HomeMy WebLinkAboutT12N R3W SEC 4 LT 72TI 2N R3W
tion 4
Lot 72
#014-1§1-01
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Municipality of Anchorage :~':.,~
Development Services Department = '~'"
Building Safety Division
On-Site Water and Wastewater Program, 4700 $. Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650 Page [ of
v,~'w.ci.anchoroge.ak, us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. ~/t~lO 10c~ PIDNumber. oIl~--I~l- O I
"'~" ~ O I-I ~ /~ 9 I~.~- ~.o ~ Wastewater System: [] New ~Upgrade
'7~ ~-o A*g~OTT t_oo'P i'Z.~ ABSORPTION FIELD
LEGAL DESCRIPTION /,~ ~.~e /~' ~,
72- .~ ,,. ~,~ ,,
/ ~ ~,. ~
We,: [] New [] Upgm~ ~ ',. I, '----
,.~ { ,?~.~ ,,. c,,~...,.,~,,. ~ TANK
SL~PARATION DISTANCES ]:~septic [] Holding [] S.T.E.P. [] truer.
From~ Septic Absorptior lift Holding Pubr~:/Prk'ate m,x~,*~ c,,,~o~
Tank Field Station Tank Sewe, tina I /~'lqf.-14 , T'/~-NI~-
w,, I ~,_~ 4 ~ 6 ..-- .---- ~ 5TN r-r L..
"""*'" BENCH MARK
.~E.ngfn~ f'~' Stamp
zW..-' ,~-L..- '..'~,~,.
Inspections pedormed by'. 5. Dates: 1a /,/ti ! ftc ,og,..~N-. ...... ~ ....... t.~
Development Services Department Approval *' ~ .... ·
Reviewed and approved b Date: /O -! o-O/ t~': . ~'. °''. ....... .- ..'-'~'--
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TOBBEN SPURKLAND P.E.
203 I¢ 15TH. AVENUE
ANCH. AK. ggSO1
PERMIT # S~/010169
J J LOT 72 SECTION 4 T12N R3W
7420 ABBO17 LOOP ROAD
JOHN ANDERSON
PID # 014-151-01
IlSEPTIC SYSTEM AS BUILT
DATE: JUNE 20, 2001
SHEET: 2/3 GRID: 2135
1230472£,D~6
Standard [rench:
5' Vide
30' Long
6' Peep
3.8' Sewer rock
3' Cover
1000 gal Septic tank
0
NO SCALE
Sil~: Barrier
B.O F~ oF Septic Rock
Effective
t, lonl~or
~ Cleanout
--- Y Cover
NO SCALE
lOOO gal. septic tank
ITDBBEN SPURKLAND P.E.
~03 ~15th Ave
Anchormoe Ak 99501
LOT 72
SEC. ~ ~t2N, RJ~
7420 A~O~
014-151-8I
] SEPTIC SYSTEH SCHENATIC
DATE, JUNE 20. 2001
SHEET, Jt/J GRID,
12JO472J. DY/G
MuNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTE1NATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 06, 2001
Expiration Date: Jun 06, 2002
Permit Number: SW010169
Legal Description: T12N R3WSEC 4 LT 72
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: JOHN ANDERSON
Owner Address: 7420 ABBO'I-I' LOOP RD
ANCHORAGE, AK 99507-2835
Parcel ID: 014-151-O1
Site Address: 007420 ABBOTT LOOP RD
Lot Size: 186779 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
I. The attached approved design.
2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number~
Property owner(s)
Mailing address (1)
Mailing address (2).
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size ~1. ~ Acres/~t"
18~,777
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Day phone "3 tt ¥- l tq 7 q ,
Zip Code
Number of Bedrooms
Well Only
Water Storage
Jacuzzi
Water Softening Unit
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized ao~ent) ~'-
Permit Fees: '~ ~--~ ~-~--
Date of Payment:
Receipt Number: ~0 ? 0
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
203 W 15th. Avenue, Suite 203
ANCIIORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 72 SEC. 4 TI2N R3W
JOIIN ANDERSON
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bmgaw Street
Anchorage, Alaska 99519-6650
May 28, 2001
We are submitting an application for the upgrade of an undocumented septic system for this lot. The
submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic
system is subject to this permit application, (sheet 2/3), and a schematic &the septic system, (sheet
3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system
design is based on the following:
No Ground Water or Impervious Layer to 12 fi.
Use Standard 5-Wide Trench
Soil Rating. From Testhole 05/17/01
<1 mtn/in ~ 1.2 gal persq.fVday
Ne. of Bedrooms 2
Required Area per Bedroom: 150/1.2 = 125 sq.fl.
Total area required: 125 x 2 m 250 sqfl
Testhole depth 12 feet
Bonom Rock At 6 feet
Top Rock At 3 feet
Rock Depth 3 feet
Reduction Factor .58
Minimum Trench Length 250x.Sg / 5 -- 29.00 fl.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTtl 30 FT
TOTAL WIDTII 5 FT
TOTAL DEPTH 6 FT
ROCK DEPTI'I 3 Fl'
COVER 3 FT
SEPTIC TANK 1000 GAL
The installation ofthis septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Pending and/or concentration of surface
runoffwill not result from this installation.
42
PUBLIC SEVER AND h/ATER
N
SCALD
71
150 ~
= 188 FT.
No,
CHURCH PR£PERT*<~-Y ~ell
203 Vi ISTH. AVENUE
ANCN. A~. 99S01
72 SECTION 4 T12N R3~'
7420 ABBOTT LOOP ROAD
JOHN ANDERSON
II SEPTIC SYSTEM DESIGN
DATE: MAY 28, 2001
SHEET: I/J GRID: 2155
PERNIT # SVOIOOXX PIP # XXX I~3047~l. DI~'G
TA~K
ROCK
N
SCALE, 1' = .FT.
\
] LOT 72 SECTION 4 T12N R3lf
7420 ABBOTT LOOP ROAD
JOHN ANDERSON
SEPTIC SYSTEM DESIGN
DATE: ~(AY 28, 2001
SHEET: 2/3 GRID: 2135
PERMIT # SVOIOOXX PID # ,XXX 12304722.DVG
1000 got SeptIc tnnk
St~ndnrd Trench,
5' Vide
30' Long
6' Peep
3.0' Sewer rock
Y Cover
NO SCALE
Monitor
/~ Oeonout
Silt Borrler~
/
B.O £t o£ Septic Rock
Effec/ive
NO SCALE
I000 gal. septic tonk
ITDBBEN SPURKLAND P.E.
203 Wl5th Ave
Anchorage Ak 99501
PER~IT ~ $~OIOOXX
LOT 72
SEC. 4 rl2Y, R3~f
7420 ~Oll L~° ~
PARCEL ID ~f XX
II SEPTIC SYST£H SCHEHATIC
~^TE, ~AY28, 2001
SHEET, 3/3 GRID, P/35
12504725.0~G
Munlcll:al[ty Df Anchorage
DEPARTMENT OF .~EALTH & HUMAN SERVICES
825 "L" Street, Aut:horage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
.EG^L HN
Township, Range. Section:
8
10-
11-
12
13
14
15
16
17.
18-
19-
20-
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Moniloring? ~ Bile;
Dross Net Depth to Net
Feeding Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN FT AND ~FT
DISCLAINFI;~ O, rn.ndwater cond~t~nn~ ~nd~cat. ed ar~ Car the dates shown only.
Past and future presence and/or depth of groundwater can not be predicted
,rom
PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN
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
OSC261185
Parcel ID 014 -151-01
Legal description T1 2N R3W SEC 4 LT 72
Site address 7422 ELMORE RD
Expiration Date: 5/20/2026
Current property owner(s) GALIPEAU CODY JAMES
X The On-site system(s) is/are approved for 2 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
7/7/2026
This Cer�icate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section t Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel 1. D. 014-151-01
Complete legal description
Location (site address)
T12N R3W SEC 4 LOT 72
7420 ELMORE ROAD ANCHORAGE, ALASKA 99507
Current property owner(s) GALIPEAU CODY JAMES
2. ON-SITE SYSTEMS SIZED FOR 2 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: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 25 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee Waiver Fee $
Date of Payment `� / �l �- i Date of Payment
r �
COSA # ( S C Z b Waiver #
COSA Applicalion_Apr2025.doc
COSA Checklist.docx
COSA Checklist
Legal Description: T12N R3W SEC 4 LOT 72 Parcel ID: 014-151-01
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 UNKNOWN Total depth UNK ft
Cased to UNK ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) *12 in.
Date of flow test for COSA 5/20/26
Static water level at beginning of test 24 ft.
Well production at time of test 2+ gpm
Water storage tank volume None gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 1.75 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 5/20/26
Comments *The well is 12” above grade within the recessed manhole that is in the driveway approach. See attached photos. The well
appears to be watertight & the wiring is protected inside the manhole. Water percolated away, but not evidence of a daylight drain.
B. TANK DATA
Measured operating fluid level in septic tank 49"
Date of pumping 5/20/26
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) 6/12/2001
ALL standpipes present per record drawing
Total measured depth from grade 7 ft (max)
Measured depth to pipe invert from grade 3.3 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective (ED).
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 5/20/2026
Results Pass
Fluid depth prior to test 0 in
Water added 300 gal
New fluid depth 3 in
Elapsed time 30 min
Final fluid depth 0 in
Absorption rate 300 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 42 in (MOA 3.5’ ED)
Effective depth (ED) used 0 in (Final Fluid Depth)
Effective depth remaining 42 in
Comments/Deficiencies:
COSA Checklist.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 06/05/2026
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 &
06/05/26
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WELL
GOVERNMENT
LOT 72
218,383 sq. ft.
— — LIGHT
POLE
— — — — — —
LORE ROAD
° N 90000'00" W 330.50'
GOVERNMENT LOT 1
BUILDING DETAIL 1" = 30'
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLATARE NOT SHOWN HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEYAND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT
BOUNDARY SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
JOB # 26180 1 NO CORNERS SET THIS DATE I SCALE 1" = 80'
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AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
GOVERNMENT LOT 72, SECTION 4, TOWNSHIP 12 NORTH,
RANGE 3 WEST, SEWARD MERIDIAN
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND NO VISIBLE
ENCROACHMENTS EXIST EXCEPTAS INDICATED.
DATED THIS 19th DAY OF JUNE, 2026, AT ANCHORAGE,
ALASKA.
FIXED HEIGHT, LLC C.O.A. 122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949