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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 g 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. /eAir_tymIMIA II&I 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 M COSA Checklist Legal Description: TAFEL; LOT 7A2 V, SFS rY, A3 q`�- 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 L11c COSA Checklist June 2022 xa.ece 0) Itil StZ �'° r� IIS Eo�e Surveying Lot 7B]Lot 7A2 a � f a En' f � f � 11 f (rte house f Lot 7A1 .3I >; j Ar A g. Lot s � �►,. � .' � .Hurst ��, • LS-,�17 �� 0 15 0 i OT'ES? FES t, ��� US SURLY FEFr -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 ro Utility Peale W.O. 2210 D XTE- 11/28/22 SCALE: 1-30' H o ti -v 31011lonslsNoo os"90.0b 7vls.cl5'W-zz 'VIS . J 6 LL cr S-7 3lOF M: V, jdki L3rWL'NOO TI: 2 ti -v 31011lonslsNoo os"90.0b 7vls.cl5'W-zz 'VIS . 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