HomeMy WebLinkAboutTURPIN #1 BLK 6 LT 5Turpin #1
Block 6
Lot 5
#006-096-08
GAABHD! GRi ~''_�" ANCHORAGE AREA BOROU�'`"`
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
�'�.✓ _ MAILING�-
NAME /�� �'�f�f�-4- ADDRESS-
LOCATION-6
DDRESS PHONE
LOCATION 6<'U'fJ -%. ,GO/�_� `i-l�� �%d%<✓�%
LEGAL DESCRIPTION
SEPTIC TANK:
�y> 5, NUMBER OF
DISTANCE FROM WELL MATERIAIr5�17 S7Z G-4 �'�� � /" tel COMPARTMENTS
LIQUID
LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LENGTH 9 DEPTH Irl
,
LINING MATERIAL .BOG C"f'�' .DISTANCE FROM WELL BUILDING FOUNDATION
f
NEAREST LOT LINE �'-��� f - TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)✓6 SQ. FT.
RAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL DATION , NEAREST LOT LINE , OF LINES ,
NUMBER OF LINES DISTANCE BETWEEN LINES NCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: ///rl/' , r ��j✓ y�� /,DISTANCE FROM
" TYPE-?'-��• , DEPTH-, BUILDING FOUNDATION.
WATER
SAMPLE
, NEAREST
LOT LINE .
NEAREST
SEWER LINE-,
SEPTIC
TANK
SEEPAGE
, SYSTEM
, CESSPOOL
OTHER
, SOURCES_
DATE //i i'� - C' =• APPROVED` -`.d.$ -n -; £-z.i /�r2.-lc✓: z�-t:%a'-5.,s
G.A.A.B.
DIAGRAM OF SYSTEM
DISTANCES:
-- '- - - -
>r'� fel'.--✓`
.St -
�:,�`L-✓�d.=lror��,
DATE //i i'� - C' =• APPROVED` -`.d.$ -n -; £-z.i /�r2.-lc✓: z�-t:%a'-5.,s
G.A.A.B.
NAME
7itu -GER ANCHORAGE AREA BOROIsvH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO,
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
EWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT WWW C
PHONE
GA-GLf
MAILING ADDRESS
LEGAL DESCRIPTION /— Z - V— - � /"
INSTALLATION OF: SEPTIC TANK ' SEEPAGE PIT r— ,D,SRAAIN FIELD , OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH L— TO BE INSTALLED BY
SOIL TEST RESULTS f�L/i�� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED ��?17/
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFIL ING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PR ECUTION.
SEPTIC TANK SIZE ,✓/// TYPE SEEPAGAREA SIZE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM '
s'
FOUNDATION TO SEPTIC TANK � I I I I I I I I I I I I I _
FOUNDATION TO SEEPAGE PIT �2/17 . DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL—
SEPTIC
ALL SEPTIC TANK , SEEPAGE PIT �-7 DRAIN FIELD �–
WELL TO SEPTIC TANK ' SEEPAGE PIT
DRAIN FIELD y ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK �y / SEEPAGE PIT a
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT ,L1/ 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 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.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM
IS IN ACCORDANCE WITH SAID CODE. l/�Jf I/�1 y1(l�
DATE Z�F APPLICANT'S SIGNATURE to"' y J � z")
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
j \
Date Received Z/�//�3
Time of Inspection rp" 30
Il. i
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval Requested By:�, f
2.
3.
4.
w
�l a
Phone
Address:: c,`.
Property Owner: `� Ci �1f�//Pf's��J Phone: %,S'�"'/�;�i(�
Legal Description: eE'�
Location:./�?
5.
Type of Facility to be Inspected:
Number of Bedrooms
6.
Well Data:
O
A. Type B. Depthr��S"A.
C. Construction a� ,fi ..4-- D. Bacterial Analysis
7.
Sewage Disposal System:
C%
A. Installed: % / B. nstaller
Septic Tank. 1 uize%�_ "L7,� 2. Manufacturer X4041
D. Seepage Pit: '1. Size ell L- 2. Material
T
E. Disposal Field: Total.Length of Lines
8. Distances:
A. Well To: Septic Tank_ , Absorption Area , Sewer Lines
Nearest Lot Line Other Contamination
i
B. Foundation to Septic Tank Absorption. Area
C. Absorption Area to Nearest Lot Line ��� f
' Req est for Approval of In ^'idual Sewer & Water Facilitie s
Page Two
9. Comments:
l proved ± Disapproved Date
Approval 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 subiect sewer and water facilities located at:
Signed
Date
July 18, 1973
tis. Alice PillhM
6317 F. Gth venue
Anchorage, Alaska 99504
SUBJECT: Well Serving Lot 5, clock 6, Turpin Subdivision
Dear tis. lillbeck:
Per our letter of April ?S, 1973 this dwr"r,! Ont On MY 13, 1973
Inspected and approved the improvements completed on the subject
well. Therefore this department now gives full approval on
sub,j(-.ct establishment.
If you have any questions concerning this shatter, +lFase contact
re at 171-4561, extension 135.
Sincerely,
Tim lumfelt, R.S.
`-;anit:arian %
ib
cc: Civilian Military Referral Office
�j ri 1 25 , 1 0 V)
Q. Alice Dillbeck
oall WSL SiAto AVBM,�
Ancuryce, Alma 99001
0AWca; Ajocr an" Saver Focilities Serving Lct 5. LIM
Turpin suncivision
dwar As. wilibacki
a�wn yuur raquyst. the subjec , foci 11 Jus woro insopc uc%
'Ais UUpartwNc QH hopil 11, 190. Toc fol lowi' uas
Moto",
yk, SUrWOU SYS, SL ..00C SSS 1 011031 SQPOiL LOW.
"'oininn nV2n1qV rit. TOK SYSLP� Wu_ iNSInCLOO On,
o—rwow. my 7 'li5 n&;ont UctKer 1j, 1973. Tan wooU
is W. a S"Ki—Olic well locatco Srppvxi.�w'lY 1. Qw.
Cron Lot 2orLpfir: st wrnor of tne auplvx. At too vreseat
Own. tAn woter Is heinq transparte al throaw d curner tow
ainv: �rwuod.
its u,drowuns wili give teomorary uppreval on suoinct
VVII Wil lay 15. 1973. "t SuLn Me, toe POWs s"ana),
p"sL cc fixav anc Leer line laia baneath the surface of nuo
soil. Toe well should also be CUP= Vitl a sookary sc.l.
if you aaVe any quastions, please comtact tkis office a.,
Oinceryly,
'(ie:, ny L. OHM, R.S.
so ni turi an
J5
cc: 26RO
46 i't
Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
MITTAI
CERTIFICATE OF ON-SITE SYSTEMS APP Ag 2014
Parcel I.D. 006-096-08 Expiration Date: '7� -7-
1.
g 6
1. GENERAL INFORMATION
Complete legal description TURPIN S/D #1; BLOCK 6, LOT 5
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
6310 E. 6TH AVENUE ANCHORAGE, AK, 99504
ALICE DILLBECK Day phone
6310 E. STH AVENUE, ANCHORAGE, AK 99504
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
0
W aiverNanance request for:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $
5
Date of Payment
`�
Receipt Number
0$14`4(G
COSA #
O�4 ) d1 �(
Date: +
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
Distance: —
5. STATEMENT OF INSPECTION BY ENGINEER
As certifiedby my seal affixed hereto and as of the validation date shown below, t 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. /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
GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, U0. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the ownerlisted above. Any reliance upon or use of this report by any
otherperson orparty is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
Phone 337-6179
Date Z (�
Qp60�
�CO
i
If Gar ass.• G
ofessiao
bedrooms, with the following stipulations:
veP�\�� tOF (Cy0,9/�%
ON-SITE m�
WATER AND r
�o WASTEWATER o�
Original Certificate Date: — ore
The ' cip�rYy o nc`iorage Develop, stint Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the repressatations 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. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Mr. Nrtla1
Nitrate Advisory
Arsenic Advisory
Other
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: TURPIN S/D #1; BLOCK 6, LOT 5 Parcel ID: 006-096-08
A. WELL DATA *PER GEG INSPECTION. **ASSUMED BASED UPON SURROUNDING WELL LOGS.
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO
Date completed UNKNOWN Sanitary seal (Y/N) L% Wires properly protected (Y/N) YES
Total depth *87+ ft. Cased to **40+ ft. Casing height (above ground) 12+ in.
FROM WELL LOG
Date of test
Static water level
V
Well production g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
10/25/2013
65
6.83+
Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd.
Arsenic: ND ug./L. Date of sample: 10/25/201
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size gal. Number of Compartments
Foundation cleanout (Y/N) _ Depression over tank (YIN)
Date of pumping
C. ABSORPTION FIELD DATA
Pumper.
Date installed
Cleanouts (Y/N)
High water alarm
Date installed Soil rating (g.p.d./ft or ftlbdr _ System type
Length ft. Width ft. Gravel below pipe ft.
Total depth ft. Eff. absorption ea ft2 Monitoring tube_ Depression over field
Date of adequacy test Results (Pass/Fail) For bedrooms
Fluid depth in absor n field before test _ in. Water added _gal. New depth _in.
Elapsed T' min. Final fluid depth _ in. Absorption rate >= g.p.d.
y rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
a
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at wa er alarm level at in.
Dab FH Cycles tested Meets alarm & circuit requirements?
E' SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A On adjacent lots N/A
Absorption field on lot N/A On adjacent lots N/A
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER
Building foundation Property line Absorption field
Water main Water service line Surface
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIE LOT TO:
Property line .
Water service
drain
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Water
Surface water Driveway, parking/vehicle storage
Wells on adjacent lots
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.
Engineer's Printed Name JEFFREY A. GARNESS
Date 4 2z�13
(Rev. 11105)
— E. 6th Avenue 8389R
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reenhouse
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Lot 6
Lot 5
Chain link fenc
10' Utility Easement
S89050'30"E 68.75 j
Lot 8OF A� '
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�P 90F �g31�th 9/,,
001 .. •* %
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% �, . Fred Walatka . i
3255 - S i
,� �a .• moo`
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON.
FB 13-9, pg 24 BE
Lot 4
hain link fence kennel
--�f Revtse� tw— )4
Lot 9
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
of the following described property: LOT 5. BLOCK 6,
FIRST ADDITION, TURPIN SUBDIVISION
Anchorage Recording District, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 23rd day of October ,2013.
FRED WALATKA & ASSOCIATES
Engineers and Surveyors
(907-248-1666)
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