The URL can be used to link to this page

Home My WebLink AboutSOUTHFORK NORTH BLK 1 LT 4South Fork North Lot 4, Block #078-141-16 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMEN'f'AL SERVlCFS DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: /4~/¢¢ ~'~ ~<¢~¢' _ PID Number: ~ ~1'/11 ~ ~/~,~,~,~ ~r~,~ ~ Wastewater System: ~ew D Upgrade --Ph°ne:~?-- ~_~_~ ~ I No. of Bedrooms:~ ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTION iSoilRating: /. 2. GPD/Sq. Ft. Total D~th~om original grade: ~t: ~ Block: ~ Subdiv~ion: )epth to pipe bosom from original grade: Grave~ depth beneath pipe WELL: ~Now ~ Upgrade iravolwidth: ~/ Number of lines: IDislancebe~nlinos: ~a.ification (Private, A,.,C): Total Depth: Cssed TO: Total absorption ~e~ ~ 'ipe materiah ~iller: . Date Drilled: Static Water Level: Installer: bate 7~/i sta led: TANK SEPARATION DISTANCES ~eptic U Holding g S.T.E.P. To Septic Ab~gon Lift Holding ~ubllePrivat~ Manufacturer: Capacityin gallons: ¢/ Material: Number of Compadments: S.~.ce LIFT STATION -- Lot Size in gallo~% - - Cu~ain ~ P Electrical inspections pedormed by: Drain Remarks: BENCH MARK Location and Descriptl?.~: ~' ENGINEER'S SEAL Depa~ment of Health and Human Services approval ~g;¢~?o. 79-013 (Rev. 9/91) MOA 25 Permit No. # Page 1 of 1 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 19665e Anchorage, Alaska 99519-6650 Telephone: 543-4744 On-Site Wostewoter Disposal System and/or Well Inspection Report Le al Description: # South fork North Lot, 4 B 1 PID No.: # ASS& Swing Top of' well Scale I"¢ IOO' DATE by DOC Go. dba SULLIVAN WATER WELI, S P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE'.' 688-2759 OWNER OF LAND t:F/II4E' , ADDRESS t0o /3c,~' ~ 70 LEGAL DESCRIPTION ~_~'~ ~ 1~1~ PERMI'r NUMBER ~ '~ JC~ate of Issue TAX INDENTIFICATION NUMBER (')Tzf' Is well located at approved permit location? ~s ~ No Method of Drilling: ~,aifi'otaw ~ cable tool Depth of well: ~ ~O Casing Type ,,~ ¢ ~'¢~- ~ Diameter ~¢ /~ Liner Type: '4)0;0~' DEPTH Wall Thickness, ~) ~¢'~) inches ioches, depth 401/~II- feet feet feet gpm Casing Stickup Above Ground: Static Water Level (from ground level): Pumping level: feet after hrs. pumping Recover Rate: ~} gpm Method of Testing: /il Well Intake Opening Type: [~ ()pen End ~ Screened; Start feet Stopped feet I~ Perforations Start :, feet Stoppsd feet ' Grout Type: ¢::,oT' ~,,-J~'i"~ Depth: from C) feet, to ....... feet Pump Intake Depth: feet Pump Size .hp Brand Name. Well Disinfected Upon Completion? ~3-Y~,~'--'~ No Method of Disinfection: , ~'0 /~-~/~'1 d ~z,O~,,dg Comments: RECEIVED MAY 1 ? 2000 el3t. Health & Human 8~rwoeo Driller's Name. ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUM3%N SERVICES P.O. BOX 196650, 825 "L" STREET,, .ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL S M PERMIT PERMIT NUMBER:SW970385 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:HILAND LAND CO OWNER ADDRESS:P.O. BOX 670229 CHUGIAK, ALASICA 99567 PARCEL ID:07814116 PAGE 1 OF 1 DATE ISSUED:lO~30~97 EXPIRATION DATE:10/30/98 LEGAL DESCRIPTION: SOUTHFORK NORTH BLK 1 LT 4 LOT SIZE: 435603 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. F~OM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED ~D CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY:_ ¢10 SURFACE WATER NO KNOWI'i CURTAIN ORAJ"aS _W_E L.,L/S E P T I_C SITE PiLA'N LEGAL~.'.__South Fork North Lot m BIk 1 : . -OWNER: Br<~nke ..... ~'~-~ CONTRACTOR: ~ - 7ZST HOLE 4- - WELL PROPOSED L~CHFiEL9 IX ST~NO L~CHffl~t.O ~ ~ · * i_vA Eagle River Engineering Services Louis Butera, P.E. P.O, Box 773294 (907) 694-5195 tel Eagle Rivet', AK 99577w3294 (907) 694-3297 fax October 10, 1997 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: South Fork North Lot 4 Blk 1 Narrative & Permit Application Dear Mr. Cross: tNV ROiqM~.NTAL $~.RVIC~.$ DIVISION OCT 1 REC£,iV£D The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrom~ding lots are very large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity and lot size. 4. Drainage will not be affected and is not a major consideration in our design. We are requesting a variance in the code required maximum slope of 25% to allow the system to be installed on a slope of 33%. We believe that this slight variance in the code requirement will not be detrimental to the system performance or result in effluent surfacing as this system is a trench in high permeability soil and is designed to be installed with 4' of soil cover. The slope is continuous and there are no breaks in the naturally vegetated slope for a distance of 140' below the reserve trench. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \I997\97-074-N^R U TEST HOLE · MONITOR TUBE o SEWER CLEANOUT + WELL EASEMENT NO SURFACE WATER PROPOSED LEACHFIELO NO KNOWN CURTAIN DRAINS =.ii..- EXISTINO LEACHFIELD WELL_,,/SEPTIC SITE PLAN LECA,: South ~o~k No~th ~ot ~ S,~ ~ OWNER: Bronke CONTRACTOR: N A~----.,-~ -...~~.*'/~9t~.~...~.*~ JOB~ 97-074 DATE: 10/10/971 SCALE 1" = A EAGLE RIVER ENGINEERING SERVICES ~e ,,..c~-'~3~.,,.~ P.O. Box 77329~ EAGLE RJVER, A~. 99577 (907) 694-5195 FAX: (907) 694-3297 EAGLE RIVFR ENGINEE-'RING SERVICFS P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 97-074 Calculated By: LB Date: 10/10/97 Legal: South Fork North Lot 4 BIk 1 Single Family 3 Bedroom Dwelling TEST HOLE Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 450 gallons Percolation rate = 1.15 minutes per inch Wastewater application rate = 1.2 gallons per day per square foot Required absorption area = 375 square feet Trench width (VV) = 3 feet Gravel depth (D) = 4 feet Required length = Required absorption a?ea / 2 / D Required length = 375 / 2 Required length = 47 feet Total Excavation Depth = 8.0 feet / 4 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ['~r~.~. DATE PER'FORMED: LEGAL DESCRIPTION:,~'~,,~"~k F~r~'., f~/Of'~ T'£- o H 5 7 8 9 10 11 12 13 14 15- 16 - 17- 18- 19- 20- ~/.~' ~ / Township, Range, Section: SLOPE WAS GROUND WATER E~COU~TE~ED? __,4,'0 SITE PLAN IF YES, AT WHAT DEPTH? Ilaplh ID Waler AIInr Monitoring7 ~ry Dale: I~-~/'4 ~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE / t [ ~ (m~nutes/~nch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND '~..2 FT COMMENTS PERFORMED BY: .z~--~"~J~ I ~,-~-~"~"-~"~" CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: __ /~) '~'-~ ~-~ ~ ~ ~ 72-008 (Rev. 4/85) Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax LEGAL: SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM Sonth Fork North lot 4 blk 1 10/10/97 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmauship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, auy deviation requires engineer approval. 8. it is always recommended that a surveyor locate the nearest Iot line position and the location of any easements. 9. Any remaining opea test bole excavations shall be filled. B. SEPTIC 'YANK 1. Septic tank shall have a minimum capacity of 1000 gallons and be of MOA approved design.. C. TRENCH 1. The trench is to follow the natural land contour to maintain oniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 8' at any point. 4. The effluent line within the trench shall be laid level within 0.03'. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth oft or equivalent is to be placed over the leachfield. 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer thau 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 8' GRAVEL DEPTH = 4' under pipe, 2" over pipe TRENCH LENGTH = 47' TRENCH WIDTH = 3' SOIL RATING = 1.2 GPD/ft2 BEDROOM CAPACITY = 3 SEPTIC TANK = 1000 gallons Twenty-fonr (24) hours notice required for all inspections. \1997~97-074.spc.doc MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 078-141-16 ANCHORAGE Certificate of On -Site Systems Approval Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: 1 Z 1. GENERAL INFORMATION Complete legal description SOUTHFORK NORTH BLOCK 1, LOT 4 Location (site address) 2047 HILAND ROAD, EAGLE RIVER, AK 99577 Current property owner(s) MICHAEL B. BRUNKE Mailing address Real estate agent 2047 HILAND ROAD, EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: N Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Private Well N Water Storage ❑ Community Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Private Septic N Holding Tank ❑ Community ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ^� j LV Z M Date of Payment &[6�� Receipt Number CQ()5642 COSA # Q ncz %Z3 Waiver Fee $ Date of Payment Receipt Number Waiver # COVID-19 257o' DISCOUNT APPLIED 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 6/4/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject toOr these various and dynamic characteristics and are outside the control of the evaluator of the ,y P� ' •r4a1`1 well and septic system. Therefore, any estimate of how long a system will function satisfactory r�g�.' fi,��i for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & � TM ....•.* IL . . .. .. .... ...... 6. DSD SIGNATURE Curtis Huffman System #1 Approved for bedrooms i��c,�;•, CE 128991 An ��,F�FO ROFECSS ONP��•�' System #2 Approved for bedrooms 1>,��, ,�•� Disapproved Conditional approval for bedrooms, with the following stipulations* OF g WATER AND G WASTIDPATER oz- JJ`0\� B1" Original Certificate Date: (p 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 Legal Description: SOUTHFORK NORTH BLOCK 1, LOT 4 Parcel ID: 078-141-16 If more than 1 septic system on lot: COSA Checklist # _of Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 9/30/2000 Total depth 320 ft Cased to 40+ ft (INTO BEDROCK) ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/1/2020 Static water level at beginning of test 103 ft. Well production at time of test 4.1 gpm Comments B. TANK DATA Age of tank(s) 22 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 51" ® Standpipes/foundation cleanout per record drawing Date of pumping 6/1/2019 11 D. ABSORPTION FIELD DATA Which system tested (date installed) 11/611998 ® ALL standpipes present per record drawing Total measured depth from grade 7_5 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A - pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 0.49 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by F ES Date of Sample 6/1/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: See attached MOA advisory. Adequacy test date 6/1/2020 Results Z Pass For 3 bedrooms Fluid depth prior to test 25 in Water added 500 gal New depth 36 in Elapsed time 1440 min ® Code -required soil cover over field Final fluid depth 24 in F-1 System presoaked Absorption rate 450+ and (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: System operating in the upper half of the 4' effective depth. FWC 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 ft Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water ,> 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® 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' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® 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' ® 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' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water ,> 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S -CERTIFICATIOor �kl N l certify that"t have determined through field inspections and review j,t��.: •' . • •��`$ of Municipal';records that the above systems are in conformance •;i% �� with MOA COSA guidelines in effect on this date. 11'i '. ® .... .... .. .........0 jj Curtis Huffman A `, f$�°F�; •. CE 128991 0�� `f' • b15/20�0• 'F�� i� PRO FES*0 \ M ft PGPIAlpqnsun Nis ok 4� Z LLI r) c 09 mi 00 cv O 00 Nis ok 4� Z c 09 mi 00 cv O 00 00. Oil V) k- 0 > 31 B>,58.�o Ea 2 C,-:-6 S V) Q) ou V, v Z -0 ZY2 0�o —0 pL 0 0 .0 (n in ; 0 < o o Z,c cn 00 0 PH oc 2 x >* r -L 0 0 3, . 0 =m ac www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 201228 Subdivision: Southfork North Block 1 Lot 4 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000. 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 20 year old steel tank MAY look like. Madmg Address P =0 Box 196650.* Anchorage, Alaska 99519 6650 *www muni org