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Home My WebLink AboutFYFE BLK G LT 4Fyf Block Lo1- 4 #009-273-42 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: Gamess En-gineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 f Engineer's Printed Name: Jeffrey A. Garness Date: '71 �a In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the *.:.. 4 :LH .. ��......... ��. �vil ev A. GAess : �" U, `4 `ems iv p Oressiomoo #AECC884 Py OF�,q��i�� ON-SITE WATER AND rn I ipVW-iYVATER 2 D PROGRAM By: Original Certificate Date: -so 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 Nitrate Advisory Septic System Advisory Arsenic Advisory _ Well Flow Advisory Other COSA blue sheet 10-10-12.doe Legal Description: FYFE; BLOCK G, LOT 4 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled i975(?) Total depth *75.9+ ft Cased to UNKNOWN ft 1 } Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 9/3/20 Static water level at beginning of test 69.6 ft Comments *PER GEG INSPECTION B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Parcel ID: 009-273-42 Structure served by this system Well production at time of test 5.1+ gpm Water storage tank volume N/A gallons Well sinfected for coliform test? ❑ Yes RM No Coliform bacteria is Negative Nitrate mg/L titrate less than MRL (ND) Arsenic i 1 $ ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 9/3/20 AWWU SEWER C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass For bedrooms Total measured depth from grade ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade ft (min) Water added gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time min depth into effective ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced _gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' NSA Community Sewer Manhole/Cleanout > 100' Yes if No *50�+ ft Yes if No ft ❑ ❑ Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NIA ft Holding Tank > 100' P/ Yes if No ft Neighboring Absorption Fields > 100' if No Animal Containment > 50' 0 Yes if No ft El Yes if No ft if No ft If septic tank is under driveway comment below *MET CODE AT TIME Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No *50 + ft ❑✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: ❑ Yes Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft Surface Water> 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL G. ENGINEER'S CERTIFICATION _o OF A vv�� I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance withH y MOA COSA guidelines in effect on this date. '� g .Je fr arne a4Q , —79-53 e G 's • . •mac G COSA Checklist yellow sheet �04a prof es sio�°�� #AECC884 IMUNUPAU TV OF AN, CHORA BOE DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section- www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC201530 Subdivision: FYEE, Block: G, Lot: 4 907-343-7904 Fax: 343-7997 A water sample revealed an arsenic concentration of 11.8 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org cii HUT.., i � y /.,•.. W=Y { rY�.. Ql r7 3a; ¢¢ IME Zi 0 1{ B _ Y 98461 I Y8>6 � S�.u�.ad s.M .=T'l ova .. N s .vo LSOI °aL - ... .. UZ91 _..s 109 a N. m =; IQB eq as 16'' bb �; 2499E - _ ... -._ lag IQ9 -P. 4e' Qi 6 E £eIle -801 {� [. --_ .96 1i C Q f2! 1917. !a _ st n L i- . 'pe [2 U > ldGL61 ad se_ _ [e -co U N Cl - 04 ze L cu 916E ! ` SZOLZ 0099Z IOf 11jE N C.. £! 98EOI.a d sf.. _ l..'r= _ 9 a[ OLL Z OLLBZ (� - G - N ..- ..4H . .. .. .. ... ...tAl .. G 00992 ov9 4.p.. r ri 9e 's 0 m Z LG eC fns _ Q a5�b 4 4�dt ppp •�L un � �'Y24 fp NF •� 6000 UULLtfi2E4atrN F� S �S mU U_�pg,2�_U_�J Q QUUUUUU P4t�2i4 aRNF->SSZ. W J� ?r _t 6 4 2 ,,5734 41F ,-V djob, r 13 IGLOO 16 15 15 �r FYFE 4 5 Q 6 'ICO 57th Avenue 77 7 7 5 3) 8 s 3 9 B -39C I 1 2 DI 58th A\Ien%je �5 a I A E. 57th Avenue 8376L � o co co N89051125"E 50.010 33 N 20.0 y. V'7.9 O Na) CO 3 2.0 OFh gg = O 7.2 0 0 96.0 U. O 0 LO C5 LO N (D r CV 36.0 deck 6.7 LO co 00 Lots o well O Ret. wet 0 Lot 3 SCALE: 1"= 30' Z C:) Lot 4 ood fence sh hain link fence N C b3.a 5' tilt l=ose enf Lot 2 N8 °51 525"E "550.00 RECERTIFIED 9-02-20 G BER-KULL SUBD. Lot 3 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following idescribed property: LOT 4 BLOCK G ��• �F • .. I +# FYFE SUBDIVISION `' • ',� r 4 Anchorage Recording Precinct, Alaska, and that the ,,r 49th 0f improvements situated thereon are within the property lines / • ; , , and do not overlap or encroach on the property lying / adjacent thereto, that no improvements on the property tying / ... • • • • • • • • ....... • 00 adjacent thereto encroach on the premises in question and ® o : izabeth L. Walatka : ,f f that there are no roadways, transmisslon lines or other �tl,s, •_ • _ Ls • • • ,�� visible easements on said property except as indite Z hereon. o • . • 'dao v Dated at Anchorage, Alaska o�esstorr►+L ,�® this 2nd day of November , 2012. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA 8 ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED FB 20-5, pg 27 D ` 2ZEngineers and Surveyors PLAT ARE NOT SHOWN HEREON BE rveyo UNLESS OTHERWISE NOTED. FB 92-8, pg 4 907-24&1666 This drawing Is a representation of conditions found at tate time the mortgage location survey was performed. This document does not constitute a boundary survey and Is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence, structure or other Improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services In preparation of this product Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.anchorage,ak.us (907) 343-7904 CERTIFICATE Of HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. e Expiration Date: GENERAL INFORMATION Complete legal descdpUqn L-~ Location (site address or directions) Current Property owner{s) ~ t,~,,~ Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone k., Day phone. Day phone Un/ess otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/'or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based an procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water suPPly and/or wastewater disposal system is(aro) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information abtained from the Municipality of Anchorage files and from my investigation and inspection, the an-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. Address ~ ~ 'l~~ ' ~ ' Engineers P~nted Name -~ ~v · 5. DSD SIGNATURE b'/ Approved for Di a-pproved. ' Conditional approval for , bedrooms. Phone Date ~ ~ STAMP bedrooms, with the following stipulations: ~,' WATERAND : ~' Additional Comments WASTEWATER PROGRAM Attachments: HAA Checklist Septic System Advisory Well Flow Advisory ' X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Cl- l-o! (Rev. 12~0) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci~horage.ek.us (9O7) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LJ~'~- ~, '~k' ~ ~"[ ~ ~' '~/L3 Parcel ID0O °~-Aq'3 ~ A. WELL DATA Welltype K IfA, B, erCpmvidePWSID# ~ WeiiLog(Y/N)'''~ Y Date completed ~-3- 7~' . Sanitary seal (Y/N) ~ Wire~ property protected (Y/N) ~/ Toteldepth I~ ft. Casedto I~_% ft. Casing height (above ground) ~?_L~ in. FROM WELL LOG AT INSPECTION .~ ft. /~ g.p.m. Date of test ~-- '5 --' -/~ Static water level It. Well production ~ O g.p.m. WATER SAMPLE RESULTS: Coliform ._~.__colonies/100 mi. Nitrate ~'~.,~ mg.A. Date of sample: C~[!~L/~ I Coflected by: B. SEPTIC/HOLDING TANK DATA / Tank Type/Material / / ' xTank size ,.---' g~l. -/Number of Compmtments Foundation cleanout (y/N/ Depression over tank (Y/N) / Dateof pumping Pumper Other bacteria I colonies/100 mi. Date installed C~eanoots (Y/N) High water alarm (Y/N) C. ABSORFTION FIELD DATA Date installed Soil~g (g.p.d./fl~ or ~/bdrrn) System type Length ~ fl. / Width___.___ ft. Gravel below pipe fl. Total depth _ ft. Eff./~il~sorption area ft= Monitoring tube , Depression over field __ Date of adequacy test / Results (Pass/Fail) __ For bedrooms Fluid depth in absorption/eld before test in. Water added gal. New depth in. Elapsed Time: ..~n. 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 'Pump on' level at in. Datum E. SEPARATION DISTANCES Size in gallons /'Manhole/Access (Y/N) 'Pump off' level..~ in. High water alarm level at Cycl~-~*d Meets alarm & drcuit requirements? In. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lilt station on lot t.-/,~ Absorption field on lot Public sewer main I OC*) '{'' Sewer/septic service line /-~v~ '~' On adjacent lots On adjacent lots ~,'~ Public sewer manhole/deanout { d~D JC Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDiN~ TANK ON LOT TO: / Building foundation Property liny Absorption field Water main ' Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTI~ FIELD Property line _ -- Building/f/pOndation -- ON LOT TO: Water main Driveway, parking/vehicts storage F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I heve determined through field inspections and review of Municipal records that the above systems are/n conformance with MOA HAA guidelines in effect on this date. Engineer's Pdnted Name '~o D~_rl --~-~bct-I~.~ Dele q t HAA Fee $ Date of Payment Receipt Number (Rev, 12/00) Waiver Fee $ Date of Payment Receipt Number FROM ADDRESS CITY TERMS J AWL 41y� - - " N.- Y� A L ztuz-o O'k 0- 3o Ll e etu u p�f�," 1 W-T citc- leii GREATER ANCHORAGE AREA BOROUGH l� Depa tment of Environmental Quality 3330 "C" S e Anch-", ge, Alaska 99503 274-4561 t �1 Date Received May 28, 1976 Time of Inspection 9:30 a.m. Date of Inspection -2-7 W d day REQUE ( FOR APPROVAL OF L uchho�lz INDIVIDUAL S WER & WATER FACILITIES J v ^ FOR 0 r P V.A. 1. Approval requested by: Totem Realty % Wm. Schlegel 0 Mailing Address: 516 East Fireweed Lane 2. Property Owner: Douglas Dickinson Mailing Address: 2607 Arctic Boulevard, Anchorage 3. Legal Description: Lot 4 Block G Fyfe Subdivision 4. Location: 1836 East 57th Avenue Phone: 272-0571 Phone: 892-6398 (Palmer) 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: Indiv dual E1 7� _ A. Type ti�-�v' B. Depth 5 C. Construction D. Bacterial Analysis / _ 7. Sewage Disposal Sy tem Public`Utilit A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line , Sewer Lines , 1 Q-034 (1/74) Page 1 of two pages U' MUNICIPALITY OF ANCHOP.AGE 'y V' DEPT. OF HEALTH & g ENVIRONMENTAL PROTECTION GREATER ANCHORAGE AREA BOROUGH �JrDepartment of Environmental Qualit grn .T-�-�-�r---o St . , Anchorage, Alaska 99503 JAqu� l REQUEST FOR APPROVAL OF I—V INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV NOTE: _ 2. Property Owner: Douglas Dickinson Mailing Address: 2607 Artic Blvd— A7nc�h. Day /Phone 892-6398--Palmer 3. Name of Buyer: Mailing Address: — Day Phone c>')_74— 0 0 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Phone William Schlegel,. Totem Realt Mailing Address: 516 East Fireweed Lane Phone 272-0571 6. Legal Description: Lot 4, Block G Fyfe Subdivision Location: 1836 East 57th Avenue 7. Type of �acility to be inspected: Split level No. Bdrms. 2 finished un finished 8. Water Supply ---- Well Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System ----- Type.of System: Public Utility x Individual (on -site) If Individual, date of installation EQ-037 (1/74) Page 2 of two pages - Re :st for Approval of Individual -er & Water Facilities Legal Description Lot 4 Block G Fyfe Subdivision Comments Approved 2 �•. Disapproved U Date //— Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) �4 ancxecaea a4 w� o o c v GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 6, 1976 Time of Inspection in:oo Date of Inspection Feb. 6, 197E - Les REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Totem Realty o Esther Bumgardner Mailing Address: 516 East Fireweed Lane 2. Property Owner: Mailing Address: 3. Legal Description: Lot 4 Block G Fyfe Subdivision 4. Location: 57th Avenue off of Petersburg Phone: Phone: 272-0571 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis--->�'"6 2& n,?— a1 7. Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area _ Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re( st for Approval of Individual `' �r & Water Facilities Legal Description Comments Approv Lot 4 Block G Fyfe Subdivision Disapproved Date ";'��- Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certity that the intormation contained in this request for approval to De a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)