HomeMy WebLinkAboutEKLUTNA WEST LT 14Eklutna West
Lot 14
#051-062-43
GRE - R ANCHORAGE AREA BOR IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska ggs03
NAME
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS 70~'f~'1~'¢t~1''~4',~' '~' PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
0
INSIDE WIDTH
MATE R I AL ,~ U~IL'~(
LIQUID DEPTH
COMPARTMENTS
LIQUID CAPACITY /1¢t~¢) GALLONS.
'T!L~' CP, A~N FIELD:
DISTANCE FROM WELL
FOUNDATION NEAREST LOT LINE_
TOTAL LENGTH
OF LINES
NUMBER OF LINES .DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA ·'~1~/~2 SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE___IN. ABOVE TILE IN.
WELL:/~_ '!
T y p E _ (---~-/~/~l/,~/~ / Ff CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE__, SEWER LINE__, TANK , SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-032
G.A.A.B.
' 0 8- E GEOTECHNICAL 8' DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Earl Ellis
Russell Oyster 688-2280
694-2774
Soils ~- Foundations Land Development
SOIL LOG
Performed for: Name: ~?~//V~- ~'~£g&-/z, /-'~,~/,~T/~Tel. No.
Hatltng Address: /~x ?,¢'~ i ~T~ /2oU7-~ ~ ~'//~/~1/¢~, /q~'
'Legal Description:
Depth (feet)
0
Z~,T- /4-.
Soi] I;;haractertsttcs
8
10
12
Ground ~ater Encountered: Yes
Proposed Installation: Seepage Ptt
Comments: ~/~ ~/~ J/I//~
No ~ If yes, what depth
Drain Field
~/2_ ~za£a~/~
/
,./
I. Cenaral Iu£or~iou
~ZCIPALITY OF ANCHOKAGE
DTTLgZON OF ~VIRONMZNTAL HEALTH
DEFAR~IT OF ~F-%LTH AND ENVIRONMENTAL PROTECTION
A~ICA~XON ~ ~ALTH A~THORITT APPROVAL CERTIFICATE
Application Data "~/~,-~"
subdivision, section, township, range)
Telephone - Home
Business
Applicants Address,
(c) Applicant is (check one) Lending Institution, ~--~; Owner/builder~-~;
(d) ending Institution
,, . / J J
Address
(e) Real Estate Co. & Ageut E(~
Address /,
Telephone
~il the ~ to the follo~ng ~dress:
Type of Residence
Single-Family.~.
Number of Bedrooms
Water Supply
Individual Wellr--~
Multi-Family
Other (describe)
Community[--~"[ Public[--[
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ Public ~--~ Community ~--~ Holding Tank ~-~
Note: If community well system, must bare written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
~[P~age I of 2]
Engineerin~ Firm File Search
!~::: As, certified by my seal a~fixed hereto and as of the validation ~atm dnowu hexol,
" verify ~ ~ invesCigaeion of this He~:h Authori=y Approval sho~ that the
wa~er supply a~/or ~s=ewater disposal system is safe, f~ction~ a~ ~eq~ta for
~[: ~he n~ber of bedrooms and =ype of s~ruc~ure indica=~ herein.- ~ fur=her verify
based on =he i~o~=ion obtain~ from the ~nicipality of ~chor~e files and fro~
investigation ~ inspection, the on-si=e ~ter supply a~/or ~stewa=er disposal
'~:"~ sys=em is in compliance ~h ~1 ~nicipal ~ S~ate c~es, ordinances, a~
~ions in effect on =he date of =his inspec=ion.
Approved ~or '~ bedrooms By / 2
Approved ~ Disapproved Co~i~ion~
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ~ALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES ~/.ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS LN THE PROFESSIONAL ENGINEERtS WORK.
RR4/eJ/D18
[Page 2 of 2]
(DHEP SEAL)
7-19-84
C. ABSOP~, I~ON FIELD raTA
Soils Patin~ in Abso=ption St=ara
Width of Field .
Length of Field
Depth of Field , ,, 1/
Gravel Bed Thickness
To Wate=-Supply W~ll To P=o~erty Line /O~
To Building Foundation ~ /, To Existimg ~' ~n~d S~m ~
To S~ond~ke/~ ~J~ ~ai~ ~ ~/4o ~ . , ....
Date Installed
Sims in Gallons
"1~ O~" Level at
High Water Alarm Level at
Tested fo~ A3 [A-
Elect=ical Codes(Y/N) ~U/W%
¢cmmnts .... /
Dimnsions
~r~ole/Ac~ess (Y/N)
"Pump Off" .r~Vel at
Pumging Cycles da=lng Adequacy T~st.
Msets MOA
** Check Pem~itted Bedroom Rating A~ainst FAA Bsquest **
on the date of this inepectic~. I ~4~i---~%. ,
'.'''' -['".Z_,s'+% I
'e'~X~ ~
2-15-84
ALASKA I IIUIROFlmI IITAL cOrITROL SI RUICI S, IFIC.
~nqineerJnq g- ~nuJronmenIol Studies
3/5/85
CHARLES DOOLEY
6745 PIONEER WAY
PETERSCREEK AK 99516
SELLER - CHARLES DOOLEY BUYER -
SUBDIVISION - EKUTNA WEST BLOCK -
ADEQUACY TEST FOR SEWER SYSTEM
LOT - 14
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 396 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 685 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 3/5/85 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
1200 West 33rd Auenue, Suile ~. Anchora§e, Alaska 99503 .{9071 561-5040
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
To Whom it May Concern:
X
According to records on file in this office the ~~ ~/~J/~
~/~ Water System is in compliance
sta~e
with
the
Drinking
Water Regulations
Sincerely,
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251146
Parcel ID 051 -062-43
Legal description EKLUTNA WEST LT 14
Site address 21412 SETTLERS DR
Expiration Date: 4/28/2025
Current property owner(s) THE BANK OF NY MELLON FKA THE
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
M
Original Certificate Date:
5/2/2025
T' Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
ystem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
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. 05106243000
Complete legal description
Location (site address)
EKLUTNA WEST LT 14
21412 SETTLERS DR
Current property owner(s)
THE BANK OF NY MELLON FKA THE BANK OF NY
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
701-580-3117
3. TYPE OF WATER SUPPLY: E] Private Well F Private Well serving 2 dwelling units
F-1 Private Well serving 3+ dwelling units 9 Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: FE] Private Septic n Private Septic serving 2 dwelling units
E] Holding Tank 0 Community Septic or Public Sewer
5. SEPTIC TANK: F] Steel F-1 Plastic E] Concrete X Fiberglass
Age 50 _ See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS 0 Bed E] Deep Trench F] Wide Trench 0 Seepage Pit
Waiver request for:
Expedited review requested: [-I
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 $ Waiver Fee $
Date of Payment of 2-c) z Date of Payment
COSA # 05 C_ 17- 1 / J Waiver #
COSA Applicadon—June 2022
COSA Checklist
Legal Description: EKLUTNA WEST LT 14 Parcel ID: 05106243000
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 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 Public water
B. TANK DATA
Measured operating fluid level in septic tank 44
Date of pumping 4/28/25
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 6/12/75
❑■ ALL standpipes present per record drawing
Total measured depth from grade 11 ft (max)
Measured depth to pipe invert from grade na 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 2000 gallons 4/18/25 date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Deficienci
COSA Checklist June 2022
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
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 4/19/25
Results g Pass
Fluid depth prior to test 0 in
Water added 450 gal
New fluid depth 2 in
Elapsed time 30 min
Final fluid depth 0 in
Absorption rate 450 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 72
Effective depth used 0 in
Effective depth remaining 72 in
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'
■❑
Yes
Community Sewer Manhole/Cleanout > 100'
-❑ Yes
if No
ft
❑ Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
❑■ Yes if No ft
Water Main > 10'
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No
ft
❑■ Yes if No ft
Water Service Line > 10'
■❑
Yes
if No
Manure/Animal Excreta Storage > 100'
If tank or field is under driveway
Community Sewer Main > 75' ❑ Yes
if No
ft
7] 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'■❑
Yes if No ft
Tank to Property Line > 5'
■❑
Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
❑■
Yes
if No
ft
Private Wells > 100'
❑■ Yes if No ft
Water Main > 10'
■❑
Yes
if No
ft
Community Wells > 200'
❑■ Yes if No ft
Water Service Line > 10'
■❑
Yes
if No
ft
If tank or field is under driveway
comment below
F. ENGINEER'S COMMENTS
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 NorthRim Engineering Phone
Engineer'~ Printcd Name Steve Eng Datc -
COSA Checklist June 2022
694-7028
4/30/25
+•��� OF AC 441
49 TH *,
;�;Steve Eng
. ��
I; CE -6256 �A
4/30/2`'?
/ p �O
/ 2s,
o
2�
'/ / SHED
/L_____J
/ EAVE
/ n
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^41
' b d`
Q441//
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b/
2s, /
/
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JT UTILITY
PEDESTALS
LOT 13
S 84050'47" W 85,78'
I
238,
SEPTIC
STANDPIPE
LOT 14
27,190 sq. ft.
X
I
x
UTILITY
POLE
32.4'
GRAVEL
DRIVEWAY
40.0
1 -STORY
G)
FRAME 0'
Z 0' BUILDING
m 40.0' 22.6'
m
N
O
Q2
N 89°26'49" E 178.40'
LOT 15
0 15' 30'
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLAT (72-186) ARE NOT SHOWN HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEYAND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT
BOUNDARY SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULDANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY
PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION
SURVEY STANDARDS.
THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY
TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR
ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR ISA
VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED,
THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES
COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT.
JOB # 25086 1 NO CORNERS SET THIS DATE I SCALE 1" = 30'
I
33'
1
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0
0
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33'
REBAR
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............................,
04/25/25
�'. B u Saliz �o
LS -14837
li ��OFES S I ON
X1R
AS-BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 14, EKLUTNA WEST SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE
WITHIN THE PROPERTY LINES AND NO VISIBLE
ENCROACHMENTS EXIST EXCEPTAS INDICATED.
DATED THIS 24th DAY OF APRIL, 2025, ATANCHORAGE,
ALASKA.
FIXED HEIGHT, LLC C.O.A. 122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949