HomeMy WebLinkAboutGALATEA ESTATES BLK 1 LT 3Galetea
Estates
Block 1
Lot 2 & 3
#014-103-64
08/27"2014 06:49 907-345-0202 ALPINE DRILLING PAGE 01/51
Municipality of Anchorage
Community Development Department
On -Site Water and Wastewater Program
4700 Elmore St. - P.O. Box 195650 Anchorage, AK 99519-8850 • http:lAvww.muni.org/onsite - (907) 343-7904
Well Decommissioning Log
Legal Address, r
Subdivision a� Z Block / Lot
T____ _ R_ _ Section Lot
Or-elte Water & Wastewater Program cantfied contractor performing the welt decommissioning:
Name
Signature:
Company p �y
Well decorrolissioning date li — r,,. Method ofdeCommissiorung: AMC 115.WNOL1 a. ❑ b. L] c.
Location: Use the space below to provide a drawing of the property shovAng the fmiowtng items;
North arrow
• Decommissioned well,
• Otherwaterwatls an the property,
Two separate swing-tle distances for earn well shrnvn on the drawing,
Ncte. The swing -de distances shall M hleaeurad from either permanent structures or the property corners
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rflcanmtmity LIM10pmeMlDevelOpment Servicea%Building SafetylOn Site Water and WastewaterWorrnst0lient FonnslWetl Dscommislcnln£ form.dve
Municipality of Anchorage
Development Services Department
Building Safety Division • `
/ On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (14- HAA # 05 05195
Expiration Date: " �1
1. GENERAL INFORMATION ,
Complete legal description ,:Vd bra .� �LOGK 1
Location (siteaddress or directions) v13 3 % E ?07 ~� 6J', ZPif hS e
. .. 99So
Current Property owner(s) _�j�r6/N Day phone
Mailing address Bx Aa/_!U-7
Lending agency ~A r /�/�f� Day phone
Mailing address
Real Estate Agent
Mailing Address
ii ' iiki io W/FAJ a/F• 00
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
1�
Public Water System
❑
Public Sewer
ul
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
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 Health Authority 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 MIR 74< 0&r$,1X/ .54XV/,F:5 Phone_,f��'�'6d"d
Address
Engineer's Printed Name 7Ao1l MAS L. Q�T�"�'
5. DSD SIGNATURE
✓ Approved for �?_ _ bedrooms.
Disapproved.
Date GVH
Conditional approval for bedrooms, with the following stipulations:
Htiacnments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report _X
Well Flow Advisory Other X
By: W, Original Certificate Date:
(Rev. 01102)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: 6rA A TFA 5�Q �OT�T ��%(1 Parcel ID: o 3
A. WELL DATA
Well type If A, B, or C provide PWSID #
by,ElL
Date completed:t6glOS Sanitary seal (Y/N)
Total depth 2a ft. Cased to 14
FROM WELL LOG.a
c�tlye6 14/� r� lo9l, d
Date of test —�If1'
Static water level
Well production g.p.m.
Well Log (YIN)
Wires properly protected (Y/N) Z
Casing height (above ground) 1.7 in.
AT INSPECTION
N lt
9—
p.m-
WATER SAMPLE RESULTS: SO,F /97 j f011,F07 7`,ErS7- /C,95SU4 TS /
rT/y�d o2 09 h
Coliform colonies/100 ml. Nitrate 01-15mg.n. Other bacteria colonies/100 ml.
Arsenic: mg./l. Date of sample: io&/0,! Collected by: %46
B. SEPTIC/HOLDING TANK DATA Cll y ''E K1151C
Tank Type/Material NON0 ®/V Date installed
Tank size gal. Number of Compartments _ Cleanouts (Y/N)
Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (Y/N)
Dale of pumping Pumper
C. ABSORPTION FIELD DATA c/TY S)EWER
&if401gr49
Date installed %ytoT , , Soil rating (g.p.d./ftz or ftz /bdrm) _
Length
ft. Width
System type
ft. Gravel below pipe ft.
Total depth _ ft. Eff. absorption area ftz Monitoring tube _ Depression over field
Date of adequacy test Results (Pass/Fail) For _ bedrooms
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION p�
Date installed Size in gallons
'Pump on' level at _ in. "Pump off' level at _ in.
Datum
E. SEPARATION DISTANCES
Cycles tested
Manhole/Access (YIN)
High water alarm level at
Meets alarm ti circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO: /}//k
0.7 9 C
Septic tank lift station on lot N On adjacent lots ��
Absorption field on lot 6ff On adjacent lots
Public sewer main /07" Public sewer manhole/cleanout OLIM
N�Sewer /septic service line Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
Wells on adjacent lots
Property line
Water service line
Absorption
Surface water
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: /Y/�'
Property line Building foundation Water main
Water Service line Surface water Driveway. parking/vehicle storage
Curtain drain Wells on adjacent lots
F. COMMENTS
7.F
G. ENGINEER'S CERTIFICATION WEAL WATER TL�,i T Kik
COLLECT/O�/ *�49t� �l�EV�
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date. Tian, Co.
Engineer's Printed Name J/f(OM�S B,fierAro< cJ� CE • 8054
Date OP'�►E._ sstoN*�I
HAA Fee $ La W
Date of Payment j STs
Receipt Number %(22,--Z _\P�21�
(Rev. 17/01)
Waiver Fee $
Date of Payment
Receipt Number
Y%
LOT 7
LOT 6
70.0'
N 89.33'00' E
10' Ut0 Es.!
70.0' 5.0
a —
VELLll < i — LOT 3 It s'"
HOUSE
W 1J
14.0 0.
c
N
b b 12.3 0
LOT 1 >' LOT 2
EC
ab e � )p LOT 4
8
z 26.8
z 70.0'
glI VAV z
70.0'
N 89.59'00' E
EAST
72ND Avenue,
0 FOUND 5/8 REBN2
NOT FOUND
® NOT FOUND
r
.bchtnl $. 14. fY• f,T•Ir
' 1.5 - CLW
ASBUILT CERTIFICATI❑N
EXCLUSI❑N
I HEREBY CE IFY THAT I HAVE SURVEYED THE SHOWN IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY
PR PER Y A HAT N ENCROACHMENTS EXIST
EASEMENTS, COVENANTS, OR RESTRICTIONS
S ND
WHICH DO NOT APPEAR ON THE RECORDED
SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES
SHOULD ANY DATA HEREON BE USED FOR
MI HAE AHLER, L
CONSTRUCTION OR FOR ESTABLISHING
BOUNDARY OR FENCE LINES.
DR WN
SC LE
DAT
SHEET
LOTS 2 & 3, BLOCK 1,
B
1
S.W.
1'=50
I1/2i05
1/I
GALATEA ESTATES
ALASKA CONSTRUCTI❑N SURVEYS, LLC
FOR
4141 B STREET, STE 203
HIKE STEINER
ANCHORAGE; ALASKA 99503
ANCH E. ST
ANCHORAGEE , AK
344-5505
w;1 t f'r�ot tcT�� N Il Fo
,.ATTOP
CnM & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. N100RE, P.E.
HE (907) 345.1355
Michael and Bonnie Steiner
P.O. Box 231413
Anchorage, AK 99523-1413
Dear Mr. and Mrs. Steiner
October 25, 2004
14530 EC110 ST.
ANCHORAGE, ALASKA 99516
Per the request of Larry Keller with Prudential Vista Real Estate, on October 25. 2004 1
conducted an adequacy test of the water supply system serving Lot 2, Block 1, Galatea S/D, located at
2327 East 72nd Avenue. While the well yield is adequate for a single-family residence, I have so far
been unable to obtain sufficient information to support issuance of either a Municipal or a State Health
Authority Approval (HAA) certificate. The following is a report of my test procedure and findings.
I was unable to find any information pertaining to your water system from the Municipal files for
on-site systems serving single-family residences. Prior to arrival on-site to conduct the test I was
unaware that the well serves not only the presently vacant Lot 2, but also a single family residence on
Lot 3. Wells serving more than a single-family residence are classified as community well's and are
regulated by the State Department of Environmental Conservation (DEC) instead of the Municipality. 1
then went to the State DEC office to research information that might have been recorded regarding this
community well, but was unable to find any records that it was ever approved by that office. While
there 1 was informed that unfortunately, due to budget constraints, the State DEC is not currently
processing applications for approval of small community water systems such as yours.
Without a well driller's log it is impossible to know how deep the well is or what its production
was at the time of drilling. Secondly, unlike most wells in Anchorage, the wellhead for this well is
located inside a well house, and the water line from the pump comes vertically up through the well seal
instead of through a pitless adapter. This means that it is impossible to remove the well seal and measure
the static water level during the course of the test. Accordingly, the only indication of the well
production is the amount of water that can be drawn from the system over time.
In order to assess the well yield I ran the pump for 215 minutes, during which period the well
produced a total of 634 gallons of water for an average pump rate of 2.9 gpm. The initial pump rate was
close to 5 gallons per minute; however it gradually slowed to 2.5 gpm at the end. I think the reduced
flow rate was a result of gradual clogging of an in-line filter rather than a reflection of the actual well
production. Nevertheless, in the absence of other data, I can only certify that the well is able to produce
2.5 gpm. This yield is adequate for a single-family residence, but is quite low for a community water
system, and could cause limitations to the amount of water available to one or the other of the units it
serves. Perhaps regular replacement of the filter could result in a greater available well yield.
The separation distances from the well to the public sewer and manholes appear to be adequate
for either a single-family or a community well, however it is not clear whether the separation distance to
the private sewer line from the house on Lot 3 is the required 75 feet away from its community well.
The survey provided to me by Mr. Keller is not an as -built survey showing the locations of the structures
TECH tICAL:SERL_
CnM & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. N100RE, P.E.
HE (907) 345.1355
Michael and Bonnie Steiner
P.O. Box 231413
Anchorage, AK 99523-1413
Dear Mr. and Mrs. Steiner
October 25, 2004
14530 EC110 ST.
ANCHORAGE, ALASKA 99516
Per the request of Larry Keller with Prudential Vista Real Estate, on October 25. 2004 1
conducted an adequacy test of the water supply system serving Lot 2, Block 1, Galatea S/D, located at
2327 East 72nd Avenue. While the well yield is adequate for a single-family residence, I have so far
been unable to obtain sufficient information to support issuance of either a Municipal or a State Health
Authority Approval (HAA) certificate. The following is a report of my test procedure and findings.
I was unable to find any information pertaining to your water system from the Municipal files for
on-site systems serving single-family residences. Prior to arrival on-site to conduct the test I was
unaware that the well serves not only the presently vacant Lot 2, but also a single family residence on
Lot 3. Wells serving more than a single-family residence are classified as community well's and are
regulated by the State Department of Environmental Conservation (DEC) instead of the Municipality. 1
then went to the State DEC office to research information that might have been recorded regarding this
community well, but was unable to find any records that it was ever approved by that office. While
there 1 was informed that unfortunately, due to budget constraints, the State DEC is not currently
processing applications for approval of small community water systems such as yours.
Without a well driller's log it is impossible to know how deep the well is or what its production
was at the time of drilling. Secondly, unlike most wells in Anchorage, the wellhead for this well is
located inside a well house, and the water line from the pump comes vertically up through the well seal
instead of through a pitless adapter. This means that it is impossible to remove the well seal and measure
the static water level during the course of the test. Accordingly, the only indication of the well
production is the amount of water that can be drawn from the system over time.
In order to assess the well yield I ran the pump for 215 minutes, during which period the well
produced a total of 634 gallons of water for an average pump rate of 2.9 gpm. The initial pump rate was
close to 5 gallons per minute; however it gradually slowed to 2.5 gpm at the end. I think the reduced
flow rate was a result of gradual clogging of an in-line filter rather than a reflection of the actual well
production. Nevertheless, in the absence of other data, I can only certify that the well is able to produce
2.5 gpm. This yield is adequate for a single-family residence, but is quite low for a community water
system, and could cause limitations to the amount of water available to one or the other of the units it
serves. Perhaps regular replacement of the filter could result in a greater available well yield.
The separation distances from the well to the public sewer and manholes appear to be adequate
for either a single-family or a community well, however it is not clear whether the separation distance to
the private sewer line from the house on Lot 3 is the required 75 feet away from its community well.
The survey provided to me by Mr. Keller is not an as -built survey showing the locations of the structures
on the lots. The location of the well house and the well itself appears to have been sketched in by hand
by someone other than the surveyor who drew up the rest of the survey. It is not clear how accurately
the location of the well is depicted — certainly the well house is not drawn to scale.
Water samples that I collected from the well to test for total coliform bacteria and nitrates are
still at the lab, and results are not expected for approximately one week. I will let you know when I
have received the results.
Frankly, I do not know what to recommend with regard to pursuing formal approval of this water
system. Certainly, one relatively straight -forward option would be to have a surveyor determine which
lot the present well is located on and then to convert it to a private well serving only that lot. Then, you
could apply for a permit and drill a new private well to serve the other lot. Alternatively, one could wait
until the State DEC is again in a position to process small community well applications, and then submit
appropriate documentation in support of a request for approval of this well. however the lack of a
driller's log coupled with the apparent low yield makes ultimate approval questionable.
Please feel free to give me a call if you have any questions on this report, and to let me know
how you would like me to proceed. If you decide not to pursue formal approval of the water system I
will refund to you the $430 Municipal approval fee that you have paid.
Sincerely,
Ted Moore, P.E.
cc: Larry Keller, Prudential Vista Real Estate
By FAX: 562-5485
Nov 04 05 09:39a The Steiner's 19071-336-5182 p.1
FAX COVER SHEET
The Stoblaev
P.O Box 231a13
Ancpara2c. AK 99523-1413
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0, $25 second billing charge
S -N -TIC THANK YOU
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Nov 04 05 09:39a The Steiner's
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Jim Sullivan r ARCTIC ` ......•...
PUMP & WELL /} P.O. pox 770 I /
nfr INC., Gnyic River; Ald.Jca
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Fax 688-2543 NWWA CERTIHED PUMP INS'IAI LER
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1056193001
Client Name
Barter, Thomas
Project Name/#
Mike Steiner 2337 E 72nd Anch
Client Sample ID
Mike Steiner 2337 E 72nd Anch
Matrix
Drinking Water
PWSID 0
Sample Remarks:
All DatesITimes are Alaska Standard Time
Printed DateMme
09/29/2005 16:10
Collected Date/time
09/192005 18:00
Received DateMme
09202005 8:00
Technical Director
Stephen C. Ede
Microbiology Laboratory
Total Coliform 0 coV100mL SM209222B A (<=1) 0920/05 TLF
Allowable
Prep
Analysis
Parameter Results PQL
Units Method
Container ID Limits
Date
Date Init
Nitrate -N 0.0935 J 0.100
mg/L EPA 353.2
B (<=10)
0920/05 AZS
Microbiology Laboratory
Total Coliform 0 coV100mL SM209222B A (<=1) 0920/05 TLF
A 2006-006733-0
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A Recording Dist: 301 - Anchorage
s 2/1/2006 10:40 AM Pages: 1 of 1
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A QII!I!II!IIIIVIIIIIII�IIIIIIII'1111!Ilii!II!IIII,III!II1111111►1111!IIIIIIIIII�I
STEMAR": Well Access Easement
Let 4R1r
The owner of Lot 2, Block 1, Galatea Estates, Anchorage Recording District, State of
Alaska grants an easement to owner of Lot 3, Block 1, Galatea Estates for right of use to
the water from well on Lot 2, and for maintenance.
This easement is to go with the land in perpetuity.
Michael W.'S,teiin`erAAowner of Lot 2, Block 1, Galatea Estates
�i :oD� WvLlL�cut1,
Michael W. Steiner
Michael W. Steiner, owner of Lot 3, Block 1, Galatea Estates
Michael W. Steiner
State of Alaska
Municipality of Anchorage
On this date kb A oVM , 2006, Michael W. Steiner, personally known to me
or proved to be the person whose name is subscribed to the within instrument and
acknowledged to me that he executed the same in his authorized capacity, and that by his
Municipality of Anchorage
Development Services Department *A6
Building Safety Division
On-site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 198850 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: Thomas Barter
Legal description: Galatea Estates Block 1 Lot 2 3
The
attached paperwork has been reviewed and is being returned for the following reasons:
❑
Original signature or stamp missing on
❑
Calculation error in design.
❑
Additional soils information needed.
❑
Water monitoring results inadequate. _
®
Discrepancy in information submitted. Does the well serve more than one home-?
7�.�, •�. s y / =� r�s%S n c ,.�
❑
Topographic information missing or inadequate.
®
®
Incomplete; missing Waiver required for lees Man Ina feet seearstion distance
Incomplete; missing Distance well to nelahboring absorption fields? iArp
well to septic tank.
oo• ue.t 14r • ln- R • o. w • 74
®
Additional adequacy test information needed. Info missing on brown sheet,
w+'/< tie ✓ t.1, XxAr
❑
Water sample unacceptable. _
❑
Measured/proposed distances/dimensions missing. _
❑
Locations of all soils, percolation and water monitoring tests not shown.
❑
Proposed system too deep for soils information submitted.
❑
Well tog required.
❑
Omission in narrative. _
❑
Insufficient fill over tank or field._
i t r
a `�
®
r.2 / h a r 5 « < •/ 3
Other. Well Pits are prohibited r_�
Name of reviewer: M
Date: 11/8/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK