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HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 2 LT 27 US SURVEY 1177 SUPPLEMENTGirdwood Original Townsite Block 2 Lot 27 #075-152-35 L , kL 11 -NL DRILLING la, ;'X)7) 345-4700 .\r✓u anq.`. N.ri,.r lo ('r);"07) 240 8" 11 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING. LAND & WATER WATER %% LLL LOG Driving Started. 10 10 2005'otnpleted: 1,0 _12 2005 rtty Borough: Subd , [Sion: I BLOCK I LOT Property (miter Name s Address: Mark & Kathleen Sougstad 1 P.O. Box 884 Girdwood, Ak. 99587 irdwood riginal Townsite 1 2 27 Meridian Township Range _. _Section t/4of _ "•a of __ r/. of__t/4 BOREHOLE DATA: (from T.O.C. 1 Depth Drilling method: (X ) Air rotary, ( 1 Cahlc tool. Other Material: Type. Color & wetness From To \fell usc: ( ) Public supply, (X) Doma.tic, Other clay & gravel 0 13 Depth of talc: 102 - _ 11, Casing stickup: 2 _ft Casing type:Steel__ Thickness: 0,250_. inches Casing diameter: 6,_ inches Casing depth __ 10_2___ ft coarse gravel w/ H2O 13 20 Liner type: __— Diameter: __inches Depth: = It clay w/ rock 20 42 Static .rater (from top of casing). __2_ ft on 10 12 r2005 Pumping level & yield: feet after_ hours at _ gpm Recovery rate: _50± _ gpn,. Method of testing: airlift coarse gravel w/ H2O 42 63 Development method: airlift --- Duration: 1 hour clay w/ rock 63 70 W"ell intake opening type: ( X) Open end. ( ) Open holt, Other Screened. Stan: ft. Stopped fi Screen type:. Slot nicsh site: " Coarse gravel w/ H2O 70 72 Perforated: Stan:ft, Stopped _ tt Stan: 'ft. Stopped: fi wet clay w/ rock 72 81 ote:......................................................................... Note:................................. . ..... ................ ........ * ......... clay & rock w/ H2O 81 83 Grout ape: .bentonite_- volume _ Depth: from _ 0 -11. a) 40 fi — — - wet clay w/ rock 83 86 Pump intake depth: __-____ ft Pump size: hp. Brand nanhe: clay & rock w/ H2O 86 91 Was well disinfected upon completion? (X)Yes. ( ) No Method of disinfection:.. chlorine ........................................................ clay w/ rock 91 93 Driller costimenty disclaimers: ............................................................ .....................llr o• 40' into confining clay layer for grouting urp:........................................................................................... ............................................................................................................. coarsegravel w/ H2O 93 102 Well driller name:Johnny..Kay...................................................... Company name:...iiefty..Qf.'I.Iling ,Ino :......................... .................. Mailing address:... 3540-AkUia._Dr,• .. City: Anehorae — _ State: AK zip 99516 Phone number : ( 907 345- 0593 Drillers signature: Alaska state law requires that a copy of this Hell log be sent it, the Dcpamtxnt of Natural Resources within 45 days. fries are acceptable (AK statutes 3X.05.020. 38.05.035.41.08.0_'0. 46.15.0:0 and AK regulations I I AAC 93.140). DNR' Dnision of\lining. Land and Water. 550 W 701 Atcnuc. Suite 1020 Anchorage. AK 99501- 3562 Phone (907)269-86.19 and fix (907)269-8947 Within the City of A cchorage, iVs Vquired that a copy of the well log be sent to the appropriate city office ithin 60 days and than another copy of the welt log be sent to the well property owner within 30 days - Permit Number: SW05018_6 Dateoflssuc: juQ'20'2005_ Parcel Identification Number: Is well located at approved pennit location" (X) Yes or 1 ) No MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Jun 20, 2005 Expiration Date: Jun 20, 2006 Permit Number: SWO50186 Parcel ID: 075-152-35 Legal Description: GIRDWOOD ORIGINAL TOWNSITE SUBDIVISION BLOCK 2 LOT 27 Design Engineer: 0000 None Required Site Address: NHN MAIN STREET Owner Name: MARK & KATHLEEN SOUGSTAD Lot Size: 3600 SQ. FT. Owner Address: P.O. BOX 884 Total Bedrooms: 2 Permit Bedrooms: 2 GIRDWOOD , AK 99587 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements 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. a.) Total well depth shall not be less than 100 feet below the original ground surface. b.) Well shall be installed In accordance with attached engineer design. Received By. Issued By: Date: QS Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.` Permit Number SW Property phone 2� f)- 32%6 Mailing address /90 - mt /-�D ,/�jA�J��^,I� Zip Code e?�-?5y7 Site address Co /of6C 'r �(�( /��/qta� Zip Code 47,17syl Legal description (Lot, Block & Sub'd.; �•: - Legal description (Section, Township & Range)alyj1tl pnoi 0Igc_'t Ne Lot Size 31 60a Acre q.Ft. Number of Bedrooms M THIS APPLICATION IS FOR: Waiver Fees: /� /5-,� • CD Sewer Only ❑ Well Only [� Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool 1 ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: /� /5-,� • CD Date of Payment: Date of Payment: - b115105 Receipt Number. 094 Receipt Number: !/�, (Rev. 09/04) T— GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 13, 2005 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 Attn: Dan Roth Subject: Well Waiver for Girdwood Townsite Block 2, Lot 27 We request a 65' waiver between an existing municipal sewer main and a proposed drinking water well on the subject property. Please refer to the attached supporting documentation. As per MOA On -Site fax dated 6-2-2005, the owner agrees to comply with all requirements needed for a Municipal waiver approval. The 6' casing will be installed within an 8" casing. The space between the 6" and 8" will be filled with bentonite grout from within the confining clay layer up to the ground surface. After the grout has set, the 6" casing will continue to be installed into the lower aquifer and the 8" casing will then be removed. Nearby wells appear to range from 40' to 80' in depth. Surrounding well logs indicate a confining layer of clay and/or silt at various depths, further indicating that the aquifer in the area is confined and protected from contamination. AWWU reported that manholes in the subdivision were recently repaired to prevent the infiltration of heavy rainfalls. Exfiltration does not appear to be a problem in the immediate area. To the best of our knowledge, we believe this well will be protective of the health of residents of the subject property and we recommend that the MOA grant the waiver prior to construction. Please cast me at 337-6179 if you have any questions. 3701 East Tudor Road, Suite 101 'Anchorage, Alaska 99507.1259 Phone: (907) 337.6179' Fax: (907) 338-3246' Website: www.gamessengineedng.com NOTE: ALL PROPERTIES of �eSHOWN OR SERVED BY cicy J. / PUBLIC SEWER y W' ''£?. At�q! S� AWWU UFf �S` ?. `400STAION S/0 kJ,. r fir! S� O%� s7n,�r S� h PROPOSED �10 \ SEWER MNN y/ / HOUSE �„- S� �`rba o� SEWER MANHOLE qRo4Ol !0, i / M O Z �SEWER MAIN / / 40 "L¢ s N B(p.,. \S I. S ONS• S S� S S/� A 11,0111, ACgs;��0 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 0• .... ... ... ..... ............. =1 L Vl A 0 ■n[ 101 • bCMWAL K n (/O])tVf jn • IM (W*h " • � i 0 PREPARED FOR: PHONE NUMBER: PACE NUMBER: 0 •• ........... MARK SAUGSTAD (907) 349-6633 1 OF 2 Q p ' e ey C mess.. LEGAL DESCRIPTION: DRAWN BY: Oo ai CE— GIRDWOOD TOWNSITE SUBDIVISION; LOT 27. BLOCK 2; R.A.L.0 s� TYPE OF WORK: DATE: 040o0siotla SITE PLAN FOR PROPOSED WELL LOCATION 6/13/2005 1.INSTALL 8" OR LARGER CASING INTO CONFINING LAYER. 2.INSTALL 6" CASING INSIDE 8" CASING TO SAME DEPTH AS 8" CASING. 3.GROUT SPACE BETWEEN 6" AND 8" CASING. 4.REMOVE THE 8" CASING DURING THE GROUTING PROCESS. GROUT . STEEL CASING STEEL CASING -GROUND SURFACE GROUT SUPPER UNCONFINED ONFINED AQUIFER ING LAYER = SILT/CLAY CONFINED AQ o GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d GENERAL CONTRACTORS i L 7 e Vo *u 101 . roe+ue M Mem . ewi (W+�iw • M (Wy) a .e . M ' w.4.�w4www*..,, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK SAUGSTAD (907) 349-6633 2 OF 2 LEGAL DESCRIPDON: DRAWN BY: GIRDWOOD TOWNSITE SUBDIVISION; LOT 27, BLOCK 2; R.A.L. TYPE OF WORK: DATE: SITE PLAN FOR PROPOSED WELL LOCATION 6/13/20 Jun 01 05 11:22a /0/_ an. Iacanle, TM .Mp.y: Ll..y // • P.2 /Jol v / 00. / \ ADO. D N 60.' f► *� .:..o B0 000• 2' ROOF OH TYP 6 / \ OS126• \ X80' O \ ^O. \ 00. CO /20 00 -{a '06ovo ��N(iF B.R tiOo �3 61 /r? a -C `�,.�a C -D aid 004/gx( A,n 60-9 P ne GA)s ~`•� SURVEY CERnnCAnaN••• Prepared by -LCT PLAN .�.•PI(E :. �. Robert E. Johns, Jr. & Assoc. .... ..nw, ... i.... r..•.y .....•. •� • . r �« MI •; •j Professional Land Surveyors -� ...• •... •,. .. w r J 1700 BRINK DR. •"••..•Ir..�w M �ar ra.r...•..•... � it .• ` I I ANCHORAGE. ALASKA 90501 ' t '.T ♦Soap RK a NILel S.F. Ree. Pmt Flow N ODABON AS -BUIL- i'• -% 1 tt — 3 0 r .w� c Ar.a •. ..r. •�.rr r t : / OBI. Sures . yM +•u'ir.r"•• s .. ; ..;....:i �. 5-9=05 Drawn Dy 01.0,441 Dy. �. ♦ , ; T ON f REJ REJ ...... w .rI r ♦ : a AF Date Drawn: •q. 4121 '.�5-9-OS SE5112 NAL STRUCTURE AS -BOLT I r '••. .• J �r.• c +A+a w_ rrr �+s M I •�•� 25-108 .� �•'•...SaA �� Lpd .O..wlptiDn: �'r"`�r --"rr` •• •OP ".......... •••' O/...lend i e�° •� Lot 27 Block 2 :��� �"""•+='"'"�"" "- 4sa��� Girdwood Townsite ❑ wr BVIIvcr SURVEY TYPE ❑ FOMIcArKm AS -BUILT SWEICILS• • SET REBAR O rI"AL STAucRM[ AS--BLaT DRAINAGE ASPHALT J PLOT I%AN ... AS-AALT... B•�... IDPOLRMIY O FOUND REBAR ��� ROW FENCE -:.':• CONCRETE n A�WMT NO 191"m 00 ASSUMED ELEV.METAL FENCE U PLOT PNS t LOT'SURVEYS Ell IT IS THE RESPONSIBILITY OF THC_BUILDER OR OWNER. PRIOR TONLY THOSE IMPROVEMENTS ABOVE GROUND AL�' ILL BE CONSTRUCTION• TO VERIFY PROPOSED BUILDING GRADE RELATIVENOYBI.FENCES.wl1L.:. SEPTIC GLEAHIXIT$, SIEwAY3, TO FINISHED GRADE AND ASEMENCONNECTIONS AND TO DETERMINETC.. ARE SHOWN IN THEIR APPROXIMATE LOCSNOW THC EXISTENCE Of ANY EASEMENTS. COVEHANTS OR RESTRICTIONSAY PREVENT SOME IMPROVEMENTS FROM BONGCATEC. WHICH 00 NOT 'APPE CGR UBDIvS1 N TIS UNDER NO CIRdNSTANCES SHOULD AN AS-BULT BE USFD.FOR OWSTRJCTION OR FOR [SiABUSHINC BOUNDARY OR FENCE ONES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION:ONLY AND: AS=ES FINANCIAL LIABILITY ONLY FOR THE COST Or THE SURVEY LISTED DISTANCES PREVAIL OVER SCALING. __REPRODUCTION MAY CAUSE ERRORS IN SCALE. Dlunicipalit3T of Anchorage y� j K0. Nix IIX;(N) • Anchorage, Alaska ! M19.66N) • Telephone (W7) 34:1.9301 • Par (!q7) 3t3.82(N) ` W370011mgaw Street • Anchorage, Alaska V97,17 s . i e r aim munLorg Mayor Mark J3egidt Building Safety Dii.-ision 6/20/2005 Gamess Engineering Group 3701 East Tudor Raod, Suite 101 Anchorage, Alaska 99507 Subject: Waiver Request for Girdwood Original Townsite Subdivision, Block 2, Lot 27 Waiver Request #WR050042 Parcel ID #075-152-35 Permit # SW050186 Dear Mr. Gamess: Your request for a waiver of the required 75 feet horizontal separation from the public sewer trunk to the private well has been approved. The approved separation distance is 65.0 feet. This waiver approval applies to the existing public sewer trunk to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, 4XX�U5� Julie Makela, P.E. Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity e �a Municipality of Anchorage Development Services Department*F. • Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR050042 PID#: 075-152-35 HAM _ Permit#: SW050186 Date Received: 6/15/05 Legal Description: Girdwood Original Townsite Subdivision, Block 2. Lot 27 Engineer. Garness Engineering Group a �L•'I:�TIF�IC7tI�i Applicant: Mark 8 Kathleen Saugstad . Waiver Requested: 65 feet from proposed well to public sewer main Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: -7.1 Total: I x.0.3 ............................................................................... Waiver is Granted: _I Waiver is not Granted: List Conditions or Reasons for above: Date: _`� By! t . C ( i 1 ( lo. Q ame of Reviewer ............................................................................. Rec#: OS69408 Amount: $1.150 Date Paid:,�(�jjQQ;i 5 Girdwood Original Townsite Subdivision, Block 2, Lot 27 Parcel ID: 075-152-35 Waiver for 65 feet from water well on subject property to existing sewer main Issued June 20, 2005 General 1. Subject property is 3,600 square feet. There does not exist a location on the subject property to install a well 100 feet from a sewer main. The proposed well will be completed in the confined aquifer in accordance with the plan submitted by the engineer. The well will be similar in depth to the Girdwood Mall well located on Girdwood Original Townsite Subdivision, Block 4, Lot 1A. 2. AWWU reported that manholes in the subdivision were recently repaired to prevent the Infiltration of heavy rainfalls. Exfiltration does not appear to be a problem in the immediate area. ADEC Criteria Points Water Table 7.1 Proposed well depth 120 feet Assumed depth of sewer main -10 feet 110 feet x=10/190+7.0 x=7.05 Soil Sorption 1.6 Soil descriptions from well log for adjacent property (Girdwood Mall) Silty gravel 10-16 feet Silty clay 16 -19 feet Silty gravel 19-118 feet (6/108 x 1.5) + (3/108 x 6.0) + (99/108 x 1.5) Permeability Soil descriptions from well log for adjacent property (Girdwood Mall) 1.5 Silty gravel 10 -16 feet Silty clay 16 -19 feet Silty gravel 19-118 feet (6/108 x 1.5) + (3/108 x 3.0) + (99/108 x 1.5) Water Table Gradient 4.5 Assume 5% slope Horizontal Separation 1.6 65 feet between proposed well on subject property and sewer main x=15/25+1.0 x=1.6 Total Points 16.3 As per ADEC waiver guidelines a point value of 16.3 is almost sure to be free of any form of contamination from household sewage. ® Municipality of Anchorage K On -Site Water and Wastewater Program E (907) 343-7904 1 51.f ET Y Certificate of On -Site Systems Approval Parcel I.D. 075-152-35Expiration Date: 2 Z2 1. GENERAL INFORMATION: Complete legal description GIRDWOOD ORIGINAL TOWNSITE BLK 2 LT 27 US SURVEY 1177 SUPPLEMENT Location (site address) 206 Main Street *Girdwood 99587 Current Property owner(s) Mark SaugStad Day phone 907-783-2112 Mailing address Reap Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment 1 0 21 Receipt Number d s 3 1 1 G COSA # 0 k l r g 1 Waiver Fee $ Date of Payment Receipt Number Waiver # A '011, 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: %J t0Azt In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE X _ System #1 Approved for 2- bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, #AECC884 OF rrrr��r OtA-mac' SITE with the follavig 4 *It {1V Fbii� NAST`'�\�A�ER o^ J O� By: l/t/ Original Certificate Dater3 Z The Municipality ofAnchor e Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations g en in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist >41 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other ntl9 COSA Checklist Legal Description: mnoW000ORIGINAL rowwanEaLxucruruaSURVEY 11nSUPPLEMENT Parcel ID: � 075-152-35 If r-nore than I septic system on lot: COSA Checklist # of A. WELL DATA EN] Well log iafiled with Onsite (or attached) Date drilled moxmo Total depth 102 ft Cased to 102 ft Sani<aryae2| is functioning correctly VVinsa are properly protected C�aingheight (above ground) 18+ in Date ofM11/9/21owteatforCOSA 0 Stadowater level atbeginning oftest _v�5 ft. Comments B. TANK DATA Age uftenk(s) ____years Tanktypa/mabana| Measuredoperating fluid level inseptic tank ____ [:1Stand pipeo/IOundaduncleanout per record drawing Date ofpumpinA D. ABSORPTION FIELD DATA Which systemtested (date installed) ____ LE] ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (niin) .E] N/A - pressurized field monitor tubes go to bottom of ctive. If not, state depth into effective Code -required soil c er over field Ej Sys em preso ed (Required if ant for greater than 30 days prior to ns introduced _gallons COSA Checklist yellow sheet Structure served by this system Well production adtime oftest 7�.7+ pm Water storage tank volume N/A gallons Well disinfected for coliform test? El Yea #1 No Coliform bacteria isNegative Nitrate mg/L [:] Nitrate |eaa\han MRL (ND) �� Arsenic _____ug/L ��Arsenic less than MRL (ND) Collected by GEG ' LTD Date ofSample 11/9/21 C. LIFT STATION [] Required maintenance completed Age nflift station years Lift station material Comments: uacy test date ~� Results � |Paan For bedrooms __- Fluid depth prior to teat in Water added ____gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12months) |fyes, enter date ____ 11 E SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less flian required or if community well Septic TanWLdtStation onLot ~1OO' N/A wft Community Sewer Manhole/Cleanout >180' �lYes if No ��Yoo ifNoft 0eighboringTank>1OO' F,71 Yes if No +^ ft Private Sewer/Septic Line >25'Yes ifNoft Absorption Field onLot >10O' F�Yey if No N/A ft Holding Tank >1OO' Yen ifNo0 Neighboring Absorption Fieido> 180' Animal Containment >5O' P4 Yes ifNoft El Yes ifNoft ��Yee >2OO' E] Yes ifNoft °65'+ Manure/Animal Excreta Storage ` 100' ifNoft CommunitySewer Main >75' F-71 Yes ifNoft ��Yee ifNoft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations >1O' El Yes ifNoft ft |fabsorption field isLinder driveway comment below ft Property Line >5' []Yea ifNoft VVa||sonAdjacent L�s� Wells on Adjacent Lots: Absorption Field >5' El Yes ifNoft Line�1O' []Yeo ��Yea �Nnft VVeterK�ain>1O' 1771 Yes �Noft ��Yee >2OO' E] Yes ifNoft VVeterService Line >1O' El Yes ifNoft *xecuvuru�- |fame��tankiounderdrivevvayoommentbe|oe From Absorption Field on Lot to: (Please enter distap�s if less than required) Building Foundation > 10'[lYes STRUCURES PRESENT, BUT NO SEPTIC SYSTEMS WERE FOUND DURING INSPECTION. o ft |fabsorption field isLinder driveway comment below p rtL 10' es �Nuft determined through inspections and review VVa||sonAdjacent L�s� 10'Water Main > 10'�]Yea ifNu� Phva��VVe||o>1OO' E] Yes ifNoft Line�1O' []Yeo ifNoft Community VVeUo>2OO' 1771 Yes if0oft �C�aceVVobar>1OO' ��Yee ifNuft 5r C0S'A Cxecxo,'ya|/onsheet F. ENGINEER'S COMMENTS *WR#050042 **NO SEPTIC RECORDS FOUND FOR GIRDVOOD ORIGINAL TOWNSITE BLK 2[T9'AND ITIS NOT SERVED BYAW«WU.THERE ARE STRUCURES PRESENT, BUT NO SEPTIC SYSTEMS WERE FOUND DURING INSPECTION. G. ENGINEER'S CERTIFICATION /narfif/that / have field determined through inspections and review o/Municipal records that the above systems are i/conformance with MOA COSAguidelines i/effect onthis date. A. 5r C0S'A Cxecxo,'ya|/onsheet ro *xecuvuru�- STEVEN CAL HAN.• - lfessionc\ J2 Rcmml Inc �m r 250 H Street Anchorage, Alaska 99501 - P # '" 562-5291 Mainline Phone 243-8985 AECC 668 LOT 27, BLOCK 2., GIRDWOOD ORIGINAL TOWNSITE DRAWN DATE: 11/5/2021 WORK ORDER: 21138 DRAWN BY: AP PLAT: U.S. SURVEY 1177 CHECKED BY: SC GRID: SE5112 SCALE* 1 20' FB/PG: 822/51 Mwt� LEGEND: LOT LINE . ..... Asp .al CENTERLINE --a EASEMENT LINE — Gvel,,. CLEAN OUT 0 Co WATER WELL FENCE —X—X NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. SURVEY CERTIFICATION: LCC LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED OR SHOWN, EXCLUSIONARY NOTE: IT IS THE OWNERSRESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT -PLAN PURPOSES.