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Home My WebLink AboutT15N R1W SEC 18 LT 35 GRE/,,ER ANCHORAGE AREA BOR. JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPI:CTiON R£PORT ON:SIT~ ~EWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~ FROM WELL ~/~.S INSIDE LENGTH .(~¢~.~¢~ __NUMBER OF MANUF'ACTURER ~~'- MATERIAL ~-' COMPARTMENTS INSIDE WIDTH __ LIQUID DEPTH ._ LIQUID CAPACITY /'~' GALLONS. TILE DRAIN FIELD: l~'~.n~~ TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE __OF LINES NUMBER OF LINES .~-~--' / - DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. ET. LENGTH OF EACH LINE DEPTH OF FILFER DEPTH: TOP OF TILE TO FINISlt GRADE MATERIAL BENEATII TILE __IN. ABOVE TILE IN, WELL: TYPE _ _ CONSIRUCTION · DEPTH _. DISTANCE FROM: BUll DiNG NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION . -, LOT LINE .... SEWER LINE. _--, TANK .... SYSTEM_ CESSPOOL O1 liE R SOURCES -- -' APPROVED __DISAPPROVED REMARKS DIAGRAM OF SYSTEM DISTANCES: INSTALLED BV: SEWER LINE DEPTH'. PIPE MATERIAL' LOT SLOPE: REMARKS: [)ATE G.A.A.B. Form EQ-O32 FE~HZ"i NO. FFLI ~HI41 LOCAT I ON LEGAL I NLE'I" '¢IEN 1_~:5 SEC: '18 t:i.._N R:I,P.I I::.. TRENCH , .... ,¢.:: -, ', ' - · ..-:,¥_- I EH 'l"'.r'F'E OF =,LI.[L.. I.~B...,OF..BTI ]N '-'"- .... F. I ,. L,,F.. · .... HFI:-"-',IMUM NUMBEF: OF E:E[)f4iOOH'.E; = 5 :,_IL. F.:FITING ,',:h:) .......: ........ ;::'4.;: 1"HE F. iE."I:i:LJIREI::, =,I,~.E OF THE ~:: IL. FIE:SF~RF'T]:ON .~T= lEt1 1.2,: IE.- E F [ i .... :~ ....... L. E=-: P,,.! ,'.:i l- I-4 == :::L F_", ri. Ir~ F: F-II "".-" E L.H [:::" E~!: IF:' 1'" I'r-II THE LENGTH [:,]:MEN.~]:ON IS THE LENGTH ,::IN FEET:) OF THE TRE:NCH CF4' [:,RFIII'.,IFIEL[). 'I"HE DEF'TH OF R TRENCH ER PIT I.:q THE [:,ISTRNCE E, E ILIEEN THE SLIRFF<::E 3F 'I"HE GROUN[) RND THE BOTTOM OF THE E:4C:R'¢RTION ,::IN FEE:T>. THERE I5 NO =,ET NIDTH F.R TRENuHE-. THE GRRVEL DEPTH IS THE: MINIMIJM [E.F fH OF GRR',,,'EL. BE. IWE. E.H THE OLITFFIL. L. '"Ir"E RN[:, THE BOTTOM OF THE EXCRVRTION <IN FEET::,. ~... ~ .~ .......... BN_KFILI.-IN~ OF RN'¢ :,~_TEII 1.4:[THOUT FINRL INSF'ECTION RI'4D RF'F'F;~ff3","RL E,T THI .... E)EPR~'.TMENT 14ILL BE '~UE.TE:::T TO F'RO55ECUTION- MINIMUM DI%'T'RNCE: E, ET~.tE. EI~ FI HELL RNE:' FIN'T' :[¢3E~ FEET FOR R F'~:I',,,'RTE 1.4ELL JE 2El~ FEET FOR FI F'UBL:[E: NELL ~PEuIFI,.RFION.,., RND C'ON'STF'.'~TI3N DIR~RHH.., RRE RVRII_FIBLE TO IN.:UF..L I N~;TRLLRT I ON. F' ~:~', ~:::~ I'"'1 ::E .,:: ........... I L. EF.r.I. FT THRT . ..... -- ....' u4-,:.,IrE :'": ";'~' '-' ':' :': '~: ..... t: :1: Rf"I FRMILIFI~i'. NITH THE RE.F...LL[~i. EIqENr.... FuR - ........ ..,E,.LIE~ ....... FIN[:, NE.L..I ........... L..I FLg IH B'.¢ THE FiUNIC:[F'Ftl.,.:[T'¢ OF RN...HOF.H.3E. _ ..... ,:. IN_,FHLL THE ~' ":" I t.4ILL ' ¢ .... _,T::,TEII IN RCf:f.'EtC, FINE:E NI'I"H THE Lu[E .... ~" . ,- ..... -"~ ,:'-':,' REL:.!LIIRE ENLFtF~'.GEME. I',FF I1::' 'I"HE: q:. ~ iJNDERC_;TRND THRT ']'HE ON-:,IqE '.ZENER :,r'_,~E[I I"IRV I'I..F,E THRN 5 :: ...... "'::: I;::ESIDENCE IL::: REMOE:,ELED TO INCL. UE:,E .-:,' E.,LL.,F.....UtI-. ¢.~' :: '"' E: ........ ._ .- ...................... 'r ,:;;,:: ~:'r'., B'r h TE O~-E GEO. ECHNICAL ~' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russe# Oyster 694-2774 SolEs ~r Foundations Perfomed for: Legal Description: Depth (feet). Earl Ellis SOIL LOG, 6ea-2290 Land Development Sol1 ;haractertsttcs 0 1 2 6 7 8__ 9 10 ,. 11__ 12 16 Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit Drain Field O 8` E GEOTECHNICAL 8' DEVELOPMENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils ~ Foundations Earl Ellis 688-2280 Land Development SOIL LOG Performed for: Hatling Address: Legal Description: Z~T ~'- Depth (feet) ,// Name: /~{~'~/-~IOU~/~ Tel. No. 5ol] ~h~ractertsttcs 0 i ///L 4 5 \ ll 12 /~G/r~JJnd Water Encountered: Yes No v If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: Date: DEPT. OF ENVIRONMENTAL CONSERVATION SOUTNCENTRAL REGIONAL OFEICE / JAY S, HAMMOND, Governor / SOUTHCENTRAL REGIONAL OFFICE ,/ MACKAY BLDG. I 338 DENALI STREET ANCHORAGE 99501 August l, 1975 Mr. Rolf Strickland Chief Sanitarian GAAB-.DEQ 3330 C Street Anchorage, AK 99503 Subject: Government Lot no. 35,TI5N, RIw, S.M. Dear Mr. Strickland: We have no objection to the installation of the well 200 feet from the septic tank and seepage pit. No contamination should exist within 40 feet of the well and all sewer pipes should be cast or ductile iron. S i ncere I y, y, .E. Regional Environmental Supervisor cc: Larry D. Person OD Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-171-08 Expiration Date. of 1. GENERAL INFORMATION Complete legal description T15NR1 W Section 18 Lot 35 Location (site address) 19335 Inlet View Dr Current Property owner(s) Robert E Merriouns Mailing address 19335 Inlet View Dr Day phone Real Estate Agent Joe Polowy Day phone (907)-841-7298 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _ Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $cj 5� Waiver Fee $ Date of Payment 0 Date of Payment Receipt Number ��a�rJ'� Receipt Number COSA # 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. Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineer's 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 occupants or can ArcTerra guarantee that no unseen +`�\ i \ encroachments, deficiencies or discrepancies exist. OF ALS 101, 4�TjI�\ K 6. DSD SIGNATURE System #1 Approved for bedrooms. ` KE'�r;ET N e 15 System #2 Approved for bedrooms. Alf , 1 Disapproved. Conditional approval for bedrooms, with the following stipulations: M -I Original Certificate Date: 3 _ 3 — 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 blue sheet 10-10-12.doc Legal Description: COSA Checklist T15NR1 W Section 18 Lot 35 Parcel ID: 051-171-08 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 2/5/20 Structure served by this system 1 Well production at time of test 2.5 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No D4 Coliform bacteria is Negative Nitrate t1l V mg/L ❑ Nitrate less than MRL (ND) Arsenic N b ug/L ❑ Arsenic less than MRL (ND) Sullivan Collected by Water Wells Date of Sample 2/5/20 Static water level at beginning of test 78 ft. Comments X Well information provided by Sullivan Water Wells A111111fTH,I:i17-A Age of tank(s) 44 years Tank type/material Plastic Measured operating fluid level in septic tank's Standpipes/foundation c eanout per record drawing Date of pumping- 7 D - _--- D. ABSORPTION FIELD DATA Which system tested (date installed) LOA 8/79 ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 6 ft (min) ❑ N/A - pressurized field 11 Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments:* 10 tom e -�' �c;;..,_k a-r� 47,w P4 uid ityed Adequacy test date 1/31/20 Results Q Pass For 5 bedrooms Fluid depth prior to test 10 in Water added 750 gal New depth 25 in Elapsed time 330 min 10 Code -required soil cover over field Final fluid depth in System presoaked Absorption rate 750 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) — date of test) Gallons introduced 2250 gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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 0 Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'21 Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ® 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, 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No. Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ft Community Wells > 200' Absorption Field > 5' ® Yes if No ft Private Wells > 100' 0 Yes if No. Water Main > 10' ® Yes if No ft Community Wells > 200' Yes if No. 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) Building Foundation > 10' R] 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' Water Service Line > 10' ® Yes if No ft Community Wells > 200' Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS 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. COSA Checklist yellow sheet ft ft ft ft ft ft ft ft 0 Yes if No ft ® Yes if No ft P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 Joe Polowy 19335 Inlet View Dr Flow Test Resting Static: 78' Max drawdown: 131.1' at 2.5 GPM Water clean Date: 2-05-2020 N � � � � I M r w�L / :Y � •; 0 I= 1 a c Bc t ------- 1-- S WOVE 165.00' c re a � Ea ------ — EnnNr.3 £=:S r <Vmra g C� as �mY a� oa�T ¢ �•qa $N990 'Ftxvos r o f!1 HT �m �) • _ • all O— O 'uylr-- Ye y, • � v ao C ,tea M ♦�� y � � o� � 6 a •y` � �1•.'�-000 O �� m { �i.�i Q O ' �' - I O" •fn � ai a � � � � o `o �Qi E o0t �a r O�o N � '♦9L� It 1. 1 � L o 1n ap � r Z 03F5j� C h ii Yui / z= I ( N M co SM 7L �vaacoye .m. _ 2 \ ( •sr � Y°rz Z W V i I N I r � / a I I �