HomeMy WebLinkAboutT15N R1W SEC 18 LT 65
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44
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STATE OF ALASKA
M DEPARTMENT 01 ENVIRONMENTAL CONSERVATION
. _.r. CONSTRUCTION AND OPERATION CERTIFICATE
for
¢�&ZL, 9 DOMESTIC WASTE
WATER DISPOSAL SYS EMS 1
���' �p� r SW R2.0 S IEC„ 18 B L Ill j+ O 7 6S- Z
A. APPROVALTO CONSTRUCT ❑1Spp5igL 5i5�(rs !*�O CWA A PEW 630A
�1D
Plans for the construction or modlflcation of 44 G4,l�>leir..�j�
wo "tip. 5EPIPlC
1�] atr� sr DP'�i1F� E oda PT �'1tE�t 43� Laiu� 30Z
mastic wastewater disposal system rO
located In ►R�rrf�JCd NEAR SAGLE rZfV err,
Alaska, submitted in accordance with IS AAC 72.225
have bean reviewed and are
❑ approved.
f conditionally approved (sea attached conditions). `
■
BY Z �SS7 �eoz).
TITLE DATE
If canstruction'has not started wkhin two years of the approval date, this certificate Is Vold and new plans and
specifications must be submitted for review and approval before con3tructlon.
�. APPROVED CHANCE ORDERS
Change (contract order na. or descriptiva reference)
APPROVAL TO OPERATE
Approved by Date
The "APPROVAL TO OPERATE" section must be completed and signed by the
s
Department before this system imade availabis for. use.
The construction of the
system was complstad on o "Lie `Nastawatar disposal
—� (date). The systarn is herab'y
granted interim approval to Cper3;s for 30 days t
.oilerring ,ha camclation data.
3Y
TITLE
l.iA I C
As -built plans submitted during th3 interim approval pariod, or an inspection b the
nstructed
Dapartmant, has confirmed the system ,vas coacccrdin to the approved plans.
T�.e sys�3rn is haraby granted final 3 � g p s
_ �ro%to operate.
ay
TITLE ��
THE STATE Department of Environmental
01ALA SKA Conservation
�`'], Division of Water
GOVERNOR SEAN P A R N E I. L Wastewater Discharge Authorization Program
555 Cordova Street
Anchorage, Alaska 99501
Main: (907)-269-7519
Fox:(907) 269-3487
September 25, 2012
Steve Eng, P.E.
NorthRim Engineering
P.O. Box 770724
Eagle River, Alaska 99577
Re: Birchwood -T 15 N, R 2 W, Section 18, BLM Lot 65- Final Operational Approval for the Onlot Wastewater Disposal
System- ADEC Plan Tracking Number 8159
Dear Mr. Eng,
On September 25, 2012 the Department received the documentation and record drawings for an onlot wastewater
treatment system with, a new septic tank and a new soil absorption system for the 3 bedroom home with a detached
one bedroom apartment, and a work shop with a single bathroom in it. The closure of the second well source was
required to be in accordance with 18 AAC 80.015(e).
A Class C Public Water System Registration can now be completed. Please see our Drinking Water personnel to
accomplish this needed item of documentation.
The new 1500 gallon septic tank and the deep trench soil absorption system that is over 630 ft' with an effective
depth of seven feet has been installed. The needed decommissioning of the existing systems has also taken place.
The Department has reviewed the documentation and the record drawings submitted for the onsite wastewater
disposal and treatment system and per the Wastewater Regulations 18 AAC 72.240 Final Operational Approval is
hereby issued. A "Certificate to Construct" for the onlot wastewater system is enclosed. Please use the referenced
plan number in correspondence regarding this project.
This approval does not imply the granting of additional authorizations nor obligate any state, federal or local
regulatory body to grant required authorizations.
Any person who disagrees with this decision may request an adjudicatory hearing in accordance with 18 AAC
15.195- 18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185.
Informal review requests must be delivered to the Division Director, 555 Cordova Street, Anchorage, Alaska
99501, within 15 days of receiving the decision. Guidance information on the informal review process may be
found at Ittt�I/,,vww.dec.state,ak.uslcommish/RgiiewGiiidatice.htm. Adjudicatory hearings requests must be
delivered to the Commissioner of the Department of Environmental Conservation, 410 Willoughby Avenue, Suite
303, P.O. Box 111800, Juneau, Alaska 99801, within 30 days of the decision. If a hearing is not requested within 30
days, the right to appeal is waived.
Thank you for your cooperation. If you have any questions please do not hesitate to contact me at 269-7519.
Respectfully,
William R. Rieth, P.E.
Environmental Engineer
Enclosure: As stated
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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
MAILING ADDRESS
LEGAL DESCRIPTION
LOOATION
DISTANCE TO: ]Well
Manufacturer
Liq. capacity in gallons IF HOMEMADE:
PHONE ~,,NEW
~)C¢~ ~t . ~_~"~ ~-~ [~ UPGRADE
NO. OF BEDROOMS ~
IDwe''i''gz~'~ PERM,TNO. ~Z~'7 /'7
~ .T~ ~./._Material No. of compartments .~
Inside length Width uid depth
Well
DISTANCE TO:
Well Foundation
DISTANCE TO: I001~4~
No. of lines Length of each~.9~ ! Total lengt~lily,
Top of tile to finish grade <~ J Mater~al beneath tile
Material
Nearest lot lineO /wi.
Trench widt~l~ inches
inches
PERMIT NO.
Liquid capacity in gallons
P~RM,T NOp~ ~ 7
Distance bet wee n/~;~F~
Total effective absor
1¸7
Length
Type of crib Crib diameter ;rib depth
PERMIT NO.
Total effective absorption area
Well ½uilding foundation Nearest lot line
DISTANCE TO:
Depth Driller
DISTANCE TO:
Distance to lot line
Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATING
P
INSTALLER
REMARKS
DATE
LEGAL
FIPPL i CRNT
L. CIE': E:IT I Ol",l
LEE'iF;IL.
F;rlJST:[C HCIHE:E; OF F:IK
T::LSNR::LP.I S':. ::L8 L.E;5
BOX 59q E. R 9957'F
I.,OT
E; I Z E:
'T'¢PE OF :SOIL. FIE:E;ORP]"I(]N :Sh.'STEH IS: TRENCH
ME4XIMUM NUMBER OF E:EDROOM% = ::i~
:SOIL RR'TING ,::f.SQ F'T/'BR)= 26E~
THE: RE:QU]:RED SI ZE OF ]"HE SOIL E:IBSORF'TION '.S"r'STEM IE;:
THE I....ENGTH D I MENS'; I ON 1:5 TF;IE LEF,16iTH ( I hi FEET ) OF THE: 'f'RENCFI OR [:,F;:F;~ I NFI EL.E:,.
THE DEF'TH E)E: F! TF;:ENCH OF;'. PZT' ]:E; THE DISTFII",ICE BETIqEEN THE SIJF?.F;'E:fCE OF;' THE
E~iF:'.OUN[:, FIND THE E~OTTOM OF THE E:,.,',CFt',,,'FEFION ,::I.i'.,! FEET).
THERE :[:E; NO SET !.,.tIDTH [:'OR TRENCHES.
THE GF;:FfEEL. DEI::'TH :[~:S THE i','IZI'-,IIMIJM DEPTH Of: E~RF:I'v'EL E[ETI.4EEN THE: OUTFI::]LL PIPEi
I:lt'.,l[:, 'T'HE BOTTOM OF ]"HE E',:<CFfEF:ITIOI'.,I (IN FEET>.
F:'ERM!'T F:IF;'F'L. IC:E:IN"F HF;I:S THE F;:ESPONS;IBILI'T"r' "FO INFORM ]"HIS DEE:'FIF~:TI"!E:NT [:'UF;'.ING FHE
l Iq?FF;ILL. I::fTi ON I NE;PEC:T l ONE; OF FIi",I¥ I,.!ELL. 5 f:ID..IFICEI'4T ]"O TH l :'5, PIRE)PER]'¥' FII",ID THE
NUMEEER OF RE~;I[:,EI",IC:E:~; 'THFF'r THE 14E:LL P.III...L E;ER',/E.
I',1I I'.,! I MUM D I S'TRI'.,IC:E BE"f'I.,IEEN Ft !.,.IELL FINt} FII'.,t'~.' OI'.,I-S I ]"E SEI.,IFIGE D I S:;F'OSF:IL. E;'¢5;TE~:H I S
:LEi(3 FEET FOR Fa PE?.I',/FI'I"E NE':I...L. OR :LSE~ 'TO ;~.ZE:.JEI F'EE:I" F'F;:OM FI PIJE:t....]:C I,.!ELL E)EF'E'I",!DINC~
UPON THE 'I"'~"F'E OF PUBLIC: IqELI ....
MIIHIMUH [:,ISTF;INCE FROM F:I PRI',,,'taTE: F.IELL 'T'O FI F'RI',,.'FITE: SEHER LINE i5; 2.5 FEET E:IHE)
TO F'I COHMUI'.,IIT"r' SEI.,IEF;: LII'41E I:5 75 FEi:ET.
OTHER RE(i:!U I RE}IEN"f':i2; MF;f¢ FIPF:'L'.r'. '.SPEC I F:' I CRT I OIq'.'7, I::II'.,tD CC~I",fS;TF;:U(]T I ON [:, I I::IGF'.E:IME; I:::IF;:E
F;f,,,'FI J: L.E:tE:I....E TO I N.?,URE F:'R()PEP. I hlE;TFILLFIT I ON.
I CERTIF:".? THFIT
::L: I I::ll'd F'FtMIL. IFIR P.II'I"H THE I'~:E:(;!UIREMENTS; F'OF;: ON-SITE SEWERS E~ND t.4EL.L_:S Ft:S SET
F'OF;:TH E:"r' THE MU?',II CZPFIL. t T"r' OF FINCHORFIGE.
;;:'~: :[ H:[LL INS;TFILL. THE S'¢.'STEM ]:N FIf.]:C:OF:".E:'F:INC:E P.IITH 'T'HE CODES.
':~:: I UNDEF;::STF!ND THFtT THEE SEI.,.IER :?'r'STEi"] MF:I"r' F;'.EL:.!UZF'?.E ENLF;II;?.GEMENT IE: THE
RE:~.:;IE:,ENCE :1::.:.'; "FHFIN 3 E~E[:,RCIOM'..=;.
S :t: GNEE:,:
F. IF'F'L I C:E:INq
ZE;SUEE:, ',,,',~. 13
O & E ENL,,NEERING & DEVELG, MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyater
694-2774
Performed for: Name:
Mailing Address:
Earl Ellis
SOIL LL~<~_ 688-2280
Depth (feet)
Soil Characteristics
0
2__
3__
4__
PLOT PLAN
11w
· 12__
13__
14__
15__
16
,c::~¢~--'?--~ ~ ~,~'
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments:
Performed by: ~/~ '~
No / If yes, what depth
Drain Field /
PERC. TEST
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
Parcel I.D. 051-171-04
Legal description T1 5N R1 W SEC 18 LT 65
Site address 19190 S BIRCHWOOD LOOP RD
Expiration Date: 11/16/2023
Current property owner(s) QUIRK MICHAEL & SHERRY
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
By: Original Certificate Date: 8/16/2023
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 Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
�QD u3H
MUMCPAUTY 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. 05117104000
Complete legal description T1 5N R1 W SEC 18LT 65
Location (site address)
19190 S BIRCHWOOD LOOP RD
Current property owner(s) QUIRK MICHAEL & SHERRY
2. ON-SITE SYSTEMS SIZED FOR/3.14BEDROOMS
Day phone 529-6415
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑M Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ®❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 13 yrs _ See advisory if steel 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 $ SgQ Waiver Fee $
Date of Payment Date of Payment
COSA # /2100 Waiver #
COSA Application—June 2022
COSA Checklist
Legal Description: T1 5N R1 W SEC 18LT 65 Parcel ID: 05117104000
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 12/17/69 Total depth 90 ft
Cased to 90 ft
❑■ Sanitary seal is functioning correctly
❑■ Wires are properly protected
Casing height (above ground) 12 in.
Date of flow test for COSA 7/31/23
Static water level at beginning of test 58.4 ft.
Comments Old Well Decommissioned by Jim Sullivan
B. TANK DATA
Measured operating fluid level in septic tank 50
Date of pumping 9/19/22
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 6/2/10
❑■ ALL standpipes present per record drawing
Total measured depth from grade 12 ft (max)
Measured depth to pipe invert from grade 5 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
❑■ Monitor tubes go to bottom of effective.
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)
If yes, enter date
Well production at time of test 3 gpm
Water storage tank volume0 gallons
Well disinfected for coliform test? ❑ Yes ❑■ No
❑■ Coliform bacteria is Negative
Nitrate 0.251 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L E]Arsenic less than MRL (ND)
Collected by NRimEng
Date 8/4/23
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 7/31/23
Results g Pass
Fluid depth prior to test 61
Water added 600 gal
New fluid depth 70 in
Elapsed time 30 min
Final fluid depth 65 in
in
Absorption rate 600 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 84
Effective depth used 65 in
Effective depth remaining 19 in
Comments/Deficiencies: DEC issued septic system approval
COSA Checklist June 2022
in
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less khan required a if community well on lot)
Septic TanklLift Station on Lot > 100'
■❑
Yes
Community Sewer ManholeiCleanout > 100'
WYes
if No
ft
❑■ Yes
if No ft
Neighboring Tank > 100' ❑■ Yes
if No
ft
Private ewers' eptic Line > 25' ■❑Yes
if No ft
Absorption Field Qn Lot > 100' E Yes
if No
ft
Holding Tank > 100' ■❑Yes
if No ft
Neighboring Absorption Fields > 100'
E Yes if No = ft
Water Main 10'
Animal Containment> 50' Yes
if No ft
❑■ Yes
if No
ft
■❑ Yes if No = ft
Water Service Line > 10:
❑■
Yes
if No
ManurelAnimal Excreta Storage > 100'
If tank or field is under driveway comment below
Community Sewer Main > 75' [EYes
if No
ft
rol Yes
if No ft
L1 IN 1A — Served by Community Well (not on lot) or Public Nater
From Septic1Hold ing Tank and Absorption Field{s} on Lot to: (Please enter distances if less khan required)
Building Foundations > 10'
■❑
Yes
if No
ft
Surface Water> 100'[]■
Yes if No ft
Tank to Property Lime> 5'
F
Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
Q
Yes
if No
_ ft
Private Wells > 100'
E Yes if No = ft
Water Main 10'
Fol
Yes
if No �
ft
Community Wells > 200'
■❑ Yes if No = ft
Water 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 -sate 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.
Nance of Firm North Rim Engineering Phoac
En-inccr's Printed am Steve Eng Datc _
OOSA Checklist June 2022
694-7028
8{15!23
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