HomeMy WebLinkAboutSWENSON TR BSwenson
Tract B
#017-342-10
G~-'TER ANCHORAGE AREA BORO!'"H
D~.-~RTMEBIT OF ENVIRONMENTAL QUALJ~j
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION ~-?~/~
SEPTIC TANK:
MAILING , .. ~ . '~-
ADDRESS 'c~/~'/ ,~ ~S/':).J4 ,(3~ )~,,;~t~l E'~ PHONE
LEGAL DESCRIPTION ~ ~ ~ ~, ~'7, '~ ~ ~,~~
DISTANCE FROM WELl ~O '¢
LIQUID CAPACITY
.GALLONS.
NUMBER OF
MATERIAL(?~'~IYL~L'T~ - ,~.%p/~o£,9 COMPARTMENTS J
LIQUID
INSIDE LENGTH INSIDE WIDTH~DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER
LINING MATERIAL ?
NEAREST LOT LINE
~' OR WIDTH_ /~7' ., LENGTH 44 , DEPTH
. DISTANCE FROM WELL
, BUILDING FOUNDATION.-~H
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ,~"~0-'~ATION ~ . NEAREST LOT LINE
NUMBER OF LINES ~'STANCE BETWEENT~I'~iEACH LiNeD --TRENCH WIDTH
TOTAL LENGTH
, OF LINES
.IN. ABOVE TILE
· DISTANCE FROM
WELL: TYPE-C~'i;'tl'~ I'~.I::,II~'db'II/¢d-DEPTH ~'f") / , BUILDING FOUNDATION.
/~ / NEAREST SEPTIC / SEEPAGE
LOT LINE 4- , SEWER LINE , TANK. ~['~) 4~ , SYSTEM
WATER
_SAMPLE
, CESSPOOl
NEAREST
OTHER
SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
l'.dO' f
Ztr~'
DATE
APPROVED
G.A.A.B.
, ,//./ ~, GREA(~"~R ANCHORAGE AREA BOR'~'UGH
E DI ND PERMIT
NAME OF aPPLICANT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
F,NANCED THRO'GH F/ tr
SEEPAGE PiT
DRAIN FIELD. ,, OTHER
TO BE INSTALLED BY
SOIL TEST RESULTS
FINAL INSPECTION: 24 HOUR NOTICE REOUIRED. BACKFILLING OF ANY BYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION,
SEPT,° T^NK S,ZE
FOUNDATION TO SEEPAGE PIT .~ / DRAIN FIELD J~)
SEPTIC TANK TO seepage PiT WaLL /3~ /
.~-~ ~t /~ f
SEPTIC TANK SEEPAGE PIT , DRAIN FIELD .
TO NEAREST LOT LINE.
,E o'
WELL TO SEPTIC TANK -- , SEEPAGE PIT
DRAIN FIELD ~/~ / , aLSO CONSIDER area WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PiT
DRAIN FIELD
SEPT'OTA"".. SEEPaGePIT 1oo/
· DRAIN FIELD
TO RIVER, LAKE· STREAM.
CAST IRON INTO AND OUT OF SEPTIC TaNK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEeT INTO UNDISTURBED SOIL.
4 iNCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE caPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIar WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THe ABOVE
GREATER ANCHORAGE AREA BOROUGH
DEPA~ ~NT OF ENVIRONMENTAL QUALi~
~.~,/ 3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For
Legal Description:
This Form Reports
Depth
Feet Soil
Roger Rupp
5--
6
7 I
8---
Brown Silt
9~-
10
t2
Was Ground Water
Lot Block
Soils~g X
Tract "B"
Characteris_~tics
Brown Silty Sand (SM)
Gray Sand (SW)
Gray Sand (SW) and Brown Silt (ML),
layered
Date Performed 7/28/72
Subdivision Swinson
Percolation'Test
Encountered? No
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
ate Minute
Proposed Installation: Seepage Pit X Drain Field
Depth Of Inlet Depth To Bottom Of Pit Or TrenCh~
COMMENTS: 222 sq. ~. ofdrainage area is requ~ed per bedroom to 8' deep
Test Performed By Carlisle
Data Certified By: ~wa~onaiYesrmgSvso, Inc.
Date:
Municipality of Anchorage
• u,
On -Site Water &Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-342-10 Expiration Date: —
1. GENERAL INFORMATION
Complete legal description SWENSON S/D• TRACT B
Location (site address) 5601 DEARMOUN ROAD, ANCHORAGE, AK, 99516
Current Property owner(s) ROGER RUPP Day phone 345-1693
Mailing address 5601 DEARMOUN ROAD, ANCHORAGE, AK, 99516
Real Estate Agent BETH SIMPSON W/ KELLER WILUAMS Day phone 865-6500
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
0
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
Received by:/' _ Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ -" C)
Date of Payment g- I S 2')
Receipt Number c �t390 (
COSA # 0 JC 1 3) 39D
Waiver Fee $
Date of Payment
Receipt Number
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. 1 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.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
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 lest
results do not guarantee future performance of the system, nor do they guarantee that
them 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.
6. DSD SIGNATURE
_, System #1 Approved for 3 bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Phone 337-6179
Date �3 )2-11-3
Conditional approval for bedrooms, with the following stipulations:
�IN OF (�(f��iii
2Q' �/�
ON-SITE
WATER AND
WASTEWATER Q^
Original Certificate Date: 3
The tiYniclpd1ity rXAgt`hora'ge Develop, emt 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 engineers work.
7. ATTCHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
(Rev. 11/05)
Nitrate Advisory
Arsenic Advisory
Other
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: SWENSON S/D; TRACT B Parcel ID: 017-342-10
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 10/19/1971 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 211 ft. Cased to 211 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 10/19/1971 7/18/2013
Static water level 185 ft. 184 ft.
Well production 8 g.p.m. 4.0+ g,p,rn,
WATER SAMPLE RESULTS:
Coliform 'O' colonies/100 ml. Nitrate(), mg./L. Collected by: GEG, Ltd.
p
Arsenic: r ) iQug./L. Date of sample: 7/18/20 13
B. SEPTIC/HOLDING TANK DATA *UNDER STAIRWAY NEXT TO ENTRY.
Tank Type/Material SEPTIC/CONCRETE Date installed 8/14/1972
Tank size 1250 gal. Number of Compartments 1 Cleanouts (YIN) YES
Foundation cleanout (Y/N) *YES Depression over tank (Y/N)NE High water alarm (Y/N) N/A
Date of pumping 7/17/2013 Pumper ISAACS PUMPING
C. ABSORPTION FIELD DATA *eEt ow EXISTING GRADE
Date installed 8/14/1972 Soil rating (g.p.d./ft2or Ibdrm 222 System type SEEPAGE PIT
Length 17 ft. Width 44 ft. Gravel below pipe 6 ft.
Total depth *10.4 ft. Eff. absorption area 732 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 7/18/2013 Results (Pass/Fail) PASS For E bedrooms
Fluid depth in absorption field before test 45 in. Water added 860 gal. New depthX11 in.
Elapsed Time: 965 min. Final fluid depth 51 in. Absorption rate >= 450+ g,p.d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed Size in gallons Manhole/Access
"Pump on" level at in. "Pump off' level at in High—w-a-Fe-r alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
*101.96' EDGE OF WELL TO EDGE
Septic tank/lift station on lot 100'+ On adjacent lots OF TANK CLEANOUT ON TRACT A
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank
F1
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water.
Wells on adjacent lots 100'+
100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that t 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/ Ne JEFFREY A. GARNESS
Date 91,113
r'3
(Rev. 11/05)
`'5W
Lot 5
i
Lot 5
LA EORET
N 90'00'00"E 316.59'
1 -.
SUBDiVISIdN
L
0' UTILITY
EASEMENTS
Tract ®
O
1.992 Acres o
—
(n
(
86,763 s.f. rn
/
mSINGLE
STORY
RESIDENCE WITH
4
o!
N
m�
DAYLIGHT
BASEMENT
N(
L s
N
2' CAM
Tract A
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SEPi1C2.0'
CLEMOUrS J6
64 0'
OD
M
M
goy
�y
b
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0
0
�
71.8'
c �
J'
N
Z
Lot 1
(
$cF •
\
6' COVERED
U
I STORAGE
GPA�I 9RyypY
4?
79.3'
16 ^ rn
/
Cr
N SHED DD
DEARMION ROAD
PLOT PLAN _ AS BUILT X SCALE 1' = 60' GRID SW 2937 Project No. 06-180
Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Fax �``�o p�p��
kglanglstlalaska.net / Jclangla0aiaako.not SOP `,.......... 9iS"
I hereby certify that I have surveyed the following described properly: Q�
Tract B. Swenson Subd. (Plat No. 71-117) �* 4
are g�
Anchorage Recording District, Alaska, and that the Improvements situated thereon a�... .......
within the property lines and do not encroach onto the property adjacent thereto, that �. (
no Improvements on the property lying adjacent thereto encroach on the surveyed *.....
promises and that there aro no roadways, transmission lines or other visible m
easements on said property except as indicated hereon. - 0 KENNETH G. G/
_02
Dated this the 7f zoF„�T-- Day of Ck'L(20(a, at Anchorage, Alaska o444'a'� '� I H
O
S
the responsibility of the owner to determine the existence of any easements. 4�k�� am`
covenants, or restrictions which do not appear on the recorded subdivision plat.
DRILLING, Inc.
0-7 P. O. Box 4-1728 2811 Dawson
A C 907-279-1741
ANCHORAGE, ALASKA 99509
Well Owner `
DRILLING LOG
P1110.6V �.
of Well D 't
Location (address of: Township, Range, Section, if known; or distance main roars
waanaan uCi.„^rc't :f
R,� ,dr (fUJAr—
� we�rt.e.ert o �'� use-ef'
D3 ,4!^;:vczn Pond. A:,Chcn�c,. ••,.
S -E y6ee.a7
Size of casing d° nepth of Hole 211 feet Cased to c^l 1 +eet T I -2N l2 3 cJ SAl �
Nab 6006:
Static water level-1–MOL—It. ('91364e) (below) land surface. Finish of well (check one) open end ( R );
Screen ( ); Perforated ( ).
! Describe screen or perforation rtnne
Well pumping test at gallons per (Hour) (minute)
of drawdown from static level.
Date of completion 19 Oc'. *ter 1^71
!` WELL LOG
for -1 --hours with 'sGC
ft.
Depth in feet from
c - ground surface
Give details of formations penetrated, size of material, color and hardness
E C TO 1F
Sar AA Gravel
TO L2
SsnA
p TO ri7
sand Gravel
cO TO 5c
Sand
6nTO 70
Sar Gravel
CAble Gravel dilth neeatoianaj
bwul *a
PO TO 12, 5 .
Sunrly Gravel t i4eAlU14
..
W
29 TO 170
6 Sane) midi necnint
nak1 awe,;� e� srCi *"S=
�TO tis
5� Gravel
1J
--M—To 180
sil 4y NarApm
C7
a
b
E
IC-? TO IS?
Bpylrl4r
i
r
l22 To 196
X11 {,y 1Hardpsiqu
¢< h r
r�n7
dnr
lc° 205
sil: I Am re
TO
_
fps bV
8 8(0