The URL can be used to link to this page

Home My WebLink AboutCOTTONWOOD HEIGHTS BLK 1 LT 110% j: onwoo LII �epL /uS UMCPALITY OF ANCHORAGE Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-431-24 Expiration Date: 020 1. GENERAL INFORMATION Complete legal description Cottonwood Heights Block 1 Lot 11 Location (site address) 20109 Kabob Circle Current property owner(s) Shorthill, James & Marjorie Day phone 907.726.3270 Mailing address PO Box 670250 Chugiak Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w`C'NDU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic Fx� Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ .5 b Waiver Fee $ Date of Payment I �7 31 (9 Date of Payment Receipt Number o15—YL A Receipt Number COSA # ('e) C 19 15-�5 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE _,! ®Q to ® .49,+r�i 6. DSD SIGNATUREI ...: ?? �:urtts L T System #1 Approved for -J bedrooms r��•tio.cE �2 Fcs �lF�FOPROFESS10Na�'�.r'®' System #2 Approved for bedrooms Ilk Disapproved Conditional approval for bedrooms, with the following stipulations: 2 tt t`�01 2 1 s L(_-9 oy Is X Z= WATF, AND rn n VV I -E1. ATER o s`SV" ti 1V1 Original Certificate Date: I Z_14:;; 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: COTTONWOOD HEIGHTS BLK 1 LT 11 If more than 4 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1973 Total depth 275 ft Cased to 66.5 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 6/5119 Static water level at beginning of test 92.5 ft. Comments B. TANK DATA Age of tank(s) 46 years Tank type/material septic fiberglass Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 6 May 2019 D. ABSORPTION FIELD DATA Parcel ID: 051=431-24 Structure served by this system _ Well production at time of test 18 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate 3.02 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend Date of Sample 11118119 C. LIFT STATION ❑ Required maintenance Age of lift station Lift station materi Comment . Which system tested (date installed) 1973 Adequacy test date 6/5119 ❑ ALL standpipes present per record drawing Results [D Pass For 3 bedrooms Total measured depth from grade 14 ft (max) Fluid depth prior to test 24 in Measured depth to pipe invert from grade ft (min) Water added 465 gal ❑ N/A — pressurized field New depth 55 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective ❑ Code -required soil cover over field Final fluid depth 27 in [I System presoaked Absorption rate '460 clod (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced gallons if yes, enter date Comments/Deficiencies: was not able to measure to pipe invert, only monitor tube is visible COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lotto: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0✓ Yes if No Community Sewer Manhole/Cleanout > 100' QQ Yes if No ft Q Yes if No ft Neighboring Tank > 100' 2✓ Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No ft Absorption Field on Lot > 100' FV -1 Yes if No ft Holding Tank > 100' 0✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑✓ Yes if No ft M✓ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E✓ 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' 0✓ Yes if No ft Surface Water> 100' ❑✓ Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: M Yes Absorption Field > 5' Fvl� Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' M Yes if No ft Community Wells > 200' []✓ Yes if No ft Water Service Line > 10' 0 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) Building Foundation > 10' 0 Yes if No ft if absorption field is under driveway comment below Property Line > 10' F,71 Yes if No ft Wells on Adjacent Lots: Water Main > 10' M Yes if No ft Private Wells? 100' Q Yes if No ft Water Service Line > 10' 7 Yes if No ft Community Wells > 200' Yes if No ft Surface Water? 100' 0✓ Yes if No fit F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I 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. _ aG3ER'S ea ... COSA Checklistellow sheet t� e • " ' Y ee eoeu�risl.T CE 1 F��r �nnceccl0t��`�'- N Frontier Surveys, LLC Project No: 19-173 Date: 6/17/2019 Ordered By: Morgan Michelsohn Plat: 71-291 Grid: N/A Scale 1" = 50' r ' I j S8 ~,4 9 vDETAIL "A" ` SCALE 1"= 20' + s uJ 0� ? S '?� p 1.3 S I � Lot 11, Block 1 yby n Cottonwood Heights Subdivision 1.23 Acres +/- 20109 Kabob Circle e 3 Story Wood Framed House a With Detached Shop LOT 12 LT' w�\\ 0 9 0 0 E L I R A D I O S to 1 RETAIN. WAL \ 56.7 SEE DETAIL ".4" 15i y�Y1 'a o SHOP 3.1 ,� N 17.8 A 25.6 s_T, 0`9 136 GRAVEL DRIVEWAY 116.5 .1 a J8p KABOB 50.0 CIRCLE RADIUS S89° 52.00-W 260.00 EDGE OF \ PAVEMENT LOT 1\ Legend: yElectric Meter/Outside Power T'Q, Telephone Pole 1_'T.1 Tel. Ped. '— ,y Gas Meter ® Deck -a- Fence EElec. Ped. S; Septic W; Water Well El Brick —on— Overhead Utility General Notes: 0 25 50 100 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. Scale In Feet 3. All measurements/setbacks are to the visuallapparenl building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. ` `�� t t 1 This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and O F Q 111 t conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any _zz'( qs llinaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the 1 ,`Q' •' • • �'9 1 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. ' 49!H— As-Built Survey Of- ...'... Lot 11, Block 1 Cottonwood Heights Subdivision .... ............ ......... F.•a•r1cW. �Eer rte NO. LS. -9946 I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or 6/17/2019 ��= under my direct supervision on lune 5th, 2019. ltr -10* I[, Frontier Surveys, LLC FRONTIER 11 t 1R��„` ONp` .� 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 Snrvey5• •, { 907.460.1686 - info@frontiersurveys.com PROFESSIONAL SEAL www.frontiersurveys.com JR -'S SEPTIC PUMPING AND EXCAVATION LLC P.O. Box 773415 Eagle River, AK 99577 Office: (907)694-6454 Fax: (907)688-1506 Email: jrsseptic@gmail.com System Inspection and Scoping at 20109 Kabob Circle Jon, On my site visit on 5/9/19, I found that your wastewater system is serviceable and fiinctioning normally. The tank was pumped by JR's Septic Pumping on 5/6/19. The line between the house and tank was free from any defects that would prevent it from operating properly. The same can be said for the effluent line between the tank and crib. The MOA records did not indicate what the tank (installed 1973) was constructed from. The tank was scoped and found to be of fiberglass construction. There were no depressions observed above the tank or crib that would indicate a structural failing. The liquid level in the crib was observed to be —1.5'. JR's Septic Pumping Michael Wehr 5/13/19 GREATER ANCHORAGE AREA BOROUGH ' DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456t SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION �... LEGAL DESCRIPTION MAILING ADDRESS PERMIT NO. -'HONE FINAL INSPECTION- 24 HOUR NOTICE REQUIRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE - TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT DRAIN FIELD TO "RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BI DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EQ -01 6 DIAGRAM OF SYSTEM LOUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE 0 & E E& U]NEER/NG & DEVEL Ot -iBENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster Earl Ellis 694-2774 333-5240 Civil Engineering Surveying Soils & Foundations Land Development SOIL LOG Performed for: Name: ` � �'q�� - NNN�2L., Tel. No. Mailing Address: �-�� ,s; •�:1 �wlc�.,�`�C ,�\�'1'a� Legal Description:T Depth (feet) 0 2 3 4 �Cn -Z 7--'A' 5 Soil Characteristics Ground Water Encountered: Yes No '/ If yes, what depth 8 Installation: Seepage Pit Drain Field Comments: r V�\ e.5 uszcl? 9 e b'L f7 -7',— 10 Performed Performed by: �,r ��,r, ,��, 11 p.- 2 : �. , - S e> cam. z C.tS v 12 Ground Water Encountered: Yes No '/ If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: r V�\ e.5 uszcl? e b'L f7 -7',— Performed Performed by: �,r ��,r, ,��, Date: \-$i (Sc;— `73 LOG OF DRILLING by A & L DRILLING COMPANY ---------- OWNER OF LAND ........ DEPTH OF WELL ------ 12 ............................................ ADDRESS ............ 4N.,c.w ........ --------------- STATIC LEVEL OF WATER FT. I WELL SITE .....0 14 0 _Q I 01W --------------------------------------------------------------- DRAW DOWN FT. -------- _-----------------_ .............. DATE—STARTED .... qj_.. _1]71 ----------------------------------------- DATE—ENDED---- 7-3 ----------------------------------------------------- _ KIND OF FORMATION: GALS. PER HR. ----------- 3- -------------- KIND OF CASING ----C ---- -----................................................. FROM... 0 ----------------FT. TO---- 6S ------------ rrtom-.d-,f-& ---------- FT. TO --;?.'1-5 . ....... FTR. ...H. 4? FROM_. . ------...._FT. TO.-- 479 ........ FT -1-M-0 ..... FROM ........................ FT. TO --------_-------------- FT -_--------------------------- FROM....1clTO----,- ro -------- jr _r' - ----4) --------- FT. m -A -------".1i2c.--A ------- 1��qc 4FROM- ------------------------ FROM_2_12;.... ...... FT. TO.-ARIC -------- FT.RP-t.4 ., I ...... Xqfr FROM ------------------------FT. TO ------- --_------_--- FT ......................... ..... FROM_ -------- FT. TO. c? ---------- FROM ------------------------FT. TO ------------------------FT--------------------------_--- FROM. -.---.1 O------------------------ FT--------------------------_--- FROM.R4.1 .......... FT. TO.9.10. --------- JeAc.,< ...............---------FT. TO ---------------------- . ........................ ------ FROM__2).:•...............FT. FROM ........................ FT. TO ...... __ ............. FT* ........ ..................... FROM- - c?.5 d- ----------- FT. TO--';? --------- ------ FROM........................FT. TO ----•-------------......FT.------------------------------ IV -0- bUSCL. INFORMATION: LA.-' 4 Z I. e 04 � 0 0 19/je Di; oc-4c?ff 4 Hof., f�4 'r u 4 4. r Oofouo, DRILLERS NAME .... 13 -- ----------------------------------------------------------