt Number:
Permit No. Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
October 7, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM ABSORPTION TRENCH UPGRADE PERMIT
LEGAL: HERITAGE PARK BLOCK 1, LOT 19
The property owner has requested we obtain a permit to upgrade the failed septic field of the
above referenced lot. We propose to install one deep trench and to serve the existing 5-bedroom
residence. The design is based on the recent test hole conducted on September 30, 2024. No
groundwater was observed at test hole excavation or monitoring.
The slopes are flat at the proposed upgrade location. The lot and area are served by public water.
The design will not impact any of the neighboring properties. Please contact us if you have any
questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241341, Deb Wockenfuss, 10/09/24
FIRST WATER CONSULTING
HERITAGE PARK BLOCK 1, LOT 19
DESIGN CALCS:
NO WELLS WITHIN
200' OF PROPOSED
SEPTIC FIELD. AREA
SERVED BY PUBLIC
WATER.
NO SLOPES >25% WITHIN 50'
OF PROPOSED FIELD.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241341, Deb Wockenfuss, 10/09/24
FIRST WATER CONSULTING
DESIGN DETAILS:
HERITAGE PARK BLOCK 1, LOT 19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241341, Deb Wockenfuss, 10/09/24
3030 Sues Way - Anchorage, Alaska 99516
Tel. 907-350-9566 firstwaterAK@gmail.com
SOILS LOG - PERCOLATION TEST
LEGAL : HERITAGE PARK BLOCK 1, LOT 19
PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
DATE: 10/07/2024
DEPTH
FEET OG
SOILS
1
2
ORG/OL
3
4
5
6
GM/sm-sp
7
8
9
10
11
12
13
14
15
16
17
18
19
20
BOH
Reading Date Gross
Time
Net Time Depth to
Water
Net Drop
10/03/24 10 min 6” 4 1/16”
“ 6” 3 16/16”
“ 6” 3 15/16”
“ 6” 3 14/16”
“ 6” 3 15/16”
“ 6” 3 15/16”
PERCOLATION RATE 2.5 (MIN / INCH)
TEST RUN BEWTWEEN 7 & 8 FT
PERC HOLE DIAMETER 6”
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16TH.
GROUND WATER ENCOUNTERED: NO
IF YES, AT WHAT DEPTH: NA
DEPTH TO WATER AT MONITORING: DRY
DATE: 10/07/2024
TESTHOLE # 24-1 DATE PERFORMED: 09/30/2024
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
VERIFY GROUNDWATER MT
AT TIME OF CONSTRUCTION
PERFORMED FOR: JASON & CAROLYN SMITH
10/07/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241341, Deb Wockenfuss, 10/09/24
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211112 PID Number: 050-211-47
Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
Jason and Carolyn Smith
%SORPTION FIELD
p Trench El Wide Trench ❑ Bed ❑ Mound
Site Address
10413 Tradition Ave Eagle River
❑Other
Phone
Number of Bedrooms
Soil RatingTotal
depth from original grade
5
PD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from origin rade
t.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Heritage Park 1 19
Fill added above original grade!�:
Ft.
ngth
Ft.
w
Tonship Range Section
Gravel width
Ft.
Beds: Number of Lines
ance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. betwe trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
>100'
na
na
na
na
TANK ❑® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer
Capacity
1500 Gal.
Surface Water
>100'
na
na
na
Material
Number of compartments
Lot Line
>10'
na
na
na
NA
plastic
2
Foundation
7,5'
na
na
na
LIP-11F-STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrics ' [led by
PIPE MATERIAL House to tank 3034 Tank to
drainfield 3034
Installer
JRs septic
Drainfield CO/MT3034
Inspector Curtis Townsend
BENCH MARK (Assumed elevation) 100 ft
Inspection 15ectio' 7/7/2021 7/8/2021
Location and description
2�a
3'd 4th
bottom of siding at point A
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
�, ,1
Conditional Approval: Date
.0
.:4
��
o'w,)�•�
g.
............
..........
a! T2
9� •bete 1ApprovedDate
Septic System axn�o 10/27/;.021
Note: this approval does not include well permit requirements.
trcev uo/uzna/
THIS PROPERTY AND SURROUNDING
PROPERTIES ARE SERVED BY AWWU AND
THERE ARE NO WELLS WITHIN 100'.
)WV _y—X—Y—Y—Y—Y— LOT 1
I I
.I
13
DECK
NEW SEPTIC TANK
DECK SUPPORT IS
>5' A WAY FROM
_ TANK_
�T
5 BR
HOUSE
7.5
30"
C
CA
SLOPE 4%
DECK AT GRADE
I
NEIGHBORING SEPTIC IS
FROM PROPERTY LINE
--7
SUMP
5.3
EXISTING 32' x 36" x 7'
EFFECTIVE DEPTH TRENCH
10' UTILITY EASEMENT
> 10'
SCOPE OF WORK
1. EXISTING SEPTIC TANK WAS REMOVED. T LOT 9
1. NEW 1,500 GALLON PLASTIC SEPTIC TANK WAS INSTALLED AND
CONNECTED TO EXISTING ABSORPTION SYSTEM. THE TANK WAS
PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST
COMPARTMENT.
2. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS
SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND
15.65.
Record Drawing Prepared for
Jason and Carolyn Smith
10413 Tradition Ave, Eagle River Alaska 99577
HERITAGE PARK BLOCK 1 LOT 19
OSP211112
EKLUTNA ENGINEERING, LLC
19162 MOUNTAIN ROAD
CHUGIAK, ALASKA 99567
(907) 406-1058
DRAWN:
7/28/2021
CSI
SCALE: 1 " = 30'
PID: 050-211-47 SHEET 2 OF 3
49TH .
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A
B
SO
21'-2"
32'-6"
SV2
23'-11
"
34'-1
"
DC01/ 2
24'-11
"
34'-7"
SUMP
54'-1'
61'-10"
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EXISTING 32' x 36" x 7'
EFFECTIVE DEPTH TRENCH
THE NEW TANK WAS PLACED 7.5' AWAY FROM THE FOUNDATION. THE
DEPTH OF THE FOUNDATION WAS CONFIRMED IN THE CRAWLSPACE IN
THIS AREA. THE TANK WAS PLACED A MINIMUM OF 5' AWAY FROM DECK
SUPPORTS UNDER A DECK > 30" ABOVE GRADE, AND NOT BELOW THE
DECK THAT IS < 30" ABOVE GRADE.
Record Drowing Prepared for
Jason and Carolyn Smith
10413 Tradition Ave, Eagle River Alaska 99577
HERITAGE PARK BLOCK 1 LOT 19
OSP211112
EKLUTNA ENGINEERING,
19162 MOUNTAIN ROAD
CHUGIAK, ALASKA 99567
(907) 406-1058
LLC IDATE: 7/28/2021
DRAWN: CLT
SCALE: 1" = 5'
PID: 050-211-47 SHEET 3 OF 3
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://wvvw.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211112
Work Type: SepticTank Upgrade
Tax Code Number: 05021147000
Site Legal Address: HERITAGE PARK BLK 1 LT 19 G:0055
Site Mailing Address: 10413 TRADITION AVE, Eagle River
Owner: SMITH JASON J & CAROLYN L
Design Engineer: EKLUTNA ENGINEERING, LLC"
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
rNo..". ent�S
n
n
llel�artmen[
5/18/2021
5/18/2022
20613
❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (ISAAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received B)
Issued By:
s
Date:
Date:
5
MUNICIPALITY OF ANCHORAGE
t_
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICIWELL PERMIT APPLICATION
Parcel I.D. 050-211-47
Property owner(s) SMITHm JASON & CAROLYN Day phone
Mailing address 10413 Tradition Ave Eagle River AK 99577
Site address 10413 Tradition Ave Eagle River AK 99577
Legal description (Sub'd., Block & Lot) HERITAGE PARK BILK
Legal description (Township, Range & Section)
Lot Size 20,613 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
(® all that apply)
Absorption Field ❑
Septic Tank 0
Holding Tank ❑
Privy ❑
Private Well ❑
Water Storage ❑
1 LT 19
5
APPLICATION IS AN: TYPE OF DWELLING:
Initial ❑ Single Family (SF) El
(w/wo AD U)
Upgrade � Duplex (D) El F-1 Multiple Dwellings ❑
(SF and/or D)
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Code
("i Z/ -
(Signature of property owner or authorized agent) /
Permit/Rush Fees:`�
`Y 25
Date of Payment: - 2 3 --Z
Receipt Number: (�14 7 2�;_ D
Permit No. 05P21 )1 1 Z
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211112, Deb Wockenfuss, 05/18/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211112, Deb Wockenfuss, 05/18/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211112, Deb Wockenfuss, 05/18/21
'k, /' MUNICIPALITY OF ANCHORAGE ',
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 2.64-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE ] ~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION O NO. OF BEDROOMS
Absorption area Dwelling PERMIT NO.
~ ~ DISTANCE TO: ~ ~ ¢ ~'
Materia)~ No. of compartments
~ Manufacturer ~iC[~~' ~L
Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth
~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ ~ ~ Manufacturer Material Liquid capacity in gallons
= W~l ~ Foundation ,. J Nearest lot line ~ PERMIT NO.
~ ~ D~STANC[ TO: ~,~ ~t& ~ ~O --
~ ~ ~ No. of lines L~gt~ of each line Total length of lines Trench width Distance between lines
~ Top of tile to finish grade _ . Material beneath tile ,I Total e~sorptionarea
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
¢ DISTANCE TO:
j Class~ ~_/. Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PiPE MATERIALS
SOIL TEST
INSTALLER
R EMAR KS
-I
APPROVED -- DATE LEGAL
72-013 (Rev. 3/78)
~ MUNICIPALITY OF ANCHORAGE ,,.~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MA~LIN~ ADDRESS
LEGAL DESCRIPTION
LOCATION
I Well~ ~ ~ Absorption area
I DISTANCE TO:
~ Z Manufacturer
~ ILiq capacity in galrons Inside length
. I '/'>~ O
Dwelling
O~ I DISTANCE TO: I
O~ I Manufacturer
~ I IWell ~ ~.o~ ~ Foundation
DISTANCE TO:
~ ~ ~ I No of lines I I Length of each Ing Total length o~ lines
Top of tile to finish grade .~ i Material beneath die
I Length Width Depth
( ~ ~ Type of crib Crib diameter Crib depth
~ ~~ Wel~ Building foundation
~ I DISTANCE TO:
~ [CI~ Depth Driller
~ ~ Buildin~ [oundation Sewer line
~I~A~CE
TO:
Material
Width
Material
Nearest lot line
Tre~c,~th
?¢ 7
PHONE
inches
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Liqu. ijJ depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
g~o(¢Ol
Distance between lines
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
[] UPGRADE
OTHER
PIPE MATERIALS
SOIL TEST RATING
NSTALLER
REMARKS
APPRO
72-0~3 (Rev. 3/781
LEGAL
H !'i'-,! I.r"!UH E:, I .?:';TFtNCE BET!,.!EE:i':i R HELL Fff-,!D FI.N"r' OI",i"'"S ! 'FE ?.';E,h.!RGI'E D
:l.E'iEi FEET F'OF: F:i i:'F;:!Vi::!':'~i: HEL.L ',.')Fi: ::[.~SE'i TO 2OE~ FEET
LiF'E!N THE T"¢F'E OF' F'UEfl....IC kIEL.!. ....
i'"! i N i MLIH D Z :STFiHE:E: FF:OH .,'-'::I F'R I ',,,'FFr'E !4ELL. TO F! Pi:;;: Z VF:!
TO i::i C(':q,iMUNiT'?' ':.!~;EF.!EF.: LINE 'i:S 7:5 F'E:ET.
EFi"HE.R F:EGLi ! F'.E:iHE!'-,I'F'-::, l"lF!"r' FIF'F'L'T'. SPEC ! ",,-::' :f: (_-'.i::lT ! OJ'qS i:::!H.D C'OHSTF;:L!C'T'
{:!',,'!::i!M:iE:LE TO INS!JF.:E" F:'ROF'Ei~:
&" .F~iiOINEERS~ INC.
PERFORMED FOR:
LEGAL DESCRIPTION:
2
5
6
7
8
9
11
12
13
14
17
18
2O
2248-E
COMMENTS
PERFORMED
7125 OLD SEWARD HWY.
ANCHORAGE, ALASKA 99503
;549 - 6561
SOILS LOG
[~'~PERCOLATION
TEST
SOILS LOG - PERCOLATION TEST
DATE PEREORMEO: %
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading~
. ~,~ f~ _~,.~ Time Time Water Drop
PERCOLATION RATE ~' t -~ (.2 ~/~/-- (minutes/inch)
TEST RUN BETWEEN ~ FT AND ~ FT
CERTIFIED BY:
DATE:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
Aved
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC241383
Parcel ID 050 -211-47 Expiration Date: 9/16/2025
Legal description HERITAGE PARK BLK 1 LT 19
site address 10413 TRADITION AVE
Current property owner(s)
SMITH JASON J & CAROLYN L
X The On-site system(s) is/are approved for
By:
5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date
12/11/2024
This rtificate of Site Systems Approval (COSA) is intended to demonstrate the subject
sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
CW)
ANCHORAGE RU5H
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-211-47
Complete legal description HERITAGE PARK BLOCK 1 LOT 19
Location (site address) 10413 TRADITION AVE, EAGLE RIVER, AK 99577
Current property owner(s) SMITH JASON & CAROLYN Day phone
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ® Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass
Age 3 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
Con A rnva
COSA Fee $ S� 330 444/ ver Fee $ �%J 2-610
Date of Payment Cf17_3�Z y Date of Payment
COSA # o s C 2 `j g3 Waiver #
COSA Application.doc
CCOSA S Checklist.docx
COSA Checklist
Legal Description: HERITAGE PARK BLOCK 1 LOT 19 Parcel ID: 050-211-47
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA - SITE SERVED BY PUBLIC WATER
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft
Well production at time of test gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments
B. TANK DATA
Measured operating fluid level in septic tank 67”
Date of pumping 9/16/2024
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW FIELD
ALL standpipes present per record drawing
Total measured depth from grade 16 ft (max)
Measured depth to pipe invert from grade 7.6 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date NA – NEW FIELD
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY – NOT TESTED
Effective depth (per record drawings) 84 in (MOA 7’ ED)
Effective depth used 0 in
Effective depth remaining 84 in
Comments/Deficiencies: NEW SEPTIC ABSORPTION FIELD INSTALLED.
CCOSA S Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 12/10/2024
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
12/10/24
mss• '� LEGEND
® ELECTRIC METER ❑T TELECOMMUNICATIONS
T
7 7 s•
of ELECTRIC PEDESTAL PEDESTAL
' m GAS METER ¢� WATER VALVE
Oco SEPTIC CLEANOUT XX XX XX MEASURED DATA PER PLAT
OF HERITAGE PARK
®ss SEPTIC MANHOLE (PLAT 82-39)
O STANDING IRON PIPE BLOCK NUMBER
(UTILITY) X— — FENCING
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AS -=BUILT
MCCUNMCK LM/D ASSOCLI TES, INC.
16942 NORTH EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577-7801
(907) 694-4499
LICENSE No. AECC596
/ nT —
L_tJ l v
I hereby certify that I have, or someone under my supervision
has, inspected the property described as:
LOT 19, BLOCK 1
HERITAGE PARK
(PLAT No. 82-39)
Anchorage Recording District
The improvements situated thereon are within the property lines
and do not encroach or overlap onto adjacent properties, nor do
any improvements from adjacent properties encroach or overlap
onto this property, except as indicated hereon.
No lot corners have been set. The property dimensions shown are from the record
= plot and are net necessarily as we may have measured. The improvement locations are
approximate and have been determined only to the extent that enables us to determine
If there are any encroachments onto or off of the lot. Orofting and reproduction
may produce graphic inconsistencies; therefore scaling should not he attempted to
O determine unshown dimensions. This drawing is not adequate for additional
Z construction at for determining the exact location of property lines. Only
easements from the retarded subdivision plot noted above are shown hereon and it is
the responsibility of the owner to determine if any other easements, covenants, or
restrictions exist.
m McClintock Land Associates. Inc. (MLA) 2021
This document 1s copyrighted and is authorized to be used ror one real property
transaction or project only. Any copy is to be considered unauthorized unless it
bears an original surveyor's signature (usuallin blue ink) or a stamp showing
recorder's office data. Copyright restrictions Nit not re --use restrictions) are
wolved If this document has been officially recorded. Lending institutions may also
make additional eoplts for their awn retards. Liability to MLA is limited to fees
received for this project.
FIELD WORK DATE: 12-6-2024 PARTY CHIEF: BWS FIELD BOOK: NA PLOT SCALE: 1"=40'
DRAWN DATE: 12-9-2024 DRAWN BY: BWS GRID: NW 55 DWG NAME: A821-195 JOB N0: 21-195'5
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
Lot 19; Block 1; Heritaqe Park Subdivision
Location (site address or directions) 10413 '[~adition, Eagle River, Alaska
Property owner
Mailing address
Lending agency
Mailing address
Harvey and Linda Magee Day phone
10413 Tradition/ Eaqle River, Alaska 99577
696-3938
Day phone
Agent Kathi Olmstead/JACK WHITE COMPANY Day phone
Address ]]R?30]~ c]~nn R~ghway, Eaq]P- R~ver, Alaska 995~7
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ '~
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water xxx
NOTE:
694-5500
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Pbblic sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
xxx
72-025 (Rev. 1/91) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify tha
investigation of this Health Authority Approval application shows that the on-site water su
and/or wastewater disposal system is safe, functional and adequate for the number of bedrc
and type of structure indicated herein. I further verify that based on the information obtained
the Municipality of Anchorage.files and from my investigation and inspection, the on-site v
supply and/or wastewater disposal system is in compliance with all Municipal and State cc
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
17034 Eagle River Loop Road No. 204
Engineer's signature
DHHS SIGNATURE
Approved~ for
Disapproved.
Phone
bedrooms.
Conditional approval for
bedrooms, with the following stipulatio
Additional Comments
By:
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Aut
Approval Certificates based only upon the representations given in paragruph 5 above by an indepe
'professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage
responsible for errors or omissions in the professional engineeCs work.
Legal Description:
Municipality of Anchorage '/~i~
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
L_l'~ J~LK I flE/'CIF~G£ P/t,~/(~'//.) Parcel I.D.
A. WELL DATA
Well type /°L//~LI¢- ('t,l~) If A, B, or C, attach ADEC letter.
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date completed
Cased to
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
ADEC water system number
Driller
CaSing height
Wires properly protected (Y/N)
AT INSPECTION
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
g.p.m ~.~ ~g ~.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/;I~MI~ TANK DATA
Date installed ¢/~ / /
Cleanouts ~/N)
High water alarm (Y/~)~
Date of pumping
Nitrate
Tank size
Foundation cleanout(~)
Other bacteria
Collected by:
Compartments
Depression (Y~_,~
Alarm tested (Y/N)
Pumper 7~-~' Pc/"~ICl/J~~-
SEPARATION DISTANCES FROM SEPTIC/F:CLD:~'4C TANK TO:
Well(s) on lot /b/[~ On adjacent lots ,4./' [,¢~ Foundation /"',~' /
Topropertyline ~4:~) /2~ / ~' ~'
Absorption field
Surface water/drainage ,X~/D~/~-¢' //¢_ ~-_.CC~'J '~
-~Water main/service line
72-026 (Rev. 7/91)Front CONTINUED ON BACK PAGE
C. LIFT STATION
~~..~ Man ufactu rer
Size in gallons ~ Manhole/Access (Y/N) ~-~'~/
Vent (Y/N) "P ~
High water alarm level f---'~-~'""--~ycles tested ___
SEPARAT~...D~ANCE FROM LIFT STATION TO: ~
W. n
J On adjacent lots Surface water
D, ABSORPTION FIELD DATA
Date installed '7//~ / ¢¢
Length ~ 'P-~' Width
Soil rating (~t~" ~%ystem type
Gravel thickness F'~ / ~'~'Z.
Total depth
Cleanouts present~) %~
Date of adequacy test
for ~ ~/~
If yes, give date
Total absorption area
Depression over field (Y~.)~
Results~ail)
Peroxide treatment (past 12 months) (Y/N)
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots ~'~
Surface water /L,/~) ~o,'¢~''-
Curtain drain ,/.J0¢'---'~¢%. /(~/,./~¢,..//,~ '
On adjacent lots ,/"C'///~/~ Propertyline /~.3 /
To existing or abandoned system on lot ,-,6Y,.~/u~ ~.~¢_..E'~-~-7,~¢'~
Cutbank .A~//..~J~ /¢¢/¢-~d-~7-Watermain/serviceline /~
Driveway, parking/vehicle storage area ,~"' ¢-
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on tl~e date of this inspection.
5 ~_,, $ Er'~GINEERING
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99577
Signature
Engineer's Name
Date
HAA Fee $ / 7~''~
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
Receipt Number
ITime L. Time ~.
.\
Date Date Date
Inspector Inspector Inspector
MUNICIPALITY OF ANCHORAGE
Comments Conditional Approval DEPT. OF HEALTH
ENVIRONMF-NTAL PROTECTION
I IAR
RECEIVED
Date Sewer Installed Permit No, Septic Tank Size
~ _ / ..ii ~.. ~,~,, Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
~ ~'~' Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner J.C. Foster - FOster Hc~es Phone
Mailing Address SR 8r Box 1735-K, Anchorage, Ak. 99507 344-7884
Buyer Dev, Gallo~ay
Address
Lending Institution A].a~ State ]~ Phone
Address Nort~ Lights & Denatli, Anchorage, Ak, 277-~661
Realty cO. & Agent ' C-;a.L~e~ o~ ~S~ TJ/c~3a~ Wa.rd ~ '? Phone
Address 603 W. Tudor, ~., Anchorage, Ak. 99503 563-3655
Legal Description LOt 19, ]3 1, Her;Ltage Park, Eagle PJLver
Street Location 4~h & 'Z~'ac'Li.~ion
Ty,P,e of Residence
z,, [] Single Family 5
[] Multiple Family '-,, No. of Bedrooms
[] Other
Water Supply
[] Individual ~ .~.. ATTACH WELL LOG. A well log is required for all wells drilled since June
3<~3 Community -~-e.~ ~/A"~.~ , 1975. For wells drilled prior to that date, give well depth (attach log if
[] Public Utility available./
S evya.~e Disposal 1882
~ Individual Year Individual Installed: 1 /:h %
