HomeMy WebLinkAboutEKLUTNA HEIGHTS BLK 1 LT 4 r,.......„.i Municipality of Anchorage °� `�
On-Site Water and Wastewater Program a E:l: D!• -
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-062-02 Expiration Date: it— ) g
1. GENERAL INFORMATION
Complete legal description EKLUTNA HEIGHTS BLOCK 1, LOT 4
Location (site address) 24216 MOUNT EKLUTNA DRIVE, CHUGIAK,AK 99567
Current Property owner(s) KENNETH & MAXINE ANDREWS Day phone
Mailing address PO BOX 670090 CHUGIAK,AK 99567
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: 6
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual El
Individual Well ® Holding Tank ❑
Individual Water Storage ❑ Community ❑
Community Class _Well ❑ Public Sewer ❑
Public Water System El
WaiverNariance request for: Distance:
Received by: Ze4i &"/' I . . Date: s/i gii 7
COSA to be released to the engineer, unless oth;/ /requested by the engineer.
COSA Fee $ P Waiver Fee $
Date of Payment ON Et1 Date of Payment
Receipt Number C.-Z WI L Receipt Number
COSA# (&Cly 173' ? 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.
Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 8/10/2017
Engineer's 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 unseen Ar�ti► * OF ALR\
encroachments,deficiencies or discrepancies exist. S
iref 1
/ 1
6. DSD SIGNATURE // ���_1
? �!
System #1 Approved for bedrooms. +'4 KENNETH Dl;Ffill
7116
System #2 Approved for bedrooms. fi,o "/y `�♦
P •fESz,o• V
Disapproved. �
Conditional approval for bedrooms, with the following stipulations:
ON-SITE
WATER AND n-,
"„ TE'WATER
PROGRACvi .c
By: Original Certificate Date: cg --t_g-1
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 1a1O-12.doc
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: EKLUTNA HEIGHTS BLOCK 1, LOT 4_ Parcel ID: 051-062-02 _
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 8/1512002 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 132 ft. Cased to 132 ft. Casing height (above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test _ 8115/2002 8/312017
Static water level •• ft. 47 ft.
Well production 25 _ g.p.m. 4.0 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 2.33 mg/L
Arsenic: ND ugIL Date of sample: 813/2017 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC 1 STEEL Date installed 8/14/2002
Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (`Y/N) N High water alarm (Y/N) N
Date of pumping it 1 7 Pumper Sp \I c RI ACC'
C. ABSORPTION FIELD DATA
Date installed 8/14/2002 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 System type DEEP TRENCH
Length 75 ft. Width 3 _ ft. Gravel below pipe 10 ft.
Total depth 14.4 ft. (Measured 8/3/17) Eff. absorption area 1500 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 813/2017 Results (Pass/Fail) PASS For 6 bedrooms
Fluid depth in absorption field before test 94 in. Water added 900 gal. New depth 102 in.
Elapsed Time: 1.440 min. Final fluid depth 94 in. Absorption rate >= 900 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons _ Manhole/Access (Y/N)
"Pump on" level at in. "Pump off" level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements? •
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+ — -
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
FIELD IS OPERATING IN THE TOP 20% OF THE EFFECTIVE DEPTH.
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.
-c; OF' AT S\
Engineer's Printed Name KENNETH M. DUFFUS /
7 �+
Date 8110/2017 * i 9 TH /\
ArfOrie
COSA canary sheet_2-6-15.doc
KENNETH N1. l`1 IS
1�C
7116 v
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ertitieb riRiitt tog
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SULLIVAN WATER WELLS
P.O.BOX 670272,CHLJGIAK,ALASKA 99567 • TELEPHONE 688-2750
OWNER OF LAND: k_cI !-..../.11/1...&.."4J, 4r0[1ff's.sl loRE 1-101_E. r.�ATp
nDEPTH
ADDRESS: _ /a. 6. -c 6 70 fi d C
LEGAL DESCRIPTION /3 ' ._../ ' ._'t? # . ! r^s '4 S r es.;(ta
_1i r rt () TT ? ov 6.74 0,;x4
DATE: 1�4 12 . -- - '`' 6,44-/Et-
PERMIT
.4 .1Et-PERMIT NUMBER: Date of IssuefritTie r
fAx IDENTIFICATION NUMBER: �^ _
Is well located at approved permit location? Yes No _67J__ 7 7 14,..; 61.69`'' 4-4.2a
C I , -c S1 ;7 CC•I-
Method of Drilling: rotary a cable tool
Depth of well: / 3 X_CL
Casing Type =Tc . Wall Thickness___141 Ca inches . . '&45- C d3.4
Diameter inches.depth -..._.__„ -S 0.:.._— _.feet /1.2) S 3 .. _ >1.G
a "
I.iner Type: t ""
.._.._f �tZ--_.._-_-- C..
` J� i
a
Casing Stickup Above Ground:— fee:
Static Water Level: feet
Recover Rate:_ __.. gpm
Method of Testing: A
Well Intake Opening Type: tend a open hole
a Screened; Start ___-- _ ---feet Stopped feet
a Perforations Start -feet S; peed - __feet
i; .,f fes`, C i41
Volume ____ — - --
Grout Type: P .+ITTti±...__...._.-- � � 4
Depth: from .Q.. feet, to aO "r feet _.._- --_----------..._.—
Well Disinfected Upon Completion? '176S a No
Method of Disinfection: C °"11-.`‘*041.4.41...._....-'- ..._ 0/71
Comments: _
— 1
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.
DOCUIVIENAOION OF AN ON-SITE %\ ;*,'I EWATER InOSAI.ti1'S1'EM
GFFt'�t'ER�1L INFORMATION ^`. ,AK Rim F:lf,No 02-04333
fI -
rni n r it.4 OW 4,44091.0n
Lot 4, Block 1 , Eklutna Heights
Peters Creek, AK
itlpl+cala ivm,„ Applicant o
! Ken and Maxine Andrews 3 itu'ner'Lt,ui.lr, 0 ts:x,-rtat 0 In1•„1.t1 0 84.044.
f41i411l4 4Jdtrx) T.T+of Rcsitirnce' 1 1rs444 N,utttl.t n1lkuttn1.111 ,
PO Box 670090 3,„,'IL i 11:1,1!4 3 W„r.I m...11 I 5
1 t .1, ::!..14:4161 flit E,'.ic ettl.400.,'
Chugiak, AK 99567 1 907.441.5416
El NEW SYSTEM _
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Oirtworks 8114102
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lI.I. b-t.4..i.ion,r-
contractor steel - Greer
4:144 I mil.Nant ..1;414..: A.w.bei t4 t'matwrn.e.M, -VIP T7.-pe art.t It.4.41,
2000 _ 2 GM(silty gravel)250 sf t bdrm
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deep trench j 75' x 10'E.D.f 1500 sq.ft. 314”-3"sewer nock i 144 cteyds
per.•on,., 1_,1 L,,.1„ 1'.4144 h r.yrr.Q$ p1 Pacah,H.... .... .....1,,,
16 minutes per inch(6./25102) i perked by: Chuck Leet,Alaska Rim Engineering, Inc.
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from the instaKtr,this data appears teasenanie at•1i JBn wants that the t•r{led W.75 COnstrt cIe].n t neiatl er.witorrnanpe Wlttl r.urrent 18 AAC 12 regulator-,
and AOEC p711cles
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,:trrt iture a guarunrre of art} knes Spat : • `, I%rod-PrrmeJ'Name•
e.tphcw or implied: os to hrturrj' f
J' t v
(Arltrrnrrmr'r.JNu+ NVITfi'wfai:+. / I . 1 vii/
Charles A. Leet. P.E.
(Avoid .w$rr 1f deet oz-r I.r,avi. , —
pnrinty I/ti a coria.aur fOlovi n the CE-10480
Awe tr 040 w.cceeitua i.ir Oortoonnted 8126102
Bale on form 18-030;fee96:AC)E•C--aiaatel lay nleska Rom Erg .neertni.Is,r: Revised 5/12;00 F'srte I --i;
77-7747
�f 77 • 0
ice. `}- _ et, STATE OF ALASKA
.. `l �! DEPARTMENT OFENVIRONMENTAL CONSERVATION
•
CONSTRUCTION AND OPERATION CERTIFICATE
_ FOR
DOMESTIC WASTEWATER DISPOSAL SYSTEMS
AOE.C. eMw.UTE"CD-# 2 s--s. C.3
A. APPROVAL TO CONSTRUCT
Plans for the construction or modification of L w it .r,3 ,c.-fie / / k I.r ii 7 tuff 14 f Cf Lr •!•..;44.7)
r
r Z4rq-5( e t.t,<i /2. Pis 1 SAL. S"571Ettl domesut.wastewaterdisposai system
located in L:7-
r <4L% "AI. i r _44/c^14,QRAC A j2, k_ .Alaska,submitted in accordance with IS AAC 72.210
bye,. frr - — AL (�IM .. �ljCs- tvl(; have been reviewed and are
_ approved. `
t< conditionally approved (see attached conditions). SA'-4- I'4 `ter"" "►� �. Zel c''c3 Z.
tlY MIF OA
If construction has not started within two years of the approval date,this certificate is void and new plans and specifications must
be submitted for review and approval before construction.
R. APPROVED CHANGE ORDERS
Change(contract order number or descriptive reference) Approved by Date
C. APPROVAL TO OPERATE
The"APPROVAL TO OPERATE"section must be completed and signed by the Department before this s-ystcrn is made available
for use.
The construction of the domestic wastewater disposal system was completed
on _(date). The system is hereby granted interim approval to operate for 90 days following the completion date
..................
t1Y ... "''It: Ilkle
As-built/record drawings,submitted to the Department,or an inspection by the Department,has confirmed that the domestic
wastewater disposal system was constructed in substantial conformance with the approved plans The system is hereby granted
final approval to operate.
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NY nt•1 - gAYE:
tkstrtlwtson I Whitt-)ogitzes(Comply(SWAMI Ci
2 YrIItow.Svstent File(Comptetc Session Cl
1 Pnt4•G;totxt Muntf¬:ge(Compktr Secoom
Itr 4/07) 4 CXJaenrod•Mwt/1I Bough 4C mtpIca Scam),i:',
._ __ __ _._ _ _IA
PERCOLATION TEST
project: Lot 4, Block 1 Eklutna Heights
Date 6125/02 Test Hoc Depth: TH #1 T -Feet
Inspector: Chuck Leet Start Soak: 13.00
AK Rim # 02-00333 End Soak: 19:50
TEST NO. ;
i._
lime ! Water Level Time Water Level Net 'lime Net Drop I Perk Rate ,
(t - I ) (d I) ti - 2) (d - 2) • (AI I (id) I train. 'inch) 1
19:50 104116 20:20 8-12116 :30 1-12/16 17
20:23 10-8/16, 20:53 8-10/16 :30 1-14/16 16
20:55 10-8/16 21:25 8-10/16 :30 1-14/16 16 1
1. -- - !
AMC tir.IGGESTFt)APPLICATION RA IES
l'crk Rate Application Rate J Comments
i-aster than I Not Suitable Requires ;and liner or additional treatment.
t_...-— 1.- I
6 15 0 8
16 30 0.b
31 60 0..15
61 - 120 Not Suitable ' Requires engineering plains and ADIEU plan approval. I
COMMENTS ,.+;0� �16 '�S ,
The application rate per ADEC 18 AAC 72 regulations Table C .:E �...../4
'WASTEWATER APPLICATION RATES FROM PERCOLATION TEST r%t" '•.'4i
RESULTS' is 0.6 gal/day/sq. ft. pl•�_ :41)1 '';' ,, a
x
•
VslrIP
kt owe, a +'ms's
ill
ittk r
i
There are seserai methods of measuring soil percolation, technically called hydraulic conductivity. The soil percolation:
i test method we perforated was conducted in general conlbtmancc with the Falling I lead Percolation Test Procedure`
from EPA's Design Manual tor Onsite Wastewater I reatrrtent and Disposal Systems dated October 1980. This method
is the one most commonly used and can give an approximate measure of the soil's saturated hydraulic conductivity.
However, normally the percolation of wastewater through the soil below the leach field occurs through unsaturated,
soils. The unsaturated hydrants.Conductivity can Vary greatly from the saturated hydraulic conductivity with changes'
in soil characteristics and moisture content. The results from this test method can be variable and may not measure the ,
hydraulic conductivity accurately. these test results should only be used together with specific soil characteristic data
' and other site characteristics to design an appropriate soil absorption systenl
I 4/.arks Rini Fmgineering. Inc.
- PO At 270,Palmer, AK /W'45
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1721111 m.AsKA MNW
N ENEEANG, ow KEN AND MAXINE ANDREWS
lila ENGINEERS-FtpiNERS-SURVEY0 RS LOT 4, BLOCK. EKLUTNA HEIGHTS
PETERS CREEK, ALASKA
_Arc, Q WO 3:33 tun:- -oikto.2 5caksi: As N 0 MT ' SEPTIC PLAN AND PROFILE
()RAM 9Y. CAL CI,E ti2 003 33-R.D SHEET I QF I
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MT. EKLUTNA DRIVE
EDGE OF PAVEMENT
N89'52'12' W 165.62'(M) "' -',
• N89'55'10"E 165:11' (R) �,
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1 STORY WITH ; • ELECTRIC METER lid
DAYLIGHT BASEMENT n • TELEPHONE SERVICE
WOOD FRAMED DUPLEX e GRAPHIC SCALE
n o CLEAN OUT (VERT. PVC PIPE) 1"=40'
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TEST HOLE
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® P��'.OF' A�•id 11 I, GORDON T. BRINKER, HEREBY CERTIFY
o ; .k' TH -.,� • 1 THAT I HAVE PERFORMED AN AS-BUILT
a 49— o� 1� SURVEY OF THE FOUNDATION ON THIS
LOT AND ALL THE DIMENSIONS AND
4446YrilulrAl'Asit
/ INFORMATION AS SHOWN HEREON ARE
TRUE AND NO ENCROACHMENTS EXIST
//% ...GORDON T. BRINKER• % UNLESS SHOWN OTHERWISE.
1I d'�• ' . NO. 10351
DATE OF SURVEY: JUNE 3, 2004
1\\ ESS I O 4P'
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S89'57'32"E 164.93'(M) I- -_ _ -
® S89'55'10"w 165.08'(R) F. Robert ,�.� AS-BUILT
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MIRROR DRIVE r",, - 0 2 PREPARED FOR: KEN ANDREWS
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LOT 4 BLOCK 1 EKLUTNA HEIGHTS SUBDIVISION
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r'-) ENGINEERS AND LAND SURVEYORS JOB NUMBER: 2004-559
801 WEST FIREWEED LANE SUITE 201
�of�o 0 BELL & �p ����OQ�LS�` PHONER(07)274--52siCBS
CHECKED BY: CBS
�3-Leo, SCALE: 1"=40'
