HomeMy WebLinkAboutALPINE VILLAGE BLK 2 LT 7Alpine Village
Block 2
Lot 7
-#014-132-07
Waiver not Submitted With COSA or Permit
myer Kequest~j~~ .
~o~ t.o/Mo./7v(.
Rush? Yes ~t~ No
Distance:
Waiver Fee:
Receipt Number:
waiver Number:
MOA Employee Reviewing Submittal
Municipality of Anchorage
P.O. Box 196650 · 4700 Elmore Road
Anchora~qe, Alaska 99519-6650 · (907) 343-7904 · Fax (9071 343-7997
hffp://www.mul~i.orftlOnsite
Development Services Division
On-Site Water and Wastewater Prooram
**** VARIANCE/WAIVER REVIEW ****
Waive~: OSV151006 COSA#: Permit:
PID~: 014-132-07
Legal Description: Alpine Villane. Block 2. Lot 7
Engineer: Mike N. Anderson
Applicant: Bob Bradley
Your request for a waiver ~of the required 100 feet horizontal separation from the
public sewer manhole to the private well has been approved. The approved separation distance
is 80 feet.
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
45.0 feet.
This waiver approval applies to the existing well and public sewer only. Any future changes will
require all separation distances be met or another approval from this department.
[] The affected adjacent property, owner(s) have been given a 7 day notice regarding this
waiver.
[] Notarized letter(s) of non-objection have been received from the owner(s) of the affected
adjacent property.
[] Adjacent properties are not affected by this waiver.
Waiver is. Granted: X Waiver is not Granted/~
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March 10, 2015
Mun/cipalities of Anchorage
Depa~ments ofHealthandHuman Services
P.O. Box 196650
Anchorage, Alaska995Ig-6650
Fax 249-7847
Re:
Legal:
Well waiver (80' to AWWU Manhole)
Alpine Village Subd. Blk 2, Lot 7
To Whom it may concern:
This is a request for a waiver of 80 feet from the existing well to the existing Anchorage Watgr and Waste
Water Utility (AWWU) manhole and 45 feet from the main, see attached site plan. This issue has been
existing since 1982 when the AWWU sewer line was installed, see the attached AWWU drawing. The
original engineering should have applied for this waiver in 1982 but it appears to have been missed by all.
The well was tested and cameraed by Hefty Drilling, see attached submittal. The water was also tested for
the typical contaminates, see attached from Alaska Water Techi~ologies, LLC.
The new owner, Bob Bradley, is building a new house and discovered this issue during the review process.
Our main justification for the granting of the waiver is the number of years it has been operating without
any issues and the slope between the well and the manhole/main is positive and all of the testing and camera
were good also.
Please call me if you have any questions.
Sincerely]~
Michael N. Anderson, P.E..
4661 Natrona Avenue
Anchorage, Alaska 99516
Phone 727-8864
I I ' ~ \ BLOOK 2, LOT §
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ALPINE VILLAGE J J . // \ / ....... ~ \
BLOOK 2, LOT 128 J J // ?/"-. ~'~//' '"'~EXISTING AWWU SEWER
[ I~ '~ / BLOCK 2, LOT 6 ' \ \
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Well Waiver Design Prepared for
ALPINE VILLAGE, BLOCK 2, LOT 7
Michael
N.
Ad
P.E.
(907) 34S-3377 / F~: (907) 345-1391 SCALE:
Hefty Drilling Inc.
3540 Akuta Dr. Anchorage, AK 99516
345-0593
345-4700 Fax
E-mail
Site:
test pumping & drawdown 31 l;~e.
Well Depth:
Cased: /O'~
W¢ll intake opening ~ype:
Pumping I=wk
1
SGS Ref.# 1150625001
Client Name Itet~ty Drilling
Project Name/# 7326 Zurich
Clicnt Sample ID Well
Matrix Drinking Water
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
03/03/2015 11:38
02/25/2015 12:30
02/25/2015 13:50
Steohen C. Ede
Sample Remarks:
Allowable Prep Analysis
Par~uneter Results LOQ Units Method Container 1D Limits Date Date Init
Metals by ICP/MS
Arsenic 12.9 * 5.00 ug/L EP200.8 C (<10)
02/27/I5 03/02/15 EAB
Waters Department
Total Nitmte/Nitrite-N 0.302 0.100 mg/L SM21 4500NO3-F B (<I~)) 02/26/15 NLL
Microbiology Laboratory
E. Coli Negative 1 100mL SM21 9223B A 02/25/15 MEV
Total Coliform Negative 1 100mL SM21 9223B A 02/25/15 MEV
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
Parcel I.D. 014-132-07
1. GENERAL INFORMATION
Expiration Date: /" 7 Zoe Z
Complete legal description Alpine Village, Block 2 Lot 7
Location (site address) 7324 Zurich Street
Current property owner(s)
Mailing address
Real estate agent
Adam Jen
Day phone
7324 Zurich Street, Anchorage, AK 99507
John Collins
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone (907) 440-2785
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
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $,� + t 16% Waiver Fee $
Date of Payment j/0,02-'), + y a Date of Payment
Receipt Number 0 6t + 06336t> Receipt Number
COSA # 0 S C a.2 1 3 8$7 Waiver #
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Forge Engineering Phone (907) 522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller, P.E. Date 07/15/22
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6. DSD SIGNATURE • .... • , : : ;
System #1 Approved for bedrooms V Benjarrt(rvSchiller , .* j
System #2 Approved for bedrooms �� '/Jl . CE 12592 .�no��r
Disapproved 1�� o FE0O0��=
Conditional approval for bedrooms, with the following stipulations:
m WASTE v'ATER z
T SERVIC--'� ,\\
By: Original Certificate Date:
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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
Legal Description: Alpine Village Block 2 Lot 7 Parcel ID: 014-132-07
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled UNKNOWN
Total depth 107 ft
Cased to 107 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18 in.
Date of flow test for COSA 7/18/22
Static water level at beginning of test 57 ft.
Comments
B. TANK DATA
AZja.cLf tanks) years
Tank type/ma
Measured operating fluid n septic tank
❑ Standpipes/foundation cleanout pe rd drawing
Date of pumping
D. ABSORPTION FIELD DATA
system tested (date installed)
❑ ALL stan ' s present per record drawing
Total measured depth rade ft (max)
Measured depth to pipe invert from e 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
Structure served by this system
Well production at time of test 3.7 gpm
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 9.45 ug/L ❑ Arsenic less than MRL (ND)
Collected by FORGE ENGINEERING
Date of Sample 7/12/22
C. LIFT STATION
quired maintenance completed
Age of lift st 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
Fina ' depth in
Absorption rate gpd
Any rejuvenation treatment 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)
❑ Yes
Septic Tank/Lift Station on Lot > 100'
[]Yes
NSA
if No ft
Community Sewer Manhole/Cleanout > 100'
❑ Yes if No 80 ft
Neighboring Tank > 100' Yes
if No ft
Private Sewer/Septic Line > 25' M 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'
✓❑ Yes
if No ft
Animal Containment > 50' ❑✓ Yes
if No ft
Community Sewer Main > 75' ❑Yes
45'
if No ft
Manure/Animal Excreta Storage > 100'
❑✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
B�undations > 10'
❑ Yes
if No ft
Surface Water > 100'
[:]Yes if No ft
Property Line > 5'
es
if No ft
Wells on Adjacent Lots:
Surface Water > 100'
Absorption Field > 5'
❑ Yes
if No
Private Wells > 100'
❑ Yes if No ft
Water Main > 10'
❑ Yes
if No ft
Community —01
❑ Yes if No ft
Water Service Line > 10'
❑ Yes
if No ft
If septic tank is under driveway comment e
From Absorption Field on Lot to: (Please enter distances if less than required)
BD dk4g_ oundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below
Property Line > 10'
es
if No ft
`"_-�`
Water Main > 10'
❑ Yes
if No _"'ft
Water Service Line > 10'
❑ Yes
if No ft
Surface Water > 100'
❑ Yes
if No ft
F. ENGINEER'S COMMENTS
4SV151006 Waiver on file*
G. ENGINEER'S CERTIFICATION
Wells on Adjacent Lots:
Private Wells > 100' ❑ Yes if No
Communi y �200' ❑ Yes if No
I certify that l 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.
BenjarrSchiller
�� �F`• CE 12592••`moi
$���sfF�,• ,PROFESSIOX
08/01/22.-,0\'.ifmCl-
COSA Checklist yellow sheet
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NNECT LOCATION: 6e-wrr S&c vc,Q_-16 Iaco,Ar (I' kl,ci%N 4 e -,m Afir.
INSPECTED BY: 7 Zxn" ��iill� ._ DATE•'t�8�
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S`JBDIVISION: ,Q % ►�,itli" %r /I� ter- I BLOCK: LOT: r�
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• Municipality of Anchorage
On -Site Water and Wastewater Program 2'
(907) 343-7904
CERTIFICAT
Parcell.D.
1. GENERAL INFORMATION
Complete legal description
FEB 2 v 2016
q �)6Ary
Location (site address) 7326 ZURICH
MS APPROVAL
Expiration Date: S ,Q—!
Current Property owner(s) Bob Bradley Day phone
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
P.O. BOX 110226 ANCH AK 99511
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
4
Day phone
TYPE OF WASTEWATER DISPOSAL:
®
Individual
❑
❑
Holding Tank
❑
❑
Community
❑
❑
Public Sewer
Waiver/Variance request for: .� Distance:
Received by: 4" Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ ,.4i� f : i515 N1 Waiver Fee $
Date of Payment ii3ofS� G���'S Date of Payment
Receipt Number�Ll24 Receipt Number
COSA# 05C1('01D (F Waiver#
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 MIKE N ANDERSON, P.E.
Phone 727-8864
Address 4661 NATRONA AVE.
Engineer's Printed Name MIKE N ANDERSON, PE Date 02/23/16
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6. DSD SIGNATURE
°, a.;,, oe, r
J MICHA N.
System #1 Approved for Ll
° A,.,po"��
bedrooms. E��n yy�y jjfy
System #2 Approved for
° e,s�,
bedrooms.uQC® �L'SESStu o,
Disapproved.
't -, av e
Conditional approval for
bedrooms, with the following stipulations:
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! Original Certificate Dalt@ _ =
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems App alqEOSA 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 X Nitrate Advisory_
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAbluesheet 10-10-12.doc
0
If more than 1 septic system is on the lot:
COSA Checklist # _of _
Structure served by this system _
Certificate of On -Site Systems Approval Checklist
Legal Description: ALPINE VILLAGE S/D BLOCK 2, LOT 7 Parcel ID: 014-132-07
A. WELL DATA
Well type Private If A, B, or C provide PWSID # _ Well Log (Y/N) N
Date completed UNKNOWN Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 107 ft. Cased to 107 ft. Casing height (above ground) 18
FROM WELL LOG AT INSPECTION
Date of test UNKNOWN 212 512 01 5
Static water level UNKNOWN ft. 55 ft.
Well production UNKNOWN g.p.m. 10+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 0.948 mg/L
Arsenic: ND ug/L Date of sample: 211212016 Collected by: Mike Anderson
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Tank size _ gal.
Foundation cleanout (Y/N) Y
Date installed
Number of Compartments 2 Cleanouts (Y/N)
Depression over tank (Y/N) High water alarm (Y/N)
Date of pumping Pumper
C. ABSORPTION FIELD DATA—
Date installed Soil rating (g.p.d./ft2 or fe/bdrm) _ System type
Length _ft. Width _ ft. Gravel below pipe ft.
Total depth ft. Eff. absorption area _ft2 Monitoring tube _ Depression over field
Date of adequacy testi 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.) (YIN & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at in.
Datum
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot _
Absorption field on lot NA
Size in gallons Manhole/Access (Y/N)
"Pump off" level at in.High water alarm level at _ in.
Cycles tested Meets alarm & circuit requirements?
Public sewer main 451+
Sewer /septic service line 501+
Animal containment areas 1001+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
Wells on adjacent lots
ABSORPTION FIELD ON LOT TO:
Property line _
Water Service line
Property line _
Water service line
On adjacent lots 1001+
On adjacent lots 1001+
Public sewer manhole/cleanout 80'+
Holding tank NA
Manure/animal excrete storage areas 100'+
Absorption field
Surface water
_ Building foundation Water main
Surface water Driveway, parking/vehicle storage
Curtain drain Wells on adjacent lots
F. COMMENTS
WAIVER ON FILE BETWEEN AWWU_MAIN AND MANHOLE SEE ATTACHED
G. ENGINEER'S CERTIFICATION
1 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.
Engineer's Printed Name MIKE N. ANDERSON, PE
Date 0212312016
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i—E 74TH AVE—
1 ALPINE VILLAGE
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BLOCK 2, LOT 5
ALPINE VILLAGE
BLOCK 2, LOT B
PROPOSED
1. HOUSE .DRIVE*
ALPINE VILLAGE
BLOCK 2, LOT 8
ALPINE VLLAGE
BLOCK 2, LOT 9
EXISTING WELL
100' RADIUS
EXISTING AWWU SEWER
MANHOLE
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Well Waiver Design Prepared for
BOB BRADLEY
ALPINE VILLAGE, BLOCK 2, LOT 7
Anchorage, Alaska
Michael N. Anderson, P.E. DATE: 311012015
4601 NATRONA AVE
ANCHORAGE, ALASKA 99516 SCAN. 11 (907) 345-3377 / FAX: (907) 345-1391
i EXISTING WELL
75' RADIUS
EXISTING WELL
100' RADIUS
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ALPINE VILLAGE
BLOCK 2, LOT B
PROPOSED
1. HOUSE .DRIVE*
ALPINE VILLAGE
BLOCK 2, LOT 8
ALPINE VLLAGE
BLOCK 2, LOT 9
EXISTING WELL
100' RADIUS
EXISTING AWWU SEWER
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Well Waiver Design Prepared for
BOB BRADLEY
ALPINE VILLAGE, BLOCK 2, LOT 7
Anchorage, Alaska
Michael N. Anderson, P.E. DATE: 311012015
4601 NATRONA AVE
ANCHORAGE, ALASKA 99516 SCAN. 11 (907) 345-3377 / FAX: (907) 345-1391
i EXISTING WELL
75' RADIUS
EXISTING WELL
100' RADIUS
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INSPECTED BY: DATE:
C31 �{ 132-O�j "t-bzt,. Zurich g3-2lot2�$$O
SUBDIVISION: ,Q/ BLOCK: LOT: r�