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Home My WebLink AboutALPINE VILLAGE BLK 3 LT 16Alp ine Village Block 3 Lot 16 #014-133-34 DEPARTMENT OF HEALTH AND ENVIRONMENTAL FROTECTION 8~"5 L. STREEET:~ ANCHORAGE, AK 99501 ,~.64.-..4 PIERM I'1" NO:' DATE ISSUED: 84()838 IF-' lC=. F~ Pd~ ][ T' APPL 11: CANT: ADDRESS: CONTACT PHONE: I_EG'AL DESCR IP: L 0:1' S I Z E: LOT' I_OCAT ION: JACI< WIEGELE '7~348 ZURICH ANCIdORAGE, AK 349-:2413 995()7 ,~UBDIVISION: ALPINE: VIL. L..AGE SECTION: 5 TOWNSHIP: 8450 (SQ.FT OR ACRES) BASEl_ RANGE: 3W I c:eptify.that: 1. I am Familiar with' tine requirements for on-site sewers and wells as set Forth by the Municipal. ity oF Anchorage (MOA) and the'State oF' A.laska. .'.:2, I will insta.l. 1 the system in accor'd~anc:e with all MOA codes and regulations., and in compl~.ance wi'Lb the design criteria of this per'mit. · 3. I w'i. ll adl~ere to all MOA and State o~ Alaska requirements For the set. back distances £rom any e;,'isting well, wastewate~ disposal system or public sewerage system on this or any adjacent or neapby lot. ~:~ I GNED DATE: APF"L. ICANT: ~ACI':'.: WIEGELE of POt_. ,-I 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit ~: 840838 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 16 Block 3 Alpine Village Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, SupeYvisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 f lip Admor,firms ,•,tdm K rt 5 F cn J �iCJP3 _ IP -MP- acic r 4 C%J-� ED El Lu LU dk F ■ -- LsW 0 en La lon- f - - z �' .. . ZEE cf> c 4 U 41 1 cn 016 r C.-> Y 3 } C= - CXI :21 - 4 ci } {PCX GOC> ,1 _ !�! c>> -- � C - � boomrMCC w / y•� CD R � .. LU co t- — LU LU I ; C> dc:x C= � Cys.!C=l ,:::c M R — Lcr. r: CO - r �cn W LU Lo f T r iACE a- gn LU � , CDP`..+ im C 9, cn LU Lutz! LU 'Ira, = S �+••r .0. Q Z t - a> C> a 40 c t C} C 5z-OL3 i :17 -Lzll2t ZOO CP c>=Pefv1 �91— -5tl A 3.L 3 d S I Av * I D l jLlf 0 l L33MIU03 Our- dGJd LV HJLd3 (3 L33PJPJ03 'NIVIIUJLV H.Ld3G L03 PJ 0 �Ilf-�"3dAJL mjg=1 l ` i A311V 2/:.Lol I - - - - -- - - . - -- - _-W sjLn0 3i s3i01 w loui-NO3 =10 MOLLV301 MOMS }tl3JL3NS 3lUll 331AU3S U3PA3S 1: i: :>13011a I - � 1 .L33ujLs c H.Lu 0 3.LV3 111 Im I =Noistniaans r r z - LU {_ `W ` F i IWO Oct s ciMilo- * . C—> I dr CD CD M cill LU C> qtzhr 4 r LU ---- � Cry Cj"3 C c. ffi C c C-5 45 L.s I C.D Cr cn .. cx� LLJ I..J �.. LLJ - C C/o> coop, 7CM C> F5 #L' cn 1p s cn CMI co CQ c C%J C>—-- `- -� cn.. — --- cry 2= Cn1= C> - C � La LU C>■ z ■ LU OL- 1= J Cf.') Co C_ Ccm • •a.' = UJ :>- C l .. LU is m ' a3C i LU LU L! Bc-. cn cs c cs.. o ,. ib ■ :AS G3.Lvj3d9sNj • IILOt IV dq /7 :SJL a (2 %._� / - /"7 a s.Ln 3 i s3 i H N uu IOU.LPJ03 =10 PJOIJLV301 MO HS H JL3N S 3 1 I 3 1 A 3S 3M3S •0 1 1 i�7 :31zlo-le �r s aL 3 3 iLs I:IulNfuu 3 i s H.L ajLI El N I or ( V =ntois[nlaans MUNICIPALITY OF ANCHORAGE Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 014-133-34-000 Legal description ALPINE VILLAGE BLK 3 LT 16 Site address 7227 BASEL ST Anchorage AK 99507 Expiration Date: 9/16/2023 Current property owner(s) ROBINSON NATHAN ALAN 50% &ROBINSON LANCE E 50% X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 6/16/2023 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 Services 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 work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory X Other COSA ApprovaUune 2022 MUNICIPALITY OF ANCHORAGE a471 Development Services Department t Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 014-133-34 Complete legal description Alpine Village Block 3 Lot 16 Location (site address) 7227 Basel St, Anchorage, AK 99507 Current property owner(s) Nathan & Lance Robinson Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank Community Septic or Public Sewer 5. K: E] Steel E] Plastic ❑Concrete F-1 Fiberglass Age - See advisory if steel older s 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trenc ace 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 $ Z4s0 Date of Payment f �-/ Zo 1.3 COSA # Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Alpine Village Block 3 Lot 16 014-133-34 1.6 pre-1983* 75+* 40+* 18+16.3 6/7/23 Forge Engineering 12.4 5/24/23 *See 2013 COSA > N/A N/A (907) 522-7773 Benjamin Schiller, P.E.6/7/23 Arsenic Advisory Certificate of On -Site Systems Approval # OSC231191 Subdivision: Alpine Village, Block: 3, Lot: 16 A water sample revealed an arsenic concentration of 16.3 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. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org !� Municipality of Anchorage On -Site Water &Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 014-133-34 Expiration Date: 1. GENERAL INFORMATION Complete legal descrjption ALPINE VILLAGE; BLOCK 3, LOT 16 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 7227 BASEL STREET *ANCHORAGE, AK 99507 JACK & DEBRA WIEGELE Day phone 0/0 AGENT 7227 BASEL STREET *ANCHORAGE, AK 99507 BETH SIMPSON W/ KELLER WILLIAMS Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: 865-6556 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer Received by: Date: 21131/ 3 COSA to be released to the engineer, unless oo e—misrequested-* the engineer - ----- - — — — - - --- - - — — - - - COSA Fee $_ar�gG 11 Waiver Fee $ Date of Payment `7 Q U Date of Payment Receipt Number 01 7 y 0 Receipt Number COSA # 65c/ 3 / 03 5 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. t 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LfD. attempted to provide a thorough, . conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date :2 h ! bedrooms, with the following stipulations: N tOF AIV6 �frf i J� ON-SITE WATER AND �o WASTEWATER �^ PROGRAM c The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: V COSA Checklist Septic System Advisory Well Flow Advisory (Rev. Nitrate Advisory Arsenic Advisory Other Original Certificate Date: C21 / 2 _/ 3 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; BLOCK 3 LOT 16 Parcel ID: 014-133-34 A. WELL DATA *PER GEG INSPECTION **PER SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed PRE 1983 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *75+ ft. Cased to **40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test NO WELL LOG Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform Q colonies/100 ml. Arsenic: «- G ug./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Nitrate NO mg./L. Date of sample: 1 /31 /13 Date of pumping C. ABSORPTION FIELD DATA Date installed Length ft. Total depth ft. Eff. Date of adequacy test Soil rating (g.p.d./ft2o Width or AT INSPECTION 1/31/13 26 ft. 1.76 g.p.m. Collected by: GEG. Ltd. PUBLIC SEWER Date installed Cleanouts (Y/N) High water alarm _ System type ft. Gravel below pipe ft. ft Monitoring tube_ Depression over field Results (Pass/Fail) Fluid depth in absor field before test _ in. Elapsed Ti _ min. Final fluid depth rejuvenation treatment (past 12 mo.) (Y/N & type) Water added _gal. 1. Absorption rate >= For bedrooms New depth _in. If yes, give date MIMI D. LIFT STATION Date installed Size in gallons Manhole/Ac cess (YM "Pump on" level at in. "Pump ofr level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NSA On adjacent lots NSA Absorption field on lot N/A Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots Public sewer manhole/cleanout 100'+ Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption Water main Water service Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION Property line Surface Water Water service line / Surface water Driveway, parking/vehicle storage Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I cerhfy that I 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 JEFFREY A. GARNESS Date a 62 ff (Rev. 11/05) ff y A. GaTness CE -797 3 d� SGS SGS Ref.# 1130378001 Client Name Garness Engineering Group, Ltd Project Name/# Alpine Village B3 L16 Client Sample ID Alpine Village B3 L16 Matrix Drinking Water Sample Remarks: Printed Date/Time 02/07/2013 8:38 CollectedDate/Time 01/31/2013 17:30 Received Date/time 02/01/2013 13:35 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date [nit Metals by ICP/MS EP200.8 Arsenic 12.6 * 5.00 Waters Department SCL Total Nitrate/Nitrite-N ND 0.100 Microbiology Laboratory (<10) E. Coli Negative 1 Total Coliform Negative I Page 2 of 4 ug/L EP200.8 C (<10) 02/04/13 02/04/13 SCL mg/L SM214500NO3-F B (<10) 02/06/13 AYC 100mL SM219223B A 100mL SMA 9223B A 02/01/13 LCE 02/01/13 LCE D Z y zAom mD oox �oysNMzm nmmo3p �_� <AyTZZN()O Z(Z ymyA O C 2Zm1il OT lNilmy ONZNAOMO mN oN_mTm mo��on vllz�n m NyyoN 0Hwi-�yzO 3Z��mzGZlr D W�� DDci y�A ZOom AZO MCMC J]DrZ OOpm .32 M �o� allom mzGZi zc�� omp Opam m z�ri M Z y M 0, M", N y Z O (mj OG NN N m MZ1 z C Hz L m0 �yAT Z y OD➢ O O DAN, om MMK, m O Aoz OMI. 3yCN2 M 2m;o 0 um, z Z N� 61 10 Ul Z 6 m N D OmtiGD OM O ., Dxxi-+z Or :.. titim�2 y 2 1 J DOH -1 'OWO F'MA m Z O m T T m T C �% A~ 2 m m m 0 F < D MA 3 ('1 CAm m ZA: S Orm y I^ 80A Y w aDMmz Wzl mzzmo M< o zl/iZZ DOti y DOZm0 9(N'ly DOOVIN ZA V M A m H M N A Z y y m m D O C F G m 2 w Hm� r M �V, 5Amo� D �N m"mmz (r MMD zr AIA .CHO ® 2 0 > _ lZ• ,oDmS Dzzv N D Q O Z O O x z V 0 m£ ti C $ M < W 0 2 Z m �D2Z < Nz-1 G O 2 a m WDm 0 . O A .m< w G IAmz _ BASEL _ STREET N 00 07' W 65.00 Municipality of Anchorage �70 ' Community Development Department Development Services Division I Er, On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 131035 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 16 of Alpine Village Subdivision. This inspection revealed an arsenic concentration of 12.6 micrograms per liter (ug/L) for the property's well water sample. 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/onsiLte) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.