HomeMy WebLinkAboutALFONSO LT 29BAlfonso
Lot 29B
#051 -281 -91
Municipality of'Anchorage :~27. :.
Development Services Department . - ~'-~ ~'
Buildin~ Safety Division "
On-Site Water and Wastewater Program, 4700 S. Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www. d.anchorage.ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: .'~ ~,J O,~O l ~"'~' PID Number:.. ~)~' / -- ~ ~:~ ( - ~" /
Name:
~/~ ~ I ~' 5/~j I ~--- Wastewater System: ~New [] Upgrade
~-A'0-/~ ~ V'e~]f~/./~ ABSORPTION FIELD
~ ~Dee~Tm~:tl I'l$1~lowTmactl ClBed I'lMo~d r-lO.er:
LEGAL DESCRIPTION ~ ~'~ /' ~" m~e. To~ ~,~.,,~b~ .~,:
FI. ~ FL
T~'~,ns;~ip: Range:. ,~-~.n~; F'dl ~ ~ ~-~.~' grade:. C-tav~ Len~h:
o. ~ ,,. ~ F,.
Nun~ef ~ rmes: J Bi.ante between lines:
Well: [] New [] Upgrade c.~,~,-~ ~' ~) F~. I{
too .. ~, t ,~ ~'4-o ~1 ,4~
t Dare ffls~ea:. /
'~"~'..,.--...-.-,. ~/~o/o~. ~ ~, .4,,~._~ ~ ,jr/,:,,
~d: ~ Pu~ ~ ac ' J ~ ~ ~ ~:
~ ~.., ~K ~'.l ~ ,~ TANK
, SEPA~TION DISTANCES ~ ~ ~mg ~ S.T.E.P. ~ O~en
T~ Septic Absa~on Uff Holdi~ ~ ~ -
Tank Reid S~fion Tank S~e ~/~ ~~
w,,, -. ,,
Re.ms:
BENCH MARK
Engine~m= '
~:~;,. - ... ,90,
SiS ~GINEERING ~.
Inspections pedormed bl~3~ =..~..:... ~. o~.~ ~,~ ~es: 1~ ~ ~J ~ ~ ~b%
gevelopm~~ice) ~pa~nt Approval; t ~.~ ROBERT C. COWAN
Y. I, /o4 .....
Reviewed and approved ~y: ~te: [ ~"~*~, ~ ....
pRRMIT NO. SW0301 52
PAGE 2 OF 3
Hunicip. ati-t oF' AnchoF'o, Qe
DEPARTMENT OF HEA~THAND HUlVrAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
p.l-l. Box 1,96650 ®AnchoraDe, Atasl<c~ 9951.9-6650 · Te!,eDhone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 29B, ALFONSO S/D P.I.D. NO. 051-281-91
---I
,.,I
~ ~ IBM
~[ 0~ NEW 1250 GALLON C02 ~ ~
~C01 ~
, SCA~: 1" = 50'
50' B.L.M. RESERVATION EASEMENT
' ~.~ ..-' A'".. ~ ~
I ~, ~/ ~',.:~
, , ~-.~,./j7-?,~-.-~ ....
I , ~..r~~ ~
j I h '~', ~. .-' ~'
J · ~..,, .,.
~ '~x'.~<~~
' I
PREMIT NO. SW050152
PAGE 5 OF 3
· Municip. o, tii: oF Anch
DEPARTMENT OF HEA~_THorc~Qe
AND HUtffAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.D, Box 196650 ·Anchor-age, Atasl-<a 99519-6650·Teteohone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION
REPORT
LECAL LOT 29B, ALFONSO S/D P.I.D. NO. 051-281-91
FINAL
q_,:; ~;,/J NEW 1000
I GALLON
J SEPTIC TANK
FINAL
GRADE
A B
FCO 21.0' 29.5'
ST1 40.5' 46.0'
ST2 47.5' 52.5'
TMT 48.0' 55.5'
DBL1 54.0' 58.5'
DBL2 55.5' 59.5'
C01 92.5' 106.0'
MT1 91.0' 105.0'
C02 99.5' 90.5'
MTl=88.0'-/
NO
C01=98.3'
2=98.3'
C01=94.2'
C02=94.2'
·
WATER FOUND
82.0' B.O.H.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650'
www.ci.an chora,qe.ak.us
(907) 343-7904
Soils Log - Percolation Test
Performed For: 4Jk,J I ~ ~
Legal Description: ~:~7- ~-~ ~.,'
HL
2-
3-
4-
5-
7-
8-
9-
10-
11-
12-
Slope
Township, Range, Se~on:
Site Plan
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT DEPTH?
Depth to Water After
Monitoring?
Date:
8
L
O
P
E
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
Reading Date Gross Time Net Time Depth to Water Net Drop
F~o,.~ 't/5/o3tv 0 /~ ' ---
I!
/o /o / ¢ '/,~ " ~.74 "
io IO I~"
/0 /o l, ff"
PERCOLATION RATE I - I 'ninutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ ~T AND ~ FT
PERFORMED BY: 54 .~ ~-~"~6 ted .~::(~e,,l(..~"-' I CERTIFY THAT THIS TES]; WA~S
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPA~ ~ E~CT ON THIS DATE. DATE:
( erti[iei ril. lLing
by
DOC CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2Z50,
OWNER OF LAND: ?'?/-'3~J ~ J..f~l q ~ i ~ BORE HOLE DATA
ADDRESS:
/
DATE:
-/
/
PERMIT NUMBER: ~¢)-~O/~. Date of Issue_~._
TAX IDENTIFICATION NUMBER: ~ ~"'/ -
Is well located at approved permit location? ~¢¢' se~ '2 No
Method of Drilling: ~Lair~ary -'~ cable tool
/
Depth of well: .t 6) ~
Casing Type S~_,¢'~ Wall Thickness o ~'~ .~"'-~ inches
Diameter ~ /! inches, depth ~/ feet
Liner Type:
Casing Stickup Above Ground:.
Static water Level: '~ dc~
Recover Rate: '~3 gpm
Method of Testing: ,~!/Z.,.
feet
feet
Well Intake Opening Type: Q open end O open hole
7J Screened; Start feet Stopped feet
'f-"J~erforations Start (.oO feet Stopp.~d ~/~ feet
Grout Type:/.~ ~rO ~ '"J
Volume / /30 ~,,~.
Depth: from ~ feet, to ¢). O feet
Well Disinfec'ted Upon Completion? 4.~s ~ No
Method of Disinfection: ~
Comments:
DEPTH
From To
A %"' too
.t' 7/c..4fJ ~
Driller's Name
A'FrENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
MUNICIPAI~ITY OF ANCHORAGE
PLATTING AUTHORITY RE'SOLUTION NO. 2003-28
ANCHORAGE RECORDING DISTPJCT
,
A RESOLUTION APPROVING THE VACATION OF A 30-FOOT WIDE WATER AND SANITARY
SEWER EASEMENT ALONG THE SOUTH BOUNDARY OF LOT 29B, ALFONSO.
SUBDIVISION {PLAT 98-151}, LOCATED NORTH OF KAMKOFF AVENUE AND EAST OF
SHIMS STREET WITHIN THE NE % OF SECTION 25, TISN, R2W, S.M., ALASKA.
WHEREAS, a petition has been received from Stan and Laurie Snider to vacate
[eliminate) a 30-foot wide"kvater and sanitary sewer easement along the south boundary of
Lot 2913, Alfonso Subdivision [Plat 98-151], located north of Kamkoff Avenue and east of
Shims Street within the NE % of Section 25, T15N, R2W, S.M., Alaska, and
WHEREAS, administrative review of the request was completed on May 12, 2003.
NOW, THEREFORE, BE IT RESOLVED by the Platting Authority that:
1. The Platting Authority makes the following findings of fact:
a. The property is served by on-site water and waste water systems.
Public water and sanitary sewer are not available to the property at
this time.
The Anchorage Water and Wastewater Utility (AWWU) stated no
objection to vacation of the easement in a letter dated August 22,
2002. Any possible future extension of AWWU mains will be located
within the right-of-way.
c. The easement is found to be surplus t6 the municipal need for water
and sanitary sewer easements for future extension of public utilities to
this lot.
%
The Platting Authority APPROVES vacation of the 30-foot wide water and
sanitary sewer easement subject to recording a resolution at the District
Recorder's Office.
APPROVED by the Anchorage Plattlng Authority this 12th day of May 2003.
O errYl~. I}Teaver,~'~r.
Platt~g Officer
Return to:
Case S-11090
Municipality of Anchorage
Dept. Community Planning & Development
P.O. Box 196650
Anchorage, AK 99519-6650
Attm Margaret O~rien
2ol 2
MUNICIPALITY OF ANCHORA GE
Development Services Department
On-Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: May 27, 2003
Expiration Date: May 26, 2004
Permit Number: SW030152
Legal Description:.~!ALFONSO LT 29B ~
Design Engineer:.
Owner Name:
Owner Address:
0003 S & S Engineering
Laurie Snider
PO Box 774461
Eagle River, AK 99577-
Parcel ID: 051-281-91
Site Address: 016225 SHIMS ST
Lot Size: 49071 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
r~ Disposal Field [] Septic Tank [~ Holding Tank F--J Privy
[] Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. 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 ( 18AACB0 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
~5~-'~Th'~ f(~ll(~ing special pr°visions.
.~PRIOR TO CONSTRUCTION'OF THE SUBJECT WASTEWATER DISPOSAL SYSTEI~FiT-iE-'[~iNEER SHALL
;~PERFORM A PERCOLATION TEST/N THE 'GM~ SOILS .THE ABSORPTION FIELD IS DESIGNEDTO DRAIN
!INTO. f
Date: ,~/3.'7'/o~
Date:~
Municipality Of' Anchorage
Development Services Department
Bu. ilding Safety Division.
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELE PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
ParcelI.D. O~'t-2~//-ql
Permit Number SW 0 ~'O/5'2-
Property owner(s)
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block
Day phone
Zip Code
Legal description (Section, Township & Range)
Lot Size ,/-/'~/ 0 ~-// Acres/Sq. Ft.
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
Number of Bedrooms
[] Well Only []
Water Storage []
THIS PROPERTY CONTAINS:
Hot Tub [] Jacuzzi []
Swimming Pool [--I Water Softening Unit []
Therapy Pool I-]
I certify that the above information is correct. I fudher cedify that this application is being made for a
Single Family. Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
-Per¢~ Fees: _ ~ /Of,.3, ,,o
Date of Payment:
Receipt Number: ..~ ~ ~ ~ ~f ~,.
(Rev. 1~00)
Waiver Fees:
Date of Payment:
Receipt Number:
MUNICIPALITY OF ANCHORA GE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: May 22, 2002
Expiration Date: May 22, 2003
Permit Number; SW020124
Legal Description: ALFONSO LT 29B
Design Engineer: 0003 S & S Engineering
Owner Name: Laurie Snider
Owner Address: PO Box 774461
Eagle River, AK 99577-
Parcel ID: 051-281-91
Site Address:
Lot Size: 49071 SQ. FT.
Total Bedrooms:/r'~ ~-~ Permit Bedrooms: ~" ~
This permit is for the construction of:
[] Disposal Field r~ Septic Tank
[] Holding Tank [--] Privy
Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design,
2. 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 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A.. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: "~~f~ ~ Date: ~'/~ z"-/~) 'Z-.
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Parcel I.D.
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLI'NG
Permit Number SW0~0/2_4.
Property owner(s) LO, ~y' i'~ 5Y"~
P. O. ?'7
Mailing address (2> ,~ O.~ le
Legal description (Lot, Block & Sub'd.) L..i~
Legal description (Section, Township & Range)
Lot Size ? ~1 i~ '-] [ AcreO'
Day phone
Zip Code
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only []
Water Storage []
D Jacuzzi []
D Water Softening Unit []
I certify that the above information is correct. I further cedify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
~2 ~ S & S ENGINEERING
17034 Eigle River Loop Road No. 204
(Signature of property owner or authorized agent)
Permit Fees: A'-,3"' O. ~ ~ Waiver Fees:
Date of Payment: 5'/6 5"/o 'z. Date of Payment:
Receipt Number: O ] o/ '7~ o ~ Receipt Number:
(Rev. 12/00)
~ItlEERIIICj
ROBERT C. COWAN, P.E.
May 21, 2002
CIVIL ENGINEERS
(007) 694-2979
FAX (907) 694-12t t
FF./~TH AUTHORITY
SEWER&WATER
MNN EXTENSIONS
SEWER&WATER
INSPECIION
ENGINEERING STIJOIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOCATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
W/~TEWATER
OISPOGAL SYSTEM
DESIGN
MuNICIPALITY OF ANCHORAGE
DeVelopment Services Department
P.O,'Box 196650
Anchorage, iAK 99519
REFERENCE: Lot 29B, Alfonso S/D
It is requested that you issue a permit to install a well and septic system to serve the
proposed three bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 5/2/02 no water
was found. After monitoring, ground water was not found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/bij
Enclosure
17034 NORTH EAGLE RIVER LOOP ~ SUITE 204 * EAGLE RIVER. ALASKA ~9577
Performed For:
Legal Description:
2-
3-
4-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
COMMENTS
Municipality of Anchorage
Development Services Depadment
Building Safety Divislon
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.a nchora qe.ak.us
(907) 343-7904
Soils Log - Percolation Test
Slope
I t'~ CE-OO0~
Date Pe~o~ed:
Township, Range, Beckon:
Bile Plan
IF YES, AT WHAT DEPTH? ~ L
Depth lo Water After O
Monitoring? -J)/~ ~f P
E
Dale: ..~"'//i,/~ ~..
il : L ,drT
Reading Date Gross Time Net Time Depth lo Water Net Drop
,t/.-,¢.
PERCOLATION RATE '~' ,/ (minules/inch) PERC HOLE DIAMETER
TEsT RUN BETWEEN ~' FT AND G FT
PERFORMEB BY: / .. /~.~~~¢:. , ¢/~/j~Z ~/3..__ CERTIFY THAT THiS TEST WAS .
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL (~UIDELINES IN EFFECT ON THIs DATE. . DATE: ~-/~ 5",/~ Z.
Municipality of Anchorage
® Development Services Department
Building Safety Division zx
On -Site Water and Wastewater Program 6*AE
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-281-91 HAA# 0 01.0 7�
_ o
Expiration Date: - - d
1. GENERAL INFORMATION
Complete legal description Lot 29B; Alfonso:. Subdivision
Location (site address or directions) 16225 Shims St.
Current Property owner(s) Stan & Laurie Snider
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Day phone 696-4079
PO Box 774461 Eagle River, AK 99577
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup. -3 / S" /0
2. NUMBER OF BEDROOMS: C.--
3. TYPE OF WATER SUPPLY: ' TYPE OF WASTEWATER DISPOSAL:
Individual Well
MK
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Individual On-site 5a
Individual Holding tank ❑
Community On-site ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 Health Authority 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 S & S Engineering Phone 694-2979
Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AKj 99577
Engineer's Printed Name Robert C. Cowan Date 3
r� OP --,,A
SNEER' ' •.Sfe
5. DSD SIGNATURE ROBERT C. COWAN
_j Approved for `T bedrooms. CE - sso t r
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments Z :t WATER
AND
WASTEWATER`—
Dor nPAM :
T 9;;�ENT w��•�•
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: Original Certificate Date: 3 "' o UU
T
(Rev. 01102)
Municipality of Anchorage
Development Services Department
Building Safety Division -�
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Loi -,�_ cl ►3 i4 LFod 5J 51 1) Parcel ID:_Q S_—"i!
A. WELL DATA
Well type P;; "/ATQ-
Date completed c? % Solo a
Total depth / 0 O ft.
If A, B, or C provide PWSID # =
Sanitary seal (JLlN) Y¢ 1
Cased to 93, 1 ft.
FROM WELL LOG
Date of test e't' 3o/o
Static water level
Well production
WATER SAMPLE RESULTS:
3 `3 ft.
3
9 -P.M.
Well Lok -N)
Y' 5
Wires properly protected( N) Y� s
Casing height (above ground) / S in.
AT INSPECTION
w`
ft.
g.p.m.
Coliform _ a colonies/100 ml. Nitrate 0 s I mg./I.
Arsenic: mg./I. Date of sample:3,4-a-7/°H
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material 5�:�- S'T �1 r✓ 2 --
Tank
Tank size 1 e_�- '�_O gal. Number of Compartments �-
Foundation cleanout �,Y�iN) Y8 -� Depression over tank (Y& Al L
Date of pumping W 1A — N jy i,. Pumper
C. ABSORPTION FIELD] DATA
Date installed CJ Ir/ o 3 Soil rating g. .d./ft' or ftZ/bdrm) f� a -
Length 'q S, ft. Width 3 ft.
Other bacteria 0_ colonies/100 ml.
Collected by: S & S ENGINEERING
�170�4 age River Loop Road No. 204
Eagle River, Alaska 99577
Date installed -r /S A 3
Cleanouts&N) Y '6-� J
High water alarm (YQ) "w Q
System type t7 E -�,' TR iw c -H
Gravel below pipe ft.
Total depth 10 ft. Eff. absorption area S9e fL Monitoring tube Y9.j Depression over field A, L)
Date of adequacy test N %/? — Aj 1' u� Results (Pass/Fail) �ed
Brooms
Fluid depth in absorption field bef]F'
test in. agal. New depth in.
Elapsed Time: min. i depth in. Absorption rate >= g.p.d.
Any rejuvenate a ment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at in_,
E. SEPARATION DISTANCES
es tested
SEPARATION DISTANCES FROM WELL ON LOT TO.
Septic tank/lift station on lot / C Q
Absorption field on lot / C L)
Public sewer main 7) /A
Manhole/Access (Y/N)
i fig water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
_ r
Sewer /septic service line ;ZS + Holding tank f
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
< <
Building foundation `s- -t- Property line s- Absorption field_
Water main N �/i Water service line /b ,} Surface water
�—
%f1
Wells on adjacent lots /00 'f
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line %U �� Building foundation Water main N /
Water Service line Surface water Driveway, parking/vehicle storage /(-10
f
Curtain drain N t Ne: lf-�Ncw.' Wells on adjacent lots —)0 0 t -
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in ...Prrt"(::,
conformance with MOA HAA uidelines in effect on this date. f) ::. ROBERT C. COWAN r r
�¢ Gj CE - 8801
Engineer's Printed Name CO
Date
HAA Fee $ 2f 3 Lo. y Waiver Fee $
Date of Payment 3 a- Date of Payment
Receipt Number X - Receipt Number
(Rev. 12/01)
30
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3.0' x 3.8'
PORCH
WELL
29A
$ 89058'36'E
21.50'
•
✓Y
S 89058'38"E 122.95' (R)
L DRNE N m o
GRAVE —
82.3' Q'O z 2.1 183.1 '
v) N
I.0' x 7.6' �� 5'8 X ZO o o 00 4" PVC SEPTIC
CM I (LEVER = Uj 2.1' 0 �� STD -PIPES (TYP)
U n m
O _� (D
--——
a
co
= 30' AWWU EASEMENT ( V rt c A r =i,>)�
C6
N
32
S 89°58'36"E 297.61' (M)
BASIS 297.56' (R)
E103 AS BUILT 60-56
2 PLOT PLAN 54-59
DATE FLD. BK.
.P �.4F••
�•••• •••
Asr
AF
• •r. ...►•• • y•• .••
Willla D. Fleming
ter,. •.• -5773
1 aA •.....• S'
46*
30IN 14 vi'm 1010,
'�
NOTES: Easements -not appearing on record subdivision
plat are not shown unless description of easement is
provided by client. It is the responsibility of the owner
or builder, prior to construction, to verify proposed
building grade relative to finish grade and utilities
connections, and to determine the existence of any
easements, .covenants, or restrictions which do not
appear on the recorded subdivision plat.
Elevations based on assumed datum unless otherwise
indicated, and bearings and distances are record data.
W
N
i�
SS Engineering
8 n S&S 97034 EAGLE RIVER LOOP ROAD
Engineering
z EAGLE RIVER, ALASKA 99577
(907)694-2979
LEGAL DESCRIPTION
LOT 298
ALFONSO SUBDIVISION
PLAT NO. I SCALE I GRID
98-151 1" =40' NW 753