HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 6 LT 5Girdwood
Original
Townsite
Block 6
Lot 5
#075-151-15
ALASKA L;=PARTMENT OF ENVIRONMENTAL GUNSERVATION'
WELL WAIVER DATA SHEET
Sections 18AAC 80.030 & 18AAC 72.015
I. Property Location Date: November 15, 1994
Subdivision: Girdwood Original Townsite
Block: 6 Lot: 5
Map Attached: Yes (See Figure 15)
11. Geologic Consideration
1) Bed rock/sedimentary soil type structures within 200 ft. radius of the water
source.
Refer to Response #7 of the System Plan Review Checklist.
2) Distance between sewage system bottom and highest seasonal groundwater
level.
Refer to Response #6 of the System Plan Review Checklist.
3) Soil absorption characteristics below sewage systems.
Not available.
4) Soil permeability below sewage system.
Not available.
5) Water table gradient with respect to water source.
Refer to Response #6 of the System Plan Review Checklist.
6) Horizontal separation between water source and sewage system.
a) Sewer line: -63 ft. (75 -feet required for Private Water Systems)
b) MH/CO/LS:>100 ft. (100 -feet required for Private Water Systems)
7) Water Source
a) Well Depth: NIA ft.
b) Well Log: Attached ............. Not Available ............ X
8) Soils Log ........ X (See Attachment) ; Percolation Test ....... NIA
Ill. Special Design Considerations:
1 Materials:
Sewer mains shall be 8 -inch Class 50, Ductile Iron Pipe, and Force mains
shall be 6 -inch Class 52, Ductile Iron Pipe. All piping shall have
polyethylene encasing.
WELL WAIVER DATA Sk—!'T
Page 2
IV. Other Considerations:
1 Percent of separation reduction requested by waiver application:
a) Sewer line: 16 %
b) MH/CO/LS: 0 %
2) Population density in service area:
Existing Estimate (1994) = 91 persons
Saturation Population (2037) = 273 persons
3) Population served by well:
Single Residence: Assume 3.5 persons.
V. Certification
Submitting Firm/Individual:
CRW Engineering Group/ Willem Van Hemert
3900 Arctic Blvd., Suite 203
Anchorage, AK 99503
VI. ADEC Approval / Disapproval
Comments:
Approval
If disapproval, state reason:
10DECWEL.DOC
Signature:
Title:
, Disapproval
Owner lP.E.
DAWS�REET R-
4
00,\\,43LOCK
--- — — — — — — — — —
----------------------
'b Well
12
b�Veif
rr2
.................
EAST STREET: R
I i
177777777 S S—
Indicates Approximate Location of Well PRELIMINARY
Old Girdwood Trunk Sewer DATE: FIGURE:
Nov. 1994
WELL LOCATION MAP PROJECT:
LOT 5, BLOCK 6 9410 15
GIRDWOOD ORIGINAL TOWNSITE SCALE:
V-60'
engineering group
i I
1200
No Well
2
DAWS�REET R-
4
00,\\,43LOCK
--- — — — — — — — — —
----------------------
'b Well
12
b�Veif
rr2
.................
EAST STREET: R
I i
177777777 S S—
Indicates Approximate Location of Well PRELIMINARY
Old Girdwood Trunk Sewer DATE: FIGURE:
Nov. 1994
WELL LOCATION MAP PROJECT:
LOT 5, BLOCK 6 9410 15
GIRDWOOD ORIGINAL TOWNSITE SCALE:
V-60'
engineering group
tliiilarri, Schwartz zr
tox 4'.13 .- -, ''-''
Giru;vaec!, Alaska 99501
WELL LOG
Date Drilled: 5-23-94
crtd wood c gt A 1
w -sl 677 �S vs.`
cor.fvee u LAq-v✓574/ o Id
Static. Water Level 5 feet Gallons Per Minute 100
//E.
Draw Down N/A feet
Type Material Drilled:
0 feet
to 8 ft. Rock
Total Feet of Casing 60'
8 ft. to 35 ft. Rock w/Water
35 ft.
to 40 ft. Clay
40 ft.tD 50 ft. Water, Gray in color
50 ft.
to 60 ft. Clean Gravel w/H20
to
to
to
to
RECEIVED
JUN 2 41994
fiv
Municipality of Anchorage
Dept. Health & Human Services
HEFTY DRILLING
3540 AKULA DRIVE 4
ANCHORAGE, AK 99516
(907) 345-0593
C
j wSc.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW940079
DESIGN ENGINEER:DUMMY COMPANY
'OWNER NAME:SCHWARTZ WILLIAM METZ
OWNER ADDRESS:P.O. BOX 413
GIRDWOOD AK 99587
`PARCEL ID:07515115
LEGAL DESCRIPTION: GIRDWOOD ORIGINAL TOWNSITE BLK
6 LT 5
LOT SIZE: 6000 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF
DATE ISSUED: 4/19/94
EXPIRATION DATE: 4/19/95
THE ATTACHED APPROVED DESIGN.
ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
PROPERTY OWNER IS RESPONSIBLE
PROPOSED WELL. THE WELL MUST
ANY. SANITARY SEWER MANHOLE OR
FEET FROM A PUBLIC SEWER LINE.
FOR PROPERLY LOCATING THE
BE A MINIMUM OF 100 FEET FROM
CLEANOUT AND A MINIMUM OF 75
THE PROPERTY OWNER MUST
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
SUBMIT A SURVEYED PLOT PLAN SHOWING THE EXACT LOCATION OF
THE WELL AND A COPY OF THE DRILLER'S WELL LOG.
RECEIVED BY:
ISSUED BY: -.i C3 S1/1LLTH-
PAGE 2 OF
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e/SSulveyNo.//77`
Ltd. 60362S7Vorth.Long. /49 77.114s2
ALASKA.
Area subdivided3080acres.
Surrey commencedAuy/, /9/7 Sur-uey comp/efedAuy/$49/7
Scale /inch•/OO'
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ground
Leb SD c /20<'con/ain 6000.sq f
lafs.30 i /20'conkin 3600sy f
.cAoo.1 Reaerre c¢n/einr /0800sq.M
Miro' pe/Reaerva con !eine 3000sp1h
ARM
Dperhnent ee/be Inferior,
Genera/ Lend Office,
Weshinven,OC,da1„,/3, -/.9/8
/ hereby cer/,', h5ef Mrs pie,' ofG.'rdwood Twnaik,Sury y
No./ /7Z as sa weyed by dnen* Warne,: USS rveydr, m ac-
cordance wi * pronsions of/he'get of March /2,1.91.9; (38 Stole
30.5),'s s/icily confor:»ab/e /olhe fe/d noka of the survey !hereof
on file in this o/fce, which have been exemined and approved.
Approved Mie /..//Tc( y�///oofd etfit.S 1-/99M. �-
/l
eha. en A/ len Eneineeriny Com ss,on.
1978-1886 -
DT1000516
L
Municipality of Anchorage r't•(-
On-Site Water and Wastewater Program
(907) 343-7904
Certificate of On-Site Systems Approval
Parcel I.D. 075-151-15 Expiration Date:
1. GENERAL INFORMATION
Complete legal description Girdwood Original Townsite B6 L5
Location (site address) 312 Gold Ave, Girdwood AK 99587
Current Property owner(s) Erik & Elizabeth Anderson Day phone 317-417-0252
Mailing address P.O. Box 77, Girdwood AK 99587
Real Estate Agent Ben Charles Day phone 907-830-5781
2. TYPE OF DWELLING:
▪ Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well 111 Individual ❑
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer
WaiverNariance request for: Distance:
�I
Received by: Date: J ;(}
COSA to be release to the engine ,u ess erwise requested by the engineer. 111
COSA Fee $ 52L Waiver Fee $
Date of Payment 5/.:w�f/ Date of Payment
Receipt Number Oar 3 4441P Receipt Number
COSA# 1(31�2l 11 () 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 Alaska Rim Engineering Phone 907-745-0222
Address 9131 E. Frontage Rd, Palmer AK 99645
Engineer's Printed Name A./0it<l2a/1 f4< 6 /-012 Date ---/2. (1 7
1
• �y n
0 J , �� °,� ye
*
6. DSD SIGNATURE / o gtg'Y ••.:• •4
System #1 Approved for `I bedrooms •�' ' r' "'�•'"•'• ` '
# �c, •• Norman K. Gutcher
System #2 Approved for bedrooms 04,
�s"•••� CE-4919 • X4,4.
or
Disapproved a Fp •......`•\Fad
h 9
Conditional approval for bedrooms, with the following stipulation.
C' ,v
� A
LAG
.; :J
s W ��R R
Ac.
•
W ASICNNA "'
?vtOG •
RA
t --- I 4. ;._ Original Certificate Date: 6 —l7
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 blue sheet C
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: Girdwood Original Townsite B6 L5 Parcel ID: 075-151-15
A. WELL DATA
Well type Private If A, B, or C provide PWSID# N/A Well Log (YIN) Yes
Date completed 5/23/1994 Sanitary seal (YIN) Y Wires properly protected (Y/N) Yes
Total depth 60+ ft. Cased to 60 ft. Casing height(above ground) 13 + in.
FROM WELL LOG AT INSPECTION
Date of test 5/23/1994 5/10/2017
Static water level 5 ft. 6.6 ft.
Well production l 00 g p m 7.5 g p.111
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate 0.13 mg/L
Arsenic N ug/L Date of sample: 5/10/17 Collected by: Brandon Jones
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Date installed
Tank size gal. Number of Compartments Cleanouts (Y/N)
Foundation cleanout(YIN) 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 ft2 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(YIN)
"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 N/A On adjacent lots *1001+
Absorption field on lot N/A On adjacent lots *1001+
Public sewer main "60' + Public sewer manhole/cleanout "1001+
Sewer/septic service line 25'+ Holding tank N/A
Animal containment areas 50 + Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line Absorption field
Water main Water service line Surface water
Wells on adjacent lots
ABSORPTION FIELD ON LOT TO:
Property line Building foundation Water main
Water Service line Surface water Driveway, parking/vehicle storage
Curtain drain Wells on adjacent lots
E COMMENTS
*All Adjacent lots connected to public sewer per AWWU **Per AWWU records;
assumed waiver was granted.
G. ENGINEER'S CERTIFICATION OF 414.,1,i,
1 certify that 1 have determined through field inspections and r,,,:; , ; _, '.••fy. '
review of Municipal records that the above systems are in 0* ; . P
conformance with MOA COSA guidelines in effect on this date. i • 49—
Engineer's Printed Name A /0,,ryrep,7 Ai C-7c ' /h, 'twat
f cr Norman K.Gutcher • �!
Date .5'/73//'7 `J','.• CE-4919 ..0
se
$%
COSA canary sheet_2.6-15.doc
NOTES:
1.THE INFORMATION ON THIS EXHIBIT REPRESENTS THE RESULT OF
A FIELD SURVEY CONDUCTED MAY 6.2017 AND CAN ONLY BE
CONSIDERED AS INDICATING THE OVERALL CONDITIONS EXISTING AT
THAT TIME.
2. LOT LINES SHOWN HEREON ARE RECORD PER U.S.SURVEY 1177
A.R.D.,SITUATED UPON RECOVERED MONUMENTS.
O
3. IT IS THE OWNERS RESPONSIBILITY TO DETERMINE THE
0 2 20
EXISTENCE OF ANY EASEMENTS,COVENANTS OR RESTRICTIONS. —
■ ■ ■
4. UNDER NO CIRCUMSTANCES SHOULD THIS EXHIBIT BE USED FOR SCALE IN FEET
CONSTRUCTION PURPOSES OR ESTABLISHING BOUNDARY LINES.
— C — -- — —. — — —C.
GOLD AVENUE
___
n
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560' 55' E
/120.00'
o )4
t4: O
KN co. '
4. Q
J.9' 1 ^ _Jo 125' ---� f WA[
Jr)3' n; �, r i
c2-STY 12.5' I 4, a
0 0 0 DWELLING �' E3c5
o0.� EaN d X312 o c3NJO 3' WZ 0tirRHANi, I2SriJ'y a_w _ GREEN-- =
W LOT 5 1Q! HOUSE " " la
u.
BLOCK 6 — c0 1• W
V) U.S.S 1177 0 9,c.,"
A.R.D. `t
O� 120.00'
in N 60' 55' W
— 0
LEGEND LOT 3
MONUMENT RECOVERED THIS SURVEY
L_ GRAVEL DRIVEWAY/ROAD
0 CI ELECTRIC METER
0 GAS LINE RISER �����\ikk\
uca SEWER CLEAN OUT �F A�q 11
WELL iCO,-� -•.- #
A.R.D. ANCHORAGE RECORDING DISTRICT * • 49 TH �, , . * 0/
SURVEYORS CERTIFICATE A`:-
8-fg'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND '. ALAN J. GRIFFIN F
01
LICENSED TO PRACTICE LAND SURVEYING IN THE STATE OF 4� f, 13020 c����
ALASKA AND THAT ALL DIMENSIONS AND OTHER DETAILS IN THIS
AS-BUILT ARE CORRECT TO THE BEST OF MY KNOWLEDGE. �I� �` 6- • . . . . ' ' S�� ,r
U.S. SURVEY 1177 �,,,'°ADFFSSIQNpI����...
OLD TOWN SURVEYING AS-BUILT SURVEY
LAND & CONSTRUCTION SURVEYING LOT 5, BLOCK 6. U.S. SURVEY 1177 A.R.D.,
GIRDWOOD. ALASKA
PO BOX 85 PHONE: 907-382-7125 DRAWN BY: AJG PAGE: 1 OF 1,
GIRD WOOD, AK. 99587 CHECKED BY: AJG W.O.:ANDERSON
Municipality of Anchorage
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APP VA
102220,4
Expiration Date: l / - 2 -
Parcel I.D. 075-151-15
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
•
C
n
GIRDWOOD ORIGINAL TOWNSITE; BLOCK 6, LOT 5
312 GOLD AVE.
LORIE LANDENBURGER Day phone (732) 614-7230
DANIEL W/GLACIER CITY REALTY Day phone (907) 227-4142
Single Family (w/wo ADU)
Duplex
Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
WaiverNariance request for: n /a
•
n
4
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
n
u
•
Distance: —
Received by: d -k (
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 59,f. -
Date of Payment viaai/cf
Receipt Number Oc AOGC,
COSA # 0 3041cf3/
Waiver Fee $
Date of Payment
Receipt Number
Waiver*
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affrxed 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 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, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational rife of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
6. DSD SIGNATUREIG
V System #1 Approved for • 9' bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
Phone 337-6179
Date
042-1/11-1
%.7,;(10A
vA
Garness.
953 dp0
m
teCIO41
p
rofessib,. o
s'0 OF 4t
O
ON-SITE Gi
bedrooms, with the following stipulations:e WATER AND s� .
g W11ASTEWAIER
�'� RROGRAn;
'/
���`11,fi"JT SERIij�����,`\
By:
41,
Original Certificate Date: R -a (a- /4,t,
The M o alit rr. orage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations 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
Septic System Advisory
Well Flow Advisory
(Rev. 11/05)
L / Nitrate Advisory
Arsenic Advisory
Other
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
Total depth 60+ ft.
GIRDWOOD ORIGINAL TOWNSITE BLOCK 6 LOT
5
If A, B, or C provide PWSID# N/A
aSz3
anitary seal (YIN) YES
Go
Cased to •-4eM- ft.
Date of test
FROM WELL LOG
5/23/94
Static water level 5 ft.
Well production 100 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0
colonies/100 ml.
Arsenic: ND ug./L.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
Nitrate 0.568 mg./L.
Date of sample: 7/29/14
Tank size gal.
Foundation cleanout (Y/N) Depressio
Date of pum
Parcel ID: 075-151-15
Well Log (Y/N)
YES
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
7/29/14
24 ft.
6.67 g.p.m.
Collected by: GEG. Ltd.
PUBLIC SEWER
Date installed
Number of Compartments Cleano
/N) High water alarm (Y/N)
Pumper
YES
18+ in.
C. ABSORPTION FIELD DATA
Date installed
Length ft.
Total depth ft. Effabsorption area
Date of adequacy test
Fluid depth in absorption field before to
PUBLIC SEWER
Soil rating (g.p.d./ft or ft2/bdrm)
System type
Width ft. Gravel below pie - ft.
ft2 Monitoring tube Depression over field
Results (P- .i For bedrooms
in Water added _gal. New depth in.
Elapsed Time: .' •. Final fluid depth in Absorption rate >=d.
9.P
An -'. enation 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 - High water alarm level at in.
Datu Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A On adjacent lots *100'+
Absorption field on lot
Public sewer main
N/A
Sewer/septic service line 25'+
Animal containment areas 50'+
On adjacent lots *100'+
Public sewer manhole/cleanout **I 00' +
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
PUBLIC SEWER
Building foundation Property line Absorption field
Water main
Wells on ad
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Water service line
Property line
Water service line
Curtain drain
F. COMMENTS
*ALL ADJACENT LOTS CONNECTED TO PUBLIC SEWER PER AWWU
Building foundation
Surface water
ce water
Water main
PUBLIC SEWER
s on adjacent lots
mg/vehicle storage
**PER AWWU RECORDS; ASSUMED
WAIVER WAS GRANTED
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.
Engineer's Printed Name JEFFREY A. GARNESS
Date 5 ) Zi l t
(Rent 11/05)
GARNESS ENGINEERING GROUP/ Ltd
CIVIL & ENVIRONMENTAL ENGINEERS .. --.
August 26, 2014
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Attn: Jeff Poet
Ref: Girdwood Original Townsite; Block 6, Lot 5
Mr. Poet:
Advanced rreatr,, nt System
We request that your department issue a 62 -foot waiver from the well to sewer main. The existing
well (drilled 5/23/1994) on Lot 5 was installed prior to the sewer main (see attached AWWU
record drawings) and only has a separation distance of approximately 62 feet from the sewer main.
Recent water samples indicate no coliform bacteria and nitrate level of 0.568 mg/L.
We are unaware of any adverse impacts this waiver would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179 Thank you for your assistance.
Sincerely,
1J
1 ..
a¢ 'A\GarYjess, P.E., M.S.
46-it
R
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
13
SCALE:
GARNESS ENGINEERING GROUP, Ltd
CIVIL& ENVIRONMENTAL ENGINEERS --
3701 E TUDOR ROAD. WEE 101 ANCHORAGE. 00 99507 • PHONE (90]1 3 ]4179'FA% (9%1 33B-3246' WEBSITE': 9Avwemessengl nsenng Gem
PREPARED FOR.
LORI LANDENBURGER
PHONE NUMBER:
(732) 614-7230
PAGE NUMBER:
1 OF 1
LEGAL DESCRIPTION:
GIRDWOOD ORIGINAL TOWNSITE; LOT 5, BLOCK 6
DRAWN BY:
D.J.G
TYPE OF WORK:
WAIVER
DATE:
08/26/2014
0
0
y .,vafness
►�f, 1 CE -7953/45
J
Municipality of Anchorage
P.O. Box 196650 • 4700 Elmore Road
Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http://www.munLorgiOnsite
Development Services Division
On -Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: osp141423 COSA#: osc141431 Permit#:
PID#: 075-151-15
Legal Description: Girdwood Original Townsite B-6 L-5
Engineer: Garness Engineering Group
Applicant: Lorie Landenburg
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
62.0 feet.
This waiver approval applies to the existing 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.
❑ The affected adjacent property owner(s) have 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.
M Adjacent properties are not affected by this waiver.
Waiver is Granted: X
Date:
-2 6 - /y
Waiver is not Granted:
Approved by:
P1: Posm ANSFE3 FLOYI
:EKY. (AS9JMW,
I Picea= &AL;?.. 3 COMER
E,EV (ASSVISW'i
ZONING Nssacr
[Pada W lNG `_R
IGOE 9U3L03G Sr3AO(
!RANH &Rb16 4roAcH
opO
y0
co'oflV\\�
84
e
co.
51
4
0•
00
UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSH NG BOUNDARY 0R FENCE LINES.
THE-.,RVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY.
USTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN SCALE.
LJ LOT SLa 1EY
O FOUNDAI ON AS -BUILT
❑ FINAL SI RUCTURE AS -BUILT
1.1 PLOT Pt .. AS -BUILT .. _ LOT SURVEY ... TOPOGRAPHY
AS -BU .;:• . NO CORNERS SET ® RECER11 CAPON AS BUILT
SURVEY TYPE
0 CORNERS SET
• SET REBAR
o FOUND REBAR O
DO Il ASSUMED ELEV. x
SYMBOLS
DRAINAGE
0 WOOD FENCE
X METAL FENCE
{
I /Jtti
ASPHALT
CONCRETE
WOOD DECK
SLOT FANS & LOT SURVEYS
:T 15 THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO
S'ONSTR. ;TION, TO 'VERIFY PROPOSED BUILDING GRADE RELATIVE
TO FINIS^ED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE
'HE EMS-ENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS
WHICH D'.) NOT APPEAR ON THE RECORDED SUBDIVISION PLAT.
NOTE:
ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
SHOWN. FENCES, WELLS. SEPTIC CLEANOUTS, SIDEWALKS. DRIVEWAYS.
ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.
ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
EuRVEYC_ERP.FICATION
F:CT PLAN +............. %
•
any 1 MyM
cagily o i nom [my waytl
Ina I dear:. d.otd AVo.. a. that
n. e!unarc „ all of b1 orlon_.+
v'.a+ and :itoa,ul dal/caws w. Sat
flair., o-.,. ,.....,.
•
F'CNOALC•.
•a H'aMee a A. -8.1f ulwy of M
'-
-minfma as
rae mn,°Mn ROBERT Jrl SJR
•
•
•
s.
•
Prepared by
Robert E. Joins, Jr. & Assoc.
Professional Land Surveyors
1700 Brink Drive.
ANCHORAGE, ALASKA 99504
Scale:
111 " 30'
Date Surveyed:
A.+
•,..n �.+a�.,.,.. p o` i Date Drown:
08/15/14
FINAL mu. URE s .
-?UILr • 4121—S N�
:oboM::. YID.: ^Y e,N
.<r w'Ufh that 1 , VP(
vn moa: P 't any of • �• ••••'r•
illisroressionol t r
08/15/14
IRec. Lot S.F.
Drawn by. RE J
)LYid:SE5112
Rec. Plot File No.
Checked bynAVic
14-385
e Ter
Lego/ Description:
d " Lot 5 E3Iock 6
flRfWfaf fRIC,INAI
TOWNSITP
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: (907)564-2762
BLOCK/LOT/TRACT BLK 6 LT 5
WASTEWATER
CONNECT PE
01 6154
DATE OF APPLICATION 04/13/2001
SCHEDULED COMPLETION DAT 12/31/2001
SUBDIVISION GIRDWOOD ORIGINAL TOWNSITE
TAX CODE 7515115 GRID 5
3
STREET ADDRESS DAWSON ST
AS -BUILT
X SINGLE FAMILY'
MULTI -DWELLING No. APTS
COMMERCIAL
OWNER SCHWARTZ WILLIAM METZ •
MAIL ADDRESS PO BOX 413 GIRDWOOD, AK 995870413
PHONE
CONTRACTOR 'UNKNOWN
X Main Line
Have
To Be
Comments:
ASSESSMENTS
Extension
Been Levied
Levied
".
Repair Existing Service
X On Property Only. City Tap
Hydrant Only 50' or Longer
Main Tap - To Property Line Only
Main Tap & On Property Connect Row: No.
Disconnect
R & R -Main Tap Only..
Owner - staff
SCF
CONNECT SIZE 4'
ISSUED pcousins
INSPECTION FEE $ 64.00
�PAID
IN CT r-- DA/ ,4i/)
` CASH
CHECK It
OTHER
- ,elt .
P `F -P
PERMIT FEE $ 38.00
$ 0.00
Lie—C.;
DEPOSIT $ -2:00
REIMBURSABLE TOTAL. $ 102.00
NUMBER
DA -LO-7/0/ii.I
REMARKS
PERMITTEE (Please Print)4-)
MAIL ADDRESS ? () go -j- QL - - {z )r.L.4( ood
Cl?Ge(
SIP+"ATURE
PHONE ?kr; 34.1 ->if-
POST iN A CONSPICUOUS PLACE AT THE JOB SITE
AWWU INSPECTOR
Origin
DATE SCHEDULED t 1 TIME INSPECTOR
SUBDIVISION GIRDWOOD ORIGINAL TOWNSITE BLKOITfTRACT ELK 6 LT 5
INDICATE NORTH
Md
, &CL -17
PNE- ,
�.
(7-1)�
1
a1
4
RTS
\f
SIZE MAIN: 2,"
TYPE MAIN: '0, cP DEPT AT MAIN gZ
Aff PROP. LINE: '7
/
CONNECT LOCATION: -7, e'
SE. G>
OMMENTS
PROPERTY CO 4FiZ
INSPECTED BY: ..,(-- I -r ATE: lz,
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: 1907) 504-2762
BLOCK/LOT/TRA S:T AZK c LT
WASTEWATER
CONNECT PERMIT SS - 0734
DATE OF APPLICATION 07/07/95
SCHEDULED COMPLETION DATE '-2/31/95
SUBDIVISION GIRDWOOD ORIGINAL TOWNS TE
_sJ LID 60-9—
TAX CODE 7515115 GRID AS -BUILT
STREET ADDRESS )awrn)n Street
1rSINGLE FAMILY
Li MUTI-DWELLING No, APTS
Q COMMERCIAL
OWNER SCHWARTZ WILLIAM METZ
MAIL ADDRESS GI
CONTRACTOR TAM
DWOOD,AK 99587-0413
n Repair Existing Service
✓ On Property Only
C Hydrant Only
® Main Tap -. To Property Line Only
— Main Tap & On Property Connect
1-1 Disconnect
R&R - Main Tap Only
1 City Tap
ri 50' or
CONNECT SIZE 4
R9MBURSIBL_
NUMBER 9494-4170-0015
FEE $ 0
DEPOSIT $
TOTAL $
0,00
0.00
C
ASSESSMENTS
Main Line Extension
Have Been Levied
To Be Levied ts
Owner.
S
ISSUED BY sA
1—f PAID 5 CASH
• NUFEC FED BY
&P 1EY
DATE lgel. A�7
REMARKS
R
TE
Pleas
YtHIL NLSUKCJ.S
_I G.NA`'1RE
P
PHONE
3i LIT 3 S PLACE AT THE JOB SITE
AWWU INSPECTOR
Ordinal
DATE SCHEDULED-=j/.'Lt { :. / TIME fO ;j 0 INSPECTOR .ei i y/ U td
SUBDIVISION GIRDWOOD ORIGINALTOWNSITE BLOCK/LOT/TRACTBLK :6 LT 5 ....
. �. 1,
.sc---.,
L
INDICATE NORTH t �`` C
k,, i. Vt.' � G C 1 N S -Freq. •
,,1 6ir, k
et it s
of r' .-c -y
15cr
!
1.
,
SIZE MAIN:
TYPE MAIN: 0 i p
DEPT AT MAIN:((
PROP. LINE: C /,/
CONNECT LOCATION: w + Cf . d pc
1/
COMMENTS: i f�! b C.IS-T cif, p1- 9 /, { /-
),-Lit, E C. W C -f A4,0 prcp'
{4.71 3[y ,ss/df/(-tier`J. L/Irl;nrd?CJJC?
CO f Il P r -
INSPECTED BY. ti .
/YYt a Yd
DATE:'
=S/IL�C� /
BLOCK i
' STATION
SHEET 11 FOR .LAYOUT
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BLOCK I
-BLOCK I
8
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wvY
Arca/STATE ✓
e0
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MUNICIPALITY OF ANCHORAGE
ANCHORAGE WATER & WASTEWATER UTILITY
4911E s SEWER DESIGN
TAU-- 'e
T.Y...a w. 5 .
e•efii .3�.a...i.--a
Fmn[551a#.
SCHEDULE A
OLD GIRDW00D LID 60-9 & TID GA -3
GOLD AVENUE PLAN & PROFILE
SCALERIM ?_ 50•
an MAR 1995 i°:
S
SHEET .erA