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HomeMy WebLinkAboutSKYHILLS PH 3 BLK 3 LT 21kyh1*11s #3 Block 3 Lot 21 #011-122-53 Municipality of Anchorage Department of Health and Human Services Building Safety Division - On -Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519{650 Pagel of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number. SWSW040128 PID Number. 011-122-53 "'" Wastewater System: ® New ❑ Upgrade Adbeu: iyAlanrl Ave 99501 ABSORPTION FIELD PhOfM' NWAW at esdnana ® Deep TMXh 17 Shallow TWCh D Bed 13MXV4 ODow swRw+p TawDepNkemwgnYpWs LEGAL DESCRIPTION Wodk Lw: sjxlw lon: It 21 Sky Hills Phaseft Daps M ppe bnom kom orpnw Waft 4 Ft Gr" deer bMwn qW- R F, TowNYp: ROW- 8W : FA added above oVW Obe: Gram LwpIR Well: ❑ New ❑ Upgrade Gt"VAde. Nanbw of Ines: D.w bet~ Wes cWesif"M[Pinata. A B. C): TOW Depen. cbW W' TOW absorption war Ppe Mattaw. Dnaer Data Dnkd'. SWa Wats, Lavw: F1 Latalar John Ha maier Homel Data bled. 1115/2004 raU. Para sat r. c.wr9 Nwotx Above Grw,m: TANK GPM FL FI SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Lift Station Holding Tank ubtien °vete Sew Line hlamo r AnchTank cpatr 2000Gw 200+ 200+ Met" Names of Cwproowar 2 was Steel saraoewater 100+ 100+ LIFT STATION La to 34.8 12.1 $ar cat MwalwArer 45 Prp wf Welat: 'Rnp atr IMI w: Nph water at r at: Foundstm n N n00+ k447 "atp Make a Med" EleWnal nepadi pwromod by Rw"w"'BENCH Revised site plan per as -built survey performed b MARK Location and Daaptbn: Gastaldi Land Surveying on 4117106. Garage Slab /aMenod Elevwan: 100.0 FL Engineer's Stamp ♦♦•••w�aa�t .......... \....♦ �{���, P1�. •i� ♦i. I � • J Inspections performed by: Pannone Eng. Svc Dates: 1"111512004 a9TH ►.....;. ...... .......... ..:..... 0 2nd1110512004 Department of Health and Human Services a 1 p "' "' " """""ne.- `°a �. C) Sleven R %. Ponnone �i ar As Jprov Reviewed and approved by: 1 73 1 Date: (Rev. 11199) V ar pit N f49 \w! , 1 ,,,,.... eeh ��ESStG�y♦•♦ • PERMIT NO:SWO40128 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM Lot 21, Block 3 Skyhills SID, Phase 3 1 i / P.I.D. NO: 011.122-53 Steven R. Pannone EPARED FOR: PANNONE ENG. SVC, LLC John Hagmeler Homes, LLC P. O. BOX 102954 NEW PRIMARY SF ANCHORAGE, ALASKA 99510 Anchorage, AK 99503 8.2 248.6789 50LFx8'EDxl27D RECORD NEWWATE, - T7 1 ��5% '� t •,. ti : - LRJE / t� M2 2.2 RESERVE SAS s• I NEW 2000g 50LFx8'EDx127D SEPTIC TANK 1 .0 ITH21-36 *FC 74.0 ° I i j i I I NEIN 6 BR NOTES: 1) All work shall be performed in II HOUSE accordance withAMC15.65. accordance I I 2) Materials used shall be In i accordance with those specified in 1 AMC15.65, Wastewater Disposal. I 3) Maintain 10' separation to all lot II ' lines and exist'g or proposed water lines. i I 4) Lots served by AW WU Public i )----Scwo Water System. No wells within 200' 1 INGTIES of proposed system. A B I I FC 13.0 26.7 N T1 63.5 46.8 E DESIGN: / T2 71.1 60.3 DC 78.5 64.4 i PERC RATE: 2 MPI C1 107.0 86.1 I APPLICATION RATE: 125 B M1 106.5 84.1 i 1.2 GPOBF r- C2 79.5 45.6 ..��1LIkaa,,, � 8 BOR x M2 81A 48.4 �� P'( .............. ♦ '• AREA: RE D 750 SF 8' ED 50 LF, 17 T.D. _ h --"'--••---_ ••••• �� i 3' WIDE x x _- _ --""-- CD 1 780 SF TOTAL i;� 49 TM_ 2000 GAL. SEPTIC TANK Steven R. Pannone EPARED FOR: PANNONE ENG. SVC, LLC John Hagmeler Homes, LLC P. O. BOX 102954 2204 Cleveland Ave ANCHORAGE, ALASKA 99510 Anchorage, AK 99503 227-3522 P, 272-8218 Fax 248.6789 DATE_ 6-"6 RECORD PERMIT NO:SWO40128 RECORD DRAWING DETAILS P.I.D. NO: 011.122.53 WASTEWATER ABSORPTION SYSTEM Lot 21, Block 3 Skyhills SID, Phase 3 1110 NV310 38n1 a011Now s LL n 4 rrr:f:rf:f; F1:1J;Xtf: e n lie W b La 1 a 3 Z Oul X b O eLILI S U & U) W N N ^ � L011140101 4 38n1 O � :rr. f:rr• q $ 1noNv310 � 3 h g b o R � O c � o m R O N m 1nONV310 71 31ano0 a o o a • inONV310 Y a 41 NONV310 g r. e N O y1pNV31� 318n00 it �1� NOTES: �*!! .••••• ••••••.,, 1) ALL WORK SHALL BE PERFORMED CO ' �I IN ACCORDANCE WITH, AND ALL MATERIALS riL SHALL CONFORM TO, AMC15.65. 49 . . ................�i . • •• Steven R Pannone PREPARED FOR: Pannone Eng. Svc., LLC P. O. BOX 102954 : John Hagmeler Homes. LLC d�•°•; "ba'G'7J849 ( ,.•e� 2204 Cleveland Ave ANCHORAGE, ALASKA 99510 •. 0044 % :. Anchorage, AK 99503 248-8789 272-8218 PHONE & FAX DATE: 11-29-04 , RECORD NOT TO SCALE MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO40128 Legal Description: Skyhills #3 Block 3 Lot 21 ' Design Engineer: 0062 Pannone Engineering Services Owner Name: John ///p5 /006 P330 Date Issued: May 18, 2004 Expiration Date: May 18, 2005 Parcel ID: 011-122-53 Site Address: 7975 Skyhills Drive Lot Size: 43635 SQ. FT. Owner Address: 2204 Cleveland Ave, Ste 201 Total Bedrooms: 6 Permit Bedrooms: 6 Anchorage , A 99503 - This permit is for the construction of: ❑,/ Disposal Field g Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. "4 Date: 0 Issued By. �J4' � Date: 3 /18/04 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-650 www.ci.anchorage.sk.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. DI 1- f 2 Z -rl Permit Number SW Property owners) John Hagmeier Homes LLC Day phone 248.6789 MaTwng address (1) 2204 Cleveland Ave Suite 201 Mailing address (2) Anchorage AK Zip Code 99303 Legal description (Lot, Block & Sub'd.) Lot 21 Block 3 Sky Hilts Phase 3 Legal description (Section, Township & Range) Lot Size 49N8 yr{6 3S Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 6 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 owner or authorized agent) Permit Fees: Date of Payment: Receipt Number. (Rev. 12M) Waiver Fees: _ Date of Payment: _A_ Receipt Number. Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272.8218 227-3522 (907)M-8218 Fax May 13, 2004 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 21, Block 3 Sky H171s S/D, Phase 3 Septic System Permit Gentlemen: My firm was contacted to design and install a new septic system for the referenced lot. We conducted a field investigation to locate existing wells and septic system before designing the proposed system. Two test holes were excavated in September of 1999 for the system design, which is on file with your department. No ground water was encountered. No bedrock was encountered in the test hole. The lot is 40,478 sq ft in size. Lot 21 slopes to the east at a rate of approximately 1-2 percent in the proposed septic area. The proposed installation will be located on the eastern portion of the lot on a relatively flat area. The proposed location is greater than 200 feet away from any wells. This lot is served by AWWU water service. The proposed system will be greater than 10 feet from the water service lines. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. Please contact me at 272-8218 or 227-3522 if you have any questions about the proposed installation. Sincerely, Steven R. Pannone, P.E. Attachments: C\WORKII.C(TGRS121JSKYI11LLSM 1 DOC PERMIT NO: DESIGN DRAWING P.I.D. NO: WASTEWATER DISPOSAL SYSTEM Lot 2`1 3 SKYHILLS SUBDIVISION 01 in accordance with AMC15.65. �I /Block r ' TH21-3A accordance with those I 30. 1 .05x t �F. I OPOSED PRIMARY I D NFIEID LFx8•ED. 12'TD PROPOSED RESERVE DRAINFIELD �7L 16.0 50LFxB'ED.1211) SJO i i PROPOSED i —ai 10.0 WATER UNE \ 1 PROPOSED 2000g SEPTIC TANK I I I 13.7 l 1 5��-- 57 1 �� 1% TH 21-38 20 fWl NOTES: 1) All work shall be performed 01 in accordance with AMC15.65. �I 2) Materials used shall be in i accordance with those I specified in AMC15.65. I Wastewater Disposal. I 3) Connect post tank line to I start of drain field, typical. 4) Maintain 10' separation to all lot lines and existing water lines. 5) Lots served by AWWU Public I Water System. No wells within I 200' of proposed system. I I �4 Jr T ii}�1 1 vd b 57. 57 ien K. rannone p s r � JOHN HAGMElER HOMES. LLC rN�o. C�E,�78�149 r 2204 CLEVELAND AVE. �!'(K�LJ.•rf��� ANCHORAGE. AK 248-6789 LOT DESIGN: PERC RATE: 2 MPI APPLICATION RATE: 125 SF/BR 1.2 GPD/SF 6 BR HOUSE REO'D AREA: 750 SF LOT 24 SK RR� 0.58 E"EFF'T DEPTH. 65 LF X 9' T.D. 780 SF TOTAL 2000 GAL. SEPTIC TANK PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax DESIGN P.I.D. NO: PERMITNO: DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 21 Block 3 SKYHILLS SUBDIVISION NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH. AND ALL MATERIALS SHALL CONFORM TO. AMC15.65. 2) MAINTAIN 30' SEPARATION FROM ALL SLOPES GREATER THAN 25%. !n0 NY3 3 4 C A6y a. V. yL l yx 000000000 � F-l� x 000000000 v ��`t_ 00000°00 55 0000000000 00000°00 k Fc 0000000 0000000° 1%1T. 38nL b=NON Z O_� & U -fk LIJ N !!'{4 J LL 3 " c 1n0 NY310 0� 0000000 I CL 0000000 n 00000° 0000 0000 yi O 00000000 00000000 00000000 O a z n i d O N 1 1tlONV3lO I 1I10NY31O sg- 1nONVM �YRM ♦OF1 ��p'' .t NOI1VONf10! 49TH 10 iSleven R. Pannone 1 . PREPARED FOR: Pannone Eng. Svc.. LLC �. o�•...E 8149 f� JOHN HAGMEIER HOMES. LLC P. 0. BOX 102954 � � ` L + �. 2204 CLEVELAND AVE. ANCHORAGE. ALASKA 99510 • & �'r ANCHORAGE. AK �i •'"••• •~"" •� 2ae-6789 272-8218 PHONE &FAX 4Nh',� • NOT TO SCALE DESIGN Lo FROM : PR4UU ENG SVC PHONE NO. : 2?2 8218 May. 18 2004 05:33AM P2 I Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For. Bnh Kirin Date Performed: 9/24/99 Legal Description: 1 et 21. Block .i Sky Hills Pho-e. 1I SLOPE � SITE PLAN IF OWT 2 ru dP 3 �' t TEETH LF No 23. -B U 4 s g Fine Sand 7 Some S"t a SP Was Groundwater 9 Encountered? No S If Yet. What Depth? L 10 Depth to Water 0 After Monitoring None P 11 Date: 10/10/99 E 13 Date Gross Time Net Time 14 1 24 -Sep 11:13 15 -1- 2 11:25 10 Fine Sand 16 11:26 Clean 17 4 SP 16 5.625' 5" 5 19 Bottom of 6 1 11:47 Hole VaR Reading Date Gross Time Net Time Depth To Net Water Drop 1 24 -Sep 11:13 -1- 2 11:25 10 6" 5" 3 11:26 .625" 4 11:36 10 5.625' 5" 5 11:37 .75" 6 1 11:47 1 10 5.75' 5" Perc. Rate: 2 MinAnch Pere. Hole Diameter: 6" Test Run Between 7 Ft. and 8 FL Comments: Percolation Cavity Presoaked Prior to Testing. Performed By: Fe Candersn I. MishaAll gndfit n Certify That Thy Test Was Performed - In Accordance With AN State and Municipal Guidelines In Effect On This Date: 1012of99 FROM : PAtNOtE ENG SVC PHONE NO. : 272 8218 May. 18 2004 05:34(X'1 P3 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For. R^h KI -In Dale Performed: 9124/99 Legal Deseriptlon: 1112Ck a sky HI.!e PhaaR In SLOPE SITE PLAN i 11 4 1 OG/PT F ne Sand 7 Some Snt 8 SP 10 11 13 Fine Sand Clean SP Was Groundwater Encountered? No K Yet. What Depth? Depth to Water After Monitoring None Date: 10/10/99 94.rL Reading, Date Gross Time Net Time Depth To Net Water Drop 1 24 -Sep 9.14 .75' 2 9:24 10 '5.7S' 5" 3 9:25 •.625' 4 9:35 10 5.625' 5' 5 936 .75' 6 9:46 10 5.75' 5' 19Bottom of Perc. Rate:2 MinJinch Pere. Hole Diameter. 6' Hole Test Run Between 7 Ft. and 8 Ft. Comments: Percolation Cavity Presoaked Prior to Testing. Performed By:d y.,,=Ed an�wcandw Inn i, MI haclr F AndXAnn, Certify That Thio Test Was Performed In Accordance With All State and Munldpet Guidelines In Effect On This Date: 1020199 FROM : PA CE ENG SVC PHo E N0. : 272 8218 Hay. 18 2004 05:34AM P4 SKY HILLS SUBDIVISION, PHASE III PERCOLATION RATE SUMMARY LoVBIock Number Testhole Number Perc. Rate MinJlnch LotBlock Number Testhole Number Parc. Rate MinJlnch Lot 5, Block 2 TH-A 2 Lot 25, Block 3 . TH-A 2 TH-B 2 TH-B 2 Lot S. Block 2 TH-A 2 Lot 26, Block 3 TH-A 2 TH-B 2 TH-B 2 Lot 7, Block 2 TH-A 20 Lot 27, Block 3 TH-A 2 TH-D, 20 TH-B 2 Lot 8, Block 2 TH-A 15 TH.-C 2 TH-B 15 Lot 28, Block 3 TH-A 2 Lot 9, Block 2 TH-A 2 TH-B S TH-B 2 TN -C 1.7 Lot 10, Block 2 TH-A 12' Lot 29, Block 3 TH-A' 2 TH-8 12 TH-B 5 Lot 21, Block 3 TH-A 2 Lot 30, Block 3 TH-A 3.3 TH-S 2 TH-B 2 Lot 22, Block 3 TH-A 2 Lot 31, Block 3 TH-A 3.3' TH-B 2 TH-B S Lot 23, Block 3 TH-A 2 Lot 32, Block 3 TH-A 1.7 TH-B 2 TH-B 5 TH-C 2 Lot 33, Block 3 TH-A 1.25 Let 24, Block 3 TH-A 2 TH-B 1.25 TH-8 2 Tract A TH-A 2 TH-B 2 PC0 0&060 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description Lot 21 Bk 3 Sky Hills Phase 3 Location (site address) 7975 Skyhills Drive Anchorage AK F COSA # O Co O 2 I Expiration Date: 6 - .S- n 7 Current Property owner(s) John Hagmeier Homes. LLC Day phone 248-6789 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 2204 Cleveland Ave Anchorage, AK 99517 Unless otherwise requested, COSA wilt be held by DSO for pickup. 2. NUMBER OF BEDROOMS: 6 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System 19 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ 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-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite 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-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 Pannone Enoineering Servires, LLC Phone 272-8218 Address P.O. Box 102954, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 611106 Engineers Comments: In conducting an adequacy lest, l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with htOA DSD Guidelines d Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. ����•aaaa The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions arc outside the control of the evaluator of this system. All systems eventually fail and 00 satisfactory test results do not guarantee future performance of the system, nor do they guarantee that C a n •w 00 there arc no hidden defects or encroachments. PES can therefore not provide any warranty for future $• —00 performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. Thc content of this report is for the sole benefit of the owner listed Steven R. Pannone above. Any reliance upon or use of this report by any other person or party is not authorized nor will it ���'A N, CE 8149 11 confer tt ♦4f4 DSD SIGNATURE 5�apE�al•`�• ✓ Approved for _6 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory PROGRAM Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other un By: t// / G!% Original Certificate Date: r 5, 0 �o xn« t,Ast oe- Municipality of Anchorage • Development Services Department ° Building Safety Division On -Site Water 6 Wastewater Program " ' 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-850 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Well type AYt7fllt Da plated _ Total depth Date of test Static water level Web pro91iedg If A, B, or C provide PWSID 0 _ Sanitary seal (Y/N) Cased to ft. FR LL LOG ft. 9.p -m. RESULTS: Well Log Wires pS>Dpefty p (Y/N) height (above ground) in. AT INSPECTION oolonies/100 ml Nitrate mg/L Other mgfl B. SEPTICIHOLDING TANK DATA Date of sample: _ Collected by: Tank Type/Material Anch Tank Stael Tank size 2000_ gal. Number of Compartments 2 Foundation cleanout (YIN) I Depression over tapk (YM) H Date of pumping )a1,) — [ L 1 PuUp /�ct�✓11 C. ABSORPTION FIELD DATA Cleanouts (Y/N) fL g.p.m. oolonies/100 mL High water alarm (Y/N) WA Date installed 111512884 Soil rating (g.p.d.e or fe/bdrm) l,2_ System type Deeo Trench Length 50 ft. Width ] ft. Gravel below pipe 8 ft. Total depth 12 ft. Eff. absorption area Info Monitoring tube Y Depression over field Date of adequacy test -ke UJ Results (Pass/Fall) Pass For ¢ bedrooms Fluid depth in absorption field before test = in. Water added `gai. New depthin. CTOElapsed Time: _ min. Final fluid depth _ in. Absorption rate >= W T g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 8, type) No If yes, give date LIFT STATION 'Pump on"hu-1 Datum E. SEPARATION SEPARATION Septic tankAlft a Absorption field Public sewefm. Size in gallons at _ in. _ 1 -Pump ofr "t,4 _ in. ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm a circuit requirements? On adjacent lots On adjacent lots sewer manhole/deanout septic service line Holding tan anal containment areas Manurelanimal exrxe forage areas SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO: Building foundation 45 Property line�4 Absorption field (f+ Water main 100+ Water service line 25+ Surface water 100+ Wells on adjacent lots 200+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 12 Building foundation 44 Water main too+ Water Service line 25+ Surface water 100+ Driveway, parkinglvehx* storage 1 Curtain drain None Wells on adjacent kits 200+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certiy that I have determined through field inspections and r' review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. j ni�:c Engineer's Printed Name Steven R Pannone, RE Q� i� N, C-- E'D ,A 7 Date eie�—•( ��• COSA Fee $ 51 r `J_O Date of Payment Z Receipt Number (Rev. 11/05) U 6� Waiver Fee $ _ Date of Payment Receipt Number in. 99-140 SKYHILLS SUBDIVISION, LOT 21, BLOCK 43,635 S.F. 111=40' OF A4 11 . :..497ti.........'S: * i :. ..e......... r......a ' . Jeffery o aI r P� •.� LS -6091 •�' O� t" a GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.LS. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 IGRID 2222 I DATE 17/2006 F.B. 08-03 I JOB N0. SHS3213 PHASE 3 3 BUILDING DETAIL SCALE 1"a20' I HEREBY CERTIFY THAT 1 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