The URL can be used to link to this page

Home My WebLink AboutSHANE LEE ESTATES BLK 1 LT 11Onsite File Shane Lee Estates Block 1 Lot 11 #014-061-67 O ui I C C :4 H1 H7 tO C N w �r t4 u) b7 Y31 k� F71 Ma Kl � � W � Vl W FSI f '17 '4i '4 K7 '+1 "=1 gS .ol 's7 g1 w oil n � N N M n Tx C r� ` 03 O W4 O O O O O O O ® ® ® O O C C :4 H1 H7 tO C N w �r t4 u) b7 x h w fo w oil n � N N M n Tx C r� ` 03 O W4 w Q N a m , M LJ rf-,A I R.-_- I I i~I "T_ 073 F K 4�� DEPARTMENT C� HEALTH AND ENVIRONMENTHL M_-:OTECTION 825 'L' STREET, ANCHORAGE, HK. 99501 279-2511 PERMIT NO ( 77187 > HPPLICHNT EDWIN RINNER 8]10 WELLSLEY CT ]44-41]1 LOCATION T SIZE 8000 SQUHRE FEET LEGHL L11 B1 '_::.:HANE HHNE LEE ESTATES ' MINIMUM DISTANCE BETWEEN H WELL AND ANY ON ---SITE SEWAGE DISPOSAL 'SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. SPEC IFICHTIONS AND CONSTRUCTION D'I'AGRAMS ARE AVAILABLE TO INSURE PROPER INSTHLLHTION. �� u� I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY O ANCHORAGE. 2: I WILL L THE YST.M IN ACCORDANCE WITH THE CODES. SIGNED:_~��_-_~��.-�~��-~-�~---^^~---� HPPLICHNT EDWIN RINNER � MUNICIPALITY OF ANCHORAGE ljftwl Development Services Department a p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 1. GENERAL INFORMATION Expiration Date:""""' ` Oil ao d Complete legal description L- t �+ �i-►G �- ES Location (site address) SFr y `Tr ac Current property owner(s) Day phone Mailing address GGZ� 'T,� ti "��c� A� Aoe-- 99155-7 Real estate agent Day phone q6-1-2--7-9 - r73` -t if 2. TYPE OF DWELLING: a Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer [K Waiver request for: 66 -Lt- S � ��; ti � �,,,�� '.AA,,X Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ZGO Date of Payment/ /ic, A -I Receipt Number Z7097? COSA# 0 5 C 2 I 6q0 Date: Waiver Fee $ &00 Date of Payment �cMe- Receipt Number Waiver # OS V 211 0`13> 4. 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 ERDMAN & ASSOCIATES CONSULTING ENGINEERS Address 5200 Dunbar Dr, Wasilla, AK 99654 Engineer's Printed Name Michael R. Erdman, PE 5. DSD SIGNATURE Approved for 3 Disapproved. Conditional approval for Attachments: bedrooms. Phone 907-232-3140 Date 11/29/2021 bedrooms, with the following stipulations: Q g WATER AN z o WAS COJ -1 J COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other k)Wu MA %( BY QOriginal Certificate Date: a O (Rev. 11105) Legal Description: L11 B1 SHANE LEE ESTATES If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 2/28/78 Total depth 60 ft Cased to 60 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 11/2/21 Static water level at beginning of test 6 ft. Comments 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 (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: COSA Checklist yellow sheet Parcel ID: 014-061-67-000 Structure served by this system Well production at time of test 8.2 gpm Water storage tank volume NSA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by M. Erdman Date of Sample 11/2/21 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 if No Community Sewer Manhole/Cleanout > 100' Water Main > 10' ❑ Yes if No ft Yes if No if No ft Community Wells > 200' ❑ Yes if No Surface Water > 100' ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' (Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50'✓❑ Yes if No ❑ Yes if No ft 40 Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft 0 Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ft ft ft ft ft ❑ 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 Water Main > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS Subject lot and surrounding lots served by City sewer. Waiver requested for existing separation distance of 40 feet between well and sewer main to the north. G. ENGINEER'S CERTIFICATION I 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 ft rii Mii ft S Municipality ®® r�enr n P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Waiver#: OSV211093 COSA#:OSC211690 Permit#: PID#: 014-061-67 Legal Description: Shane Lee Estates B1 L11 Engineer: Michael R. Erdman P.E. Applicant: Raymond Thronson III 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 40.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing private well & public sewer trunk only. ■ � � � � ■ � � n e � e ■ O � O O O O � � � � � � � � � e � � � � e � � � ■ � O � � � � � � � � ■ O � � � e � e � O � t O t t � � � e � � � \ � � n � � � n 1 Waiver is Granted: X Waiver is not Granted: Date: Approved by: ac6c,,�- Name of Reviewer assess■ones®®®s®■e■ee■a®an■a®■■■ease■■■en®■ee■eseenmeoeneeeeoeeee■■eneneenoeeei Cbl/SUiil/!9117/J/lIG8fS/W8lC/TOSll/It910 81MY 5200 Dunbar Drive Wasilla, AK 99654 Z3z. -3'4{0 Phone 907-3.76-6959 Fax 907-373-2157 November 29, 2021 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section 4700 Elmore Road Anchorage, AK 99507 Re: Lot 11/B1 Shane Lee Estates; Parcel ID 014-061-67-000; COSA & Request for Separation Distance Waiver Ladies & Gentlemen, The existing 3 -bedroom residence at the referenced property is served by AWWU public sewer and a private on- site well. In accordance with Anchorage Code Chapter 15.55, we are requesting approval of a waiver allowing the existing separation distance of approximately 40 feet between the well and an existing 16 -inch diameter sewer main within an easement along the north boundary of the property. MOA records indicate that a well permit was issued on 4/22/77 and the well was drilled on 2/28/78. The sewer main record drawings are dated 1977. Site Constraints and Topography The surface topography slopes toward the north, from the well to the sewer main. The existence of a another sewr main and sewer manhole in Tiffany Terrace preludes the option of relocating the well to obtain the required separation. Waiver Justification The well log shows several confining "clay" layers between the sewer depth and the aquifer. The well and sewer main have been in operation for more than 43 years. The result of a current water quality analysis for nitrate/nitrate was non-detectable, and a coliform bacteria analysis was satisfacotry. A signed owner's statement is attached. Please advise when an invocie has been generated and I will pay the fees online. Please call or email if you have any questions or need additional information. Sincerely, Michael R. Erdman, PE 0011811/1/r1gri9eeleers/ ate'r ksliftftlabolraffirk 5200 Dunbar Drive Wasilla, AK 99654 Phone 907-376-6939 Fax 907-373-2157 November 18, 2021 Raymond Thronson III 6620 Tiffany Terrace Anchorage, AK 99507 Re: LI I/BI Shane Lee Estates; Well Testing; E&A Project #21175 Mr. Thronson, As requested, Erdman & Associates performed a well flow test at the referenced property. The well log (copy attached) indicates that the well is 60 feet deep, and has a eported yield of 12 gallons per minute (gpm). We performed a flow test, during which we pumped an average 8.2 gpm for 80 minutes. Water samples were analyzed for coliform bacteria, arsenic, nitrate/nitrate, and lead, and the results were satisfactory. Copies of the laboratory reports are attached. Our investigation revealed that the well is approximately 40 feet from the public sewer main located within the easement along the north boundary of the lot. State of Alaska regulations and Municipality of Anchorage code require a minimum separation of 75 feet. If you wish, we can assist you with application to the Municipality for a separation distance waiver. Erdman & Associates does not guarantee the future performance or quality of the well or water system. Please call if you have any questions or need additional information. Sincerely, Michael R. Erdman, P.E. Carroll, Rebecca M. From: Mike <akcivilengineer@gmail.com> Sent: Wednesday, December 1, 2021 4:23 PM To: Carroll, Rebecca M. Subject: RE: SHANE LEE ESTATES BLK 1 LT 11 Follow Up Flag: Follow up Flag Status: Flagged [EXTERNAL EMAIL] Hi Becca, I located the sewer line cleanout beneath the deck at the back of the house and found it to be greater than 25 feet from the well. Mike Erdman, PE ERDMAN & ASSOCIATES CONSULTING ENGINEERS cell 907-232-3140 From: Carroll, Rebecca M. Sent: Wednesday, December 1, 20214:06 PM To• Mike Subject: SHANE LEE ESTATES BLK 1 LT 11 Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 21 tf 0 I—P > o0 0 M LO r- M CD (0 CD U-) CD 'T LO C\l co (D co M (DLO m ;3- E " 'o N g— C) rr. 0) co co co co co co Lo 30: Nf C:) " m -) t-- U) 00 0 LO C) 00— E c' CJ -T C - - - - - - - = (D CL 0 /E > (D -0 > 0 G) 0 cu U) •E -20 w ct, 0 _0 E (D 0 0 E a) o > 0 if § m m 70 sy2R0 e=\ >, >, :t'.f E C: 0 U) 0 U) a) U) U) c E 0 0 0 (1) E ®/ E ,jo D /0 CL -0 (D o) (1) -0 o C:0 LO m M a) E is) 00 06 0 e= m M :t-- (D 3: m J-- $: w /f\%\\ w U) 2± m m0 0 �: 0 C: a) M E 0 — cc 0 cu o o > 0 3;a) o ru CL E 0 &-- - p 0 U) m sM C: :3 U) 0 E m ='® M m (L) U) a) 0 -0 E LL » 0 C)- 0 > M 0 0 o(D M a) 0 (D �: -0 -0 > < cm =m ERDMAN & ASSOCIATES DRINKING WATER ANALYSIS COLIFORM BACTERIA SECTION I. COMPLETED BY PERSON TAKING THE SAMPLE ERDMAN & ASSOCIATES X'Private El Public water PWSID 5200 Dunbar Drive Wasilla, AK 99654 171 Repeat sample Lab reference # COLLECTION INFORMATION Project: 2 A 1-1'7_71 ItW-Z'� Date: Time: k PM Legal Description: Lot Block Collected By: Subdivision Lr -- F-- P_ _5 LocatioCF16se bib Kitchen Sink, Bath Sink, Other Delivered to Lab SECTION If. COMPLETED BY LAB LAB V -2,1 --1 DateMme Received: tk# �"_k AM PM Initial: Date/Time Test Set-up: li 3 L_ 6/ PM Initial: Comments: TESTIREADING DATE TIME I INT'L - PRESENT / ABSENT I RESULTS Total Cofiform Read in 24-48 hours SATISFACTORY V 0 UNSATISFACTORY Read in 24-48 hours 1AMM0 INCONCLUSIVE Please submit another sample * Bacteria Present in or Absent from Water Sample, by Standard Method 9223 - Colisure Date ADEC Notified (Public Positives Only): Comments: Faxed Copy: 0 Date: SECTION Ill. NOTIFICATION / DISTRIBUTION Date Client Notified (Positives Only): Comments: 5200 Dunbar Drive Wasilla, Alaska 99654 Tel: 907-376-6989 ADEC Lab Certification "PAK00910 SCS Rel'.# 1217276001 Client Name Erdman & Associates Project Name/# SHANE LEE ESTATES L1 1/B1 Client Sample ID SHANE LEE ESTATES LI 1/BI M"Itrix Drinking Water Printed Date/Time Collected Date/Time Received Date/'Time Technical Director 1 1 /08/2021 16:11 11/02/2021 10:3 11/02/2021 13:26 Stephen C. lade Sample Remarks: Allow,ible Prep AnaINsis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 B (<10) 11/04/21 I1/04/21 AKA Waters Department Total Nitrate/Nitrite-N ND 0.200 mg/L SN121 t4500NO3-P A ('<10) 11/08/21 EBI1 Pace 2 of 5 97.00' 10' Utility Easement LOT 11 /—Wood Fence BLOCK 1 5unde9k1-1.2' x 3.2' & Stairs Window Box 7 4, Z ,a I 48.7' LOT 10a X'\ BiLeveloseWood Frame q �N Residence N Fireploce Cantilever 4 _cantilever Entrance al 2.0 x 4.8' _� 48.T --C-7 51' NOTE: Dimensions are measured to the wood trim. Wood Rail Conc. Steps & Walk n, 5/8' Rebar �j �I Asphalt Drive iq TERRACE I hereby certify that an accurate survey of the following described property: SHANE LEE ESTATES (77-126) LOT 11, BLOCK 1 was made on October 25. 2021 and that the improvements situated thereon ore 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 sold property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alcska, this 3rd day of November 2021, Fence LAT 12 Rail Fence I SCALE 1 " = 20' 0' 10' 20' 40' SHLEV SIZE: !l- X 17' ^ \ ^ \ ' ® � q .. . . . «:: A � SHLEV SIZE: !l- X 17' i 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS ri e e e STREET LOCATION TIME TIME TIME 6. TYPE OF RESIDIENCE NUMBER OF,BEDROOMS DATE -DATE DATE ❑ MULTIPLE FAMILY ❑ Three ❑ Six L- INSPECTOR INSPECTOR INSPECTOR �1 ❑ PUBLIC UTILITY depth (attach log if available.) MUNICIPALITY OF ANCHORAGE DEPT. OF i I _;% Ll; 1 81 MUNICIPALITY OF ANCHORAGE ENVIRONMEt.],'%" ._ T=CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 M 1 �R 1 9 'I_)u0 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVE REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY WNER PHONE MAILINGADDR SS c) 3 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION -- (� PHONE t-_� e co U fel T r9 T1 OYl I� dtJ MAILING ADDRESS 4. REALTOR/AGENT PHONE MAI LING ADDRESS - 5. LEGAL DESCRIPTION C �Sha ri e e e STREET LOCATION 6. TYPE OF RESIDIENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other P2— SINGLE FAMILY 0— Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM YEAR ON-SITE SYSTEM WAS INSTALLED. ,'11L/ON-SITE** M PUBLIC UTILITY NOTE: THE INSPECTIO -FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) i"�a 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS PROVED FOR 72, BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79)