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HomeMy WebLinkAboutTALUS WEST BLK 1 LT 10 ANCHORAGE AREA BOR~:;GH Department of Environmental Ouality 3330 C Street Anchorage, Alaska gg§03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MA,L,NGADDRESS:P PHONE SEPTIC TANK: DI.~TANCE FROM WELL MANUFACTURER MATERIAL ~'~ J~ I NUMBER OF COMPARTMENTS INSIDE LENGTH ~LD: INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY. GALLONS. DISTANCE FROM WELL I~0 ~"~FOUNDATION NUMBER OF LINES ABSORPTION .AREA DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH NEAREST LOT LINE_ ICj j~.~e~-~ OF LINES ~ ~'t DISTANCE BETWEEN LINES TRENCH WIDTH'~: IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELLL~ BUILDING NEAREST FOUNDATION ~ , LOT LINE /[ ~ ' DEPTH CONSTRUCTION__ & ~S'/0 ? NEAREST .~PTIC SEEPAGE SEWER LINE /¢:¢~/7, TANK SYSTEM CESSPOO[ OTHER SOURCES APPROVED___ '~DISAPPROVE D REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: ~,,¢(.. SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form LQ-032 NAME OF APPLICANT GREaTEr ANCHORAGE 'AREA Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-/~561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK / 2~--O ~ ~L~/v/~SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLETION DATE ANTICIPATED DRAIN FIELD , OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEST 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. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT /7-- SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ., SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK· , SEEPAGE PIT TO RIVER, LAKE. STREAM. DRAIN FIELD · DRAIN FIELD , ., SEEPAGE PIT ALSO CONSIDER AREA WELLS. ., SEEPAGE PIT · DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEETINTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTeD WITh AirTighT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUgh REGULATIONS REGARDINg; INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE ~GREi....~R ANCHORAGE AREA BO[.~,JGH ~j~/ Department of Environmental (~uality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS 2, 7~//~ Z¢~/g,¢/ LEGAL DESCRIPTION PHONF~,~ 7 - "Z 'Z SEPTIC TANK: FROM WELl- ~"'~4ANU FACTU RER NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DePth LIQUID CAPACITY J~ GALLONS. SEEPAGE PIt: NUMBER OF PITS / DIAMETER __ LINING MATERIA , FI B SIZE: BUILDING FOUNDATION DIAMETER NEAREST LOT LINE ADDITIONAL ABSORPTION OR WIDTH LENGTH DEPTH / /TZ-/ DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE ¢¢ ~ ABSORPTION AREA (WALL AREA) ~ SQ. FT. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC TANK DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY:t:'(7/ LOT SLOPE: Form ldo, EQ~031 DIAGRAM OF SYSTEM APPROVE/ '~' G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 27~-4561 SEWAGE DISPOSAL SYSTE~ -- APPLICATION AND PEP, M~? INSTALLAT[ON LOCATION MAILING ADDRESS PHONE LEGAL DESCRIPTION ~d ~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO ~lE F~NANCED THROUGH SOIL TEST RESULTS FINAL INSPECTION: 2/~ HOUR NOT'CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL SE SUBJECT TO PROSECUTION. SEPTIC TANK size /2~/) TYPE SEEPAge area size ~ 2~ ~ ¢ TYPe MINIMUM DISTANC:E$. REqUIREMEnTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT . ~) / , DRAIN FIELD /~/ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~{~ / 2~) / ., SEEPAGE PIT , DRAIN fIElD TO NEAREST LOT LINE. ~LL TO SEPTIC TANK / ~ / ,. SEEPAGE pit DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRA[r~ FIELD sePtiC TANK, ~(~) / //~J / 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 SO]L, 4 INCH D[AMETE~ CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FitteD WITH AirtigHT ~EMOVABLE CAPS. GRAVE/.. BA{:KFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE I~EQU]REMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.~! DATE /~*-- ~'~/--T~ APPLICANT'S $[GNATUR GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Legal Description: ~[ot /~ BloCk J This Form Reports Soils Log_~ Soil Test Must Be Logged To 4' Dated Performed~?//~ Subdi~vision '~-~/~/~d~- · Percolation Test Below Proposed Seepage System Depth Feet Soil Characteristics 2w 9-- 12-- 13-- 14I Was Ground Water Encountered? /~ ~(~ If Yes, At What Depth? Reading Date Gross Time Net Time Pit Depth to H20 Drain Field Net Dro Percolation Rate Minute Proposed Installation: Seepage Depth of Inlet _Depth ~o Bottom of Pit Or Trench ' COMMENTS: Test Performed Bate: / 7P-.97 1 hereby certify thor I hove surveyed th8 fo/lowing described ' property ond the dfmon3/ons. th~r.~on c~r~ ~crrect. I~ is fh~ r~sponsibili~ tho owner, pr/or to construct to verify . proposed building g~ode ond utility connections and' ~o d~f~rmz~o th~ exfs~on~ of which do not oppeor on the recorded plot. Lot / O , ~/ock / Anchoroge Recording Dfstric¢ LAND S~URV~-YOR • • t Q •, r Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 ����Ti CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-201-33 Expiration Date: l ' 2-1 r 1. GENERAL INFORMATION Complete legal description TALUS WEST BLOCK 1, LOT 10 Location (site address) 11905 WILDERNESS DRIVE, ANCHORAGE,AK 99516 _ Current Property owner(s) TREVOR&KIMBERLY BURON Day phone Mailing address 11905 WILDERNESS DRIVE,ANCHORAGE,AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: Date: /a- 2- / COSA to be released to engin .unless otherwise requested by the engineer. COSA Fee $ O Waiver Fee $ Date of Payment g f // Date of Payment Receipt Number 0/50LI D Receipt Number COSA# One.r9-145,- 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 9/26/2017 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. 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 occupants or can ArcTerra guarantee that no unseen +��\ encroachments,deficiencies or discrepancies exist. / OF AI' s • 6. DSD SIGNATURE 9TI[ I 110 System #1 Approved for Li bedrooms. KEhNEr T` ., �s �s ` System #2 Approved for bedrooms. 4�5%'�o �` e Disapproved. '"rEss, 4100" Conditional approval for bedrooms, with the following stipujatd +l Ih,rr ,,�P��Z`( `Jr YCti',' FS ON-SITE WATER AND WASTEWATF-B o G PROGRAM J r-- :y: Original Certificate Date: I — a —t 7 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 blue sheet 1a1a,2.doc 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: TALUS WEST BLOCK 1, LOT 10 Parcel ID: 015.201-33 A. WELL DATA -per MOA data Well type PRVT If A, B, or C provide PWSID # Well Log (Y/N) N Date completed unknown Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth unknown ft. Cased to 40+ ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test •• 91712017 Static water level ft. 84 ft. Well production g.p.m. 5.4+ _ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 2.51 mg/L Arsenic: NO ug/L Date of sample: 9/8/2017 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP l STEEL Date installed 512412007 Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) Y Date of pumping 9/6/2017 Pumper ONE STOP C. ABSORPTION FIELD DATA - MTs extend 2.7'—2.8' into the 3.5'effective depth Date installed 5125/2007 Soil rating (g.p.d.lft2 or ft2/bdrm) 0.8 System type SHALLOW TRENCH Length 89 ft. Width 5 ft. Gravel below pipe 3,5 ft. Total depth 5.5-6.1 ft. (Measured 9/7/17) Eff. absorption area 824.5 ft2Monitoring tube Y Depression over field N Date of adequacy test 9/7/2017 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 28.5 in. Water added 600 gal. New depth 34 in. (@ lateral) Elapsed Time: 1440 min. Final fluid depth 28.5 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date D. LIFT STATION Date installed 5/24/2007 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 25 in. "Pump off" level at 44.5 in. High water alarm level at 22 in. Datum MANHONE RIM Cycles tested 2 Meets alarm&circuit requirements?Y E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot_100'+ On adjacent lots 100'+ Absorption field on lot 100'+ _ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 100'+ Animal containment areas 504 Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ _ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ _ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS Based on observations and measurements during the testing process it appears that the monitoring tubes extend approximately 2.7-2.8' into the 3.5'effective depth. The field is operating in the top portion of the effective depth and at 90%+of life expectancy. Therefore,no estimate can be given on how long the system will function satisfactorily for current or future occupants. G. ENGINEER'S CERTIFICATION I certify that / 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. t5 Engineer's Printed Name KENNETH M. DUFFUS �Q' . - t Date 9/26/17 * 4 9 Tf l .j COSA canary sheet 2 6-15.doc AP.. �'p' KENKF.TH M. g Av 71 6 c�4, JT44, ti •Es' • �� • • Municipality of Anchorage . r i Development Services Department =r , °: !!k Y Building Safety DivisionSAFETY On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Septic System Advisory Certificate of On-Site Systems Approval # OSP 171457 During a recent adequacy test on the septic system for Block 1, Lot 10 of Talus West subdivision, 34 inches of standing water was observed in the absorption field. This indicates that approximately 90+% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Phone: 4. Location: 5. Type of facility to be inspected 6. Well Data: A. Type/.~7 -~ C. Construction ~~ B. Depth No. of bedrooms D. Bacterial Analysis Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: B. Installer 1., Size /-~ 2. Manufacturer ~/%/~/ 1. AbSorption Area ,~&~ 2. Material ~~----~,~'~.~/ Total length of ]~nes 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2~ of. two pages - Req~:st for Approval of Individual S,.~.~r & Water Facilities Comments Approval Valid for one year from date signed Greater Anchorage Ar6a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date £Q-034 (]/74) -ar~men~ oi ~nvlronmental (~ualil k~/ater and Sewer Questionnaire Date /~-~- 7S~] Time Subdivision , Block / , Lot /D Mailing Address: ~_~ Questions: 1. How many bedrooms are now in your house? 2. How many bedrooms were in the house at the time of purchase? 3. Were the basement bedroom walls "roughed in" at the time of purchase? 4. Was the basement bathroom plumbing "roughed in" at the time of purchase? 5. Did the realtor or builder inform you that you would have .to enlarge the existing sewer system if you finished the basement bedroom (s)? 6. If on a public water supply, do you always have an adequate supply of water? 7. Is the pressure always adequate? 8. Who was the builder? 9. Who was the home purchased from? OTHER COMMENTS: BI-A-ROBI ALASKA 250 South Park Street Anchorage, Alaska 99504 Frank G. Wilson, Distributor Telephone (907) 274-3324 MAINTENANCE SERVICE AGREEMENT Legal Description "'~'/ .". ~ '-~ . This Agreement entitles: Owner ~ .--; r Street City , to the following service for two years from the date of acceptance. Phone :' ," Upon receipt of this signed agreement and payment in full according to the purchase agreement, BI-A-ROBI ALASKA agrees to perform the following services during the term of this agreement: BI-A-ROBI ALASKA will inspect the BI-A-ROBI OXYGENATION SYSTEM twice a year. These inspections will include: * Check and clean or replace filters as required. * Check diaphram, inlet and outlet valve. * Clean unit and/or install new Service Kit as required. * Examine final Effluent for clearness and odor. * Check timer and warning light. * Inspect for sludge accumulation with arrangements for removal when build-up warrants removal. * If improper operation cannot be corrected at time of service, the Department of E. Q. will be notified. If it should be necessary to replace any parts of the equipment, the Servicer shall make such replacements of · 'the parts and materials required. There Will be no charge for labor, mileage and parts under the one-year - warranty. ;Service calls resulting from the following reasons are not covered by this agreement and will be billed at the ';'regular. hourly current rate: (a) Power or fuse fa'ilure. (b) Flooding, freezing, tank settling, freezing of effluent line. (c) Discharge of any material, liquid or solid into the unit which could not be considered normal bio-degradeable household effluent waste. (d) Crushing of unit or piping due to overload on the ground above or area thereof. (e) Clogged inlet or effluent line. SeCvice calls Will be made by qualified mechanics representing BI-A-ROBI ALASKA. The two service checks annually will include calls for emergency repairs. · BILA-ROBI ALASKA is relieved of any further responsibilities if at any time during the term of this agreement you permit any other persons or employees of any other Company to render any service or make any : adjustments or changes to the equipment, except when instructed by us. We will not be responsible for any dicect or indirect damages arising from failure of system and/or ecjuipment, but undertake under the terms · outlined in this agreement to do such adjusting as may from time to time be necessary. The Servicer will not be responsible for damages resulting from fires, floods, accidents and delays unavoidable : Or t~eyond our control. -We hereby authorize BI-A-ROBI ALASKA representative to replace such parts and materials as may be 'teqUired to ensure proper operation of the system. DEFAULT: If the customer does not pay any invoices due from services rendered within 30 (thirty) days of billing date, BI-A-ROBI ALASKA may (s) refuse to continue service or (b) furnish service only on a C.O.D. basis; The customer agrees to pay all costs and expenses of collection plus interest, including the maximum :attorney's fee permitted by law. TWO YEAR SERVICE CONTRACT. ' (Round Trip__.miles ,contract) (Owner) (Servicer)