HomeMy WebLinkAboutT14N R1W SEC 23 W2NE4SW4NW4T14N RIW
ec. 23
W2 NE4 SW4 NW4
#050-523-08
Municipality of Anchorage Page _L_ of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW 9fd0a09 PID Number: 050 —523 -og
Name:KeA
Wastewater System: >(New ❑ Upgrade
Address:
ABSORPTION FIELD
PinerA
Phone:-O 30
b
No. of Bedrooms:
DeepTrench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other
LE GAL DESCRIPTION
Soil ng: l RatiTotal Depth fromQorigpal grade:
re
D/S . Ft. O
Lot:^BbeM. ( BeaEl0i316rr
W ya 004 �W t AIW Y
Depth to pipe bottom from original grade: Gravel depth beneath pipe -
Ft.jV Ft.
Township: A)
Range: I tA/
I
Section:
Fill added above original grade: Gravel length:
Ft. ' Ft.
WELL: '(New ❑ Upgrade
Gravel width: F I Number flines:
.
Distancebeteeenlines:
• .J Ft.
Ft.
Clas'fication (Private, A,B,C):
Total Depth;
X61
Cased To:
1�
Total absorption areal Pipe material:
DATE
Ft.
Ft.
tOd�5 r -�tyIF-26 IO
Driller:
Dater- ed:
%9(o
Static Water Level:
�'
In I r: r G A Date installe /30
4
e�rd rN wn �� 105
t Ft.
et Af I
IY�
Yield:Pump4Set
'O
at:
WV
Casing Height eGround:
TANK
GPM
'JV Ft.
Ft.
SEPARATION
DISTANCES
Septic ❑ Holding ❑ S.T.E.P.
TO
Septic
Absorption
Lift
HoldingPublic/Private
Manufacturer: / A iC
Capacity in gallons:lS
From
Tank
Field
Station
Tank
Sewer Lines
.J"II • ,l
o0
WeIFInr,1
f
100jit
�►-
-�.
Z`q_
Material: S+eel
Number of Compartments{
d`
Surfac
Water
j0d+
1001+
�'"'
.—.
LIFT STATION
Lot
t•, l,.
�—
'�'
`�"
Size in gallons:
Manufacturer:
Line
!�+
rot+
Foundation
s +
ro+
"Pump on" level at: p off' level at:
High water alarm at:
Curtain
`�I�n
/y
Pu a&Model
I Electrical Inspections performed by:
Drain
Remarks:
BENCH MARK
Location and Description: - O r /1 n
14
q oln t- `A., '
-
Assumed Elevation:
E,.
a._
Inspections performed by: A&s ENGINEERING Dates: 1st11 ),1 6
77084 E, Jost Loop Road, No. 24 2nd --qb
Eagle River Alaaka 99577 N A L
_ y
t?r ' noBERr C cowaN� .
CE - 8801
Department of Heath ' d Human e es appy
- al g
Reviewed and approved by: ate:
72-013 (Rev. 9/91) MOA 25
■
Permit No.
SW960209
Page 2 of
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
W1/2, NEI/4, SWI/4, NW1/4; T14N; R1W; S23
-PIT M.
A
PROPERTY
NE APPROX. 8
' FROM WELL
B
-co 14.5
24.0'
WELL
Ti 83.0
119.5'
3T2- 80.5
115.5'
DBL1 80.5
115.0'
9�
4
EX
BU
STING
LDING
FCO
z
a
w
o
a
C01 53.0
90.5'
CO2 79.0
110.0'
CO3 91.0
103.0'
MT1 91.0
103.5'
z
0
0
6
U
O
a
X
pROX.
L
Col
`P
�1 P
P
OR\vE�
DBL1 DB
2
ST2�fNEW
TRENCH
ST
C0z
—_
03
-
TH#1 _
"------
MT ALT. S
TE
NEW 1500
GAL.
c,_
Txy2�
SEPT
C TANK
___---
N
STI
ST2
CO2
-
3.5'
FINAL GRADE
MT1 CO3
In
CO2 = 82.0'
_CnR _
-
E
ALS'
78.2' F15)O
qEW
78.0
A�'E 1
'(,..r".
GAL
.T.
S
T `'•'9
CO2 = 77.4'
-'
SCALE 1" = 40'
--
72.3
♦ -
NO WATER FOUND
ROBERT G COWAtN Q -
CE 8801 �w'
�lf<airQ�...,.......».r••'•4'd'�'�.'
66.3' B.
.H.
72-013 A (flet. 9191) MOA 25
JAN -13-97 MON 13:14„ KEN BEST 6889300 P.01
Trr#ifirb Brilling TExg
by
DOC Co. db.
SULLMN WATER WELLS
P.O. BOX 676272, CHUOIAK, ALASKA 99587 • TELEPHONE SBS -2756
OWNER OF LAND ktZA Q &;73 7' DEPTH OF WELL
ADDRESS Q.2 -23O -S NA40WY ` &js;G ! S'IATICLEVE4OFWATERFT.
LEGAL DESCRIPTIOIVT %4� Atta% �/+� SCC �3 b� of N DRAW DOWN FT.
DATE - Started Ended T— GALS. PER HR 600
PERMIT NUMBER
KIND OF FORMATION:
KIND OF CASING A ?p_0 4
FromFt. to__ Ft. C/+'t1G U�lCKJ� From Ft. to—Ft.
From Ft. tO__5�_Ft. n tJ CA je J+Q4 Afr`.) — From Ft. to Ft.
From Ft. to�,pp_Ft. �/L !�y �J+= �. ram Ft. to Ft.
From _ 4 Ft. Io�Ft. .. J(47-1 i�A.I L_<<'Os"From Fl. to Ft
From _� n Ft. to-R—'D--Ft. 'k11994 /-41'j from�to Ft
From (1 0 Ft. to 8d Ft. � g 4 ge Q +AX� 9-4`eMR� From Ft. to _ Ft.
From, &A Ft. to f7
Ft, :} Q,e4A/J �- Fran Fr. to Ft.
From—.,z—Ft. toI ?i Ft. From - Ft. to Ft.
/ d
From_% 6: Ft. to /1)Ft C4 4Y 10 d-w<dJ 4- From Ft to Ft.
From�Ft. to�_Ft. 94900MIJ From Ft. 1u Ft. -
1 ___%fj
From . `�,3 Ft. to �� �� �� Ft. rom Ft. to Ft. F
From /r�Ft. t0__d 4? _Ft. �Q� �'� le From Ft. to—Ft Ri CE! 1a n
Lu
From/Yo Ft. to - Ft. Q � a From _Ft. to - Ft.
0 1991
From Ft, to Ft. From - Ft. loMst$ 8 + ---
ly 01 HnC
From Ft. to Ft. From Ft. to pr_ VQalth h0/a
.. ulvices
From Ft. to Ft. From Ft. to Ft. _ _—
From Ft. to Ft. From Ft. to Ft
MISCL. INFORMATION:
7.0 /5 3
DRILLERS NAME •"�"��—
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL
PERMIT NUMBER:SW960209
DESIGN ENGINEERS & S ENGINEERING
OWNER NAME:HARMON RUSSELL S
OWNER ADDRESS:PO BOX 670854
EAGLE RIVER, AK 99577
PARCEL ID:05052308
LEGAL DESCRIPTION:
T14N "AlW SEC 23 W2NE4SW4NW4'-
LOT SIZE: 217800 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
iI lu
w�4L
SYSTEM PERMIT Zti� rtiSPE�j.
DATE ISSUED: 7/18/96
EXPIRATION DATE: 7/18/97
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED
DATE • -7-a- / 6
ISSUED BY: ���1 DATE:/mss
HEALTHAUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERINGSTUDIES
ANDREPORTS
WELLINSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
July 10, 1996
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: W 1/2, NE 1/4, SW 1/4, NW 1/4,
SEC. 23, T14N, R1W
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907)694-2979
FAX (907) 694-1211
Request you issue a permit to drill a well and install a
septic system to serve the proposed five bedroom house on
the referenced property.
Test holes were excavated and percolation tests performed.
The approximate location of the test holes are located on
the attached site plan.
At the time of excavation, no water was encountered in test
holes and after seven day ground water monitoring, the
monitoring tubes were found to be dry.
This property has enough area for a future septic upgrade
which can be seen on the attached site plan.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/gk
Enclosure
NZ �N44ry
kti14 Op '`"ro
✓U( 7�so�N' Q'F
ItD
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
1" = 60' SITE PLAN DESIGN
SCALE
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ro
in �vC�7��o� �kT f o
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00
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mem-2�` !� o o Q��fHFR
{
rnyrd
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, RE
CIVIL ENGINEERS
(907)694-2979
FAX(907)694-1211
PERFORMED FOR: kEl4 PEST -DATE
LEGAL DESCRIPTION: 1''') /Z) tjEyl.
I� IyWIy Zownship, Range, Section:
SLOPE
1 '
0
2-
4-, 4. .�
5 'y
6 4d
7'-
9-
10-
11
' 9 10 11
' a
12-
a,
13-
14--
15-
16-
17-
18
31495161718
19
20
COMMENTS
t'O'A
POLE
Tlypl
SITE
WAS GROUND WATER _10 -
ENCOUNTERED? 1iVV
i
S
--tt
IF YES, AT WHAT L
O
DEPTH? p
E
Depth to Water Atter
Monitoring? OILY pato, i -z -9C
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
--- P PEaIOO
"7-5-4G 2:3o
S"
2:32
••
I & t a
t/ h
2 :31f
tt
(.15/8"
t "
5
`t
C.
n
PERCOLATION RATE (minuteslinch) PERC HOLE DIAMETER
TEST RUN BETWEEN 3 • FT AND y $ FT -
PERFORMED BY: al a,4 ENGINEERING I :�& AZ 4- /m CERTIFY THAT THIS TEST WAS PERFORATED IN
17034 Eagle River Loop Road No. 20d
ACCORDANCE WITH%VW PXIb� GUIDELINE IN EFFECT ON THIS DATE. DATE:
4T& / I �-
/a L
72-nn8 (Rev. 4/85)
ROBERTC. COWAN, P.E.
ROBERTA. SHAFER, P.E.:
CIVIL ENGINEERS
(907)694-2979
FAX(907)694-1211
PERFORMED FOR: kE� BEST —DATE
LEGAL DESCRIPTION: GJ )/7' I F- yif Vq 1 90 I4 Township, Range, Section:
E SLOPE
vl
15
16-
17-
18-
19-
2-
3-
4-
5-
6-
7
8171819
ROBERT C. COWAN
CE -8801
iyJ•l � RILr11 Ssc.23
SITE PLAN
r
Reading Date
Gross Net
Time Time
Depth to
Water
Net
Drop
—� �FSoA1r_
P8R1ap
234
'7-5-4L
2:40
2:y1 1mrrt•
5�y`
6
2 t'tZ
2; 4S
Z:q a
L5 n
n
5
67
'y rJ
8
4 e
9
r
f
10
WASGROUNDWATER
.`
NO
`''•
ENCOUNTERED?
11
-
S
•�'�
IF YES, AT WHAT
__. OL
D
DEPTH?
,2
E
13-
♦r
Depth to Water After
Monitoring? ORY pate
LJ
vl
15
16-
17-
18-
19-
2-
3-
4-
5-
6-
7
8171819
ROBERT C. COWAN
CE -8801
iyJ•l � RILr11 Ssc.23
SITE PLAN
r
Reading Date
Gross Net
Time Time
Depth to
Water
Net
Drop
—� �FSoA1r_
P8R1ap
'7-5-4L
2:40
2:y1 1mrrt•
5�y`
6
2 t'tZ
2; 4S
Z:q a
L5 n
n
20 �I
L_jPERCOLATION RATE I . G (minutes/inch) PERC HOLE DIAMETER
r
TEST RUN BETWEEN FT AND I� FT
COMMENTS
S & S ENGINEERING L
PERFORMED BY: 0. A CERTIFY THAT THIS TEST WAS PERFORMED IN
up Rad NACCORDANCE W171§*� AIA3MANSOORL GUIDELINES IN EFFECTLON. THIS DATE. DATE:
72 -SRR (Rev_4/&5)
MUNICIPALITY OF ANCHORAGE
Development Services Department a Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 050-523-08
Certificate of On -Site Systems Approval
Expiration Date: 1/2/2024
Legal description T14N R1 W SEC 23 W2NE4SW4NW4
Site address 24850 HAMANN RD
Current property owner(s) KINNEY RODNEY & DAWN LIVINGTRUST
XThe On-site system(s) is/are approved for 5 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
By: Original Certificate Date: 10/2/2023
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
MUIMM IJ UTY OF ANCHORAGE
Development Services Department kJ, 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. 050-523-08
Complete legal description
Location (site address)
T14N R1 W Sec 23 W1/2 NE1/4 SW1/4 NW1/4
24850 Hamann Road, Eagle River, AK 99577
Current property owner(s) Rodney & Beverly Kinney
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone 907-250-6941
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑■ Private Well serving 2 dwelling units House & ADU
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage House & ADU
4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic XPrivate Septic serving 2 dwel ing units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑E Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 27 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit
Waiver request for: NA Distance: NA
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 $ 550-13-0
Date of Payment _11.2l (a D':9 3
COSA# 05C2,Z1?67
Waiver Fee $
Date of Payment
Waiver #
COSA Application_ June 2022
COSA Checklist
Legal Description: T14N R1W Sec 23 W1/2 NE1/4 SW1/4 NW1/4 Parcel ID: 050-523-08
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 2
A. WELL DATA
X Well log is filed with Onsite (or attached)
Date drilled 7/96 Total depth 180 ft
Cased to 180 ft
❑■ Sanitary seal is functioning correctly
❑■ Wires are properly protected
Casing height (above ground) 12 in.
Well production at time of test 5.0 gpm
Water storage tank volume 67/40 gallons (See comments)
Well disinfected for coliform test? ❑ Yes ❑■ No
❑■ Coliform bacteria is Negative
Nitrate 0.659 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ND ug/L ❑■ Arsenic less than MRL (ND)
Date of flow test for COSA 9/6/23 Collected by Rodney Kinney
Static water level at beginning of test 123.9 roc ft. Date 9/5/23
Comments Home has 67 gal. water tank and ADU has 40 gal. water tank.
B. TANK DATA
Measured operating fluid level in septic tank 50 in.
Date of pumping 8/15/23
❑ Required maintenance completed, if AWWTS
Comments: Liquid depth in second compartment - 50 in.
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/30/96
❑■ ALL standpipes present per record drawing
Total measured depth from grade 9.5IMT1i ft (max)
Measured depth to pipe invert from grade 4.5 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) No
If yes, enter date
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 9/5/23
Results Q Pass
Fluid depth prior to test 0.0 in
Water added 750 gal
New fluid depth 0.0 in
Elapsed time 150 min
Final fluid depth 0.0 in
Absorption rate "I gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 60.0 in
Effective depth used 0.0 in
Effective depth remaining 60.0 in
Comments/Deficiencies: Property consists of home and ADU. Home has 4 bedrooms and ADU has 1 bedroom.
COSA Checklist June 2022
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
Community Sewer Manhole/Cleanout > 100'
❑■ Yes
if No
ft
■C Yes
if No
Neighboring Tank > 100' ❑■ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑E Yes
if No
Absorption Field on Lot > 100' [K Yes
if No
ft
Holding Tank > 100' g Yes
if No
Neighboring Absorption Fields > 100'
F. ENGINEER'S COMMENTS
Animal Containment > 50' ❑■ Yes
if No
Fi Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑■ Yes
if No
ft
❑■ 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' Fil 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
As shown on the provided 2013 survey as -built, a non -septic riser is located next to the well.
The riser is related to the well and appears to provide access to a valve.
ft
ft
ft
ft
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 Firm Rodney P. Kinney Associates, Inc.
Engineer's Printed Name Rodney P. Kinney, Jr.
COSA Checklist—June 2022
Phone 907-694-2332
Date 10/02/23
.� O ' I`
.���.
5 �.
Rddney P. Kinney Jr. i
01% CE7955
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC231367
Subdivision: T14N R1W SEC 23 Block: , Lot: W2NE4SW4NW4
The septic tank for this property is 27 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more,
not including engineering, surveying or MOA permitting fees.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
Ma�Ung Address P O Box 196650 *Anchorage, Alaska 99519 6650 * www muni org
\ FOUND 3-1/4" BRASS SANDHILL SUBDIVISION I MAGNIFICENT MOUNTAIN SLOPES SUBD. FOUND
CAP MONUMENT 158.87' LOT 8 TRACT 8B-1 REBAR
/
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BUILDING
SURVEY CERTIFICATION:
RODNEY P. KINNEY ASSOCIATES INC. HAS
CONDUCTED A PHYSICAL SURVEY OF THIS
PROPERTY AS SHOWN ON THIS DRAWING AND
THAT THE IMPROVEMENTS SITUATED THEREON
ARE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS EXIST OTHER THAN NOTED.
d EXCLUSION NOTES:
\ IT IS THE OWNERS RESPONSIBILITY TO
\ DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
'S 2 WHICH DO NOT APPEAR ON THE RECORDED
2 SUBDIVISION PLAT. NOTE: UNDER NO
d CIRCUMSTANCES SHOULD ANY DATA HEREON
ks BE USED FOR THE CONSTRUCTION OR FOR
(J) THE ESTABLISHING OF PROPERTY LINES.
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DRAMN BY: JDB
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CLEANOUT
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ELECTRIC PEDESTAL
DAZE JANUARY 24. 2011
WELL
SURVEY CERTIFICATION:
RODNEY P. KINNEY ASSOCIATES INC. HAS
CONDUCTED A PHYSICAL SURVEY OF THIS
PROPERTY AS SHOWN ON THIS DRAWING AND
THAT THE IMPROVEMENTS SITUATED THEREON
ARE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS EXIST OTHER THAN NOTED.
d EXCLUSION NOTES:
\ IT IS THE OWNERS RESPONSIBILITY TO
\ DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
'S 2 WHICH DO NOT APPEAR ON THE RECORDED
2 SUBDIVISION PLAT. NOTE: UNDER NO
d CIRCUMSTANCES SHOULD ANY DATA HEREON
ks BE USED FOR THE CONSTRUCTION OR FOR
(J) THE ESTABLISHING OF PROPERTY LINES.
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LEGAL DESCRIPTION:
W1/2 NE1/4 SW1/4 NW1/4
SECTION 23, T14N, R1 W, SM
AS—BUILT SURVEY
DE9CNED -
SHEE N0.
1 of 1
DRAMN BY: JDB
:
APPRMDBY:-
DAZE JANUARY 24. 2011
YO.1.. �.L..L.L
SCALE: 1* -W
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• Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904 5A ETT
Certificate of On -Site Systems Approval
Parcel I.D. 050-523-08 Expiration Date: /
1. GENERAL INFORMATION
Complete legal description T14N R1W Sec 23 W1/2 NEI/4 SWI/4 NW1/4
Location (site address) 24850 Hamann Road
2.
3.
-4.
Current Property owner(s) Michael Quinn Construction Day phone (907) 694-4955
Mailing address P.O. Box 77261, Eagle River, Alaska 99577
Real Estate Agent NA Day phone NA
TYPE OF DWELLING:-
® Single Family (w/wo ADU)
❑ Duplex
Multiple Dwellings (Single Family and/or Duplex)
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well.
R
Individual Water Storage
❑
Community Class - - well
❑
Public Water System
❑
5
TYPE OF WASTEWATER DISPOSAL:
Individual
R
Holding Tank
❑
Community
❑
Public Sewer
❑
Walverivariance request for: NA Distance: NA
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ �fq� - `6 Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
COSA# Waiver#
CK# 3 i9 -q
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 Rodney P. Kinney Associates, Inc. Phone (907) 694-2332
Address 16515 Centerfield Drive, Suite 101, Eagle River, Alaska 99577
Engineer's Printed Name Rodney P. Kinney, Jr., P.E. Date January 31,2013
OF AE
THt�
6. DSD SIGNATURE
�•••
(� System #1 Approved for bedrooms V.
System #2 Approved for bedrooms'. dney P. Kinney. r.
S ;
ys PP � �'." CE 3955
Disapproved
Conditional approval for bedrooms, with the following s
By: Original Certificate Date: ` Jr-- l
The unitall of chorage 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. Asbullt, Well Log, well Log, pump Invoice
COSA blue sheet f c
If more than 7 septic system is on the lot:
COSA Checklist # of _
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: T14N R1W Sec 23 W1/2 NE1/4 SW1/4 NW1/4 Parcel ID:050-523-08
A. WELL DATA
Well type lndiy. If A, B, or C provide PWSID # NA
Date completed 7/96 Sanitary seal (Y/N) Y
Total depth 181 ft. Cased to 181 ft.
FROM WELL LOG
Date of test 7/96
Static water level 138 ft.
Well production 10 g.p.m.
WATER SAMPLE RESULTS:
Coliform Negative colonies/100 mL Nitrate 0.210 mg/L
Na demcad 1 /23/13
Arsenic uglL Date of sample:
B. SEPTIC/HOLDING TANK DATA
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 18 in.
AT INSPECTION
1/23/13
133.3 (TOC) ft
7.5 g.p.m.
Collected by: Rodney Kinney
Tank Type/Material Steel Date installed 8/30/96
Tank size 1,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 1/25/13 Pumper Jr'S Pumping
C. ABSORPTION FIELD DATA
Date installed 8/30/96 Soil rating (g.p.d.tft2 or a/bdrm)
Length 62.5 ft. Width 2.5
Total depth 8 ft.
Date of adequacy test
625
1.2 System type Deep Trench
ft. Gravel below pipe 5.0 ft
Eff. absorption area ft2 Monitoring tube Y@S Depression over field NO
1/23/13
Results (Pass/Fail) Pa$$ For 5 bedrooms
Fluid depth in absorption field before test 0 in. Water added 772.5 gal. New depth 0 in.
Elapsed Time: 103 min. Final fluid depth 0 in. Absorption rate >= 750 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date NA
D. LIFT STATION
Date installed NA
"Pump on" level at NA
Datum NA
Size in gallons NA
in. "Pump off' level at NA
Cycles tested NA
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100,+
Absorption field on lot 100,+
Public sewer main 100,+
Sewer /septic service line 70,+
Animal containment areas 100'+
Manhole/Access (YIN) NA
in. High water alarm level at NA
Meets alarm x circuit requirements? NA
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100,+
Holding tank 100,+
Manure/animal excrete storage areas 100,+
SEPTIC/HOLDING TANK ON LOT TO:
r r ,
Building foundation Property line 133
Water main 100,+ Water service line 100,+
Wells on adjacent lots 100,+
Absorption field 15'
Surface water 100,+
ABSORPTION FIELD ON LOT TO:
Property line 72, Building foundation 70776' Water main 100,+
Water Service line 100,+
Curtain drain 100,+
Surface water 100,+
Wells on adjacent lots 100,+
Driveway, parking/vehide storage 36,
in.
F. COMMENTS
Sewer system pass for 5 bedrooms. Last adequacy test completed within the preceding two years (7128111), passed. Another adequacy
test completed 1123/13, passed. Well Bow test completed within the preceding two years (7127111) and operating ok, see attached well log.
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.
Engineer's Printed Name Rodney P. Kinney, Jr., P.E.
Date January 31, 2013
COSA brown sheet te-to-12.doc
Municipality of anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 5052308 COSA#
Expiration Date:
1. GENERAL INFORMATION
Complete legal description T14NR1WSEC 23W112NEI/4SW114NW114
Location (site address) 24850 Hamann Road
Current Property owner(s) Estate of Kenneth R. Best (K.C. Best Person. Rep.)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
4332 Rake Drive, Anchorage, Alaska 99508-3631
Residential Morgage, LLC
11901 Business Blvd., #203, Eagle River, Alaska 99577
Dynamic Properties
3111 C Street, Suite 100, Anchorage, Alaska 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
✓❑
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone (907) 230-0139
Day phone (907) 694-9816
Day phone (907) 261.7545
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
✓❑
Individual Holding Tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 Rodney P. Kinney Associates, Inc.
Address 16515 Centerfeld Drive, Suite 101, Eagle River, Alaska 99577
—Engineer's PrintedNameRodney P. Kinney, Jr., P.E.
5. DSD SIGNATURE
_LZ Approved for
Disapproved.
bedrooms.
Phone 19071694-2332
Conditional approval for bedrooms, with the following stipulations:
Attachments
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date:
(Rev. 11105)
Municipality of Anchorage
• �` Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: T14N R1W SEC 23 W1/2 NE1/4 SW1/4 NW1/4 Parcel ID:5052308
A. WELL DATA
Well type Indiv. If A, B, or C provide PWSID # _ Well Log (Y/N) Yes
Date completed 7/96 Sanitary seal (Y/N) Yes Wires properly protected (Y/N) Yes
Total depth 181 ft. Cased to 181 ft. Casing height (above ground) 18 in.
FROM WELL LOG AT INSPECTION
Date of test 7196 7127111
Static water level 138 ft 134 (T.O.C.) ft
Well production 10 g.p.m. 7
9•P.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 0.158 mg/L Collected by: Rod Kinney
Arsenic: 0.687 ug/L date of sample: 7127111
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Steel Date installed 8/30/96
Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Yes
Foundation cleanout (Y/N) Yes Depression over tank (YIN) NO High water alarm (Y/N) NO
Date of pumping 7/28/11 Pumper Jr.'s Septic Pumping
C. ABSORPTION FIELD DATA
Date installed 8/30/96 Soil rating (g.p.d.tft2 or ft2/bdrm) 1.2 System type Deep Trench
Length 62.5 ft. Width 2.5 ft. Gravel below pipe 5.0 ft.
Total depth 8 ft. Eff. absorption area 625 ft2 Monitoring tube yes Depression over field No
Date of adequacy test 7/27/11 Results (Pass/Fail)'B For - bedrooms
Fluid depth in absorption field before test 0 in. Water added 756 gal. New depth 0 in.
Elapsed Time: 108 min. Final fluid depth 0 in. Absorption rate >= 750 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date NA
D. LIFT STATION
Date installed NA
"Pump on" level at NA in.
Datum NA
Aw-i421;7_11IEel �Ia]&U-IIII926'7
Size in gallons NA
"Pump off' level at NA in.
Cycles tested NA
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 1001+
Sewer /septic service line 70'
Animal containment areas 100'+
Manhole/Access (Y/N) NA
High water alarm level at NA in.
Meets alarm & circuit requirements? NA
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
r , r
Building foundation 79 Property line 133 Absorption field 5
Water main 100'+ Water service line 100'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
r r r
Property line 72 Building foundation Water main +
'
Water Service line 100'+ Surface water 100 + Driveway, parking/vehicle storage 36
Curtain drain 100'+ Wells on adjacent lots 100'+
F. COMMENTS
Sewer system designed/pevnitted for 5 beds. Adequacy test perfom,ed for 5 beds (passed). Reference MOA approved 1nsgL6Jj8L,"4Ldated 7111197.
G. ENGINEER'S CERTIFICATION��;:••---"'•0;0or�111
I certify that i have determined through field inspections and
review of Municipal records that the above systems are in too.;
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Rodney P. Kinney, Jr., P.E. 20•3•pp4 Pe
Mom &
,h� ;Date August 9, 2011 i v. ei,_ao
COSA Fee $ y 1
Date of Payment I I { I �1 Ckallo
Receipt Number i `A Vl- L D
(Rev. 4/10)
Waiver Fee $
Date of Payment
Receipt Number
FOUND SANDNILL SUBDIVISION MAGNIFICENT MOUNTAIN SLOPES SUBD. /
3-1/4" BRASS LOT 8 r TRACT 8B-1 /
CAP MONUMENT N89'26'02"E 1 329.96'
171.09'
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— ADJACENT PROPERTY LINE
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0 ELECTRIC PEDESTAL
6a GRAPHIC SCALE D 30 so
( IN FEET )
1 inch = 60 ft
FOUND 1 -1/2 -
BRASS CAP
MONUMENT
S89'14'41 "W 330.38'
SURVEY CERTIFICATION:
RODNEY P. KINNEY ASSOCIATES, INC. HAS
CONDUCTED A PHYSICAL SURVEY OF THIS
PROPERTY AS SHOWN ON THIS DRAWING AND
THAT THE IMPROVEMENTS SITUATED THEREON
ARE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS EXIST OTHER THAN NOTED.
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.
W1/2 NE1/4 SW1/4 NW1/4
SECTION 23, T14N, R1 W, SM
25.4'
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EXISTING
OVERHEAD
CARPORT,
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