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Home My WebLink AboutALPINE 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/~ ..... .., .., ..,......, ,...,..... .......... ..,..,, ~..m&~ ....... .........,, 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 § I I ALPINE VILLAGE J J . // \ / ....... ~ \ BLOOK 2, LOT 128 J J // ?/"-. ~'~//' '"'~EXISTING AWWU SEWER [ I~ '~ / BLOCK 2, LOT 6 ' \ \ I I I i WELL I I T12N R3W BEC 5 · ' .~ - SW4NE4SE4SE4 j j I I PROPOSED - .......... I ALPINE VILLAGE J J I t .' . , ': j I S BL00N B. L0,,C 7 ' , \ x AWlNE VILLAOE J J ' \ \1 BLOCK 2. LOT 7 // ~I~NG WE~ j j x ........ ~~>~ / ~ 75' ~DIUS / I I ~ ~ " I I ~ ~ e~oc~, ~ ~o I I , / I I ~ ' I I ~ ~ - /- E 74TH AVE-Xx xx / / 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 OSC251280 Parcel ID 014 -132-07 Expiration Date: Legal description ALPINE VILLAGE BLK 2 LT 7 Site address 7324 ZURICH ST Current property owner(s) LOBE DEANNA & X The On-site system(s) is/are approved for 3 bedrooms M 7/2/2026 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date: 7/16/2025 This C ificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sys m(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment 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 Other MUNICIPALITY OF ANCHORAGE Development Services Department -343-7904 Phone:907 On -Site Water & Wastewater Section fFax- 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 014-132-07 Complete legal description Alpine Village, Block 2 Lot 7 Location (site address) 7324 Zurich St Current property owner(s) Deanna & Liberty Lobe _ Day phone 2. ON-SITE SYSTEMS SIZED FOR N/A BEDROOMS 3. TYPE OF WATER SUPPLY: FO -1 Private Well serving # dwelling units F -I Other Non-public well as regulated by MOA F1 Water Storage r-1 Community Well or Public 4.Typ0 F WASTEWATER DISPOSAL: F-1 Private Septic R Private Septic serving 2 dwelling units 01 Holding Tank F-1 Community Septic or Public Sewer 5. SEPTIC TANK: R Steel 0 Plastic ncrete F1 Fiberglass Age - See advisory if steel or fiberglass older 6. ABSORPTION FIELD: E] AWWTS ❑ Bed F] Deep Trench E] Wi_d`e`TTsnch r_1 Seepage Pit Waiver request for: Expedited review requested: R Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. n COSA Fee Date of Payment I I 10e3 COSA # Waiver Fee $ Date of Payment Waiver # COSA Application—Ap2025.doc COSA Checklist Legal Description: Alpine Village, Block 2 Lot 7 Parcel ID: 014-132-07 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 5.0 gpm Date drilled Unknown Total depth 107 ft Water storage tank volume N/A gallons Cased to 107 ft Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Sanitary seal is functioning correctly ❑■ Coliform bacteria is Negative ❑■ Wires are properly protected Nitrate 0.213 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) 18 in. Arsenic 7.18 ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA 7/10/25 Collected by Forge Engineering Static water level at beginning of test 50 ft. Date 7/2/25 Comments Well camera'd by Hefty Drilling on 2/25/15 TANK DATA Meas d operating fluid level in septic tank Date of pu ing ❑ Required mai Comments: ce completed, if AWWTS D. DISPOSAL FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record draw Total measured depth from grade ft (max) Measured depth to pipe invert from grade 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 or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist_May2025.docx C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in EI ed time min Final flue epth in Absorption ra gpd FIELD STATUS — ST RECOVERY Effective depth (per recd drawings) Effective depth used i Effective depth remaining in in E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' 0 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Disposal Field on Lot > 100' ❑■ Yes if No ft Neighboring Disposal Fields > 100' R Yes if No ft Sewer Line/Main > 100' ❑ Yes if No 45, ft Sewer Manhole/Cleanout > 100' 80. ❑ Yes if No ft Sewer Service/Septic Line > 25'[E Yes if No ft Holding Tank > 100' Yes if No ft Animal Containment > 50' Yes if No ft Manure/Animal Excreta Storage > 100' Wells on Adjacent Lots: ❑■ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From StpUclHolding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10 Yes if No ft Surface Water > 100' ❑ Yes if No Field to Foundation > 10' ❑ Yes if ft Wells on Adjacent Lots: Tank to Property Line > 5' ❑ Yes if No ft ells > 100' ❑ Yes if No Field to Property Line > 10' ❑ Yes if No ft Community _ 00' ❑ Yes if No Water Main/Service Line > 10' ❑ Yes if No ft If tank or field is under driveway com below F. ENGINEER'S COMMENTS Waiver OSV151006 for sewer main/manhole ft ft ft 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 ofFirm Forge Engineering Engineer's Printed Name Benjamin Schiller, P.E. COSA Checklist_May2025.docx Phone (907) 522-7773 Date 7/10/25 �' OF A�'`�l *:49TM •* /JJ .. ... ........ Ir '.. Benja • ' . chiller �� F��•. CE 12592 .•��`�� I'l>t` PROFESS14O �- MCt: (rPX) x PEAT NO. P-663 ALPINE VILLAGE SUBDIVISION LOT 7, BLOCK 2 8,450 S.F. N 89.59100"E 130.00' 50.0' r cork. STOOP 1w. DUSnNG BUILDING A EXISTING - - A.C. DRIVE g C AREA OF N 69059'00"E 130.00' REVISED 12/3/2015 REti/ M A.C. DRIVE AS —BU f LT I HIEREE Y CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENT'S EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A GA5TALD1, PLLS. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2040 E DOWLING RD., SUITE 8COVENANTSOR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SU13DIlvWON PLAT. PHONE 248--5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW2133 8/25/2015 ESTABLISHING BOUNDARY OR FENCE LJNES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. B. JOB 15--02 . A VS72 NOTE: NO CORNERS SET THIS DATE Ll T 1 11=20' OF A4 ♦+pA .&VA0 g.. 4 . ••� �- • `O; 49�t • .� �� Jettery A GastoidlLs- 10 4 40 Q 7,11 �+ rofesslo1`+ 1If■ itT�`� 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 —' of ACgkk� i CO TH9 +fir 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 $��sfF�,• ,PROFESSIOX 08/01/22.-,0\'.ifmCl- COSA Checklist yellow sheet ft ft F d CL LU z 0 w a V) Z w w'. SIZ co REST y ALLEY 1 Ul INDICATE NORTH I �+ SEWER SERVICE LINE SKETCH SHOW LOCATION OF CONTROL MANHOLES/CLEANOUTS E MAIN: L TYPE MAIN:, t_ CONNECT DEPTH AT MAIN ..�� CONNEGT DEPTH AT Prop. Ling NNECT LOCATION: 6e-wrr S&c vc,Q_-16 Iaco,Ar (I' kl,ci%N 4 e -,m Afir. INSPECTED BY: 7 Zxn" ��iill� ._ DATE•'t�8� V 132-0'7 -1-bzU ' zu ricV\ �3-2tot2--$�a S`JBDIVISION: ,Q % ►�,itli" %r /I� ter- I BLOCK: LOT: r� �n L • 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 g T mo IP oF;b 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: �/1I ie v-( 4eJ�,'[[� z -z-3--i �' S Lww �( n �yrwJ� rn� ) Z q i^ ( i F r"A/1.( --1,0 C.\ 2- 1 % ^ I L U AA c I., A ,.,t.r In . --�- m. CA U 'i vvnl u. • •••- -�"'O p� PROG AM ��_= ! 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 COSA canary sheet_2-6-15.doc OF....Pegs s .. ................... 'ao MICHAEL N. ANDERSON 0 % i'. C 9 9 j �. 0 O N � liiaigHwnz k 6 � � A600d.0c00. . °2 Z O '�/ :-� �■ � !� �■ LL - 0. � �$/, O N � ; g, � i QDU � � LLJ 1000 k� §0-01 CLGo � » CL 9 O W || Z_ 8 J � < O N � liiaigHwnz k 6 � � A600d.0c00. . °2 mS3,2 -VQ3N30 A � ® '�/ :-� �■ | !� �■ LL - 0. �$/, ® ► a ,a � ; g, � i §0-01 � » � || o k � m � � g m � z , �c §_ § _ au mS3,2 -VQ3N30 A � ® '�/ :-� �■ | !� �■ LL - 0. �$/, ® ► a ,a � ; g, � i i—E 74TH AVE— 1 ALPINE VILLAGE 1 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 { 1 \ 1 f I 1 I T12N R3W SEC 5 I I SW4NE4SE4SE4 I I I I / 1 r r 7 r r� r 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 \ \ 1 1 I I I I I I ,.1'12 +h; 49T" ......... . ............ 'e. MICHAEL N. ANDERSGN 946it 9 +r,�19a�?�EESS1fl �`� r � I I I I I j I 1 I I I I ALPINE VILLAGE I I I r BLOCK 2, LOT 128 I I ; PROPERTY UNE — Ir I I• ALPINE VILLAGE I I � I I { BLOCK 2, LOT 11C 7I 1, I I 1 \ I I ALPG I I I I I BLOCKIE2. LOT II I I i—E 74TH AVE— 1 ALPINE VILLAGE 1 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 { 1 \ 1 f I 1 I T12N R3W SEC 5 I I SW4NE4SE4SE4 I I I I / 1 r r 7 r r� r 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 \ \ 1 1 I I I I I I ,.1'12 +h; 49T" ......... . ............ 'e. MICHAEL N. ANDERSGN 946it 9 +r,�19a�?�EESS1fl �`� r a 0 a. to z 0 F- ri ul r - V) z 3, slz co V INDICATE NORTH E MAIN: .� NNECT LOC BEET f ALLEY Ln Q p I J SEWER SERVICE LINE SKETCH SHOW LOCATION OF CONTROL MAN HOLESICLEANOUTS ..t x � TYPE MAIN: l �,t t' CONNECT DEPTH AT MAIN ._.L1_'��. CONNECT DEPTH AT Prop. Line ATION: cu��c 4�t vee _ :i E, IacaAeX W 4 e -,,A �m v. w-, INSPECTED BY: DATE: C31 �{ 132-O�j "t-bzt,. Zurich g3-2lot2�$$O SUBDIVISION: ,Q/ BLOCK: LOT: r�