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Home My WebLink AboutFIRE LAKE LT 3 LT J1AFire Lake Lot JIA Lot 3 #051-333-45 Gr'~ATER ANCHORAGE AREA BORO"'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 688 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPlIC lANK: DISTANCE FROM WELL LIQUID CAPACITY /~/~ '~/~ LEGAL DESCRIPTION ~__ _,..., __~,'~. / MATERIAL q~'14t~2 ~: NUMBER OF COMPARTMENTS Z~ )~/I//('Z:' ~ ~A ~'~/L: ~ LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH ~ SEEPAGE SYSTEM: SEEPAGE PIT: / NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH ! / / LINING MATERIAt Zf')()~' (,~/J'~f'/(/C,) DISTANCE FROM WELl 9¢~ / / / NEAREST LOT LINE -~ ~1 IOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) / , LENGTH /~ , DEPTH BUILDING FOUNDATION ~ '~(/' SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL _- .~ ..... ; FOUNDATION NEAREST LOT LINE OF LI~ES / NUMBER OF LINI~ DISTANCE BETWEEN LI TRENCH WIDTH ~-'~ IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE~-~. "' DE~TH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE -- DISTANCE FROM / WATER WELL: TYPE /~"/,~/,/~g /~.~ DEPTH , BUILDING FOUNDATION. , SAMPLE , NEAREST .... NEAREST SEPTIC ,-/ / SEEPAGE ('/~.~ / ..... OTHER LOT LINE , SEWER LINE ~ ,TANK ~) E~ , SYSTEM , CESSPOOl , SOURCES DISTANCES: t,/tA:i ~;/. 1[~ DIAGRAM OF SYSTEM DATE H£ALTH A.~Jq O RliY NAME OF APPLICANT LEGALDESCR,PT,ON O':- 7 I' Z A' C INSTALLATION OF: SEPTIC TANK ~/ SEEPAGE PIT GREATER ANCHORAge Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3S00 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TElEPHONe 279-86S6 s w^oE D,s.os^L s s. M -- ^..,c^.,o. ^.D OTHER DRAIN FIELD. ., SOIL TEST RESULTS ' (/ // ,'~1 V~Y/-~-,//~' /~"~' /2:~? NOTE= THIS PERMIT IS NOT VALID WITHOUT ~OIL FINAL INSPECTION; 24 HOUR NOTICE REQUIRE[~. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY' WILL SE ~IUSJECT TO PROSECUTIOI~'l. SEPTIC TANK SIZE Z~--~ TYPE. __ SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUlREM~N~FS FOUNDATION TO sePtIC TANK FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE PIT WALL TO NEAREST LOT LINE. WELL TO SEPT,C TANK DRAIN FIELD i DRAIN FIELD . DRAIN FIELD i SEEPAGE P]T /~ C ALSO CONSIDER AREA WELLS. SEEPAGE P,T /~: WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ' , SEEPAGE PIT , DRAIN FIELD TO riVEr, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETEr CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONPORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, OR LICENSED DESIGNER DIAGRAM OF SYSTEM CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE \ DESCRISED SYSTEM ]S IN ACCORDANCE WITH SAID CODE. D APPLICANT'S SIGNATURE / "~' ~ F', ~" ~.-~ Municipality of Anchorage Development Services Departme t V --j Building Safety Division Onsite Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 I = �$f■ w onsite (907)343-7904 I CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. FF, I - 333 - Lf r-7 COSA# 0.p n Cron 9 1. GENERAL INFORMATION Expiration Date: /-17-07 Complete legal description _FIRE LAKE SUBDIVISION: LOT 3. LOT J1A. Location (site address) 18515 FISH HATCHERY ROAD • EAGLE RIVER. AK 99577 Current Property owner(s) SANDY BELINKY Day phone c/o AGENT Mailing address c/o JAN DEERING w/ REMAX PROPERTIES Lending agency Day phone Mailing address Real Estate Agent JAN DEERING w/ REMAX PROPERTIES Day phone 694-4258 Mailing address 16600 CENTERFIELD DRIVE • EAGLE RIVER AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems 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 samples. (Certificates may be reissued 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. 4. 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 Certiricate 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 6 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the We/ soils condition, groundwaterlevels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory fest results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefif of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for -2� bedrooms. Disapproved. Phone 337-6179 Date I D t 7 ti b ;kCE-7953 .............. y A. Conditional approval for bedrooms, with the filowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other �n�zt((OF f rf��Sp% ON-SaE c WATER AND WASTEWATER PROGRAM By: �• I Original Certificate Date: /0—/9-06 (R".11M) Municipality of Anchorage ' Development Services Department Building Safety Division OnStte Water b Wastewater Program : 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995198650 www.muni.arglonstte (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: FIRELAKE SUBDIVISION: LOT 3, LOT J1A, Parcel ID: A. WELL DATA 'SEE ATTACHED LETTER FROM ARCTIC PUMP & WELL. Well type PRIVATE_ if A. B, or C provide PWSID# N/A Date completed ^1964 Sanitary seal (Y/N) YES Total depth ' 116 ft. Cased to '40+ ft, FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform _ 0 colonies/100 ml. Arsenic: NO ug./L. S. SEPTICIHOLDING TANK DATA Nitrate —ND mgA. Well Log (YM) NO Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 9/29/2006 25 ft, 3.9 g.p.m. Other bacteria _0 colonies/100 ml. Date of sample: 9/27/2006 Collected by: _ GEG, Ltd. 'INSIDE CRAWLSPACE Tank Type/Material UNKNOWN Date installed —1964 Tank size 1000 gal. Number of Compartments LINK Cleanouts (Y/N) YES Foundation deanout (Y/N) `YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 7/25/2006 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date Installed "1954 Soil rating (g.p.d./ft'or ft%drm) UNK System type CRIB Length UNKNOWN ft. Width UNKNOWN ft. Gravel below pipe "3 ft. Total depth *84 ft. Eff. absorption area UNK to Monitoring tube YES Depression over field NO Date of adequacy test 9/29/2006 Results (Pass/Fall) PASS For E bedrooms Fluid depth in absorption field before test DRY in. Water added 470 gal. New depth 36.5 in. Elapsed Time: 147 min. Final fluid depth 32 in. Absorption rate >= 300+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — ••3 FEET PER FIELD INSPECTION. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN 'Pump on" level at _in. 'Pump ofr leve High water alarm Ievei at in. Cycles tested Meets alarm & circuit requirements?, E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAM station on lot •50'+ Absorption field on lot •50'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEPTIC INSTALLED PRIOR TO 1969 (t1•+1)oC G. ENGINEER'S CERTIFICATION 1 certify that I 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. Engineer's Printed Name JEFFREY A. GARNESS Date 101(710/6 COSA Fee &L/30- Do 4- 17 5- U U Data of Payment 1 0I � o C Receipt Number Q C S 19 (Rev. 11105) Waiver Fee $ J�J-'IZD) '�F' •' F. • " qS .. .. ................ e orness: E-795 bin.. ' .4. /0>'1'7 cow Date of Payment Receipt Number wqf SCS ReLN 1065817001 Client Name Gamess Engineering Group, Ltd. Project Name/N Fire Lake SD Lot 3d IA Client Sample ID Fire Lake SD Lot 33 IA Malrk Drinking Water Sample Remarks: All Dates/Times are Alaska Standard Time Printed Daldflme 10/05/2006 15:33 Collected Date/time 09/27/2006 7:45 Received Date/time 09/27/2006 11:42 Technical Director Stephen C. Ede Allossabic Prep Analysis Parameter Results PQL Units Wthod Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/29/06 10/03/06 WAW Waters Department Nitrate•N ND 0.100 mg/L EPA 353.2 D (<10) 09/27/06 ALR Microbiology Laboratory Total Coliform 0 col/IOOmL SN1209222B A (<I) 0927/06 DPT sent By: Re/max 01 Eagle River, Inc.; 907-694-1708; Sep -26-06 15:21; page 2/2 �bgOb Qj y g 5 Q 6$ 8 : # it ..3 .: w I ` 4 LL: , ff tu I � I I 'ea I � N '�r•�rs oa000�pppp GARNESS ENGINEERING GROUP, Ltd. GENERAL ])01 G n.°on CW WPAcc• w "W7 ,.pL CONTRACTORS r(M)= " • .r...�. p�.�rq:wp.•.n, V /•. � . SOIL LOG — PERCOLATION TEST Q LEGAL DESCRIPTION: FIRELAKE SUBDMSION; LOT 3, LOT J1A, 9 ••.Je y A. crness; PERFORMED FOR: SANDRA BEUNKY °p. '. CE -7953 DATE - —9/29/2006 29 2006 ° DEPTH (feet) ---= ORGANICS TEST HOLE 1 44�0D0000�000 1 SOIL CLASSIFICATIONS 2 GW _cc_ ORG 3 GP ML GM CL a GC OL N • •°• : SW MH 5 '°•' ' SP CH SM . ; off SEE ATTACHED 6 SC AS -BUILT 7 TO GM GROUNDWATER DATE 8 DRY 9/29/2006 DRY 10/6/2006 9 SCALE: 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12 �O 14- 15-0 4 15 B4O.1L ��pN 16- 17- 18- 19- 6 17 1919 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: CALEB CALL PERCOLATION TEST PERFORMED BY: - COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS JPERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: f0 i Sent By: Re/max of Eagle River, Inc.; 907.694.1708; Oct -14-06 12:26; ARCTIC PUMP & WELL INC. A Jim Sullivan r-1 1� PO Box 770197 FEFeugic River, AK 99577 Fe (907) 688-2510 October 11, 2006 Remax of F,agle River Jan R -F- 18515 Fishathery On 10-11-06 We Performed A well survey at this property 22 static 94 pump set Dempster I OF2-50-S2 Date code 10/96 118 deep 6 pittless S-50 40+ casing We also installed A MOA Well seal Please feel free to contact us with any further questions. Since ly, m Sullivan Page 2/3