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Home My WebLink AboutTIMBERLUX #3 BLK G LT 1018 Lc)7"" 31oU' GR,Q'- R ANCHORAGE AREA BOR! ',GH WW � Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS �//7 E, �5' � PHONES--�3.s3' LOCATION �'d`��/-O s"�• LEGAL DESCRIPTION SEPTIC TANK: DISTANCE C"w NUMBER OF �i2r G%f/T FROM WELD U/' MANUFACTURER MATERIAL COMPARTMENTS Oirf� INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS . DIAMETER =OR WIDTH LENGTH _f!�1 DEPTH LINING MATERIAL;Oj � > ��RI'B SIZE: DIAMETER---J—'-DEPTH DEPTH DISTANCE FROM: WELLi�/L✓�� TOTAL EFFECTIVE BUILDING FOUNDATION-- 5--, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) � SQ. FT. ADDITIONAL ABSORPTION WELL:�/LU�dJv� TYPE u/w�GCONSTRUCT BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ -031 NEAREST SEWER LINE DATE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM_ DIAGRAM OF SYSTEM 5� APPROVED �• G.A.A.B GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT >��i�f' L>/��" '✓��1 MAILING ADDRESS ✓G� �i-/�— PHONE '�yy INSTALLATION LOCATION��3�>�f� LEGAL DESCRIPTION ` li� ✓J/`�G ��✓�,��'''!/`-f�G`�' INSTALLATION OF: SEPTIC TANK SEEPAGE PIT l! ,DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY1-7 SOIL TEST RESULT s O yGJ/Zirh,2p0/� n NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. %I-o'� SEPTIC TANK SIZE TYPE ��y� SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK J FOUNDATION TO SEEPAGE PIT �Q DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK S /, SEEPAGE PIT Z/� / DRAIN FIELD —' TO NEAREST LOT LINE. q� WELL TO SEPTIC TANK - - `z SEEPAGE PIT DRAIN FIELD / ALSO CONSIDER .AREA WELLS. WATER MAIN TO SEPTIC TANK �!J SEEPAGE PIT DRAIN FIELD SEPTIC TANK, /yy i 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 CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. GD G.A.A.B. OR LICENSED DESIGNER 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. --p DATE APPLICANT'S SIGNATURE Z2:�" ��.C/I �7�'^'7/C FORM NO. EQ -016 1 1 1 1 1 1 GREATER ANCHORAGE AREA BOROUGH { DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For Dated Performed ,$ % Legal Description: Lot _Bloc e,/ Subdivision j;jn�%cc�� This Form Reports Soils Log X Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Fppt Soil Characteristics 1- 2- —3- Was 3- 4-5 4- 5— /bv - 6- 7- 7- 8- 8- 9- 9- 0--- 0 2- 2- G �� 3- 4- 4- Was Ground Water Encountered? If Yes, At What Depth? /j/ S� Off, - rt iF Reading Date Gross Time Net Time Depth to H2O Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit_ Depth of Inlet / Depth to COMMENTS: 5, --4- Test Performed BY Drain Field om of Pit or TrencT Date Certified BY: Date: Parcel I.D. 018-271-55 ?V DG Municipality of Anchorage On -Site Water and Wastewater Program < (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: _� - �2Ur — / ( 1. GENERAL INFORMATION Complete legal description Tlmberlux #3,, Block G, Lot 1 Location (site address) 14800 Buffalo St. Current Property owner(s) Sharon Clark Day phone _ Mailing address Real Estate Agent 14800 Buffalo St. Anchorage, AK 99516 2. TYPE OF DWELLING: Fx] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well FX71 Individual FI Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by: /ter Data: r pf COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ f I Waiver Fee $ _ Date of Payment /�5///fo Date of Payment Receipt Number d40!5D Receipt Number COSA # (0 1(D55 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. 1 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family beingserved by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE _uL System #1 Approved for J System #2 Approved for _ Disapproved Conditional approval for Phone (907) 272-8218 Date 2/5/2016 ®�aame.m� bedrooms S� ve en R.'(5anrior bedrooms �� CE -81+9 ��}lam _ bedrooms, with the following stipulations: vv/11 Cr ! 11V By: Original Certificate Date: 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 COSAbluesheet E -, > If more than 1 septic system is on the lot: COSA Checklist # + of Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Timberlux #3, Block G, Lot 1 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed Unknown Sanitary seat (Y/N) Y Total depth unknown ft. Cased to unknown ft. FROM WELL LOG Date of test Unknown Static water level Unknown ft. Well production Unknown g p m WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 2/2/2016 B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Concrete Tank size 1,000 gal. Number of Compartments Parcel ID: 018-271-55 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in AT INSPECTION 2/2/2016 7 <� ft. 7,7+ g.p.m. Collected by: PES Date installed 8/30/1974 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 9/21/2015 Pumper One Stop Pumping C. ABSORPTION FIELD DATA Date installed 8/30/1974 Soil rating (g.p.d./ft2 or ft2/bdrm) 100 SF/BR System type Crib Length 1 5 ft. Width 15 ft. Gravel below pipe 6 ft. Total depth 9.1 * ft. Eff. absorption area 360 ft2 Monitoring tube Y Depression over field N Date of adequacy test 2/2/2016 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 9 in. Water added 546 gal. New depth 23 in. Elapsed Time: 330 min. Final fluid depth 9 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off" level at . in. E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ F. COMMENTS *Monitor Tube apears to be approximatly 14" too shallow. 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 Steven Pannone j•• • :$tevsri �.•f�onndrie•, 2/5/2016 {�{� CE 6149 Date COSA canary sheet 2-6-15.doc rel Clean Out (TYPr� Cantilever 4.0' x 3.0' 3 Level Wood Frame Residence on Conc. Block With Basement— LOT 2 0 ;° o M Z Lot 6 N8T56'36"E Shed Retaining Wall (Typ.) z S S- 11 I LOT 1 BLOCK G O CD Single Level Wood Garage on Slab I Wood Deck & Steps O 0 OD Im mp o_ n Cq N Well N lMm 'E E N W U N W O N W (a to LO 0 0 O 1n 30' Drive ~ _ /NV 33 24 I I � N SCALE: 1"=40' O' 20' 40' 80' NOTE: Dimensions are measured to the wood trim. I hereby certify that an accurate survey of the following described property: LOT 1, BLOCK G �E�F...... •� TIMBERLUX SUBDIVISION ADDITION NO. 3 �Q •••• ••• `r� PLAT 71-240 • TH *�j was made on February 8. 2016 and that the improvement: *.--4 /situated thereon are within the property lines and do not overlap or ....q .......... J encroach on the property lying adjacent thereto, that no T. Lee KorapelnikoF �.• improvements on the property lying adjacent thereto encroach on • 0 the premises in question and that there are no roadways, '•. No.. 3143-S . transmission lines or other visible easements on said � .• ,. property except f+ •4(s+� as indicated hereon. Easements other than those shown on the 111 ��a record plat may not appear on this drawing. Anchorage Alaska, this 15th day of February 2016.