HomeMy WebLinkAboutGRECIAN HILLS BLK 1 LT 4"Ils
Grecian Hi
Block I
Lot 4
#017�074�32
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP251005 PID Number: 017-074-32
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
TEDDY B JENSEN
ABSORPTION FIELD — ADVANTEX
❑Deep Trench ®Wide Trench El Bed ❑ Mound
Site Address
13230 MESSINIA STREET, ANCHORAGE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
2 GPD/SF
7 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3 Ft.
Gravel depth beneath pipe
4 Ft.
Subdivision Block Lot
GRECIAN HILLS 1 4
Fill added above original grade
VARIES 0.52'— 0.75 Ft.
Gravel length
40Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
TO Septic Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From Tank Field
Lift Station
Tank
Line
400 Ft2
1
NA Ft.
Well -- 50'+
25'+
TANK ® Septic ❑ S.T.E.P. ElHolding ❑ Other
Manufacturer
EXISTING ADVANTEX
Capacity
Gal.
Surface Water __ 50'+
Material
Number of compartments
Lot Line -- 10'+
NA
Foundation 10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Field insulated. Elevated field 2' with sand &
extended by 10' longer compared to older trench.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank Tank to 3034
drainfield
Installer NORTHERN EXCAVATION
Drainfield 3034 co/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspection
1" 1/25/2025 nd 1/25/25
Location and description
dates:2
3`d 1/27/25 4th
MH TOP
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
.rte� �`1
Conditional Approval: Date
P"�" "':�,f-l��
_......... ......
Septic System
Approved f,'
�'•"' "�'••:•
Curtis Huffman
�F•• CE 128991 • c�`�f
�l�s��R•
Date
. 0 t /29/25, . •'fir
•...•
SlopRQFESS10Na���
Note: this approval does not include well permit requirements.
(Rev 05!02/18)
3
0
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R25.00'
4-B
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HOU
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LOT 4
16,745 sq. ft.
SH
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ASPHALT
DRIVEWAY
F
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LOT 3
UT
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LOT 5
30'
30'
30
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30
'
ME
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UPPER DE ARMOUN ROAD
D
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CAN
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EO EO
23.6'
34
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1
'
10
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SEPTIC AREA
APPROX. LOC. WELL
PID:017-74-32PERMIT:OSP251005
FIRST WATER CONSULTING
GRECIAN HILLS BLOCK 1 LOT 4
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251005
Work Type: Septic Upgrade
Tax Code Number: 01707432000
Site Legal Address: GRECIAN HILLS BLK 1 LT 4 G:2940
Site Mailing Address: 13230 MESSINIA ST, Anchorage
Owner: JENSEN TEDDY B
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
1 /17/2025
1 /17/2026
16745
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: i"-C— Date:
Issued By: Date: 2 Zo L_
4
MUNICIPALITY OF ANCHORAGE
Development Services Department j Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-074-32
Property owner(s) TEDDY B JENSEN
Day phone
Mailing address 13230 MESSINIA STREET, ANCHORAGE, ALASKA 99516
Site address 13230 MESSINIA STREET, ANCHORAGE, ALASKA 99516
Legal description
GRECIAN HILLS BLOCK 1 LOT 4
Number of Bedrooms 4
Engineering Firm FIRST WATER CONSULTING
Building Permit Number Not Applicable ME
APPLICATION IS FOR: APPLICATION IS AN:
(Z all that apply)
Absorption Field
Initial ❑
Septic Tank
❑ Upgrade
Holding Tank
❑ Renewal ❑
Privy
❑
Well
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees:
Date of Payment:
Permit No. 0-3 Z 1 o
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / FirstWaterAK@gmail.com
!
!!
January 14, 2025
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: GRECIAN HILLS BLOCK 1 LOT 4
The property owner has requested we obtain a permit to upgrade the failed absorption field of the
existing Advantex septic system of the above referenced lot. We propose to install a diverter to
a new elevated trench using 2’ of MOA sand and increasing the length compared to the existing
trench. This elevated trench with sand & length should create more effluent absorption.
The soils logs, percolation rates & groundwater monitoring of the existing records of Michael E.
Anderson, PE, Jeffery A. Garness, PE & Steven R. Pannone, PE found in the MOA files have
been utilized for the proposed design. No groundwater was observed in any of these test holes
at excavation or monitoring.
The slopes are moderate at 5-10% at the proposed upgrade location. The lot and area are served
by private water. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251005, Curtis Townsend, 01/17/25
S 89°54'00" E 120.51'
S
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N 0
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4-B
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HOU
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LOT 4
16,745 sq. ft.
SH
E
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ASPHALT
DRIVEWAY
F
E
N
C
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LOT 3
UT
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LOT 5
30'
30'
30
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30
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ME
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T
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T
UPPER DE ARMOUN ROAD
D
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23.6'
34
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10
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APPROX. LOC. WELL
SEPTIC AREA
SEPTIC AREA
APPROX. LOC. WELL
VE
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FIRST WATER CONSULTING
DESIGN CALCS:
NO SLOPES >25% WITHIN 50'
OF PROPOSED FIELD.
GRECIAN HILLS BLOCK 1 LOT 4
AREA SERVED BY PRIVATE WATER &
NO KNOWN PRIVATE WELLS WITHIN
50' OF THE PROPOSED ADVANTEX FIELD.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251005, Curtis Townsend, 01/17/25
3
0
.
0
'
56.3
'
3
0
.
0
'
56.3
'
S 89°54'00" E 120.51'
S
0
0
°
0
3
'
5
9
"
E
9
1
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0
4
'
N 89°54'00" W 145.64'
N
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R
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5
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4-BED
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LOT 4
16,745 sq. ft.
SH
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D
ASPHALT
DRIVEWAY
F
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LOT 3
UT
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LOT 5
30'
30'
30
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30
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ME
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E
T
UPPER DE ARMOUN ROAD
D
E
C
K
CAN
TILE
V
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R
EO EO
23.6'
34
.
1
'
10
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Y
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A
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E
M
E
N
T
SEPTIC AREA
APPROX. LOC. WELL
FIRST WATER CONSULTING
GRECIAN HILLS BLOCK 1 LOT 4
DESIGN DETAILS:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251005, Curtis Townsend, 01/17/25
I
30'
30,
- - - - - - MESSINIA STREET
0
M
�O , S 00003'59" E 91.04'
SEPTIC LOT 4
STANDPIPES I'I 16,745 sq. ft.
SEPTIC
MANHOLES
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U /
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SHED 10' UTILITY EASEMENT
REBAR N 00002'06" E 115.97'
LOT 5
'� - 4) evsssssfSfX�
NOTE
DRIVEWAY LOCATION IS
APPROXIMATE DUE TO
SNOW AND ICE COVER.
0 15' 30'
LOT 3
UTILITY OVERHEAD UTILITY LINE
POLE
AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
LOT 4, BLOCK 1, GRECIAN HILLS SUBDIVISION
RECORDED SUBDIVISION PLAT (72-64) ARE NOT SHOWN HEREON.
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND
THE IMPROVEMENTSAS DEPICTED HEREON EXISTAS
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY
SHOWN IN RELATION TO THE PROPERTY LINES.
SURVEY MAY DISCLOSE.
DATED THIS 14th DAY OF JANUARY, 2025, AT
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
ANCHORAGE, ALASKA.
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
FIXED HEIGHT, LLC
C.O.A.122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
JOB # 25006
1 NO CORNERS SET THIS DATE
I SCALE 1" = 30'
600 W 41st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949
0 Municipality of Anchorage
Development Services Department
Building Safety Division
On-Sde Water arid Wastewater Program. 4700 Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-665o Page of
www,cLanchorageak-us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO60095 PID Number. 017-074-32
N�
David and Patrice Spohn
Wastewater System: Rl New Upgrade
A�
5520 Whispering Spruce Drive Anchorage, AK 99516
ABSORPTION FIELD
P� 230-1344 N� C9 si~,11 4
a D� Tn=tt Id sr� T "ci 0 But 0 M� 13 O�
LEGAL DESCRIPTION
saii R�q
TWil DM 11wri mg. w W�
S�
4 Grecian Hills
2 it
DSPMWM*�
9
P"
Townshp Rang.
5
Fd onWW tr�
4
G� L&VM: Ft
0-1 Ft.
30
Well: New Upgrade
1�01�
C� (P�. A. 8. C) Tmii Otipti, C�ft
Private
5 Ft.
Taw Oborptwi
I I
fte 141� Ft
315 Ft. 208 F,
13/14/2007
300 Fe
ASTM D3034 PVC
D~
Xpine D rilling
0" D�
I
st� w� 14�
136 F,
Glacier Excavafing
om�
41912007
Y�
-9� A� C� -
I
10 GPItilp""'S"
286 FLIC."
>1-5 F1
TANK
SEPARATION DISTANCES
0 Septic [I Holding [3 S.T.E.P. IZ Other.
To
'-�
Sephc
Absorption
Uft
Holding
IuWc—tp�te
M..
ca�ry
Fnx,t
Tank
Field
Station
Tank
S� Line
Anchorage Tankforenco
I
1,500
well
>100'
>100,
>100'
NIA
>25'
M�
Steel
N�voic"np�-
I
-
Two
sllf� Vv�
>100'
>100'
>100'
N/A
LIFT STATION
La U*
>5'
>10'
>6
NIA
F�
>10'
>T
N/A
C� Dr—
None
Noted
P� M� & M�
E� 1� pwf� or
Muni. of Anchorage
R�
Gravity Flow From Filter to Absorption Trerich.
BENCH MARK
Garage Slab
A� EW7�-
100.00 rL
1�4
Inspections performed by: A- Harala Dates: 11 4/9/2007
J9
2 nd 4 12007
C7...
-V
Development Services Department Approv'il
491H
Conditional Approval Date:
...
14 JMCKM L ANDERSON
41Pt
a -4381
Reviewed
and approved by: Date:
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Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6655 - 343-7904
Permit Number. SWO60095 On -Site Wastewater Disposal System or Well Inspection Report
04.0
Finer
12�p'c
Advantex
Y98.45 Septic Tank 84'p'c
Page 3 of 3
PID No. 017-074-32
Ej
PROFILE AS -BUILT
No Scale
0
AEL E ANDMON
No. cE-43m ,,
101.4
—e
a M�-ROM - ALPINE
DRILLING FAX NO. : 907 345 0202
Oct. 16 2007 10:10PM pi
ALPINE DRILLING & ENTERPRISES
Permit Number: -#SWQf9.QL5 Date of Issue: 5-17-0 Parcel Identification Number: 017-074-32
Date Started: 3-14-07 Date Completed: 3-16-07 Is well located at approved permit location? 0 Yes 0 No
1,egal Description: Grecian Hills Block 1 Lot 4
Property Owner Name & Address: David & Patice Spohn
5520 M/spering Spruce Drive
Anchorace. Alaska 99516
Borehole Data:
Depth (ft)
Method of Driffino Z air rotaiy Ej cable tool
Soil Type, Thickness & Water Stram
From
To
g
Casing type: steel
stick-up
0
3
Wall 7hickness:.250 inches
organics & silt
3
13
Diarneter:.§ inches Depth: 708 feet
gravelly silt
silty gravel
water sand & gravel 3 gom 4'stat
S/7t
gravelly si7t
13
35
122
124
131
35
122
124
131
135
Utter Type: _ '2r To 3bn.
Diamcter'W inches D ept . — feet
Casing stickup above ground: I feet
Static water level (from ground level): 136 feet
Pumping level._22§ feet after
2 hours pumping 10+ gpm
silty gravel
135
156
Recovery Rate: 10+ gpm
gravelly silt
156
183
Method of Testing: &Lrr
Well Intake Opening Type:
silty water sand gravel 4gpm 183 185
gra volly silt
bedrock
185
191
191
326
El Open End 0 Open Hole
El Screened Start_fect Stoppcd_fcet
El Perforations Stut_f=t Stopped_feet
H20
300
315
Grout Type: bentontta gLarrules Volume: I
Depth: Start 0 feet Stopped Z feet
Pump: Intake Depth _ feet
P=p size � hp Brand Name
Well Disinfected Upon Completion? Z Yes El No
Method of Disinfection: ghl
,Qdne tablets
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
owner or the well driller sUl provide a well 109 to the Development Services Department within 60 d . ays of completion.
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ANCHORAGE BRIAN WILLE EAME RtVER
(907) 3404m (w) on -9m
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Dan of Inbc
MUNICIPALITY OF ANCHORAGE D
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
Renewal
Date Issued: May 17, 2006
Expiration Date: May 17, 2007
Permit Number: SW060095 Parcel ID: 017-074-32
Legal Description: GRECIAN HILLS SUBDIVISION BLOCK I LOT 4
Design Engineer. 0062 PANNONE ENGINEERING SERVI(
Owner Name: DAVID & PATICE SPOHN
Owner Address: 5520 WHISPERING SPRUCE DRIVE
ANCHORAGE, AK 99516 -
Site Address: NHN MASSINA DRIVE
Lot Size: 16745 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
f,/� Disposal Field E Septic Tank Ej Holding Tank E] Privy Private well Ej 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 ( 18AAC8o).
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. The following special provisions.
-THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST
BE VEGETATED SUFFICIENTLY TO PREVENT EROSION.
/8/0 -7- M.*krz- AmeJe.7s.,j prje.,41,j 09p'"ojcj. Ser 14f Adc(_-__sa4 2re(cs,74 5erf PlAd
XbJ9 4eb
Received By: k -
Date:
Issued By: I 'I A` Date:
\j � —5 0 �O
Parcel 11
Property
Mailing ai
Site addri
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program I_Z=W
P.O. Box 196650
4700 Bragaw Street
Anchorage, AK 9951 M650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEPTICMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size. 16 9q -!r —Sq. Ft.
THIS APPLICATION IS FOR ([Dail that apply):
Absorption Field
El
Septic Tank
El
Holding Tank
B�
Privy
El
Private Well
a
Water Storage
El
Number of Bedrooms q
THIS APPLICATION IS AN:
-4:30- 13qq
C qq6-7(
ode
Initial
El
Upgrade
El
Renewal
B�
I certify that the above information is correct. I further certify that this application is beinq made for
(Signature of property owner or authorized agent)
Permit/Rush Fees: —1/5% Waiver Fees:
Date of Pavment: 6-/41
Receipt Number:
(Rev. 11105)
Date of Payment:
Receipt Number:
DATE: April 16, 2007
TO: Joe Goodall
FROM: Mike Anderson, P.E.
SUBJECT: Lot 4, Block 1, Grecian Hills Subdivision
Septic System Permit No. SW060096
Attached is the cross section and design criteria for the absorption trench to serve the
Advantex System on Lot 4, Block 1, Grecian Hills Subdivision. The total trench depth
will be 9'. Our recent test hole was placed to 17.5' with no groundwater encountered.
The test hole placed by Pannone Engineering indicated groundwater at 14' below the
surface on May 12, 2005. The bottom of the proposed trench will be 1' above this
elevation.
DATE: April 16, 2007
TO: Joe Goodall
FROM: Mike Anderson, P.E.
SUBJECT: Lot 4, Block 1, Grecian Hills Subdivision
Septic System Permit No. SW060095
Attached is the test hole log and percolation test result from the exploration done on the
subject lot last week. It indicates subsurface conditions in the location or the absorption
trench and alternate site are suitable for construction. Please review the results and
advise if you have questions.
Apr.10. 2001 3:32PM anderson engineering
No, 3446 P. 1
DATE: April 6, 2007
TO: Joe Goodall
FROM: Mike Anderson, P.E.
SUBJECT: Lot 4, Block 1, Grecian Hills Subdivision
Septic System Permit No. SW060095
The absorption trench is in the same location as the originally designed bed and within
the 30' radius of the Pannone Test Hole. We verified the percolation rate by performing
our own percolation test as shown on the attached soils log. Another test hole is
currently being completed to verify the location of the alternate site.
Pannone's test hole was monitored for groundwater through May of last year and does
not indicate a problem: Based on all information available for this site we feel an
absorption trench is much more desirable and effective to dispose of the septic effluent
from the Advantex system_
Apr. 0, 2001 1:21F'M anderson engineering
No. 3444 F. 1
DATE: April 6, 2007
TO: Joe Goodall
FROM: Mike Anderson, P.E.
SUBJECT: Lot 4, Block 1, Grecian Hills Subdivision
Septic System Permit No. SW060095
We recently visited the site of the new septic system which was designed by Steve
Pannone, P.E. His test hole log shows no groundwater encountered with silt (ML)
underlain by silty gravel (GM). The design calls for an absorption bed to be constructed
in the ML layer. The percolation rate determined in the ML layer was 60 minutes per
inch. We are proposing to place a 5' wide by 4' effective depth absorption trench in
lieu of the bed. It will be constructed partially in the ML layer, but primarily in the GM
layer below, which, we anticipate will percolate faster than 60 minutes per inch.
We will provide you with a percolation test, test hole log and new design in the next few
days. At that time we will request the permit be modified to allow the revised septic
system design.
LOT 2, BLOCK 1 HAS
16,937 S$.FT. OF AREA
IS 4
o ��o
S89'57 20' E
�.%.K 3a aD P d 40
30.00 HILLSIDE WAY
30.00 !
��
°' S89.54'00"E 121.51 ap1a'
�O
3000
61.2 H
105 W (n
O5�) rat. z
O H O
1
O
?2.9 103. F p O
PI 5� ^ "tiC�fD G� ' . C) U7
CD \OC moi' J �',• (J1 Z I m
•/ O 0-4
Lo
O
\ P
1 rn �e
I
9�. I N89'54'00"W 145.64 100 30.00
L 0 T 3GRAPHIC SCALE- 1 Inch = 30 Feet
I I 15 0 15 30 60
FOR: DAVE SPOHN Date scale Legal Description
9-12=06 1" = 30' Lot 4 Block 1
LanMark Grid As -built
Engineering to Surveying. Inc. 2940 22500758_ GRECIAN HILLS
9330 Vanguard Drive, Suite 203 __ SUBDIVISION_.
Anchorage. Alaska 99507 Drawn by Field -Book
(907) 562-6050 CEF 226
I hereby certify that the property described hereon has been surveyed .o� OF •q�h®®+
by me, or at my direction, and that the improvements situated thereon ®®� ...... q ®®
are within the property lines and do not overlap or encroach on the +/'�P •' •••.1®
property lying adjacent thereto unless otherwise shown. That no ® �•'••• z}1®
-unprovements-_on_ the- _pxoper_y_ lyuig_..adJacent thgreto_ _encroach _. on, the _... ...._ . a 49 th •••••�
��� �j �d
premises in question and that there are no roadways, transmission ® ..... „,.........�.,' .........
Iines or other easements on said property except as shown.
® :.:.:.:..:...................................®
It is the responsibility of the owner or builder, prior to construction, 0 ; MICHAEL E. ANDERSON .e�®
erify proposed building grade relative to finish grade and utility ♦ C'i o No CE -4381 :° �_AV
--connections- and to determine- the existence of any easements, covenants, '®®®�F•.,•• �p-02,.•••���'® _._
or restrictions which do not appear on the recorded subdivision plat. f F0 '•••........••• P� ®®
Listed distances prevail over scaling. ®®+®M4�®®S®®®®®
Reproduction may cause distortion.
LOT 4, BLOCK 1, GRECIAN HILLS SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home 5' Wide Trench System
Perc. Rate: 30 to 60 Min./Inch Advantex Treatment System
Application Rate: 2 GPD/SF 4' Drainfield Rock
4 Bedrooms X 150 GPD/2 GPD/SF (Application Rate) = 300 SF Absorption Area
300 SF/5 SF/LF-.5 (Red. Factor) = 30 LF Trench Length
THEREFORE: Construct a 30' Long x 5' Wide x 4' Effective Depth Absorption Trench at the Location
Shown. Flow Line Elevation in Trench to be 5' Below Original Ground Surface. Total Depth to be
9' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption
Trench. Maintain 100' Separation from Wells in the Area.
Natural
Backfill
4'6"
Geotextile
Fabric
6 0 4" Perforated
PVC (Holes Down)
4'0"
5'
Drainfield Rock
TYPICAL DEEP TRENCH SECTI%_j
NOTE
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum -4' -Separation From -Groundwater.
Minimum 100' Separation From Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
Municipality of Anchorage. ry
Development Services Department r
® 4700 South Bragaw Street .Anchorage, AK 99519-6650�••� ®...° ..•... ,°:.
I SOILS LOG - PERCOLATION TESTed
• ° '.........,..
°`�"•.:i�11�--020*,°
PERFORMED FOR:_ % G✓Z��{ N
DATE RMAi
Net
Time
Depth to
Water
/
r
LEGAL
DESCRIPTION:
DEPTH
SLOPE
SITE PLAN
(FEET)
-'-
17
_
2
H
G
Ki
J 11t I
3
/I
�i i U
4
20
1
3 a
5
6
O, ,
(' �irvtw
7
.w
8
9
10
11
WAS GROUND WATER /��
S
ENCOUNTERED? / '
L
o.. o
12
P.
IF YES, AT WHAT
E
13
DEPTH?
14
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
15
16
17
18
19•
20
4
3 a
PERCOLATION RATE - - (minutes/inch)
TEST RUN BETWEEN FT AND '' FT
COMMENTSC_J__VI 6 moi. fsy�S 6,;h,4"l
PERFORMED BY: CERTIFIED BY:. DATE:
72-008 (6/79)
Municipality of Anchorage
® Development Services Department
4700 South Bragaw Street Anchorage, AK 99519-6650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: DATE PERFORMED:
LEGAL DESCRIPTION:
4
5
DEPTH
Gross
Time
Net
Time
(FEES)
PT
7
8
0 op
9-
2-
11
4
5
Date
Gross
Time
Net
Time
6
Net
Drop
7
8
0 op
9-
10-
11
12-
13-
14 -
15-
lot
V.
Vl�s
16-
17-
18-
19. -
COMMENTS 7 -?5
PERFORMED BY:
72-008 (6/79)
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
Ot
DEPTH?
E. A1,L:!
4)OFESSO
SITE PLAN
M,
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
L
7
it 5..
o(.
1*7
PERCOLATION RATE qqZ(minutes/inch)
TEST RUN BETWEEN FT AND _07�7 FT
V -PAtm -44 4e: 'Pap -at - _TF -sr
—CERTIFIED BY: 4" rj DATE:
Apr. 5. 2007 10:55AM Garness Engineering Group, Ltd.
ho.7652 P. 1
GARNESS ENGINEERING G ROY. P,, Ltd.
.6": T
CONSULTANTS & GENEMAL COii CRAG CdR$.Rr+RkNtVwn +ne•aa,mr�Y7H:4w T y}
V0t L TUDOR ROAD, SM 10t • ANOO . N6 99307 + PHONt (907)377-6170 • FAX: (e0?M3&-=4a • w�r� y� , ...._._..
s
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: GRECIAN HILLS SUBDIVISION; LOT 4, BLOCK 1, 4 ' fJ f r y j amass.:
p ,
PERFORMED FOR: TERRY ROSE DATE: 11/23/2004 Uhnfl CE 7 53 ''t¢
DEPTH _ . �o p .J. a
(feet) _ TEST HOLE 1 .�
1
ORGANICS
7
8
g ! GM/ML
A
i
11
12-
14---4
2 14 1 1
15-
16-
5 is
)a.0.H.
17-
18—
DEPTH
718
DEPTH TO
GROUNDWATER
DATE.
SOIL CLASSIFICATIONS
2
_
1/30/200
DRY
12/3/2004
GW ORG
3J
2
GP i ML
30
5 1/2"
GM CL
4
2:00
GC 1 :I1 OL
6" ....._.
#
as no qJ SW MH
2:30
30
5 1/2"
1/2"
5
i SM •' /' OH
6
i
3 r Sc
7
8
g ! GM/ML
A
i
11
12-
14---4
2 14 1 1
15-
16-
5 is
)a.0.H.
17-
18—
DEPTH
718
DEPTH TO
GROUNDWATER
DATE.
DRY
1/23/200
DRY
1/30/200
DRY
12/3/2004
6"
-
DATE RCAOING
CLOCK
TIME
NET TIME
(MINUTES)
WATER 1. FVFI
READING
NCT DROP
(INCHES)
11/23/2004 1
1:30
-
6"
-
2
2:00
30
5 1/2"
1 2"
3
2:00
-
6" ....._.
-
4
2:30
30
5 1/2"
1/2"
5
2:306.
-
6
3:00 -
30
5 1/2"
19 PERCOLATION RATF 60 (MINdINCH) FERC. HOLE DIA. 6 (INCHES)
7FS*I RUN UE*(WELN 4.0 FT. AND 5.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TFST PFRFORMFD BY: ROB CAMPBELL
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT' THIS WAS PE ORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
Apr. 5. 2007 10:56AM Garness Engineering Group, Ltd.
GA RNESS' ENGINEERING +GROUP3, Ltd.
^.^.s:rrn"mmmwm n.,:,— --•
CONSULTANTS & GENERAL CONTRACTORS �,_ -�u:�•�,�m�ivw,��
5701 E. 7U04R RMP, Wn 101 • ANl 4WAO , AK. WO • PRONE: (W7)337-5179 • FAX-. 90 3248 + WEr& gomeeam*m rk)Wc m
SQIL LOG — PERCOLATION .TEST
LEGAL DESCRIPTION: GRECIAN HILLS SUBDIVISION: LOT 4, BLOCK 1,
PERFORMED FOR: TERRY ROSE DATE, 11/23/2004
DEPTH
(feet) TEST HOLE #2
t
7
8
9
10
11
12
13
14
15—
is-
17-
18—
DEPTH
5t61718
GM/ML
DEPTH TO
GROUNDWATER
DATE
pRY
SOIL CLASSIFICATIONS
DRY
1/30/200
DRY
12/3/2004
1
2
3:00 30
6" ^ 0"
GW
ORG—
ML
GM
CL
GCSP
boo 000,Q
iy/ice CH
�i
OH
�IF�►*sc
to
7
8
9
10
11
12
13
14
15—
is-
17-
18—
DEPTH
5t61718
GM/ML
DEPTH TO
GROUNDWATER
DATE
pRY
1/23/200
DRY
1/30/200
DRY
12/3/2004
1
2
N o . 7 6 5 2 P. 2
UPPER DE ARMOUN ROAD
TH#2 1
t TH#I# r
f �
LOT 4
> I
I 1}
I z�
f In
LL)'
r
l SITE PLAN
. _ _.. __,' ! 1 "=100'
DATE
READING
CLOCK NET TIMF
TIME (MINUTES)
WATER LEVEL NET DROP
READING {INCH'S)
11/30/2004
1
2:30 -
6" -
1
2
3:00 30
6" ^ 0"
19 PERCOLATION RATE 120+ (MIN./INCH) PERK. HOI.F IIIA. 6 (INCHES)
TEST RUN BETWEEN 4,0 FT. AND 4,5 F1',
20 A FOUR t LOUR PPI -SOAK WAS PERFORMED: E YES n NO
SOILS LOGGED BY, JODY MAUS PERCOLATION TEST PERFORMED BY: ROB CAMPBELL
cnMMFNTS:
PERFORMED BY GEG, Ltd, 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: pi
MUNICIPALITY OFANCHORAGE
Development Services Depariment
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 16, 2005
Expiration Date: May 16, 2006
Permit Number: SWO50123 Parcel ID: 017-074-32
Legal Description: GRECIAN HILLS SUBDIVISION BLOCK 1 LOT 4
Design Engineer: 0062 Pannone Engineering Services
Owner Name: TERI ROSE
Owner Address: NHN MASSINA DRIVE
ANCHORAGE. AK 99516 -
Site Address: NHN MASSINA DRIVE
Lot Size: 16745 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit Is for the construction of;
Fv� Disposal Field E Septic Tank E] 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.
5. The following special provisions.
-THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST
BE VEGETATED SUFFICIENTLY TO PREVENT EROSION.
Received
Date: o)50s--� e_
Issued By: Date: S h, Lr
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.cl.anchorage.ek.us
(907) 343-7904
ON-SITE SEWERNVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-0749j32C Permit Number SW
Property owner(s) Ms. Teri Rose Day phone 940-855-6570
Mailing address (1) 1:�_Oq3 llatz: I-Aevi-L
Mailing address (2) MklI@0dPU— a A 4, t La- Zip Code q ?S-7:7
Legal description (Lot, Block& Sub'd.) LotsIX X Block 1 Grecian Hills SID
Legal description (Section, Township & Range) - Upper DeArmoun & Massina Drive
Lot Size -16,745 Each -Acres/Sq.Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR:
Sewer Only El Well Only
Sewer and Well G3 Water Storage E3
Sewer Upgrade 13
THIS PROPERTY CONTAINS:
Hot Tub 13 Jacuzz!
Swimming Pool 0 Water Softening Unit
Therapy Pool 1-1
I 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.
tbignature oi property owner or authorized agent)
Permit Fees: L4 tto - ro -1 n 5 - 0 U Waiver Fees:
Date of Payment: Y11 Date of Payment:
Receipt Number: to(,, X1 Receipt Number:
(Rev. 12/DO)
Pannone Engineering Services, LLC
Consulting Engineers
(907) 272- 218
April 16, 2005
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Lots,3%W4 Block 1 Grecian Hills S/D
Well and Septic System Permit Request
Ladies and Gentlemen:
P.O. Box 102954
ge, Alaska, 99510
I am writing to request a permit to construct new well and septic system be issued for
this property. The proposed systems will serve a proposed four-bedroom house. The
house will sit on Lot 4 along with the well, and the septic system will be located on lot 4.
The Owner is currently in the processes of vacating the lot line between these two lots.
The proposed well will be constructed in the northwest corner of lot 4.
I. Soils. See the attached soils log. Ground water was monitored through the
seasonal high period of 2004. Ground water was measured in the monitor at a depth of
5.5 feet below ground surface. Bedrock was not encountered in the test hole. It is my
opinion that the overall soils appearance of the soils, an application rate of 2.0
gallons/day/square feet should be used using a class III advanced treatment system.
2. Trench Design.
a.
Percolation Rate:
b.
Application Rate:
c.
Number of Bedrooms:
4.
Design Flow:
e.
Min. Absorption Area:
f.
Total depth:
g.
Effective Depth:
h.
Width:
i.
Reduction Factor:
j.
Minimum Length:
k.
Design Length:
1.
Effective Absorption Area:
m. Septic Tank Size:
Cont'd on page 2
C:\Work\Letters\3&4.1 Grecian Hills.001.doc
60 Min Per Inch
2.0 gpdpsf
4
600 gallons per day
300 sf
-2.0 feet (above ground level)
0.5 feet
15 feet
0.0
20 feet
20 feet
300 sf
1500 gallon Advantcx W/AX20 Pod
Page 2
3. Surface Water: There is no surface water within 100 feet of the proposed system.
A drainage ditch is located north of the proposed system over 200 feet away along the
north side of Upper DeArmoun Road. The proposed systems will maintain at least 100
feet from all surface water and drainage ditches.
4. Topography: The average topography in the area of the proposed septic system is
approximately two percent in the area of the SAS.
5. Future Upgrade Area: I am proposing that the primary field be installed at this
time. A new 1500 gallon Advantex advance treatment system will be installed outside
the 100 -foot well radius. I have shown the proposed location on the site plan.
The proposed installation will not affect the future development of the surrounding or
existing lots. There are no wells or septic systems within 100 feet of the proposed well
location or of the proposed septic location.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Civil Engineer
Attachments:
C:\WORK\LETTERS\3&4.1 GRECIAN HILMOOLDOC
PERMIT NO: DESIGN DRAWING P.I.D. NO: 017-074-32
WASTEWATER DISPOSAL SYSTEM
LOT:W, BLOCK I GRECIAN HILLS SID
SEPTIC
AREA
WIIN 1 00'OF PROPOSED
NEW WELL & SEPTIC
EXArG sEPT'l 1 5
AFUN (HOLDING
TANK),--�
NOTES:
1) All work shall be performed In
accordance with AMC15.65.
2) Materials used shall be In
accordance with those specified In
AMC15.65, Wastewater Disposal.
3) Maintain I 1Y separation to an lot
lines and proposed water Ines.
4) Lots served by a private well. No
wells within 100'of proposed system.
99
49P!
UPPER DEARMOUN ROAD
10.0-10-0-1 -
HOUSE
89.4rj-
-g I
W
150, CLASS C
N I , �
gLq P�Aqlus
— — -I
1 /4
103.�
WELL
10.2
-�N
15 1 Oif .5
EXIST`G ?MSS C
WELL
2'161 PROPOSED PRIMARY
FIELD. BED, 15WX20LFX
0.5'ED
— — I
FUTURE DRAIN FIELD
FUTURE
ADVANTEX
TANK
WELLS OR SEPTkCS
4 100'OF PROPOSED
V WELL & SEPTIC
1% ----- --------- igo
V"�V^M�u VWM.
Jason & Ted Rose
PROPOSED 1500g
ADVANTEX TREATMENT
12043 Dee Lane
Anchorage, AK 99516
SYSTEM W/AX20 POD
.......
694-7580
W/AUX PUMP VAULT
z
DATE: 4-22-05
NO WELLS 0
C�A' .. I.-
W/IN 100'OF
13.6 LLI
NEW WELL &
PROPOSED RESERVE
FIELD. BED, 15WX20LFx
O.V ED
2'161 PROPOSED PRIMARY
FIELD. BED, 15WX20LFX
0.5'ED
— — I
FUTURE DRAIN FIELD
FUTURE
ADVANTEX
TANK
WELLS OR SEPTkCS
4 100'OF PROPOSED
V WELL & SEPTIC
1% ----- --------- igo
V"�V^M�u VWM.
Jason & Ted Rose
PANNONE ENG. SVC, LLC
P. 0. BOX 102954
12043 Dee Lane
Anchorage, AK 99516
ANCHORAGE, ALASKA 99510
.......
694-7580
227-3522 P. 272-8218 Fax
DATE: 4-22-05
1 —
PLAN
C�A' .. I.-
PERMIT NO: DESIGN DRAWING DETAILS P.I.D. NO: 017-074-32
WASTEWATER DISPOSAL SYSTEM
LOT,#, BLOCKeMAN*fb60MrjRpM
--i;ci F-
3eni w~
Ci
w
;l
30ru vo�
z
w
LL
LU Kfm 0
CL
d
0
C
LU
81 it
h -cm
t;
u
N Kfm
M
a: Ino NVM
'0
-4
010 co
J 4,// —TH
.. .. .......... I .....
......... ..... .... ..........
FKLFARED FOR:
I.Steven R. Pannone 0 Jason & Ted Rose PANNONE ENG. SVC, LLC
-6 P. 0. BOX 102954
a 12043 Dee Lane
.... Anchorage. AK 99516 ANCHORAGE. ALASKA 99510
4 1 694-7580 227-3522 P, 272-8218 Fax
DATE: 4 -05
TS
SCALE: "N DESIGN
U
PERMIT NO: SW04 DESIGN DETAILS P.I.D. NO: 017-074-31
WASTEWATER ABSORPTION SYSTEM
LOT 3 Block 1 Grecian Hills S/D
AX -20 FILTER
WITH INSULATED LID.
ROTATED 90 FOR
CLARITY.
§� 1500g FIBERGLASS
S.T.E.P. TANK
INLET
CLEAN—OUT
15MCKWE TO
3' PVC PIPE D"N FCLDS
TO AMBIENT AIR
INSTALL 4" RICID INSULATION
OVER TANK & DRAINFIELD. EXTEND
RJ 2' BEYOND SIDE OF TANK. INSTALL
R.I. AROUND AX -20 FILTER.
DESIGN CALCULATIONS
Number of Bedrooms — 4
Total Bedrooms —4
Design flow 150 gal/br/day.
Total flow 600g/cicy
ACCESS MANHOLE
TANK SIZE:
1500 gallon Advantex tank
SOIL ABSORPTION SIZE:
Advantex Sewer System
AX20 Pod — Class III System
Perc Rate= 60 min/inch
Application Rate= 2 GPD/SF
Size Required= 600 GPD/2 GPD/SF = 300 SF
11444111 Use bed, 0.5' effective
...... 20' Long by 15' Wide
IF .. 1.. 20 LF x 15' x 0.5' = 300 SF Total
I I e e 4 H \ I .
.J. .. ..... .... I .....
. Slev . e . n .. R. .. Pann . on . e...'.* PREPARED FOR: PANNONE ENG. SVC.
I
'Alm' 00 Ter; Rose
P. 0. BOX 102954
ANCHORAGE, ALASKA 99510
................. Midland. Tx
#4:14 940-855-6570 272-8218 PHONE & FAX
III DATE: 4-16 :'0�5
NOT Tr) �PAI F DESIGN
SOILS LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES .. ............
P.O. BOX 102954 %
49 M!
AN ....
ANCHORAGE, AK 99510 0 .... .................. 1
(907) 272-8218 0
.... ..... ... ............. ..
.Steven R. Pannone
PERFORMED FOR: Jason & Ted Rose DATE PERFORMED: B-1-04 CE 8149
. ...........
LEGAL DESCRIPTION: LOT 4 BLOCK I Grecian Hills SID 1144
TEST 14OLE 4.1
SLOPE UPPER DEAFE60N ROAD
OR Organics L
2— T z
3— BROWN SILTS
4 ML Lu
6-
7-
2 1-1.
8 Gray Silty 5 1 2%
GRAVEL ond I
SAND Wth 3" HI
MSA TEST T 2
10 OLE
11 _F2%
12 i:4
BOH
13 —
WAS GROUND WATER SLOPE
14 — ENCOUNTERED? IN
is — IF YES, AT WHAT TH 1
16 — DEPTH? . w --------
17 — DEPTH TO WATER AFTER
MONITORING? -14' —/q
DATE: 4-22-05
WATER
19 READING DATE CLOCK
TIME NETTIME LEVEL NETDROP
20 READING
1/18/05 11:52 — 6' 0.
2 12:22 30 MIN 51/4- 3/4'
3 12:22 — 6' 0'
4 12:52 30 MIN 5 1/2- 1/2-
12:52 — 6- —0-
6 1:22 1 30 MIN 1 5 1/2- 1 1/2'
PEROLATION RATE 60 (minAnch) PERC HOLE DIAMETER 6 Inches
TEST RUN BETWEEN 2.5 FT AND 3.5 FT
COMMENTS: Test hole excavated by Dan Beeks. Test Hole was presoaked before Perc test.
PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
Pannone Engineering SeMces, LLC
Consulting Engineers
(907) 27 -8218
P.O. Box 102954
Anchorage, Alaska, 995 10
J907) 272-8218 Fax
RECERCULATING SEPTIC TANK
AND TRICKLE FILTER SPECIFICATIONS
Lot 3 & 4, Block I Grecian Hills S/D
1. GENERAL STATEMENT OF WORK
1.1 The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an
recalculating septic tank with trickle filter system as described herein and on the
attached Contract Drawing. All work under this project shall comply with current
Municipality of Anchorage (MOA) Regulations and shall conform to the following:
o Four (4) Bedroom Private House
1.2 The Contractor shall carefully examine the project documents, have full
knowledge thereof, have investigated the site and be satisfied with all conditions
affecting the work. The Contractor shall notify the Engineer IMEDIATELY if
conditions are encountered during the site investigations that affect the work. Any
failure of the Contractor to become acquainted with the available information will
not relieve the Contractor from the responsibility of performing the work as stated
in these specifications.
1.3 The Contractor shall call for locates of utilities. Damage to utilities by the
Contractor if locates are not called for is the responsibility of the Contractor.
2. MATERZAL
Z-1 Tank: Septic: Tank shall be a two (2) -compartment steel tank of at least the
minimum size indicated on the drawings and shall be MOA approved. The
compartments shall have a separate 4" clean-out riser. Steel tanks shall be
protected to SUP3, under ground fuel tank standards.
2.2 Manhole Riser or Lift Station Tank: An additional second compartment manhole
riser shall be capable of being equipped with the following:
a. A junction box (Nema 4x) or equal, bonded or attached to the pump basin.
b. UL listed electrical cord grips, installed in the J -box.
C. An additional tank (MOA Approved) may be provided for the effluent
pumping assembly and the items above.
2.3 Effluent Pumping Assembly, Controls, Alarm & Piping:
a. Effluent pumping assembly shall be of approved materials, including: A 110
volt or equal UL listed effluent pump; High-density PVC cylinder housing the
pump, with level controls and screen, serving as a baffle to prevent the screen
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
(907) 272-8218 (907) 272-8218 Fax
from clogging; All piping shall be PVC or other non corroding material approved
by the MOA.
b. Pump controls and alarm system shall be an approved system with the
following options:
- Event Counter
- Elapsed Time Meter
- Program Timer
- 10 Watt Heater
- Remote alarm panel option with a minimum of 80 d13 sound pressure at 24
inches, operating temperature 30 AC to 65 AC, and continuous sound to be
located in the house.
- Oil tight visual alarm with push -to -silence feature. Automatic audio alarm
reset.
- 15 amp motor rated toggle switch, double pole, double throw with three
positions; Manual (man), Automatic (auto), and off.
- Nema 4x rated fiberglass enclosure with hinged cover, or equal.
- All controls to be installed per manufactures instructions.
- Control panel to be installed on outside wall of home within sight of
septic/lift station.
c. Piping from septic tank to the trickle filter is to be 1 1/4" PVC schedule 40
solvent weld piping properly bedded and sloped to drain back to the lift station.
Insulation board shall be placed over the line where the cover is less than four
feet.
d. The Air Compressor shall be a Thomas Linear Series model No. 5060-A or
5070V -A or MOA Approved equal.
2.4 Trickle Filter
a. Trickle Filter Pod shall be AX20 manufactured by Orenco Systems Inc. and
distributed by Anchorage Tank & Welding.
b. Install all materials according to manufacturers instructions and in accordance
with MOA regulations.
2.5 Soil Absorption System
a) The drain field shall be constructed as shown on the drawings and in accordance
with all applicable regulations described in Municipality of Anchorage AMC Title
15.65, 'Wastewater Disposal Regulations" (MOA).
b) Gravel to be used in the soil absorption system shall be well graded rocks and
cobbles with size ranging from V2" to 2 V2" and approved for use in soil absorption
systems by MOA.
c) Perforated pipes shall be F810 LDPE or PVC 3034 pipe, with two rows of
perforations and shall be approved for use in soil absorption systems by MOA.
Q�� A�
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
----- --- ----
d) Clean-out pipes and monitor tubes shall be 3034 PVC solid pipe.
e) Clean-out caps shall be rubber"Jim Caps" securable with adjustable metal bands.
Friction fit caps will not be accepted.
PART 3 EXECUTION
3.1 LOCATION AND GRADE
a) The septic tank shall be placed at the locations and elevations as shown on the
Drawings. Fiberglass tank shall have a minimum of six inches of sand bedding under
the tank and around the sides to the spring line of the tank.
b) The drain field shall be placed in the location shown on the Drawing, with minor
adjustments allowed to minimize excavation and accommodate the existing terrain.
The drain field piping shall remain level over the length of the drain field.
c) Dewatering may be required for all excavations that penetrate the groundwater
surface. Dewatering costs shall be incidental to the excavation. If ground water is
encountered during the excavation for the septic system, notify the engineer
immediately.
3.2 EXCAVATION
a) General: The Contractor shall accomplish all excavation required by the drawings
through whatever substances encountered, to the depth as shown on the plans. All
excavation shall be accomplished in accordance with the State of Alaska safety code
and other applicable safety requirements.
b) Water Removal: Water is expected in the limits of excavation as evidenced by the soil
test pit information. If an apparent water table is observed in any of the excavations
less than 5 feet below existing grade, notify the engineer immediately.
3.3 INSTALLATION
A. Septic Tank
1. After excavation the tank shall be placed on undisturbed soil on a level grade
at a depth as indicated on Drawings. Backfill around the tank with
structural fill. Fill shall be installed in 12 -inch lifts, compacted to 95%
maximum density. Any damage to the protective coating during installation
shall be repaired as recommended by the manufacturer.
2. The tank inlet shall be set at the elevation shown on the drawings. Care
shall be taken during installation to ensure the proper elevation drop
Pannone Engineering Services, LLC
Consulting Engineers
607L272-8218
P.O. Box 102954
ge,Alaska,99510
between the inlet and the outlet. Install flexible 'furrico" rubber fittings at
connection from tank to inlet and outlet pipes as indicated on Drawings.
B. Joining Pipe Sections
I. Pipes shall be joined to one another, to the polyethylene fittings,
cleanouts, and electrofusion couplings.
2. CIeanouts:
(1) All earthwork and fill necessary to install the cleanouts shall be
considered incidental.
3. Jointing:
a. Fit the heat channel in place, ensuring that ends are deburred and
square to allow easy passage of electrocal or glycol heat trace.
b. Fit the insulation half -shells snugly in place. Band with strapping to
hold tightly in place.
c. Heat Shrink Coupling: Cover entire exposed joint plus an overlap of four
inches on pipe coated on either end. Heat in accordance with
manufacturer's instructions.
4. Installation:
a. Install insulation half -shells and heat -shrink wrap at pipe connections.
Maximum gap in half -shells shall be 1/4inch.
b. Lower assembled insulated pipe carefully into trench. Do not allow
joints to deflect greater than the elastic capacity of the heat shrink
sleeves. If sleeves are found to be damaged, reduce the deflection and
repair the damages sleeves.
c. Tolerances:
(1) Lay mains to indicated line and grade. Perform earthwork in
accordance with the Drawings.
(2) Minor Changes in Direction: Pipe deflection will be allowed for
small changes in direction, provided that the pipe bending radius
is less than 30 times the diameter of the outer jacket of the
insulated pipe system.
C. Drain Field
a) The drain field area shall be excavated to the elevation and dimensions as shown
on Drawing. Remove all organic and silt material to the top of the well -graded
sand layer. After excavation, the open bed shall be protected from surface runoff
to prevent the entrance of silt and debris. Under no circumstances shall the use
of heavy equipment be permitted on the drain field surface. All smeared or
compacted surfaces shall be raked to a depth of I inch, and loose material
removed, before any of the drain rock is placed.
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 995 10
(907) 272-8218 - (907) 272-8218 Fax
b) After all organic and silt material is removed, sand bedding shall be placed to an
elevation shown on the drawings. Sand shall not be compacted.
c) The bottom of the bed should be as level as practical.
d) The gravel -less system and distribution piping shall be installed as shown on the
drawings.
e) The drain field shall then be backrilled with sand bedding to a depth of 1.0 above
gravel -less system. Filter fabric and insulation shall be placed over the sand bedding.
Backfill above insulation with material excavated from the building pad to the
elevation shown. The material shall be mounded over the drain field as shown on
Drawings. BackIiII of drain field shall not be compacted.
D. Close -Out
A. Contractor shall submit unqualified as -built drawings and certificates on MOA
approved forms to the Engineer, and MOA for approval to Operate.
Municipality of Anchorage
Development Services Department
Building Safety Division—
On-Sfte Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsfte
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEms APPROVAL
FOR A SINGLE FmLy DWELLING
Parcel I.D. 017-074-32
1. GENERAL INFORMATION I
Complete legal description Lot%Block�r Grecian Hils Subtimsion
141 �_- eL
COSA # I oxwo
Expiration Date:
Location (site address) 13230 Massinat Street Anchorage, AK 99516
Current Property owner(s) David and Patrice Spohn
Day phone 230-1344
Mailing address 13230MaWnaStneet A&horage,AK99516
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD foripickup.
2. NUMBER OF BEDROOMS: Four (4)
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
R1
Individual Water Storage
Individual Holding Tank
E3
Community Class _Well E3
Community On-site
El
Public Water System 11
Public Sewer
11
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil
engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on -she wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -She Systems 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 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-sfte water
supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes,
ordinances, and regulations In effect at the time of Installation.
Name of Firm Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Mk;hael E. Anderson, P.E. Date IMMIX)
OF A4 It
0
7;%M0LAa L AM
6. - DSD SIGNATLIRE - CE.4381
—Z Approved for bedrooms. 44 11 A?0rrSZ
— Disapproved. 111vi-il:
Conditional approval for _ bedrooms, with the following stpulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
ArsenicAdvisory
Maintenance Agreements
Supplemental Engineers Report
Other
By: Odginal Certificate Date:
(R". IIXS)
Municipality of Ancho rage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.munl.org/onsde
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lot 4, Bk)ck 1, Grecian Hills Subdivision Parcel ID: 017-074-32
A. WELL DATA
Well type f±jts If A, B, or C provide PWSID 0 Well Log (YIN) Y
Date completed 3114/07 Sanitary seal (Y" Wires property protected (Y/N) Y
Total depth _LIS ft. Cased to _EL_ft. Casing height (above ground) >24 n.
FROM WELL LOG AT INSPECTION
Date of test 311412007 1=10
Static water level 136 fL 145.7 ft.
Well production 10 G.P.M. 3.8 9.P.M.
WATER SAMPLE RESULTS:
Coliforyn -R_colonles/100 mL Nitrate mg1L Otherbacteria 0 coloniesJ100 mL
Arsenic: 5.0 mgA Date of sample: 10/16t07 Collectedby: M-Andersm
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Advantextstmi Date Installed 419r2007
Tanksize 1@500 gal. Number of Compartments Two Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) N
Date of pumping 7/21M9 Pumper A Plus Hme Services
C. ABSORPTION FIELD DATA
Date installed 419=07 Soil rating (g.p.d^2 or f?/bdrm) LGPr)tsF System type T Wide Trench
Length 30 ft. Width 5 A. Gravel below' pipe 4 ft.
i
Total depth __L_fL Eff. absorption area joefl:2 Monitoringtube Depression over field N
Date of adequacy test 1=1 0 - Results (Pass/Fail) Pan For 4 bedrooms
Fluid depth In absorption field before test 0 n. Water added 93_2 gal. New depth 0 In.
Elapsed Time: 0 min. Final fluid depth 0 n. Absorption rate >= 600 g-p.d.
Any rejuvenation treatment (past 12 me.) (Y/N & type) N
If yes, give date
D. UFTSTATION'
----,Date Installed Size In gallons-----
ManholelAccess-(YIN)
'Pump on* level at_ in. oPump off" level at _
In. High water alarm level at in.
Datu i Cycles tested
Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot >!DOI
On adjacent lots >100,
Absorption field on lot >10(r
On adjacent lots >10(Y
Public sewer main NIA
Public sewer manholelcleanout N/A
Sewer /septic service line >251
Holding tank N/A
Animal containment areas None
Manure/animal excrete storage areas None
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
---Building foundation Property line.!V _----------AbsorpVon
field
Water main NIA Water service line
Surface water :,1001
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 11(r Building foundation >!(r Water main
WaterService line >!(r Surface water >100'
Driveway, paridngNehicle storage ;125*
Curtain drain None Noted Wells on adjacent lots
>1DCr
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 COSA guidelines in effect on this date.
Engineer's Printed Name Michael E. Anderson, P.E.
Date V2612010
COSA Fee $ 4 90
Date of Payment ILJ-710
Receipt Number. oa�zq i;7
(Rev. I V05)
Waiver Fee $
Date of Payment
Receipt Number,
V. "k
4 9
. . ..... . ..... 0
MW60a CANDIRSON 4W
go . 1-4w
CE.'43811
7-/D go
*** . . 10k 3
Ogg,
S
SGS ReE#
1100107002
Client Name
Anderson Engineering
Project N*Amt/N
Water Samples
Client Sample M
Lot 4 Block I Grecian Hills
Nistris
Drinking Water
Printed Datc/T ime
01/2112010 10:59
Collected Dateffinit
01111/2010 11:00
Received Date/Time
01111/2010 12:25
Technical Director
Stephen C. Ede
Sample Remarks:
Allowable
Prep Analysis
Parameter
Results
LOO
Units
Method Comamer ID
Limits
Date Date
Init
Metals by xCP/M3
Arsenic
5.00 U
5.00
ug/L
EP200.9
C
(<10)
01/12110 01/20/10
NRB
Waters Department
Total Nitrate/Nitrite-N
0.10OU
0.100
mg/L
SV,20 450ONO3-F
B
(<10)
01/19/10
LCE
Microbiology Laborotory
Colony Cowl
0
coVlOOmL
SW,09222B
A
(<200)
01/11/10
KAR
Total Colifonn
0
coVlOOmL
SM,209222B
A
(<I)
01/11/10
KAR
Fecal Coliform
0
coVIOOmL
SV,209222B
A
(<I)
01/11110
KAR
JAN -2B-2010 14:53 PRUDENTIAL JW/VISTA 9077623188 P.001
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEINIENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORACE
AND 2L
THISMEMORANDUM OF UNDERSTANDING made and entered into as of this
22 Day ol'20-LO, by and between 't�SS:3 *Tle,�Ayt,
herein the -OWNER:' and the Municipality of Anchorage. herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein. the
Parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREAT34ENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS). described as Sy'�M-A located
at - 1C I q- I's % 41 r(( .11. 61 IL� 4-4 Anchorage, Alaska.
2.'Derinitions. 13230
A. Alteration. Any change to the design or function of an AWWTS that
Includes the installation or removal orany parts. components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate Of On -Site Systems Approval. An approval by the
Municipal ity, of existing water and wastewater disposal systems given at
the time of property salt: and title transfer in accordance with ANIC 15-65.
01/28/2010 3:56PM (GMT -07:00)
JAH-28-2010 14:53 PRUDENTIAL JW/VISTA 9077623188 P.002
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in Place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing pans. components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Nmit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defluicd by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit. issued by the Municipality. that
allows the Owner to operate an AWWTS. upon mLcting all the
requirements of this agreement. the conditions of Operating Permit, the
requirements of the On -Site Wastc\�atcr System Construction Permit and
all relevant provisions of AMC 15.65
3. Lm Owner $hall Pay to -Municipality an annual fee of /\Jc. j C -
(S _"' .00). payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date ofthe approval by the
Municipality of installed system.
4. T—e_rin. The term of this Memorandum of Understanding $hall be for the life of the
AWWTS.
01/28/2010 3:56PM (GMT -07:00)
JAH-28-2010 14:54 PRUDENTIAL JW/VISTA 9077623188 P.003
The term begins on the date of approval by the Municipality Of the installed system and
shall continue while the AWWTS system is In use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
S. Alterations, Installation an Rernaval orAdditinnaj Equipment. Owner agrees
not to make any alterations. removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Rerairt,
A. Throughout the term Of this Memorandum of Understanding. the Owncr shall
maintain AWWTS in good repair. In addition. it shall be the responsibility of the
Owner during the term Of this Memorandum of Understanding. and any extensions or
renewals thereof, at the owner's sole expense. to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s). (4) replacement costs. and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws. regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a wriacn schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owmer*s A%VWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the O%Nncr's AWNVTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
01/28/2010 3:56PM (GMT -07:00)
JAM -28-2010 14:54 PRUDENTIAL JW/VISTA 9077623168 P.004
D. Owner agrees that Only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance. repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or tiransfer of title orthe property will not occur
without a new Certificate of On -Site Systems Approval.
0. Owner agrees that the relevant provisions of the standard Specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7- D�a II&aiver. The failure of either parry at any time to enforce a provision orthis
Memorandum of Understanding shall in no way constitute a waiver of the provisions.
nor In any way effect the validity of the Memorandum of Understanding or any part
hereof. or the right of such party Lhere3fter to enforce each and every provision
hereof,
8-AMLndment.
A. This Memorandum of Understanding shall only be amended. modified or changed
by a writing. executed by Authorized representatives orthe panics. with the same
formality of this Memorandum of Understanding was executed and such writing shall
be artached to this Mcmomndum of Understanding as an amendment.
B. Forthe purposes of any amendment modification or change to the terms and
conditions of this contram the only authori7cd representatives of the parties am:
01/28/2010 3:56PM (GMT -07:00)
JAN -28-2010 14:54 PRUDENTIAL JW/VISTA 9077623188 P.005
Owner.
Anchorage: Eqn���
C. Any attempt to amcnd. modify, or change this conmet by either an
unauthorized representative or unauthorized means shall b�e void.
9. Juri-Aiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judici al District of the
State of Alaska at Anchorage. The laws Of th-C State of Alaska shall govern the rights and
Obligations of 'he Parties under this Memorandum of Understanding.
10. &XEM!L1r-1rv- Any PrOvisiOns'Of this Memorandum of Understwiding decreed
invalid by A court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
an 211 -2 --
By: A'a 9.,
Datc; I - -is - 10.
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
NTTJNICIPALrT :
By:
Title:
Date:
The fore * * I was acknowledged before me this 2V day Oki—ny-mb
2010 going inmmen
,by ne6 q �-k V) se�
STATE OF ALASK
NOTARY PUBLIC
N440ARWYrPU8L FO A—LASKA Michaela Teater
nmiss
My Commission Cx ' s: Canirnission ECgres Au
01/28/2010 3:56PM (GMT -07:00)
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251033
Parcel ID 017 -074-32 Expiration Date:
Legal description GRECIAN HILLS BLK 1 LT 4
site address 13230 MESSINIA ST
Current property owner(s) JENSEN TEDDY B
X The On-site system(s) is/are approved for 4 bedrooms
1/7/2026
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
By: �, Original Certificate Date
1/30/2025
M s Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
'stem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
a'velopment Service Department (DSD) issues COSAs based upon representations provided by an
dependent professional engineer. The Municipality of Anchorage is not responsible for errors or
nissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
MUNICIPALITY OF ANCHORAGE
Development Services Department -343-
On -Site Water & Wastewater Section �'— Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 017-074-32
Complete legal description GRECIAN HILLS BLOCK 1 LOT 4
Location (site address) 13230 MESSINIA STREET ANCHORAGE, ALASKA 99516
Current property owner(s) TEDDY B JENSEN Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 18 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested:
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ Y Waiver Fee $
Date of Payment z $ 2-o -Z, S Date of Payment
COSA # i)S C 5 0 3 3 Waiver #
COSA Applicalicn.doc
COSA Checklist.docx
COSA Checklist
Legal Description: GRECIAN HILLS BLOCK 1, LOT 4 Parcel ID: 017-074-32
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 3/14/2007 Total depth 315 ft
Cased to 208 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 1/8/2025
Static water level at beginning of test 173 ft.
Well production at time of test 3.3 gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 1.15 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 1/7/2025
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank *NA
Date of pumping *1/10/2025
Required maintenance completed, if AWWTS
Comments: *FLOATS/TIMER – SEE AX MAINT
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) NA - NEW
ALL standpipes present per record drawing
Total measured depth from existing grade 7.8 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date NA – NEW FIELD
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 48 in
Effective depth used 0 in
Effective depth (ED) remaining 48 in
Comments/Deficiencies: Approximate total measured depths from existing grade. New field installed.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No *50+ ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No *50+ ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No *50+ ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No *5+ ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No *50+ ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No *50+ ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*MAY MEET CONVENTIONAL SEPARATIONS, BUT SYSTEM MEETS CATII/III SEPARATION DISTANCE REQUIREMENTS.
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 1/29/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
1/29/25
0111012025 15:30 Anchorage Tank
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*varfrbW Field Maliftnence Report
Unscheduled
AnchorageTank
907-272-3543
Property Owner/Racking M
0 0121 0 0 8 m e
opqretor
Teddy Jensen
Power
(Green LED)
US Services Technician
SM Address
contatrl phone
13230 Messlnis Street, Anchorage AK 99516
(907) 522-6475
A% Ska 16 6
County ID R
Pod N
M N/UL IF
Date of Last lmp*Wc;n
111780
SWO50095
209316
RTU 108801
04/25/2024
Dispatcher Comments
Data.- 01/09/2025 Time: 12:00 AM
COSA Inspection of system & drainfield.
Notification of site condition
❑ Made by VeriCommm Monitoring System
❑ Made by Homeowner
❑ other
Site condition at time of call
❑ Alarm ❑ Tank Overflow
❑ Odor ❑ Sewage Backup
❑ Other
Field Sampling/Observations
❑ Necessary ❑ Not necessary
NTU (15 t NTus) pH (6-9) DO (2-6)
Odor of Sample.
Typical ❑ Musty ❑ Earthy ❑ Moldy
Non -typical ❑ Sulfide ❑ Cabbage ❑ Decay
Conditions at site
Alarm On ❑ Yea A,No
(If yes, alarm type )
Tank Liquid Level 954mormal ❑ High ❑ Low
Rump Operational? ❑ Yes ❑ No
Circult Or8Akers
Reairc........ ❑ Tripped K On ❑ Off
Discharge..... ❑ Tripped ❑ on ❑ Off
Controls ...... ❑ Tripped 9.N
On El off
VCOM• ATRTU Boards (if applicable) \
Document the panel status by shading the approprlate
Inputs and outputs as Indicated by the yellow and red LEDs.
Inputs
0 0121 0 0 8 m e
Outputs
T (2)
Power
(Green LED)
❑ On ❑ o"K Flashing
V4
Cause of Malfunction: ❑ Mechanical ❑ process -Related
Services Rendered:
f)'� .. a.
Parts Used: W . Warranty, $ � Billable (V appropriate selection)
Item Number
Notes/Final Recommendations:
❑ System performing, no further action needed ❑ Additional service needed
Flnal/Wety Inspection:
Lids bolted on? Yee ❑ No
(If damaged, comment )
Control' Panel rea4t1vWW? Xyev ❑ No
Circuit Beakers:
Retire: IxDn ❑ Off Disohargm ❑ On ❑ Off pontrals: Nin ❑ off
Time at Site I Traval Tlma 1 Total Time
Signatur+a
Ibats. `]D r^_ Time
Fax completed form to 1-846-3134-7404
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this Day ofVC"M\ of 20�, by and between
36raP y"(3111 on lerein the " WNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as
located at (legal description)
AN ADVANTEX SYSTEM
GRECIAN HILLS BLOCK 1, LOT 4
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
C- It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
_ \U1 Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
< \ failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
(� assessed in accordance with AMC 14.60.030.
(\ Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
COwner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
i—=
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
signature) Date:
)rint name)
}
ss.
The foregoi� instrument was acknowledged before me this 08 day of�(h.nlar-U ,
20?�, by 30rt&C Ly) Gin �J
NOTARY PUBLIC FORA KA State of A! ka
My Commission expires: NOTARY PUBLIC
Carrie Nordlof
My Commission Expires Jan 10, 2027
MUNICIPALITY:
By: rOQULr77 (signature) Date: -�
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
I
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- - - - - - - - MESSINIA STREET - -
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STANDPIPES I7I
LOT 4
16,745 sq. ft
00 ''
U 34.1'
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_ ri *,WELL
SHED 10' UTILITY EASEMENT
REBAR N 00002'06" E 115.97'
LOT 5
NOTE
DRIVEWAY LOCATION IS
APPROXIMATE DUE TO
SNOW AND ICE COVER.
0 15' 30'
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLAT (72-64) ARE NOT SHOWN HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY
SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
LOT 3
UTILITY OVERHEAD UTILITY LINE
POLE
:* 49TH
............................., *;
01/2�/26�
i �'• B u Saliz o
LS -14837 _
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AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 4, BLOCK 1, GRECIAN HILLS SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE IMPROVEMENTSAS DEPICTED HEREON EXISTAS
SHOWN IN RELATION TO THE PROPERTY LINES.
DATED THIS 28th DAY OF JANUARY, 2025, AT
ANCHORAGE, ALASKA.
FIXED HEIGHT, LLC C.O.A.122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
JOB # 250066 I NO CORNERS SET THIS DATE I SCALE 1" = 30' 600 W 41st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949
CO
SEPTIC, ASPHALT
LLC)
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00 ''
U 34.1'
j
_ ri *,WELL
SHED 10' UTILITY EASEMENT
REBAR N 00002'06" E 115.97'
LOT 5
NOTE
DRIVEWAY LOCATION IS
APPROXIMATE DUE TO
SNOW AND ICE COVER.
0 15' 30'
EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE
RECORDED SUBDIVISION PLAT (72-64) ARE NOT SHOWN HEREON.
THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY
SURVEY MAY DISCLOSE.
UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE
USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR
ESTABLISHING PROPERTY BOUNDARIES.
LOT 3
UTILITY OVERHEAD UTILITY LINE
POLE
:* 49TH
............................., *;
01/2�/26�
i �'• B u Saliz o
LS -14837 _
F 5J =
rrrr� jj�OO FSSION```��o��
AS -BUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
LOT 4, BLOCK 1, GRECIAN HILLS SUBDIVISION
ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT
THE IMPROVEMENTSAS DEPICTED HEREON EXISTAS
SHOWN IN RELATION TO THE PROPERTY LINES.
DATED THIS 28th DAY OF JANUARY, 2025, AT
ANCHORAGE, ALASKA.
FIXED HEIGHT, LLC C.O.A.122554
Land Surveying Services WWW.FIXEDHEIGHT.COM
JOB # 250066 I NO CORNERS SET THIS DATE I SCALE 1" = 30' 600 W 41st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949
Municipality of Anchorage
Development Services Department
2 'Building Safety Division— -- - -- -
On -Site Water and wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsde
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMs APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-074-32
1. GENERAL INFORMATION
Complete legal descriptionj�5L LL4. GreclanKUsSubdivision
COSA # WOO*
Expiration Date: I- 30-OQ
Location (she address) 13230 Massina Street Ancticirage. AX 93516
Current Property owner(s) Oavid and Patrice Spohn — Day phone 230-1344
Mailing address 5520 whispering Spruce Drive Anchorage. AK 99516
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
mailing-Address—
Unless otherwise requested, COSA Will be held by DSD forpickup.
2. NUMBER OF BEDROOMS: Four (4)
3. TYPE OF WATER SUPPLY:
Individual Well El
Individual Water Storage 13
Community Class Well 0
Public Water System 0
TYPE OF WASTEWATER DISPOSAL:
Individual On-site 21
Individual Holding Tank 13
Community On-site 13
Public Sewer 0
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Sfte Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Sfte Systems Approval are required for the transfer of
fille (except between spouses) for properties served by a single-family on -she wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems 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 engineees work.
4. STATEMENT OF INSPECTION BY ENGINEER
—.—As certified by my seat affixed hereto and as of the validation date shown Wow, I verify that my investigation,
based on procedures outlined in the Certificate of On -She Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
EngineeesPdnted Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
_Lef__�Approved for
Disapproved.
By:
4 bedrooms.
Phone 522-7773
Date 1=2�7
Conditional approval for _ bedrooms, with the following stipulations:
Attachments:
'-COSA-Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rw 11AM
rn-
:WATERANQ
WASTEWATER
PRWRAM
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Cerlificate Date* � 0 - 3 V - 0
Municipality of Anchorage
Development Services Department
Building Safety Division
on-site water & Wastewater Program
4700 Bragaw, Shine
P.O. Box 196650
Anchorage, AK 99519-6650
www.ffwi.org/orisite
(907) 343-7W4
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: LCO 4, Block 1. Grecian Fos Sub&enxi Parcel ID: 017-074-32
A. WELL DATA
Well type If A. B, or C provide PWSID # Well Log (YIN) y
Date completed W114W Sanitary seal (Y/N) Y Wres properly pmbxwd (ym) y
Toted depth _LIS Cased to _�ft. Casing height (above ground) >24 in.
FROM WELL LOG AT INSPECTION
Date of test W114=7
Static water level 136
Wall production 10 9 -P.M. 9 -p -m.
WATER SAMPLE RESULTS:
Colftm -2—coloniesil 00 mIL Nitrate NO mg& Oftw bachnne 0 colonies/100 mlL
Arsenic: NO Mgfi Date of sample: 10/1101107 Collected by: F. LeDoux
B. SEPTICIHOLDING TANK DATA
Tank TypefMatedet Aqvanuxestam Date inghidied 41V"7
Tank size 1,500 gal. Number of Compartmannits Two Cleanoub; (Y/N) y
Foundation cleanout (Y/N) Y Depression mer tank (Y/N) N High water alarm (Y/N) N
Date of pumping Now Constrixtim pumper
C. ASSORP71ON FIELD DATA
Date irmialled 4W"7 Soil rating (g.p.d./e or fewmit) I GPD/sF System type 5' Wide Trarich
Length 30 ft. Width 5 ft. Gravel below pipe 4 ft
Total depth _±_t Eff. absorption area _M_fe Monitoring tube Y Depres ion over field N
Date of adequacy two Now Const. Resuh(Pass/Fajl)_ For_bedroom
Fluid depth in absorption ftW before test n. Water added gal. New depth------jn.
Elapsed Time: — min. Final fluid depth Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
0. LIFT STATION
Date indafied_ Sim in gakm
Manhole/AccM (Y/N)
'Pump on' level at _ in. 'Pump ofr level at _
in. High water alarm level at in.
Datum_ Cycles tested -
Meals slom & Circuit MCIUM11111ft?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot >10ff
On adjacent kits >1W
Absorption field on lot >1W
On adjacent lots >10V
Public sewer main WA
Public sower manholakleanout WA
Sewer hopfic service fine
Holding tank WA
Animal containment areas Nam
Manuretanimal excrete storage anese NOm
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation �& Property lift >6
Absc� field
Water main WA Waterserviceline
>10' Surface water >iw
Web on adjacent kft �Iw
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >Iff Building foundation
>19 Water main >10'
Water Service Kne >1(r Surface water >1W Driveway, paikkigNehicle h, egg >2F
Curtain drain NOm Nmd Wells on adjacent kft
>1W
F. COMMENTS-_
G. ENGINEER'S CERTIFICATION
I ceiffy Itrat I ham doWnfted Mrough #Wd nW&CtKm and
review of Munx*W reconds that Me above systems are Jn
conformance *IM MOA COS4 guidelines in effect an go dats.
EngineWs Printed Name Michael E- Anderson, P -E.
Daft IMOAA07
COSA Fee $—
Date of Payment
Receipt Number
purv. I Imm
Waiver Fee S —
Daft of Payment
Receipt Number
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WELL
LOT 4. BLOCK I HAS
16,752.6 SQ.F`T. OF AREA
S89*57'20"E
HILLSIDE WAY
S89*54'00"E 121.51
414 P fo4c"
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GRAPHIC SCALE. I Inch - 30 Feet
aaaaaaaw—
nm�
15 6 1.5 io 60
FOR: DAVE SPOIIN
Date
Scale
10-18-07
1" = 30,
LanAfark
Grid
As -built
Ensinee"ns & survyont, Inc.
29-10
270226
9330 Vanguard Drive, Suite 203
Drawn by
Field Book
Anchorage. Alaska 99507
(907) 562-6050
CEF
231
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.
0
0
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 or any easements. covenants.
or restrictions which do not appear on the recorded subdivision plat.
listed distances prevail over scaling.
Reproduction may cause distortion.
Lot 4 1 Block I
GRECIAN HILLS
SUBDIVISION I
aw L,?,.* - X --.7
,*. 49-TH I. *
CHARLES E. FORBES
LS -7326
to rof ssioto'\\� 4*
1 1140%,L
