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Home My WebLink AboutFIRE LAKE BLK 3 LT 15A3� 00 A 1 ea 4L STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE FOR DOMESTIC WASTEWATER DISPOSAL SYSTEMS A. APPROVAL TO CONSTRUCT Plans for the construction or modification of LJ /"A N.,k- % 6rl. Lalw `382.L - domestic wastewater disposal system located iner , Alaska, submitted in accordance with 18 AAC 72.210 by S Eq�;riee have been reviewed and are approved. [� conditionally approved (see attached conditions). TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference) C. APPROVAL TO OPERATE Approved by Date The "APPROVAL TO OPERATE" section must be completed and signed by the Department before this system is made available for use. The construction of the_ _ domestic wastewater disposal system was completed on �-� �y� (date). The system is hereby granted interim approval to operate for 90 days following the completion date. 011 ITITLE DATE As-built/record drawings, submitted to the Department, or an inspection by the Department, has confirmed that the domestic wastewater disposal system was constructed in substantial conformance with the approved plans. The system is hereby granted final approval to operate. (Rev 4/97) 4 TITLE u DATE Distribution: 1. White -Engineer (Complete Section C) 2. Yellow -System File (Complete Section C) 3. Pink -Engineer Muni/Borough (Complete Section 4. Goldenrod-Muni/Borough (Complete Section C) Wrlyfff1111� 1. In a plan view, locate and identify each of the following: a) Well b) All Structures e) Septic Tank d) Soil Absorption System e) Surface Water f) Sources of contamination g) Property Line (Include dimensions) h) Closest well on adjacent property i) Closest septic tank on an adjacent property j) Closest edge of an absorption field on adjacent property k) All cleanouts and monitor tubes 2. Show distances between the well and each of the other items listed in 1. 3. Show distances between water bodies and each of the other items listed in 1. 4. In a cross section view of the soil absorption area, identify each component and show the depth (thickness) of the following: a) Soil Cover b) Absorption Material c) Water Table d) Bedrock e) Discharge pipes OT 3A la LOT 13A SCALE t" = 40' LOT 1 A EPTIC AREA .T. SIT 10' UTILITY ESMT. I 1 1 I C04 1 I J I IA NI%2 T"fit®I I CO - - - - -° NOT EXTENT J Wi -- 57 - I I L J ST DBL2 F" f DBLI NEW TRENCHES CO ,. NEW 6 13 DUPLEX - �- w tr 0 LOT 15A LO 4i / (APPRX.ER `LOC.) CLASS "C" WPT,T. LONG: W 149'32'27" MENDENHALL STREET M IN 0-4I OMDER 1 CRADE) I 2000 GAL. "TIC TANK I CROSS-SECTIONVIEW NOT 10 SOLE Municipality of Anchorage '+ .� DEPARTMENT OF HEALTH & HUMAN SERVICES qt 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST *? ROBERT C. COWAN AT PERFORMED FOR: G�,% , ®®'< %,� DATE PERFORMED+J' LEGAL DESCRIPTION: �S/9 IJ .J j"e/ae Township, Range, Section: FZi-p-w-1 it ,tJ SLOPE SITE PLAN 1 .;' = �M ] 2 0 3 rb 4 0 �C 5 p t 7 A T V Y O 9- 10- 0 100 11 12- 13- 14 2 13 14 51617 15- 16- 17 18- 19 20 COMMENTS -IK) Ca63 L S WAS GROUNDWATER ENCOUNTERED? IF YES, AT WHAT DEPTH? r. Depth to Water After Monitoring? Q2.l Dale: 2G. S L P E ke Reading Date Gross Time Net Depth to Time Water Net Drop E I-ta M"j. 2 Mi,J I ° I ,0, y rA Id. 7N n 5' PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND s FT PERFORMED BY: S & S ENGINEERING 17034 Eagle liver Loop Road No. 2(y¢I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIC 1ff%ffQI4WML GUIDELINES IN EFFECT ON THIS DATE. DATE: / a % 9 % 72-008 (Rev. 4/85) Municipality of Anchorage ' .: DEPARTMENT OF HEALTH & HUMAN SERVICES i; ''' • �� t 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST y� • ROBERT C, COWAN s{< ' rf' CE -8801 PERFORMED FOR. t4lKE -rlgbt4A5 DATE PERFORMED11w,fir `' LEGAL DESCRIPTION:_-�o-r LSA , BLOCV, 3 Township, Range, Section: mid r't�.E L�K� s/O SLOPE SITE PLAN €-'tY ORGAr� G 1-1TI—I 1 rr3 ' T 2 3 .'e F 4 fir. , � f 5 - 6 r� f .. 7 8- 9 10- 11 12 13- 14- 15- 16- 17- 18- 19 3141516171$19 20 COMMENTS 64e"j c>�f SoMi; Co��LEs A� o T�c�cEs �- Safi WAS GROUND WATER ENCOUNTERED? G S IF YES, AT WHAT L DEPTH? OP E Depth to Water After Monitoring? ___. Date: Reading Date Gross Net Time Time Depth to Net Water Drop P EsoAlc, ERtoo 3 •• L40 :oo / �* t3 / PERCOLATION RATE • (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 6 FT AND -7 FT S & S ENGINEERING°' PERFORMED BY:11704 i� Np- 2Q41 ' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WAf;,kWffF-AAW0%I"&7AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) �frz.•xr �� L � `;a¢..... L is f• ,� a •. b 1 • ! dhe P.O. BOX 670272, CHUGIAK, ALASKA 0.0�07:o TELEPHONO W-2750 r - OF • +•' • •r• " '. DESCRIPTION /ar.j4r"e� et _ TAX D` . i :.. allMY;! Is well located at approved permit location? es No � Mthod,of prllling: rotary ( cable.toot ' 060th of wall: o.whg°;rypo ,8 ° L.: Wall Thickness `inchoa-7-777 , Qjam�itar IncheS, depth C feet Lincr'.1ype:o.� Coaing Stickup Above Ground:— static. water level (from ground level): _ feet PUmping•,level: - • ;feet after hfs. pumping 914ft" w Recover fit®: gpm Method of Testing. _ Wall Intake Opening hype: bZran End C3 Open •H®Ip,. ( Screened; Start feet Stopped Meet PBaf�statiQrla<t�rt },+i�� %�}.•.fjh 4sstopped oraut'Type:� Volume t� pth: from feet! to feet. -Pump Intaka Dapth: Pump Size hp Brand Name �r�J�.�►- --S '544/0 . t 14 Y -well usinfeated Upon Completion? Q No tiAetllOd of Dlslnfbctlon: Jam' ..." � . CommentA: Drlli r d. Nome ATTENTION: it Is the responsibility of the property owner to submit a copy of tha well log to the proper authority. Municipality of Anchorage: bepartmont of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. To'd ZOO' ON ni:gT Ah1J1 uer :-1-4, N.T.S. Z 0 r > > rrI 0:;u -V —6 > uz mm M 0 (A y0 o < -0 ;u m m m > z 0 Z 0 to 0 m 00 Z x -r 0 (A rri ,.J—BUILT WATER SCh-MATIC < m o z to 14 V (A m > I m C-) -D ;o > M (A !� C: W m Z O < M z > 0 < m o z to 14 V MUNICIPALITY OF ANCHORAGE oft A—, Development Services Department s 4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-361-24-000 Expiration Date: Legal description FIRE LAKE BLK 3 LT 15A Site address 13720 MALASPINA ST Eagle River AK 99577 Current property owner(s) LEMINGS GARY E & MARY D 9/30/2023 X The On-site system(s) is/are approved for 6 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Ac Original Certificate Date: i 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 x Arsenic Advisory Other COSA Approval—June 2022 MMNMPAUTI Y OF ANCHORAGE Development Services Department p p -� 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. 05136124000 Complete legal description Location (site address) FIRE LAKEBLK 3 LT 15A 13720 MALASPINA ST Current property owner(s) LEMINGS GARY 2. ON-SITE SYSTEMS SIZED FOR 6 BEDROOMS Day phone 232-9077 3. TYPE OF WATER SUPPLY: ❑ Private Well ®❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑® Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 26 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ ,+ �� 0 Waiver Fee $ Date of Payment 10 / Z / Z02,3 Date of Payment COSA # 0 C_ 2 � � 2 fl 9 Waiver # COSA ApplicaUon_June 2022 COSA Checklist Legal Description: FIRE LAKEBLK 3 LT 15A Parcel ID: 05136124000 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 10/13/97 Total depth 101 ft Cased to 101 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 6/8/23 Static water level at beginning of test 62.5 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 51 Date of pumping ❑ Required maintenance completed, if AWWTS Comments: Steel, 25 yrs D. ABSORPTION FIELD DATA Which system tested (date installed) 1997 ❑■ ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 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) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 8+ gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate 0.229 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L XArsenic less than MRL (ND) Collected by NRimEng Date 6/8/23 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 6/8/23 Results g Pass Fluid depth prior to test 24 Water added 900 gal New fluid depth 32 in Elapsed time 60 min Final fluid depth 25 in in Absorption rate 900 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 Effective depth used 25 in Effective depth remaining 23 in in E. SEPARATION DISTANCES From Private Well on Lot ta: (Please enter distances if less than required or if community well on lot) Septic Tank}Ld Station on Lot > 100' 0 Yes if filo Community Sewer Marl holelCleanout > 100' Surface Water? 100' ❑■ Yes if No ft Q Yes if No ft Neighboring Tank > 100' ❑■ Yes if No ft PrivateSewer/Septic Line > 25' ❑■ Yes if No , ft Absorption Field on Lot > 100' ❑■ Yes if filo ft Holding Tank > 100'■❑ Yes if No ft Neighboring Absorption Fields > 100' Water Service Line ? 10' Q Yes Animal Containment ? 50' Yes if No it Fol Yes if filo ft ManureiAniirnal Excreta Storage > 100' Community SeWeF Main > 75' RE Yes if No ft r■ Yes if No ft ❑ NIA — Served by Community Well (not on lot) or Public Water From SepticlHoldinq Tank and Absorption Fields) on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if filo ft Surface Water? 100' ❑■ Yes if No, It Tank to Property Line > 5' ❑■ lies if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑■ Yes if No ft Private Wells > 100' Q Ye -5 if NQ � ft Water Wain > 10' ❑■ Yes if No � ft Community Wells > 200'■❑ Yes if No ft Water Service Line ? 10' Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS * Tank > ' to foundation G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As Cerfifed by my seal affixed hereto 2nd as of the validation data 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 andior W29tewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwrise. Namc oFFirm NorthRim Engineering Engineer's Printed Larne Steve Eng COSA Checklist—June 2022 Phunc 694-7028 Date 6120/23 •�'��`®F `' ®9 4 s * 49 RL* ,Ir �r0"..;.,. Steve Eng. . ;. ��' �= MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT of On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231209 Subdivision: Fire Lake Block:3, Lot: 15A 907-343-7904 Fax: 343-7997 The septic tank for this property is 26 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. N 89059'30"W 185.00 Q°\1b ( A —_____ P POWER LINE P P 30 10 FT. UTILITY EASEMENT --------------------------__---------------------------- 0 00 0 0 4' PVC SEPTIC STD -PIPES (TYP) 0 O p 8 { 5.8' 8 Q 6 Jr 2' CANT. Co O / 0 x.{' f/ 3 2.11 3 w 8 e,4 N 4 .6 8 z zz. {' t 15;8' P• z i �J A B.3' F� d 14 9.5 01 �u 0 well 0 Kel e 1 i 16/98 AS BUILT 41-13 8/20/97 PLOT PLAN 40-14 DATE FLD. BK. Arco.Al °•, 491H t O a Wii' 0. Fl®mingAV o +� °u LS-5773 .• �t •e♦ ee°00, Ar°�esslonat tiona NOTES: Easements not appearing on record subdivision plat are not shown unless description of easement is provided by client. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utilities connections, and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record data. S S Engineering �56 17034 EAGLE RIVER LOOP ROAD g Epp RIVER, ALASKA 99577 (907)694-2979 LEGAL. DESCRIPTION LOT 15A, BLOCK 3, FIRE LAKE, ALASKA MENDENHALL STREET _ _ _ I PLAT NO. j SCALE ( cR ID ]