HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 5 LT 117
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MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251138
Parcel ID 050 -123-38 Expiration Date: 4/10/2026
Legal description WALTER G PIPPEL ADDITION BLK 5 LT 11
Site address 16820 EASY ST
Current property owner(s) IRISH COLIN & EMMA
X The On-site system(s) is/are approved for 5 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
No comments
By:
Original Certificate Date:
4/28/2025
Thik&i ificate ct"On-Site Systems Approval (COSA) is intended to demonstrate the subject
sy tem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
evelopment Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone. 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. 050-123-38
Complete legal description Walter G Pippel Addition 131k 5 Lot 11
Location (site address) 16820 Easy St. Eagle River
Current property owner(s) Coin & Emma Irish
2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: R Private Well Rx Private Well serving 2 dwelling units
F Private Well serving 3+ dwelling units E] Community Well or Public
El Water Storage
4. TYPE OF WASTEWATER DISPOSAL: E] Private Septic E] Private Septic serving 2 dwelling units
El Holding Tank FX1 Community Septic or Public Sewer
5. SEPTIC TANK: D Steel E] Plastic R Concrete R Fiberglass
Age - See advisory if steel older than 20 years
6. ABSORPTION FIELD: 171 AWWTS E] Bed n Deep Trench E] Wide Trench n Seepage Pit
Waiver request for:
Expedited review requested: F-1
Distance:
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 $
Date of Payment 4-
COSA #
0
Waiver Fee $
Date of Payment
Waiver #
COSA Application—June 2022
COSA Checklist
Legal Description: Walter G Pi le Addition Block 5 Lot 11 Parcel ID: 050-123-38
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system
A. WELL DATA
0 Well log is filed with Onsite (or attached)
Date drilled 10/19/1969Total depth 98 ft
Cased to 98 ft
0 Sanitary seal is functioning correctly
❑V Wires are properly protected
Casing height (above ground) 20 in.
Date of flow test for COSA 4/10/25
Static water level at beginning of test 32 ft.
Comments
K DATA Public Sewer
fluid level in septic tank
Date of pumping ~-
❑ Required maintenance
Comments:
WWTS
BSORPTlON FIELD DATA
Which sy tested (date installed)
❑ ALL standpipe esent per record drawing
Total measured depth fro de ft (max)
Measured depth to pipe invert from de 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
Comments/Deficiencies
COSA Checklist June 2022
Well production at time of test 3.8 gpm
Water storage tank volume None gallons
Well disinfected for coliform test? ❑ Yes ❑./ No
x❑ Coliform bacteria is Negative
Nitrate 4.51 1 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑Q Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Date 4/10/25
IFT STATION
❑ Require tenance completed
Age of lift station rs
Lift station material
Comments:
Adequacy test date
Results ❑ Pass
Fluid depth prior to test _
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
in
Ab tion rate gpd
FIELD STA - POST RECOVERY
Effective depth (per ord drawings)
Effective depth used
Effective depth remaining in
ral
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'
Building Foundatio _ I❑
Yes
Community Sewer Manhole/Cleanout > 100'
ft
r_1 Yes
if No NA
ft
❑ Yes
if No
61* ft
Neighboring Tank > 100' Q Yes
if No
ft
Private Sewer/Septic Line > 25'./❑ Yes
if No
ft
Absorption Field on Lot > 100' ❑ Yes
if No NA
ft
Holding Tank > 100'�/❑ Yes
if No
ft
Neighboring Absorption Fields > 100'
ft
If tank or field is under driveway cc it below
Animal Containment > 50'✓❑ Yes
if No
ft
0 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ Yes
if No 61*
ft
0 Yes
if No
ft
❑ N/A — Served by Community Well (not on lot) or Public Water
Septic/Holding Tank and Absorption Fields) on Lot to: (Please enter distances if less than required)
Building Foundatio _ I❑
Yes
if No
ft
Surface Water > 100' ❑ Yes if No ft
Tank to Property Line > 5'
❑ Yes
1 ❑
ft
Wells on Adjacent Lots
Field to Property Line > 10'
❑ Yes
if No
ft
Private Wells > 100' [:]Yes if No ft
Water Main > 10'
❑ Yes
if No
ft
Community - 200' [:]Yes if No ft
Water Service Line > 10'
❑ Yes
if No
ft
If tank or field is under driveway cc it below
F. ENGINEER'S COMMENTS
*Well drilled in1969. sewer installed in 1974. Well -sewer separation distance met code at time of install.
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 Arcterra Consulting Phone (907)-696-6111
Engineer's Printed Name Kenneth Duffus Date
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. i�ii��R��l+
The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The +-\� r
flow and absorption rates may change due to subsurface conditions that may not be observed from the 49' 1+
surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year N&*1#04
and the water usage of the family being served by the system. The operational life of all well and septic i #
systems are subject to these various and dynamic characteristics and are outside the control of the evaluator 0 49Poo
of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will
function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist. f/ KENNEI'FI M u S {�{,+AP
`�I•�� C 711 [,��a!
COSA Checklist__ June 2022 �'��RitiVjr�i*�
•
•, Municipality of Anchorage . .°
— On-Site Water and Wastewater Program ®;��•� :.
(907) 343-7904 SAF ETY
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-123-38
Expiration Date: 14 - 36 —( g
1. GENERAL INFORMATION
Complete legal description WALTER G PIPPEL ADDITIONBLK 5 LOT 11
Location (site address) 16820 EASY STREET, EAGLE RIVER,AK 99577
Current Property owner(s) PATRICK&KATHRYN MAHONEY Day phone
Mailing address 16820 EASY STREET, EAGLE RIVER,AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual ❑
Individual Water Storage ❑ Holding Tank ❑
Community Class_Well ❑ Community ❑
Public Water System ❑ Public Sewer
WaiverNariance request for: Distance:
Received by: A J1 �, ��. Date: f //6 to be released to the engineer,unless otherwise ,' by the engineer.
COSA Fee $ 59.1 Waiver Fee $
Date of Payment j 2L lig Date of Payment
Receipt Number if (305 Receipt Number
COSA# 6SCJ2 1 on Waiver#
5. 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 ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS 1/24/2018
Engineers Comments:This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics,groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future ��.`\
occupants or can ArcTerra guarantee that no unseen v OF AZ
encroachments,deficiencies or discrepancies exist.
Ile<Sr 1-
* 4• T1-i y,Y ,
6. DSD SIGNATURE _ _ �
4 11, KENNETH Ni.) System #1 Approved for -Sbedrooms. I '5. 7116 _,e4.7j
System #2 Approved for bedrooms. °=kisP, s '� G`''�
'FEs,1o:•Ir` i
Disapproved. \•���
Conditional approval for bedrooms, with the following stipulations:
-\.--0Y OF,q
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WATER AND m-
WASTEWATER z
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B 4 �' Original Certificate Date: I— 3 d" /g
The Municipality of Anchorage 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
COSA blue sheet 10.10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist#_ of
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: WALTER G PIPEL ADDITION#2 BLK 5 LOT 11 Parcel ID: 050-123-38
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N)
Date completed 1011969 Sanitary seal (YIN)Y Wires properly protected (Y/N)
Total depth 98 ft. Cased to 99 ft. Casing height(above ground) 18_ in.
FROM WELL LOG AT INSPECTION
Date of test 9/1993 *11512018 by Anchorage Well&Pump
Static water level 30 ft. - *38 ft.
Well production - - 6.2 g.p.m. *4.8 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate _ 3.93 mg/L
Arsenic: ND ug/L Date of sample: 1/512018 Collected by: *Anchorage Well and Pumo
B. SEPTIC/HOLDING TANK DATA—PUBLIC SEWER
Tank Type/Material Date installed
Tank size _ gal. Number of Compartments Cleanouts(Y/N)-_
Foundation cleanout(Y/N) Depression over tank(Y/N) High water alarm (YIN)
Date of pumping Pumper _
C. ABSORPTION FIELD DATA
Date installed __ Soil rating (g.p.d./ft2 or ft2/bdrm) System type
Length _ ft. Width ft. Gravel below pipe ft.
Total depth _ft. (Measured 5/18/16) Eff. absorption area ft2 Monitoring tube Depression over field
Date of adequacy test __ Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test__ in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type)____ If yes, give date
D. LIFT STATION
Date installed Size in gallons - Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested - Meets alarm&circuit requirements?
E. SEPARATION DISTANCES - PUBLIC SEWER
WELL ON LOT TO:
Septic tank/lift station on lot NA On adjacent lots--NA
Absorption field on lot NA On adjacent lots - NA
Public sewer main ** 50'+ _- Public sewer manhole/cleanout ** 50"+
Sewer/septic service line ** 50'+ Holding tank NA
Animal containment areas NA _ _ Manure/animal excrete storage areas NA
SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER
Building foundation - Property line Absorption field_
Water main Water service line Surface water
Wells on adjacent lots -
ABSORPTION FIELD ON LOT TO:
Property line Building foundation _- Water main
Water Service line Surface water -- _ - Driveway, parking/vehicle storage
Curtain drain - Wells on adjacent lots
F. COMMENTS
*See attached Waterwell-Test Puma Report by Anchoraae Well and Pump dated 1/5/2018
**Private well drilled in 1969.Public sewer installed in 1974.Well-Sewer separation distance met at time of installation,
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 KENNETH M.DUFFUS � `S<' OF ALA\
Date 1124/2018 1 • ✓ *
COSA canary sheet_2-6-15.doc ` ?c`(c eennr rHv�
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ANCHORAGE RECORDING DISTRICT,ALASKA
AS-BUILT OF:
WALTER G. PIPPEL ADDITION
LOT 11 BLOCK 5 PLAT P-415 —'_r��N�\ D S U b.
SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a
.: F A".(.1:4
�IL y0 LAND
physical survey of this property as shown on this drawing and that the /00 ��.. '' ••••:4� 11 ,�'-'S‘C'3''—
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improvements situated hereon are within the property lines and no •
1— .'•••�` + ,��4j c�'�,�
enchroachments exist other than noted.Under no circumstance should / �:• 49TH /\ `9*, Ngo "0
any information on this drawing be used for construction of fences, % * 1 a, 'A c.r
structures,improvements,or for establishing boundary lines. 4 L... /�.��� 4 V • " r
EXCLUSION NOTES:It is the owners responsibility to determine C otrl .,„
.•.J0 L. SCHULLER. 0 .')
the existence of any easements,covenants,or restrictions which '1 -10408 P%/ •
. ...�•_.�.•�"
do not appear on the recorded subdivision plat. h ea o�/ 1831 Talkeetna Street
WORK ORDER NUMBER: DATE SCALE E-YAL lb;a '**1.'2.1**l g ii j� Anchorage, Alaska 99508
JAN 27, 2018 1"...30'
AN,-
°Po(`�► (907) 227-1455 office
1 8-005 DRAM eY:CHECKED ITC°ID NUMBEIC DOCK/POE
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JLS NW 0252 180105 �\`���latia'' (907) 274-4992 fax