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HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 1 LT 3HEIGHTS 3� f �� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 050-241-21 Certificate of On -Site Systems Approval Expiration Date: Z 7 20Z Legal description EAGLE RIVER HEIGHTS BILK 1 LT 3 Site address 16808 FIRE HOUSE LN Eagle River AK Current property owner(s) HAND X The On -site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date: 11 /27/2023 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. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE 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. 0 50.241-21 Complete legal description EAGLE RIVER HEIGHTS BLOCK 1, LOT 3 Location (site address) 16808 FIRE HOUSE LANE, EAGLE RIVER, AK 99577 Current property owner(s) BETTY HAND Day phone 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS 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 ® 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 $ z- 0 Waiver Fee $ Date of Payment / Z S / Z Date of Payment COSA # 0 SC Z 1 l LI :�- Waiver # COSA Application.doc Legal Description: EAGLE RIVER HEIGHTS, BLOCK 1, LOT 3 Parcel ID: 050-241-21 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA i Well log is filed with Onsite (or attached) Well production at time of test 5+ gpm Date drilled UNKNOWN Total depth UNKNOWN ft Water storage tank volume NA gallons Cased to UNKNOWN ft Well disinfected for coliform test? ❑ Yes ® No ® Sanitary seal is functioning correctly ® Coliform bacteria is Negative ® Wires are properly protected Nitrate 0.885 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic ug/L ® Arsenic less than MRL (ND) Date of flow test for COSA 10/23/2023 FWr5 Static water level at beginning of test 33 ft. Collected by , Date 10/23/23 Comments No well data from ADEC or WELTS found and attached are the documents from AWWU. The well water level staved constant or within 1' at 33' below top of casing and the well water production could be higher and may have been restricted by plumbing TANK DATA — PUBLIC SEWER operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA- PUBLIC SEWER Which system tested (date installed)` ❑ ALL standpipes present per record drawirig Total measured depth from grade ft (max��," Measured depth to pipe invert from grade ft (min) N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. 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 gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficie COSA Checklist WELL ONLY.docx C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _ in l�lapsed time — min Final,fluid depth _ in Absorption -rate gpd FIELD STATUS- POST RECOVERY Effective depth (per'record drawings) Effective depth used " Ji-1 Effective depth remaining "in" HT COSA Checklist WELL ONLY.docx 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’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No *50 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 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 AWWU attached docs main is 50’ to the circa 1971 private well. Per water regulation history, private well to sewer main line met separations at time with separations between sewer manhole / cleanout and community sewer line of 50’+ 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 10/25/2023 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 & 10/25/23 LOT 45 i, CD CD CD rs CD CD 00 0 CD CD 1 FIRE HOUSE LANE I SHED 1 28.0' ASPHALT DRIVEWAY 1 IW 0 1 1-STORY FRAME 4.0' HOUSE -4 — 30.1' 28.0' ao .CPI LOT 3 16,585 sq. ft. op02 S 65 LOT 15 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (P-588) MAY NOT BE SHOWN HEREON. THIS SURVEY WAS DONE WITHOUT THE AID OFATITLE REPORT. THE EXISTENCE OF THE 33' SECTION LINE EASEMENT COULD NOT BE VERIFIED AT THIS TIME. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 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. 0 10, 20' 45.2' AS -BUILT WELL lWY, REBAR Irk O O O 02 O O m w 0 0 0 I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 3, BLOCK 1, EAGLE RIVER HEIGHTS SUBDIVISION ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EXCEPTAS INDICATED. DATED THIS 24th DAY OF OCTOBER, 2023, AT ANCHORAGE, ALASKA. 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E..w gm��: �I 8� �� "m >"">� a�i� 0 0 cn d 1 6"` *gCHOiAGE AYf a v � L s GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality �C�PE9 MOO �''6 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 21, 1976 Time of Inspection Date of Inspection-���-��j� REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1. Approval requested by: Security Pacific Mortgage Corporation Mailing Address: 319 West 5th Avenue Phone: 272-9501 2. Property Owner: Douglas S. & Mary L. Hopkins Phone: Mailing Address: 609 Baranof Street, Eagle River 99577 3. Legal Description: Lot 3 Block 1 Eagle River Heights 4. Location: 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Public Utility A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On -site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area f� ?,' Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHOP.AGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &a DEPARTMENT OF ENVIRONMENTAL QUALITY ENVIRONIJENTAL PROTECTION 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 J I �� �. lit" REQUEST FOR APPROVAL OF R E C 1 ' �- �7 INDIVIDUAL SEWER and WATER FACILITIES '�-�._. "' -- 1. Type of Inspection: CMRO VA x FHA CONV 2. Property Owner: HOPKINS, Douglas S. & Mary L. Mailing Address: 609 Baranof Street, Eagle River Day Phone unknown 3. Name of Buyer: CROSSLEY, Willima F. & Patty Sue Mailing Address: 609 Baranof Street, Eagle River Day Phone 274-8667 4. Name of Lending Institution: SECURITY PACIFIC MORTGAGE CORPORATION Mailing Address: 319 West 5th Ave., Anchorage Phone 272-9501 5. Name of Realtor or Agent: Tanner Magowan Realtors Mailing Address: 3766 Arctic Blvd., Anchorage Phone 274-2521 6. Legal Description: Lot 3, Blk. 1, EAGLE RIVER HEIGHTS Location: Eagle River, Alaska 7. Type of Facility to be inspected: Single family home No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility X Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on -site) Septic If Individual, date of installation unknown EQ-037 (1/74) Page 2 of two pages - Re( st for Approval of Individual ` ar & Water Facilities Legal Description Lot 3 Block 1 Eagle River Heights Approved Disapproved Date `% J le, Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM i UerLI Ty Lnati tine I nTUrIIIdL 1 On cUnLa I neu 1 n Ln I �, r-eUUeb G TUr- dpyr-Uva 1 l,U ue a Lrut aIiu accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ��XOi.AG£ dg£ ty GREATER ANCHORAGE AREA BOROUGH 0�9111 Department of Environmental Quality „^WO''` ,ass 3330 "C" Street, Anchorage, Alaska 99503 274-4561 u �, ���5 Date Received //&/ ) 1Q'-1�°�-� Time of Inspection Date of Inspection /Ion �k/, m16 REQUEST FOR APPROVAL OF Q C� INDIVIDUAL SEWER & WATER FACILITIES FOR 1. A rovarequested by: � re u d > pp 9 Mailing Address: -�J9 io�fc� !�� i�,,���,,� Phone: g 94 2. Property Owner: .�.,/, S �- i7%� �� v/�a �S Phone: Mailing Address: In /4 oa 3. Legal Description: d )(�,/� / fj)� /� ✓�r, >fn c���; ,/1'%S f,A 4. Location: 5. Type of facility to be inspected ,�i r Y fn ; No. of bedrooms v 6. Well Data: iI A. Type B. Depth C. Construction 7. Sewage Disposal System: �� A. Installed C. Septic Tank: 1. Size D. Bacterial Analysis%Sz B. Installer D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages £ GREATER .ANCHORAGE AREA BOROUGH Department of Environmental Quality g, 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES I. Type of Inspection: CMRO VA FHA x CONY 2. Property Owner: HOPKINS, Douglas S . and Mary L. Mailing Address • 607 Baranof Street �. Day Phone Eagle River, Alaska 99577 3. Name of Buyer' GAMBLE, Harlan R. and Susan A. Gamble Mai 1 i ng Address : 4006 Iowa Drive Day Phone 277-6251 4. Name of Lending Institution: SECURITY PACIFIC MORTGAGE CORPORATION Mailing Address: 319 West 5th Ave. Phone 272-9501 5. Name of Realtor or Agent: TANNER-MAG OWAN Mailing Address: 3766 Arctic Blvd. Phone 274-2521 6 . Legal Description: Lot 3, Block 1, EAGLE RIVER HEIGHTS S/D Location: Eagle River, Alaska 7. Type of Facility to be inspected: Home No. Bdrms. 4 8. Water Supply Type of Supply: Public Utility x Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on -site) If Individual, date of installation ? 9 EQ-037 (1/74) Page 2 of two pages - Re, st for Approval of Individual ` er & Water Facilities F w 1' F Legal Description ALL, &L P / s:�-1-41zo/?_`A �Xj, r Comments sr Approved `.� pp � �,� =���1 Disapproved ;'�l�!�?h Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) A!tIFA 1101t'OUGH Dopart'IT10,I)t of 0 0 Tudor oa r) , A n c h Or Ala ; ka 99.507 Bate T-.'Lutp, Of ))V3T,)0Ction Dato of Inspection j,,j,%j!:ST FOP API.Y10VAL OF INDIVIDUAL ',-;ENTE.R ,,'LATER FACILITIES VA Ai, royal Requested By: Spokane Address S 2 3- W - S th St - , 1-0 0111 1Ct Phone. 272-71,13 1)'-C)-)O.rtv oWner James Carrington Phone: 694-24,12 n: Lot 3. Block 1, Eaql,(,, River 11�,j qII ts...Nlorth SUbdivision 3. Leg,-)l P.cScriPtiO 6 A Location: 09 Baronof 5.- Tvnc of Facili-tv to h(! Insnected: single fandlY Numoer of 1,3p 3 6. Data A Tyne BOil Utili ties !3. Depth C. D. 13,Icter-'Lal Analysis C on fi t ru c ti r)n_ 7. Sewage Disposal 13 ScPtI., 1969 3. Install erEric Johnson ,Assoc. Bldrs A. Installed 1'01 -1 c t, re, rS 7C 1000 (1(" �ept.-.jc Tank: .1 - !." cri 1) 16 x20 x7 Ma i, c, r i a I I o o i. Disposi). Tota] Lencith of Lines_ 9. Distances: T 0 S(,r)tjc Tank Absorption Area Sewer Lines line Other Contamination- -)sorption Area Foundition to "(Ttic A' t LineC. Absorptiol-i Ares to Nearest 1,0 mr, for Approval of Individual SO" INa or Focili.tina 0 91 Co.rments r'nnrt yod ' a>. (17i, ��/ Di ,a�proved Date U1. 2__�__ A.p,roval Valid for One Year. From Date Signed €`;r atar Anchoragn Area Bornuah, Department of Environmental Quality DIAGRAM OF SYSTEM, 1 cerli fy that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: