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Home My WebLink AboutSTUCKAGAIN HEIGHTS #1 BLK 1 LT 2tuc kagain Heights #1 Block 1 Lot 2 #041-021-30 Municipality of Anchorage ,,_ ..�� ,1 Development Services Department ,e'-_ :_`o Building Safety Division — St. On -Site Water & Wastewater Program, 4700 South Bragaw , ..: , , - P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report SW030309 PID Number: 041-021-30 Permit Number: Name: Wastewater System: ■ New ❑ Upgrade PATRICK & LISA KELLY Address: 2151 DAWN LIGHT COURT *ANCH. AK, 99501 ABSORPTION FIELD Phone: No. of Bedrooms: 3 N Deep Trench El Shallow Trench O Bed Mound ❑ Other (907) 350-8875 Soll Rating: Total Depth from original grade: 11 LEGAL DESCRIPTION 1.2 CPD/Sq. FL FL Block: Lot: Subdivision: Dtepth to pipe bottom from oAginol grade: Crawl depth beneath pipe: 6.94 R 1 2 STUCKAGAIN HEIGHTS #1 4.06 n Township:Range: Section: - FID added above original geode: Growl length: 35 rL - ,N wldth: Number of Dna: Distance between Ines: WELL: ■ New ❑ Upgrade 2.5 FL 1 — FL Claseiflcotion Private, ".C): ted To: Total absorption ono: 490 i'Ue ' D 3034/ F-810 PRIVATE 109 ft sae n DNler. ;4;to# static Water Level: beelallter. HOME SERVICES ate. inetOl�' 10/21-22/2003 ALPINE DRILLING 78 FLA+ Yield: Pump Set At Above Ground: TANK 50+ GPM UNKNOWN 2 Ft SEPARATION DISTANCES ■Septic ❑Holding OS.T.E.P. ❑Other Septic Absorption Uft Holding Manufacturer. ANCHORAGE TANK capacity in gallons: 1250 Tank FSeld Station Tank ager Unete Sewer /theeMaterial:Number of compartments.too'+ ffWell too'+ — — 25'+ STEEL 2 100'+ loo'+ — — — LIFT STATION Size N gallons: Manufacturer. Lot Une 5'+ 10'+ — — — Pump on level at: rep 0 a<: High water alarm oL• • Foundation 5'+ 1 o'+ — — — Pump Mob del: oectkal brpoctione performed by: Curtain Drain NONE KNOWN BENCH MARK Remarks: Location and Description: TOP OF CONCRETE FOUNDATION WALL NEAR POINT "C" Assu're'd Elevation. 106.30 Ft ENGINEEIrS SEAL 4 � OF � . o ..S�4 �Q' . ••'i -pp 0 �` .�0 AKWWC, INC. 10 21 2003 Inspectionsperfo�medby: Dates: / / �••••�••••• •• ••••• ••••••� 2nd 10/21/2003 3rd 10/22/2003 Gar ss.- Development Ste ices Department Approval OQp�� o^•. 79 cAQ40 Reviewed and approved by: Date: , r ��Od Orotessian°oma 0000004 (Rate. tz/ot) PERMrr NUMBER: SW030309 AS -BUILT DRAWING PARCEL ID NUMBER: 041-021-30 / / / A 8 / FCO 14.94 — ST1 42.47 61.00 ST2 49.86 67.11 / DBL1 52.10 69.02 / DBL2 54.07 70.73 / 1pp, MT1 68.70 94.30 kf( NEW C01 68.90 1 94.98 Us WELL MT2 92.40 101.61 ' :.' •' r CO2 93.95 103.20 NEW DRAINFlELD FCbI 3047•••;•' �•«, DBL2 ca THII / DBL1 M '� 1 ` N 1250 GALLON SEPTIC TANK SrrE i DATE: op�o04 11/17/2003 F p 00, �. DRAWN 81: O . 7 7 J.L.M. ALAS JCA «A 1. E' ll & N AST I M A l LR SCALE: o CONSULTANTS. INC.40 N `�* ...w. v ,.w ..n,,,,.>... ,..�..., k«.«,,._.....m : w., .., .,. 3701 E. TUDCR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)331.6179 • FAX (907)338.32L6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .••. ,•,,,, LISA & PATRICK KELLY (907) 350-8875 2 OF 3 Q '•. a ey G me s.. ` LEGAL DESCRIPTION: a4�0Oi� C — 95 '• \G STUCKAGAIN HEIGHTS SUBDIVISION #1; LOT 2, BLOCK 1, Q o ad TYPE OF WORK: Y 001proressio�� 00 AS—BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM �OOOoo�� PERMITNUMBER: AS -BUILT D RAW I N G PARCEL ID NUMBER: SWO SWO3O309 041-021-30 FINAL GRADE 97.83-98.45 TOP OF TANK AT 5T1 Sit INLET - 93.80 '-\ n p�ET T 93.75 TH INVERT OF BUNG AT_/ INLET - 93.27 FINAL GRADE w 95.86+ RELATNE ELEVATION OF BOTTOM OF TEST HOLE - 78.00 (TEST HOLE DRY) NEW 1250 GALLON SEPTIC TANK \_iNvERT OF BUNG AT OUTLET - 93.01 ORIGINAL GRADE 93.50-95.50 FABRIC INVERT OF PIPE - 91.44 (AVG.) BOTTOM OF TRENCH 84.50 (AVG.) DATE: 11/17/2003 DRAWN BY: ALASKA «'ATIM & «'ASTr«'ATI'sR C.J.G. sem` CONSULTANTS. INC.-- ^-^�'^'"" '^" _ 37, F TU=P FOAO. SUTE 10, . ANCHCFAU. Ai 99507 . PHONF (0071357.6:79 • FAX (907)539.324.6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: LISA & PATRICK KELLY (907) 350-8875 3 OF 3 LEGAL DESCRIPTION: STUCKAGAIN HEIGHTS SUBDIVISION #1: LOT 2, BLOCK 1 TYPE OF WORK: AS—BUILT DRAWING OF NEW SEPTIC SYSTEM ...I .. . ... .... .... ..... ey . G rnes r o C 795 o`�Pa \ FSov o i e s slo�000 :' N04-04-03 TUE 12:17 PH I P.01 X-:� if. 6'i TD r.'iUA .t t Of I y� i%�J• Municipality ' of Anchorage .• Department of Health and Human Services 825'L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Myst. om h=:1twww.ei.anch0M9@.ak.us Mayor -...... .. - Permit Number. #SW 030309 Date of Issue: 8-93-03 Parcel Identification Numher: Oaz-421_30. ]lgi. $ta"': o -19_r» "Date Co, wl: ied: 949-03 Is tiill 1Cn fitGi !,i bf.)OfAvrii np.7t,ir i .noti�. o rv, v_ f1 �� Legal Description: Stugkaoain NQts # 1 Block 1 Lot 2 c roperty Gwucr Name dr Address: Lisa & Patrick Kelly 2151 Dawn Lite Court Anchorage. Alaska 99501 Borehole Data: Soil Type, Thickness L, Water Strata Depth (ft) From To Method of Drilling ® air rotary ❑ cable tool Casing type: steel stick-up 0 2 Wall Thiclrness:..250 inches silty gravel 2 21 Diameter 6 inches Depth: L feet gravelly silt 21 85 Liner Type: silt silty water sand &gravel water sand &grave! 85 98 907 98 107 109 Diameter. inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 78 feet pumping level: •109 feet after 2 hours pumping 50+ gpm Recovery Rate: 50+ gpm Method of Testing: eirlift Well Intake Opening Type: . ® Open End ❑ Open Hole ' ❑ Screened Start feet Stopped . feet - ❑ Perforations Start feet Stopped feet Grout Type: henronire 4 8 'Volume: I Depth: Start 0 feet Stopped 20+ feet Pump: Intake Depth feet _ Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property -- ..- . .... .,, ., -,,... ,..,% .._: J. . .....,,.... A . n— .1l1..'.t a ........ . r. _.:... ... •,,.:. '^ J. .e..- ff Pf,#dj$' \$ al nicilgrrr lfr{r, o$', \ ll*$r#r'{}Ee 1,ri^$,i* ..1&::, l' |'ii.rii;ti;!^":t* t,rl,:r3ni" {sil,rl };i3-isilii Certificate of *n-$rt* $ystenrs Approvel F*rr*i i il L,;r: * I i * r : i *ii* ;r cir:i r:e * s1 iii1ii $*t[tlf;S]f L4!r.G!riq., rli.L' l,l ii t;l:: ; *d i: rf:s r.; f-. ,; t l .l r- r : r i ; ,.r.r . t,J FxFr3t'*i1 Date .-Lr; r / 1 " CTNERAL tfi$:0RMATt*f,{: :rtl'r:,*': rr: cssc; f.i,,r _g{grcKrGi'J i-rF,l|jr_$ J;1 $lgfKj_!-0x; _ Llay phone lQi .jS; jJ"l, - " Dny irlrrne TYPf; OF DWtI-LIf.JS: t.",j itrr;i* l,an:rly' ft:rivr* *f)lJ1 ilr il: {r I 1...: lif*liipi* *i.r*il1ngn {Sltfil* fl-nrrlily *rrd,,nr l]r:pt;r; I ruLji\{strfi #r mtrnR*s$$;3 4. TY$3# {}F InJATSH $LlF*p{-yl Irr;i'"'l*J**l !\rsll : :: r:i,,, ili uii J lr",/* l*" $;,rl;r ge ' "lt r-r;;i) L *:;5 t,"j=lt f, r", ril ii lr,rrai*:. ll i*i*r r: . r.tt rr,{ II t\.l.ll$',i TYP& ffiF WA$TEWATfiH #I$F*$,4I.: indrvrdrraj tj fJr rr,,*r -rnnl. ilr rurvr{,!.J g{ tn C';rtrn:tlnriir ; Pt.rhlr; $u'r"re. LJ I r, lL..! 'l t-,, t: ili*l*rrr* ,)n,,t^ r4{ '',li-' I-it:',.irr1.'J;j */i !at*' !,116 , "&piucr F*e $ i"li,l* ;ri l:r*1, lrrlrit i !14il. l 1r t\ l ,.v. i 1- r ,t{*\-!L;gleg l};:i* rf F.*yrrr*nt Fi*,;*ip{ lrlilmlrer 1r'Vaitrel'$*_CI5J*0$ffi 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: Garness Enqineerinq Group, Ltd (GEG) Phone: Address: 3701 East Tudor Road. Suite 101- Anchoraqe. Alaska 99507 907-337-6'179 Engineer's Printed Name:Jeffrev A. Garness Date: ln conducting this evaluation, GEG provided an engineering evaluation of the well and/or 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 system/s on the date/s of the evaluation.SeparationdistancesweremeasUredtoreadilyidentif'iablefeatures.Hiddendefectsor encroachments may exist that were not identified during the evaluation. The operational life of all wells A and septic systems depend upon a variety of variables, including but not limited to, soil conditions, /5f,groundwater levels (that may fluctuate during the year), quality of construction (materials and l4.Lworkmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and W are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 'd system/s, therefore, GEG makes no warranty (express or impliedfregarding the future performance of ftat the well or septic system. GEG makes no representation whether an alternative well or septic system vh^ n can be installed on the property in the event either of the current systems fail to perform adequately in "Urlo_.i/.. ll CL-, Zo =$oo* -s$e uW-- #AEC.884 the future. The content of this report is for the sole benefit of the person/party that retained GEG tq. "(]ili:#- l' . i Jt ;l;" perform the evaluation. Reliance upon the information provided in this report 6y any other.pOOO{S{{{(fr)\\k.o "Dl'r! *es L party (including subsequent property purchasers) is noi authorized, nor will it tonfer "g.${DgqrOFAnn[?)\\(*|1:tt=[',,;;$".iT;f ::;::',X.i??ff"H'TJffii:'""$il"ili':Jfiff'Jo]'li.i1li'^'iffi?1lffi$$\tffi^^',{&Dkt<: 6. DSP SIGNATURE 1 :--3f- ON-SI l.:,^ Yir-,J System #'1 Approveo for 3 bedrooms gS W"nfgn nnu -7 conditionat approvalfor bedrooms, *ti(W$,ff3\S'll.t Original Cedificate Date: 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other Legal Description: COSA Checklist STUCKAGAIN HEIGHTS #1; BLOCK 1, LOT 2 lf more than 1 septic system on lot: COSA Checklist# A. WELL DATA E Wett log is filed with Onsite (or attached) Date drilled e/1e/03 Totalclepth 109 t Cased 1s 109 -ft ffi Sanitary seal is functioning correcily E Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 3t261?o Static water level al beginning s11ss1 77'9 ft. Comments parcel p. 441-421-3O Structure served by this system 1 Well production at time of test 4.1+ gpm Water storage tank volumu N/4 gallons Well disinfected lor coliform test? f, Ves E] tto E Cotiform bacteria is Negative Nitrate 4.26 7ng1S [ ruitrate less than MRL (ND) Arsenic _ ug/L fl Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 1 ot1 .ST1 TANK LEVEL ON 3/5/20 B. TANK DATA Age of tank(s) 17 years Tank type/materia I s€PrssEE Measured operating fluid level in septic tank "51 E Standpipes/foundation cleanout per record drawing Date of pumping 2t19t20 D. ABSORPTION FIELD DATA Which system tested (date installed) 10P,403 E nU standpipes present per record drawing Total measurecl depth from grade 11.8 it 166x1 lVleasured depth to pipe invert from grade 4'4 ft lrnint X run - pressurizecl field El Monitor tubes go to bottom of effective, lf not, state depth into effective I Code-required soil cover over field f System presoaked (Reguired if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies : Adequacy test date o3t26no Results [Jeass For 3 bedrooms Fluid depth prior to test 0 in Water added 629 gat New depth 5 in Elapsed time 45 min Final fluid depth 0 in Absorption t",u 450+ gpd Any rejuvenation treatment (past 12 months) lf yes, enter 631s N/A C. LIFT STATION fl Required maintenance c Lift station ma COSA Checklist yellow sheet E. SEPARATIONI 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' fl ves Neighboring Tank > 100' fl Ves Absorption Field on Lot I 100' fl Yes Neighboring Absorption Fields : 100'fl yes Community Sewer Main > 75' [] Ves Frorn Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' fl Ves if No _ ft Surface Water > 100' Community Sewer Manhole/Cleanout > 100' fflves if No Private Sewer/Septic Line > 25' [] Ves if No Holding Tank > 100' E] Yes if No Animal Containment > 50'ElYes ifNo_ft Manure/Animal Excreta Storage > 100' flves ifNo_ fllves if No _ ft fi Ves if No Community Wells > 200' p Ves if No lf septic tank is under driveway comment below lf absorption field is under driveway comment below Wells on Adjacent Lots: fl Yes U Yes if No if No if No if No if No _ft ft _ft ft Property Line > 5' Absorption Field > 5' Water Main > '1 0' Water Service Line > 10' [f Ves if No ft Wells on Adjacent Lots @ves ifNo ft Private Wells > 100' p ves if No I ves if No ft ft From A,bsorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' [l Ves if No _ ft Property Line : 10' fl Ves if No _ ft Water Maln > '10' [l Ves if No _ ft Water Service Line > 10' fl Ves if No _ ft Surface Water > 100' EI Yes if No _ ft F. ENGINEER'S COMMENTS Private Wells > 100' Community Wells > 200' if No if No (+ ft G. ENGI'{EER'S CERTIFICATION I certify that I have determineel through field inspections and review of Municipal reeords that the above systems are in conformance wiilt MOA COSA guiclelines in effect on this date. COSA Checklist yetlow sheet 0 •L Municipality of Anchorage <06 a 9 �0 '' Q? On-Site Water and Wastewater Program � �;�,; ;;: � . (907) 343-7904 ` F ETY Certificate of On-Site Systems Apppr, I w Expiration Date- °t 6 2 6 �b I b 201 cI Parcel I.D. 041-021-30 p � 1. GENERAL INFORMATION: Complete legal description STUCKAGAIN HEIGHTS#1; BLOCK 1, LOT 2 Location (site address) 9625 Basher Drive*Anchorage,AK 99507 Current Property owner(s) Patrick Kelly Day phone 907-350-7483 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex El Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Cl Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: \ / 1 6/ / COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52,E Waiver Fee $ Date of Payment (1 (13/i'& Date of Payment Receipt Number 0q5-1 gf Receipt Number COSA# OSC 1815 93 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: ti 1 1 i g 0000. ,,\,‘ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o6 in accordance with the guidelines and regulations established by the Municipality of Anchorage and ��•... •...J-. 410 industry practices. The reported results describe the condition of the system/s on the date/s of the O P.• V O 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 � 4. THIP -. *�0 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 workmanship), and the water usage of the family utilizing the systemis. These conditions can vary,and w are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q f eV A. • nes•• o system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of Qo 0 CE = . `Q� the well or septic system. GEG makes no representation whether an alternative well or septic system Q 9 ." can be installed on the property in the event either of the current systems fail to perform adequately in k 0, t•I,cj .1Vcc.°d the future. The content of this report is for the sole benefit of the person/party that retained GEG to %PaPr0fessio0°ao perform the evaluation. Reliance upon the information provided in this report by any other person or ��00000� " party (including subsequent property purchasers) is not authorized, nor will it confer any legal right ur kly whatsoever. \\� L/70, �Z� �y #AECC884 6. DSD SIGNATURE pN-S\1 * D �� • • I System #1 Approved for 3 bedrooms WPS,��Wp,�ER ro System #2 Approved for bedrooms c WPROGp, ' Disapproved ,c-,A(14PnrT SFC/\1 Conditional approval for bedrooms, with the following stipulations: By: " i(f;('A avrite;# Original Certificate Date: Nov 1 ) 2 G 1 eS 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 10-10-12.doc iLSE- 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: STUCKAGAIN HEIGHTS#1; BLOCK 1, LOT 2 Parcel ID: 041-021-30 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/19/03 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 109 ft. Cased to 109 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 9/19/03 10/27/18 Static water level 78 ft. 78.1 ft, Well production 50 g.p.m. 2.5+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 2.70 mg./L. Collected by: GEG, Ltd. Arsenic: <5.0 ug./L. Date of sample: 10/26/18 B. SEPTIC/HOLDING TANK DATA 52 INCHES OF LIQUID IN TANK ON 11/9/18 Tank Type/Material SEPTIC/STEEL Date installed 10/21-22/03 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) ;VA Date of pumping 5/ 5/18 Pumper ISAAC'S PUMPING SERVICE C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE Date installed 10/21-22/03 Soil rating (..p.d./ft'•r ft2/bdrm) 1.2 System type DEEP TRENCH Length 35 ft. Width 2.5 ft. Gravel below pipe 6.94 ft. *oft2 Total depth *11.2+ ft. Eff. absorption area Monitoring tube YES Depression over field NO Date of adequacy test 10/27/18 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 6 in. Water added 460 gal. New depth 7 in. Elapsed Time: 120 min. Final fluid depth 6 in. • Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date - 2137 PRE-SOAK WAS PERFORMED ON 10/26/18 D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at .• wa er alarm level at in. _ .•- Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ 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 '5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *MET CODE AT TIME OF INSTALLATION �P;*'s` OF .1 ,41 : / / / ..____..i. / ----- Fe CfPF i „,ssN /N i • i i ht/ 00 H65 Z d, milli 4 IPN4C T 36,b i ,5^r 4NtIE-y4y .44 SB iZ0 Z� <4.,, 2 1 NELL m il / , k. S OMMON _..�- 4, , u CV/F. ,- �� V�< Y / O \< Q= y J „hr i o. hommiiiiiiiiiiiitio.:%too. , ,, „,,,,,,,,, Z N 76 32. 21, / 41 ? W 365.23 N 1 AS-BUILT SURVEY 1” =40' No DoRwERs sET Y4S DATE Q00004pp0 I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF AL OF THE FOLLOWING DESCRIBED PROPERTY op�(� "" .,q�� LOT 2, BLOCK 1, STUCKAGAIN HEIGHTS NO. 1( PLAT 79-249) �iP �11� .....1-°0 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE p0, 49 jai P/' -.-9 0.0 VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN OS-404.11 - / THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS 0J G THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY EXIST OTHER THAN NOTED. *- CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS:AND IS O • .;',0 DATED AT ANCHORAGE,ALASKA THIS 7TH DAY OF NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES,IMPROVEMENTS.OR FENCELINES. NOVEMBER , 2018. V SHANE A.HOLT e — Q 0 EASEMENTS Of RECORD.OTHER THAN THOSE APPEARING ON THE RECORD PLAT,ARE NOT SHOWN _ vv.,. .-. Ls-6914 ,tel HEREON(UNLESS INDICATED) NOTE:FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. HOLT LAND SURVEYING 4`' /e33iof110 ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE 9309 GROVER DRIVE 4�Op00o�� ANCHORAGEAK 99507 14089, F9 193-20 345-5513