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Home My WebLink AboutCOLONIAL PARK BLK 3 LT 7 N2Colonial Park Block 3 Lot 7N2 #050 - 301 - 24 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page / of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SYS7-E/0 0C 0M6A)Pf7OID Number: 050 - 341-2ci Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New WUpgrade Name: ABSORPTION FIELD DOCUA4Ji5A1T�F,1OA1 El Deep Trench El Shallow Trench El Bed [I Mound Address 9 %3Z 2 Na 5 TWEET Other PhoneNumber 6'G3- 190- 556 of Bedrooms 3 Soil Rating SFIa p /$O I Total depth from original grade laFt. �versF LEGAL DESCRIPTION Depth to pipe invert from original grade Ft IGravel depth beneath pipe 6 Ft. Subdivision Block Lott? / !1 G GL Q/J/e Z- i� �z Fill added above original grade --" FL Gravel length — Ft. /* � ,4-g `3 / Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist between trenches From Tank Field Tank Line Ftr Ft. Well /00 f NA / /V A r a� TANK Septic ❑ S.T.E.P. El Holding El Other Manufactkkpw,' _ _ Capacity �G � � - ©G 6 Surface Water �d,.f /OQ ;�. �q r /�, l_J Gal. Material Number of compartments /� Lot Line /Q /0i� Af-f— /*A 1�l NA Foundation /0 / /Q C f ,V.4 x1¢ LIFT STATION Manufacturer Capacity Curtain Drain �v// �N� �,4 4/4 Gal. Remarks Sy STF_iY1 � � G �M�i4770 Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by .__.._ PIPE MATERIAL Housetotank �T�ankto /� t �1C 1��/` d (�)adA—ow4 Drainfield CO/MT Inspector BENCH MARK (Assumed elevation) IeL k Inspection a dates: � 2"" Location and description o'P /e-- Q K 3m 4m COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Epglhe si p <, Conditional Approval: Date vj �geaa� ece x �q �s� uP 9f�� Approved /it/ Date Y Z6 /,6 4 3z W4 inspection Kepon_u.1_U.aoc i I 6'2 N 1/2 Lot 8 L4 N O O — — ----arc A I o \ 2nd STREET ma. 0 S 89'56'00"E 132.00' N N 1/2 Lot 7 ------ 17,820 s.f. WELL f /-1.9'08.2' CANT r'N RFsip sr� OAYL�CFNC z4.o. HT 1 �FCk 10.1'x12.1' SHE WOODEN FENCE )RCH u / /-1.9'x23.7' CANT O / 50.4' q o N 1/2 Lot 6 h , m L4 0 / 10' UTILITY EASEMENTS S 1/2 Lot 8 I S 1/2 Lot 7 S 1/2 Lot S PLOT PLAN AS BUILT X SCALE 1" = 40' GRID NW 55 Project No. 16-094/A7 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone oQ�o4pp� Registered Land Surveyors (907) 522-4625 Fax _olQl OF.A (p04 kenOlangsurvey.com / jonothanOlangsurvey.com per``• " " • QS�o I hereby certify that I have surveyed the following described property: NORTH 1/2 OF LOT 7, BLOCK 3, COLONIAL PARK SUBDIVISION (PLAT P-688) 49TH �* Anchorage Recording District, Alaska, and that the Improvements situated thereon are Q....:...... ........... 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 premises and that there are no roadways, transmission lines or other visible z KE ET G r easements on sold property except as Indicated hereon. �ooc 1 ° Dated this the Da of hr',..i -t QP ' •.A L520 JOS y at Anchorage, Alaska p4�Q 1.,',,,,• deo It Is the responsibility of the owner to determine the existence of any easements, �4pR0�ssi°Nnua4 covenants, or restrictions which do not appear on the recorded subdivision plat. DDOp�o� ..... ( j =,3 § rn Z . ) too \ m - / `© s \ / $ § 0� . w 3 » ± 2 D }CD � ( j %\ § & m {2 m - , & s ro $ } )\ \ FID )\ f AD = 2Q- ° $ } ® $ ) i �i L i }CD � ( j %\ § & /{ } ® 2 & s ro ro ro m M } \w } OD / } n &a mg / ? ? R Apr 011603:32p Richard Woodsy, 603-3626003 P Q 94X 190M . 2921 WTERWOHAL AMM ROAD • ANCHORAGE. ALAwA 996i94Ne TELEPHONE 243-2466 I Customer's j Order No, Date Name Address __ �:_ •�a L_; #F '_.. .-, � awc er i.sH cnn riunae ! ou.cGr. �pxe xt'ra oam'our �— . ALL Claims and renamed goods MUST be aocompanled by this bill PAST DUE ACCOUNTS SUBJECT TO 1" WNWHIR CHAMN PER MONTH. A-13090 asedtr PA Department of Environ mental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~'~l~,J~. q'C~c'G-b,-. MATERIAl ~-~'~",1 INSIDE WIDTH LIQUID DEPTH NUMBER Of COMPARTMENTS LIQUID CAPACITY /~ GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION 3Or, DIAMETER ~'~,1 OR WIDTH LENGTH DEPTN CRIB 51ZE~ DIAMETER''~z DEPTH DISTANCE FROM: WELL NEAREST LOT LINE ~-I I TOTAL EFFECTIVE ABSORPTION AReA (WALL AREA) /~/~ ADDITIONAL ABSORPTION WEU: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED _ DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK_ SYSTEM_ REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: EO-031 GReaTEr ANChORAge AREa BOROUgh DEPARTMENT OF ENVIRONMENTAL QUALITY 3530 'C" STREET ANCHORAGE, ALASKA 99503 PERMIT NO SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION \ TYPE AND SIZE OF FACILITY tO BE SERVED~~ . ~ . OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY sYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~ SEEPAGE PIT ~t~/) / , DRAIN FIELD SEEPAGE PIT ALSO CON~DER AREA WELLS. SEEPAGE PIT ! /~ . DRAIN FIELD GRAVEL BACKFILl. CONFORM TO E~OROUGH REGULATIONS REGARDING INSTALLATION. AREA SIZE TYPE DIAGRAM OF SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH O~DINANCE NO. 2E.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAIl:} CODE. GREATER ANCHORAGE AREA BOROI]b"~I Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 ~ ~ SOILS I,OG -- PEROI,ATION TEST Performed for ~:_}"C~ ~C)~_~ /-)DateiPerformed Legal This form reports: Soils log '~ Percolation Lest Depth Feet 3- 4- 5- 6- 10- 11 - 12- Was ground water encountered? If yes, at what depth? Reading Da te '~ercolation rate -Proposed installa~i-~n~ Depth of Inlet COMMENTS: Gross Time Net Time Depth to Water Net Drop minute. Seepage Pit Drain Field Depth to bottom of pit or trencil F6'FFo ¥d' Certified By: __ Eq-040 6/74) Date: Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-301-24 1. GENERAL INFORMATION Expiration Date: 7 --2 Co — l ,� Complete legal description Colonial Park Block 3 Lot 7N2 Location (site address) 19732 Second Street Current Property owner(s) Wood Day phone 603-490-5506 Mailing address 180 Main Street, Atkinson NH 03811 Real Estate Agent Kathi Olmstead Day phone 694-5050 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class C Well Public Water System 3 TYPE OF WASTEWATER DISPOSAL: ® Individual 71 ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Received by: 7 ! 5 Date: COSA to be released to the engineer, unless otherwise requested by the engineer. 11111111110 COSA Fee $ fj O� ' Date: Date of Payment q m 6 a_N_ Receipt Number t>bgci �J ,J COSA # C?SGI to f 12-2 Date of Payment Receipt Num Waiver S. 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 for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and.from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng 6. DSD SIGNATURE 77 System #1 Approved for J bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Date - 4/18/2016 ... I bedrooms, with the following stipulations: By:`=WE Original Certificate Date: The Municipality of Anchorage Devlopment Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doo 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: C a /a r. I &rk 133 1-7 4/z- Parcel ID: 4 !/- 301- A. WELL DATA Well type 10 If A, B, or C provide PWS ID # Well tog (Y/N)_ Date completed / 91 Sanitary seal (Y/N) ��. [ Wires properly protected (YIN) Total depth3!?2f% Cased to 127ft. Casing height (above ground) Af in. FROM WELL LOG AT INSPECTION Dae of test e Static water level ft: Z 8* 7 ft. Well production r g.p.m. g -I g:p.m. WATER SAMPLE RESULTS: Coliform _-9--colonies/100 mL Nitrate Z q'? mg/L Arsenic N� ug/L Date of sample: �� /` Collected by: "/'E" 4', B. SEPTICIHOLDING TANK DATA // Tank TypelMaterial SEPI G / .S TEFL Date installed Tank size Jp04 gal. Number of Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression over tank (Y/N) High water alarm (YIN) A/— Date of pumping 4allJ $ Pumper-: r 7 PV —,&—p C. ABSORPTION FIELD DATA Date installed 24�k&41 Soil ratingd./ft? Z or ft/bdrm (g.p. ) aG� � System type Length _ 23 ft. Width 20 ft. Gravel below pipe ft. Total depth _ ft. Eff. absorption area YLIZ-fe Monitoring tube 4 Depression over field Date of adequacy test 0 /6 Results (Pass/Fail) _ For _3_ bedrooms- Fluid depth in absorption field before test O in. Water added2 5'0 o gal. New depth in. Elapsed Time: min. V min. Final fluid, depth in, Absorption Yate >= S g.p.d. " Any rejuvenation treatment (past 12 mo.) (Y/N &type) _ &,g If yes, give date D. LIFT STATION NSG} Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES A, WELL ON LOT TO; Septic tank/lift station on lot /Cl « On adjacent lots /&f/7- Absorption &fQAbsorption field on lot On adjacent lots /D f k l Public sewer main 0 0 ��. Public sewer manhole/cleanout /OO `F Sewer /septic service line r+ Holding tank Animal containment areas J �� Manure/animal excrete storage areas/ d �f SEPTIC/HOLDING TANK ON LOT TO: Building foundation i f Property line Al Absorption field 5 °` Water main AT f Water service line &1 Surface water X40 h" Wells on adjacent lots 00 ABSORPTION FIELD ON LOTTO: Property line Z r� Building foundation 164 Water main Water Service line , Surface water -'�-Driveway,, parkingNehicle-storage----- Curtain drain U>%/V- Wells on adjacent lots Afa La/- F. COMMENTS G ENGINEER'S CERTIFICATION ��►®1�� ! certify fhat I have determined through field inspections and aR� ,.•••° °,°�e`,j �e review of Municipal records that the above systems are,• in°�7 t conformance with MOA COSA guidelines in effect on this date. gt 4 FIs ., D► Engineers Printed Name g Date ®n W. Eng COSA yellow sheet_2-6-15.doc.. - - N 1/2 Lot 8 S so i 89'56'00"E 132.00' N 1/2 Lot 7 ------ 17,820 s.f. WELL 1 1,9 x18.2' CANT / PORCH N /--1.9'x23.7' CANT o OAY GNT 0� W 2<.0• SEPTIC PIPES 10.1'02.1' SHED — — — ---- &T 90.4' q N 1/2 Lot 6 / u / 0 / 0 j—UTILITY EA EASEMENTS WOODEN FENCE S 1/2 Lot 8 I S 1/2 Lot 7 I S 1/2 Lot 6 PLOT PLAN AS BUILT X SCALE --!L= 40' GRID 55 Project No. 16-094/At Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone oQF 4 Registered Land Surveyors (907) 522-4625 Fax oCa�� Ate` pQ ken*langsurvsy.cam / jonathanOlangsurvsy.com P`, .A..`N5 I hereby certify that I have surveyed the following described property: NORTH 1/2 OF LOT 7, BLOCK 3, COLONIAL PARK SUBDIYtSION (PLAT P-688) a . 491H , 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 no Improvements on the properly lying adjacent thereto encroach on the surveyed. ET G . premises and that there are no roadways, transmission lines or other visible KE r� easements on said property except as Indicated hereon. Q a t� .' Dated this the ��' Day of C .iL a 1 p at Anchorage, Alaska p'•0-520Z.•e*yos�p � If is the responsibility of the owner to determine the existence of any easements, OpOp��" covenants, or restrictions which do not appear on the retarded subdivision plat.