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Home My WebLink AboutTURNAGAIN BLK 2 LT 5Lol' -11 i,' f �a -11 i,' Development Services Department Building 5cfety Divisicn On -Site Wcter & Wcstewcter Prcarcm 4700 Brcgcw Street . P.O. 6ax 196650 Mark Begich Anchorage, AK 99519-6650 "' MayoW - mtmi 0,1m'ite 190Tj 343-7904 Pump Installation Log Well Drilline Permit Number: SW_ . Date of Issue: Parcel Identification Number:_ Legal Description Property Owner Name & Address: �r%i /l: AinS /urna9Gin �2 LS //05-}�ot,5f S9S5` Pump Insta ation Date: pump Intake Depth Below Top of Well Casing:'%0 feet ?e pump Manufacturer's Name: j,4et-e4 Pump Model: soevlelas? - pump Size �� hp Pitless Adapter Burial Depth: /O feet pitless Adapter Manufacturer's Name: N/A Pitless Adapter Installer. Jj A Well Disinfected Upon Completion?zz Yes ❑ No Method of Disinfection: CALoldN£ ?e#le Comments: Pump Installer Name: 60 * Attention: The pump irztallc shall provide a pump installation log to the DSD within 30 days of puma installation. 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑NEW I ' L .. .,l UPGRADE MAILING ADDRESS ®-5; LEGAL DESCRIPTION L S v LOCATI(N NO. OF BEDROOMS 2 E :W Well DISTANCE Absorption area 7 Dwelling. PR N O � VY TO: F Manufacturer iL'g 1n �i Material No of compartments Q w� E C1'8fi _ =1� f rn Liq. capacity in gallons Inside length Width Liquid depth IF HOMEMADE: DISTANCE TO: Well Dwelling PERMIT NO. _10z _ FQ- Manufacturer Material Liquid capacity in gallons Well Foundation Nearest lot line PERMIT NO. w = DISTANCE TO: � u z No. of lines Lengt f line Total length of lines Trench width Distance between lines F Z w inches F.- Top of tile to finish grade Material beneath tile Total effective absorption area p inches Length Width Depth PERMIT NO. W 0 i F Type of crib Crib diameter Crib depth Total effective absorption area W° m Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING 2 INS ALLER 'AyF_ S E REMARKS U R QLS� CXIS I W T K _ � SS a?a o°°0000co°o yy �o oo°eae eo °000°aoo `y� 'ea °o°o°neoo ° C � � Sidy . C k o° CE- o tlo ep......... OFESS 6,� APPROVED DATE LEGAL 7Z/'� �,//)/ /�✓J --, 4'�" LSC. ( % �I V l vJ 72-013 (Rev. 3/78) 1"^l A_A 04 1 tl=- I Of I_ 1 5-'v' 10 F- F1 I -A tll:: H N tl F: FA 93 E_ DEPARTMENT Q ;HEALTH AND ENdVIRONMENTAL. 4ECTIONd 825 'L" STREET, ANCHORAGE, AK. 99501 264-4720 e?w 0't--4- tl=tl9' 1— I _T_E_=.EmblA;F tl_tlF='CAF✓_F AE>F= F0E:FZ7'-1 I I PERMIT NO. 830539 ) APPLICANT MARIOIN-d DUNdHAM 1276 NAAMANIA DRIVE/liO5 ROVONA 49-6396 LOCATION LEGAL. LOTS BLK 2 TURNdAGAINd SUB LOT _•IZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 =OIL RATING (=Q FT/BR)= 100 THE REQUIRED '_•IEE i �F THE _•OIL ABSORPTION SYSTEM I _ : K100710"70-1= :1—T71 C5 Ca I r_ F—A a E=1_ E> E= F' —F1-1 _ -4- THE LENGTH DIMEN+ISIONd IS THE LENGTH (INd FEET)OF THE TRENCH OR DRAINdFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANdCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS• NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINdIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). f E_ tl_ ? A_A l F7" E_ E> ^ _ E:F' T 7_ 10 1— f0 PA 9- T e " E_ = T> 13 a=e_- PERMIT APPLICANdT HAS THE RESPONSIBILITY TO INdFORM THI_ DEPARTMENT DURINdG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENdC:ES THAT THE WELL WILL SERVE. — — — —F t -J Co < 1 PAST F' E= 10 -T_ 1 tl=tl 000 0 FA FR E= FT E= ED LJ g FQ E= E> — — — BACK:FILLINdG OF ANY SYSTEM WITHOUT FINdAL INdSPECTIONd AND APPROVAL BY THIS DEPARTMENT WILL BE _DEJECT TO PROSECUTIONd. MINJIMUM DISTANdC:E BETWEEN A WELL AND ANY ONd—=ITE SEWAGE DI_•POSAL SYSTEM IS 100 FEET FOR A PRIVATE. WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDINdG UPON THE TYPE OF PUBLIC WELL. MINIMUM DI'STAN•IC:E FROM A PRIVATE WELL TO A PRIVATE SEWER LINdE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENdTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATIONd. F' E F=_' V-1 I T E_ Ki F° 1" FZ = an E> E= a__ 1=7 10 1w' E= FM_ __ nL= ". OR I CERTIFY THAT is I AM FAMILIAR WITH THE REQUIREMENaTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH �RTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL IN+LSTALL. THE SYSTEM INA ACCORDANCE WITH THE CODE=. : i UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I_• REMODELED TO INCLUDE MORE THAN 4 BEDROOM'S. _ 1GNdED : — '___ _--. APPLICAl-JT MARIOINd DUNdHAM 1SSUED B'r/r_'014f 41- --DATE-600/__ l'v'4. 0 Time APPLIC} NT FILLS OUT UPPER HAC', ONLY 017: erty Ownef / - Phone Time ,Mailing Address "/� i - Zip Code - Buyer / P Address . i Zip Code Lending Institution _ ., Phone Address - Zip Code Inspector Realty Co. & Agent ✓ aPhone (�,-, ,. �! , . �`,. _ , > W i Inspector Inspector n Yx04A Address E�; lig Zip Code /f; Legal Description - Street Location / j Type of Residence - Single Family ❑ Multiple Family - No. of Bedrooms— - :. `❑. Other - Water Supply Individual _ - WELL LOG. A well .log is required for all wells drilled since June 1975. FForwells Community - _ drilled prior to that date, give well depth (attach l09 if available). ❑ Public Utility ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL Sewer Disposal - - Individual - Year Individual Installed: ❑ Public Utility - When Connected to Public Utility: ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING: CAN BE INITIATED. Time Time Time Time Date Date .Date - Date 14 -\q -it's Inspector Inspector , i Inspector Inspector n Yx04A GE Field Notes /1 i I-� - MUNICIPAL FALTH £. DEPT. OF H PROTECTION ENVIRONMENTAL Avg 13 RECEIVE® ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ('. ) DISAPPROVED ( ) CONDITIONAL APPROV' 6// - BATE 7 BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72 023 -- ENGINEERING INNOVATION m '1 nE FAR NORTH y � � �44va June 14, 1983 AEI #83-013-13 Mary Dunham 1105 Ramona St. Anchorage, Ak. SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 5, Block 2, Turnagain Subdivision OWNER: Mary Dunham HOUSE TYPE: 4 -Bedroom, 2 -Story, Single Family WATER: On -Site well SEPTIC SYSTEM: No MOA records Tank: Absorption System: Absorption Area: Approval Date: 750-1000 gallon TEST DATE: June 14, 1983 PROCEDURE: House water use was kept at a minimum on June 14, prior to the adequacy test, which was started at 9:00 AM. Water from a tank truck was dumped into the crib in 100 gallon increments with liquid rise in the crib measured after each increment. When 500 gallons had been added, water began to back up into the septic tank. At that time, addition of water was halted and the septic tank was pumped. ARCTIC ENGINEERS, INC.1506 NL 36TH AVENUE-ANCHORAGE,ALASKA 99503�90Yf277-8593 - 3901 PAIRICIA i ANE ANCHORAGE. ALASKA 99504 , 9071333-9428 (ACCOUNTING) Mary Dunham Adequacy Test 83-013-13 -2- PROCEDURE: The calculated rate of rise in the crib was 385 gallons per (Cont'd.) foot. Absorption monitoring was carried out for 90 minutes after pumping the septic tank. The resultant plot of absorption vs. time, with the extrapolated daily absorption capacity, is included. RESULTS: The plot of absorption vs. time yielded a daily absorption capacity of 1300 gallons per day. The required absorption capacity for a 4 -bedroom house is 600 gallons per day. The soil absorption system meets Municipality of Anchorage requirements. COMMENTS: The homeowner requested that we measure the distance between the well head and the bordering septic system to the south. That distance is 150 feet to the crib. The septic tank capacity estimated by the pumper was 750- 1000 gallons. There was a large amount of sludge in the tank, which was removed as well as possible, resulting in 750 gallons being pumped. The pumper felt that an additional 100-250 gallons could have remained in the tank. It is recommended that the new owner have the tank pumped again in 2-3 months to remove allremainingsludge. After checking the MOA requirements, it was found that the septic tank size would have :to be increased. The correct procedure for the upgrade consists of adding a 500 gallon tank into the system. INVOICE #08683 Mary Dunham 1105 Ramona St. Anchorage, Ak. ADEQUACY TEST ENGINEERING INNOVATION IN I HE FAR NORTH ARCTIC ENGINEERS, INC. ENGINEERING STUDIES u DESIGN o CONSTRUCTION MANAGEMENT - SURVEYING THE FOLLOWING AMOUNT IS BILLED FOR SERVICES RENDERED: Engineering Services $235.00 Pumping 95.00 Total Amount Due $330.00 AEI #83-013-13 TOTAL AMOUNT BILLED TO DATE: $330.00 L l P /1r'0 1 �3 ARCTIARCTIC ENGINEERS, 1506 W. 36TH AVENUE oANCHORAGE, ALASKA 99503�907/277-8593 C i� itl 6�ii't➢ P'1 INC.6�A �o ____-- 3901 pm-R,CIA LANE a ANCHORAGE. ALASKA 99504 , 9071333-9428 (ACCOUNTING) IJra April 18, 1983 Charles & Aarion Dunham 1376 Uamona Drive Anchorage, ik 99507 Subject: Lot 5, Block 2, 'Turaagain Subdivision eApprOVal for the individual sewer and water facilities cannot be granted until the following items have been completed: Exposed electrical wires to the well heal are in violation of the Municipality of 'anchorage codes and must be encased in conduit. The Miter analysis report needs to be submitted to this w" office from the Caen Lab, 5633 B Street, for our. review— ° The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number Of gallons tiUtitPF"d- This 'a to verify the size of the septic tank. ° Expose the septic tank manhole to verify its existence. An adequacy test need, to be performed on the existing leaching area. This test Will determine if the system is adequate according to National Standards. A listing Of private firms performing the test is enclosed. This report U needs to be submitted to this office for our review. ° Locate the sewer system serving the house directly south Of you. We will need the system marked so that measurement call be made between it and your well. Please notify this Department for a reinspection when the noted discrepancies have been correcte=d. if there are any further questions, please call this office at 264-4720. Sincerely, Robert: C. Pratt Associate Environmental Specialist E PLf-AIS Parcel I.D. 016-122-33 Certificate of On -Site Systems Approval Expiration Date: "� o 1. GENERAL INFORMATION Complete legal description Turnagain, Block 2, Lot 5 Location (site address) 1105 Ramona Street Anchorage, AK Current property owner(s) Ramona Street LLC Day phone 907-227-4542 Mailing address 6201 E Chickadee Drive, Palmer, AK 99645 Real estate agent 2. TYPE OF DWELLING: ❑® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 1E Private Septic 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 $ X26 Date of Payment Lis WOO Receipt Number ()251a 1) COSA# 65CQOI G I 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 Forge Civil Engineering Phone 907-522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 3/19/2020 6. DSD SIGNATURE System #1 Approved for L( bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: 1 C� A WwJ VA SeGV� r f�YL N�.tx_c/M. ll{'e`e * Vy e 1 Vt. rtr� Y_94 aSc yNt-e s&pen itm i S wteef �:- WATER AND rrt VASTL yMTER o ; AFS By: 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 COSA Checklist blue sheet Legal Description: Turnagain, Block 2, Lot 5 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled *1983 Total depth **70+ ft Cased to **70+ ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) '12 in. Date of flow test for COSA 3/10/20 Parcel ID: 016-122-33 Structure served by this system Well production at time of test 2.3 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 13.8 ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample 3/10/20 Static water level at beginning of test 23.9 ft. Comments *Assume at least 1983 per water sample taken 4/14/83 **Per Pump installation log dated 4/15/07 B. TANK DATA Age of tank(s) N/A years Tank type/material N/A Measured operating fluid level in septic tank N/A ❑ Standpipes/foundation cleanout per record drawing Date of pumping AWWU Sewer System D. ABSORPTION FIELD DATA AWWU Sewer System 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 ❑ 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 C. LIFT STATION ❑ Required maintenance completed Age of lift station N/A years Lift station material N/A Comments: AWWU Sewer System Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' ✓❑ Yes if No ft Q Yes if No ft Neighboring Tank > 100' ✓❑ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' ✓❑ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ✓❑ Yes if No ft ❑✓ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑ Yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) - AWWU Sewer System Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Private Wells > 100' ❑ Yes if No Absorption Field > 5' ❑ 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) - AWWU Sewer System Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS Lot is served by AWWU Sewer System. G. ENGINEER'S CERTIFICATION;1� � I certify that l have determined through field inspections and review ��:• °°°°°A'°%l of Municipal records that the above systems are in conformance with AD MOA COSA guidelines in effect on this date. =` g th ; r� rr` .. MICHAEL E. ANDERSON '• No. CE -438 COSA Checklist yellow sheet �� p ............. �� ft ft MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT � � 907-343-7904 On -Site wafter and wastewater Section Fax: 343-7997 www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC201104 Subdivision: Turnagain, Block 2, Lot S A water sample revealed an arsenic concentration of 13.8 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. � � � ,��Mail�ngAddress`��P O �=Oox 196650.,.* Anchorage, Alaska 99519 6650 vuww mum Sorg � � ALLY RAMONASTREET SURVEY ORDERED BY: THE INFORMATION HER IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW AN7 CONFLICTS BETWEEN EXISTS.4 STRUCTURES AN PLATTED LOT LINES AND/OR EASEMENTS; AND i5 NGS TO 0E USED FDR POSITIONING ADDITIONAL STRUCTURES, IMPRGVEMENTS, OR FENLELINES. EASEMENTS OF RECOR% OR ANY LEGAL ENTITY, OTHER THAN THOSE A?PEARthG ON THE RECORD PLAT ARE NOT SHOWN HEREON( UNLESS IND ICATED) NOTE: FENCELIN ES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY I'NES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW .AND/OR ICE. OF`, A 49 TO C p s SHANE A. HOLT �G LS -6914 4 AS -BUILT SURVEY f"=30' `:0 CORNERS SET THIS DATE I HEREBY CERTIFY THAT 1 HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE -ALASKA THIS DAY OF 2020 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 315-5513