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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 0;1 O)N cn co !"3 V U) Ln d A N �» c, o txj X08 Z ro in �vC�7��o� �kT f o t-ju � i — Ail -az On'D O� /� o �m< x II If ip�� o� Z W m N N V' cgNT o ' p\ > i� N2 > "ipo z aL9 W m�a c oa n �m �� A v a n fvo -V W N Z Y (7 (7 � m O n to x f m m K r D no ti Dw n Z oyo zxa f M z -i.- a o CN M03!= mzy 1,j I. �z N��Auxii l lin C) 'OmZ�ZVI I.V'7 yll "'t o _ D A2N 0 mV~im�WmZ !I �! m"O Uri a m V (n ml�q Dn O m aum zDCmzi ►(! \l yN zmo autoo ZOO y Z cD oyz "ice ^' 'O' 20.25q, �O ro 1 03 N AM- °oy zz -0 \ D I co x zoA zN O r V7 71 N f D 0 m Z -I N O m m ;30 z n � � pAmO moI z 10 m T y O -1 Z �Y om - NQNI j� D0 om to nm 'Q oAm_.� Oy. mr �-�z �g r^.: co m 00 � y 0 m Ito �<j, Y 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 / 171.09' \�/ -� — �s 2 2 N 2 Co N89'26'02"E 329.96' al 8 N a 2Y2 STORY s.s' fa c, WOOD FRAME J M 8.8' 4' _ 2' HOUSE N o M (;o 97.0' =12' 22' 22' U . (V _ J l0 _ _ — cs _ 30' Lo m DJM 3 0 M oM O I� M o /Z y / GRAPHIC SCALE \ 30 0 15 30 i7 N ( IN FEET ) M 1 inch = 30 ft. 0 W112 NE1/4 SWI/4 N W7/4 00 FOUND 1 -1/2 - BRASS CAP MONUMENT 0.5' im 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. z \ of ///��a1�s111 z R °.:' ........ ................ � LQ '.., Kevin M. Smith .'*A le.119 92Ao 3/q low Aw FOUND REBAR 589'14'41"W 330.38' DENAL Y SUBDIVISION T\\\��l �� ` TRACT Al a[v. nAa OFNm,W1 n GRAVEL DRIVEWAY - - - - - - DECK/PORCH — — — ADJACENT PROPERTY LINE SHEE N0. 1 of 1 PROPERTY LINE DRAMN BY: JDB : ❑o CLEANOUT El 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. z \ of ///��a1�s111 z R °.:' ........ ................ � LQ '.., Kevin M. Smith .'*A le.119 92Ao 3/q low Aw FOUND REBAR 589'14'41"W 330.38' DENAL Y SUBDIVISION T\\\��l �� ` TRACT Al a[v. nAa OFNm,W1 n �RP� wm�.�rre 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 1.0 • 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' Z Z GRAVEL DRIVEWAY 158.87' \ FOUND I` REBAR, TYP. Lo WELL —",-"\ ❑o 2 STORY WOOD BUILDING 0 0 W1/2 NE1/4 SW1/4 NW1/4 Z WO¢� pmti Mom — ADJACENT PROPERTY LINE PROPERTY LINE ❑o CLEANOUT 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' 0.8'1 EXISTING OVERHEAD CARPORT, SEE DETAIL A LnM Lr) O Ld to Z V 00 \w W� Lt ' Lu W gow— ' 49 -�+ Kevin M. Smith o ' r iS-92.9/4 o Aw fessimal AS—BUILT AUWST 0E , WI I FIGURE 1