HomeMy WebLinkAboutCAMPBELL POINT BLK 3 LT 1Municipality 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 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SWO 10044 PID Number: 01 1-262-05
Name:
Wastewater System: ■ New [IUpgrade
MAGGIE BAILY
Address:
8419 WALKER CIRCLE * ANCHORAGE, AK 99502
ABSORPTION FIE
Phone: No. of Bedrooms:
(907) 332-0422 4
Deep Trench []Shallow Trench ❑ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating:
1.2 GPD/Sq. Ft.
Total Depth from original grade:
*10.6 (MAXIMUM) Ft.
Lot: Block: Subdivision:
CAMPBELL POINT
Depth to pipe bottom from original grade:
4.52 (MAXIMUM)
Gravel depth beneath pipe: 6.08Ft
1 3
Ft.
Township: Range: Section: —
—
Fill added above original grade:
Gravel length:
45+ Ft
—
SEE DWG. Ft.
Gravel width:
Number of lines:
Distance between lines:
WELL: ■ New ❑ Upgrade
2.5 Ft.
1
— Ft.
Classification (Private, A B,C):
Total
sed To:
Total absorption area:
550
Pipe material:
D 3034/ F-810
PRIVATE
300 rt.
SQ. Ft.
Driller.
Date #Drilled:Static
Water Level:
Installer.
INSTALL
Dote installed:
4/27-30/01
CLEARWATER DRILLING
11190
Ft.OWNER
Yield:
Pump Set At:
Above Ground:TANK
20 GPM
UNKNOWN
1.5+ Ft.
SEPARATION DISTANCES
■Septic ❑Holding ❑S.T.E.P. ❑Other
TO
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer.
GREER
Capacity in gallons:
1250
From
Tank
Feld
Station
Tank
Sewer Lines
Material:
Number of compartments:
Well
100'+
100'+
-
-
25'+
STEEL
2
surface Water
100'+
100'+
—
—
—
ILIFT STATION
ns:
Size in galloF
Manufacturer.
Lot Line
�54
10'+
-
-
-
'Pump on" level at:
Pump off' at:
High water alarm at -
Foundation
5'+
10'+
-
-
ke odel:
Electrical Inspections performed by.Curtain
Drain
NONE KNOWNRemarks:
BENCH MARK
fLloc!.Ijon'.�nd
*TEST HOLE WAS ONLY 15' DEEP. PER
Description:
BTTOM OF SIDING @ POINT "A"
WELL LOG SAND TO 30'.
Assumed Elevation:
97.91
Ft
ENGINEER'S SEAL
o�� • ....a ,
-37
AWWC� INC. D127 2001
Inspections performed by: Dates: St 4 / /
oo�
� � •
WCIl ir, lc cGMeeGO` of fiMe aG GOSf1 -Foy 2nd 4/30/2001
VR 0
- . �.. ..0
�O."`�"
1 1 ,;Iler 2\ l due! 1 3rd 4/30/2001
-6 Awl " CC�t� /
Coae con( l�anc� duG II
•• efi re A. rn s.� O
00 ��
cir;llc(� 5h— 6 %e, deco,wnriStlAlelJ, Gon�lrm at AC o Co5A
7953
D�ep_a"rtment of Health a d Human Services approval
cop
�0-s A.o
ere Crt` O
l�Vr i I I OY1 ca 9 /7 rl7 ✓e
is r�r h. �- Date: 3,S?S/�`:=a
&
4��d Orofess%o�
-Reviewed-and -appFaved
O��OO�d�
(Rev. 12/00)
PERMIT NUMBER:
SW010O44 AS BUILT DRAWING
I1
i \
NEW WELL \
A
B
ST1
19.5
42.1
ST2
27.7
47.2
DBL1
31.7
49.9
DBL2
33.1
50.8
CO1
34.7
42.2
MT1
34.9
41.9
CO2
51.7
16.2
MT2
1 5 1. 0
15.5
�p0' WELL 20' UTILITY EASEMENT I
A FCO I
NEW FOUR
PARCEL ID NUMBER:
011-262-05
NEW 1250 GALLON
SEPTIC TANK
DBL1
.64 \ BEDROOM HOUSE
IIII -•--
{
B
DATE:
2/20/2002
DRAWN BY:
ALASKA WATER & WASTEN17ATER J. L.M.
SCALE:
CONSULTANTS, INC. 1 " = 30'
6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 . PHONE (907)337-6179 ` FAX (907)330-3246
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MARGURITE BAILY 337-7333 2 OF 3
LEGAL DESCRIPTION:
CAMPBELL POINT SUBDIVISION; LOT 1, BLOCK 3,
TYPE OF WORK:
AS —BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM
NEW DRAINFIELD
— ALTERNATE SITE,
WILL REQUIRE A LOT
LINE WAIVER
Je fr A. or ess.-
—79 �c G
4� par ess;0
n_<5c�
FPSERMITWO1O044 "UMBER:AS-BUILT DRAWING
W0
TOP OF TANK A
INLET = 92.50
INVERT OF BUNG —/
AT INLET = 92.08
ORIGINAL GRADE
O HIGHEST
POINT = 93.32
FINAL GRADE _
97.15-97.37
NEW 1250 GALLON
SEPTIC TANK
FINAL GRADE _
93.97-94.33
FABRIC
INVERT OF PIPE
= 88.80
(AVERAGE)
BOTTOM OF
TRENCH = 82.72
(AVERAGE)
DATE:
2/20/2002
�4 DRAWN BY:
AIASKA WATER & WASTEWATER J.L.M.
- CONSULTANTS, INC, SCALE:
6901 DEBARR ROAD, SUITE 28 . ANCHORAGE, AK 99504 ` PHONE (907)337-6179 ` FAX (907)338-3246 N.T.S.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MARGURITE BAILY 337-7333 3 OF 3
LEGAL DESCRIPTION:
CAMPBELL POINT SUBDIVISION; LOT 1, BLOCK 3,
TYPE OF WORK:
PROFILE AS -BUILT DRAWING OF NEW SEPTIC SYSTEM
PARCEL ID NUMBER:
01 1-262-05
TOP OF TANK AT
OUTLET = 92.50
INVERT OF BUNG AT OUTLET = 91.72
o OF
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C 7953
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MUNICIPALITY OF ANCHORAGE S r I
Development Services Department �, 0,0
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 / WATER SUPPLY PERMIT
Initial
Date Issued: Mar 27, 2001
Expiration Date: Mar 27, 2002
Permit Number: SW010044 Parcel ID: 011-262-05
Legal Description: CAMPBELL POINT SUBDIVISION BLOCK 3 LOT 1
Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 8419 WALKER CIRCLE
Owner Name: MARGURITE BAILY Lot Size: 14900 SQ. FT.
Owner Address: 8419 WALKER CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE , AK 99502-
This permit is for the construction of:
D Disposal Field 0 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.
Received By:
Issued By:
Date: 5 _ -0 /
Date: 3 — 2 T -01
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
ON -SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 011-262- 05 Permit Number S WO / 0044
Property owner(s) MARGURITE BAILY. ..w/ TONY'S.-INTERIORS Day phone 332-0422Z727-060
$ IT9
ktaffirM-address(l).84191 W44KER..-CM44-6 RAICRVIVA611, AL.459fi 99.502
Mailing address (2) 6741 E. 10th AVE. ANCHORAGE, AK 99504 Zip Code
Legal description (Lot, Block & Sub'd.) LOT 1, BLOCK 3: CAMPBELL POINT SUBDIVISION
Legal description (Section, Township & Range) N /A
Lot Size Acres q�.F Number of Bedrooms 4
14.,100
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only El
Sewer and Well Water Storage D
Sewer Upgrade EJ
THIS PROPERTY CONTAINS:
Hot Tub El Jacuzzi El
Swimming Pool M Water Softening Unit ❑
Therapy Pool 1-1
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 CONSULTANTS, INC.
-iSmivetuFe --f-wepefty Mnef OF eutheFized-ege*
t,
Permit Fees: 1 Ly i-lr)
Date of Payment:
il
Receipt Number: I 'A —
Waiver Fees:
Date of Payment:
Receipt Number:
ALAS A WATER & WASTEWATER
CC>NSULTANTS, 1"C.
March 19, 2001
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Well and Septic System for Lot 1, Block 3, Campbell Point Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a private well and septic system. A test hole
was excavated on the east side of the property. The proposed septic system will be designed
around the 30 foot radius of this test hole. We are proposing a 1250 gallon septic tank and a deep
trench type drainfield be installed. Comments regarding the proposed design are summarized as
follows:
1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that the insitu sandy soils should act as a sand
filter and an application rate of 1.2 gallons/day/ft2 should apply.
2. TRENCH DESIGN:
a.
Percolation Rate: <1 minutes/inch
b.
Allowable Application Rate: 1.2 gallons/day/ft2
c.
Number of Bedrooms: 4
d.
Design Flow: 600 gallons per day
e.
Minimu n Absorption Area: 500 ft2
f.
Total Depth: 9 feet (max.)
g.
Effective Depth: 6 feet
h.
Width: 2.5 feet
i.
Reduction Factor: NIA
j .
Minimum Length: 45 feet long
k.
Effective absorption area = 540 ft2
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The average topography in the area of the proposed septic system is 15 -
25% running from approximately northwest to southeast; in short, there are no slope concerns.
The trenches are to be installed parallel to slope contours.
I am unaware 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.
M.S.
NOTE: Attached is a site plan drawing, a design drawing, a 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: akwwc.com
JOHNSTON SUBDIVISION
T12N R4W SEC 9 SW4 SW4 NW4 PARCEL 12A
AREA
I
I
I
I
I
I
I
NO CONCERN
i
-----
LOT 9, BLOCK 2 \ PROPOSED
CAMPBELL POINT S/D
LOT 4, BLOCK 1;
SKYHILLS S/D #1
LOT 3, BLOCK 1;
SKYHHILLLLS S/D #1
VACA
PROPOSED
�4 BEDROOM
� HOUSE
/ WELL q
I `-VACANT / TH#1
i' E3 I
LOT 8, BLOCK 2
CAMPBELL POINT S/D \
I I
LOT 2, BLOCK 3
i I
I I
1 I LOT 7, BLOCK 2
i CAMPBELL POINT S/D
I I
� 5
i h•
VoQOc�)%' �OQ���.
I G� G�
I
CAMPBELL POINT S/D
�
I
LOT 3, BLOCK 3
bAMPBELL POINT S/D
ck:�
�I
I
3
TRACT 1
AI.ASKA WATER & WASTEWATER
CONSULTANTS, INC.
901 DEBARR ROAD, SUITE 29 • ANCHORAGE, AK 99504 - PHONE (907)337-6179 ` FAX (907)338-324
ALL OF SKYHILL
SUBDIVISION IS
SERVED BY
COMMUNITY WELL
1
4
1`
1`
1
-PROPOSED SEPTIC SYSTEM
p
(SEE DESIGN, PAGE 2 OF 2)
ALTERNATE SITE
rl
LOT 2, BLOCK 1;
SKYHILLS S/D 41
Y
��
` ZAt�
I
+
[SEPTIC
NO CONCERN AREE D
r
I
r
LOT 1, BLOCK 1; '
SKYHILLS S/D #1
r
0 r
�O
O r
0
3/16/2001
DRAWN BY:
J.L.M.
i " = 100,
PREPARED FOR PHONE NUMBER: VAUL NUMULK:
MAGGIE 332-0422/727-0606 1 OF 2
LEGAL DESCRIPTION:
CAMPBELL POINT SUBDIVISION; LOT 1, BLOCK 3
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
OF A
�• f
ey
•G•mess:
�o
C
7953 off:
1`a�a@apr0fess\o---
X
\ NOTE: THE CONTRACTOR SHALL HAVE THE
NORTH AND EAST PROPERTY LINES FLAGGED
J� BY A REGISTERED LAND SURVEYOR PRIOR
TO CONSTRUCTION.
00
PROPOSED 1250 GALLON
SEPTIC TANK --\ \ �p
20' UTILITY EASEMENT
ql�ll
PROPOSED4 BEDROOM HOUSEPROPOSED DRAINFIELD. EXCAVATE /
A TRENCH THAT IS 9 FEET DEEP
(MAXIMUM - AT ANY POINT) BY CO /
2.5 FEET WIDE BY 45 FEET LONG. \�
ADD 6 FEET OF CLEAN, WASHED J(
SEWER DRAINROCK. / \
I
� � I
3/16/2001
AI,ASIU `WATER & `VNASTENNIATER J•L.M.
CONSULTANTS, INC. SCALE:
6901 DEBARR ROAD, SUITE 2B' ANCHORAGE, AK 99504' PHONE (907)337-6179 •FAX (907)338-3246
1" = 30'
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MAGGIE 332-0422/727-0606 2 OF 2
LEGAL DESCRIPTION:
CAMPBELL POINT SUBDIVISION; LOT 1, BLOCK 3
TYPE OF WORK:
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
SITE
•• f 'e Garness,
149�•••, C --!7953 a
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°ro f ess101�10
0
ALASKA WATER & WASTEWATER CONSULTANTS, INC. 0 o000000
690PHONEARR (907) ROAD, SUITE61 9 *B FAX ANCHORAGE, 90332469504 pO�,C �... • • • • L . �Qo4
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: CAMPBELL POINT; LOT 1, BLOCK 3 "' ' ' "" ..
PERFORMED FOR: MAGGIE �...,� .. ..
Q J f e A.Garness.. • •Q
DATE PERFORMED: 12/4/2000 QQ @ �a C 7953 • ep�
(feet) ORGANICS TEST HOLE
40ea pro f e s siono�
1 ��400000�0
2 i SOIL CLASSIFICATIONS
M LcA�
GW ORG
3 GP ML
I GM CL
-------------- —
4 GC OL
�.:. �o•• ao00 0
SW MH--------
.`:.:_ OH
SM
6 .� • SC
'•• DEPTH TO DATE I I
GROUNDWATER H
8 "`'r•:"
u
.pia' ';psi DRY 12/4/00 I s I
i's DRY 12/18/00 w I I LOT 2. BLOCK 3
9 ="': ; •p • I CAMPBELL POINT S/D
°:.•; GP/SP I SITE PLAN
I" = 100'
10;: Y,•.
.:s:`. �r•s•
11 'w••
`� •
::::•®
12
-: g
13 •i
14
�•*
SP
15
B.O.H.
16
17
18
19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 5•5 FT. AND 6.5 FT.
COMMENTS:
PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERFORMED, IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE: ? 1� ul
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
10/4/00
LOT 6 LOT 5
LOT 3
x
W/CAP x S 89°55'00" E 175.00' FENCE
xxxxx
EO EO O EO EO— t0 EO EO EO EO EO EO EO EO EO BRASS
UTILITY OVERHEAD UTILITY LINE I I CAP
POLE
x
20' UTILITY EASEMENT
-------------- -----
WELL x
SHED
45.0' SEPTIC x
Co
GRAVEL STANDPIPES Q
p - DRIVEWAY o 2-STORY C)°O o 30.7' M FRAME P o
o ,:, u o
50, C) Lo HOUSE - o
UTILITY n Q
Q 20.5' PEDESTAL Z_E� = LOT 2
J CONC. DECK q w 16.5' m
U �q
8.0' o
U W
LU
LU LOT 1
o i 15,101 sq. ft. i
o Lo
o oa
o Nw
Q
Q
Z N 90000'00" W 150.00' REBAR
�VV, WELL
I 25
LOT 2
OF
17
*• 4 TH
....... ......................
I .... ....°�..... .
i �'• B u Saliz o
LS-14837
C ;
0 15, 30' rrrf �1O ESSID'�)`__
AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 1, BLOCK 3, CAMPBELL POINT SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE WITHIN THE PROPERTY LINES AND NO VISIBLE
RECORDED SUBDIVISION PLAT (66-78)ARE NOT SHOWN HEREON. ENCROACHMENTS EXIST EXCEPTAS INDICATED.
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT DATED THIS 15th DAY OF JULY, 2026, AT ANCHORAGE,
BOUNDARY SURVEY MAY DISCLOSE. ALASKA.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES. FIXED HEIGHT LLC
f C.O.A. 122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
JOB # 26222 1 NO CORNERS SET THIS DATE I SCALE 1" = 30' 600 W 41st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949
To: R4�Lutlicip .iii+{ of �siasfinis sa y
From- ; 'virite Bailey
eti e .ff es r ss"eA71 somer n "tg..`con for the Sg i"i... S7's€i'm° mn tot 1 block
__A...w In- - - - ,
•
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cas��r�ax�txc�c. ar�t�xixcaxx Vdffi.,Au.AVV✓r'� A.x4. rM.�......� ,..:....�s ..,�.�.�.�..__ .��_. .-:_ � ..
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StIMS 20CMUC irom Xkx vvw ilia ituj ,,,i aZ ex a exsw Mary aaarinn .r r��
e tai. snouja you nave any qu4mions or nevi A t.i r innvi m ativiA mangy %,isxi iA.xc a,. �4-
1 PRese ttaryto 333- 903 your approvaj:
r
AYA6ttA . $1A AbN+ . "AA0
MUNICIPALITY OF ANCHORAGE
Department Health and Environmenta) rotection
825 Street, Anchorage, AK. �._501
264-4720
Permit ff # # # HANDWRITTEN PERMIT # # #
WELL AND/OR ON -SITE SEWER PERMIT
Applicant :' LI/ /`'�r�F'%' fig' �- Mailing Address : f ,! % ,�;`j► �� �i Cy:i
Location: �;:�L//�icr; ��� �, / Phone Number:
Legal Description: Lot Size: lj /L)/ li --
Type of Soil Absorption System Is:
Trench: �� Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br) 4 61 n/�r
The Required Size of the Soil Absorption System Is:
DEPTH LENGTH " =h GRAVEL DEPTH f WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = / 000 GALLONS # #
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* # * TWO(2) INSPECTIONS ARE REQUIRED # #
Backfilling of any system without final inspection and approval by this departme.
will be subject to prosecution.
Minimum distance between a well and any on -site sewage disposal system is 100 fe
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3
I certify that:
(1) I am familiar with the requirements for on -site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on -site sewer system may require enlargement if
the residence is remodeled to include more that bedrooms. y
f )
S igned : Issued by:
Applicant
Date
SWP/024(1/81)
/J SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
--v SOILS LOG PERCOLATION TEST
PERFORMED FOR: 'o < 0 I a cz n L" DATE PERFORMED:
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Reading
Date
Gross
Time
Net
Time
Depth to
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20 PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN — FT AND — FT
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PERFORMED 1p—'o--r�l CERTIFIED BY:
DATE:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
Awe
Development Services Department Phone: (907)343-7904
not On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC261243
Parcel ID 011-262-05 Expiration Date:
Legal description CAMPBELL POINT BLK 3 LT 1 J
Site address 8419 WALKER CIR
Current property owner(s) HIXSON WILLIAM E & MARGURITE A
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: Curtis Townsend
Original Certificate Date
7/20/2026
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 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
Absorption Field Advisory
Tank Age Advisory
X Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Other
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 Application
1. GENERAL INFORMATION
Parcel I.D. 011-262-05
Complete legal description CAMPBELL POINT BLOCK 3, LOT 1
Location (site address) 8419 WALKER CIRCLE, ANCHORAGE, AK 99502
Current property owner(s) WILLIAM & MARGURITE HIXSON Day phone
2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS
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:❑ 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 ❑ 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 $ O (J-,
Date of Payment e Z
I
COSA# Cr)'5C Q-6 1 2Ll 3
Waiver Fee $
Date of Payment
Waiver #
COSA Application_Apr2025.doc
COSA Checklist.docx
COSA Checklist
Legal Description: CAMPBELL POINT BLOCK 3, LOT 1 Parcel ID: 011-262-05
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 11/2/2001 Total depth 300 ft
Cased to 300 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 28 in.
Date of flow test for COSA 6/8/26
Static water level at beginning of test 225 ft.
Well production at time of test 4.5+ 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 6/8/26
Comments: Attached is the existing drilled well log along with other information. We were informed that the previous well
was decommissioned.
B. TANK DATA
Measured operating fluid level in septic tank 49”
Date of pumping 6/8/26
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) 4/30/2001
ALL standpipes present per record drawing
Total measured depth from grade 12.5 ft (max)
Measured depth to pipe invert from grade 5.6 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 6/8/26
Results Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 7 in
Elapsed time 1440 min
Final fluid depth 0 in
Absorption rate 600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 73 in (MOA 6.08’ ED)
Effective depth (ED) used 0 in (Final Fluid Depth)
Effective depth remaining 73 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximate.
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 07/09/2026
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 &
07/09/26
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC261243
Subdivision: CAMPBELL POINT Block:3, Lot: 1
The septic tank for this property is 25 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more,
not including engineering, surveying, MOA permitting fees or site restoration.
Steel septic tanks utilizing "Coal Tar Pitch" coatings are subject to corrosion as the
steel reacts to water and rusts. These tanks have a finite lifespan buried in the
ground. These tanks can become structurally compromised and pose a health risk.
They could collapse and/or leak untreated wastewater directly into groundwater.
In the interest of protecting public health and the environment, the Municipality of
Anchorage Development Services Department has issued Policy W.05 Standard of
Care Regarding the Inspection of Steel Septic Tanks when Performing COSA
Inspection. Please request a copy of this policy from the Department if interested.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
IMailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org