The URL can be used to link to this page

Home My WebLink AboutCOLONIAL PARK BLK 3 LT 4 S2Colonial Park Block 3 Lot 4 #050- 301 - 14 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak, us (907) 343-7904 Waiver Review Worksheet WR#: ~10058 PID#: ~.~0-301-14 HA//: Permit: Date Received: 7123/0t Legal Description: C01¢11tal Park BIk 3 Lt 4 Sl/2 Engineer. Frank D, Rest. P.E. R&M Consultants Inc. 9101 Vanouard Dr. Anchoraee. AK 99507 Applicant: AWWU Waiver Requested: 4~ ' I~ fl aeoaratlon from well to sewer line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: X Waiver is not Granted: List Conditions or Reasons for above: ~E~ AI;'R~_/~ Date: /0--2-0/ By: p~t~/ Name of Reviewer Rec~: Amount: $920.00 Date Paid: NATION. e Feast care. LOG OF DRILLING by A 8' L DRILLING COMPANY ' 74 ~ -3 ·" ._.~'. D~:PTH OF W£LL KIND OF CASIN~ FROM ........ ~.. ........... FT. TO .......................... : ....................... FROM ....................~'1". TO ...................... ~'~ ....................... FRo. ....... 3 .............. F~. ~o....~;.t'.i ......... ~...~.~..~.4~'~*'"'%RO- .................. ~. ~o ........................ ~o~.....3~: ......... ..~o.../..~:~. ........ -....~. .............. ~.o. ...................... ~o,..~ ............ ~. ~o ~3o ~. ~,~...~%~o~:~.~5.~.,o ................. , ........................ ,. F"O}{.:..~..3.~. ........FT. TO.....~-~...--..FT...~-.~-~--~ FROM .................... ~. TO ................. ~ ............................. FROM......~..~a......F~. TO.-----.~-~-~---.-FT'--T~'~'~'t"E",'~/~'~ ~O" .................. ~. TO ............... ~ ...................... ~,o~....x~.~. ................................................ ~.,o ~z ~,. ~ ~~,~"'~"~,o~- " ...... ~,.: ........... ' ' - - ' -;'- -z ~~'~ ' ' · ' ~o.....~.~_Z ........ ~..~ 3~ .(~0'~./~vc ~.o~ ~.TO - -:~ ............... ~ ~- . ... . ~ .~ .... - :7 · .. ~ '~ ~; '--. ... - ~=~,~ ~. .....,, ..~.~,... ~ ~ ~z~tza's~x.s...._l~~ ......... ~ .... ~ ~ ~.. ~ . ... · .-: : . .'% .dl~i~__ CT&E Environmental Services Inc. 1016069001 R & M Consultants lnc N/A I.A SI/2 B3 Colonial Pk tl/B Drinking Water CT&E Ref.# Client PO# Client Name Printed Date/Time 09/11/2001 15:36 Project Name/# Collected Date/Time 09/07/:2001 8:30 Client Sample ID Received Date/Time 09/07/9001 9:40 blatrlx Technical Director Stephen C. Ede Ordered By PWSID 0 Released By ~CC~~ Sample Remarks: Allowable Pre~ Analysis Parameter Results PQL Units Method Limits Date Date Init Waters Department Nitrate-N 0.500 U 0.500 mg/L EPA 300.0 (<10) 09/07/01 SCL M£crobiology Laboratory Total Coliform 0 col/100mL SMI8 9222B (<1) 09/07/01 KAP Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 050 301 14 Certificate of On -Site Systems Approval Expiration Date: 1. GENERAL INFORMATION Complete legal description COLONIAL PARK BLOCK 3 LOT 4 s2 Location (site address) 19845 First St Current property owner(s) Smoot Mailing address Real estate agent 2. TYPE OF DWELLING: F-1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer El Waiver request for: NONE Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ y 3 3 Date of Payment / ao2o Receipt Number 1hy9 1�> COSA # 05C 20 12 50 Waiver Fee $ Date of Payment Receipt Number 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 6/20/2020 OF A�49 TH gsll� 6. DSD SIGNATURE • • • • • • • .• • • • System #1 Approved for bedrooms ' t;HARLES G BALZARINI System #2 Approved for bedrooms ��F��s.•• CE -13854 Disapproved �lliF�PROFE5S1oNP� Conditional approval for bedrooms, with the following stipulations: V UF O/V TE A AiV S�>F• Ir D m^ OI 1 o�o GAAAq o � )) To) A)1111�1�� ByJ ~ /0001�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: COLONIAL PARK BLOCK 3 LOT 4 S2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA Well log is filed with Onsite (or attach Date drilled 1975 Total depth 344 ft Cased to +40 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) +12 in. Date of flow test for COSA 6/13/20 Parcel ID: 050 301 14 Structure served by this system 1 Well production at time of test +4.6 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ** ug/L ❑ Arsenic less than MRL (ND) Collected by C.Balzarini Date of Sample 6/9/20 Static water level at beginning of test 296 ft. Comments ** arsenic samples pending at time of COSA. Request approval based on historical low levels in area. B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in, septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade 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: PROPERTY IS ON PUBLIC SEWER COSA Checklist yellow sheet C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: PROPERTY IS ON PUBLIC SEWER Adequacy test date Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 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) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No 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 ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft ❑✓ Yes if No ft 4 3 Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No 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 ft Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft 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 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 Septic system was decomissioned in 6/2020 and connected to public sewer. Engineer verified that tank and drainfield no longer visible on property. Waiver on file for well to sewer main. G. ENGINEER'S CERTIFICATION l 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. 6/25/20 COSA Checklist yellow sheet 49 TH '• j CHARLES G BALZARiM� Fc . • CE -13854 0low `� lj F"PROFESSO ft iii Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage;-Ak 99507 - - - 6/25/2020 RE: COSA for Colonial Park Block 3 Lot 4 S2 Dear Reviewer, The above referenced property is currently served by a private well and was recently connected to public sewer. The existing As -Built survey still shows the septic system, however we are requesting that it be allowed for approval of this COSA. I have verified that the septic has been removed and the standpipes no longer exist. Due to delays in the availability of Arsenic testing results, we are requesting that the COSA be issued based on historical arsenic information for the area. Attached to this letter are excerpts from COSAs issued for nearby properties, which show low or non -detect levels of arsenic. The highest reported reading was 1 ug/L. The records are from the following properties: Colonial Park B3 L2 N2, Colonial Park B3 L3 N2, Colonial Park B3 L5 S2. Once the arsenic results are ready, we will submit them to the MOA and to the Real Estate agents managing the transaction. We believe this approach is warranted due to the long processing times for arsenic samples, and the low likelihood of high arsenic concentrations in this area. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(a�gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE .a.��G;�?� 6/25/20 �� ,• ..9�$ * 49 TH CHARLES G BALZARINI ��$ �F •. CE-13854AW ��F-'PROFESSI0* FEB -25-99 THU 10:51 AN I FAX N0, P. 02/02 Z�o�_ .;. t % , ..• :.. ��:} ;;• `•-'� tit ..:� •t� :. , : 'i T _ �., (c, UTl L,t-i-Yr. • • i�-,-ti,' �►—. F•�i �i.i - _� _ _ "r•.. ' '�'_ .r - - a:' • s. - _�;:�.- ,;:7•; .•;m -L 4,% i'•.n•�:. :.. •�.�: j�sr' -`,,;•;�c�.�•:+t.•p•�w;►t'.•4�=.:,: i ♦ -•.;T v- �� j'+"`s.�••. . �• "-' \'S .� J �-�%♦_ t� �• '� 't a .I ',"•. :ti:�.._i ;:°`• '.t :..•.. —•' _ �}'•' � -i�.a �^'`"w �.Ti._Rri0. '•I� . ~ ' " , •' tis`. , '. ^� , •.�: _ l:: ! I+... •'i-r� ti,^4•'_r^. •• �+.,- r•, ��.� 1` " �: 4+. `•' 1. • • • • ' • ..• - • • .. ' - .:�••p�. z �•.-. .r h,_q.G. ._moi_%-� `!=`• • -� ' •• ` '•'�•-•'j (.}, I. ' =•- • Tom. �- 2 -PT. l ri.Wrn.r•6v�_'.•=RIr �n ♦.. •, - _ .. .. - �a • - •^ ^�"_ .0 - I� • ',moo +• _ - ♦/-i1►�• ~ .. ...n •-�+�• ._ .. - r •• - � �, • , M 3 �b N< , LS X2.2 � - ,•: •, • ' T •' , �.. • •- D�Rr Dpoye ' S A.5 -BUILT C ��r T hereby certify that I have stu-reyed the following described rt 5 Ya LPT 4 BLO e k M J- _k" y- T COLomlAL, PARY_ 5V13 a5 1/� ' - linchorage Recording Precinct�, Iaskn,T�Y t - - improvements -situated thereon are Wit and prof the ,, - �;� :• _ lines and do not overlap or encr °ach Within the property on the property tt�a lying adjamnt theroto, t no impprovements oprop. er'ty lying adjece.at thereto emcroach on the premises M -Q there orye no roadways n "d that • ' ' •'� '�L;'`:`' ',�••�: ;• .,'' s'•- lines or ochevisible trans�issiort ;.•:_... ..s:+.:•..,' - .••'=- easement; an said property except .. .: as indigated hereorL bated it Engle Rivera Alaska ; .4 =t :-'•�;i.; ' '.: t' •'� ~'_ '�� ' `♦'SG,tiT->�:` r� 'RO iT C. JOHNSONRegi - :: 'f1..�_r.^►; t , :•� fr 1 ZU �`. 5 rt&r d LMd Surveyor No. 880-1Z • . ?� \i �.:" •\ .J T is • a.rtle Mver, Aiask2