HomeMy WebLinkAboutGREENLAND BLK 2 LT 4Greenland
Block 2
Lot 4
#015�172�15
Municipality of Anchorage Page I of 3
Development Services Department
On -Site Water and Wastewater Program
47DO South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www clanrhorage ak.us (907) 343-7904
ON -S ITE WASTEWATER DISPOSAL SYSTEM AN DIOR WELL INSPECTION REPORT
Permit Number. SWO50072 PID Number. 015472-15
Merit Homes
Wastewater System: New
A��
P.O. Box 1114982 Anchorage, AK 99511
ABSORPTION FIELD
of ls�
334-9233 Four (4)
5'Wide Trench
LEGAL DESCRIPTION
SOO Ra"
Tolelo-pmkomwu—ig'�
.8 C4We
7 Fi.
UkK* Lot IlLk��
D.PM to P" wt� km orq� iy�
Gr� dopm bs� p"
2 4 Greenland
3 Ft.
4 FL
TQWWV RWVO
FA��wit�gr�
Gl� Lgft
1-3 Ft.
75 Ft.
Well: New
N� of WM
0� b� tv�
5 Ft.
FL_
CL".ft*M(
FWW Dapft C".d to
T� �P� &.
Priva 1
1 339 F,
750 Fe
ASTM 3034 PVC
Da. Dwwt
Alpine 17115105
301 Ft.
Red Dog
7/112005
10
rwp�
MR. I
C.V Kghl Ab. Growx!
>2Ft
TANK
GM
SEPARATION DISTANCES
0 Septic 0 Holding [I S.T.E.P. Other
To
Septic
Absorption
Lift
Holding
'u-biriPrivate
'aw
Frocri �-�
Tank
Field
Station
Tank
sewtr une
AnchorageTank
1,250
WON
>100,
>100,
NIA
NIA
>25'
Steel
Two (2)
S.f.wm.
>100'
>100'
N/A
NIA
LIFT STATION — NONE ON LOT
Lot Lim
>5-
>10,
N/A
N/A
Four4o�
>5'
�NIA
KAV W 19.w at
Gn V" a
in
in
c~D,.
None
Noted
P'.V 161� A M�l
E�" hvep� W� by
Ft�
BENCH MARK
Garage Slab.
100.0 Ft.
Engineers Stamp
% #
Inspections performed by: AH Dates: 1g 7/1/05
a 49t.
nd
0 0- — .. — .
0
2 711105
0 ........ . . . . ........... . .....
Department of Health and Human Services approval
0# �A�x W-LHAI L t. ANURSON
Reviewed and approved by: Date: LO -2 9- OS-
*##e4PF%0' 4V�' U
444 E . S ..
Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report PID No. 015-172-15
Permit Number SW050072
S 13TH AVENUE
ST53*20*E 100.00'
Pusuc— RAP
USE ESUT. X DRIVE
A.C. DRIVE
CONC. WK
Four
Sedr�
Hme
0
.9 0
A B
C4 S2 St 30.3 43.2
z z S2 37.7 50.1
M1 C4 48.9 74.4
MI 50.2 74.6
C5 93.7 77.2
THI M2 93.8 78.2
M2 C5
GREENLAND SUBDIVISION
LOT 4, BLOCK 2
27,000 S.F.
S ag'33'20*E 100.00'
EAST 114TH AVENUE
'616 cf- too
...........
40,
i 49th
.. ...... ...... ......... .....
0 ......
PLAN AS -BUILT
6%,* . ............. ii��
I V
SCALE 1 50'
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWO50072
96.8-
11250
cu CUM
W Liu
100.5
Page 3 of 3
PID No. 015-172-15
(u In
x u
75'(Trench
ROFILE AS—BUILT.
scale! 1* - 19
92.7—/
'�— 82.9
Sep 01 05 11:28a
ALPINE DRILLING & ENTERPRISES
p.5
Permit Number. 9SWL050072 Date of Issue: 4-7-05 Parcel Identification Number: 015-172-15
Date Started; 7-13-05 Date Completed- 7-15-05 Is well located at approved permit location? 0 Yes [I No
Legal Description: Greenland Blk 2 Lot 4
Property Owner Name & Address: Merit Homes
4841 East 114" Ave.
Anchorage, Alaska 99516
lorchole Data:
;oil Type, Thickness & Water Strata
Depth (ft)
From TO
Method of Drilling 0 air rotary [3cabletool
Casing type: steel
Wick -up
0
2
Wall Thickness:. 250 inches
)rganics & silt
2
4
Diameter.- 6 inches Depth: 239 feet
l,ravelly silt
4
18
Liner Type: _
-ilt
Iravelly silt
-andy gravelly silt wet
18
81
105
106
81
105
108
115
Diameter: — inches Depth: _ feet
Casing stickup above ground:.2 feet
Static water level (from ground level): 301 feet
—
Pumping level --239 feet after
hours pumping 1Q gpm
Ireve fly silt
115
230
Recovery Rate: 10 Jzpm
1ravelly sandy silt H20 dirty
230
241
Method of Testing: alr4i
-ilt
241
253
Well Intake Opening Type:
lravelly silt
253
275
Z Open End E] Open Hole
Wily cobbly gravel w1b1drs
01y sandy water sand & gravel
275
326
328
339
0 Screened Start _ feet Stopped _ feet
C1 Perforations Start _ feet Stopped _ feet
Grout Type: bentonite 7-ramiles Volume: 1 0, Q
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth — feet
Pump size _ hp Brand Name
Well Disinfected Upon Completion? E Yes [-] No
Method of Disinfection: phlorine, tablets
Comments:
WellDriller: AlpineDn7ling &Enterprises
PO Box 110496
Anchorage AK 99511
Attentiom The well driller shall provide a well log to the property owner within 30 days of completion and the property
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Apr 07, 2005
Expiration Date: Apr 07, 2006
Permit Number: SWO50072 Parcel ID: 015-172-15
Legal Description: [OREENLAND SUBDIVISION BLOCK 2 LOT 4,r
Design Engineer: 0014 Anderson Engineering Site Address: 4841 EAST 114TH AVENUE
Owner Name: MERIT HOMES Lot Size: 0 SQ. FT.
Owner Address: 4841 EAST 114TH AVENUE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99516 -
This permit is for the construction of:
E Disposal Field E Septic Tank Holding Tank [] Privy Private Well F] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By*
-14t.4/L-41
Date: "/-b-ps--
Issued BY: Afi Date: 11405-
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program SA a 7,
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWERNVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. r) 15 - iq 2- 1!5 —Permit Number SW
Property owner(s) Medt Homes Day phone 770-4999
Mailing address (1) P.O.Box111982 Anchorage, AK99511
%6g address (2) 4841 East 114th Avenue Zip Code _!q
Legal description (Lot, Block& Sub'd.) Lot 4. Block 2, Greenland Subdivision
Legal description (Section, Township & Range)
Lot Size 27,000 SF Acq��
THIS APPLICATION IS FOR:
Number of Bedrooms Four (4)
Sewer Only 0 Well Only 0
Sewer and Well 19 Water Storage 13
Sewer Upgrade El
THIS PROPERTY CONTAINS:
HotTub El Jacuzzi 11
Swimming Pool 13 Water Softening Unit 13
Therapy Pool 13
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.
0 a t4A,
(Signature of property owner or authorized agent)
PermitFees:-&8/10 -t-VM' t -IL 171- J2ANUIver Fees:
Date of Payment
q- -7-0 '�;'
Date of Payment
Receipt Number (4153 61_� 14� Receipt Number.
(Rev. 12/00) �V' '
DATE,
TO:
WITH:
FROM:
MEMO
511112005
Joe Goodall
MoAlOn-Slte Water and Wastewater
Mike Anderson
SUBJECT: Lot 3, Block 2, Greenland Subdivision
Septic System Permit No. SWOSO071
Lot 4, Block 2, Greenland Subdivision
Septic System Permit No. SWO50072
The topography of the subject lots makes it difficult to have gravity flow from the houses
to the Septic system areas. We have therefore redesigned the absorption trenches to
have a 3' effective depth rather than the originally permitted 4'. The bottom of the
trenches will be a minimum 'of 4' above groundwater and 6' above bedrock as
measured today and In the next week. The length of each trench will now be 87' and
encroach into the lot line setback of 10'. Lot line waivers will be submitted In the next
week to allow the absorption trenches to encroach Into the setback area.
Please review the aforementioned Information in conjunction with the previously
approved design and advise If you have further questions.
M:Ice A-Vmes.�/ r. lyr ,'0%4.1 P4 A.It-S f I -0A 4-/ ai- /0 1 Ap4mf-.
1/1 'd R10*011 6LL9ZZ9106 RdOO:Z 90OZ 11*AEA
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
April 7,2005
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 9951M650
Subject: Lot 4, Block 2. Greenland Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 4, Block 2, Greenland Subdivision intends to construct a new four-
bedroom home on the property. We are therefore requesting a permit be issued for the
construction of a new well and septic system to serve the home. No conflicts exist
between the proposed well and septic system and those on adjacent properties. The
Site Plan and backup documentation identify the location and configuration of the
proposed well and septic system. Existing drainage arrows and the current drainage
pattern are also identified on the Site Plan. The drainage pattern will be maintained
after development of the new system is complete.
Test holes placed near the location of the new absorption trench and alternate site
revealed silty sand and gravel to depths of 16' to 17'. The accepting soils were tested
and found to have a percolation rate of between 6 and 15 minutes per inch. No
groundwater was found during excavation and none was noted during the monitoring
period. Our design includes the placement of a new 1,250 -gallon septic tank along with
a new 75' long by 5' wide absorption trench with a 4' effective depth to collect and treat
the sewage generated in the house. The bottom of the trench will be 7' below the
ground surface. The distribution pipe will be 3' below the surface. A minimum of 3' of
cover will be placed atop the bed and a minimum of 4' of cover will be placed atop the
new septic tank.
The ground surface on the lot slopes from the middle of the lot both east and west at
grades approximating 2% to 5%. The new absorption trench will be constructed parallel
with the slope of the ground surface as much as possible in conformance with
Municipal requirements. The new septic system will be constructed 100'from all wells
and 100' from any surface water. It will also be constructed a minimum of 10' from any
Lot 4, Block 2, Greenland Subdivision
April 7, 2005
Page Two
water service in the area.
If the system is constructed in accordance with our design the followiing statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
ww_.I_t cf�
Michael E. Anderson, P.E.
Attachments
49th
MICHAEL E ANDERSON
, No CE -4381 A
1
12
I
112th
100.00
100.00
100.00—
Se9]55'30'E PMOD
100.00
LO' T�.c. 1. Ek� E"t
2A
0 ........... ....... ..................
(92-57)
0. k*'-.MIOIACL L ANDCRSO
5
6
6
5
VACANT
2
oil
3
?U
VACANT
4
2
AREA MAP
SCALE V = 100'
C-�
MO.00
100-00
10000
100.00
200,00
100,00
113th
100.00
101.
100
100
100. 100.00
0 ........... ....... ..................
0. k*'-.MIOIACL L ANDCRSO
5
6
5
A,
VACANT
2
oil
3
?U
VACANT
4
2
AREA MAP
SCALE V = 100'
MO.00
1 10100
1 100.00
100.00
1 loom
I
114th
.71
6 A
,
49th
0 ........... ....... ..................
0. k*'-.MIOIACL L ANDCRSO
5
0, No. CE -4381
A,
�01
oil
?U
(SB
AREA MAP
SCALE V = 100'
��Avenue
a 1 0
I
EAST 113TH AVENUE
0
ED I n Pov
S 89*53*20*E 100.00'
A.C. DRIVE 0
Prwosed
ell
x
Four
Bedroom
N. FLR.
102.5'
Home
x
z I I I I z
GREENLAND SUBDIVISION
LOT 4, BLOCK 2 L
27.000 S.F. F TT2']
1 250 Callon
I
112'
LU
S;ptic Tank
TM
(s)
b
b
0
a
z I I I I z
GREENLAND SUBDIVISION
LOT 4, BLOCK 2 L
27.000 S.F. F TT2']
75- Lonq x 5 Wide x 4' Elf.
Depth Al5sorption Trench
Alternate Site
TH2
"I
S 89*53'20-E 100.00'
0
EAST 114TH AVENUE
4
E. ANDERSON
CE"381 -'
lox
SITE PLAN
SCALE V = 40'
112'
TM
(s)
75- Lonq x 5 Wide x 4' Elf.
Depth Al5sorption Trench
Alternate Site
TH2
"I
S 89*53'20-E 100.00'
0
EAST 114TH AVENUE
4
E. ANDERSON
CE"381 -'
lox
SITE PLAN
SCALE V = 40'
LOT 4, BLOCK 2, GREENLAND SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom House 5'Wide Trench System
Perc. Rate: 6-15 Min./inch 1,250 Gallon Septic Tank
Application Rate: .8 GPDISF 4'Drainfield Rock
4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area
750 SF/5 SF * .5 (Red. Factor) = 75 LF Trench Length
THEREFORE: Construct a 75'Long x 5'Wide x 4'Effective Depth Absorption Trench.
Flow Line Elevation in Trenches to be 3' Below Original Ground Surface. Total Depth to be
7' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Trench.
Natural
Backfill
2'6"
3'Cover
Over Trench
Geotextile
Fabric
6- U_ I � Perforated
PVC (Holes Down)
4-0- 1 1 ,>---t— Drainfield Rock
5.
TYPICAL 5'WIDE TRENCH SECTION
*% OF
n
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
A91h
Minimum 6'Separation From Bedrock. .... .....
Minimum 4'Separation From Groundwater
Minimum 100' Separation From Wells in the Area.
Minimum 1 O'Separation From Water Services. No. CEAMI
Minimum 100' Separation From Surface Water or Streams.
Municipality of Anchorage
Development Services Department
Building Safety Division 0: 49th
On -She Water and Wastewater Program IN
0
4700 South BragaW St.
P.O. Box 195650 Anchorage. AK 99519-6550 0.-�k�NiaiAm E. mDERsoN j
www ci anchorase sk us 0,
No CE -4381
(907) 343-7904 !P
Soils Log - Percolation Test 0 444
Perfomned For. Merit Homes Date Performed:
Le;al Description: L -e, + 6rl2-EM4LAtJ> -TownsHp, Range. Se -lion:
Slone Site Plan
Depth
(Feet)
2- GM
3-
Ma
19-
20-
r
COMMENTS
�6m
elf, V e,
I
,.I
WAS GROUND WATER
ENCOUNTERED? No
IF YES. AT WHAT DEPTH? L
0
Depth to Water After P
Moriltorini? . Non E
Dale: 4/7/05
Reading
Date
C;r6ss Time
Net rime
Depth to Water
Niet.DFop
&'-5-7---'50
—'� '
57-79- '
4,8
9,-Z-S� -
.
*.147
-5% -7 15�
lf,>40
b 45 -
PERCOLATION RATE 7- � (mW..A�) PERC HOLE DV;IVIETER -7
TESTPIUNBETWSEN—��Fi 'AND S, -C— FT
PERFORMED BY: RTIFY THAT THIS TF
PE RFORME-D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -She Water and Wastewater Program
4700 South BragaW St.
P.O. Box 195650 Anchorage,AK 9951MS50
www Ci 86C orac. sk.us
(907) 343-7904
Soils Log - Percolation Test
Per'omned For: Merit Homes Date Performed: -3 fz-!�> k=��
Le;31 Desuripti6n, t--& r 6N:--F,�J QkQC;s Township. Range, Se -tion:
Site Plan
7-
to-
lla
12-
0
14
4 1
� 1, (15
51157- ,
meA
13-1 1 Uv�'F""*"-
14-
18-
19-
20-
COMMENTS
V'ClY
A-Awf 11
,.I
AS GROUND WATER
W
ENCOUNTERED?
IF YES. AT VOIAT DEPTH? L
beptt;to Water After 0
P
Monitorini? - None E
Dale: 4/7/05
Reading
. Date
dr6ss Time
Net rime
Depth to Water
Net . DFop
P=RC0LATIONRAT-- 11.5� PERC "OLE DIAMETER L
TEST R . VNSSTWEE . N �-,. T,- Ff 'AND FT
PERFORMED SY: ;1�01Z I WIJ 4r -t ej�j-� CERTIFY THAT THIS TEST WAS
PERFORMED IN ACdOROANCE WIT HALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Af -7-0 T'
01
Municipality of Anc to gre L�-1
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage. AK 9951M650
www.cf.anchorage.ak.us
(907) 343-7904
1 - r, ERTIFICATE OF HEALTH AUTHORITY APPROVAL
3 U) :,v K FOR A SINGLE FAmiLy DWELLING
1 4-1,60,
Parcel I.D. - 015-172-15 HM#—b5nt5745
Expiration Date: 1--7-6-06
1. GENERAL INFORMATION
Complete legal description Lot 4. Block 2. Greenland Subdivision
Location (site address or directions) 4841 East 114th Avenue
I
Current Property owner(s) Merit Homes Day phone 334-9233
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
- P.O. Box 1111982 Anchorape, AK 99511
Unless otherwise requested, HAA will be hold by DSD forpickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class_ Well
Public Water System
-Four (4)
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
0
Individual On-site
G3
11
Individual Holding tank
El
13
Community On-site
El
El
Public Sewer
El
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil
engineer registered In the State of AJaska. Certificates of Health Authority Approval are required for the transfer of
fitle (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 less than 30 days old. (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 seat affixed hereto and as of the validation date shown below, I verify that my Invesugauon,
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, funcljonal 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 Ume of Installation.
Name of Firm Anderson Engineering Phone 522-M3
Address P.O.Box240773 Anchoraae.AK99524
Engineers Printed Name Michael E. Anderson E. Date 10/26/2005
5. DSD SIGNATURE
_4zll' Approved for _tL bedrooms.
Disapproved.
Conditional approval for _ bedrooms, Wth the follovAng stipulations:
Attachments:
HAA Checidist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
By: Original Certificate Date: )l
(R. 12100)
Municipality of Anchorage
Development Services Department
Budding Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-W50
www.d.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
, I UT.,0471 E
A. WELL DATA
wall type E&M It A B, or C Provide PWSID #
Data completed VIMM5 Sanitary seal (Y/N) y
Total depth _M_ft. Cased lo, _M_ft
FROM WELL LOG
Date of test 711=5
W811 Log (Y/N) X�
WIrm Properly protected (Y/N) Y
Casing height (above ground) 24 in.
AT INSPECTION
Static water level 301 ft ft.
Well production 10 9 -p -m- 9 -P.M.
WATER SAMPLE RESULTS:
Coliform -2—colonies/100 mi. Nitrate .1 mgA. Other bacteria --L colonies/1 00 mi.
Date of sample: 1M0g1__ by -
Collected . _A"
B. SEPTICIHOLDING TANK DATA
Tank Type/Material SepHdReal Date installed 7-/-0
Tank ske 125o gal. Number of Compartments Cleanouts (Y/N) Y
Foundation clesnout (Y/N).y Depression over tank (YIN) N High water alarm (Y/N) fi�
Data Of Pumping Pumper Now Conalmdon
C. ABSORPTION FIELD DATA
Data installed ItIMS Soilrating (g.p.d.Worft2/bdrm).eopp1S System type T Wide Trench
Length IL-- ft. Width 3 — fl. Gravel below pipe 4 ft.
Total depth &M I Eff- absorption area Z&fe Monitoring tubey Depression war field 11
Date of adequacy test Results (Pass/Fall) _ For bedrooms
Fluid depth In "rPdon field before test — In. Water added— gai. New depth_ In,
Elapsed Time: — min. Final fluid depth _ In. Absorption rate >=�g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If Yes, give date
D. UFT STATION
Date installed Size In gallons
oPump onn level at _ in. opump off* level at _ In.
Datum
E. SEPARATION DISTANCES
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAtft station on lot -tiff-
Absorption field an lot >111147
Public sewer main WA
Sewer /septic service line
ManhOle/Accen (Y/N)
High water alarm level at In.
Meals alarm & circuit rO(MrOmer"?
On adjacent lots )11W
On adjacent lots XW
Public sewer manhole/cleanout IVA
Holding tank WA
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation _?I- Property line >5'
Absorption fleld-tt�
Water main NIA - Water service line >11W surface water >11117
Wells on adjacent lots MW
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line -?Iq. Building foundation >111Y Water main >IIY
Water Service fine >111Y Surface water -?Iff- D"VOWSY. PwWW'vehiclO storage >25,
Curtain drain _K2nLHd2d-- W81130VI8018cantlOts >JW
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I car* that / have determined through field Inspecdons and
review of Municipal records that the above systems are in
confolmance wim m0A HAA guidelines In effect an this date.
Engineer's Printed Name Michael E, Anderson, P.E.
Date IW2&=S
HAA Fee -15 1750 9-4,Y Waiver Fee $
Date of Payment
Receipt Number
(Rev. 12(00)
,to - sr
Date of Payment
Receipt Number
wc�- �
07 4q+h *
L
I
P-268
GREENLAND SUBDIVISION
LOT 49 BLOCK 2
27.0oo S.F.
EAST 113TH AVENUE
S 89*53*20"E IDO.Do-
PUBLIC �RAP
USE ESWr. DRIVE
to
1.32
R.30. 0
Do'
A.C. DYRIVE
WELL
21.41 U — I -t–CONC. DRIVE
23.-8–
EXISTING
BUILDING
b
24.2'
rl
cli
.w
z 00
smc snim
00
1 )) =40'
*OF A4
a co -
4 9 3.
0 v Jetfory A. Ga3foldl AN
�j % AN
# 10, .. LS -6091 AV
'b ro e 6
fassional'-
fill IL ILIA16
S 89'53'20*E—1
0
EAST 114TH AVENUE
AS-- B U I L
CASTALDI LAND
SURVEYING. LLC
JEFF A. GASTALDI. R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
GRID [DATE
2636 9/:21/2005
F.S. JOB NO.
CS
05-12 OS42
z
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT No
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBILITY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT. ALASKA
NOTE: NO CORNERS SET THIS DATE.