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Home My WebLink AboutBELLA VISTA #1 LT 27AOnsite File � IAb v ibta � '-� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 013-051-72- Expiration Date: 1. GENERAL INFORMATION: Complete legal description Bella Vista #1 • Lot 27A Location (site address) 935 E_ 79th Avenue Current Property owner(s) Janie Odgers 7-(Z-2uz Day phone 240-3567 Mailing address Real Estate Agent Dav phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) M Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well M Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for. (moi ,� 1� tD 2C4 b 1,'C_ �'P h� 10 1 n Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment y 0 Date of Payment Receipt Number 8 % `{G Receipt Number COSA # _� S C 22 113 1 Waiver # _S V 2 210 �?_ rl� 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 f , Engineer's Printed Name: Jeffrey A. Garness Date: 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 fife 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 marranty (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.. DS4 SIGNATURE System #1 Approved for J bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stl `e By: OF rrrrr�� `� r, Tts: pyo AAL,ATG AND -- Z1P,ST'_y �'ATER oz^ PROGF AM 1� AjT Original Certificate Date}�� SERN\G��,\, 0ZZ 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 engineers work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: Bella Vista #1; Lot 27A If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 812/85 Total depth 121 ft Cased to 120.6 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 8!7/21 Static water level at beginning of test 22.7 ft. Comments B. TANK DATA Age of tank(s) years Tank type/material operating fluid level in septic tank ❑ Standpos/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: Public Sewer COSA Checklist yellow sheet Parcel ID: 013-051-72 Structure served by this system 1 Well production at time of test 3.8+ gpm Water storage tank volume - gallons Well disinfected for coliform test? ❑ Yes ❑ No oliform bacteria is ative Nitrate mg/L Ne Nitrate less than MRL (ND) Arsenic 2 uglL [ tirsenic less than MRL (ND) � IZ Collected by GEG,LTD. Date of Sample 3/25/22 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 ter added gal New abigh in Elapsed time min Final fluid depth in Absorption rate gp Any rejuvenation treatment (past onths If yes, enter date 0 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' *30 ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' F-11 Yes if No ft Private Sewer/Septic Line > 25'2] Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100'�]✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft 0 Yes if No ft *30 Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft 0 Yes if No ft Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Fo ations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' ❑ Yes o ft Community Wells > 200' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below Building. Foundation > 10' ❑ Yes Property Line > 10' ❑ Yes Water Main > 10' ❑ Yes Water Service Line > 10' ❑ Yes Surface Water > 100' ❑ Yes F. ENGINEER'S COMMENTS Public Sewer *See attached waiver request if No ft If absorp ' field is under driveway comment below if No ft Wells on Adjacent s: if No ft Private Wells > 100' Yes' if No ft if No ft Community Wells > 200' ❑ Ye if No ft if No ft **Ne t' t0'f6C�te�F ta-prt3�ert — �'. e -.a ir-,v,,A ;tet s G. ENGINEER'S CERTIFICATION I certify that I 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. COSA Checklist yellow sheet C Pr2lia . #AECC884 nA DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC221131 Subdivision: Bella Vista #1, Lot 27A 907-343-7904 Fax: 343-7997 A water 'sartfpie-revealed an arsenic concentration Of 26.8 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Ma�lirg Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www mum org �61 �IAV?r s P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section incn[ S Uepartnu•nt vARIANCr/ X?� Waiver#: OSV221020 COSA#:OSC221131 Permit#: PID#: 013-051-72 Legal Description: Billa Vista #1 Lot 27A Engineer: Garness Engineering Group Applicant: Janie Munson -Odgers Your request for a waiver of the required 75 feet and 100 feet horizontal separation from the public sewer trunk and public sewer manhole, respectively, to the private well has been approved. The approved separation distance is 30.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing public sewer trunk, public sewer manhole and private well only. Any future private wells or public sewer upgrades will require all separation. distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: O a Approved by: ,� CeA Name of Reviewer ■..mm.m.m.■■mm..mmmm..mmm..mm.mm....mm.mmm.m.m.....m.m.m.......am..m....m.m..� G'ARNESS ENGINEERING GROUP, Ltd =. ENGINEERING SALES CONSULTING August 18, 2021 Municipality of Anchorage - Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road D �t•,y5, • �� Anchorage, AK 99507 �� F' •. • • ��f �� lei PRO00N� ��®FE�� cc �ti Subject: Separation Distance Waiver Requests from the Subject Well to Public Sewer Main & MH— Bella Vista #1; Lot 27A, To Whom it May Concern, We request that your department issue a 30 -foot separation distance waiver from the subject well to the public sewer main, cleanout, and manhole. The following is a description of the waivers requested and their justifications. 1) EXISTING SOURCE WELL TO EXISTING SEWER MAIN, CO, & MANHOLE: We are requesting a 30 -foot waiver from the existing source well that serves Lot 27A to the existing sewer main, co, and manhole. Justifications for these waivers are as follows; • The recent Nitrate sample result was below the EPA MCL (0.2 mg/L). See attached result. • Per recent sampling, there is no issues with bacteria. • The encroachments have existed for at least 36 years. • Per the well log (attached), the aquifer is confined below thick layers of silty gravel & silty clay that serve to protect the aquifer. Based upon the justifications presented, there appears to be minimal risk in granting the requested waivers. If you have any questions, or require additional information, please contact us at 337-6179. Thank you for your assistance and consideration of this matter. S cer ly, re am s y ' E., M.S. `Ll (71� w c;•s�;� , Pr Sid n XES COR"Rh.'"ON ,kidYaraed Aix*a 6igr11. ctor �L+vanc�+� Tit^strnzn: S}r�[c•r: �Ce•;;i.r.7 0 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com THE DEPICTION OF ALL STRUCTURES SHOWN ON ADJACENT PROPERTIES ARE APPROXIMATE IN REGARD TO CONFIGURATIONILOCATION AND MAY BE BASED SOLELY ON PUBLICLY AVAILABLE MOA GIS RECORDS. THE LOCATION OF ALL WELLS AND SEPTIC SYSTEMS SHOWN ARE APPROXIMATE AND MAY BE BASED SOLELY ON INFORMATION OBTAINED FROM PUBLICLY AVAILABLE MOA ONLINE RECORDS THE DEPICTION OF ALL STRUCTURES WELL LOCATIONS, AND OTHER DETAILS SHOWN ON BELLA VISTA #1; LOT 27A WERE OBTAINED FROM SHANE HOLT SURVEYING AS -BUILT PERFORMED ON 7/28/21. SEWER MAIN SELLA VISTA #1; BELLA VISTA #1; LOT 26 N125' LOT 27B z � COOLUG S. R MAI I I H I I I BELLA VISTA #1; 1 I LOT 28B REM CO ' WAN ft 50' RADI J EQUES 1 I WELL 1 i i I I I I I I I I I BELLA VISTA #1; BELLA VISTA 1; I 1 LOT 26B LOT 26A IF E. 79TH AVE. 2 �,*SQIIfIZnT*�T�".� 0 4 LICEN®E 4�064aS®gyp ®®®® #AECC884 ENGINEERING SALES - CONSULTING 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA -PHONE (907) 337-6179 • WEBSITE: wvw.gamess r4neeOng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JANIE ODGERS 907-240-3567 1 OF 1 PROJECT/LEGAL DESCRIPTION: DRAWN BY: 1 BELLA VISTA #1; LOT 27A PNB TYPE OF WORK: DATE: WAIVER REQUEST 8/9/21 2 �,*SQIIfIZnT*�T�".� 0 4 LICEN®E 4�064aS®gyp ®®®® #AECC884 N 89 58'E 151. 00 OF 115,11ST 79TI-I AVEN11F .CO.. -"49 1H ------ --- ------ --- - SHANE A. HOLT - 044 'I LS -6914 AS-BUILTSURVEY 11' =201 NO CORNERS SET THIS DATE 0 fessional H=PEBYCERTir',' zcLi � TY LOT27A BELLA VISTA SUB. NO, I (PLAT83 - 449) ThEINFORMATION HEPEONIS FOR THE USE OFLENDING INSTITUTIONS SFECIFIC4LLY To SHO"ll"NY 'CHOR 1, , SK T".?= G -E p EC �-.; f�: �'., :.3 D! CONFLICTS SE71,11EFEN EXISTING STRUCTURES A. -YD PLATTED LOTLINES 4MDiCP EASE VEvTS. IS 'IOTTOSEU EDc RPOSI.-IC,'Ilt,'GADDITIO-VALSTRUCTtiPES,I.tIPROLIEAfEp�TS.OIRFE�,C LINES -,R S 10 ;: � EASEVENTS OFPECO-RD OR OTHER RIGHTS OF WAYOR AIWENTITINOTON 7PERECORDFLAT E ARE NOT SHMAV,*,J HEREON, U.,VLESS PIOTED. NOTE' FENCELINES THAT YA YAPPEAR ON' THIS DRAWING ARE NOT TO BE USED TODEeE.R,,,,dE JUL PRaPERTYLIPLES ORPOSIP0iIADDITIONAL IMPROVEIIENTS. y ANY PAIWAIG SHOWN j7'EREOq AJA Y BE APPROXIAfATE DUE TO F<CESSAVc S,-JOVI AjlloiQR !C_. HOLT LAND SURVEYING 9309 GRovzR mzvE 15159, FS 215-22 ANCHORAGZ,AX 99507 WOOD F&VCE — ------ 5�0 �VAL WAY CONCRETE W- O CHAMUINKFENCE N8958 E151.00 OF 115,11ST 79TI-I AVEN11F .CO.. -"49 1H ------ --- ------ --- - SHANE A. HOLT - 044 'I LS -6914 AS-BUILTSURVEY 11' =201 NO CORNERS SET THIS DATE 0 fessional H=PEBYCERTir',' zcLi � TY LOT27A BELLA VISTA SUB. NO, I (PLAT83 - 449) ThEINFORMATION HEPEONIS FOR THE USE OFLENDING INSTITUTIONS SFECIFIC4LLY To SHO"ll"NY 'CHOR 1, , SK T".?= G -E p EC �-.; f�: �'., :.3 D! CONFLICTS SE71,11EFEN EXISTING STRUCTURES A. -YD PLATTED LOTLINES 4MDiCP EASE VEvTS. IS 'IOTTOSEU EDc RPOSI.-IC,'Ilt,'GADDITIO-VALSTRUCTtiPES,I.tIPROLIEAfEp�TS.OIRFE�,C LINES -,R S 10 ;: � EASEVENTS OFPECO-RD OR OTHER RIGHTS OF WAYOR AIWENTITINOTON 7PERECORDFLAT E ARE NOT SHMAV,*,J HEREON, U.,VLESS PIOTED. NOTE' FENCELINES THAT YA YAPPEAR ON' THIS DRAWING ARE NOT TO BE USED TODEeE.R,,,,dE JUL PRaPERTYLIPLES ORPOSIP0iIADDITIONAL IMPROVEIIENTS. y ANY PAIWAIG SHOWN j7'EREOq AJA Y BE APPROXIAfATE DUE TO F<CESSAVc S,-JOVI AjlloiQR !C_. HOLT LAND SURVEYING 9309 GRovzR mzvE 15159, FS 215-22 ANCHORAGZ,AX 99507 A M -W DRILLING, Inc. P.O. Box 110376 9 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 85-22B Well Owner Use of WeILP�Ist is Location (address., of. Township, Range, Section, if known; or distance main road Size of casing6" Depth of Hole 121 120.6 #-eet Cased to et Static Witter leve L -4Z ---Jt **low) land surface. Finish of well (check one) open end (X Scre'6n Perforated v Describe screen or perforation 'well pumping test. at--._gafi m for ours with of: drawdown from static mel, t Pate of.completion ----jL2_L85 0- Jv;�:'� WELL LOG Depthjn-feet from ground surface Ol cif formationspenetrated, size of material, colo hardness and h dn TO 0 2 --.2— TO 5 —2 .5 TO -19 Crgyal y fl&rcl PRA Water Gravel s. A M -W DRILLING, Inc. P.O. Box 110376 9 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 85-22B Well Owner Use of WeILP�Ist is Location (address., of. Township, Range, Section, if known; or distance main road Size of casing6" Depth of Hole 121 120.6 #-eet Cased to et Static Witter leve L -4Z ---Jt **low) land surface. Finish of well (check one) open end (X Scre'6n Perforated v Describe screen or perforation 'well pumping test. at--._gafi m for ours with of: drawdown from static mel, t Pate of.completion ----jL2_L85 0- Jv;�:'� WELL LOG Depthjn-feet from ground surface Ol cif formationspenetrated, size of material, colo hardness and h dn TO 0 2 --.2— TO 5 —2 .5 TO -19 Crgyal y fl&rcl PRA Water Gravel STATE OF ALASKA 10316 DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08!1812016 Drilling Started: / / Com leled: 8 / 2 / 1985 Install: City/Borough Subdivision I Block Lot —Pump I Property Owner Name & Address Anchorage BELLA VISTA 1 L27 JOYCE S O Well location: Latitude Longitude Meridian S Township 012N Range 003W Section 7 1/4 of 1/4 of 1/4 of 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna's hydrogeologic classification system*Weil https://mv.ngwa.org/NC Product?id=a185000000BYub3AAD _Drilling method: it rotary, able tool[]Other use:Pu blic su pp v,ODomestic, []Reinjection,OHydrofracking ncommercial,nObservation/Monitoring,(]Test/Exploratory,Dcooling, El irrigation/Agriculture, DGrounding,ORecharge/Aquifer Storage, n Heating, [:]Geothermal Exploration, []Other Fluids used. - Depth From To ORGANIC 0.0 3.0 SILTY GRAVEL 3.0 7.0 SAND & GRAVEL 7.0 26.0 Depth of hole: 119 ft Casing stickup: 2 ft Casing type: Casing thickness: inches Casing diameter: 6 inches Casing depth: 118.6 ft Liner type: Depth: ft Diameter: inches Note: WATER GRAVEL 26.0 31.0 SILTYGRAVEL31.0 57.0 SILTY CLAY STICKY 57.0 78.0 SILTY GRAVEL 78.0 95.0 Well intake opening type:■ Open end, pen hole, Other Screen type: , Screen mesh size: Screen start: ft, Screen stop: ft, PerforatedQYesE]No Perforation description: Perf from: ft, Perf to: ft, Perf from: ft, Perf to: ft Gravel packedE]Yes 0No Gravel start: ft, Gravel stop: ft Note: WATER GRAVEL 95.0 100.0 GRAVELY HARD PAN 100.0 114.0 WATER GRAVEL 114.0 119.0 Static water (from top of casing): 52 ft on / ! Artesian well Pumping level & yield: feet after hours at gpm Method of testing: Development method: Duration: Recovery rate: gpm Grout type: Volume Depth: From ft, To ft Include description ors etch o well location (include road names, bui buildings, etc.): Final pump intake depth: ft Model: Pump size: hp Brand name: Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested?E]Yes nNo Water quality parameters tested: Well driller name: W, YXKE WESTBERG ............................................................. Company name: .M -W DRILLING............................................................ Mailing address:.Po,aox.11o378 ............................................................. City: ANCHORAGE State: AK Zip: 99511 Phone number: 90 ) _ (7 945 3287 Drillers signature: Date: AS 41.08.020(b)(4) and AAC 11 AAC 93.140(8) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: hitps://dnr.alaska.gov/welts/ Anchorage Municipal Code 15.55.060(1) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. OR email electronic well logs to City Permit Number: Date of Issue: —/—/ dnr.water.reports(�alaska.gov Parcel Identification Number: - - *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press LUMBIS ST 26 10' PERM. A z ESM T. T -�ISEMFPUB G�� WELL TF= e -E -Z N.B-. 61 z 132 (274 AHBV-13 0- N.B. PRIVATE WELL PRIVATE 2 6 B "> r1r) 0 26 A CESSPOOL 17 B . —znl TEMP Esm"T. STA CESSPOOLCO BV -6X +7a5OB Ld STA 0+80 ST :26,)� 5'PERM.ESMT <> to1�% M Hl BV- 6X 23 L.F 8'A,C 0 LL- STA 0+00 M MH BV -13 -- 2 0) 17 CO BV- 6 15: CONST. WSM'T ---Jio 117 LF 117 LF & A.C. 17A 1 STA 10- PERM. 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