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HomeMy WebLinkAboutELDON BLK 2 LT 11Onsite File m i:::IF:'F'L. ]: C:FII'q'T HI:::iF;~:I<: L. OC:F:IT :[ Ol",l .,:fFIC:K E;'I" L..E(:~iFIL, L.:.I..::I.. E',2 EL..E:'C'N [)E:F'Fff;?.THENT ()F' HEF~L.'T'H I::~ND ENVII:~Ii]i",IME::NTFIL. :?: E: 4-,..,, 4 ?' 2. ~....lI E: L. il ....... FTM E: F:ii: [r"'ll 3E '"'IF' :t..E!IE:.I f:I:EET I:::'(:]Ft FI F't:;?.:['v'F'ITE: I,-!E:L.L..~ CIE'. "1 ::' ::~ TC ;;.i:E!tE~l F'EE:T F'RCIH I:::I F'LIE',L. ]: C: I.,.IE:L.L. D,E:F'EN[::, :[ b,lE~ t..IF:'EIN "Ft'"E: "I""r'F'E Ot:= F'UE',L. :}: C: HEI....t .... HE:I....I... LOEiiE; FIF:E F:EI:i:!IJII-:i:E[::, I:::INE:' t"ll..E;T BE: F..:E'T'LIF;i:I'.,IE:[)'t"'3 THE: E:,E[F'I:::IF,~iTHE:NT I.,.I]:'T'H]:N O1= TI"'II!~: HE:LL COMF'L. ET]:ON. 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E; :t:,::~, N E ,: ::,: ....~.~_~ .................................................. ,-.,,'",r-,~ ~' ~ FTC::: I:::' L. ]: C:I::t N "t'~/H F:II~: I'::: ..:1' IJ N 1:.:~: t"t I:::1N N !--ick SZ.1tiree'- i N-11 �l r."—i - —.c! i -- 71— Indicate North w J - - J Q s U I Y T N ftl p L 'C rRN�c�R � o c U 0 UC U 0 � } i 0 (n 0 c i twit N 0- U o_ z 73 o w i� i w N � i U i a A n Z n-� m N r -w n n n; c �C m�z� O 3 N m i0 N 0- w F, m 0 ' 0 0 N Q 0 Z 3 0 — N p 0 0 3 0, 3am �-� 2(D0 °cn CD °° 3 c° f m o o o n (D7 -m. :1 � a)o m to A Z A m r N A' z° 01 ° z 3 ; n (D i 3c Z ❑0 0 C ° ° Z 3 0° I� CL A -I (D m m ° D ❑ n p° n ° t0 ° z o A m o - 3 o D ° G) Z(D y m o� 0 3 0 ' q N. z m ° � m n U) r 0 N. m 0 _ c r D a � p Z 0 m � a MUNICIPALITY OF ANCHORAGE 4 DYE TEST ------------- TAX CODE DATE - o16 -202-23 9-16-77 UVVNL[i MAILING ADDRESS: USER/TENANT: PROPERTY ADDRESS: JACK STREET SUBDIVISION: DYE TEM 0 POSITIVE 0 NEGATIVE FO ADDITIONAL INFORMATION: OFFICE: For Skip - need by Tues. noon - note whether or not vacant lot FIELD: ADMINISTERED BY: 42 31026 (9/7G) LOT • '-� Municipality of Anchorage ° On -Site Water and Wastewater Program <_F (907) 343-7904 s A, r T Y Certificate of On -Site Systems Approval Parcel I. D.016-202-23 1. GENERAL INFORMATION: Complete legal description Eldon; Block 2, Lot 11 Location (site address) 621 Jack Street *Anchorage, AK Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Expiration Date: "7- 1 �� Z Day phone Day phone 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 0� KO Waiver Fee $ Date of Payment Receipt Number COSA # 0 S C) 111`1 � Date of Payment Receipt Number 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 Engineerinq 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: 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. DSQ SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, ,tfrfy A. amass; CE -795r3 ` \�pr ess'%o� \\ #AECC884 OF JZ ON, WATER AND _ with the foil a[srn,ATER o J PROGh AM JJjI J /1����)1)� Original Certificate Date: g,rC___{ 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 19 COSA Checklist Legal Description: ELDON; BLOCK 2, LOT 11 Parcel ID: 016-202-23 If more than 1 septic system on tot: COSA Checklist # of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 5/15/79 Total depth $7 ft Cased to UNK ft ffil Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3/31/21 Static water level at beginning of test 20.3 ft. Comments PUBLIC SEWER B. TANK DATA Age of tank(s) years Tank type/material E operating fluid level in septic tank ipes/found out ce ord drawing mping 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 ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant fo ater than 30 days prior to date of test) Ga introduced gallons ments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 4.7+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes No © Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic 63.6 ug/L ❑ Arsenic less than MRL (ND) Collected by GEG Date of Sample 3/31/21 C. LIFT STATION ❑ Required maintenance com Age of Iif�setFQTf� years Lift station material Comments: Adequacy test date Results ❑ Pass For b Fluid depth prior to test In Water added gal Ne h in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' if No ft ❑ Yes if No ft ❑✓ Yes ❑ Yes Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' es 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' 121yes if No ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) I PUBLIC SEWER 1 Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' Yt ft Property Line > 5' ❑ Yes if No ft �.--�01 Wells on Ad' : ❑ Yes Absorption Field > 5' ❑ Yes if No Private Wells > 100' ❑ Yes if No ft Water Main > 10' es if No ft Community Wells > 200' ❑ Yes if No ft Wa ce Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) I PUBLIC SEWER Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway commer 1a�ieav "` Property Line > 10' ❑ Yes if No ft Wells on Adjacee Water Main > 10' ❑ Yes if No Private Wells > 100' ❑ Yes if No ft Water Service Line > 10' es if No ft Community Wells > 200' ❑ Yes if No ft ater > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS *CONNECTED TO PUBLIC SEWER IN 1979 - NO REQUIRED SEPERATION DISTANCE AT TIME OF CONSTRUCTION. G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet .... �:..^ ....e . s,. �y CE -753 �� #AECC884 i DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC211172 Subdivision: Eldon, Block: 2, Lot: 11 907-343-7904 Fax: 343-7997 A water sample revealed an arsenic concentration of 63.6 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. MaiUng Address P O Box 196650 *Anchorage Alaska 99519 6650 *www muni'org I I I I I I Lot 2 I Lot 3 I Lot 4 I I N 89'55'45"E 60.00' — — — — 10' UTILITY EASE4IENTS 9,4'x14.1' SHED LINK FENCE Z 1,Zo ,---5.0'x12.0' SHED !-r I EXISTING WELL 2512a_.z , cn Lot 12 Lot i 0 m N CONCRETE` m N o '•DRIVEWAY v o0 �p 2.0' s.o ..° WOODEN FENCE 4 LA �o � L < KN f 7.2'02.0' BALCONY n 8.0'x9.3' DECK WOODEN FENCE Lot 11 10,800 s.f. — — — — — — — S 89'55'45"w au.uu w 0 C JACK STREET. X SCALE 1" = 30' GRID PLOT PLAN ___ AS BUILT 115D0 Daryl Avenue, Anchorage, Alaska 99515-3049 ssociates , i n C e (907) 522-6476 Phone Lang A (907) 522-4625 Fax 9aooC�pq� o OF A v �, .cam Professional Land Surveyors konOlongsurveyIonathonOlongsuryey.com ooP . ' I hereby certify that I have surveyed the following described property: ELDON SUBDIVISION (PLAT P-474) thereon are O ff;' 49TH *"""" LOT 11, BLOCK 2, ed Anchorage Recording District, Aloska, and that the Improvements adjasitucent thereto, that onto the Property j X �U �0 , 1 within the property Imes and do not encroach no Improvements an the property lying adjacent thereto encroach on the surveyed transmission Imes or other visible Q��c KE�h{ETHGLAD( ' 0 11 4Q�'•.,�-520.•' premises and that there are no roadways, said property except as Indicated hereon. yJd easements on 2n!b at Anchorage, Alaska QQQ'ORo�51oNh1-�o� -'a5 the t_— Day of �OpOpoAA" Dated this it Is the responsibility of the owner to determine the existence of any easements, do appear on the recorded subdivision plat. AECC963 covenants, or restrictions which not