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HomeMy WebLinkAboutEKLUTNA EAST LT 9Onsite File Eklutna East Lot 9 #051-061-59 fluff s 04 �R:15a Linda daniels 907- 699-4763 STATE OF A LAS KA � r ^Ct * DEPARTMENT OF pMVJR0NM?FWTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS w SLA"^ PROPERTY DESCRIPTION Ltd. 61=k L 5uh17-Y1?l(P 9r 0.15. SPRY Lot: 9 Eavt SID u*mIkela'She's for APON:a110n Na; 92ZI -)WL'�–t}d1. This approval sloes not constilute a guaTantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems.. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmerital Conservation drink- ing water standard's for total collform bacteria. Home — xlll■ — � I PRIG WASTEWATER DISPOSAL The durnestic wastewater system was: Cl Inspected by the Department of Environmental Conservation and Found to be in compliance with applicabie requirements of 18 AAC 72; inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; installed by a Certified Installer who certifies that thesystern complies with applicable requirements of 18 AAC 72; or tested by a Professlonat Eilyliwer who certifies that the performance of tho system is satistactory and that the system complies with the minirnurn separation distances specified in 18 AAG 72. This approval is valld for a U single family 5d Mg–M& unit with a total of sIA — bed rooms - Of Wam- Odle Id-9404tRnr-Q165y DISTRIBUTION! WHITE-RANI(JLENDINC. ONSMTUTION; CANARY.-APPL)G1%NY; PINK-©EPARTMEHT Page 3 of 5 Report for On -Site Water and Sewer System Certification F/c-f- AudwpEC At E—n I, GENERAL INFORMATION Lagar DarLrlotion or the Location 0 1 J �i C 1 1@J, L.3 6kLUV_hq 615T L-0Ir9DEPAqTMENT &Well (dtiltad or Otiven) ❑ S4riece ildanrifvi evtt)(IInZ) I"f OF: []Chlorination SWRONM W LC4NSERVANX, ��ublic ❑F'Irretign applicant Nome r]rn JJ lid qI{G j//71 � ❑ Other i lasntr}y} Ao wcant is: [Check arra) Bank ❑ It15�i6f G ©wneri$uildCt Andre4G ISTreet at P, 0. Boal ❑Other: Type of Amidanoa Total No. of Bedtoom ; i 60)L z * � 0Single Farr) iY i uwv Parnav & — City, Stake and Zip Coca r ,may lox T �7 5 Z, 1" is a sanitary seek installed on the well calling? Ta,llorphonq zooff ff — 417&.3 P t)4eAcmrtlmoclatlon: o nearaunent O Lounoe o Omer Scud Aoproval to: C / r+ 13 57 5117 � Appimant �rhi er; lGName& Addressl �.j �7 �y�y f'f2 C9X l 1374` 1t� 11. WATER SUPPLY SYSTEM Source of Watar "a ConEntrimant iChecik all trio[ Apply) Type of yyaTer SuAPIv Svstam 7r rrnant of Water [Check ale that Applyl &Well (dtiltad or Otiven) ❑ S4riece ildanrifvi 13 Prlyate ❑Nona []Chlorination Cl Roar Catchment ��ublic ❑F'Irretign ❑Mineral Removal ❑ Other i lasntr}y} Moretti mars than ane C Molding Tank am''yl ❑Other: Wer' Oeu Is. tna •to,ognt of the Wall Cas,nq mora than 12" ebgve the Gratind7 ❑ 0 Na is a sanitary seek installed on the well calling? ❑ Yes C tiro Is rirainags do ter ted away from on around the cam; ng with on a radius of 10 feat of rho avail gT ❑ ves Na Vete Drilled Depth of Well (Feet! Static Watwr Laves tFee0 v tl IIf Aysilaalel Pnmv Rate III Available) GalilAin {3a1lMin Several -nn Distances from rho Wail Casing To each of ttra Following Saurk:ae of en'sirtatitan: Sevil0t•loldins Tank on Lac Sewer Lines on at Absaratlan Area an Lot Clain% Seotie/0404ding Tank an Adjacent Lot $met Or Lines on Ad(aeari Lot Closest Edge of an AhtoMuon Area on Adimcent t ct 11 tonic materiais arm stored on the property, �nuu Q fuel tanks, palnts, lub*icants and orneT perralsum On Lot On Adjacent Lot bwswtl materials, peatrcldes, fynalcides or herai4 indicatatlistanca from contariTlnants to wall casing: Wirer Semple Taken by Nan1e .^.amRler la. ❑ T3uyer ❑ Enginaef ❑ ®arlker LJ Gaverriment Official Address Wear Sample Res ❑ Sitiifactdry ❑ Unsatisfacto►re Dote Date AtTacn Copy Comma if eCO Rlmandatrane' 18-0406 J6931 Alaska Department of Envifonmenial GonservaBon - report tar un -site water and Sewer system c.ernricQrrvn Page c of Ill. WASTFAIATER DISPOSAL Package T—irmont: Sepric TagklAbsprpticil syatam 1 ❑ Maetrry Brand Names or Prace"I Herding Tank Capacity of Tank Wil-ra Waste Is Oalpnead Frequency holding tank pumped r Spxity $aeric Tani Oucfall Ditch—gad to: ❑ Other iS.pa•clfvti fquitiouse, incinerator, am.7 Name of Installer Data Installed teats lnstellild ❑ Ownarf Builglr ❑ Installer ❑ Other: Na. fogu]er ❑ Other: ❑ O.vnarl fJu rider Typarfvtenufacturer Soil Type Or Raring Type Sam' Abrarptlon $rirarn Septic Tank S.r,e (Gallcnil Numhe- of lCa-mpartmants 71000 71 $oil Type or Rattna NZW Cx - Type >o,l systern GimarIn[r��Q,P :'SI[a Sol AO torptbion System f `'r• Tvpei Cluantity Backfill Matef3Nd sad for Sall Ue V, A s4r�ti�n S '}A,�.A4wpCOn V ISS+' fr !' L fI NI reel �ytq}.4n Test Hxfitllts /�' parcofarrllon Tait bvl INamli / l J7 //,5 5+f' &7— OX65 L U 5 V U74r� 'Armimurn On5und Covt+t over Atisorp- Minimum Ground Cover ever 5ODt CIaa O.t P.paSfc--eps I—tallran on •an uu�t'soes.+ caps Installed on iron area y , ` 5mtj�� Tank 54pUc Tank bao rprron SVatem Y!a i.I 1'eei Fuer I ❑ No ICL. Yes rl No wares S4OpIy Source an Lot N earofT water Supply Source an 4dlacant nearest Body of water water Tabl i6ed rock Lot Lrne Sapararoon LaT/ % G+starrvca To: �I Ffet Feet / f i real Feet r Fr_t Cam nrgr W+R eturmim on date ons VMele. yu8p�y Source pn Lot rest Water Supply Source on Adracent sYaare>•.r Hedy of waTar watlt TIrhlN pari rflci Lot tine Separanon Lot 3 5 jPS) 6 jVR 1,11- FO itsi O Yr r'f r4, I I Etrittirin Svtteim 1J ) Ild fwama 41 rnisallar teats lnstellild ❑ Ownarf Builglr ❑ Installer ❑ Other: Na. Tvommimmnpfaccurar Septic Tank Size iGallpnei 4urn1ear of CDMpartmints Soil Type Or Raring Type Sam' Abrarptlon $rirarn prmanarOr+m`Site So+l Atlwrpti.n Syfta•n Typal Qusnirty Qeckrill MA:erlal used for Soil AAtorrltian -Civsrorn Adequacy Test R-1 is Adanvacv Tast Parfnrmed 9y_ f .t*Copy at Flapartj Uate Sawir. Tank Pumnaci Iimtecn Copy Of Raealptl ❑ P. IJ Fall Minim Vm Grdunn CnVer Over Atfrorp minimum Gro.nd rover r9pric Tion Area Tank Cleanout Plaatf'capr ineiallad On Cleanout PipasCaps Intellect on Septic Absorption 5., Tim Fee[ Faat Yea No Yat No VMele. yu8p�y Source pn Lot rest Water Supply Source on Adracent sYaare>•.r Hedy of waTar watlt TIrhlN pari rflci Lot tine Separanon Lot Drstirnoi to et rept Feet pea; Fact Carl 'mar,ts, ff aw am menda tin no I certify that the above information is correct: r k!} signatu Tyyu",PPrl nted NemoTitle, f�a.g,i erL No., Priii- No_+;"_• � w,' •.• '.a 1fir NOTE Muer tae vonedby a prpfeu;onal rngineitr_ _ 1%1_ ;7 # J- t ai:a � rss +aaa* • ar - !a rrar•r� as ad ar.a � y p' 1pais A. Ulera • L[:C ;V �G? • CE -673•.4 .Reyr�i$yrey$Rrsas+pl*ala x� 113 -0406(M) Alaska Nparlment of Environmental Conservaion A J nTMW VATR A u 89-55za• E 296 aB a z 66 - s. e9s - MO IMR NBE COM�Ty ML o - WER CLE.WOx P - WELL xo suw..cE MAA iov -- — EMCM. SEPTIC SYSTEM ASBUILT a, ���P��` OF ANSI,, _ •�i LEGAL: LOT 9 EKLLITNA FAST OWNER: PICK & LINDA DANIELS CONTRACTOR: SOUTH FORK CONSTRICTION JOB 91-13E DATE: 05/24/94 SCALE 1" = EO' C �*TM� �i2 Laae<aaA,U: A EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX (909) 694-3297 E 10 I M4� 4- LF-ACHFIELD 2-4' COVER BURIAL INSULATION 4' PVC & YPAR FABRIC a6' SEWER GRAVE 2000 GAL 2' SEWER GRAVEi SEPTIC TANK CG?) �SdtL +4' NO GMJNI]WATER TABLE £NCOUNTERC�- +6' TO IMP ERMEABLEJBEDROCK LAYER ASBUILT PROFILE LEGAL. EKLUTNA EAST LOT 9 OWNER: DANIELS CONTRACTOR. SOUTH FORK CONSTRUCTION JOB -# 91-13 DATE: D5/2D/9 NOT TO -SCALE EAGLE" RIVER .E`AFGINEERINC SERVICES P.O. Box 773294 EAGLE R[VER, AK 99577 (907) GD4-5195 FAX: (917) 694-3297 R • 40TH io 9. mfr I C0 A. BUTERA Jr IIs CE -8739 i v EAGLE RIVER ENGINEERING SERVICES PERCOLATION P. 0. Box 773294 TEST EAGLE RNER, ALASKA 99577 Phone 644.5195 FAX 694-3297 PERFORMED FOR: i�SfC.y- L� r1 7Sr—a� C l�.0 �2 _DATE PER F4 ;;MED: ('A"'ter LEGAL DESCRIPTION:r- rF T71 SLOPE r"� %-,,/ 14 Dair G,vtf T -r. Nei Tims DePlh to QV21v Net 1 t m_a c t+a a 16 ®s neax ass t,<ansa 1 y¢y ii r2.6 4 a �9 ��V�fi;��ESS'•G';y'ry 20- 00'.! M E N CO'.!MEN SITE PIAN WAS GROUND WATER S ENCOUNTERED? /y® L 0 P IF YES, AT WHAT 077—f'r E DEPTH? T%�d^e��r/ksrr/ RE90"g Dair G,vtf T -r. Nei Tims DePlh to QV21v Net rt , ft c PERCOLATION RATE TEST RUN BETWEEN FT AND FT Eagle Rim Evaine:tln? swv;rry^ Penrop mE-r 9Y; F. 13. Box 773291 Eagle Fiver, AK 995'- Ewsi 95 72.00E 16/79j CFRTII IED SV-_ ATE! d�I 1111111liq ill�ililill_ Eli lisp, y. p i,. i7 j tj 't « Co Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 051 061 59 1. GENERAL INFORMATION Complete legal description Eklutna East Lot 9 Location (site address) 21234 MOnron Current property owner(s) Stewart Mailing address Real estate agent 2. TYPE OF DWELLING: ❑ Single Family (w/ADU) ❑ Duplex 0 Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date:. .712-11?-( Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ED Public Sewer ❑ Waiver request for: N O N E Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 50 Waiver Fee $ Date of Payment—7 2o.2( Date of Payment Receipt Number. O'713h1 6 Receipt Number COSA # 0 5 C ? 114 o� I 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 7/22/21 01= A4.AW gSI� AW i "W C�,49 TH 6. DSD SIGNATURE • • I/ XSystem #1 Approved for --6—bedrooms CHARLES G BALZARINI System #2 Approved for bedrooms �+}�F6, CE-13854 Disapproved�lll� PROFESSO�AW Conditional approval for bedrooms, with the following stipulations: , epa 6+) O� C�nbfi7veG By: Original Certificate Date: g l6 Z The Municipality of AnchKaaap evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given inh 5 byan 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 %a r� �s ��✓� 50��/ COSA Checklist blue sheet COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA 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 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 of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: STEEL Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) 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 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ 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 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 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 If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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. .the tank is pumped. If leakage is observed, the tank should be replaced. Septic Tank Advisory Certificate of On -Site Systems Approval # OSC211427 Subdivision: Eklutna East Block: , Lot: 9 The septic tank for this property is 29 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. i } z x v -+?.-h �+ x .,TMST ` s�t..,.a Marling Address P 0 Bob 196650 *;Anchorage, Alaska 99519 6650 *www morn orgy x