HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 1 LT 3HEIGHTS
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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
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1 FIRE HOUSE LANE
I
SHED 1
28.0'
ASPHALT
DRIVEWAY 1
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1 1-STORY
FRAME
4.0' HOUSE
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— 30.1'
28.0'
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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'
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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.
FIXED HEIGHT, LLC C.O.A.122554
Land Surveying Services 907.290.8949
225 W 23rd Ave., Anchorage, AK 99503 WWW.FIXEDHEIGHTCOM
JOB # 23173 1 NO CORNERS SET THIS DATE I SCALE 1" = 20'
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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: