The URL can be used to link to this page

Home My WebLink AboutT13N R3W SEC 13 LT 2 OF GAAB TR97/AKA BLM L107 (TR 97 BEING SW4 SE4 SW4 NW4)Onsite File t 97 Be4D ng SW4' Development Services Department On -Site Water & Wastewater Section Parcel I.D. 006-063-22 nA '"max Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: _ 1.1-12-2-02D Complete legal description : T13NR3WS13 L2 OF GAAB TR97/AKA BLM L107 JR 97 BEING SW4 SE4 SW4 NW4) Location (site address) 510 Patsy St Current property owner(s) Davis Mailing address Real estate agent Partners 2. TYPE OF DWELLING: Fx� Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 694-4994 Day phone 694-4994 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2_40 GOV112 Date of Payment �7%�U Receipt Number O00530 COSA# 0562_01%6 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 NorthRim Eng. phone 694-7028 Address PO Box 77072.4, Eagle River Engineer's Printed Name Steve Eng Date 7/24/20 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systerns 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 -,vork. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other ��y V,ir ir ,<* :49R *ft f" " " " ";4 6. DSD SIGNATURE :; _ ,. System #1 Approved for � bedrooms ff� Steve,f,g� ♦y CE System #2 Approved for —62M jr bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: OF 0_1 `ON—SIT€ O��T WATER ANDIAIA m - 4 z ; PROGRAM SER Original Certificate Date: Z'ZOZa The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systerns 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 -,vork. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: T13NR3WS13 L2 OF GAAB TR97/AKA BLM L107 JR 97 BEING SW4 SE4 SW4 NW4) If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1966? Total depth 104.5' ft Cased to 104.5' ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in Date of flow test for COSA 7/21/20 Static water level at beginning of test 19 ft. Comments AWPS Verified Well/Casing Depth 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 Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 006-063-22 Structure served by this system Well production at time of test 7+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes FOR No ❑ Coliform bacteria is Negative Nitrate 1-99 mg/L D Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRim Eng Date of Sample 7/16/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTAI CES From Private Well on Lot to: (Please enter distances H less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' 75+ [] Yes if No ft 0 Yes if No ft Neighboring Tank > I OU R1 Yes if No ft Private SewerJS ept ic Line > 25' r 7-, Yes if No - ft Absorption Field on Lot> 100' F-1 Yes if No ft Holding Tank > 1001 R/1 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' O Yes if No ft 0 Yes if No ft Community Sewer Main > 75' El Yes if No 50+ ft Manure/Animal Excreta Storage > 100' R1 Yes if No ft From Septi clHold ing Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' El Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' 171 Yes if No ft Wells on Adjacent Lots, Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' []Yes if No ft Water Main > 10' El Yes if No ft Community Wells > 200' M Yes if No ft Water Service, Line > 10' El 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10, El 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' 0 Yes if No ft Community Wells > 200' El Yes if No ft Surface Water > 100! O'Yes if No ft F. EN GIN EER'S, COM M ENTS 1966 House Construction Well Development -Red�uced Separation 1"EVIXI NIFIRTU Mot I certify Mat / have determined through Field inspections and review of Municipal records that the above systems are in conformance with mnA ('0�A noiWPflnP.,z in affant nn thiz e*0= :49 1H Steve Eng CE -6256 -AA Purraga Wall & Pump Service, Inc. x:10 E1;1 7 5 1 h Ay e r) tie -- Anchorage, Alaska 618 (907) 243,0740 84-1 To: JEFF DAVIS, ali) PATSY $TREET ANCHORAGE, AKgW.0 USA SALESPER-SON T(LER S RIDGV41AY 0-5 19-5 ITENI NO Service Call Field ',:w�kx STS ST1 5 CA'd% r Invdr,:G4-. 20205220 -Ship T-o- JEFF DAVIS 510 PATSY STREET ANC HORA63E, AK 995134 USA YOURNO. I &H[P VIA CGL RPD SHIP DATE 36618 Ul:SGRIP I ION 'vSRIFY CASING DEPTH Field Service* -8P,120 - UNCOVER WELL HEAO. CASING LOGGER TO DETERMINE C-AS1,,KG DEPTH'. W ELL 1,; CASED TCS 1 04 FEET 5 INCHES- REINSTALL WELLSEALL AND REINSTALL WELL COVER. ServiceTech: Maro Paterson. Wr, uppruciato yciur business. Thank. you! 4K�io'WAC-E PJIBLL, FiRl' 130'T 76THAVE [T W, Li SEQ 3j-bch V, iffy 01 CE Btl mtpe-, tlbk- Ale$ tom: 41f r0110UNT S1"'IT I CLUOVER COR TERMS DAT� PG, Net 10 &'-3,1'2020 1 r. PRICEDEXTENDED I gsc r,.RtcE TX, 99-9.00 SALE AMT. FREIGHT -SALES TAX TOTAL .AhT-j. PAD TODAY 6A.I.ANCE DUE SO.GO S f-5. cx) SO= $198-00 I NOTE: THE WOODEN FENCE ENCROACHES 10.3' ONTO LOT 2, SUNRISE PLACE (PLAT No. 85-57) I ( I I 115.0' I�I I I Lot 1 o O Lot 1 I ~ o I WOODEN FENCE FI CHAIN-LINK DOG RUN O COVERED DECK EAST 140.00, — —i 32.4' 6 2s.5' ri i WELL HOUSE I X6.1' 23.6' X6.1' R4'�\0�a POST & RAIL FENCE O 0 \G� 21.7' Lot Z " o� coNc • •. 8,400 S.F. Lot 2 _ .: 30.2' 21.4' WOODEN FENCE (SEE NOTE) CHAIN-LINK FENCE 8.1'x10.1' SHED"_� 6.6'x7.0' SHED 0; ASPHALT DRIVFyAY - 21.3' — — — - WEST 140.00' .)'ASPHALT:. I) WOODEN FENCE �Cq ' Lot 3 II i Lot 3 NOTE: THE WOODEN FENCE ENCROACHES 10.3' ONTO LOT 2, SUNRISE PLACE (PLAT No. 85-57) I ( I I 115.0' I�I ( I o O I 6 ~ o i Q I PLOT PLAN --- AS BUILT _X SCALE _1__= 30' _ GRID _ SW 1240Project No. 20_3841A1____ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone Professional Land Surveyors (907) 52g2 -46Y5 Fax ken�lan surve c) F A, com � ,.. jonathonQlangsurvey.com 1 hereby certify that I have surveyed the following described property: LOT 2, SUBDIVISION OF TRACT 97, SECT. 13, T13N, R3W, S.M., AK (PLAT No. P-367) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the _ Day of H2O _, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. '* 49TH*1 ..................n............. �( G LS -5202 5J� 404""FPSSIONAL -'� AECC963