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HomeMy WebLinkAboutTALUS WEST BLK 3 LT 10QGL ATERANCHORAGE AREA II, OUGH Departmen3t5;f0 ET~ior~n~c~ndtal Quality Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE NUMBER OF FROM WELL ~ {* MANUFACTURER~-~O~<~Z (~ - MATERIALT/Z'"~/ /~'~f~,:~/~ COMPARTMENTS ~ INSIDE LENGTH ~ INSIDE WIDTH -- LIQUID DEPTH ~ IJQUID CAPACITY./F)~)C~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER __~ OR WIDTH /~//~; LENGTH 2Z, DEPTH LINING MATERIAL~OO'4fi/2CTg .~RIB SIZE: DIAMETER iz DEPTH ~/ DISTANCE FROM: ? TOTAL EFFECTIVE BUILDING FOUNDATION~2, NEAREST LOT LINE ,;~/ . ABSORPTION AREA (WALL AREA) WELL .SQ. FT, ADDITIONAL ABSORPTION WELL: TYPE BUILDING / FOUNDATION CESSPOOL APPROVED ~/' CONSTRUCTION ~/~ 0~')U.9 ~/~- ~-~/~ DEPTH /'0,~ / DISTANCE FROM: NEAREST /~) /~. NEAREST i./~ SEPTIC SEEPAGE LOT LINE SEWER LINE /'4 , TANK ~'0 !-~, SYSTEM lO0 / OTHER SOURCES DISAPPROVED REMARKS DISTANCES: PIPE MATERIAL: ~ LOT SLOPE: REMARKS: I~'h/~Z~g.~ b~ ~ Form PW-02(~ DIAGRAM OF SYSTEM p.'r), .. DATE {F~L~. '~] /~- APPROVED /.ZJ~4~-g L/j- ~=~/~.X)-~ G,A,A.B. GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ 1~" TYPE AND SIZE OF FACILITY TO BE SERVED ~ ~-/~'~J/ NOTEt THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST COMPLETION DATE ANTICIFATEO / ' ' -- pFRMTT VAI TD ~NF YFRR FINAL INSPEGTION~ J4 HOUR NOTI~ REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL IN~GTION BY TN. 5 f~. FOUNDATION~ TO SEEPAGE PIT 20 ft® DRAIN FIELD __~0 ft. SEPTIC TANK TO SEEPAGE PIT WALL TO NEAREST LOT LINE. D.AjN FiELD---~U ft. SEEPAGE PIT 27~)~_,~, DRAIN FIELD SEPTIC TANK, ALSO CONSIDER AREA WELLS. SEEPAGE P~T lO ft. 10 25 ft. SEEPAGE PIT 100 ft. , DR^,N F,£LO 50 ft. TYPE / -/~D[AGRAM OF SYSTEM - OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ~REA ~OROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE T.H.-I lC -25-72 ORGANICS 1.0' ORGANIC SILT W/ SOME GRAVEL 2.0' Note: SILTY SANDY GRAVEL (GM) Med. Dense 9.0~ SAND, FINE TO MED. GRAIN ~;" IO.0' SILTY Med. SANDY GRAVEL Dense 17.0' No Water Table Hole excavated with trector mounted Send seams 2 to 4" thick found in Sandy Grovel strata. backhoe. Silty ~.ngineering ~ Geological Con~ultont~ Howard Nugent Property LOG OF TEST BORING Anchorage Alaska R&M Civil Engineers ENGL..TERiNG & GEOLOGIG._z CONSULTANTS 22g EAST 51st. AVE, - P.O. BOX 5087 - ANOHORAGE, ALASKA ggs03 TELEPHONE 907--279-0483 TELEX 090--35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S, JAMES H. WELLMAN, P.E, October 26, 1972 R & NI No. 26540-47 RALPH R. MIGLIACCIO Mr. Howard Nugent Star Route A, Box 1591 - N Anchorage, Alaska 99507 Re: Test Hole and Soil Log Report for Sanitary System Lot 10, Block 3, Talus-West S/d Dear A~r. Nugent: We are submitting herewith the test boring results and our coranaents regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of October 25, 1972 and those procedures outlined in a letter dated September 13, 1971 by Mr. RolJ~ Strickland o{ the Greater Anch- orage Area Borough Department of Environrnental QualiL-y. A single test hole was put down within the Lot 10 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 17 feet below ground surface. The final log prepared for the test hole has been include~ in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given the opportunity to be o~ service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS es W. Rooney ~ Partner OOT z :/l@/g ]WR:wb Enclosure xc: GAAB ANCHORAGE FAIRBANKS JUNEAU MUNICIPALITY OF ANCHORAGE Development Services Department _ Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Parcel I.D. 015-201-45 Certificate of On -Site Systems Approval Expiration Date: S / 9 2 a 2Z 1. GENERAL INFORMATION Complete legal description TALUS WEST BLK 3 LT 10 Location (site address) 11906 Wilderness Drive Current property owner(s) Erin Sage Mailing address Real estate agent 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 907.223-9506 Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 20 Date of Payment Receipt Number _ 03 `i o,2b COSA # 05 G7 % /() z; Z 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 2/10/22 6. DSD SIGNATURE _')6 System #1 Approved for 3 bedrooms System #2 Approved for ...-- bedrooms . Disapproved Conditional approval for bedrooms, with the following stipulations: .\§QQ �P p,�ITY VV ,, ATF Alva—,; ")))Illtll.},"' By: w ✓ 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 engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COS,X Cheddist blue sheet • Legal Description: TALUS WEST BLK 3 LT 10 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1972 Total depth 129 ft Cased to >40 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 2/8/22 Static water level at beginning of test 52 ft. Comments B. TANK DATA Age of tank(s) 17 years Tank type/material STL Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout.per record. drawing Date of pumping 11/2/21 D. ABSORPTION FIELD DATA 7/04 Which system tested (date installed) same ❑ ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 015-201-45 Structure served by this system Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate 2.34 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 2/8/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 2/8/22 Results Q Pass For 3 bedrooms Fluid depth prior to test 30/35 in Water added 450 gal New depth 30"411 in Elapsed time 30 min Final fluid depth 30/35 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) n0 If yes, enter date E. SEPARATION DISTANCES From Private Well onLot to: (Please enter distances Jless than required orifcommunity well) Septic Tank/Lift Station on Lot > 100 L-2 Yea Community Sewer Manhole/Cleanout > 100^ ��Ye �� * �No M �� Y — ,_^ea ifNoft Neighboring Tank >10O' [D Yes |[NoK Private Wells >1OO' Yes JNoft Private Sewer/Septic Line >25'[DYes ifNoft Absorption Field 0DLot >1O0' ��YeS ifNoft ifNoM Holding Tank >10O' Yes ifNoft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Yes ifNoft RYan ifNoft Yea if No F. ENGINEER'S COK8K8E0TB ��anunnA\ninno|ExcnataStonsge�1U0' {�ommunib/Sewer yWain>75' ��� �Yos _ if � — [D Yes iyNoft From Septic/Holding Tank mnLot to: (Please enter distances ifless than required) Building Foundations >1O' 21 Yes ifNoh Surface VVater>1O0' Yes ifNoft rropenyLine > 5I L-2 Yea ifNoM ifNoM Wells onAdjacent Lots: Absorption Field >5' Property Line >1O' Yes ifNnft ifNo# Private Wells >1OO' Yes JNoft Water Main >1O' Water Main >1O' Yes ifNoft ifNoM Community Wells > 206' Yea ifNoM Water Service Line > 10' Water Service Line ?:1D' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation 1O` Yes ifNoM (fabsorption field isunder driveway comment below Property Line >1O' Fv�Yoa ifNo# Wells onAdjacent Lots: Water Main >1O' Yeo ifNoM Private Wells >1UO^ Yen if No Water Service Line ?:1D' Yes ifNnM Community Wells >20O' Yes if No Surface Water >1OO' Yea if No F. ENGINEER'S COK8K8E0TB G. ENGINEER'S CERTIFICATION / certify that / have determined through field inspections and review ofMunicipal records that the above systems are in conformance with MCA CO3Aguidelines in effect onthis date. COSA Checklist yellow sheet M ft MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343~4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 1. GENERAL INFORMATION Complete legal description Lot 10; Block 3; Talus West Subdivision Location (site address or directions) ]]qn~ w~]~=~ n~,,e.. ~H~ag~, Property owner ~RELOCATION Day phone Mailing address Lending agency Mailing address Day phone Agent Mary Ann Beckwith/FORTUNE PROPERTIES Address 30n,q A Rl"~',~f'., An~h~m~g~t A]~ qq~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: Day phone 562-7653 ' If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding ta'nk Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of System. 72-025 (Rev. 1/95} Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature 17034 Eagle River L~op Roa~ ~uclle ~iver, Alaska Phone Date SIGNATURE Approved for Disapproved. bedrooms. ! Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA ~25 Legal Description: , IyIUIIIUIF.JC~IILy UI t'%/l~l[~)lCt~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. A. WELL DATA Well type ?~gA~5_. Log present (Y/(~ Total depth l(3~ Sanitary seal (~YN) If A, B, Or C, attach ADEC letter. ~"~ ~' Date completed ADEC water system number [ c{~.~.~_ Driller Cased to ~0~- Casing height /~"/ Wires properly protected (~YN) Date of tes'~ Static water level Well flow Pump level FROM WELL LOG g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Public sewer service line AT INSPECTION · ' MUNICIPALITY OF ANCHORAGE ~,L/'l ENVii~ONM~NTAL SEI~V{CES DIVISION RJ CIEIVED ; On adjacent lots ~'0c3 ~-/- ; On adjacent lots /0O Public sewer manhole/cleanout /U//~- Petroleum tank r~ o,,,J~ WATER SAMPLE RESULTS: Coliform O Nitrate Date of sample: oh.. ] D..I c/~ J~'J' ~. Other bacteria Collected by: '~ ~' g F~mr.r~J~.¢~_, ~c. S. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (~/N) High water alarm (Y/~) Date of pumping Tank size Foundation cleanout (Y/~ Compartments ~-- Depression (Y/{~) P-) o Ajarm tested (Y/N) -- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot '~C)~'/- On adjacent lots To property line I0 t '{- Absorption field Surface water/drainage 72~26 (Rev, 3/91) Front MOA 21 Foundation /0 ,/- Water main/service line /~) '~- CONTINUED ON BACK PAGE Date i n st~alle'i~'~. ~ Manufacturer ....... ~ Size in gallons ~'"'~_ Manhole/Access~Y-/N~ Vent (Y/N) "PumD~evel at ~ "Pump off" level at High water alarm level _ ,-~><'---._ Cycles tested __ Meets MOA elect~~ ~ On adiacont lots ~ll on lot SuVaco wa~ D. ABSORPTION FIELD DATA Date insta,ed [ Length ,-~2 ' Width Total absorption area Depression over field (Y/~ Results (a /faU) Peroxide treatment (past 12 months) (Y/~ ~o~ Soil rating o~.1~ ~'~//~¢- System type c~ / Total depth / ~ / Cleanout~' present (~'N) ~/~-~ Date of adequacy test for / 0/,,~ ///~' / I~~ ., 16' Gravel thickness If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation '~-~ To existing or abandoned system on lot ' /u//'Z~ On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect 'ate of this inspection. Signature Engineer's Name Date S & S ~"~NGINEF. RiNG 17034 Eagle River Loop Road No, ~04 _ Eagle River, Alaska 99577 HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ · Date of Payment ~ ~-~ .) Receipt Number 72~26 (Rev, 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ANALYSIS RESULTS for INVOICE ! 50830 Chemlab Ref.# 92.0406 Sample # 1 Matrix: FAX:(907) 561-5301 Client Sample ID PWSID Collected Received Presezved with DRINKING WATER L10,BS,TALU8 NEST SD. Client Name :S & S ENGINEERING UA Client Acct :SNSENGP FEB 2 92 @ 19:00 h~s. BPO~ : FEB 3 92 ~ 12:40 l~s. Req# : AS REQUIRED Ordered By :R. SHAFER PO# :HONE RECEIVED Analysis Completed : FEB 5 92 Laboratory Supe~l~pr.~EPHEN C. EDE Released By: ~ ~. ~ Parameter Results Units Method Allowable Limits HITRATE-N ND(O.iO) mg/1 EPA 353.2 10 Sample ROUTINE SABLE COLLECTED BY: J.W. Remarks: I Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected "See Sample Remarks Above MA- Not Analyzed LT-Loss Than, eT=Greater Than ~SGS Member of the SGS Group (Soci~t~ G~n6rale de Surveillance) APPLI( NT FILLS OUT UPPER HA: ONLY Property Owner -- Buyer / Address Zip Code Lending ~nstitution Phone Address Zip Code Realty Co. & Agent Address Zip Code Street Locat,~ // Type of Residence ¢Single Family ~ Multiple Family NO. of Bedroo~s ~ Other Water Supply ~dividual A~ACH WELL LOG. A well Icg is required for ag wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility ~idual Year Individual Installed: ~ Public Utility When Connected to Public Utilily: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Insp6ctor Field Notes: MUN[CIPALITY OF ANCHORAGE DEPT. OF HEALTH J:NVIRONMENTAL PROTECTION SEP t I983 RECEIVED ,1~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) CONDI~ION. AL APPROVAL" r~ATE ~'~ · ~'-.~ / Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size ARCTIC ENGINEERS, INC. August 31, 1983 AEI# 83-013-24 Mr. Stan McCartney Lot 10, Blk 3, Talus West Subdiv. Anchorage, Alaska Dear Mr. McCartney: On August 30, 1983, an inspection of the individual well on the above referenced lot was performed by our firm. The Municipality of Anchorage requirements for in- dividual wells are: 1) Casing extends 12" above ground. 2) Ground surface around the well is sloped away from the well. 3) Well cap is properly sealed. 4) All wiring is in electrical conduit. 5) Water analysis for Total Coliform is satisfactory. 6) Adequate clearance from septic systems is maintained. We inspected all of the above and found them to be in compliance. A copy of the water analysis report is attached. If we can be of any further assistance, please contact us. 3901 ~A[!atCIA LANE: ANCHORAGa ALASf<A 99504 o 90~/333-9428 (A(;couN ARCTIC ENGINEERS, INC. August 31, 1983 AEI# 83-013-24 Stan McCartney SRA Box 1591N Anchorage, Alaska LEGAL: OWNER: HOUSE TYPE: WATER: SEPTIC SYSTEM: TEST DATE: PROCEDURE~ SEPTIC SYSTEM ADEQUACY TEST Lot 10, Block 3, Talus W~St S630di~ision Stan McCartney 3-Bedroom, 2-Story, Single Family On-Site Well From MOA Records Tank: Absorption System: Absorption Area: Approval Date: 1000 gallon, 2 compartment, steel Seepage Pit, 3 concrete rings 657 sq. ft. October 25, 1972 August 30, 1983 Test was started at 11:00 a.m. Water from a tank truck was dumped into the seepage pit in 100 gallon increments with liquid rise in the pit measured after each increment. When 400 gallons had been added, the seepage pit became full. At that time, addition of water was halted and the septic tank was pumped. The calculated rate of rise in the pit was 10 gallons per inch, or 120 gallons per foot. 3S}01 PA i'RICIA lANE ~ ANti )I~A( /NI ASKA 99504- ~ 907/33,3-9A28 (ACCOm,m>$G) Adequacy Test 83-013-24 Start McCartney --2-- PROCEDURE: (cont'd) RESULTS: Absorption monitoring was carried out for 80 minutes after pumping the septic tank. The resultant plot of absorption Vs. time, with the extrapolated daily absorption capacity, is included. The plot of absorption vs. time yielded a daily absorption capacity of 900 gallons per day. The required absorption capacity for a 3-bedroom house is 450 gallons per day. The soil absorption system meets Municipality of Anchorage requirements. -d