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HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 3 LT 23GREA, ANCHORAGE AREA BORU, H Department of Environmental Quality 3330 C Street AnchorDge, Aleska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH NUMBER OF COMPARTMENTS_ / INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/.~¢~'~GALLON5. TILE DRAIN FIELD: DISTANCE FROM WELL/dF.) FOUNDATION ,/'~/ ~' NUMBER OF LINES ~--~ DISTANCE BETWEEN LINES ABSORPTION AREA % %-~ SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE ~:7~ DEPTH OF FILTER MATERIAL BENEATH TILE /~ TOTAL LENGT~. / .NEAREST LOT LINE_/~}~'/3 OF LINES /-~ ~/ / TRENCH WIDTH g~91N. TOTAL EFFECTIVE IN. ABOVE TILE ':'2'- '~'/ IN. WELL: TYPE_ ~/~f//~' ~'~ CONSTRUCTION BUILDING t' NEAREST .~ / NEAREST //C2//~'- SEPTIC FOUNDATION ~'C"? LOT LINE -~ __, SEWER LINE TANK CESSPOOL 1"/'//~j- OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH~£p -~' DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: 4~/~ SEWER LINE DEPTH: LOT SLOPE: Form EQ-032 DIAGRAM OF SYSTEM G.A.A.B. Gte/ ~ ANCHORAGE AREA DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT_, INSTALLATION LOCATION ~--~'~'~ ~'-~ ~ ~""~ INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED SOIL TEST R~SULTS NOT~: THI~ P~RMIT ~ NOT VA~ID WITMOUT 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 ~'/'~'"~'" DRA'N FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. . SEEPAGE PIT ~ , DRA,N FiELD/~'~ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK /~ DRAIN FIELD /'~/ //9 WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ,,./~-/~ _/~ , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOle. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G .A .A .B. OR LICENSED DESIGNER .~'~.;,-,-,-,-,-,-,-,-~.' DIAGRAM OF SYSTEM I CERTIFY THAT , AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BORO GH ORDINA~C~~28-6'~AN/~T~ABOVE ' O~rE Russell Oyster 694-2774 Soils ~' Foundations GEOTECHNI CAL ~ DEVELOPMENT~CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis 688-2280 Land Development Performed for: Legal Description: Depth (feet) 0 SOIL LOG Soil Characteristlc~ 4 5 6 7 8 g l0 ll 12 Ground Water Encountered: Yes No Proposed Installation: Seepage Pit Comments: ~"~-; ~'~"d~ ~.~ Perfomed by: ~~ ~~ ~4 ¢' If yes, what depth Drain Fle~d '~ Oate:..,.~' Ccsf • s� ;lc...• Municipality of Anchorage "' `v On-Site Water and Wastewater Program 4 a,ial . :, (907) 343-7904 SA C Y Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-081-75 Expiration Date: / / — 1 Sr" I lO 1. GENERAL INFORMATION Complete legal description BROADWATER HEIGHTS BLOCK 3, LOT 23 Location (site address) 12327 BROADWATER DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) CHARLES R. FERRIN TRUST.... Day phone Mailing address PO BOX 770927, EAGLE RIVER,AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: (l Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well E Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: { aFP W G r ii-2V Distance: 33 Received" Date: /0 --2.17- (a • COSA to be release o the engineer,unless otherwise requested by the engineer. COSA Fee $ 5 - Waiver Fee $ 2 1 L.tl dril Date of Payment q 1 l 1 Date of Payment Receipt Number 0 2?S Receipt Number COSA# c11 dol c-1 GJ�J Waiver# r. a,, fad 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 9/23/2016 Engineers 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 .0.:+1,..-41..N„,,,, occupants or can ArcTerra guarantee that no unseen '.`r OOFA� encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE cSystem #1 Approved for 3 bedrooms, -..1KENI4.,-H ,. o�FF/I ` System#2 Approved for bedrooms. k dto 2-1--. i ����- Disapproved. \` "."- CConditional approval for S bedrooms, with the following stipulations: _Or ri4S (.1e vkR r ,tit ,„1„VC 1v OF r �,, , u . SU" 44 . �� _.`g 'N-SIT E 1Yo WATER AN 4'^ �v � 1�.� - �2 WASTEWA I r ; OGRAM o1- 1,/, S RV1C5,- r,/i,,,,,.,,., l y E —11 '^^n Original Certificate Date: I C" ),7--1 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 Stale 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 10.10.12.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: BROADWATER HEIGHTS BLOCK 3, LOT 23 .Parcel ID: 050-081-75 A. WELL DATA Well type PRVT If A, B, or C provide PWSID#— Well Log (YIN) N Date completed 1971 CIRCA Sanitary seal (Y/N)Y Wires properly protected (YIN) Y Total depth 290 ft. (PER OWNER) Cased to 40+ft. Casing height(above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test • 911/2016 • Static water level •- ft. • 32 ft. Well production •• g.p.m. 1.3 g.p.m. WATER SAMPLE RESULTS: • ' • Coliform NEG colonies/100 mL Nitrate 0.363 mg/L Arsenic: ND ug/L Date of sample: 91112016 Collected by: ARCTERRA • _ B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date:installed Unknown (circa'90s) Tank size 1000 gal_ Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N Date of.pumping 9/2712016 Pumper JRs - `t'•• C. ABSORPTION FIELD DATA Date installed Unknown(circa'90s) Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type BED Length 38 ft. Width 15 • ft. ' Gravel below pipe 0.5 ft. Total depth 4.9 ft, (Measured 9/1/16) Eff. absorption area 570 ft2 Monitoring tube Y Depression over field N Date of adequacy test 9/1/2016. Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in, Water added. 600 gal. Newidepth 0 in. Elapsed Time: ' <1 min. . Final fluid depth 0 in. Absorption rate >=.450+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) N If yes, give dater. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on"level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? 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 50'+ 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 1001+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 1004 Driveway, parking/vehicle storage 10'+ Curtain drain 501+(NONE KNOWNi Wells on adjacent lots 100'+ • F. COMMENTS. Si'4) g 1.447 v tYz G. ENGINEER'S CERTIFICATION I. certify that I 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. QF ALS'vk•r Engineer's Printed Name KENNETH M.DUFFUS ��P -7 +. Date 10/2112016 • * .4 i TI-{ . , * COSA canary sheet_2 6-15.doc — r � `' • P .i'1 5. O yapAir ` I I--20' Perpetual / / / Driveway Esnt. LOT 24 S 85.42'46' E / 1 2013-030250-0 / 1 339,80' 4 I o a f ! LOT 23 °i // ( _ Co 23'x7' 3 P d ® BLOCK 3 J 41 Io' rf mOUe�/ "IYI Driveway /J rL a I - ! llio�: ill rl 73 'x,, / �o CI 20' Perpetual 'e llllllll� Log 4 a- 3 W Driveway Esnt. ey��y (I) on Block As err 6' A " 2013-030250-0 5Foundation � _ (A,R.D.) Room Con I N N a1 cr :,� 'T © !6 �, n�i • ' I CD N MT removed,- ice 20' DRAINAGE ESMT. 28'+/_ _____ &O. Airia S 84°43'40. E I hereby certify that I have surveyed the following described ,,..ww'"t t t I 308,13' property: Lot 23,Block 3,Broadwater Heights Subdivision. SE.• P . AL4"lit Plat No.73-18,Anchorage Recording District,and that no _7•---'0' 'f' II/ LEGEND encroachments exist except as indicated hereon. This As-built I" �\ •9*/1 LEGEND will only show the easements that appear on the recorded '� g'TH ® Septic Pipe subdivision Plat No. 73-18 and the access easement described in ; loin D I • ® Well Pipe document 2013-030250-0(A.R.D.) Electrical casement providing ; ••-• service to Lot 24,Block 3,as decribed in document 2012-027063-0 ..i,%...A hony P. Boneto 8. ; 0 Sewer C/O (A.R.D.)applies to Lot 23, Block 3;under no circumstances should '4 LS-1C 93 this data hereon be used for the construction or establishing of boundary rit II l l G. ...--- 1 — Note: Septic pipe location updated 11/1! 6 1 `J .-k-'D✓��`t`j n e 5�/04y a rc t�'✓a 5iA• \ or fence lines. t t t I aw.```„. et 5 .51.4't, n v 1 ci cte-t o�.161 e. 14-.2 7-1-7 �sts.. APB Land Surveying2 l Broadwater Heights Subdivision ASBUILT SURVEY SHEET SCALE 64 n:rr1 / 12204 East Prince of Peace()nye 1- 23. Block 3 ferrel Charles R Trustee 1-=40' As Depicted on:Prat No.73-18 P 0 Box 770927 Eagle River.Alaska 99577 of Anchorage Recording District Eagle River,Alaska 99577 / (907)227-1361 GRID: NW0253 Surveyed August 9.2016 DRAFTED: RWR ' CHECKED: