HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 29A GRE~.R ANCHORAGE AREA BOF'""'GH
~ Department of Environmental Quality
· 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~.~u~.*tu~u~ MAILING ADDRESS PHONE
LEGAL OESCR,PT,ON
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL ~--____~/~1 C ~C-1'~.
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
IIQUID CAPACITY I~)OO GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER (.Og OR WIDTH
LINING MATERIAL ~Dt~4.~E'T~. CRIB SIZE: DIAMETER
BUILDING FOUNDATION ~..~l NEAREST LOT LINE '~.'2,.'
LENGTH /,~..~, DEPTH
DEPTH ~3" DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY;
PIPE MATERIAL,'
LOT SLOPE:
REMARKS:
Form No. EQ-031
DATE
~ou~G
/¢/~/~ ¢ APPROVEO I/""
~/G,A,A.B.
GREATEr ANCHORAGE ArEA BOROUGH
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
TYPE AND SIZE OF FACILITY TO BE SERVED
DRAIN FIELD OTHER
NOTEs THIS PERMIT IS HOT VALID WITHOUT
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
WATER MAIN TO SEPTIC TANK
.ER^GEP'T /OD /
TYPE
DIAGRAM OF SYSTEM
GRAVEl. BACKFILL
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
IzOIR M HO. EQ+OI ~
· APPLIO'~'NT FILLS OUT UPPER HAI.~ONLY
P,ope,ty Owner ~ ,~,~)/
Single Family .
Other
[} Public Utility
Sewer Disposal
~3. Individual
[:] Public Utility
[::] Holding Tank
Phone
Phone
ATt'ACH WELL LOG. A well log Is required for all wells drifted since June 1975.
/~.,/~, ~/l"'~///~ (.~'~'t'~ i'~'/'~".~ FOr wells d~illed prior to that date, give well depth (attach log if available).
Year IndlvMual Installed: .,~q ~V
When Connected Io Public U~lity:e
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REC<JEST BEFORE F~OCESSING CAN BE INITIATED.
Date
Inspector
Field Notes:
(3/) APPROVED BEDROOMS~
( ) DISAP~clOVED
'CONDITIONS OF APPROVAL
Soils Rating J Date Sewer Installed
Well To Absorption Area
Well to Tank
JWell Log Received
Septic Tank Size
~I'rARY I%J,~P EP.$ ....
P.O, BOX 346
EAGLE FIVER, AX 99577
694-2408
To
Address
City
Date
STATEMENT
EXCAVATION
WORK
June 26,
1983
ROBERT A.$HAFER
CIVIL ENGINEER
694.2979
Century 21, Sleeper
ATT~TION: Carl Hoopes
8~50 Old Seward ~igh~ay
A~chorage, Alaska 99502
Dear Mr. Hoopes,
Reference: Lot 29A: Eagle River Valley Ranchettes
. A sewer system adequacy test was performed on the system located on
the referenced property as you requested. The septic tank was pumped
and verified to have a capacity of 10_~00 gallo~s. The standpipe
for the seepage pit had to be located--and extended. After this
was done 1000 gallons of fresh water was added to the system and
· after a period of 24 hours all the water which had been added had
percolated away.
It can be concluded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However the system cannot
be guaranteed against subsequent failure. ~
If we may be of further service, please do not hesitate to contact
cc: MunlclpaIity of Anchorage
Department of Health and Enviornmental Protection
SRB 19BX EAGLE RIVER, ALASKA
12.
Locate and expose the cleanout to the seepage pit and/or
leaching area for our inspection. ~his is to insure the
minimum distance requirements are met between the well and
sewer system.
13. A four (4) ~nch cleanout needs to be installed to the septic
tank.
1Ba. A four (4) inch cleanout needs to be installed to the leaching
~1~ An adequacy test needs to be performed on the existing
~ //leaching area. This test will determine if the systam is
k--~' adequate according to National Standards. A listing of
private firms performing the test is enclosed. ~his report
needs to be submitted to this office for our review.
15.
A maintenance contract for the Jet unit serving the sewer
system needs to be obtained frc~ Consteel
376-5919, and a copy submitted to this office for our
review and our files.
16.
~he permit for the installation of the on-site sewer system
will expire December 31,198 · We have not received the
as-builts of the installation in this office. If a private
engineer, inspected the system, please send us the report
for our files and review.
l?.
The application shows the number of bedrooms exceeds the
number the on-site sewer system was orig~nally designed
for. An upgrade will be required. Prior to any upgrade,
a permit needs to be issued fram this department.
18.
An outside water tap was not available. Please call this
office to r~ke a~rar~ements to b~ve ~n inspector to meet
you at the site.
19. The depression over the sewer systems will need to be filled
so that surface water drains away from the sewer system.
20. ~he standpipe to the sewer system need caps on them.
21.
Tne water sample could not be taken due to silt content
(turbidity). The well should be flushed clea~by turning
on a garden hose until clear water is evident over an
extended period of time. Please contact this department
for a resampling appointment. ~
TIME
DATE
INSPECTOR
DATE RECEIVED
INSPECTION APPOINTMENTS t/~,)
DATE DATE
INSPECTOP~ ~/', INSPECTOR
/vJUNK-IPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~JI~I'IRON,MENTAL PROTECTION
825 L Street o Anchore2e, Alaska 99501
ENVIRONMENTALSANITATION DIVISION MAR 9 lg81
T.I.,~o.. ~44,~,,~, W~RE~cE. ! ~.~SD
REQUEST FOR APPROVAL OF INDIVIDUAL WATER ~N~ SE
DIRECTIONS: Complete all parts on page 1. Incomplete r~qu~t~ will not be processed. Please allow ten (10) days for p¢oeessing.
1. PROPERTY OWNER
MAILING ADDRESS
~o"~ '7o L~,,,~ /..3b.,~,,,~ C
PROPERTY RESIDENT (Il different from above)
MAILING ADDRESS
3. LENOIN6 INSTITUTION
MAILING ADDRESS
MAILING ADDRESS
PHONE
PHONE
5. L~GAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
SINGLE FAMILY Two I--1 Five
MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
[] INDIVIDUAL*
~J~ COMMUNITY
I--I PUBLIC UTILITY
S. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
[] Other
* ATI'ACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if ava[labia.)
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72.010 (Rev. 6/79)
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
' THIS SIDE FOR OFFICIAL USE ONLY
[] ONE
[] TWO
NUMRER OF BEDROOMS
[] THREE [] FIVE
[] FOUR [] SlX
2. WATER SUPPLY
[] INDIVIDUAL
[] ' COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVlDUA~./ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or I-'1 Holding Tank
Size:
give d[mens;ons:
TYPE OF TANK
PERMIT NUMBER
DEPTH OF WELt.
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
If Tank is homemade SOILS RATING
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELLTO:
Absorption Aree to nearest Lot Line
Septic/Holding Tank
5. COMMENTS
[] OTHER
I Neares.t Lot Line
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72.010 (Rev. 6/19)
2-13-81
RECEIVED
DYNAMIC REALTY
501 W NORTHERN LIGHTS BLVD
ANCHORAGE At~ 99503
SELLER - DR SKALLA
SUBDIVISION-EAGLE RIVER VALLEY RANCHETTES BLOCK'- LOT-29A
THE TYPE OF AE:SORPTZON SYSTEM IS A PIT WITH AN AREA OF 408 SOFT.
THE SYSTEM IS CAF'ABLE OF ACCEPTING 500 GALLONS OF WATER PeR DAY,.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK HAS F'UMPED ON 2-13-81
276-1361
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
5.
6,
GRF~ATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 11/25/74
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
Smtley's Reatty
Eagle River AK Phone:
Coustneau Bldrs Phone:
Lot 29A Eagle River Valley Ranchettes
11/26/74
Location: War Admiral Street Eagle River AK
Type of facility to be inspected Single
Well Data: CO~UNITY
A. Type
C. Construction
Sewage Disposal System:
A. Installed 1974
C. Septic Tank:
D. Seepage Pit:
E. Disposal
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
694-2114
No. of bedrooms
B. Depth
D. Bacterial Analysis
B. Installer Hamilton Excavating
1. Size 1000 gal 2. Manufacturer Hamilton
1. Absorption Area 408 sq. ft. 2. Material Concrete
Field: Total length of lines
25'
, Absorption area
, Other contamination
30' , Absorption area
22'
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
2 of two pages :' R~ 't for Approval'
.~. -.., .~f Individual_. r & Water Facilities
Legal Description, L~t 29R Eagle River Valley Ranchettes
%
Comments
Appmvea Disapproved Date
Approval kValid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
• Municipality. of Anchorage
On -Site Water and Wastewater Program
(907)'343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel 1. D. 050-224-24
Expiration Date: (O
1. GENERAL INFORMATION
Complete legal description Eagle River Valley Ranchettes Lot 29A
Location (site address) 18928 War Admiral Rd
Current Property owner(s) Monica Martinez Day phone
Mailing address 18928 War Admiral Rd. Eagle River, AK
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:
3
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
Individual Well
❑
Holding Tank
❑
Individual Water Storage
❑
Community
❑
Community Class _ Well
❑
Public Sewer
❑
Public Water System
WaiverNariance request for:
Distance:
Received by: Date:
COSA to be released to the engineer, unless othernrise requested by the engineer.
COSA Fee $
Date of Payment
Receipt Number(Oo2�
COSA # Q,,� C,
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
APPI [
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.
Name of Firm ARCTERRA CONSULTING, INC.
Phone 696-6111
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS
Date G
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 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,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen0r
encroachments, deficiencies or discrepancies exist.
Ar
TII
iJ
6. DSD SIGNATURE
System #1 A
y Approved for bedrooms.
tc>r,n��x �. us
System #2 Approved for bedrooms.
,t,Or
"Fo �L ��°l•r
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
20
mo((l(wirf...
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
COSA blue sheet 10-10-12.doo
COSA Checklist
Legal Description: Eagle River Vallee Ranchettes Lot 29A Parcel ID: 050-224-24
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled Public Water
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Comments
B. TANK DATA
Age of tank(s) 46 years
Tank type/material Septic/Concrete
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping 6/18/19
x: Effluent levels 10" from lop of tank
D. ABSORPTION FIELD DATA
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes E No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date of Sample
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Which system tested (date installed) 10/7/74
Adequacy test date 4/27/20
❑ ALL standpipes present per record drawing
Results Ft, -/]Pass For 3 bedrooms
Total measured depth from grade 10 ft (max)
Fluid depth prior to test 0 in
Measured depth to pipe invert from grade 6 ft (min)
Water added 450 gal
❑ N/A — pressurized field
New depth 0 in
Monitor tubes go to bottom of effective. If not, state
depth into eff=ective
Elapsed time 10 min
Code -required soil cover over field
Final fluid depth 0 in
❑ System presoaked
Absorption rate 450+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months)
date of test)
T
Gallons introduced gallons
If yes, enter date
Comments/Deficiencies:
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'
® Yes
if No
Community Sewer Manhole/cleanout > 100'
❑ Yes
if No
ft
❑ Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No
ft
ft
If septic tank is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ Yes
if No
ft
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
® Yes
if No
ft
Surface Water > 100'
® Yes if No ft
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
® Yes
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100'
® Yes if No ft
Water Main > 10'
Yes
if No
ft
Community Wells > 200'
Yes if No ft
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 _ ft
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
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.
COSA Checklist yellow sheet