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HANSON 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