HomeMy WebLinkAboutHANSON ACRES #1 BLK 3 LT 14HANSEN ACRES #1 Block 3 Lot 14 #009-292- 11 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 - DATE RECEI.VED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED BY: ADDRESS: PHONE: .377 3. LEGAL DESCRIPTION: / 4. TYPE FACILITY TO' BE INSPECTED: o NUMBER OF BEDROOMS: WELL DATA: '-,/;' B. DEPTH /~Z ! D. CONSTRUCTION f . SEWAGE DISPOSAL S'YSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM..ZBA~?9~ 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A WELL TO SEPTIC TANK B WELL TO SEEPAGE PIT C WELL TO SEWER LINE D WELL TO PROPERTY LINE E WELL TO OTHER POSSIBLE CONTAMINATION F FOUNDATION TO SEPTIC TANK G FOUNDATION TO SEEPAGE PIT H SEEPAGE PIT TO PROPERTY LINE COMMENTS: APPROVED DISAPPROVED: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALIT I 4 ~ ....... .~ GREATER ANCHORAGE AREA BOROUGH '"' '\ Department of Environmental Quality ~/ /~ ~330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Phone: Phone: Mailing Address: 3. Legal Description: ,~_./~_~ 4. Location: ,~? 5. Type of facility to be inspected 6. Well Data: A. Type ~,~. ' '~ ~'~"~'~:--~.-~--~'~- C. Construction 7. Sewage Disposal System: A. Installed / B. Depth D. Bacterial Analysis B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: i. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: 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 Page 2~of two pages - Req_~st for Approval of Individual . r & Water Facilities Legal Description Comments Approved ~..~ ~/~-~ Disapproved Date ~// ~7~ Approval .Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) - / ' ~,o'[ ~{ ~ \ I~DIVIDUAL SEWAGE AND WATER FACILITIES / ..... i~ ~ ) 1 (['ill out in Triplicate) erCy; owner. 6, w~]] data: / c. Casin~ d. Distance from well to close[t existing or proposed: / 2. Septic tank, /,~ . ,. 3. Seepage A~ea ~. Cesspool~ .6~ ~ / 5. PPopePty Line 6. OtheP sources of possible contamina%ion, i.e.~ cPeeks, lakes, houses, baPn, dPainage ditch, etc. Sewage disposal system. b, Septic tank capacity in gallons.,,~z ~ . 1. If "home made show dlagPam on reverse 'aide of This foPm. d.' Disposal field oP seepaKe pit size and type. 1. Distance to proper~ ~n~ to house fo~dation Percoiatical Test Percolation Test pePformed by Use the reverse .side of this form to show dia£ram. Diagram should include -'.'-~he foilowing information: p?operty lines; .well location, house location, v~ptlc tank location, disposal area location, location of percolation test, a~d direction of ground slope. 9. The ~r~-~untlon Dn %his form is true and correct to the best of my knowledge. 'S'igJature of Applicant Date Signed TO~B_E FILLED OUT BY HEALTH DEPARTMENT PEP~SONNEL ~The above described sanitary facilities are hereby approved, .sub. ject to the i z~°-~!Ow~ng cond..il~ons: Conditions: The above described sanitary facilities are disapproved for the following reasons: - App,'ova Pb :' ~. ~..! ' ' is valid for one year following the date of approval. 2. 3. 5. REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) ~[au~ of person requesting approval %~au~e of property owner /~,-29© Well data: c. Casing Size d. Distance from well to closest existing or proposed: Sewer line Septic tank Seepage Area Cesspool' Property Line 6. Other sources of possible contaminations i.e., creeks, lakes, houses, barn, dralna~e ditch, etc. 7, Sewage disposal system. b. Septic tank capacity in gallons c. Name of septic tank manufactu~e,r ~)ag'tu~V ~'~O~w~5', 1. If "home made" show diagram on reverse side of this form. Disposal field or seepage pit size and type.,,.4~,-,~'~Z~ 1. Distance to pmoperty llne to house foundation e, Percol~=~tlon, Test ~es~Llts f. Percolation Test performed by , Use the reverse side of this form to show diagram. Diagram should include ,the foilowing infor~atlon: p.roperty lines~ .well location, housD location, ~pt.lc tank location, disposal area location, location of percolation test, an~ direction of ground slope. The i~for~tion on this form is true and correct to the best of my knowledge. S~gnature. -: . '6f Appl~c~nt~ .... Date S~gned TO BE FILLED OUT BY HEALTH DEPART~-JENT PERSONNEL ~ 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 following reasons% S~gnature of ~f~e.za:~l , Approval is valid for one year following the date of approval. CPJ:cw 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 OSC251099 Parcel ID 009 -292-11 Expiration Date: 2/10/2026 Legal description HANSON ACRES #1 BLK 3 LT 14 Site address 5925 FRANKLIN DR, APT 000001 Current property owner(s) POWERS STELLA W X The On-site system(s) is/are approved for 5 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date: 3/25/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syetem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other 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. 009-292-11 Complete legal description Hanson Acres #1 Block 3 Lot 14 Location (site address) 5925 FRANKLIN DR Current property owner(s) Stella Powers 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: FZ] 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 $ 2 5)0 Date of Payment �j 0 7 / Za 2 S COSA # C C 2-5 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: Hanson Acres #1 Block 3 Lot 14 Parcel ID: 009-292-11 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 6.8 gpm Date drilled UNK* Total depth 168** ft Water storage tank volume None gallons Cased to Unk ft Well disinfected for coliform test? ❑ Yes ✓❑ Nc 0 Sanitary seal is functioning correctly © Coliform bacteria is Negative ./❑ Wires are properly protected Nitrate mg/L FZI Nitrate less than MRL (ND) Casing height (above ground) 8 in. Arsenic 8.98 ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA 2/10/25 Collected by Arcterra Consulting Static water level at beginning of test 28 ft. Date 2/10/25 Comments *Records date back to February of 1968. ** Per MOA records. B. TANK DATA C. LIFT STATION Measur fluid level in septic tank ❑ Required maintenance completed Date of pumping Age of lift station years ❑ Required maintenance completed, if AWWTS Lift s Comments: Comments: D. ABSORPTION FIELD DATA ch system tested (date installed) ❑ ALL dpipes present per record drawing Total measure th from grade ft (max) Measured depth to pipe i ert from grade ft (min) ❑ N/A — pressurized feel . ❑ Per record drawings, field is in ted. ❑ 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/Deficiencies COSA Checklist June 2022 Adequacy test date Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY E ive depth (per record drawings) EffectiveE're in Effective ding in in 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' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No NA ft 0 Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NA ft Holding Tank > 100' ❑ Yes if No NA ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft P1 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' O Yes if No ft 0 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) g Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Tank to Property Line Field to Property Line > 10' Water Main > 10' Water Service Line > 10' F. ENGINEER'S COMMENTS 11 Yes if No ft ❑ Yes if No ❑ Yes if No ft ❑ Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Comm ells > 200' If tank or field is under driveway ❑ Yes if No ft ❑ Yes if No ft below 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 Arcterra Consulting Phone (907))-696-6111 Engineer's Printed Name Kenneth Duffus Date -3 / T - Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. *���r~���*��+ The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The r�4 %T OF A4 44 x+ flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year �7 �♦ and the water usage of the family being served by the system. The operational life of all well and septic s JIL systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will M j function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen y encroachments, deficiencies or discrepancies exist. KENNE D '++� CE 7116 i COSA Checklist June 2022 Lot 14, Block 3 Hanson Acres Subdivision No.1 13,212 Sq. Ft. +/- 5925 Franklin Drive 1 Story Wood Frame 4 Unit Apartment With Basement & Attached 2 Car GarageX X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X O H P O H P OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OHP OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OH P OHP N1 3 ° 5 1 ' 5 6 " E 1 7 0 . 0 0 ' N33 ° 5 4 ' 5 2 " E 1 7 0 . 8 8 ' L=47.93R=222.98 L=107.48 R=392.98 79. 1 ' 10. 0 ' 26. 0 ' 40.3 ' 54. 6 ' 4.1 ' 44. 6 ' 4.0 ' 11. 3 ' 29. 9 ' 30 ' 30 ' 30' 30' PAV E D D R I V E W A Y DIRT DRIV E W A Y ED G E O F P A V E M E N T LOT 13 7.3 ' 20.2' 17. 2 ' DEN A L I S T R E E T FR A N K L I N D R I V E LOT 15 LOT 16 LOT 14 BLOCK 1 E G T DAY L I G H T B A S E M E N T WIN D O W S 1 0 0 ' W E L L R A D I U S W 10' UT I L I T Y E A S E M E N T BOOK 7 6 P A G E 3 9 1 PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Rachel Shoemake, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. February 12th, 2025. Legend: Scale 1" = 30' Lot 14, Block 3 Hanson Acres Subdivision No.1 General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Carole Marvel 25-013 02/24/2025 P-194A SW1931 REGISTEREDPROFESSIONALLANDSURVEYORRachel N. Shoemake No. L.S. - 14646 Feb 28, 2025 Gas Meter Electric Meter G E Wood Deck Concrete Fencex Sign Telephone Pole Overhead Utility Tel. PedestalTWater WellW Surveyor's Note: 1. The computed boundary as shown represents the reconstructed geometry used by plat P-194A and reflects the true intent of the boundary thereof. Distance calls and label locations were found to be in error in many instances within plat P-194A.