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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 67 ~.~',~ ~TER ANCHORAGE AREA ~ROUGH Anchorage, Alaska 99507 .._.~:.~,..~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME, LOCATION SEPTIC TANK.' MAILING ADDRESS ~-~'~'/ LEGAL DESCRIPTION DISTANCE, FROM WELL ,'~--'-~ / MANUFACTUREI~'/'~_ ~'~'"'~'"~':'/~'~t~ATERIAL, .~/~C'~./ NUMBER OF COMPARTMENTS INSIDE LENGTH -- INSIDE WIDTH ~ LIQUID DEPTH ' IIQUID CAPACITY ~ ~d') GALLON SEEPAGE PIT: NUMBER OF PITS / DIAMETER/-.~ / OR WIDTH . ~ LENGTH-', DEPTH ,.,.. LINING MATERIAL~ CRIB SIZE: DIAMETER ,~" DEPTH %'~ f' DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION -~)~') ,/' NEAREST LOT LINE ..~'" / . WELL //C)C') / ABSORPTION AREA (WALL AREA) .~%~- SQ. F' ADDITIONAL ABSORPTION WE L L .. ~,¢:?,/'~:,.~-x''' TYPE ~-~"~-~'/'~'~'~'"~ CONSTRUCTION FOUNDATION'--- LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FRO~, NEAREST SEPTIC ~- ~ / SEEPAGE SEWER LINE ' TANK ~ -~ , SYSTEM REMARKS INSTALLED BY: PIPE MATERIAL: LOT SLOPE= REMARKS:~ DIAGRAM OF SYSTEM DATE SAM COTTEM. OWNER Cotten Drilling Co. /;._c. % I'i72 TO WHOM IT MAY CONCERN, I, CLARENCE E. LE DOUX,JR., DO HEREBY CERTIFY THAT THE ABOVE DESCRIBED WELL WAS DRILLED BY SAM COTTON FOR M~ ON LOT 67, TRACT A, EAGLE CREST SUBDIVISION, AND WAS THE SAM~ THAT WAS SOLD TO THE HOLTHAUS~S IRENE AND GERALD, WHEN THEY PURCHASED SAID PROPERTY IN 1973. CLARENCE E.LE DOUX,JR. Certificate of On -Site Systems Approval Parcel I.O- 050-304-24 Legal description Eagle Crest #1 Track A lot 67 Site address 19321 1 st St Eagle River, AK Current property owner(s) Irene HOlthaus Expiration Date: X The On-site system(s) is/are approved fef 3 bedrooms 12-26-22 Conditional approval for bedrooms, with the following stipulations;_ Comments or advisories: By Original Certificate Date: (?-49 'Z? This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approvdjune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-304-24 Complete legal description Eagle Crest #1 Track A Lot 67 Location (site address) 19312 1st Street, Eagle River, AK Current property owner(s) Irene Holthaus Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: © Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: © Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 10 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench © Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 5-60 Date of Payment �S �2 `l ZZ - COSA # 0-22 1933 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: Eagle Crest #1 Track A Lot 67 — Parcel ID; 050-304-24 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ✓❑ Well log is filed with Onsite (or attached) Date drilled 12/1/72 Total depth 183 ft Cased to i R0 ft © Sanitary seal is functioning correctly F,/1 Wires are properly protected Casing height (above ground) 22 in. Date of flow test for COSA 8/2/22 Static water level at beginning of test 156 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 8/15/22 ❑ Required maintenance completed, if AWWiS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/1972 © ALL standpipes present per record drawing Total measured depth from grade 12 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. n Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: *Seepage Pit, no pipe invert. COSA Checklist June 2022 Well production at time of test 2.4 gpm Water storage tank volume - gallons Well disinfected for coliform test? ❑ Yes © No ® Coliform bacteria is Negative Nitrate 3.36 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L bo Arsenic less than MRL (ND) Collected by Arcterra Consulting Date Z(2&22 STATION ❑ Require "nti Age of lift station Lift station material Comments: Adequacy test date Results Q Pass ce completed 8/2/22 Fluid depth prior to test 12 in Water added 450 gal New fluid depth 25 in Elapsed time 200 min Final fluid depth 12 in Absorption rate 450+ gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 12 in Effective depth remaining 60 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' F%/ Yes if No ft 0 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100'✓❑ Yes if No ft Holding Tank > 100' Q Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft 0 Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5+rx ft Surface Water > 100'✓❑ Yes if No ft Tank to Property Line > 5' © Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' [✓ Yes if No ft Private Wells > 100' ❑ Yes if No 94x ft Water Main > 10' Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' © Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS 'Waiver #WR900013 granted 4/27/1990 for Eagle Crest #1 Track A Lot 74 * Per 6/25/2012 IR. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Narne Kenneth Duffus Date Engineer's Comments. This investigation was completed in compliance with ADEC and S10A regulations. The assessment of the condition of the well and septic applies only to the conditions as or the day tested. The now and absorption rates may change due to subsurface conditions that may not he observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator Of the well and septic system. Therefore, AreTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can AreTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist—June 2022 CF Gjrft,• .ti� 1 *i 49 m,* ?i XKENNETH M. UJ0FF JS1 - - - - - - - --FIRST STREET - - S 89059'00" E 132.00' CONCRETE C4j WELL 0 M 52.0' FENCE o I HEREBY CERTIFY THAT I HAVE SURVEYED THE —X—(D- 2 -STORY 0 SURVEY MAY DISCLOSE. FRAME UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE LOT 68 0 HOUSE ESTABLISHING PROPERTY BOUNDARIES. THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE Co G 19.7' w ENCROACHMENTS EXIST EXCEPTAS INDICATED. cs, 0 DATED THIS 4th DAY OF AUGUST, 2022, ATANCHORAGE, 0 M 0 15' 30' 711 UTILITY 10' UTILITY EASEMENT ���'NNN\»\Nott PEDESTALS OVERHEAD UTILITY LINE `� OF �1 i EO EO- E. EO EO E. E. - EO EO EO E. E( •r UTILITYREBAR = i� V 1 POLE N 89059'00" W 132.00, �• '�' :'4 9 TH LOT 74 • ........ .. i i ....��........ ..... �'• Buku Sah �a �s s LS -14837 fit EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE 52.0' RECORDED SUBDIVISION PLAT (63-70) ARE NOT SHOWN HEREON. I HEREBY CERTIFY THAT I HAVE SURVEYED THE THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND IS 2 -STORY SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. FRAME UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR HOUSE ESTABLISHING PROPERTY BOUNDARIES. THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY 19.7' PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION ENCROACHMENTS EXIST EXCEPTAS INDICATED. 19.3' THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY DATED THIS 4th DAY OF AUGUST, 2022, ATANCHORAGE, DECK o? o' V ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE 13.0' - p 0 H SALL SERV SERVICES PREPARATION OFT PRODUCTITED C.O.A. 122554 SEPTIC p0 LOT 66 SCALE 1" = 30' Land Surveying Services 907.290.8949 STANDPIPES 225 VV 23rd Ave., Anchorage, AK 99503 WWW,FIXEDHEIGHTCOM m LOT 67 CIO 17,820 sq, ft. o 0 15' 30' 711 UTILITY 10' UTILITY EASEMENT ���'NNN\»\Nott PEDESTALS OVERHEAD UTILITY LINE `� OF �1 i EO EO- E. EO EO E. E. - EO EO EO E. E( •r UTILITYREBAR = i� V 1 POLE N 89059'00" W 132.00, �• '�' :'4 9 TH LOT 74 • ........ .. i i ....��........ ..... �'• Buku Sah �a �s s LS -14837 fit EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE AS—BUILT RECORDED SUBDIVISION PLAT (63-70) ARE NOT SHOWN HEREON. I HEREBY CERTIFY THAT I HAVE SURVEYED THE THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND IS FOLLOWING DESCRIBED PROPERTY: SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. LOT 67, TRACT A, EAGLE CREST SUBDIVISION UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT ESTABLISHING PROPERTY BOUNDARIES. THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY WITHIN THE PROPERTY LINES AND NO VISIBLE PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION ENCROACHMENTS EXIST EXCEPTAS INDICATED. SURVEY STANDARDS. THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY DATED THIS 4th DAY OF AUGUST, 2022, ATANCHORAGE, TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ALASKA. ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE FIXED HEIGHT, LLC LIABFOR (LITY OF THE BE TO THE AMOUNT OF FEES COLLECTED H SALL SERV SERVICES PREPARATION OFT PRODUCTITED C.O.A. 122554 JOB # 22174 1 NO CORNERS SET THIS DATE SCALE 1" = 30' Land Surveying Services 907.290.8949 225 VV 23rd Ave., Anchorage, AK 99503 WWW,FIXEDHEIGHTCOM unicipality of Ancho ra ¢ Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 343-4744 April 27, 1990 Lou Butera, P.E. Eagle River Engineering Services .~ PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 74 Tract A Eagle Crest S/D Waiver Request 9WR900013, PID #051-304-27 Dear Mr. Butera: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 94 feet from the private well to septic leach pit. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: /~ Program Manager On-site Services ljm:~6 MUNICIPALITY OF ~.~ICttOP. ACE DIVISION OF ENVIR0~L~ZNTAL HEALTH DEPARTMENT OF lt~.ALTIt AND ENVIKO,N."I~NTAL PROTECTION APPLICATION F0K ~EALTH AUTHORITY APPROVAL CEKTI~ICATE 1. Ceueral Information (a) Legal Description (include lot, block, Application Date ~ subdivision, section, township, range) Location (address or directions) (b) Applicants Name ~-a/&-- ~o-rr~ Telephone - Home ~]9~'~usiness-'Ct,/ Applicants Address /'~--~ ~2~- ~t~ll (c) Applicant is (check one) Lending Iustitution ~ ; O~ner/bullder~<~ Buyer[--~ ; Other~(explain); ' ' (d) Lending Institution Telephone Address (e) Heal Estate Co. & Agent Address Telephone (f) Hail the HAA to the following address: 2. Type of Residence Slngle-Family~ Number of Bedrooms 3. Water Supply' Individual Multi-Fa~lly~-~ Other (describe) Community[--~ Public[--~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal 0nsite~ Public~ CommunityT-1 Holding Tank~ Note: If community well system, must have written coufinmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] .6. ~. £ntineerin~ Firm Frovidin~ Inspections~ Tests~ File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date sho~ra belov, ! verify that my investigation o[ chis Health Authority Approval sho~s that the on-site vater supply and/or ~rastevater disposal system is safe, functional and adequate for the vumber of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Hunicipality of Anchorage files and from my investiEation and inspection, the on-site ~rater supply and/or ~rastewater disposal system Is in compliance vith all Hunicipal and State codes, ordinances, and reEula- tions in effect on the date of x~~~x"installation. (ENGINEER SEAL) Date DH£P Approval Approved for ,~ bedrooms Approved ~ Disapproved Terms of tional Approval CADTION TItE MUNICIPALITY OF ~NCHORAGE DEPA/ITMENT OF IIEALTH AND ENVIRO~/ENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPKESER~I- ATIONS GIVEN IN PARAGRAPH $ ABO%~ BY AN INDEPENDEh~ PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DilEP DOES THIS AS A COUP, TESY TO PURCHASERS OF IIOHES kid THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-! HEh~S. ~PLOYEES OF D~IEP DO NOT CONDUCT INSPECTIONS OR ~NALYZE DATA £EFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORA~E IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS LN THE PROFESSIONAL ENGIh~ER*S ~ORK. (DHEP SEAL) RRt/eJ/D18 [Pa~e 2 of 2] 7-19-84 MUNICIPALITY OF DEPT. OF H~ALI, ENVIRON.%4[ NTAL MONICIPALITY O~ ~NCHO~AGE (MO~) ~-ALTH AUThOrITY APPROVAL (H~A) CHEO(LI~ - FEBRUARY 1984 RECEIVED A. ~ ~TA Legal Description: ~uAnv. /-~-~ ~-, Well Classification ~.~z~- ~-~. Well Log P~esent (Y/N) ~ T~i ~p~ /~/ ~d ~ /~o' S~tic ~= ~1 , ~ / ~ ~t At C~i~ ~ight ~ ~ ~' E~i~l ~i~ in ~it (Y~) ~ ~ati~ Dis~s ~ ~11: To ~ic~ldi~ Ta~ ~ ~t ~f TO ~st ~ Of ~ti~ Field ~ ~t If A, B, c~ C, D.E.C. A~m~ov~d(Y/N) Date C~,¥1eted 1~-/,/7~- Yield Dapth of G~o~tin~ -- Sanita~, Seal on CasinG (Y/N) ~ Dap~essicn A~ound Wsllhead (Y/N) 4, ; On Adjoining Lots I~ ! On Adjoining Lots TO Nearest Public Ssweg Line ~//~ To Neaxest Public Cleancut/Manhole ~ To Neamest Sewe~ Service 'Line o~ Lot Water Sample Collected By A-$. ; rote Wate~ S~le Test Besults, S,~F,~'-,-dcT'~-~' B. SEP XC OL mS raTA Date Instal~sd /~/?~._. Size /~oo ~4~-. No. cf Ccmpa=b,~nts ; Standpipes (Y/N)F Ai~-tiGht Caps (Y/N) y Foundation Clea~out (Y/N) /~' Dap~sssion ov~ Tank (Y/N) ~/ Date r~t Pumped l~m~irg/Maintenan~s Coat.act on Fils (Y/N) ~ ; fc~ -- Holding Tank High-Wate~ Alarm (Y/N) /~/~ Tempc~a~y Holding Tank Permit (Y/N) Separation Distances f~cm Ssp.tic/Hol'ding Tank: To ~ate~-Supply Nell t~.~''~ To l~c~erty Line .~o/ To Water Main/Se~vi~ Line Course To Building Foundation fo/ TO Disposal Field ;~/' To Strew, Pond, Lake, c~ Majc= D=ainaGe [PaGe 1 of 2] 2-15-84 C. ABSOI~:'~ON F~.T~ I~TA Soils Rating in Absc~ption Strata Date Installed ! Width of Field /)I~- -~/ S~,*-e Feet of Absc~lotion i~ea Ps~ssio~ ~ Field (Y/N) Results of r~--t ;~squacy ~st Date Ir~talled Sizs in Gallons "Pump On" fa~l at High I4ater Alarm r~vel at Tested for Electrical Codes(Y/N) Cc~nta Manhole/A~ss (Y/N) "Pump Off" Leal at Vent (Y/N) Pumping Cycles during Adequacy 7~st. ** Check Permitted Bedroom Rating AGainst HAA Raqusst ** 2-15-84 BESSE, EPPS & POTTS ENGINEERING, PI_~NNING, SURVEYING LETTER OF TRANSMITTAL TO: ATI-ENTION: SUBJECT: OUR .IOB NO. -~oo0 Trtnsmltted heFewlth b/are the following: cc: BESSE, & PO'i-rs September 11, 1984 Municipality of Anchorage Department of Health and Environmental Protection 825 "L# Street Anchorage, AK 99501 Attn: Keith Bandt Re: Adequacy Test - Eagle Crest Subdivision Lot 67, Tract A, Eagle River Dear Mr. Bandt, On September 6, 1984, the referenced on-site lot septic tank was pumped out and 1000 gallons were recovered. The following day over 500 gallons of water were pumped into the on-site leach field and the field was found to be adequate at that time. Sincerely, Dale R. Merrell, P.E. Robert P. Wessels Engineer Rm{/lbs ENGINEERING, PLANNING, SURVEYING 2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-3496451/344.1352 "Providing a quafity personalized sen/ice to those Dui/ding Alaska's future" ~ocation: 2220 EAST 8B AVI~UF- ANOIO',AGE, AK 99507 (90?) 349-64~]. WATER NELL T~T Subdivision: Client's Name: · Address: Tester: Init/al Reading cn Meter: CJ%tJ~NS GALLONS TIME GPM A VOLUME TOTAL VOLUME I:~o ~.3 t% ~,