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Home My WebLink AboutT15N R1W SEC 8 LT 107T15N R1W Sec. 8 Lot 107 #051-152-14 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211064 PID Number: 051-152-14 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ROGER & SHEILA BAKER ABSORPTION FIELD ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 20246 McKINLEY VIEW, CHUGIAK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.8 GPD/SF 14 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 7 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot 107 Fill added above original grade VARIES 0.6 — 0.74 +/- Ft. Gravel length 41 Ft. Township Range Section 15N 1W 8 Gravel width 2 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 574 Ftz 1 -- Ft. Well *99'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 10DD—GaL surface -water -00' 1-00' Material HDPE Number of compartments 2 Lot Line 10'+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks *WELL STAKED AT CONST., BUT TANK IS 99-100' FROM WELL. TANK & LINE INSULATED. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Installer ,f RS Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection ection 1.16/14/21 6/15/21 Location and description 2nd 3`d 6/16/21 4" 6/16/2021 IBOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date s '•:tQ`�� C2,�Q'. _49 TH ' . — " " " ' " .. • 0 • Curtis Huffman Septic System Approve - Date —�f!o - Zi ¢ �'F•• CE 128991 •�`�� lF�• 9/1/2021... _ 4P FOpROFPROF ESSI llONA -� Note: this approval does not include well permit requirements. � 1W tnev uoiuu-i u/ PID: 051-152-14 PERMIT: OSP211064 HORSE CORRAL >35% SLOPES -TOP OF SLOPE 04 TH21-1 27"E 330.00' INSTALLED PROTECTIVE BARRIER AROUND PIPES (ANCHOREDTIRES) I 0 I T O 100' WELL cV RADIUS MT STAKED AT BALCONY CONST. DIV&DCO -99' M FCO ,�6 WELL Cyd I B E D C D 38R RESIDENCE bco -__--EXISTING ------.____---GRAVEL FIELD FIELD - - - ..---- ------- - DECOMMISSIONED __. -� - ---- -- --- .-ro -- _ _Z) - ---BALCONY`----_ _-_- DRIVEWAY EXISTING S.T. & INSTALLED NEW 6'• 14.6' 3_ a 1000 -GAL HDPE SEPTIC TANK c �� CONCRETI` W/ DIV & DCO. PAID TANK & SERVICE �4/ UNE INSULATED DECK SCALE: 1' = 30 32'2 14.6'x5.2' �� 0 A—C=26,1' B—C=13,9' FCO H CO / DDCO CO MT MT GO IV A—D=30,0' 95.70 93.97 FINAL GRADE 94.11 93.37 B—D=17,9' ORIGINAL GRADE 91'72 INSUL 1 7' INSULATION FlLTER FABRIC ORG/OL — FILLA—E=33,8' B—E=21,5' 91.14 1,000—GALLON 0. 1 6.37 86.37 A — F = 4 4, 7' HDPE TANK SEWER ROCK SM/sp—gp B—F=40,2' A—G=84,1' 79.37 79.37 NO GRND. WATER DRY -3/12/21 & 6/14/21 B—G=76,5' 20' SEPTIC SECTION 73.37 BOH TH21-1 SCALES NTS Tl 5N R1 W SEC 8 LOT 107 SUPPORTIII, SERVICES: PREPARED FOR: �`S > OF �6. ROGER & SHEILA BAKER �� 20246 MCKINLEY VIEW AVE. F -111 -5 � 9 TH ,� CHUGIAK, AK 99567 FIRST WATER CONSULTING DATE: 9/l/2021 rtis Huffman SURVEY: KGL CE 128991 13030 SUES WAY 4'' DRAWN: FWCS 9/l/2021 U ANCHORAGE, AK 99516 SCALE: 1" = 30'ssio��' 907-350-9566' firstwaterAK@gmail.com PAGE: 1 OF 1 Frsl Water A 0 0 N 8 U L T I N G 13021 Montego Circle, Anchorage, AK 99516 907-350-9566 / OrstwaterAK@gmail.com September 1, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: T15N R1W SEC 8 LOT 107 - WAIVER The 100' well radius was staked at construction, but per the attached as -built survey by Ken Lang, RLS dated July 16, 2021 —the septic tank was measured at approximately 99.5'+ to the subject property's well. We are therefore requesting a waiver to 99' between the referenced well and septic tank be granted at this -- -----time-.--G-r-anting-of-th-i-s--wa-fiver -is--justified in- the -fact -that- the-tank-is-on--the--opposite--side-of---the-house,-there - ---- have been no known issues or influence over the past decades from the previous existing tank and the improved HDPE material of the tank compared to the previously existing steel tank. Granting of this waiver will not impact any of the neighboring properties. Please contact us if you have any questions. Respectfully, OY_X�_Lz�_ Curtis Huffman, P.E. Attachments: As -Built Survey COSA Inspection Report P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 6 Fax (907) 343-7997 http://www.muni.org/Onsite Development ices Department On -Site Water and Wastewater Section "A' e i r 5 DeparCillt'.Ilt K X X X VARIANCE/WAIVER X X K x Waiver#: 0SV121397 COSA#:OSC211129 Permit#:OSP211064 PID#: 051-152-14 Legal Description: T1 5N RI Section 8 Lot 107 Engineer: First Water Consulting Applicant: Roger & Sheila Baker our request ora waiver o- the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 99.0 feet. See engineer's waiver request for justifications. This is a re -issuance of the original tank to well waiver. This waiver approval applies to the septic tank installed in 2021 only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 13 .2 o x 1 Approved by: PJxe,6A &jj Name of Reviewer AIM MUNICIPALITY OF ANCHORAGE 0n-3[to later a Wiwnwaler Pragrain PO Bax 190650 4700 Elmore Reed Andwage, AleAe 99451-9-6650 Pin¢,. (907J 343-7904 Fax: *D7) 343-7997 Fret pJiwwu- rnuri. a rg�a n 91 e On -Site Wastewater Disposal System permit Permit Number, OSP2110CA WDO; Type: Septic Upgrade Tax Code Number; 05115214000 Site Legal Addr-9ss- T15N R1W SEC B LT 107 G_1256 Site Mailing Address. 20240 MC KINLEY VIEW AVE, Chu giak Owner: BAKER ROGER M & SHEILAJ Dems 19n Engineer: FIRST WATER CONSULTING This permit is for the ccnstruotien -of: Effective Date; Expiration Date Lot Sife in S -q Ft' Total Bedrooms' 3l22W2i 3!22022 105900 0 Disposal Field 0 Septic Tarek ❑ Holding Tank ❑ Privy ❑ P&ate Well ❑ VV,3teT Storage All construction shall be In accordance with, 1. The attached approved daaign. 2_ All requirements specified in Anchorage Munidpal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulatkons (18AAC ) and Drinking Water Regulations (18AAG80 ) 3. The wBStewater co& requires inspections dudngthe inatallstidrw_ The engineer shall notify the Development Services Uepartrnent per AMC 15,65, Provide notlficalliorl by caNing (907) 343-7004 (2071. A_ From October 15 to April 15, a subsurface sail absorption sy tern Ander coni#ruc ion during freezing weather shall be either= ' a_ Opened and Closed -on the sane day. or b Govered, sealed. and hearted to prevent "ezio g Received By, Date- Issued By: -- Date= 22021 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-152-14 Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) ROGER & SHEILA BAKER Day phone 9079479770 Mailing address PO BOX 670024, CHUGIAK, AK 99567 Site address 20246 McKINLEY VIEW AVENUE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T155N R1 W SEC8 LOT 107 Lot Size 108,900 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field Fx� Initial ❑ Septic Tank Upgrade E Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) 0 (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: -#S9 5 Date of Payment: 3ZI71-Z 1 Receipt Number: 5/71(4—, Permit No. OSP Z 110 6 N Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com March 12, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: T15N R1W SEC 8 LOT 107 20246 Mc KINLEY, CHUGIAK 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 deep trench and 1000-gallon tank to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted on March 5, 2021. No groundwater was observed at test hole excavation or monitoring. The slopes are flat at the proposed upgrade location. The lot and area are served by private 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 OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : T15N R1W SEC8 LOT 107 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: 3/12/2021 DEPTH FEET OG SOILS 1 2 ORG/OL-FILL 3 4 5 6 7 8 9 10 SM/sp-gp Sand increasing 11 w/ depth 12 13 14 15 16 17 18 19 20 BOH Reading Date Gross Time Net Time Depth to Water Net Drop 3/5/21 10 min 6 5 2/16 6 5 3/16 6 5 4/16 6 5 3/16 6 5 3/16 6 5 4/16 PERCOLATION RATE 2 (MIN / INCH) TEST RUN BEWTWEEN 8 & 9 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: 3/12/2021 TESTHOLE # 21-1 DATE PERFORMED: 3/5/2021 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: ROGER & SHEILA BAKER 3/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211064, Deb Wockenfuss, 03/22/21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PHOTEOTION {~/'IA¥ P, 1980 ' FNVIRONMENTAL ENGINEERING DIVISION ( 825L Street- A,,chotsge, Alaska 99501 Telephone 264-4~20 DF C F I V F D ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION ~EPOE{% -- ~ ~AILINGADDRESS ,LEGAL DESCRIPTION LOCATION ~ NO. OF BEDROOMS Absorption area ~ PERMIT NO. Liq, capacity in gallons Inside length Width Liquid depd~ /~ IF HOMEMADE: , ~ Well Dwelling PERMIT NO. ~ ~ ~ DISTANCE TO: Nem'est et line O Well ~ Foundation~~ ~ I PERMIT NO. ~ ~ ~ No, of lines / Length of each line Total length of lines Trench wid~ Distance betwee lines ~ Top of tile to finish grade ¢~' 7~/ ~0 inches /¢~ Material beneath tile Total effectiv~ absorption area Length Width Depth PERMIT NO. ~ P Type of crib Crib diameter Crib depth Total effectiv0 absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to Jot ling PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS __ ~ __ INSTALLER , / --X (O APPROVED ' DATE LEGAL 72-013 I Rev, 3/78) PEF'J*'II ]~ NO. DEPFtRTMENT F.II[.]':ILTH Fti'.,~[) EN'v'_T ROi'.,Ii'dENTI~L .RO'I"EC;T '[ OBI E~;?.5 "L.."' STREET, FIi'..IC:HORFIGF.;, F~K. FtF'PL I CRN'r L[)CFIT I din LEGFIL. ROGER LFIRSOF.I B I RCHWOOD 1..±O?' 5;8 TJ...SN R±!4 Si'd T"dPE OF SOIL. FIBSORE:':TION S'~.~STEr,1 IS: BOX ;~:i.:L CHUGIFiK FIK LO]" SIZE TRENCH G88 MFI',,<IHLIH NUME:ER OF E:E[:'ROOi'd5; = ~ SOIl.. RFtTING ,:]:S~:! F'T/E:R)= 2.80 THE REQUIRE[:' SIZE OF TklE ~';OIt. FIE:'.':]ORPTION S"r'STEM IS: "I'HE LENr.'~TFI [:'IME. NSION IS THE L. ENGTH (IN FEi:E]") OF' 'FI.-IE TRENCH OR DRF/INF:'IEI..D. THE DEPTH OF FI TRENCH OR PIT ILS THE DISTFtNC:E 8ETI,.IEEN THE~ SURF'FICE OF TI.IE i:~E'.OI. Jr.,ID FIND THE E:OTTOM ELF:' THE: E',:.::CFIVFI'FIO['.4 ,:;IN FEET). THERE IS NO SET I.,.IIDTH FOR TRENCHES. THE GRF]VEL DEPTH IS TH[E: MZNIHUH DEPTH OF GRFt',,,'EL BETWEEN THE OI..ITFFII_.L F'IPE- FIND THE BO'FTOH OF THE E:,.-',CFIVFITZON (l'N FEET). F'ERMI T f~PPL l CRN'F HFIS THE RES;PONS ID IL I'F¥ TO INFORM 'I"HI S DEF'F'tRTHEN'r [:,1..11:~'. IIHG I NSTT'FtLLFITION INSPECTIONS: OF FIN¥ 14E~:L.I_.S F-IDJFICENT TO THIS PROF'ERT'./ laND TFIE i'.,IIJHE:ER CiF RES;I[:,ENC:E:S THFtT THE P.IEI..I.. I,.IIL..L SER'v'E. THE ................... ']FI~..-! C) .::: ;:~." ]:, ]E I,.,~'~';F:~E!E~L-~'l-' I 0 ~.,I:?S; !~:=1t~:~."~: I~'~z~:,7..4 LR ]E I~-LS]~::':: ................... BFICKI:ZILi. I'NG OF FIN'./ 'F.,'~'STEH I,.IITHOUT FINFIL ZNSF'EC]`'ION FII'.,I[:, FIF'F'ROVFII... 8'~' THIS DEF:'FIRTHENT WILl.. 8[ S;LI6'.]'ECT TO PROSFZC:UTIOiq. MINIMUi'd DISTF~NCE 8ETIqEEN FI PIELL. PIND F:IN'T' ON-SITE SEFIFIGE DISF'OSFIL S;'.dSTEM :LO0 F'EET FOF?. Fi PRI'v'FITE WELL.~ OR :1.50 TO REIO FEE]" FROH Fi PUSL. IC PIELL DEPEN[:,ING UPON THE TYF'E OF pIJSLIC I.,.IEL. I... OTI-IER REf~!UIREi'dE:N]":S MFI"r' FIPPL.'t'. SF'ECIFICFITIONS FIN[) CON~STI?.IJC:TION [)IFIGRFIf'IS; FIRE IRvr]:I:I..FIF3L_E TO IN:'SURE F'I~OF'ER INSTFILLFFf'[ON. I CEIRTIF't' THFIT J_: I FiM FFIMILIFIR P. IITH THE REC,!UIREHENTS FOR OisI-S:I'f'E SEH[CRSi FIN[." I,.IEI_.I..~S FIS F;ET F'GRTI'~ 8¥ THE HIJNICIPFIL. IT¥ OF P]NCHORFIGE. 2: I I,.IIt...L ,IN.~'I'FIL. L.,.., ]''FILS :~¥S'FI_::M IN I~]CCOI~:[~FtNCE WITH THE CGDE~]. ::ii: I LINDER:;]~iN[:, THFIT/T~-IE OI'.,I-SIT~.' _SEHIER S¥STEH f,'lFl¥ RE~UIRF.': Et'.,ILFIRL3EPIENT Il::' THE F(E'~;II}ENCE t? REHO[;,EL~[:,}T? Ii'.~C:fL~,H?:E THFIN ]: BE[:,ROOMS. .:- , ~t"~IF'F-'~L. I I]:RN'f' ROi3'~.ER L.IZlRSON O & E ENG,,qEERING & DEVF_LO~ ,dENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2174 or 688-2280 Russell Oyster 694-2774 Performed for: Name: Legal Description: _Z.' g'T SOIL LOG Mailing Address:_ /~<SY...~11~ C/-/O~//q/~ t Earl Ellis 688-2280 Depth (feet) Soil Characteristics m 10___ 11___ 12___ t,J j~ PLOT PLAN 14___ 15 PERC. TEST Ground Water Encountered: Yes Proposed Installation: Seepage Pit No ~'/ If yes, what depth _ Drain Field Comments: Date: DOC Co, dba SULLIVAN WATER WELLS P.O. BOX272, CHUGIAK, ALASKA 99567 · 'YELEPHONE686-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION DATE - Started PERMIT NUMBER DEPTH OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND oF FORMATION: From __Ft. to~ Ft. From___ Ft. to Ft. From_ Ft. to Ft. From_ Ft. to_: ; Ft.__ From- _Ft. to____Ft. From_ Ft. to , Ft. From __ .Ft. to __Ft. From_ Ft. to Ft.__ From _Ft. to Ft~ From_ _Ft. to.____ Ft, From _Ft. to____Ft From _Ft. to.____ Ft. From_ _Ft. to .Ft From Ft. to____Ft __ From Ft. to__ Ft. From _Ft. to Ft. From_ ___Ft. to Ft Frool From From From From From Froln From _ From. From From From From Ft. to_____ Ft. Ft. to .... Ft. Ft. to____ Ft Ft. to Ft Ft. to Ft Ft. to Ft, ___ Ft. to Ft, Ft. to Ft.__ Ft. to_____ Ft Ft. to_ __Ft.__ _Ft. to Ft. to ____ Ft. to ____ Ft Ft. to Ft. to Ft. to __Ft. to Ft. Ft. M~PALIT~C% ANCi'JORA~' E~-- AU6 9 1979 Ft Ft. R.EQ LVJ:.D MISCL. INFORMATION: DRILLER'S NAME Drilli.g og by DOC Co. ~ll~a SULLIVAN WATER WELLS P. O. BOX 272, CHUGIAK, ALASKA 99~7 · TELEPHONE 68~-27~9 OWNER OF LAND ADDRESS ;' DATE · Slatted n--/-/,~ Ended ~ /''' '~/'~ c, DEPTH OF WELL /(~ / STATIC LEVEL OF WATER FT. DRAW DOWN FT, . GALS. PER HR ~" ~' KIND OF CASING ~ ,~: ~) KIND oF FORMATION: From ' ~ Ft. to~ Ft. From--Ft. to , Ft. From ' · Ft. to :: -i Ft. From - Ft. to . Ft. From ~"" FI. to ':" :' Ft. From -''~' 'J Ft. to , - Ft. From.__ Ft. to Ff. From - ~ FI. to /'" Ft. From~Ft. to Fmm.~. Ft. to From Ft. ~ Ft. Frm Ft.~ , Ft.' Fmm~Ft. Io Ft. Fmm~Ft. to Ft. From Ft. to Ft. F~ ~.Ft. to Ft. Fmm~Ft. to Ft. ~CL. INFORMATION: r. ,./ ,. ,. /4 ~'~"~?~' "'~ From Ft, to . ~^~z ~:. ': ","'~ ~' From FI. to ' ~ ~)~/~'~ From Ft. to .~'~ ,~ ~ ': ~"Y ~. ~L From~Ft. ~o ~'~ '; ~/:' From Ft. lo F~m~Ft. to From Ft. to___ From Ft. to From Ft. to___ From Ft. to From Ft. to From Ft. to From Ft. to From Ft. to F(. Ft. Ft. Ft. Ft Ft. Ft. Ft. Ft. Ft. Ft ' k~JNICt~ALIT f C.;- DEPT. CE It:."LTH & 9 979 Fl+ F,. RECFIVED Ft. DRILLER'S NAME /:' c ~ ~-' ~' F'ERMIT NO. ( RF'F'L. I CFINT LOCRT I CIN L. EGFII.. RODGER NELSON I..F1R:!;ON B I RCHWO0[:, I.,'L~)7 SL:: T].SNR:I}.I E,"O),:', 2::1..'1 I_':.'HUGIRk: LOT SIZE d;gO-2:t.2:5 fL6:~'.~O]:8 SI..::!I..JRRE F'EET i"'ili",tIklL.IM DISTRNCE 8ET.t4EEN f:l 1.4ELL RND RNY ON-SITE SEWRGE DI':'~;PI.')'.'~;RL SYSTEi'"I IS :t. OE~ FEE'I.' FOR /R PRIVRTE 1.4ELL~ OR .t. 5¢Z~ TO 20['3 FEEIE'i" FROM R PU[gLIC WELL DEI':'ENDII",IG LIPON THE T'CPE OF PU[~LIC WELl qELL LOGS RRE REC!UIRED FIND i"ILIST BE RE'f'L.IRNED TO THE [:'EPRRTMENT I.,.IITHIN ]i:l:_"'i [:'FI'iS ]1= THE 14ELL C:OMPLETION. 3THER REL:'&JIREi'qENTS l.'lFl~r' FIF'F'L¥. SPECIFIC.:RTIONS I,=IND C:ONSTRUC'TION [)IFIGRRMS FIRE ?I',,,'RILFI[~LE TO INSURE PROPER INSTRLLRTION. I CERTIF'¢ THF:I¥ :L: I FIM FFIFIIL. IFIR I.,.IITH THE REL::!UIREMEN]"S FOR ON-SITE SEb. IERS FINI,) I,.IEI....L':'i.'; I::'iS SET ='ORTH BY THE MUi",IICIPRLIT¥ OF' RNC:I'-IORRGE. ~.~: I .W.'I~EE-"t~2;TFILL THE :E;'¢STEM IN RCC:ORDFINCE 1.4ITH THE COl}ES. .......................... TiME DATE INSPECTION APPOINTMENTS TIME DATE ~SPECTOR TIME MUNICIPALITY OF: ANCHORAGE DFPT DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~IvIR 825 L Street - Anchorage, Alaska 99501 (' ENVIRONMENTAL SANITATION I)IVISION .~[:, .. I,~}~ ~- Telephone 264-4720 R E C E, 1 V E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete all parts or) page 1. Incomplete requests will not be processed, Pleas(, allow ten (10) days for processing. ~ROPERTY RESIDENT (I, diffe}ent from a~',' ' ' ' ~'"~'-S~ -- ' PHONE MAILING ADDRESS ~I /~ .~ ~-- ~Z ' ~ ~/-. ~. REALTOR/AGENT/'/ / .~'.~ ~ " ~ yHON~ ~AILING ADDRESS ' ~ ~ ~.' LEGAL ESC IPTION ~TREE't LO~ATION /~ c./ 6, TYPE OF RESIDENCE ~ NUMBER OF~BEDROOMS ~INGLE FAMILY[j E~ One ~ Four ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SDPPLY ~J~ INDIVIDUAL* "ATTACH WELl. LOG. A we log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date. give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~,., INDIVIDUAL/ON-SITE** ~"/'<~-/C'~-~O~ YEAR 0N-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECI'ION FEE MUv_s'r ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/ ) ~-.~ ~.~ ~)~b THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE E~PUBLIC UTILITY Connection Verified [~'Septic Tank or [] Holding Tank Size: / C3O0 If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCE8 WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER Septic/Holdingl/-) ~) Tank Absorptior~/~)~) ')~-Area Sewer Line NeCrest Lot Line 5. COMMENTS DATE ~ APPROVED FOR ~'~--- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED "Y 72-010 (Rev. 6/79) MUWC�PALITY OF ANCHORAGcis Z� Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-152-14 1. GENERAL INFORMATION Complete legal description T15N R1W SEC8 L0T 107 Expiration Date: 7—q— 2 - Location (site address) 20246 MCKINLEY VIEW AVENUE, CHUGIAK, AK 99567 Current property owner(s) ROGER & SHEILA BAKER Day phone Mailing address Real estate agent PO BOX 670024, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 570 Date of Payment 2 2-Z— Z- ( Receipt Number 77 1 -2-Z-G, COSA# 05C Z) 10 2g Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE 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 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 & FWH 6. DSD SIGNATURE We Date 3/19/2021 g�P TH r . �— System #1 Approved for bedrooms pp z �r �`��s•. CE 128991 7 .• �� ib– / ill Fop1/19R N - System #2 Approved for bedrooms 1\ ROFESSIO Disapproved Conditional approval for bedrooms, with the following stipulations: J G l �'"'� c Vlf i f \�`�lll l l\l(((�t (f r�i, NJ V V0 ON-SITE C C/ .� (% L oS rn \A/ASTV 'A TER v� 'J q -L -2 kOGF,AM J /rA? B Original Certificate Date: 2( The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: T15N R1W SEC 8 LOT 107 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 7/26/1979 Total depth 102 ft Cased to 102 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/25/21 Static water level at beginning of test 56 ft. Well production at time of test 5 gpm Comments B. TANK DATA Age of tank(s) *NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping * D. ABSORPTION FIELD DATA Which system tested (date installed) NEW SYSTEM ® ALL standpipes present per record drawing Total measured depth from grade 14.7 ft (max) Measured depth to pipe invert from grade 7.7 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Parcel ID: 051-152-14 Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 1.65 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) NES Collected by Date of Sample 3/3/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date NEW SYSTEM Results ❑ Pass For bedrooms Fluid depth prior to test _ in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Fac E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. low TH • Curtis Huffman t® �$ X29,•. CE 128991 •�� '0p OFESSO��c�� ft ft ft ft ft ft ft ft N 0 0 4 / I - C LN L 101 a m 0 a Jr.c o { -- / -------- m .f (D mL m m m� q o 'p a m •- v, sc w3 Uf Q a W m> U G Q N am O �n (n a U -- L �a0 Oy Oc — I I m s( � O :E O Z M Z � in n qs° —10 O U aQC"tp0 Q mO w N N o� mWm°cc agam= o I m0 v, m 0.0 C C I w z o I U Q� J m c -E c O . o Om m > ° cn A CDM MO 0 s Vj m e L4 E m m s L E m U w \ N +- Q Q 3 C n. m 0 0 w °1S sndAo I £0 L 101 I I I 90L 10i S2L 101 a) &I N C s-- s s - C ma a m 0 a Jr.c o C O m O m N (D mL m m m� q o 'p a m •- v, sc E Uf Q a W m> U G Q N am O �n (n a U -- L �a0 Oy Oc 0 O I m O m s( � O :E O a in n qs° —10 O U aQC"tp0 yI mO Baa"�' I o� mWm°cc agam= o I m0 v, m 0.0 C C I m L a) &I N C s-- s 1 - C a V) 'w0- O ,� '° I I m 0 a Jr.c o ° a r 0 O ' m U Z a V, C)0as �a0 Oy Oc 0 O I m O m 00 Q� A 3 Z .-t m C X O s 0 N O.a O m A O U m Lrn y rn m m o I 0 c O C 0 ms L O Ao 0CD m c -E c O 0 m LO o Om m > ° cn A CDM MO 0 s Vj m e L4 E m m s L E m U m N m N +- Q 3 C n. m 0 = U OV14co-,'�C�t M -U -N -1 -C -1 -P -A -L -1 -T -y -o -F -A -N -C -H-0- RAGE - pence Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-152-14 1. GENERAL INFORMATION Complete legal description T15N R1W SEC8 LOT 107 Location (site address) 20246 MCKINLEY VIEW AVENUE, CHUG Current property owner(s) ROGER & SHEILA BAKER Mailing address Real estate agent Expiration Date: -7-q- 2-( PO BOX 670024, CHUGIAK. AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) AK 99 Day phone Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 570 Waiver Fee $ Date of Payment Z_ �- ( _ Date of Payment Receipt Number 77 1 (o Receipt Number COSA # OSC 2-) ld Zq Waiver # 5S -T -A -T -E M ENT -0 F- INS P EC -T-10 N -B -Y -EN G IN EER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 3119/2021 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 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 & FWI's 1 1- 6. DSD SIGNATURE System #1 Approved for T - System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms OA:9,sil t • :• • Curtis Huffman ��`'sTF,�• •�1 1/1 9(27•FOP •��r/ 3 bedrooms, with the following stipulations: rrnm WAST''-v'ATER Jct/� PROGR Alf ��:' _ B . r Original Certificate Date: 7 ^ r 2( The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: T15N R1W SEC 8 LOT 107 Parcel ID: 051-152-14 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 7/26/1979 Total depth 102 ft Cased to 102 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/25/21 Static water level at beginning of test 56 ft. Well production at time of test 5 gpm Comments B. TANK DATA Age of tank(s) PENDING NEW TANK years Tank type/material SEPTIC/ HDPE PEND. Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping * D. ABSORPTION FIELD DATA — PENDING NEW SYSTEM Which system tested (date installed) NEW SYSTEM ® ALL standpipes present per record drawing Total measured depth from grade _ft (max) Measured depth to pipe invert from grade _ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Structure served by this system _ Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 1.65 mg/L❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW'ES Date of Sample 3/3/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: *NEW SYSTEM Adequacy test date NEW SYSTEM Results 0 Pass For bedrooms Fluid depth prior to test _ in Water added gal New depth in Elapsed time min ® Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date FwH Comments/Deficiencies: E. SEPARATION DISTANCES ® Yes if No ft Surface Water > 100' ® Yes if No From Private Well on Lot to: (Please enter distances if less than required or if community well) ® Yes Septic Tank/Lift Station on Lot > 100' ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No _ Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ® Yes if No ft _ Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. OF A •.i�� TH �� • '. Curtis Huffman /d CE 128991 Fop (26/2Q2A\�� k1 ROFESStON iii ft ft ft ft ft ft ft 0 ..,, - Fifst C D N S U L T l N G 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / hrstwaterAK@gmail.com March 26, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: CONDITIONAL COSA LEGAL: T15N R1W SEC 8 LOT 107 PHYSICAL: 20246 MC KINLEY VIEW AVENUE, CHUGIAK, AK 99567 The pending permitted 3 -bedroom septic system upgrade has been impeded due to winter conditions and other factors (steep drive to site, ...). We are therefore requesting a Conditional COSA at this time and will proceed with the upgrade once conditions allow. The system has been working for the occupants and granting of this Conditional COSA will not impact any of the neighboring properties or pose a public health risk. Attached are 3 bids and escrow letter from title for the pending installation. Please contact us if you have any questions. Sincerely, 09��L/"_ Curtis Huffman, P.E. F ��F'P N ��i i P�; "C twiE SIC/A�Cfi S�F�Gxi!(=IA�NiNC EXCAVATION ROBERT A, SHAFER WORK CIVILENGIN~ER 694-2979 July 15, 1982 Roger Larson P.O. Box 211 chugiak, Alaska Dear Mr. Larson, 99567 MUNICIPALITY OF ANCHORAGE RECEIVED Reference: Lot 107: Section 8: T15N: R1W A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to ?lave a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of 558 gallons of water over a period of 24 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the two bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service please do not hesitate to call. cc: Totem Realty ATTENTION: Audrey Mason Municipality of Anchorage Department of Nealth and Environmental Protection SRB 196X EAGLE RIVER, ALASKA