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HomeMy WebLinkAboutHANSON ACRES #1 BLK 2 LT 13
Parcel I.D. 009-293-04
Certificate of On -Site Systems Approval
Expiration Date: 2-1-2023
Legal description Hanson Acres #1 Block 2 lot 13
Site address 5706 & 5710 Denali St. Anchorage, AK
Current property owner(s) Hanson
X The On-site system(s) is/are approved for 2 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories: Please note chicken coop should be a minimum of 50' from the well
Recommend annual testing of Nitrates to monitor any impact.
Original Certificate Date: 11-1-23
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
Absorption Field Advisory
Tank Age Advisory
Other
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
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. 009-293-04
Complete legal description HANSON ACRES #1; BLOCK 2, LOT 13
Location (site address) 5706 & 5710 Denali Street *Anchorage
Current property owner(s) Hans Hanson Day phone 907-230-0321
2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS
3. TYPE OF WATER SUPPLY: ❑ Private Well 0 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 $ �g0 1 S `� Waiver Fee $
Date of Payment o� 3111Ia a c(/� 04-1t:5' Date of Payment
COSA # �ZZ l 1 Waiver #
COSA Applicdon June 2022
Legal Description: HANSON ACRES #1; BLOCK 2, LOT 13
Parcel ID: 009-293-04
If more than _ well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA ***PER MOA ONSITE RECORDS
❑ Well log is filed with Onsite (or attached)
Well production at time of test 6.4+ gpm
Date drilled PRE _969 Total depth ***198
ft Water storage tank volume N/A gallons
Cased to UNKNOWN ft
Well disinfected for coliform test? ❑ Yes No
❑ Sanitary seal is functioning correctly
FN Coliform bacteria is Negative
❑ Wires are properly protected
Nitrate 1.95 mg/L ❑ Nitrate less than MRL (ND)
Casing height (above ground) 12+ in.
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Date of flow test for COSA 10/7/22
Collected by GEG, LTD.
Static water level at beginning of test **2
ft. Date 10/7/22
Comments *PER GEG WELL FLOW TEST
**WATER VISIBLE UPON TAKING OFF WELL CAP
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments:
D. ABSORPTION FIELD DATA
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)
❑ NIA — 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 fiel of used for more
than 30 days prior to date of t)
Gallons introduced allons date
Any rejuvenation tre ent (past 12 months)
If yes, enter e
eficien
COSA Checklist June 2022
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy
Results
Fluid de prior to test in
Ze
added gal
w fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
ME
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 NSA ft
Community Sewer Manhole/Cleanout > 100'
❑ Yes if No 50'+ ft
Neighboring Tank > 100' Fwj Yes
if No ft
Private Sewer/Septic Line > 25' [:]Yes
if No "'UNK ft
Absorption Field on Lot > 100' ❑ Yes
if No NSA ft
Holding Tank > 100' 0 Yes
if No ft
Neighboring Absorption Fields > 100'
ervice Line > 10'
Animal Containment > 50' ❑ Yes
if No *43 ft
Yes
if No ft
Community Sewer Main > 75' ❑ Yes
if No 50'+ ft
Manure/Animal Excreta Storage > 100'
Q Yes
if No ft
AW1NU SEWER ❑ 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
Building Foundations > 10'
❑ Yes
if No ft
Tank to Property Line > 5'
❑ Yes
if No ft
Field to Property Line > 10'
❑ Yes
if ft
Water Main > 10'
Yes
if No ft
ervice Line > 10'
❑ Yes
if No ft
Surface Water > 100'
LJ Yes if No ft
djacent 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
`43' FROM WELL TO CHICKEN COUPE HOUSING A MINIMUM OF 11 CHICKENS (SEE ATTACHED PHOTOS).
"IT IS BELIEVED THAT BOTH HOMES EXISTED BEFORE 1983 WHEN NO SEPARATION WAS REQUIRED.
AWWU PERFROMED DIE TEST AND CONFIRMED BOTH HOMES ARE ONr'CITY SEWER.
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 Gamess 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 o60�0
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 o l O . .. �p4
exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend S
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing �:' r 9 1 -i
the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not /J• • • • •'. • • . • • • • • • • • . • • • • • ..: • .
guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding
the future performance of the well or septic system. GEG makes no representation whether an alternative well...
or septic system can be installed on the property in the event either of the current systems fail to perform ff y A. Garne s.
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG vQ m A.
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including q property ) Y 9 9 ��P
mcludin subsequent roe purchasers) is not authorized, nor will it confer an legal right whatsoever. �c o
COSA Checklist—June 2022 #AEcc 84
00
I i i
Lot 3I I Lot 14
i 20.0 30.0'
-
(
CHAIN—LINK FENCE x ( I
EAST 153'
to
i 78.5' r
20.3'
41 I
m� I
COOP 01
N Z N
I rn
L -1 20.354.1' pJ
8.3'x8.0' SHED !�
}- p w/ 4.3' LEAN-TO �--
Lot 4 i .. i = CONCRETE 3 V)
WALKWAY
I z Lot 13 0
15,300 S.F. <
WA MY
WELL z
68.6' Lai
24.2' m f�
a
3.7 '
Not STORY
9.5'x12.2' SHED------_
PRESIDENCEN
::GRAVEL '
PARNG
60.3' 20.5 CONCRETE
WALKYlAY .
WEST 153'
oJ
Lot 5 i i Lot 12 I TRASH BIN
STORAGE
I I I
MORTGAGE SURVEY _X_ SCALE _ 1=_= 3QGRID _2W_1931 Project No. 22-670/Al
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone
(907) 522-4625 Fax Qvoo�'Op�O Q
Professional Land Surveyors ken®longsurvey.com o OF A
jonothan0longsurvey.com
I hereby certify that I have surveyed the following described property:
LOT 13, BLOCK 2, HANSON ACRES SUBDIVISION #1 (PLAT No. P— 94A) o°* 49TH
Anchorage Recording District, Alaska, and that this mortgage Location Survey is a """"""Q
representation of the conditions that were found on the date the survey was performed.
This survey does not constitute a boundary survey and is subject to any inaccuracies • • �•
KEN ETH G. U Gr �r
that a subsequent boundary survey may disclose. Th® information contained hereon shall � �' � •�o �
not be used to establish any fence, structure, or other improvements. ���s�
a F . L 5 02 . • 5J©D
Dated this the Z ` (il Da of cr,c._, c.,= , 1,_ 2,�z 4 a
—�_—__ y at Anchorage, Alaska Qppgpp�S510NAL ��QO
It is the responsibility of the owner to determine the existence of any easements,
nnvannnfe_ or rwctrir_tinnc which do nnf nnnwnr on fha rnnnMAH ctihdivisinn nlnt- AFCf QR?5
Erik Widger
From: Hauenschild, Veronica A. <Veronica.Hauenschild@awwu.biz>
Sent: Monday, October 17, 2022 11:07 AM
To: Erik Widger
Subject: 5710 Denali Dye Test
Hi Erik,
I am unable to send over the service order because there is personal information on it but you can put on file that both
houses at 5710 Denali were dyed tested and confirmed to be hooked to city sewer.
Let me know if this will work or if you need something more official.
Thank you,
Veronica Hauenschild
Engineering Technician iB
Anchorage Water & Wastetvater Utility
Office: 907-564-2762
Vc-ronica.l'auenschilg`@au,,wu.biz
REQUE OR APPROVAL dP
INDIVIDUAL SEWAGE AND WATER FACILITIES
(Fill out in Triplicate)
Numbe~- ~>~. bedrooms ' in house
Water, Analysis:
a. -
b, Dete~gent
W~l ] data:
d. Distance from well to closest existing~ or proposed:
1. Sewer line ,~?-O
2. Septic tanP. ~5~
3, Seepage Area .... ~,%~' /.
~, Cesspool' ~' ~
5. Property Line /~ / .
Other sources of possible contamination~ i,e.~ creeks, lakes,
houses, baPn~ dPalnage ditch, etc.
Sewag~ disposal system,
Septic tank capacity in gallons
Name of septic tank manufact~me.m
1. If "home made" show diagram on reverse Side of this form.
Disposal field or seepage pit size and type ~¥~2~.~.~.~... ~':'-
z ,/' /
1. DistBnce to proper~cy, llne
to house foundation. '//~ ' t
Percolatlor~.T~st~r~sults
f. Percolation Test performed by ,
Use the reverse.side of this form to show diagram, Diagra~ should include
· -.~he following information: property lines~.well location, house location,
~.ptlc tank location, disposa! area location, location of percolation test,
a~ direction of ground slope.
The ~o,~+~on .on this form is true and correct to the best of my knowledge,
Signature of Applicant
w~O_B_E FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL
~ate ~i'~ed
The above described sanitary facilities are hereby approved, subject to the
......... ~611owing con~i~'ions. ' ' ~
Conditions: /~¢~-'~
The
above
described
sanitary facilities are disapproved for the followinf,
r~ asons | -
.Approval is valid for one year following the date of approval.
CPJ:cw