The URL can be used to link to this page

Home My WebLink AboutCOLLEGE PARK BLK 3 LT 200 L. 0 APPLI( NT FILLS OUT UPPER HAt ONLY Property Owner ~1~ ~,,/j~,~O//(~ ~L~ 'J/~'> ~Phone Address Zip Code Lending Institution Phone TyPe o~ Resi~nce ~ Single Family .~ Multiple Family No. of Bedroo~ ~ Other Water Supply Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Indlv~ual Installed: Public ~ility When Connected to Public Utility: Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Inspector Inspector Inspector Inspector Field Notes: ~ (L~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182} FLEMING SURVEYING SERVICES 8221 DEL STREET ANCHORAGE, ALASKA 99502 PHONE 243-4890 7 90 1- i .OF At, 4 ke Al r,S'� gyp•. y.. •.0.. �•. aJ��ff{•t� A NOTES : Easements not appearing on record subdivision plot are not shown unless description of easement is 'provided by client. It Is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utilities connectlons, and to determine The existence of any easements, covenants, or restrictions whichdo not appear on the recordtd subdivlslort plat. ' Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record dolo. CLIENT s S' L= ►lG/E�� 1 tU� r*. LESAL DESCRIPTION L - i 1 20 , 8L0CK 3 <P- 47, s) DATE SCALE FIE LI) BK. GRID,, 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 OSC251342 Parcel ID 006 -243-18 Expiration Date Legal description COLLEGE PARK BLK 3 LT 20 Site address 5731 COLLEGE DR 7/28/2026 Current property owner(s) SCHADER MICHAEL CHARLES (TOD) X The On-site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date: 8/20/2025 This 5pwlficate of On -Site Systems Approval (COSA) is intended to demonstrate the subject re m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, lopment 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 X Other UNICIPALITY 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. 00624318000 Complete legal description College Park 133 L20 Location (site address) 5731 College Dr. Current property owner(s) Jeri Byers & Michael Schader Day phone 808-990-2770 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: Q Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank Al Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel or fiberglass 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 $ �W Date of Payment gIC1112 COSA # 00-5/ 3#Z Waiver Fee $ Date of Payment Waiver # COSA Applicafon Ap2025.doc 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: 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 ft r7m Yes if No 64' ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' M Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' PE -1 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' no Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft Q Yes if No ❑ 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 Surface Water > 100' ❑ Yes if No_ Tank to Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No _ Water Main > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No _ Water Service Line > 10' ❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft ft 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 Finn Walden Cont. Cons. & Eng. LLC. Engineer's Printed Name Robert Walden COSA Checklist June 2022 Phone 907-354-6661 Date 8/5/25 MUNICIPALITY DEVELOPMENT SERVICES DEPARTMENT �il, 4\� t On -Site water and wastewater Section www.muni.org/onsite -� Arsenic Advisory Certificate of On -Site Systems Approval # OSC251342 Subdivision: College Park, Block: 3, Lot: 20 907-343-7904 Eau: 343-7997 A water sample revealed an arsenic concentration of 22.463 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. Lot 21 7 Lot 14 Lot 15 N 8630'E Lot 20 10,083 s.f.CALC) 8,400 s.f. MOA) tar . 12.7* -Z GREENHOUSE WOODEN 3.5' 1 STORY RESIDENCE WITH DAYLIGHT BASEMENT .ASPHALT 'PAVEMENT. DECK 0' UTILITY EASEMENTS 'Ti 1� � J JNA rn Lot 19 L a, rnw LA .0..' A c J COVERED STAIRWELL i i S 74' 0'W 19.46' IG00 RETAINING WDLL / �-- - — Co``EGE pR�VE NOTES: GROUND LEVEL IMPROVEMENTS SHOWN ARE APPROXIMATE. THERE ARE DIMENSIONAL IRREGULARITIES ON THE RECORD PLAT. THE DISTANCE ALONG COLLEGE DRIVE WAS HELD AND THE EAST SIDE LINE SHOWN IS COMPUTED. DATE OF SURVEY: 13 APRIL 2025 PLOT PLAN __ AS BUILT —2L SCALE 1" = 30' GRID SW 1538 Project No J25-255/AI Lang & AssociatesAnchoorara inc.inC P.O. 210005 A, `r 0 O zjys ge, Alaska 99521-0005 �Fd� Coop (907) 522-6476 O Professional Land Surveyors surveyalangsurvey.corn �o.......... ...q�pnw I hereby certify that I have surveyed the following described property: LOT 20, BLOCK 3, COLLEGE PARK SUBDIVISION (Plat No. P-425) Anchorage Recording District, Alaska, and that the Improvements situated thereon within the property lines and do not encroach onto the property adjacent thereto, no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on sold property except as Indicated Indicated hereon. 11Dated this the cj T Day of r- l V i Z07* at Anchorage, 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