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DEMERS TR A N2S2 & S15' N2
Onsite File s �� G G' ® Municipality of Anchorage On -Site Water and Wastewater Program " =' (907)343-7904 S Certificate of On -Site Systems Approval Parcel I. D.010-104-11 1. GENERAL INFORMATION: Expiration Date: (^ �3 d _Z 04 Complete legal description Demers; Tract A, N2S2 & S1 5'N2 Location (site address) 1202 West 35th Avenue *Anchorage, AK Current Property owner(s) A & J Consulting Day phone 907-365-9448 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3` �`'� �' '' e- L F' Fit-' �oZb 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2 10 GO VI n Date of Payment Q -z7-20 Receipt Number (7Cg, 2 8 6 COSA # DSC 20160? Waiver Fee $ Date of Payment Receipt Number Waiver # OA 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 i Engineer's Printed Name: Jeffrey A. Garness Date: € 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 system/s 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 bedrooms Disapproved .(mc, Conditional approval for bedrooms, with the following stipulations- ,�t�«t(((rrrr,,, -133: By , w t G i Original Certificate D� 30- J�)VICES �`��` The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Appr8Q)(113P3A�j)9sed 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 Legal Description: DEMERS; TRACT A, N2S2 & S15'N2 Parcel ID: 010-104-11 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA I*NO WELL LOG - SEE ATTACHED LETTER ❑ Well log is filed with Onsite (or attached) Well production at time of test 7.5+ gpm Date drilled *1954(?) Water storage tank volume N/A gallons Total depth *34.8+ ft Well disinfected for coliform test? ❑ Yes No Cased to LINK ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. D Collected by ANCHORAGE WELL & PUMP SERVICE Date of flow test for COSA 10!2212° Date of Sample 9/22/20 Static water level at beginning of test 14.7 ft. Comments *PER GEG INSPECTION B. TANK DATA AWWU SEWER Age of tank(s) years Tank type/material Measured operating fluid level in s_ept�ic tan ❑ Standpipes/foundatioSui per record drawing 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 r than 30 days prior to date of test) Gallon ' oduced gallons C nts/Deficiencies: C. LIFT STATION ❑ Required mainte e'L' mpleted Qgc-� station years Lift station material Comments: AWWU SEWER Adequacy test date Results ❑ Pass For be ms Fluid depth prior to test in Water added gal Ne h in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date COSA Checklist yellow sheet Pi! 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 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 NSA ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' r7l Yes if No ft ❑✓ Yes if No ft * Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) I AWWU SEWER Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ YeS ft Property Line > 5' ❑ Yes if No ft Wells on Ad' Absorption Field > 5' ❑ Yes if No Private Wells > 100' ❑ Yes if No ft Water Main > 10' es if No ft Community Wells > 200' ❑ Yes if No ft ervice 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) AWWU SEWER Building Foundation > 10' F-1 Yes if No ft If absorption field is under drivewa csa n below Property Line > 10' ❑ Yes if No ft Wells on ots: Water Main > 10' ❑ Yes if No Private Wells > 100' ❑ Yes if No ft Water Service Line > 1 Yes if No ft Community Wells > 200' ❑ Yes if No ft e ater > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS *SEE THE ATTACHED LETTER REGARDING SEPARATION DISTANCES G. ENGINEER'S CERTIFICATION OF A 1 certify that l have determined through field inspections and review Do l 4 p�P•� / S�4�O of Municipal records that the above systems are in conformance with `..'....v� 0 MOA COSA guidelines in effect on this date.rj� ..I..% if. Je frr�y A- harness ....Q OQ 9. l V CE -7953 DO I V, 15V COSA Checklist yellow sheet s' , �, �� a P 0\ d 3; 4 ofessio a #AECC884 ,Z, O=, QQ r { 8443S LOT 9 I REM TRACT A a� E o ( N89056'00"E 94.00 ----- LOT 10 to hain link fence (typ) N W. 35th Avenue, 7.5 � o Asphalt Shed o CD 'Q Cn — — — — — Portion Tract A, Demers Addn. — — set 8" rebar(Book 418, Page 211) �_ 0 0 IL Q� 5.1 MWell Story7.6 � o 32.8 0 = LOT 8 0 �1 Story Log Cabin O © _� o LOT 11 0 EZ `� N1. Z a) 0 5.3 32.8 Neighbor's asphalt encroaches 0.2'± S80024'21 «e — — Found 8" rebar ( 95.34 LOT 1 Found 5" rear I LOT 2 Note: The South boundary line as described in Statutory DE PIKE ( Subd. Warranty Deed, Book 418, Page 211, recorded 11-12-1970 is incorrect. The boundary line shown hereon was computed from data per adjacent Plat No.91-53, DE PIKE Subdivision. STAKED SOUTH & WEST LOT LINES 4-26-17e1v ®REVISED 10-27-16 OF . ALI �! AS -BUILT AO CORNERS SET THIS DATE AM `Q'• ' ' .s,� !� I hereby certify that I have performed a Mortgagee's inspection ow Cry . 4g th •• 9 of the following described property Portion TraCt A •• 00 DEMERS ADDITION DEED 4119 00... .. � PAGE 211. 00 r y • • Anchorage Recording Precinct, Alaska, and that the 00 • • • • . • • • • .. .® ® improvements situated thereon are within the property lines o, Fred Wa I a t k a . , and do not overlap or encroach on the property tying sr�„�• 3255 — S •0 adjacent thereto, that no improvements on the property lying �� Fa • . • . o r adjacent thereto encroach on the premises in question and "- i�5$IONAL•J�'® that there are no roadways, transmission lines or other SCALE: 1 — 20 0 visible easements on said property except as indicated �+ hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 31st day of Aggst 2016. THOSE SHOWN ON THE RECORDED FB 17-5, pg 9 FRED WALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. FB 16-10, pg 58 BE(907-248-1666) Engineers and Surveyors GROUP, Ltd • - - ENGINEERING -.SALES CONSULTING October 26th, 2020 l } ' x, z Municipality of Anchorage Development Service Department `� On -Site Water & Wastewater Program�. ••• ` 4700 Elmore Road Anchorage, AK 99507 Ref: COSA Submittal for Demers Tract A; N2S2 & S15'N27 Q 1,0 r� § L To whom it may concern: The subject lot is served by a private well and public sewer. It is assumed that the well was drilled when the home was constructed (1954 per Anchorage Live). The public sewer line was installed around 1963. There were several separation distances that could not be verified and/or do not meet current MOA onsite separation distance requirements. They are listed as follows: • Well to private sewer line: The well is approximately 13.9 feet (edge to edge) from the existing sewer cleanout for the 1 story log cabin". There are two structures on the property, and it is unknown how the sewer service line from the I story frame house" connects to the private sewer line and/or main. In short, the exact separation distance from the well to private sewer lines is unknown. Prior to 1983 there was no required separation between a private well & private sewer line. • Well to sewer main: The well is approximately 40 feet from the property line to the east. Per the attached AWWU record drawings, the sewer main is 6' east of the east property line. In short, the well does not meet the MOA required 50 feet separation distances to the sewer main. The well was likely drilled in 1954 and the sewer main was installed in 1963. It is reasonable to believe that the utility company was responsible for obtaining a waiver at the time the sewer main was constructed. • Well to public sewer manhole: Per the attached record drawing from AWWU, there is a sewer manhole to the north (that serves the trailer park). As can be seen on the attached as -built survey, the well is 50'+ from the north property line. It is reasonable to believe that both the well and the sewer manhole existed prior to 1983; therefore a 50' separation distance waiver should apply. • Private water service line to private sewer line: It is unknown where the private water and/or private sewer lines for the "1 Story Frame House" or the 1 Story Log Cabin" were installed on the property. Given the length of time these encroachments have existed, we do not foresee a significant risk in allowing the existing well to remain in use. In addition, water samples were pulled by Anchorage Well & Pump Service on 9/22/2020. The results are as follows: • Nitrate: Non -detectible • Coliform: Negative • E. Coli: Negative • Arsenic: Nori-Detectible If you have any questions, please contact us at 337-6179. Thank you for your assistance. Si , P. E., M. 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