HomeMy WebLinkAboutRAMPART #1 LT 8Rampa t Lot 8 #015-071-11 Department. of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS /~0. ~-'~ ~/'~5~</ PHONE LEGAL DESCRIPTION ~v?~'/,f)/_¢,~ ?h~/ Z/£~7 SEPTIC TANK: DISTANCE FROM WELL ¢ M A N U F AC T U R E R ~-~'/0-O~ NUMBER OF MATERIAL ~.<~-/g~-,~ Z~ ~/j~-//~d~'/'_.~OMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /'~'~ GALLONS. SEEPAGE PIT.' NUMBER OF PITS / DIAMETER_'~ OR WIDTH /'~: LENGTHZ~f, DEPTH (~z LINING MATERIAL ~?/?/~,Z~~ CRIB SIZE: DIAMETER~DEPTH~(;~7 g. DISTANCE FROM: / TOTAL EFFECTIVE BUILDING FOUNDATION ,~L-/ / NEAREST LOT LINE ~ WELL ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION __ CESSPOOL . APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: /f-~.~'nG"~ PIPE MATERIAL: LOT SLOPE: REMARKS: APPROVED G,A.A,B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUBOR ROAD POUCH 15-650 ANCHORAGE. ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF; SEPTIC TANK . ~ SEEPAGE PIT / . DRAIN FIELD -- , OTHER SOIL TEST RESULTS /~ ~/ ~ ~ NOTE, THIS PERMIT IS NOT VALID WITHOUT ~IL COMPLETION DATE ANTICIPATED. ~/T -- FINAL INSPECTION= HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /~ TYPE f~'~fE~:-_~ ~ SEEPAGE AREA SIZE FOUNDATION TO SEPTIC TANK__~ / SEPTIC TANK TO SEEPAGE PIT WALL __ /~ / / _. DRAIN FIELD 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DIAGRAM OF SYSTEM SEPTIC TANK ~"~- / ., SEE. PAGE PIT ~ TO NEAREST LOT LINE. WELL TO SEPTIC TANK _ ~"~ / / . SEEPAGE Pit 5E~IC TANK, ~ / .. 8EEPAGE PIT . /~J / ~CCAS~.T IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP CF EXCAVATION 5 FEET INTO U~D~-~]-~U~BED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC 'lANK AND SEEPAGE Pit GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGAROING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE RECIUiREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCf£ NO. 28-~8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SA~D CODE Performed For Leoal Description: Lot ~ Block This ~orm Reoorts Soils Loq "One test is worth a thousand opinions" ~Co Date Performed Subdivision Percolation Test ~eoth Feet Soil Characteristics 1 2, 3 5 7 Was Ground Water Encountered? If Yes, At what Depth? I Readinq Date Gross Time Net Time Depth to H20 Net Drop I' Percolation Rate Minute Proposed Installation: Seepage Pit ~t~ Drain Field De~th of Inlet Depth~To Bottom Of Pit Or Trench COMMENTS: /'70 ~ ~e n'~_~ ~"~c:~x~o ,,':)t~_c:c_ ~/~d Test Performed By ~ '~~ Data Certified By:~.,.~ ~LOg MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241516 Parcel ID 015-071-11 Expiration Date: Legal description RAMPART #1 LT 8 Site address 5640 E 99TH AVE Current property owner(s) MAHANNA CAITLIN & X The On -site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: The well casing was scoped in 2016 and no issues were found. Nitrate levels exceed 5 mg/L at this COSA application. If concentrations increase during a future COSA action, the well casing will need to be scoped again at that time and additional investigation made to confirm why concentrations are increasing By: Original Certificate Date: 3/3/2025 This Cert ica 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 Service 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 submittal. ATTACHMENTS: COSA Checklist Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory Arsenic Advisory MUNICIPALITY OF ANCHORAGE Q Q"' Development Services Department 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. 015-071-11 Complete legal description RAMPART #1 LOT 8 Location (site address) 5640 E 99TH AVENUE, ANCHORAGE, AK 99507 Current property owner(s) MAHANNA CAITLYN & DICKEY PATRICK Dayphone 2. ON -SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: Z 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: [E Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: E Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 8 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Z 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 $ Date of Payment COSA # Waiver Fee $ Date of Payment Waiver # COSA Application.doc COSA Checklist Legal Description: RAMPART #1 LOT 8 Parcel ID: 015-071-11 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 CIRCA 1968 Total depth *40+ ft Cased to *40+ ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 11/6/24 Static water level at beginning of test 36 ft. Well production at time of test 4+ gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 5.15 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) FWr Collected by Date 2/20/2025 Comments *Per MOA record documents and acoustic readings during well flow test. Satisfactory well scope in 2016 per MOA docs. B. TANK DATA Measured operating fluid level in septic tank 51" Date of pumping 11/5/24 ❑ Required maintenance completed, if AWWTS C . u$Ttu LIm D. ABSORPTION FIELD DATA Which system tested (date installed) 4/23/16 ® ALL standpipes present per record drawing* Total measured depth from existing grade 10.6 ft (max) Measured depth to pipe invert from grade 4_1 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ® Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 11/6/24 Results E Pass (South Trench Tested) Fluid depth prior to test 0 in Water added 840 gal New fluid depth 32 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 750 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in (MOA V ED) Effective depth used 0 in (Final Fluid Depth) Effective depth (ED) remaining 72 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots, visual observations MOA records & appears approximate Tested the south trench only. *Northern trench pipes were previously found & present but could not be relocated in snow, solid. ice (like concrete) - all the pipes of this system are cut really low and recommend installing small metal/rebar for each pipe during the warmer season so metal detector can locate more easily. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No *85 ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Holding Tank > 100' ® Yes if No ft li' 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 ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No **5+ ft Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No *0 ft Private Wells > 100' ❑ Yes if No *75 ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft F. ENGINEER'S COMMENTS If tank or field is under driveway comment below *MOA WAIVERS ISSUED PREVIOUSLY. GRAVEL SECONDARY DRIVE / PARKING AREA NEAR TANK WITH NO KNOWN FROST ISSUES NOR CAN OR ARE VEHICLES ABLE TO DRIVE OR PARK OVER THE TANK. **PER CODE AT TIME OF TANK INSTALL. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907.350-9566 Engineer's Printed Name CURTIS HUFFMAN PE Date 12113/2024 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 or NO 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 & COSA Checklist.docx Aw .. ., love *. 7H . , .:* 10 t V .. Curtis Huffman AW CE 128991 •w/ �} d}��. • 1;/13/14 -'�.� ..- l��F�RROFESS1i10 DEVE O MEEI�J i SERVICES DEPARTMENT '� \' 907-343-790 t On -Site i Water and Wastemiater Section \ �% Fax: 3a43- 997 Nitrate Advisory Certificate of On -Site Systems Approval # OSC241516 Subdivision: RAMPART #1, Block: , Lot: 8 A water sample revealed a nitrate concentration of 5.15 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P Q Bdk 196650', Anchorage, ACaska 99519-6550 *,,,www mun org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical' methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address P :O Box 196650 *Anchorage, Alaska 99519 6650 * www.muni org . ANCHORAGE /t.\ 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. 015-071-11 Expiration Date: 9? --r �_ Z ©Z Z 1. GENERAL INFORMATION Complete legal description RAMPART #1 LOT 8 Location (site address) 5640 E 99TH AVENUE, ANCHORAGE, AK 99516-6424 Current property owner(s) ANDREW & STEPHANIE CLARY Day phone Mailing address Real estate agent 5640 E 99TH AVENUE, ANCHORAGE, AK 99516-6424 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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 $ 550 Waiver Fee $ Date of Payment _{n� 2_d�Z Date of Payment Receipt Number ZI G072 Receipt Number COSA # 22 1113c6 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER --_=As- certified -by-my seal-affixed-hereto-and-as_of-the-validation=date= shown -be low; l verify-thatmy-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 5/512022 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 & FWES 6. DSD SIGNATURE System #1 Approved for S bedrooms System #2 Approved for bedrooms Disapproved 1 � j *: 49TH I. • ' . • .. Curtis Huffman' ��' �'c�G,/•, CE 128991 .•���/ ,0PROFESS -ft— Conditional approval for bedrooms, with the following stipulations: \PNLITY 0 -6' i J O _ o, `� o W411—qT F RAAii. J O C = ti44 ,9) )SERVICES By: Original Certificate Date: 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: RAMPART #1 LOT8 Parcel ID: 11 015-07 11 1-11 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled CIRCA 1968 {HOUSE BUILT PER MOA) Total depth 40+ ft (PER MOA DOCS & TEST) Cased to 40+ ft (PER MOA DOCS) ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/4/2022 Static water level at beginning of test 38 ft. Comments B. TANK DATA Age of tank(s) 6 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 5/4/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 4/23/2016 ® ALL standpipes present per record drawing Total measured depth from grade 10.6' & 9.9 ft (max) Measured depth to pipe invert from grade 4.6' & 3.6 ft (min) Structure served by this system Well production at time of test 3+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 4.42 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Fwc Collected by:: Date of Sample 5/4/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 5/4/22 Results Z Pass For 5 bedrooms Fluid depth prior to test 11" & 7 in (SOUTH AND NORTH) Water added 450 & 450 gal (900 TOTAL) ❑ N/A— pressurized field New depth 21" & 21 in ® Monitor tubes go to bottom of effective. If not, state Elapsed time 1300 min depth into effective MOA IR SHOWS 6' ED Final fluid depth 11" & 7 in ® Code -required soil cover over field Absorption rate 750 gpd ❑ System presoaked Any rejuvenation treatment (past 12 months) N (Required if vacant for greater than 30 days prior to — date of test) If yes, enter date Gallons introduced gallons WE Comments/Deficiencies: MTs / COs MEASURED AT GRADE. CAPS AT GRADE. E. SEPARATION DISTANCES :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' Surface Water >' 100 _ ®Yes if No ft Property Line > 5' Community Sewer Manhole/Cleanout > 100' if No ❑ Yes if No *85 ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® 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' ® Yes if No ft Surface Water >' 100 _ ®Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells >100' _ El Yes if No *75 ft Water Main > 10' ® 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *0 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ❑ Yes if No *85 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 *MOA WAIVERS PER MOA FILE DOCUMENTS. GRAVEL DRIVE NEAR TANK 0'+/- WITH NO KNOWN FROST ISSUES. G. ENGINEER'S CERTIFICATION I 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. Asw • .t� �• THS • ..• •.......�..�.... 409'*- CurtisHuffman CE128991'�l�c,' • 5123/2;. ••t\4U A— pROFESSION� .� ����R-,Nz4. If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: RAMPART #1 S/D LOT 8 Parcel ID: 015-071-11 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed unkown Sanitary seal (Y/N) Y Total depth 40'+ ft. Cased to 40'+ ft. FROM WELL LOG Date of test Static water level ft. Well production WATER SAMPLE RESULTS: Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) 18" AT INSPECTION 211112016 40.8 ft. g.p.m. 2.7+ g.p.m. Coliform NEG colonies/100 mL Nitrate 3.69 mg/L Arsenic: ND ug/L Date of sample: 211112016 Collected by: Garness B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 412312016 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping NEW Pumper NEW C. ABSORPTION FIELD DATA — 1985 SYSTEM TESTED Date installed 4/2312016 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type DEEP TRENCH Length 27132 ft. Width 1.5 ft. Gravel below pipe 6.0 ft. Total depth if ft. Eff. absorption area 708+ ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) NEW For 5 bedrooms Fluid depth in absorption field before test NEW in. Water added NEW gal. New depth NEW in. Elapsed Time: NEW min. Final fluid depth NEW in. Absorption rate >= NEW g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date REATER ~NCHOP~.GE AREA BOROUGH .~'~LTH DEP~aR%ENT 327 E,~GLE STREET ~NCHO~GE, ALASKA 99501 279-2511 REQUEST FOR APPROFAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES FOR Approval Requested By. Phone_, 2. Property Owner ~f ~'~d/i'~:- Phone 4. Type of Facility to be Inspected~/~.//r~. ~/~.~/~STREET: Number of Bedrooms ,~ ~ ~ ' ~ S. Well Data: B Depth, - '/ C. Size ,, j,,,f // D. Construction E. Bacterial Anaiysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 1. Size 2. Age_ 3. b~anu£acturer 4. Installer Approval Request for Se ,e ~ Water Facilities Page Two Seepage Pit 2. Lining C Disposal Field 1. Number of Lines 2. Total Length 7. Required Measurements D. E. F. G. H. 8. COMMENTS: A. Well to Septic Tank .......... ~-~ B. Well to Seepage Pit .~O r Well to Sewer Line ~ IVell to Other Possible Contamination Foundation to Septic Tank,,.~-~Z~-~,_ Foundation to Seepage Pit See~ag~ Pit to Property ~ d) / DATE APPROVAL VALID FOR ONE YEAR FRO~I DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMEI~ EDll70 NoveL,bet 29, 1972 Mr. ~?i~ Irving Irvinq ?~ Company P.u. i;ox 4544 Ancnora~)e, Alaska 99501 Subjec~c: On-site sewer sy.$~em on Lot 8, Raml~art Subdivision ?'l. Dear fir. Ir. ving: On Nel]'tel.!ber 8, :1972, this offiae inspected an on-site sewaqe disposal system inst~lled by yo'u'r.¢ompany on Lot G, of Raw, part o~bdivision ~1, locate(~ on 91st Street off Birch '" ~' All distance requirements for an on-site sewaqe disposal syste~ were met with 'the exception of the 100' between the well and the seepa.~e pit wall, firs. irving indicate4 that she w~,s uncer.,~n of the location of ~he well. tie (licl, however, locat~ a well insi~ the garage. This well is located approximately 63' 'fro,,~ the seepai}e pit wall and cannot De approvec, by this After repeated visits to~ this residence to 'talk to you or ~irs. Irvin!! as to the definite location of the well, p~one contact was firlally ~ a~.~. with you on' Noven~ber 6, 1972. You toi;d me ti~e w~.~ll was in fact located in the garage, 63' from tile seepaq~ pit. I told you that ti~is office requires that you ~',ee't 10(i' distance requirement within thirty (SO) days by ?.erin9 either your well or sewer system. You said ti~at you would co~e into ~h'is office to discuss the proble~ with John Lee. To date~ you have not been in and we must require that the lO0' req~ire~ent be ~.,et within thirty (30) days a'fter receipt of this letter. If .you have any questions regarding ti]e above m~.tter, ~leas(!~ do not hesitate to coBt~ct "'' . 1.~ DeDart~ent at 274-45~1. Si ncerely, t]enise i~asi~aw Environmental Control Officer lit }Ir. Dennis Hanke Box 81 Star Sputa A Anchorage, Alaska 99502 Subject~ Lot 8, Rampart Dear ar. Hank~ Upon1 inspection of the subject lot a cesspool was discovered to b~eserving aa the sewer system. Although the water s~mple proved to be satisfactory, the well is located only 30 feet from the ceaapooi. ' Before approval of the sewer anti water system, s ca~ be given by %hfsDdepartment, an approved sewer system needs to be installed with proper distances from the well. A~ approved system normally consists of a septic tank, seepage pit arrangement, a permit from this office is needed ~ef~e any work can be done on the system. If there are any questions reg~rdino the abo~e, please do not hesitate to contact this office. ~ilncerely, Lynn S. Coad Sanitarian ky