Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BOYD LT 3
Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251255 PID Number: Dwelling: X Single Family (SF) E] with ADU n Duplex (D) E] Two Single Family Project: n New 9 Upgrade Name Starzynski Hilary & David ABSORPTION FIELD F01 Deep ❑Trench [] Wide Trench ❑0 Bed ❑F1 Mound Site Address 11101 Totem Road El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 15 0.8 GPD/SF1 11.5 MIN, 12.9 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 7.1' MAX, 5.4' MIN Ft Gravel depth beneath pipe 6 FL Subdivision Block Lot Boyd Lot 3 Fill added above original grade 0.7' (East End 0 1Y) Ft., Gravel length 80 FL Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines FL SEPARATION DISTANCES To!Septic Absorption Lift StationTank Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Line 960 Ft' 1 Ft Well 110 128 NA NA 105 TANK 9 Septic [:1 S.T.E.P. ❑[I Holding F1 Other Manufacturer Greer Capacity 1500 Gal, Surface Water NA NA j NA NA Material Number of compartments Lot Line 31 23 NA NA NA Polyethelyne 2 Foundation i 10 19 NA NA LIFT STATION Manufacturer Capacity Remarks No Surface water on or adjacent to the property Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank p VC Tank to PVC drainfield Installer Zollinger Contracting Drainfietd PVC CoW PVC Inspector Logan Huber, P.E. BENCH MARK (Assumed elevation) 100 ft Ins dates: ction 1"9/13/25 9/14/25 d2M Location and description 3rd 10/28/2fi 4"' SEPTIC TANK MANHOLE ACCESS LID ON -SITE WATER AND WASTEWATER SECTION APPROVAL E .%. J IkX Approval: Date YIN# ••Conditional �-.- T.;r,UER Septic System A Approved Date 0 3L g"twoa2,INn AW / 4W Note: this approval does not include well permit requirements. AW (Rev u5tu2/1 a) Feet 0 20 40 4" M❑NIT❑RING TUBE AT END OF TRENCH, END -CAPPED ABOVE GRADE S❑LID PIPE ABOVE DRAIN ROCK CLEAN❑UT AT END OF LATERAL 4" M❑NIT❑RING TUBE AT END OF TRENCH 6A M❑NIT❑RING TUBE BOTTOM 85,02' PERFORATED PIPE WITHIN DRAINR❑CK CLEAN❑UT AT END OF LATERAL FG 96,7' FG 96,5' H 80,0' "DEEP TRENCH" 6 FOOT EFFECTIVE DEPTH 4" PERFORATED PVC LATERAL LAID LEVEL, PERF❑RATI❑NS FACING DOWNWARD DRAINFIELD DETAIL SINGLE 1500 GALLON SEPTIC TANK WITH SINGLE 80 FT LONG X 6' DEEP TRENCH (BELOW PERF PIPE) FG 97,6' :m GROUND SURFACE FG 98,4' q ❑G STABILIZED CLEAN❑UT INVERT 91.12' WITH SEED AND MULCH MATCHED ❑RIGINAL GRADE GE❑TEXTILE TYPAR 3401 FILTER FABRIC, OR EQUIVALENT MAXIMUM ALLOWABLE 4" PERFORATED PVC EXCAVATI❑N DEPTH, 13 BELOW ❑RIGINAL GROUND DRAINFIELD LATERAL SURFACE. LAID LEVEL FG 98,9' ❑G 98,2' M❑NIT❑RING TUBE --/ BOTTOM 85.35' CLEAN❑UT INVERT 91,26' CLEAN❑UT INVERT 91,25' TANK OUTLET INVERT 91,30' DRAINFIELD CROSS-SECTION 2X 45° BENDS DOUBLE CLEAN -OUTS NEW 4" PVC. 27 SLOPE NEW 22,5° BEND FOR SLOPE AND ALIGNMENT EXISTING 4" S❑LID PVC FROM BUILDING NEW DOUBLE CLEAN -OUTS, ONE EACH DIRECTI❑N. REMOVABLECAP ABOVE GRADE SEPTIC TANK CLEAN❑UT INSULATED ACCESS RISER BENCHMARK ELEVATI❑N 100' (ASSUMED) FG 99,6' ❑G +/- 98.4' NEW 22,5° BEND SKEWED FOR SLOPE & ALIGNMENT �:ii►��1�[et�i(�►y�l�il�l�l� 1500 GAL FROM RESIDENCE SEPTIC TANK NEW 4" S❑LID PVC 2% SLOPE TANK INLET INVERT 91,46' MECHANICAL WATER -TIGHT C❑UPLINGS ON ALL C❑NNECTI❑NS TO SEPTIC TANK, AS THIS BAR REPRESENTS IF BAR IS NOT ONE FULL SIZE SCALE HUBER ENTERPRISE AK �""�� OWNER: VERIFY RECORD DRAWING Note: To be filled out on original drawings upon project completion. REUSE OF DOCUMENTS OF ��♦♦ BOYD SUBDIVISION ONE INCH ON ORIGINAL INCH, ADJUST DRAWING HORZ SCALE: NTS LOGAN M. HUBER, P.E. ���(�,,♦ STARZYNSKI HILARY & SCALE DRAWING. SCALE ACCORDINGLY. VERT SCALE: N/A 1. DATA PROVIDED BY: 3. Based on periodic field observations by the THIS DOCUMENT AND THE :�'�P•''��� ♦♦♦ DAVID LOT 3 DATA DRBAWN CHECKED DATA DRBAWN CHECKED REV DATE DESCRIPTION BY This will serve to certify that these Record Engineer (or an individual under his/her direct IDEAS INCORPORATED HEREIN, �'� ♦♦ PO BOX 1299 :' ': * ♦ ADDRESS: 11101 TOTEM ROAD Drawings are a true and accurate supervision), the Contractor —provided data AS AN INSTRUMENT OF ■ Id BASE — — — — — — TELEPHONE --- --- WILLOW AK, 99688■.....................................♦ 11101 TOTEM ROAD — —— — —— representation of the project as constructed. appears to represent the project as constructed. PROFESSIONAL SERVICE, IS ■ ANCHORAGE AK, 99516 TOPOGRAPHY — — — — — — ELECTRIC CONTRACTOR: 0 • , ,,, i ANCHORAGE AK, 99516 THE PROPERTY OF HUBER •••• • •••• ......••• PROFILE — — — — — — CABLE TV — — — — — — DATA TRANSFER CHECKED BY: ♦'�o : "' •''■ BY: TITLE: ENT. AK AND IS NOT TO BE ♦�^' OGAN M. HUBER ;'�v■ SANITARY SEWER — — — — — — TRAFFIC SIGNAL — — — — — — COMPANY: ♦ �� ; : *i SEPTIC SYSTEM REPLACEMENT CE 178710 DATE: USED, IN WHOLE OR IN PART, ♦ �4 STORM SEWER — — — — — — DESIGN — — — — — — BY: TITLE: ♦ ' .10/27/202,5•'• �'• CROSS SECTIONS FOR ANY OTHER PROJECT PHONE: (772)528-6287 ♦♦,F••••............• ��• PHONE: GASWAT--- --- MUNN NAIL CHECK --- --- 2. DATA COMPANY: BY: DATE: WITHAUTHOUT O IZATIONEOF HUBER ♦♦ I�ii��SS�\QX • VERT SCALE: N/A DATE: SEPT 2025 GRID: SW2637 SHEET 2 of 2 PLAN CHECK REVISIONS DATE: ENT AK CONSULTANT SEAL OWNER PROJ. ID.: PSXXXXX PLAN SET XXXXX 5.0' 39 .4' 32.3' 23 .0' 4.0' 21 .7' 3.0' 19 .6' 24.1' 4.7'6.2' 29 .5 'RESIDENCE FABRIC BUILDING 72'x100' ARCHED 12'x19' SHE D 12'x54' HORSE ST ALL 12'x22'SHED 10'x12'SHED 12'x12'SHED 19'12.5' S T A L L NOTE: PORTABLE HORSE CORRAL FENCING IS NOT SHOWN HEREON. LEGEND FOUND 5/8" REBAR, NO CAP EDGE OF GRAVEL DRIVEWAY DECK FENCE OVERHEAD UTILITIES RECORD DATA PER PLAT #70-174 SEPTIC PIPE WELL SEPTIC TANK LID FOUND 5/8" REBAR, PLASTIC CAP BOARD MOUNTED ELECTRIC METER TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 25.118 SCALE: 1" = 40 FEET DATE: 10/7/2025 SHEET: 1 of 1 MOA GRID: SW2637 SCALE: 1" = 40 FEET(11"x17") 40'0' 80' AS-BUILT OF: ADDRESS: 11101 TOTEM RD, ANCHORAGE, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 3BOYD SUBDIVISIONPLAT #70-174 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251255 Work Type: Septic Upgrade Tax Code Number: 01552128000 Site Legal Address: BOYD LT 3 G:2637 Site Mailing Address: 11101 TOTEM RD, Anchorage Owner: CAMERON ME IRREVOCABLE Design Engineer: FROSTED GROUND ENGINEERING SSERVICES LLC This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 7/31 /2025 7/31 /2026 78478 Q Disposal Field Q 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 Received By: F G E Date: Issued By: Date: /-�� 4� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01552128000 Property owner(s) CAMERON M E IRREVOCABLE INHERITANCE TRUST Day phone 9077270377 Mailing address 11101 TOTEM RD, ANCHORAGE, AK 99516 Site address 11101 TOTEM RD, ANCHORAGE, AK 99516 Legal description Boyd Lot 3 Number of Bedrooms 5 Engineering Firm Frosted Ground Engineering Services. Building Permit Number Not Applicable F-1 APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Disposal Field Initial El Septic Tank 0 Upgrade MR Holding Tank M Renewal EJ Privy M Well M Water Storage M THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: Kls Date of Payment: ?W5 Permit No. 0,01Z51 Waiver Fees: Date of Payment: Waiver No. Distance: May 2025 � n OR �G� MR NUMN I - -• . 0 • - Owner Information- Starzynski Hillary & David Submittal Date: Logan M. Huber P.E. Huber Enterprise Alaska PO Box 1299 Willow AK, 99688 (772) 528-6287 9/6/2025 Boyd Lot 3 Septic Tank and Drainfield Design Project Narrative/Description: Boyd Lot 3, better known as 11101 Totem Road, has an existing septic system construction permit that was originally designed with a Bed type absorption area. The owner received bids for the construction of the system and it was determined that the bed system as designed was exceeding expensive due to its large size and materials required. There is also a concern that a shallow absorption bed may not have the longevity of a deeper type system. A permit change order is requested, and the design that follows is for the construction of a deep trench absorption field. A soil investigation was conducted on site on August 29th, 2025. A Single test hole was advanced and a percolation test was performed. The Test hole was excavated to a depth of 19 feet and indicated 1 foot of Organics/top soil above SM soils to a depth of 19 feet. As the depth increased, the amount of sand also increased. No water table or bedrock was observed during the soil test. The Percolation rate was determined to be 12 minutes/inch. See included Soils Log — Percolation Test Report by Mike N Anderson dated 9/8/2025. There was an existing percolation test for the site that indicated 11 min/inch. The two soil tests are consistent with each other. The Existing Private Water Well for the property is located East of the existing residence. A 100 foot well protection radius is shown on the proposed construction plans. Design Calculations Flow Rate: 5 Bedroom Main Residence at 150GPD/Bedroom - Design Flow = 5 bedroom X 150 GPD/bedroom = 750 GPD Septic Tank Size: Minimum Tank Size shall be 1000 gallons plus 250 gallons for each bedroom over 3 per AMC 15.65.205 - 1000 + (250x2) = 1500 gallons. Percolation Rate: Soil Testing indicated a percolation rate of 12 min/inch. Application Rate: - Per AMC 15.65.210 Table 2 for Conventional Subsurface Disposal Fields, The Application Rate for soils with percolation rates of 6-15 Minutes/inch shall be 0.8 gallons/day/square foot. - Design Application Rate: 0.8 gallon/day/square foot Drainfield Area: minimum area - (750 gallons/day) / (0.8 gallon/day/square foot) = 937.50 Square Feet Drainfield Design: Deep Trench 1. The Effective Absorption area of deep trenches is calculated as the area of the sidewalls below the invert of the distribution pipe. - Required Effective Absorption Area = Length of Trench x Effective Depth x 2 2. An Effective Depth of 6 feet will be utilized for this site. 3. Minimum Trench Length: L = 937.50/6/2 = 78.125 4. Design Trench Length: 80 feet I am unaware of any adverse impacts this installation would have on any wells or septic systems constructed in the adjacent area. Should you have any questions or require any additional information, please do not hesitate to contact me. Sincerely, Logan M. Huber P.E. (772) 528-6287 Lhuber87@gmail.com EXISTING SEPTIC / TANK EXISTING DRAINFIELD DESIGN CRITERIA: (TYP.) S250' N375' S132' N264' 1. 5 BEDROOM RESIDENTIAL DWELLING GOV. LOT 28 GOV. LOT 29 5 BED X 150 GPO/ROOM = 750 GPD SECTION 22 I SECTION 22 100' WELL T1 T R3W ( EXISTING TIMBER T12N R3W RADIUS 1. 1. MIN SEPTIC TANK SIZE = 1500 GAL CRIB SEPTIC TANK PROVIDED = 1500 GAL PROPOSED 80 LONG X 6 FOOT EFFECTIVE 80 LF 4' PERFORATED 'DEEP TRENCH' PVC. HOLES ALIGHNED DOWN. S 89`59'10' E 296.70' SOILS (SM) = 12 MIN/INCH = 0.8 GPD/SF EXISTING DRAINFIELDS 2. REQUIRED ABSORPTION AREA = WITHIN 16 FEET Of NEW DRAINFIELD f" _ _ _ _ _ _ _ _ _ _ _ EXISTING ABANDONED DRAINFIELD TO BE EXCAVATED AND BACKFILLED 8 I l I INSTALL DOUBLE ABANDONED �_ 750 GPD GPD/SF = 937.5 SF MIN WITH CLEAN MATERIAL. S LF 4' PVC LAID LEVEL 2.2 ABSORPTIONN AREA PROVIDED = 960 SF I CG I INSTALL NEW 1500 GALLON I 3 DRAINFIELD TYPE = DEEP TRENCH c I SEPTIC TANK -INSI.ALL-MUNi.T(JRRlN6 — — — — — — — J TUBE AT END OF a 31. LENGTH = 80 LF TRENCH \ ( 3.2. DEPTH OF SEWER ROCK = 5 FT a HISTORIC 4 4 �_ / 4. NO BEDROCK ENCOUNTERED 812912025 O TEST HOLE c J 4 72'X100' ARCHED 4 J 100' WELL FABRIC BUILDING 5. NO WATER TABLE ENCOUNTERED 812912025 4 RADIUS ty 4 to EXISTING ' q 5.1. TANK BUOYANCY BALLAST IF WATER 1500 GALLON Z ssLF 4' PVC SEWER I ENCOUNTERED = 3. 10CY CONCRETE TO BE C4N SEPTIC TANK J / Q, W 0 REMOVED 4 LJ A Ca 2% MIN SLOPE 0 4 P4w EXISTING SANITARY ® I 6. PVC PIPE MATERIALS SHALL CONFORM TO d A u)W CLEANOUT MUNICIPALITY OF ANCHORAGE STANDARDS 9 AND SPECIFICATIONS FOR COMPONENT PARTS M 4 LOTS I AND MATERIALS. R) BOYD SUBD. m S285' " ' 4 PLAT #70-174 GOV. LOT 28 0 4 7. MAXIMUM EXCAVATION DEPTH FOR SECTION 22 I 4 4 CONSTRUCTION SHOULD NOT EXCEED 13 FEET BELOW EXISTING GROUND SURFACE. THIS ' 4 4 ENSURES PROPER SEPARATION REQUIREMENTS 44 4 FROM POTENTIAL IMPERMEABLE SOIL LAYERS AND/OR GROUND WA TER LEVELS. 8. EXISTING DRAINFIELDS WITHIN 16 FEET OF + / NEW PROPOSED DRAINFIELD SHALL BE 4 EXCAVATED AND BACKFILLED WITH CLEAN MATERIAL. CLEAN IN -SITU MATERIAL IS x W SHED SUITABLE AS BACKFILL MATERIAL. ANY O �? 4, owle, ( ADDITIONAL MATERIAL REQUIRED SHALL BE o�� SHFD MUNICIPAL TYPE Il OR CLASSIFIED FILTER SAND. ED 0 Z 10 S 89°58'40' E 296.64' F° SCALE: 1'=20' THIS BAR REPRESENTS IF BAR IS NOT ONE FULL SIZE SCALE RECORD DRAWING 9i g p project p REUSE OF DOCUMENTS HUBER ENTERPRISE AK �+++""�� OWNER: VERIFY Note: To be tilled out on original drawings upon el completion. BOYD SUBDIVISION ONE INCH ON ORIGINAL INCH, ADJUST DRAWING HORZ SCALE: Y:20' LOGAN M. HUBER, P.E. '(�L f STARZYNSKI HILARY SCALE DRAWING. SCALE ACCORDINGLY, vERT SCALE: NV-2 1. DATA PROVIDED BY: 3. Based on periodic field observations by the �`P•' "µ` a 44.• & OAVID LOT 3 This will serve to certify that these Record Engineer or an individual under his er direct THIS DOCUMENT AND THE DATA DATA REV GATE DESCRIPTION BY y p ( �' IDEAS INCORPORATED HEREIN, p0 80% 1299 #I.+� Drawings are o true and accurate supervision), the Contractor -provided data q5 AN INSTRUMENT OF F.... � � sf ��. ADDRESS: 11101 TOTEM ROAD BASE --- --- TELEPHONE ---F WILLOW AK, 99688 ,r 11101 TOTEM ROAD representation of the project as constructed. appears to represent the project as constructed. PROFESSIONAL SERVICE, IS • ANCHORAGE AK, 99516 TOPOGRAPHY --- --- ELECTRIC --- • r CONTRACTOR: THE PROPERTY OF HUBER ♦ r ANCHORAGE AK, 99516 PROFILE --- --- CABLE Tv --- DATA TRANSFER CHECKED BY; !" r 8A TITLE: ENT, AK AND IS E NOT TO R ♦ OGAx M. HUBER i SANITARY SEWER --- --- TRAFFIC SIGNAL --- COMPANY: � � SEPTIC SYSTEM REPLACEMENT DATE: USED, IN WHOLE OR IN PART, �� cE t7e7to STORM SEWER --- --- aemar --- BY: TITLE: FOR ANY OTHER PROJECT r� /2o2s � PHONE: PLAN VIEW 2. DATA TRANSFERRED BY: PHONE: (772)528-6287 .. WATER --- --- WAxnnES --- DATE: WITHOUT WRITTEN elf, �'Esstaw+O HOR2 SCALE: Y�20' GATE: SEPT 2025 GRID: SW1637 GAS --- --- xax, FINAL CHECK --- COMPANY: AUTHORIZATION OF HUBER �%I, O+ VERT SCALE: N A SHEET 1 of 2 PLAN CHECK REVISIONS DATE: ENT AK CONSULTANT SEAL OWNER PROJ. ID.: PSXXXXX PLAN SET XXXXX DOUBLE 80.0' 'DEEP TRENCH' CLEAN -OUTS PERFORATED PIPE 6 FOOT EFFECTIVE DEPTH CAPPED AT END OF TRENCH ________________________________ ------------------------------------ ---------------------- 12Ft 4' SOLID PVC LAID LEVEL 4' MONITORING TUBE AT\—,q' PERFORATED PVC LATERAL END OF TRENCH LAID LEVEL, PERFORATIONS 0 FACING DOWNWARD - �2 o� hU WW 2� O PROPOSED DRAINFIELD DETAIL SINGLE 1500 GALLON SEPTIC TANK 4' SOLID PVC WITH SINGLE 80 FT LONG X 6' DEEP TRENCH (BELOW PERF PIPE) 2z SLOPE FROM BUILDING 4' MONITORING TUBE AT END OF TRENCH, END -CAPPED ABOVE GRADE SEPTIC TANK MOUND BACKFILL 6' STABILIZE BACKFILL TO ALLOW FOR SETTLING CLEANOUT. REMOVABLE WITH SEED AND MULCH AND PROMOTE DRAINAGE REMOVABLE END -CAP ABOVE GRADE END -CAP A 60.0' ABOVE GRADE %� 41 � I I I GROUND SURFACE SOLID PIPE /// GEOTEXFILTER FABRIC. ABOVE DRAIN ROCK TYPAR 3401 OR EQUIVALENT 3401 /-- 6.0' — — — — — — — — — — — — — — — — — — 1500 GAL DRAINROCK o 0 0 0 0 0 0 0 0 0 0 0 0 o SEPTIC TANK7MECHANICAL 4' SOLID PVC BELOW PERF. PIPE FROM BUILDING SEWER. 2% SLOPE WATER -TIGHT DOUBLE CLEAN -OUTS, COUPLINGS ON ALL CONNECTIONS ONE EACH DIRECTION TO SEPTIC TANK. PERFORATED PIPE 4' PERFORATED PVCJ FERNCO OR EQUAL WITHIN DRAIN ROCK DRAINFIELD LATERAL LAID LEVEL PROPOSED DRAINFIELD CROSS-SECTION THIS BAR REPRESENTS VERIFY ONE INCH ON ORIGINAL IF BAR IS NOT ONE INCH, ADJUST DRAWING FULL SIZE SCALE HORZ SCALE: NTS RECORD DRAWING Note: To be tilled out on original drawings upon project completion, REUSE OF DOCUMENTS HUBER ENTERPRISE AK LOGAN M. HUBER, P.E. .."`tV p �(E �" ! OWNER: BOYD SUBDIVISION SCALE DRAWING. SCALE ACCORDINGLY. VERT SCALE: N/A 1. DATA PROVIDED BY: 3.Based on periodic field observations by the This will serve to certify that These Record Engineer (or an individual under his/her direct Drawings ore a true and accurate supervision), the Contractor —provided data representation of the project as constructed, appears to represent the project as constructed. P P PP P P le CONTRACTOR: DATA TRANSFER CHECKED BY: BY: TITLE: COMPANY: DATE: BY: TITLE: 2. DATA TRANSFERRED BY: DATE: COMPANY: DATE: p0 BOX 1299 WILLOW AK, 99688 PHONE: (772)526-626� !! 'fJ�fP . !1! �fp'` rt�� ! �...ef... • r •. ' ' "" ll�,, OGAN M. HUBER r = ♦ CE 178710 ! !! ` e/2oza pT''• ! "�..,,,,, !t! \Ot>a' � tlp.�p0��• STARZYNSKI HILARY & DAVID ADDRESS: 11101 TOTEM ROAD ANCHORAGE AK, 94516 PHONE: LOT 3 11101 TOTEM ROAD ANCHORAGE AK, 99516 SEPTIC SYSTEM REPLACEMENT PLAN VIEW THIS DOCUMENT AND THE IDEAS INCORPORATED HEREIN, AS AN INSTRUMENT OF PROFESSIONAL SERVICE, IS THE PROPERTY OF HUBER ENT. AK AND IS NOT TO BE USED, IN WHOLE OR IN PART, FOR ANY OTHER PROJECT WITHOUT WRITTEN AUTHORIZATION Of HUGER ENT AK DATA DATA REV DATE DESCRIPTION BY BASE --- --- TELEPHONE --- --- TOPOGRAPHY --- --- ELECTRIC --- --- PROFILE --- --- CABLE TV --- --- SANITARY SEWER --- --- TRAFFIC SIGNAL --- --- STORM SEWER --- --- DESIGN --- --- WATER --- --- QUANTITIES --- --- VERi SC LE: NTA GATE: SEPT 2025 GRID, Sw26J7 / SHEET 2 of 2 GAS --- --- NUN. 1TxAL clxtx --- --- PLAN CHECK REVISIONS I CONSULTANT SEAL OWNER I PROJ. ID.: PSXXXXX PLAN SET XXXXX Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 Soils Log - Percolation Test am (��;Cilr�trz;�r5�c'tt ti r" MICHAEL N. ANDERSON :-,I: e orme or: y 11% <_ -F" tz , Date Performed: Legal Description: any �, L L+ ',"� Township, Range, Section: 1- 2- 3- 4- �7 5- 6- 7- 'x 8- 9- 10- Pro a t=_' 11- `r'"6 W� �cP'�kL 12- 13- 14- 15- 16- 17- 18- 19D'dtn� 20- *' WAS GROUND WATER ENCOUNTERED? S IF YES. AT WHAT DEPTH? L Depth to Water After O Monitoring? OA P E Date �7_� Site Plan PERCOLATION RATE (,, (minuteslnch) PERC HOLE DIAMETER A.p ri TEST RUN BETWEEN _FT ANDIC5--_FT COMMENTS PERFORMED BY: t'' gk I CERTIFY THAT THIS TEMST,WA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: tW�� Frosted Ground Engineering Services, LLC Project No. P20250504 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Boyd Lot 3 – 11101 Totem Road Septic System Design To whom it may concern, The owner of the aforementioned lot has a 5-bedroom home on the property with a septic system that is nearing the end of its life. The attached site plan identifies the location of the home as well as the existing well, septic location, and neighboring lot well and septic locations as available by public records. The current system consists of a steel 1,500-gallon tank (installed in 1995) and three deep trenches being utilized, with an additional trench abandoned on the northern part of the lot. Multiple cleanouts/monitoring tubes were unable to be located using as-built records. There is a notable depression over the middle trench where the owner has used the area for parking recreational vehicles and horse trailers. Utilizing the MOA’s 2015 LIDAR data for contours, the lot generally slopes towards the west with all slopes under 25%. Contours are shown on the site plan (sheet 2). It may also be noted that based on field observations, the provided contours in the location of the new septic system drain field do not match current conditions. It is the intent of this design to install a shallow bed system over portions of the existing trenches, utilizing a sand layer underneath the entire bed system and type IIA fill to replace existing material below the bed section. After installation of the new field, the grading efforts shall be made to create a uniform direction for stormwater drainage. By retaining this location, the new system shall remain a minimum of 100’ away from all wells and surface water and more than five feet away from the proposed septic tank. Please refer to the attached test hole log, percolation test results, Vicinity Map, Site Plan, and system details for the proposed design. If this design is followed there should be no negative impacts to the adjacent properties. If there are any questions, comments, or concerns, please do not hesitate to contact via phone: (907) 398-5272 or email: frostedgroundengineering@gmail.com. Sincerely, Eli D. Ward, PE Principal Engineer 7/20/2025 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251255, Curtis Townsend, 07/31/25 Depth (Feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 19- 20- FT AND FT I (ENGINEER'S SEAL) Performed For: Legal Description: 15- 16- PERC HOLE DIAMETER Date Gross Time Slope Site Plan PERCOLATION RATE (minutes/inch) Net Time Depth to Water Net DropReading COMMENTS TEST RUN BETWEEN 17- 18- PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: CERTIFY THAT THIS TEST WASPERFORMED BY: (907)343-7904 Soils Log - Percolation Test Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S L O P E Date: Depth to Water After Monitoring? Date Performed: Municipality of Anchorage Development Services Department On-Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite *SEE TEST PIT LOG Mary Cameron Boyd, Lot #3 June 03, 2025 No See Attached Site plan Approximately Flat Eli Ward Frosted Ground Engineering Services 06/03/2025 6" 1 2 3 6/3/2025 Test Hole excavated by Ak Built Construction and Design. Refilled to 6" per test 18:48 19:18 19:49 0 30 61 9220:19 16 19 1/16th 18 14/16th - 3 1/16th 2 14/16th 18 13/16th 2 13/16th 11 3.5 4.0 No GW 6/10/2025 06/10/2025 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251255, Curtis Townsend, 07/31/25 UNIFIED SOIL CLASSIFICATION LEGEND GROUP SYMBOL SOIL GROUP NAMES & LEGEND GW GP GM GC SW SP SM SC CL ML OL CH MH OH PT WELL-GRADED GRAVEL POORLY GRADED GRAVEL SILTY GRAVEL CLAYEY GRAVEL WELL-GRADED SAND POORLY GRADED SAND SILTY SAND CLAYEY SAND LEAN CLAY SILT/SANDY SILT ORGANIC CLAY/ORGANIC SILT FAT CLAY ELASTIC SILT ORGANIC CLAY/ORGANIC SILT PEAT TEST PIT LOGTH-01 PROJECT: JOB No.: LOCATION: COORDINATES: DATUM: 11101 TOTEM ROAD SEPTIC DESIGN 20250504 11101 TOTEM ROAD, ANCHORAGE, AK 99516 LAT: N60° 07' 13.53"LONG: W149° 46' 51.60" NAD83 SURFACE ELEVATION: DRILLING METHOD: SAMPLING METHOD: COMPLETION DEPTH: 584.5' (BASED ON MOA 2015 LIDAR) EXCAVATION GRAB 12' EL E V A T I O N ( F E E T ) DE P T H ( F E E T ) MATERIAL DESCRIPTION GR A P H I C L O G SA M P L E S SA M P L E N o . DATE TEST PIT STARTED: DATE TEST PIT COMPLETED: LOGGED BY: DRILLING CONTRACTOR: DRILL RIG: 6/03/25 6/03/25 EDW AK BUILT CONSTRUCTION & DESIGN, LLC HITACHI ZX50U-5N REMARKS: WEATHER:55°F, CLOUDY EXCAVATION WAS DRY. NO GROUNDWATER ENCOUNTERED. NO GROUNDWATER ENCOUNTERED 7 DAYS LATER 5.0 7.5 10.0 12.5 15.0 17.5 20.0 579.5 577.0 574.5 572.0 569.5 567.0 564.5 ORGANIC SILT (OL): VEGETATIVE MAT WITH ROOTS. SILTY/SANDY TOPSOILY LAYER. SANDY SILT (ML): LIGHT BROWN IN COLOR. FINE GRAINED MATERIAL. ESTIMATED (~0% GRAVEL, ~40% SAND, ~60% FINES) NON-PLASTIC BROWN, MOIST, SANDY SILT (ML): TRACE ROUNDED GRAVEL PRESENT. ESTIMATED (~5% GRAVEL, 20% SAND, 75% FINES) NON-PLASTIC 582.0 2.5 SURFACE ELEVATION: 584.5 FT TH-01-S1 TH-01-S2 FROSTED GROUND ENGINEERING SERVICES 5.0' 39.4' 32.3' 23.0' 4.0' 21.7' 3.0' 19.6' 24.1' 4. 7 '6.2' 29.5'RESIDENCE FABRIC BUILDING 72'x100' ARCHED 12'x19' SHED 12'x54' HORSE STALL 12'x22'SHED 10'x12'SHED 12'x12'SHED 19'12.5 ' ST A L L NOTE: PORTABLE HORSE CORRAL FENCING IS NOT SHOWN HEREON. LEGEND FOUND 5/8" REBAR, NO CAP EDGE OF GRAVEL DRIVEWAY DECK FENCE OVERHEAD UTILITIES RECORD DATA PER PLAT #70-174 SEPTIC PIPE WELL FOUND 5/8" REBAR, PLASTIC CAP BOARD MOUNTED ELECTRIC METER TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 25.118 SCALE: 1" = 40 FEET DATE: 5/27/2025 SHEET: 1 of 1 MOA GRID: SW2637 SCALE: 1" = 40 FEET(11"x17") 40'0' 80' AS-BUILT OF: ADDRESS: 11101 TOTEM RD, ANCHORAGE, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 3BOYD SUBDIVISIONPLAT #70-174 Oct. 2120 02:24p A nc.hc!-age/Ve!i8-, �:--nip Ser 9072430742 p.1 1.1"Jil-diRO CIG.�r4�tl . V b*ASiOl,"I tiCOc. 0, 5: s I vvv 0.� e r r n Mark Begick,. Mayor t-4. ni, C�,!.jinsl 1 z 19',Ti Pump Installation Log VVell Driffing Permit Number, S'W Date tif ISSUV: Parcel Identificablon Number: 22 Legal Dtscriptioxi Froperky Owner Name & Address: o Fump Installation 1), te: 7 Pump Intake Dtjoh Below Top of W' 11 C�zftq: fN!t Pump Alonufaclurer's Name: r Pump Model: Pump Size hp Pitbe;,s Adapter BuriAl Depth,. -feet Fitless Act apter 7Mnn-cfacturer's Narr,2,, 14144144F111t,4— Piflvss Adapter Installer: Well Disinfected Upon Comple6oll? 21�-Vi NO Method W'Dishifution- Cora ments: Pump Installer N:nnc: ,icjjOr3Rr- Punp Servjict', 330 East 761h Avence Anchorage, AK 99518 None: 9011.-2143-0740 S-97-243.07421 Attention: fh: anip Insi F. 111 e i- sisal? pio-v ide a pinup itlst id! aiiol I I o"C, to 01C I3vfa y/it"lill 3C days of pump hristail ation. Municipality of Anchorage Page t of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~L,,Jq S O1"7( PID Number: ~)~5'~9.1 Name: ~A~ D ~0~~0~ Wastewater System: ~ New ~ Upgrade Address: ABSORPTION FIELD Phone: 5~U- lfl~ ~ No. of Bedrooms'~ ~eep Trench ~ Shallow Trench Q Bed ~ Mound ~ Other LEGAL DESCRIPTION 'So, Rating: Total Depth from original grade: Lot: ~ Block:~y~Subdiv~i°n:~[~ Depth to pipe~ bo~om~ from~ original grade: Ft. Gravel depth~ ~beneath~ pipe Township: ,Range: ,Section: Fill added above original grade: Gravel length: ,~ I I Gravel width: ~ Number of lines: ~ Distance between lines: WELL:~x~sv~ueD New 0 Upgrade / ;.G Ft. ~I Iq' Ft. Classification (Private. A.B.C): Total Depth~ ~d To: Total absorption area: Pipe material: Driller: ~ Date Drilled: Static Water Level:Ft. Installer: ~ ~O~~l~ Date installed: Yield: ~ I Pump Set at: I Casing Height Above Ground: TANK .~ GPM Ft. Ft. SEPARATION DISTANCES ~s~p~ic ~ ,o~Uing ~ To Septic Absorption Lift Holding Public/PrivateManufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~NCflO~ ~ ~ ~ [1~{ N~mb~ of Co~partm.,ts: '+ ~4 ~ ~ ~ LIFT STATION Surface Water t ~ I o~ Lot ~ i ~ Size in gallons:~ Manufacturer: I Foundation (~' I~' ~ ~ ~ "Pump on" level at~ level at: ~ High water alar~ at: Curtain __ ~0, ~ /~o ~ ~ - ~°del IElectdcallnspect'°nsperf°rmedby: Drain Remarks: ~oTE-- ~~T A~O~4L ¢o~ BENCH MARK Location and Description: I Assumed Elevation: S & S ENGINEERING ]7034 Eagle River L°°P R°'d' N°' 2" Department of Health and Human Services approval '*,~-- Reviewed and approved by'g Date' ~-/~ -~ 72-013 (Rev. 9/91) MOA 25 Permit No SW950171 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LOT 5, BOYD SUBD, Legal Description: PID No.:01552128 CO1 C02 910' It , lNG SYSTEM C05 NO WATER 7-7-9 IN THE FUTURE MT2 C08 ¢.o' 90. MT3 cog NEW TREI'ICHES EPTIC TANK ,0' WELL WELL SCALE 1" 40' LOT .5 ROBERT C. COWAN CE - 8801 72 013 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950171 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:JOHNSON DAVID C & DEAMA J OWNER ADDRESS:ill01 TOTEM ROAD ANCHORAGE, ALASKA 99516 DATE ISSUED: 7/20/95 EXPIRATION DATE: 7/20/96 PARCEL ID:01552128 LEGAL DESCRIPTION: BOYD LT 3 LOT SIZE: 78478 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVIS IO~ RECEIVED BY: ~~~~ f4 j~P ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. July 11, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE W,~STEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human S~rvices P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 3; Boyd Subdivision ~oc~ b¢~oom house on thc r¢~e~cneed peope,,~. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation no ~t~r was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no points of contamination within the well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1"=50' ~CALE ~d 0 ~ o o SITE PLAN GROH STREET UP-GRADE z~ ~Z Z o o ~zo Z~ ~ ~ (ENGINEER'S SEAL) Municipality of Anchorage ~-. DEPARTMENT OF HEALTH & HUMAN SERVICES ~... 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~.~~,~..~ ..... :,..,. · '~ ~.. c / Township, Range, Sect -~[fg0r[~$x~x ~' WAS GROUND WATER V~/~1(~ ENCOUNTERED? S __ L IF YES, AT WHAT 0 DEPTH? p E Del)th to Water Alte~ Monitoring? , Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop 111~$ ~ ~'&" J~" I~oo lo ~" Ye" ~to to ~" PERCOLATION RATE TEST RUN BETWEEN · (minutes/inch) PERC HOLE DIAMETER ·. FT AND 9 FT PERFORMED BY: $ & 17034 i =agle ~Jver, Alaska 995~ 72-008 (Rev, 4/85) CERTIFY THAT, THIS TEST WAS PERFORMED IN DATE: ? ,/,, S- ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 3, Boyd Subdivision July 11, 1995 GENERAL: 1. The scope of this project includes the installation of a leachfield trench to serve the four bedroom residence located on the referenced property and excavation of the existing 1250 gal septic tank to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1250 gal septic tank installed. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade· 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Boyd Subdivision July 11, 1995 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 3, Boyd Subdivision July 11, 1995 Be Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. ® Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the $200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 3, Boyd Subdivision July 11, 1995 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 3, Boyd Subdivision July 11, 1995 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE He~ h and Environmental Prote Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE NUMBER OF COMPARTMENTS INSIDE LENGTH__~ .... INSIL)E WlDl'tt t_IQL~ID DEPTH ~ LIQUID CAPA~ T~~ ~ / A f TOTAL LENGTH DEPTIt: TOP OF 'TILE TO FINIStt GRADE ..___~ .... MATERIAL BENEAIH IlL[ ............. IN. ABOVE IlL[_ SEEPAGE PIT: DIAMETER ~OR WIDTH____ LENGTH___, DEPTH Log Crib BUILDING FOUNDATION ........ Rings/,.;RIB SIZE: DIAMETER ...... DEPfH ..... DISTANCE FROM: WELL ]OTAL EFFECTIVE NEAREST LOT LINE .... ABSORPTION AREA (WALL AREA) __SQ. Ff. Well Class: ~A ' Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: # of Bedrooms: Installer: Rem~ [:,EPFtRTMENT "~= HEFIL. TH FIt",I[:' ENV I ROI'4HEI",I"f'Afl :::'RCFFEC:T I ON 8;:7.':5 ,_'" :::';TREET., AfNCHORFIGE., f='ERMIT NO. ( "7'72:~:5 ) AfPF'L. I CRNT KENN[.:.'TI-~ W ILK I NG'.~; I....OCflT I (]t"t :Fi~J'f'EI"'I ' L..E:C. iFtL [...]i: E',O"r'[:' SIJB[.', 'I"","PE {itl:: SC'lIE FtBSOF.:BI"ION ':':'.;'¢.':=;TE]"I IS: TRENCH MAfXIMUH NI...IHE:ER OF E:E[:,F.:OOH'.'5 = 4 SO I L RR'I" I NI]i ,:.' SI;! i='T,,."BR ]:, = fl..91;~i THE; R1.:.:.6'.¢...I I RE[:, S I ZE OF "FHE '.'.:.; ] I I_. FISSCIF.:PT t I]IN ~?r ::TEl 1 I S, ' THE L. EI"4GTH D I HEN:L:; 1 O1"4 I S THE LENGTH ( I N FEE7' ) OF ]"HE TREI",IE:H OF.: [:,RF~ i NF:: I EL.i:,. THE [:,EF'TH OF I=t TREI",ICH CR F'IT IS THE [:,ISTRNE:E 8ETI.,.IEEN THE: '.:.':;URF'RCE; OF' TH.E: GROUND' FIN[:, THE E:O'f'TOH OF THE EXCAf',,,'FFFION <IN FEET). THERE I:5 1"40 SET W I[.':,]"I'4 FOR TRENE:HES. THE GRR',,,'EEI._ DEPTH iS THE H iNIHLIM DEPTH OF GRFt'v'EL BETHEEI",I THE OUTF'F:tL..L. PI F:'I.E RI'4D THIE BOT]"OIt Oi:: 7'FIE EXCAf',,,'FtTiON (IN FEET.':,. '"'iF" It..,-!t ,::::} < 2: :::, if.. i"-,I ::¼; F" IF:Z C: "T" Z CD f-,i "::~; Ft F..: E=--. F::: E: ~':::~ Eli ][ Bt::ICKF'ILL. II'.4G OF F-fl'.4"r' SYSTEM I.,,tI"FHOIJT FII'.,II=IL iN::T, PECTZCIN FIND RF:'PF.'.O',,,'FE.. BY :"HIS [:,EF:'AfF.:THENT 141L.L BE: :.:..-;U.F.,',IECT TO PROSECUT I ON. H I N I MUH D I S"f'RNCE IF.:ETt.4EEN I:l WELL. RI'.,II} FIN'.r' ON-S I TE L:,Et4AfGE D I SPOE;FtL. ~;'T'STE]"t 1:5 ::LEil¢.':t FEET' FOR Af F'RI',,,'AfTE WELL OF.: 200 FEET FOR Af PUBLIC 1.4EL. L.. ."SF:'EC I F' I CAfT 1 ON'.5 AfN[::, C:ONSTRUCT I ON [:, I AI3RAI"I:5 AfiRE: R',,,'FI I LI:IBt...IE Tl:l I NSi...iRE F:'t:~:'.Ed:::'I!ER I NSTAfL. I._AfT I ON. t CERT I F'"r' THAf]" ::t..: I Afl"l F'AfHILIFIR WITH 'THE REQUIREMEI'-iTS FOR ON-SITE :.'.:.';EHER:Ei; 81'4[:, t,,~Et....L:!ii; F:iS :i.3E:T FOR]'H B'-r' THE HUN I C I PAfl.... I ]""r' OF FINCHORFIGE. 2: ]'. t.,.IIL, i .... IN:i.:;TFiLi .... THE: SYSTEM I1"4 AfC:CORDFINCE 14.T. TI"! THE CODES. .:ii:: :i: I.JI"~[:,ER':=;TRt'4[:' 'I"HAfT THE ON-'.:::;tTE :.:;EWER S"r'STEH I'"lR',r' REg¢..tIRE ENLFiF.':GEHEI"4T IF THE RE$IDE:.I",ICf=] ]:S REMOIT.:'ELE[:' Ti.".) INCL. LIDE MORE ]"HRN 4 BE[:'F;'.CIOI"IS. R FI::' L. I C R N T K E I"~"~E 1' H WI L k:;¢~4 G :!.:.; .......... ............................. ':" '. ..... .................... .7..._..: ............. CONSULTANTS, INC, 50z4 CORDOVA · BOX 6087 Il ANCHORAGE:. ALASKA 99562 · PH. 907'279-048g · TLX. 090-25360 March 18, 1977 R & M NO. 751124 Mr. Marshall Austin 109 Muldoon N. Anchorage, Alaska 99504 Test Hole and Soil Log Report for Sanitary System Lot 3, Boyd Subdivision, NE¼, Section 22, T12N, R3W, S.M. Anchorage, Alaska Dear Mr. Austin: We are submitting herewith the test boring results and our comments regarding~soil conditions encountered at the subject site. This in- vestigation was performed ~n accordance with your request of March 15, 1977 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 19 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling° A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. ~R/pe xc: Municipality of Anchorage PERCOLATION TEST MARSHALL AUSTIN R & M NO. 751124 TH-1 March 17, 1977 TIME 11:00 11:01 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:09 11:10 11:15 11:20 11:25 11:30 11:40 11:50 12:00 ELAPSED TIME 0 1 2 3 4 5 6 7 8 9 10 15 20 25 30 4O 5O 6O INCHES 20.25 20.25 20°25 20.50 20.75 20.75 20.75 21.00 21.00 21.25 21.25 22.00 22.75 23.50 24.50 25.50 26.25 27.00 DROP IN INCHES 0.00 0.00 0.00 0.25 0.50 0.50 0.50 0.75 0.75 1.00 1'.00 1.75 2.50 3.25 4.25 5.25 6.00 6.75 8o 9 MINUTES/INCH LOT 3 NOT TO SCALE Test Hole locations are approximate and have not been located by survey methods. TH-1 3-16-77 Ail Samples A SAND W/SO~ SILT, SO~ GRAVEL . ~ANDY SILT ~TP=~CE GRAVEL Slightly Moist, Light Brown SILTY SAND ~'~TPcACE GRAVEL Fine, Light Bro,in Slightly Moist SAI~Y SILT %~TRACE GRAVEL Light Brown Slightly Moist SILTY SAND W/TRACE GRAVEL Fine, Brown, Wet 0.0~ No Water Table Encountered 2.0' 7.01 12.0' 16.0' 19.0' TD This log represents subsurface soil conditions within Lot 3, Boyd Subdivision, ~%, Section 22, T12N, R3W, S.M., Anchorage, AK ID WN: ~q'/~ ~ KD: SI,IH aTE: 3-17-77 CALE: 1"=3' S~NITARY S~R TEST HOLE [~RSHALL AUSTIN ANCHORAGE, A/~SKA GRID: 2637 /1pR0a'N0' 751124 //DwG. NO. ,~-n'~ '0 S 69© 69' IO"E 296.70' Seplic I,-~ ,5,0/// 4.4x&/fT4.5 ~q ~contllever 160.15 S 89© .58 ' 40"~ 1 IO'Ulilit y E o:,omo nh%. 0 woll lr) finished gr(lde ond uhll~/ COl~r~uClitulb tJhd TO ~elern,,ne Ihe ~JSJEIICI~ O[ Ol~ ¢gt,elff,e:Jf~, COVt",bl,15 (if f~ ,JrlChdl,~ ~- oF AL . ~ ~ ' ' ~-- ~- I'h 5 O' / k-->~ ~ / ~ I d [}at, Surveyed '~-~V '.~ ..... ~ ¢.~*'. ~ ,' ~ ¢ Da~e Drown %~ ....... · .~ LE(;END hub ~ iock-iound IrOII rebor -fouRd iron pipe -found br~]ss cop -{ound alum. cap -found Prepared by Robert E. Johns. Jr. Assoc. Professional Lanof Surveyors Drawn by REB 6-4-79 Checked ~ REd 6-13-79 Grid 2637 l eg:llDwscriptlo~t LOT 3, BOYD SUBDIVISION Y.~.77t~. ~369 Star Route A Anchorage, Alaska Oct. 1~th,73 One six inch cased Hater well drilled out to the depth of 130 feet. Drilled at the rate of $13.00 per foot. Property owner: ~. ~arshall Austtin 3~A~-8310 Locatlon of wall site: Lt.~ ~lk. Driller~ ~ernie Claus of Rampart Drilling Works ~136~ SRA Anchorage Said~-ell producing 10 GP~with a static level of 60 feet off bottom. Finished water bearing formation made up cf fine and course gravel. Woll drilled at the rate of $13.00 per foot totaling $200°00 paid in adv~ceo Cost includes ali labor and material for completion of said drilling. E~ecute check p~yable to Rampart Drilling ~rks for the sum of $~0.00 1200 l~mine Anchorage Bernie Claus of Rampart Drilling Works ...../ MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Parcel ID 015 -521-28 Certificate of On -Site Systems Approval O'L Legal description BOYD LT 3 Site address 11101 TOTEM RD OSC251307 Expiration Date: Current property owner(s) CAMERON M E IRREVOCABLE Z-< The On -site system(s) is/are approved for bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments 0i Z_ S_ I 7_ S_ 4L By: Original Certificate Date: 8/18/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(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 ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01552128000 Complete legal description BOYD LOT 3 Location (site address) 11101 Totem Road, Anchorage, AK 99516 Current property owner(s) Cameron M E Irrevocable Inheritance Trust Day phone 9077270377 2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well serving #1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: F Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: j Steel Plastic ❑ Concrete ❑ Fiberglass Age,W - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 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. COSA Fee $ r700 0 Date of Payme COSA # Waiver Fee $ Date of Payment Waiver # COSA Application_Ap2025.doc COSA Checklist Legal Description: Boyd Lot 3 Parcel ID: 01552128000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA [00 Well log is filed with Onsite (or attached) Date drilled 10/14/1973 Total depth 130 ft Cased to 130 ft R Sanitary seal is functioning correctly R Wires are properly protected Casing height (above ground) 16 in. Date of flow test for COSA 5/13/2025 Static water level at beginning of test 51.5 ft Comments B. TANK DATA Measured operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: NEW TANK D. DISPOSAL FIELD DATA Which system tested (date installed) 9/2025 FN ALL standpipes present per record drawing Total measured depth from grade 13.55 ft (max) Measured depth to pipe invert from grade 5.4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑N 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) If yes, enter date Well production at time of test 6.2 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes FEW No ❑ Coliform bacteria is Negative Nitrate 0.4 mg/L ❑ Nitrate less than MRL (ND) Arsenic 3.98 ug/L ❑ Arsenic less than MRL (ND) Collected by Eli Ward Date 5/13/2025 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date N/A Results U Pass Fluid depth prior to test _ Water added gal New fluid depth in Elapsed time min Final fluid depth in ItiU Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used in Effective depth remaining in Comments/Deficiencies: Max Monitoring tube depth is at East End of drainfield. Min Depth to pipe invert is at West end of drainfield. Finished grade elevations slope from East to West in COSA Check list_May2025.docx E. SEPARATION DISTANCES From Well ouLot to: (Please enter distances if less than required) Septic Tank/LUtStation onLot ZYea ifNoft Neighboring Tanh>100' 41Yes ifNoft Disposal Field onLot >100' Yes ifNn0 Neighboring Disposal Fields >10I C�Yen ifNoft Sewer Ma>Y [Z]Yeo if No Sewer Service/Septic Line >25[71Yes if No Holding Tank >�1OO' | |Yas if No Animal Containment >5O' [�Yes if No Manure/Animal Excreta Storage >� 100' ClYwo �� if No [:] N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal mnLot to: (Please enter distances if less than required) ft It R ft III Tank 0uFoundation >1{Y RV Yaa ifNoft Surface VVaber>�10/ ZYeu ifNoft Field bzFoundation >1O' ��Yea ifNoft Wells ooAdjacent Lots: Tank hoProperty Line >5' Yaw ifNo0 Wells >10O GlYam ifNoO Field toProperty Line >1O' Yes KNoft Community Wells >�2OO' RqYea ifNo# [� Water Main/Service Line >�10' Yes ifNoft |ftank prfield isunder driveway comment below F.ENGINBER'S COMMENTS G. CERTIFICATION & STATEMENT NFINSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, | verify that myinvestigation, based on procedures outlined in the Certificate of[)n'Ghe Systems Approval Guide|inea, indicates that the on -site water supply end/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. A������ 4|���� 7�uo�muf�bno Huber ��' Enterprise � a Engineer's Printed Z4 cdaocL--=c»/ M' Huber 2-52w-u2v. Date 10/28/2025 �P 4!���� W A Z, Frosted Ground Engineering Services, LLC Project No. P20250504 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Boyd Lot 3 – 11101 Totem Road Conditional Cosa To whom it may concern, The owner of the aforementioned lot has a 5-bedroom home on the property with a septic system that is nearing the end of its life. The current system consists of a steel 1,500-gallon tank (installed in 1995) and three deep trenches being utilized, with an additional trench abandoned on the northern part of the lot. Multiple cleanouts/monitoring tubes were unable to be located using as-built records. There is a notable depression over the middle trench where the owner has used the area for parking recreational vehicles and horse trailers. Granting a conditional COSA should not cause any eminent health hazard concerns or adverse effects to the homeowners or neighboring lots. At no point during the septic system adequacy test exceed the invert elevation listed on the historical records, but water levels within 24 hours did encroach on the 90% of the effective depth. The Septic tank water levels were steady during the test. There are no signs of overflowing sewage or other deficiencies with the tank except for it's age. However, the system's deficiencies should be addressed with an upgrade. The approved Septic System Design permit (OSP251255 – BOYD LT3) will be utilized to secure three quotes from contractors on the MOA’s certified excavators list. The anticipated date of completion is within 60 days of the issuance of the Conditional Cosa. Funds shall be held in escrow in the amount of 1.5 times the highest of these bid amounts (expected to exceed $2,000) until an unconditional COSA may be obtained. If there are any questions, comments, or concerns, please do not hesitate to contact via phone: (907)398-5272 or email: frostedgroundengineering@gmail.com. Sincerely, Eli D. Ward, PE Principal Engineer July 31, 2025 Parcel I.D. # 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 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION CERTIFICATE OF HEALTH AUTHORITY MAY 1 2 1997 APPROVAL FOR A SINGLE FAMILY DWELLING o~ ~- s.~-~ ~' ~^^ ~///~ ¢~ ~~ C E IVE D GENERAL INFORMATION Complete legal description Location (site address or directions) Prot:grty owner Mailing address Lending agency · ._ Day phone Day phone Mailing address AgentAp-,--;t I...~., j~,,, ¢(~.y Add ress c~..b-cu~-~ C__o ~-,~'~) ~' ct Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: --~ RECEIVED TYPE OF WATER SUPPLY: Individual well Community well Public water MAY 1 2 1997 Municipality of Anchorage Health & Human Services NOTE: 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 Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm I ~ ~/o-~ o ~'~ ~'~ Phone ¢LT'i- qlJ Address ¢,4.¢% ~ 1,~-/-~ /~,,,~.o '-% Engineer's signature ,~---.. ~.--, _ 0 Date ? DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: ~~. ~~/~~,~_'~ Date~/~O/~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA~21 ~uNICI~AU~ oF ^~CHO~G~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SER~]CES Environmental Services Division ~,¥ 1 2 1997 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal DesCriPtion: A. WELL DATA Well type ~ Log present (Y/N) ~/ Total depth } ~ I Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed t O/1~/7~'~ Cased to I '11 Casing height (above ground) Wires properly protected (Y/N) y Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG AT INSPECTION , ID g.p.m. Coliform ~,P Date of sample:, ~/'~/'~ ~ Nitrate Collected by: g.p.m. Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (Y/N) Date of Pumping ~'~-/f 7 Tank size /*..'-C:~'~:;' Number of Compartments ~ Cleanouts (Y/N) ~// Depression (Y/N) ~'"~' High water alarm (Y/N) ~ I .um r A+ C. ABSORPTION FIELD DATA Date installed ~'/~,///~'.5- Length '~t~.,, ~/~/ ~ Width Soil rating (g.p.d./fF~'4Ffbdrrn) (:~ Z/'~"' System type '~,,f,.4,~ ~ / Gravel thickness below pipe ~'~ T ~' Total depth Effective absorption area /~ '~ ~, Monitoring Tube present (Y/N)__..'~___ Depression over field (Y/N) 7 Date of adequacy test ~ P///~ Results (Pass/Fail) ~¢~ '~,~For ~-~/~ ,5 bedrooms Fluid depth in absorption field before test (in.);/'/~ ~ Immediately after gal. water added (in.): Fluid depth (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Absorption rate = If yes, give date g.p.d. 72-026 (Rev. 3/96)* LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) High water alarm level at* Cycles tested SEPARATION DISTANCES "Pump on" level at* *Datum "Pump off" level at* RECEIVED SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot J ~1.~'/'~ ! MAY 1 2 19 7 i~ NIl~rlJOil:)ality of Anchorage Health & Human Services Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Uft station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /q Property line ~/f~) Water main/service line ~Zj~ Surface water/drainage ~'q/~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LoT TO: Property line /{~O 'J~ Building foundation J[ J'/ Absorption field ,~/ Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area Surface water t'~ 1 D Curtain drain I'~ / 1~ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of in conformance with MOA HAA guidelines in effect on this date. Signature am~~~:~ Engineer's N ~ ~' Date ~L.~ ?,/ /q~'7' HAA Fee $ ~ ~ ~ Date of Payment ReceJptNumber c~ ,~3C2:~/g-).,~ ) 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number APPLI¢ NT FILLS OUT UPPER HA~ ONLY Property Owner ~.,..1~, [-~ J. & Silvia S, ~Ph°~e44--9767 k,,,ailing Address ~ BoX'"~706-K ~N,,chorage, ~ 99507 zip Code W 276(i33~Z7 Buyer · Address Zip Code Lending Institution Phone Address Zip Code Phone Realty Co. & Agent O~)ldwell Banker Jack White Ccrapany Agent; Larry J. Houle 594-55999Age~. Address 3201 C Stz~eet Suite 100 .99503 Zip Code 277-1553 Off:i Legal Oescriptlo~t 3.!:]~3'yd Sukx:~vi~ion ....... Street Location OOOO ~tem Road Type of Residence Single Family Multiple Family No. of Bedrooms 4 [] Other water 'supply ~i~ individual (~i (~' ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [] Community ~ ? For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility :' Sewer Disposal Individual Year Individual Installed: Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time / ~:;7_.,~) f'~'~'"'"~'"" Tifi'~.=.. .~ .... Time Date Date '~/; U /~'V Date tnsp~tor Insp~tor Insp~tor ~ Insp~ /Field Notes: ~ ~~, ~~ '7~0/~¢ 7'- MUNICIPALITY OF ANCHO~GE ENVIRONMENTAL PROTECJlON , RECEIVED ( DISAP~OVED ( ) CONDITIONAL APPROVAL* DATE [ ~ "~ 7 '~ ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received 72.023 (3182) CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 Larry Houle Coldwell-Banker/Jack White Co. 3201 C Street Anchorage, Alaska 99503 October 25, 1983 SEWER SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM SEWER SYSTEM: DATE OF TEST: TEST PROCEDURE TEST RESULT Lot 3, Boyd Subdivision On Totem Road off O'Malley Harry J. Kantas 4 Bedroom Single Family Unit On Site Well. From Municipal Records. Tank Absorption System Absorption Area Soil Ratin9 Installation Date 1250 ~al Greer Steel, Two Compartments Trench, 51 feet long, 8 feet of rock. 760 sq. ft. 190 August 1977 October 21, 1983 System was inspected on Oct. 12, 1983. Tank was found 13 feet deep with 49 inches of liquid. No sump had been installed only two cleanouts to the drain field. Both these clean outs were dry. On Oct. 21 one thousand gallons of water was added to the system at a sta~dy rate of 5 gal per min. No backup was observed in the tank. This system mee~s the requirements of the Municipality. ~ " p'civate ~J.~'~'~s ~><'~f.o~';~ing tho test ::~ irtC~: re i y, DATE RECEIVED "-- INSPECTION APPOINTMENTS TIME TIME TIMI~ DATE DATE DrAfT E MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H~ALT;-I & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ;~;.{ )TECTION ENVIRONMENTAL SANITATION DIVISION bEC 8 ~980 Telephone 264-4720 REOUEST FOR APPROVAL oF INDIVIDUAL WATER AND SEWE~~I~ ~ DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ' ~ PHONE MAILING ADDRESS (~'t ~~ ' PROPERTM RESIDENT (If different from'above) PHONE 2. BUYER PHONE MAILING ~D~ESS ' 3. LENDING INSTITUTION J PHONE ~AILING ADD~ESS 4. REALTOR/AGENT J PHONE MAILING ADDRESS 5. LEb/{,L DESCRIPTION STREET LOC~ATI ON 8. TYP~ O~ ~I~NO~ '~ SINGLE FAMILY ~ ~ULTIPLE FA~I LY NUMBER OF~BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY I NDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTI LITY Connection Verified []Septic Tank or [] Holding Tank Size: ~..~"O IfTank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTI ON AR EA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTURER Septic/Holding Tank ISewer Line [] OTHER Nearest Lot Line 5. COMMENTS DATE [][] CONDITIONALDisAPPROVED APPROVAL (letter mus~ee~mpany certificate) 72-010 (Rev. 6/79) 825 "L" STREET Aixcho age ..... ANCHORAGE, ALASKA 99501 (907) 264-4111 ¢~,~ \,,~¢,_...__ DEPARTMENT OF HEAL'FHAND ENVIRONMENTAL PROTECTION December 12, 1980 Ken/Marilyn Wilkings % Dynamic Realty 501 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 3 Boyd Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: ( ) A well log submitted to this department for our review. ( ) The top of the well casing sealed with a sanitary seal so that it is water tight. ( ) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. ( ) The well casing extended twelve(12) inches above ground level. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. The water facilities were not turned on at the time of the scheduled inspection. Please call this office for another aPpointment. The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between the well and sewer system. Ken/Marilyn Wilkings December 12, 1980 Page Two The septic tank pumped with a receipt submitted to this department. The depression around the sewer system needs to be filled in with impervious type soil and reinspected by this office. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S~ Associate Specialist aCP/ljw cc: Alaska Pacific Bank Post Office Box 420 99510