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HomeMy WebLinkAboutHOPP LT 5 Onsite File Hopp Lot 5 #014 - 091 - 22 EPZA ALS /•, !r Municipality of Anchorage /GE• L' On-Site Water and Wastewater Program (907) 343-7904 n SA ETY Certificate of On-Site Systems Approval Parcel 1.D. 014-091-22 Expiration Date: J � i (? 1. GENERAL INFORMATION: Complete legal description HOPP; LOT 5 Location (site address) 6850 Tondi Lane*Anchorage 99507 Current Property owner(s) Robert Hopp Day phone 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 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 $ 556 Waiver Fee $ Date of Payment !/a't3/l9 Date of Payment Receipt Number d 5706 Receipt Number COSA# a ot^o baa- 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: I (Z'"i /l9 0000004 In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system o� Or A ‘N in accordance with the guidelines and regulations established by the Municipality of Anchorage and o .. •• • . ,Q '6 9 industry practices. The reported results describe the condition of the system/s on the date/s of the �• • I ���'1 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or '' • JP v encroachments may exist that were not identified during the evaluation. The operational life of all wells / -C J I • *VVn and septic systems depend upon a variety of variables, including but not limited to, soil conditions, !• / U groundwater levels (that may fluctuate during the year), quality of construction (materials and Q vA 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 i system/s; therefore, GEG makes no warrantyJ f e, A. am: ' G (express or implied) regarding the future performance of Q 0 • the well or septic system. GEG makes no representation whether an alternative well or septic system v(�nns i �a 3 •c G� can be installed on the property in the event either of the current systems fail to perform adequately in V�,\F,,P•'•).�ZPi. I'elct ,‘o the future. The content of this report is for the sole benefit of the person/party that retained GEG to Ott vp \ o perform the evaluation. Reliance upon the information provided in this report by any other person or ,%%,..,rO f es o^oa`� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right 00000 whatsoever. #AECC884 6. DSD SIGNATURE )61 System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved '" 1 `.)` Conditional approval for bedrooms, with the followitgstiptJ4 bbeceiTE ~ey 1. WATER AND R' CWATEN c, PROGRAM ill SERVO By. ` \--\___ \=—�' Original Certificate Date: (2"i "1 I The Municipality of Anchorage Development Services Division (D D) 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10.10.12do M COSA Checklist • Legal Description: HOPP; LOT 5 Parcel ID: 014-091-22 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 5.8+ gpm Date drilled 7973(?) Water storage tank volume N/A gallons Total depth *51.6+ ft Well disinfected for coliform test?� ❑Yes 0 No Cased to UNK ft 0 Coliform bacteria is Negative j Sanitary seal is functioning correctly Nitrate mg/L ri Nitrate less than MRL (ND) YI Wires are properly protected Arsenic ug/L Si Arsenic less than MRL (ND) orts Casing height(above ground) 12+ in. Collected by GEG, Ltd. Date of flow test for COSA 1/8/19 Date of Sample 1/9119 Static water level at beginning of test 45 ft. Comments *PER GEG INSPECTION B. TANK DATA C. LIFT STATION Age of tank(s) years ❑ Required maintenance completed Tank type/material Age of lift station years 0 Standpipes/foundation cleanout per record drawing Lift station material Date of pumping Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) Adequacy test date ❑ALL standpipes present per record drawing Results ❑Pass For bedrooms Total measured depth from grade ft(max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft(min) Water added gal ❑ N/A—pressurized field New depth in ❑ Monitor tubes go to bottom of drainfield. If not, state depth into effective Elapsed time min ❑ Code-required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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' 0 Yes if No N/A ft 0 Yes if No ft Neighboring Tank> 100' Z Yes if No ft Private Sewer/Septic Line> 25' OYes if No ft Absorption Field on Lot> 100' EYes if No N/A ft Holding Tank> 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' 0 Yes if No ft Q Yes if No ft Community Sewer Main > 75' 0 Yes if No ft Manure/Animal Excreta Storage > 100' Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water> 100' _ []✓ Yes if No ft Property Line > 5' ❑Yes if No ft Driveway/Parking 0' Y 9 > []Yes if No, comment Absorption Field > 5' [ Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' ❑Yes if No ft Water Service Line> 10' []Yes if No ft Community Wells > 200' ❑Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft Driveway/Parking> 0' []Yes if No, comment Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' _ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells >200' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS 006�.N,4 G. ENGINEER'S CERTIFICATION o od ,` -9s4Q I certify that I have determined through field inspections and review G" . .'tc .••.. 00 of Municipal records that the above systems are in conformance with . . 4° TA\ '•.3 i/ MOA COSA guidelines in effect on this date. ' ••••l•• O VAA VA I IP VA . VA e'f 7 ness, Oh 13 km% E-7 5 • ti O SI 4re 1• ••.`•�•'.• � n COSA Checklist yellow sheet a°�o r es si°�°dam #AECC884 40���,p00 0 • 5393 Lot 4 S89°59'30"E 139.92 25 . WI r.._. �; ! a I c: z • 30.0 r 50.0 -_ co -J a :Wel 1M — t vto �1 CD i c ' , oo 3.9 Asphalt Z o 0r o O wco H E Q OD BLM Lot 23 °' t 0N o 5 CO Lot 5 o o 40 cri as ° o c'_) _ 0 3.9 0O Z N CD ,t ^ N 4.0 0 CZ- CD O // O hain link fence p) 19.4 N °.o Z 25.3,_ ^'DD �j�Greenhouse I / �. i I 1 h ,� /1 .._.._ S84o47'02"W • 115.52 _ Lot 6 \ RECERTIFIED 1-04-19 ie /'-'4-) ``` ` AS-BUILT NO CORNERS SET THIS DATE 1 _4:4. OF AL I ' I hereby certify that I have performed a Mortgagee's inspection P -. • ' ' ' • • 9s I, of the following described property: LOT S. ,..."74,;•• •••% / HOPP SUBDIVISION i (1,' '4.9 th %� '.�' i / c.• •* / Anchorage Recording Precinct,Alaska,and That the / improvements situated thereon are within the property lines / .. ...+; ••�'." . and do not overlap or encroach on the property lying 11 f/A lizobeth L. Walotko ,,./ / adjacent thereto,that no improvements on the property lying I ���•• 8036 - LS .•��' �' adjacent thereto encroach on the premises in question and F�f•. • • yJ that there are no roadways,transmission lines or other fo • • , , • a visible easements on said property except as indicated SCALE: 1"= 30� 'I ' oArSSrONA4 ��%� hereon. "�� Dated at Anchorage,Alaska EASEMENTS OF RECORD,OTHER THAN this 26th day of JULY 1973• THOSE SHOWN ON THE RECORDED 7 - PLAT ARE NOT SHOWN HEREON FB 19-1, pg 1 FRED ers andWALATA&ASSOCIATES,L.L.C. UNLESS OTHERWISE NOTED. FB 73-2, Engineers and Surveyors pg 37 BE 907-248-1666 p i.11 t 11 A W ,n� V i S L 1 v c ,` i t L'% (ln C ,S t i v✓/ iit.�'tit/ ;,'1 • $ r - ab •, m w , _l ,, "�.": Anchorage Bowl'. h„. Municipality of Anchorage .”«, I io l 4 ..!,i• I�1 . „_ ti+ I , '..an. _ f" I OO • 27564 OP,...s..... ti, aAC� i. 1I '.� ►'S I . J I V`w. v $• . . Py 0613 • _ sp _ , r Pipe Types -• „ .,,CV o 6861 21719 el - ' .:,- \ �^~ ABS AaTybrauib BNadlano-8tyrene .f• Cr- �; " '' 01• ."° "1 4� $01 1"' '1 _...' © ' r •, AC 0000Asbestos Concrete • ,) .:.:. b .. - �� l.. CC Concrete Cytnder CI Cott Iron 1 ^°' , `_ _, =_._ t 4. 1 CIPP Cured In Place Pipe L� yb + 1 X91308' i Iv.gM•ewere CMP Conoiated Meth - 1 'r 0 11349 .• ._. CN Concrete o. t ee„- I Ducelel,m ePlrc nom:, C r ?1 -`""'� ,::'. FC Formed Concrete I r. - g' tr: Cl GeNeNxed Iron .l .—._ w,a•... N •,U. 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