Loading...
HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 17 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division d',,~/ ~ ~/ ,~,~ 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~ DISTANCES " ' F~OM ~_ TANK FIELD WELL ~ LE"AL DESCRIPTION LOT LINE ~ / ~ ~ / -- __~5~: ~ ~_ ~; ~ ~ --L0 driveway, water bodies, mc) ~ SEPTIC ~ HOLDING ~ Manulac[urer C~pscity in ganons _~ TYPE OF SYSTEM . . ~' ~TRENCH ~ BED ~ W. DRAIN [~OTHER ~_~O' ~'~' ~ "~ Depth to pipe bottom from , To,~l'depth Irom or,gmal grade ~T '7~ ,~l' ~ Gravel depth beneath pipe ~ FT FT · ot.l absorpno, area Dislance between nnes ~/~ ....... ~ ~ PRIVATE ~ OTHER (Identlfv) ~ ~ ' ~ . RI:MARKS: I 11034 Eagle Rl~er Loop Road No. 2~ __ cedily~llh~,lnsp9~10, was pefl0rlned according 10 ag Health Depadment Approval 72-013 (3/85) :t:N!!!:;'rAIJ. I::)IEFt E:NE)]:hlli;IEFd!~ AF:'I:::'FI[:)VIED ;I:)IE:!~:I:(..:~I',I,, N[:)TII:::'Y :t:)l-11.4E:~ F'I:;~:I;OI:? T'D IE(.'~CH ]: NDHii:CT :1: DFI ElY 'FFIE I!!:1',1!::i iI:IqEE:I::;:, I!!:X :[ ST 1 I',11::) I'(.'INK (./l',l/:) SISI!!:FV;I['.JEi: F' I "1 I} X :t: SiI' I I',11}i 2!; ~?IEI::~I:~E}E)I'*i Sli :1: FI(.~I .IE I::?¢ff'1 :[ t.Y :OIz.~IEI..L. :1: NI;i OI',II...Y (~1',1~:) IE XI:;:' :1: I:;;dES CEI-:~ I' I F::'Y "1'1'"1¢/'1' ',~ ~'(::H"t',h by 'LI"~o? IYh,u"l:Lc::i,l::)¢=~l:i. ty of ¢,~rld'~onag~ (1~1[]~) arid t,l'm~ St.~cL(~ o~ ]: ~:i. 1 3. :i.r~t:Tt:.al I 'k.l'l(.~ siy~'(.6)10 ~r'l 61(::(:;;Cil"d,7~l'lC:l.~) ~.'~..h ¢~ :1. ]. Id(::)(.~ c:od(..:~ ar'icl arid :i.l"l c:oflU::~}.J.¢~r'lc6) k~:i.'t:.h t.h~:~ de~:i, gn c:r':it~¢r':~a o¢ t.h:i.s I ~:i.:l.:t adlx.:m~.? 'Lo a:lZI. I"lO(~ and S't'.a'L~:~ of (.~i,:usl.,:a p~:~qL~iP~.+mle~r'rl:~; {of 't..h(,.? ~,.~t back L~I'iV ,?~;,l'l].¢).l'(.]f.:~flll .t:i,P(s~ ~['l a(::ldJ.'~;i, orla], SCALE PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:_~ 2 3 4 7 8 g 13- 14- 15- 16- 17- 18- 19- 20- Township, Range, Sectlon:,'~' I~ t~, ,~:;;;:~/..~ ~..~._ SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN S L IF YES, AT WHAT O DEPTH? p E Depth to Waler A[[~' _ _ Monilorin§?-~'/~ 7 I)ale: A / Reading Date Gross Net Depth to Net Time Time Water Drop ! PERCOLATION RATE _ ~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN/7~ F~'I~ND)× / - __ FI COMMENTS - 17034 ~agle .Der k~p Road No. 2~,/~ /~// ~/- ' PERFORMED BY: ~lver: Alaska 99577 i // ~// ~ CERTIFY IRA] TRI~ TEST WAS PERFORMED IN 72-008 (Rev. 4/85) --~ / / { / GRE ANCItORAGE AREA BO' JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ct4 A~I'> ~-~ MAILING ADDRESS PHONE LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE F.OMWELL INSIDE LENGTH__-- INSIDE WIDTH__ MATERIAL NUMBER OF COMPARTMENTS __LIQUID DEPTH LIQUID CAPACITY /00~ GALLONS. SEEPAGE Pit: NUMBER OF PITS J___. DIAMETER f':~! OR WIDT. ~-/', LENGTH '~'~/_, DEPTH LINING MATERIAL ~-*(~(~¢ CRIB SIZE: DIAMETER~_DEPTH ~_ DISTANCE FROM: WELL - [ , TOTAL EFFECTIVE BUILDING FOUNDATION ~.~ NEAREST LOT LINE ~(¢~. ABSORPTION AREA (WALL AREA)__~¢~ _SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~'t~ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST · NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED .... DISAPPROVED REMARKS DISTANCES: INSTAl_LED BY: PIPE MATERIAL: LOT SLOPE: REMAR KS: ~t:~ Form No. EQ-031 DATE DIAGRAM OF SYSTEM (.¢ d'¢ L APPROVE G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT PERMIT NO,. NOTE~ THIS I~ERMIT IS NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED GRAVEL BA{;KFILL DESOR~E~ SY/~TEM ,SIN ACCORDANCE WITH SAID CODE, • EFL • • Municipality of Anchorage °*G 7 On-Site Water and Wastewater Program (907) 343-7904 �'$A i ETY Certificate of On-Site Systems Approval Parcel I.D. 051 491 36 Expiration Date: /V -L( f7 1. GENERAL INFORMATION W Complete legal description YNTER PARK#1 BLOCK 1 LOT 17 Location (site address) 21030 SPARKLE Current Property owner(s) VFW Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well El Community Cl Public Water System ❑ Public Sewer ❑ • WaiverNariance request for: Distance: Received by: Date:0 L1/ / COSA to be relea -. e engineer,unless otherwise requested by the engineer. COSA Fee $ 5 214 Waiver Fee $ Date of Payment /u/ --l['' Date of Payment Receipt Number O -5—vou Receipt Number COSA# ©AJC f 1' 13-(9C 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 C&M ENGINEERING Phone 907-854-5558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 9/29/18 419T�l • -s Y 6. DSD SIGNATURE �'` V° System#1 Approved for—3 bedrooms /.'. System#2 Approved for bedrooms F. HARLEBALZARINt� FG , GE-13854 ..�'' Disapproved q sl'•<< v� p ' F�F�PRO ESSION�``�.�,� Conditional approval for bedrooms, with the following stp?** �®-�"� 16 e PL;C (9-(? 4/eq.r.C. C91— , /6Weit411.t0 I V` or G S- ( S ,2-e-k-cc 14(_ i S d Alea.tS oi-e QPM\`' .OF 4C, !;� ON-SITE ;, =� WATtR AND o WASTEWATER o =% PROGRAM1.: O 4. • By: i Original Certificate Dater-1-/-12? 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 rr'' / Well Flow Advisory Other ,f 2T:4' f/ q -e9 / cos.,sheet c • If more than 1 septic system is on the lot: COSA Checklist# 1 oft Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: WYNTER PARK BLOCK 1 LOT 17 Parcel ID:051-491-36 A. WELL DATA Well type CLASS A If A, B, or C provide PWSID# 211431 Well Log (YIN) - Date completed - Sanitary seal (Y/N) - Wires properly protected (YIN)- Total depth - ft. Cased to - ft. Casing height(above ground) - in. FROM WELL LOG AT INSPECTION Date of test - - Static water level - ft. - ft. Well production - g.p.m. - g.p.m. WATER SAMPLE RESULTS: Coliform - colonies/100 mL Nitrate - mg/L Arsenic - ug/L Date of sample: - • Collected by: - B. SEPTIC/HOLDING TANK DATA • Tank Type/Material SEPTIC / STEEL Date installed 8/9/89 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) yes Foundation cleanout(Y/N) yes Depression over tank (Y/N) no High water alarm (Y/N) NO Date of pumping 9/25/18 PumperALASKA QUALITY SEPTIC C. ABSORPTION FIELD DATA Date installed 8/9/89 Soil rating ( ,pzLLt2 or ft2/bdrm) 125 System typeTRENCH Length 32 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 9.5 ft. Eff. absorption area 384 ft2 Monitoring tube yes Depression over field no Date of adequacy test 9/25/18 Results (Pass/Fail)pass For 3 bedrooms Fluid depth in absorption field before test 10 in. Water added 450 gal. New depth 10 in. Elapsed Time: <144 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment(past 12 mo.) (YIN &type) none known If yes, give date na D. LIFT STATION Date installed -- Size in gallons -- Manhole/Access (YIN) -- "Pump on" level at-- in. "Pump off"level at-- in. High water alarm level at -- in. Datum -- Cycles tested -- Meets alarm&circuit requirements?-- E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot -- On adjacent lots -- Absorption field on lot -- On adjacent lots -- Public sewer main-- Public sewer manhole/cleanout -- Sewer/septic service line -- Holding tank -- Animal containment areas -- Manure/animal excrete storage areas -- SEPTIC/HOLDING TANK ON LOT TO: Building foundation +10 Property line +5 Absorption field +5 Water main +10 Water service line +10 Surface water +100 Wells on adjacent lots+100 ABSORPTION FIELD ON LOT TO: Property line +10 Building foundation +10 Water main +10 Water Service line +10 Surface water +100 Driveway, parking/vehicle storage +1 Curtain drain +50 Wells on adjacent lots +100 F. COMMENTS SEPTIC TANK IS OLDER BUT APPEARS TO BE IN GOOD CONDITION. LEVELS WERE FOUND TO BE NORMAL IN SECOND CHAMBER PRIOR TO PUMPING. G. ENGINEER'S CERTIFICATION OF A'fk I certify that 1 have determined through field inspections and • ��• review of Municipal records that the above systems are in " , •'S1 conformance with MOA COSA guidelines in effect on this date. ; -• 4 9T :: `y t °•• J o e e� e • (Y Engineer's Printed Name Charles Balzarini Date 09/29/2018 V • • • • • CHARLES G BALZARINI VI.�'c��,• GE-13854 •.1/4A101 • • ' ° • •,47.,. , . �FpPROFESSl4� ,; COSA canary sheet_2-6-15.doc MUNICIPALITY OF_-r 907-343-7904 ANCHORAGE f DEVELOPMENT SERVICES DEPARTMENT � � , On-Site Water and Wastewater Section \ `i Fax: 343-7997"_-._ 43 7997 www.muni.org/onsite � Septic Tank Advisory Certificate of On-Site Systems Approval # OSC181525 Subdivision: Wynter Park #1, Block:1, Lot: 17 The septic tank for this property is 29 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. lig VI i j. • Agli • It , T -,,,-.0,..- N (tib t ^.'i y ',- • t.,. -,-;, �" •. i{ { _ad,. a till . AY a t 1 -. -, ' . . �- 201 4 .'„ sa;, s is Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org