HomeMy WebLinkAboutSKYLINE VIEW BLK 1 LT 7Onsite File
Skyline View
Block 1
Lot 7
#051-192-48
GRE~i'ER ANCHORAGE AREA BOk.,UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTFM
~ ~' .~b?~'wI&' I
NAME ~JJ~/~J*/L0¢-% 60~)~ MAILING ADDRESS L~c,'4 ~8~) ¢f/~yNN PHONE
SEPTIC TANK:
DISTANCE
FROM WELL ~'}"f/¢ MANUFACTURER K~O/¢ OJ))~'¢' MATERIAL
INSIDE LENGTH INSIDE WIDTH. LIQUID DEPTH__
SEEPAGE PIT:
NUMBER OF
~'¢('~/~ E¢ /C/ : COMPARTMENTS
.LIQUID CAPACITY '~'~' --~"~) GALLONS.
NUMBER OF PITS--.
LINING MATERIAL
BUILDING FOUNDATION ~-~ ,
ADDITIONAL ABSORPTION
DIAMETER OR WIDTH .,
CRIB SIZE: DIAMETER
NEAREST LO1 LINE ~
DEPTH _ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~'/-'/ SQ. FT.
'TYPE __ CONSTRUCTION
BUILDING NEAREST
FOUNDATION---- LOT LINE
CESSPOOL OTHER SOURCES
APPROVED __ DISAPPROVED_
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK ____ SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:Z/¢'/vj'' ¢~'-S:
LOT SLOPE:
REM^R~S:
Form No, EO~O31
DIAGRAM OF SYSTEM
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION Al,lB P[R, MIT
NAME OF APPLICANT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD , OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOle TEST RESULTS - ,- NOTE: THIS PERMIT IS NOT VALID WITHOUT~ SOIL TES~r
COMPLETION DATE ANTICIPATED /~ /~'/~/'¢/ /
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEEPAGE Area SiZE TYPE
SEPTIC
TANK
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~//
FOUNDATION TO SEEPAGE PIT ¢~ ~[) / i DRAIN FIELD ~
SEPTIC TANK tO SEEPAGE Pit WAll //f /
SEPTIC TANK , SEEPAGE PIT . DRAIN FIELD
TO NEarEst LOT L~NE. ~~/~
DrAl~ F}ELD '-~ ALSO CONSiDEr AREA WELLS.
WATER main to SEPtiC tank ~'~ ~ SEEPAGE Pit ~ /
DrA}N FIELD
~ e~T~ ~ TA~ ~ , /~ ~ I ~E~PA~ ~
TO RIVER. LAKE. STREAM.
, DRAIN FIELD
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
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
, CERTIFY THAT I AM FAmiliar WITH THE rEQUIREmENTS OF Greater A~lorAge Area BORO_U_GH/~rBIN..A. NCE N.,~). 28-68 AND THAT THE ABOVE
DATE -
GREATER ANCttORAGE AREA BOROIm'-
Departnlent of Eiqvironmental Q~ ity
3330 "C" Street
Anchorage, Alaska 99~03
SOILS LOG - PEROI,ATION TEST
This form reports:--"-~6ils log ........... -- 'Pe~X~olh~-{~h-~-t-
Depth
Feet
1 .: _.~,F,~-~F-O:I ..... "l_i~ ......
10-,
11 -
12-
..... _~._(} .....If yes, at what depth?
13
Was ground water encountered?
Reading Date Gross Time Net Time Depth to Water Net Drop
Percol ati on rate ~l~i~{~i;~'~
ns ~al 1 at~{~h-:- '--s-e~{p-~ge Pi t Dra i n Fi el d
EQ-040 (6/74)
Tinn-fibb jGog
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 o TELEPHONE 694-2588
OWNER OF LAND P% Al C ,`jf(— -S / L DEPTH OF WELL /2 % r
ADDRESS cj k' • STATIC LEVEL OF WATER FT. r
LEGAL DESCRIPTION/d tZ 6L It / SAKK )- 1"-'e Il Lc l
DRAW DOWN FT.
_ /
DATE, - Started % ! 5 Ended 7 4, GALS. PER HR
rr
PERMIT NUMBER / /"% �9 KIND OF CASING
KIND OF FORMATION:
From
Ft. to
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MISCL. INFORMATION:
f4/)fr_
C 3✓� S I rtJ a lnQ i= fxi it4 1 IF -0 Y T T
DRILLER'S NAME
I)l. Jil:::'l:::llh."l'Hliii'.l",lT I'lliilf:ll .TH I:::INI) I.{NV i( I',iiEII',IHI:ilI",ITF:II. cri'hl;E:l" ];
;:L";::' di;~'';;;i;;;:i~;;::l_.
,:i 'F G xl.~i);,::l.
I:: I1::;' F:' 1.. '.[ C I:::11",1 "f'
l_ ( ;I E: F:I T ]i EII'.,I
I ,.lli' (] I':ll
Certificate of On -Site Systems Approval
Parcel I.D. 051-192-48
1. GENERAL INFORMATION
Expiration Date: J W) e -
Complete legal description SKYLINE VIEW BLK 1 LT 7
Location (site address) 19342 Lupin St Chugiak
Current property owner(s) GOLDBERG BRITTON
Mailing address
Real estate agent
PO Box 672002 Chugiak
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
FXZ] Duplex
Fj Multiple Dwellings (Single Family and/or Duplex)
Day phone _
AK 99567
Day phone_
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
FX
Water Storage
F
Holding Tank
F]
Community Well
11
Community
F
Public Water System
E]
Public Sewer
F
Waiver request for:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Distance:
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 Eklutna Engineering, LLC Phone 907.406.1058
Address 19162 Mountain Rd Chugiak AK 99567
Engineer's Printed Name Curtis Townsend, PE Date
Aw
Awe
ACV
6. DSD SIGNATURE '°°° ..
System #1 Approved for 3 bedroom ° ° :° L
System #2 Approved for bedrooms r� ;; • , •f� ,���
Disapproved AROFE S10
Awl
Conditional approval for bedrooms, with the following stipulations:
.ttltlt(t((((li..
- cp sTIyy,!ATEK
��,� PROGRAM ��'
S
/))�>vl
>1)))))1111�\
By ��it�c�iC'� t 9
Ori inal Certificate Date: 3 1,2 I 1,20,2
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
COSA Checklist blue sheet
COSA Checklist yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled
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.
Well production at time of test 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 of Sample
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA ______________________
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date
Results Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Deficiencies:
concrete
SKYLINE VIEW BLK 1 LT 7 051-192-48
4.3
1976 0
197.5 ■
197.5
6.46
12 Curtis Townsend
3/14/2022
154
3/7/22
47
septic
67"
8/26/2021
1975 3/14/22
3
11.33 36
2.33 560
51
1380
36
>450
no
0
no reports of seepage pit freezing.
✔
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Advisory
Certificate of On‐Site Systems Approval # OSC221089
Subdivision: Skyline View, Block: 1, Lot: 7
A water sample revealed a nitrate concentration of 6.46 milligrams per liter (mg/L).
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. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.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 medi a 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.
irt-dck.v-.e..
1
bt:ck �' ij
E�r
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AS -BUILT
I hereby certify that I have surveyeo the following described
property. t!. 0 o c:- a
Anchorage Recording Precinct, A aska, and that the improve-
ments situated thereon are within the property lines and do not
overlap or encroach on the property lying adjacent thereto, that
noimprovements on property lying adjacent thereto encroach
on the premises in question and that there are no roadways,
transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this /Z day of 1�' 19�
ROBERT C. JOHNSON -A ao
SCALE: Registered Land Surveyor No. 880 -LS
1" l Box 77-0456, Eagle River, Alaska 99577
Phone (907) 694-2543
TIME
DATE
INSPECTOR
~ "bA'fli' RECEI V ED~
INSPECTION APPOINTMENTS
TIME TiME
DATE DATE
INSPECTOR ~ INSPECTOR
MUNICIPALITY OF ANCHORAGE ~UNIcIPA.iTY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECtiONDEPT. OF HEALTH &
825 L Street - Anchora~, Alaska 99501 ~N~IRONMENTAL P.~O/'ECTI~N
ENVIRONMENTAL SANITATION DIVISION JUL ~ 0
Telephone 264~720
DIRECTIONS: Complete all parts on page I, Incomplete requ~ls will not be preceded, Please allow ten (10) ~ays for processing,
1. PROFIERTY OWNER . .
PROPERTY RESIDENT (if different from abave) ~'O~.,~O~ I (.1~,--- /
MAILING ADDRESS
PHONE
%fi C-07
P H-0-~E
PHON'E
3. LENDING INSTITUTION
PRONE
MAI LING ADDRESS
4. REALTOR/AGENT ~
..~L I N G ADDRESS
5, LEGAL DESCRIPTION
STRE[~ ~0-~ATI ON ~
6. OF ~ NUMBER QF~BEDROOMS
L~ SINGLE FAMILY z ~--~_ ~ One L~ Four ~ Other
/~ ~;~ [~ 'rwo D~ Five
'[~MU LTIPLE FAMI ~ ~Three ~ Six
7. WATER SUP~ / / - ~ ~-
~I~DIVIDUAL* /--' ~_~_~_ ~o './, ATTACH WELL LOG. A well log is required for all wells drilled
~ COMMJNITY s~nce June 1975. For wells drilled ~r~or to that date. give well
~] PUBLIC UTILITY depth (attach log if available.)
SEWAGE DISPOSAL SYSTEM
E~IX D'IVI DUAL/ON.SITE"'
(~ PUBLIC IJTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPEC'IION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
--7
7~-010 (Rev. 6/79)
1. TYPE OF RESIDENCE
~'~ SINGLE FAMILY
MULTIPLE FAMILY
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
~__] ONE ~ THREE [] FIVE
[-3 TWO [] FOUR [] SIX
E~] OTHER
2. WATER SUPPLY
~'~ INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[~ INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
L~lSeptic Tank or [~ Holding Tank
S ze ./_ -~ ,~'O _ If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE D~ILLEU
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
-~% ABSORPTION AREA
DISTANCES
WELL TO:
Absorption Area [o nearest Lot Line
VIATERIAL
Septic/Holding Tank IAb~orption Area
I
Sewer L~iae I Nearest Lot Line
5. COMMENTS
DATE
[~[]~""~PPROVED FOR ____.~___._ BEDROOMS
~1 CONDITIONAL APPROVAL (letter must accompany certificate)
E~ DISAPPROVED
72-010 (F~ev. 6/79)
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SLH_UVAN,
MAYOR
I)EPARTMENTOF HEALTH AND ENVU]ONMENTAL PROTECTION
August 5, 1981
(2)
(3)
Vincent Spezialy
8027 Nadine Street
Anchorage, Alaska 99507
Subject: Lot 7 Block 1 Skyline View Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
The seal on the well head needs to be tightened so
that it is water tight. This will need to be
reinspected by this office.
The septic tank pumped with a receipt submitted to
this office. ..
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
iis adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
. review.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
James S. Roberts
Associate Environmental Specialist
JSR/ljw
EXCAVATION
ROBERTA, SHAFER
WORK CIVIL ENGINEER
694-")979
September 1, 1983.
MUNICIPALITY OF ANCHORAGE
DEPT. OF I!EFLTM &
ENVIRONMENT,~L i .'7i ECTION
Vinoe Spe zia ly
802? Nadine Street
Anchorage, Alaska
Dear Mr. Spezialy,
99507
RECEIVED
Reference:~ Lot 7; Block 1; Skyline View Subdivision
A' sewer system adequacy 'best was performed on the system serving 'the duplex
located on 'the referenced property, as you requested. The septic tank was
pumped and verified to have acs. pacity of 1250 gallons. The seepage pit was
charged with lO00 gallons of fresh water and after a period of 24 hours all
the water that had been added to 'the crib had percolated out.
It can be concluded from this test that the waste water disposal system serving
the duplex located on this p~operty is currently functioning adequately.
However¢ the system cannot be guaranteed against subsequent failures.
The location of your septic tank and seepage pit, ~th respect to 'the wells
and to those systems located on surrounding property has'been evaluated and
believed not to create a health hazard. (Sketch Attached) Even though the
distances do not conform ~th current code requirements they are in conformance
with previously accepted distances for this type service. It is our recommendation
that 'the Municipality waive the current distance requirements for this ?roperty.
If we may be of further service, please do not hesitate to call.
Sincerely,
ROBERT A'. SHAFER, PoE.
As/ s
CC: Century 21, Metropolitan
ATTENTION: Shiela-Spezialy
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
PiIF, LIMINAI~Y
[ hereby certify that I have surw:yed the' following
:~:x.(&-?'. ~,:,.,,.....~l ~., _ ~.a.~/:. ...... .4:
Alcmt'a}le ]~m'm'c nF Precinct Alaska, and lhat the pro-
wdl be within thc proDerlv ines and will not overlap
or epcroacl~ on the property lying adjacen~ thm'eto t mt
encluach on the prcmise:~ {n qt e t'o) tJlld that there are
no uo;~dv,,ays, trans,',~i:mioll iJnes or oP-,,~, vixihlc ease*
mcnts on srd:t pr ~p n't~, except es indicated hereon,'
Dated al l~',a~{]{, River, Alaska :'
this ]~.-- .. ( ay cfi....ff:t..~: ................... 19~
ROBERT C. JOIINSON
SCALE: llc~islm'cd Lnnd Surveyor. No,
1" := '~ o / Box 456, Emile River, Alaska
Photm 09,1-25,13