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Home My WebLink AboutGREAT LAND ESTATES #1 BLK 1 LT 1GAAB-HD.I GRATER ANCHORAGE AREA BOROL�;-i Du. ARTMENT OF ENVIRONMENTAL QUALI i . 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE fl, SYSTEM MAILING NAME ��T'�I /{� 0,(A f-k-: ADDRESS- l �C �L� ._PHONE ( { LOCATIONJ'2 I ��"S �l� LEGAL DESCRIPTION �' 61(?r(fJ_o HCl SEPTIC TANK: L. %Aol, 16,6. 9ziee 1 NUMBER OF DISTANCE FROM WELL �� MATERIAL -5�'�� I COMPARTMENTS Fc Z/ LIUID LIQUID CAPACITY / 6J0 GALLONS. INSIDE LENGTH / INSIDE WIDTH DEQPTH SEEPAGE SYSTEM: SEEPAGE PIT NUMBER OF PITS//� —OUTSIDE DIAMETER OR WIDTHLENGTH DEPTH & , LINING MATERIAL `^ ♦)f�� . DISTANCE FROM WELL BUILDING FOUNDATION ��'' NEAREST LOT LINE c /� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. GREj., i ER ANCHORAGE AREA BORvUGH ,. DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6.650 Y ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 NAME OF APPLICANT INSTALLATION LOCAT LEGAL DESCRIPTION SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO. 0/` /6 i11I1 X � �1 /4�_ __ MAILING ADDRESS/�� `/ PHONE X�\ DRAIN FIELD OTHER INSTALLATION OF: SEPTIC TANK SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED '^'"�-��I�"�/��E�1✓f/� FINANCED THROUGH /TO BE INSTALLED BY ,� l SOIL TEST RESULTS `�`�� / !/ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATE[ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. _ /J/ r7 TYPE SEPTIC TANK SIZE /" �� TYPE S�L'-Lac>K_� " 5 [PAGE AREA SIZE (l�l MINIMUM DISTANCES, REQUIREMENTS/ FOUNDATION TO SEPTIC TANK-� FOUNDATION TO SEEPAGE PIT ` DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL <120 ' i` SEPTIC TANK �-� SEEPAGE PIT At*& DRAIN FIELD TO NEAREST LOT LINE. f WELL TO SEPTIC TANK �-)t�), SEEPAGE PIT / (�-'c7 DRAIN FIELD %( , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, SEEPAGE PIT �" � DRAIN FIELD TO RIVER, LAKE, STREAM. CAST 1_RON INTO-.ND..OUI_OF__SEPT,JC_TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO upjpjSXU_RBED SOIL. ,4 INCH DI_A .METER CASY-I.RON-SIPHON_P_IP_ES.ON_ SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVELBACKFILL... CONFORM To BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH A HORITY R LICENSE DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. APPLICANT'S SIGNATURE DIAGRAM OF SYSTEM AREA BOROUGH ORDINANCE NO. 28- /�� AND THAT THE ABOVE • '� Municipality of Anchorage � a On -Site Water and Wastewater Program (907) 343-7904 s A E,. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-131-17 1. GENERAL INFORMATION Expiration Date: 7- % Complete legal description GREAT LAND ESTATES #1 BLOCK 1, LOT 1 Location (site address) 23219 GREATLAND DRIVE, CHUGIAK AK 99567 Current Property owner(s) JOHN & JAN ANGELL Day phone Mailing address Real Estate Agent PO BOX 672109 CHUGIAK AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class _Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: Date: COSA to be released o ngineer, unless otherwise requested by the engineer. COSA Fee $ 6 d-1 Date of Payment Receipt Number 6`i �0t2 COSA# 65c,,(oLlb3 Waiver Fee $ Date of Payment Receipt Number 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. Name of Firm ARCTERRA CONSULTING. INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 3/2912016 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future �ow� occupants or can ArcTerra guarantee that no unseen GG OF encroachments, deficiencies or discrepancies exist. Ar w Llys. ,0( 4C)T11 +, 6. DSD SIGNATURE System #1 Approved for bedrooms. rctINN v. D r Pr System #2 Approved for bedrooms. �,��o �95 r n�fEs- leNhV Disapproved. Conditional approval for bedrooms, with the following stipulations: EWATER r— ANT 1=F' 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-1o412.dw 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: GREAT LAND ESTATES #1 BLOCK 1 LOT 1 Parcel ID: 051.131.17 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed CIRCA 1972 Sanitary seal (Y/N) y Total depth =ft. Date of test Static water level Well production Cased to 40+ ft. (assumed) FROM WELL LOG WATER SAMPLE RESULTS: ft. Coliform Ne(: colonies/100 mL Nitrate N. s3 mg/L Arsenic: thug/L Date of sample: 3/17116 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Tank size 1000 gal. Number of Compartments 1 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 8/1212015 iI 1.25 g.p.m. Collected by: ARCTERRA Date installed,-IMNW Cleanouts (Y/N) Foundation cleanout (Y/N) Y (INSIDE FOUND) Depression over tank (YIN) N High water alar (Y/N) N Date of pumping 8/4/2015 Pumper C. ABSORPTION FIELD DATA Date installed 6/9/1972 Soil rating (g.p.d./1112 or ft2/bdr) 85 System type CRIB Length 12 ft. Width 12 ft. Gravel below pipe 6 ft. Total depth 9_1 ft. (Measured 8112115) Eff. absorption area 288 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8112115 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 5in. Water added 750 gal. Newtlepth'18 in. Elapsed Time: 120 min. Final fluid depth 6 in. Absorption rate >a 450.+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date :,s D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons "Pump off" level at _ in. Cycles tested WELL ON LOT TO: *Septic tankllift station on lot SMF 90r+/— Absorption field on lot 100'+ Publicsewermain 75'+ Sewer /septic service line Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout 100'+ Holding tank Animal containment areas 504 Manure/animal excrete storage areas 1004 SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service tine 10'+ Surface water -10Q'+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 101+ Water Service line 10'+ Surface water. 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1001+ F. COMMENTS `MOA APP(P0VOO 01-17— 109PECT)" aCP6*1r SriltGS 66; WtLL� To TAWK, k 0wwW- Q.&COUr S7A2VE4 SNOWS IT AT 01o'+l—. 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. c� OF Al, 1 Engineer's Printed Name KENNETH M. QUFFU;S� Date 30010 r � TH� � COSA'ci±nary sheet 2-6-'kU.tlac KDNNWH UPP YL h FF189101a6(. AV -- SL'wmlJ h ASSUUTATES LAND SURVEYING 694-0829 1 HEREBY CERTIFY THAT i HAVE SURVEYED THE SCALE. - m +'em FOLLOWING DESCRIBED�PROj/loT/ / DATE• -y6 r �� p ...... AND THAT NO ENCROACHMENTS 6 T 669PT AS i INDICATED. IT IS THE RESPONSIBILITY OF THE H OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: ! * # EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI— a ewe H;,k w=.a VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FSS, ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND— D12AWNWN.,: BOUND— ARY LINES. a*ts�d a