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Home My WebLink AboutKWIK LOG BLK 4 LT 9Kwik Log Block 4 Lot 9 #013-043-20 Alumcipality of Anch Building Safety DiVISion George P. iL'uerch, 3ln �p>r 2/3/2003 Lawrence Ross 801 E 73rd Ave Anchorage AK 99518 Subject: Expired On -Site Water and/or Wastewater Permit. Permit Number: SW020006 Legal Description; Kwikl og BCock 4'Lot 9 Dear Lawrence Ross: a r,. Anchorage 2002 An On -Site Water/Wastewater Permit, number SW020006, issued by this office for a single-family system, expired on January 15, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. When applying for a new permit, the fees are: $320.00 for a wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-7904. Since Ja es Cross, PE M nagger On -Site Water and Wastewater Program Enc: Copy of permit P.O. Box 196650 • Anclioragc, Alaska 99519-6650 • Telephone: (907) 343-8301 • Fax: (907) 343-8200 4700 South Bragaw Strcet • Anchorage, Alaska 99507 http://��c.ci. anchora�'e.ek.us b MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WATER SUPPLY PERMIT Initial Permit Number: SW020006 Legal Description:: V'GIiC�'b'� BL 'fib Design Engineer: 0000 None Required Owner Name: Lawrence Ross Owner Address: 801 E 73rd Ave Anchorage , AK 99518 - Date Issued: Jan 15, 2002 Expiration Date: Jan 15, 2003 Parcel ID: 013-043-20 Site Address: 000646 73RD AVE E Lot Size: 11135 SQ. FT. Total Bedrooms: 6 Permit Bedrooms: 6 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Receive y: Date: i Issued By: Date: A aZ Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St 5 q E T Y P.O. Box 196650 Anchorage, AK 99519-6650 www.ci-anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel l.D._ -?4-'013 -- Property Mailing address e. Number SW02000 phone (per Mailing address (2) /K,AO!ZW , � Y Zip Code Legal description (Lot, Block & Sl u L�% I "� tz / ,t tt Legal description (Section, Township & Range) Lot Size I I , 135 Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit El Pool 1:1 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Permit Fees: oa Waiver Fees: Date of Payment: b a Date of Payment: Receipt Number: (Rev. 12/00) Receipt Number: UH C P A L 8 T Y OF HCH0Ry, G 12H K' 4, � 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. 013-043-20 Legal description KWIK LOG BLK 4 LT 9 Site address 648 E 73RD AVE Expiration Date: 5/24/23 Current property owner(s) KANURY AMALA 50% &KANURY SREE RAMYA 50% X The On-site system(s) is/are approved for 6 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: �C�o� Original Certificate Date: 2/24/23 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 ApprovW_June 2022 MUMU CoPZl-,LJ TJ U"oF Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 013-043-20 Complete legal description KWIK LOG BLK 4 LT 9 Location (site address) 646 E 73RD AVE ANCH AK Current property owner(s) KANURY Day phone 2. ON-SITE SYSTEMS SIZED FOR 6 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Privat�Well ® Private Well servin�2dw�ellring t ❑ Private Well serving 3+ dwelling unjts�-G mff-w ►it -y Weft-er�ublic__ F-1WaterStorage / ` 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Se tic seeeery 2 dwelling units ❑ Holding T k X Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ i erg ass Age - See advisory if steel 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 $)' l�� Waiver Fee $ Date of Payment ��a� ��3 02 Date of Payment COSA # ()5C 23 ►'z) 023106 Waiver # COSA Application_ June 2022 COSA Checklist Legal Description: KWIK LOG BLK 4 LT 9 Parcel ID: 013-043-20 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 '1969 Total depth 78 ft Cased to *' 40'+ ft X Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 2/20/23 Well production at time of test 3+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes FM No H Coliform bacteria is Negative Nitrate mg/Lfi❑ Nitrate less than MRL (ND) Arsenic 6.47 ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Static water level at beginning of test artesian ft. Date 2/20/23 Comments 'DRILLED PRIOR TO 1969, SEE AWWU DWGS. REQUIRED WELL RADIUS 50',`* MOA FILE B. TANK DATA Measured operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, ifAWWfS Comments: D. ABSORPTION FIELD DATA 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 COSA Checklist June 2022 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date Results 0 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 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', Community Sewer Manhole/Cleanout > 100' ❑ Yes if No _ ft ❑ Yes if No >65 ft Neighboring Tank > 100' ❑o Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No _ ft ** Absorption Field on Lot > 100' ❑ Yes if No _ ft Holding Tank > 100' FE] Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' F Yes if No _ ft ❑i Yes if No _ ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ">65 ft ❑i 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 Surface Water > 100' ❑ Yes if No _ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' ❑Yes ifNo_ft ❑Yes ifNo_ft ❑ Yes if No _ ft ❑ Yes if No _ ft Wells on Adjacent Lots: Private Wells > 100 Community Wells > 200' El Yes ifNo_ft ❑ Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS **LOT SERVICED BY AWWU SEWER LINE, WELL IS ARTESIAN, PACKER INSTALLED WELL NOT DRILLED FOR 2002 MOA PERMIT SW020006 ** WELL DRILLED PRIOR TO 1969 SEE AWWU SEWER MAIN/MH DWGS 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 AU evi'ol;l Phone 727-8864 Engineer's Printed Name Date L Z aJ f z 9TH a•�. .e......,, • 1AICHA EL N. ANDER<GN r., cr va 9 7�?f.� COSA Checklist June 2022 LOT 10 10' UTILITY EASEMENT EDGE OF PAVEMENT PAVED DRIVEWAY Lot 9, Block 4 Kwik Log Subdivision 11,135 Sq. Ft. +/- 646 E 73rd Avenue 2 Story Wood Frame Duplex with Two Attached 2 Car Garage LOT 8 ℄ E 73RD AVENUE MBT T 2ND STORY WOOD DECK TYP. 1ST STORY WOOD DECK TYP. S89° 50' 15"E 82.36' MEAS. 46.4 50.3 4.9 8.2 6.8 4.9 8.2 6.8 39.139.124.524.5S89° 48' 29"W 82.45' CALC. SC 11.7 28.2G G 3x E 10.7 S0° 26' 20"E 135.33' MEAS.S0° 26' 20"E 134.97' REC.W 1 0 0 ' WE L L RAD I US S89° 48' 30"W 82.50' REC.N0° 28' 50"W 134.82' CALC.PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the 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. January 6th, 2022. Legend: Scale 1" = 20' Electric Meter Telephone PoleMailbox Lot 9, Block 4 Kwik Log Subdivision General Notes: 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. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. MGJ Building Group, Inc 22-920 01/06/2022 63-60 2131 Tel. Pedestal STA T E O F ALA S K A49 TH ROYEVRUSDNALLANOISSEFORP DERE T S IGER Pierre M. Stragier NO. LS-9812 01/06/2022MBT Wood Deck FenceGGas MeterE Over Head Utilities Sewer Clean OutSCWater WellW DATE 12/31/2019 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION KWIK LOG BLOCK/LOT/TRACT BLK 4 / IT 9 / INDICATE NORTH � fdI L E l3°d` r k' qo' SIZE MAIN: TYPE DEPTH AT MAIN: AT PROP. LINE:®' CONNECT LOCATION: 3' yJ COMMENTS: UA14KC4w kJ d I iS 2l'�I D26 INSPECTED BY: DATE: y` 4 3 NEEP SM Et 4 KER �� }) GREATER ANCHORAGE AREA BOROUGH Department of Environmental (duality 3500 Tudor. Road, Anchorage, Alaska 99507 279-8686 Date Received>��/y o� spection %/�/�_✓� Date of Inspec.�ion��/li s' REgUEST FOR APPROVAL OF INDIVIDUAI. SEVER &'NATER FACILITIES FOR 1. �A npro val Requested Address: Phone 2. Property Owner: —Phone: 3. Legal. Description: Zz-)7- 4. Location: 5. Type of Facility to be Inspectod: LO %�z�l/�Ef✓ �t� "� "f �v✓�io� Number of Bedrooms: 6. Nell Data: A. Type_ ��1%S�i/ _ B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disnosal Svstem:l//�l�/� A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: l.. Size 2. Material �0 C , Disposal. Field: Total. Length of Lines g. Distances: A. Well To: Septic Tank __$ $ Absorption Areae, Sewer Lines Nearest Lot Line , Other Contamination B. Foundation to Septic TankAbsorption Area C. Absorption Area to Nearest Lot Line RequeEt for Approval of _ ividual Sewer & water Faci.li.ti� Page Two 9. Comments: I I n Armrovedy - Disapproved� f�`y�ti�-cam_: Date Approval Valid for One Year From Date Signed Greater Anchorage Arca Borough, Derartment of Environmental Quality DTAGRAM OF SYSTEM. T certify that the information contained in this request for approval to be a true and accurate representation of the subiect sewer and water facilities located at: Signed Date