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HomeMy WebLinkAboutLAMPERT #4 BLK 4 LT 2 LAMPERT #4 Block 4 Lot 2 #003-196-02 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251412 Parcel ID 003 -196-02 Legal description LAMPERT #4 BLK 4 LT 2 site address 1103 BANNISTER DR Expiration Date: $/6/2026 Current property owner(s) ESTATE OF CHINN LINDA J X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments By:� Original Certificate Date: 9/16/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory X Other MUNICIPALITY ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 307-343-7304 Can -Site water and wastewater Section ��� � `N l Fax: 343-7337 www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC251412 Subdivision: LAMPERT#4, Block: 4, Lot: 2 A water sample revealed an arsenic concentration of 20 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. Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 003-196-02 Complete legal description LAMPERT #4; BLOCK 4, LOTS 1 & 2 Location (site address) 1103 BANNISTER DRIVE, ANCHORAGE, AK Current property owner(s) C/O WENDY MOE (CHOQUETTE LAW FIRM) Day phone 907-223-0219 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: S Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank Foil Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: - Distance: Expedited review requested: ❑ By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee$ 2 Waiver Fee $ Date of Payment q N174 COSA# 6562511oz- Date of Payment Waiver # CDSA Appliraflon_Apr2025.doc COSA Checklist Legal Description: LAMPERT #4; BLOCK 4, LOTS 1 & 2 Parcel ID: 003-196-02 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test **14 qpm (ASSUMED) Date drilled —1958 Total depth 120 ft Water storage tank volume N/A gallons Cased to *120 ft Well disinfected for coliform test? © Yes ❑ Nc Sanitary seal is functioning correctly n Coliform bacteria is Negative Wires are properly protected Nitrate 0.216 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18+ in. Arsenic 20 ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA **8/6/2025 Collected by "ANCHORAGE WELL & PUMP SERVICE (AWPS) Static water level at beginning of test **50 ft. Date 8/6/2025 Comments 'PER CAMERA INSPECTION BY AWPS. "WELL FLOW TEST AND WATER SAMPLING PERFORMED BY AWPS (SEE ATTACHED). K DATA T STATION Measured op fluid level i Ic tank ❑ Require tenanc<coed Date of pumping Age of lift station ❑ Require ntenance comple WWTS Lift station rial C ents: C ents: DISPOSAL FIELD DATA Which s m tested (date installed} ❑ ALL standpip resent per record drawing Total measured depth fro rade ft (max) Measured depth to pipe invert fro ade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant d not used for more than 30 days prior to of test) Gallons introdu gallons date Any rejuv on treatment (past 12 months) es, enter date Adequacy test date R>addedgal Fluist in Wat Newin apsed time min Final fluid depth in tion rate gpd FIELDS S — POST RECOVERY Effective depth ecord drawings) in Effective depth used n Effective depth remaining Comments/Deficiencies: PROPERTY SERVED BY AWWU SEWER. COSA Checklist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No NSA ft Neighboring Tank > 100' ❑✓ Yes if No ft Disposal Field on Lot > 100' ❑ Yes if No NSA ft Neighboring Disposal Fields > 100' ❑✓ Yes if No ft Sewer Line/Main > 100' ❑Yes if No *50+ ft Sewer Manhole/Cleanout > 100' *50+ ❑ Yes if No ft Sewer Service/Septic Line > 25'❑ Yes if No '*22+ ft Holding Tank > 100' Q Yes if No It Animal Containment > 50' n Yes if No ft Manure/Animal Excreta Storage > 100' ❑✓ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water ing Tank and Disposal Field(s) on Lot to: (Please enter distances if less than req Tank to Foundation > LJ Yes if No ft Surface Water > Yes if No ft Field to Foundation > 10' ❑ Yes `9i1 ft on Adjacent Lots: Tank to Property Line > 5' ❑ Yes ft ells > 100' ❑ Yes if No ft Field to Property Line > Yes if No ft Community0'�❑.,,Yes if No ft ain/Service Line > 10' ❑ Yes if No ft If tank or field is under driveway corn low F. ENGINEER'S COMMENTS *WELL ASSUMED TO BE DRILLED IN 1958. MET REQUIRED SEPARATION DISTANCES AT THE TIME OF CONSTRUCTION. ? N o A Contil+f .- t� ; o puQ G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Engineer's Printed Name Jeffrey A. Gayness, P.E. 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. COSA Phone 907-337-6979 Date o"OF. P #AECC884 Carne s.� E9. 3 ' Fd 9 �l \�Pro=fess�o� WELL FLOW TEST REPORT - RESIDENTIAL Conducted by Anchorage Well & Pump Service 7640 King Street, Anchorage AK 99518 Ph: (907) 243-0740 Fax: (907) 243-0742 OWNER INFORMATION PUMP INFORMATION Owner: Estate of Linda Chin Intake Depth: 110' TOC Address: Job: 1103 Bannister Dr Static Water Level: 50' TOC Anchorage, ak 99507 Depth of Casing 120' TOC Total Depth 120' TOC Max Drawdown: 52' TOC FLOW TEST Date: 8/6/2025 Well Production: 14 GPM (at time of test) Test Times Test Length Flow meter Reading Flow Meter Total Flow GPM Notes and Test Results Start 10:38am 26264 210 gal 14 GPM Start test Stop 10:55am 26474 200 gal 14 GPM Check Start Stop Check 11:08am 26684 210 gal 14 GPM Start Stop 11:23am 26894 210 gal 14 GPM Check Start Stop Check 11:38am 27104 210 gal 14 GPM Start Stop 11:53am 27300 110 gal 14 GPM Check Start Stop 12:00 m 27410 14 GPM End test draw water level Pumping time: 1 hr 23 min Unable to past 32' TOC. Pumping level stabilized at 32' for 1 hr and at a rate of 14 GPM. * Well chlorinated and flushed prior to test. Test performed at wellhead Jeff Garness From: Debra C. Echavaria <deb@awps.com> Sent: Thursday, September 4, 2025 9:30 AM To: Jeff Garness Subject: RE: AWPS - Invoice Importance: High Jeff, Per Tyler- Depth of Casing should have been noted as 120', cased to bottom of well. There were no perforations or integrity issues during the camera of the well. Thank you again, Deb Debra C. Echavaria Anchorage ,ell & Pc,n7o Service hoc. /640 ming Sheet Asci` oirage, Alaska 99515 907-,24-3-0740 From: Jeff Garness <Jeff@garnessengineering.com> Sent: Thursday, September 4, 2025 9:11 AM To: Debra C. Echavaria <deb@awps.com> Subject: RE: AWPS - Invoice You attached the flow test report and not the invoice. Jeff From: Debra C. Echavaria <�eb awns,cor > Sent: Thursday, September 4, 2025 9:09 AM To: Jeff Garness <JeffPgarnessengineering.co > Subject: FW: AWPS - Invoice Importance: High Good morning, Attached is a copy of the Well Flow Test Report with all information listed regarding the camera of the well. The pitless adapter was 9' TOC. Thankyou, Deb Debra C. Echavaria Anchorage Well & Pump Service /tic. 7540 King Street Anchorage, Alaska 99518 1 Bill To: Estate of Linda Chinn c/o PO Box 23561 Anchorage, AK 99523 Invoice Ship To: Estate of Linda Chinn JOB: 1103 Bannister Dr Anchorage, AK 99508 20254521 SALESPERSON YOUR NO. SHIP VIA COL PPD SHIP DATE TERMS DATE PG. RIDGWAY, TYLER S 40482 Net 30 8/18/2025 1 TY. ITEM NO. DESCRIPTION PRICE DISC % EXTENDED TX PRICE 1 Service Call FLOW TEST. CAMERA WELL FOR WELL DETAIL. 1 FIELD SERVICES 08/06/25 - Check system. Locate breaker, $1,200.00 $1,200.00 verify power is off. Set up rig, pull pump off pitless adapter, extend back down to service depth. Bypass failed pressure switch, start pump. Perform flow test on well. Conclude test, stab pitless adapter. Extend pump wires and underground wires. Extend well casing to meet municipality code, install sanitary well seal and conduit. Replace failed pressure switch and pressure gauge. System left off, wires not hooked up to pressure switch due to plumbing failure in home. Procure CAN Kit water sample from well head and deliver to lab. 2.5 ST5-Tyler Service Tech 2.5 ST19-Dennis Service Tech 1 RIG Pump Rig/Boom Truck - INCLUDED WITH FLOW TEST 1 FLOW TEST WATER WELL $800.00 $800.00 1 WELL CASING 6" ASTM SCHEDULE 40 $35.00 $35.00 2 ESP-SPK-4-SP4C 4 -Wire Plastic Splice/Repair Kit $10.00 $20.00 1 WELDER WELDER RENTAL $200.00 $200.00 1 RENTAL GENERATOR RENTAL $200.00 $200.00 1 CAMERA WELL CAMERA $400.00 62.5% $150.00 1 PSW STD -940026/40-60P 40/60 STANDARD PRESSURE SWITCH $38.00 $38.00 1 FIT-BRS-NIP-.25X2 NIPPLE .25"X2" BRASS $4.00 $4.00 SALE AMT. We appreciate your business. Thank you! FREIGHT SALES TAX TOTAL AMT. PAID TODAY BALANCE DUE ' ., ANCHORAGE WELL & PUMP SERVICE, INC. 764OKING STREET ANCHORAGE, N{AA518 PH. 907-243-0740 !OVOiQe Bill To: Ship To: Estate ofLinda Chinn Estate ofLinda Chinn c/o PDBox 235G1 JOB: 11O3Bannister Dr 20254521 SALESPERSON YOUR NO. SHIP VIA COL PPD SHIP DATE TERMS DATE PG. RIDGWAY, TYLER S 40482 Net 30 8/18/2025 2 DTY. ITEM NO. DESCRIPTION PRICE DISC % EXTENDED PRICE TX. 1 PRG-940070/0-10OPSI 0-100 PSI PRESSURE GAUGE $18.00 $18.00 1 WLC-ALM-952809NVTCC- 6" ALUMINUM WELL CAP $78.00 $78.00 2 Electrical PIPE 1" CARLON CONDUIT SCHEDULE 40 $3.00 $6.00 1 FIT-ELC-CRL-MAD-1 MALE ADAPTER 1" CARLON ELECTRICAL $2.00 $2.00 1 SAMPLES COLIFORM / ARSENIC / NITRATE KIT $400.00 31.25% $275.00 CAN KIT WATER SAMPLES TEST Coliform - Negative Arsenic - 20.0 Nitrate - 0.216 SALE AMT. $3,034.00 We appreciate your business. Thank you! FREIGHT $0.00 SALES TAX $0.00 TOTAL AMT. $3,034.00 PAID TODAY $0.00 BALANCE DUE $3,034 I '20' Esmt I U u BASIS OF BEARING (SOURCE PLAT P-467) N 89'44'00" W E. Fireweed Lane NOTES 1. Bearings and distances are record per referenced plat unless otherwise noted. 2. Not all monumentation for this survey may be shown on this document. 3. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 4. Record data derived from Plat P-467 of at,�sl *x.49 TH Robert 0. Lumpkin I �� •• No. 10459 i �i `rTF9 ' • .8/20/25. • ' ,r Y`�11� A"'O�.P���•r © Found Almon CFound Alcap © Cleanout N Water Valve ALASKA REMOTE IMAGING PIA ® Gas Valve Elec Vault Surveying Mapping Land Planning LIDAR ❑E Transformer IMAGING 6239 B Street, Suite 201, Anchorage, Alaska 99518 AR'ING SURVEY(907) 519-0339 survey@ataskaremoteimaging.com ❑GM DEM Gas Meter Elec Meter ❑EP Elec Pedistal ASBUILT SURVEY OF: SURVEY CERTIFICATION: Alaska Remote Imaging has conducted Lots 1 & 2, Block 4, a physical survey of the subject property, the improvements ❑CP Cable Pedistal Lampert Subd (Plat P-467), situated thereon are within the property lines as shown. FTP Tele Pedistal Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine SD Storm Drain the existence of any easements, covenants, or restrictions WORK ORDER No: DATE: SCALE: ZONING: which do not appear on the Plat used for this survey. MH Manhole 25-1391 Aug 20, 2025 1"=30' R1A NOTE: Under no circumstances should any data hereon be PREPARED FOR: DRAWN: CHECKED: IGRID No: FB BOOK/PAGE: LL ROL SW2730 173/38 used for construction or for the establishing of property lines. Wendy Moe 10A A 4A 72 iLk cmr f Lf - A CO 10 CNI 3- 6 CN 26th A�enue 10 u 285 h 6 _. µ 28 fly 1 �C 1. s 2 12 11 a r� §, sL 6 U30 30NVN31NIVW 83CS S1N3WWOJ SS32laOV VN11118 a31:3x210: SS3H007 9NI'11I8 a31J321210J 'OMj 31V0 31VO 'J• N1111B 3JIlON ONI1118 213W015f13 SS3NOOV 83AVd 3WVN 2/3AVd 5(11ViS 3JIAN3S 14 L i N011VJ01 N0II33NNOJ i 1.liyV �i7 V" 0 ON E] 9A n ON F] S3A '1V1 Ol 1J3NNOD NNnui Ol 1D3NNOJ 1 •d3N '017(HONI i 3215 NOIlVW8O3N1 N01103NN00 ii c un•nn �v 'ON 3NOHdl 300:. d12j31V15' A11J OV N3NMO ox Wo N:018 1 012!9 j NOIStAIO PS 10-1j 3VVd 71008 b 5 5 £OSGS VNSV-IV '39VHOH'JNV '0702! 3VM JW a jL)O- 7 b HEJ(102i0E V38V 3JVUGHONV 831V31JV llWS3d'R N011d:)ilddb NOIIZ)3NNOD d3M3S 3:)Vld snon:)IdSNOD d NI 1SOd