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HomeMy WebLinkAboutEAGLE RIVER MID HEIGHTS BLK 4A LT 9A aIop S4u9uuwo,d) R8 palsoi 6upl!8 'oN 'H'W 'oN 9 6od ❑ 't1'S'N Q ani;D6aN 0 an14iso(j :1S31 3.10 ON 1106El *3 Id 'oN 0 tueLu;aejbV jaMaS `ON ❑ lu9w99jBVqpqnS "ON •nap ajonI'.rd---•oN •o01•l p p 7' 1Z P t1l 0 sk"hl FA Z,.! zi - Z atop /If po J adA1 � 0 / C-> p ol &: S%ir';p i :S1N3WSS3SSb' fol ay �=07 S41 74 f a p uoi�nOo-j jo;qUuoC) n000 s4uawwof) a040adsul _ � � � W96V 109uuoo adA1 s4nouDaID uoiIoInsuI 409UUOO +n 4 4daa adA1 uioyy aziS 'ON 6UIMDJ(] or o N loluuJIDd Alj;DdOJd up p dol uioW :J.3 3N sl�un }o *ONpolEg ----v 10-1mmmw� 0. - 7� 1. f ❑ ll)ljlsnpuj D Dljgwwoo O IDiluapisaa ry �°''o � sa �t�l�br� P9nS '°N }DId awoN Airlun 83M3S — 3!DVHOHONV d0 AllmlVdIOINnvy "O N (118 0 lit *Ala3doad ib is 'ON 3(100 X171 ■ r- i 1 4 No STREET Comments "ON PROPERTY" Service Line Location By Sketch Show Location of Control Manhole ALLEY 0 CD z 0 6 N f � MI •rtr it # w. 0 tl IlJ13�IS NOI11f301 J. tAld z I Is wr.............. �i 3 . ell ,.j In r 01- 0 VII 0 d3NMO A. 3dodrj 0 Lr Iva U?jo:j3d fjol �f� x�OlB till 0 *11P - 1. 1 a a V ZiO NOISTAiaqns 6 .p. r M* 1. GREA, ER ANCHORAGE AREA BOR JGH  Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME LOCATION SEPTIC TANK: INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LECALDESCR,PT,ON DISTANCE F R O M W EL L/~.__~ M AN U F A CTURER INSIDE LENGTH / ~:}/ INSIDE WIDTH ~ MATERIAL_ LIQUID DEPTH NUMBER OF 2.---- COMPARTMENTS __LIQUID CAPACITY / -~--~'-'- 0 GALLONS. SEEPAGE ~ '--~.~--~'~L~ NUMBER OF PITS / . DIAMETER LINING MATERIAL BUILDING FOUNDATION__ ADDITIONAL ABSORPTION OR WIDTH t~) CRIB SIZE: DIAMETER NEAREST LOT LINE__ DEPTH ~¥dI'~TANCE FROM:- (/WELL ~ . ~OB~oARLpETI~(~I~CAT~EA ,WALL AREA) ~I(~F '¢/~ SQ. FT. WELL: 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: LOT SLOPE: REMARKS: Form No, EQ-031 DIAGRAM OF SYSTEM DATE / / ' G.A.A.B. DEPARTMENT Of ENVIRONMEN~L~; L SYSTE~ ~ APPLICATION AND INSTALLATION OF: SEPTIC TANK /~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH ~' SOIL TEST RESULTS ,/ ~0 COMPLETION DATE ANTICIPATED ~ '/ ~'~ ~'~ [''' /~''~/ SEEPAGE PiT DRAIN FIELD TO BE INSTALLED BY NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 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. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~.,I SEPTIC TANK ~r~-~'J~',; SEEPAGE PIT ~-':'~ DRAIN FIELD WELL TO SEPTIC TANK ~ SEEPAGE PIT .~7 DRAIN FIELD / SEPTIC TANK, ~',"~'-~'~ 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 CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. (2 : '~/ LICENSED DESIGNER I CERTIFY THAT AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE O ~-E GEOTECHNICAL ~ DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 , 688-2280 Soils ~ Foundations Land Development SOXL Perfomed for: Name: Z~oz~/~ ~. //-/<~c/SE/;_- Tel. No. Matllng Address: ~ ~ ~. ~o~2~ Legal Description: ~/~ ~ ~ ~ ~~ ~~ Depth (feet) Sotl Characteristic; 0 1 3 5 I0 11 Ground Water Encountered: Yes Proposed Installation: Seepage Pit ,/ Drain Field Comments: /v/~, ~£~/,'v'~v',~z-£~ ~ ,'~Z-~-~' ~No ~/ If yes, what depth Date: Performed by: DRILLING, INC. DRILLING LOG Well Owner ~Robt. L. Houser Use of Well Location (address of: Township, Range, Section, if known; or distance main road Dom Lg, Blk 4, Mid Heights - Eagle River Size of casing. (5 _Depth of Hole Static water level 1OO ft. (~b,.,~) Screen ( ); Perforated ( Describe screen or perforation Well pumping test at 5 gallons per of drawdown from static level. Date of completion 29 Auq 76 145 feet Cased to 145.2 feet (below) land surface. Finish of well (check one) ). ~one open end ( X ); (minute) for 1 hours with 100% WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness O .TO. 2 Casing STickup 2 .TO. 3 3 .TO. 20 20 .TO. ~O 70 TO. 75 75 TO. 135 135 TO. 145 TO_ TO. TO_ TO TO .TO .TO, _TO Organics Silty Gravelly Hardpan Loose Gravel Sandy Gravel Si~ty Gravel Sandy GravelE ).water Bearing N\'~%V& Certi;ied Coni~acto~ Ccrtiiicatc No's. 314 & 973 1 -- CUSTOMER PERMIT NO. E~I ,,, I 25±R E. TUDOR RE.',.., RNCHORRGE., RE. 276-222± L.IEI_L F'EF-: f,1 I T ( 76~:8:t ) RF'F'L I CRNT L.OCRT I ON LEGRL ~QBBIE HOUSER 384-D 6TH ST BRF'FRN LD 84 ERGLE RIVER MID-HEIGHTS LOT SIZE 862-625? i9625 SE!URRE FEET hlINIMUM DISTRNCE BETWEEN Fl WELL RND RN'¢ ON-SITE SENRGE DISPOSRL S'¢'_-]TEM IS ZE~E~ FEET FOR ~ PRIVRTE NELL OR 2E~:~ FEET FOR R PUBLIC WELL. HELL LOGS RRE RE6!LIIRED RND MIST BE RETLIRNE[:, TO THE DEF'RRTMENT WITHIN 2:(:! [:,~'¢S OF THE WELL COMPLETION SF'ECIFIC:RTIONS AND CONSTRLICTION [.',IRGRAMS ARE AVAII_tRBLE TO INSLIRE FF..JFEE I NSTRLLAT Z ON. I CERTIF'9 THRT d.: I RM FRMILIRR WITH THE REQUIREMENTS FDR ON-SITE SEWERS RND WELLS RS SET FORTH Bb' THE MLINICIPRLITb' OF RNCHORRGE 2: I WILL INSTRLL THE S~'STEM IN RCCORDRNCE WITH THE CODES. i c:SUED B'¢_---_~_ D~'i ' E RECEIVED DATE DATE DATE INSPECTOR INSPECTOR I NSPECTOIj~ t~UNICIPALITY O[ ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~3~MENTAL P::©TECTION 825 L Street - Anchorage, Alaska 99501 ENWBONMENTALSAN TATIOND*VlS*ON l~lephone DIRECTIONS: Complete all 0arts on page 1. Incomplet~ reque~t~ will not be proces.~d. Please allow ten {101 days for orocessing. 1. PROPERTYOWNE~ I PHONE MAILING ADDRE-~S PROPERTY RESIDENT (If different from above) / PHONE 2. BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION J PHONE I MAILING ADDRESS 4. REALTOR/AGENT -~ J PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION / //~ 6, TYPE OF RESIDENCE ~/ NUMBER OF~BEDROOMS ~ One ~ Four ~ Other~ ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** ,~' ~ PUBL,C UTILITY .,/ ~4'~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) : l, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR Z/ BEDROOMS [~"" CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) M UMUPAUTY OF AHCHORAGE O0c?( I; Development Services Department - z Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-271-45-000 Expiration Date: ( L� Legal description EAGLE RIVER MID HEIGHTS BLK 4A LT9A Site address 10309 BAFFIN ST Eagle River AK 99577 Current property owner(s) HOUSER COLLEEN D X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 4/4/2023 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 X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 MUNICIPALITY OF Development Services Department 1 On -Site Water & Wastewater Section ANCHORAGE ks Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-27 Complete legal description EAGLE RIVER MID HEIGHTS BLOCK 4A, LOT 9A Location (site address) 10309 BAFFIN STREET, EAGLE RIVER, AK 99577 Current property owner(s) COLLEEN D. HOUSER Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® 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: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ® Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - 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 $ % Ij ?0 Waiver Fee $ Date of Payment J / 2 5� Z 3 Date of Payment COSA # 0SG 2- 7) 107 O Waiver # COSA Application.doc r Legal Description: EAGLE RIVER MID HEIGHTS BLOCK 4A LOT 9A Parcel ID: 050-271-45 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) Well production at time of test 5+ gpm Date drilled 8/29/1976 Total depth 145 ft Water storage tank volume NA gallons Cased to 145.2 ft Well disinfected for coliform test? ❑ Yes ® No ® Sanitary seal is functioning correctly ® Coliform bacteria is Negative ® Wires are properly protected Nitrate 0.720 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic ug/L ® Arsenic less than MRL (ND) Date of flow test for COSA 3/22/2023 FWGS Static water level at beginning of test 98 ft. Collected by Date 3/22/2023 Comments Sullivan installed new seal & conduit. Located MH across the street & approximately off drive center. Met code at installation per MOA file & AWWU docs Per attached AWWU connection docs private sewer line up driveway to the back connects to public sewer main Winter — snow & ice conditions B. TANK DATA — PUBLIC SEWER C. LIFT STATION Measured operating fluid level in septic tank ❑ Required maintenance completed Date of pumping Age of lift station years ❑ Required maintenance completed, if AWWTS Lift station material Comments: Comments: D. ABSORPTION FIELD DATA - PUBLIC SEWER 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. ❑ 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 gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficie COSA Checklist WELL ONLY.docx Adequacy test date Results ❑ Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _ in Elapsed time _ min Final fluid depth _ in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) in Effective depth used _ in Effective depth remaining in 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 NA ft ❑ Yes if No *50+ ft Neighboring Tank > 100' ® Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NA ft Neighboring Absorption Fields > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No * ft Holding Tank > 100' ® Yes if No ft Animal Containment > 50' ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No *50+ 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 ft Surface Water >100' _ El Yes if No ft Tank to Property Line > 5' ❑ Yes if No ft Field to Property Line > 10' ❑ Yes if No ft Water Main > 10' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' ❑ Yes if No Community Wells > 200' ❑ Yes if No If tank or field is under driveway comment below. ft ft *Well appears to have met code at installation per MOA & AWWU docs with 50'+ to sewer manhole and main & original septic system was decommissioned Appears MH may be closer to 1 00'from well and sewer service line is 25'+ away from well. 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 3/31/2023 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 ,%__ 2Z��N�� applies only to the conditions as of the day tested. The flow and absorption rates may change ,,,�1 due to subsurface conditions that may not be observed from the surface, changes in land use, t®• . • ...... � l local soil characteristics, groundwater levels that may fluctuate during the year, quality of ,rr+ •' ' Li'�''� construction (workmanship & materials), the water usage of the family being served by the /�'Q_•• •••"���) system and maintenance. The operational life of all well and septic systems are subject to F� these various and dynamic characteristics and are outside the control of the evaluator of the 0 .... .. • . . ...... • • • well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory LX — for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS ' Curtis Huffman �'c�'�• CE 128991 3/31/2023..' COSA Checklist WELL ONLY.docx ,`t� 'OROFESSIOW.�,o X X X X X XXXXXXXXXXXXXXXX OHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHU℄ %A))I1 S7REE7LO7 10A LO7 10A LO7 1D  LO7 1A11 000 LO7 1A1A 001 LO7 1A 11 1' 7 E ES070' U7IL ES07ED*E O) 3A9E0E170' 0' 3A9ED DRI9EWA< W S00° 00' 22"E 124.96S89° 56' 39"E 191.46 N00° 00' 06"E 124.95SHED E G OHUO H U O H U O H U O H U O H U O H U O H U111 011101N89° 56' 28"W 191.48 100 ' WELL RADIU S LRW A %ORFN A EDJOH RLYHU 0LGHHLJKWV SXEGLYLVLRQ  ST )W  100 %DIILQ SWUHHW  SWRU\ WRRG )UDPH HRXVH WLWK AWWDFKHG  &DU *DUDJH 00 PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. March 24th, 2023. Legend: Scale 1" = 40' Gas Meter Electric Meter/Outside Power Deck Telephone Pole Fence Overhead Utility Lot 9A, Block 4A Eagle River Mid-Heights Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Brandi Sullivan 23-095 03/29/2023 83-425 NW052 Concrete Light Pole G E x 0DU  0 R E GISTEREDPROFESSIO N A L LA NDSURVEYORPierre M. Stragier No. L.S. - 9812 Water WellW .,Jesse 13. Hidl .0. Box SOO rt {MoM broufM toour s~Meffou thst pmtb{~ oewe~ is avdldd~ to Lot 9, ~ 1. J~afb R~ver Mtd ~{eig~d~ Subdlvl_~__~. Aeool~llJg to the At~ Codec of 0m. dbiml~e8 "Sew~Fe Dispooo] PTo~utJ~esw, Chmpte~ 16, ~ 18.45, Sm~tJon seid premises...'. If we do net heu~ ~ you within s4~m C~) dayo, we will Les iJUabbds, {t.$. RECEIPT FOR CERTIFIED MAIL--30¢ (plus postage) SENT TO POSTMARK OR DATE STREET AND NO. P.O., STATE AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN RECEIPT SERVICES 1. Shews to whom and date delivered ........... ]5¢ With delivery to addressee only ............ 65¢ 2. Shows to whom date and where delivered .. 35¢ W th delivery to addressee only ............ 854 DELIVER TO ADDRESSEE ONLY .................................................... 504 SPECIAL DELIVERY (®xtro fee r®quir®~ .................................... -- PS Form Apr, L97! 3800 NO INSURANCE COVERAGE PROVIDED-- (See other NOT FOR INTERNATIONAL MAIL * o~o: zg?~ o- 4~e-743