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HomeMy WebLinkAboutSUNNY SLOPES LT 62December 26, 1963 First National Bank FHA Department Anchorage, Alaska Gentlemen: A properly designed individual sewage system ca~ be expected to function satisfactorily on the following des- cribedproperty: Lot 62, suur~$1opes Subdivision, Eagle River, Alaska Yours very truly, JRK:hm Enc, Jolm R. Kuhn D~striet Sanitarian May 21, 1963 First National Bank of Alaska FHA Department 646 Anchorage, Alaska Gentlemen: A properly designedindividual sewage system can be expected to function satisfactorily Ch the following described property~ Lot 627 sunn~$1opes Subdivision, Eagle River - Vlrgil Flint, Yours very truly, THOMAS R. MCOO~2AN, M.D., Dr. P.H. REGIONAL HEALTH OFFICER John R. Kub~a District SaniSarian HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OPFICE Anchorage~ Alaska MORTGAGOR OR SPONSOR De.in R. & Ma~y An~ Hammond SUBDIVISION NAME Sunr~ Slopes TOTAL NUMBER: II LIVING UNITS I BEDROOMS ) 8AIHS 8ASEMENT 1 3 2 ['~] Yes ~]No WATER SUPPLY BY: Public system [] Community system SEWAGE DISPOSAL BY: [] Public system [] Community system PART II.--lO BE COMPLETED BY HEALTH DEPARTMENT MORTGAGEE SERIAL NO. Anchorage,First N~tionslAlask~Bank ot AnchorAge 111-001720-203 PROP RIY ADDRESS 7 ide of Monte Road, 197t West of Bonnie Wa EX F~gle River, Alaska BLOCK NO. LOT NOrm [] Individual 3 [] Yes [] No HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [] Local Departm~-ent of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [~ State [] County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~] Can be expected to function satisfactorily, and Cannot be function expected to satisfactorily is not likely to create an insanitary condition DATE NOTSJ The hca authority should complete the appropriate opinion statement above and afflx date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, aud recommend that 'the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL II~IDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT FHA Form 2573 REPORT OF INSPECTION~INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of ~i~ Septic tank. [] Cesspool. Septic Tank: __feet. Material, $ h/e"e~'~ ~'f~L'~fi~-- ~'?~'~? °]'O~ gallons. Capacity inlet compartment, feet. Inside w dth~ feet. Liquid depth, Distance from well,. Total liquid capacity. Inside length,. Cesspool: Distance from: Well, Inside diarneter, feet. feet; foundation,, feet; nearest lot line at [] front, [] side, [] rear~. feet. Depth,_ feet. Liquid capacity, _gallons, Lining material SECONDARY TREATMENT consists of [] Tile disposal field. J~ Seepage pits. Other Tile Disposal Field~ Distance from: Well Total length of tile lines,. Trench width, Length of each line, Type of filter material: [] Gravel. .gallons. feet, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, __-feet. feet. Number of lines,. Distance between lines, feet. inches. Total effective absorption area in bottom of trenches, .square feet. feet. Depth, top of tile to finish grade, inches. [] Broken stone. Other_ Depth of filter material beneath til% inches. Depth of filter material over tile, inches. SoepaBe Pits: ..... I ~'~' Number of pits I Outside diameter, e6 X ~a -feet. Depth,~ feet. Lmmg matena - ' · Well ' ~ feet' build ne foundation,~Dearest et ne at.front ~ side ~'rear,~ ~.o fee~q D~stance from , , .- 5 ~ I / Inspection made by: ~ State. ~ ~unty. ~ Lo~l Health Authon~. / /~ lnsp~ted b~ ~ Date of lnspecuon~ , tY~ ~ (TITLB) - REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main. ~feet. Size of main, _inches, Individual wells ~] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water_ Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal syste~ns. Lot size:_ .feet wide,.__ .feet deep. Dwelling set back from front property line,_ feet. Individual water supply from: [] Drilled well, [~ Driven well. [] Dug well. [] Bored well. Building foundation,_ feet; nearest lot line at [] front, [] side, [] rear, feet, cast iron sewer, feet; tile sewer, .feet; septic tank, feet; disposal field, feet; seepage pit,- feet; cesspool,.__ feet; other sources of possible pollution, .feet. Well construction: Diameter .... inches. Total depth,. .feet. Type of casing,_ feet. Approximate depth to pumping level of water in well,_ feet. Approximate yield,_ Sealed watertight to depth of_ feet. Exterior space around easing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump: [] Shallow well. [] Deep well. Length of drop pipe,-- feet. Pump capacity,, gallons per minute. Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity,_ __gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date , 19__ Quality of water [] is [] is not satisfactory for human consmnptlon. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by_ Date of inspection _ , 19 Depth of casing,_ .gallons per minute. Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 05015219000 Certificate of On -Site Systems Approval Expiration Date: 8/18/2023 Legal description SUNNY SLOPES LT 62 Site address 17047 MONTE RD Eagle River AK 99577 Current property owner(s) BURNS KAITLYN A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 5/18/2023 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 Absorption Field Advisory Tank Age Advisory Other X Well Flow Advisory Nitrate Advisory Arsenic Advisory COSA Approve1 June 2022 11�I UHC PD L`LITY OF A HCH0RI �� CSE 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. 050-152-19 Complete legal description Sunny Slopes Lot 62 Location (site address) 17047 Monte Road Current property owner(s) Kaitlyn A. Burns 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 ❑1 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 7 - 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 $ 5550 Date of Payment COSA# 0sC2?,�1�{1 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Legal Description: Sunny Slopes Lot 62 Parcel ID: 050-152-19 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 *n/a 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 * LOT SERVED BY AWWU WATER B. TANK DATA Measured' -operating fluid level inrvseptic'tank`�..5 r y ate of pumping l -t -E3-Required maintenance completed, if AWWTS Comm ents�v:tot aCaR`1�--... c- D. ABSORPTION FIELD DATA Which system tested (date installed) 09/25/1963 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.0 ft (max) Measured depth to pipe invert from grade 3.16 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ 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 1532 gallons 05/09/2023date perS, i.a--cs c t7 . b �5ct 8, Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Defici COSA Checklist June 2022 Well production at time of test n/a gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material ••uiN-i Adequacy test date 05/09/2023 Results ❑ Pass Fluid depth prior to test 26 in Water added 450 gal New fluid depth 82 in Elapsed time 1262 min Final fluid depth 18.5 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 18.5 in Effective depth remaining 77.5 in 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' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft F� Yes if No Neighboring Tank > 100' F] Yes if No ft Private Sewer/Septic Line > 25' [:] Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft Q Yes if No ❑ 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 *5.0 ft Surface Water > 100' ❑ Yes if No _ Tank to Property Line > 5' R Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No ft Private Wells > 100' M Yes if No _ Water Main > 10' FMI Yes if No ft Community Wells > 200' ❑ Yes if No_ Water Service Line > 10' M Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *TANK INSTALLED UNDER 2016 CODE ft ft ft ft ft ft ft ft 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. Naive of Finn Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E., F. ASCE COSA Checklist—June 2022 Phone 907-745-8200 Date —Z... i`,c Z_,. OF ALgs��� 49 TH S•t@Ve I1 .. .GC71">�'i Cf Yl e