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HomeMy WebLinkAboutRAMPART #1 LT 8Rampa t Lot 8 #015-071-11 Department. of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS /~0. ~-'~ ~/'~5~</ PHONE LEGAL DESCRIPTION ~v?~'/,f)/_¢,~ ?h~/ Z/£~7 SEPTIC TANK: DISTANCE FROM WELL ¢ M A N U F AC T U R E R ~-~'/0-O~ NUMBER OF MATERIAL ~.<~-/g~-,~ Z~ ~/j~-//~d~'/'_.~OMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /'~'~ GALLONS. SEEPAGE PIT.' NUMBER OF PITS / DIAMETER_'~ OR WIDTH /'~: LENGTHZ~f, DEPTH (~z LINING MATERIAL ~?/?/~,Z~~ CRIB SIZE: DIAMETER~DEPTH~(;~7 g. DISTANCE FROM: / TOTAL EFFECTIVE BUILDING FOUNDATION ,~L-/ / NEAREST LOT LINE ~ WELL ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION __ CESSPOOL . APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: /f-~.~'nG"~ PIPE MATERIAL: LOT SLOPE: REMARKS: APPROVED G,A.A,B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUBOR ROAD POUCH 15-650 ANCHORAGE. ALASKA 99502 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF; SEPTIC TANK . ~ SEEPAGE PIT / . DRAIN FIELD -- , OTHER SOIL TEST RESULTS /~ ~/ ~ ~ NOTE, THIS PERMIT IS NOT VALID WITHOUT ~IL COMPLETION DATE ANTICIPATED. ~/T -- FINAL INSPECTION= HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /~ TYPE f~'~fE~:-_~ ~ SEEPAGE AREA SIZE FOUNDATION TO SEPTIC TANK__~ / SEPTIC TANK TO SEEPAGE PIT WALL __ /~ / / _. DRAIN FIELD 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DIAGRAM OF SYSTEM SEPTIC TANK ~"~- / ., SEE. PAGE PIT ~ TO NEAREST LOT LINE. WELL TO SEPTIC TANK _ ~"~ / / . SEEPAGE Pit 5E~IC TANK, ~ / .. 8EEPAGE PIT . /~J / ~CCAS~.T IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP CF EXCAVATION 5 FEET INTO U~D~-~]-~U~BED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC 'lANK AND SEEPAGE Pit GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGAROING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE RECIUiREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCf£ NO. 28-~8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SA~D CODE Performed For Leoal Description: Lot ~ Block This ~orm Reoorts Soils Loq "One test is worth a thousand opinions" ~Co Date Performed Subdivision Percolation Test ~eoth Feet Soil Characteristics 1 2, 3 5 7 Was Ground Water Encountered? If Yes, At what Depth? I Readinq Date Gross Time Net Time Depth to H20 Net Drop I' Percolation Rate Minute Proposed Installation: Seepage Pit ~t~ Drain Field De~th of Inlet Depth~To Bottom Of Pit Or Trench COMMENTS: /'70 ~ ~e n'~_~ ~"~c:~x~o ,,':)t~_c:c_ ~/~d Test Performed By ~ '~~ Data Certified By:~.,.~ ~LOg . ANCHORAGE /t.\ Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-071-11 Expiration Date: 9? --r �_ Z ©Z Z 1. GENERAL INFORMATION Complete legal description RAMPART #1 LOT 8 Location (site address) 5640 E 99TH AVENUE, ANCHORAGE, AK 99516-6424 Current property owner(s) ANDREW & STEPHANIE CLARY Day phone Mailing address Real estate agent 5640 E 99TH AVENUE, ANCHORAGE, AK 99516-6424 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment _{n� 2_d�Z Date of Payment Receipt Number ZI G072 Receipt Number COSA # 22 1113c6 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER --_=As- certified -by-my seal-affixed-hereto-and-as_of-the-validation=date= shown -be low; l verify-thatmy-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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/512022 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 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 & FWES 6. DSD SIGNATURE System #1 Approved for S bedrooms System #2 Approved for bedrooms Disapproved 1 � j *: 49TH I. • ' . • .. Curtis Huffman' ��' �'c�G,/•, CE 128991 .•���/ ,0PROFESS -ft— Conditional approval for bedrooms, with the following stipulations: \PNLITY 0 -6' i J O _ o, `� o W411—qT F RAAii. J O C = ti44 ,9) )SERVICES By: Original Certificate Date: 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 Legal Description: RAMPART #1 LOT8 Parcel ID: 11 015-07 11 1-11 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled CIRCA 1968 {HOUSE BUILT PER MOA) Total depth 40+ ft (PER MOA DOCS & TEST) Cased to 40+ ft (PER MOA DOCS) ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/4/2022 Static water level at beginning of test 38 ft. Comments B. TANK DATA Age of tank(s) 6 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 5/4/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 4/23/2016 ® ALL standpipes present per record drawing Total measured depth from grade 10.6' & 9.9 ft (max) Measured depth to pipe invert from grade 4.6' & 3.6 ft (min) Structure served by this system Well production at time of test 3+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 4.42 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Fwc Collected by:: Date of Sample 5/4/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 5/4/22 Results Z Pass For 5 bedrooms Fluid depth prior to test 11" & 7 in (SOUTH AND NORTH) Water added 450 & 450 gal (900 TOTAL) ❑ N/A— pressurized field New depth 21" & 21 in ® Monitor tubes go to bottom of effective. If not, state Elapsed time 1300 min depth into effective MOA IR SHOWS 6' ED Final fluid depth 11" & 7 in ® Code -required soil cover over field Absorption rate 750 gpd ❑ System presoaked Any rejuvenation treatment (past 12 months) N (Required if vacant for greater than 30 days prior to — date of test) If yes, enter date Gallons introduced gallons WE Comments/Deficiencies: MTs / COs MEASURED AT GRADE. CAPS AT GRADE. E. SEPARATION DISTANCES :From Private=Well on Lot to: (Please enter -distances if less --than required or if community well) ® Yes - - Septic Tank/Lift Station on Lot > 100' Surface Water >' 100 _ ®Yes if No ft Property Line > 5' Community Sewer Manhole/Cleanout > 100' if No ❑ Yes if No *85 ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes _ if No ft ®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 Surface Water >' 100 _ ®Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells >100' _ El Yes if No *75 ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® 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 If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *0 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ❑ Yes if No *85 ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA WAIVERS PER MOA FILE DOCUMENTS. GRAVEL DRIVE NEAR TANK 0'+/- WITH NO KNOWN FROST ISSUES. G. ENGINEER'S CERTIFICATION I certify that l 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. Asw • .t� �• THS • ..• •.......�..�.... 409'*- CurtisHuffman CE128991'�l�c,' • 5123/2;. ••t\4U A— pROFESSION� .� ����R-,Nz4. 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: RAMPART #1 S/D LOT 8 Parcel ID: 015-071-11 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed unkown Sanitary seal (Y/N) Y Total depth 40'+ ft. Cased to 40'+ ft. FROM WELL LOG Date of test Static water level ft. Well production WATER SAMPLE RESULTS: Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) 18" AT INSPECTION 211112016 40.8 ft. g.p.m. 2.7+ g.p.m. Coliform NEG colonies/100 mL Nitrate 3.69 mg/L Arsenic: ND ug/L Date of sample: 211112016 Collected by: Garness B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Date installed 412312016 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping NEW Pumper NEW C. ABSORPTION FIELD DATA — 1985 SYSTEM TESTED Date installed 4/2312016 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type DEEP TRENCH Length 27132 ft. Width 1.5 ft. Gravel below pipe 6.0 ft. Total depth if ft. Eff. absorption area 708+ ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) NEW For 5 bedrooms Fluid depth in absorption field before test NEW in. Water added NEW gal. New depth NEW in. Elapsed Time: NEW min. Final fluid depth NEW in. Absorption rate >= NEW g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date REATER ~NCHOP~.GE AREA BOROUGH .~'~LTH DEP~aR%ENT 327 E,~GLE STREET ~NCHO~GE, ALASKA 99501 279-2511 REQUEST FOR APPROFAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES FOR Approval Requested By. Phone_, 2. Property Owner ~f ~'~d/i'~:- Phone 4. Type of Facility to be Inspected~/~.//r~. ~/~.~/~STREET: Number of Bedrooms ,~ ~ ~ ' ~ S. Well Data: B Depth, - '/ C. Size ,, j,,,f // D. Construction E. Bacterial Anaiysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 1. Size 2. Age_ 3. b~anu£acturer 4. Installer Approval Request for Se ,e ~ Water Facilities Page Two Seepage Pit 2. Lining C Disposal Field 1. Number of Lines 2. Total Length 7. Required Measurements D. E. F. G. H. 8. COMMENTS: A. Well to Septic Tank .......... ~-~ B. Well to Seepage Pit .~O r Well to Sewer Line ~ IVell to Other Possible Contamination Foundation to Septic Tank,,.~-~Z~-~,_ Foundation to Seepage Pit See~ag~ Pit to Property ~ d) / DATE APPROVAL VALID FOR ONE YEAR FRO~I DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMEI~ EDll70 NoveL,bet 29, 1972 Mr. ~?i~ Irving Irvinq ?~ Company P.u. i;ox 4544 Ancnora~)e, Alaska 99501 Subjec~c: On-site sewer sy.$~em on Lot 8, Raml~art Subdivision ?'l. Dear fir. Ir. ving: On Nel]'tel.!ber 8, :1972, this offiae inspected an on-site sewaqe disposal system inst~lled by yo'u'r.¢ompany on Lot G, of Raw, part o~bdivision ~1, locate(~ on 91st Street off Birch '" ~' All distance requirements for an on-site sewaqe disposal syste~ were met with 'the exception of the 100' between the well and the seepa.~e pit wall, firs. irving indicate4 that she w~,s uncer.,~n of the location of ~he well. tie (licl, however, locat~ a well insi~ the garage. This well is located approximately 63' 'fro,,~ the seepai}e pit wall and cannot De approvec, by this After repeated visits to~ this residence to 'talk to you or ~irs. Irvin!! as to the definite location of the well, p~one contact was firlally ~ a~.~. with you on' Noven~ber 6, 1972. You toi;d me ti~e w~.~ll was in fact located in the garage, 63' from tile seepaq~ pit. I told you that ti~is office requires that you ~',ee't 10(i' distance requirement within thirty (SO) days by ?.erin9 either your well or sewer system. You said ti~at you would co~e into ~h'is office to discuss the proble~ with John Lee. To date~ you have not been in and we must require that the lO0' req~ire~ent be ~.,et within thirty (30) days a'fter receipt of this letter. If .you have any questions regarding ti]e above m~.tter, ~leas(!~ do not hesitate to coBt~ct "'' . 1.~ DeDart~ent at 274-45~1. Si ncerely, t]enise i~asi~aw Environmental Control Officer lit }Ir. Dennis Hanke Box 81 Star Sputa A Anchorage, Alaska 99502 Subject~ Lot 8, Rampart Dear ar. Hank~ Upon1 inspection of the subject lot a cesspool was discovered to b~eserving aa the sewer system. Although the water s~mple proved to be satisfactory, the well is located only 30 feet from the ceaapooi. ' Before approval of the sewer anti water system, s ca~ be given by %hfsDdepartment, an approved sewer system needs to be installed with proper distances from the well. A~ approved system normally consists of a septic tank, seepage pit arrangement, a permit from this office is needed ~ef~e any work can be done on the system. If there are any questions reg~rdino the abo~e, please do not hesitate to contact this office. ~ilncerely, Lynn S. Coad Sanitarian ky