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Home My WebLink AboutDEARMOUN LT 3t)eArmoun Lot 3 #018-401-14 Municipality of Anchorage Pageof2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wast ff water Disposal System and/or Well Inspection Report Permit Number: tol PID Number: of f34o1 I Name: 46 Wastewater System: ❑ New Upgrade Address: ABSORPTION FIELD hone:,,.,, Phone`,,,,,,, - �7 � � No. of Bedroome: � peep Trench O Shallow Trench E3 Bed 13 Mound ❑Other LEGAL DESCRIPTION soil Rating: 0-7�GPDIS Total Depth from orI grede: Ft CIPal Lo' Block: Subdivleign:� into bottom from originaigrade: Gravel depth beneath pipe F�1' Ft. Ft. Township: -1 Ran 'on:Fill added above origl I grade', Gravel length: � � 1rte+ _1�Ft. v Ft. WELL: ❑ New ❑ Upgrade Gravel 2/ Q), Num roflines: Distancebetweenlines: 10 J Ft. Ft. Cle hon llonvate. A,B,CI: Total Depth: Cased To: Total absorption area:Pipe material: O • Ft. Ft. d8 SO. Fit c> L Driller. Date Drilled: Static Water Level: Installer. . Date Imtalled:_ l JLIo Ft. Yield: Pump Set at: I I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Xseptic ❑Holding ❑S.T.E.P. To septic Absorption Uh Holding PublielPffiralt anUIaClUrer Capacity In gallons: From Tank Field station Tank Sewer Linn Well I I CO I n I`, Mat 'al: Number of pertments: Watere Ik / LIFT STATION Lot I 1 Size In gallons: cturer. Line Foundation I "Pump on" level at: "Pump off" level at: water alarm at: Curtain Pump Make 6 Model Electrical Inspections performed by: Drain Remarks: BENCH MARK I 1 Lvl W/ Location and Description:/ C., G Assumed Elevation: p ENGINEER'S SEAL t .. 4 OF 0.- %1 _ AQ`Y • A 'y A + SdSENGINEERING 1•% It Inspections performed by: D list- 7 00.r TTI ,y:,,•. gor 2ndU0,14 L3910 Mer L �210-`i l �••• / :: • • ' • oc EaSk River, Alaska 99577 • :• . • vV Department of Hea Human Sqrvices approval its .•' -" `" �c� I FA •. •, Reviewed and approved by: Date: f3-jo-9/ IZ1y T2-013 (11/91) MOA 25 Permit No. �'I,Jg101b9 Page Zof 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Description: 1•ar3 V15-ik0MQLllJ 51m PID No.: 018401'14 L%12.10I. i COy vi iA_ J W. I N GA'PX(E 'T,�N�.IIcY TEM ((aAU h`-/ I � 1 I 72-010 A (2N1) MOA 25 )g4 od i=r - �ya(►rgeaa;ceA� i✓ L3.'� `ice+ :yY• '•^i 4rv t %FL%PZ OFFSS:'�:.:yu ��0 � a �_ w.1. �.• C01 CO2 Goa Goo t'tT1 11- T21 101°- � )g4 od i=r - �ya(►rgeaa;ceA� i✓ L3.'� `ice+ :yY• '•^i 4rv t %FL%PZ OFFSS:'�:.:yu ��0 � a �_ w.1. �.• MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 9 :3o ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910189 DESIGN ENGINEERS & S ENGINEERS OWNER NAME:NEAVERLEY GEO D & LOIS J OWNER ADDRESS:13840 ERVIN RD ANCHORAGE, AK 99516 PARCEL ID:01840114 LEGAL DESCRIPTION: DEARMOUN HOMESTEAD LT SEC 28, T12N, R3W, SM LOT SIZE: 49500 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 7/11/91 EXPIRATION DATE: 7/11/92 1. THE ATTACHED APPROVED DESIGN. 2. 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). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE • / / DATE: % -144- fl ihm July 5, 1991 ROBERT SHAFER, P.E. ROGERSHAFER CIVILENGINEERS (907) 8942979 FAX 694-1211 HEALTH AUTHORITY APPROVALS Municipatity o6 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L S#Aee.t SEWER WATER P.O. Box 196650 MAIN EXTENSIONS Anchorage, Ata.aha 99519-6650 REFERENCE: Lot 3; De Armoun Subay.i.a.i.on; SEWER WATER Requut you issue a permit .to upgrade .the waa-tewate2 di6posat system INSPECTION aelLv.cng .the re6erenced property. The Log crib ,type ce66pool which currently aervea .the propexty has collap6ed. (THUS, TIME IS OF THE ESSENCE!) The propoaed system ENDIREERINGSTUDIE$ AND REPORTS UU ,insists oL a septic .tank with .boo Leach6ietd tAenche6. The .topography o6 .the propWy is generally Etat. We anticipate no adverse e66ect6 on neighboring properties by .the .inAtattati.on o6 .the WELLINSPECTION proposed system. 6 FLOW TEST 16 you have any questions or requ,uce addZtiona.E .in6ormati.on 6or your review, please contact us. SITE PUNS S.inc /et , ROAD DESIGN /I F/,BM A. SHAFER, P.E. SOILTEST PERCOLATION TEST STRUCTURAL! MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 l 1n o / o�-a0r+�4►0 , 41k « IMP, 3lWJS or jj Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOULS LOG -PERCOLATION TEST PERFORMED FOR: (f�L DATE PE LEGAL DESCRIPTION:_ L 3 Y'•..b'�� tom' Township, Range, Section: r SLOPE SITE PLAN 1 2- 3- ✓. 4 4 •` 5 6 7 ) Sr ,4 8- 10 10- 11 11 ' 12 :r 13-, r 14- 17- 18- 19- 20- 17181920 COMMENTS COMMENTS WAS GROUND WAT ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to waferI�tlec, 3l -°I I Abnitwinp7yl� Date: PERCOLATION RATE (mmutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN r AND---7—FT S& PERFORMED BY: –^^ ^ 1a Rrver foot Road No. 204 �� River, Alaska ACCORDANCE WN �L STATE AND MUNICIPAL GUIDELINE 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: i Static t - MATER VIELL DMLIZM "t n �W A+V+ +.... - C USGS No. Drilling Co. Driller c� Area Well owner Lse of well .� Location taiddesss of; TownOiig, Range; & section, if lmown; or distance rom main road t/� Ll�/J7r�LrnJ — ocrt ✓, .fir Qitn'!'_tcc'A> S"Id - _,C'.34; S/1,'. rtaalno DeDth of hole /7?, _feet Cased to YeeL water level O feet (above)(below) land surface. Finish of well (check one) Open end Screen ( ); Perforated ( ). Describe screen or perforations Well pumpi g test at 9 gallars per hour m� for hours with 2 .3 _feet of drawdown from static level MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & _ ENVIRONMENTAL PROT,rT,nn, Romarks Voll ?oa NOV from UIve and 0 to �L >i to to to 4 �rt4 a f/ to -Z,RL to to ,�—to to tc tc M to to to to to EPLAAIS MUNICIPALITY OF ANCHORAGE (*/41- 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. 018-401-14 Expiration Date: 7- 1-1'1 1. GENERAL INFORMATION Complete legal description Dearmoun L3 Location (site address) 13840 Ervin Rd Current property owner(s) George & Lois Heaverley Day phone Mailing address 33440 Phyllis Cir Soldotna, AK 99669 Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 55 Waiver Fee $ Date of Payment � 02 I Date of Payment Receipt Number 1)5511/6 Receipt Number COSA# Qf7C/q/Q/ / 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. 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 for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Date , . •o� 4 ••�- 6. DSD SIGNATURE ••• System #1 Approved •ev for �- •bedrooms ••tlevei, t•annoRe System #2 Approved for bedrooms I •• CE 8149, Disapproved • 4 Conditional approval for bedrooms, with the following stipulations: W W PSE PROV h4PtgT c.101.\ L gy- `` Original Certificate Date: / ' �/ 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 A44-c44 + 1 k 14-06 ory COSA Checklist Clue sheet COSA Checklist Legal Description: Dearmoun L3 Parcel ID: 018-401-14 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 4.29 gpm Date drilled 8/27/63 Water storage tank volume Ilia gallons Total depth 170 ft Well disinfected for coliform test? ❑Yes 1:j No Cased to uk ft EU Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate ND mg/L 0 Nitrate less than MRL (ND) Q Wires are properly protected Arsenic ND ug/L EU Arsenic less than MRL (ND) Casing height(above ground) 12 in. Collected by PES Date of flow test for COSA 311919 Date of Sample 3/19/19 Static water level at beginning of test 111.4 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 28 years ❑ Required maintenance completed Tank type/material S°'"`'S"" Age of lift station years Measured operating fluid level in septic tank 49" Lift station material ❑IIII Standpipes/foundation cleanout per record drawing Comments: Date of pumping *See Note D. ABSORPTION FIELD DATA Deep Trench Which system tested (date installed) 7/26191 Adequacy test date 3/18/19 ❑ALL standpipes present per record drawing Results ❑✓ Pass For 2 bedrooms Total measured depth from grade 114/9.25ft(max) Fluid depth prior to test 0/30 in Measured depth to pipe invert from grade 5-5.5 ft(min) Water added 300 gal ❑ N/A—pressurized field New depth 69/72 in 0 Monitor tubes go to bottom of effective. If not, state Elapsed time 70 min depth into effective 45" Final fluid depth 5/30 in EU Code-required soil cover over field Absorption rate >300 gpd II System presoaked Ilia (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) 2000 If yes, enter date Gallons introduced gallons Comments/Deficiencies:Septic tank was empty before test(house vacant 1 112 yrs). Filled tank to perform leak test 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' Community Sewer Manhole/Cleanout> 100' 0✓ Yes if No ft [✓ Yes if No ft Neighboring Tank> 100' 0 Yes if No ft Private Sewer/Septic Line>25' El Yes if No ft Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank> 100' 0 Yes if No ft Neighboring Absorption Fields> 100' Animal Containment>50' ❑✓ Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage> 100' Community Sewer Main> 75' 0 Yes if No ft ✓n Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations> 10' 0 Yes if No ft Surface Water> 100' ID Yes if No ft Property Line> 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells> 100' 0 Yes if No ft Water Main> 10' El Yes if No ft Community Wells>200' 0✓ Yes if No ft Water Service Line > 10' Q 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' Q Yes if No ft If absorption field is under driveway comment below Property Line> 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main> 10' 0 Yes if No ft Private Wells> 100' 0✓ Yes if No ft Water Service Line> 10' 0 Yes if No ft Community Wells>200' 0✓ Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 3.OF.: �gt;14 I certify that/have determined through field inspections and reviewOAde o?•' '9 ti0 of Municipal records that the above systems are in conformance with : ; `'' ( . ----..1,... IA MOA COSA guidelines in effect on this date. / Q�;`0 6 �I iiieve,-, ".. Pon:-0:;e t . ;._:. _ 8149 .•;� / �It,c• ,• .• 1�krv:e..) V",pwe. COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE • DEVELOPMENT SERVICES DEPARTMENT • F r--I 907-343-7904 On-Site Water and Wastewater SectionFax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval #OSC191091 Subdivision: Dearmoun Lot: 3 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 28 years old. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. z:. Y �$ M f aril . a� ' Nr ,.* A, „elk 1 N.K.. � r' �� p J •* / j/� P' S�Z SSR K"`1 e' ` �" 7 17 , .c r, T/:r'= k,` .� ''�� y./` .,0 ^t Y�. f T s Ilk Mailing Address: P.O. Box 196650*Anchorage,Alaska 99519-6650*www.muni.org Detail"A" Scale 1'=20' LOT 3 II I j h I I I ro� �aoa $ "----------____ • „•. S 89'54'00" E 300.00' _- -- — gel oC COrp9c _._ _. ._ .TOg'See Deloi! A_. Z 5 von-S?thew. p I Z ��" Ill, :v, o 17 0 \ Crccnlwush kphall ' v I ` � ` ` 4 1198' o LOT 3 ' C...; .: J 1 * I C Detail"Bn , �srneas One-Story ' 1 or toy Amos. Scale 1'=20' I- See Detail $" i o cc trnn <.47,,•14P; I I ,--.• ?46. > * O ^.� ;o Qi N 89'Sa'00" W 300.00' • 3o' i 30' --- 'o• I / O / I I h h / I ?S. _-- I ry �. '.3. " Sp, NOTES 1. Bearings and distances are record per referenced plat unless otherwise noted. 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground.Not all controlling evidence Is shown hereon. .0�\\\\� LEGEND r;��OF.AtgS�t y' Farpolnt Land Services, LLC Reteve,edReb�r �/,,e•- .t-1+ SURVEYING, MAPPING, LAND PLANNING, GIS • ""*Co. 9 # (J Septic Vent /*:49TH *9 y..% 1 1 3 1 E. 76th Ave.,Suite I O I Anchorage,Alaska 995 18 FarpointAK.eom•(907)522-7770•survey.farpointak.com 0 Well ,.Ofr.; /' ASBUILT SURVEY OF; — SURVEY CERTIFICATION:FARPOINT has conducted a physical . ••'4 0.421 , Lot 3,DeArmoun Subdivision, survey of the subject property,the improvements situated 1 y•,MIC L J.HORNE.•,%k. thereon are within the property lines as shown. (F��. • ,� Plat No.P-422 •• LS-5318 'Q' / EXCLUSION NOTES:It is the owners responsibility to determine�1�1;PADffS$i01111�a�S�•— WORK ORDAnchoERHoC'DATE ka SCALE: ZONING: the existence of any easements,covenants,or restrictions which BeeHeaveedey \\\"_� it do not appear on the Plat used for this survey.NOTE:Under no 33440 Phyllis Circle ` 19024 Aar 2019 1"=60' RG circumstances should any data hereon be used(or construction Sddotna,AK 99669 DRAWN:CHECKED:GRID No: c8 Bien0BGE: or for the establishing of property lines. JO MH SW2935 147/05