HomeMy WebLinkAboutTERI #3 TR 1
Municipality of Anchorage
On-Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251302 PID Number: 050-751-54
Dwelling: H Single Family (SF) 171 with ADU El Duplex (D) FJ Two Single Family Project: El New Z Upgrade
Name
PULLEN HARVEY E & H KAYE
ABSORPTION FIELD - EXISTING
El Deep Trench F-1 Wide Trench 171 Bed El Mound
Site Address
3669 PULLEN CIRCLE, EAGLE RIVER
❑El Other
Phone7
Bedrooms
Soil Rating
Total depth from original grade
" 4
GPD/SF1
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
TERI #3 TR 1
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To! Septic Absorption Holding Sewer
Lift Station �
Total absorption area
Number of trenches
Dist. between trenches
From Tank Field Tank Line
Ft2
Ft.
Well 100+-- 25+ +
TANK [D Septic [I S.T.E.P. 171 Holding El Other
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water100'+
Material
HDPE
Number of compartments
2
Lot Line 10'+ NA
. . .... . . .... . ... . .
Foundation 1 10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Deep-burial septic tank.
Alarm location
Electrical installed by
Tank to
PIPE MATERIAL House to tank 3034 drainfield 3034
Installer ZOLLINGER CONTRACTING
Drainfield CO/MT 3034
Inspector FWCS
BENCH MARK (Assumed elevation) 100 ft
Inspection 1" 9/1/2025nd 09/03/2025
Location and description
dates: 2
3rd 4`"
TOP OF MH
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
At"I
Conditional Approval: Date
7H
. .........
...... . . . .
Septic Syste
Approved -
rnt
Curtis Huffman OW
CE 128991
. I P Aille
Date C7
.09/03/25. . •
AW
PROFESSO
Xote-- this approval does not include well permit require e s.
(Rev 071118)
PID:050-751-54 PERMIT:OSP251302
FIRST WATER CONSULTING
TERI #3 TR 1
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: OSP251302
Work Type: SepticTank Upgrade
Tax Code Number: 05075154000
Site Legal Address: TERI #3 TR 1 G:0704
Site Mailing Address: 3669 PULLEN CIR, Eagle River
Owner: PULLEN HARVEY E & H KAYE
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
I)i'l)21CtrTlt'C1C�
8/26/2025
8/26/2026
248727
❑ 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: The septic system serving the ADU must be decommissioned and the water service line
needs to be removed.
Issl
Date: 8/26/2025
Date: 8/26/2025
4
MUNICIPALITY OF ANCHORAGE
. 0
otj
Development Services Department
-
Phone: 907-343-7904
On -Site Water & Wastewater Section
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-751-54
PULLEN HARVEY & KAYE LIVING TRUST
Property owner(s) d Day phone
Mailing address 3669 PULLEN CIRCLE EAGLE RIVER, ALASKA 99577
Site address "
'3669 PULLEN CIRCLE EAGLE RIVER, ALASKA 99577
Legal description TERI #3 TR1
Number of Bedrooms 4
Engineering Firm FIRST WATER CONSULTING
Building Permit Number
APPLICATION IS FOR:
(M all that apply)
Disposal Field
0
Septic Tank
0
Holding Tank
❑
Privy
❑
Well
❑
Water Storage
❑
Not Applicable nN
APPLICATION IS AN:
Initial
0
Upgrade
rx-1
Renewal
El
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees. -
Date of Payment:
Permit No. (2)_';
May 2025
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / FirstWaterAK@gmail.com
!
!!
August 19, 2025
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: TERI #3 TR1
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic
tank on the above referenced lot. We propose to install a 1500-gallon deep-burial HDPE tank
per the attached design to serve the existing 4-bedroom residence. There is another existing
undocumented septic system servicing the ADU and the tank will be decommissioned and any
absorption field abandoned. Also, there is a water line with valve to this ADU that is near this
septic tank upgrade. This buried waterline & valve will be disconnected or moved to make
proper separations of 10’+ to the new proposed tank.
No groundwater was noted in the MOA on-site file, but if groundwater is encountered during
installation an epoxy coated steel septic tank or other action may be required. The lot and area
are served by private water and any encroaching wells, easements, … must be staked prior to
construction. The design will not impact any of the neighboring properties. Please contact us if
you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251302, Ben Cogger, 08/26/25
FIRST WATER CONSULTING
NO WELLS WITHIN
100' OF PROPOSED
SEPTIC TANK
TERI #3 TR 1
DESIGN DETAILS:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251302, Ben Cogger, 08/26/25
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN Sr"RVICES
Environmental Heallh Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Address
LEGAL DESO~IPTION
TANKS
SEPTIC
DISTANCES
:ROM
WELL
SEPTIC
TANK
ABSORPTION
FIELD___
WELL
I I ?
HOLDING
TYPE OF SYSTEM
~,~&rRENCH ~) BED [~] W, DRAIN [] OTHER
FT
WELL.C;
~ PRIVATE
REMARKS:
FT
I~uflicipal and Stale Duidelinos in elleol on lids date:
Heallh Depadment Approvah ~
cedily Illal Ibis inopecdon was porfornlod accordio(J Io all
72 013 (3/85)
t I(~LJtI:::, '" "
!',;ill,.t~,,l F:'IiI::?. I:::JIL~!:hILh:R'S
Iil:Lh~ F:'[ .I '~I'"! ]: F !./q ....... .l.I :~ ' '~' /?C)(hl'qD V¢hl,:!:O I:(:iJ::i ('~ :! ; :t: t",ll )t I:ii: I:(iIi:1:I_'~ I lid"Il:i,
[ ::'~i: ',:Ii'" I t, I ,J ¢-tt I ! 'ltlli:: :il;l:i::blF::F/ S"¢fi;l 1:::,I~1 '1 [) (4 /I
b~::!(::. L :i (:)ii ~.,.,.,':~ ':~, 'l'o,,,)rv:il'~ :i p i: :L.'!II',I I:~:,'-'~r'~ge 'ri, :IE
I.ta::: ):~(~: d 1~ c,(::)m~ r', J' h :i. ~'~ F'(a r. m :i 'L :: 5; 'l ~:,)I'. a I.,a~)a,~ - ]' '" ~,," ..,'
· Lank (~) .:::
O
hereby certify that I have surveye~ ~' ,'Dha~k
Subdivision, Anchorage Recording Precinct, Alaska,
and have replaced all lost corners with 5/8" x 30" rebar. It is the
responsibility of the owner, prior to construction, to verify proposed
building location on lot, grade~ and utility connections, also to
determine the existence of any covenants or restrictions which do ~ot
appear on the recorded plat. Dated at Anchorage, Alaska this
day of,
CONSTRUCTING ENGINEERS, INC.
9601 Buddy Werner
Anchorage, Alaska
346.2000 694.9098
PLOT PLAN
SCALE 1" = ioo,
:4URiCiDality of Anchoraqe
DEPARTMENT OF HEALTH & HU~vlAN SERVICES
325 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
EEGAL DESCRIPTION: ~. :'%ci ,%"/ .... ; /d ,,. ¢% -. Township, Ranqe,. Section: .J /;q :'.~ '7-', ~ ~ .~'! ,'(Ir' ~
(FEET)
114
f3 -
i4-*
!54
COMMEN~S
SLOPE
SITE PLAN
:-
i i
....) I >lAS GROUND WATER
ENCOUNTERED? ~L] ~
IF YES, AT WHAT
DEP'FH~ ;' ]/'~
PERCOLATION RATE
Net
Drop
Immutesnnchl PERC HOLE DIAMETER __
:ES1 RUN BETWEEN __ FTAND ET
PERFORMED BY: -,';~ ,: t?-,JcYm <; : n.,2,¢ .~,~, .... I i~'D~¢:'~ :v'cJ¢~' CERTIFY THAT THtS TESTWAS PERFORMED IN
ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE
Trrhurb i ing ifwg
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 TELEPHONE 688-2759
OWNER OF LAND L" DEPTH OF WELL
ADDRESS 7 7 1_1`� 4,11 STATIC LEVEL OF WATER FT.
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
Ended
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From Ft. to -'Ft.
LZ
From.
Ft. to Ft.
From Ft. to
Ft.
Vp"
17 "'J
From
-Ft. to Ft.
From Ft. to
Ft.
From
- Ft. to Ft.
From Ft. to
Ft.
Froin
Ft. toFt
From Ft. to
Ft
ill 7 91 71— 1-114-1-
From Ft. toFtlh&-
From Ft. to
Ft
From
crf
Ft. to xdt4
ok 'Ono
From_-`_ Ft. to
Ft.
,v 'j
From
--vowlt I
From Ft. to-_
Ft.
2z'Z_
From
FAo t.
From Ft. to
Ft.
From
Ft. to Ft.
From Ft. to
Ft
From
-Ft. to
From Ft. to.
Ft.
From
-Ft. to Ft.
-2
From Ft. to_L'_
Ft.
Q -Prom
-Ft. to Ft
From Ft. to
Ft.
From
Ft. to Ft.
From Ft. to__.L
From
Ft. to Ft.
From Ft. to
Ft.
From
Ft. to Ft.
From. Ft. to
Ft.
From
Ft. to Ft.
From Ft. to
Ft.
From
Ft. toFt
Tul
DRILLER'S NAME
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
OSC251399
Parcel ID 050 -751-54
Legal description TERI ##3 TR 1
site address 3669 PULLEN CIR
Expiration Date: 7/29/2026
Current property owner(s) PULLEN HARVEY E & H KAYE
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
N
Original Certificate Date: 9/15/2025
This Ce ficate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
syst (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
D elopment Service Department (DSD) issues COSAs based upon representations provided by an
dependent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
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. 050-751-54
Complete legal description TERI #3 TRACT 1
Location (site address)
3669 PULLEN CIRCLE, EAGLE RIVER, AK 99577
Current property owner(s) HARVEY & KAYE PULLEN..•
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: ❑■ 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: FN� Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel Q Plastic ❑ Concrete ❑ Fiberglass
Age NEW - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed R Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for: Distance:
Expedited review requested: ❑
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 $ ff O Waiver Fee $
Date of Payment7� Date of Payment
COSA # OSS 25 3�f�% Waiver #
COSA Application_Apr2025.doc
COSA Checklist_May2025 copy 2.docx
COSA Checklist
Legal Description: TER #3 TR1 Parcel ID: 050-751-54
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 1990 Total depth 141 ft
Cased to UNKNOWN ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 8/12/25
Static water level at beginning of test 132 ft.
Well production at time of test 6 gpm
Water storage tank volume None gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 1.14 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 7/29/25
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank NEW
Date of pumping NEW TANK
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed) 7/17/1990
ALL standpipes present per record drawing
Total measured depth from grade 13.2 ft (max)
Measured depth to pipe invert from grade 6 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced 2000 gallons 8/11/25 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 8/12/25
Results Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 7 in
Elapsed time 1440 min
Final fluid depth 0 in
Absorption rate 600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 96 in (MOA 8’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth remaining 96 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per measurements, MOA docs & appears
approximate.
COSA Checklist_May2025 copy 2.docx
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’ Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No ft
Field to Foundation > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 09/09/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
09/09/25
ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF:
TERI SUBDIVISION ADD No3
TRACT 1 PLAT 85-243
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance shoull
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE: SCALE: E-MAIL:
SEPT 12, 2025 1 "=100' schullerok®gmail.com
25-100-2 DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE:
JLS SE0704 250320
5
2
).06'
3.160
-►���A��� sub
... OF L A N ��
AAW 0 A P
.► .. L , O S
� .• .ter � � � ��
49TH
+ �,
4 J .• � o r
�.:�... ...... ........... U� zr
• C11a n�
�. .................... .�
CD HN HN L. SCHULLER.• 0 /
s LS -10408 �/ w...�• ..w
e` 1831 Talkeetna Street
•
1'A?7- 7. • � a i Anchorage, Alaska 99508
��'■'' 907 227-1455 office
\��� ``�+�'' (907) 274-4992 fax