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PERMIT NUMUER:
oSP241268 RECORD D RAW I N G IPARCEL ID NUMBER:
Q17-343-07
A I B
MH 29.3 17.3
ST1 33.4 15.1
DBL1 34.7 14.7
DBL2 35.7 14.5
FD 38.7 14.3
CO 39.0 15.2
MT2 54.2 28.9
NOTE: PIPE LOCATIONS ARE
SHOWN PER GEG SHOTS
TAKEN WITH LEICA DISTO
S910 LASER DISTANCE
METER. SW ING-TIES TO
HOUSE CORNERS WERE
GENERATED IN AUTOCAD.
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EXISTING FCO
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HOUSE
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---NEW 1250 -GALLON GREER PLASTIC SEPTIC
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NEW POLYLOK NEW DOUBLE CLEANOUTS (DBL1 & DBL2)
FLOW DIRECTOR (FD)
NEW 2" STEEL MONITORING TUBE (MT2)
NOTE: PER CONTRACTOR
OLD SEPTIC TANK WAS SUMP
DISPOSED OFFSITE N
EXISTING 1981 DRAINFIELD. FOUND
SURCHARGED ON 8/12/2024.
SCALE:
1"=30'
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GARNESS ENGINEERING GROUP, Ltd
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ENGINEERING SALES CONSULTING % �
3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, ALASKA' PHONE (907) 337.6179' WEBSITE:xww.gamesseng enng.com •. •••••••••.• ••.•••••••.••... 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 17s^u i rey A, arness4C,c Y
MICHAEL FRISON 907-242-2020 2 OF 3®�% ` ' - 953
PROJECT/LEGAL DESCRIPTION: DRAWN BY:
SECLUDED HILLS; BLOCK 1, LOT 7 J.L.M. ®g®, •• •.'••••'.... •��
TYPE OF WORK: DATE: 4 i ® �S moi ®®
RECORD DRAWING OF SEPTIC TANK UPGRADE 9/16/2024 #LICENSE884 ��
PERMIT NUMBER: PARCEL ID NUMBER:
OS P241268 RECORD D RAW I N G 017-343-07
FINAL GRADE
GARNESS ENGINEERING
GROUP, Ltd
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, ALASKA -PHONE (907) 337-6179' WEBSITE: m .gamessengineering.c
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
MICHAEL FRISON
907-242-2020
3 OF 3
PROJECT/LEGAL DESCRIPTION:
DRAWN BY:
SECLUDED HILLS; BLOCK 1, LOT 7
J.L.M.
TYPE OF WORK:
DATE:
RECORD DRAWING OF SEPTIC TANK UPGRADE
9/16/2024
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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
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241268
Work Type: SepticTank Upgrade
Tax Code Number: 01734307000
Site Legal Address: SECLUDED HILLS BLK 1 LT 7 G:2937
Site Mailing Address: 13250 BADGER LN, Anchorage
Owner: FRISON MICHAEL A & AMANDA L
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
❑ Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
„z�nr
n r,
Department
Lot Size in Sq Ft:
Total Bedrooms:
8/30/2024
8/30/2025
71259
❑ 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: i = %% rr)"
r
Issued By: _
Date:
Date:
4
MUNICIPALITY OF
Development Services Department
On -Site Water & Wastewater Section
ON -SITE SEPTIC/VVELL PERMIT APPLICATION
Parcel I.D. 017-343-07
Phone: 907-343-7904
Fax: 907-343-7997
Property owner(s) MICHAEL FRISON Day phone 907-242-2020
Mailina address 135250 BADGER LANE, ANCHORAGE, AK
Site address 135250 BADGER LANE, ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) SECLUDED HILLS; BLOCK 1, LOT 7
Legal description (Township, Range & Section)
Lot Size
Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
Fj
Initial El
Single Family (SF) FX_j
(w/wo ADU)
Septic Tank
7X
Upgrade 0
Duplex (D) ❑
Holding Tank
0
Renewal D
Multiple Dwellings D
Privy
❑
(SF and/or D)
Private Well
D
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.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: V_ Date of Payment:
Receipt Number: Receipt Number:
Permit No. 0,5C117 03 Waiver No.
GADevelopment Services\Building Safety\bn Site Water and Wastewater\Forrns\Client FormsTermit Application.doc
C& Bill fZ F4
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241268, Curtis Townsend, 08/30/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241268, Curtis Townsend, 08/30/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241268, Curtis Townsend, 08/30/24
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COSA Checklist
Legal Description: SECLUDED HILLS; BLOCK 1, LOT 7
Parcel ID: 017-343-07
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1
A. WELL DATA
Al Well log is filed with Onsite (or attached)
Date drilled 1981 Total depth 241 ft
Cased to 240.4 ft
0 Sanitary seal is functioning correctly
R Wires are properly protected
Casing height (above ground) 18 in.
Date of flow test for COSA 8/12/2024
Static water level at beginning of test 193.4 ft.
Comments
B. TANK DATA
Measured operating fluid level in septic tank NEW
Date of pumping NEW
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 1/14/1994
X ALL standpipes present per record drawing
Total measured depth from grade *8.4 ft (max)
Measured depth to pipe invert from grade 4.5 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated. Elapsed time 0
Final fluid depth
Well production at time of test 1.1+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes 0 No
X Coliform bacteria is Negative
Nitrate 0.237 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L 0 Arsenic less than MRL (ND)
Collected by GEG, LTD.
Date 8/12/2024
Adequacy test date 9/16/2024
Results Q Pass
Fluid depth prior to test *10.5 in
Water added "1100 gal
New fluid depth *10.5 in
X 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/A
If yes, enter date
min
*10.5 in
Absorption rate 600 *t gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) *36 in
Effective depth used **1.5 in
Effective depth remaining **34.5 in
Comments/Deficiencies: *NEW 2" STEEL MT (EXTENDS 3.75' INTO EFFECTIVE). **BASED UPON GEG ELEVATIONS.
1981 DRAINFIELD WAS SURCHARGED ON 8/12/2024.
COSA Checklist June 2022
,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'
W Yes
if No
Community Sewer Manhole/Cleanout > 100'
❑■ Yes
if No
ft
F Yes
if No ft
Neighboring Tank > 100' Fw� Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' Q Yes
if No
ft
Holding Tank > 100' Q Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Q Yes
if No ft
F Yes
if No
ft
ft
If tank or field is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' W Yes
if No
ft
Q 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'
W Yes
if No
ft
Surface Water > 100'
FE -1 Yes if No ft
Tank to Property Line > 5'
❑n Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
Q Yes
if No
ft
Private Wells > 100'
F8_1 Yes if No ft
Water Main > 10'
® Yes
if No
ft
Community Wells > 200'
Fil Yes if No ft
Water Service Line > 10'
E 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 Garness Engineering Group, LTD. (GEG) Phone
Engineer's Printed Name Jeffrey A. Garness Date _
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
practices. The reported results describe the condition of the system/s on the datels of the evaluation.
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
the systemis. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding
the future performance of the well or septic system. GEG makes no representation whether an alternative well
or septic system can be installed on the property in the event either of the current systems fail to perform
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
COSA Checklist June 2022
907-337-6179
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#AECCB84
Lot 7 , Block 1
Secluded Hills Subdivision
71,259 Sq. Ft. +/-
13250 Badger Lane
2 Story Wood Frame House
With Attached 2 Car Garage
1
2
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97.3'
39.
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46.0'
56.6'
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L=83.74
R=175.00
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LOT 8
WOOD SHED
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BLOCK 2
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LOT 3
BLANCO VISTA SUBDIVISION
PLAT #99-104
LOT 1
HOKAMA HEIGHTS SUBDIVISION
PLAT #82-477
10
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10' UTILITY EASEMENT
SEE "DETAIL A"
"DETAIL A"
SCALE 1" = 20'
23.0'
20
.
9
'
22.4'
7.
8
'
2.0'
12
.
9
'
38.7'
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.
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'
2' x 7' 2ND FLOOR KICK-OUT
BAY WINDOW
PREPARED BY:
FRONTIER SURVEYS, LLC
650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518
907-460-1686
DRAWN BY:
CHECKED BY:
DATE:
SCALE:GRID: SW2937
1.Excepting for gross negligence, the liability for this survey shall not
exceed the cost of preparing this survey. Dimensions to property lines
are plus/minus 0.1ft.
2.This document is created by Frontier Surveys for the purpose of an
as-built survey for Michelle Webb, only.
3.This document is based on Plat No. 81-1, Anchorage Recording District.
General Notes DisclaimerLegend
1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible
improvements and conditions at the time of the survey. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the
responsibility of the Owner to determine the existence of any easements, covenants, or restriction
which do no appear on the record plat. Under no circumstances should this document be used for
construction or for establishing a boundary or fence line.
RS 1" = 50ft
09/24/2024 24-188BH
Scale 1" = 50'
AN AS-BUILT SURVEY OF
LOT 7, BLOCK 1
SECLUDED HILLS SUBDIVISION
13250 BADGER LANE
CONTAINING: 71,259 Sq. Ft. +/- (RECORD)
RECORD PLAT: 81-1
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYORRachel N. Shoemake
No. L.S. - 14646
Sep 24, 2024
DRAWING ID:
Gas Meter
Electric Meter
G
E
Septic
Water Well
S
W
SC Septic Cover
Wood Deck
Concrete
Gravel
Telephone Pole
Overhead Utility
E Elec. Pedestal
Tel. PedestalT
Culvert
Sign
Mun.icip, a..,li'ty of ..
Devei0 pm ei..nt, iSe..,rv, ices. Department
. :: .:. Bi~ildi/~:.S~fe~,tE'i~/isi~n:.,.;:~i,'.... ':,.'
dh-Site WartY"- - --and .Wa~{e,~at~f Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.¢i.anc.horage.ak, us
:'.': .' "....'(907) 343~7~4' ~,. ,'"
CERTIFICATE OF HE~.TI:I"A0¥1:'i'0RItY'APPROVAL
FOR A~ SINGLE Ft~i~li~¥'.DW~LLING
Parcel I.D: ~)'l"'/- '~q 3-~"/'
mp]ete legal description..
.... ''" Expi';:~iionDate: ~'-ffZ'-//~'~
LoT '-7,.
::lress or directions) ._ '~ '~ $ O '~e..c>~4..~J-~. ~ CF c-c/e__
...............................
. .......................
Maili
Real
ant;'
Day phone__
Unless otherwise requested, HAA wil! be held,by D.$D.for pickup....~ ~ .....
2. NUMBER OF BEDROOMS: :..: ~
3. TYPE FER'DISP~
Ir
Individu
Public Water System-- []
';'~ ~'%'~' ':';:,'-"?~L'' ~". X ,,, ~ ~.~ ' :' *;~" ',.t-~;>,-~.t,:" ~** ..... " .'~.:,t~:?:.;~:~:?:.~,.:~.:; ' ! . : · ~ '
The Municipality 0f Anchb~age De,~$1opmbnt ~i~e&ices;;Depai-[~heiit'[DSp)issdes certificates ~f Heaitl( Authority
Approval (HAA) based only 'upofi' th~$' ?~lSfeSentati0fi~'given in paragraph 4 by an independent'professional civil
engineer registered in the State of Alaska. Certificate§ of Health A~thority Approval are required for the transfer of
t~tle (except between spouses) for properties served by a single-family on-s~te ~x astewater d~sposal and/or water
supply system. DSD also issues H,(As up6n request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (certificates"may be 'r&issued for a period of up to one year with valid water samples.)
Certificates are 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.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seai affixed hereto ano as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approva] Guide!ines for this application, sho.vs that the on-
ske water supply and/or v,,astewater disposa~ system is(are) s~-fo, function,'-~i and adequate for the number of
bedrooms and type of structure indicatec horeln. I further verify that based or: the information obtained from the
Municipality cf Anchorage files and from mD' investiCa;!on and inspect!on, the on-sire , and/or
wastewater disposal· system is(are) in compliance with al! applicable Municipal and
and regulations in effect at the time of installation.
Name of Firm
Address
5. DSD SIGNATURE
Additional Comments
Phone
Attachments:
· HA/~ Checklist
Septic System Advisory
Welt Flow Advisory
Mair~tenance Ag reements
S[JpjSlemental Engineer's Report
Other.
By:
(Rev. 01/02)
Original Certificate Date:
· Static water: eve :, : .~t. -
· Well pr. oa~Cti0'n ' '..'"i::... :" "'i: :'"'"' ?..'i:g;p~m;;''.''' ' "" ','"'"
Tank
Foun¢
,. · . ,,:.,?.~.~,~,,~, :. .. .. .:..:'~,.:: .:.:,;:.?....... ..,~.... .... · ·, :.. '.. . . '........ . .:....... ,.~... ... ,, .... ..:
" ' '." ' "~ '::: ": ":'.:":;':: '1:"' .' ':~'' :";" ' ''::':'~'':: "~ ::"'..':'~'~- ~ :'} ::':: '~:'' ": · .'" '" ':' ' :." '~ ':: -:' "' ....... :.' · ." ' ' .:':' ....': .T -'
Datum
at
//S'~'z~ in.gallons
"Pump off" level at
Cycles tested
"' ' "M~ole/Access (Y/N)
in. ~igh water alarm'level at
Ci¢cuit-req~
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
;: ~:':'~ septic tank/lift station' om lot I~ ~ 'h On'~adj~
Absorption field on lot 1 c) '~-
Public. sewer main :/~/~-
Sewer'/septic service line
On adjacent lots '~ /~-~.~
Pubhc~sewer manholelcleanoUt . ~-
HoIdihg tank ~'/',~,'.. '.'.'
SEPARATION' DISTANCES' FROM'SEPTIC/HOLDING T,~NK'. O'N LOT. TO.:
Building foundation . ~) r'
Water main ~/"~- ~%. -
Wells on adjacent lots ~ t'~:::~
' Property tine
Absorption field
Surface water
SEPARATI(
Property line I O
Water Service line :' ',~
Curtain 'drain - ' ~J~'(
Building foundation
Su'rface water t,J.
We!Is on adjacent lots
Water main 'rT{/~.
Ddveway,.pa'rking/Vehicle st~. ,,20 +
G. ENGIN EER~S'~CERTIFICATION.'
I certify~tha~d have determined.through fie/d.~sp'ections and
review of Municipa/ records that the .above system, s are in
conformance with MOA HAA.guide/ines in effebt ~'n':'this date.
Engineer's Printed Name
Date t I '~--~ JO ~ ......
HA~ Fee '$
Date of payment
Receipt,Num'ber
(Rev. 12/01 )
Waiver Fee $
Date· of. Payment
Receipt,Number..