HomeMy WebLinkAboutMCGILL LOT 3 SUBDIVISION LT 5Onsite File
McGill
Lot 3 S/D
Lot 5
#011-021-10
Municipality of AB:l 6orage AGcA
On -Site Water -and Wastewater Program
x •-
(907) 3437904 -
S1FB7v
CE•RTSCATE b.F.ON.-SITE SYSTEMS APPROVAL
Parcel I.D. 0.1 1-021-10 Expiration Date:b o
1. GENERAL INFORMATION
Complet6Je`ga[ description McGill Lot sub lot 5
Location (site address)' 6605'Mc Gill Alia Anchors e AK
Current Property owner(s) -Cody Kreite! Day phone
Mailing address 6605 Mc Gill Way, Anchorage, AK
Real Estate Agent
Day phone
2. TYPE OF b LLING:
Single Famil-y-(w/wo ADU)
[]X Duplex.,., •
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4, TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPpSAL:
Individual Well
® �
Individual ❑ -
Individual Water Storage �
❑
Holding Tank ❑
Community Class
❑
Community ❑
_Well
Public Water System
❑
Public Sewer �
WaiverNarlance request for: Well on lot to —Community Sewer Main Distance: 35'
Received by: Date:
CO$A to be.reteased to the engineer, unless otherwise.requested by the engineer. -
COSA Fee $ I CDV l p
Date of Payment 11.2 o� 6j/)
Receipt Number 3 6 516
COSA # r)c .fn
Waiver Fee $ 0.00 rum
Date of Payment .—
Receipt Number r
Waiver # 0 S\Ja 01 Q `j $
5. STATEMENT OF INSPECTION BY ENGINEER
As: certifled by my seal affixed hereto and as of the validation date shown below, I verity 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 ARCTERRA C0NSULTI1\TG INC. Phone 696-6111
Address _20441 PTARMIGAN EL'VD., EAGLE RIVER AIC 99577
Engineer's Printed Name KENNETH M. DUFIJS Date 46cv,.C�>
Engineei's Comments.: chis investigation was completed in compliance with ADEG and MOA regulations. 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 inland use, local soil characteristics; groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and- septic systems are
subject to these various and dynamic characterisl€cs and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen A&- 0 AL y,
encroachments, deficlencies or discrepancies exist.
A O Tib'
6. IVSD SIGNATURE Axyl�
System #1 Approved for -G bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
v
• J11))}}1111111
BY: ,, Original Certificate Date: ioa D,�
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 n6l responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory.
00SAblus slieet 10.10-12400
Nitrate Advisory,
Arsenic Advisory X
Other
Legal Description:
COSA Checklist
McGill Lot 3 sub lot 5
Parcel ID: 011-021-10
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 UNK
Total depth UNK ft
Cased to UNK ft
❑■ Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 15 in.
Date of flow test for COSA 10/30/20
Static water level at beginning of test 61 ft.
Comments
K DATA
Age of tank(s) _
Tank type/material Septic/Steel
Measured operating fluid level in septic tank
❑ Standpipes/foundation cleanout per record drawing
Date of pumping
**ABSORPTION
FIELD DATA
Which %s tested (date installed) _
❑ ALL standpipes nt per record drawing
Total measured depth from g ft (max)
Measured depth to pipe invert from gra 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
Cnmmcnfc/rlcfrricnricN
COSA Checklist yellow sheet
Well production at time of test 5.5 qpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ® No
® Coliform bacteria is Negative
Nitrate mg/L ® Nitrate less than MRL (ND)
Arsenic 28.7 ug/L ❑ Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Date of Sample 10/30/20
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
CWA&j=ion material
Comments:
Adequacy test date
Results ❑ Pass For _ bedrooms
Fluid depth prior to test _ in
Water added gal
New depth _ in
lapsed time _ min
Final epth _ in
Absorption rate gpd
Any rejuvenation treatmen t 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 NA
ft
rO Yes
if No ft
Neighboring Tank > 100'
0 Yes
if No _
ft
Private Sewer/Septic Line > 25' Yes
if No _ ft
Absorption Field on Lot > 100'
❑ Yes
if No NA
ft
Holding Tank > 100' ® Yes
if No ft
Neighboring Absorption Fields
> 100'
Animal Containment > 50' 0 Yes
if No ft
® Yes
if No _
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
❑ Yes
if No 36*
ft
0 Yes
if No _ It
e tic/Holding Tank on Lot to: (Please-enterdistances-if-less than required)
Building Foundatio
Yes
if No _
ft
Surface Water> 100' ❑ Yes
if No _ ft
Property Line > 5'
❑ Yes
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑ Yes
if No
ft
ate Wells > 100' ❑ Yes
if No _ ft
Water Main > 10'
❑ Yes
if No _
ft
Community e _ ❑ Yes
if No ft
Water Service Line > 10'
❑ Yes
if No _
ft
If septic tank is under driveway comm
bsorption Field on Lot to: (Please enter distances if
less than required)
Building Foundatio _
❑ Yes
if No
ft
If absorption field is under driveway comment
below
Property Line > 10'
❑ Yes
ft
Wells on Adjacent Lots:
Water Main > 10'
❑ Yes
if No
ft
bate Wells > 100' ❑Yes
if No _ ft
Water Service Line > 10'
❑Yes
if No
It
Community _ ❑Yes
if No _ ft
Surface Water > 100'
❑ Yes
if No _
ft
F. ENGINEER'S COMMENTS
x: Per AWWU records.
G. ENGINEER'S CERTIFICATION
I 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.
COSA Checklist yellow sheet
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Arsenic Advisory
Certificate of On‐Site Systems Approval # OSC201616
Subdivision: McGill, Lot 3 S/D, Lot: 5
A water sample revealed an arsenic concentration of 28.7 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.
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN
EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL
STRUCTURES OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.
NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES
OR LOCATE STRUCTURES.
SCALE:1" = 20'
n'VE PERFORMED A
MORTGAGEE'SINSPECTION OF THE FOLLOWING
DESCRIBED PROPERTY.
LOT 5 OF THE SUBDIVISION OF LOT 3, McGILL
SUB. I PLAT NO. 115A)
ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT
THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE
PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST
OTHER THAN NOTED.
DATED AT ANCHORAGE, ALASKA THIS _18TH_
DAY OF AUGUST 1998_.
HOLT LAND SURVEYING 7274
TFI RdF-FR1� FR 7R -1R
o o tl
Mun
ty of Anchorage
Ucparrment
P.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 e (907) 343-7904 e Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Department
On -Site Water and Wastewater Section
x x VARIANCE/WAIVER REVIEW x x
Waiver#: OSV201078 COSA#:OSC201616 Permit#:
PID#: 011-021-10
Legal Description: McGill Lot 3 S/D Lot 5
Engineer: ArcTerra
Applicant: Cody Kreitel
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
35.0 feet. See engineer's waiver request for justifications.
This waiver approval applies to the existing private well and public sewer trunk only. Any
future upgrade to the on-site wastewater disposal system will require all separation distances be
met or another approval from this department.
X r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r
Waiver is Granted: X Waiver is not Granted:
Date: I I I a bogo Approved by:
U�Ja
Name of Reviewer
■ r r r r r r r r r r r r r r r r r 0 ■-r ■ r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r r t
**** VARIAN C E/WAIVER REVIEW ****
October 10, 2020
ARCT EnRA
CONSULTING, INC
20441 Ptarmigan Bld, Eagle River, AK 99577
Office (907) 696-6111, Fax (907) 868-3793
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: McGill Lot 3 Sub. Lot 5- 6605 McGill Way
Sewer line to Well Waiver Request
The owner has requested we proceed forward to obtain a COSA for this duplex
property that is currently under a sale contract. Records show the building was
constructed in approximately 1970 as a duplex with a private well serving the
building. No well log or other records could be located by the owner or ADEC.
The sewer line was installed in McGill Way by AWWU in late 1978 but there is
no record of AWWU requesting or getting a waiver for the separation distance to
the existing well. The asbuilt records show the existing well is approximately 35'
from the sewer line and over 100 feet from both sewer manholes within the
street.
The water samples form January 2011, and from October 30, 2020 both show
Non -Detect for nitrate levels, negative for E.Coli, total coliform, and arsenic
levels of 29.2 ug/L and 28.7 ug/L respectively.
We are requesting a waiver be granted for 35' for well to public sewer line.
Respectfully submitted,
ArcTerra Consultin,2, Inc.
Kenneth M. Diffu`"s! P.E.
Attachments: AWWU service records and asbuilt drawing
Holt as -built dated 8 / 18 / 1998
SGS Lab reports
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SERVICE CONNECTION RECORD
Lot $ Date_ 71a 7g
Block Inspector � //p
Subdivision or
Addition
Property Owner Contr._�?�L
Water
Size
Permit Yes
No N
Sewer__
Size 4 •
Permit Yes
No_�_ p
LOCATION SKETCH
04'0
,
SGS Ref.9 11I0219001
Client Name Garners Engineering Group, 1.1d
Pnkiert Name/# 6685 McGill Wav
Client Sample 11) (,,605 McGill Way
Matrix Drinking Water
Smovie Rermvks,
Printed flaterFime
01118i2011
14:49
Collected Date/Time
011201'2011
10:10
Received Daterl-ime
0112f92011
10:35
Technical Director
StePhefi C.
Ede
A110,w1c Prep Anal,c,s
Parameter Results 104 lhuls Wthcd Comm= 11) Limas,Date Date Wit
Metals by ICP/MS
Arsenic 29.2 5,00 ug1l, E1120o 8 C ("10) 0 U25: 1 11 (11/27;11 NRB
Waters Department
I oud NftratvNinile-N ND 0166 M&I, SM20 416ONW-F B (<101
Microbiology Laboratory
13, Coo N""Ifive
Total Coliform NeAauc
100mL SM20 922,,13 A
16t)oL S,%C0 922313 A
01/21/11 AYC
011-20111 SIR
01-201-11 SDP