Loading...
HomeMy WebLinkAboutSUN VALLEY NORTH BLK 5 LT 4Sun Valley North Block 5 Lot 4 #050-652-08 Municipality of Anchorage ( Development Services Department Building Safety Division s On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of—? - www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 75'0C).502/_/_T PID Number: QSO -C.52- ff$ Name: 2n ABC," eG Wastewater System: New ❑ Upgrade Address: G/- 25-1 ne.ti- %6 ✓: ABSORPTION FIELD Phone: Number of Bedrooms: �( N Deep Trench O Shallow Trench O Bed O Mouund O Other: DESCRIPTION Soil Ralvg /� Q Total Depth from originalgradeLEGAL 5 �✓. V GP002 !. Fl. Block. Ld &&divisyn' 5 SVS 1 �i Depth to pipe bottom from original grade: 5 Gravel depth berealhpipe: t/a/�e or Ft. F.. Township: Range: Section: Fill added above original grade: Q, S4 Ft. Gravel Length: % t Ft. Well: New ❑ Upgrade Gravel w7tltk Number of lines: Dislance between linos: Fl Ft Classeication rivals. A B C): �Q� Total Depth : 3 Cased to; q 7 Total absorption or". q 7 Pipe Material: , QJC ?VC G. FI. C ..i FL 3 F7 G. Ftr Drager SrJ // �4 . note DOW b z /a s1 Staticwater Level 200 Installer OwNa_ e Date Instalod' -.. 23 06 Ft _51-23106 Yield: Pump Sol at -2 Casing Height Above Grotm 2 TANK GPM FI. Fl. SEPARATION DISTANCES ($lSeptic ❑ Holding ❑ S.T E.P. ❑ Other: To Septic Absorption Lift Holding lublfOlPrivate Marl: T" spac{lg 000 From Tank Field Station Tank Sewer Line --syy ft. cal. Nell p 5 - G T Malermt Number o(CornPadmenls: �7 rl ` 5 ry CJ Sunacewaler 1pp 1.,g. r4- _ _ LIF STATION Lot Llne / ire: u ec FOwbatron 5 / 0 /.r 'Pump on' levelPump Z11, d r level at: water alarm al , ,� _ - Pump Make el Electrical lmpeelions Godo ed by Curtain Drain � —� �' Rema ks: 62 - QId�rZJ'/o/u BENCH MARK ,6/7-C,H /sV 200. OwNErt- 9.4/4 Location ane Descrlplbn: % o S //BJP - 64 6 Assumed lavation'. / 0 Cl Ft ��Th// Dates: tat 7aSe fnspecfion erformed by: �1, r/c.r� 6 t� 3 � � ,�;"� 2nd /4 � P ] 27/415 7/2 �, ,ef xr..^.4 e+ as gt.nn e as r�r' v Development Services Department Approval y r � � � f.: � p Conditional Approval Date: C sro.(.n J Reviewed and approved by: (Rev W/0) Alternate Trench 15.5 31.5 18 34.5 76.5 80.5 66 70.5 Co ' MT TH — !7y/ DC❑ ST2 , ST1 — DRIVE am.�+'�reyy SUN /ALLEY NORTH PJt?RTHRIM 1* ��°4 BLOCK 5, LOT 4 RECORD F-- NGiNEERING :49�, *�f� 17237 Bear Paw C/rcle ; W.. � vs DRAWING Eagle River, Alaska 99577 4'i�, a�Sia 1 907.694.7028 f444ffi ���� O / EET -� 1 6/1/06 2 of 3 o � WELL �v I i am.�+'�reyy SUN /ALLEY NORTH PJt?RTHRIM 1* ��°4 BLOCK 5, LOT 4 RECORD F-- NGiNEERING :49�, *�f� 17237 Bear Paw C/rcle ; W.. � vs DRAWING Eagle River, Alaska 99577 4'i�, a�Sia 1 907.694.7028 f444ffi ���� O / EET -� 1 6/1/06 2 of 3 ---o rl g < AZ o h o e N T O Q y X Z 3 h Vo xV �� II FFU O N a 0 D T �N 3 �Ir i o A *STtit N h 9r�n1I �j a ''. pCNN z D o �o _ o nIL2 3,p tom' �i ro < 3 p Q S 0 O P'. s 11''•� CO IU h p II f*1 rl 0 0 N < < P (D rp 3- _ II 0003 LI:F-9 NfD z II d n m � � z a , m rFD< < D z PF h 7 z o -u d 0 u u z li 0 n O 0 � 0 o Cn UI < O �. (n T F1 � H Fri _� (7 m ro P 0 ro n + h Ul < ro ro o z d Io S TI �"Cfl I 3 D F— m m r � _sm n z o -< 0 O n 0 h O z / 1 .� o Q 7C 90 N m = h m o n I tt��-------- f_n i 0 Cil O N W O n W o S Cerfifirb antUng log by DOG CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 *TELEPHONE 688-2759 OWNER OF LAND: a I-IU014J�ilj BORE HOLE DAT) DEPTH ADDRESS: Fro,„ T. LEGAL DESCRIPTION! U'Ptif.a7I` '14 DATE: PERMIT NUMBER: Date of Issue V TAX IDENTIFICATION NUMBER: Is well located at approved permit location? k 1 Yds J No Method of Drilling: la-gir'rotary Qcable tool Depth of well: 2 Casing Type Wall Thickness inches rN '7q Diameterinches, depth feet Liner Type: , $')"1'7 Casing Stickup Above Ground: :i- feet Static Water Level: feet Recover Rate: 3 gpm Method of Testing: ?4i,,z- Well Intake Opening Type: Q6pen end Dopen hole U Screened; StartfeetStopped-feet LJ Perforations Start feet $topped feet Grout Type: Volume 44 Depth: from feet, to d, feet Well Disinfected Upon Completion? '0`Y6s U No Method of Disinfection: /4�"4 I Comments: Driller's Name AMNTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of , Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. _ ;- I SNEERING 1 - 2 - 3 - 4 - DEPTH (FEET) 0. Q 5 - 6- 0 7 - 8 - Q. 9 - 10 - 11 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - Organic Old Fill (GM) S❑ILS L❑G - PERC❑LATI❑N TEST Performed For: Construction Groundwater Observed) None West Of Trench Silty Sandy Gravel GM f DE: Performed in Accordance with All State/Municipal Guidelines in Effect tl- MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 8 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 Permit Number: SWO50243 Date Issued: Jul 21, 2005 Expiration Date: Jul 21, 2006 Parcel ID: 050-652-08 Legal Description: SUN VALLEY NORTH SUBDIVISION BLOCK 5 LOT 4 Design Engineer: 0838 North Rim Engineering Site Address: 4044 ELKHORN DRIVE Owner Name: BEN BOWDEN Lot Size: 134522 SQ. FT. Owner Address: 9545 CANTON LOOP Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER, AK 99577 - This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Rv �A X (f --r>/ Date: Issued Bvol Date. 1 \ 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 SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. M_t`�.rr�-,b� Permit Number SW Property owner(s) fLZn Ea(Af 61 *_rA1 Day phone 25O ^ 6 CS -44 Mailing address TSS S Cam fin L P _ Zip Code %fs 7 7 Site address 4w(A LZKhDm 10- Zip Code Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Sized � )PP- Acre q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. /` (Signature of property oker or authorized agent) Permit/Rush Fees: �U(t� r 1-I S Waiver Fees: Date of Payment: Date Date of Payment: Receipt Number. -Itffitp JQi1 Receipt Number. (Rev. 09/04) rW _INEERI� 1 NSG NorthRim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907.694.7028 July 14, 2005 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Septic System Design & Well Location; Sun Valley North S/D, Block 5, Lot 4 A lot is being developed. Similar suitable soil was discovered in 3 test holes. This is a new septic system and water well. Some of the neighboring lots are developed. This site should not negatively impact any of the other area lots. The drainage slopes to the west, toward the South Fork of Eagle River. Adequate separation to the stream and surface water exists to the proposed site. Please review the wastewater system design for the 3 bedroom single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. �Sincerely, `-5teveng� P $; Design Enclosures .K �C2T�"21M �N,IINEERING SUN VALLEY NORTH S/D, Block 5, Lot 4 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a new single family home projected at 3 bedrooms. This requires a 1000 gallon septic tank. This lot is about 2 acres in size, as are neighboring lots. Some of the neighborhood lots have been developed as indicated in the drawings. No adverse impacts are expected from developing this lot. The proposed water well is located on the drawing as are the neighboring wastewater systems & water wells. The lot slopes west toward the South Fork of Eagle River. Adequate separation exists to this surface water. A conventional septic system is planned; this requires that the house be elevated sufficiently to allow gravity drainage for the system. No conflicts to any neighbor lot is anticipated. Three soil tests were previously conducted, all demonstrating similar soil; a silty sandy gravel with good percolation rate. An application rate of 0.8 GPD/FT2 with 0.5 reduction factor for utilizing a 5' wide trench was utilized. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment, 1000 gallon septic tank. • Watertight couplings on inlet & outlet. • 5 foot minimum bctA=n the tank and bed. 10 foot to property lines. • 3 feet of cover or insulation is required for trench; an equivalent of 1" insulation for each foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps arc required 1 to 4 feet from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 feet from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain - rock. • Drain rock to be %: inch to 2 %: inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarifiod before drain rock placement. • Backfill over drain rock must not be less than 36". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI or equal) DESIGN NOTES: 1. Total Depth of Trench Is 7.5' from surfac�y Terr, 'n slo es toward the wePtN8B•22'07"W 362.32 2. Sewfr Ser v a Line/minimum 2% slopa. Absorption rent N Alternate Trench 3. T/encu Minimim 10' from Lot Line( IG 3C . % �� Test o e �o t8ed tfy Private Water Wells \ _ 15% ,•00 ::c 0 Co Double Clean -Outs as 1000 Gallon Septic Tank \ I F.CP. y 4a Septic System Construction 3-BDRM 0 Does Not Preclude Adjoining HOUSE h Lots From Sanitation o �o9s s Improvements. ' `" WE ^� . o�ir �\ \ 0 30: 0 100 5: \ iD.`r Q \ ri 0 0 . \ DRIVE/ o m :' p ry W60 LO NN �. Fn o ( �y \ \ ` 30 30 DO / 3 ! (° CZE OF A!'%, NORTHRIM SUN VALLEY NORTH k�49';. ENGINEERINGBLOCK 5, LOT 4 SYSTEM 17237 Boor Pow Cfruo a •: ' .,~ p; Eoy/o Rf~. Alaska 9957714 LAYOUT 7 o 907.694.7028 1" = 60' 7/12/05 11 of 4 0 ti I m I I IRWer Development I I I Proposed llesorpt o` � lbm Iwee•r:or•. SUM / I Lot Sli,pes Toeard Proposed Sept— / SoUth fork of SYsten / Eay. River DC" woos \ I.' Told O,eth N %r le TJ Rae �;� su,rosa Tessa te..s v. ...L ;J ' i S. S. LM mb*. X d�'0.• G, I Trw.a Y I.i. f0 Ran Lel Ur \4, lots Ssnsa by P".W ..lr wM proposed Sh \ Vell n \ Sh 1 1 � Vocan{ t —I Septic Mea 1 1 � I I I 1 I so - 11 / o_ i' V 30 \ Septic SYsten Construction I Does Not Prelude Adjok*V Lots iron SuNtatbn I v \ l proveeents. h � \ I I I So l 1 Vacant fl% at OF NORTHRIM (4)"-` SUN VALLEY NORTH ENGINEERING *.4913, BL❑CK 5, LOT 4 SUBDIVISI❑N jP LAYOUT 907.691.7028 \\ v I " I t —I Septic Mea 1 1 � I I I 1 I so - 11 / o_ i' V 30 \ Septic SYsten Construction I Does Not Prelude Adjok*V Lots iron SuNtatbn I v \ l proveeents. h � \ I I I So l 1 Vacant fl% at OF NORTHRIM (4)"-` SUN VALLEY NORTH ENGINEERING *.4913, BL❑CK 5, LOT 4 SUBDIVISI❑N 17237 D. r Pow C/r<l. £ogle Rlw, A/oako a-ar r 99577 : LAYOUT 907.691.7028 1" = 100' 7/14/05 2 of 4 s u L N L 3 N z O O a L U W O a v e N CL0 ° N :i.•F, L lu — 4s S U L d i F- L O :p CL L O N s a v z H O� Z >- O W -J J J Uj Q > Y U Z O Z:) J C/) A Y LLI Z Q ~ A Z U 0 Z iW � Q W > U 0 W Z JW W p� W N L �% UN iJ p O O`if O 6 C .3 4- ON L) 41 L) � W � Q) k „ d LYy u� U °+.Y y �Z U y~LCQ O LS��-oL,L �� ; o L 1Li -- 4. ~ N top U Y£ Ll O Z 41 4 1 ° o° aN1aii 13 k:z 41Z S US L L 0 3 U 0) Oi Z Z b °a zan+°.s�m3aa,a;3 li W C V0 �0 VJ< W°a S �z ^,� m O 5. C:% .-i fU Ci I ) � ri CU w W 0 v n W OI L U C L � v Y L7 d U U c ws 0 4- CL U L O 0 E d S tl LO U L M+ U L C:S 3 L ° N C _° Q w ao ° ¢ ° o �° o >, >1 t s �- >, N aN d aN L saEN cow u 0 7 3 L 7— u 4- +. O4- 4 C: d 4 3 - (U � r" Ln Cl £ p U 3 VJ N r-: OLwNO1SL +j 4� L £ N oCIL � o s ° N s 3 L4.N4 > H O� Z >- O W -J J J Uj Q > Y U Z O Z:) J C/) A Y LLI Z Q ~ A Z U 0 Z iW � Q W > U 0 W Z JW W p� W N L �% UN iJ p O O`if O 6 C .3 4- ON L) 41 L) � W � Q) k „ d LYy u� U °+.Y y �Z U y~LCQ O LS��-oL,L �� ; o L 1Li -- 4. ~ N top U Y£ Ll O Z 41 4 1 ° o° aN1aii 13 k:z 41Z S US L L 0 3 U 0) Oi Z Z b °a zan+°.s�m3aa,a;3 li W C V0 �0 VJ< W°a S �z ^,� m O 5. C:% .-i fU Ci I ) � ri CU w W 0 v n 0 c I cF N. ..Not L 0 u Q) 0, CO, 0 a 4z) L 0 0- 0 4- tp - , . t .14 > 2 u u 7- M 0 L M -i _0 0 m ai CQ 0 -P L Q) zo r Ld -J LL - LLI a_ LLI 4M Z LO a_ a) 0 :3 T cF N. ..Not F- 0 -on, 0, CO, 0 a 4z) L 0 —J 0 4- tp - , . t .14 > 2 u u 7- M 0 L M -i _0 0 m ai CQ 0 -P zo r Ld -J LL - LLI a_ LLI 4M Z LO a_ cF N. ..Not -on, 0, CO, Laia41 a 4z) CC 41 tp - , . t .14 S❑ILS LOG - PERC❑LATI❑N TEST Performed For: Kaanda LLC Groundwater Observed: None Depth To Water After Monitoring: None Slope @ 15-25% Organic Date of Monitor: 12/27/03 & 7/12/05 Old Fill (GM) Test Hole located off Elk Horn Dr. @ N End Silty Sandy Gravel GM # DEPTH Gross Time (FEET) 1 - 1 - •. 0 1 O. 3 - -- 4 - -- Q 5 - 10 6- O 7 - 3 8 - 9 - Q' 10 - '•C -- 4 12 - 50 10 mir. 13 - 1' 14 - 12/27 15 - -- 16 - -- 17 - 12/27 18 - 10 mir. 19 - 1' 20 - 21 - S❑ILS LOG - PERC❑LATI❑N TEST Performed For: Kaanda LLC Groundwater Observed: None Depth To Water After Monitoring: None Slope @ 15-25% Organic Date of Monitor: 12/27/03 & 7/12/05 Old Fill (GM) Test Hole located off Elk Horn Dr. @ N End Silty Sandy Gravel GM # Date Gross Time Net Time Depth Net Drop 1 12/27 0 -- 8' -- 2 12/27 10 10 mir. 7' 1' 3 12/27 40 -- 8.5' -- 4 12/27 50 10 mir. 7.5' 1' 5 12/27 80 -- 8.5' -- 6 12/27 90 10 mir. 7.5' 1' Percolation Rate: 10 min./inch Pre -Soaked Test Hole Perc Hole Diameter = 6' Test Run Between 6' and 7' Performed in Accordance with All State/Municipal Guidelines in Effect =1� °Fr�°'� SUN VALLEY S/D .OF ... NORTHRIM 1 4o ENGINEERING ' . BLOCK 5, LOT 4 T. H. 3 �! 17237 Boar Paw Circ/sem Eoplo RNe , Nosko 99577 '•� -• GEOTECHNICAL 12/27/03 3 of 3 Lil 5� t1aAeF IMOr-/ . rp z�5/.,57 �as�i�^a �rir,Jssion �o Jhs��/� /m!! �e�i� s`S�c,-• Liac.c '�'/Oe-r-.C�G UcG J� �-9•N� .er!'t' �/`j'��a �i6v.. f/v 74 I No lot,l 2sv -�os� t•d StSL44SL06 ST1I3 eyseS dS0=S0 SO SZ Tnr • Municipality of Anchorage On -Site Water and Wastewater Program <o (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. D 50 - 6 52 - 0 9 1. GENERAL INFORMATION Complete legal description Expiration Date: �?3 '�_) 0 - j 3 Location (site address) 11041'61 F_/Kl:or.� wive GES s to ,Current Property owner(s) Ooc je n Day phone ASO-G°Std Mailing address Real Estate Agent Day phone 2.TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well individual Water Storage Community Class Well ❑ Public Water System ❑ A TYPE OF WASTEWATER DISPOSAL: Individual "oldiing Tani: u Community ❑ Public Sewer ❑ Received by: Date: -COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ qac Waiver Fee $ Date of Payment 5I I `i il3 c.h�_ Date of Payment Receipt Number ool J 1q 7 Receipt Number COSA # (`S50 1 �> 11 'o Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined fin the Certificate of On -Site Systems Approval Guidelines for this application, dhows that the on-site 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 Munioipality 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. /v Name of Firm U. rrh �r^� T ^4 . Phone Address�0. �o>c 77O7dV Engineer's Printed Name Date h T 6. DSD SIGNATURE °'PC'�1R" l� System #1 Approved for bedrooms. `{, "'s System #2 Approved for bedrooms. Disapproved. S�y �re Conditional approval for bedrooms, with the following stipulations: By: (/d /�� /1i . / ' Original Certificate Date: 3La /3 The Wniciplty pf A09ge Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA bluesh..t 9.1-12.doc X Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the tot: COSA Checklist # of . Structure served by this system Certificate of On -Site Systems Approval Checklist g Well production -� WATER SAMPLE RESULTS: g.p.m. Coliform __0coldnies/100 mL Nitrate d• 7•k' mg/L B. SEPTIC/HOLDING TANK DATA Tank Type/Material ��/f Sf Arsenic .665 ug/L Date of sample: 2 / 2 2. Tank size rJ0'G gal. Number of Compartments 7Z St Collected by: Date installed /0C Cleanouts(Y/N) Foundation cleanout (Y/N) Depression over tank (YIN) 6 High water alarm (Y/N) Al r Date of pumping T�2 J Pumper _ PA/ Aa C. ABSORPTION FIELD DATA Date installed 52 OC Soil rating (g.p.d./e or ft /bdrm) a • System type r Total depth 7 ft. Eff. absorption areafe Monitoring tube N Depression over field AL Date of adequacy test 5g Results (Pass/Fail) �cs� T For bedrooms Fluid depth in absorption field before test O in. Water added gal. New depth in. Elapsed Time: � min. Final fluid depth in. Absorption rate >= a js0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Nq If yes, give date Legal Description: c�jUit Wfea '6.l "'i" Parcel ID: A. WELL DATA Well type 1900--k If A, B, or provide PWSID# Well Log (Y/N)� Date completed IPJ% Sanitary seal (Y/N) � Wires properly protected (YIN) Total depthZ3 7 ft. Cased to 23 % ft. Casing height (above ground) 29' in. FROM -WELL LOG AT INSPECTION Date of test ��� /� Static water level ZG6 ft, 84, D. LIFT STATION Date installed _ "Pump on" level Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off' level at in. Cycles test Septic tankiliff station on lot /0 Q f Absorption field on lot 40 6 - Public Public sewer main All+ Sewer /septic service line 2 5 r, Animal containment areas /00 Manhole/Access N) High water a m level at Meets al & circuit requirements? Y On adjacent lots /06 t On adjacent lots /00 Public sewer manhole/cleanout /V,4 Holding tank 1.14 Manure/animal excrete storage areas / OO 'f in. SEPTIC/HOLDING TANK ON LOT TO: Building foundation S Property line/Q tt Absorption field _Ti f Water main �� r� Water service line /4 Surface water / 0 a r f Wells on adjacent lots /00 ABSORPTION FIELD ON LOT TO: Property line L� ��' Building foundation B r` Water main &) Z ` Water Service line JO �t Surface water I if 0 /t-- Driveway, parking/vehicle storage a + r Curtain drain //NK Wells on adjacent lots 60 f F_ COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in'°'' fq conformance with MOA COSA guidelines in effect on this date. tltl;++ y a' Engineer's Printed Name )P, Date COSA brown sheet_10-10-12.doc 2fNi6 L91R.CT 4R:1NT tufAtl 319NM � H>1Mi0 %IelOc MN &'ILYiO Sfl814f 4�?- 3 %"I .<q6 4 so, UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ONLY FOR THE COST OF THE SURVEY. THE SURVEYOR TAKES RESPONSIBIL)TY FOR THE INITIAL DSTANCES REYAIL OVER TRANSACTION CALING. REPRODUCTION MAY CAUSE ERRORS INSCALE. LOT W%ty SURVEY TYPE SYMBOLS ° ASPHALT TOLMATION AS-RXT ❑ mxL STRVCme AS-EtTiT • SET RERAR DRAINAGE O FOUND REBAR 43...g. -g WOW FENCE '�-"'� CONCRETE ❑ PLOT PI.W ... As -&AT ... LOT eAR1EY ... TOFOCRAPNY GO n ASSUMED ELEV. +,{--11 X METAL FENCE WOOD DECK AS- T ... NO C T OR SALT =T PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO PROPOSED BUILDING GRADE RELATIVE ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES, WELLS. SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, CONSTRUCTION, TO VERIFY TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXMATE LOCATION. ONLY. SNOW PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT, MAY ALL DISTANCES ARE RECORD UNLESS DT ERWISE NOTED. Prepared by SURVEY CER TIFICATION®eb�ertry®e to Robert E. Johns, Jr. & Assoc. ®. OF PLOT AN P �e ., ..••••••....,• (�p . ,.•• . w ev., sa r wea nw.aAqct I �.. 0 Professional Land Surveyors 1706 Slink DdW.me Auu aMaan+Aart •` fNCNORAG, ALASKA89304 me+st. ad a sunw,. n... ® °� Saol°: I R.O. Lot S.F. Ru. PIAT File No. 49t s ,•• •,® ,I 1 _ 100 FIXINUAnaI A5-8111LT,,•• " �„ t Rawl E mw, a_ Aw.sY arwY °at I 6 Best. Sarw ''� 12!'17/12 Dfawn by. REJ Checked b.}MK lar,eetw�on qY bt aM 61st N 1M ••• „ BE . JO , JR, . 0 Date Drown: 12/18!12 GTldo SW758 W.O. 12-557 """"` °oe 4i2t—S j •. RHAL STRUCTURE AS -BUILT `` IB •••h•,..•,•„.,,,•dp, Os ♦ Legal Desatptlel: P.dAr��E^�Mv. J. IwtlY a'Uh Tsri 1 o �eT..taini +a 4�°O'P oOJ �� Lott BLOCKS w,Ka.. ai qL SUN VALLEY NORTH