HomeMy WebLinkAboutSUNSET HILLS BLK B LT 10Sunset Hills
#018-201-31
t
yw Municipality of Anchorage .. •` '°•
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 S. Bragaw St
P.O. Box 196050 Antlwrage, AK 995148850. Page !. of 2
www.d.anchorage.ak.us (9D7)343-7904 .
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWOY016-0 PID Number. O 16 -201 - 3 /
Name:
!•jorr(ef!• wavniv-
Wastewater System: ❑New. ®Upgrade
Add° :P. a. 130x 111666 .4ACAU g4 99,S1/
ABSORPTION FIELD
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LEGAL DESCRIPTION
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Reviewed and approved by: Date: O—�
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�TWODORE F. RE
t CE. '
% 3589 IF
111 y�f
PERMIT NO: SWO40160
I SWING TIES:
FROM: COR. "A" COR.
TO:
S.T. C.O. "C"
S.T. C.O. "D"
DBL C.O. "E"
TR. C.O. "F"
TR. M.T. "G"
TR. C.O. "H"
56'
64'
66'
59.5'
90'
116.5'
87.5'
92'
91'
80.5'
76'
Be,
ORIGINAL
ELEV. 98.0'
PLAN VIEW
SCALE: 1" = 30'
76 -FOOT LONG
SOIL ABS. TRENCH
w. 8.0' EFF. GRAVEL
TR. ELEV. 84.0'
CROSS-SECTION
SCALE: 1" = 5'
PAGE 2OF2
-�v..........
*'"491"A
INV. O' �••.•• •• .T.i.��.0 ••
93.4' �, HEODORE F. MooRE�� !
viat :� CE -3589 1
MUNICIPALITY OF ANCHORAGE
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
Upgrade
Date Issued: Jun 01, 2004
Expiration Date: Jun 01, 2005
Permit Number: SW040160 Parcel ID: 018-201-31
Legal Description:6l)NSEiLCSBfi
Design Engineer: 0019 Flattop Technical Services Site Address: 014020 SPECKING AVE
Owner Name: Harriett Warner Lot Size: 27400 SQ. FT.
Owner Address: PO Box 111666 Total Bedrooms: 4 Permit Bedrooms: 4
Anchorage , AK 99511-1666
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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.
Date:
Issued By: t'Zf'1' Date: (, f t7'
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
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 012—MI-31 Permit Number SW
Property owner(s) Harrj4e)` f CA+Ccr4w- Day phone 3 V r –Dys'7
Mailing address (1) P.O. 4ox 111 d6d
Mailing address (2) OfAcAccar le 1 /4 rC Zip Code 9frli
Legal description (Lot, Block & Sub'd.) L.o>t /O, 8&c(e "L3"O d wovef ;'}rlir C
Legal description (Section, Township & Range)�L}1�Z��(J�n C y -''a Awl
Lot Size Z.1 A D D Acres/ q.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ER
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
1 certify that the above information is correct. I further certify 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)
Permit Fees: Vero == Waiver Fees:
Date of Payment: G _ Date of Payment:
Receipt Number: -170� Receipt Number:
(Rev. 12100)
CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
May 24, 2004
M.O.A. DSD
P.O. Box 19-6650
Anchorage, AK 99519
Dear Sirs:
The purpose of this letter is to provide the required design narrative in support of our application for
a permit to upgrade the wastewater disposal facilities serving the 4 -bedroom residence on Lot 10, Block
"B", Sunset Hills S/D, located at 14020 Specking Avenue. Soils logs, perc test results, a site plan,
design drawings and specifications are enclosed for your review.
The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil
log, the native material below 9 feet is a silty gravelly sand with a measured perc rate of 8 minutes per
inch. Using the soil application rate of 0.8 gpd/sq. ft. specified in the wastewater ordinance, this 4 -
bedroom residence requires a total absorption area of (4 x 150)/0.8 = 750 square feet. The proposed 75 -
foot long trench design with 5 feet of gravel between 9 and 14 feet below ground level has a total
effective absorption area of 750 square feet. You will note that the design includes an extra foot of
sewer gravel between 8 and 9 feet below ground level whiclfwill provide additional unquantified
absorption area.
The topography of the lot in the area of proposed construction is level
The proposed project will have no significant impact on present or future water supply and
wastewater disposal systems serving adjacent properties, nor will it have any significant impact on
reserved space -surface and subsurface, or on drainage.
Please give me a call at 345-1355 if you have any questions on this submittal.
Sincerely,
Ted Moore, P.E.
,
LOT 11
20' ALLEY ,�'
SEPTIC
REA
LOT 24
INSTALL NEW
1250 -GALLON
SEPTIC TANK
ABANDON EXISTING
SEEPAGE PITS
LOT 25
$EPTK ar
53
\` LOT 9
•• SEPTIC`
` AREREA/
•''4gT�c _"_
......... .........
dg
THEODORE F. MOORE
p 1,• CE -3589
LOT 10, BLOCK "B", SUNSET HILLS S/D
WELL AND SEPTIC SYSTEM
SITE PLAN
FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, AK 99516 MAY, 2004
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIN
CONSTRUCT NEW 75 -FOOT LONG
SOIL ABSORPTION TRENCH w. -
8.0' GRAVEL BELOW DIST. PIPES
HOUSE
INSTALL NEW
1250 -GALLON
SEPTIC TANK
DBL.
rrArr C.O.
"DIA. D-3034
(TYP.) M.T.--/ 75 I \— 4" DIA. F-810 PERF. PIPE
14
"All
PLAN VIEW
SCALE: 1" =10'
R TUBE
BACKFILL 8"
GROUND,- .•' 4 ;`'�
� 1
rv*
4' A ,
rP'4r; jl,t�TH
.TER FABRIC
4" DIA. F-810 PERF. PIPE
6
1/2" - 2 1/2"
SEWER GRAVEL
BOTTOM
TRENCH
LOT
CROSS-SECTION "A - All
SCALE: 1" = 5'
1A42A V l
recap ri
THEODORE F. MOORE
CE -3589
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
TEST HOLE #1 SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: Lot 10, Block "B", Sunset Hills SID
DATE PERFORMED: May 6 2004
PERFORMED FOR: Harriet Warner
Asphalt SLOPE
SM/ML Sandy silt
damp
GM/ML Gravelly sift
Dense, variable
Some boulders
SM/SP Silty Gravelly Sand
Some boulders B
cobbles - hard
B.H. (5/6/04)
B.H. (5/14/04)
v= „�
�y aI. ......... ., It
? 4�TK t�
•:. i. ...... ..=..a�.M
THEODORE F. bOORE
e1 • • Y'
SITE PLAN
LOT 10, BLOCK "B'•
SUNSET HILLS SID
T.H.
#1
Date Reading
Clock
Time
Net Time Peroometer
(minutes) Reading
Net Drop
(Inches)
5/11 Presoak
275/8---
12" Resoak
271/2
tart
:58:45
233/8
_
3:28:45
30 19
43/8
Add water
:29:3
237/16
_
#2
3:59:30
30 191/2
315/16
Add water
4:002311/16
#3
1 4:30
30 197/
13/
L� PERCOLATION RATE 8 (minutea(nch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 10.5 FTAND 11.0 FT
COMMENTS: Test hole deepened to 29 b.g.I. on 5/14/04. Size absorption trench 0 0.8 apd/sg. fL for soils below 9'.
PERFORMED BY FLATTOP TECHNICAL SERVICES. IZ,� CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE_ Y, 2-4+•0 y
Tfattop 7echnicafSen ice s
14530 Ecfw Street, Anchorage, A7C99516
None (90 7) 345-1355
Lot 10, Block "B", Sunset Hills S/D
14020 Specking Avenue
Wastewater disposal system installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandoning an existing septic tank seepage pits and
installing a new 1250 -gallon septic tank that discharges effluent into a new 75 -foot long soil absorption
trench containing 6 feet of gravel below the horizontal distribution pipe.
1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor
deviations from these drawings may be allowed or required by the engineer conducting the inspections.
All construction procedures and material specifications shall conform to Municipal and State
requirements. All separation distances shall be in conformance with Municipal requirements, unless
specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around
any buried utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading
after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the
construction.
2.0 Septic Tank:
2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top
and backfilling with soil.
2.2 The new 1250 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set
level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a
4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial
type, rigid insulation.
2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The
waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the
waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot.
A cleanout shall be installed 1 - 4 feet from the building foundation, and a double cleanout shall be
installed within 5 feet downstream of the septic tank.
3.0 Soil absorption system:
3.1 The soil absorption system shall be constructed by excavating a 75 -foot long trench to a depth of
14 feet below ground level. The long axis of the excavation shall parallel an existing contour
3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked
to allow proper infiltration. Sand for leveling or serving as filter material shall comply with Municipal
specifications.
3.3 A total of 6.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with
the perforated distribution pipes laid level such that the pipe inverts are no less than 6.0 feet above the
bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing
the #200 sieve.
3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on
the design drawings. The portion of the monitor tube extending through the sewer gravel shall be
perforated.
3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A
minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less
than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the
gravel, in addition to the filter fabric.
3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the
surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill
slopes shall be no steeper than 3:1.
3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have
the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and
seed to promote rapid revegetation of all areas disturbed by the construction.
4.0 Inspections:
4.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial
stakeout with the contractor to establish the location of the system and to discuss the plans,
specifications and construction procedures, (2) after the native material has been excavated to expose the
infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test
information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected
up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and
grading is complete. The septic tank requires one inspection after it is set level and the piping
connected, but prior to backfill. This inspection may be incorporated with any of the above inspections.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
M1
N89°59100"E 181.00
I
/ GRAPHIC SCALE: 1 Inch = 30 Feet
is o 15 30 60
HARRIETT WARNER
1" = 30' Lot 10 Block B
3—Built
Engineering & Surveying, Inc. 3033 2400650 SUNSET HILLS
9330 Vanguard Drive, Suite 203 Drawn b Field Book SUBDIVISION
Anchorage, Alaska 99507 y
(907) 562-6050 CEF/DLM
I hereby certify that the property described hereon has been surveyed
by me, or at my direction, and that the improvements situated thereon
are within the property lines and do not overlap or encroach on the
property lying adjacent thereto unless otherwise shown. That no
improvements on the property lying adjacent thereto encroach on the
premises in question and that there are no roadways, transmission
linea or other easements on said property except as shown.
It is the responsibility of the owner or builder, prior to construction,
to verify proposed building grade relative to finish grade and utility
connections and to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded subdivision plata
Listed distances prevail over scaling.
Reproduction may cause distortion.
i.. .................
i
......... ...
W CHARLES E. FORBES o
v .
�,N�.•. LS -7326
'viB •. .• SJ �.
A'0fe s s i 0 na\`e'��
AUG -27-2004 11:23
J i k ��✓.
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.
P.01
CML k ENMONMENTAL },NGINLEMC • ENERGY CONSERVATION k ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
August 27, 2004
MOA On -Site Services — Attn: Jeff Poet
Development Services Department
P.O. Box 19-6650
Anchorage, AK 99519
By FAX : 343-7997
Dear Mr. Poet:
Per your request I have verified that the original well serving the residence on Lot 10, Block "B",
Sunset Hills S/D, located at 14020 Specking Avenue was properly abandoned on 9/24/04 by filling with
bentonite chips and concrete that extends up over tate top of the casing.
Please give me a call if you have further questions, and otherwise proceed with issuance of the
requested HAA certificate.
Sincerely,
r5ot *®`a+
Ted Moore, P.E.
cc: Harriet Warner
TOTAL P.01
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
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
TO: Ted Morre
Legal description: Sunset Hills Block B Lot 10
The attached paperwork has been reviewed and Is being returned for the following reasons:
❑ Original signature or stamp missing on _
❑ Calculation error in design. _
❑ Additional soils Information needed. _
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted. _
❑ Topographic Information missing or inadequate.
❑ Incomplete; missing
❑ Incomplete; missing _
❑ Additional adequacy test Information needed. _
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing. _
❑ Locations of all soils, percolation and water monitoring tests not shown. _
❑ Proposed system too deep for soils information submitted. _
❑ Well log required. _
❑ Omission in narrative. _
❑ Insufficient fill over tank or field._
® Other. Well NOT on Survev
Name of reviewer. Jeff
Date: 9/9/2004
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
Municipality of Anchorage
Development Services Department
Buikiing Safety Division *At
Onsite 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/WELL SUBMITTAL COMMENT SHEET
Legal description: se y l l r/s C� l vc k C- j L o f /Ao
The attached paperwork has been reviewed and is being returned for the following reasons:
Original signature or stamp missing on _
Calculation error in design.
❑ Additional soils information needed.
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
❑ Incomplete; missing _
❑ Incomplete; missing
❑: Additional adequacy test information needed.
Water sample unacceptable:
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for sons information submitted.
❑ Well log required:'_
❑ Omission in narrative. _
❑ Insuffident fill over tank or field.
® Other. Wel not in use must be decommisian or water samples submitted
Name of reviewer: ja Date: 8/16/2004
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
1�1' pAY_it� USC
• Municipality of Anchorage
On -Site Water and Wastewater Program a'
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 018-201-31 Expiration Date:
1. GENERAL INFORMATION
Complete legal description SUNSET HILLS BLOCK B. LOT 10
Location (site address) 14020 SPECKING AVE., ANCHORAGE AK 99515
Current Property owner(s) MICHAEL & KAREN FINK Day phone
Mailing address
Real Estate Agent
14020 SPECKING AVE.. ANCHORAGE, AK 99515
2. TYPE OF DWELLING:
® Single Family (wlwo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
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
❑
WaiverNariance request for:
Received by: Date: -8—/S
COSA to be released to the engineer, unlesst e s quested by the engineer.
COSA Fee
Date of Payment
Receipt Number
COSA#
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 ARCTERRA CONSULTING INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 8/25/15
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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 well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist. ,� �� OF AZ \,
'A Q Tt/ -1
6. DSD SIGNATURE
�f System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
a xrxreeTt{ M6 n r x
.711
� � • s� toN�ti �
Conditional approval for bedrooms, with the following stipulations:
WATER AND
A))I)) 11EZt���.
BY Original Certificate Date:
The ni lif orage 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 eFreet 1040-12.dw
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: SUNSET HILLS BLOCK B, LOT 10 Parcel ID: 018.201.31
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID #
Date completed 4125/1967 Sanitary seal (Y/N) Y
Total depth 122 ft. Cased to 122 ft.
FROM WELL LOG
Date of test 4/25167
Static water level 100 ft.
Well production 6 9.p -m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic: ND ug/L Date of sample: 8/1112015
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SEPTIC I STEEL
Tank size 1250 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping Y -/S /J Pumper_De44,,1,iZ
C. ABSORPTION FIELD DATA
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 24+ in.
AT INSPECTION
7/312014
dw
Collected by: ARCTERRA
Date installed 61412004
Cleanouts(Y/N)
High water alarm (Y/N) N
Date installed 614/2004 Soil rating (g.p.d.M2 or ft2/bdrm) 0.84 System type DEEP TRENCH
Length 76 ft. Width 2.5 ft. Gravel below pipe 6 ft.
Total depth 13_75 ft. (Measured 7/3114) Eff. absorption area 912 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 7/312014 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field 4afore test 32 in. Water added 607 gal. New depth 47 in.
Elapsed Time: 1420 min. Final fluid depth 32 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION - NA
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 1001+
Absorption field on lot 1001+
Public sewer main 751+
Sewer /septic service line 25'+
Animal containment areas 50'+
SEPTIC/HOLDING TANK ON LOT TO:
On adjacent lots 1001+
On adjacent lots 1001+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Manurelanimal excrete storage areas 1001+
Building foundation 51+ Property line 51+ Absorption field 51+
Water main 10'+ Water service line 101+ Surface water 1001+
Wells on adjacent lots 1001+
ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 104 Water main 104
Water Service line 101+ Surface water 1001+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1001+
F. COMMENTS
in.
7/3/14 inspection corresponds with previous MOA record documents / comments (!,a. Feld is partially paved over - basketball court t
G. ENGINEER'S CERTIFICATION
I certify that t 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 KENNETH M. DUFFUS r
Date 7/5/2014 * q
COSA brown sheet-10-10-12.doe - - EENNE;rH eti .
tie
AW
sstog�'
'�1� z pgGE $4i
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 018-201-31 Expiration Date: _ 1 ® - _;z_"
1. GENERAL INFORMATION
Complete legal description SUNSET HILLS BLOCK B, LOT 10
Location (site address) 14020 SPECKING AVE. ANCHORAGE AK 99515
Current Property owner(s) MICHAEL & KAREN FINK Day phone
Mailing address
Real Estate Agent
14020 SPECKING AVE ANCHORAGE, AK 99515
Day phone
2. TYPE OF DWELLING: J6Mi, T
'f
® Single Family (w/wo ADU) 1
F-1 Duplex
6g
❑ Multiple Dwellings (Single Family and/or Duplex) JUL 1 7 2014
3. NUMBER OF BEDROOMS: 4
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
❑
WaiverNariance request for:
Distance:
f _ �
Received by: f `. Date: ' R
COSA to be released to the engineer, unless otherwfsq�egyasted by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment Date of Payment
Receipt Number 63S-110 Receipt Number
COSA# C�SL1��3`lo 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 ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 715/14
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. 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 well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen w OFA \
encroachments, deficiencies or discrepancies exist. �� Z i
6. DSD SIGNATURE
System #1 Approved for bedrooms. PP KENNET M. D"FT w
tRi- �w /
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
OF
WATER AND
999"'1VTSE�
ZBy:Of
riginal Certificate Date: 1—�
unic' i f An age 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.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory _ Other
nnan r.i�w �nwr �n�rt�n nM
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: SUNSET HILLS BLOCK B LOT 10 Parcel ID: 018.201-31
A. WELL DATA
Well type PRVT
If A, B, or C provide PWSID # _
Date completed 4125!1967
Sanitary seal (YIN) Y
Total depth 122 ft.
Cased to 122 ft.
FROM WELL LOG
Date of test
4125167
Static water level
100 ft.
Well production
6 g.p.m.
WATER SAMPLE RESULTS:
Coliform iVe& _ colonies/100 mL V Nitrate 10 mg/L
Arsenic: _So ug/L Date of sample: 7/312014
B. SEPTIC/HOLDING TANK DATA
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 24+ in.
AT INSPECTION
7/312014
ft.
9 -
p.m -
Collected by: ARCTERRA
Tank Type/Material SEPTIC / STEEL Date installed 614/2004
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping %- /7- / Pumper O'-zcw� c�
C. ABSORPTION FIELD DATA
Date installed 6/412004 Soil rating (g.p.d./ftz or ft2/bdrm) 0.80 System type DEEP TRENCH
Length 76 ft. Width 2.5 ft. Gravel below pipe 6 ft.
Total depth 13.75 ft. (Measured 7/3/14) Eff. absorption area 912 ft Monitoring tube Y Depression over field N
Date of adequacy test 7/312014 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 32 in. Water added 607 gal. New depth 47 in.
Elapsed Time: 1420 min. Final fluid depth 32 in.
Absorption rate >= 600+ g.p.d.
Any rejuvenation treatm;nt (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION - NA
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 100'+
Absorption field on lot 100'+
Public sewer main 751+
Sewer /septic service line 251+
Animal containment areas 50'+
SEPTIC/HOLDING TANK ON LOT TO:
On adjacent lots 1001+
On adjacent lots 100'+
Public sewer manhole/cleanout 1004
Holding tank 100'+
Manure/animal excrete storage areas 100'+
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 101+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 10'+ Water main
Water Service line 101+ Surfacewater 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 100'+
F. COMMENTS
7/3114 inspection corresponds with previous MOA record documents / comments fie field is partially paved over- basketball court )
G. ENGINEER'S CERTIFICATION
I certify that t 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. i OF /�� ,
Engineer's Printed Name KENNETH M. DUFFUS
Date 715/201448 TH �*
COSA brown sheet-10.10-12.doc , P I�NNETH . OF 04
7118/
��ssioN�' .V
L i nJ-Q F Cando -2 a
Municipality of Anchorage
�4 aLL aIa$J
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program s J�Jor
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 RFi I Ss tlei
Parcel I.D. 015 - 201 -:r / HAA # % Q
Expiration Date:' - - ro • O .S
1. GENERAL INFORMATION
Complete legal description ;.of 1o.0 01&C le x'17` SunJcF Hd& C /p
Location (site address or directions) iYo20 50--c q#7 A-eilnc;e
Current Property owner(s) Hi Tree k- We4roo, - Day phone 3 ys' -ovs-7
Mailing address F-0. dcx 11 ( ddb. /}nc�', ' A -k
Lending agency F#erF A/c, I'I 474a Jr Day phone 2-re-6.ror5
Mailing address
Real Estate Agent
Mailing Address
As nelct 64ecloz« XRck. wAFd)ay phone 1yy0 - 9 Sef/
0
Unless otherwise requested, NAA will be held by DSO for pickup. P1 eove !C411 4enefcr Cet�dcJ L4 csf
�— -V Y&-916/ cuhan H*A rttva
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual On-site
[�
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
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 FfufL/� Tic4n1cf Seiv«.1 Phone
Address IY '70 Ec4o S! iMcSo�c�9'e�9t/C
Engineers Printed Name- -1-Aea--"are F. "clOpf Date 1, ZX*aS-
N f_..
4
t'y,•9t" 't 4
sY • r
5. DSD SIGNATURE�THE000RE F. MOORE -
+• � • CE.3589 � �'C
�Z Approved for _� bedrooms. ''•` ;« ••.,`��o�.047
0
'1Y,h �?
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
By. Original Certificate Date:
(Rw 0110])
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: "F /0+Q/eco "ff '.Cc nsc f Mr//! S /p Parcel ID: 01J9- Z I -3 /
A. WELL DATA
Well type -E-W-k If A. B, or C provide PWSID #
Date completed YAil; / 67 -Sanitary seal (Y/N) 7
Total depth 122 ft. Cased to 12 ft.
FROM WELL LOG
Date of test 1 /:t / 67
Static water level / 04 ft.
Well production 6 O g.p.m.
WATER SAMPLE RESULTS:
Coliform _ l�colonies/100 ml.
Arsenic: mg./I.
B. SEPTICIHOLDING TANK DATA
Nitrate 40. / mg./l.
Well Log (YIN) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 2 7 in.
AT INSPECTION
7!9 /ZOOM
f v3 n.
3. S� g.p.m.
Other bacteria _0 colonies/100 ml.
Date of sample: Collected by: "Icofte 719eA Scr
Tank Type/Material Ste/ JACO/ Date installed 6/ v /0 y
Tank size t ZrQ gala Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) 7 Depression over tank (Y/N) fJ High water alarm (YIN) W. A.
Date of pumping 1J• A• Itt4d ' Pumper 7 /;ecus Am 4,te- vacs o f strce
C. ABSORPTION FIELD DATA SW *tnk 6a•rly wed. Ei�oWON- ve�rf+O�.t� roR
(p"O dsr/r )" {1inb,
Date installed /Y (v Soil rating (g.p.d./ftZ or ft2/bdrm)0.8 System type D00 fvrAcA
L
Length -74L( ft. Width Z•S ft. Gravel below pipe ,!•gft.
Total depth 14.o ft. Eff. absorption area 9/ Z ftZ Monitoring tube Y Depression over field N
Date of adequacy test -M.-0, Results (Pass/Fail) f"Co, For I bedrooms
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
Elapsed Time:_ min. Final fluid depth _ in. Absorption rate >= _ 6 4:40 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date Al-,*
D. LIFT STATION M A.
Date installed Size in gallons
"Pump on" level at _ in. 'Pump off level at _ in.
Datum
E. SEPARATION DISTANCES
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 102' -+
Absorption field on lot 1401 t
Public sewer main P. A.
Sewer /septic service line > '=.f'
Manhole/Access (YIN)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots > IcAw
On adjacent lots '> 'CPO
Public sewer manhole/cleanout 0.'4.
Holding tank N•
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S3' Property line 10' Absorption field B'
Water main M. d. Water service line > #0' Surface water > lc,o '
Wells on adjacent lots > ec+o I
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
- Property line 1A# Building foundation S"3' Water main "-A
Water Service line > 940 Surface water > tom' ' M Driveway, parking/vehicle storage 1 sYJ
Curtain drain None t ten Wells on adjacent lots >> ecw'
in.
F. COMMENTS )► 7*e-1[ IS 4 /incnC, ArAno^o( 1oc4.IL4! cy.p.ex
3Z' SE of tt/f+'c >Aonk Pty �t/tcca.• �+�+. JeFi Pa�f th:,� Ir�•o(
G. ENGINEER'S CERTIFICATION
1 that I have determined through field inspections and•.•r
� ,G
C';�; '�
certify
in
{: �, Tti •� y
review of Municipal records that the above systems are
conformance with MOA HAA guidelines in effect on this date.
.
Engineer's Printed Name TI►roo4+�G Fri�e.v
,...... ....ft.... ,
t,_ Ttc000eE F. L oORE ; } B
Date Sewh.n 4t/ !t Z�+c�y'
It, ,y:• CE -3569 y �t
`�+� • • `,
HAA Fee $ N!G rentnia!-. OA!)x Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
(Rev. 12/01)
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL.
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Of 8 - 20l - 3 / HAA # 0Q i73-48
Expiration Date:
1. GENERAL INFORMATION
Complete legal description "f 10 U to c A- °i3 Sw of c t .4 / If S /'
Location (site address or directions)
u/ 7755
Current Property owner(s) Nair t e M Wet rn « Day phone 1145*- c7H57
Mailing address P.O. 1707 lot 66r1 �McAo�ag�P /9 k 9
Lending agency 44n le Day phone
Mailing address
Tw �P
Real Estate Agent Col'dw ell 804herq Day phone
Mailing Address 25' t5' rC' V.�F A-AC4L�r e� IFk 99503
Unless otherwise requested, HAA will be held by DSD for pickup. Pfowt �uf7 Rec, �/w of 2 6S^ 9 ry6
wr+to }f�}^ rax�j. %r trek-uP
2. NUMBER OF BEDROOMS: if
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual On-site
19
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
Cl
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 8 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 _Fla Fite 7 ec,4 n i e.e / Sery; c Phone
Address 1h'5'30 =c4,y V� kneAof: z Ate 99,5-/6
Engineer's Printed Name 'Ttito cPo2• JS /`TOO I -e Date %-w Z AVY
5. DSD SI ATURE P .s...........�...�'L
. TXEOpORE F. 11ooRE
L� '. C&-3589
Approved for ---/-- bedrooms. '•. .�4W
Disapproved.'®q�
Conditional approval for bedrooms, with the following stipulations:
ttufrrrrrirri
cyr�r
Additional Comments �2T ITE •: �=
WATER AND
PROGRAM
J • • . `��
I0
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: Original Certificate Date: 2—,23-0J4
(Rw. 01102)
Municipality of Anchorage
• Development Services Department
Building Safety Division 4 "
On -Site Water & Wastewater Program S" `T"
4700 South Bragaw St.
i P.O. Box 196650 Anchorage, AK 99519-6650
1 www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Dascription: Lo f 01c> e k 'k Sknset ANI(i SIA Parcel ID: 471 -201 `31
A. WELL DATA
Well type Pvt, If A, B, or C provide PWSID # _— Well Log (Y/N.) eHal ,
Date completed _zrM 7 • Sanita ryseal (Y/N)_ Wires properlyProtected (Y/N
)_'f
Total depth I L'L ft. Cased to !iZ ft.: Casing height (above ground) 2 7 in.
FROM WELL LOG AT INSPECTION
i` Date of test 51 / 2'r' / < 7 '7 / 9 / 200 y.
Static water level 100 ft. /0 3 ft.
'
Well production 6. 0 9 -P.M. 3. S g.p.m.
WATER SAMPLE RESULTS:
Coliform C3 colonies/100 ml. Nitrate Gp, / mg./I. Other bacteria tS colonies/100 ml.
Arsenic: mg./I. Date of sample: 714 10 Collected by: F/uflan T&cA Spe
B.-SEPTIC/HOLDING TANK DATA
Tank Type/Material Sep : v*c % Sf-+e/ Date installed 6� 19 10Y
Tank size ! tr0 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) �1
Date of pumping N• 4. (N.w) Pumper Al. A.
C. ABSORPTION FIELD DATA
Date installed 6 /Y IVY Soil rating (g.p,d./f:2 or fe/bdrm) 0• d 0' System type Dago TeemcA
Length 7Z ft. Width ?.S ft. Gravel below pipe 6•'6 ft.
Total depth 111.99 ft. Eff. absorption area 912 fe Monitoring tube Y' Depression over field Al
Date of adequacy test Results (Pass/Fail) P«rr For' �bedrooms
Fluid depth in absorption field before test a in. Water added .0 gal. New depths'` in.
Elapsed Time: O min. Final fluid depth O in. Absorption rate >= 6Gn g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date N' A.
t
i
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at _ in. Pump off' level at _ in. High water alarm level at
Datum
E. SEPARATION DISTANCES
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot J02.'
Absorption field on lot
Public sewer main JJ,4,
Sewer /septic service line '—'r ZS'
On adjacent lots 7 l Uc' •
On adjacent lots _7 1000
Public sewer manhole/cleanout Al 'A .,
Holding tank Al, A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S3' Property line 10, Absorption field a '
Water main ".4. Water service line > 10Surface water, _ > 100
Wells on adjacent lots > 100 1
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line t s' Building foundation 53 , Water main N• A-,
Water Service line '> 16' Surface water > 1 cio'' Driveway, parking/vehicle storage > SO'
Curtain drain P&Ao Sfen Wells on adjacent lots 7 rUv'
F. COMMENTS
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 HAA guidelines in effect on this date.
.1 ......... 0 9844
Engineer's Printed Name Th fO c!c/'e F. / twane . THEODORE F. MOORE
�•.
CE -3589
Date TkI e 16, 2G0 Y �,` ••r
HAA Fee $ 'y30—=
Date of Payment ff / f /d4'
Receipt Number 36 5
(Rev. 12/01) i -M
Waiver Fee $
Date of Payment _
Receipt Number _
in.
i
11
N89°
LOT 5, BLOCK 8 HAS
7,151.00 SQ -FT- OF AREA
181.00
GRAPHIC SCALE: 1 Inch = 30 Feet
I5 15 3d 60
FOR: Harriett Warner
Date
9/10/04
Scale
1" = 30'
LanMark
Grid
As -Built
g,vlaeerlag a Sa YMs, 1—
3033
2400414
Drawn by
Field Book
9330 Vanguard Drive, Suite 203
Anchorage. -Alaska 99507
205
ronel na9_sne0
D.L.M
I hereby certify that the property described hereon has been surveyed
by me, or at my direction, and that the improvements situated thereon
are within the property lines and do not overlap or encroach on the
property lying adjacent thereto unless otherwise shown. That no
improvements on the property lying adjacent thereto encroach on the
premises in question and that there are no roadways, transmission
lines or other easements on said property except as shown.
It is the responsibility of the owner or builder, prior to construction,
to verify proposed building grade relative to finish grade and utility
connections and to determine the existence of any easements, covenants,
or restrictions which do not appear on the recorded subdivision plat.
\ Listed distances prevail over scaling.
Reproduction may cause distortion.
Lot 10 1 Block B
SUNSET HILLS
SUBDIVISION
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CHARLES E. FORBES
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