HomeMy WebLinkAboutTAFEL LT 7A2
Tafel
Lot 7A2
#075-133-04
Certificate of On -Site Systems Approval
Parcel I.D. 075-133-04
Legal description Tafel Lot 7A2
Site address 115 Hottentot Mine Rd Girdwood
Current property owner(s) Craig Tafel
Expiration Date: 4g Z 3
The On-site system(s) is/are approved for 2 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
By: Original Certificate Date: 1/19/2023
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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.
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COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
UMUPAUTY OF MCH GAGE
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. CJ -415 l :3 3 ®�
Complete legal description TAFEL; LOT 7A2
Location (site address) 115 HOTTENTOT MINE ROAD *GIRDWOOD, AK 99587
Current property owner(s) CRAIG TAFEL
2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank 0 Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age - 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 $ , R6 . 08 Waiver Fee $
Date of Payment 111'-M20 Date of Payment
COSA # d S C, �R'3 l O6 (1 Waiver #
6 757 1q
COSA Application—June 2022
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COSA Checklist
Legal Description: TAFEL; LOT 7A2
V, SFS rY, A3
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Parcel ID: 075-132-61
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATAJi`►�/�
a
❑■ Well production at time of test 3.6+ gpm
Date drilled 1945 M Total depth 59.2+ ft Water storage tank volume N/A gallons
Cased to UNK ft WAIT disinfected for coliform test? ❑ Yes N No
❑■ Sanitary seal is functioning correctly ,` Coliform bacteria is Negative
❑■ Wires are properly protected Nitrat . `v ;4 mg/L ❑ Nitrate less than MRL (ND)
Casing height (above ground) 18+ in. Arsenic ug/L NjArsenic less than MRL (ND)
Date of flow test for COSA 12/28/22 Collected by GEG
Static water level at beginning of test 59.2 ft.
Comments
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA NORTH/SOUTH
Which system tested (date installed)
❑ 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 fieldZIaled F-1 Per record drawings, fi
❑ Monitor tubes go to bottoIf not, state depth into effe❑ Presoaked required if
(Required if house vacant
than 30 days prior to da of test)
Gallons introduce gallons date
Any rejuvenatio eatment (past 12 months)
If yes, e r date
ents/Deficiencies:
COSA Checklist June 2022
Date 12/28/22
C. LIFT STATION
❑ Required maintenance completed
Age of lift station year
Lift station material
Comments:
Adequacy,At date
R�s
F ❑Pass
h prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings)
Effective depth used in
Effective depth remaining in
T11
E. SEPARATION DISTANCES
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'
NSA
Community Sewer Manhole/Cleanout > 100'
❑Yes
if No ft
❑■ Yes
if No _
Neighboring Tank > 100' Q Yes
if No ft
Private Sewer/Septic Line > 25' Q Yes
if No **
Absorption Field on Lot > 100' ❑ Yes
if No NSA ft
Holding Tank > 100' Q Yes
if No _
Neighboring Absorption Fields > 100'
es
Animal Containment > 50' Q Yes
if No _
0 Yes
if No ft
❑ Yes
if No 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 requir
Building Foundations > 10'
❑ Yes
if No ft
Surface Water > 10 '
❑ Yes if No _
Tank to Property Line > 5'
❑ Yes
if No ft
Adjacent Lots:
Field to Property Line > 10'
❑ Yes
if N
Private Wells > 100'
❑ Yes if No _
Water Main > 10'
es
if No ft
Community Wells > 200'
❑ Yes if No _
Water S Ine > 10'
❑ Yes
if No ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
*PER AWWU RECORD DRAWING **PER AWWU CONNECT CARD AND LOCATION OF FCO (NORTHEAST CORNER OF HOUSE)
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.
Name of Firm Garness Engineering Group, LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Garness Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry o6oDO
practices. The reported results describe the condition of the system/s on the date/s of the evaluation_
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend O� S DO
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate p T
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing *9*O�
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not ......... ....... • ........
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardin
the future performance of the well or septic system. GEG makes no representation whether an alternative well o,,�,�
or septic system can be installed on the property in the event either of the current systems fail to perform 7/ •.J f AGo^ rness G
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG E-79
to perform the evaluation. Reliance upon the information provided in this report by any other person or party �� Q. ; 22 A�oO
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. �,1 e �•�j � �7C o
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COSA Checklist June 2022 xa.ece
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-All dimensions shown are grid bearings and ground distances, Record boundaries are per Plat No. 2022-72
-49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under
no circumstances should any data hereon be used for construction or for establishment of property lines.
-Only easements shown are from the subdivision plat. It is the owners responsibility to determine the existence of any
easements, covenants, or restrictions; no title research performed.
AS BUILT SURVEY LEGEND 49th Sta,r Surveying LLC
heli PO Box 738
Lo 7A2, Tele Corn Pedestal Girdwood, AK 99587
Tafel Subdivision, ._ (907)891-6111
Gi.rdwood, AK V Electric deter .lerernyP49thStarSurveyin8.corn
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Utility Peale W.O. 2210 D XTE- 11/28/22
SCALE: 1-30'
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