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Home My WebLink AboutBENITO BLK 3 LT 3 Certificate of On -Site Systems Approval Parcel I.D. 050-272-21 Legal description BENITO BLK 3 LT 3 Site address 10008 GENORA ST Current property owner(s) SMITH CRAIG STEVEN Expiration Date: 5/31/2025 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 6/18/2024 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 A 111iffil':1 I I I I Te -73, NO Development Services Department 1. f 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. 050-272-21 Complete legal description BENITO BLOCK 3, LOT 3 Location (site address) 10008 GENORA STREET, EAGLE RIVER, AK 99577 Current property owner(s) CRAIG STEVEN SMITH Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: Z Private Well [_J Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic r-1 Private Septic serving 2 dwelling units F-1 Holding Tank Z Community Septic or Public Sewer 5. SEPTIC TANK: n Steel 0 Plastic n Concrete n Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: R AWWTS El Bed F Deep Trench F-1 Wide Trench 0 Seepage Pit Waiver request for: Distance: Expedited review requested: R 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 $ Z Date of Payment CP I � �-/ 2-o COSA # os Waiver Fee $ Date of Payment Waiver # COSA Application.doc COSA Checklist WELL ONLY.docx COSA Checklist Legal Description: BENITO BLOCK 3, LOT 3 Parcel ID: 050-272-21 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 CIRCA 1976 Total depth *97+ ft Cased to UNKNOWN ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 5/31/24 Static water level at beginning of test 97 ft. Well production at time of test 3.3+ gpm Water storage tank volume NONE gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.29 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 5/31/24 Comments *97’ was total measured water level depth with acoustic sounder. 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. ABSORPTION 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 WELL ONLY.docx 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 NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA 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 FYI - per AWWU data, survey and measurements – the well appears to be 120’+ to sewer main in Genora Street & 140’+ to closest sewer manhole at the intersection of Genora Street & Eagle River Road. 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 6/10/24 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 & 6/10/24 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul4 any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE. E-MAIL. JUNE 1, 2024 1 "= 30' schullerakOgmcil 24-049 DRAW BY. CHECKED BY GRD NUMBER: 000K/PWAGE I JLS NW0052 240172 !NNNIL su)?v AAW O.F L A N'o 4 -aw AW <1� A07 Af �- • 49TH '• Cdr �!r , "�' o .......... ......... . ....... fi x 2r0 JOJRN L. SCHULLER. LS --10408 S 831 Talkeetna Street l dA . , f , .z4 0<'11 6c�� V Anchorage, Alaska 99508 OfessionoN (907) 227-1455 office (907) 274-4992 fax Ye V—Y—Y N89*58 25 W 150.00' 1"=30' LOT 3 SHED 0 BLK 3 0 0, 0 0 50.5' 0 F— LLJ LLJ w PAVED F 3: >_ C)o D/W 0 :j-�J 20 < ry 0, 0 0 0 z P _CD 0' 0 Lij O WELL 0 0 ( D C41v" z co 10' UTILITY E S M T 25' 25 N89*58'25"W 150.00 —SECTION LINE U") EAGLE RIVER ROAD ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BENITO SUBDIVISION FND 5/8" REBAR LOT I R1,0CK I P1, AT 67 -AA I SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul4 any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE. E-MAIL. JUNE 1, 2024 1 "= 30' schullerakOgmcil 24-049 DRAW BY. CHECKED BY GRD NUMBER: 000K/PWAGE I JLS NW0052 240172 !NNNIL su)?v AAW O.F L A N'o 4 -aw AW <1� A07 Af �- • 49TH '• Cdr �!r , "�' o .......... ......... . ....... fi x 2r0 JOJRN L. SCHULLER. LS --10408 S 831 Talkeetna Street l dA . , f , .z4 0<'11 6c�� V Anchorage, Alaska 99508 OfessionoN (907) 227-1455 office (907) 274-4992 fax �gg 3i��tS :fir ��'ti'.i 1 DO aQ �gg 3i��tS :fir ��'ti'.i 1 MUJqlCIPALI1Y OF ANCI-!ORAGE }~NVI 'GREATER ANCHORAGE ARt:i, BOROUGH Department of Environmantal Quality ~ji.~ ~_z,~_,~_~<., Anchorage, Alaska 9~2 .... 2~ZC~5~ ~ ~';~''~ ~ ~ Lora) REQUESi ~0R APPROVAL INDIVIDUAL SEWER & ~,,~ATER FAC~LITIES 1. Type of Inspection' 2. Prope'rty Owner: Mailing Address: CMRO VA FHA CONV xxx . Lawrence O. and Cindiane Kelley Rt. 5, Pickens, South Carolina Day Phone 3. Name of Buyer: Delbert E. and Rosella L. Smith Mai 1 i ng Address: 5901 E. 6th, So. 276, AnCh. Day Phone Name of Lending Institution: Spokane Mortgage Co. 333-1245 Mailing Address: 3201 "C" Street, Suite 250 Phone 277-0543 Anchorage, Ak. 99503 Name of Realtor or Agent: .,M.ar~ston Re_a__l ~Estat~e (Mar_~¥_Lou~Casey) Mai 1 in§ Address - 2804 w. Northerr~ Lights Phone 277-3511 Legal Description :' Lot 3, Block 3, Benito Subdivision Location: 115 Genora Street Eagle River, Alaska 99577 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently' served if individual, depth of well unknown 9. Sewage Disposal' System Type .of S~stem: Public Utility Individual If Individual, date of installation unknown single family NO. Bdrms. X×X unknown (on-site) xxx GREATER ANCHORAGE AREA BOROUGH Bepartment of Environmental Quality 3330 "¢" Street, Anchorage, Alaska 99503 274-4561 ~1/OREQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Date Received June 16, 1976 Time of Inspection Date of Inspection 1. Approval requested by: Spokane Mortgage Company Mailing Address: 3201 C Street, Suite 250 2. Property Owner: T.awrence O. & Cindiane Kelley Mailing Address: Route 5 Pickens, South Carolina 4. 5. 6. Phone: Phone: Legal Description: Lot 3 Block 3 Benito Subdivision Location: 115 Genora Street, Eagle River Type of faci,lity to be inspected Single Family No. o.f Well Da~: j,T~ ~'~ / C. Construction bedrooms D. Bacterial Analysis 277-0543 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/7~) ~ Page 1 of two pages Page 2 of two pages - Re( it for Approval of Individual ~ ir & Water Facilities Legal Description Lot 3 Block 3 Benito Subdivision Comments Approved ~~~, ~Z,~~ ':o_~i)~'Sapproved DateC~/~/~ Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)