HomeMy WebLinkAboutTURNAGAIN BLK 2 LT 14 4Z.--O00
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GRE/'?ER: ANCHORAGE AREA BO - ,UGH
~._~1~/ Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAOE DISPOSAL SYSTEM
LEGAL DESCRIPTION I~."T- I c(/
SEPTIC TANK:
DISTANCE
FROM WELL [~1~
INSIDE LENGTH.
MAN U FACTU R E R ,-~-,~ ~4-
./~ NUMBER OF
MATERIAL~ COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY. /,.~).~"O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS /
LINING MATERIAL ~
I
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
DIAMETER __ OR WIDTH LENGTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE
DEPTH
DEPTH~I~ DISTANCE FROM: WELL /f~t
TOTAL EFFECTIVE
//7
ABSORPTION AREA (WALL AREA) (-~ SQ. FT.
WELL:~
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION ~-
NEAREST -ic ~_~ NEAREST
LOT LINE ~ - SEWER LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
SEPTIC (, O ~' SEEPAGE {.~.-~ (
TANK SYSTEM
REMARKS.
DISTANCES:
INSTALLED BY: .~ ~
PIPE MATERIAL: ~-~-Q ~
LOT SLOPE:
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
DATE ~i!/!///"~t-/ APPROVED IL,,IL .r/.~-~[k-'~/
G.A.A.B.
GR.i" ' ER ANCHORAGE AREA BO?iUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~x~JU~x0
LOCATION ~LV~
SEPTIC TANK:
DISTANCE
INSIDE LENGTH
MAILING ADDRESS'~O'~,~ /~-/o.z~/ .~L(~. Iq- ~(~.~-,.5~ PHONE LEGAL DESCRIPTION L tz/ ~ '~- ' ,~'~l/~/..}~,L
· ~j NUMBER OF
MANUFACTURER ~ ~'~- MATERIAL O~-..~ COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH __
LIQUID CAPACITY /"~-~ GALLONS.
SEEPAGE Pit:
NUMBER OF PItS I DIAMETER __
LINING MAtErIAL~g CRIb SIZE:
OR WIDTH
DIAMETER
BUILDING FOUNDATION__
NEAREST LOT LINE __
ADDITIONAL ABSORPTION
LENGTH DEPTH
DEPTH C~I DISTANCE FROM: WELL I~I
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~.O~ .SQ. FT,
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST ~ ~.
LOT LINE'~F ~
OTHER SOURCES
DISAPPROVED
NEAREST . ¢ ~-.
SEWER LINF
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE /~.~,
TANK / (~ ~'~ SYSTEM
REMARKS.
DISTANCES: ~-~ /~
INSTALLED BY:&~)
PiPE MATERIAL:{~-~ ~g
LOT SLOPE:
REMARKS:
Form NO. LQ-031
DIAGRAM OF SYSTEM
GREATER ANCHORAGE AReA BOROUGH
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
L
INSTALLATION LOCATION
S O,L E, R eS,L S / z
SEEPAGE PIT DRAIN FIELD OTHER
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BAEKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~ 0 , DRAIN FIELD
SEPTIC TANK TO SEEPage PIT WALL / ~
SEPTIC TANK · SEEPAGE PIT ~ ~ DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK f~ , SEEPAf~E PIT
DRAIN FIELD ALSO CONSIDER ARea WELLS.
WATER MAIN TO SEPTIC TANK , 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 SOIL.
4 ]NC:$ DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
Performed for
Legal Description:
This form reports.'
/- "-~
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG - PEROLATION TEST
Sound Construction
Soils log. Yes
Date Performed 9/25/74
Tu~nagain ~u z~on
Percolation test
Depth
Feet
1 r
2-
3-
4
5
6-
7-
8-
Gravelly Sand SW
la5 SF/BR
Silt Layer
Gravelly Sand SW
S /BH
9 · Silt Layer
10~-
Gravelly Sand
12 ~ 125 SF/BR
13 -
14-
Bottom of Hole .-I..~.~t'.
Was ground water encountered?
NO
If yes, at what depth?
Reading
Date
Percolati~-n rate
Gross Time
Depth to Water
minute.
Net Time
Net Drop
-Proposed installa~l~-n-:- Seepage Pit Yes Drain Field
'Jepth of Inlet . Dept~--t~o-~b-o~-t~om o-f-])it or trench
COI.IMEIITS: 12~d~.~'~]Zf_o_gt_]Ar~_a~_n~.g~e_. area required
No bedrock or water table encount~?e~d.~
performed By: J. Mack Certi fi ed By :_~tr~tof~inn~_qZas.~--Da
..... Lab
EQ~040 (~/?~)
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
FOR
1. Approval requeste~:
Mailing Address: ,~,~k~~ "~.t' "' ~
Phone:
2. Property Owner: ~--~'-a~-~ ,_~.~ Phone:
Mailing Address: ~..~~ '~'Q~ i ~~ ~'
4. Location:
5. Type of facility to be inspected o. of bedrooms
6.
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
B. Depth ~\ ~
D. Bacterial Analysis
B. Installer
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines __,
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Abs6rption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Approval of Individual ~wer &' Water Facilities
Page,2 of two pages - ~'~lest for
legal Description ~\~--~ ,
I
Comments
Approved ~r~ ~/~.~~ Disapproved Date
Ap~val Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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
EQ-034 (1/74)
1. Type
3330
GREATER ANCHORAGE AREA BOROUGH_.
Department of Environmental Quality
"C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
of Inspection: CMRO
2. Property Owner: ~)~.~q
Mai-ling Address: L~/~O ~,~.~)A~ /~/.,Day Phone.
3. Name of Buyer: ~'~,'C~#.~) '/~<~/~
Day Phone
Phone
4. Name of Lending Institution:
5. Name of Realtor or.Agent:
Mailing Address:
Phone
6. Legal Description:
Location: ~o
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
If Individual,
If Individual,
9. Sewage Disposal System
Type of System:
If Individual,
EQ-037 (~/74)
Public Utility
number of dwellings
depth of well /}~.~__
Public Utility
date of installation
Individual
presently served
Individual (on-site) .~
September 06, 1974
Veter=n's AdmJntstratton
425 "0" Street
Anchorage, Alaska
99~01
SUSgECT: Lot 14, ~lock 2, Turn=gain Subdivision
Gentlemen: ~
Records of this office indicate the suttablltty~of the subject lot
for the installation of on-site sewer and water systems. The area
is presently not served by either public sewer or water, nor~_~ it
economically ~easible to provide either one at this time.
Sincerely,
Susan E. Olc~erson,
Sanitarian
SEO/ko ~,.,y
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
OSC251411
Parcel ID 016 -122-42 Expiration Date: 9/5/2026
Legal description TURNAGAIN BLK 2 LT 14
Site address 1220 E 112TH AVE
Current property owner(s) BELL ATLIN
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By: Original Certificate Date: 9/19/2025
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(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 X
Other
a
DEVELOPMENT SERVICES DEPARTMENT i ;ate 907-343-7904
On -Site water and wastewater Section h� Fax: 343-7997
www.muni.org/onsite
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC251411
Subdivision: TURNAGAIN, Block: 2, Lot: 14
A water sample revealed an arsenic concentration of 11.2 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.
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 Application
1. GENERAL INFORMATION
Parcel I.D. 016-122-42
Complete legal description
Location (site address)
TURNAGAIN BLOCK 2 LOT 14
1220 E 112th AVENUE ANCHORAGE, ALASKA 99515
Current property owner(s) BELL ATLIN
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
❑ Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
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 � Date of Payment
COSA # U')C 25��(� Waiver #
COSA App1ication_Apr2025.doc
COSA Checklist
Legal Description: TURNAGAIN BLOCK 2 LOT 14 Parcel ID: 016-122-42
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 CIRCA 1974 Total depth 112 ft
Cased to UNKNOWN ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 12 in.
Date of flow test for COSA 9/5/25
Static water level at beginning of test 26 ft.
Comments
B. TANK DATA — PUBLIC SEWER
Measured opefa&Inn flgid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS� f - w.
Comments:
D. DISPOSAL FIELD DATA — PUBLIC SEWER
Which system tested (date installed)
U XLILstandpipes present per record drawing
Total measured'dopth from grade ft (max)
Measured depth to pipe i grade ft (min)
❑ N/A — pressurized field.,A
❑ Per record drawings, field is insulated. `"w---._
❑ Monitor tubes go to bottom of effective. a
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 gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies:
COSA Checklist_May2025.docx
Well production at time of test 3.5+ gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? ❑ Yes ® Nc
® Coliform bacteria is Negative
Nitrate 0.375 mg/L ❑ Nitrate less than MRL (ND)
Arsenic 11.2 ug/L ❑ Arsenic less than MRL (ND)
Collected by Fes, Date 9/5/25
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Adequacy test date
Results E Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Abs&r tiopr rate gpd
FIELD STATUS--P-OST RECOVERY
Effective depth (per record'dravvings)
Effective depth used in
Effective depth remaining in
r.
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100'
® Yes if No ft
Neighboring Tank > 100' ® Yes if No ft
Disposal Field on Lot > 100' ® Yes if No ft
Neighboring Disposal Fields > 100'
® Yes if No ft
Sewer Line/Main > 100' ® Yes if No ft
Sewer Manhole/Cleanout > 100'
® Yes if No ft
Sewer Service/Septic Line > 25'N Yes if No ft
Holding Tank > 100' ® Yes if No ft
Animal Containment > 50' ® Yes if No ft
Manure/Animal Excreta Storage > 100'
® Yes if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundations ?-0'
❑ Yes if No
ft
Surface Water > 100' ❑ Yes if No ft
Field to Foundation > 10'
❑ Yew—_No
ft
Wells on Adjacent Lots:
Tank to Property Line > 5'
❑ Yes if No
---------
Wells > 100' ❑ Yes if No ft
Field to Property Line > 10'
❑ Yes if No
ft
Community -Wells > 200' ❑ Yes if No ft
Water Main/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 FIRST WATER CONSULTING Phone 907-350-9566
Engineer's Printed Name CURTIS HUFFMAN PE Date 09/15/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & FWCS
COSA Checklist_May2025.docx
!,�!•' TM
.. .......
.... .....
`. • Curtis Huffman
�� �'F,/•, CE 128991
�� 1sr� • .
09/15/25. - • ���
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