HomeMy WebLinkAboutSUNNY SLOPES LT 62December 26, 1963
First National Bank
FHA Department
Anchorage, Alaska
Gentlemen:
A properly designed individual sewage system ca~ be
expected to function satisfactorily on the following des-
cribedproperty:
Lot 62, suur~$1opes Subdivision,
Eagle River, Alaska
Yours very truly,
JRK:hm
Enc,
Jolm R. Kuhn
D~striet Sanitarian
May 21, 1963
First National Bank of Alaska
FHA Department
646
Anchorage, Alaska
Gentlemen:
A properly designedindividual sewage system can be
expected to function satisfactorily Ch the following
described property~
Lot 627 sunn~$1opes Subdivision,
Eagle River - Vlrgil Flint,
Yours very truly,
THOMAS R. MCOO~2AN, M.D., Dr. P.H.
REGIONAL HEALTH OFFICER
John R. Kub~a
District SaniSarian
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OPFICE
Anchorage~ Alaska
MORTGAGOR OR SPONSOR
De.in R. & Ma~y An~ Hammond
SUBDIVISION NAME
Sunr~ Slopes
TOTAL NUMBER: II
LIVING UNITS I BEDROOMS ) 8AIHS 8ASEMENT
1 3 2 ['~] Yes ~]No
WATER SUPPLY BY:
Public system [] Community system
SEWAGE DISPOSAL BY:
[] Public system [] Community system
PART II.--lO BE COMPLETED BY HEALTH DEPARTMENT
MORTGAGEE SERIAL NO.
Anchorage,First N~tionslAlask~Bank ot AnchorAge 111-001720-203
PROP RIY ADDRESS
7 ide of Monte Road, 197t West of Bonnie Wa
EX F~gle River, Alaska
BLOCK NO. LOT NOrm
[] Individual 3 [] Yes [] No
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the [] State [] County [] Local Departm~-ent of Health that this individual water-supply system
[] is [] is not satisfactory as a domestic water supply for the subject property.
It is the opinion of the [~ State [] County [] Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
~] Can be expected to function satisfactorily, and Cannot be function
expected
to
satisfactorily
is not likely to create an insanitary condition
DATE
NOTSJ The hca authority should complete the appropriate opinion statement above and afflx date, signature and title in the
spaces provided.
Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the
health authority.
PART Ill.--FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, aud recommend that 'the
Individual water-supply system be considered [] Acceptable [] Not Acceptable
Sewage disposal be considered [] Acceptable [] Not Acceptable.
DATE
SIGNATURE
HEALTH AUTHORITY APPROVAL
II~IDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
CHIEF ARCHITECT
DEPUTY FOR CHIEF ARCHITECT
FHA Form 2573
REPORT OF INSPECTION~INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of ~i~ Septic tank. [] Cesspool.
Septic Tank:
__feet. Material, $ h/e"e~'~ ~'f~L'~fi~-- ~'?~'~?
°]'O~ gallons. Capacity inlet compartment,
feet. Inside w dth~ feet. Liquid depth,
Distance from well,.
Total liquid capacity.
Inside length,.
Cesspool:
Distance from: Well,
Inside diarneter,
feet.
feet; foundation,, feet; nearest lot line at [] front, [] side, [] rear~.
feet. Depth,_ feet. Liquid capacity, _gallons, Lining material
SECONDARY TREATMENT consists of [] Tile disposal field. J~ Seepage pits. Other
Tile Disposal Field~
Distance from: Well
Total length of tile lines,.
Trench width,
Length of each line,
Type of filter material: [] Gravel.
.gallons.
feet,
feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, __-feet.
feet. Number of lines,. Distance between lines, feet.
inches. Total effective absorption area in bottom of trenches, .square feet.
feet. Depth, top of tile to finish grade, inches.
[] Broken stone. Other_
Depth of filter material beneath til% inches. Depth of filter material over tile, inches.
SoepaBe Pits: ..... I ~'~'
Number of pits I Outside diameter, e6 X ~a -feet. Depth,~ feet. Lmmg matena -
' · Well ' ~ feet' build ne foundation,~Dearest et ne at.front ~ side ~'rear,~ ~.o fee~q
D~stance from , , .- 5 ~ I /
Inspection made by: ~ State. ~ ~unty. ~ Lo~l Health Authon~. /
/~ lnsp~ted b~ ~
Date of lnspecuon~ , tY~ ~ (TITLB) -
REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM
Distance to nearest public water main. ~feet. Size of main, _inches,
Individual wells ~] are [] are not customary in neighborhood.
Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water_
Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal syste~ns.
Lot size:_ .feet wide,.__ .feet deep. Dwelling set back from front property line,_ feet.
Individual water supply from: [] Drilled well, [~ Driven well. [] Dug well. [] Bored well.
Building foundation,_ feet; nearest lot line at [] front, [] side, [] rear, feet,
cast iron sewer, feet; tile sewer, .feet; septic tank, feet; disposal field, feet;
seepage pit,- feet; cesspool,.__ feet; other sources of possible pollution, .feet.
Well construction:
Diameter .... inches. Total depth,. .feet. Type of casing,_ feet.
Approximate depth to pumping level of water in well,_ feet. Approximate yield,_
Sealed watertight to depth of_ feet.
Exterior space around easing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill.
Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No.
Pump: [] Shallow well. [] Deep well. Length of drop pipe,-- feet. Pump capacity,, gallons per minute.
Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit.
Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No.
Type of storage: [] Pressure. [] Gravity. Capacity,_ __gallons.
Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date , 19__
Quality of water [] is [] is not satisfactory for human consmnptlon.
Installation [] does [] does not comply with approved exhibits, if any.
Inspection made by: [] State. [] County. [] Local Health Authority.
Inspected by_
Date of inspection _ , 19
Depth of casing,_
.gallons per minute.
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 05015219000
Certificate of On -Site Systems Approval
Expiration Date: 8/18/2023
Legal description SUNNY SLOPES LT 62
Site address 17047 MONTE RD Eagle River AK 99577
Current property owner(s) BURNS KAITLYN A
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 5/18/2023
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
Absorption Field Advisory
Tank Age Advisory
Other
X Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
COSA Approve1 June 2022
11�I UHC PD L`LITY OF A HCH0RI �� CSE
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. 050-152-19
Complete legal description Sunny Slopes Lot 62
Location (site address) 17047 Monte Road
Current property owner(s) Kaitlyn A. Burns Day phone
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑1 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 7 - 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 $ 5550
Date of Payment
COSA# 0sC2?,�1�{1
Waiver Fee $
Date of Payment
Waiver #
COSA Application—June 2022
Legal Description: Sunny Slopes Lot 62
Parcel ID: 050-152-19
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 *n/a Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Comments * LOT SERVED BY AWWU WATER
B. TANK DATA
Measured' -operating fluid level inrvseptic'tank`�..5
r y ate of pumping l -t
-E3-Required maintenance completed, if AWWTS
Comm ents�v:tot aCaR`1�--... c-
D. ABSORPTION FIELD DATA
Which system tested (date installed) 09/25/1963
❑ ALL standpipes present per record drawing
Total measured depth from grade 10.0 ft (max)
Measured depth to pipe invert from grade 3.16 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 1532 gallons 05/09/2023date
perS, i.a--cs c t7 . b �5ct 8,
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Defici
COSA Checklist June 2022
Well production at time of test n/a gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
••uiN-i
Adequacy test date 05/09/2023
Results ❑ Pass
Fluid depth prior to test 26 in
Water added 450 gal
New fluid depth 82 in
Elapsed time 1262 min
Final fluid depth 18.5 in
Absorption rate 450 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 96 in
Effective depth used 18.5 in
Effective depth remaining 77.5 in
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'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
Yes
if No
ft
F� Yes
if No
Neighboring Tank > 100' F] 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 tank or field is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ Yes
if No
ft
Q Yes
if No
❑ 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
*5.0 ft
Surface Water > 100'
❑ Yes if No _
Tank to Property Line > 5'
R Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
❑ Yes
if No
ft
Private Wells > 100'
M Yes if No _
Water Main > 10'
FMI Yes
if No
ft
Community Wells > 200'
❑ Yes if No_
Water Service Line > 10'
M Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
*TANK INSTALLED UNDER 2016 CODE
ft
ft
ft
ft
ft
ft
ft
ft
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.
Naive of Finn Pannone Engineering Services
Engineer's Printed Name Steven R Pannone P.E., F. ASCE
COSA Checklist—June 2022
Phone 907-745-8200
Date —Z... i`,c Z_,.
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