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Home My WebLink AboutT12N R3W SEC 27 LT 22Onsite Fife Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121398 PID Number: 018-092-23 ■ New E] Upgrade Name: CHAD KOTTER ABSORPTION FIELD ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound Address: PO BOX 1466 RICHLAND, WA 99352 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 433-9938 4 1.0 GPD/Sq. Ft. 10.50 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: G.si depth beneath pipe: 6.5 MAX F. 4.0 Ft. Subdivision: Block: Lot: FlII added above original grade: Gravel length: 22 SEE DWG. Ft. 60 Ft. owns ip: 12N ange: 3W section: 27 Grovel sidth: Beds Number of lines: Distance We. n linea: 5 Ft. — Ft. SEPARATION DISTANCES Total absorption arca: 600 lumber of trenches: 1 Diet. between trench..: — To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Seser Lines So. Ft. Ft. Well too'+ too'+ — — 25'+ TANK ■ Septic ❑ S.T.E.P. 011olding ❑Other Manufacturer. Capacity: - Surface Water 100'+ 100'+ — — GREER 1250 Cal. Lot Line 5'+ to'+ — — N/A Material: Number of compartments: STEEL 2 LIFT STATION Foundation 5'+ 10'+ — — Curtain Drain NONE KNOWN Manufacturer: CapaCHy: Gal. 'Pump on' level at: 'Pump off level at H' .ter al.rm at: Remarks: Pump Make &Mod ectricol Inspection. performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer WILCO Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 98'17 Ft. Inspection Location and Description: Dates: 1st 2/28/13 2nd 3/1/13 3rd 3/4/13 4th — BOTTOM OF SIDING ® NE CORNER OF HOUSE ENGINEER'S L Community Development Department Approval 0060 p Conditional approval: Date: p....:....... .... ........ .*. p ....Go ess:' .. �� O 9. CE— a0 Approved:Date: } �p0 e •'�j 1J f3''•cod� 4O4dprc fessi00000� D�O�o�oo PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: OSP121398 018-092-23 FCO 24.61 23.45 ST1 24.17 36.61 ST2 33.84 41.76 DBL1 34.69 42.11 DBL2 35.49 42.81 C01 52.17 64.29 MTI 52.38 63.12 CO2 109.99 103.02 MT2 1107.641102.49 T12N, R3W, SEC. 27; LOT 21 \ + TH#2 \ Y' 1 1 DE NEW 1250— i�' I GALLON SEPTIC TANK n I I I I I I I NEW 4 BEDROOM HOUSE /50' BLM ROAD / & UTILITY / EASEMENT i T12N, R3W, SEC. 27; LOT 23 641) v _.. GARNESS ENGINEERING GROUP, Lia. � CONSULTANTS & GENERAL CONTRACTORS �""" .. ' ' "' "" """ .. 3701 L TUDOR R . sun 101 P1lCXOP/AE, m 99607 PHONE (90))]37-6179 • FM (907)356—]9K MMMw gomeoen9l,w6 .. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ............ •• CHAD KOTTER 433-9938 2 OF 3 DRAWN BY: Q f ey A. ess; Qn ��',ps CE -79 3 ,•'`� LEGAL DESCRIPTION: V T12N, R3W, SEC 27; LOT 22 A.J.G.•5�b. 4 dp,o fesslo00\ :TYPEWORK: DATE: 12/26/2013 4400�0�� AS -BUILT DRAWING (Rev. 01/05) -----� NEW \ + TH#2 \ Y' 1 1 DE NEW 1250— i�' I GALLON SEPTIC TANK n I I I I I I I NEW 4 BEDROOM HOUSE /50' BLM ROAD / & UTILITY / EASEMENT i T12N, R3W, SEC. 27; LOT 23 641) v _.. GARNESS ENGINEERING GROUP, Lia. � CONSULTANTS & GENERAL CONTRACTORS �""" .. ' ' "' "" """ .. 3701 L TUDOR R . sun 101 P1lCXOP/AE, m 99607 PHONE (90))]37-6179 • FM (907)356—]9K MMMw gomeoen9l,w6 .. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ............ •• CHAD KOTTER 433-9938 2 OF 3 DRAWN BY: Q f ey A. ess; Qn ��',ps CE -79 3 ,•'`� LEGAL DESCRIPTION: V T12N, R3W, SEC 27; LOT 22 A.J.G.•5�b. 4 dp,o fesslo00\ :TYPEWORK: DATE: 12/26/2013 4400�0�� AS -BUILT DRAWING (Rev. 01/05) P— ERMIT NUMBER: ASBUILT DRAWING PARCEL ID NUMBER: OSP121398 018-092-23 TOP OF TANK AT INLET = 91.83 INVERT OF BUNG AT INLET = 91.42 ORIGINAL GRADE = 96.60 0 HIGHEST POINT FINAL GRADE = 96.08-96.13 STI NEW 1250 GALLON SEPTIC TANK — TOP OF TANK AT OUTLET = 91.80 —INVERT OF BUNG AT OUTLET = 91.04 FILTER FABRIC FINAL GRADE _ 95.52+ INVERT OF PIPE = 90.10 BOTTOM OF TRENCH = 86.10 N.T.S. GARNESS ENGINEERING GROUP, Ltd. -w m »uar..,c-•.-.a.«,e_ CONSULTANTS & GENERAL CONTRACTORS ...... .. ... ......... 3701 E TUDOR ROID. SURE 101 . A HORROE. M 99507 * PHONE (907)337-6119 • FAY (907)336-3246 WEBSRE: wn.9amnwn9lnaMnq.com .PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ........ ........ CHAD KOTTER 433-9938 3 OF 3 QO f ey ness:' LEGAL DESCRIPTION: DRAWN BY: oo s CE -79 3 c�G T12N, R3W, SEC27, LOT 22 A.J.G. �0000 TYPE OF WORK: DATE. of essl 44 PROFILE AS—BUILT DRAWING 5/6/2014 (Rev. 01105) II y vi,ia M.•At rT�lrriyr.vg_ •�.w. lula"=M9f r. L'L )) STATE OF ALASKA ®® DEPARTMENT OF NATURAL RESOURCES DilvisioN OP MINING, LANDA, WAIIR WATER WELL LOC Wit -g suuran: -nil Diplawd: AVIJL 2013 L(Yr Pruwiy OwitLT Naim & Address: N/ ntracto 22 Ite: Elmore Rd. 1A"1 Ransom Aldge ..........•. 1 atteemp 1JN I(Mlit —.3.i( I Section 27• ___ ._. V4 of. t/ of of 1/a BOREHOLE DATA(froM tip of CBtsir19pep(h _ Drilling method: (k) Air rotary, I ) Cnbic tool. Othcr 1 Malonal:l'ypo,Color&twonwss 1oT - Nell use: ( ) Public supply, (x) Domestic. Uthcr stic4gravelQ 0 2 __ Depthul'hul0:�_zLCasing stickup'_�_ft __— Cawng iypc:.fW 1 hicknce: ,,?,V0_ ind= over2 Casingdiemck-r- ,._ �_ ruches Curing depth: 200 4 Liner t YPe: _ Dultnctcr: _inchc3 Depth: fl silty w/ fineck 4 30 S1adc water (from top Dressing): 730_ Ron jam,_ j&Z a Pumping 1c 4 yichi rest after hours at spm silt &30 R000ccry rate: _ �_ gpm, Method of tcsung: airkft 40 Detcl opntem trtahuJ: airlift )oration: 1 hoof Silty 40 55 Noll intake opening qpc: I x 1 Open end. ( ) Open We.OtherScreened: Start: H. Stoppedsilty 55 85 Ser"n type:._SloUmcdt size: Perrun ted: Start: ft. StappdtRwet clayers 85 175 �,_. _. ata"` -- H' s'�'ped n Clay I 17S wet rock 1 185 coarse gravel w/ H2O 1 200 185 I Grout ove: ^--- rump Intake dupth: _ volutin _ 2091 Wag %ell dlsintWed upon completion'; (yO1't's. ( )NO dischilmen:.......................................................... N dl chiller nam Company Dart: Ci(y: Arlcrlirasq -Slow; Slow; Phone nitmber : t 907 1 345 _ tic Aiadm state 1a1e regains that a LvM of thhk sell lot be xm to the MPID"losl of Within clic City of raga, it Vwurul Rtwunti l sithin.r} dayv. Etre. arc t'u�nnhle. lAG Etatutss 3&OS.U3a. 3x.)3.035.41.OtAZn, Wet to dtc appropriate ct y oTeo* 46.1=0 and AK regulations I I :1A(' 9:,.1401, file welt lug be 30111 to 01F wa lir DNR• Uh-won of 3dintag as Id Water. Permit Number: ..O;�P1L13 M $50 N' 7th neeoue. Stew 7M Dmc of issue: ,dart ,x:10 Anehontxe• AK 49301.3W2 Parcel Identification Number: Phtsx (9071269.8639 and rht 19071-69,%W711. troll Weed at apm%,vW normit urW mar a copy of ilia wdl log b1 00 days and than alto w. wpy of Dwbcr within 30 days. ari0n'1 ( x) Yt5 ur ( )No . jPump Installation CA�N".�dfAO I Logf/momUUTOM DATC It " r 3. I WOR TANK. ML amm M14 ( r' DIG Crim Nat: F"A (51' i WTAW $13ftZPAC Typ ROM To `--^- aM Nae poen, m COMWOR well was disinfected upon completion. method: calcium hypochlorite. e -.tD r"Ong, �nc Water Welfan ^Puny Service ` lichorage, %las a (907) 345-0593 =ME T 1-ttless Adapter Manufacturer's Name: 'Piden Adapter Installer s , a 4 h .y mow t a IA jut WACV�A WOR TANK. ML amm M14 ( r' DIG Crim Nat: F"A (51' i WTAW $13ftZPAC Typ ROM To `--^- aM Nae poen, m COMWOR well was disinfected upon completion. method: calcium hypochlorite. e -.tD r"Ong, �nc Water Welfan ^Puny Service ` lichorage, %las a (907) 345-0593 SGS ReE# 1141440001 Client Name Garness Engineering Group, Ltd Project Name/# T12N, R3 W, See 27 L22 Client Sample ID T12N, R3 W, Sec 27 L22 Matrix Drinking Water Printed Date/Time 04/25/2014 12:20 Collected Date/Time 04/21/2014 12:00 Received Date/Time 04/21/2014 15:59 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date ]nit Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 04/24/14 04/24/14 ACF Waters Department Total Nitrate/Nitrite-N 0.968 0.100 mg/L SM21450ONO3-F B (<10) 04/24/14 CDE Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 04/21/14 SLC Total Coliform Negative 1 100mL SM21 922313 A 04/21/14 SLC Page 2 of 5 On -Site Water& Wastewater System Permit 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 Permit Number: OSP121398 Tax Code Number: 01809223000 Work Type: WellSeptic Initial Permit Effective Dates: January 09, 2013 to January 09, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: T1 2N R3W SEC 27 Site Legal Address: T12N R3W SEC 27 LT 22 G:2936 Owner/Address: SCOTT JEFFREY M & JOY YVETTE PO BOX 1466 RICHLAND WA 993521466 Site Mailing Address: This permit is for the construction of: Lot Size in Sq Ft: 54450 Total Bedrooms: 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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. Received Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. Oot,— a3 Property owner(s) CHAD KOTTER Day phone 258-5272 Mailing address RD *ANCHORAGE AK Site address RD *ANCHORAGE AK Legal description (Sub'd, Block & Lot ) T1 2N, R3W SEC 27, LOT 22 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Rall thatapply) Absorption Field ® Initial ® Single Family (SF) Septic Tank ® Upgrade ❑ (w/wo ADU) Renewal ❑ Duplex (D) El Holding Tank EJ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 530 —oc>0 Waiver Fees: Date of Payment: I t� l 1 aI+ Date of Payment: Receipt Number: Receipt Number: Permit No. QSe) Waiver No. (Rev. 01/11) November 12, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Initial Septic System for T12N, R3W, Sec 27, Lot 4 To whom it may concern: The referenced property is currently vacant. The owner is proposing to build a 4 bedroom house that will be served by a private well and septic system. We are proposing to install a 1250 gallon septic tank and a 5 wide type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. Three test holes were excavated on the property. The drainfield will be designed around the 30 foot radius of test hole #3. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the area around the proposed drainfield is 5 to 10 percent slopes running northeast to southwest. In short, there are no slope concerns. 5. WAIVER OF SAND FILTER: We request that your department waive the requirement of the installation of 2 feet of MOA approved sand. We are proposing to use the insitu sandy soils as a sand filter. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any puestions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengincering.com GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS January 7, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: 12N, R3W, Sec27, Lot 22, Request for Sand Filter Requirement to be Waived; To whom it may concern: We request that your department waive the requirement of the installation of 2 feet of MOA approved sand. We are proposing to use the insitu sandy soils as a sand filter. The following is justifications for the waiver; • The MOA initially approved this installation (SW 030063) without a sand filter. • The soil log (TH#3) indicated there is increased sand content at a depth of 9.0 feet in the test hole. • ADEC allows for a waiver of the sand filter requirement on a case-by-case basis. • It is our opinion that the installation of a sand filter (which also perks faster than 1 minute per inch) will not add any additional treatment than the native insitu soil. We are unaware of aX adverse impacts this installation would have on adjacent wells or septic systems. If you have any quens, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com NI / / I i 1 Q O D' LLl 0' cO L J W 2N R3W, SEC. LOT 20 T12N, R3W, SEC. 27; LOT 19 1 1 � ,19T—WELL RADI ALTERNATE SITF-s/ \ r'.r�er T12N, R3W, SEC. 27; T12N, R3W, SEC. LOT 18 LOT 17 s 1 ---------- ------ —PROPOSED SEPTIC SYSTEM -e p4O Q' F, T12N, R3W, SEC. 27; T12N, R3W, SEC. 27; T12N, R3W, SEC. LOT 51 LOT 50 LOT 49 T12N, R3W, SEC. 27; O,l^ LOT 52 A Oct) � 4,1O 2 6§312 N' /V GARNESS ENGINEERING T12N, R3W, SEC. PROPOSED LOT 4 4 BEDROOM .... HOUSE F' PO � T12N, R3W, SEC. 27; PAGE NUMBER:••••....... 1 OF 2 LOT 23 e y Ga Hess, ��/ DRAWN BY: Pu T12N, R3W, SEC27, LOT 22 -e p4O Q' F, T12N, R3W, SEC. 27; T12N, R3W, SEC. 27; T12N, R3W, SEC. LOT 51 LOT 50 LOT 49 T12N, R3W, SEC. 27; O,l^ LOT 52 A Oct) � 4,1O 2 6§312 N' /V GARNESS ENGINEERING GROUP, Ltd. o *. g - CONSULTANTS & G1ENERAL CONTRACTORS .... ...... ........... 701 E. NOOK ft ,SUITE 101 • iWgq F4 M 99507 • PHONE (9D])337-6179 • M (907)338-3216 • WES -. www.9ameven91nMH1p.wm PREPARED FOR: PHONE NUMBER: CHAD KOTTER 433-9938 PAGE NUMBER:••••....... 1 OF 2 OOn e y Ga Hess, LEGAL DESCRIPTION: DRAWN BY: �4A .'. C 7 53 T12N, R3W, SEC27, LOT 22 PNB•I��I� 04ad TYPE OF WORK: DATE: pro fessi005\�� ODO0000�� SITE PLAN 11/12/12 (?fy15F� OF BEDROOMS: 4 PER DAY (GPD): 600 GPD ION RATE/S: <1 MIN/INCH D APPLICATION RATE: 1.0 DRAINFIELD SO.FT.: 600 SQ FT MAXIMUM DEPTH OF EXCAVATION: 10.5 FT WIDTH: 5 FEET LENGTH: 60 FEET M.O.A. APPROVED SAND FILTER: ' EFFECTIVE: 4 FEET REDUCTION FACTOR: 0.50 FEET ACTUAL SQ.FT.: 600 •REQUEST TO USE NATIVE SOILS. LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND OF BEDROOMS: 4 PER DAY (GPD): 600 GPD ION RATE/S: <1 MIN/INCH D APPLICATION RATE: 1.0 DRAINFIELD SQ.FT.: 600 SQ FT MAXIMUM DEPTH OF EXCAVATION: 10.5 FT WIDTH: 5 FEET LENGTH: 60 FEET M.O.A. APPROVED SAND FILTER: EFFECTIVE: 4 FEET REDUCTION FACTOR: 0.50 FEET ACTUAL SQ.fT.: 600 -REQUEST TO USE NATIVE SOILS. T12N, R3% SEC. 27; LOTI21 i NOTE: THE CONTRACTOR SHALL HAVE THE NORTH & EAST LOT LINES, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. \ PROPOSED DRAINFIELD-� \ TH#2 \ i_ -NSTALLSL ' PROPOSED> 1250 GALLON SEPTIC TANK PROPOSED 4 BEDROOM HOUSE i TH#1 001 . / / \ RAUIUfi /' `• / / / /50' BLM ROAD & UTILITY EASEMENT GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. WIM RML, SME 101 MlON WE, M 99607 • PWNE (907)037-6179 • FM (901J336 -]2F6 • WEB911E: a„x.9amnM091ae g.cOm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: li CHAD KOTTER 433-9938 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: T12N, R3W, SEC27, LOT 22 PNB TYPE OF WORK: DATE: INITIAL SEPTIC DESIGN 11/12/12 T12N, R3W, SEC. 27; LOT 23 61(l) C"). ' T f A. a ness.. 0"y. E-79 3 , Baa • es \p�dfessioo o �D�DD�oa a&ViS&p A iulicinahty, of Anchorage t, - , � P.O. Na 1!G'W) • Anchoragc..thtska SY9519-66 O • Telephone (!N)7) 313.&301 • Pas (Iq7) 3X34OX)' 47(X) 13mgaw Strcct • Anchora;lc, Maslat 09507 azi�c.nnmhorg Mayor Mark Begich Building Safety Division 24 Mar 05 Michael & Carol LaCroix 7731 Bethany Circle Anchorage, AK 99507 Subject: Expired On -Site Water and/or Wastewater Permit. Permit Number: SW040444 Legal Description: T12N R3W Section 27 lot 22 Dear Michael & Carol LaCroix: An On -Site Water/Wastewater Permit, number SNW040444, issued by this office for a single-family system, expires on 02 April 05. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, Si v �W -av Daniel J. Roth Manager On -Site Water and Wastewater Program Enc: Copy of permit Comnrzatity, Security, Prosperity MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 6 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 Renewal Date Issued: Apr 02, 2004 Expiration Date: Apr 02, 2005 Permit Number: SWO40444 Parcel ID: 018-092-23 Legal Descriptions 71 2N R3W Section 27 Lot 22 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 7731 Bethany Circle Owner Name: Michael and Carol LaCroix Lot Size: 54450 SO. FT. Owner Address: 7731 Bethany Circle Total Bedrooms: 6 Permit Bedrooms: 6 Anchorage , A 99507 - This permit is for the construction of. ❑v Disposal Field ❑.. Septic Tank ❑ Holding Tank ❑ Privy Q 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. Date: "r Issued By. Llai" Date: 10171101 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.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 R _b9 Z — 7-3 Permit Number SW Property owners) M 1 C kA 1 �! C i1 Yh I a .CYO ( X Day phone Mailing address (1 Mailing address Code Legal description (Lot, Block & Sub'd.) _r) Z, N r? _�,W S Q L 7 LIA- Z2!— Legal Z Legal description (Section, Township & Range) Lot Size U SU Acres/e) cres/ q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms (a Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade ❑ Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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: I Waiver Fees: Date of Payment: `"f -Date of Payment: Receipt Number: S \ Receipt Number: (Rev. 12/00) Alunieipdily of .Anchorage � �^�� .��/, cllurk Bc�ich, Alrtynr • . ti ' Building Safety Division P.O. Box 196650 • 4700 Braga«• Street Aoehm, a•, rVa.ka 99519.6650 • i:rli 1:+:.-:M"il• ins (W7) 34:1.$2(u) h upl/ulm.munl.org March 26, 2004 Michael and Carol LaCroix 7731 Bethany Circle r ncia or;we A.K 49507 - Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW030063 Legal Description: gI2NR5WS6e27-IZt22 Dear Mr. &; Mrs. LaCroix: An On -Site Water/Wastewater Permit, number S W030063, issued by this office for a single-family system, will expire on April 2, 2004. This permit was valid for 365 calendar days. It this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Cross, P.E. On -Site Water and Wastewater Program Enc: Copy of permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW030063 Date Issued: Apr 03, 2003 Expiration Date: Apr 02, 2004 Parcel ID: 018-092-23 t Legal Description: T1 2N R3W Section 27 Lot 22 Design Engineer: 0041 AK Water & Wastewater Consultan Site Address: 7731 Bethany Circle Owner Name: Michael and Carol LaCroix Lot Size: 54450 SO. FT. Owner Address: 7731 Bethany Circle Total Bedrooms: 6 Permit Bedrooms: 6 Anchorage , A 99507 - This permit is for the construction of: ❑; Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Wd j 419103 �L/stir�� Date: i 1 Municipality of Anchorage • Development Services Department j Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 0/�'DQ9- 7 Permit Number 5$wO36043 Property owner(s) MICHAEL AND CAROL LACROIX Day phone 349-8257 Mailing address (1) 7731 13ETHANY CIRCLE * ANCHORAGE. AK Mailing address (2) Legal description (Lot, Block & Sub'd.) LOT 22 Zip Code 99507 Legal description (Section, Township & Range) SECTION 27 T12N R3W Lot Size nli-IS-A Acre Sq.Ft. Number of Bedrooms 6 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well 0 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. ALASKA WATER do WASTEWATER CONSULTANTS INC. Permit Fees: $150 -yin "�SSo•_ Date of Payment: 3 - 2'7 ' 03 Receipt Number: Waiver Fees, Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. November 25, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well and Septic System for Lot 22; T12N, R3W, Section 27 To whom it may concern: The proposed 6 bedroom house will be served by a private well and septic system. Three test holes were excavated on the property. The primary drainfield site will be designed around the 30 foot radius of test hole #3. We are proposing that a 2000 gallon septic tank and dual 5 -wide type drainfield be installed. The proposed well is to be drilled in the area shown on the attached site plan and design drawings. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 1.0 gallons/day/ft2 should be used for the area around test hole #3 and that the insitu sandy soils should act as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch (TH#3) b. Proposed Application Rate: 1.0 gallons/day/ft� c. Number of Bedrooms: 6 d. Design Flow: 900 gallons per day e. Minimum Absorption Area: 900 ft f. Total Depth: 6.5 feet (max.) g. Effective Depth: 2.5 It. Width: 5 feet i. Reduction Factor: 0.64 j. Minimum Length: 2 @ 60 feet long each (120 feet total length) k Effective absorption area = 938 ft 6901 Debarr Road, Suite 213' Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.corn 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached site plan, the area for the proposed septic system is a 5 to 10 percent slope running approximately northeast to southwest; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your nssistance_ .E., M.S. NOTE: A site plan. A design drawing, a topography site plan, three soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B' Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwe.com T12N. R3W, SEC. 27; LOT 19 T12N. R3W. SEC. 27; LAT 15 712N, R3W. SEC. 27; LOT 17 y` T12N, R3W, SEC. 27; -♦ �♦ i `\ L0l 20 ♦ 4• 1---------- 3~ i i • 10011 R� ADIUS — 1 I - ----- l ---- ---- - - ------------- AL7N\TE SITE / `♦ i y ��i� ` __ice �`` �i �� ♦\`` z ♦;�\ '/��i / EP�TIC �.�.� ♦♦\ \ ,\ PROPOSED SEPTIC SYSTEM (SEE DESIGN, PACE 1 OF 2) / / • S j a \ ` PROPOSED 8 BEDROOM 712N. 27; T12N, I Q —g `�' Q 1 T HOUSE 712N, R3W. SEC. 27; LOT 24 I �♦ 23 `y�_ �� /LOT V w F Off • STH/1 \ \ 0 ti \\ Ld 1 r l i y T12N, R3W. SEC. 27; 712N, R3W. SEC. 27; 712N. R3W, SEC. 27; 14- LOT 51 LOT SO LOT 49 ^ry• 12N. ROW, SEC. 27; LOT 52 W v DATE, 11/25/2002 DRAWN BY: J.L M. �' ,. •, I ALASKA WATER & �'ASTI?V�'ATER :GALE 1" - loo,"' CONSULTANTS. INC. ... ... ......... .... 1TF P11 • ANCRAGF. AK 0050% • PHDHF (0071]37-0170 • FAX (OW)SSRJ746 6001 DFRARR ROAD. SDHI ��• ...• ... , .... > PREPARED FOR PHONE NUMBER: PACE NUMBER: MICHAEL do CAROL LACROIX 349-8257 1 OF 2 �(, r y C es . ,J p y�41°pJ y •.• 953 LEGAL DESCRIPTION: T12N, R3W, SECTION 27; LOT 22 ��^see'' •. •••..••''�DQs� 0 ssloDd\— TYPE OF WORK SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM LOCATIONS --------- - --�-- ------- NOTES: 1. A UFT STATION MAY BE REQUIRED DEPENDING UPON THE ELEVATION OF THE DISTRIBUTION LINE EXITING THE FOUNDATION. 2. THE CONTRACTOR SHALL HAVE THE EAST LOT LINE AND ALL WELL RADII SHOWN FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. \jI^I PROPOSED DRAINFI S. EXCAVATE TWO TRENCHES THAT ARE 6.5 FEET DEEP MAXIMUM BY S FEET WIDE "• \ BY 60 FEET LONG EACH 20 FEET TOTAL LENTH). CLEAN. WIASHED SEWER ORAINROOCK. ADD 2.5 ET FEOF \ INSTALL FLOW SPLITTER CSEPTICAR E�D • �`\ `\�' ��n� y00 • ALTERNATE SITE \ �) C D 40'+/-- C PROPOSED INSTALL DOUBLE 6 BEDROOM \ CLEANOUTS / HOUSE \ \ PROPOSED 2000 GALLON SEPTIC TANK (SEE NOTE) �•.. .•..� PROPOSED // �. •.•.. • . WELL I DATE: 3/27/2003 6,�•p�;0 OF•• X4444 O �.•' S DO DRAWN BY: R & STENVATRR WASTE ALASKA WATE«A J.L.M. O SCALE.' CONSULTANTS. INC. 6001 DFRARR ROAD, SUITE 7R • ANGNORAGF. AK 00504 • RNONF (007)331fi170 • FAX (007)336.3746 1-— 40 - """' ' ' ' "' ' "' "' • • • Q D .....• •.••• . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MICHAEL & CAROL LACROIX 349-8257 2 OF 2 QQ '•, If e GO'n S: QO a,'• C -79 ,•'•�FO�� LEGAL DESCRIPTION: T12N, R3W, SECTION 27; LOT 22 Q u44QdPro Fsasloroo� 04pp0000 TYPE OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM A' I Colxwv-N , T12N, R3W, SEC. 27; LOT 19 2N, R3W, EC. 27; LOT T12N, R3W, SEC. 27; LOT 17 q h\ T12N, RSN, S C. 27• ' y Q' o.• h\ d4' EPTIC F AR � TH/3 TH xPROPOSED a Q g 6 BEDROOM T12N, R3W,24EC. 2 , 712N, R3W, SEC. 27; LOT 23 z" � N h CD , N�►x1� 1` h` 141- T12N. SE 27; LOT 1 N,-R3WrS6 2N, R3W, S . 27; LOT 49 LOT SO ^ry• o T12N)R3W EC. 27; G,►u'11 C,w"i1� �NW 1� DATE: 11 s/z DRAWN J. SCALE OC •R1,AM SUITF • AN M)AGF, AK OVS . • FNONF (061)X37L�70 • FAX (0 )116.1766 ~ 1 0 PR ED FOR AI CHAEL k CA PHONE NUMBER: OL 4CROIX 349-8257 PACE NUMBER: ( OF LEGALRI ON: T12 3W, S CTION 27; T TYPE OF RK SIT P N FO P OPOSED LL AND SYSTE CATI NS F. .. P F, • � ' gS�QO ALASKA NA7ATL'R &C «7ASTI «'AI ER CONSULTANTS IIVC. ...... ... .. .. ... ......:....Q 6901 DEaA MD. SWC 2B • A—mCWP W — 24e • WEMIM ok. c. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: LOT 22; T12N, R3W SECTION 27 of a A. ness, O a PERFORMED FOR: PAMELA STANLEY DATE: 9/12/2000 QQ�; 7953 `�p40� DEPTHy=__. 44e^ed P.0�o\ Foo (feet) ____- TEST HOLE 1 ��ot�Ooesos��oo 1 ORGANICS PAGE I OF 2 ,d SOIL CLASSIFICATIONS 2 GW ---. ORG 3.. 0, R I I GM //// CL GW SW MH �� STH/3 5 `ti::p:` SP / CH �\ TH/2; SM OH PROPOSED 6 SC \ 6 BEDROOM d`.~e , • 1--- HOUSE 7 •: i' / \ ! i 8 : : i(4TH#1 f -- +r SITE PLAN 9 -i- ----f !-"�'------------ 1•-100• 10 :•• .•. 11 .;• �. 12—:;• •. 13 SP/SM •. 14 •• .,. •. 15 " . �. 16- 17- 18 6 17 18 B.0.11. PERCOLATION RATE 16 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 7.5 FT. AND 8.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOE MARCHETTI COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PE '707 MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: f I ;Z DEPTH TO GROUNDWATER DATE 12.0• 9/12/2000 10.5• 9/15/2000 8.6' 9/20/2000 9:12 — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/15/2002 1 9:12 — 6' _ — LOWER 2 9:32 30 4-3/4' 1-3/4" —BENCH - 3 9:32 — 6' — a 10:02 3o a-1/2" 1-1/z. _ 5 10:02 — 6" — _ 6 10:32 30 4-1 8' 1-7 8• 7 10:32 — 6" — 8 11:02 30 4-1 8" 1-7 8' DATE READING CLOCK TIME oa OF k4 WATER LEVEL READING NET DROP (INCHES) 9/15/2002 -PERC HOLE ABSORBED 5 GALLONS OF WATER IN 4 MINUTES UPPER ALASKA N'�'A"F R & NVAS'1'l EVA' "1'LR a� : 4 7 CONSULTANTS INC. ° 0 ..... .. .... .......... 6901 R ROW. 9 • ARCHOMOL A 99501 • Pi ONE: (9077.57-6179 • fA. 907 — I46 • WEMM eM.•c.com SOIL LOG — PERCOLATION TEST ..... .......... G LEGAL DESCRIPTION: Lor 22; r12N, Raw, SECTION z7 �pp�. •. C 7953 ,• ; O PERFORMED FOR: PAMELA STANLEY DATE: 9/12/2000 `�.o0p (feet)�� TEST HOLE 1 oote S1 a� 1 PAGE 2 OF 2 SOIL CLAS IFICATIONS 2 GW _ ORG 3 GP iTTI T, ML I., I I W I GM///� CL 4 04/ / GC OL ,, -„- 5— Lj- 0ft Sp CH 7 SM i i„ OH SEE ;4 SITE PLAN ear✓ Sc ON PAGE 1 OF 2 6 Lil 7 ER DATE EL GROUNDWATPTH 8 O g ZO QpG —SEE o to— it— 11 L—` N 12 g U 13 L0 14 _J O Ln 15 Lil Ld N 16- 61718PERCOLATION 17- 18— PERCOLATIONRATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOE MARCHETfI COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W S P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1 L 7 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/15/2002 -PERC HOLE ABSORBED 5 GALLONS OF WATER IN 4 MINUTES UPPER —BENCH 000OF o0 ALASKA WATER & WASTEWATER CONSULTANTS, INC. (907)337-4179 oo � SOIL LOG — PERCOLATION TEST f LEGAL DESCRIPTION: LOT 22; T72N, R3W, SECTION 27 O y . less:a. PERFORMED FOR: MICHAEL & CAROL LACROIX DATE: 10/10/2002 0••.. C —7953 c�v0 DE _—z': �p"d r faaaf00, (feet _ ORGANICS TEST HOLE 2 �D000�o�a 1 PAGE I OF Z o r o-1 SOIL CLASSIFICATIONS 3 GP ML GW GM CL �.: 4 y��o, / GC OL SW MH SP CH TH/2* 5 SM : OH 6 Sc 6 PROPOSED 7 DEPTH TO DATE 6 SM 13.0' 10/10/02 9 10 11 12 LOWER 2 4:31 30 3' 3' 13 GM BENCH 14 15 B.o.11. 16 17 18 PERCOLATION RATE 16 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA _P� F RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I Llo GROUNDWATER 12.5' 10/15/02 10.5' 10/24/02 �TH/3 � ` BEDROOM HOUSE SITE PLAN �`_�. 1'100' DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 10/15/02 1 4:01 — 6' — 3 4:31 — 6' — 4 5:01 30 4-1 8' 1-7 8' 5 5:01 — 6� — 6 5:31 30 4-1 8' 1-7 8' I DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 10/15/02 1 4:01 — 6' — 3 4:31 — 6' — 4 5:01 30 4-1 8' 1-7 8' 5 5:01 — 6� — 6 5:31 30 4-1 8' 1-7 8' .' n O 7 ti' ALASKA'A1'ER NVASZ'KWATKR o �� 4 CONSULTANTS, INC. , ....... „ , , ... , .... ..... LEGAL DESCRIPTION: LOT 22; T12N, RJW, SECTION 27 Q u eT*e 53ess:PERFORMED FOR: MICHAEL do CAROL LACROIX DATE: 10/10/2002DEPTH �pe10(feel) TEST HOLEDOoo�o 1 9 2 m 4 —1 04 Ll - 5— L5 O 6— w 0 a g Z O 9 Z O 10 Q U_ 11 LL V) (n 12- 13- 14— 2 13 14 O V) 15 W W N 16 16 DEPTH TO DATE GROUNDWATER O 1 ?PGS 1 SSE' SEE SITE PLAN ON PAGE 1 OF 2 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/15/02 1 - i 6' III�111�1.11 UPPER ulll!11 <9 %//% 6-- 'BENCH BENCH- 3 _ 3 NNN • _ IIIIIIiII <9 0' 6' 5 - :111111 6' �.�� • 6 - <9 0' DEPTH TO DATE GROUNDWATER O 1 ?PGS 1 SSE' SEE SITE PLAN ON PAGE 1 OF 2 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/15/02 1 - - 6' - UPPER 2 - <9 0' 6-- 'BENCH BENCH- 3 _ 3 - 6' _ 4 - <9 0' 6' 5 - - 6' - 6 - <9 0' 6- 19� PERCOLATION RATE 1.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACH CALL COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PER ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 0 ALASKA WATER & WASTEWATER CONSULTANTS• INC. �........ ... .. ........... 991 DMW ROAD. SUrTt 98 • • nOW-, (907)337-•179 • A%: (907P36-42" Y1E•91fE: a�..e.00.n 15' SOIL LOG — PERCOLATION TEST 14.5' ........... LEGAL_ DESCRIPTION: LOT 22; T12N, R3W, SECTION 27 Q Je r QQ a '• A. am ss.: —79 e l PERFORMED FOR: MICHAEL k CAROL L4CROIX DATE: 10/10/2002 Q��•� cgoG DfE (feat TEST HnI F ill ....••''. �QOd Pro f e9.sio�o6o �40000�a 1 rr ORGANICS /LOAM 2 110011,11m 01111111,1110 � 1111 INCREASED SAND CONT T 9 FEET 10 11 12 13 16 17 18 19 DEPTH TO GROUNDWATER DATE DRY 10/10/02 15' 10/15/02 14.5' 10/24/02 6- 111111111 2 4:03 5 0 6' 3 4:03 — • — 4 Illlillll 5 0' ■�� fY'S[Si 5 i//00 — MIN — r", • 5 0- 6' DEPTH TO GROUNDWATER DATE DRY 10/10/02 15' 10/15/02 14.5' 10/24/02 6- — ♦♦♦ TH/2} +TH/3 \PROPOSED \ 5 BEDROOM 1,-- HOUSE .j*TN/I ` \ I J�'' SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/15/02 1 3:58 — 6- — 2 4:03 5 0' 6' 3 4:03 — 6' — 4 4:08 5 0' 6' 5 4:08 — 6' — 6 4:13 5 0- 6' PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACH GALL COMMENTS: THE INSITU SANDY SOILS SHOULD ACT AS A SAND FILTER. PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: u O ALASKA SOIL LOG — PERCOLATION TEST I LEGAL DESCRIPTION: TI 2N, R3W, SEC 27, LOT 22 PERFORMED FOR: PAMELA STANLEY DATE PERFORMED: 9/12/2000 DEP TEST HOLE #1 (1.8� aaa� 1 ORGANICS (PAGE 1 OF 2) aaaa 2 3v o 414 cW 5 8 •w 12.0' 9/12/00 tam\ • - 1m 111111111 9/15/00 SOILS 1131191 :U/% 1 rY/2 RUN • Vml IIIIIIIII 9:32 i %//% 1 3/4' �ilililll 1�'.6� • 10 •• 4 10:02 30 MIN. 4 1/2• 1 1/2- 5 10:02 — 6• 11 �' 30 MIN. 4 1/8• 1 7/8- 7 10:32 — 6- .••' 'i 8 11:02 12 4 1/8' 1 7/8' '` « SP/SM 13 :04 14 •• 15 16- 6 17 17 •.: 18 19- 920COMMENTS: 20— COMMENTS: • •mm 12.0' 9/12/00 tam\ • - 1m 111111111 9/15/00 SOILS 1131191 :U/% 1 rY/2 RUN • Vml IIIIIIIII 9:32 i %//% 1 3/4' �ilililll 1�'.6� • 6. DEPTH TO GROUNDWATER DATE 12.0' 9/12/00 10.5' 9/15/00 $, 420 b0 9/15/00 SOILS PRESOAKED M lk[em DATE READING (MIN./INCH) CT MEK TEST RUN BETWEEN (MINUTES) WATER READING EL NET DROP (INCHES) 9/15/00 SOILS PRESOAKED FOR 4 HOURS PRIOR TO TESTING. 1 9:12 6- 2 9:32 30 MIN. 4 1/4' 1 3/4' 3 9:32 — 6. 4 10:02 30 MIN. 4 1/2• 1 1/2- 5 10:02 — 6• 6 10:32 30 MIN. 4 1/8• 1 7/8- 7 10:32 — 6- 8 11:02 30 MIN. 4 1/8' 1 7/8' PERCOLATION RATE 16 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST RUN BETWEEN 7.5 FT. AND 8.0 FT. PERFORMED BY ALASKA WATER do WASTEWATER I, CERTIFY IKAI THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: READ NEG EL ALASKA WATER & WASTEWATER CONSULTANTS, INC. Qpp6�0� o! 6901 DEBARRROAD, SUITE 28 • ANCHORAGE. AK. 99504 PHONE (907) J37-6179 • FAX (907) 338-3246 v0��` •. (41�� V pp SOIL LOG - PERCOLATION TEST y '%7' * : LEGAL DESCRIPTION: Tl 2N. R3W, SEC 27, LOT 22 .... .. ..... PERFORMED FOR: PAMELA STANLEY O •• ........ DO Je re A. Gamess; DATE PERFORMED: 9/12/20 00 Q . —7953 DEPTH HOLE #1 ........ 0e s '•.. foo u�QOdProfsss,00\ TEST SOIL ABSORBED WATER AS FAST �Oppoop� 1 PAGE 2 OF 2 Still CI ASSIFICATIONS 2 GW7777 ORG GM CL 4 GC OL °. .0.% SW MH 5z ': ••• SP CH 0 SM OH SEE PAGE 1 FOR TEST HOLE LOCATIONS 6 SC 7 DATE U GROUNDWATER 8 � N SEE PAGE 1 OF 2 9 0 10 CLOCKNET TIME NET DROP WATER 11 a DATE READING (MINUTES) 12 W v) 13 14 15 16 17 18 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6- (INCHES) TEST RLN BETWEEN 2.5 FT. AND 3.0 FT. 20 COMMENTS: PERFORMED BY ALASKA WATER & WASTEWATER I, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: READ NEG EL (LACHES) B/15/00 SOIL ABSORBED WATER AS FAST AS IT WAS ADDED. LOT 20� LOT 19 LOT 18 10 S 89'52'00' W 165.07' AS PER TITLE REPEDRT PROVIDED BY. OF BLANKET EASEMENT 1958 i LOT 22 54.470 SO. FT :: 49 LH .......... e � DarM. Ceyr {� iU LS -10392 +w0 0� LOT 52 I AS KR MOJ Me . Sd film ■Ow IASEUI N 89'51'00' E 165.07' LOT 51 F,-=l--=Lo T 50 REVIEW ONLY M"vot lwrvi QE 1Z o 0 LOT 21ynj FT -10,31 r 10, s-iy,p EXMVSM 1 NOTES: 11 NIM awmi Fwaoaa<L<ilY t- a41••-LLM o 4 LOT 23 3 P; o o 2.0 awe t•.0-, CAROL L A C R O I X �o 31.4 PROPOSED HOUSE �'r"'•� F p 47.7 _ 160^ FIN FLR - 102.0.,; u Q •': i�^_1•.01 700 of 4 O Y O f%� 'J1D • 210 41 aeywmol wawY OI ue paVp1Y O• lro.n an u • -=S a 5 1 EAVE LINE :.PROPOSED: &a , rd Io IN• twit •1 . kn -aa• aM I<wcu([ E: .I :: 49 LH .......... e � DarM. Ceyr {� iU LS -10392 +w0 0� LOT 52 I AS KR MOJ Me . Sd film ■Ow IASEUI N 89'51'00' E 165.07' LOT 51 F,-=l--=Lo T 50 REVIEW ONLY M"vot lwrvi QE _ DPAINADE EXMVSM 1 NOTES: 11 NIM awmi Fwaoaa<L<ilY t- a41••-LLM ILGL&0 5L I { NU woa+•a w•' !M ••n1wK• VI aY •••<1^ -'IF Cown<�IR p r<•Ifkl�w< 1/0 RO w,K.v �� !!e' M1 0 CAROL L A C R O I X .Nw a MI aooa ^" u• rKaaa wee.l•wa dal. NOTE: N IaunaoNo� 0 ;;• •l w;- A ,.c..:.r.* QI N IN• CanlfKWs f•pan<Lr1Y 1• aKR laV a poa• M4 W -p alt . N MI.I•n to b11M• and • 11. yob A ,.�• C SURVEY CEROF,CAnON: LANrE01 Na ca. W • Y• 4 aeywmol wawY OI ue paVp1Y O• lro.n an u • -=S a 5 1 &a , rd Io IN• twit •1 . kn -aa• aM I<wcu([ E: .I aero•.. a e+.lw�Fwu tM tww, m•ww-•a w• •v .., 6`_ .-1 PLOT PLAN OF: LCG•t oE6�110N: �r,rv(o•,�N)�l-'- %`� LAND & U Y - LANN RS -ENGINEERS 440 WEST BENSON BLVD. / 103 (Ia.) 561-6626 ANCHORAGE. ALASKA 99503 (907) 562-5291onotit w116[A OV. IJ. xoox'-ao• YwI 1678-1811 -- - - � JZw ONO 1 2936 569/]9 -TI SEC. 27; LLOOiT T12N, R3W. SEC. 27; T12N, R3W, SEC. 27; ; LAT 17 10 T12N, dW, SEC. 27; �\ LLAAT 20 It 1 I 1 1 1--L------ ----t----t--- ------------- ---------- 1 - - - - - - - - - - 712N, R3W, SEC. 27; 712N, R3W, SEC. 27; LOT 24 LOT 23 T12N, R3W, SEC. 27; LOT 21 qAACANTD rr ': ACANTD m 0 m g 'A6VQTD qAACANTD ':;ACANTD T12N, R3W, SEC. 27; 12N, R3W, SEC. 27; T12N, R3W. SEC. 27; LOT 49 LOT 52 712N, R3W, SEC. 27; LOT SO LOT 51 A r, 8/30/02 F,.QF..A•.q DRAWN BY: M.E.W � , � IIIR• �. � ry��ti. ALASKA AVATER & WASTE «TATER 49m CONSULTANTS, INC. SCALE 1 1DD �f�•••••• ••••••••••••••••••••••••••'� 600�OFRARR ROAD.4KTF7R•Amr H(MAGF, AK 09504• F MF(007)537-179• FAX(W)W-3746 • ................... • • �,) -.Jeffrey A. Gamess. PREPARED FOR PHONE NUMBER: MICHAEL do CAROL LACROIX 349-8257 PAGE NUMBER:'.... 1 OF 1 p' ` 44�yJ`•. CE-7953\��> N LEGAL DESCRIPnON: T12N, R3W, SEC. 27; LOT 22 ; c y�•��a`��PrOlessloll ? TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM DESIGN SEP -12-2002 THU 02:37 PH LANIECH/SLANA FAX N0. P. 01 LOT 20 LOT 19 E3= S 89'52'00" w 165.07' AS PER TITLE REPEORT PROVIDED OY, SIEWART PACIFIC RIM TITLE OF ALASKA: S. EASEMENT FOR ELECTRICAL TRANSMISSION AND OR TELEPHONE DISIRIBUTION AND INCI ENTOAL PURPOSES.[ IINCLTUODING TERMS WHICH AE�lRLNCEISEIIEAEBY M/��: RECORD or BOOK: E-3 PACE: 174 AFFECTS: BLANKET EASEMENT RECORDED: 1958 LOT 22 54,470 SO. FT. LOT 18 I r Z O ei i i C3 u j LOT 23 v 's 31.4 ' ;PROPOSED IIOUSE N it R . 102.0 EAVE UNE• As "A w" f N 89'51'00" E 165.07' LOT 52 LOT 51 LOT 50 REVIEW ONLY "' "OFOSE6 FWDI GRADE DRAINAGE fxEl°SON NOTES 11 b N. ..n.ri n.ex^•�ilF M, NIwmM. LEOEND: e•x"e. en ow wt.. of e., ew.�ww.I...er.eeele, ✓.e.Ncf awe fA•e9 e/tIM'�SEi FAO CAROL LACROIX ' haeeleo.e✓en the ftwd"ftb"l.e Mel. Nom 11„y AEWW. Q1.wa,yulQ r N. e..1'"We ..ee. Aty to eN 1.ep el /w.delbe Nip A 1Aa I] yede MO N.aN9 Nbx . N etlell.e N bxN" Md epi M. A AY EEA WK;A.W: LANUO! Ax sondxl.d a�- 103 (fox) 561-6629 I 503 (907) 562-5291 BLM LOT 229 °x�" T12N, R3W, SEC. 27, S.M. 2978 999/99 U LOT 21 E lol s w.o ' 3 in Cf 47:.7la o ^ O N l i 7 :'PROPO DRIVE gr.A�4p0 OF At s0 . •• . LS -10392 LOT 18 I r Z O ei i i C3 u j LOT 23 v 's 31.4 ' ;PROPOSED IIOUSE N it R . 102.0 EAVE UNE• As "A w" f N 89'51'00" E 165.07' LOT 52 LOT 51 LOT 50 REVIEW ONLY "' "OFOSE6 FWDI GRADE DRAINAGE fxEl°SON NOTES 11 b N. ..n.ri n.ex^•�ilF M, NIwmM. LEOEND: e•x"e. en ow wt.. of e., ew.�ww.I...er.eeele, ✓.e.Ncf awe fA•e9 e/tIM'�SEi FAO CAROL LACROIX ' haeeleo.e✓en the ftwd"ftb"l.e Mel. Nom 11„y AEWW. Q1.wa,yulQ r N. e..1'"We ..ee. Aty to eN 1.ep el /w.delbe Nip A 1Aa I] yede MO N.aN9 Nbx . N etlell.e N bxN" Md epi M. A AY EEA WK;A.W: LANUO! Ax sondxl.d a�- 103 (fox) 561-6629 I 503 (907) 562-5291 BLM LOT 229 °x�" T12N, R3W, SEC. 27, S.M. 2978 999/99 March 26, 2003 Michael LaCroix will be doing an owner install on our septic system. He is familiar with MOA regulation. Our lot location is 13731 Elmore Rd. He has 5yrs. experience on a backhoe. We have been working with Alaska Water & Waste Water; they will be doing all the inspections. Thank you, Michael & Carol LaCroix 5aa iq3� wk M,chttel COSA Checklist Legal Description: T12N R3W SEC 27 LOT 22 Parcel ID: 018-092-23 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 4/16/2013 Total depth 209 ft Cased to 200 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 12/13/2019 Static water level at beginning of test 133 ft. Well production at time of test 5.5+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.78 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 10/16/2020 Comments B. TANK DATA Age of tank(s) 7 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 12/11/2019 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 3/4/2013 ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 6 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 12/13/2019 Results Pass For 4 bedrooms Fluid depth prior to test 37 in Water added 600 gal New depth 46 in Elapsed time 1410 min Final fluid depth 36 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: FIELD IS OPERATING IN THE TOP 1’ ED (75% SATURATED). E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No * ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No * ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS *100’+ to conventional tanks and 50’+ to AWWTS tanks / systems. 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. 10/28/20 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 APR 2 9 2014 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 018-092-23 Expiration Date: W7A 1. GENERAL INFORMATION Complete legal description T12N, R3W SEC 27 LOT 22 Location (site address) 13785 ELMORE ROAD *ANCHORAGE AK Current Property owner(s) CHAD KOTTER Day phone 433-9938 Mailing address Real Estate Agent PO BOX 1466 RICHLAND WA 99352 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverAfariance request for: n/O r Distance: — Received by j" r " ` i Date: COSA to be released to the engineer, unless othemise4gUested by the engineer. COSA Fee $_ k 4C a Waiver Fee $ Date of Payment glaiq l4 Date of Payment Receipt Number ,a i:4 93--n— � ? Receipt Number COSA# as0gIIc a Waiver# 5. STATEMENT OFINSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. l 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational fife of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system writ continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE _1/ System #1 Approved for _ bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date �tl7,i� L, q- -OF f. A. am ss: X95/ J� ON-SITE `9 WATERAND M� �t WASTEWATER oz Uns ROGRAM 6 Original Certificate Date: Ii#Il}pt; municipality or Anchorage Deveiop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other fp— +r rns If mors than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: T1 2N, R3W, SEC 27, LOT 22 Parcel ID: 018-092-23 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 4/16/13 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 209 ft. Cased to 200 ft. Casing height (above ground) 24+ in. FROM WELL LOG Date of test 4/16/13 Static water level 130 AT INSPECTION NEW Well production 30 —9-10 M. — g.p.m. WATER SAMPLE RESULTS: Coliform _� colonies/100 ml. Nitrate O �6 �g./L. Collected by: GEG. Ltd Arsenic:)-P--ug./L. Date of sample: 41 Zr r'i B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 2/28-3/4/13 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 2/28-3/4/13 Soil rating .p.d./ft r ft2/bdrm) 1_0 System type SHALLOW TRENCH Length 60 ft. Width 5 ft. Gravel below pipe 4.0 ft. Total depth *9.42+ ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test in. Water added =gal. New depth =in.. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YM "Pump on" level at in. "Pump off" levelHigh water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflfft station on lot 100'+ Absorption field on lot 100'+ Public sewer main Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank _ N/A Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT'i O: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 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 COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 'rl 6 /i`o' (Rev. 11105) OFi,� l CE—/79;3 ••' Professio�000 I Lot 20 I I Lot 21 Lot 19 E E Lot 18 I I Lent 22 54.470 a.f, Deane CLEMIOUr pNp x g.0' x 11_2'�EC� Lot 23 COVERED DECK lj'" 2.0' X 11.1 u CANT474 w ]RESIDENCE m nEsiEcnce 2.0' x x 12.1' COVERED PO H 2.0' x 13.3• CANT w 50' SLM ROAD & nuTY EASEMENT '--�—It--..•- arc---a�c�p ,.— SISI_. wc—per—oma a.�..._wc— . .. S ' ' 695100 .165.07 — I Lot 52 i Lot 51 Lot 50 50' 6LM ROAD EASEMENT R — I PLOT PLAN AS BUILT X SCALE 1' - AFT GRID SW 2936 project Na 12-219 _ Long QS50CIQ' Sr Inc, (907) Daryl Avenue, Anchorage, Alaska 99515-^ Ali (907) 522-6476 Phone �; C Registered Land Surveyors (907) 522-4625 pax ��• , kent)langsurvmy.cart5 JanathpnQlan auryey.cam g oF h g .e1 1 I hereby certify that !have surveyed the :fallowing dAc i , osaribed pmporll. Government lot 22. Section 27, Townshipp 12 North, Range 3 West, Ssward Meddle,�Jr tj,g Cy. •.'t Anchorage Recording District, Alaska, and that the Improvements situated thereon aro i ... within the property lines and do not encroach onto the property adjacent thamto, that ' ...: no tmprovemeta on the properly odd btBacerrr thereto encroach an the surveyed vrr { - prembaes and that them aro no roadwas, iranamioslon linos or other visible ' ( easements on Bald properly exoept' as i{�dicated herman. p +�` KENNETH C 044f1� . I vAp 15-52 Dated this ifim %`047t1 Day of re e,M.�h tM 2cd" . of Anchorage, Alaska ''; 42 _ 9 6' It is the responsibility of the owner to determine the exffitencm of any easements,14er'1Rr^r+� covenants, or restrtoFlons which do not appear on the recorded aubdMsion plat. 0