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HomeMy WebLinkAboutTURPIN #1 BLK 4 LT 8MUNICIPALITY 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. 006-095-30 1. GENERAL INFORMATION Complete legal description TURPIN #1 BLOCK 4 LOTS 8 & 9 Expiration Date: �1-9-202_2_ Location (site address) 607 DONNA DRIVE, ANCHORAGE, AK 99504 Current property owner(s) FRANK TURNER Day phone Mailing address Real estate agent 607 DONNA DRIVE, ANCHORAGE, AK 99504 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 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 $ a W Date of Payment Receipt Number '7 15 1 LIS COSA# 0S0_213'111 Waiver Fee $ Date of Payment Receipt Number Waiver # 05V2-2 105 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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE. AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/22/22 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory ���Q; •' • • !� for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS *' TH •'* �� 6. DSD IGNATURE • Curtis. u - H ffman System #1 Approved for bedrooms�� �����;•, CE 128991 .*:T A&'� System #2 Approved for bedrooms �\F�P80F S50 p��`�� Disapproved Conditional approval for bedrooms, with the following stipu%1�!gm(((((, �JZ ONgIT€ WATER AND m n VATER Z ol- PROn, AM 6� rJiJJJJj 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 Legal: Description: TURPIN #1 BLOCK 4 LOTS 8 & 9 Parcel ID: 006-095-30 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 4+ gpm Date drilled CIRCA 1964 Water storage tank volume NA gallons Total depth 140* ft Well disinfected for coliform test? ❑ Yes ® No Cased to 50* ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate mg/L ® Nitrate less than MRL (ND) ® Wires are properly protected Arsenic 17.2 ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Date of flow test for COSA 7/20/22 Collected by NE 5. Static water level at beginning of test 58 ft. Date of Sample 7/20122 Comments *PER 4/13/2012 ARROW PUMP AND WELL SERVICE. WOULD RECOMMEND POU (POINT OF USE) DRINKING WATER TREATMENT AT KITCHEN SINK. B. TANK DATA - NA Age or°r s years Tank type/material Measured operating fluid level in septic Mrk--,— ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA - NA hich system tested (date installed) ❑ ALL ipes present per record drawing Total measured dep grade _ft (max) Measured depth to pipe invert fro de _ft (min) ❑ N/A —pressurized field ❑ Monitor tubes go to bottom of effective. If not, sty 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: C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth - in Elapsed time min Final fstapth in Absorption rate gp`v Any rejuvenation treatment (pa 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 Community Sewer Manhole/Cleanout > 100' ❑ Yes if No NA ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No NA** ft Absorption Field on Lot > 100' ❑ Yes if No NA ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' ❑ Yes Animal Containment > 50' ® Yes if No ft ® Yes if No ft ❑ Yes if No ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes — if No **40+ ft ®Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water >100' _ ❑Yes if No 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 _ ft 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 **PROPERTY IS SERVED BY AWWU PUBLIC SEWER SYSTEM AND WELL WAS DRILLED APPROXIMATELY 1964 (CIRCA) PER MOA/AWWU DOCS & PER CODE AT WELL INSTALLATION BASED ON THESE DOCS & CODE AT DRILLING / INSTALL — OFFICIAL SEWER MAIN TO WELL WAIVER WITH THIS SUBMITALL. G. ENGINEER'S CERTIFICATION 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. Awl �.... .... . ......... .... .......`... • Curtis HuffmanCE •. 991 $/8/22 Aw ANW 111 h W Arsenic Advisory Certificate of On -Site Systems Approval # OSC221374 Subdivision: Turpin #1, Block 4, Lot 8&9 A water sample revealed an arsenic concentration of 17.2 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. Mailirig Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni or 0 F C U N Firs[ Wder 8 U L T I N G j k t .. LN I... 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com August 8, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: TURPIN #1 BLOCK 4, LOTS 8 & 9 — WAIVER TO SEWER MAINLINE The MOA on-site documents show COSAs issued in 2012 in 1994 of the referenced property. This data shows the well was installed or drilled in 1964 per applicable code and required separations at that time except for the slight, apparent encroachment of the well to the sewer main line. It was assumed that GABB/AWWU would have obtained a waiver to this well and main sewer, but none was found or provided. Therefore in the interest to proceed, we are requesting a waiver of 40' to well and sewer main be retroactively granted at this time and we have submitted the MOA fee for this waiver. This waiver is justifiable since no nitrates are present in the provided water analysis, the referenced well is upgradient approximately 7' from the sewer mainline existing surface grade and no known issues have been noted since the well was drilled circa 1964. It is noted that the sewer and water mains were installed in 1974 and the well was drilled approximately a decade earlier around 1964 per documents obtained from MOA, GAAB/AWWU. Based on this, it is assumed per site observations, AWWU, MOA documents we respectfully request issuance of this COSA based on these findings grant the 40' sewer to well waiver. We believe that the continued use of this well will not impact any of ,the neighboring properties or aquifer. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. " L a"(�' iAIEQ-w AS(E'Nd1FP. TH 0 Curtis Huffman CE 128991 �w s� VIP, 22 $�8�22 w tQROFESSI0 ,. �>►�1`�,-��-'�-gym'. �Municipality of Anchorage s ��..., Ur. partment P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221056 COSA#: Permit#:OSC221374 PID#: 006-095-30 Legal Description: TURPIN #1 BILK 4 LTS 8 & 9 Engineer: First Water Consulting Your request for a waiver of the required 50 feet horizontal separation from the public sewer trunk to the private well has been approved. The approved separation distance is 40.0 feet. See the engineers waiver request. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: el ZZ- Approved by: a,/�, /,,( Name of Reviewe ............................................................ ................I **** VARIANCE/WAIVER REVIEW **** tl--'%rr-l--Ik"K) Ml." MAIM 1ATrrcf Frontier Surveys, 11C Project No: 22403 Dote: 07/27/2022 Ordered By: histla Lauvior Pla:IP-:39j. Grid: 1339 OT ' LOV ' :L LOT I —PPARENT SEWER SERVICE'�[N, -AWWU—D-'0--b-S—'&-' S,--IT--E-"—V,I-S,,-IT. PER T TR - C 10, FWTAI SubdMdon Fird Adda, 20,114 Sq. Ff, 4/ - LOT I POW Rl�m — 4k 0' _LOT3 Af, JOT3 f LOT7 Legend------------- LOT G. MetreDect F� El c—ms wr" v.f. wrr wen 1'ruan— Fit- "rd—t 0 15 30 60 5cole in reel 'OV -9. I— ftw-W*ft Tt- =*� A— " � - b—d-Y —wr — tod —1 � --4 A - 0. Xvvt�tiyd " 0—b GWaadv By 1-4k. 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DEPARTMENT OF HEALTH ~.'HUMAN,SERVICES~: \~.-~!~'~'7 -.' .: ·Division of Environme~tars~ices _:~- : ~:·On-SiteSe~ice~S~cti~n O Box 196650.'~Anchorage Alaska 99519-6650:-:~ ~,~;~:~ ,~,~'-~ ~¥W'~-' ' ~~... ~__.~_ ___...___ __... ~'~ APPROVAL~FOR'A SING LE-FAMILY DWELLING NERAL' INFORMATION plete legal description - ...:.% Property owner Mailing address ' ','L~nding agency Me,~0E~/. B~s¢~ ~ I~ (~ ~' f'~. ~Q;~ :Day' phone 345~ ~9 2043 Brandil~nSt~~t iAncho~ag~, AK 99516 ~ Day phone ': ".. Mailing address :':' "Address .Day, phone ,~ :. Unless otherwise requested, HAA wifl be heldfor pickup. ;~::~i:/!NUMBER OF BEDROOMS: ~ --" ~ ~:~3-' ..... ,3.- TYPE OFWATER SUPPLY: Individual well:= ..'. ' --~':r:' I' '' ~r ~ 1~ . ' ~ ~ Community well NOTE: Public water If community w~ll'systemi'~p~ovid; ~it~l: ~Ot~fi~'mation; from State ADEC attest- ing to the legality and status of.s~s~ern; Ho d ng tank::~. corn muh~Jty.~n:~i~:~-~ Public Sewer '.~ NOTE: :". :a'ttestin§ 72q725 !Rev. 1/91) Front MOA#21 STATEMENT OF INSPECTION BY 'ENGINEER As certified b~ my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State Codes, ordinances, and regulations in effect on the date Of this~on. ",~,.~c~.,~ S&SENGINEERING 'J~'/// Phone iNa,,,~ v, .,.,,, 17034 Eagle Rjr*er Loop Road No...:.,Q~ AddreSs Ea~ie Rlverf Alaska 995;~' ~/ /~ ../r Engineer's signature . .//'~ '---*-----~ate DHHS SIGNATURE Approved for ~' Disapproved. Conditional approval for bedrooms. bedrooms, with'the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by ar~ independent p{ofessional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineeCs work. STATEMENT OF INSPECTION BY ENGINEER - As certified by r~y sea ~ff Xed't~ere~0 a~Ci as.0f tJ~ val dat on date shown be ow I verify that my. investigation of this Health ~,Utt~0r ty Al~Prova app i~t ~)'n Shows that the on-site water supply ~ and/or wastewater disposal system is,safe; functional and adequate for the number of bedrooms and type of structure indicated here n. 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 disposa system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection: Name of Firm S & S Engineering Address ~7034 Eagle River Loop Road, Engineer's signature Phone 694-2979 Suite 204,'Eaqle River, Date Alaska DHHS SIGNATURE xxxx Approved for three (3) Disapproved. Conditional aDproval for bedrooms. bedrooms, with the following stipulations: AdditionalComments This Certificate has been--corrected to reflect the:~ by public sewer not Individual ~ '"-' wastewater disposal is serviced .~ Date April 6, 1994 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a c°urtesy t° purchasers °f h°mes and their lending institutions in Order to satisfy certain federa and state requ rements. Employees of DHHS d° not, :;:: ConduCt .i0spections or analyze data bef°re a certifiCate is issued. The MunicipalitY of Anchorage'. iS not responsible for errors or omissions n the professiona eng neer's work. ; , : : Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type Log present (YN~ Total depth Sanita~ seal ~N) ~L,~/--'J- 7~//J 5/p Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed I~ Driller Cased to ~ ©'~ Casing height Wires properly protecte~N) AT INSPECTION FROM WELL LO/~ Date of test /~J ~ Static water level ~' Well flow J/--- ~) ~ Pump level1 X SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main g.p.m. Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform (~) / f O0./"~ .~ ~ Date of sample: '-~/~' [ ~'~" Nitrate (~' Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA /~.)~/J~  .Tank size Compartments Foundation cleanout (Y/N) Depression (Y/N) . High water alarm (Y/N)~"'"'"'--~ Alarm tested (Y/N) Date of pumping ~ pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING T~ Well(s) on lot On adjacent lots __~. To property line Absorption field Water main/service~line._ Surface water/drainage 72-026 (3/93)° Fro~t CONTINUED ON BACK PAGE DSt e ins~..~......~__ Size in gallons ~ Vent(Y/N) High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at D. ABSORPTION FIELD DATA Cycles tested lled Width Total abS°~l o~a~ __ Date of adequacy test ~ SEPARATIO~I DISTANCE FROM ABSORPTIO~ R~L~~: Well on lot On adjacent lots Soil rating (GPD/Ft2) Gravel thickness Cleanout present (Y/N) Results (pass/fail) To building foundation On adjacent lots Surface water System type Total depth Depression over field (Y/N) for After test If yes, give date Property line To existing or abandon~tem on lot Cutbank Water main/s:gw.~e line Driveway, parking/vehicle storage area ~ Curtain drain E, ENGINEER'S CERTIFICATION Bedrooms I ce~'fY that I have checked, verified, or conforme~toall~40A and HAA guidelines in ,~ 'Signature ............. ' ', Engineers Name 17034 Eagle Ri No. 204 .-';:; ~i Eagle River, Alaska 7 ,~ ~ ~ -- ......... ; ;;~ Date HAA Fee $ ate of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back