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HomeMy WebLinkAboutHOPP LT 2'Hopp BERNRRD HuFF TOND I LN L2 HOF'P S..,'D F~PPL I CRNT LOCRT I ON LEGRL E;85CI TON[:,I LRNE LOT _ I~E 2U: ........ 'qOI IRF,'E F:EET MINIMUM DISTFINCE BETWEEN FI WELL. FIND FIN"r' ON-SITE SEWAGE DISPOSAL SYSTEM IS ±CICl FEET FOR R PR IVRTE WELL; OR ::L5P'I 'FO 2'.~}0 FEET FROM FI PUBLIC WELL DEPENDING UPON THE T'¢PE OF PUBLIC WELL.. WELL LOGS F:IRE REQUIRED FIN[) MUST 8E RETURNED TO THE DEPFIRTMENT WITHIN 3:E.~ DFI"r'S OF' ]'HE WELL COMPLETION. OTHER REQUIREMENTS MR"r' FIPPL"r'. SPECIFICFITIONS F'/ND CONSTRUCTION DIFIGRFIMS RRE FI'v'FIILFIBLE TO INSURE PROPER INSTFILLFITION. I CERTIF'¢ THFI'F Hz:, .... N-".:, I FPS 1: I FIM FFIMILIFIR WITH THE RE']!JIREMENTS F-IF.' ¢' "' SEWERS laN[:, WELLS """" SET .... OF' RNCHnF.'RGE F-"CRTH B'¢ THE M!JNII_,IFHLIT"r' - . <: I WILL INSTFILL THE ..-,~--FE£1 IN FICCOR[:'FINCE WITH THE CODES. S I GNED: ............ FIPPL. I~NT BERNFIRE.~HOPF PLEASE UAT ER WELL FO'ED STAPLE OR TAPE ~ ~,,~,,q,P-,~*mrrv OF ANCHORAGE DEPT. ~FiH~/~T~r~'it ~uml)er ENVIRONMENTAL pF. OTECTION [F C0C^T'DH Or WELL I 0'.NE~ N0. STATE OF ALASKA )EPARTM£NT OF NATUP~L R£SOURC[S S~[eet Address and Area of Well Location ~ STATIC ~ATER LEVEL: ~d ft. ~a~ve ~" land surface ~ft. after / hrs. pumping /~ ,9.P.m. II ~LL HEAD COMPLETION: / ~ln Approved Pit ss Adapter ~ 12" A~ve Grade 12 GROUTING: ~eJJ Grouted: ~Yel ~aterial: ~Neat Cern[ ~ Other: SANITARY, ~~~ ~ l~ PUHP: (If available) Nearest Source of ont.mJnatlon Length of grop Pipe ~[. capacity Feet .,plrect ion Yyp' Typ': ~,sl~le ~ Other: This ~11 was drilled under my jurisdiction and this report Is true to the best of my knowledge and beile[: 'A~hor t ze~R&pr~a t lye · ~Z~V'IV ~0 ~AI}t~ MMIRflO~OR IO0~ ~ZD~O~H ?V~I~V~ ~0 &NH~&HV~ V~V?V ~0 H~V~ December 29, 1978 9780628 Bernard Hopp 6850 Tondi Lane Anchorage~ Alaska 99507 Subject: Lot 2 Hopp Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/ljw copy of permit ® Municipality of Anchorage z�� z 1 z On -Site Water and Wastewater ProgramNCR (907)1343-7904, S A E T Y Certificate of On -Site Systems Approval Parcel I.D.�41-091-19 Expiration Date:.. 1. GENERAL INFORMATION: Complete legal description HOPP' LOT 2 Location (site address) 6820 Tondi Lane *Anchorage Current Property owner(s) Linda Hopp ` Day phone 351-5399 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual' Well ® Individual Individual Water Storage ❑ Holding Tank Community Class Well ❑ Community Public Water System ❑ Public Sewer WaiverNariance request for: Distance: Received by: Dater COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Waiver fee $ Date of Payment J i"�ai� Date of Payment Receipt Number Receipt Number COSA # V_`� (' ;',t o j D �? Waiver # 5. 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 0 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 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 exist that were not identified during the evaluation. The operational life of all wells and septic systems depend 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 the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; 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 adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms ``�`� tOF f ff,�r�i Disapproved Conditional approval for bedrooms, with t o I �NDSujPV s. gy: Original Certificate Date: �C The Municipality of Anchorage Development 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other E Legal Description: HOPP; LOT 2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA Al Well log is filed with Onsite (or attached) Date drilled 12110/78 Total depth 104 ft Cased to 104 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3/6/20 Static water level at beginning of test 32.6 ft. Comments B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping Parcel ID: 014-091-19 Structure served by this system 1 Well production at time of test 3.5+ gpm Water storage tank volume N/A gallons Wel isinfected for coliform test? F-1Yes FE] Nc ' Coliform bacteria is Negative Nitrate mg/L Titrate less than MRL (ND) Arsenic ug/L rsenic less than MRL (ND) Collected by Date of Sample 3/6/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) Adequacy test date F-1ALL standpipes present per record drawing Results ❑Pass For bedrooms Total measured depth from grade ft (m Fluid depth prior to test in Measured depth to pipe invert from grade ft (min) Water added gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottom o ffective. If not, state Elapsed time min depth into effective ❑ Code -required soil ver over field Final fluid depth in ❑ System pres ed Absorption rate gpd (Required if cant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of t G ons introduced gallons If yes, enter date mments/Deficiencies: AWWU SEWER COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' NSA Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Yes Animal Containment > 50' ✓❑ Yes if No ft ❑✓ Yes if No ft ❑ Yes if No ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' —❑✓ Community Sewer Main > 75' ❑✓ Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' s if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wel _ 100' ❑ Yes if No ft Water Main > 10' Yes if No ft ��vC unity Wells > 200' ❑Yes if No ft Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter.,erstances if less than required) Building Foundation > 10' ❑ Ye if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft WA=eLine> 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft r > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS AWWU SEWER G. ENGINEER'S CERTIFICATION _� IF I certifythat I have determined through field inspections and review Acl-)�- 4 ��� 1 4 J p of Municipal records that the above systems are in conformance with * MOA COSA guidelines in effect on this date. ��....:.....f.M. ..... .......:... COSA Checklist yellow sheet Qe'ff ey�A Gar. ess. 0004 s�'•f 4�C3ET79 Z� AcG r i +��'• t`p �e�pro #AECC884 O�Dfessioo�oo ry a� U ce) N O 0 OL M U w 0 U) Lot 1 S89059'30"E 139.92 f ` Chain link fence (typ) I O c E( � ( Lot 2 M o T- C:) Z i ( Shed ( M Neighbor's driveway encroaches 0.7'± 24.0 U � D E a LL Well O o M o ua = -� r 2.4 0 S89059'30"E 139.92 Lot 3 AW :49th :1�Y1 i : Elizabeth L Walatka ; ,Q s �s� • • 80M - LS • Jc `,� SCALE: 1"= 30' i 1*04'- EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON BE. UNLESS OTHERWISE NOTED. _ FB 19-7, pg 54-55 -- 2.0 OH _. r Asphalt Driveway encroaches 0.4± 25 0 0 C) 614-1 ri 25 REVISED 12-05-10 Added well J�f AS-@ull..T NO CORNERS SET THIS DATE 1 hereby certify that I bane performed a Mortgagees inspection of the fd(oAring described property: --LOT 2 HOPP SUBDIVISION Anchorage Recording Pre ir:ct, Alaska, and that the improvements situated thereon are within the property tines and deo not overlap or encroach an the property lying adjacent thereto, that no improvements on. the property lying ad acent, thereto encroach on the premises in question and that there aro no rcadvrays, transmission lines or other visible easements on said property except as indicated hemon. Dated at Anckr=ge. Alaska this Ist day a November , 2019. 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