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 # .•49 TH.. *. r Steve En ,,® CE-6256;Fi 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