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TRAILS END BLK 2 LT 14
Trails End Block 2 Lot 14 #015-191-28 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211277 PID Number: 015-191-28 Dwelling: M Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New M Upgrade Name GERALD MOSES ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11310 COBRA AVENUE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. TRAILS END 2 14 Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks New level flow diverter installed to allow even flow to each trench per original system or divert too. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tandra to 3034 Installer DENALI EXCAVATION of Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdection V1 8/5/21 8/6/21 Location and description 2�d 3`d 41h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A Conditional Approval: Date i�Q'' ' •:tpf,� �..- .....:..ri ' Septic System Curtis Huffman Approve - w� Date "17-2 �� FG, •, CE 128991 �� /® �� �slF�• *ti . 8/9/2021 . pROFESS O Note: this approval does not include well permit requirements. (Kev Ub/U1/16) PID: 015-191-28 PERMIT: OSP211277 6.1'x7.2' ENTRYWAY CANT SEPTIC 60 d Z Q)* 23.6 IoW U Li o PIPES `O 9.0' 00 O 0 FCO rilt!!tiNllN;I BM OE 0 w 21.4' K � Ld ' Lot 13 A a o 0 Lot 14� � 0 0 0 z DECO C MH 0D V) CO E DCO F EXISTING G DIVERTER FIELDSI \ DECOMMISSIONED EXISTING S.T. & INSTALLED NEW 1000 -GAL HDPE SEPTIC TANK WITH NEW DCO & DIVERTER. C.E.A. EASEMENT A -C=35.2' B -C=28,2' A -D=39.0' B -D=31.8' A -E=43.5' B -E=36.2' A -F=45.5' B -F=38,4' A -G=51.6' B -G=46.8' TRAILS END BLOCK 2, LOT 14 PREPARED FOR: GERALD MOSES 11310 COBRA AVENUE ANCHORAGE, AK 99507 FIRST WATER CONSULTING SEPTIC SECTION 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK®gmail.com LONGHORN W� — 0 0 \-..'N 89'59'30"E 90' 1 WELL- 6.L1'x7.2' ENTRYWAY CANT Q .' M SEPTIC—, o n� PIPES co4 00 ` 1 1. M w I h i 21.4' d DECK 0 Lot 13 0 9i I EDGE OF ROAD i Q O z ��MANHOLE SEPTIC PIPES` I ?I 10' C.E.A. EASEMENT (Doc. No. 1990-044816-0) I I i Lot 1 i 27,000 S.F. Lli10' UTILITY EASEMENTS I 7�O ARn� O LLJ z 3 :n LLJ >�r O O 0 0 I EDGE OF ROAD S 89'59'30"W 90' 30.0' Lot 1 I� PLOT PLAN __— AS BUILT _x_ SCALE 1__= 50' GRID _ SW 2641 Project No. 21_5491A1____ ,�. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, it C. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken®Iongsurvey.com o OF jonathan®longsurvey.com p Q©SPF,.-•' .�5��� I hereby certify that I have surveyed the following described property: LOT 14, BLOCK 2, TRAILS END SUBDIVISION (PLAT No. P-604) o * : 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are""""""" ""' """"""G within the property lines and do not encroach onto the property adjacent thereto, that O t no improvements on the property lying adjacent thereto encroach on the surveyed Q G premises and that there are no roadways, transmission lines or other visible p '• KENNETH . LANG o G easements on said property except as indicated hereon. D —5202 Da. • JQ O Dated this the �2i� &c�'i Z 2� Q F� y of at Anchorage, Alaska � ,o • • • • • •' o v �QOROFESSIONAL LA?o It is the responsibility of the owner to determine the existence of any easements, °4OpppC covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program '• a PO Box 196650 .4700 Elmore Road Anchorage. Alaska 99519.6650 Phona:(907)343-7904 Fax; (907)343-7997 ht[p;llwwrr.muni.orglonaite On -Site Wastewater Disposal System Permit Permit Number: OSP211277 Effective Date: Work Type: SepticTank Upgrade Tax Gude Number: 01519128090 Site Legal Address: TRAILS END BLK 2 LT 14 G:2541 Site Mailing Address: 11310 COBRA ST, Anchorage Owner: MOSES GERALD Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: ❑ Disposal Field © Septic Tank ❑ Holding Tank ❑ Privy Expiration Date m en s 9 711512021 7115/2022 Lot Size in Sq Ft: 27000 Total Bedrooms: ❑ 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 (16AAC72) and Drinking water Regulations (18AAC80) 3. The wd8towolur sxse_le requires inspeutlans during the installatl4n. i ne engineer sRall notify the ❑svel4pffivt Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24I7)- 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 Leasam l Provisions: There Is a 1a ftT&E easement along the south 220 ft ofthewest property line. All ents shall be shown on final as -built survey. 7115/2021 Received By: Date: Issued By: Date: ZZ 15 2a-21 MUNICIPALITY OF ANCHORAGE • Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I. D. 015-191-28 Property owner(s) GERALD MOSES Day phone Mailing address 11310 COBRA AVENUE, ANCHORAGE, AK 99507 Site address 11310 COBRA AVENUE, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) TRAILS END BLOCK 2, LOT 14 Legal description (Township, Range & Section) Lot Size 27,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo AD U) Septic Tank Upgrade Q (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings El Multiple Privy El and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: A a '-� 5 Date of Payment: 7 ZI 2A / Receipt Number: Permit No. OS p,2 7 Waiver Fees: Date of Payment: Receipt Number: Waiver No GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 8, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: TRAILS END B2, L14 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 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. The lot and area are served by private wells. 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 OSP211277, Rebecca Carroll, 07/15/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211277, Rebecca Carroll, 07/15/21 (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: 015 - 19 1- 2 S Legal Description Property Owner Name & Address: `Trc�S Q-2 Ljq/13/0 Cs��3Rl�j STREEI- A1-9C_ 14.0,2 6�J � 995/& Pump Installation Date: G/2v/1 Pump Intake Depth Below Top of Well Casing: Yi,Z feet Pump Manufacturer's Name: f;�o Pump Model: O E Z / Pump Size ( hp Pitless Adapter Burial Depth: / ,,' feet Pitless Adapter Manufacturer's Name: Vp,." rem, Pitless Adapter Installer: I'1.) 4 Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: 443 P5 ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.CO M Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 " Mark Begich Anchorage, AK 99507 s n E T Y Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: 015 - 19 1- 2 S Legal Description Property Owner Name & Address: `Trc�S Q-2 Ljq/13/0 Cs��3Rl�j STREEI- A1-9C_ 14.0,2 6�J � 995/& Pump Installation Date: G/2v/1 Pump Intake Depth Below Top of Well Casing: Yi,Z feet Pump Manufacturer's Name: f;�o Pump Model: O E Z / Pump Size ( hp Pitless Adapter Burial Depth: / ,,' feet Pitless Adapter Manufacturer's Name: Vp,." rem, Pitless Adapter Installer: I'1.) 4 Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: 443 P5 ANCHORAGE WELL & PUMP SERV. 330 EAST 76TH AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AW PS.CO M Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUWC�PAUTY OF ANCHORAGE ' V, 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. 015-191-28 Expiration Date: ! Z I 1. GENERAL INFORMATION Complete legal description TRAILS END BLOCK 2, LOT 14 Location (site address) 11310 COBRA STREET, ANCHORAGE, AK 99507 Current property owner(s) GERALD MOSES Day phone Mailing address Real estate agent 11310 COBRA STREET, ANCHORAGE, AK 99507 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic 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 $ 550 Date of Payment QI `� /,U2 l Receipt Number a 1 `� 60 3 COSA # OS N 1/ y61 Waiver Fee $ Date of Payment Receipt Number Waiver # STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, ]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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/6/2021 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 Vr As�il these various and dynamic characteristics and are outside the control of the evaluator of the .� •�(i well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • • • �9 ��} for current or future occupants or guarantee that no unseen encroachments, deficiencies or49 (JJ discrepancies exist can be given by First Water Consulting & FKS ' 0 � 11-I .....•; I� 6. DSD SIGNATURE Curtis Huffman System #1 Approved for bedrooms���� CE 128991 .�� S�r Y pp PQ/6/21 ��`ca� e System #2 Approved for bedrooms k� ROFESSIO e Disapproved Conditional approval for bedrooms, with the following stipulations: \`V�G�Qp.L "�C'/���i� Jve- 10 ON-SITE Tye WATER AND rn =M WAST"' l -l� z 1 �m PRDG� AMiEsc, �. l���Jl)t�il i 11�11� Original Certificate Date: 9 - ' _(' Z 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 Legal Description: TRAILS END BLOCK 2 LOT 14 Parcel ID: 015-191-28 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 3/5/1999 Total depth 440 ft Cased to 92 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/22/2021 Static water level at beginning of test 27 ft. Well production at time of test 4 gpm Comments B. TANK DATA Age of tank(s) NA — NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping NA D. ABSORPTION FIELD DATA Which system tested (date installed) 5/5/1996 ® ALL standpipes present per record drawing Total measured depth from grade 4 ft (max) Measured depth to pipe invert from grade 3 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 0.398 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) F Collected by= Date of Sample C. LIFT STATION 7/16/2021 ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 6/22/2021 Results M Pass For 3 bedrooms Fluid depth prior to test 2 in Water added 500 gal New depth 4 in Elapsed time 1330 min ® Code -required soil cover over field (INSULATED) Final fluid depth 1 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: 1990 TRENCH SATURATED. TESTED 1996 TRENCH. - FWE Surveyor missed southern pipes on as -built. All pipes are present per MOA record docs. 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' ® Yes if No ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ 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' ® Yes if No –ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if.No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS 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. -`'k OF A TH •,�k ..• .......... Curtis Huffman 9 *. CE 12899140 4`4s `�lF'•S19/21..•' AW PROFESV0 -.ft-- ft M