HomeMy WebLinkAboutKNIK VIEW ESTATES BLK 5 LT 15Knik View
Estates
Block 5
Lot 15
#051 - 043 -55
MUNICIPALITY OF ANCHORAGE
Aque
Development Services Department Phone: (907)343-7904
On-Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251051
Parcel ID 051 -043-55 Expiration Date: 2/4/2026
Legal description KNIK VIEW ESTATES BLK 5 LT 15
Site address 22422 J U D D DR
Current property owner(s) GRIFFITH DUANE R
X The On-site system(s) is/are approved for 4 bedrooms
By:
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
2/18/2025
This C rt t ficate of On-site Systems Approval (COSA) is intended to demonstrate the subject
systZo(s) is /are in substantial compliance with municipal code. The Municipality of Anchorage,
Development Service Department (DSD) issues COSAs based upon representations provided by an
I
ndependent 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 X Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE f?os (4
'.. 4'
Development Services Department )�:W-1Phone: 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. 05104355000
Complete legal description
Location (site address)
KNIK VIEW ESTATES BLK 5 LT 15
22422 JUDD DR
Current property owner(s) GRIFFITH DUANE
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
Day phone 907-301-2388
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units I Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK:❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 22 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑
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 $ S� 3Waiver Fee $
Date of Payment 2-z� SLZ-G zl re�/0L Date of Payment
COSA # 0 S �- Z) i Q ( Waiver #
COSA Application—June 2022
COSA Checklist
Legal Description: KNIK VIEW ESTATES BLK 5 LT 15 Parcel ID: 05104355000
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) Well production at time of test gpm
Date drilled Total depth ft Water storage tank volume gallons
Cased to ft Well disinfected for coliform test? ❑ Yes 400066
❑ Sanitary seal is functioning correctly ❑ Coliform bacteria is Negative
❑ Wires are properly protected Nitrate mg/L ❑ Nitrate less than MRL (ND)
Casing height (above ground) in. Arsenic ug/L ❑ Arsenic less than MRL (ND)
Date of flow test for COSA Collected by
Static water level at beginning of test ft. Date
Comments No Well On Lot- Water Provided By Public Water
B. TANK DATA C. LIFT STATION
Measured operating fluid level in septic tank 50 ❑ Required maintenance completed
Date of pumping 2/4/25 Age of lift station years
❑ Required maintenance completed, if AWWTS Lift station material
Comments: Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/20/02
Q ALL standpipes present per record drawing
Total measured depth from grade 8 ft (max)
Measured depth to pipe invert from grade 4 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
0 Monitor tubes go to bottom of effective.
If not, state depth into effective
0 Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced 2000 gallons 1/27/25 date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Comments/Deficienci
COSA Checklist June 2022
Adequacy test date 1/28/25
Results Q Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 4 in
Elapsed time 30 min
Final fluid depth 0 in
Absorption rate 600 gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 48
Effective depth used 0 in
Effective depth remaining 48 in
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 ft
Neighboring Tank > 100' ❑ Yes
if No ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No ft
Water Main > 10'
❑■
Yes
if No
Manure/Animal Excreta Storage > 100'
Community Wells > 200'
Community Sewer Main > 75' ❑ Yes
if No ft
r] 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'
❑■
Yes
if No
ft
Wells on Adjacent Lots:
Field to Property Line > 10'
❑■
Yes
if No
ft
Private Wells > 100'
Q Yes if No ft
Water Main > 10'
❑■
Yes
if No
ft
Community Wells > 200'
■❑ Yes if No ft
Water Service Line > 10'
❑■
Yes
if No
ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
G. CERTIFICATION & STATENIENT 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 NorthRim Engineering Phone
Engineer's Printed Name Steve Eng Date _
COSA Checklist June 2022
694-7028
2/5/25
4!1111� OF
S1
#
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r Steve En
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2'1 29'
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
On -Site Water and Wastewater Section
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval # OSC251051
Subdivision: Knik View Estates Block:5, Lot: 15
907-343-7904
Fax: 343-7997
The septic tank for this property is 22 years old. The average life of an asphalt
coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more,
not including engineering, surveying, MOA permitting fees or site restoration.
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.
LI
Q
�I
LOT 1 • SEWER SYSTEM PIPE
AS -BUILT SURVEY 1" =30'
0F Atq�;�p
�D. 49 TH*
�� fiat
a SHANE A. HOLT
LS -6914
44a a o
\\"fessioW Loo
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT
ARE NOT SHOWN HEREON, UNLESS NOTED.
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
ONLY VISIBLE IMPROVEMETNS ARE SHOWN HEREON
NO CORNERS SET THIS DATE
I HEREBYCERTIFY THAT I HAVEPERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 15 BLOCK 5 KNIK VIEW ESTATES
ANCTIORAGERECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED
DA LED ATANCHORAGE,ALASKA THIS 13TH DAY OF
FEBRUARY ,2025
16206 240-29
HOL T LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
223-8615