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Home My WebLink AboutBIRCH HILLS TERRACE BLK 1 LT 7l Vic\ LW�LJL/� Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231031 PID Number: 050-141-09 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name LEWIS & PATRICIA LAMSON ABSORPTION FIELD ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 18221 TEDROW CIRCLE, EAGLE RIVER ❑ Other Phone 7 Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6 Ft. Gravel depth beneath pipe 3 Ft. Subdivision Block Lot BIRCH HILLS TERRACE 1 7 Fill added above original grade VARIES — SEE DRAWING Ft. Gravel length 2 x 30 60 Ft. Township Range Section Gravel width 5 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 517 Ft2 2 10 Ft. Well 100'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ 100'+ GREER 1500 Gal. Material Number of compartments Lot Line 5'+ 10'+ NA HDPE 2 Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Remarks Diverter to new & original absorption fields. Gal. Alarm location Electrical installed by Installer JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfie►d 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection St dates: 6/20/23 2nd 6/21/23 Location and descri tion p 3`d 6/22/23 41h 6/23/2023 TOP OF M H RISER ON -SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date H • • • • • • ........... Septic System Approved - % �••. Curtis Human .� Date Z ��i CE 128991 .• i�`� �s�F • 11/15/20�3•'�C�� `r� ROFESSIO� Note: this approval does not include well permit requirements. R 05/0 / PID:050-141-09 PERMIT: OSP231031 /�O.� J DECOMMISSIONED Lot 7 EXISTING S.T. &INSTALLED NEW / oO 1500-GAL HDPE Cb SEPTIC TANK W/ DIV & DCO ORIGINAL 4BR EXISTING V WITH 10' TO SEPTIC FIELD FOUNDATION & 5'+ TO FIELDS. i o CO COG SP R % JF O5C MT FT / D EDIV I C DCO �5 DFCO MHO\��` '10 � MT 1 MT CO K CO 3p 23-1 Q C1 \ •O� � s 100' WELL RADIUS. VERIFIED & STAKED 0 AT CONST. h • `ti �P �O �MH CO DFCO CO MT CO MT A—C-21,8' BM 99.49 CO DIV 98.90 FINAL GRADE 99.40 99.00 ORIGINAL GRADE B - C =17 , 3' 94.92 TH23-1 FILTER FABRIC A—D=18,5' 35, ORG/OL-SM B-D=20,4' 943<7 1,500 GALLON 94.17 SPLI 3.00 93.OD A—E=15,2' HDPE TANK 90.00 SEWER ROCK 90.00 3' SM/SP-gp B—E=22,0 / 97CO MT FINAL GRADE CO MT 96.83 �DRY A—F=42,2 ORIGINAL GRADE 3/9/23 & B—F=35,1' FILTER FABRIC 6/20/23 A—G=44,5' 13'5, GW/SW 2.33 92.33 15.5' B—G=37,6' SEWER ROCK 3' 8333 OH A—H=59,1' 89.33 89.33 RELATIVE ELEV. B—H=47,3' SEPTIC SECTION A—I-61,3' SCALEi NTS UPPER TRENCH +0.4' OF FILL TO -0.1' CUT LOWER TRENCH -0.6' TO -1.5' CUT FINAL GRADE B—I=48,7' A—J=54,4' BIRCH HILLS TERRACE B1, L7 SUPPORT®SERVICES: ®®®®® A—K-39,3' PREPARED FOR: ®�� OF `�<Q B—K-13,4' LEWIS & PATRICIA LAMSON Few�q C 5®�18221 TEDROW CIRCLE ®* 9 TH EAGLE RIVER, AK 99577 FIRST WATER CONSULTING 13030 Sues Way DATE: 11/15/23 % tis Huffman wrr SURVEY: KGL CE 128991 `� Anchorage, Alaska 99516 DRAWN: FWCS �11/15/2023G® (907)350-9566 SCALE: 1" = 30'psSIO�pS• firstwaterAK@gmail.com ®®®®� SUBDIVISION. to llt� SIZE CONN { CORP STOP CURB STOP C TO C FT COPPER PIPE 1 %" or 2" KEY BOX �7` - FT THAW -WIRE THAW-PLATE/NUT KEARNY CONNECTOR OTHER t'b.tl��irj e1 .f2/L/LQ�4`JL BLOCK LOT 2 DOMESTIC ONLY ❑ BOTH FIRE & DOMESTIC SIZE CONN ❑ FIRE LINE ONLY ON TAPPING SLEEVE ❑ FIRE HYDRANT ONLY TAPPING VALVE DATE OF TAP 9 / 75719-' BY /7 �[l '� �'" Ji X M J TEE SIZE MAIN ❑ ALLEY ❑ STREET ❑ EASEMENT M J VALVE TYPE MAIN EXCAVATOR FT D I PIPE DISCONNECTS ❑ YES ❑ NO SIZE OF DISCONNECT 5" VALVE BOX COMPLETE COMMENTS TIE RODS EYE BOLTti KEY BOX LOCATION S%' d F P/- Z3 S o Gt i7y WASHERS '.'NUTS /,1, V TEST TAP MADE ❑ YES ❑ NO OTHER V INSPECTION REPORT LINE�BLLOOWN OUT C/ S i9g,'y ❑ INSULATED - K B & T W - OK AFTER BACK -FILL ❑ OPEN BORE FLUSH ❑ 200 LB TEST ❑ MAIN CHLORINATED ❑ CHLORINE FLUSHED P-OK TO TURN -ON ❑ DO NOT TURN -ON COMMENTS J( 8 7- 3 s 0P.44 J4l Al !36-'GdPP6R T'0 240ccs,5 3 PART N ) 0 V% ,W s" O "q tt U ct S G INSPECTOR. DATE /S NOTES: 1) THIS LOT IS SERVED BY A PUBLIC WATER SYSTEM. PLOT PLAN AS BUILT X SCALE 1" 660' GRID NW 0153 Project No 23-055/A2 Associates, � 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A s s o c i a t e s, inc. (907) 522-6476 Phone kenOlangsurvey.com ��®�®® Professional Land Surveyors JonathanOlangsurvey.com .�� of AL travisOlangsurvey.com ,� �'� , . • • ' ' • • !9iQ,�� I hereby certify that I have surveyed the following described property: LOT 7, BLOCK 1, BIRCH HILLS TERRACE SUBDIVISION (PLAT No. 69-74) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the ��`�� Day of __.lc5 , Zc�`1 , at Anchorage. Alaska It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plot. d � *: 4 9 H •, KENNETH G. LANG •• ��®ROFESS IDN AL AMP, State of Alaska AECC963 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: OSP231031 Work Type: Septic Upgrade Tax Code Number: 05014109000 Site Legal Address: BIRCH HILLS TERRACE BLK 1 LT 7 G:0153 Site Mailing Address: 18221 TEDROW CIR, Eagle River Owner: LAMSON LEWIS O & PATRICIA A Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: U �. yr, r ii u De partment Lot Size in Sq Ft Total Bedrooms: 3/10/2023 3/9/2024 46609 2 Disposal Field Q 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: 15 '3 (r, �D �/ C Issued By: Date: Date: 1tv "20 Z 4 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section —� Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 050-141-09 Property owner(s) LEWIS & PATRICIA LAMSON Day phone Mailing address 18221 TEDROW CIRCLE, EAGLE RIVER, AK 99577 Site address 18221 TEDROW CIRCLE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) BIRCH HILLS TERRACE BLOCK 1, LOT 7 Legal description (Township, Range & Section) Lot Size 46,609 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) x❑ (w/wo ADU) Septic Tank ElUpgrade x❑ Duplex ❑ (D) Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or authorized agent) Permit/Rush Fees: 5a5 Date of Payment: , 1 f o��a� Receipt Number: q.UC) 1.55 Permit No. AS P 93 % ,3t� / Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! March 9, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: BIRCH HILLS TERRACE BLOCK 1, LOT 7 The property owner has requested we obtain a 4-bedroom septic permit to upgrade the failed septic system of the above referenced lot. We propose to install two 5-wide trenches with 3 effective depth and a 1500-gallon HDPE tank to upgrade the existing 4-bedroom septic system to serve the existing 34-bedroom residence. The design is based on the recent test hole conducted on March 2, 2023. No groundwater was observed at test hole excavation or monitoring. The slopes are moderate at 1-7% at the proposed upgrade location. The lot and area are served by public and private water as noted on the design and required separations will be staked prior to construction. 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 OSP231031, Curtis Townsend, 03/10/23 FIRST WATER CONSULTING BIRCH HILLS TERRACE B1, L7 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231031, Curtis Townsend, 03/10/23 FIRST WATER CONSULTING DESIGN DETAILS: BIRCH HILLS TERRACE B1, L7 N O S L O P E S >2 5 % W / IN 5 0 ' D O W N S L O P E O F P R O P O S E D FI E L D Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231031, Curtis Townsend, 03/10/23 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 FirstWaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : BIRCH HILLS TERRACE B1 L7 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3/9/2023 DEPTH FEET OG SOILS 1 FROST 2 ORG/OL-SM 3 4 5 6 SM/SP-gp w/ cobbles 7 8 9 10 11 12 13 14 MOIST 15 GW/SW 16 BOH 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 3/2/23 10 min 6 5 16/16 6 5 13/16 6 5 11/16 6 5 10/16 6 5 9/16 6 5 10/16 PERCOLATION RATE 1.8 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 3/9/2023 TESTHOLE # 23-1 DATE PERFORMED: 3/2/2023 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION INSTALL 9 MAX FROM GRADE. SAND/GRAVEL TOWARDS BOTTOM OF TEST HOLE. PERFORMED FOR: LEWIS & PATRICIA LAMSON 3/9/2023 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231031, Curtis Townsend, 03/10/23 SEPTIC' PIPES V ry� T 0 \ 30 F S6, C 9 5 Lot 7 \ 0.95 Acres ,,,,��JJJJ�� SEPTIC PIPES OF RECORD -7 NOTFOUND THIS SURVEY 1.3'x2.5' CANT ^CHAIN-LINK KENNEL 2)0 7.8'x19.2' DECK 6 X92 SOF Rt 12.1'x14.1' x1�� SHED 7.8' g, CANT �Oti'xJO e. CV Lot 6 NOTES: 1) DUE TO SNOW & ICE COVER, SOME SURFACE LEVEL FEATURES ARE APPROXIMATE. 2) THIS LOT IS SERVED BY A PUBLIC WATER SYSTEM. PLOT PLAN --- AS BUILT _X_ SCALE —11 _= 60__ GRID _ NW 0153__ Project No. __L3=95 fA1---- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone kenOlongsurvey.comj Professional Land Surveyors jonothanolangsurvey.com OF At1 trovisOlongsurvey.com 4*S •' •- •' !9sL�t, I hereby certify that I have surveyed the following described property: LOT 7, BLOCK 1, BIRCH HILLS TERRACE SUBDIVISION (PLAT No. 69-74) Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the __�1�' ��__ Day of ___L e�_u�a4_____I —, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. rte.•' 91 *: 49TH KENNETH •. (, csfF No. 5102 . i illi:RO isONN3a_o` State of Alaska AECC963 + i t BLOCK LOT 440 woz si SIZE CONN CORP STOP CURB STOP C TO C FT COPPER PIPE `+ or KEY BOX FT THAW -WIRE THAW-PLATE/NUT KARNY CONNECTOR OTHER � oonnESTic ONLY [:] FIRE LINE ONLY U E3U T H FiHt & UUMt:S 11U DATE OF TAP g / rs/93 BY SIZE MAIN ❑ ALLEY TYPE MAIN EXCAVATOR DISCONNECTS ❑ YES [:] N4 ❑ FIRE HYDRANT ONLY .�vnERao-.0/ El STREET ❑ EASEMENT SIZE OF DISCONNECT j COMMENTS KEY BOX LOCATION d i ZA ANN N TAPPING SLEEVE TAPPING VALVE x I x � J VALVE FT I D I PIPE I 5"VALVE BOX COMPLETE TIE RODS M J TEE EYE ENOL T 11' WASHERS ' N T TEST TAP MA [] YES N OTHER INSPECTION REPORT elLINE BLOWN OUT 5(.-- / -� X ffimm /g..3 ❑ INSULATED Fje?�K B & T W - OK ASTER BACK -FILL ❑ OPEN BORE FLUSH ❑ 2Q0 LB TEST ❑ MAIN CHLORINATE[? ❑ CHLORINE FLUSHED [OK TO TURN -ON COMMENTS l ��G 3 PA Rau INSPECTOR. J r DO NOT TURN -ON J(. 8 Fm A j� Al 9 P PC k ro usLo= riF•i ■.Z1 47A ZI M t'E'U45J Gp AzT_ff L t_30.lf Municipality of Anchorage Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 ® Telephone: 343-4744 On-Site Wastewater Disposal System anti/or Well Inspection Report Permit Number: �i '4 C' �' (c) ate` PID Number: Name: Wastewater System: ❑ New ❑ Upgrade Address: y ABSORPTION FIELD Phone: No. of Be rooms: ❑ Deep Trench ❑ Shallow Trench XBed ❑ Mound ❑ Other LEGAL D ES C l i ! (V N Soil Rating: O' Total Depth from original grade: 9,Z �'� GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 7 1 8;a,2A / i , t i_S aA 3 7 S. ca Ft. 0,5- Ft. Township:Range: , , q LJ Section: sec- Z Fill added above original grade: Gravel length: t+' 7-1 �� j2 / 7 Ft. :3 Ft. WELL: r-1 New ❑Upgrade Gravel deprOct-i 1 O r-W Number of lines: Distancbetween lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: • t�J YJ I-L WA'7L rz— Ft. Ft. So. Ft. Driller: Date Drilled: Static Water Level: Installer: 'j'� Date installed.: Ft. UGLrL (.�1.iGi7u� LS Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES o'septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines 7411& 16 rfC>% i f.> ii Material: Number of Compartments: Well _ _-- - _. — iv" Surface LIFT STATION Water oC+ (co -I-- Lot Line r%� �^ Size in gallons: Manufacturer: Foundation �•�' / j' "Pump on" level at: "Pump oft" level at: T�ter alarm at: Curtain�/" Pump Make & Model Electrical Inspections performed by: Drain --- BENCH MARK Remarks: Location and Description: i3Lar,)Z PCX-,A3 J)A ;inti �a At2nGS f C 7L�6-Z— Assumed Elevation: t Eg fl/t5j' OYOdr of,�C°• 0 6etrpi {:� med b : `� �i} ��.�� i i; Dates: is ��, .�®........ .e Inspections performed y o David R. DaYtc1;�, 0'. 2nd % tyo. 2afl5-E •�� QNit,, Department of Health an uman S i s approval PRO F-Ii•i Reviewed and approved by:Vil 72-013 (1/91) MOA 25 Permit No. Page �' of 2" Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 a Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: toy— f7 81 -OC -L 1 &C14H- LiS PID No.: G, r t^ JrG A- 3 ZZ. 021 �,^J �,'R�3 S 33.3 /40 4L Z 7r11 e_ �S �A.9 EAL � Q� A TH "-t'-% A -•0600••44 ®h® o j° P-3. -2 ; 9*P0 _.... 0 66• 606-6e6e 6m e• � = c e fir.• .` .®- ..®0 600 � �, NO. 2205-E969969066 '*70FES " 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE noto DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930231 DATE ISSUED: 7/19/93 DESIGN ENGINEER:DAVID R. DAYTON, P.E. EXPIRATION DATE: 7/19/94 OWNER NAME:WHALEN ULYS & ANN A OWNER ADDRESS:P.O. BOX 670525 CHUGIAK, AK 99567 PARCEL ID:05014109 LEGAL DESCRIPTION: BIRCH HILLS TERRACE BLK 1 LT 7 LOT SIZE: 46609 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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: DISTRIBUTION PIPES SHALL BE 6 FT. ON CENTER, WITH 3 FT. OTTTSTDR RPACTNC _ RECEIVED BY: RV DATE: ISSUED BY : ( Lill Uyf/(i 1 V```im" \ DATE: v � of ° o' ti� Asad C ti \ 3 &o 5792 2 1Qsz`+I�t7►a- j�¢opv5�o . SYSi�- z I David Ir~ Dayton % . NO. 2205-e �ii�ak, Alaska:99567 $�'9Fp'•••......•• ��.AwAW PReFESSON.�°�. dor 7 �/ 7 ;. Gvr 7-Ve� �ovv�Gr�o71 SyST "j-, V I i Ta I o 7 3 :� (alq IV coC) Zi• �g 4- Zoo rte: •% �d ..YW NM ..•.. ..0.. 1-1 s ern=, David R- Dayton 4i4 �, J,•.• 140. 2205-E •: �� so, •s0Z Municipality of Anchorage �y^°STH a v DEPARTMENT OF HEALTH & HUMAN SERVICES ° °�/��°%l°007.•°°°°m•° ° , 825 ,.L.' Street, Anchorage, Alaska 99502-0650 e .,L °op':. a� °g•� 1:jSOILS LOG - PERCOLATION TEST �' �� o David R. Dayton o �'q J° NO. 2205-E PERFORMED FOR: �t 1S Z'}'w.X:'A/ DATEPERFORM wr.� LEGAL DESCRIPTION: Ar 7 4,4, Township, Range, Section: 5�,—/ 2-1 % j�1,c1, ,!' 0 W DEPTH�Pa SLOPE SITE PLAN (FEET) I'S 2 1%-- 6 us/o cam•' : �.r�l-c, 7 8 10 11 12 13 16 17 18 19 WAS GROUND WATER 40 ENCOUNTERED? S L O P E 7 IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? )4-01' Date: ■■■■■■■M■ ■MEEN■R■■ MENNONNOWE EURNMEMENE �IWASUM■■., MEREMEEME ■MM■■■■.I.■ NEXEMEWANE MEMSE�EM Reading Date Gross Net Depth to Net Time Time Water Drop C 20 I C&> > :�snr+ ! I�_JI PERCOLATION RATEfnq (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 26- FT AND —61 FT COMMENTS PERFORMED BY: "� R �'I } `'� CERTIFY THAT THUS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /;/ 93 72-008 (Rev. 4/85) Municipality of Anchorage 4 DEPARTMENT OF HEALTH & HUMAN SERVICES 01 ,90e0.r S64 o' 825 "L" Street, Anchorage, Alaska 99502-0650 -0 SOILS LOG — PERCOLATION TEST ;� �4a e eoaeeeee a eeee.�°� � YF} David R. Dayton a 5-E `a y PERFORMED FOR: DATE PERFOR�I�� LEGAL DESCRIPTION: /Township, Range, Section: Sw— 12-, 7—/5/;/t/, yQZ y DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS IP M VAS GROUND WATER ,,� // ENCOUNTERED? /y0 s F YES, AT WHAT L O DEPTH? p E :pth to Water After onitoring? a Mu�/G3 PAI P►1 Reading Date Gross Net Depth to Net Time Time Water Drop 7 DERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT H PERFORMED BY:}� f «'T p-= • I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE- DATE: 72-008 (Rev. 4/85) D. R. DAYTON, P.E., R.L.S. Chugiak, Alaska 99567 20210 Donalar Lot 7, Blk 1, Birch Hills Terrace Design Narrative (907) M� 696-2417 The proposed septic system will be a bed type system installed with the long dimension perpendicular to the 8% lope of the lot. The soils on the lot are a poorly graded sand with some rocks and cobbles. The soils perc at a rate faster than 1" per minute. A sieve analysis of -the fine soils show the soils approximate the soils described in the MOA Engineering Bulletin 92-10 and will be used in lieu of importating filter sand of nearly the same gradation.. There will be no measurable impact on wells or wastewater systems on adjacent lots. There will be no impact on reserved space or drainage. .:~C OF AC�yA�� 71) ® * ' 4 TH •. r fit? too 1624, 913ors io ¢9 •. _ • �•f •. David R. Dayton a% J, �% NO. 2205-E � %'O.OFESSO 0� Ilk , , I WK011111 Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-141-09 Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Expiration Date:.J- � Legal description BIRCH HILLS TERRACE BLK 1 LT 7 Site address 18221 TEDROW CIR Current property owner(s) LAMSON LEWIS O & PATRICIA A 4 The On -site system(s) is/are approved for bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: New septic system to be installed per OSP231031 by June 15, 2023 S7S'TFM /�S f/kC, J—Ui.it�-_ 202 By:A,Original Certificate Date: 3/28/23 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 Arsenic Advisory Other COSA Approva"une 2022 1. GENERAL INFORMATION Parcel I.D. 050-141-09 Complete legal description BIRCH HILLS TERRACE BLOCK 1, LOT 7 Location (site address) 18221 TEDROW CIRCLE, EAGLE RIVER, AK 99577 Current property owner(s) LEWIS & PATRICIA LAMSON -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 0 Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: M Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank Z Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel N Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel older than 20 years. 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench Z 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 $ Date of Payment COSA # 0 SC- -Z- 310 � 3 Waiver Fee $ Date of Payment Waiver # COSA FINAL Application.doc Legal Description: BIRCH HILLS TERRACE BLOCK 1 LOT 7 Parcel ID: 050-141-09 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA - SITE SERVED BY PUBLIC WATER I_J Well-t is filed with Onsite (or attached) Date drilled T tal 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 Well production at time of test gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ElNitrate less than MRL (ND) enic Arsr ug/L ❑ Arsenic less than MRL (ND) Collected by Static water level at beginning of test ft Date Comments SERVED BY AWWU WATER — SERVICE LINE LOCATED & SHOWN ON INSPECTION REPORT. B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NA — NEW TANK ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA — NEW FIELD Which system tested (date installed) NEW FIELD ® ALL standpipes present per record drawing Total measured depth from grade 9.4 ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ® Monitor tubes go to bottom of effective. 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NA — NEW 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 Effective depth (per record drawings) 36 in Effective depth used 0 in Effective depth remaining 36 in Comments/Deficiencies: NEW SEPTIC SYSTEM TANK & ABSORPTION FIELD INSTALLED 2023. PLEASE SEE ATTACHED INSPECTION REPORT. COSA FINAL 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 Public Water Septic Tank/LiT Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes i ,No Absorption Field on Lot > 100' ❑ Yes if No Neighboring Absorption Fields > 100' ❑ Yes if No Community Sewer Main > 75' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft ft---_ Holding Tank > 100' ❑ Yes if No ft Anim-al-Containment > 50' ❑ Yes if No ft ft Manure/Animal Excreta -Storage > 100' ft �-C] 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 Surface Water > 100' ® 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 F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' ® Yes if No Community Wells > 200' ® Yes if No If tank or field is under driveway comment below If ft 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 11/15/2023 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, .o • • • ' �� local soil characteristics, groundwater levels that may fluctuate during the year, quality of ,.�It,'�"• • ' • • �� 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 y 7H these various and dynamic characteristics and are outside the control of the evaluator of the w .... ... .. ...... . 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 & FWt;S � • Curtis Huffman 1� � ��Fc�`rl • • .CE 128 21. • • �� j�PROFESSION X. .�� COSA FINAL Checklist.docx MUNICIPALITY OF ANCHORAGE N� DEPARTMENT OF HEALTH & 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. # mo i% 1 x-11- C)01 HAA # 1. GENERAL INFORMATION , 1 Complete legal description —to -r %�yLt4C35 Location (site address or directions) j �� j 'Ic- D zoW Property owner _L 26 )S �A-*Xso;j Day phone _ (a94{" 1,131f Mailing address RO , gam (D 7o57Z5- Cts-U67179��7 Lending agency -yw,Day phone 5��L/ -d2 77 Mailing address FOX 67-/57/0 -Ogg 0 Agent To Bo baDay phone SG�l OV 6 Address 1.04 l cqr e1clu solo fs,Z_yD, W 20 () Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3., TYPE OF WATER SUPPLY: Individual well 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. 72-025 (Rev. 1/91) Front MOA #21 5. 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 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. , Name of Firm Phone (a 4� Address e,iwe ,l' . Engineer's signature Dates :?A, � „®eQ d♦ s" °Otl l 07 �%® 60b OOOtl J tl0 a30 x r a ,p t e• 043tl0eee mo eoeee• ,«, o e •° �.� err ; David R. Dayton ?9 ® NO. 'L�aS E °•' � cy ole `O h�4 O°00 aC0®01V�.� 6. DHHS SIGNATURE ^�CC/J�I'Es`�% Approved for bedrooms. Disapproved. Condition I approval for bedrooms, with the following stipulations: Additional Comments BY M7 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage isnot responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1/91) Back MOAk21 Municipality of Anchorage Department of Health and Human Services ' HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ljii J ��= �s F_ c,}a��s Parcel I.D. A. Well Data Abu to &'L Well type Log present (Y/N) Total depth Sanitary seal (Y/N) _ Date of test Static water level Well flow Pump levell t,U AT&7 - a�5TcD-_7"0 _if A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Id ZL Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: Driller Casing height Wires properly protected (Y/N) AT INSPECTION Ari N I C I PAUL Y Ur hkkI P -; ,wt ENVIRONMENTAL SERVICES DIVISION On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: B. SEPTIC/HOLDING TANK DATA Date installed`l'�z� �i� Tank size T 2.n. 4 )94 Other bacteria Compartments '2— Cleanouts (Y/N) y Foundation cleanout (Y/N) Y Depression (Y/N) IV High water alarm (Y/N) Alarm tested (Y/N) A/ Date of pumping A62tJ'�1';I)IL Pumper L'%/_2- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot �/4- On adjacent lots Foundation To property line `J 5f Absorption field 4� Water main/service line Surface water/drainage 16671— n 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed Soil rating (GPD/Ft) System type ;Qev Length 3w Width Gravel thickness •. J Total depth 5-,2, Aa e,i Total absorption area Cleanout present (Y/N) Date of adequacy test /(AQUt SU5: z�1c�Results (pass/fail) Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Depression over field (Y/N) for After test If yes, give date G SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots — Property line iLT To building foundation rr To existing or abandoned system on lot On adjacent lots Cutbank da 16 Water main/service line % Surface water i E C,� -►— Driveway, parking/vehicle storage area Li: �i- Curtain drain E. ENGINEER'S CERTIFICATION Bedrooms I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect onjh4�date,af this inspection. G� HAA Fee $ � O U Waiver Fee $ Date of Payment - /-v-J-` Receipt Number 72-026 (3/93)` Back Date of Payment Receipt Number