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Home My WebLink AboutGREENLAND BLK 6 LT 10Greenland ]Block 6 Lot 10 #015-171-27 MAi LiNG ADDR,~ss ..... ~ -¢,--~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTIQN REPORT PHON E · ,-~UPG RADE LEGALfDESCRIPTION mT,ON Wall ~ ,/~ ~ I Ab~ptio~';~- ~D~lling ~ ~ Manufacturer ~ ~ IF HOMEMADE:-- ~ ~ ~ Liq. capacity in gallons ~ Inside length idth ~ ~ DISTANCE TO: ~Well Dwellin9 O ~ ~ Manufacturer __D STANCE TO'. I ,.WE No. of linos~ I Length of ea~:h line TO-p~Io finish gr!de ~'/'--~ Length Width Type of crib Crib diameter 'Total length of lines /_ Depth I Material IkOn'To t tine Tren~t~idt h ~ inches inches NO. O.~DROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons Crib depth Well Building foundation Nearest tot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PERMI~J~), l ~ ~ 0 Distance [)et~,~/~s , Total effec~veabsorption area PERMIT NO. Total effective absorp~on area SOIL TEST RATING INSTALLF~R REMARKS ~ I DATE IDEF'FII:~:I"HEE!'.iT OF' HFSF!LT'H i::'¢.,fE:, E?-.I',,,'IF;:Cfl'.,tH[~;F,Fr'F:IL. ~L:',25 "' L" ;}~: T~TE:ET., F!NC:F~CIF;:F:Ii.~ifE. I::f!.::. ""IF' ~:;EE ':~; EE:; ~-,,.fl ~!EE [.:,:.;;: tLj[ ,If::::- C:;.~i IF;i:: ,..'::::~ C;, E~S ~:::::" E_C: I:~.7: ~",'lJ % ir" C:FtF,;:L L.I_IC:H:51 F,iGEF;'. E',G::.:; :I.E~.- C!JF~' Fi:I::, I]I[:-F' CtMF:IL.L!E'?' LCq" J. EI E',L.}::: 61 GR:[EE~NI....F-'INE:, ':' OF::' E;OIL I::IE',:'SCffq:F'TICd'.J ?'r'.?l"F.;"l ]:'.:!1' TREi'.ir:'H [HUM iHUP1E~E:R: OF:' E:ED, F?E SPI:::: :: 2: RE(;!IJZi;rE[:, :=;'rZE 13F T'HE '::;F'~IL F:tEC'COI~:F'TICH :,-~::,~::.~. I:E; THE: LENGTH C, :[ r,'IENS ]: ON :l:S 'THE !..E:hI(3-1"H ,:: ~lq FEET;:, OF THE I'F:EihlC:H OR C,¢:FII HFiELD. THE E:,EF'TFI OF" F:I 'T~:ENC:H 0~: F'I'r' I'5; THE [)I~!;TFti',!C:E: E;E-!'HE:E:N TF.I[S :~;l_l~i:[::'Ftl~;:[~ OF TI..!E~ 3[;:OI_.IN~:, RF, I[) THE: E[OTTEd'"I OF THE Ei:':iC:Fi',/F!T :[ ON ,:: J;l",! FETE;T", FF-IE'[~E: Z S IHO ~[~ T N Z D, TH FO[;: T[~:E:hlC:HET:7. r!qE GF;:H¢,,,'E:!.... [::'[~:F"f'H .t:/. t'HfE :lhH:::, THE E',OTTEd"I OF' THE '!J! FiF::'F'L.!C:F:Ii'.,FF F'ff:l':'~; 7'H['S FirE~;F'Cq"]~:IE:IL! F'¢ 'Fr3 '[i'.,IF":l-:~:i',l THI% E:,EF'R~:"['I',IF2NT -:'LF?II"4Ei THi£[ ; F!L. L.?:Fr.[ Cd'..! ]: i'., ~;I-:'E:C:T ]: r3H'~'; OF F:11'.2¢ ,[,.I[ELI...S; FIE:,.:rFI(';:ISNT 'TE~ TH 1:5 F'F.:CIF'EFUTh.' FINE:, THIE ¢:: ~:' O[: F:E:ii: :[ "' ': ,.,i --.¢-', .... ,-., L.E.I....:.: THE HELL. HIL. L. ! !.i! ~f,'l ..... r':, '!' ':~ TF:, ~.., r"l::... __ E:E:TI,.!E:ti/;!'-,I I::1 I, r::'. ...... FIN[:, laN'.? FIf.,I..-:i!; :1: -i"E ':;F:'!,IF:t._. 3E 17, l '::i;F' 'Z :~;RL. "-"=, r.:,' .... 1 ,::.r'1¢:' :[ :ii; ~: !::[:: 'i' F:CiF;: 6! F::'F.~:I,~r ,.: I,[EL..L. C!t;: :1.563 · d i ~.-i[~; 7"'-r'F'[:'.' O~::: F'U[.:[[.. ! C: f!,'!llr.'! :() 'J: '::; T Fli'. SE:i 1'::ITOPI ~:::! F'[;;:I'v'F:ITF_':: !,!EL.I.... TF_'I f:f F'F:J'v'FI-['E: :E;!ii:k!E:;i;-: L~Ii'..!E I'J]; ':J::t~i FE:E'T F:lhlE:, :' C'O "!hll .............. Ii'.,l '[ ",r"T' ::51EI'IE'I;? i r t",i[9_ I L!; TM =' ~ !;' [;i:[i]l]:!ij I 17EHE:i'.,ITL:~; I"1F1'¢ F~F'F'L'.r'. '::'F:'E ]: I F' ]~ (]:~:I)" ~] !:!!'.i:i~; !::1[.i!'], [:-!:I '., :::~; ~,'1:::'t_t ":i-[: h () 17 F:IG?.F!M':~; F:!F::E [!.F:di::H. E!' TO I N:SUF;:E; F'R:F3F'E:!:,:.: [ !",t:~;'Ti::tI.._L..I::I'[' GAAB HD I GE TLR ANCHORAGE AREA BOROL q DFPAFITMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL sYSrEM MAILING ADDRESS ~'~'/~'~ SEPTIC TANK: DISTANCE! FROM WELL .~.,7,~--' / MATERIAL_ ~'~---.~"~="-- ---~-~-- NUMBER OF COMPARTMENTS_ LIQUID CAPACITY~///~"~'~"~r'' GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTtt____ SEEPAGE SYSTEM: SEEPAGE PiT: ~,.~G,~x:--'z"~2'~ ~-d'~,.~'~"'~'~.--'~'c,~"-,./~~ NUMBER OF PITS OUTSIDE DIAMETER OR W DTH~~, LENGTH~~DEPTH LINING MATERIAL_ ~/~-~ .r~~. DISTANCE FROM WELT ~/~'~ , BUILDING FOUNDATION .~.~s~ ~o~ ~,~. ~- ,o~ ~c~,w ~so~,~,o~ ~ (w~ ~ sa. ~, TILE DRAIN FIELD: DISTANCE FROM WELl FOUNDATION. , NEAREST I. Of LINE NUMBER OF LINES ~E BETWEEN LINES ~'"X~TRENCH WIDTH ABSOR~ ______SQ. FT. LENGTH OF EACH LINE DEPIH: TOR OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE ~~.~/' D STANCE FROM WELL: TYPE~~-~' , DEPTH .~-/ ", BUILDING FOUNDATION. /~ ~ WATER .~ SAMPLE , NEAREST ~--~ / NEAREST / .~ SEPTIC / SEEPAGE~ ~ ~ / ......SEWER LINE/~ TANK ~ SYoTEM_~;2~ CESSPOO//~ SOURCE~(;~¢/~ER' .~ -' LOT LINE DIAGRAM OF SYSTEM DISTANCES: GREAI'ER ANCHORAGE AREA BORuUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME Of APPLICANT '- -- ¢/ INSTALLATION OF: SEPTIC TANK TYPe AND SIZE OF FACILITY TO BE SERVED / SOIL COMPLETION DATE ANTICIPATED _ NOTe= THIS PERMIT I.S NOT VALID WITHOUT .SOIL TEST FINAL IN.SPECTION: 24 HOUR NOTICE REQUIRED. BACKFILL. lNG OF ANY BY.STEM wrrHouT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE .SUBJECT TO PROSECUTION. SEPTIC TANK SIZE *//~)[¢1~' ('') TYPE MINIMUM DI.STANCE.S, REQUIREMENT.S FOUNDATION TO SEPTIC TANK SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK '~ , SEEPAGE Pit tO NEAREST LOT LINE. DRAIN FIELD DRAIN FIELD /r [~ / SEPTIC TANK, , seEPAGE PIT , DRAIN FIELD · DRAIN FIELD ! SEEPAGE PIT ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED BOIL. 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 LICENSED DESIGNER DIAGRAM OF .BY.STEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCR[B SYSTEM IS IN ACCORDANCE WITH SAID CODE. /~E) DATE :? ~ SIGNATURE .... , ' /'-~ '¢~ /~'~~: Perfoz,med For. Alaska Cbnstruction Enterprises k'~e Per.i,o~'med 8/30/71 ..... - '~;- ' Greenland T~:.i.s Form RaDOFt: ~::: :~Ot ; :,;",[ X Gray & tan sand & silt mix (ML) Gray silty fine sand (SM)5¢.~,..~ Gr~y sand (SP) 8~ i0-- 12~ 14-'- 16~ Was gpound i,Jaler Eneountez,ed? no t i)e r>'c ?~ qz · - ,., o.,: Pit 2.2~e ~!t of drainage area is tzle set from ~ a ~ ~ - . . ..... /.o uo zo aee Tesl Per fopmed ,~: R. E. Carlisle Data Certified ky:National?~e~.s~i~n~g~.S~e.~rv~i~.~e~s~ Inc. Date: GREAIER ANCHORAGE AREA BOROUGH' DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: 1. APPROVAL REQUESTED BY: ADDRESS: ,~C, ~ F7 Z/z INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVI'DUAL SEWER AND WATER FACILITIES FOR PROPERTY OWNER: {~/'~;(/. PHONE: ~,~ TYPE FACILITY TO BE INSPECTED: NUMBER OF BEDROOMS: WELL DATA: A. TYPE__ ('.i;,%L-~-( ~;C'/ B. DEPTH '-'[1' C. SIZE D. CONSTRUCTION E. BACTERIAL ANALYSIS SEWAGE DISPOSAL SYSTEM: SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) SiZE 2. AGE ICI7'1 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO SEEPAGE PIT ~. SIZE ~;'~ ~/< ~:' L._;' '~- DISPOSAL FIELD 1. NUM~B~:.R OF LINES 2. TOTALX'~k NGTH REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B WELL TO SEEPAGE PIT WELL TO SEWER LINE WELL TO PROPERTY LINE E F G H. WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT '2~ / / SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: DATE: ///'"- ,/~"'"""7/ DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY • Municipality of Anchora e On -Site Water and Wastewater Program J i'uV o LDIS (907) 343-7904 \\ Parcel I.D. 015-171-27 Certificate of On -Site. Systems Ap Expiration Date: Z _ Q - 1. GENERAL INFORMATION Complete legal description Greenland, Block Ib, Lot _10 Location (site address) 4701 E 115th Ave. Current Property owner(s) Norman & Mary Brault Day phone Mailing address Real Estate Agent 4701 E 115th Ave. Anchorage, AK 99516 2. TYPE OF DWELLING: Fx� Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for:, I COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 572- G • d o// Waiver Fee $ Date of Payment // - Z — /r Date of Payment Receipt Number ci S/y Receipt Number COSA # S��/-5— Z 1i 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-Systks 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is forthesole benefitofthe owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for __q__ bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 11/1/2016 Sti R. arinone i. CE -8149 r Conditional approval for bedrooms, with the following stipulations: Original Certificate Date: //-y-/, 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue Sheet—E ,. If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system .r Certificate of On -Site Systems Approval Checklist Legal Description: Greenland, Block 2, Lot 10 A. WELL DATA jf Ve_ -�Z ed 6� e'b`. __,x1 Well type Private If A, B, or C provide PWSID # Date completed Unknown. Sanitary seal (YIN) Total depth un n ft: Cased to unknown ft. 5� FROM WELL LOG Date of test Unknown Static water level Unknown Well production Unknown WATER SAMPLE RESULTS: ft. 09df1Ll Coliform Neg colonies/100 mL Nitrate 1.78 mg/L Arsenic ND ug/L Date of sample: 10/10/2016 Parcel ID: 015=171-27 Well Log (Y/Ni N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 10/10/2016 35 ft. 4.8+ g.p.m. Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 9/3/1971 Tank size 1 ,724 gal. Number of Compartments 1_ Cleanout�s (YIN) Y Foundation cleanout (Y/N) .Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 9/19/2016 Pumper Isaacs Pumping Service C. ABSORPTION FIELD DATA a'senee-9i3nw* 2 2 210 SF/BR Deep Trench -Crib Date installed Soil rating (g.p.d./ft or ft /bdrm) System type Length 47-27/20 ft. Width 3-23/28 ft. Gravel below pipe 7-9 ft. Total depth 9'z ft. Eff. absorption area 630-982 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/10/2016 Results (Pass/Fail) Pass For 4 bedrooms . Fluid depth in absorption field before test 0-0 in. Water added 624 gal. New depth 47-0 in. Elapsed Time: 130 min. Final fluid depth 0-0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give -date 0 D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at-. in. High water alarm level at' Datum . Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 50+* On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+Public sewer manhdle7c7eandut 100+ :. Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ _ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main - 10+ -1 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 110+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *MT does not extend to bottom of field. Approximately 34"_ too shallow. ""50 feet minimum required at time of construction. G. 'ENGINEER'S CERTIFICATION+�01! „i N � gr; 4�i� 1 certify that I have determined through field .inspections and w, review of Municipal records that the above systems are in #; t}9 conformance with MOA COSA guidelines in effect on this date. • • Engineer's Printed Name Steven Pannone sleveri W,'lSor ore. Date 11/1/2016 CE - 8149 COSA canary sheet_2-6-15.doc in. --------------------------- 20' ALLEY W r1 8� S89053'20"E 100.00 _ Chain Link Fence Wood Fence a Wood Fence shed Chain Link Fence O O 0 cc rn LU o O 0 h O O 0 0 ►I 1 3 O Co septic vents 0 e S89°53'20"E 100.00 E 115th Avenue EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. M p AS -BUILT NO CORNERS SET THIS DATE M I hereby certify that I have performed a Mortgagee's inspection of the following described property. Lot 10, Block 6, GREENLAND SUBDIVISION Anchorage Recording Precinct, 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 18th day of October , 2016 K. WRIGHT FRED WALATKA & ASSOCIATES FB 16-13, 11-12 CH Engineers and Surveyors P9 (907-248-1666) 0 0 o O O Garage OD Lot 10 w Lot 11 0 c> 260 C.O. O o SCALE: 1 "= 30' Z < deck .3 CHI102 Asphalt .0 r11\2Frame aOFse `� — • '7 . .0 z-ooH � .' 49th 37 00 00 00 o •Fred Walatka." i 'P Conc. Ret Wall Typ_ 0 • 3255 - S o- 9F. . • s ,� �' pROFESSIONA�•�`� 4 . .. ,Well S89°53'20"E 100.00 E 115th Avenue EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. M p AS -BUILT NO CORNERS SET THIS DATE M I hereby certify that I have performed a Mortgagee's inspection of the following described property. Lot 10, Block 6, GREENLAND SUBDIVISION Anchorage Recording Precinct, 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 18th day of October , 2016 K. WRIGHT FRED WALATKA & ASSOCIATES FB 16-13, 11-12 CH Engineers and Surveyors P9 (907-248-1666)