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Home My WebLink AboutELDON BLK 1 LT 6Eldon BIO k 1 Lot 6 #016-202-47 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: Eldon, Block 1, Lot 6 A. WELL DATA Well type Private If A. B, or C provide PWSID # 8/27/13 Y" Date completed Sanitary seal (Y/N) _ Total depth 105 ft. Cased to 105 ft Date of test FROM WELL LOG 8/27/13 Static water level 25 Well production 5 M, Parcel ID: 016-202-47 Well Log (Y/N) Y Wires properly protected (Y/N) Y"'* Casing height (above ground) >12 in. AT INSPECTION iii WATER SAMPLE RESULTS. Coliform 0 c onies/100 mL Nitrate 1 " mg/L Arsenic k -)D ug/L Date of sample: cQLA-15 &Collected by: 907 Water Well Services B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) . N Date of pumping New Const. Pumper Date installed 8/9/10 Cleanouts (Y/N) Y High water alarm (Y/N) N C. ABSORPTION FIELD DATA Date installed 8/9/10 Soil rating (g.p.d./ftz or ftz/bdrm) 1.2 GPD/SF System type 5' Wide Length 25 ft. Width 5 ft. Gravel below pipe 4.0 ft. Total depth 12 ft. Eff. absorption area 250 ftz Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. N Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum No Add On Manhole - Gravity Flow to Absorption Trench. Size in gallons _ in. "Pump off' level at Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: >1 r)01 Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot On adjacent lots > 100' Absorption field on lot >100' On adjacent lots >100' Public sewer main >100' Public sewer manhole/cleanout >100' Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >5' Water main > 10' Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: 5'*** Property line Building foundation >10' Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' Absorption field >51 Surface water >100' Water main N/A Driveway, parking/vehicle storage > 10' F. COMMENTS No Home on Lot. **No Pump in Well. ***See Lot Line Waiver. G. ENGINEER'S CERTIFICATION I certify that I 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 2/28/2015 COSA brown sheet 10-10-12.doc r 4918 k MICHAEL E. ANDERSON w e CE - 4381 in. -- 89'55 80.0 ----- - I I I I /IWELL SLOT 12 i / LOT 13 i L01,, 141 i LOT 15 LOT 16 l i WELL II I \I I I I I I I I WELL 11 � I\ I I I \ I PLOT PLAN _ AS BUILT X SCALE 1" = 40' GRID SW 2731 Project No. 15-032 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax COppp kenDiongsurvey.com / jonothanDiangsurvey.com �l��F g Op�'e`-. • 9544 I hereby certify that I have surveyed the following described properly: qq `Q ' f�O LOT 6, BLOCK 1, ELDON SUBDIVISION (PLAT P-474) QO* 49 y p� Anchorage Recording District, Alaska, and that the improvements situated thereon are :. ... within the property lines and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed 0 premises and that there are no roadways, transmission lines or other visible Q KENN LA ¢� easements on said property except as indicated hereon. Q 3I it. ((5 cII9JJ Dated this the _1 Day of r Iot5 , of Anchorage, Alaska O�'*4S-5209.-" h" 9 .......... It is the responsibility of the owner to determine the existence of any easements, 44�slONN �o� covenants, or restrictions which do not appear on the recorded subdivision plat. �OODD�o E 120tb —AVENUE w / 1P I----T-----.-- N 89'59'30'E 80.00' I WELT/ CHAIN—LINK I I 1 FENCE I I I \ I z //WELL - LOT 4 i\ LOT 5 ILOT 6 LOT 7 LOT 8 \g 10,822 s. j I L0.5' I 21.2 UNABLE] TO FIND WELL n ON THgSE LOTS 0 C z I��z� X I M I 10' UTILITY EASEMENTS 1.0' 21.2' SEPTIC IPES I / -- 89'55 80.0 ----- - I I I I /IWELL SLOT 12 i / LOT 13 i L01,, 141 i LOT 15 LOT 16 l i WELL II I \I I I I I I I I WELL 11 � I\ I I I \ I PLOT PLAN _ AS BUILT X SCALE 1" = 40' GRID SW 2731 Project No. 15-032 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax COppp kenDiongsurvey.com / jonothanDiangsurvey.com �l��F g Op�'e`-. • 9544 I hereby certify that I have surveyed the following described properly: qq `Q ' f�O LOT 6, BLOCK 1, ELDON SUBDIVISION (PLAT P-474) QO* 49 y p� Anchorage Recording District, Alaska, and that the improvements situated thereon are :. ... within the property lines and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed 0 premises and that there are no roadways, transmission lines or other visible Q KENN LA ¢� easements on said property except as indicated hereon. Q 3I it. ((5 cII9JJ Dated this the _1 Day of r Iot5 , of Anchorage, Alaska O�'*4S-5209.-" h" 9 .......... It is the responsibility of the owner to determine the existence of any easements, 44�slONN �o� covenants, or restrictions which do not appear on the recorded subdivision plat. �OODD�o