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Home My WebLink AboutGROLL BLK 2 LT 2B Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251355 PID Number: 050-521-82 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JOEL & JACQUELINE BOURNE ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 25418 EAGLE RIVER ROAD, Eagle River ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot GROLL 2 2B 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 ® Septic ElS.T.E.P. ❑ Holding ElOther Manufacturer GREER Capacity 1500 Gal. Surface water i 1001+ -- Material HDPE Number of compartments 2 Lot Line10'+ -- j NA Foundation 10'+ -- LIFT STATION Manufacturer Capacity Gal. Remarks Tank insulated. 3BR HOUSE — 4BR SYSTEM. Deep -burial HDPE tank. Alarm location Electrical installed by Installer NORTHERN EXCAVATION ank t PIPE MATERIAL House to tank 3034 dre afield 3034 --------------------.----- Drainfield CO/MT 3034. Inspector FMCS BENCH MARK (Assumed elevation) 100 ft Inspection ection 15` 11/19/25 2nd 11/20/25 Location and description 3rd 4`n TOP OF RISER ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date .� , •;�,�.1� /*'-49 TH �r Septic Syste:. Approved r �� '.* • Curtis Huffman Knts. CE 128991Dat�.1'j` • 12/4/2025 • ��'•...••�,..FOrNote: l�\\\.,`��► this approval does not include well permit requirem tKevuoiuzn t5/ PID:050-521-82 PERMIT:OSP251355 FIRST WATER CONSULTING GROLL BLOCK 2, LOT 2B Permit Number:OSP251355 Tax Code Number:05052182000 Work Type:SepticTank Upgrade Effective Date: Design Engineer: Site Legal Address:GROLL BLK 2 LT 2B G:0262 Owner:KELLEY KENT S & ERIN K Site Mailing Address:25418 EAGLE RIVER RD, Eagle River Lot Size in Sq Ft:52113 Total Bedrooms:4 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public Water 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. Coodinate with On-Site staff regarding preferred method. 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 10/7/2025 10/7/2026 FIRST WATER CONSULTING Expiration Date: ¨þ ¨¨¨¨ Issued To: Issued By: Date: Date: 10/7/2025 10/7/2025 FIRST WATER CONSULTING 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 MUNICIPALITY OF ANCHORAGE $MOORE= Development Services Department Phone- 907-343-7904 On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-521-82 Property owner(s) KELLEY KENT & ERIN Day phone Mailing address 25418 EAGLE RIVER ROAD EAGLE RIVER, ALASKA 99577 Site address 25418 EAGLE RIVER ROAD EAGLE RIVER, ALASKA 99577 Legal description GROLL BLOCK 2 LOT 213 Number of Bedrooms 4 Engineering Firm FIRST WATER CONSULTING Building Permit Number Not Applicable 01 APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Disposal Field ❑ Initial ❑ Septic Tank N Upgrade X Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: YZ25 Date of Payment: _ LM*K 11N(112T Permit No. 0W)13 / ? ff May 2025 Waiver Fees: Date of Payment: Waiver No. Distance: 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com ! !! October 3 , 2025 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: GROLL BLOCK 2 LOT 2B 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 1250-gallon deep-burial HDPE tank per the attached design to serve the existing 4-bedroom residence. We would recommend a 1500-gallon HDPE tank be installed for current functionality and future consideration or flexibility. Groundwater was noted in the MOA on-site file at 14’ from grade and if shallow 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 and verified. 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 OSP251355, Isatou Njie, 10/07/25 FIRST WATER CONSULTING NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK GROLL BLOCK 2, LOT 2B DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251355, Isatou Njie, 10/07/25 WATER WELL RECORD LAS S�/'" STATE OF ALASKA LA DEPARTMENT OF NATURAL RESOURES Q2'$7 Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either ►a, ib or Ic.) A.D.L_ Na. 441111. Section No. Township NQ Range E� Meridian p la. Borough Subdivision Lot Block Fo—f]f—af G l Isr, S� w❑ to 9f/ -Cr Ic. OfSTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF W£LL:�„� Address: ;le (,3, yk 1RCi��1TG�`y'r �d! Street Address and Area of Well Location /e .w Y 2. WELL LOG Feet Below Surface Material Type Top Bottom 4. WELL DEPTH: (final) �%t it. 5. 0 TE OF COMPLETION - 1 - -13 64-1 117 4% 6. Q Coble tool Rotary O Driven O Dug Q Auger Q Jetted []Bored ❑ Other: ?.USE: 5d Domestic 0 Public Supply C] Industry 0 Irrigation 0 Recharge 0 Commerical C] Test Well 0 Other: r 0 S. CASING: 0 Threaded JR Welded diom.4_ln. to -2 -sot. Depth Weight -1-7 tbs./ft. diom. in. to ft. Depth Stickup Z-. ft. 9. FINISH OF WELL: Type: Diameter: Slol/Mssh Slzoc Length: Set between ft. and ft. Backfliling Gravel pack 10. STATIC WATER LEVEL: _22aeft. Above or 2 Below land surface Date Equipment used: 11. PUMPING LEVEL below land surface and YIELD It. after hrs. pumping g.p.m. ft. after hre. pumping g.p.m. 12.GROUTING Well Grouted: 0 Yes OfNo Maleriol: (3Neat Cement [NOiher: 16. WATER WELL CONTRACTORS CERTIFICATION: r This well was drilled under my�jurisdictionn^ and /this report Is true to in Ae,007 Registered Businsss No Address: -29 0 IS. PUMP: (if available) HP Length of Drop Pipe ft. capacity g.p.m. Q Subm. Jet O Centrifical Other 14. REMARKS: AR*ox 3-5” Gals Pe;, 15. Water Temperature ° 0 F 0 C best of my knowledge and belief, dontract License Number / Signed: Date: Authorized Representative form 02-WWR (11/8I) Copy Distribution: WHITE - State OGGS, PINK - Driller, CANARY- Customer Vt 1� r /~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT '~AME 6 A D~E~/ ~ - LEGAL DESCRIPTION ~ ~ ~ Manufacturer / Lk~ ~acity in gallons ~ ~ DISTANCE TO: ~ell It/ ~Dwelling PERMITNO. _~ ~ ~ I~ ~,~ O ~ ~ Manufacturer ~ -- p Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. =~ ~ DISTANCE TO: ~ No. of lines Length of each lin~ Total length of lines Trench width Distance between lines ~ ~ inches ~ ~ ~ Top of tile to finish g,'ad~ . //[ beneath tile Total effective absorption area inches I.~ Tvpo ofcrib~ Crib diameter ' ~ DISTANCE TO: Well .'" Classy/n/~_ :eptl:_ ~' / S / / ~:'er -- Distance tolot line PERMITNO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE M~TERIA LS so~ T~ST R*T~NG INSTALLER R~ARKS . _ ,,..., ~" ~ * ~ LEGAL [Rev. 3/78) Department MUNICIPALITY OF ANCHORAGE f Health and ]Environments Protection 825 264-4720 * * * HANDWRITTEN PERMIT ~ * * WELL AND/:II~ ON-SITE SEWER PERMIT ~ ~..:~.~. ~:_~ Mailing Address: / Phone Number: L Street, Anchorage, AK. 99501 Permit %~~_~ Applicant: Location: Legal Description: Type of Soil Absorption System Is: Lot Size: Trench: Drainfield: Maximum Number of Bedrooms: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) .~..," d ,.~. :~ The Required Size of the Soil Absorption System Is: DEPTH ~ _ LENGTH //~ ~. GRAVEL DEPTH .L:~; WIDTH ~L~. The length dimension is the length(in feet) of the trench or drainfield. The . depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~ ~ REQUIRED SEPTIC(H~L-4~NG) TANK SIZE = /C~O GALLONS ~ ~ Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED ~ ~ ~ Backfilling of any system without final inspection and approval by this departmen' will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee' for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as (2) (3) Signe~': SWP/024 (1/81) set forth by the Municipality of Anchorage. I will install the system in accordance with codes. I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. ssued by: Applicant '- Date: ~. ,. · MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, A~chorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG ' PERCOLATION TEST PERFORMED DATE PER FORMED: LEGAL DESCRIPTION: 1 2 4 5 7 8 9 10 13 14 15 16 17 I8 19 2O SLOPE SITE PLAN COMMENTS PERFORMED BY: 72-008 (6/79) Reading Date !.~-fi~ o ~/~,/~ ,i¢~o ~/~,/.~:~ ,'fl.~O ,~~/,~/~:~ ~ i~ 0 .~~/~/~':.~ WAS GROUND WATERS '~- / I I----J~-"'"~l--- I~~ W~'~ E~CO,NTERED? . r,~____. 0~ -- I I I ~'q----~l ,FYESATWHAT ,~ E .~1-'~?1/Iq DEPTH? -~ - % ....~--l~hll I / / Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~ 7 (minutes/inch) TEST RUN BETWEEN -q' FT AND FT /.-/~ Cory fli ik.I.'i. ~, APPLI£ 'qT FILLS OUT UPPER HA[ ONLY Property Owner Buyer Address zip (;ode ~:, 2.? Zip Code Phone Lending Institution Phone Address Zip Code _.-:. Realty Co. & Agent Phone Address "; f / "' J'~-- Zip Code Legal Description ~__,.; ~' ~), ::< _ Type of Residence ~ Single Family 13 Multiple Family No. of Bedrooms [] Olher Water Supply [~' Individual [] Community [] Public Utility Sewer Disposal I~ Individual [] Public Utility [] Holding Tank ATTACH WELL LOG. A well Icg is required fo~ all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available). Year Individual Installed: __!,;: ~; When Connecled to Public Utility: NOTE: THE INSPECTION PEE MBST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Date Inspector Time Date Inspector Time Date Inspector Time Date Inspector ~- )~PA~PROVED BEDROOMS *CONDITIONS OF APPROVAL ) DISAPPROVED ) CONDITIONAL APPROVA_~* Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank Well Log Received ~,//~:~ Septic T~k Size / ~'~"~ 0 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 OSC261084 Parcel ID 050 -521-82 Legal description GROLL BLK 2 LT 2B Site address 25418 EAGLE RIVER RD Expiration Date: 3/31/2027 Current propertyowner(s) KELLEY KENT S & ERIN K X The On-site system(s) is/are approved for 4 bedrooms BY.. Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 4/16/2026 ThisC rtificate of -6n -Site Systems Approval (COSA) is intended to demonstrate the subject stem(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 Absorption Field Advisory Tank Age Advisory Other Well Flow Advisory X Nitrate Advisory Arsenic Advisory 11 Aiii E, 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. 050-521-82 Complete legal description Location (site address) 25418 EAGLE RIVER ROAD EAGLE RIVER, ALASKA 99577 Current property l owner(sON KELLEY KENT & ERIN 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA F-1 Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: Q Private Septic ❑ Private Septic serving 2 dwelling units R Holding Tank R Community Septic or Public Sewer 5. SEPTIC TANK: F] Steel rM-] Plastic F Concrete F Fiberglass Age NEW _ See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: F] AWWTS nN Bed n Deep Trench n Wide Trench El Seepage Pit Waiver request for: Distance: Expedited review requested: r_1 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 $ Date of Payment 10 16 COSA # C - Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025.doc COSA Checklist_May2025 copy 2.docx COSA Checklist Legal Description: GROLL BLOCK 2 LOT 2B Parcel ID: 050-521-82 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 9/13/83 Total depth 240 ft Cased to 240 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/15/25 Static water level at beginning of test 194 ft. Well production at time of test 0.17 gpm Water storage tank volume 800 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 3/31/26 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) 9/2/1983 ALL standpipes present per record drawing Total measured depth from grade 3.6 ft (max) Measured depth to pipe invert from grade 3 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 9/24/25 Results Pass Fluid depth prior to test 0 in Water added 680 gal New fluid depth 3 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 6 in (MOA 0.5’ ED) Effective depth used 0 in (Final Fluid Depth) Effective depth remaining 6 in Comments/Deficiencies: 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 04/10/2026 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 & 04/10/26 9n� ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: GROLL SUBDIVISION LOT 2B BLOCK 2 PLAT 77-290 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 shoul4 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;- NOV —MAIL:NOV 22, 2025 1 "=50' schullerak®gmail.com 25-124-2 DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE: JLS SW0262 250413 OO - FND 5/8" REBAR OF �\ LAN .. c..4 T.H%/*.... ....... .. .'.• .... /, FA • . OHN Q/ L. .sLS-10408 / " c Q zrr' �� • . �� , ZZ. , ZJ'' • . • • •�J� / 1831 Talkeetna Street �o, • • ....... • d ASW Anchorage, Alaska 99508 �\ Of na�. 1AMW (907) 227-1455 office s ��\ s sl `b ate' (907) 274-4992 fax \1 Well Water Advisory Certificate of On -Site Systems Approval # 20SC261084 Subdivision: Groll, Block: 2, Lot: 2B This well's productivity was determined to be 0.17 gallons per minute. The recommended well productivity under (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute or 150 gallons per day per bedroom. Water storage may be necessary to accommodate your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. IMailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org