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Home My WebLink AboutBELLA VISTA #1 LT 11 S118'Bella VI*sta #1 Lot I I 5118' #013-051-13 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED (907) 563-6775 July 10, 1990 Mr. Bruce Corwin Corwin & Associates, INC. 1000 E. Dimond Blvd., Suite 205 Anchorage, AK 99515 SUBJECT: Request For Waiver For A Six Bedroom Duplex Approval On Lot 11, Belle Vista Subdivision No. 1, Anchorage (9021-WA-026) Dear Mr. Corwin: We have reviewed your waiver request for the subject property and cannot give approval. The request submittal did not provide sufficient information to justify a waiver under 18 AAC 72.028 of the Wastewater Regulations. For a second evaluation, we request that additional information be submitted on subsurface soils within the area. If you have any questions, please contact me at our Anchorage Western District Office. Sincerely, Michael P. Lewis, P.E. Environmental Engineer MPL:bam cc: Br~ce Erickson, AWDO ~John Smith, DHHS Parcel I.D. 013-051-13 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval BMITTA AUG A 12015 Expiration Date: /;c. —�2 —1,5,- 1. 1,7 1. GENERAL INFORMATION Complete legal description Bella Vista #1, Lot 11 S118' Location (site address) 829 East 78th Avenue Anchorage, AK Current Property owner(s) Saugstad Family Trust Day phone Mailing address 9663 Atwell Drive Anchorage, AK 99507 Real Estate Agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) 0 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: SIX 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 Waiver/Variance request for: Distance: Received by: Date: �` f COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 540 — Date of Payment O Lo i'1J Receipt Number Wg15S ) COSA# a=S —1,71 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 8/3 491'1 6. DSD SIGNATURE �1.•0••.•...p ., .........,.. A MICHAEL E.. ANDERSONa. _ASystem #1 Approved to �1. r bedrooms / c a CE -4381 \,® System #2 Approved for _ bedrooms t Fq •.� "30—t'� Disapproved Conditional approval for bedrooms, with the following stipulations: By: ( Original Certificate Date: The M ici mAy Are page 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 blue sheet 1 . . If more than 1 septic system is on the lot: COSA Checklist # Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Bella Vista #1, Lot 11 S118' Parcel ID: 013-051-13 A. WELL DATA "Well Inspected and Well Head Raised by 907 Water Wells. Well type Private If A, B, or C provide PWSID # Well Log (Y/N) N Date completed 1967 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 97* ft. Cased to 97* ft. Casing height (above ground) >18 n. FROM WELL LOG AT INSPECTION Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100mL Nitrate •116 mg/L Arsenic 43.8 ug/L Date of sample: 8/4/15 B. SEPTIC/HOLDING TANK DATA g-tz-rs 35.0 ft 9.0 g, p. m. Collected by: And. Engineering Tank Type/Material Date installed Tank size gal. Number of Compartments_ Cleanouts (Y/N) Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft' Monitoring tube _ Depression over field _ Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption Feld on lot Public sewer main >50'** Sewer /septic service line >25'- Animal 25'..Animal containment areas >50, SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line _ Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation _ Water Service line Surface water Curtain drain Wells on adjacent lots On adjacent lots On adjacent lots Public sewer manhole/cleanout >50'** Holding tank >75' Manure/animal excrete storage areas >100' Absorption field Surface water Water main Driveway, parking/vehicle storage F. COMMENTS Well was placed in 1967. Sewer main was placed in 1971. Separation distance at that time was 50' G. ENGINEER'S CERTIFICATION / 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. Engineer's Printed Name Michael E. Anderson, P.E. Date 8/31 /2015 -- COSA brown sheet 10-10-12.doc +/10 .MICHAEL E. ANDERSON CE -4381 ,��.RkOFESStQ�a ®� Municipality of Anchorage x , Community Development Department x Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 151471 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 11 S118' of Bella Vista #1 Subdivision. This inspection revealed an arsenic concentration of 43.8 micrograms per liter (ug/L) for the property's well water sample. 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.or-/og_nsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 151471 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 11 S118' of Bella Vista #1 Subdivision. This inspection revealed an arsenic concentration of 43.8 micrograms per liter (ug/L) for the property's well water sample. 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. 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