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Home My WebLink AboutEKLUTNA HEIGHTS #1 BLK 3 LT 6 MUMC AL LI TY OF ' HCH0R,, E Development Services Department p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-061-26 Legal description EKLUTNA HEIGHTS #1 BLK Site address 21420 Rock Ptarmigan St Expiration Date: 4/12/2023 3 LT 6 Current property owner(s) Aaron and Lavonne Smith X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By LIVL JT�� Original Certificate Date: 1/12/2023 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 Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 r�� r r/J MUHMPAUTY OF A3 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. 051 061 26 Complete legal description EKLUTNA HEIGHTS#1 BLOCK 3 LOT 6 Location (site address) 21420 Rock Ptarmigan St Current property owner(s) 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ 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 47 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: NONE 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 $ '9 96 -e—'5 Waiver Fee $ Date of Payment COSA # 8:5x' 9 16902 -f 01360 Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B.TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material 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) N/A – 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 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 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 Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 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 ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ 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) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent 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 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 Phone Engineer’s Printed Name Date C&M ENGINEERING CHARLES BALZARINI, PE 1/05/23 ..WI'vk� Q STATE OF ALASKA ' r ARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ONSITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION W. umFAaueewnw.n..lu. s.n.r Sm APP Ne: y,Nw, /aa,c4" This approval does not constitute a guarantee of spy khtl,explicit or Implied, Of the water supply and wastewater disposal systems. WATER SUPPM/ ' A recent water sample was to Ing water standards for total Consarvatlob drink WASTEWATER DISPOSAL \\� The domestic wastewater system was: G Inspected by the Department of Environmental Conservation and found to be In compliance with applicable requirements of 18 AAC 72; Inspectetl by a Professional Engineer who certifies that the system compiles wlth applicable rs quinerasM S of 18 AAC 72; ❑installed by a Certified Installer who certifies that the System compiles with applicable requirements of to AAC 72; or L tested by a Pmiessional Engineer who emMiges that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified In 18 AAC 72.. This approval is valid tons L1 single fanllly JV muitl4amtly all with a total of f bedrooms. lamoe Ida WNrtE—pANNLEXONIC IMFIMWN:CANARY—APPucANT PINK—OEMRMENT M STATE OF ALASKA OEPAPTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ONSITE WATER ANDSEWER SYSTEM APPROVAL L GENERAL INFORMATION .ev.. ni m. w ..,+uop"or 40a � � �Y�v.tliil,Q 1 ETGl�gli'� i V( -W PA, 9921-OP—o4B ,.FFtlyilwY,BN. J � 'ixJC�-�HCa�T ❑um.n..mao If n...�u..to. I...�.. . ❑no. e.... .. .. .«. d,, ❑I.❑ A 1, V�raloRo nt% ptpsICA 9954 I . �-1 I - 2-1412- -1°12o 0w It WATER SUPPLY SYSTEM lailial 1UvwI " w ..,+uop"or s��.l a. vy ❑m�.�....n.N.,a..,.m ..• �„9�,n❑o�A„..,. ❑um.n..mao ❑on. nm.mx„I ❑no. e.... .. .. .«. d,, ❑I.❑ A C. . �.In.i�enb ..�e�iZcoe`M m.e.p+,w aloorOWN 11 or Aforoft"mA...off .Aala.,,.. 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M °-i" <, r•ri -I I.Fl III coer...n•� a=•� n o Tek<` s:o �r. rtm tot k.~<. — °x l`. ,.`IFeltIx}F am ,lA<° IFI, LT" }- e TWIs isa.1 J�4�GlK-r all -110 � E1etX„y steric.-»-.rc,. paill Il"that Info onl:mrmC { A�NRI[RR k Rhv RadelQ- �:u..ee.osmeP•°+��w r.. 9W]iareErs�.w. um If oath, o a.°r. .,iia.. u. ❑ant au.rrm.na.� TVPh Sol Abut Selt Al I'll sel 7YPll BlIckfUl Met off IF, 5.11 a.,xi..e.x•,m.anxeor oIe1tTmFkPjFl lamc°oena. ❑nom Onplot II N I No Fee mmXl'sfW4p 'F/&7 -.U- 7�Fi PIS 1ra .sg�,p w eine.d m1QFftHn1I is "Foot I'm v Tz RA��; FM ESS bv SICIS LOG & 6 engineering S.R.B. IM O PERCOLATION Eagle Rwor, AK 89577 TEST SOILS LOO — PEBCOLAI TEST m A IN 1, uc7a TEST pyH 9IIINIM - F`, yY FT 1Rat llil■ ■C'�1!!�'!!�1l1� ■■Pi■ ■�'!■id!'oo 81ftf'E■ ■�A1■ ■■�1_E'�3E�1�Ik■ ■!!■ ■I■!■�I!■111+■ OMEN ■■■■ ■�■■■■■■■>a■ ■■■■■■■■■■ m A IN 1, uc7a TEST pyH 9IIINIM - F`, yY FT _�PVvrg ;L STATE OF ALASICA ENT OF WIVIRONMENTAL CONGIRdA1. k` APPROVAL OF ON RESIDENTIAL WATER AND SEWER SYStEM3 PROPERTY DESCRIPTION This approval does not constitute a guarantee of any kind, Wlioit or Implied, es to theperformance of the water supply and wastewater disposal systems WATER SUPPLY A recant water sample was tested and found to mast Departmant of Environmental Conservation drink Ing water standards for total coliform bacteria. WASTEWATER DISPOSAL The domestic wastewater system was: ❑ Inspected by the Department of Environmental Conservation and found to be In compliance with applicable requirements of 18 AAC 72; ❑ Inspected by a Professional Engineer who certifies that the system compllaa with applicable re- quirements of 18 AAC 721 ❑ Installed by a Certlfled Installer who certifies that the system compllaa with applicable requirements of 18 AAC M or XI tasted by a Professional Engineer who wrtlfles that the parformance of the system Is satisfactory and that the system compiles With the minimum separation distances specified In 18 AAC M This approval is valid fore 71 ainglekmllyOg muliLiamByungwithatchdof �L-- bedrooms h Po INQ MORIBUMOH.W IiFBnxNIEHaINOIH911i1nION: Gx.1pY_APPoIGM, PIHH—aEPnmHEm GREA ,F.R ANCHORAGE AREA BOR,..JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska ggS03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH INSIDE WIDTH ,LIQUID DEPTH LIQUID CAPACITY /~ ~ GALLONS. SEEPAGE PiT: NUMBER OF PITS / DIAMETER __ L~',4/~Z / CRIBSIZE: LINING MATERIA V (' OR WIDTH DIAMETER __ BUILDING FOUNDATION NEAREST LOT LINE__ ADDITIONAL ABSORPTION LENGTH DEPTH 4 ~,/' DEPTH ~/~/DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)rT~ /~ SQ. FT. WELL: TYPE CON UCTION BUILDING NEAREST NEAREST FOUNDATION __ LOT LINE SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: f/// 2 fl'O' REMARKS: D)3AGR~M ,OF SYS~EM / o ~t.., : r/4, .~" 7~-~',- ~' PERMIT NO, HUN I ri_: I PAL I T¥ [~F ;~.I'*iCHORAGE DEPARTMENT ~ HEALTH AN~) ENVIRONMENTAL ~OTECTION 2510 E. JDOR RD., ANCHORAGE AK. 87 276-2221 ON. ,,S ]: TF SEP. R ]:: T ,:. 76i00 ) APPLICANT PAUL MYER~ ~209 BQ~ELLA LOCATION 'P~IONEER ST LEGRL L6 B~ EKLUTNA HOTS SUBD #1 T~'PE OF SOIL 8BSORBTION S~STEM IS: PIT ~RXIMUM NUMBER OF BEDROOMS SOIL RATING 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION S~STEM IS: CCEPTH= ~ LENGT: lm~., '1 ; 6RR~'EL THE LENGTH DIMENSION IS THE LENGTH (IN EEET>~OF EACH SIDE FOR A ~E~PAGE PIT. THE DEPTH OF A TRENCH OR PIT IS GROUND AND THE BOTTOM OPTHE THE GRAVEL DEPTH IS THE MINIMUM DEPTH:OF AND THE BOTTOM OF THE RE(~U I RED SEPT I ¢ T2, NK $ I;ZF .~ ~! 0~0 8RLLONS BACKFILLING OF ANY SYSTEM WITHOUT EINFIL INSPECTION AND'APPROVAL BY ~HIS DEPARTMENT WILL BE SUBJECT"TO PROSECUTION, - i00 FEET FOR R PRIVATE ,WELt:OR SPECIFICRTIONS RND CON~T'RUC~tON INSTALLATION. PERM I T Vi=Il I D FOR ONF ~¢FI;:tR.. FR,OM I $SIJE I CERTIFY THRT i: I AM FAMILIAR WITH~'~i~HE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET. FORTH B~ THE MUNICIPALIT~ OF ANCHORAGE.' , 2: I WILL INSTALL THE 'SYSTEM I 3: I UNDERSTAND THAT THE ON-SITE ' IF,THE GEO'm~.~CHNICAL ~r DEVEL ?MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 $0~[L LOG ~-2260 Soils ~ Foundations Land Development Hailing Address: /~..,~.,~o~ /~-~ ~ ~, Legal Description: ZO'T Depth (feet) Sot1 Characterlst_t.l~. 0 1 2 3~ 4 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: /~/~Y T- ,'-Z~ ~/, No ~ )f yes, what depth.___._. Drain Fie~d~ G AT .. ' NS.O.AaE so OuG Dep:=tmen* o~.nv~ronmem~l Qualt~P"~TER ANC~O,~AG~ ARE~ BOROUGH 3500 Tudor Road -- Pouch 6-650 -- ................ ~chorage, AlaSka 9950~ _ [ _..I ~1 .......... I ~ ~ ~ N°. 870 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY MAILING ADDRESS ,,~,'~ ~""~'~-~/ ~--~;:/'~'/~'~"~""~)~ PHONE LEGAL DESCRIPT,ON (/~, ,~z~j/~_.~ d~x~,///~ MATERIAL GALLONS. 3'~ c/c- L_C/~/. INSIDE LENGTH NUMBER OF- ~ COMPARTMENTS ~.~/_ '¢~:- / 7-.~'-'~ ~;/:~'.-~ LIQUID INSIDE WIDTH. DEPTH SEEPA'GE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUT~IDE DIAMETER NEAREST LOT LINE c:~O ~ 2~ ~ . ~ OR WIDTH ,/'~--~ DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH /~-- , DEPTH , BUILDING FOUNDATION~-'~'~' c~.(~'7~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ~ , -" ., NEAREST LOT LINE. ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES / IN. TOI~FECTIVE IN. ABOVE TILE WELL: TYPE ((.O/~/J// , DEPTH ~ LOT LINE , SEWER LINE · TANK DISTANCE FROM ~ WATER ~ ., BUILDING FOUNDATION SAMPLE_ , NEAREST SEEPAGE - OTHER ~- , SYSTEM -- . CESSPOOl , SOURCES~ DISTANCES: · - / DATE DIAGRAM OF SYSTEM Time MUNICIPALITY OF ANCHOR~,...,,: Time .... e Eiate Date Date Inspector ~[CEIV[D Inspector Inspector Gommonto Gonditional ~pproval Date Sewer Installed Permit No. ~?~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~/~ v /~~ ~ , Phone Mailing Address ~ Address Lending institution ~ /~'~/ ~ ~ ~~. ~ho~ Realty Co. & Agent Address ~4' Street Location P~,~¢ ~ Type of Residence ~ Single Family Multiple Family No. of Bedrooms ~ Other Water Supply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log If ~Community Public Utilit~ available.) Sew~e Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 June 28, 1982 Jim and Barbara Sisk SR Box 3011 Chugiak, Alaska 99567 J~UNICIPALI'J7 OF ANCHORAGE D?T. OF t!,''~'!-T!4 ~, ENVIF,: ,~,lb,ii~FL A. ['~O E. 'TI' ': ,I RECEIVED Dear ~[r. and Mrs~ Reference: Lot~-k: Block 3t Eklutna Heights Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The absorption trench was tested by a continuous flow of 763 gallons of water over a period of 24 hours without any adverse effect on the system. It can be concluded from this test that the waste water treatment system serving the four bedroom duplex located on this property is currently functioning adequately. However, this system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to call. cc: Re/Max Realty ATTENTION: Joyce Porte Municipality of Anchorage Department of Health and ~Environmental Protection SRB 196X EAGLE RIVER, ALASKA ~une 9~ 19~2 Jlf¢ and Barbara S' SR Box 30].1 Chugiak, AK 99567 Subject= Lot 6 Block 3 Eklutna Hts. Approval for the individual sewer and water facilities cannot be granted until the following items have been completed~ ~ The septic tank pu~ped with a receipt submitted to this department · An adequacy test needs to be performed on the existing leaching area. Thi? ~est will determine if the systen~ is adequate according to Iqational Standards. A listing of private firms performing the test is enclosed. %q~is report ~eeds to be submitted to this office for our review. Please notify this Department for a reinspection ~,~h. en the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely., Robert C. Pratt Associate Environmental Specialist Enclosure RPl2~/p/Et[ MORTGAGE SURVEY _x_ SCALE _ 1._. 40'_ GRID NW_1461Project No. ---- 11500 Daryl Avenue, Anchorage, Alaska ``9"-3049 Lang & Associates, inc. (907) (907) 522-6476 Phone ken®longsurvey.com Professional Land Surveyors jonathanolangsurvey.com OF At. kk travis6longsurvey.com I hereby certify that I have surveyed the following described property: LOT 6, BLOCK 3, EKLUTNA HEIGHTS SUBDIVISION — ADDITION No. 1 (PLAT No. P -215A) % *: 49TH * �/ Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a • • • 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 / that a subsequent boundary survey may disclose. The information contained hereon shall/��9•. KENNETH G. LANG ,o not be used to establish any fence, structure, or other improvements. 0.5202 '/ Dated this the __ __ Day of __ .. --S-___, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 NOTES: 1) DUE TO SNOW & ICE COVER, SOME SURFACE LEVEL FEATURES ARE APPROXIMATE. 2) THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. I 33.0' { Lot 5 I I 33.0' ` I WOODEN FENCE CHAIN-LINK FENCE 0 N 89'55'20"E 264.0' n ;r" N M SHED o J Z 32.2' 20.3' 6.1'x9.9' PORCH N r a 83.9' o M u�= J w W ;13SEPTIC Lot 6 w p N O :921,776 S.F. PIPES o. D w o�J��P ♦� ao N COVERED CONCRETE PAD d - 0 M O(tP�F'� N Z COVERED 8.1'x8.1' GREENHOUSE U ''-CONCRETE PAD M 152.1'20.3' ;0 — — " S 89'55'20"W 263.9 m I F III WOODEN FENCE W I RETAINING WALL I I Lot 7 I I MORTGAGE SURVEY _x_ SCALE _ 1._. 40'_ GRID NW_1461Project No. ---- 11500 Daryl Avenue, Anchorage, Alaska ``9"-3049 Lang & Associates, inc. (907) (907) 522-6476 Phone ken®longsurvey.com Professional Land Surveyors jonathanolangsurvey.com OF At. kk travis6longsurvey.com I hereby certify that I have surveyed the following described property: LOT 6, BLOCK 3, EKLUTNA HEIGHTS SUBDIVISION — ADDITION No. 1 (PLAT No. P -215A) % *: 49TH * �/ Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a • • • 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 / that a subsequent boundary survey may disclose. The information contained hereon shall/��9•. KENNETH G. LANG ,o not be used to establish any fence, structure, or other improvements. 0.5202 '/ Dated this the __ __ Day of __ .. --S-___, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963