HomeMy WebLinkAboutDEBORA #3 LT 30Onsite File
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M
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MUNICIPALITY OF ANCHORAGE
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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. 050-031-34
1. GENERAL INFORMATION
Complete legal description DEBORA #3 LOT 30
Expiration Date: I "g? -2- 0?_ 6
Location (site address) 17442 N JUANITA LOOP, EAGLE RIVER, AK 99577
Current property owner(s) WILLIAM C. HESTER Day phone
Mailing address
Real estate agent
17442 N JUANITA LOOP. EAGLE RIVER. AK 99577
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:
Private Well
Private Septic
Water Storage
❑
Community Well
❑
Public Water System
❑
Day phone
TYPE OF WASTEWATER DISPOSAL:
Private Septic
❑
Holding Tank
❑
Community
❑
Public Sewer
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment 16 1Y 119 Date of Payment
Receipt Number 0 4M1) Receipt Number
COSA # 04—e-1 q l Lik 9 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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377
Address 4661 NATRONA AVENUE ANCHORAGE AK 99516
Engineer's Printed Name MICHAEL N. ANDERSON PE Date 10/3/2019
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, a
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 '` * ,' it
well and septic system. Therefore, any estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
110m�
discrepancies exist can be given by FWfS and Anderson Construction & Engineering. �k n
6. DSD SIGNATURE 1013/19
22
System #1 Approved for J bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
.,tttttttttittrs.
"'))i11mW,
By: �=��1^-��� Original Certificate Date: 1 (9
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: DEBORA #3 LOT 30 Parcel ID: 050-031-34
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 UNKN
Total depth *50 ft
Cased to UNKN ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 9/17/2019
Static water level at beginning of test 35 ft.
Well production at time of test 7 gpm
Comments *Per MOA record docs / Sullivan 2015 ins
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 —PUBLIC SEWER
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:
COSA Checklist copy 2.docx
ction
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® Nc
® Coliform bacteria is Negative
Nitrate tY-77 (mg/L ElNitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
F�11�5
Collected by
Date of Sample 9/17/2019
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
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
—11
L:ul&m9TZ 7-1111111001 a
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 **95+/- ft
Neighboring Tank > 100'
® Yes
if No
ft Private Sewer/Septic Line > 25' ® Yes if No **25+ 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
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
❑ Yes
if No **25+/-
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 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 dista>:ces
if" less than required)
Building Foundation > 10'
❑ Yes
-m o
ft If absorption field is under driveway comment below
Property Line > 10'
es
if No
ft Wells on Adjacent Lots:
_
Water Main > 10'
❑ Yes
if No
ft Private Wells > 100' ❑ Yes if No —ft
Water Serv', ine > 10'
❑ Yes
if No
ft Community Wells > 200' ❑ Yes if No
O
Su race Water > 100'
❑ Yes
if No
ft
F. ENGINEER'S COMMENTS
**Per MOA record docs and visual observations. - 2016 MOA Waivers
G. ENGINEER'S CERTIFICATION
1 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.
COSA Checklist copy 2.docx
NORTH JUANITA LOOP
KA
Ln
Lot 31 : I
x
Lot 45
CT
O
N 85'34'20 E 75.22' -- — —' —
o>:..
Ln
6� <
T�D
22.2'
4.0'x8 . 0,
PORCH i
15.7'
16.0'
21.01.4.0'
2 STORY N o
RESIDENCE o n�
o BALCONY
22.0'
6'x8' DECK
r
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WOODEN FENCE
Lot 30
10,693 S.F.
S 84'07'45"W 75.40
Lot 46
WELL
WOODEN FENCE
-' Lot 29
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I
I Lot 47
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PLOT PLAN_,YAS BUILT X SCALE 1" = 30' GRiD NW 0352 Project No. 19-553/R1
Lang & Associates, i n c m (907) Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
(907) 522-4625 Fax �o O F q C%4
Professional Land Surveyors ken0longsurvey.com
Jonathan®langsurvey.com
I hereby certify that 1 have surveyed the following described property:
LOT 30, DEBORA SUBDIVISION — No. 3 (PLAT No. 63-91)
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
Dated this the '?,S-yt Day of 5 wy; &k r --a6 r. , '40 lei , at Anchorage, Alaska
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
49TH
KENN G :•o
F` G
�Q�s'F0 • . LS -5202. 5J pfi
AECC963
Municipality of Anchorage
Om-Site Water and Wastewater Program
(907) 343-7904
Pamel I.D. 050-031-34
Certificate of On-Site Systems Approval
Expiration Date:
1. GENERAL INFORMATION
Complete legal description DEBORA #3; LOT30
Location(siteaddress) 17442 North Juanita Loop
Currant Property owner(s) John Thomson
Mailing address
Real Estate Agent Scott Myers
Day phone 240-2020
Day phone 689-6488
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:
r~dividual Well []
~dividual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual ~
Holding Tank []
Community []
Public Sewer []
WaiverNadance request for: N/A
Distance:
Received by:
COSA to be released to the engineer, unless other~vise requested by the engineer.
Date of Payment
Receipt Number
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 proceoures 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 oeomoms and type of structure indicated herein. I further redly that based on the information
obtained from the Municipality of Anchorage files and from my investigation anc inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes.
ordinanc, es,.and regulations in effect at the time of installation.
Name of Firm Garness Engineering Group, Ltd. (GEG)
Address 3701 E. Tudor Road, Suite 101, Anchorage AK, 99507-1259
Engineer's Printed Name Jeffrey A. Garness
Phone (907) 337-6179
Date ~/..~ ~
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or seotic
system in accordance with the guidelines and regulations estst)tished by the Municicotity of
Anchorage and industry practices. The reDo/fed results descdl~e the condition of me system/s on the
date/a of the evaluation. Seearation distances were measured to readily identifiable features.
Hidden defects or encroachments may existthatwere not identified dudn§ the eva/ua#on. The
oeerational it[e of all welts and seDflc systems deeend on a variety of variables including, but not
limited to. cog conditions, groundwater levels (that may fluctuate dudng me yead, quality of
construccon (materials and workmanship), and the water usage of the family utilizing the system/s.
These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
guarantee future ~erfozrnance of the system/s; therefore. GEG makes no warranty (exaress or
imeited) regarding the future ~erformance of the well or acetic system. GEG makes no
representation wl~ether an alternative well or set)tic system can be installed on the oro~e/zy in the
event either of the current systems fei/. The content of this re~o/t ia for the sole benefit of the
oerson/eady who retained SEG. Retiance uuon the information urovided in this reDort by any other
eerson or early, including but not limited to suhseouent urcoerty uurchasere, is not authorized id
short, GEG disavows any/egst duty to anyone other than the ~erson/uany who maid for this re~or~
DSD SIGNATURE
/_,.~"~ystem #1 Approved for ~_~ bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approva[ for __ bedrooms, with the following stipulations:
/~':-':-~~~~ ~' :-~ Original Certificate Date: ~-:
(.--T~e~nicipality o; A~chor;g~ Deve,opment Se;/~s Di~s,o~ [DSD)iss,es Co,ifil;les of On-Site Systems App~va. (~SA)based only
upon ~e mpmsen~tions given in paragraph 5 by an independent pm~ssional civil engineer registered in the State of Alaska. The Municipality
of ~chomge is not ~sponsible for ~rmm or emotions in the professional engineers work
7. ATTACHMENTS:
COSA Checklist ~ ~ Nitrate Adyiso~
Septic System Adviso~ ~enic Adviso~ '
Well Row Adviso~ Other
COSA blue sheeL9-1-12.doc
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: DEBORA #3; LOT ,30
Parcel ID: 050-031-54
A. WELL DATA
Well type PRIVATE
Date completed
Total depth .5~0
*PER SULLIVAN WATER WELLS REPORT -(SEE ATTACHED)
IfA, B, orC provide PWSID~ N/A
N/A Sanitary seal (Y/N) YES
ft. Cased to UNK f.
Well Log (Y/N) NO
Wires properly protected (Y/N) YES '
Casing height (above ground) 18+ in.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
FROM WELL LOG AT INSPECTION
N/A 4/29/16
N/A ft. ,37 .ft.
N/A g.p.m. ~ g.p.m.
Coliform 0 colonies/100 mi.
Arsenic: ND ugJL
B. SEPTIC/HOLDING TANK DATA
Nitrate ,3.09 mg./L. Collected by: GEG. Ltd.
Date of sample: 4/22/16
Tank Type/Material
Tank size __gal.
Foundation cleanout (Y/N) __
Date installed
Number of Compartments Cleanouts (Y/N) J
Depression over tank (Y/N) __ High wate~
Pumper '
Soil rating (g.p.d./ff2or ft~m type
Width / ft. Gravel below pipe ft.
Date of pumping
C. ABSORPTION FIELD DATA
Date installed
Length' ff.
depth ft. Eft. abso~ ft2 Monitoring !ube Depression over field I
Total
Date of adequacy test / Results (Pass/Fail)
Fluiddepth in,before test in. ·
Ela~ I min. Final fluid depth
rejuvenation treatment (past 12 mo.) (YIN & type)
Water added gal.
in. Absorption rate >=
If yes. give date
For bedrooms
New depth in.
g.p.d.
D. UFT STATION
Date installed,
Size in gallons Manhole/A~...~__)
#
Pump on" level at~gh water alarm level at in.
Datu______~m ~
Cydas tested Meets alarm & cimuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankllift station on lot N/A On adjacent lots 100'+
Absorption field on lot N/A On adjacent lots 100'+
Public sewer main *25' (APPROX) Public sewer manhole/cleanout **95' (APPROX)
Sewer/septic service line ***25'+ Holding tank 75'+
Animal containment areas. 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Properbj line Absorption field
Water main Water service line Surface water
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSOR~ON FlEeT TO:
Property line ~ B~undation__ Water main___~
Wa~er~ ~rcent ots. Driveway, pa~ing~ehicle storage
F. COMMENT~
*SEE ATTACHED AWwu CONSTRUCTION DRAWING WHICH SHOWS THE WELL RADIUS AND SEWER MAIN.
IT IS ASSUMED THAT WAIVERS WERE GRANTED. **AWWU SEWER MANHOLE IS BURIED, BUT IT
APPEARS TO BE 95' FROM THE WELL PER AWWU RECORD DRAWINGS. ***ASSUMED 25' BASED
UPON LOCATION OF AWWU STUB TO PROPERTY SHOWN ON RECORD DRAWING.
G. ENGINEER'8 CERTIFICATION
I ce~ify 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
Engineer's Printed I~ame JEFFREY A. GARNESS
Date
(Rev. 11/05)
!HEP, EDY OD~.TF~FY .THAT ! HAVE DJHVEYED THE
FOLLOWING DESCRIBED PROPERTY:
E~E~S~ ~D~ANTD~ O~ RE~CT~ON~
~H~CH DO N~ ~P~ ~ THE ~ ~BDI-
~Y DATA H~N
~ ~NCE L~N~ OR ~R E~LISHJNG ~D-
ARY LfNES.
Municipality of Anchorage
P.O. Box 196650 ® 4700 EImore Road
Anchoraqel Alaska 99519-6650 ® (907} 343-7904 ® Fax (907) 343-7997
http:llwww.muni.or,qlOnsite
Development Services Division
On-Site Water and Wastewater Proqram
Del)aL'tment
VARIANCE/WAIVER REVIEW
Waiver¢: OSV161045 COSA#: OSC161144
PID#: 050-031-34.
Legal Description: Debora #3, Lot 30
Engineer: Garness En.qineerin.q Group
Permit#:
Applicant: John Thomson
The following minimum separation distances are approved. 1. 95 feet between the onsite well and public sewer manhole.
2. 25 feet between the onsite well and public sewer main.
[] The affected adjacent property owner(s) ha;ce been given a 7 day notice regarding this waiver.
[] Notarized letter(s) of non-objection have been received from the owner(s) of the affected
adjacent property.
X Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted:///
Date: . . Approved by:
[ ~e of Reviewer
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS
May 2, 2016
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Reft Homestead Hills; Block l, Lot 2
To whom it may concern:
The existing well is approximately 95 feet from a sewer manhole and approximately 25 feet from the sewer
main. As shown on the AWWU record drawings, the well was installed prior to the installation of the sewer
main. Based upon the record drawings, it is believed that waivers were already applied for and granted,
however, upon contacting AWWU on 5/2/2016, they could not confirm the existence of the waivers. If
you're uncomfortable issuing the COSA based upon the assumption that AWWU obtained ADEC waivers
for the construction, we request that your department issue waivers for the encroachments. Justifications
for granting these waivers are as follows:
· The manhole is buried and it is unknown if there is an encroachment with the well. If an
encroachment exists, it is assumed AWWU took special care with the manhole construction. See
the attached AWWU record drawing for this project which shows "special manhole detail within
protective well radius".
· Water samples were taken on 4/22/2016 and submitted to a certified lab for analysis. The results
are as follows:
o Nitrate: 3.09 mg/L
o Arsenic: Non-Detectable
o Bacteria: Negative
· Per AWWU record drawings, the sewer main was installed in 1983. The encroachment has existed
for approximately 33 years.
in short, there appears to be minimal risk in granting these waivers. We are unaware of any adverse impacts
associated with th~ waiver. Please call or email if you have any questions.
Eseffi~ .E., M.S.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
.... ~ WATER WELLS
P.O. Box 670269 Chu~ia~, AK ~9567
P: (907) 688-2759 F: (907) 688-2259
To: C & T Construction/John Thomson
174~2 N. Juanlta Loop
Eagle River, AK 99577
Debra #3 Lot 30
5-21-15
Pump Test
Tota! Depth of Well: 50'
Restin8 Static: 54.5'
Test Pump intake: 46'
Well ¥~e]ds 9 GPM with 3' of dca,~down.
/ 5/; .
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96 82-45.31-~524
:50 NOV 8:5
AL DATUM
£
RODNEY p. KINNEY
MUNICIPALITY OF ANCHORAGE
ANCHORAGE WATER & SEWER UTILITIES
SCHEDULE "/~: SEWER
LATERAL IMPROVEMENT DISTRICT 50--17
SANTA MARIA DELVE / JUANITA LOOp
EAGLE RIVER, ALASKA
STREET
/
SEWER SERVICE LINE SKETCH
SHOW LOCATION OF CONTROL MANHOLEStCLEANOUTS
SIZE MAIN: ~" TYPE MAIN:
CONNECT LOCATION:
CONNECT DEPTH AT MAIN
ALLEY
__ CONNECT DEPTH AT Prop. Line __
COMMENTS:
INSPECTED BY: ~"~' '~"~ ~"'~' DATE:
OE
TYPICAL TRENCH DETAIL (IMPROVED ROADWAY)
TYPICAL TRENCH DETAIL EASEMENT/UNIMPROVED R.QW.'
AIR RELEASE VALVE 8~ MANHOLE t~E~IL
0
SPECIAL MANHOLE DETAILS
WITHIN PROTECTIVE WELL RADIUS
SPECIAL CLEANOUT DETAIL
WITHIN PROTECTIVE WELL RADIUS
D~TAIL
NOTES:
/
GRAPHIC ~.~-- '~ "~SCALE
-~' ~'"' ~ VERTIO^L B^TUM
MUNICIPALITY OF
SEWER