HomeMy WebLinkAboutT15N R1W SEC 8 LT 25
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211001 PID Number: 051-092-30
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
SANTIAGO JONATHAN JAMES
AORPTION FIELD
❑ D Trench El Wide Trench El Bed El Mound
Site Address
20805 S Birchwood Loop Rd
Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
D/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original ode
Ft,
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
25
Fill added above original grade
Ft.
G el length
Ft.
Township Range Section
T15N R1 W SEC 8
Gravel width
Ft.
Beds: Number of Lines
Dis ce between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between nches
From
Tank
Field
Lift Station
Tank
Line
Ft2
t.
Well
> 100'
na
na
na
> 100'
TANK 0 Septic [IS.T.E.P. ❑ Holding El Other
Manufacturer Capacity
Greer 1500 Gal.
Surface Water
> 100'
na
na
na
Material
plastic
Number of compartments
2
Lot Line
> 10'
na
na
na
NA
Foundation
> 10
na
na
na
LI STATIONManufacturer
Capacity
Gal.
Remarks
Alarm location
Electric ' Ile d by
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Installer
JRs Septic
Drainfield CO/MT3034
Inspector Curtis Townsend
BENCH MARK (Assumed elevation) 100 ft
Inspectiond151 7/2/2021 Z„d 10/8/2021
Location and description
top of concrete retaining wall
3b 4°i
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
*X
Date
�°'�I A
Aw
Conditional Approval:
-:�%!Wk
co
AQ TH
. ...............
Curtis L T wns
. Date 10 It • W
110
Septic Syste /
App veld' Date 2�
ve
No. CE 11904
����F�PROFE5510NP4e��
Note: this approval does not include well permit requirements.
(Rev 05/02118)
1982 WELL, 160' DEEP
1985 WELL, 208' DEEP
00 0
a
_ cn
p C�
m mDRI VEWA Y
SUMP
m I
O SLOPE FLAT I A
o III l
septic \
EXISTING 42' x 56" x 6'
EFFEC TI VE DEPTH TRENCH
ASF
DECK SUPPORT' " BM
TYP
NEW SEPTIC TANK
�I
r�
m
HOUSE SCOPE OF WORK
1. REMOVE EXISTING SEPTIC TANK.
BACKFILL SEEPAGE PIT.
2. NEW 1,500 GALLON PLASTIC
SEPTIC TANK DRAINING TO THE
EXISTING ABSORPTION SYSTEM. THE
TANK WAS PROVIDED WITH MINIMUM
20" 0 MANWAY RISER SERVING
THE FIRST COMPARTMENT. DOUBLE
CLEANOUTS WERE INSTALLED
AFTER THE TANK. A FOUNDATION
CLEANOUT WAS PROVIDED.
3. ALL CONSTRUCTION WAS IN
ACCORDANCE WITH ALL
REQUIREMENTS SPECIFIED IN
ANCHORAGE MUNICIPAL CODE
CHAPTERS 15.55 AND 15.65.
LOT 24 I LOT 23
LOT 26
NEIGHBORING SEPTIC IS > 10'
FROM PROPERTY LINE
X100,
mow`
tv w 1985 WELL
�w
LOT 26A
100' 1982 WELL
CASING WAS
\ STRAIGHTENED �
NEIGHBORING SEPTIC IS > 70'
\FROM PROPERTY LINE
\ KRYST L LANE
SPECIAL PROVISION SCOPE OF WORK
1. 1982 WATER WELL WAS CONNECTED
TO THE HOUSE.
2. THE THIRD WELL ON THE LOT WAS
LOCATED AND DECOMMISSIONED. LOT 39B
Record Drawing Prepared for 1,
JONATHAN SANTIAGO `��P�. OF q4�s��`o
20805 Birchwood Lp Chugiak Ak 99567 ' %���
T15N R1 W SEC 8 LT 25 . �} TH 4
AN.....'........:......0
..
OSP211001 AN
�.............. ..............................10
EKLUTNA ENGINEERING, LLC DATE: 10/11/2021 �#=;CURTIS TOWNSEND:��
�� No. C 11904
'19162 MOUNTAIN. ROAD DRAWN: CLT •� / 0/,I���r�,:
CHUGIAK, ALASKA 99567 SCALE: V, = 50'�♦4�. ""..SS\ —0
.. .0
(907) 406-1058 44'
PID: 051-092-30 SHEET 2 OF 3
z
Z `� I—
W
N
mZ
m—,Q
MARK
A
B
ST1
20'-3"
21'—l"
ST2
23'-8"
24'-5„
DCO
25'-8"
26'-i"
Record Drawing Prepared for
DECK SUPPORTS ARE DRIVEN STEEL
PILES. THE PILES ON EITHER SIDE OF
THE TANK ARE > 5' FROM TANK. THE
BOTTOM OF THE PILE NEAREST THE
TANK IS BELOW THE BOTTOM OF THE
SEPTIC TANK. THE TANK DOES NOT
PENETRATE THE SOIL BEARING PRISM
OF THIS PILE.
JONATHAN SANTIAGO
20805 Birchwood Lp Chugiak Ak 99567
Tl 5N R1 W SEC 8 LT 25
EKLUTNA ENGINEERING,
'19162 MOUNTAIN ROAD
CHUGIAK, ALASKA 99567
(907) 4-06-1058
OSP211001
LLC DATE: 10/11/2021
DRAWN: CLT
SCALE: 1" = 5'
PID: 051-092-30 SHEET 3 OF 3
OF
..... �C�S°�®�
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CURTIS TOW NSEND tZi- Ar
®�� '• No. CE 11904
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Municipa%c of Anchorage
Community Development Department
Ori-$Tte Water and'Albsteaater Program
4170 Luno c, 8t. - P.C. Box 196650 Anch,:)rage, AK99519-6650 + llttp�-P4vk%�%v.muni-orgionse - (E-07) 343-704
L,,-q;!l oda Irr--.a:
Subdivision Block Lot
T 1 RR, Section Lot r1
f),-4-rhn & va"irray.4amr Pmr-,r7.rr, e.-x-r'ifx,-ft rartzm-rr r4).-tf;-rt-.rn:l rm- m -t dtbm,-rTuL--;mrimj:
PNO dectaftf:mlonirp date
AMC 15.55.06OLl a.71 b.71 r—mv
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lei
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: OSP211001
Work Type: SepticTank Upgrade
Tax Code Number: 05109230000
Site Legal Address: T15N R1 W SEC 8 LT 25 G:1357
Site Mailing Address: 20805 S BIRCHWOOD LOOP RD, DUPL, Chugiak
Owner: MCEWEN MELVIN L & ILENE B
Design Engineer: EKLUTNA ENGINEERING, LLC*
This permit is for the construction of:
Effective Date
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
Depai-mient
1/12/2021
1/12/2022
108900
❑ Disposal Field 21 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
Special Provisions:
1. The Record Drawing is to confirm that the 1982 well has been connected to the house.
2. The Record drawing is to address the third well on the lot.
Received By: Date:
Issued By: Date: 2 Z
4
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-092-30
Property owner(s) MCEWEN MELVIN & ILENE
Mailing address 20805 Birchwood Loop Chugiak
Site address 20805 Birchwood Loop Chugiak
Day phone
AK 99567
AK 99567
Legal description (Sub'd., Block & Lot) T1 5N R1 W SEC 8 LT 25
Legal description (Township, Range & Section)
Lot Size 108,900 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) ❑
(w/wo ADU)
Septic Tank
M
Upgrade Q
(D) ❑
Holding Tank
❑
Renewal ElDuplex
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the abov information is correct. I further certify that this is in accordance with
applicable Municipal o0es.
(Signature of p
owner or authorized
2,o -z f
Permit/Rush Fees: $225 Waiver Fees:
Date of Payment: 111 d, Date of Payment:
Receipt Number: 0 1 0 3 3 b Receipt Number:
Permit No. OSP211001 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FonnsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211001, Deb Wockenfuss, 01/12/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211001, Deb Wockenfuss, 01/12/21
FD BC/BOX
1/4 S5/S8
Detail S8 T15N R1W S.M.
(Not to Scale) utility EAST 330.07'
E 4' Peds
ave
Eave j
P
Anchor Chnln irdc Fence
N/ SHED W
Frame do o 64' Note: This survey was performed
/ a HouseEave n during the winter with appx. 2' of
= Z Drive Gate
/ 1 CD _ Posts standing snow. Every effort was
/ Canto CC Peek made to ensure a complete survey.
49 v'
Shop d o 0
Deck \ Eave o r \ 4
e9 a o 83, See w
�:; ag, � � Detail o
sVIC �
Z m
4.5'x12' D o 6'x9'
Stairs 20'x60' tJ C3 septic® shed❑
Conc. Pad m0
C)
W 10'41' WQl
• I Shtd
W
OF q�gS \` CD oN Elec r>7 ®ll o
• 9 / _ .- W
* :TH Retaining o �? tante
...'..4�. :... Wall Posts
s
i A hony P. Boneta - byBLM
Electric
CrJ Post Pit?
LS-10393D _ 3 3 Lot 25
p t
f t t ESS I ONPS- Septic
���� pp I Pipes
rn
I hereby certify that 1 have surveyed the following described A
property: Lot 25, Sec 8, TI 5N, RI W, S.M., and that no T
encroachments exist except as indicated hereon. This As-built �' tv cnw„ Roade 5 1 Polte R strve
will only show the easements as described and recorded in /DN Elec Mk Fie Bk 162 Pp 279 ARD,
Book 162, Page 279, Anchorage Recording District; c{ KRYSTAL LANE
under no circumstances should this data hereon be used for FD RBR
the construction or establishing of boundary or fence lines. Se T15N1Riw S.M. i WEST �iin,0'
APB Land Surveying
o �80 Sec 8,T15N,R1W ASBUILT SURVEY SHEET
Y • SCALE IN FEET /
12204 East Prince of Peace Drive Lot 25 Melvin L & Ilene Mcewen
Eagle River, Alaska 99577 1" = 60' Anchorage Recording District 20805 Birchwood Loop of
GRID: NW1357 Chugiak, Alaska 99567 / 1(907) 227-1361 Surveyed: Dec. 21, 2020 DRAFTED: RWR I CHECKED:
MUNICIPALITY OF ANCHORAGE
DE ~ITMEN'r OF HEALTH AND HUMAN SER ~-S
Environmental Health Division
,. 825 "L" Stre(;f~, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SE:WAGE DISPOSAL SYSTEM AND/OR WELl.. INSPECTION REPORT
~m~ DISTANCES
SEPTIC
ABSORPTION
A~ , FRO~~.~_ TANK FELD WELL
-- LST LI~E Z: ~ / ~'~¢ /
~ 5-~ /~/~ I ~ ; FOUNDATION
TANKS I
; -
~ SEPTIC ~ HOLDING
T
S~.l ~. ~ - ~ ~
TYPE OF SYSTEM ~
~TRENCH ~ BED '~ W. DFIAIN E~ OTHER
~'/~'~9tl~ ..... Grave w dth '~ ~ ---- --
Number gl lin .... /~,~
WELLS ]
~ PRIVATE ~ OTHER](Identifv)
RE'lARKS: ~- -- --
Date Eaglo River, AK 99571
I ~ ~¢'~ . ceMily tllal 1Pis inspecliou wss performed ~ccordin{I to all
Municipal and Slate Duidelines in eilect on Ihis~: _ ~. ~ ~
~ealth ~parlme n, Ap proval~"~~'~ ' ~¢- Date ~.,¢. '"¢,~.
72-013 (3/85)
( 1"l(3rq ) amd
hD. 'l:.l'l aJ,],
LAGLE RI[V R ENGIN ING S ICES
"~lW~II~] Eagle River, Alaska 99577
] ~UN(ci~(i ~elephone (907)694.-5195
Mr. Steve Morris J
Civil Engineer, On-site Services
MunicipalityAnchorage,P'O' Box 196650AK°f99519Anchorage'~
REF: Lot 25, T15N R1W Sec.]8
Dear Mr. Morris:
The enclosed applzca~lon zs resubmztted for issuance of a septic
upgrade permit for a 4 bedroom home usage on the above referenced lot,
in addition 'to an upgrade lpeemit for a 3 bedroom trailer on the same
lot.
The lot currently has. a seepage pit in 'the western section (to be
called section A) that w~s installed with no inspection in 1983. The
owner has agreed to ins'tail a new leaohfield and a new soil log has
been performed. The area idoes not have a ground water problem and
therefore the existing see~page pit will be used as an inline grease
trap. The existing pit was installed to a depth of 14' and it is noted
that the pit contained 62'! o~ standing water demonstrating the
effectiveness of the underlying soil layers as a filter material. The
recommended trench design ils specified versus use of a sand filter
design in 85 material due Itc lack of water table and underlying soil
layer that acts as a filt8r (see well loss). I~a sand filter is a
blanket requirement in ali 85 soils~ the bed designs enclosed are
submitted as alternatives; Each design requires waiving lot line
setback requirements to zero. These lot line setbacks should not be a
problem due to large (100'~) road easem, ents in the area.
The 2nd septic sy'ste~ will serve a 3 bedroom trailer on the
eastern side of the lot (~o 'be ealled section B). We are asking for
permit approval for section B ia advance of the 7 day monitor, with the
condition that the test h61e water monitor be checked at time of actual
installation, 6/30/86. The two trailers located on the original site
plan have been removed. Each well, section A and B~ will serw~ only
one residence, therefore ~hey are private wells. The attached design is
recommended.
If there are any questions or if additional information is
required please feel free lto contact me at 694-6195.
Sincerely,
[~f~GI~E RIVER I:NGINb. ER..NG- ' ..... I SERVICES
P · 0. BOX
RIVER, AhASK~*~ 99577
SPECIFI(:ATIONS FOR ON'SIrE eel IlO, oYo lEM
I,~EG¢~L:Lot 25, TLSN, R2N, ,~eo. 8
GENERAL
.L. [he NeI1 and sepb~o >lan ape for a single -FamiIy residence use only,,
2. The drat~ing and of site plan shali be a par-t o'P this epeol-t'~oa~ion.
5. AII ma~eriaIs andi~orkmanship sha].l meet
~he Anchorage DepaP~rnenb of Health and State D.E.C..
4. A~iI sell teste arx~ advisory to tshe des:i,g~ and ape
to
be
verified of medi-P~ed J.n Lhe I:~eld by khe engineer-,
5. (/],1 exoavalsions a~d depths are advzsor-y and are Lo be veril:led or
modified in the f:~eld by the oontractor bo meet HO~/, D.E.,O recluir~e-'.
menks.
6. It is the r'espone~bJ,].:tky of the owner Be obtain ail i']eoessal'-y
per'mits or easements and to leoate any adjacent muIti-family wells.
'7. The exoavals&on is}bo be exaotly An bhe area shoMn on tshe s).ke plan,
any dev%ation r'equir'es elqg2neer appr'eva}.
8. It is al~ays r-eoo~mended that a surveyor
looate
the
line
[)oe:[ [:~_011 and the ].ooab~on ot: any ~aeemerlte.
DRAiNFIELD
1~ Fhe drainfieId is 1;o ¢ollo~ the natural land contour t;o mainLain
uni'fomm total depth of the bed bottom.
2. The bottom of the!bed shall be level, plus or' minus 1.5".
3. 'rhe totaI depth of the bed exoavation J.s r/et to exoeed i4' at any
point (seotion i:} ,}~ J,O').
4. The semen :Line isjto be oonneeted to khe ex,~.sLing sewer line that
leads to tl~e exist:Lng seepag8 pit in suoh a mannen that the k~asbe
from kine seepage (>it over"f].o~e to the ].eaohfield (seokion (~). l'F the
existing line ie oot usable it; should be r'eplaoed.
5. ~N oIeanout is ~o be plaoed at the junction of old fao hen l:Ll/eS.
~., The bed gr'aveI is~ to be oever'ed with typar- 't'abrio matet-~al.
8. SoiI oF eombJ, nati6r~ of soil and exbr'uded beard insular;ion Lo a depbh
of 4' or equivale(/t is to be placed oveP the drain-t~ield.
9., 1he area over~ ~he~bed is to be -finis/ graded t;o prevent pending
ot: su r'-~ ace
iO. The septzc Lank a~d leachfield mus~ not be closer than 100 Fee~
to any existing private ~ell, 150' to any Claes "0" tael],, or- 200 feet
to any oommunity
RE(}OMMEN]DED LE(~ONFIEI_})' DIMENSIONS
(-~: TO'I'(~L DEPTH= 8' GRf~VEL DEI~THz 6" BED LENGTFI: 42' BED taIDI'Hx I8' B:
DEMI'Hz 9' GIR~VEL.,I DEPTH:-' 6" BED LENGTN:: 4V' BED WIDTH:: 12 NOTE: Both
sept:Lo sysbems above aEe~ to have a 2' sand t:ilter plac:ed be,}_oN bhe Ieaoh
r'oek. This k~ill require exoavation of exisking sand and 9r'aveI, ~ith
replaoement using sand~ designaked as "filter sand," -[his is a muK~loJ, pal
nequir'emenk and is notJ neoessat-ily Peeommer~ded by designing engirleer, rill8
to laok eT Mater table
LOCATIO~N OF WELL (Pleoee complete either I~ lb or lc.)
I · . L-+-e'-°'-I
J. OISTANCE AN? DIRECTION FROM ROAD1NTERSE~TIONS
WELL LOG
Feet Belo. w
16. WATER WELL CONTRACTOR'S CERTIFICATION'. :
Form O2~WWR (Il/BI)
WATER WELl. RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysicol Surveys
· Drilling Permit No,
A,D.L, NO,
sO wE]
$, OWNER OF WELL; ~,~ ~/~
5. DATE OF COMPLETION
~. ~Oobl, ,oo, ORatory Oorlvo~ C3o.g
['~.Auger O.detfed [] Bored FI O~her:
[] Oome,.c ~ub g?Supp y [] !ndustr¥
[] Irrigation [] Recharge [] Commorloal
diam. S~ln. [] Throade~, [~' Welded
diam. In. to ft* Depth Stlcku
9. FINISH OF WELL;
Type: ' ~'" Dlameler:
I0, STATIC WATER LEVEL:. / ,~,~ ' ft.
[] Abovo or E] Below land ,urtoce
Equipment used';
ft.
Oate
fl. afler _~!hre. pumping
Length Of Drop;Pipe ~C~" COpoclfy ~g.pmm.
15. W.ator Tempera:lure ~ F 0 C
December 29, 1978
I~780186 i
Robert E. Lee ~
185 ~
Chugiak, Alaska 99567
Subject. T15N RIW Section 8 Lot 25
A perm~.t ~Lssued by ~hls department for well and/or
sewer system has expired.
Permits are issued On a calendar year basis, as stated
on 'the permit, by a~thority of Municipal ordinance.
.If you have dril. le(t~the well, a well log should be
sent to this department to document the installation
date°
If there are any further questions~ please contact
this ofz/oce at 264-4720.
Sincerely,
Les No Buchholz~
Senior Environmental Specialist
I~B/ljw
enc: copy of permit
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Russell Oyster
694-2774
Civil Engineering
Soils 19 Foundations
Performed for:
0 8' E EIvG/NEERING 8 DEVELOt'MENT' CO.
Legal Descrlptlon._~,j~-~, '~,-,~
Depth (feet).
0
B )X 90, Davis St., Eagle River, Alaska 99577
694-2774 or 333-5240
SOIL LOG
Mailing Addr~ess:
Ebrl Ellis
333-5240
Surveying
Land Oevek)pment
,~oil Characteristics
2
3
4
5
6
7
8
9
10
11
12
Ground Water Encountered: yes No ~ If yes, what depth_~_
,
Proposed Installation: Seepage Pit Drain Field_~.
Comments: ~ ,~ ~:~Jo_-, t~g,;~, k-g- ~ ~ ~ ~ ,~
Perfomed by: 5'% ~ ~
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
Parcel I.D. 051-092-30
1. GENERAL INFORMATION
Expiration Date: 12- — / -2 l/
Complete legal description T1 5N R1 W SEC 8 LT 25
Location (site address) 20805 Birchwood Loop Chugiak
AK 99567
Current property owner(s) SANTIAGO JONATHAN Day phone
Mailing address 20805 Birchwood Loop Chugiak
Real estate agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
AK 99567
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
Q
Private Septic
R
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
COSA # Waiver #
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, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Eklutna Engineering, LLC
Address 19162 Mountain Rd Chugiak AK 99567
Engineer's Printed Name Curtis Townsend, PE
Phone 907.406.1058
Date Z`
w�.
.�
%S
6. DSD SIGNATURE Xt GIUJCCG
System #1 Approved for A bedrooms ?.9 . D ecutsLo % .� �• �STAMP��
System #2 Approved for bedrooms
Disapproved ����sIF�P :No � ,'t.. P���v
�OY�®m�gO
Conditional approval for bedrooms, with the following stipulations:
s3
Original Certificate Date: —2 C9'
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
Eklutna Engineering, LLC
curtistownsend(@gmail.com
October 12, 2021
Subject: T15N R1W SEC 8 LT 25
OSC211105 Narrative
The existing 3 bedroom house is served by a private well and septic system. The septic system consists
of a 42' x 36" x 72" effective depth trench.
MOA issued permit OSP211001 to replace the septic tank draining this house. The scope of work for this
permit was to replace the septic tank at the house and backfill the seepage pit upstream of the new
septic tank. This work has been accomplished.
In addition to this permitted work, the existing tank draining the old mobile home was removed, and the
field abandoned in place.
There is an additional well located in the southeast corner of the property. This well was found summer
2021 and decommissioned by Anchorage Well and Pump Service in July 2021. A decommissioning log is
included.
The casing of the 1982 well was straightened. This well was determined to have water. The water line
was routed to provide water to the house.
Previously conditional COSA OSC211105 was issued. At this time, we request a full COSA be issued for
this property.
Sincerely,
Curtis L. Townsend, P.E.
Attachments
.....
qs• p�91 Q i .....
all . No. CE ii .
Legal Description:
T15N R1 W SEC 8 LT 25
If more than 1 septic system on lot: COSA Checklist # 2 of 2
A. WELL DATA
F0 Well log is filed with Onsite (or attached)
Date drilled 1982
Total depth 160 ft
Cased to 160 ft
Q Sanitary seal is functioning correctly
W Wires are properly protected
Casing height (above ground) ' 12 in.
Date of flow test for COSA
Parcel ID: 051-092-30
house
Structure served by this system
well only
Well production at time of test gpm
Water storage tank volume 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 Anchorage Well and Pump
Date of Sample 5'2a,2021
Static water level at beginning of test ft.
Comments this describes the 1982 well. well casing was straightened and connected to house
B. TANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping tank removed summer 2021
D. ABSORPTION FIELD DATA
Which system tested (date installed)
❑ ALL standpipes present per record drawing
Total measured depth from grade ft (rr
Measured depth to pipe infrom grad ft (min)
❑ N/A —pressurized field
❑Monitor tubes go to bottom effective. If not, state
depth into effective
❑ Code -required so' over over field
❑ System pre aked
(Required i acant for greater than 30 days prior to
date ofj st)
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material.
Comments:.
j
Adequacy test date
Results ❑ Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
lons introduced gallons If yes, enter date
al
ments/Deficiencies: 1986 field was abandoned summer 2021
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
M Yes if No
ft
❑✓ Yes
if No
ft
Neighboring Tank > 100'
M Yes
if No
ft
Private Sewer/Septic Line > 25' F-/� Yes
if No
ft
Absorption Field on Lot > 100'
r-,(-1 Yes
if No
ft
Holding Tank > 100' Yes
if No
ft
Neighboring Absorption Fields
> 100'
Animal Containment > 50' F/� Yes
if No
ft
❑✓ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
M Yes
if No
ft
r/1 Yes
if No
ft
From Septic/Holding Tank on
Lot to: (Please
enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
ft
Surface Water > 100' ❑ Ye
if No
ft
Property Line > 5'
❑ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑ Yes
if No
ft
Private Wells > ❑Yes
if No
ft
Water Main > 10' —
❑ Yes
if No
ft
Com i y Wells > 200' ❑ Yes
if No
ft
Water Service Line > 10'
F-1Yesif
No
ft
eptic tank is under driveway comment
below
From Absorption Field on Lot to: (Please enter di rfic(
Building Foundation > 10' ❑ Yes o ft
Property Line > 10' ,❑'es if No ft
Water Main > 10' ❑ Yes if No ft
Water Servi ine > 10' ❑Yes if No ft
Su ce Water > 100' ❑ Yes if No ft
if less than required)
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100' ❑ Yes if No ft
Community Wells > 200' ❑ Yes if No ft
F. ENGINEER'S COMMENTS
summer 2021, the abandoned septic tank formally draining the mobile
home was removed. The septic bed formally draining the mobile home was
abandoned in place. The 1982 well produces water and was connected to the house.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
49 T -H
�rtts L, TAv�nsenC
COSA Checklist yellow sheet `�� ��;• Date / %/I ee* ,
������
'ORO FESSl—t"-���� �
Legal Description.
T15N R1 W SEC 8 LT 25
If more than 1 septic system on lot: COSA Checklist # 1 of 2
A. WELL DATA
N Well log is filed with Onsite (or attached)
Date drilled 1985
Total depth 208 ft
Cased to 208 ft
❑ Sanitary seal is functioning correctly
0 Wires are properly protected
Casing height (above ground) ' 12 in.
Date of flow test for COSA '2'2912929
Static water level at beginning of test 56.5 ft.
Comments this describes the 1985 well
B. TANK DATA
Age of tank(s) < 1 years
Tank type/material septic 1plasl,c.
Measured operating fluid level in septic tank
FW� Standpipes/foundation cleanout per record drawing
Date of pumping tank replaced July 2021
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1986
Al ALL standpipes present per record drawing
Total measured depth from grade 10 ft (max)
Measured depth to pipe invert from grade 4 ft (min)
❑ NIA — pressurized field
0 Monitor tubes go to bottom of effective. If not, state
depth into effective
Q Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 051-092-30
Structure served by this system house
Well production at time of test 3.4 gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic 4.519 ug/L ❑ Arsenic less than MRL (ND)
Collected by Curtis Townsend
Date of Sample 11512021
C. LIFT STATION
❑ Required maintenance complete
Age of lift station y
Lift stationmaterial
Comment
Adequacy test date 12'2912929
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 895 gal
New depth 0 in
Elapsed time 261 min
Final fluid depth 0 in
Absorption rate ' 600 gpd
Any rejuvenation treatment (past 12 months) no
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
El
Yes
Community Sewer Manhole/Cleanout > 100'
✓v7 Yes
if No
ft
M Yes
if No
Neighboring Tank > 100' M Yes
if No
ft
Private Sewer/Septic Line > 25' F,_/� Yes
if No
Absorption Field on Lot > 100' E] Yes
if No
ft
Holding Tank > 100' M Yes
if No
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' Yes
if No
0 Yes
if No
ft
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑✓ Yes
if No
ft
0 Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 0 Yes if No ft Surface Water > 100'
ft
ft
ft
ft
ft
M Yes if No ft
Property Line > 5'✓1
El
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓
Yes
if No
ft
Private Wells > 100' 0 Yes if No _
Water Main > 10'
R!
Yes
--if No
ft
Community Wells > 200' 0 Yes if No _
Water Service Line > 10'
F✓
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
El
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
rj✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100'. Yes if No
Water Service Line > 10'
F/
Yes
if No
ft
Community Wells > 200' Yes if No
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
..... . .. .....
Curtis L. Tov enil
2
NO.CE``�A
kit PRO FESst t �.�
ft
ft
ft
ft
Ekiutna Engineering, LLC
curtistownsend@Bmail.com
March 16, 2021
Subject: T15N R1W SEC 8 LT 25
Request for Conditional COSA
The existing 3 bedroom house is served by a private well and septic system. The septic system consists
of a 42' x 36" x 72" effective depth trench.
MOA has issued permit OSP211001 to replace the septic tank draining this house. The scope of work for
this permit is to replace the septic tank at the house and backfill the seepage pit upstream of the new
septic tank.
in addition to this permitted work, the existing tank draining the old mobile home will be removed, and
the field abandoned in place.
There is an additional well located in the southeast corner of the property. It is labeled as 'abandoned'
on an older survey. The well casing was not located in December 2020 as the ground was frozen. When
equipment is on site to replace the septic tank, a further search for this well will be conducted and it will
be verified if it has been decommissioned per MOA water code.
The condition of the 1982 well is not known. The well casing is bent just above the pitless. The well
casing will be straightened and if water is found in this well and the water quality is sufficient, a new
pump will be provided and the water line will be routed to provide water to the house.
It is proposed that this repair work will be completed during the summer months when weather and
ground conditions are more favorable. The work will be complete by June 15, 2021. Money is being held
in escrow to complete this work by First National Bank. See accompanying letter.
At this time, we request a conditional COSA be issued for the sale of this property. Recent water samples
show that nitrates are absent from the 1985 well water on this property.
There is no eminent hazard created by granting this conditional approval. Wastewater is not overflowing
the field and the 1982 and 1985 well heads are intact.
Sincerely,
Curtis L. Townsend, P.E.
Attachments
GENERAL INFORMA'rlON
(a)
: MUNICIPALITY OF ANCHORAGE
DEPARTMENT oF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATI-- OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OS-SITE SEWER AND WATER FACILITY
OF
~ 264-4720
I Application Date July 9 ~_~986
Legal Description (include lot, block, subdivision, section, townshm, range)
Lot 25 Sec. 8 T15N R1W
Location (address or directions)
(b) Applicant Name Dennis Sm_J. th _Telephone: Home 69q-'33~3 Business
Applicant Address _P.O, Box ??0922 EaC~TLe Rlver. Alaska 99%?'7
(c) Applicant is (check one): Lendingilnstitution []; Owner/builder El; Buyer []; Other [] (explain);
(d) Lending Institution _C3_t,y Mo:
Address 40_5 W.
(e) Real Estate Company and Agent
Address
(t)
Telephone
'tgage
~uite 100
_Telephone _ 26~-237_9
Anchorage, Alaska 99503
Mail the HAA to the following addiess:
Pickup by applicant or engineer
TYPE OF RESIDENCE
Single-FamilylXl Multi-Family [] Oilier
Number of Bedrooms 4
3,: WATER SUPPLY
Individual Well [] Community [] Plublic []
Note: If community well system, must h ~ve w~ tten confirmation from the State Department of Enwronmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [] Public [] Community []
Note: If community well system, must ha'
attesting to the legality and status.
Page 1 ol 2
Holding Tank []
'e written conlirmation h'om tile State Department of Environmental Conservation
72-025 (11184)
5,.~i ~ENGINEERING FIRMI ROVIDING .,,IS~EC'FIONSi. TESTS~ FILE SEARCH; I;)A'l,, AND INFORMATION :? -
As cerbfled by my seal afb×ed hereto and;es of the vahdahon date shown below, I verdy that my mvesbgabon of th~,~ Health
Authority Approval shows that the on-sitewater supply and/or wastewater disposal system is sate, functiona~ and ad'equate
for the number of bedrooms and type of ~tructure 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 df this inspectioq.
Name of Firm "'
Address '
~A~- EE~IVER ~N61NEEBNu uci:W'ICES' Telephone
P. 0~, BOX 773294;
b"g;'l --5'195-
DHEP APPROVAL
Approved for
Approved
bedrooms b ~ _
Disapprove~ _ _ Condithd'nal
Date
Engineer's Seal
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon !he representations given in paragraph 5 above by an independent professional
engineer registered in the State ol Alaska. Tbe DHEP does tbis es e courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal end state requirements. Employees of DHEP 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.
Page 2 of 2
72-025 nl/84)
MUNICIPALITY OF ANCHORAGE (NIOAj
h,~C¥~AI~.a'H,.~.. AUTHORITY APPROVAL (HAA)
~ .~[~HECKLIST - FEBRUARY 1984
~O~C~u~ 264-4720
Legal Description .
WELL DATA
Well Classification
Well Log Present (Y/N) _
Total Depth _ ,~o,~-' Cased to
Static Water Level _ / ?/¢/,"~
Casing Height Above Ground /~,
Electrical Wiring in Conduit (Y/N) _
Separation Distances from Well:
To Septic/Holding Tank on Lol
DePth of Grouting
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead ',Y/N)
f A. B, C, D.E.C. Approved (Y/N)
Date Completed 7- .5- - ,~'5- Yield
: On Ac.o~nlng Lots ~/~' /
To Nearest Edge of Absorption Fielc (~n Lot ¢7'~z;'/ : On Aolo~mng Lots ~'2¢,¢ '
To Nearest Public Sewer Line /¢,Z~.. To Nearest Public Sewer
Cleanout/Manhole /"'//"~ . To Nea. rest Sewer Service L~ne on LOt
Water Sample Collected Dy ~-~_r ~;i /"'~.,c-~-1 ~'--,,~ ,,~ee ,'/~!J- . Date
Water Sample -I-est Results _ ._~-;~ ?z/.~_ ,~
Comments
B. SEPTIC/HOLDING 'TANK DATA
Date Installed /2-~ ~'
Standpipes (Y/N) _ y --
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from SeDtic/Hotding Tank:
To Water--Supply We ¢;'~'~ /
To Property Line
To Water Main/Service Line ¢'/~ '
Course .
Size /,~3--/'~?~'1, No. of Corr pmtments '-~
Air~t ght Caps (Y/N) ~" Foundation Cleanout (Y/N) /~'/
Date Last Pure aed ~/7/~¢?G
/~/4 . for /¢/.,4
_ Temporary Holding Tank Permit (Y/N) ..,v/,~.¢_
To Building Foendation / '
To Disposa Field '-'~"~-- '
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72 026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well '~/~/~
To Building Foundation ,-~E, x
Lot ~°/
,¢
To Water Main/Service Line -¢'"~ /
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field Z/..2 /
Depth of Field /:z /
Gravel Bed Thickness ¢' /
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line /,~- /
To Existing or Abandoned System on
; On Adjoining Lots ¢.~o /
To Cutbank (if present)
LIFT STATION/t~/A
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
~Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to ~11 MOA and HAA guidelines in effect on the date of this inspection.
Signed ~,-~~ Date
Company ~,~-~-~-~-~-~-~'~/~-f~, MOA No.
Receipt No. ~ ~/
~8te of Payment
Page 2 of 2
72-026 (11/84)
To
EAGLE RIVER
ENGINEERING SERVICES INC.
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone694-5195
Steve Morris
MOA-DHHS
It was determined that t]~e septic tank for lot
gallon tank. The 800 gallon pump was a result
LETTER
Date 7/10/86
Subject Lot 25 ,
Sec. 8
T15N, R1W
25, system A is a 1250
of the tank being pumped
two weeks previous, and ~ot being full at time of secound pmnping.
Sanitary pumping serviceihas provided a reciept for 1250 gallons.
Health ^uthor±gy approval is being applied for Based on approval of
this
upgraded septic system.
[] Please reply
..~ No reply ne!essary
Lo.u_Bt~e~a~
February 21~ 1985
Mr. Dennis Smith
Chug'iak, Alaska
' b~ar ~.~'~'-"Smith:
In reference to our phone conversation of February
this letter is to ~onfirm '-' -~ ouz company in fac'b~
install a sewer system at your residence on Sou%h Birc~wood
Loop in Octc, ber of 1983.
Th,% system utilized a 125Q-gallon! two-~compartment septic
tank and a 300-gallon seepage pit~ Th.e suSsurface soils
w~e a well-gradedl.sand and grave], of an 85 square feet.
- ,-: ¢~ ground ~ater was. encountered
pet':bedroom ~u~n~? and no
~t is my opinion that the system is more than adequate to
service a four-bedroom homer and because ~t is a recent
installation~ no upgrade would' De necessary at t~J~s' time:
If our company cani~
be
of
any
not/~esitate to ~aill~
further ass.istancer please do
Site Preperatlon I l Concreto Foundations I Trucking / Grading
LIcenaed Contractor / Top Soil / Sand & Gravel
MUNICIPALITY OF ANCHOR/AGE
DE! TMENT OF HEALTH AND I-.IUI~IAN SER~ :S
I Environmental Health Division
825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-srr'E SEWAGE DISPOSAL SYSTEM AND/OR WELl. INSPECTION REPORT
Address
LEGAL DESCRIPTION
TANKS
,~ SEPTIC [] HOLDING
Marshal / No: Compadmenls
TYPE OF SYSTEM
[] TRENCH J~l BED ~ W, DRAIN E~ OTHER
F~r_
Fei added above ongmal grad; /--- ~ //.~..f
2D.._J ' Z~-~~ sQ Ff
[~' PRIVATE
Gravel depU~ benealh pipe
)
-2
WI=bIS
L~ OTHERi ildentit¥~
1sial Depth 7' Cased to
~T
REMARKS:
FT
Mueicipal end SBte guidelines in ellect on Ihis da
Health Deparlment Approvah
72-013 (3/85)
DISTANCES
'~]---T[ SEPTIC ADSORPTION
FROM ~ TANK FIELD WELL
WELL }~- / '~luo /
LOT LINE ~- / '2 6-' ,~0 /
FOUNDATION
///
Scale:
Inspections Pedormed by:
Eagle River EnCneering Services
-P71~, uox ?/329T
bate: Eagle Rive.r; ^K 99577
__ certify Ihal Ihis inspeclion was pedermed accordinll to ell
_
rE N ¢iN'E~ii'~,'¢EAL''
DEF::'AI::':IT'IENT ]"Jllii:Al..'ltl AND li!:NV:I:RDNMI!]xI'I'AI d)ILC I iON
E12'.5 I... ,~ TI:~EEi:'I~, F~IfM'IUF~.II'.'IE. AK 995
2 6 4-'4 7~:~ Il.)
...... ~ ). I,()l,I. ,, NA
:LSN RANL.)I:: 1W
with all MOA (;::(::~(:l~i:~!~i
Nil I NOt BE AI:::'PRE)VI:[O N:t: I'H[I/FI AN ELI~:C'IRICAL. ]:NSF'ECl"ION REPOR'I"; AN[) (3) THE
..... ~ DA Il=.: .................
ii[ LAGLE RIVER ENGINE]ERING SER
ICES
,/k. ; Lo,,
~l~~ ~ Eagle Rivm', Alaska 99577
all[ li Telephone (907) 694..5195
June 19, 1986
Mr. S'5eve Morris ~
Civil Engineer, On-site S~rvices
Municipality of Anchorage[
P.O. Box 196650
Anchorage, AK 99519
REF: Lot 25, T15N R1W See.8
Dear Mr. Morris:
The enclosed applie~ticn is resubmitted for issuance of a septic
upgrade permit for a 4 be~,dr¢om home usage on the above referenced lot,
in addition to an upgradel permit for a 3 bedroom trailer on the same
lot ·
The lol; currently has a seepage pit in the western secti, on {to be
called section A) that was installed with no inspection in 1983. The
owner has agreed to inst~ll a new leachfield and a ne~ soil log has
been performed. The are~ does not have a ground water problem and
therefore the existing seepage pit will be used as an inline grease
trap. The existing pit ~as installed to a depth of 14' and it is noted
that the pit contained 62" of standing water demonstrating the
effectiveness ef the und&rlying soil layers as a filter material. ThD_
'trench design is specifi~ed~_yersus use of,a_sand filter d~esign in 85
material du~ .ge lsck of_ ~ater !;ab._ .l_e and~und~r_l~ri~L~ soil layer that_~a~t_~s
The 2nd septic systdm will serve a 3 bedroom trailer on the
eastern side of the lot (~to be called section B). We are asking for
B
permit approval for section in advance of the 7 day monitor, with the
condition 'that the test hole water monitor be c. hecked at time of actual
installation, 6/30/86. The two trailers located on the original site
plan have been removed. .Each well, section A and B, will serve only
one residence, therefore ithey are private wells. The attached design is
recommended. ]
If there are any' questions or if additional information is
required please feel fre~ to contact me at 694--5195.
Sincerely,
Leu Butera, P.E.
LkGAL; Lot ~5~
EAGL, g ][VIER ENGINEERING SERVICES
P.O. BOX 77~294
EAGLE R~VER, AL&~KA 99577
J 694-5195
SPEO.[FIOAT~ONS FOR ON-SI'rE SEPTIC
'l'lSN, R2W, Sect 8
GENERAL
1,, The well sepLio plan]ace for a single family residence use only.
2. The drawing and or slte plan shall bo a part of this speoifioahion.
5, All maherials and ~or'kmansh~p sh¢,ll meet the t-equiremenks of
the Anoho'~age Depamtrpent o~ Health and State
4. All soil beslss are aCvisory ~o the design and. are to be
veF:Lf.i, ed or modifiedjin I;he f~old by l;he engineer'.
5. All excavations atnd depths are advisory and are bo be verlfied of
modsfied in Line 't:iel~ by the oonhr'aoLor Lo meek MOA, D.E.O roquir'e-,-
6. It is tine responsibility off the owner ko obtain a],l
per'mits or easementsland to locate any ad/laoent multi-family we,}].s.
7. ]'he excavation is to'be exactly in the area sho~n on the sike plan
]:t is al. ways '*eoomme¢~ded ghat a SLIUVgyOP looa~e the nearest lois line
position and Line looag:i, on of any easement;s.
DRAZNFIELD
1. Fhe draJnfield is tsol fo].low th(.~ r'~atural land contour Lo mainkain
uniform ~oLa] depth 6f ~he Ecenoh bo~om.
2 The bottom of the hr'0nch shall be lew~l, plus OF minus
5 The total dephh o'F the tr'enoh excavation is not 'Lo exceed 14' at any
po-Lnl: (sectS, on B-
4 The se~eP ~ne :ts ~o be connect;ed Bo ~l]e exisLS, ng se~er ]ire bhaL
leads to ~he exisL}n~ seepage p&t in such a manner ~ha~ ~he
epee l;.he seepage p}t;,J overflows l;o ~he leaehfil~l.d (section A),. Zf
ex,sting line ~s not;l, usable &B should be replaced,
5: A oleanouh ~s I;o be p}aoed a~ th(~ 9unction of o}d ~o ne~ ].:Jr]es.
7. The Lrer/oh gravel isl to be covered ~h bypar fabr-;i.o raa~er~.a}.
8. Soil or combination OP soi~ and extruded boaPd tnsuLatJ, on to a dephh
of 4' or equ~valen~ ~.s to be placed over the dr'ainfie}d.
9, The ar'ea over ~he be~ ~s bo be f~nish graded ho preven~ ponding
of surface uaber cunpff.
lO. The septic tank and ~eachf~eLd rnus~ not be c}osec ~han lO0 feet;
ho any existing pr~v~x~8 we~, 250' t;o any CLass "0" ~e.L~, of 200
Lo any oommun&t.y
RECCOMENDED I E'ACHFIEI,,]) ])]]NENSIONS
A: TOTAl- DEF'X'I'~z ],4' Gr~AVEL DEPTH:: 10' TRENCH LENGFH: 57.5'
B: TOTAL DIEPTH:: 10' GRAVE~ DEPTH: 4.5' TRENCH LEIqGTH:: 29'
NOrE: If the existJ, ng seX)
less than 4' be]ow the
b6 decreased and the bren
bio tank outlet is aL a ro]lative elevation of
~noh location the hotal grav~;1 depth may Iqave to
bt] length inoreas?,ed to oornpel']eate on septic
PERFORMED FOR:
LEGAL DESCRIPTION:_
2
4z
5-
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
MUNICIPALITY OF ANCHORAGE
DEPARTMENT O~ HEALTH AND ENVIRONMENTAL PROTECTION
82§ L, S~reet Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
SLOPE
SITE PLAN
COMMENTS
WAS GROUND WATER S
~NCOUNTERE[3? /Y~JO L
O
iF YES, ATWHAT ~
DEPTH?
Gross Net Depth to Net
Reading D~te Time Time Water Drop
..j~3C,~-A-T-t~N RATE ~-~-- ~/'-'/~ ~ (minutes/inch)
~I'EST RUN BETWEEN FT AND FT
PERFORMED BY:_
72-o08 (6/79)
P. U. U0X 713294
Eagle Elve~ AK g§§77
694-51S§
CERTIFIED BY: ~'~
PERFORMED FOR:.
LEGAL DESCRIPTION:
1
2
4
$
7
~3
~4
17
~.-
20-
COMMENTS
~-re -,,04
PERFORMED BY:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF!HEALTH AND ENVIRONMENTAL PROTI:CTIC)N
825 L, St?eet, Anchorage, Alaska 99501 264-4720
SOIL;S LOG -" PERCOLATION ]'EST
SLOPE
SOILS LOG
[] PERCOLATION
TEST
PLAN
7:,22. :- /z//
P. O. Box 773294
Eagle Rlyor, AK 99577
694-5195
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT 'Tr~e~
DEPTH?
] C) ,7"-~ ! ~_'~ ~ ',~1' '~/~. (minutes/inch)
,P ~i~ ,'qD~'/VTd~4N RATE
'
]TEST RUN BETWEEN .... FT AND , FT. .'
CERTIFIED BY: /:~~ DATE:~/~/~''
hereby certify that LOT ~-~'- ~-~t~¢Cl:--'~~/a~ ~'
chorage Recordln9 ]]lstrlct~ hlaskal~ has bee~ survexed by me and
at no encroachmenl~ exist except als shown hereon. It is the
sponsibtltty of the o~ner to. determine the'existence of any
sements~ covenants, or restrictioffs uhtch do not appear on the
corded subcli~ision plat. Listed dlslances prevail and scaling
ould not be attempted to determine,.unshown dimensions. Th'is
~vey is not adequate for, nor should it be used for
tablishing boundary or fence lines.
JOB NTTO'/'~--/:]O Gn|O /,4a//gg"J FIELD
Division of Geological ~ Geophysical Surveys
.t
,%.
,%.
Comde4eviaAk CcDsA-
MUNICIPALITY
OF ANCHORAGE
�^ ��
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 051-092-30
Certificate of On -Site Systems Approval
Expiration Date: l9 —&-2-'
Complete legal description T1 5N R1 W SEC 8 LT 25
Location (site address) 20805 Birchwood Loop
Chugiak AK 99567
Current property owner(s) MCEWEN MELVIN & ILENE Day phone
Mailing address
Real estate agent
20805 Birchwood Loop Chugiak
Aaron Asbury
2. TYPE OF DWELLING:
Fxj Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
AK 99567
Day phone 907.231.1159
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
F
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 13 4 () r
Date of Payment /�/ ' Z
Receipt Number Cq q y D
COSA # 05G2 I f 105
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
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, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Eklutna Engineering, LLC Phone 907.406.1058
Address 19162 Mountain Rd Chugiak AK 99567 /
Engineer's Printed Name Curtis Townsend, PE Date ( 2
�.�
OF A/
,all��
5'c,
��a
•
6. DSD SIGNATURE
�•••��.
Y o CurSs L Tovm nd
System #1 Approved for bedrooms ��•. Date /0I�2o2{.`a-'`
No.CE11 •.<c
System #2 Approved for bedroomsPROFESSIO`�A�~
Disapproved _��
Conditional approval for bedrooms, with the following stipulations:
-.+ av- k, , V d s P 241 n0 ( 1-1 11
By: Original Certificate Date
�3- OF- 2 l
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
Legal Description: T15N R1 W SEC 8 LT 25
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 1985
Total depth 208 ft
Cased to 208 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) ' 12 in.
Date of flow test for COSA 12/29!2020
Parcel ID: 051-092-30
Structure served by this system
Well production at time of test 3.4 gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic 4.519 ug/L ❑ Arsenic less than MRL (ND)
Collected by Curtis Townsend
Date of Sample 1/512021
Static water level at beginning of test 56.5 ft.
Comments this describes the 1985 well, currently connected to house
B. TANK DATA
Age of tank(s) years
Tank type/material Steel
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping tank to be replaced June 2021
D. ABSORPTION FIELD DATA
Which system tested (date installed)
❑ ALL standpipes present per record drawing
Total measured depth from grade 10 ft (max)
Measured depth to pipe invert from grade 4 ft (min)
❑ N/A —pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
C. LIFT STATION
❑ Required maintenance comp)
Age of lift station y
Lift station material
Comment
Adequacy test date 12/29/2020
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 895 gal
New depth 0 in
Elapsed time 261 min
Final fluid depth 0 in
Absorption rate ' 600 gpd
Any rejuvenation treatment (past 12 months) no
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
F71 Yes
if No
Community Sewer Manhole/Cleanout > 100'
❑✓ Yes
if No
ft
/ Yes
if No ft
Neighboring Tank > 100' F/71 Yes
if No
ft
Private Sewer/Septic Line > 25' Fv-� Yes
if No ft
Absorption Field on Lot > 100' 0✓ Yes
if No
ft
Holding Tank > 100' M Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' 171 Yes
if No ft
0✓ Yes
if No
ft
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' MYes
if No
ft
� Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 121 Yes if No ft Surface Water > 100' ® Yes if No ft
Property Line > 5'
F71 Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field? 5'
F/� Yes
if No
ft
Private Wells? 100' 0✓ Yes if No ft
Water Main > 10'
0✓ Yes
if No
ft
Community Wells > 200' ❑✓ Yes if No ft
Water Service Line > 10'
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
Q
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Q Yes if No ft
Water Service Line > 10'
Q
Yes
if No
ft
Community Wells > 200' Q Yes if No ft
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
MOA has issued OSP211001, this work will be completed summer 2021. We seek
a conditional COSA at this time. New tank will meet separation distances.
G. ENGINEER'S CERTIFICATION
I certify that l have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date. ENGINEER'S
COSA Checklist yellow sheet
Legal Description: TI 5N R1 W SEC 8 LT 25
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 1982
Total depth 160 ft
Cased to 160 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) ' 12 in.
Date of flow test for COSA
Parcel ID: 051-092-30
Structure served by this system
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date of Sample
Static water level at beginning of test ft.
Comments this describes the 1982 well. water is not currently able to be drawn. will be tested later.
B. TANK DATA
Age of tank(s) 35 years
Tank type/material septic
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping tank to be removed summer 2021
D. ABSORPTION FIELD DATA
Which system tested (date installed)
❑ ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies: 1986 field to be abandoned summer 2021
COSA Checklist yellow sheet
C. LIFT STATION
❑ Required maintenance com
Age of lift station ye -as
Lift station materia
Comment
Adequacy test date
Results ❑ Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
if No ft
❑ Yes
Community Sewer Manhole/Cleanout > 100'
❑ Yes
❑, Yes
if No
ft
ED Yes if No ft
Neighboring Tank > 100'
ITV Yes
if No
ft
Private Sewer/Septic Line > 25' El Yes if No ft
Absorption Field on Lot > 100'
Q Yes
if No
ft
Holding Tank > 100' Yes if No ft
Neighboring Absorption Fields
> 100'
Animal Containment? 50' Yes if No ft
ITV Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
MV Yes
if No
ft
� Yes if No ft
From Septic/Holding Tank on Lot to: (Please
enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
ft
Surface Water> 100' ❑YeifNo ft
Property Line > 5'
❑ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑ Yes
if No
ft
Private Wells > ❑ Yes' if No ft
Water Main > 10'
❑ Yes
if No
ft
Com ity Wells > 200' ❑ Yes if No ft
Water Service Line > 10'
❑ Yes
if No
ft
-�l eptic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter di afi"(
Building Foundation > 10' ❑ Yes o ft
Property Line > 10'
Water Main > 10' /
W:c-e-
Serv' ine > 10'
Su Water > 100'
,LJ -Yes
if No ft
❑ Yes
if No ft
❑ Yes
if No ft
❑ Yes
if No ft
if less than required)
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100' ❑ Yes if No ft
Community Wells > 200' ❑ Yes if No ft
F. ENGINEER'S COMMENTS
summer 2021, the abandoned septic tank will be removed. The septic bed will be
abandoned in place. If this well produces water, it will be connected to the house.
We seek a conditional COSA.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
�-Ikk �
'
Curtis ' ' qvm' nd'
•� • Date ••G� Z..ctr•
C
E 1 .004 ;ate s
rESS,
ENGINEER'S
Eklutna Engineering, LLC
curtistownsend@gmail.com
March 16, 2021
Subject: T15N R1W SEC 8 LT 25
Request for Conditional COSA
The existing 3 bedroom house is served by a private well and septic system. The septic system consists
of a 42' x 36" x 72" effective depth trench.
MOA has issued permit OSP211001 to replace the septic tank draining this house. The scope of work for
this permit is to replace the septic tank at the house and backfill the seepage pit upstream of the new
septic tank.
In addition to this permitted work, the existing tank draining the old mobile home will be removed, and
the field abandoned in place.
There is an additional well located in the southeast corner of the property. It is labeled as 'abandoned'
on an older survey. The well casing was not located in December 2020 as the ground was frozen. When
equipment is on site to replace the septic tank, a further search for this well will be conducted and it will
be verified if it has been decommissioned per MOA water code.
The condition of the 1982 well is not known. The well casing is bent just above the pitless. The well
casing will be straightened and if water is found in this well and the water quality is sufficient, a new
pump will be provided and the water line will be routed to provide water to the house.
It is proposed that this repair work will be completed during the summer months when weather and
ground conditions are more favorable. The work will be complete by June 15, 2021. Money is being held
in escrow to complete this work by First National Bank. See accompanying letter.
At this time, we request a conditional COSA be issued for the sale of this property. Recent water samples
show that nitrates are absent from the 1985 well water on this property.
There is no eminent hazard created by granting this conditional approval. Wastewater is not overflowing
the field and the 1982 and 1985 well heads are intact.
Sincerely,
Curtis L. Townsend, P.E.
Attachments
March 16, 2021
RE: Escrow Holdback: Buyer(s): Jonathan James Santiago
Property Address: 20805 S Birchwood Loop Road, Chugiak, AK 99567
This letter concerns the above listed property. Funds will be collected and placed into an Escrow Holdback Account
to ensure the completion of the items listed below. The deadline for completion is 07/31/2021. Please see the
attached Escrow Hold Back request for Loan Number 0102071973.
Items to be completed/repaired:
• remove/replace existing septic tank with a 1250 gallon tank at the house, provide double cleanouts
• backfill the seepage pit at the house; At the old MH site, remove the septic tank & backfill; Decommission
the '82 well OR connect it to the house, well casing needs to be straightened out
• For the SE well, either decommission or verify that it is decommissioned
• Completed/ApprovedCOSA;
First National Bank Alaska will release the escrowed funds upon receipt of a final unconditional Certificate of On -
Site Systems Approval issued by the On -Site Water & Wastewater Section.
Should you have any questions, please do not hesitate to contact me.
Sincerely,
Lita Beck
VP/Underwriting Manager
907-777-5678
LBeck@fnbalaska.com
First National Bank Alaska, NMLS #640297
101 W 36th Avenue, Ste 216 • P.O. Box 100720 • Anchorage, AK 99510-0720
Escrow Holdback Request
Loan Number: 0102071973 Subject Property: 20805 S Birchwood Loop Road
Borrower Last Name: Santiago Chugiak, AK 99567
Escrow setup:
Escrow Required Completion Date: 07/31/2021
Escrowed Funds Provided By:
Borrower:
Seller: X
Request to hold funds for the following repairs:
® remove/replace existing septic tank with a 1250 gallon tank at the house, provide double
cleanouts
® backfill the seepage pit at the house; At the old MH site, remove the septic tank & backfill;
Decommission the '82 well OR connect it to the house, well casing needs to be straigtened out
® For the SE well, either decommission or verify that it is decommissioned
® Completed/Approved COSA
Escrow calculation:
Bid Completed By:
Contractor
Total Bid Amount:
(Using the larger of the two bids provided,
multiply the total estimated bid by 1.5 to calculate total bid amount) $ 125,698.00
Appraisal: Re -inspection Fee: $ 1,490.00
Total Funds Escrowed:
(Total Funds Escrowed will be held at closing) $ 127,188.00
Approval:
Underwriter Approval: Date://
Senior Management Approval (If Applicable):
** Attach all bids / email approvals / additional documentation as applicable **
D
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Bill To
Anchorage Well & Pump Service, Inc.
330 East 76th Avenue
Anchorage, Alaska 99518
(907) 243-0740
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
Quote
Invoice #: 20206045
Ship To:
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
SALESPERSON
YOUR NO.
SHIP VIA
COL I
PPD
SHIP DATE
TERMS
DATE
PG.
TYLER S RIDGWAY
QUOTE
Net 10
1/6/2021
1
TY.
I ITEM NO.
DESCRIPTION
PRICE
DISC %
EXTENDED
TX.
PRICE
1
! Scope of Work:
PART 1 SITE UPGRADE
GAIN ACCESS TO 'BENT WELL" PITLESS
ADAPTER TO PERFORM PUMPING HEAD
TEST/ FLOW TEST ON WELL.
DETERMINE IF WELL IS USEABLE, IF NOT
-ABANDON WELL CASING
APPROX 150— FT
1
INSTALL
GAIN ACCESS TO PITLESS ADAPTER,
$1,500.00
$1,500.00
PULLING WELL PUMP, INSTALLATION OF
TEMPORARY WELL TEST EQUIPMENT,
PERFORMING PUMPING HEAD TEST,
FLOW TEST, SAMPLES
1
SAMPLES
COLIFORM /ARSENIC / NITRATE
$160.00
$160.00
1
EQUIPMENT
EQUIPMENT DAILY CHARGES:
$175.00
$175.00
GENERATOR RENTAL
Subtotal
$1,835.00
1
OPTION:
IF PUMPING HEAD TEST, FLOW TEST,
AND SAMPLES PROCURE SATISFACTORY
RESULTS - INSTALL NEW.EQUIPMENT
INSIDE OF WELL (CONSTANT PRESSURE
SYSTEM), AND UPGRADE WELL CASING
(24" ABOVE GRADE) WITH NEW
SANITARY WELL SEAUCONDUIT
1
NOTE:
PRICING BASED OFF OF WELL DEPTH
ESTIMATION BEING AROUND 150-200 FT
THIS EXCLUDES ANY UNDERGROUND
WORK TO PITLESS ADAPTER OR
UNDERGROUND LINE - TO BE COVERED
BY THE EXCAVATOR
SALE AMT.FREIGHT
We appreciate your business.
SALES TAX
TOTAL AMT.
PAID TODAY
BALANCE DUE
4aCH0RgCm
D
PS
Anchorage Well & Pump Service, Inc.
330 East 76th Avenue
Anchorage, Alaska 99518
(907) 243-0740
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
Quote
Invoice #: 20206045
Ship To:
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
SALESPERSON
YOUR NO.
SHIP VIA
COL
PPD
SHIP DATE
TERMS
DATE
PG.
TYLER S RIDGWAY
QUOTE
Net 10
1/6/2021
2
:)TY.
ITEM NO.
DESCRIPTION
PRICE
DISC %
EXTENDED
TX.
PRICE
1
I INSTALL
INSTALLATION CHARGES
$1,500.00
$1,500.00
1
I GRUNDFOS
GRUNDFOS PUMP: 10WQE07-240
$1,800.00
$1,800.00
1
GRUNDFOS
CU -301 CONSTANT PRESSURE
$900.00
$900.00
CONTROLLER + TRANSDUCER
1
j MW01
Well Seal WTCC-6 Midwest Code
$70.00
$70.00
200
Pipe-PVC1.25"
Pipe -PVC -1.25"
$3.90
$780.00
8
Pipe -PVC -Coupling
PVC Drop Pipe Coupling
$5.00
$40.00
1
Flomatic 1.25" ECK
Bronze Check Valve1.25" LeadFree
$71.00
$71.00
215
E005
12/3 Flat Jacketed Cable/Grd
$2.00
$430.00
1
E000
Submersible Splice Kit
$15.00
$15.00
1
GBR1.25 X 1
GALV. BELL REDUCER 1.25' X 1"
$19.00
$19.00
1
1 RBN
1 X 2 NIPPLE
$10.00
$10.00
6
WELL CASING
6" ASTM SCHEDULE 40
$28.00
$168.00
1
BAKER 100BT-1"
PITLESS ADAPTER 100BT-1"
$138.00
$138.00
1
FLARE 1 X 1 MIP
1 X 1 FLARE MIP
$44.00
$44.00
600
E016
12/3 Underground Cable/Jky/Grd
$1.80
$1,080.00
1
EQUIPMENT
EQUIPMENT DAILY CHARGES: WELDER
$175.00
$175.00
RENTAL
1
EQUIPMENT
EQUIPMENT DAILY CHARGES:
$175.00
$175.00
GENERATOR RENTAL
Subtotal
$7,415.00
1
OPTION:
IF WELL DOES NOT PRODUCE
SATISFACTORY RESULTS - ABANDON
WELL PER MOA CODE
1
INSTALL
INSTALLATION CHARGES: CUT WELL
$900.00
$900.00
CASING OFF BELOW GRADE, FILL WITH
3/8 HOLE PLUG BENTONITE, WELD ON 6"
DOME CAP, SUBMIT ADBANDONMENT
FORM TO MOA
1
Weld Cap
Domed Weld On Cap 6"
$86.00
$86.00
We appreciate your business.
SALE AMT.FREIGHT
SALES TAX
TOTAL AMT,
PAID TODAY
BALANCE DUE
c�08
1 % P
Bill To:
Anchorage Well & Pump Service, Inc.
330 East 76th Avenue
Anchorage, Alaska 99518
(907) 243-0740
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
Quote
Invoice #: 20206045
Ship To:
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
SALESPERSON
YOUR NO.
SHIP VIA COL
PPD
SHIP DATE
TERMS DATE
PG.
TYLER S RIDGWAY
QUOTE
Net 10 1/6/2021
3
TY.
ITEM NO.
DESCRIPTION
PRICE
DISC %
EXTENDED
TX.
PRICE
55
BENTONITE
3/8 Hole Plug
$43.50
$2,392.50
1
EQUIPMENT
EQUIPMENT DAILY CHARGES:
$175.00
$175.00
GENERATOR RENTAL
Subtotal
$3,553.50
1
Scope of Work:
PROPER ABANDONMENT OF WELL NOT
CURRENTLY IN USE (THIRD WELL ON
SITE)
1
INSTALL
INSTALLATION CHARGES: CUT WELL
$900.00
$900.00
CASING OFF BELOW GRADE, FILL WITH
3/8 HOLE PLUG BENTONITE, WELD ON 6"
DOME CAP, SUBMIT ADBANDONMENT
FORM TO MOA
1
Weld Cap
Domed Weld On Cap 6"
$86.00
$86.00
55
BENTONITE
3/8 Hole Plug
$43.50
$2,392.50
1
EQUIPMENT
EQUIPMENT DAILY CHARGES:
$175.00
$175.00
GENERATOR RENTAL
Subtotal
$3,553.50
SALE AMT.
$16,357.00FREIGHT
We appreciate your business.
$0.00
SALES TAX
$0.00
TOTAL AMT.
$16,357.00
PAID TODAY
$0.00
BALANCE DUE
$16,357.00
�cNOR
D
Anchorage Well & Pump Service, Inc.
v, 330 East 76th Avenue Quote
Anchorage, Alaska 99518
(907) 243-0740
Invoice #: 20211031
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
Ship To:
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
SALESPERSON YOUR NO.
SHIP VIA
COL
PPD
SHIP DATE
TERMS ( DATE
PG.
I
TYLER S RIDGWAY QUOTE 2
Net 10 1/7/2021
1
TY.
! ITEM NO.
DESCRIPTION
PRICEDISC
%
EXTENDED
TX.
I
PRICE
1
Scope of Work:
PART 2 SITE UPGRADE
FURNISH EQUIPMENT INSIDE OF
BUILDING
PRESSURE TANK, PRESSURE SWITCH,
CONTROLS, PLUMBING OF
TANK/FITTINGS, CONTROLLER ETC
1
INSTALL
INSTALLATION CHARGES
$1,600.00
$1,600.00
1
WX-302/CM17002
86G-WELL-X-TROLTANK
$1,046.00
$1,046.00
2
Flomatic 1" E CK
Flowmatic 1" Check Valve-LeadFree 100E
$52.00
$104.00
2
CMA1
COPPER MALE ADAPTER/SWT/1.0"
$10.00
$20.00
6
AYM: DEU 1"
Dielectric Union 1" FIP X SWT
$12.00
$72.00
4
C901
COPPER 90/SWT/1.0"
$10.00
$40.00
6
AYM:RBNipple 1" X Close
RBNipple 1" X Close
$6.00
$36.00
1
TANK T KIT -1"
T -SWITCH -GAUGE -CK -VALVE -FTG
$220.00
$220.00
1
CT1
COPPER TEE/SWT/1.0"
$21.00
$21.00
1
MW02
Pressure SwitchFsg-2 40/60 SqD
$40.00
$40.00
15
CP1
COPPER PIPE -TYPE M-1.0"
$8.00
$120.00
2
TBV1.0
THREADED BALL VALVE 1.0"
$36.00
$72.00
1
FILTER
BIG BLUE TRIPLE FILTER HOUSING
$600.00
$600.00
1
FILTER CARTRIDGE
SEDIMENT, IRON, CARBON FILTER
$260.00
$260.00
CARTRIDGE
1
PARTS:
MISC FITTINGS/HARDWARE
$200.00
$200.00
Subtotal
$4,451.00
1
OPTION:
OVERHAUL IN -USE WELL EQUIPMENT
1
INSTALL
INSTALLATION CHARGES
$800.00
$800.00
1
GRUNDFOS
GRUNDFOS PUMP: 10SQE07-240
$1,800.00
$1,800.00
1 f
GRUNDFOS I
CU -301 CONSTANT PRESSURE
$900.00
$900.00
CONTROLLER + TRANDSUCER
1
MW01
Well Seal WTCC-6 Midwest Code
$70.00
$70.00
200
Pipe-PVC1.25"
Pipe -PVC -1.25"
$3.90
$780.00
We appreciate your business.
SALE AMT.
FREIGHT
SALES TAX
TOTAL AMT.
PAID TODAY
BALANCE DUE
Bill To:
Anchorage Well & Pump Service, Inc.
330 East 76th Avenue
Anchorage, Alaska 99518
(907) 243-0740
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
Quote ,
Invoice #: 20211031
Ship To:
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
SALESPERSON
YOUR NO. SHIP VIA
COL
PPD
SHIP DATE
TERMS
DATE
PG.
TYLER S RIDGWAY
i
QUOTE 2
Net 10
1/7/2021
2
TY.
I ITEM NO.
DESCRIPTION
PRICEDISC
%
EXTENDED
TX.
PRICE
8
Pipe -PVC -Coupling
PVC Drop Pipe Coupling
$5.00
$40.00
1
Flomatic 1.25" ECK
Bronze Check Valve1.25" LeadFree
$71.00
$71.00
215
E005
12/3 Flat Jacketed Cable/Grd
$2.00
$430.00
1
E000
Submersible Splice Kit
$15.00
$15.00
1
GBR1.25 X 1
GALV. BELL REDUCER 1.25" X 1"
$19.00
$19.00
1
RBN
1 X 2 NIPPLE
$10.00
$10.00
1
PVC -Tape
Premium All Weather -Black
$6.00
$6.00
I
i
i
i
Subtotal
i
i
I
$4,941.00
We appreciate your business.
SALE AMT.
$9,392.00FREIGHT
$0.00
SALES TAX
$0.00
TOTAL AMT.
$9,392.00
PAID TODAY
$0.00
BALANCE DUE
$9,392.00
JR's Septic Pumping and Excavation
PO Box 773415
Eagle River, AK 99577-3415
Name / Address
John Santiago
20805 S. Birchwood Loop Rd.
Chugiak, AK 99567
Date
Estimate #
2/11/2021
35
Signature
Phone # E-mail
9076946454 jrsseptica gmail.com
Project
Description
Qty
Rate
Total
Septic tank installation and excavation at 20805 S. Birchwood Loop
1 62,849.00
62,849.00
Rd. Including well abandonment confirmation, tank replacement,
exploratory digging for edge of field by tank, rerouting water lines
to house per permit, removing existing septic tank by 1986 field,
and backfilling seepage pit by house per permit.
I look forward to working with you!
Total
$62,849.00
Signature
Phone # E-mail
9076946454 jrsseptica gmail.com
Northern Excavation and Construction, LLC
15861 South Birchwood Loop Road
Chugiak, AK 99567
(907)694-1373
NorthernExcavation@GmaiI.com
1752 01/20/2021
1 I JI V III VV %JlLtl J L- 1 -GJ
20805 S BIRCHWOOD LP
Thank you for the opportunity to provide you with this estimate.
Changes which increase the specific tasks of machine/labor time spent of
this contract, will be submitted in writing by the owner and accepted by the
contractor and the contract modified accordingly. Payment to the
Contractor for modifications to this contract which increase the work will be
charged. All agreements are contingent upon accidents, design changes,
or delays beyond our control. Northern Excavation & Construction, (NEC)
shall not be held liable for the affects that may occur to the property during
and after the install. Affects such as damage and structural integrity of
decks or deck supports in or close by the work zone, trees left in close
proximity of where machine work takes place or having to stock displaced
excavated material around trees to be retrieved, damage and structural
integrity of retaining walls that may need to be partially removed or traveled
close too, disturbance to driveways, disturbance to any landscaping, etc.
All methods and materials shall be in accordance with MOA regulation.
Payment in full is due upon completion of backfill. Payments received after
30 days of completion shall be charged a 1.5% monthly fee on unpaid
balances.
Services
TANK REPLACEMENT: Install new 1250 gallon septic tank and remove
both existing tanks in accordance with engineered and MOA approved
design.
INCLUSIONS: 1250 gallon Greer tank w/ riser kit. Bedding material.
Pumping. Disposal of tanks offsite. Fill in existing crib. Pipe/Supplies.
Machine/Labor/Compaction time.
Services
1985 WELL: Install new waterline from existing well stubbed up under the
footing of existing home.
INCLUSIONS: 1 inch copper tubing. Conduit. Well wire. New pitless
installed. Machine/Labor time.
Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates.
29,740.00
10,570.00
1982 W -1-L: Instal► new waterline from existing well stubbed up under the
footing of existing home. Straighten or replace portion of casing.
INCLUSIONS: 1 inch copper tubing. Conduit. Well wire. New pitless
installed. Machine/Labor time.
'Northern Excavation and Construction, LLC is not liable for
any utility lines not located by 811 public utility locate e.g., any
lines running to detached structures. Please notify contractor
of any power/gas/communications lines, prior to starting the
job, so private locate services can be called. An extra charge
will be incurred for private locate services.
Accepted By
Accepted Date
Please note that a 48 hour notice to start digging is required by the State of Alaska for utility locates.
Proposal
ADDRESS
John Santiago
20805 South Birchwood Loop
Chugiak, AK 99567
ARM Septic Services, LLC
17933 Old Glenn Highway
Chugiak, AK 99567
(907) 688-9433
ARMServicesAK@outlook.com
www.ARMServicesAK.com
PROPOSAL # 1735
DATE 02/15/2021
ACTIVITY QTY RATE AMOUNT
Excavation 1 15,726.00 15,726.00
Installation of a new septic tank, and proper abandonment of old
components per the terms of Proposal 1729.
Please read and sign the "Residential Addendum A" provided as it
applies to this contract. All work on this estimate/proposal shall require
at least a 60% deposit.
Excavation
Excavation site work for new water lines and associated work. T&M
(time and materials) rates of $2495/day shall apply for heavy equipment,
operator and laborer. All work shall be billed out accordingly based upon
the actual amount of time spent working onsite, plus materials (with
markup). (If additional site work is required, see specifications as
outlined in proposal 1730)
Site Work
Well and water system work per specifications outlined on AWPS
estimates 20206045 and 20211031 to include well abandonment and
water system work. These rates are based upon a typical well depth of
150'. If the well(s) to be abandoned are found to be abnormally deeper,
additional charges will apply.
15,600.00 15,600.00
28,613.00 28,613.00
By signing below, the client agrees to the proposed work, terms, TOTAL $59,939.00
and price. The client has also read and signed the "Residential
Addendum A" and agrees to the terms. The client acknowledges
that ARM Services, LLC has the right to lien this property.
Accepted By
Accepted Date
ARM Services, LLC
