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Home My WebLink AboutALPINE VILLAGE BLK 1 LT 7Onsite file Alpine Village Block 1 Lot 7 #014-131-38 COSA Checklist Legal Description: ALPINE VILLAGE BLOCK 1, LOT 7 Parcel ID: 014-131-38 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) Date drilled UNKNOWN Total depth 60+ ft (PER OBSERVATIONS) Cased to UNKNOWN ft (ASSUMED 40’+) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 2/19/21 Static water level at beginning of test 39 ft. Well production at time of test 4.7 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 2/19/2021 Comments B. TANK DATA - NA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - NA 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 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 Comments/Deficiencies: 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 if No NA ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No *40 ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No **6 ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes 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) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes 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 Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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 Property Line > 10’ Yes 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 If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *ADEC WAIVER. **MOA APPROVED 36-YEAR OLD ENCROACHMENT PER 2017 COSA (AWWU CONNECT CARD, PHOTO / MEASUREMENT SEWER CO-WELL). SAME AS FOUND WITH THIS INSPECTION. G. ENGINEER’S CERTIFICATION I certify 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. 3/1/21 Municipality of Anchorage y•, a 'o ,, = ° On -Site Water & Wastewater Program (907) 343-7904 4'\ CERTIFICATE OF ON—SITE SYSTEMS Parcel I.D. 014-131-38 Expiration Dater 1. GENERAL INFORMATION Complete legal description ALPINE VILLAGE; BLOCK 1, LOT 7 Location (site address) 7217 ZURICH STREET *ANCHORAGE, AK Current Property owner(s) Mailing address Real Estate Agent RYAN MATHIAS 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: Day phone Day phone 240-8430 TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request Received COSA to be re requested by the engineer. COSA Fee $ 52(.o-00 Date of Payment 'r (2(2 j"1olco Receipt Number 0i 5 %Bbl COSA # osc tw(5$0 Date: I Waiver Fee $_ Date of Payment Receipt Number Waiver # Distance: - 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. 1 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 provided an engineering evaluation of the well andror septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systeMs on the dalais of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systemis, therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the persoNpary who retained GEG. Reliance upon the information provided in this report by any other person or parry, including but not imited to subsequent properly purchasers, is not aulhonzed. In short, GEG disavows any legal duty to anyone other than the persoNpary who paid for this report. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date 11 h i> L OF", J�G�QwTY ON-SITE Z WA TER i9�nVASTEWAT D ER m 0 pR -o.. ��RAM s, Bv' !tit Original Certificate Date: I Z - The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSH) 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. ATTCHMENTS: COSA Checklist V Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12/12) 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: A. WELL DATA Well type PRIVATE Date completed UNK Total depth '60.3+ ft. ALPINE VILLAGE S/D; BLOCK 1, LOT 7 Parcel ID: 014-131-38 `PER GEG INSPECTION If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Sariitary seal (Y/N) YES Wires properly protected (Y/N) YES Cased to LINK ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test Static water level ��VOG ft. O Well production /N g.p.m: WATER SAMPLE RESULTS: AT INSPECTION 11/22/16 41.5 ft. 5.8+ g.p.m. Coliform 0 colonies/100 ml. Nitrate ND mg./L.. Collected by: ANCHORAGE WELL & PUMP Arsenic: 7.31 ug./L. Date of sample: 9/19/2016 & 10/7/2016 B. SEPTIC/HOLDING TANK DATA PUBL�C Tank Type/Material Tank size gal. Number of Compartments _ Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft or ft /bdrm System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption ft Monitoring tube_ Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorpt' ield before test _ in. Water added _gal. New depth _in. Elapsed Ti _ min. Final fluid depth _ in. Absorption rate >_'- g.p.d. A ejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date Date installed Cleanouts(Y/N) High water alarm D. LIFT STATION Date installed Size in "Pump on" level at' in. "Pump off" level at Cycles tested— Manhole/Access level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NIA On adjacent lot: Absorption field on lot NIA On adjacent lots 100'+ 100'+ Public sewer main `40 Public sewer manhole/cleanout 100'+ Sewer /septic service line Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: PUBLIC Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIE OT TO: Property line B ' oundation Water main Water service line Surface water. Driveway, parking/vehicle storage n drain Wells on adjacent lots F. COMMENTS 'SEE ATTACHED ADEC WAIVER. "AWWU SEWER SERVICE LINE WAS INSTALLED IN 1984. ZCtOACHMENT HAS EXISTED FOR OVER 32 YEARS. (SEE ATTACHED PHOTO OF SEWER CLEANOUT AND AWWU CONNECT CARD) G. ENGINEER'S CERTIFICATION I certify that t 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 11)30 1/6. (Rev. 10112112) N I 2.0'cA� 4.0'x7.7' C PORCH _ n 0 22.0' S O o ASPHALT w N ORNEWAY - 6 M 0 M u' c WELL a � I m Lot 8 7 2 STORY RESIDENCE WOODEN FENCE 0'E 120.00' ISI I I I I Lot 1 i I 10' UTartY III EASEMENTS I Lot 7 9,000 s.f. CHAIN-UNK FENCE- Lot 6 PLOT PUN AS BUILT 1i -SCALE -1' JO' - GRID SW 2133 Prolsat Ni 11500 Dry[ Avenue, Anchorage, Dory[ Lang & Associates, inc. (907) 522-6476 Phone Professional Land Surveyors (907) 522-4625 max kenOlan jonotha nOlangsu rvey.com i 1 hereby certify that I have surveyed the following described property: LOT 7, BLOCK 1, ALPINE VILLAGE (PLAT P-663 Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the properly lines and do not encroach onto the properly adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed promises and that there aro no roadways, transmission lines or other visible easements on said property except as Indicated hereon. Dated this the —� Day of 20lL- , at Anchorage, Alaska It Is the responsibility of the owner to determine the existence of any easements, ,..nnwh. nr meMwNnna w61n6 M nw# wnnwnr ww I6w ~ArA&A ni6AWialen Mi! - Lot 2 Lot 3 491r vW '!...............l... . �� ^ •.4S-5202. •mac, M August 31, 1983 Ms. Vicki L. Sloppy Assistant Administrator Anchorage Water ; 'Wastewater Utilities 3000 Arctic Boulevard Anchorage, AK 99503 RE: Plans and Specifications Approval Well Regulation Waiver Alpine Village LID 135, 582-2 Dear Ms. Sloppy: Thank you for the plans and specifications and engineers report in request of well regulation waivers for the referenced project under your letter of August 23, 1983. The construction of the referenced project will consist of furnishing and installing an estimated 2,960 linear feet of 8 inch ductile iron sanitary sewer line and other related appurtenances in the Alpine Village and O'Brien Subdivisions. The plans and specifications are approved for matters of concern to this Department. In accordance with Title 18 of the Alaska Administrative Code Chapter 72 (18 AAC 72.021.a), a Mr. William P. Hamm, P.E., submitted a report for ADEC's review and consideration to waive established separation distances to construct, maintain and operate portions of Alpine Village LID No. 135 closer to drinking water sources. More particularly, construction of the referenced project will require a waiver to encroach upon the well radius of ten wells adjacent to this Drniprt. The yo!!s are located along Bern, Zurich and O'Brien Streets between E. 72nd and E. 74th Streets. In recognition of the report and the .plans and specifications for the proposed sewer line,,the following separation, distances are' approved` instead of that required. in Table A of 18 AAC'.1 72.021. — 1. Separation distances of 20 and 64 feet between a Drivate well on Let 8, /lest Side of Bern Street (between r. 72nd and E. 74th Streets) and proposed sewer line and nearest leanout respectively. 2. Separation distance of 55 feet between a private well on Lot 2, West Side of Zurich Street (betwopn E. 7211d and E. 74th Streets) and proposed sewer line. f ` BILL SHEFFIELD, GOVERNOR DEPT. OF ENV IRO N!IIENTAI, CONSERVATION Nepnp a 1901/ 274-2533 / Address 437 "E" Street Suite 200 Anchorage, AK 99501 August 31, 1983 Ms. Vicki L. Sloppy Assistant Administrator Anchorage Water ; 'Wastewater Utilities 3000 Arctic Boulevard Anchorage, AK 99503 RE: Plans and Specifications Approval Well Regulation Waiver Alpine Village LID 135, 582-2 Dear Ms. Sloppy: Thank you for the plans and specifications and engineers report in request of well regulation waivers for the referenced project under your letter of August 23, 1983. The construction of the referenced project will consist of furnishing and installing an estimated 2,960 linear feet of 8 inch ductile iron sanitary sewer line and other related appurtenances in the Alpine Village and O'Brien Subdivisions. The plans and specifications are approved for matters of concern to this Department. In accordance with Title 18 of the Alaska Administrative Code Chapter 72 (18 AAC 72.021.a), a Mr. William P. Hamm, P.E., submitted a report for ADEC's review and consideration to waive established separation distances to construct, maintain and operate portions of Alpine Village LID No. 135 closer to drinking water sources. More particularly, construction of the referenced project will require a waiver to encroach upon the well radius of ten wells adjacent to this Drniprt. The yo!!s are located along Bern, Zurich and O'Brien Streets between E. 72nd and E. 74th Streets. In recognition of the report and the .plans and specifications for the proposed sewer line,,the following separation, distances are' approved` instead of that required. in Table A of 18 AAC'.1 72.021. — 1. Separation distances of 20 and 64 feet between a Drivate well on Let 8, /lest Side of Bern Street (between r. 72nd and E. 74th Streets) and proposed sewer line and nearest leanout respectively. 2. Separation distance of 55 feet between a private well on Lot 2, West Side of Zurich Street (betwopn E. 7211d and E. 74th Streets) and proposed sewer line. f Ms. V. Sloppy S82-2 August 31, 1983 Page 2 3. Separation distance of 52 feet between a private well on Lot 3, West Side of Zurich Street (between E. 72nd and E. /4th Streets) and proposed sewer line. 4. Separation distances of 43 and 31 feet between a private well on Lot S, West Side of Zurich Street (between E. 72nd and E. 74th Streets) and proposed sewer line and nearest manhole respectively. 5. Separation distances of 52 and 81 feet between a private well on Lot 7, West Sine of Zurich Street (between E. 72nd and E. 74th Streets) and proposed sewer line and nearest manhole respectively. 6. Separation distances of 47 and 54 feet between a private well on Lot 9, west Side of Zurich Street (between E. 72nd and E. 74th Streets) and proposed sewer line and nearest manhole respectively. 7. Separation distance of 93 feet between a private well on Lot 10, East Side of Bern Street (between E. 72nd and E. 74th Streets) and proposed nearest manhole. B. Separation distance of 57 feet between a private well on Lot 6, East Side of Zurich Street (between E. 72nd and E. 74th Streets), and proposed sewer line. 9. Separation distance of 40 feet between a private well on Lot 7, East Side of Zurich Street (between E. 72nd and E. 74th Streets) and proposed sewer line. 10. Separation distance of 43 feet between a private well on Lot 3A, west Side of O'Brien Street (between E. 72nd and E. 74th Streets) and proposed sewer line. The Department H nd5 that the cnerial manhnln5 Aetailod in the plans and specifications as an acceptable solution to the separation distance problem between manhole and well. Within the special manholes, the sewer line's flanged pipe is mechanically sealed and gasketed to prevent leakage of any swage into the manhole. With the above in mind and by reviewing the pertinent characteristics of piping materials to be used, the pipe s most feasible alignment and the limited soil information, this Department finds the above separation distances as adequate protection of the private water sources. Please forward copies of the bid tabulations, the signed construction contract and notice - to- proceed related to construction when they are available. Ms. V. Sloppy S82-2 August 31, 1983 Page 3 This letter serves as written confirmation cf the verbal anoroval aiven to you by phone on August 26, 1983. Sincerely, I ;re ee Construction Grants Engineer MUNICIPALITY OF ANCHORAGE SEWER 84 U1 M LE Fq CONNECT PERMIT 0 i 4 t l DATE OF APPLICATION 5-15-84 M1 qt �'I�nae"r`d4 SCHEDULED COMPLETION DATE WATER & WASTEWATER UTILITY Y4 SINGLE FAMILY 3000 ARCTIC BOULEVARD PHONE 20IRN 786-5557 C MULTIDWELLING No, APTS_ C COMMERCIAL LOTfTRXn 7 BLOCK 1 G INDUSTRIAL SUBDIVISION Alpine Pillage TAX CODE 014-131-38 GRID 2133 DRAWING No. New BUILDING ADDRESS 2urick OWNER Steven F.ksala PHONE MAIL ADDRESS 7217 Zuric0 507 (License & Bond 0 ON PROPERTY ONLY %MAIN TAP—TO PROPERTY LINE ONLY (MOA or State ROW Permit Required) 0 MAIN TAP & ON PROPERTY CONNECT (MOA or State ROW Permit Required) CONNECTION SIZE 411 CHARGES 0 Paid previously C Main extension agreement 0 Subdivision agreement 0 Extended connect agreement C Pending—AMOUNTS LID P 135 INSPECTION FEE $ NIC r PAID 0 CASH PERMIT FEE $ y 0 CKAtI REIMBURSIBLE INSPECTED BY: NUMBER_DEPOSITS TOTAL $ N/C I DATE: REMARKS: 9382-4321-3524 PERMITTEE (Please Prinq TOm TRORSaIICh MAILADDR. 562-6305 I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM /•7 PERMITTEE SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE eoo:I uaan AWWU INSPECTOR 41;,D2. 7a.7 Z ,e4e--# - - SUBDIVISION: A I O w w INDICATE ?� NORTH u� BLOCK: 3_ I LOT: ALLEY I I I I I I I SEWER SERVICE LINE SKETCH SHOW LOCATION OF CONTROL MANHOLES/CLEANOUTS T 1i I SIZE MAIN: -_8�— TYPE MAIN: CONNECT DEPTH AT MAIN 7k+�� pCONNECT DEPTH AT Propp. Line lO�Z CONNECT LOCATION: `J_�+.��t' �t•ViCe, S('�Fv� '�� c�Cn�B2�c,L�%p��—Q_—SOv.`�.. Zoc;c An . S*rae INSPECTED BY: P ��w�L_Sac��ce_.s�vb DATE:-