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HomeMy WebLinkAboutTURNAGAIN BLK 2 LT 14 4Z.--O00 Lo-r' 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. - • ��� PROFESSOV B Y R A S T R E E T MARY AVENUE T U R N A G A I N S U B D I V I S I O N B L O C K 2 Ta y l o r L . D o s c h No . 1 8 9 8 9 2 REGISTEREDPROFESSIO N A L L A N D S U RVEYOR