HomeMy WebLinkAboutTRAILS END BLK 1 LT 2Tra i* I s End
Block 1
Lot 2
#015-191-13
Municipality of Anchorage Page I of Z
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ,�Id9 (P 0019 PID Number: 016— 151 - 13
Name:
Fci3 + kK%S`rEL MAatley
Wastewater System: ❑ New 51 Upgrade
Address:
5SdoL1 270 • �Pt • SW. L-Ir1p1000 W,, ?Eo3C
ABSORPTION FIELD
Phone:
(Z oG 7,144 =/0 G$
No. of Bedrooms:
1 2
>6eepTrench .t Shallow Trench ❑ Bed ❑ MoGnd ❑ Other
LEGAL DESCRIPTION
Soil Rating://
Total Depth from original grade:
t
• b GPD/Sq. Ft.
)1 • -S
Lot: Block:I Subdivision:
'tP_
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
AJ\I LS N 0
6 Ft.
Jr. Ft.
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
— 0.6 -to +1 Ft.
76 231) Ft.
WELL New ❑ Upgrade
• Ext T,
Gravel width:
Number of lines: Distance between lines:
G
Classification (Private, A,B,C): Total D Cased To:
A'rC
Ft.
Total absorption area:
a 1 s Ft.
Pipe material: Aye
Ft. Ft.
Jr0e SO. Ft.
b 303 r- z I o /scH.90 VJC.
Driller: Date Drilled: Static Water Level:
Installer. i
E'XC.
Date installed:
Ft.
106P-0 Ali 11Ti
3- Ze -q �
Yield:
Pump Set at:
Casing Height Above Ground:
GPM
Ft.
Ft.
TANK
SEPARATION DISTANCES
❑ Septic ❑ Holding AS.T.E.P.
To
Septic
Absorption
Lift
HoldingPublic/Private
Manufacturer:Capacity
In [Ions:
From
Tank
Field
Station
Tank
Sewer Linea
At�u> a � CCTA,j IC_
j o U
WeIN
IVo14-
1661+
10014
—
7,514-
:5 -re E. L Material:
Number of Compartments:
Surface
Water
100'+
too'+
100'+
--
—
LIFT STATION
Lot
Line
t
104
I
10
I
10 -(
""'
'—
Size In gallons:
150o
Manufacturer.
Aw_noeACyE- —rANK 0R614C.0
Foundation2p`
I *
20
"Pump on" level at:
"Pump off level at:
High water alarm at:
1
13f
115
q5 a
Curtain
Drain
�cr1L
K�O
Pump Make d Model
Electrical Inspections performed by:
os1 o5+1N
i'��4VeniL L.IVHTS ELEC.
Remarks:.,k SLII.Hi crJCrzoAc cNr vN r-0JW0AJ-IDfJ
BENCH MARK
-110 8 TIO" F1610 IS.rtQre Tv MAINTA/n1 35r
Location and Description: r
1.9 M = oP of
EDAe t•1 'ptSTANCts" TO St.,01PE 61ZEATE12
EL.Ec'rZICAI. X30)(.
?HAf.1 e25%, (idT7UM OG Pow NDATiCN
Assumed Elevation:
I00
�60Vt /tivttTT OIC D/ST,e,4.�TIow '01 'PC
ENGINES SEAL
3*�
OF Vkj�
S & S ENGINEERING
s%'i3- �''�•-
k-,•' %'
�.��
Inspections performed by17034 Eagle River Loop Road, No.2 teS: 1St 3 -13- L ;i
.::.:•. 0
•.:>...„.>>-,> .,.••�ri
Eagle River, Alaska 99577
2nd 3 . Z0 -t` ,
t„�►!: ?•••lr,.. .!�ia'�-- ��
....._..,.,,r
ROBERT C. COWAN i .�
th an
Department of Hed Services approval
%��r:••., c`'=.a>df ' `'•�`
Reviewed and approved by: V14” tj Date: 0S -01-76
I,
Permit No. SW960019
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 2, BLOCK 1, TRAILS END S/D 015-191-13
STI
CO
103.7'
FINAL GRADE
9
.9' MH
FINAL
GRADE
100.3'
M T3
T1
DSSURE
ISTRIBUT
ON: SYSTEM)
1
DIS
4 PIPE PRESS
RIBUTION SYSTE
S o GAL
4.4'
9 4.2'
93.5
99.9
BAT -N
R
T.E.P.
s
�8,r14 1wns�
E.+os
YSTEM
ji
°)
+CCs1rrrATC
N.T.S.
♦
'Co
AJ
N -rio.v Coorc:
MTS
NO::W
1/A2�96
E IFOUNDI
FC0
of
;
ST1 38'
-
23'
,
ST9 49,
30'..
MH' ,43.5'
_P _T1
24'
35'
9.0'
MT2 26.5'
NEW 1500
GAL.
39.5'
MT3 40'
SEPTIC T
NK
MT4 49.5'
56'
-------_
—_10'L
_
TILITY EASEMENT
— — — — — — —
MH
$T1 MT1
/
I
TH
I
NEW TRENCH
EZ�5
LL
'3S�
rr co
i
10
U ?�W
100 WEU-
RADIUS`
WN=
.. �� ...,:......:
Ld
1:
Ld
U5w
WELL
`�..,.... •..' ., :.::..::,..,. ,
rt,,.... _. .. ........:.- >......• r
Vj
100
I�
SCMX 1' - 40
I�
I� C/ `RoeCRET` FiCOWAND1
•cv•�,•tn v.p/p IJ MVH LJ '
RE
INS :CT 3 ON
Of :11 GIG '1;., allli,Tl.tl'!ti >f1T?1;:CY n (V ISiQN
o 2500' T;A;. a:tIUU1: RUnI1
__
. IN.�� 1:i..0 [13N.>, (907);iC>:3 :3464 .(Pl1:Utttf:1:C.(t3;i: ('Jc)7) 7:36-8:
Nntip. ; II;:AVIINLY J.11111.03 ;''t;t2ii.t'A .r : ')G 7'128
ADDRESS: AW1.C�t�ltalltU:N TI I:TVT: �og`S �OGd DATE: 04/04/96
-61347 12:
LOT '?, ;SJ.131:n: 1 :3ll;SA.(V (i.(�3i1: 'ft2AIL' i CND
COMMENTS : 1. J T ATAT IoN ( ALARM PAN)::L IS AX a'I1C UUa TnM LnVnL )
J AC r,)!.!) BACK DOOR (:3 N11000Y W.U.T. W1. HOME
PLS 1.(1(:1; Tl1T; 11UC1T: W.FiJ,N Y(1l1 .J.r.AVT;
.._ _ _ _ _..._._._......... _._... _ _ _._..._
.......... ..............
TYPE OI'- 1 NSP}:C:a' ON: • y RE INS111 ,10N: ---
1: 11�.-f,ci:al3.
-----------------
Nil MONC(IMPY. IANC1; 13;5$•,RV)iA _•__.._ _•- -' ` 7 rnaa3:1: c [Oili-1::3:31:A!'f xnT,(1��. 1::<P(.n (Ml. 1'L
la-'�
I: 7 W ILL RJ:J:XFM TNT: AT NEXT IN:':J'J:C.T I f[N " C , DO NOT C-CINCYA), (INT z). R),' ;
COMMENTS: --- _• ................. f-•-•----_._...- - - - -..._ _ - _ . _._._....._......._.. _ ............... .......
}
capy
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE a_kPm
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502 �1 (
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW960019
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:BURKE KRISTEL
OWNER ADDRESS:8241 LONGHORN ST
ANCHORAGE, ALASKA 99516
PARCEL ID:01519113
LEGAL DESCRIPTION:
[TRAILS END BLK 1 LT 2.�
LOT SIZE: 27000 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
(UPGRADE) PERMIT
DATE ISSUED: 2/06/96
EXPIRATION DATE: 2/06/97
\0, -L -(U
P YY�
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
CONSTRUCT ABSORPTION FIELD NO CLOSER THAN 35 FEET
FROM 25%+ SLOPE AND ACCURATELY SHOW LOCATION OF
SLOPE -BREAK ON AS -BUILT DRAWINGS. CONSTRUCT
TRENCHES I
RECEIVED E
ISSUED BY:
DATE: c
DATE12�X�IA'
-
I
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
S &S 1 ROBERT C. COWAN, P.E.
;IneeRinG ROBERTA. SHAFER, P.E.
ALASKA January 8, 1996 CIVIL ENGINEERS
FAX (907) 6941211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 2, Block 1, Trails End Subd.
Request you issue a permit to upgrade the septic system
serving the existing two bedroom house on the referenced
property. Also request 35' separation distance waiver to
25%+ slope as depicted on attached site plan.
A test hole was excavated and percolation test performed.
The approximate location of the test hole is located on the
attached site plan.
At the time of excavation no water was encountered in the
test hole and after seven day ground water monitoring, the
monitoring tube was found to be dry.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/gk
Enclosure
17034 NORTH EAGLE RIVER LOOP • SUITE 204 0 EAGLE RIVER, ALASKA 99577
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�,•,r Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825"L" Street, Anchorage, Alaska 99502-0650. «...».........': ��:
SOILS LOG — PERCOLATION TEST ft ROBERT C. COWAN F,`�
ii Cl CE - 8801
PERFORMED FOR: KR15 Taf L MANNA % DATE PERFORMED`1�%-'l.�Y/ '� ✓''
LEGAL DESCRIPTION: L%T' Q LK r 7-PA1c S Env Township, Range, Section:
DEPTH SLOPE SITE PLAN
(FEET)
LAN► C-
2
2
N
~' S f GOA&Y inRROE I�
3
4
7"i '.
5 Sj 7-
7
8 ,
t
9 - t C. R4v ,. L
GM
10-
11 -- M "k run(
,t,
12
RaCItiS
13-
14-
15
3 14 15
17-
18-
19
7 18
19
WAS GROUND WATER
N
ENCOUNTERED?
Depth to
Water
Net
Drop
S
IF YES, AT WHAT
— L
OP
DEPTH?
E
Depth to Water Aller
!
/ 6
Monitoring?' Date:
r
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
K do
a 1
N
20 ,,
PERCOLATION RATE °� � (muwtesnnch) PERC HOLE DIAMETER
TEST RUN BETWEEN d FT AND � FT
COMMENTS L• x CA VA /y..+ {Q Y r w4.z o ¢. x
PERFORMED BY:}�34 Eaoi ule R* `, Loop oc mn�1 v CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE Wlf'F�'*&y%rFl!V #AI8R97AL GUIDELINES IN EFFECT ON THIS DATE. DATE:a�-I 6
I? 0011 (114•v 4-85)
.+ WATER '1NEL'L-RECORD LL v
r ' r
-STATE OF. ALASKA j Y� s ,
DEPARTMENT;OF NATURAL."=RESOURES
Division of Geological B Geophjtsicol Stirve
orinlny v•rmrr No
LOCATION OF,wELt'
(please
complete 'either la; lb or le.).
A.D.L. N0.•. i.
lo. Borough' Subdivision Lot . block Ib. .1/agars.' Section No. Township NQ Range ED Meridian
Tzaile .: 1.:
—of —of B� w0 .;
Ic. DISTANCE AND DIRECTION 'FROM ROAD INTERSECTIONS=
>f S. OWNER OF`WELL:
UPPer ftlley r Address:
Crystal. SuY'ke
<:. s ,
P. Box 853x+2 z
Strt•t Address and Ano of.lrell .Loeotlon ` r. '
Seattle; iia' 98145 1r
Y. WELL LOBFeet Belo
Surface w 4. WELL DEPTH: (final) 5. DATE OF:COMPLIETION
_- " _ 'fin
Material Type - Top Bottom 250 ft. 10 .22: - .8
-
6. ❑ Cable tool®Rotory Driven ❑ Dug
Silt FMV161 ... :
.
-3 1Q ❑ Aug.r ❑Jarred ❑ Bored. ❑Other
Gravell 'Cla 19 28 ?.USE:.® Domestic ❑ Public 8upPIY ❑ Industry
Cla yev Sand 8 11 Irrigation ❑ Recharge Q Commerical
Grav6lly Clay 31 Test w.n
Bedrock ❑ ❑ Other: -
62 '
250 71111. CASING: ❑ Threaded [!q Welded
dlam. .f In. 10.69 ff. Depth Wight 1? 70•./fr.
that = In. ' fo tr.'Depth .. SNei:ap . 2
.4
9. FINISH OF WELL:
open end.. 6" '
Type' Diameter: '
.6 rpir 215'-24 ' Slot/Mash SIa• Length:
Set between ft. and ft.
Backfilling Gravel pack
10. STATIC WATER LEVEL: 54-- }f, _10/22/87
❑ Above or ® Below land.aurface Date
MUNI2PALtry Egdipm•nt used: Sounder
FkftlfhD T..OF HEA I I -PUMPING LEVEL below lend surface and YIELD
At F
250. ft. offer' "1 hrs. -pumping 1 ' q,p m
ff. after tees. pumping
12.GROUTING Well Grouted: C] Yes .® No '
Material:: ❑ Neat Cement ❑ Other:
_ IS. PUMP: (If available) HP w
Length of Drop Pipe. ft. copoclty :g.p.:n. w
❑ Subm. 0 -isf ❑ contrifieal 0 Other : ^ . .
14. REMARKS:
p
16. WATER WELL CONTRACTOR'S CERTIFICATION.
15.' Water Temparaturo e ❑ F' ❑ C
This well was drilled undo► my jurisdiction and this report is true to the best of my knowledge and belief;
Alpine Drilling& Enterprises AA 9108
Registered Business Nome Contract License Number
Address: P.U.x 110496 •A ho ,e, Alaska 99511
t
Signed: Data:
Authorised Rt ee.ntativt
-v
Form 02-WWR Copy Dlstributlon: 'WHITE -State DOGS, PINK Driller, CANARY -Customer
r '
* MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
' 825 L Street, Anchorage, Alaska 99501 343-4720
ON -
SITE WELL PERMIT
Permit Number: 870275
Date Issued: 10/16/87
.
Owner Name: CRYSTAL BURKE
' Owner Address: PO BOX 85342 Day Phone:
205-547-7268
/
SEATTLE, WA 98145 --- - '' '�~~
Parcel Id:
Lot Legal: Subdivision. TRAILS ENI) '&.otn-�._Bl�c��-----.
Section: 24 Township: 12N Range:
' Lot Size 27000-(sq.{t. or acres)
Max Bedrooms: This Permit: 0 Total Capacity: 3
. .
WELL: Log must be submitted to Municipality of Anchorage Department of Health
and Human Services within 30 dayp of well completion.
PROVIDE DHHS WITH AS -BUILT OF EXISTING SEPTIC SYSTEM.
AS -BUILT IS TO BE STAMPED AND SIGNED BY A CIVIL ENGINEER.
AS -BUILT IS TO BE SUBMITTED WITH THE WELL LOG WITHIN
DAYS OF WELLS COMPLETION, ��� '
,~°~^ v*"c�
'
I CERTIFY THAT:
1. I am familiar with the requirements for on-site se*/ers and well's as set
forth by the'Municipality o{ Anchorage (MOA) and the State of Alaska
2. I will install the system in accordance with all MOA codes and 'egul°^tions
and in compliance with the design criteria of this permit '
3. I will adhere to all MOA and State of Alaska requirements for th, set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum
of 0 bedrooms.'
I
also understand that the capacity of the total systemis 3bedroom~ and
any enlargement will require an additional permit.
Signed:
DATE:
(Owner) CRYSTAL^�
Issued By:' DATE:
____
Flattop fieclinical Services
--- 14530 -Echo --Street---- --
Anchorage, Alaska Pr:lfz;�
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Parcel 1. D. 015-191-13
Certificate of On -Site Systems Approval
Expiration Date:
5/15/2025
Legal description TRAILS END BLK 1 LT 2
Site address 8241 LONGHORN ST
Current property owner(s) POUND DAVID 50% (TOD) &WALTON JOANN L 50% (TOD)
X The On-site system(s) is/are approved for 2 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
By: Original Certificate Date: 6/13/2024
This Certificate 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 Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory X Arsenic Advisory
Other
COSA Approval—June 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department _
P p ^�- 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. 015-191-13
Complete legal description TRAILS END BLOCK 1, LOT 2
Location (site address) 8241 LONGHORN STREET, ANCHORAGE AK 99507
Current property owner(s) DAVID POUND & JOANN WALTON Day phone
2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS
3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 28 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ 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%%ll Z y 20 Z Date of Payment
COSA # USC 2- 7 Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: TRAILS END BLOCK 1, LOT 2 Parcel ID: 015-191-13
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 10/23/1987 Total depth 250 ft
Cased to 69 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 5/17/2024
Static water level at beginning of test 55 ft.
Well production at time of test 1.3 gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 3.32 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 5/15/2024
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank *NA
Date of pumping 5/16/2024
Required maintenance completed, if AWWTS
Comments: *STEP TANK WITH FLOATS
C. LIFT STATION
Required maintenance completed
Age of lift station 28 years
Lift station material STEEL
Comments: SEE MOA SEPTIC TANK ADVISORY
D. ABSORPTION FIELD DATA
Which system tested (date installed) 3/13/1996
ALL standpipes present per record drawing
Total measured depth from existing grade 11 ft (max)
Measured depth to pipe invert from grade 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 5/17/2024
Results Pass
Fluid depth prior to test 2 in
Water added 300 gal
New fluid depth 22 in
Elapsed time 1420 min
Final fluid depth 1 in (NE TRENCH)
Absorption rate 300 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 66 NE in (MOA 5.5’ ED)
Effective depth used 1” NE / 66” SW in (Final Fluid Depth)
Effective depth (ED) remaining 65” NE / 0” SW in
Comments/Deficiencies: Approximate total measured depth from existing grade. ED per visual observations, MOA record docs &
appears approximate. Tested the North/East (NE) Upper Trench only – the lower SW trench was saturated with 66”
of fluid as previously noted on the 2014 COSA. Property has had only one occupant for several years.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/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 Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No 10’+ / *8’
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private 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
*Per MOA record docs / 2014 COSA the end of the lower trench is 8’ from the foundation.
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 5/29/2024
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 &
05/29/24
MUNICIPALITY AG
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC241157
Subdivision: Trails End Block:1, Lot: 2
907-343-7904
East: 343-7997
The septic tank for this property is 28 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more,
not including engineering, surveying or MOA permitting fees.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
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DEVELOPMENT SERVICES DEPARTMENT
On -Site eater and Wastewater Section
�
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC241157
Subdivision: Trails End Block:1, Lot: 2
907-343-7904
East: 343-7997
The septic tank for this property is 28 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more,
not including engineering, surveying or MOA permitting fees.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
MUNICIPAUTY OF ANCHORAGE
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ofq-�3it.0 Wr w -A Wnstowsler S%KW LPK: $07.341-7997
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Parcell.D. 015-191-13
Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description TRAILS END BLOCK 1 LOT 2
Expiration Date: I s '�_) y `" /s
Location (site address) 8241 LONGHORN, ANCHORAGE, AK 99507
Current Property owner(s) BRENT POUND
Day phone 409-739-1971
Mailing address
Real Estate Agent
Day phone
2. TYPE OF DWELLING:
[F] Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
RUSMF
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ®
Individual
Individual Water Storage ❑
Holding Tank ❑
Community Class Well ❑
Community ❑
Public Water System ❑
Public Sewer ❑
Waiver/Variance re u t for: NONE
4
Distance: ---
Received by:
Date:
COSA to be released o the ineer, unless otherwise requested by the engineer.
COSA Fee $ `52-K,—Date of Payment t01 2(1 114` die
Receipt Number og�JZ t
COSA # Oti (_ `A t
�0
t✓ 4
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
6. 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.
Name of Firm SPURKLAND ENGINEERING
Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501
Engineer's Printed Name LARS SPURKLAND
6. DSD SIGNATURE
v System #1 Approved for
System #2 Approved for
Disapproved
Conditional approval for
�--lie c.k fd5
Phone 279-3916
Date 10/22/14
bedrooms
bedrooms f
bedrooms, with the following stlilatiggA
OF i(
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WATER AND
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Hca WASTEWATER,
JVIA
PRUOINt.0vi.
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By: IAI, Of Original Certificate Date: .�
The Municipality ofchorage. 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 blue aheet_r ., p
If more than 7 septic system is on the lot:
COSA Checklist # 1 of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: TRAILS END BLOCK 1 LOT 2
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID #
Date completed 10/23/87 Sanitary seal (Y/N) Y
Total depth 250 ft. Cased to 69 ft
Date of test
Static water level
Well production
FROM WELL LOG
10/23/87
0
1
WATER SAMPLE RESULTS
ft.
t'1alull
Coliform NEG Monies/100 mL Nitrate 2.56 mg/L
Arsenic ND ug/L Date of sample: 10/14/14
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEP/STEEL
Tank size 1500 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y
Date of pumping 10/2/14
C. ABSORPTION FIELD DATA
Parcel ID: 015-191-13
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 12+ in.
AT INSPECTION
10/14/14
57
1.2
ft.
KIM
Collected by: ANSON MOXNESS
Date installed 3/13/1996
Cleanouts (YIN) Y
Depression over tank (YIN) N High water alarm (Y/N) Y
Pumper A+ HOME SERVICES
Date installed 3/13/1996 Soil rating (g.p.d./f:2 or f?/bdrm) 0.6 System type TRENCH
Length 46 ft. Width 2.5 ft. Gravel below pipe 5.5 ft.
Total depth 11/11 ft Eff. absorption area 506 fe Monitoring tube Y Depression over field N
Date of adequacy test 10/14/14 Results (Pass/Fail) PASS For 2 bedrooms
Fluid depth in absorption field before test 78 /21 in. Water added 300 gal. New depth 81/24 in.
Elapsed Time: 120 min. Final fluid depth 78/21 in. Absorption rate >= 300 9 p d
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
D. LIFT STATION
Date installed 3/13/1996 Size in gallons 1500
"Pump on" level at 43 in. "Pump off' level at 33 in.
Datum BOTTOM TANK Cycles tested 3+
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot100+
Public sewer main NA
100'+
Sewer /septic service line 25'+
Animal containment areas 50+
Manhole/Access(Y/N) Y
High water alarm level at 45
Meets alarm & circuit requirements? YES
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout NA
Holding tank NA
Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 51+
Water main NA Water service line 10'+
Wells on adjacent lots 1001+
ABSORPTION FIELD ON LOT TO:
Absorption Feld 5'+
Surfacewater 100+
Property line 10+ Building foundation 8 Water main NA
Water Service line 10+ Surface water. 100'+(N.O.) Driveway, parkingtvehicle storage 10'
Curtain drain 50'+ (N.O.) Wells on adjacent lots 100'+
F. COMMENTS
`ONE TRENCH SURCHARGED, OTHER TRENCH LESS THAN 50% FULL.
G. ENGINEER'S CERTIFICATION
/ 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 Printed Name LARS SPURKLAND
Date 10/22/14
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MUNICIPALITY OF ANCHORAGE
• '� . DEPARTMENT OF HEALTH ?i HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 01 S— —)3 HAA # 11f1 2
1. GENERAL INFORMATION
Complete legal description 1-o 7',1 0Lo c t< 1 TA' -1 1 T F.�
Location (site address or directions) X y J� ST.
N N L it C. e: .
Property owner l;oB q vo (cls%Ec y Day phone
Mailing address Sb O H P70
Lending agency Day phone
Mailing address_
Agent S "'" c
Address IV 0 /
q,i+1s / r.rarw"' �;.��_.,. Day phone r6.1-a77b'
C " S7diIT 4�cO/JRA& t Ac q9tu 3
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: '>
3. TYPE OF WATER SUPPLY:
Individual well X
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest -
Ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site %<
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
77-07S (A" 1/91) Font MOA 121
1 1 l '" 1 •.; t'a 67,•41 M 'tl �+�' _iaA�{}>'G .1'J,Wy
': ,'.'� 4 "', 1:�� :._., r `:: .I tY ,.I J $' Ad.P i •,, n...:'. Ai:'. ,i, ,.
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5.' STATEMENT OF INSPECTION BY)ENiGINEER` �'' !$ ,;•1 ''
, 7 1. t1 ,, fiikia.sriia.'w:y'� A' �.;,.�.� - .!';:..',•i ; .; ; ,.
:.": ti•:'+.1 '. Yt�'..:"i"tat "a11.,."5 , hi; p•�b'w'r9 �':
As certified by my seal affixed hereto and as of the vai dation date shown below, l verify that my
If Investigation of this Health Authority Approval"application shows that the, on-site water supply
and/or wastewater disposal system is safe; functional and adequate for the number of bedrooms
and type of structure Indicated herein. I furtherveri}�ttiat based on the information obtained from
,. �• �,I}.al-r., r, �}L l,wny,}•I,.waMt+' p.p�e -w.. .nr •. ..
the Municipality of Anchorage files from my lnvestiga tion and Inspection; the on-site water
supply and/or wastewater disposal system is, in co+mpli�ance with ell Municipal and State codes,
fordinahce§,andregulationsIneffectonthe�dateofthis'inspection.f�<',�'.`.�?".' �''.tiitr.t,:�'
ENGINEERING'-
S F '�}:.Gr ', !' ! '`;: �r�r>:ei:•`6q.y'."Z9.%.°j
Name of Firm'lIU34 EagleItim f't?hone, '
.•:.`
... •ii,L eRlrerAlaska"IS",, avi4t 4•'4I ;.:J?;Address.
EngineerssignaturDat. }'re
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' ' '''' " �'' f bedroom``jywith -the; following stipulations:
Conditional approval for s;
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Additional Comments
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CAUTION
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sr :The�Mun�eipall�•ot,Anchorege Department of Health end1p'•IHu.efKWMnrvices (DHHS) Issues Health Authority,,?,' r
t wVApproval Certifafas Based only upon the representations given peregreph}5�ebove by an Independent
{`•. pro'Ta;sioFelenginear .rLiglat'eiedinthe SteteorAlaaki.The DHHSd&;; Is asacouResytopurchasersothomes
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,a . {•' a"fid thelrleriding instliutions In orderto satisfy certain federal an state u(rements. Em 1 ees of DHHS do not ;
f tl ' _conduct inspections or analyze data before a certificate's'Issued.'Ttie Municipality of Anchorege Isnot
�rN 1,4.•..• .ate•. afq` t..,. ti 11 .Ar•,T.i3Lc;ll.a.,..
" responsible for errors or omissions in the professi6na� engrneerra work.. «,'t z 7, 7•: ; ^ L r
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Murildpallty of Anchorage
DEPARTMENT,OF. HEALTH & HUMAN SERVICES
Erivironmerdal Services Division
825"L" Street, Room 502 • Anchorage, Alaska 995010 (907) 343-4744
Health AuthoriWApproval Checklist
Legal Description:lo; a d t rc r r An ,c S E� n S/p Parcel I.D.: O 1 S— 141— I
A. WELL DATA
WeII type p R, > E if A, B, or C, attach ADEC Letter. ADEC water system number
Log present em YE S Date completed/o �a 3 � S?
Total depth D ro
Sanitary seal &M
Date of test
Static water level
Well production
YE S
Cased to C9 , Casing height (above pound) 1 tf O rrf-.sa 1 40
FROM WELL LOG
/o/; S7
Sy
WATER SAKVLE RESULTS:
Coliform O
1.0
Wires property pmtaYed" Y[ S
AT INSPECTION
2/x/+G
Go
&P -M.
&p•m-
Nitrate a • 0 9 Other bacteria o
Date of sample: 3 /> > Collated by: S & S ENGINEERING
17034 E0910 "rLoop Road No.
B.JSOLDING TANK DATA Eagle Rlwr, Alaska 99577
Date installed *3/13/% Tank size 1 S' o Number of Compartments ;Z Cleanouts 49M Y* S
Foundation cleanout ilM Y6 S Depression (Y4 N f
Date of Pumping k' 4 !rj,&y pumper
}Ilgh Water at= 42" YE S
C. ABSORPPION F1EW DATA
3/aa/gb 6
Date installed Soil rating d. or 82lbdrm) 0 . System type
Length YC '6` @' 76yidth a. S Gravel thickness below pipe S-. S- / Total depth 13
Effective absorption area O 0 Monitoring Tube present(VM Ye I Depression over field (YO w 0
Date of adequacy test w /A — N t w Results Wass/Fail) For bedrooms
Fluid depth in absorption field before testeid before test (in.); after_ gal. water added (in.):
Fluid depth _(insAbsorption rate = g.p.d.
Peroxide ttfflUSIR (past 12 months) (Y" If yes, give date
D. LIFT STATION
Dau installed 3 ( / 3
Manhole/Access
High water alarm level at*
Cycles tested .
Size in gallons /S-60
Vi S "PUMP on" level at' 13" "Pump oft" level at*
E. SEPARATION DISTANCES
F.
M
4 S 'Datum dor",., o f ►� v
SEPARATION DISTANCES FROM WELL. ON LOT TO:
�lu wldmg tank on lot / o o 'IP- ; On adjacent lots
Absorption Reid on lot
Public sewer main /A
Sewer /septic service line
_; On adjacent lots
Public sewer manhowcleanout
/00 '0,
0o 't
Lift station l00 t+
SEPARATION DISTANCES FROMh(OTTOLDINO TANK ON LOT TO:
tVIA
Building foundation , 0 Property line /0 r+ Absorption field '
Water main/service line / o � Surface water/drainage /00 ,'`- Wella on adjacent lots
33.4
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation 9 Property Line /O Water mawscrvice line /o t
Surface water / o o =t Driveway, parkingNehicle storage area
Curtain drain ho" kwe Weds on4acentlots trior--f
* Stet- tt"GAj.
ENGINEER'S CERTIFICATION
I certify that I have determined than field inspections and review ofMuniclpal rec5 ably
in conformancMWOA HAA guideli�siin effect on this date. `tNSignatureL "
Engineer's Nam o At.t T C• Co u d N
O
Date 130 /94
�4% .4 Cc -8801
t...
HAA Fee S 3oe. er
Date of Payment l r /9 /14
Receipt Number /-74- (/7/f
Rev. 9/95 OSS: haawk.doc
Waiver Fee S
Dau of Payment
Receipt Number
are
