HomeMy WebLinkAboutTOM FACCIO E1/5Onsite File
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MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage
g
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 010-116-18,0
1. GENERAL INFORMATION:
Complete legal description TOM FACCIO; E 1/5
Location (site address) 1000 Chugach Way *Anchorage
Current Property owner(s) Barbara Henrichs
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Expiration Date: /! 1 w Z z
Day phone 590-9825
Day phone
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.,
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 2130
Date of Payment
Receipt Number d L �rao 61
COSA# 05622 1L(06
Waiver Fee $ No ye e
Date of Payment
Receipt Number
Waiver # 0 2 U 22 I 3
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 Engineerinq 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
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
_X System #1 Approved for -2 bedrooms
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
`c3 t 2 2 -2—
. • ...........V..�,
k- ..
•.�-CE-17o,
bedrooms, with the following stipulations:
#AECC884
By: 1 "`' Original Certificate Date: (O
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Legal Description: TOM FACCIO; E 1/5
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled W16/55
Total depth 115 ft
Cased to UNKNOWN ft
M Sanitary seal is functioning correctly
JA Wires are properly protected
Casing height (above ground) E 2 in.
Date of flow test for COSA 8/3/22
Static water level at beginning of test 13.7 ft.
Comments
AWUUl1 SEWER .`
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 (ma
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of ective. If not, state
depth into effective
❑ Code -required soil er over field
❑ System press ed
(Required if cant for greater than 30 days prior to
date of t
Ions introduced gallons
encs/Deficiencies:
COSA Checklist yellow sheet
1
Parcel ID: 010-116-180
Structure served by this system
Well production at time of test 4.5+ Qpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic 21.4 ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG, LTD.
Date of Sample 7/22/22
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
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 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'
Yes
NSA
Community Sewer Manhole/Cleanout > 100'
30
[❑
if No ft
M Yes
if No
ft
Neighboring Tank > 100' Yes
if No ft
Private Sewer/Septic Line > 25' jD 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'
if No
Animal Containment > 50' Yes
if No
ft
0 Yes
if No ft
if No
ft
If s c tank is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' [2 Yes
if No ft
❑✓ Yes
if No
ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required) rwV v,V u acvvcr�
Building Foundations > 10'
❑ Yes
if No
ft
Surface Water> 100'
❑Yes if N ft
Property Line > 5'
❑ Yes
if No
ft
Wells on Adjacent Lots:
if No ft
Absorption Field > 5'
❑ Yes
if No
ft
Private Wells > 100'
❑ Yes if No ft
Water Main > 10'
❑ Yes
if No
ft
Communit ells > 200'
❑ Yes if No ft
Water Service Line > 10'
❑ Yes
if No
ft
If s c tank is under driveway comment below
From Absorption Field on Lot to: (Please enter dista
Building Foundation > 10'
❑ Yes
i ft
Property Line > 10'
es
if No ft
Water Main > 10'
❑ Yes
if No ft
Water Sery ine > 10'
❑ Yes
if No ft
ace Water > 100'
❑ Yes
if No ft
F. ENGINEER'S COMMENTS
Ilk -
G. ENGINEER'S CERTIFICATION
less than required)
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100' ❑ Yes if No ft
Community Wells > 200' ❑ Yes if No ft
/ certify that 1 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
OF
A. Garn ss:
ZQ53 c
e
s d�
o f essio0°moo
#AECC884
www.muni.org/onsite
Arsenic Advisory
Certificate of On -Site Systems Approval # OSC221406
Subdivision: Tom Faccio, Lot E 1/5
A water sample revealed an arsenic concentration of 21.4 micrograms per liter
(ug/L). 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.
Mailing Address P "O Box 196650; *Anchorage, Alaska 99519 6650 *www mum org
"'ARNESS ENGINEERING GROUP, Ltd
ENGINEERING « SALES, CONSULTING
August 11, 2022
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Tom Faccio Subdivision, E1/5
To whom it may concern:
�• .. i v
A.
� pROFESSIO�P,�,®�
The existing property is served by AWWU sewer and a private well. The well was drilled in 1955 and a
copy of the drilling log is attached with this correspondence. It appears that AWWU installed a 36 -inch
diameter sewer main on Chugach Way in around 1987. AWWU did not identify the subject well on their
design/record drawings. In short, it appears that AWWU installed the subject sewer main too close to the
private well on the subject property. Based upon the AWWU record drawing and the asbuilt survey for the
subject property, the separation distance appears to be about 30 feet; therefore, we are requesting a waiver.
Given that AWWU is responsible for the encroachment, our client should not have to pay the waiver fee.
Justifications for the waiver as summarized as follows:
1. The well is tapped into a confined aquifer at a depth of around 114' and has a static water level of
13.5 feet (on 8/3/22).
2. Per the 1955 drilling log, from a depth of 24 feet to a depth of 114 feet the soil is variations of clay,
hardpan, and mixtures of clay/sand/gravel.
3. The subject encroachment has existed for at least 35 years.
4. Recent water samples were negative for bacteria (E. Coli and Total Coliform) and non-detectable
for Nitrate/Nitrite.
5. The well head extends 12" plus above grade and has a sanitary seal.
6. There are no AWWU sewer manholes within 100 feet of the well.
Based upon these factors, there appears to be little to no risk associated with the subject encroachment;
therefore, we are requesting that the subject separation distance be waived 30 feet (instead of 75 feet).
If you have any questions, please contact us at 337-6179. Thank you for your assistance.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www,garnessengineering.com
Municipality of Anchorage
P.O. Box 196650 9 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.muni.orn/Onsite
Development Services Division
On -Site Water and Wastewater Program
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV221058 COSA#:OSC221406 Permit#:
PID#: 010-116-18
Legal Description: TOM FACCIO E1/5
Engineer: Garness Engineering Group
Your request for a waiver of the required 75 feet horizontal separation from the public sewer trunk
to the private well has been approved. The approved separation distance is 30.0 feet.
Any future upgrade to the on-site wastewater disposal system will require all separation distances
be met or another approval from this department.
Waiver is Granted: X
Waiver is not Granted:
Date: Approved by:
Name of Revipr
**** VARIANCE/WAIVER REVIEW ****
8503M
CHUGACH WAY
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N8905TE 54.9 -
• Well
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NOTES: I
1. The subject property is an
aliquot part of the total area
comprised of Lot 1 A and Lot 1 B,
Block D of Spenard Acres
Subdivision. (Plat P-58AB)
2. The plat of Tom Faccio Addition
(P -58E) does not specify
bearings. The bearings shown
hereon are per plat P-58AB. I W 1/2 of E 2/5
Lot 1A&1B
SCALE: V= 30'
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22.0
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rG,Vabeth L. Walatko , P 00
'px • 8036 - LS • Je'��
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B �OFesslorsA4 �
13a.o9
12.0
1 Story j
Frame
M i N
House T -
chain link 1
fence (ivp)
E 1/5
Lot 1A & 1B,
(See Nate 1)
N8905TE 54.9 '
Lot D Moats Subd.
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Lot 1
Sand Land Subd.
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: The East 1/5 of TOM FACCIO ADDN.
fSee Note 1)
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
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 4th day of AUGUST 2022,
EASEMENTSRECORD, OTHER THAN U -4[�2� FRED VJALATKA & ASSOCIATES, L.L.C.
THOSE SHOWNN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON BE Engineers and Surveyors
UNLESS OTHERWISE NOTED. F8 22-2, pg 54-55 907-248-1666
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
F,
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Certified Well
Description -,of formation`::;
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Date completed ...`« 16 195-1? ...................................... -•----
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Depth of well ... �1 -��'��------........... ...................... ..... ......
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Size of. casing o..n� lz
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Distance Io water =....... .............. ........................... :.... .............................
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Distance to water while pu.unping , ' e `�
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We advise you to retard this certificate with your warranty deed
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