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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 3 LT 7AOnsite File Ea le Rive . . . . . . . . . . . . 0 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-281-07 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: —2-1 —Z0Z0 Complete legal description EAGLE RIVER HEIGHTS BLOCK 3, LOT 7A Location (site address) 10035 CHAIN OF ROCK STREET, EAGLE RIVER, AK 99577 Current property owner(s) BRIAN E MCKAY Mailing address Real estate agent Day phone 10035 CHAIN OF ROCK STREET, EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: Private Well Private Septic Water Storage ❑ Community Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Private Septic ❑ Holding Tank ❑ Community ❑ Public Sewer Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ p2 00 Date of Payment T oz Receipt Number �6_1y3 COSA# Oso- a6011 Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 1/16/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic X11\\`\ 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 in land use,.i • • • • • � s`-• t local soil characteristics, groundwater levels that may fluctuate during the year, quality of •• construction (workmanship & materials), the water usage of the family being served by the �`• �� system and maintenance. 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 � *; TM •.* well and septic system. Therefore, any estimate of how long a system will function satisfactory • • • • • • • • • • • • • • • • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FW�S • • • • • • • • • • • ••v� 6. DSD SIGNATURE v � Ec�•.• Curtis CE 12 991 Huffman •.�� j9.• 1/16/2020•\AW System #1 Approved for � bedrooms 1,F"pROFESSOP -r System #2 Approved for bedrooms ��\��t�� Disapproved Conditional approval for bedrooms, with the following stipulation WLEA . By: Original Certificate Date: 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 Legal Description: EAGLE RIVER HEIGHTS BLOCK 3 LOT 7A Parcel ID: 050-281-07 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled 9/7/1972 Well disinfected for coliform test? ❑ Yes ® No Total depth 165 ft ® Coliform bacteria is Negative Cased to 165 ft Nitrate 2.21 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected FW.CS Casing height (above ground) 12+ in. Collected by , "'° Date of flow test for COSA 12/17/2019 Static water level at beginning of test 152 ft. Date of Sample 12/17/2019 Well production at time of test 5.5+ gpm Comments No draw down from SWL. B'. -,TANK DATA - NA Age of tan k(s) _years Tank type/material Measured operat ni g fluid level in septic tank ® Standpipes/foundatiom,le�t per record drawing Date of pumping D. ABSORPTION FIELD DATA - NA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade _ft (max) Measured depth to pipe invert from grade _ft ( ;nj ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effeq v f not, state depth into effective , °' ❑ Code -required soil coverove�r field ❑ System presoaked (Required if vacant-f'or greater than 30 days prior to date of test) Gallonsrtritroduced gallons Comma to s/Deficiencies: C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: A"Oacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Watar added gal New dep h.-- in Elapsed time` Rin Final fluid depth in Absorption rate gpd Any rejuvenation treatment (pas `1.�'months) If yes, enter date 'i� 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' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No _ Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No _ Neighboring Absorption Fields > 100' Water Main > 10'/ Animal Containment > 50' ® Yes if No ® Yes if No ft if No _ 100' Manure/Animal Excreta Storage > 100' Surface \:titer Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Fotandations > 10' ® Yes if No ft Surface Water > 100' ® Yes -H-No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ®Yes if No Water Main > 10' Z YYe's if No ft Community calls > 200' ®Yes if No _ Water Service Line > 10' ® Yes if No'��.— ft If §japtic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distanc Building Foundation > 10' ® Yes ifNo,/ ft ` Property Line > 10' Yee ,r if No _ ft ter® Water Main > 10'/ ® Yes if No ft Water Service Liner 10' ® Yes if No ft 100' Surface \:titer ® Yes if No ft F. ENGINEER'S COMMENTS than required) I absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > TGO' ® Yes if No ft Community Wells > 200' ` ® Yes if No G. ENGINEER'S CERTIFICATION I certify that 1 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. q- � I .... ........... �¢l , Curtis Huffman �� F'•. CE 128991 OPROFESS ON�`�.� ft ft ft ft ft ft ft ft � x � q O SMMS -K��i{(_ ►M,y�'��yy �+��yy7 y'ryi hiKyi }*��!*Mr,J� Y��j{ ►��y! `y�S a !� e'r N [r N !'y lr � f•' f+ t't'V !'v O 7 OyO «yO yO yO yO O M ►� N ti la hi P� ►1 W x "f 0 0 o a a <' rJ Fj \o ON iO\ ' CD ( : o, aco ACID �t eCl Nft� FJ Ql i� x > 'IV H m � r gn � 1 y C n ° r O \1 O o,tart. H F M r - y t v ly n r Ii i t V ca cc v, Zo lei • � O r� O ►� O ►`ya O �" O ►�i O ,�. i 7O .i 0 t� O .� O � O O may, �n ,.`-S' H H H H H H H H )1 H H H O O O O O O i� tv 00 � x > 'IV H m � r gn � 1 y C n ° r O O o,tart. H WN y t v ly n r Ii i t V tv 00 � x � � r N � SL 1 � � `n V �r WN n rf9 V ca cc v, Zo • Itlt Fm - k �i� / ASBUILT-NO CORNERS SET THIS DATE. I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. 9y.a N i S3,7ARD & ASSOCIATES LAND SURVEYING SCALE= OF A DATE. is /,%�/y � � .•, •. �- � * 40-1 GRID • •• « aaeoeea e•.. '« DuenoMork Sow d •• FB; � { LS /lj(�/Cr/r. aa� Ar r • / • • • - y9 ? DRAWN i✓� r'= -