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HomeMy WebLinkAboutT15N R1W SEC 8 LT 10TI N I lW eC. 8 Lot 10 051-092 -18 GRE! ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS. PHONE LEGAL DESCRIPTION [~ I0 ~. ~ T/FA/~lt~/~,,~/. SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH ~JL'~ 17'~ Iql MANUFACTURER NUMBER OF MATERIAL GTC COMPARTMENTS Z. INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY /.,~ ~'0 GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER LINING MATERIAL ~ell(.~,~{-~, CRIB SIZE: BUILDING FOUNDATION__ OR WIDTH '~'~, LENGTH ~Z'. DEPTH ~ ' ,+' 3~ DIAMETER DEPTH DISTANCE FROM: WELL /~ 4, TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ~ SQ. ~. ADDITIONAL ABSORPTION WELL: TYPE a, ltJ CONSTRUCTION BUILDING '"'~ * NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC e,(-.~' SEEPAGE //7~,, TANK , SYSTEM . DISTANCES= INSTALLED BY= -. PIPE MATERIAL= LOT SLOPE: Form NO. EQ-031 Performed For ~ ~ur~' Legal Description: Lot (0 Bloc~ This Form Reports Soils Log ~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 (~'~&~J~"~'~ed Performed '~ -I- Subdivision~. ~ ~1~ Percolation Test - Soil TestyMust Be Logged Depth / Feet Soil Characteristics To 4' Below Proposed Seepage System - 11-- 12-- 13-- 14-- Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet .Depth to COMMENTS: Drain Field Bottom of Pit br Trench Test Performed BY "~'~^ ~ -~-- Date Certified BY: Date: Municipality of Anchorage Development Services Department , Building Safety Division On-Site Water & Wastewater Program 4700 B!~agaw~ S~re~t P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON,SITE SYSTEMS APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I,D. 051-092-18 1. GENERAL INFORMATION COSA# 0 ~¢-~ Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T15N, RlW, SECTION 8; LOT 10 21024 CRABTREE STREET * CHUGIAK~ AK * 99567 JASON RYZNAR Day phone 21024 CRABTREE STREET * CHUGIAK, AK * 99567 Day phone 947-1005 BROOKE STILTNER W/ REMAX Day phone 748-0156 110 W. 38TH AVENUE, #100 * ANCHORAGE, AK *99503 Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 3. TypE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater dispesal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by rny seal affixed hereto and as of ,,,~.va,t,o,ion d,=, .... ~,v,,, below, I verify,,,o,'~-~+ ,,u,'~" 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 GARNESS ENGINEERING GROUP, Ltd. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed ~a-"~rne JEFFREY .A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory U/' Well Flow Advisory Arsenic Advisory. Maintenance Agreements Supplemental Engineer's Report utner Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T15N, R1W, SECTION 8; LOT 10 Parcel ID: A= WELL DATA *PER GEG Well type PRIVATE Date completed ~ 1973 Total depth *77+ ft. INSPECTION. **PER AAROW If A, B, or C provide PWSID# N/A Sanitary seal (Y/N) YES Cased to **48+ .ff. PUMP AND WELL INSPECTION. SEE ATTACHED REPORT. Well LOg (Y/N) Wires properly protected (Y/N) Casing height (above ground) NO YES 12+ ,in. FROM WELL LOG Date of test Static water level ff. Well production ..--'"" g,p.m. AT INSPECTION 9/9/2010 57 3.57 g.p.m. B= WATER SAMPLE RESULTS: Coliform ~.~ colonies/100 mi. ArSenic: 1{o L~ ug./L. SEPTIC/HOLDING TANK DATA Tank TYpe/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments Foundation cleanout (Y/N) YES Date of pumPing 6/30/2010 Nitrate O. { mg./L. Date of sample: 9/9/2010 2 Depression over tank (Y/N) NO Pumper Other bacteria Collected by: __ colonies/100 mi. GEG Ltd. Date installed 10/3/197,9 Cleanouts (Y/N) YES High water alarm (Y/N) N/A SANITARY PUMPERS ABSORPTION FIELD'DATA I'BELOW EXISTINC (~RADEI Date installed 10/3/197,9 Soil rating (g.p.d./ft2o~ 85 System type SEEPAGE PIT Length 32 .ft. Width 22 .ft. Gravel below pipe 3 .ft. Total de; Eft. absorption area 524 ft2 Monitoring tube YES Depression over field NO For 3 bedrooms New depth 35 in. 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - NOTE: ST2 WAS NOT PRESENT. APPROVED AS IS PER 9/10/2010 CONVERSATION W/ JEFF POET. Date of adequacy test 9/9/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test 32 in. Water added 780 gal. Elapsed Time: 875 min. Final fluid depth ,32 in. Absorption rate >= D. LIFT STATION Date installed "Pump on" level at__ E. Size in gallons Manhole/Access in. "Pump off" lev~ High water alarm level at Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas '50'+ *'100'+ N/'A in. 50'+ Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/,A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/,A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN Absorption field Surface water. 5'+ 100'+ Building foundation. 10'+ Surface water. 100'+ Wells on adjacent lots. 100'+ Water main N/,A Driveway, parking/vehicle storage 10'+ COMMENTS *TANK WAS APPROVED ON 10/,,3/,1973. CODE CHANGED 10/,197.3 *'106' FROM WELL TO CLOSEST STANDPIPE. 100' PER 10/,,5/,1975 INSPECTION REPORT. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed/Name! JEFFREY A. GARNESS Date C~,/7~ ~//O COSA Fee ~ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci. anchorage, ak.us (907) 343-7904 Septic System Advisory Certificate of On-Site Systems Approval # 101225 During a recent adequacy test on the septic system for Block , Lot 10 of T15N R1W Section 8 subdivision, 32 inches of standing water was observed in the absorption field. This indicates that approximately 89% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Arsenic Advisory Certificate of On-Site Systems Approval # 101225 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 10 of T15N R1W Section 8 Subdivision. This inspection revealed an arsenic concentration of 11.4 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. SGS Ref.# 1104755001 Client Name Garness Engineering Group, Ltd Printed Date/Time 09/24/2010 12:04 Project Name/# T15N,R1W,SEC8,L10 Collected Date/Time 09/10/2010 8:31 Client Sample ID T15N,R1W,SECS,L10 Received Date/Time 09/10/2010 11:00 Matrix Drinking Water Technical Director Stephen C. Ede Saml~le Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 11.4 * 5.00 ug/L EP200.8 C (<10) 09/16/10 09/23/10 NRB Waters Department TotalNitrate/Nitrite-N 0.100 U 0.100 mg/L SM20 4500NO3-F B (<10) 09/14/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 09/10/10 DLC Total Coliform Negative 1 100mL SM20 9223B A 09/10/10 DLC SGS ReL# 1104847001 Client Nam~ Garness Engineering Group, Ltd Printed Date/Time 09/21/2010 16:51 Project Name/# T15N,R1W,SEC~8,L10 Collected Date/Time 09/15/2010 11:20 Client Sample ID T15N,R1W,SEC~8,LI 0 Received Date/Time 09/15/2010 12:26 Matrix Drinking Water Technical Director Stel~hen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Hardness as CaCO3 ND 5.00 mg/L SM20 2340B B 09/17/10 09/20/10 KDC Private Individual Analysis Alkalinity 151 I0.0 mg/L SM20 2320B A 09/15/10 LP Aluminum 87.1 20.0 ug/L EP200.8 B 09/17/10 09/20/10 KDC Antimony ND 1.00 ug/L EP200.8 B (<6) 09/17/10 09/20/10 KDC Arsenic 9.29 5.00 ug/L EP200.8 B (<10) 09/17/10 09/20/10 KDC Barium 11.6 3.00 ug/L EP200.8 B (<2000) 09/17/10 09/20/10 KDC Cadmium ND 0.500 ug/L EP200.8 B (<5) 09/17/10 09/20/10 KDC Calcium 1380 500 ug/L EP200.8 B 09/17/10 09/20/10 KDC Chloride 10.9 0.100 mg/L EPA300.0 A (<250) 09/16/10 09/17/10 SDP Chromium ND 2.00 ug/L EP200.8 B (<100) 09/17/10 09/20/10 KDC CO3 Alkalinity 42.1 10.0 mg/L SM20 2320B A 09/15/10 LP Conductivity 333 1.00 umhos/cm SM20 2510B A 09/15/10 LP Copper 18.0 1.00 ug/L EP200.8 B (<1300) 09/17/10 09/20/10 KDC Fluoride 0.227 0.100 mg/L EPA 300.0 A (<2) 09/16/10 09/17/10 SDP HCO3 Alkalinity 109 10.0 mg/L SM20 2320B A 09/15/10 LP Iron ND 250 ug/L EP200.8 B (<300) 09/17/10 09/20/10 KDC Lead 0.252 0.200 ug/L EP200.8 B (<15) 09/17/10 09/20/10 KDC Magnesium 330 50.0 ug/L EP200.8 B 09/17/10 09/20/10 KDC Manganese 1.78 1.00 ug/L EP200.8 B (<50) 09/17/10 09/20/10 KDC Nickel ND 2.00 ug~ EP200.8 B (<100) 09/17/10 09/20/10 KDC OH Alkalinity ND 10.0 mg/L SM20 2320B A 09/15/10 LP pH 9.20 * 0.100 pHunits SM20 4500-HB A (6.5-8.5) 09/15/10 LP Selenium ND 5.00 ug/L EP200.8 B (<50) 09/17/10 09/20/10 KDC Silver ND 1.00 ug/L EP200.8 B (<100) 09/17/10 09/20/10 KDC Sodium 78100 500 ug/L EP200.8 B (<250000) 09/17/10 09/20/10 KDC Aarow Pump & Well Service'LLC (907)346-9355 Inspection Report 21024 Crabtree, Chugiak Well was inspected by camera to 48'. No perforations were found. Brian R. Wille Aarow Pump & Well Service LLC ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-0829 :STRICTIONS ~/~r~ ~.~~~~~ ...... I HEREBY CERTIFY THAT I HAVE FOLLOWING DESCRIBED PROPERT' AND THAT NO ENCROACHMENTS INDICATED. IT IS THE RESPONS!BI OWNE3R TO DETERMINE THC EXiS' EASEMENTS, COVENANTS~ OR RE~ WHICH DO NOT APPEAR ON THE VISION PLAT. UNDER NO CIRCUMSTA ANY DATA HEREON BE USED FOR OF FENCE LINES, OR FOR ESTABI ARY LINES.