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Home My WebLink AboutCAMPBELL HEIGHTS BLK 4 LT 15Olaf 0 7_ OOO MUNICIPALITY OF ANCHORAGE r \� Development Services Department \ru Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Parcel I.D. 014-072-16 Certificate of On -Site Systems Approval Expiration Date: Legal description CAMPBELL HEIGHTS BLK 4 LT 15 Site address 3539 E 67TH AVE Current property owner(s) PAUL NANCY L X The On-site system(s) is/are approved for 3 bedrooms 6/17/2025 Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 7/15/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 ANCHORAGE Phone: 907-343-7904 Fax- 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel 1. D. 014-072-16 Complete legal description Campbell Heights Block 4 Lot 15 Location (site address) 3539 E 67th Ave, Anchorage, AK 99507 Current property owner(s) Nancy Paul Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: RN Private Well R Private Well serving 2 dwelling units 0 Private Well serving 3+ dwelling units E] Community Well or Public F] Water Storage 4. TYPE OF WASTEWATER DISPOSAL: R Private Septic R Private Septic serving 2 dwelling units 171 Holding Tank On Community Septic or Public Sewer cry= Age N/A - See advisory if steel older than 20 years Waiver request for: Expedited review requested: n 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 $_ 2 'R o Date of Payment ii COSA # 3 C-21 Waiver Fee $ 7/K Date of Payment Waiver # COSA Applicationjune 2022 Campbell Heights Block 4 Lot 15 014-072-16 6.3 UNK 60* N/A UNK 0.837 25 6/17/24 Hefty Drilling 14 6/17/24 *Per muni records > Property is served by public sewer. Benjamin Schiller, P.E.6/25/24 N/A N/A N/A N/A (907) 522-7773 25 ' //////////////////////// XXXXX 25 ' 25 ' 25 ' Water Well Mailbox Light Pole Cable Pedestal Fire Hydrant Gas Meter Elec Meter WORK ORDER No:DATE:SCALE: DRAWN: JLA CHECKED: ME ZONING: 1"=30'28 JUN, 2024 R-1 GRID No:FB BOOK/PAGE: SW2035 166/50 SURVEY CERTIFICATION: FARPOINT has conducted a physical survey of the subject property, the improvements situated thereon are within the property lines as shown. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: Under no circumstances should any data hereon be used for construction or for the establishing of property lines. PREPARED FOR: Nancy Paul ASBUILT SURVEY OF: Lot 15, Block 4, Campbell Heights Subdivision (P-243B), Anchorage, Alaska Farpoint Land Services, LLC SURVEYING, MAPPING, LAND PLANNING, GIS 1131 E. 76th Ave., Suite 101 Anchorage, Alaska 99518 FarpointAK.com (907) 522-7770 survey@farpointak.com Robert O. Lumpkin No. 10459 R E GIST EREDPROFESSIO N A L L A N D S URVEYOR SERVI N G A L A SKA SI N C E 1 9 8 2 1.Bearings and distances are record per referenced plat unless otherwise noted. 2.Not all monumentation for this survey may be shown on this document. 3.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 6/28/'24 A 4r . # .1. d 15 40 f i ' * R IF r t r- 40 w r i d C— P. N j A o t1Y # i +y f x • t y Aw liiM ilii f TA Ls: hl TA DATE SCHEDULED SUBDIVISION CAMPBELL HEISHTS INDICATE FORTH TIME i G, SIZE MAIN: I TYPEMAIN: CONNECT LOCATION: I g ' p, zzalrl df It I SPS . LKLTITHAT~ BLK 4 LT 1 U DEPT AT MAIN: COMMENTS INSPECTED BY: C' m JO DATE: AT PROP. LIME: teI,,o 7 rte i GREATER ANCHORAGE AREA BOROUGH t of Environmental Quality Street, Anchorage, Alaska 99503 274-456l Dat6 Received biarch 4. ~976 Time of Inspection 9:30 a.m. Date of Inspection March 5, 1976 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony, 1. Approval requested by: Ma t 1 ing Add re s s: Phone: 2. Property Owner: Loren & Maxien Hastings Phone: Mailing Address: 3539 East 67th Avenue Legal Description: Lot 15 Block 4 Campbell Heights Location: On 67th Avenue East-of Lake Otis - see map Type of facility to be inspected Well Data: Individual A. Type ~j/~' C. Construction Sewage Disposal System: 1962 Single Family No. of bedrooms B. Depth 60 feet D. Bacterial Analysis On-site system· B. Installer 2. Manufacturer 2. Material A. Installed C. Septic Tank: D. Seepage Pit: 1. Size 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line Friday 0 Les 277-4182 , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req. j~t for Approval of Individual ."~.r a Water Facilities "Leg'al Description Lot'l§ I)lock 4 Campbell Heights Comments Approved Date Greater Anchorage Area Borough, Department of Environmental Quality Disapproved Approval~Valid for one year from date signed DIAGRAM OF SYSTEM 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. SI6NEO Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C' Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES ,MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ENVIRONMENTAL gE.EEI.V_ED. 1. Type of Inspection: CMRO VA 2. Property Owner: Loren & Haxine Hastings FHA CONV XX Mailing Address: ].519 E 67t,h Ave Name of Buyer: Day Phone 277-6182 Mailing Address: Day Phone 4. Name of Lending Institution: Mailing Address: Phone 5. Name of Realtor or Agent: Radley 3ames Hast,ings, Vice President,~ Pet. to Mailing Address: 2710 Fairbanks St. Cit,y 99503 Phone 277-4182 Realt,y 6. LegalDescription: Lot, 15~ Block 4~ Campbell Heiqht,s Subdivision Location: On 67t,h Ave East, of Lake 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: o Resident,iai No. Bdrms. ) Public Utility' Individual We 11 If Individual, number of dwellings presently sewed If Individual, depth of well 60 fl:. Sewage Disposal System Type of System: If Individual, date of installation One (i) Public Utility 1962 Individual (on-site) Cesspool PLEASE CALL RADLEY AT PETRO REALTY FOR APPT TO SHOW 277-4182 EQ-037 (1/74)