HomeMy WebLinkAboutTHE TABLELANDS BLK 4 LT 2ATh
Tabl
lands
Block 4
Lot ZA
#051-801-60
~~ Municipality of Anchorage
Development Services Department ~¢~ ~'''-
' Building Safety Division -- -
On-Site Water & Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 2
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: aSP101 17,3 PID Number: 051--801--60
Name:
JEREMY HANSEN Wastewater System: [] New · Upgrade
Address:
22804- WHISPERING BIRCH, CHUGIAK, AK, 99567 ABSORPTION FIELD
No. of Bedrooms:4 .,,,'"~DO
Ph°ne:[,907)' ' 748--0205 [] Deep Trench [] Shallow Trench [] Bed [] Mound,,/' ther
Soll Rating: I Total Depth from//oK~nal grade:
LEGAL DESCRIPTION GPD/~...I ~ /"
Depth to pipe bottom from original grade:
3lock: Lot: Subdivision:
4 2A THE TABLELANDS ., ~k~.~ rt.
length
Township: _ Range: _ Section: _ Fill added above original grade: :
Ft.
Gravel width: / Number of lines: Distance between lines:
WELL:[] New[] UpgrodeJ n. rt.
Classificction (Private, A,B,C): Total Dept..~t>~ Cased TO:(BEDROCK) Total absor~ Pipe material:
PUBLIC WATER ....- / Ft. Ft,~ SQ. Ft.
Driller:. ~ Date Drilled: Static Water Level: Installer: Date installed:
rt. WILCO CONTRACTORS 9/27/2010
Pump Set At: Casing Height Above Ground:
GPM .. rt. TAN K
SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. El Other*
T~.....~To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
! Tank Field Station Tank Sewer Lines PREMIER PLASTICS 1300
from ---.~
Material: Number of compad(ments:
Well 200'+ .... H.D.P.E. 2
Surface Water 100'+ .... LIFT STATION
Size in gallons: Manufacturer: ~
Lot Line 5'+ ....
"Pump on" level at: I"P~ alarm at:
Foundation 5'+ .... 'pump off" at: High water
Cud:ain Drain - NONE KNOWN ~
performed
by:
I I
Remorks: BENCH MARK
Location and Description:
TOP OF GARAGE SLAB, NE CORNER OF HOUSE
Assumed Elevation: 100.00 Ft.
ENGINEER'S SEAL
Inspections performed by: CEO, Ltd. Dates: 1st 9/27/2010
Development Services Department Approval
Conditional approval: De[e: ~^.~'i /t/~i .~. .......
0 ".Je : s.-'
n--Z;
/
PERMIT NUMBER:
OSP10117,5
A B C
ST1 28.55 25.77 50.36
ST2 31.55 29.07 52.75
MT 31.67 31.54- 56.11
DBL1 33.67 31.38 54-.51
DBL2 34-.58 32.28 55.22
AS-BUILT DRAWING
PARCEL ID NUMBER:
051 -801 -60
WHISPERING BIRCH DRIVE
15' UTILITY EASEMENT
DRAINFIELDS
OLD TANK WAS
REMOVED
EXISTING
4- BEDROOM 4' WIDE,
HouSE 4-" THICK
NSULATION
NEW 1300
GALLON
H.D.P.E.
SEPTIC
TANK
PROPOSED
DRIVEWAY.
RESERVE SITE WILL REQUIRE
QUANICS AEROCELL SYSTEM.
/
SCALE:
1" = 40'
PROFILE AS-BUILT ]
FINAL GRADE
= 98.66
CO
CO
4" INSULATION
MT
TOP OF TANK AT-~
INLET = 96.55
Of TANK AT
OUTLET = 96.55
INLET
OUTLET
TO DRAINFIELD
INVERT OF BUNG
AT INLET = 95.80
NEW 1300 GALLON
"PREMIER PLASTICS"
SEPTIC TANK
INVERT OF BUNG AT
OUTLET = 95.58
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E.. TUDOR ROAD, surTE 101 * ANCHORAGE, AK 99507 * PHONE (907)337-6179 * FAX (907)338-3246 * WEBS~TE: www,gameasenglneering.com
PREPARED FOR: PHONE NUMBER: I PAGE NUMBER:
JEREMY HANSEN 748-0205 I 2 OF 2
LEGAL DESCRIPTION:
THE TABLELANDS BLOCK 4, LOT 2A
TYPE OF WORK:
AS-BUILT DRAWING OF TANK UPGRADE
(Rev. 01/05)
IDRAWN BY:
A.J.G.
DATE:I 0/1,5/201 0
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP101173
05180160000
Septic
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
Permit Effective Dates: August 31,2010 to August 31, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: THE TABLELANDS
Site Legal Address: THE TABLELANDS BLK 4 LT 2A G:1559
Owner/Address: HANSEN ANASTASIA A & JEREMY M
22804 WHISPERING BIRCH DRIVE CHUGIAK AK 995670000
Site Mailing Address: 22804 WHISPERING BIRCH DR, Chugiak
Lot Size in Sq Ft: 40000
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak, us
(907) 343-7904
05~I011~
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAHILY DWELLING
051 801 60
Property owner(s) JEREMY HANSEN
Day phone 748-0205
Mailing address 22804 WHISPERING BIRCH DRIVE *CHUGIAK, AK 99507
Site address Zip Code
99567
Legal description (Sub'd, Block & Lot) THE TABLELANDS BLOCK 4, LOT 2A
Legal description (Township, Section & Range)
Lot Size ~IO.~/~L~¢ Sq. Ft.
N/A
Number of Bedrooms
THIS
APPLICATION IS FOR ( [~all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
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.
GARNESS ENGINEERING GROUP, Ltd.
ag6,,,/
Permit/Rush Fees: ~. ~
Date of Payment: *'~
Receipt Number: (~ "~ ~ ~ 2--~
(~¥. ~ ~/os)
Waiver Fees:
Date of Payment:
Receipt Number:
GARNESS ENGINEERING G. ROU?, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
August 20, 2010
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, Ak 9951%6650
(907) 343-7904
Ref: Proposed Septic Tank Upgrade for The Tablelands; Lot 2A, Block 4,
To whom it may concern:
The existing 4 bedroom house is served by public water and a private septic system. The homeowners are
proposing to add additional parking on the east side of their property. The existing septic tank is in the
same location as the proposed driveway, so we are proposing to abandon the existing septic tank and
install a new 1250 gallon septic tank outside of the proposed parking/driveway area°
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
If you have anT~uestions, please contact us at 33 7-6179. Thank you for your assistance.
):
Presk
P.E., M.S.
NOTE: ttached is a site plan drawing and a design drawing, which are all part of the design package for this
septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 Eo Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
DESIGN CRITERIA (RESERVE SITE):
NUMBER OF BEDROOMS: 4
GALLONS PER DAY (GPD): 600
PERCOLATION RATE/S: 6-13 MIN/INCH
PROPOSED APPLICATION RATE: 5
MINIMUM DRAINFIELD SQ.FT,: 120
DRAINFIELD DESIGN:
MAXIMUM DEPTH: B FEET
WIDTH: 2 FEET
LENGTH: 15 FEET
M.O.Ao APPROVED SAND FILTER: N/A
EFFECTIVE: 5 FEET
REDUCTION FACTOR: N/A
ACTUAL SQ.FT.: 150
PROPOSED-
1250 GALLON
SEPTIC TANK
INSTALL
CLEANOUTS
TO EXISTING
FLOW SPLWrER,
DRAINFIELDS
PROPOSED
DRIVEWAY.
b~e'~'t~'RESERVE SITE WILL REQ
QUANICS AEROCELL SYSTEM.
/
SCALE:
I
1"= 40'
GAR'NESS ENGINEERING GROUP, iLtd.
CONSULTANTS & GENEP-J~L CONTRACTORS
3701 E, ~R ~, SU~ 101 ~ ~C~ ~ 99~7 * ~ONE (907)~7-6179 * f~ (907)5~-52~ ~ ~ ~w.ga~ngin~rlng,com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JEREMY HANSEN 7480205 1 OF 1
LEGAL DESCRIPTION: D~WN BY:
THE TABLE~NDS BLOCK 4, LOT 2A PNB
~PE OF WORK: DA~E: ,
TANK UPGRADE DESIGN 8/20/10
(Rev. 01/05)
Municipality of Anchorage Page t of 3
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW050345 PID Number. 051-801-60
Name
Splnell Homes WastewaterSystem: New
1900 W. Northern Ll.qhts, Ste. 200 Anch., AK 99517 ABSORPTION FIELD
~ .~., ~ a,,~.,o~ 5' Wide Trench
344-5678 Four (4)
LEGAL DESCRIPTION .8 c.~e 5 F,.
4 2A The Tablelands 1 F,. 4
3-4 n. 76 F,.
Well: AWWU Water System 5 n. 2 >10'
Fi. FI 760 Fe ASTM 3034 PVC
Ft Sanders & Sanders 10/24.25/2005
~"'~ c.~ I-s''F,. i c..~, .~,~,. G,.,.~n TANK
SEPARATION DISTANCES Advantex Treatment System
Tank Field Station Tank se,,~ u,,e Anchorage Tank 1,250
~, >200' >200' N/A NIA >25' Steel Two (2)
s~.w.,,: >100' >t00' N/A N/A ~ / LIFT STATION- NONE
L,~t~. >5' >10' N/A N/A
>5' >10' N/A N/A -~o.-.,.. -.~oo~...,. i ~,~,,~,~m.~
~ ~ None Noted pump Ma~e & ~ ElecU~.¢; b~oec~ ped~xmeclby
"'"'~' BENCH MARK
Z" lasulation Uver ~.nt~re ~ept~c System. Lo~.~,,~
Finished Floor.
100.0 FL
Enginem'a Stamp
Inspections performed by: T. Klmbrough Dates: 1" 10/24/2005 .~. ¥' 4g,.
2- lO/2 oo
Department of Health and Human Services approval ~J~.% No. c~-.~.:
Permit Number SW050345
Municipality of A~chorege
DEVEOPMENT SERVICES DEPARTMENT
4700 South Sragaw Street Anchorage, AK. 99519-6655 o ~,3-7904
On-Site Wastewater Disposal System or Well Inspection Report
Page 2 of 4
PID No. 051-801-60
15' 'T. & F... [Si, T. M:~
THE TABLELANDS SUBDIVISION
LOT 2A. BLOCK 4
PLAN AS-BUILT
SCALE 1' = 40'
Municipal[b/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. SW050345
Page 3 of 3
PID No. 051-801-60
.~94.1R
93.84
93.50
ItACKF]LL CDVER ~
.................................................. ;;.£.~.J...'~.'..~. .................................. ,,~. ,o
(~ e ~)-t e xi:tle. Fabr'k;
89,50
33.61
I)ACKFILL CDVER
Geotextlt? Fob'~;c
1)r'~ln¢leld Rock
PROFILE AS-BUILT
$cole: NONE
I
'ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
MEMORANDUM
DATE: April 24, 2006
TO: Jeff Poet
FROM:
Mike Anderson, P.E.
SUBJECT:
Lot 2A, Block 4, The Tablelands Subdivision
Certificate of On-Site Systems Approval
We have revised the Plan As-Built to show the alternate site to be n Advantex
Treatment System with only one trench. Placement of the trench at the location shown
will provide a 43' separation from the break in grade greater than 25%. The slope
analysis is attached showing the 25% slope and the distance from the edge of the
alternate absorption trench.
Please advise if you have further questions.
WAIVER FEE: I '~' · tn>
PAYMENT DATE: t4/9,tt]O0
RECEIPT//: r~q I~l
LOT 2A, BLOCK 4, THE TABLELANDS SUBDIVISION
ALTERNATE SITE
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home 5' Wide Pressurized Trench System
Pere. Rate: 6-13 Min,/Inch Four Bedroom Advantex Treatment System
Application Rate: 2 GPD/SF 4' Drainfield Rock
4 Bedrooms * 150 GPD/Bedroom = 600 SF Absorption Area
600 SF/2 GPD/SFI5 SF (width)*.5(Red. Factor) = 30 LF Trench Length
THEREFORE: Construct A 30' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trenches to be at 3.5' Below Odginal Ground Surface. Total Depth to be
8.5' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over
Septic Tank.
3' ~'~ _Nat.u?.! ~ 2" Insula. tion an,d
6" "% O 1" Perforated
PVC (Holes Down)
3/16" Holes @ 1.5' Spacing
4' -- Drainfield Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) ,~_~ ~,,,~,...,,L~,,.. .......
· ~ ,*" _,~
NOTE: Grade Area Over Trench to Dra~n Away. ., ,~
M~mmum 6 Separation From Bedrock. ,,.- ,,.....-,~ ..... ,~....~...,'3,.~...;,
Minimum 4' Separation From Groundwater. ~
Minimum 200' Separation From Public Wells in the Area. ['~ ,
Minimum 100' Separation From Surfaca Water or Streams.. ~~
Minimum 10' Separation From Water Services. ~
~,_'<',O ;~**' ........
oIO
D-1 F-
~.D
I
/
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
Date Issued: Sep 14, 2005
Expiration Date: Sep 14, 2006
Permlt Number: SW050345 Parcel ID: 051-801-60
Legal Description: THE TABLELANDS SUBDIVISION BLOCK 4 LOT 2A
Design Engineer: 0014 Anderson Engineering Site Address: 22804 WHISPERING BIRCH DRIVE
Owner Name: SPINELL HOMES, INC Lot Size: 40000 SQ. FT.
OwnerAddress: 1900W. NORTHERNUGHTSBLVD#2( TotalBedrooms: 4 Permit Bedrooms: 4
ANCHORAGE, AK 99517-
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.) The 15 foot telephone and electric easement, and eastern property line in the vicinity of the proposed trenchs shall
be mark by a registered professional land surveyor prior to construction.
b.) The absorption trench shall not exceed 5 feet below original grade.
Received By: ~
Issued By: Z
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number SW
Property owner(s) Spinell Homes, Inc. Day phone 344.5678
Mailing address (1) 1900 W. Northern Ll~lhts Blvd., Suite 200, Anchora~le, AK 99517
Mailing address (2)o~ O t~ Whlsperin.q Birch Drive Zip Code
Legal description (Lot, Block & Sub'd.) Lot 2A, Block 4, Tablelands Subdivlslon
Legal description (Section, Township & Range)
Lot Size 40,000 SF AcreslSq. Ft.
Number of Bedrooms Four {4)
[] Well Only
[] Water Storage
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
[] Jacuzzi []
[] Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Slngle 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. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
September 5, 2005
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Su~e~:
Lot 2A, Block 4, The Tablelands Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 2A, Block 4, The Tablelands Subdivision intends to construct a new
three-bedroom home on the lot. We are therefore requesting a permit be issued for the
construction of a new septic system to serve the new home. The subdivision is
currently served by a community water system. No conflicts exist with adjacent septic
systems or wells and the proposed septic system on this lot. The attached Site Plan
and backup documentation identify the location and configuration of the proposed
septic system and alternate site. The current drainage pattern is identified on the Site
Plan. The drainage pattern will be maintained after development of this lot is complete.
Test holes recently placed on the lot indicated silty sand with minor amounts of gravel in
the area of the absorption trench and alternate site. The accepting soils were tested
and found to have a percolation rate of 6-13 minutes per inch. The system is designed
with an application rate of .8 GPD/SF. No groundwater was found in the test holes
during placement and none was monitored during the ensuing period. Our design,
however, is based on the bottom of the trench at 5' below the surface and includes the
placement of a new 1,250-gallon septic tank along with 2 - 38' long by 5' wide by 4'
effective depth absorption trenches to collect and treat the sewage generated in the
house. The distribution pipe will be 1' below the surface. A minimum of 3' of cover will
be placed atop the trench and a minimum of 4' of cover will be placed atop the new
septic tank. A flow splitter valve will be placed to assure even flow to each trench.
The ground surface on the lot slopes at varying grades from south to north and north to
south with a break near the center of the lot as shown on the Site Plan. The absorption
trenches will be constructed parallel with the slope of the ground surface as much as
Lot 2A, Block 4, The Tablelands Subdivision
September 5, 2005
Page Two
possible in conformance with Municipal requirements. The new septic system will be
constructed a minimum of 10' from the water service proposed for the lot and on
adjacent lots. It will also be constructed a minimum of 100' from any surface water in
the area.
If the system is constructed in accordance with our design the following 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.
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.
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.
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,
Michael E. Anderson, P.E.
Attachments
THE TABLELANDS SUBDIVISION
LOT 2A, BLOCK 4
40,000 S.F.
LOT 2A, BLOCK 4, THE TABLELANDS
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom House 5' Wide Trench System
Peru. Rate: 6-13 Min./inch 1.250 Gallon Septic Tank
Application Rate: .8 GPD/SF 4' Drainfield Rock
4 Bedrooms X 150 GPD/.8 GPD/SF .(Ap~olication Rate) = 750 SF Absorption Area
750 SFI5 LF (Width)* .5(Red. Factor} = 75 LF Trench Length
THEREFORE: Construct 2 - 38' Long x 5' Wide x 4' Effective Depth Absorption Trenches.
Flow Line Elevation in Trenches to be 1' Below Odginal Ground Surface. Total Depth to be
5' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption
Trenches. Provide Flow Splitter Valve to Assure Even Flow to Trenches.
#
4'0"
3' Cover or 2" Insulation
_., /'-' and 2' Cover
Backfill --
,,,,/~ -- Geotextile
Fabric
4" Perforated
\'.,~ -- PVC (Holes Down)
-- Drainfield Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE) ~. ~.~..y... ,_~.~.~...~......L~.... .......
NOTE: G~de Area ~er Tren~ to Dram Away, ~/
Minimum 6' Separation From Bedrock. ~,J. ..................
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in ~e ~ea. ~~'~
M~mmum 100 Sepambon From SuEa~ Water or SEcures: ~ ~.~..
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
~700 SOUTH BRAGAW STREET ANCHORAGE, AK ggsIg-6650
SOILS LOG - PERCOLATION TEST ]
PARCEL ID#' TECHNICIAN:
D,~n, I TESTtlOLE# II
(fEet)
OB/OG SLOPE
1
2
3
4
5
6
7 POORLY GRADED GRAVELLY-
SANDS SOHE FINES
8 SP-GP
9
20
LEGAL DESCRIPTION; LOT 2. BLOCK b.. TABLELANDS S/D
PERFORMED FOR; SPINELL
DATE: 7/20/2005 PROJECT No,~ M0563
BOH
SITE PLAN
THI
SFF FUTURF ASF~HII T
<5%
7/29/05 TEST HOLE PRESOAKED PRIOR TO T,E, STING:
1 14:15 11.0' CHARGE
2 14:45 30 8.125" 2.875"
~ 6 15 45 30 5.625" 2.375"
PERCOLATION RATE; 12.6(MIN/1NCII) PERC. IIOLEDIA, 6 0NCIIES)
TEST RUN BETWEEN~/~.5 FT. and 5.5 FT.
COMMENTS:
No IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICtlAEL E. ANDERSON CERTIFY TtlAT
Tills WAS PERFORMED IN ACCORDANCE WITll ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON Tills
DATE:
DF. PT1
1
2
3
4
6
7
9
2O
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
D,700 SOUTH BRAGAW STREET ANCHORAGE, AK 9c)519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION; LOT 2, BLOCK /-,, TABLELANDS S/D
PERFORMED FOR: SPINELL HOMES
DATE: 7/2c)/2oo5 PROJECT No,t H0563
M. FI DI~IDGF
PARCEL ID~' TECHNICIAN:
I T STIIOL , 2 I
OB/OG
POORLY GRADED SANDY-
GRAVELS SOME FINES
GP-SP
BOH
SLOPE
SITE PLAN
TH2
0
DEFrI! OF WATER AFl'ER MONITORING N,~ < 5 %
'DATE RE'lNG 3~OSS TI~E ~ET TIH~ ~F N~T DR~F
[MINUTES)
I~HtNUTES) I (INCHES) [ [INCHES)
7/2~/05 TEST HOLE PRESOAKED PRIOR TO TESTING:
1 14:20 11.0" CHARGE
2 14:50 30 5.875" 5.125"
6 ~ 1550 30 6.1875" 4.8125"
PERCOLATION RATE; 6.~ (MI~/INCH) PER~.IIOLE DIA, 6 (INCIIES)
TEST R~ BETWEEN: ~.[ ~. ~d [.~ ~.
COMMENTS:
NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST,
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICtlAEL E. ANDERSON CERTIFY TIIAT
TI IlS WAS PERFORMED IN ACCORDANCE WITI i ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON TI liS
DATE:.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 2A, BLOCK 4, TABLELANDS SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250-gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of 2 new 38' long X 5' wide X 4' effective depth
absorption trenches at the location also shown on the Site Plan. The
distribution line in the trenches will be placed at 1' below the existing ground
surface. Total depth of the trenches will be 5' below the existing ground
surface. A separation distance of 200' from any well and 100' between the
septic tank and absorption trench and any surface water must also be
maintained. A minimum of 3' of fill is required over the absorption trench and
4' over the septic tank. In lieu of the required fill 2" of insulation and 2' of fill
may be placed. A flow splitter valve must be placed to assure even flow to
the trenches.
Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Health and Human Services for system installations.
Owners installing their own systems must receive prior approval from
D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
1. A new 1,250-gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
' Lot 2A, Block 4, Tablelands No. 1
September 5, 2005
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. Contractor shall verify this condition prior to placement of the
rock. All pockets of unacceptable materials must be removed and replaced.
Lot 2A, Block 4, Tablelands No. 1
September 5, 2005
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a Municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as-built of the completed system.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
622-7773 677-7766 (FAX)
MEMORANDUM
DATE:
September 14, 2005
TO:
Julie Makela, P.E.
FROM:
Mike Anderson, P.E.
SUBJECT:
Lot 2A, Block 4, The Tablelands Subdivision
Septic System Construction Permit
Due to a computer transcription error the wrong information concerning ground water
monitoring was included on the test hole logs submitted with the original permit
application. The correct information has been included on the attached logs. We have
also included the actual field information to verify the ground water monitoring.
No groundwater was noted during the construction of the test holes and none was
found during the monitoring period. The lot slopes steeply toward the back relieving
much of the static pressure buildup and allowing the free flow of groundwater. We have
designed the absorption trenches for this property to be a maximum of 5' below the
surface. Test holes were placed to depths of 15' and remained free of groundwater to
the present day even with the recent heavy reins.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
ON-SITE SEWEPJ~/ELL SUBMITTAL COMMENT SHEET
To: Anderson En~ineerin~
Legal description: The Toblelands, Block 4, Lot 2A
The attached paperwork has been reviewed and is being returned for the following reasons:
[] Original signature or stamp missing on
[] Calculation error in design.
[] Additional soils, information needed.
[] Water monitonng results inadequate. .
[] Discrepancy in information submitted. Test hole date and c~lroundwater momtorin~ date
[] Topographic information missing or inadequate.
[] Incomplete; missing
[] Incomplete; missing
[] Additional adequacy test information needed.
[] Water sample unacceptable.
[] Measured/proposed distances/dimensions missing.
[] Locations of all soils, percolation and water monitoring te.sts not shown.
[] Proposed system too deep for groundwater monitoring ~nformation submitted. Less than 4 foot
separation from qr~oundwater measurement '
[] Well log required.
[] Omission in narrative.
[] Insufficient fill over tank or field.
[] Other.
Name of reviewer: 3'ulie Mokela, P,E, Date: 9/9/2005
Please supply the necessary information and re-submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni, org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051.8Ol-6O
1. GENERAL INFORMATION
Complete legal description
cosA#
p ation Date:
Lot ~ B~ 4, ~e Tablel~ds ~u~l~
Lo~fion (site address) =s~ ~is~dng Bt~ D~e Chu~a~ ~ 99567 .
Current Property owner(s) aisc~ene Bain Day phone :~3.~32
Mailing address 228o4 Whispering Birc~ Drive C~uglak, AK 99567
Lending agency
Mailing address
Day phone
Real Estate Agent
Mailing Address
Unless othenvise mquestedo COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: Four (4)
Day phone
3. TYPE OF WATER SUPPLY:
Individual Well []
Individual Water Storage []
Community Class Well []
Public Water System []
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 COS,As upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Ce~ficates 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 professionat engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date show~ below, I vedfy that my investigation,
based on procedures outlined In the Certificate of On-Site Systems Approval Guidelines for this appl[cation,
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 flies and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchoeage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
DSD/~NATURE
Approved for ~
Disapproved.
Conditional approval for
Phone s22.rrr3
Date 4/29/2010
I ~,?. CE-4381 ,,' ~; ,'"
bedrooms.
bedrooms, with the following stipulations:
~: WATERAND : ~:
= ;. WASTEWATER .: :
- . pROCRAM .
By:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
/
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ....'.~//~//~
(' /
Municipality of Anchorage
Development Services Department
Building Safaty Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal DeSCription: Lo~ 2A. Block 4, The Tablelands Subdivision
A. WELL DATA
Parcel ID: 0sl-501-6o
Well type
Date completed
Total depth
O~te ~f test
IfA, B, or C provide PWSID #
Sanitary seal (Y/N)
Cased to ft.
FROM WELL LOG
Well Log (Y/N)
Wires pmpedy protected (Y/N)
Casing height (above ground)
AT INSPECTION
Static water level
Well produ~on
WATER SAMPLE RESULTS:
Coliform colonias/100 mL
Arsenic: ug/1
B, SEPTIC/HOLDING TANK DATA
Tank Type/Material ', Sep~
Tank size 1,25o gal.
Foundation Cleanou~ (Y/N) Y
Date of pumping
C, ABSORPTION FIELD DATA
Date installed ~o/2s/2oos
Length' 76
g.p.m.
Nitrate mg/L
Date of sample:
Number of Compartments Two
Depression over tank (Y/N) N
Pumper Sanitary Pumpem
Soil rating (g.p.dJft~ or ~/t)dtm) .8 GPD/SF
Width 5 I~
Other bacteda
Collected by:
g.p.m.
colonias/100 mL
Date Ins5311ed 10/24/2005
Cleanouts (Y/N) Y
High water alarm (Y/N) N
System~typ~ ,e 5' W~de Tmncfl
'Gravel belowpipe ~
Total dePth, 7-8 ff. Eft. absorption area ?so ~ Monitoring tube Y Depression over field N
Date of adequacy test 4/28/2010 ResuEs (Pass/Fail) ,Pass For 4; bedrooms
r
Fluid depth ln absorption field before tast 5~0 .in. Wateradded 1,250ga1. i Ne~depth 17/9.5
Elapsed TIme: 1,238 min. Final fluid depth 5/o In. Absorption rate >=, 6o0
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
in.
g.p.d,
D. LIFT STATION
Date Installed Size in gallons
'Pump on' level at in. *Pump off level at in.
Datum. Cycles tested
E. SEPARATION DISTANCES
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanMift station on lot N/A
Absorption field on lot
Public sewer main N/A
Sewer/septic service line
Animal containment areas None
On adjacent lots N/A
On adjacent lots N/A
Pubfic sewer manhole/cleanout
Holding tank N/A
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >s' Property line
Water main N/A Water sen4ce line >1o'
Wells on adjacent lots >200'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10'
Water Service line >1o'
Curtain drain None Noted
COMMENTS: Proi=ertyls Served by AWWU Water System.
Building foundation >10.
Surface water >1oo'
Wells on adjacent lots >2oo'
Absorption field >~'
Surface water >1o0.
Water main >10.
Driveway. parkingA/ehicle storage
Tn.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Mk:hael E. AAdemon, P.E.
Date 4/29/2OLO
COSA Fee $
Date of Payment,
Receipt Number
(Rev, 11/05)
Waiver Fee $
Date of Payment
Receipt Number
Municipality of Anchorage
Development Services Department
Building Safely Division
On-Site Water and Wastewatar Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonslte
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.. 951.~o1.~o COSA# (~"~ 0 I~l'
Expiration Date: ~ - ~ L.~ _ O 7
1. GENERAL INFORMATION
Complete legal description Lot 2A,, Bled(4,1'he Tablelands SubdMslon
Location (site address). ~29o4 w~sper~ Slr~ Dh'va Chug~ak, N< 99597
Current Property owner(s) SplnelIHomes, Inc.
Mailing address
Lending agency
Mailing address
Day phone
1900 W. Northern lights Blvd., Suite 200 A~chorage, AK 99517
Day phone
Real Estate Agent
Mailing Address
Unless olherwiso requested, COSA w#l be held by DSD for pickup.
2. NUMBER OF BEDROOMS: Four (4)
Day phone
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
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 Ihe representations given In paregreph 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 I~luest to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from Ihe date of Issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certir~ates 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 certir~d 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 (am) 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 frown my investigation and inspection, Ihe on-site water
supply and/or wastewater disposal system is(am) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Andemon Engineering
Address P.o. Box 240773 ~chomge. AK 99524
Engineer's Printed Name Micflael E. A~derson. P.E.
Phone 522-T/73
Date 4114/2006
6. DSD SIGNATURE
~ Approved for
Disapproved.
bedrooms.
Conditional approval for .~
bedrooms, with the following stipulations:
~ ~..' WATER AND : m~
= ~ WASIEWATER; E
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
~'~~ OriginalCerti§cateDate: /'/"' ~,~- ~7~ -O{~
Municipality of Anchorage
Development Services Department
Building Safety DMslon
Or-,-Slte Water & Wastewater Program
4700 Bragaw Street
P.O. B~ 196650
Anchmage, AK 99519-665O
www. muni.org/onslte
(g07) ~43-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal De~crlpUon: L~2A, Bloc~4,'ll~TablMmda~ulx~tMm
A. WELLOATA (~N
ifA, B. otC provide PWSID #,
Well type
Date completed
Total depth
Parcel ID: 051-6ol.6o
FROM WELL LOG
we, Log (Yn~)
~,Mm~ properly protected
Casing height (above ground).
AT INSPECTION
Date of test
Static water level It.
Well pnxluctlon g.p.m.
WATER SAMPLE RESULTS:
Celifom~ colonies/100 mL Nitrate
Arsenic: mg/I Date of ~ample:
e. SEPTICJNOLDINO TANK DATA
Tank Type/Maerta! sel~tcrSu~
Tank ,,ize ~,2~o gal Number of Comparlment~ Two
Depression over lank (Y/N) .
Pumper,
Foundation cleanout (Y/N) Y
Date of pumping .NewCemm~m_
C. ABSORPTION FIELD DATA
Total depth s It.
Other bacteria
Collected by:
,N
g.p.m.
colonies/100 nd.
Date instaffed 10rz4/2oo5
Clea~3utl (Y/N) Y
High water alarm (y/N) N
$oilrating (g.p.dJlt~or~/'oclml).~..G?o/SF Systemtype 5~WldeTreltch
Vq~dtll ,5 ~t. (~rav~ll below pipe 4 ft.
Eft. absmptic~ area 7so · MoIlito~lg IUI3~ Y D~lpf~iO~ over rlelcI N
Date of aclequacy test New ~ Resu~ (Pas~FalI) For bedrooms
Fluid depth kt absmptlon field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & lype) If yes, give date
D. UFT STATION
Date installed.
'Pump on' level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump off' level at in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/IR ~taflon on lot
Absorption field on lot
Public sewer main
Sewer/mq~c service line
Animal containment areas
Manhole/.~ _,~e~_ _ _- (Y/N)
High water elan~ level at
Meets alarm & drcutt requirements?
On ad]scent lots
On adjacent lots
Public ~wer manhnte/cleanout
Holding tank
Manum/animel excreta storage areas
Absomtlon field ~
Surface water >1~0.
Water main kVA
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >s' . Properly line >s'
Water main N/^ Water ~ewtce line >to'
Wells on adjacent lots >200.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >1o'
Water Sewice line >10. Sudace water
Curtain drain None Ne~.ed Wells on ad]acent tots
F. COMMENTS: ~Xmm~-e~byAWWUWat~S,~m~.
O. ENGINEER'S CERllFICATION
I gert/fy that I have determined though ~e/d k~ and
review of Municipal mconls that the above systems are in
conformance with MOA CO,SA guidelines in effect on this date.
Engineers Pdnted Name kertu~ E. Andar~n,
Date 4/14/2006
COSA Fee $
Date of Payment
Receipt Number
(Ray.
Waiver Fee $
Date of Payment
Receipt Number
THE
2004-69
TABLELANDS SUBDIVISION
LOT 2A, BLOCK 4
40,000 S.F.
15' T. & E. F.~MT.
165.50'
N
68.1'
ID(tS'TING
ButLDtNG
AS-B U ILT , .EREBY CERT,~ T.AT, .AVE SURV~ED THE
PROPERTY DEPICTED ABOVE AND THAT NO
GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED.
SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO
JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS,
4726 WEST 88TH AVENUE COVENANTS OR RESTRICTIONS WHICH DO NOT
ANCHORAGE, ALASKA 99502 APPEAR ON THE RECORDED SUBDIVISION PLAT.
PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA
GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR
NW155g
NW1560 1/10/2006 ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
F.B. JOB NO.
o5-16 3tS2A4 NOTE: NO CORNERS SET THIS DATE