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Home My WebLink AboutWALTER G PIPPEL ADDITION BLK 5 LT 11 • •, 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 - ti0 : JON-SITE '3 WATER AND m- WASTEWATER z •-0 o: - go /1 SERVIC % 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� N _ 0 MONO - EASY STREET N C0• O N.) ( S 89'56'58" W 100.00' - K k�X—x—x—x—x—X WELL KI I k i 1/�/ K K I I LOT 11 x g K IIPAVED A Z BLK 5 x 0/W 40 k f0 Z IO iO I DECK l r r0 O K 42.0' 0 23.0' m 0 y o 1-3 rri I N EXISTING N Z 1-• N K o HOUSE 22' o o [ a W 18.3' 12.0' --I Fa- 20.5' DECK 0. '0 BW //-- 0 (�J 0 I0 12.0' PI CONC 0 K k 6.0' 11.0' I 1,1 < -I 00 o K 0 m Irn X—X—X—X—X— K X—X—X—X—X—X—X—X— i-X—X� S89'56'58"W 100.00' LOT 2I I 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''— p,f • 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 \ °fesslOn°` JLS NW 0252 180105 �\`��latia'' (907) 274-4992 fax