HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 3 LT 24Knik View
Estates
Block
Lot 24
#05! -043-26
Municipality of Anchorage
On-Site Water and Wastewater Section - (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251064 PID Number: 051-043-26
Dwelling: 0 Single Family (SF) F-1 with ADU R Duplex (D) R Two Single Family Project: El New 0 Upgrade
Name
MAUS DANIEL & DEENA
ABSORPTION FIELD
R Deep Trench N Wide Trench F] Bed El Mound
Site Address
21940 JUDD CIRCLE, CHUGIAK
❑El Other
Phone7
Bedrooms
Soil Rating
Total depth from original grade
" 4
0.6 GPD/SFI
9 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
5 Ft.
Gravel depth beneath pipe
4 Ft.
Subdivision Block Lot
KNIK VIEW ESTATES 3 24
Fill added above original grade
VARIES -0.37 to 1.21 Ft.
Gravel length
100 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To: Septic Absorption Holding Sewer
I Lift Station
Total absorption area
Number of trenches
Dist. between trenches
Tank Field
From Tank Line
1000 Fe
1
Ft.
1+
Well 200 200'+ 25'-
TANK ED Septic ❑ S.T.E.P. 171 Holding [I Other
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water 100'+ 100'+
Material
HDPE
Number of compartments
2
Lot Line 5'+ 10'+ NA
Foundation 10'+ 10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks DEEP-BURIAL HDPE TANK W1 INSULATION
- ---- -----
Alarm location
Electrical installed by
Tank to
PIPE MATERIAL House to tank
drainfield,303-4--_
Installer JRS
.3,03,41-...
Drainfield 3034 CO/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspdates: ection 15` 4/30/25 2nd 5/1/25
Location and description
LOP
3'd 5/1/25 4`" 516/25
T OF MH
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
OF A
Conditional Approval: Date
, *f
10•TH
.... .... . ......
Septic System/
Approved
Curtis Huffman
CE 128991
Date,
.95/06/25. .
PROFESSO -0-
Note: this approval does not include well permit requirement
N\
(Rev 0102/18)
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PID:051-043-26 PERMIT:OSP251064
FIRST WATER CONSULTING
KNIK VIEW ESTATES B3, L24
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251064
Work Type: Septic Upgrade
Tax Code Number: 05104326000
Site Legal Address: KNIK VIEW ESTATES BLK 3 LT 24 G:1558
Site Mailing Address: 21940 JUDD CIR, Chugiak
Owner: MAUS DANIEL & DEENA
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
3/28/2025
3/28/2026
32908
2 Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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
Received By: -� - '�-
Issued By:
Date:
Date:
i
4
bmltwl�"' H
Development Services Department
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-043-26
Property owner(s) DAN I E L & D E E NA MAU S Day phone
Mailing address 23324 GREATLAND DRIVE, CHUGIAK, AK 99567
Site address 21940 JUDD CIRCLE, CHUGIAK, AK 99567
Legal description KNIK VIEW ESTATES BLOCK 3, LOT 24
Number of Bedrooms 4
Engineering Firm FIRST WATER CONSULTING
Building Permit Number
APPLICATION IS FOR:
(Z all that apply)
Absorption Field
F]
r-1
Septic Tank
Holding Tank
Privy
Well
Not Applicable 01
APPLICATION IS AN:
Initial
❑
Upgrade
El
Renewal
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees:
Date of Payment:
Permit No.
Waiver Fees:
Date of Payment:
Waiver No.
Phone.- 907-343-7904
Distance:
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
March 24, 2025
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: KNIK VIEW ESTATES BLOCK 3, LOT 24
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to install one 5-wide reserve or alternate absorption trench
and 1500-gallon HDPE tank to serve the existing 4-bedroom residence. The design is based on
the test holes conducted originally in November 2000 located in the MOA record file. No
groundwater was observed at test hole excavation or monitoring.
The slopes are moderate - flat to 3 -7% at the proposed upgrade location. The lot and area are
served by public water. 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
OSP251064, Curtis Townsend, 03/28/25
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FIRST WATER CONSULTING
KNIK VIEW ESTATES B3, L24
DESIGN CALCS:
SITE & AREA
SERVED BY
PUBLIC WATER
NO SLOPES >25% WITHIN 50'
OF PROPOSED FIELD.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251064, Curtis Townsend, 03/28/25
3 9 .6 '
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FIRST WATER CONSULTING
NO WELLS WITHIN
200' OF PROPOSED
SEPTIC TANK OR
PROPOSED FIELD.
WATERLINE IS
IN FRONT LOT.
DESIGN DETAILS:
KNIK VIEW ESTATES B3, L24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251064, Curtis Townsend, 03/28/25
Municipality of Anchorage ~ ~.;.
t e Development Services Department .'- ·
Building Safety Division ~'i~
On-Site Water & Wast*water Program. 4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of
On-Site Wast,water Disposal System and/or Well Inspection Report
Permit Numbe~ SW010077 PID Numbem 051--043--26
Name:DANAe DEENA MAUS WastewaterSystem: · New r'l Upgrade
P.O. BOX 671489 * CHUOIAK, AK 99567 ABSORPTION FIELD
Phone: No. of Bedrooma:
(907) 688-0723 4 n~p Trench IlShollow Trench abed 131~ound [:]Other
LEGAL DESCRIPTION 0.60 ~/~,~ 8.o - 8.0
24 3 KNIK VIEW ESTATES 2.0 - 4.0 ~ 4.0
- - - (SEE DWG.) r~ 103
WELL: ri New I-I Upgrad 5 ~ 1
..n~ r~ RCP EXCAVATING 4-7/2001
SEPARATION DISTANCES =s.p~c a,ol~n~ =S.T.~P.
Tank Station Tank ANCHOEAGE TANK 1250
Well 200°4. 200'+ -- -- 25'+ STEEL 2
s~o=. wot,, ~oo'. ~oo'. - - - LIFT STATION
Foundation 5'4- 10'+ - - - '~ '"' ~ m: ~ ~: ,*w ,~r m.m
Curtaln Drain N01NE KNOW
Remarks: BENCH MARK
Bo'FrOM OF BACK DECK DOOR THRESHOLD
98.79
Inspections performed by:. AWWC, INC. Dates: 1st 5/4/2001 .... ~:...:-~ ~/~j~/,~_
2nd 5/7/2001 ~ ..~,.. ~y~. ......
3rd 10/24/2001 )~"_':..'~'l~l~'~'~s~:""~
Department of Health and Human Services approval,,e -.~ .r, -,~, .' . ,~.¢~,~....~?-E~7953........~,~.~
R~viewed and approved b~ Date: t ,3..-//-0! ~_'~'"'_'o~o~,~'. ~,..,~
AS BUILT I)RAWING
SW010077 ~ 051-043-26
ClRCLEZ / ~?~X
:...;' ~ ~ '. .r .,.:
/ ~ k?:.?;~.;. '~:.:~ ;..':.,~ k D8~ 37.1 74.2
/ A ~;.,;~:~x ;;~.; ;%':::~ ~ cm 85.~ 68.5
~~ ~ ~,:.;.% ;;;:':: 4~'.?,:k k ~ a~., 7,.0
A S~C T~K /
~ ..... ~..~.~.~,,,,,__ .....
~ ~ '... ~ ..' ~
J.L.M.
ALASKA WATER & WASTEWATER ~
CONSULTANTS, INC. 1 # = 40'
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DAN AND DEENA MAUS (gO7) 688-0723 2 OF
KNIK VIEW ESTATES SUBDIVISION; LOT 24, BLOCK 3
AS-BUILT OF SEPTIC SYSTEM
A B
ST2 3,3,3 71.6
[)BL1 ,35.8 73.2
DBL2 37.1 74-.2
C01 85.1 68.5
IvlT1 84,.4 71.0
MT2 ,54.0 114.8
SW010077 051-043-26
- 98.79
TOP O~ T~K ~
(IN~ ~ 9521 :
ORIGI~ G~E~
~[NSU~ON
-- 94.21 (A~.)
- ,o.2~ (A~.)
CONSULTANTS, INC. ~.T,S. ' '
DAN AND DEENA MAUS (:907) 688-0723
KHIK VIEW ESTATES SUBDIVISION; LOT 24, BLOCK 3 ~;~._~.~A~ ..y .......~-~
PROFILE AS-BUILT OF SEPTIC SYSTEM
8-221 DEL STREET Qo
' ANC*ORAGE.;LA3KA8S5O2 ~~
p*ows 2+3-48e0
DATE 44, 0 4FLD. BK.
AV
AV
NOTES: Easements not appearing on record subdivision
p|nt are not shown unless description of easement is
provded by client. It is the responsibility of the owner
or buUder, prior to conotnucbon, to verify proposed
building grade relative to finish grade and utilities
connectionn, and to determine the existence of any
azeamento' covenonts, or restrictions which do not
cppnor on the recorded subdivision plot.
Elevations based on assumed datum unless otxenviae
Kiodicoted and bearings and distances are record data.
���
LEGAL DESCRIPTION_
MIK VIEW ESTATES
PLAT NO. SCALE
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 WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Apr 23, 2001
Expiration Date: Apr 23, 2002
Permit Number: SW010077
Legal Description: Knik View Estates Block 3 Lot 24
Design Engineer: 0041 AK Water & Wastewater Consultan'
Owner Name: Dan & Deena Maus
Owner Address: P.O. Box 671534
Chugaik, AL 99567-
Pamel ID: 051-043-26
Site Address: P.O. Box 671534 Chugiak, Ak. 99567
Lot Size: 32908 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
r~ Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
,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 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.
Issued By:
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 So~h Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(9o7) 343-79o4
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number.
$~ 01oo??
Property owner(s)
Mailing address (1)
Mailing address (2)
DAN & DEENA MAU$
P.O. BOX 671554 * CHUGIAK. AK
Day phone 688-0725
~pCode 99567
Legal description (Lot, Block& Sub'd.) LOT 24. BLOCK 5. KN1K VIEW ESTATES SUBDMSlON
Legal description (Section, Township & Range)
Lot Size 32.~ff~ Acms/Sq.Ft.
Number of Bedrooms
4
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Wall Only
Water Storage
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
JacJrr~I
Water Softening Unlt
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.
ALASKA WATER & WASTEWATER CONSULTANTSr INC.
Penllit Fees: -~'=P~'~ -
Dato of Payment: ~ /~-(~,,-C~)/
Receipt Number:., C~ 7,.51
Waiver Fees:
Date of Payment:
Receipt Number:..
ALASKA WATER WASTEWATER
CONSULTANTS, INC.
April3,2001
Municipality of Anchorage
Development Service Department
Building Safety Divisioh
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 9951%6650
Reft Proposed Septic System Design for Lot 24, Block 3, Knik View Estates Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a community water system and a private septic
system. Two test holes were excavated in the area of the proposed septic system. The proposed
septic system will be designed around the 30 foot radii of these test holes. We are proposing that
a 1250 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the
proposed design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classificat!ons, groundwater monitoring~
and the percolation test results. It is our opinion that an applicatmn rate of 0.6 gallons/day/ft'
should be used.
2. TRENCII DESIGN:
a. Percolation Rate: 15&26.7minutes/inch
b. Allowable Application Rate: 0.6 gallonslday/fl2
c. NumberofBedrooms: 4
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area: 1000 ft2
f. Total Depth: 8 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet
i. Reduction Factor: 0.50
j. Minimum Length: 100 feet long
k Effective absorption area = 1000 ft2
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwxve.com
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPIIY: The area for the proopsed septic system is mostly fiat; in short, there are
no slope concerns.
We are unaxvare of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
~Sincerely, /~~ess. )
Je . ~ .E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxv~vc.com
SEPllO SYSTEMS.
Il / / ~ LOT 2~. BLOCK 3,
I / ~/ / I ~,~K ~n~w EST. I
/l~l H
~ / ~' // ~ ~?. SL~ 3. I ~ /
//~ ~L ...... . ~ ~ ,,'7
' JUDD CIRCLE X.', ~)
// / ~ ~ ~ ~ ~_' ~ ~ ///
/ /~ g ~ / / / / ~:;;~ LOT 25. BL~K 3 ~ ._ I ~ F-~
'"
' / LOT 10. B~K 3. /'
~1~12oo~
............................. ,~w. ~:
~1 ASI~ 5~TER & WASTE~5~TER ~ , ~ ,. ,
CONSULTANTS,, INC. · I = 100'
DAN AND DEENA MAUS (907) 688-0723 10~ 2
~ D~CR,P.O.: ~'.... 1~:--7953 .../~
~ or WORK:
SITE P~N FOR PROPOSED SEPTIC SYSTEM
c.,~c,,-/,,,,¢:.% -%
~~ ~i~TER & ~VASTEiVATER
DAN AND DEENA MAUS (907) 688-0723 2 OF 2 ¢'~~ .... :"'~
KNIK VIEW ESTATES SUBDIVISION; LOT 24, BLOCK ~
DESIGN OF PROPOSED SEPTIC SYSTEM
AI.&SKA WATER & WASTEWATER CONSULTANTS, INC.,=..- ,-,,_-,,.~,~ OF
i SOIL LOG - PERCOLATION TEST I
~ ~'~'; 1'
LEGAL DESORIPTION: KNIK V1EW ESTATES S/B: LOT :4. BLOCK 3. [ ....... [' [~,-- ...........
PERFORMED FOR: DAN AND BEENA J~AUS
DATE PERFORMED: 11/22/2000 U0~o~]....7,~_7953 ....-
g GM CL ,
GC OL
, , sw HH SI~E ~ I
SM ' OH
SC
]H/SH DEPTH TO J DATE
$EO~DWATEE~
,~ ~ ~/2~/oo
I
11 DATE RE'lNG CLOCK NET TIME WATER LEVEL NET DROP
TIME (HIN~ES) READING (INCHES)
12 1 ~/28/00 1 8:40 6' __
2 9:10 50 4' 2'
15 5 9:10 -- 6'
4 9:40 50 4'
14 5 9:40 ~ 6'
6 10:10 50 4'
15
16
17
18
19 PERC~TION ~TE 15 .(HIN./INCH) PERC. H~E DIA. 6' (INCHES)
20 TEST R~ BET~EN 6.5 FT. ~D. 7.0
COHHENTS: PEEL-HOLE W~ PRE-SO. ED FOR 4+ HOURS
PERFORMED BY A~ WA~R ~ W~ATER I. JE~ ~ G~NES. CER~ ~T ~IS Wt ~ ~RFORMED
IN AOCORD~CE WEH ~L ~A~ ~D MUNICIPAL GUIDEUNES IN E~E~ ON ~IS DATE:
DEPTH TO DATE
GROUNDWATEF
DRY 11/22/00
DRY 11/29/00
ALASKA WATER & WASTEWATER, CONSULTANTS, INC. ~,~"'-'~"~'~-'~"0~.
6901 DESARR ROAO' SUITE 2B ' ANCH01~GE' ~1' 99~04
PHONE (907) '~37-6179 * FAX (907) 338-1246
JSOIk LOG - PERCOLATION TESTJ !~:: 't/l~/~p tm
PERFORMED FOR: DAN AND D£ENA taUS ;J~..~ ...... :...-~
DATE PERFORMED: 1,/22/2000 ...."
~ITEST HOLE #2j ' ~ t1~°-,~,!o., ~', ......... oeo..~ o~ °x~'~,=..=.'""~
~ ORG.NqICS
~ ~P TTTTTTT UL
? ,~ GM CL
GC OL
sw MH ' \ ~ S~I~7~--~I
SM OH
! sc
DEPTH TO J DATE
SROUNDWATER
10
1 ~ DATE READING CLOCK N~ TIHE WATER LEVEL NET DROP
TIHE (HI~E5) RE. lNG (INCHES)
12 11/28/00 1 8:41 6' __
2 9:11 30 4 7/8' I 1/8'
13 3 9:11 ~ 6'
4 g:41 30 4 7/8' 1 I/8'
14 5 9:41 ~
6 10:11 30 4 7/8' 1 1/8'
15
16
17
18
19 PERC~TION ~TE 26.7 (MIN./INCH) PERC. H~E DIA. 6' (INCHES)
2 TEST R~ BETWEEN 6.5 ~. ~ 7.0 FT.
COMMENTS: PERC-HO~ W~ PR~-SO~ED FOR 4+ HOURS
PERFORMED BY A~ WATER & W~ATER I, dE~ ~ ~NES, CE~ T~T ~lS W~]PERFORMED
IN ACCORD~CE W~ ALL ~ATE AND MUNICIPAL CUIDEUNES IN E~ECT ON ~IS DATE:
DEPTH TO DATE
3ROUNDWATER
DRY 11/22/00
DRY 11/29/00
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
OSC251155
Parcel ID 051 -043-26 Expiration Date: 5/6/2026
Legal description KNIK VIEW ESTATES BLK 3 LT 24
Site address 21940 J U D D C I R
Current property owner(s) MAUS DANIEL & DEENA
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By: Original Certificate Date: 5/7/2025
This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
s em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
evelopment 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
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. 051-043-26
Complete legal description KNIK VIEW ESTATES BLOCK 3 LOT 24
Location (site address) 21940 JUDD CIRCLE CHUGIAK AK 99567
Current property owner(s) DANIEL & DEENA MAUS Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 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 0 - 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 $ OLJ Waiver Fee $
Date of Payment Date of Payment
COSA # - / I s Waiver #
COSA Application.doc
COSA Checklist.docx
COSA Checklist
Legal Description: KNIK VIEW ESTATES BLOCK 3 LOT 24 Parcel ID: 051-043-26
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA - PUBLIC &/OR CLASS “A” WATER
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume None 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
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. ABSORPTION FIELD DATA
Which system tested (date installed) NEW FIELD
ALL standpipes present per record drawing
Total measured depth from grade 10.21 ft (max)
Measured depth to pipe invert from grade 4.63 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 NEW FIELD
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – NEW FIELD NOT TESTED
Effective depth (per record drawings) 48 in (4’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth (ED) remaining 48 in
Comments/Deficiencies:
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) - NA
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 ft
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
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 05/06/2025
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 &
05/06/25
LEGEND
DECK
CONCRETE
FENCE
LIGHT POLE
EDGE OF ASPHALT
RECORD DATA PER PLAT #86-113
SEPTIC PIPE
2 8.0'
2
8.3'
2 8.7'
8.0'
3 9.6'
3
0.3'4 0.3'
1
0.0'
T W O S T O R Y
R E S I D E N C E
E L E C .
G
A
S
SEPTIC TANK LID
BRICK PAVERS
TIMBERLINE SURVEYING AND MAPPING
17035 BARONOFF AVE
EAGLE RIVER, AK 99577
907-242-5320
ryan@timberlinealaska.com
FILE NO.: 25.046
SCALE: 1" = 30 FEET
DATE: 5/5/2025
SHEET: 1 of 1
MOA GRID: NW1558
SCALE: 1" = 30 FEET(11"x17")
30'0' 60'
AS-BUILT OF:
ADDRESS: 21940 JUDD CIR, CHUGIAK, AK
LOCATED IN: ANCHORAGE RECORDING DISTRICT
LOT 24, BLOCK 3KNIK VIEW ESTATESPLAT #86-113
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Pamel I.D.
1.
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
o51-o43- 6 h/,4-O/o
GENERAL INFORMATION Expiration Date: / t'~ - //- O ~
Complete legal description ~ KNIK VIEW ESTATES SUBDMSi0N; LOT 24, BLOCK
Location (site address or directions) JUDD CIRCLE * CHUGIAK, AK
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
DAN & DEENA MAUS Day phone 688-0723
P.O. BOX 671534 * CHUGIAKt AK 99567
....Day phone
Day phone
Un~ssotherwiserequeste~ HAAwillbehe~byDSD~rp~kup.
2. NUMBER OFBEDROOMS: 4
3. TYPE OF WATER SUPPLY:
-
Individual Well
Individual Water Storage
Community Class A Well ~
Public Water System
L.J
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may
be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of
up to one year with valid water samples.) Certificates am valid for one year for properties served by Class A or B
wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As cerb'fied by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority 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 hemin. I further vedfy 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 instaltation.
Name of Firm ALASKA WATER &: WASTE-WATER CONSULTANTS, INC. Phone
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Date
337-6179
Engineer's Comments:
In conducting this evaluation, AWWC, thc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results desc#bed the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of ali wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system,
These conditions are outside the control of the eva/uator of the system. Satisfactory test
resutts do not guarantee future performance of the system, nor do they guarantee that
there ara no hidden defects or encroachments. A WWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the so/e benefit of the owner listed above. Any re/iance upon or use of this report by any
other pereon or pady is not authorized, nor wi//it confer any legal right whatsoever.
5. DSD SIGNATURE
~ Approved for /"iL- bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the fllowing stipulations:
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Manitenance Agreements
Supplemental Engineer's Reort
Other
(Rev. IZ~O)
Original Certificate Date:
Municipality of Anchorage
Development Services Department
8u~lng 6a;.~ Olvl~on
On~ Water & Wmtewater Program
4700 8ou~ Bragaw St.
P.O. 8ox 1~6650 Anchorage, AK 99519-6650
w.d~xtmmgeJ~.us
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Des~rtptlon: KNIK ViEW ESTATES S/Dj LOT 24, BLOCK `3, Parcel ID: 051-043-26
WELL DATA
A.W.W.U. ~
Well type ct~ss 'A' IfA, B. or C provide PWSID~
Date completed Sanlta~ Wires pmberly protected (Y/N)
~d to. .fl. Casing height (above ground) in.
FROM WELL LOG
Stefic water level .
Well production / g.p.m.
WATER SAMPLE RESULTS:
ATINSPEC~ON
g.p.m.
Coliform - colonies/100 mi. Nilmte - mg./L.
Other bacteria - colonies/100 mi.
Date of sample: - Collected by:.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL
Tank size 1250 gal. Number of Compartments
Foundation cleanout (Y/N) YES
Date of pumping NEW
C. ABSORPTION FIELD DATA
Date instelled ~/4-7/20Ol
Length 103 ft.
Totaldepth ?.~2-.g.~4ft. Eff. absorptlonarea 10,30 ft~ Monltedngtube YES
Date of adequacy test NEW Results (Pass/Fail) -
Date installed 5//4-7/2501
2 Cleanouts (Y/N) YES
Depression over tank (Y/N) NO High water alarm (Y/N)
Pumper -
Soil mfing (~or ft~rodrm) 0.60 System type SHALLOW TRENCH
Width 5 fl. Gravel below pipe 4 lt.
Depression over field NO
For 4 bedrooms
Fluid depth in absorption field before test - in. Water added - gal.
Newdepth - in.
Elapsed Time: - min.
Final fluid depth - in.
Absorption rate >-. - g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
If yes, give date -
D. UFT STATION
Date installed Size in gallons ~
jn.
"Pump on* level at in. "PumP~. High water alarm level at
~ ~ Cycles tested. Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
A.W.W.U. COMMUNITY WELL
SEPARATION DISTANCES FROM WELL ON LOT TO: ~
Septic tenldlift station on lot On adjacent lots
Absorption field on lot
Public sewer main
~cieanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water. 200'+
Wells on adjacent lots '100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line 10'+
Curtain drain NONE KNOWN
Building foundation. 10'+
Surface water. 100'4-
Wells on adjacent lots '100'4-
Water main 10'-t-
.Driveway, paddng/vehicie storage 25'+
F. COMMENTS
*200'+ TO COMMUNITY WELL
G, ENGINEER'S CERTIFICATION
I ce~/that I have determined through field inspections and
review of Municipal records that the above systems ere/n
conformence with MOA HAA guidelines in effect on this date.
Engineers Pdnted Name/
Date
JEFFREY A. GARNESS
Date of Pa~e~ / ~''//O/0 /
Receipt Number
(~ev.
Waiver Fee $
Date of Payment
Receipt Number
