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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 24DEagl River Valley Ranchettes Loi- 24D 050- 223 -10 Municipality of Anchorage Page -~ of ,,~ " DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspectioo ReD_ort Permit Number: ~'V~C~'~ 15'J PID Number: D~O --~ - ;~ Name: ~~ ~~0~ ~L'~ WastewaterSystem:DNew ~Upgrade Address: 187zTJwh.~rj~~ ~. ABSORPTION FIELD Phone:x~~ ~'~lll,IN°'°fB~rOOms: D Deep Trench D Shallow Trench ~Bed DMound DOther Total Depth from original grade: LEGAL DESCRIPTION S°il Rating: ~,~ GPD/Sq. Ft. Lot~ ~ ~ Block: ~. Subdiv~ion: ~ -- Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ' S~ction: Fill added above original grade: Gravel length: V~s ~,~ ~ ~t. q l.~ ~. WELL: D ~ DrU~ade G~ve, wi0m: I¢.ff ~t. N~m~ro,,i~es:3 ~ismc0~e~nlines: Classification (Private, A,¢: To~pth: Cased To: ~ Total absorption area: Pipe material: ~riller: /~p ~ate Drilled: Static W~ Level: Installer: / / Ft. ~'~ ~ ~ ~. Date installed: Yield: i um. TANK Casing H~ Above Ground: SEPARATION DISTANCES ~sem~c ~ ,o~.~ ~ TO Septic Absorption Li~ Holding Public/Private Manufacturer: Capacity in gallons: From Tank r Field./ Station Sewer Lines A~C~ ~A N ~ l O OO Wel~ ~ ~ / Material: Number of Compa~ments: ~ Sudace ~ ' , / ~r~ ~ w~ter /o0 * /~o ~ / LIFT STATION Lot ~ I Size in gallons: Man acturer: Foundation q, ~ ~ Z ~ I "Pump on"l "Pump I at: larm at: Remarks: BENCH MARK Location and Description: I Assumed Elevation: Department of He th and u Services ap 72-013 (Rev. 9/91) MOA 25 :J¢ AS-SUTLT SETA'rLS WASTEWATER ABSrlRPTION SYSTEH LBT 24D, EAGLE RIVER VALLEY RANCHETTES P,I,D, 050-2B3-10 PERHIT ~ 3~/9501%1 INSULATION / FILTER FABRIC AND 2' INSULATION ~.___ Varies 2' Nlm ~- 0,5' SEPTIciO00 GAL,TANK ~ ~ BOTTOM OF PIPE SE~/ER ROCK BOTTOM DF PIPE~ BOTTDM nF BE]] ~  MONITORED ~ROUND~,/ATER ~ ]BOTTOM OF TESTHOLE KENNETH M. I~I~IJS ~..%. .~$~- ~ 22041 PTARHIGAN ~O~ssloS~~ ~ JEFF & SHARON PETTIT EAGLE RIVER, AK, 99577 ~~~~ 187a7 WHIRLAWAY (907)696-611i/FAX(907)696-811i EAGLE RIVER, AK 99577 ~-3o-95 ~EV, ia-S-a5 DRaWiNG NOT TB SCALE WASTEWATER iDTSPBSAL SYSTEP1 LBT B4D, EAGLE RIVER VALLEY RANCHETTES P,I,D, 050-~3-10 PERMIT ~ SW95015] A - C = 24,2' B - C = 33.3' A - D = 47.4' B - D = 47,4' A - E = 37,2' B - E = 85,4' BENCHMARK PREPARED FfqR: JEFF & SHARBN PETTIT 18727 ~/HIRLAWAY EAGLE RIVER, AK 99577 KND ENGINEERING 20441 PTARNIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fox (907)696-811i 8-30-95~ REV. 10-3-95 SCALE, 1' = 50' DRAWING 95019-S1 ~ND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 October 9, 1995 Jim Cross, P.E. Manager, On-Site Services DHHS 825 L Street Anchorage, AK 99501 RECEIVED OCT .t 0 1995 Health & ,, u,,,~ ~e~ices REF: Lot 24B, Eagle River Ranchettes - Inspection Report Dear Jim: I am resubmitting the inspection report for the referenced property which hopefully addressees the concerns raised by your department. If after your review you have any questions or you would like to discuss this issue further, please call me at 696-6111. Respectfully submitted, · Duffus, P.E. ~1~ Engineering attachments: As-built (rev. 10/6/95) As-built details (rev. 10/6/95) Inspection report (rev. 10/6/95) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE~ ALASKA 99519-6650 PAGE ! OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUHBER:SW950151 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:PETTIT JEFFREY J & OWNER ADDRESS:18727 WHIRLAWAY RD EAGLE RIVER, AK 99577 DATE ISSUED: 7/11/95 EXPIRATION DATE: 7/11/96 PARCEL !D:05022310 LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LT 24D LOT SIZE: 17955 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 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 (18AA072) AND DRINKING WATER REGULATIONS (18AAO80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED OM THE SAME DAY Bo COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8 On-Site Services DHHS 825 L Street Anchorage, AK 99501 June 29,1995 Dear Sirs: REF: Lot 24B, Eagle River Ranchettes - Request for Permit Attached is our request for a permit to upgrade the on-site sewer system for the above lot. The existing system is in failure and the owner is presently without septic and has requested an expedited permit. The subdivision is served by public water and no on-site or public wells will be impacted. As shown on the site plan, there are no conflicts with proposed water lines or existing sewer systems. In addition, there are no class "A" public wells within 200' of the property, and sufficient distance ( 10'+ ) is provided for all area water lines. This lot is generally flat and comprised of mixed birch with a slope of approximately 2% running south to north. The natural slope will provide positive drainage away from the proposed installation site. There is no surface water within 200 feet of any portion of the proposed installation. We performed one soils test within in the proposed absorption area, and conducted one percolation test on this property. The area soils as shown on the soils log are excellent and are comprised of sandy gravel's (GM) with little to no silt. The design we are submitting is based on the existing three bedroom house and a percolation rate of approximately (3.2 min./inch). In addition, water seeps were encountered during the excavation at approximately 8' and at 6.7' after water monitoring. We have been forced to design a bed to insure adequate separation from ground water. Thank you for your consideration of this request. If there are any questions, please call me at 696-6111. Attachments: On-Site Well and Sewer Application Wastewater Absorption System Details Site Plan Soils Log/Percolation Test 0 ESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LET 24D, EAGLE RIVER VALLEY RANCHETTES P,T,D, 050-223-10 FINISHED GRADE ORIGINAL GRADE  ! ORIGINAL GRD FILTER FABRIC AND 8' INSULATION ~ BOTTOM OF BED 1,0' C,O, C,D, °o o C EN 1. Vl,T 2 u C,o,O o 3 4 15' DF LATERALS WILL ]BE CAPPED SOLID D (TYP) IIFI[ 2.5 GM 6.5 9.5' BO DESIGN CRITERIA: 3 BEDROOMS X 150 GPO/BEDROOM = 450 GPD SOIL RATING: 3~2 MIN/IN = USE 0.8 GPD/SF 450 GPO / 0,8 GPD/SF = 562.5 SF ADS. AREA BED DESIGN WITH 564 SF, MAXIMUM 15' WIDE 5. 564 SF / 15'WIDE = 37.5' LONG USE 40' 6, MINIMUM DESIGN SIZE = 15' V x 40' L BED 7. 0.5' MAXIMUM DEPTH BF GRAVEL 8. 2" HD INSULATION REQUIRED OVER FIELD <3' DF COVER 9, INSTALL NEW TANK W/2" HD INSULATION REQUIRED OVER TANK <3' COVER i0. CONTRACTOR TB PUMP TANK AND A]BANDON IN PLACE. i1. ALL SOLID PIPING WILL BE D3034 nR EQUIVALENT. 12. ANY ASPHALT, CONCRETE OR APPERTANENCES DAMAGED OR DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL BE REPLACED BY THE CONTRACTOR AT NB ADDITIONAL COST TD THE OWNER. 13. CONTRACTOR TO VERIFY AND INSURE 2Yo GRADE FROM HOUSE. PREPARED FBR: KND ENGINEERING 22041 PTARMIGAN DR EAGLE RIVER, AK, 99577 (907)696-6111/FAX(907)696-8111 DATE: 6-27-95 DRAWING $ NrlT TB SCALE 95019-02 JEFF & SHARON PETTIT 18727 WHIRLAWAY EAGLE RIVER, AK 99577 WASTEWATER DISPBSAL SYSTEM LFIT 24]3, EAGLE RIVER VALLEY RANCHETTES P,I,D, 050-283-10  sy$~ce~ ~o be abandon ;n p~ace ".,~ O0 ~at.  ~ank pumpe~ abandon m pt ~... .. I I EXISTING HDUgE WHIRLAWAY RBAD Public Wc~cer Lo"c Size Less House/Drive Tote[ AvailabLe 18155 2155 +/- 16~000 +/- PREPARED FBR: JEFF & SHARBN PETTIT 187B7 WHIRLAWAY EAGLE RIVER, AK 99577 KND ENGINEERING 20441PTARHIGAN BLVD EAGLE RIVER, AK~ 99577 (907)696-6111/Fax (907)696-8ill DATE, 6-27-95 SCALE: .V = 50' 95019-S1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR: 0 e f 1c LEGAL DESCRIPTION: L o t 2 41D va1 1 ey 1 Organics 2 (28" fill) 3 4I erc test 5I GM 6 / 7 seeps 8 9 10 12 13 14 15 17 19 20 Pettit Eagle River Ranchettes ~ ~?'~,%_ CE 7116 DATE P E R F O R M~ ~}~ P~ ~ ~h~~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? Y e s S L IF YES. AT WHAT DEPTH? 7 Ei Depth to Water After 6 5 6 / 2 8 / 9 5i Monitoring? ' Dale: Gross Net Depth to Net Reading Date Time Time Water Drop 1 6/21/9510:28 -- 6,, __ 2 10:30 2 min 6.75 .75 3 10:32 2 min 7.5 .75 4 10:34 2 min 8 .5 5 10:35 w~ter aided 6,, __ 6 10:37 2 min 6.75 .75 7 10:39 2 min 7.5 .75 8 10:41 2 min 8 .5 9 10;49 wnf~- n;qH~H R', -- l0 10:44 2 min 6.75 .75 I! :46 2 min 7.37 .62(OVER PERCOLATION RATE 3 . 2 (m,nutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN ~- FT AND ,~ FT COMMENTS Hole pre-.soaked prior to test PERFORMED BY: KND Engineering ~ Ken ~n{fL!s ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85} CERTIFY THAT THIS TEST WAS PERFORMED IN 6/21/95 DATE. ANCHORAGE AREA BORO N°. 840 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM t MAILING NAME H/~I~/ -F-c'ck~/v~-[j . ADDRESS LOCATION ~CHI~ ' ' --: '~ Lt~.,R/ ~. ~ ~ ~-~ LEGAL DESCmPTJON~Ce~'~ ~'~]7 SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY /~>k> GALLONS. MATERIAL T-)-'I~Ct-~ ~Sj"~e::.L-- NUMBER OF COMPARTMENTS LIQUID INSIDE LENGTH -- INSIDE WIDTH -- DEPTH_ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: _OUTSIDE DIAMETER OR WIDTH ~C/ ~ . LENGTH --?~ ' , DEPTH .,~ ' DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , BUILDING FOUNDATION --.-~?' SQ. FT. TILE DRAIN FIELD: FROM WELl FOUNDATION. N EAR EST L.~O~J,~~ DISTANCE NUMBER OF LINES DISTANCE BETWEEN LI~ ~//~"~' TRENCH WIDTH ABSORPTION AREA S.(~4:' .T~ LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH G'~'D~'~~ ~'/ DEPTH OF FILTER MATERIAL BENEATH TILE. TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE / DISTANCE FROM WELL: TYPE Obgr)fflbt~5 ~ , DEPTH , BUILDING FOUNDATION NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE , TANK SYSTEM WATER SAMPLE . CESSPOOL NEAREST OTHER , SOURCES DISTANCES: DIAGRAM OF SYSTEM HEALTH AUTHORITY G REA~'~&'~ ANCHORAGE AREA DEPARTMENT OF ENVIRONMENTAL QUALITY 350'0 TUDOR ROAD POUCH 6-65,0 ANCHORAGE. ALASKA 995.02 TelePhONe 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION iNSTALLATiON OF: SEPTIC TANK TYPE AND SIZE Of FACILITY TO be SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE PIT TO BE INSTALLED BY DRAIN FIELD OTHER NOTE: THIS PERMIT iS NOT VALID WITHOUT SOIL TEST · :' - , -x~ -" / ~.-:: FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ./x ~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE PIT ' ' SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK :- ' DRAIN FIELD SEEPAGE AREA SIZE DRAIN FIELD , DRAIN FIELD SEEPAGE PIT ALSO CONSiDEr Area WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, .. SEEPAGE PIT TO RIVER, LAKE, STREAM. ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GaP OF EXCAVATION 5 FEF~T~J~T_O_U._N~D.ISTURB-ED-SO'jL' 4 INCH DIAMETER~ CAST- IRON SIPHON PiPeS ON SEPTIC TANK AND SEEPAGE Pit Fitted With AIRTight REMOVABLE CAPS. GRAVEL BACKFILL CONfORM~TO BOROUGH REGULATIONS regarding INSTALLATION. ,/ ,: --..~.-': -: .-. HEALTH AUTHORITY Or LICENSED D~ESIGN ER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ' ' APPLICANT'S SIGNATURE "" :' , .... ' , ~ ' ' ~: MUNICIPALITY OF ANCHORAGE ( ' L‘s) Development Services Department °\ Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval ,l Parcel I.D. 050-223-10 Expiration Date: c 7 -20 a V 1. GENERAL INFORMATION Complete legal description EAGLE RIVER VALLEY RANCHETTES Lot 24D Location (site address) 19107 Whirlaway Road Current property owner(s) Krueger Day phone 244-1930 Mailing address Real estate agent Cindy Wilson . ,)--06h- .)phone ,7L4-1930 v 2. TYPE OF DWELLING: WW1 - x Single Family (w/wo ADU) MAY " 1! 2019 Duplex . Multiple Dwellings (Single Family and/or Duplex) w O/ 6 8 L9c 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Li Private Septic El Water Storage n Holding Tank ❑ Community Well n Community ❑ Public Water System [ Public Sewer n Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 551) Waiver Fee $ Date of Payment 030/ Date of Payment Receipt Number /ice5C/'010-040 Receipt Number d COSA# /O Waiver# 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 NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 5/31/19 « tt OF A(,/e'it. 6. DSD SIGNATURE ' 4. / ...-.� �• e.3. X. System #1 Approved for bedrooms System #2 Approved for bedrooms o Disapproved '/ Conditional approval for bedrooms, with the following stipulations: •••4. �."4'`' #Qp j�-r( OF<<��Lre(jr ON-SITE WATER AND m WASTEWATER o1 PROGRAM cS4FN By: l— Original Certificate Date: �– 7^ 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 I ot,v. _ 2`{ Yea^ COSA Checklist blue sheet COSA Checklist Legal Description: EAGLE RIVER VALLEY RANCHETTES Lot 24D Parcel ID: 050-223-10 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA FLbl a- ❑ Well log is filed with Onsite (or attached) Well production at time of test -Om Date drilled Water storage tank volume _gallons Total depth ft Well disinfected for coliform test? ❑ Yes ❑t No Cased to ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height(above ground) in. Collected by Date of flow test for C6SA Date of Sample Static weer level at beginning of test ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) P""`5 years ❑ Required maintenance completed Tank type/material Steel Age of lift station years Measured operating fluid level in septic tank 48" Lift station material O Standpipes/foundation cleanout per record drawing Comments: Date of pumping c, "7 ` iq D. ABSORPTION FIELD DATA 8/11/95 Which system tested (date installed) 8/11/95 Adequacy test date 5f28119 ❑■ ALL standpipes present per record drawing Results Q✓ Pass For 3 bedrooms Total measured depth from grade 3 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 2.5 ft(min) Water added 450 gal ❑ N/A—pressurized field New depth 2 in ❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 30 min depth into effective ❑■ Code-required soil cover over field Final fluid depth 0 in Absorption rate 450 gpd 0 System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) 2000 If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet 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' Community Sewer Manhole/Cleanout > 100' E Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑Yes if No ft Private Sewer/Septic Line > 25' El Yes if No ft Absorption Field on Lot > 100' ❑Yes if No ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' p Yes if No ft Surface Water> 100' ❑✓ Yes if No ft Property Line > 5' El Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ✓❑ Yes if No ft Private Wells > 100' ✓❑ Yes if No ft Water Main > 10' p Yes if No ft Community Wells > 200' ✓❑ Yes if No ft 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' 0 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' El Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS 01- G. ENGINEER'S CERTIFICATION �"as �G +0.�'` eS�a vt so It) , '` 19 I certify that I have determined through field inspections and review ` ted 34. of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. �� ''',:r. �r IV' SMP''. E c C COSA Checklist yellow sheet MUNICIPALITYOF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT I • f r,'" 907-343-7904 On-Site Water and Wastewater Section \ 4 Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval #0SC191204 Subdivision: Eagle River Valley Ranchettes Lot 24D Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $6,000 to $9,000. 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 20 year old steel tank MAY look like. ag, Par.11 .Y bit is 1 •c' . l , to -IV4 3' y l - 2f nt• o +' *Lois,.,- v, �df�a �• , Mailing Address: P.O. Box 196650 * Anchorage,Alaska 99519-6650 *www.muni.org Municipality of Anchorage Development Serv!c~s Department · ~ ~ ~-"'~ ,.-, Building Safe,y Div[s. ion On-Site Water & Wastewa~er Program P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.o~9/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-225-10 1. GENERAL INFORMATION COSA# © Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailidg address EAGLE RIVER VALLEY RANCHETTES S/D; LOT 24D 18727 WHIRLAWAY DRIVE * EAGLE RIVER, AK * 99577 SHARON PETI-IT Day phone 18727 WHIRLAWAY DRIVE * EAGLE RIVER, AK * 99577 Day phone D'ETRE OWENS W/ KELLER WILLIAMS Day phone 440-2,315 101 W. BENSON BLVD, #505 * ANCHORAGE, AK * 9950,3 Unless otherwis'e'tequested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site · 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. As ce,c/fled by my sea/affixed hereto and as of the vafidation date shown u~ovv, ! ...... ~" '"~' my investigation, based on procedures outlined in the Certificate of Qn-Site Systems Approval Guidelines for this application, shows ~'~ '~' ~ ;~ . , .... ~,,e o,~-s,~ water supply and/or wastewater disposal~sy~m~ ,~i~ (~].~,~. s~.,~, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the ..on.~o. .u,~,.~d the Municipality ~' ~ ~ .... m ~ ~ ..... ~,.o~,~+~ ~ ~.~;~. ~h~ on-site water supply an~r wastewater disposal system is(are) in compliance with all appficable Municipal and State codes, ordinances, and regulations in effect at t,Se time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 357-6179 Address 5701 Eo TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's 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 & 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. TOe operational life of all wells and septic systems depend on the local soils condition, groundwater levels 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 test 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 wifl continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any refiance upon or use of this repor~ bY any other person or party is not authorized~ nor will it confer any !eg~,l right whatsoeve'r. '. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for ee ON-SITE ';' bedrooms. ATER AND : m'- WASTEWATER .: --- .. PROGRAM · bedrooms, with the following stipulations: ~.~.o, ,,' ~ Attachments: Septic System Advisory Well Flow Advisory ~1~,.~ ~,.~ ,~uv:~O~ y rsen!,~ Adviso,.-y Maintenance Agreements Supplemental Engineer's Report Other 2~/'~~ Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 EImore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: EAGLE RIVER VALLEY RANCHE'FI'ES S/D; LOT 24D Parcel ID: 050-223-10 A. WELL DATA IPUBLIC WATER I Well type If A, B, or C provide PWSID# __ Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (~ Total depth .ft. Cased to ft. Casing he__round) in. FROM WELL LOG AT I,..NSPECTION Date of test Static water level .ft.~ .ft. Well production _,---'~ g.p.m, g.p.m. WATER SAMPLfi RfiS~~ Coliform ~ colonies/100 mi. Nitrate mg./L. Collected by: Ars~'nic: ~ ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 6/15/2011 Pumper Date installed 8/11-12/1995 Cleanouts (Y/N) YES High water alarm (Y/N) N/A ONE STOP SERVICES Co ABSORPTION FIELD DATA Date installed 8/11-12/1995 Length 41.5 .ft. Total depth '2.8-3.1ft. Eft. absorption area 685 ft2 Monitoring tube YES Date of adequacy test *'6/14/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Wateradded 670 gal. Elapsed Time: - min. Final fluid depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NOTE: DRAINFIELD WAS INSULATED PER ORIGINAL INSPECTION REPORT. **HOUSE TIME OF TEST. DRAINFIELD WAS PRE-SOAKED WITH 1000 GALLONS IMMEDIATELY I'BELOW EXISTING GRADEI Soil rating ~or ft2/bdrm) 0.8 System type BED Width 1 6.5 ft. Gravel below pipe 0.5 ft. Depression over field NO For ,3 bedrooms New depth 0 in. Absorption rate >= 450+ g.p.d. NONE KNOWN If yes, give date - WAS VACANT AT PRIOR TO TEST. D. LIFT STATION Date installed "Pump on" level at__ Size in gallons Manhole/Access (Y_..~.~) .in. "Pump off" leve~ High water alarm level at ,in. Datum ~ Cycles tested E. SEPARATION DISTANCES Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots ~eanout Public sewer main Sewer/septic ~ --------~ Holding tank ~nment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation · 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line * 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~0/4'' Building foundation. 10'+ Water service line * 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ Water main. 10'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS *PER ENGINEERS AS BUILT' DRAWING 10 3 1995, EXACT DISTANCE UNKNOWN_. G. ENGINEER'S CERTIFICATION ~.~"'~ O.k....~.,~,.7~ - I 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 ~/~?-/t~ COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number One Stop Services, ~C 7654 Old Harbor Ave Anchorage, AK 995'0 ~-~9.~0 offg07-339-5563 F~x 90%338-5564 nvoice Date i invoice # 6/t5/201! t 3567 '? Due on receipt Item Quantity Description Rate Amount Job Site: 18727 Whirlaway Rd pumptruck 1 pump out sepric tank ~~ ~ Thank you for your business. Total d£0:60 b I, OF, [] [] [] S 89N 59' 15" E 133.00 ! 0' UTILITY ~ASEMENT CHAIN I.INK FENCE Oo O 0 0 CONCRETE V/ALKWAY 13.9 GRAVEL PARKING AREA SHED GRAVEL DRIVEWAY 54.0 SINGLE FAMILY FRAME HOUSE 5t.1 20.1 S 89N 59' 15" E 133.00 WHIRLAWAY ROAD AS-BUILT SURVEY 1" : 20' THE INFORfAAT~ON HEREON IS FOR THE USE OF LENOIN~ INS~-[TUT[ON5 5PEC[FZCALLY TO SHOW CONFLICT5 BE~EN E~5~N6 5~UC~RE5 AND PLAID LOT ~NE5 AND/OR EASEMENTS; ~ND 15 NOT TO BE USED FOR POSI~O~N~ AbDI~ONAL 5~UC~RE5, IMP~O~MENT5, O~ FEN~NES. EASEMENT5 OF RECORD, O~ER THAN THOSE APPEA~N6 ON THE RECO~D PLAT, ARE NOT 5HO~ HE~EON ( UNLE55 [NO,CArD) NO~: ~NdEL~NE5 ~T ~AY APPEA~ ON ~5 ~A~N6 A~E NOT TO gE USED TO DE~R~NE P~OPE~ LINE50~ PO~ON ADD[~ON~L ~P~O~ENTS. ~NY P~N6 SHOWN HE~EON ~AY BE APP~O~ DUE TO EXCESSZ~ 5NOW AND/O~ Z~. NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 24 D, EAGLE RIVER VALLEY RANCHETTES ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IRPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO V~SIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _22ND DAY OF 3UNE 2011. HOLT LANb SURVE'Y'~N~ [11618, FB 146-33] 600 HIeHVIEW OR,YE ANCHORA6E~K 99515 345-5513 0 0