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Home My WebLink AboutWHITMORE LT 102-A Onsite File Whitmore Lot 102A #051 - 303 - 25 • • 6� 84 off.: :i• • Municipality of Anchorage On-Site Water and Wastewater Program 4 .oil (907)343-7904 SAF ETY • Certificate of On-Site Systems Approval 051-303-25 S 2- -L Parcel I.D. Expiration Date: 1. GENERAL INFORMATION Complete legal description Whitmore Lot 102A Location (site address) 14951 East Lake Ridge Dr, Eagle River, AK, 99577 Current Property owner(s) Troy Davis Home Inc. Day phone 907-310-2501 Mailing address 1689 Knik Goose Bay Rd #400 Wasilla AK 99654 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q 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 $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA# 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. Name of Firm Forge Engineering 907-522-7773 Phone Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 1/25/18 r'*'49 6. DSD SIGNATURE •• • System #1 Approved for 3 bedrooms ' ••'•••" p • '• / r�• Ben; min Schiller System #2 Approved for bedrooms < ,; C t2 32 .�w Disapproved Conditional approval for bedrooms, with the following stipulations: a � By: J I r''\ r 4-1 Original Certificate Date: 2.- 2- 1 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 COSA blue sheet r •. c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Whitmore Lot 102A Parcel ID: 051-303-25 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) N Date completed UNKNOWN Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 282 ft. Cased to ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test NO WELL LOG AVAILABLE 1 1/13/17 Static water level ft. 6 ft Well production g.p.m. 3 g.p.m. WATER SAMPLE RESULTS: Coliform ND* colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 11/29/17 Collected by: Wheaton Water Wells *Initial test was positive, retested on 12/6/17 after well was disinfected B. SEPTIC/HOLDING TANK DATA Tank Type/Material Public Sewer Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed N/A Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. 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 Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots >100' Absorption field on lot N/A On adjacent lots >100 Public sewer main '75' Public sewer manhole/cleanout 100 Sewer/septic service line >25' Holding tank >75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION +�J'• oF I certify that I have determined through field inspections and ikQ:'•••• *4:9°6 review of Municipal records that the above systems are in ..40'47.•49TH y conformance with MOA COSA guidelines in effect on this date. .. lt Engineer's Printed Name Benjamin Schiller, PE 1/25/18 tij101...7:: firBenjamin Schiller : Date II �1�••. CE 12592 ,•� 0, ItZk '4• s .� k. . .Fc554 COSA brown sheet 10-10-12.doc WHEATON WATER WELL, INC. 907-376-2041 WELL INSPECTION REPORT Property Location: Whitmore, Lot 102A Inspection Date: July, 2017 The existing well is located on a lot with a burned down home. The inspection was performed by video. The well is cased to 33.5 feet and the liner pipe is cemented in. 3AING 30CIN DIVI ISV3 N 0 C: M M Nril 10 - -------- z sni 3 M z o 0 M 01 > \ I� V3 I zrrI L20.0' 0 > KZ 0 > 0 < fTt .6V0-31. 3.60,Ct.00 S — — — ----------- :J — — — — � — 13381S N3313V8 PLOT PLAN AS BUILT -?L SCALE -1: --40' GRID --N-V —0651-- Project No. ---j-7-12IZ9-5 11 500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associafes, inc(g. (907) 522-6476 Phone -1�1 07) 522-4625 Fax Professional Land Surveyors ktm-lang.urvey.com , g jonathon0langsurvoy.corn 15 I hereby certify that I have surveyed the following described property: LOT 102—A, WHITMORE SUBDIVISION (PLAT 2015-96) Anchorage Recording District, Alaska, and that the Improvements situated thereon are ............ .1thln the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyod promises and that thereare no roadways, transmission lines or other visible easements on sold property except as Indicated hereon. 4t— 202.,-" Dated this the W" Day ofI 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 plot. AECC963 1 Carroll, Rebecca M. From:Carroll, Rebecca M. Sent:Tuesday, August 15, 2017 4:21 PM To:Ben Schiller (Ben@AndersonAK.com) Cc:Wockenfuss, Deborah M. Subject:Whitmore Lot 102A Ben, We met with Ross to discuss your request to allow a private septic system on Whitmore Lot 102A. In short, the determination is that we will not grant this request. If connecting to public sewer was impossible, we might consider a request. But we won’t grant it based on it being difficult or expensive (or undesirable) to connect to public sewer. Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908