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HomeMy WebLinkAboutBENITO BLK 1 LT 8 BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588 OWNER OF LAND /-~ ,~ o ~ ~ ~4~,,/ ADDRESS LEGAL DESCRIPTION Z 07- DATE- Started PERMIT NUMBER Ended STATIC LEVEL OF WATER FT. DRAW DOWN FT. 2 ~ / GALS. PER HR '7d O KIND OF CASING ~ F ¢-> L~ ~7 KIND OF FORMATION: From ~9 Ft. to [ 0 Ft. J~//-~ From From /-0 Ft. to 3 ~ Ft. ~'//q jr' ¢ffZ~ C From~ From ~3'Ft. to ]'~[ Ft. ~~/d~~ From~ From/'O/ Ft. to /°~~ Ft. ~-~O~ (-~FC ~ From~ From /¢.C Ft. to /3° Ft. ff~ From / 20 Ft. t~G Ft. ~ '~¢ff ~ ~ ~ From From F,om.t 3C Ft. to / ?~ Ft. ~'~ F~om F~om / YY Ft. to. / 7~ Ft. ~ ~~ * ~ ~Y~om~ From ~Ft. to Ft, From Fromm. Ft. to.~Ft, From~ From Ft. to Ft From From~Ft. to Ft. From From Ft. to Ft. From From~Ft. to Ft. From Fromm. Ft. to__Ft. From~ From Ft. to Ft. From~ From ~Ft. to~Ft, From~ Ft. to Ft. Ft. to __Ft. Ft. to Ft. Ft. to Ft Ft. to Ft. Ft. to Ft. Ft. to Ft Ft. to Ft. Ft. to Ft. Ft. to__Ft. Ft. to__Ft. Ft. to__Ft Ft. to__Ft. Ft. to Ft Ft. to Ft. Ft. to Ft. Ft. to__Ft MISCL. INFORMATION: DRILLER'S NAME t;::', 0 z .i a� tn � F � ���1 " •�� �IL 1 �' � � + � � x �, ' ;� � #� �' Y � fes+' x i} • i I • +S ■ 4 i ♦ 1 - � 10� 5 � [71 /■ r UJ uj 13L uJ La ... 0 AD ti En LIJ z z A4 LL) Z U) • Lu w 16.1n a % 1 0 LL til rSlftam. i to Uj Er a. r0" 4 uaj: �4 t � o "I .i t LI' �� •- r� 1 rYk r ti }*+ y S • �l�*..f Y�i t� #+w* i `� � •s �� � � rar r ,� r t strt ++F# � X � .y � '� � � •�.r� .r - f '+4.. � r { ■ r{�is Ar a-.4• firrt •r� # +;!\; r 4�t4 ra C��4;f 1� +-•t r� • 3k !!4 art �# Ja } �� fw�r}f 1_31dL��_�� ���1�_� i��2`i-----*4-_*.� _ _.ate _ _ _ice._._ a Y_ _ r._#" ��_w. _`.'�fi--- - � - �- Y - - � �' - - �� 4 t--=- r ;i�-1."_-=---134t"F _lr _•'i*_�,___J'*= 11� � w J m u 0 • 0 0 LL .1A "*r 9 �/7ps�`aan���� do 6A 100 jo Oz I.W4 r) 0 3 #tl 1 .. * # i S * # s . h t i • �f'} G i• r y} i'4 'Ss` . + fir' +nr. s _ r '�F_ .. � +'l s y .r _ #. JC. s ! 4_ t,h. i"trs� ,4 ss..f xr.ya fix* .( r# a�� �a�t i . �rf r�, .`R� . a t:� _7 �M— P.";. t*Tr l L� o- In 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 OSC251489 Parcel ID 050 -271-38 Expiration Date: 11/4/2026 Legal description BENITO BLK 1 LT 8 Site address 10243 GENORA ST Current property owner(s) NORMAN E R FAMILY TRUST THE X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: ''' Original Certificate Date: 11/7/2025 This Ceftificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment 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 Other MUNICIPALITY OF ANCHORAGE Development Services Department;,'; Phone; 9+J7-343-7904 On-Site Water 1fVasteater erection Fax: 9?-343-7997 Certificate of On-Site Systems Approval Application 1, GENERAL INFORMATION Parcel I.D. 050-271-3$ Complete legal description BENITO BLOCK 1 LOT 8 Location (site address) 10243 GENORASTREET EAGLE RIVER, AK 99577 Current property owner(s) NORMAN E R FAMILY TRUST Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: F0 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 X 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: Distance: Expedited review requested: ❑ 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 $' _ Waiver Fee $ Date of Payment 101 A �� � Date of Payment COSA'# ocb c'?G1"4 M Waiver # CO5A Application-Ap2025.doc COSA Checklist_May2025.docx COSA Checklist Legal Description: BENITO BLOCK 1 LOT 8 Parcel ID: 050-271-38 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 1976 Total depth 142 ft Cased to 142 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/23/25 Static water level at beginning of test 95 ft. Well production at time of test 5 gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.437 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by & Sullivan Date 10/23 & 11/4/2025 Comments __________________________________________________________________________________ B. TANK DATA – PUBLIC SEWER 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. DISPOSAL FIELD DATA – PUBLIC SEWER 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_May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No *85 ft Sewer Manhole/Cleanout > 100’ Yes if No *86 ft Sewer Service/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 Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 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/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: 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 *MET CODE AT TIME OF WELL INSTALL WITH APPROXIMATE SEPARATIONS. **MET CODE AT TIME OF WELL INSTALL, IS UNKNOWN BUT APPEARS TO BE 25’+. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 11/06/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 11/06/25 2 5 .1' 2 8 . 3' 2 3 .9' 4 6 .3 ' 2 6 . 3 ' 4 6 .3 ' 6 .1 ' 1 .0 ' C A N T . RESIDENCE LEGEND EDGE OF GRAVEL DRIVEWAY DECK CONCRETE FENCE RECORD DATA PER PLAT #67-44 WELL TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 25.242 SCALE: 1" = 20 FEET DATE: 11/3/2025 SHEET: 1 of 1 MOA GRID: NW0052 SCALE: 1" = 20 FEET(11"x17") 20'0' 40' AS-BUILT OF: ADDRESS: 10243 GENORA ST, EAGLE RIVER, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 8, BLOCK 1BENITO SUBDIVISIONPLAT #67-44