HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 32A
ee
QGRE "' R ANCHORAGE AREA BOF ,JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
NAME /'~ '4~lP e,/~°~
LOCATION
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
MANUFACTURER ;/h*
MATERIAL C~-~ ~ ~
NUMBER OF
COMPARTMENTS /
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
IIQUID CAPACITY//O~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION
DIAMETER OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE ~ ~-f'
LENGTH/(~, DEPTH
DEPTH ~'~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~ ~"{-
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT .LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM=
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED
PIPE MATERIAL:/~/
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
Form NO. EO-031
G.A.A.B.
GREaTeR ,ANCHORaGe AREa bOROUGH
D=PARTM i.-NT OF. rNViRONM ENTAL QUALITY ' ~ ' r ~ ' ; PERMIT NO.
OTHER
NOT~ THIS PERMIT IS NOT VALID WITHOUT $OII. TE~T
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
GRAVEL BACKFIU.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
BLOCK
ADDRESS
.LOT(S) £_
Kevbox As-Bul1t
Date Work Performed Condition of Kevbox/Comments
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COSA Checklist.docx
COSA Checklist
Legal Description: EAGLE RIVER VALLEY RANCHETTES LOT 32A Parcel ID: 050-224-18
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA - PUBLIC &/OR CLASS “A” WATER
Well log is filed with Onsite (or attached)
Date drilled 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.
Well production at time of test gpm
Water storage tank volume NA 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
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank 65”
Date of pumping 4/10/2024
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/31/1973
ALL standpipes present per record drawing
Total measured depth from grade 11.2 ft (max)
Measured depth to pipe invert from grade *4.6 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective (ED).
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 2000 gallons 4/17/2024 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 4/18/2024
Results Pass
Fluid depth prior to test 51 in
Water added 600 gal
New fluid depth 73 in **(Near TOC)
Elapsed time 1320 min
Final fluid depth 51 in
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 72 in (MOA 6’ ED)
Effective depth used 51 in (Final Fluid Depth)
Effective depth remaining 21 in
Comments/Deficiencies: Approximate total measured depths from existing grade. *ED per elevation measured shots &
appears approximate w/ 6’+ ED based on Double Clean Out (DCO) & bottom of Crib elevations that show a 78” difference
between DCO invert and bottom of crib. **Apparent Top of Crib (TOC) with no backing into DCO & concrete tank. No
foundation cleanout (FCO) apparent and servicing can occur from inside plumbing.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
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+ ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No * ft
Water Service Line > 10’ Yes if No * ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*Per MOA record documents and time of installation of GAAB 1973 along with the attached AWWU docs.
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 FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 4/24/24
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
04/24/24
PP /
-EEE—F/EEEE �E E EEE —
GRAVEL
DRIVEWAY
/ w
/ O
/ z H
/ o
/ o
(N 89°57'15" E 97.25')
E�- E _ F F E E E E E E E E E E E E-
1
30.8'
DECK
2' CANTILI
SPLIT LEVEL
RESIDENCE
E.MTR G.MTR
50.3'
cn
o /
LOT 33A00
w /
�` LOT 32A
� C
_ _
---------- ---
SHED GREEN
HOUSE 10' UTILITY ESMT
_ p
- E E E E E f E E E E E E E E E E — E
(S 89t9'15" E _97.26')_E_
10' UTILITY ESMT
— — — — — — — —-----------------------------
LOT
----------------------------
LOT 33C I LOT 32C
A
Yl
19.9'
ii
LOT 32B
E E E E E E E E E E
-------------
LOT 32D
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE
RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS
MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE
CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT
A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN
THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR
OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY
EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
LEGEND
O
RECORD DATA PER PLAT #63-129A
EDGE OF ASPHALT
T
— E E —
OVERHEAD UTILITIES
FENCE
P
�
POWER POLE
SEPTIC PIPE
DECK/PORCH
CONCRETE
�' OF A�'`<<
0' 20' 40' �i�Q� • ;gS`'�li�
SCALE: V= 20 FEET *� 49TH • • • ••*
(11"x17") � .��%�":"..�l•. ;�(�j����
j -Ryan G. Johnson;
NOTE: VARYING DEPTHS OF SNOW `'�l ' .No. 19215'41
92159 • •W
4/2.3/202
ON-SITE AT TIME OF SURVEY. ONLY ilk, • • • • • •�� r
VISIBLE IMPROVEMENTS SHOWN HEREON. k FESSi0w a
AS -BUILT OF:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECT]ON
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~((~. ~ ~ t~l.
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERALINFORMAT]ON
(a)
(b)
(c)
Application Date
Legal Description (include Int. block, subdivision, section, township, range)
Location (address or directions)
Applicant Name ~¥~1",. )....t,-t ~_t~ Telephone: Home ~,~--t~..4.~ ~ Business
Applicant Address ~' 'uO=~'~. I%.~v,.~<.4"~. ~.,j~... I'~
Applicant is (check one): Lending Institution []; Owner/builderl~l'; Buyer []; Other r't (explain);
(d) Lending Institution
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following address:
$ & $ ENGINEERING
SR B 196X
EA[zLE RIVER, AK 9¥57/
Telephone
TYPE OF RESIDENCE
Single-Family ~ Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual WelID Community~ PublicA
Note: If community well syste'm, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite~ Public[] Community[] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE sEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 end from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm S & $ ENGINEERING
SR B 196X
Address
EAGLE RIVER, AK 99b/~
Date
Telephone
DHEP APPROVAL
Approved f6~ j'' f~
Approved ~ ~//2 '", Disapproved
Terms of Conditiohal A~p}'~val
bed roo ms by >t'., '.,~*
Date
Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (I 1/G4)
FOLD
Subject:
To:
Lot 32A; Eagle River Ranchettes
'OEO
HEALTH AUTHORITY APPflOVA LS
EXCAVATING / CIVIL ENGINEERING
WORK ARRANGED/ADEQUACY TESTS/SOIL TESTS
WATER & SEWER LINES S MAIN EXT*
ON SITE INSPECTIONS
RECEIVED OATEO. MESSA Ei I"°uTI" s'M"°L
.un icipalityof ~cho~ag~
~r~n~ of Health ~d H~ Se~ices
FOLD
Apparently the on-site inspection report dated August 31, 1973 was not available
when we performed an adequacy test on this system in 1983. We based the capacity
of the septic tank on results provided through the pumping operations and
the MOA issued a Health Authority based upon this information and the fact
that the absorption area percolated in excess of 600 gallons.
In the face of the evidence available at this time we must assume the septic
tank having a capacity of 1000 gallons and even though it may be larger it
would require exposure which cannot be done this time of the year, therefore,
we are requesting an approval for three bedrooms and the forms have been annotated
accordingly.
DATE OF REPLY
SIGNATURE OF REPLIER
TITLE OF REPLIER
ROUTING SYMBOL
RETAINED BY ADDRESSEE
%o~UNIClPAUTY OF ANCHOgAGE
HEALTH A~HORITY APPROVAL (H~) g~P 1 2~
CHECKLIST - FEBRUARY 1~
R
_
Well Classification ~----/-"~'~.~ J~
If A, B, C, D.E.C. Approved~_~N)
Well Log Present (Y/N)
Date Completed
YieId
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot Z.c::,O" ~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
CleanoutJManhole
Water Sample Collected by
Water Sample Test Results
Comments
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
~/"/' ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
SEPTIC/HOLDING TA KI~DATA
Date Ins tailed ~{~..~.~ )
Standpipes ~/N)
Depression over Tank
Size ~ No. of Compartments
Air-tight Caps ~I~/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line Id ' '/"
To Water Main/Service Line /
Course
Comments
Foundation Cleanout (Y~
Date Last Pumped // -'>~ -/:f'~'
; for -
Temporary Holding Tank Permit (Y/N)
To Building Foundation
'To Disposal Field ·
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-02§{11/84)
ABSORPTION FIELD DATA ~' ~"
Soils Rating in A. beorpt~E'E'Strata / j.~c_. ~./ Type of System Design (' ~-(~"
Date lnstalle(~ 3&ir' .1::~". ~'.~/~'~'- Length of Field ~
Width O' Field.......... ~ ) ~/~ Depth of Field
Square Feet of Absorption Area
Depression over Field (Y/~)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
..... .G~vel Bed Thickness
"~/'C--.~ ~,~Z' Standpipes Present (~N)
Date of Last Adequacy Test
To Water-Supply Well ~"c:,
To Building Foundation Z
Lot
To Water Main/Service Line !
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area. or Vehicle Storage Area
To Property Line lb /''l-
To Existing or Abandoned System on
; On Adjoining Lots ~¢, I ,~.
TO Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
, C e r t i f y~ t~, t.~ ~~'l~ie d, or conformed to all MOA and HAA guidelines in ellect on the date of this inspection.
Page 2 of 2
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SIIEFFIELD, COVERNOR
Telephone:
274-2533
DATE: Noven%ber 25, 1986
PWS I.O.# 210875
To Whom it May Concern:
According to records on file in this office the Norfolk Utilities/
E.R. Valley Ranche!4Jl~4)B System is in compliance with the State Drinking
Water Regulations
Sincerely,
~upervisor
~operty Owner
Mailing Address
Buyer
APPLI("~NT FILLS OUT UPPER HAl-'~. ONLY .'
Phone
Address
Realty ~.
Log,,
Type of
Single Family
~' Multiple Family
r-I Other
Water Supply
ri Individual
I"1 Community
ri Public Utility
Sewer Disposal
[~ Individual
[~ Public Utility
ri Holding Tank
No. of Bedrooms.~
Zip Code
Phone
Phone
ATTACH WELL LOG. A well log Is required for ell wells drlled since June 1975.
For wel s dr ed pr or o that date. give well depth (attach log II available).
Year Individual Installed: / ~' ~.. ~
When Cormecled to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Dale Date Date
Inspector Inspector Inspector Inspector
Field Notes:
APPBOVED" OROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
BY:
*CONDITIONS OF APPROVAL
Soils Rating J Date Sewer Installed7.~ J Well To ,~sorptlon Area Well to Tank
EXCAVATION
WORK
April 29, 1983
ROBERT A. SHAFER
ClVlLENGINEER
694-2979
Earl Chappell
Century 21, Heritage Homes
SRB 126
Eagle River Road
Eagle River, Alaska 99577
Dear Mr. Chappell,
Reference: Lot 32A: 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 1250 gallons. The seepage
pit was tested by charging the system with approximately 600 gallons
of water and after a period of 24 hours all the water which had been
added to the crib had percolated out.
It can be concluded from this test that the waste water disposal
system serving the four bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
If we may be of further service, please do not hesitate to contact
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 198X EAGLE RIVER, ALASKA
GREATER Ak~HORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received November 26, ]973
Time of Inspection 10:00 am
Date of Inspection November 26, ]973
3.
4. Location:
5. Type of Facility to be Inspected:
Number of Bedrooms: 2 (twO)
6. Well Data:
A. Type Core, unitY Well
C. Const~ction
7. Sewage Disposal System:
A. Installed 1973
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
8. Distances:
A.
REQUEST FOR APPROVAL OF
INDIVIDUAL S~ER & WATER FACILITIES
FOR
VA
Ao~roval Requested By: RmtlPy'q R~alty
Address: Faglm RivP~ Alaska
Prooertv Owner:
Legal Description: Lot 32A Ea§le River Valley Ranchettes
Be
Phone: 694-7115
Phone:
Stnqle Family Dwellinq
B. Depth
D. Bacterial Analysis'
B. Installer Hamt]ton Excavating
Size 1000 ga] 2. Manufacturer Hamilton
Size 16x16 2. ~ate~ial Concrete Rlnqs
Total Length of Lines
Well To: Septic Tank , Absorption Area
, N~arest Lot Line , Other Con'tamtnatton
Foundation to S.pttc Tank '¥ Absorption Area
Absorption Area to Nearest Lot Line
, Sewer Lines
for Approval of ~"%,vidual Sewer & Water Facilitie"~
Ttvo
9. Comments=
~' Ap.,-,ro'~a] ';alld for One Year From Date Signed
Greater Anchorage Area Borough, DeFartment of Environs. onto1 Quality
D~ASP, A~ OF SYSTE~
certify that the information contained in this request for approval to be a true
an~ accurate representation of the subject sewer and w~ter facilities located et:
Stgne4 Date
GREATER AkCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received //- ~
Time of Inspection
Date of Inspection
e
Aoproval Requested By:
Address=
REQUEST FOR APPROVAL OF
INDIVIDUAL SENER & WATER FACILITIES
FOR
Reeves & Coustneau
902 South Lane, Anchorage AK 99504
Prooertv ~ner:
Legal Description:
Location:
SAME
Lot 32A Eagle River Valley Ranchettes
Type of Facility to be Inspected: Single Family Dwelling
Number of Bedrooms: 2 -3 (two-three)
Well Data: Conmunity Water
A. Type
C. Construction
7.' Sewage DisPosal System.'
A. Installed , 1973
C. ,Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
8. Distances:
A.
B. Depth
D. Bacterial Analysis'
Be
Phone~
Phone:
B. Installer Hamilton ExcavattnQ
Size 1000 gals2. Manufacturer- Hamilton
Size 16xl6 2, ~aterial Concrete Rings
Total Length of Lines
Well To= Septic Tank
· Uearest Lot Line , Other Co~tamination
Foundation to Septic Tank "~ Absorption A~ea
Absorption Area to Nearest Lot Line
Absorption Area , Sewer Lines
ReqJe~t fbr Approval of Individual Sewer & Water Facilities
Pa;~Two
9. Comment$~
/ / Ap.nroval Valid for One Year 'From Date Stqned
L/Greater Anchorage Area Borough, Department of Enviro~.ental Quality
D~AGRAM OF SYS'f'FJ,~.
certify that the information contained in this request for approval to be a true
an~ accurate representation of the sub.~ect sewer and water facilities located at~
Signed Date