HomeMy WebLinkAboutLOMA ESTATES BLK 1 LT 4Loma
states
Lot 4
Block 1
#020-092-24
Municipality of Anchorage Page i of -~.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:,,~_~Li' ~J~ L/ic--~ (~" PID Number: O ~o- O ~ ~- ~ ~/
Name: ~ ~ '~ ~ ~S Wastewater System: ~New U Upgrade
Address: ~ I ~
~.~..'~.~ {IO~ ~i,~, ABSORPTION FIELD
Phone: ~ No. of Bedrooms:
~ ~ Deep Trench ~ShallowTrench ~ Bed ~ Mound ~ Other
I
LEGAL D ESCRI PTI O N ~o, Rating:Total Depth from original grade:
Lot: Block: Subdiv~ion: Depth to pipe bosom from original g~de: Gravel depth beneath pipe
Township: I Range: I Section: Fill added above original grade: Gravel length:
I
I
WELL:~New ~ Upgrade Gravel width: ,-- Number of lines: Uis~nce be~een lines:
~ Ft. ~ i O Ft.
Clarification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Date Drilled: Static Water Level: Installer:
Yield: Pump Set at:m c ,.gHeight Above Ground: TANK
SEPARATION DISTANCES ~ Septic D Holding ~'S.T.E.P.
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ ~¢~ 'T~~ 1 ~
Wel ~ t I ~ '~ ~ ~ '~ /~-~' ~ I~ '~ Material: ¢~ ~ ~ ~_ ~ Number of Compa~ments:
Sudace
Water ~ O~ ~c-
~ ~v~- ~) LIFT STATION
Lot Size in gallons: ~ Manufacturer:
"Pump on" level at: "Pump off" level at:
Cu~ainDrain ~ ~ O ~ ~' Pump~.,~Make & Model,~ Electrical Ins~ctions~ ~ '~ pedo~ed( by:
Remarks: BENCH MARK
Location and Description:
A~um~ Elevation:
'.' EHGINEER'SSEAL
inspectionspedormedby: ~/. ~ Dates:let '/-~-ff~,
2nd ,~ 'i - ? - '~ 7~~.
Depadment of Health and Human Se~ices approval
Reviewed and approved by: ', ~//~L ~~ Date: / I :
0 £$
N
/lJT $
50 75 100
SCALE, :" = $0 A-T,
i£5
\
\
S~I/V5 TIES,,
AC\ $5,5 F?
158
?:'>,/CH
AL TE£I
:TE SITE
TOBBEN SPU£KLAflD P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
('907~ 279-5916
II
5250 DAVIS DR/YE DATE: NOK 16, 1999
JEFF BRIGGS SHEET: 2/3 GRID: 3337
PEr?NIT # SW9804£6 PI? # 0£0-$9£-£4 LOEOiO4co,?W5
m
~on~ord Trenches~
38' L on9 ~ ,
0 O 0
/500 6AL STEP
/ ~ 2' Co vex (IXSULX TS)
~01.8 101.8 88., 5 88.65
4,0 Pt oS Sep~i~ ~oc~ /
B O ~H
T~ENCHES
/500 :AL STEP
Effecffve
M~ SCALE
ELEVAT/OM BEMCH
TOP OF FOUND~ T/ON
ASSUWED ELEK ~00.00
T~BEN
SPURKLAN~
LOMA SEPTIC SYSTEN AS SUILT
a03 WlS~h Ave
Anchora9e Ak 99501 LOT 4, BLOCK / DATE: NOK /6, 1999
P79-291~ JEFF ~IOOS SHEET: 5~5 GRL~: 3337
PENW/T ~ SW980426 PARCEL /D ~ 020-092-24 LOEO~O4&DWO
SULLIVAN WATER WELLS
P.O. BOX (170272, CHUOIAK, ALA~I'C~, 99567 · TELEPHONE 688-2759
r EPTH
T~ INDENTIFICATION NUMBER _~O~___,_.~.~_'._~q- ....... L~
Depth of wei,: .... :~
Casing Type .....:~___'Walt Thickness ~~ inches
Casing Stickup ,Above ,Grou nd: ........
Static Water Levei (from ground tew~); _~_&A~~~ feet
Pumping ieveh fee~ after .................
Recover Rata:
Me:hod of 'Testing: ~~
WelI intake. ODening Type: (~ Open End ~ Open H~ie
[[~ Screened; 8ta~ .............. j~et Stop,ed feet
Grout yp : ~.~ L~_..~ ..... Volume _._.~k~,~.
DePth: from ...... ~ ....... feet to feet
Pump intake D~pth: feet
Pump Size ........................... hp Brand Name
W~iI Disinfected ripen O~mple~ion?
Method af Disinfection; C~ ~,~
Comments:
ATTENTION: It is the responsibility of the property owner to submit a cooy of the weii log to the proper authod:Y. Mur~icipaii~
of Anchorage: Department of Health & Human Services and/or bepartrbent of Environmental Conservation, MatSu Borough:
Depa~ment of En¥ironmentat Conservation.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT ! ~.; oo ~
Initial
Date Issued: Nov 02, 1998
Expiration Date: Nov 02, 1999
Permit Number: SW980426
Legal Description: LOMA ESTATES BLK 1 LT 4
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: Wendy & Jeff Briggs
Owner Address: PO Box 110677
Anchorage, AK 99511-0677
Parcel ID: 020-092-24
Site Address: 005230 DAVIS DR
Lot Size: 45904 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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 B
Issued By:
Date:
Rick Mystrom,
Mayor
Mtmicipa ty of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
November 3, 1998
Lou Butera, P.E.
Eagle River Engineering Services
PO Box 773294
Eagle River, Alaska 99577
Subject:
Waiver Request for Lot 4 B16ck 1 Loma Estates
Waiver Request #WR980086
Parcel ID #020 092 24
Permit # SW980426
Dear Mr. Butera:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
5.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 34%4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Water Quality Program
WR#~ PID% 020-092-24
Date Received: October 30, 1998
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
HA# Permit
Legal Description: Lot 4 Block 1 Loma Estates Subdivision
Engineer: Lou Butera, P.E., Eagle River Engineering Services
PO Box 773294, Eagle River, Alaska 99577
Applicant: Wendy & Jeff Bri~s
Waiver Requested: Lot line waiver Of from the leachline to the property line
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
Special Conditions:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: II-
Rec %: 04312/6704 h_mount: $ 115.00
Name of Reviewer
Date Paid: 10-30-98
Eagle River En ineerin Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 eel
Eagle River, AK 99577-3294 (907) 694-3297 fax
October 19, 1998
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Loma Est. Lot 4 Blk 1
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
We are requesting a variance of separation distance from the leachfield to lotline, from the
standard 10' to a distance of 5'. This will allow a more efficient use of the accepting soil strata
used in the leachfield. There are no conflicts with adjacent properties, their well or septic reserve
areas, or any slopes or cutbanks in allowing this variance.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\ 1997\98-077-NAR.DOC
V~ELL
DAVIS DI
LOT
4
Prop
NO SURFACE WATER
NOTE: Meosured beorings
ond distonces obtoined
from survey conducted by
Williom Flemming, R.L.S.
on 9/25/98
OLD
E~TH
OLD
2" PVC_
Monifold
PROP
HOUSE
LOCATION
1500
SEP~C TANK
W/ LIFT
11/¢' HDPE FROM
TANK TO MANIFOLD
15x50' Bed
Reserve Areo
[~TH2
3x45' Trench
Trench ~
UNDEVELOPED
LOT
1 ~/4' PVC, S89'47'55"E 100.07' m
1/8' holes
for~e down 100.00' r
15' OC
T [] - TEST HOLE
'-~ · - MONITOR TUBE
.~ o - SEWER CLEANOUT
4' - WELL
~/~_~ EASEMENT
PROPOSED LEACHFIELD
i- EXISTING LEACHFIELD
W ELL/ S E PTI C S IT EP LA N I
I
LEGAL: LOMA EST. LOT 4 BLK 1 ?~,~
OWNER-BRIGGS ~.-"' ~"~'~
CONTRACTOR: N ~*':~9 TH
98-077 DATE: 10 SCALE 1" = 60' m~~~ ....
~AO~ RIVBR BWOINB~RIWO S~RVICBS ~ ~ ~ ............. ~"['~
BAOLB RIVBR, A~. 99~?? ~
(907) 694-5195 FAX: (90?) 694-3297[
SYSTErvl
Southern Most Trench
PROFILE
t
[opsoi/~
3x40' Trench
Surface T0p, ,~ ~6 n~d Rock
~OoOoOoOoOoOoOoOoOoOoOoOoOoOoOoOoO~O~o~o~o~o~o~o~o~o~
Btm LF From high spot ~
--GWT BTM TH--
SYSTEM PROFILE
LEGAL: LOMA ESTATES LOT 4 BLK
OWNER' BRIGGS
CONTRACTOR: N
A EAGLE RIVER ENGINEERING
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) s94-5 ~ 95 ['AX: (907)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:,
LEGAL DESCRIPTION: L ~'~. ~'$~'. ~,/. z/ ~'/ Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
'7-3
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT / L
DEPTH? //' ~ 0
P
E
Depth to Water After /
Monitoring? //' ;' Date:'" ~'/~"-z<~¢--
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~' ~/ (m,nutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -'~"~ FT AND /~*~'-' FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.
72-008 (Rev. 4/85)
CERTIFY THAT THIS TEST WAS PE~RF,ORMED IN
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: L ~'?~L
DATE PERFORMED:
~ ~,T ~ ~'/ Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
-r-S
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT /// 5~ Oi
DEPTH?
P!
Depth to Water After / E
Monitoring? / I / )-- Date: l ~ - z 3-.¢~' I
!
Reading Date Gross Net Depth to Net
Time Time Water Drop
I I~-zl-¢,~ 13-'~-~ ~
~~ I~,'~ ~ ~ ~//~
~ ~: z~ ]~-.~ 1o ~/I[ I ~,
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN 7 FT AND ~ FT
PERFORMED BY: ~ }~EJ' I ~--~"~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ..-'~'--.~2.~-~:~'
72-008 (Rev. 4/85)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
LEGAL DESCRIPTION: L O~'~2~-. ~'. ,~,'r ~' ~'/ Township, Range, Section:
1
2
3
4
5
6
7
8
9
lO
11
12
13
14
15
16
17
18
19
2o
COMMENTS
/,/L -Y/4
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
,, L
IF YES, ATWHAT .~'-'~ ! O
DEPTH? p
E
Deplh to Water After /
Monitoring? ~"'~ I Date: I° ~ z~'.-~
,Ak
-I
N
Gross Net Depth to Net
Reading Date Time Time Ware? ?
~ ~s,'~ ~-,'~
~~ I~.'Aq I ~ ~//~
PERCOLATION RATE ~ (m,nutes/inch) PERC HOLE DIAMETER
FT
TEST RUN BETWEEN . FT AND
PERFORMED BY: ~-' ~ E ,~ i L~~'"~"'~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ,/'4:¢ ,.-- ~ ~' ~ ~,',~
Ea le River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Loma Est. Lot 4 BIk 1
10/19/98
A. GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK/LIFT STATION
1. Septic tank and lift station shall be 1500 gallon Orenco/Anchorage Tank model OSI 05-20-HHF.
2. Receipt from licensed electrician stating the lift station was wired to applicable codes to be supplied
to Engineer.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 6' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH -- 6' GRAVEL DEPTH = 3' under pipe, 2" over pipe
TRENCH LENGTH = 85' TRENCH WIDTH -- 3'
SOIL RATING = 1.2 GPD/ft2 BEDROOM CAPACITY = 4
SEPTIC TANK w/Lift Station = 1500 gallons
ORFICE SPACING -- 15" On Center
Twenty-four (24) hours notice required for all inspections.
\ 1997~98-077-spec.doc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 98-077
Calculated By: LB
Date: 10/29/98
Legal: Loma Est Lot 4 BIk 1
Single Family 4 Bedroom Dwelling
TEST HOLE
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom =
Percolation rate =
Wastewater application rate =
Required absorption area =
Trench width (W) =
Gravel depth (D) =
600 gallons
0.3 minutes per inch
1.2 gallons per day per square foot
500 square feet
3 feet
3 feet
Required length = Required absorption area / 2 / D
Required length = 500 / 2
Required length = 83 feet
Total Excavation Depth = 6.0 feet
/ 3
98-077-cal.xls 11:38 AM10/29/98
SINGLE FAMILY ON-SITE WORKSHEET
ERRS PROJECT NUMBER: 98-077
LEGAL DESCRIPTION: Loma Est Lot 4 BIk 1
NUMBER OF BEDROOMS: 4
WATER USE PER BEDROOM: 150
PERCOLATION RATE: 0.3
DEPTH TO GROUNDWATER: 11
DEPTH TO IMPERMEABLE LAYER: 12
ANTICIPATED DEPTH OF COVER: 3
MOUND OR BED SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
MINIMUM BED LENGTH
12 FEET WIDE BED
15 FEET WIDE BED
TRENCH SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
SHALLOW TRENCH OPTIONS
5 FEET WIDE TRENCH
EFFECTIVE REQUIRED TRENCH
DEPTH (FT) LENGTH (FT)
1 88
2 70
2.5 64
3 58
3.5 NA
4 NA
DESIGN SPECIFICS
FIELD SYSTEM:
GRAVEL DEPTH:
TRENCH OR BED WIDTH:
LENGTH:
TOTAL
EXCAVATION
DEPTH:
D
3
3
83
6.0
CALCULATED BY: LB
GALLONS
MINUTES PER INCH
FEET
FEET USABLE SOIL STRATA
FEET TOTAL USABLE DEPTH:
USABLE SOIL STRATA DEPTH:
N/A GAL/SQ.FT
#VALUE] SQ.FT
#VALUE! FEET
#VALUE! FEET
1.2
500
6
3
GAL/SQ.FT
SQ.FT
DEEP TRENCH OPTIONS
3 FEET WIDE TRENCH
EFFECTIVE REQUIRED TRENCH
DEPTH (FT) LENGTH (FT)
4 NA
4.5 NA
5 NA
5.5 NA
6 NA
7 NA
8 NA
9 NA
10 NA
(B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH)
FEET
FEET
FEET
FEET
98-077-cal.xls 11:38 AM10/29/98
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 98-077
Calculated By: LB
Date: 10/29/98
Legal: Loma Est Lot 4 BIk 1
Single Family 4 Bedroom Dwelling
TEST HOLE 2
Reserve Area
Bed Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom =
Percolation rate =
Wastewater application rate =
Required absorption area =
Bed width 0/V) =
Gravel depth (D) =
600 gallons
1.9 minutes per inch
0.8 gallons per day per square foot
750 square feet
15 feet
1 feet
Required length = Required absorption area / Bed width
Required length -- 750 / 15
Required length = 50 feet
Total Excavation Depth = 1.0 feet
Mound System for adequate cover
98-077-cal-res.xls 11:40 AM10/29/98
SINGLE FAMILY ON-SITE WORKSHEET
ERES PROJECT NUMBER: 98-077
LEGAL DESCRIPTION: Loma Est Lot 4 BIk 1
NUMBER OF BEDROOMS: 4
WATER USE PER BEDROOM: 150
PERCOLATION RATE: 1.9
DEPTH TO GROUNDWATER: 6
DEPTH TO IMPERMEABLE LAYER: 10
ANTICIPATED DEPTH OF COVER: 0
MOUND OR BED SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
MINIMUM BED LENGTH
12 FEET WIDE BED
15 FEET WIDE BED
TRENCH SYSTEM
WASTEWATER APPLICATION RATE:
ABSORPTION AREA REQUIREMENT:
SHALLOW TRENCH OPTIONS
5 FEET WIDE TRENCH
EFFECTIVE REQUIRED TRENCH
DEPTH (ET) LENGTH (FT)
1 88
2 70
2.5 NA
3 NA
3.5 NA
4 NA
CALCULATED BY: LB
GALLONS
MINUTES PERINCH
FEET
FEET
FEET
0.8
750
USABLE SOIL STRATA
TOTAL USABLE DEPTH: 2
USABLE SOIL STRATA DEPTH: 2
GAt. JSQ.FT
SQ.FT
63 FEET
50 FEET
DESIGN SPECIFICS
FIELD SYSTEM:
GRAVEL DEPTH:
TRENCH OR BED WIDTH:
LENGTH:
TOTAL
EXCAVATION
DEPTH:
B
1
15
50
1.0
1.2
500
GAL/SQ.FT
SQ.FT
DEEP TRENCH OPTIONS
3 FEET WIDE TRENCH
EFFECTIVE REQUIRED TRENCH
DEPTH (FT) LENGTH (FT)
4 NA
4.5 NA
5 NA
5.5 NA
6 NA
7 NA
8 NA
9 NA
10 NA
(B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH)
FEET
FEET
FEET
FEET
98-077-cal-res.xls 11:40 AM10/29/98
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
Job #: 98-077
Legal: Loma Est Lot 4 BIk 1
Date: 10/29/98
Press. Effluent Lateral:
Assume 5' head at orfice
25 GPM flow rate
.42 GPM per 1/8" orfice
25 / .42 = 67 orfices
Pipe Length 85
Spacing = length/#of orfices
= 1.27 feet
Spacing = 15.2 inches
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1. GENERAL INFORMATION
Complete legal description
Loma Estates Block :[ Lot 4
COSA# O ,~0._ I~k ,2~,=%,
Expiration Date: / 0 ' ~- / /
Location (site address) 5230 Davis Drive, Anchorage AK 995:[6
Current Property owner(s) Joseph & Elizabeth Schmidt
Day phone
Mailing address
52_30 Davis Drive Anchoraqe, AK
Lending agency
Day phone
Mailing address
Real Estate Agent
Marianne Grant/Prudential JW Vista
Day phone ~;29-66o2
Mailing Address alaskabetterhomesCi)yahoo.com
., ~lniess '6therwJ~e ~equested, COSA will be held by DSD for pickup.
. '~.'.~,,
2~ NUMBE.ROF BEDROOMS:
3.' TYPi=' OF WATER SUPPLY:
Individual:~Water Storage
Communiiy Class __
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site [~
[] Individual Holding Tank ~--~
[] Community On-site []
[] Public Sewer ['-]
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Cedificates of On-Site Systems Approval
are valid for 90 days from the date of issue foe properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Pannone Engineering Services, LLC Phone 272-82~.8
Address P.O. Box :1.oo2~.7, Anchorage, AK 995~o
Engineer's Printed Name Steven R. Pannone, P.E. Date 6/~6/~.
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily identifiable features.
The operational life of all wells and septic systems depend on the local soil condition, ground water
levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the 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.
5. DSD SIGNATURE
iJ Approved for ¢ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ~ - ~ '~//
M icipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Loma Estates Block a Lot/+
A. WELL DATA
Parcel ID: o~,o-o9~,.2~,
Well type P
If A, B, or C provide PWSID #
Date completed 61alarm9
Total depth 63. ff.
Sanitary seal (Y/N) Y
Cased to. 63. ft.
FROM WELL LOG
Date of test 613.13.qe, Q
Static water level o ft.
Well production ~;
WATER SAMPLE RESULTS:
Coliform '{~.colonies/100 mL
Arsenic: ~. ug/I
B. 'SEPTIC/HOLDING TANK DATA
Tank Type/Me.ter. ial Anchora9e Tank Steel
Tank size._ 3.2~;o gal.
Founda_tion cleanout (Y/N) Y
Date of pumping "6/3.6/3o3.3.
C. ABSORP;rlON F!~LDDATA
g.p.m.
Nitrate '3 ' (~'%g/L
Date of sample: 613.612o~.
Number of Compartments 2_
Depression over tank (Y/N) N
Pumper A+ Home Services
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground)
AT INSPECTION '
613.6/2o3.3.
2/+ ff.
. zr.~l g.p.m.
in.
Other bacteda ~ colonies/100 mL
Collected by: .Laura Panrmne
Date installed nlnl3.nnn
Cleanouts (Y/N) Y
High water alarm (Y/N) Y
Date installed ~9]9/A999_
Length _~ol=m ft. Width
Total depth 6.09* ft. Eft. absorption area ~;~ ft=
Date of adequacy test ~ Results (Pass/Fail)
Fluid depth in absorption field before test o.oo in.
Elapsed Time: .0...oo min. Final fluid depth Dry. in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
Soil rating (g.p.d./~ or ft=/bdrm) ~.,2
ft.
Monitoring tube Y
Pass
System type _Shallow Trench
Gravel below pipe & ft.
Depression over field N
For A bedrooms
Water added6oo gal. New deptho.oe in.
Absorption rate >= 6oo+ g.P.d.
If yes, give date
Dw
LIFT STATION
Date installed ~
"Pump on" level at ~3 in.
Datum _Bottom of Tank
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot ~.oo+
Absorption field on lot =oo+
Public sewer main ~.oo+
Sewer/septiC service line
Animal containment areas ~.oo+
Size in gallons 2,;0
"Pump off" level at 39 in.
Cycles tested ~+
Manhole/Access (Y/N) Y
High water alarm level at 46
Meets alarm & circuit requirements? Y
in.
On adjacent lots =oo+
On adjacent lots =oo+
Public sewer manhole/cleanout =oo+
Holding tank ~.oo+
Manure/animal excrete storage areas
~oo+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ,;+ Property line. ~o+ Absorption field
Water main ~oo+ Water service line 2,;+ Surface water ~oe+
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line.. ,;**
Water Service line 2,;+
Curtain drain None Observed
COMMENTS
Building foundation =o+
Surface water :~oo+
Wells on adjacent lots .. ~oo+
Water main ~.oo+
Driveway,' parking/vehicle storage zo+
*Septic field insulated per installation report. **Waived
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 Steven R. Pannone, P.E.
Date
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
SGS Ref.# 1112562001
Client Name Pannone Eng. Srv. Printed Date/Time 06/23/2011 13:54
Project Name/# Loma Estates BK 1 LT 4 Collected Date/Time 06/16/2011 11:30
Client Sample ID Loma Estates BK1 LT4 Received Date/Time 06/16/2011 15:15
Matrix Drinking Water Technical Director Steohen C. Ede
Saml~le Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS
Hardness as CaCO3 237 5.00 mg/L SM20 2340B C 06/20/11 06/21/11 NRB
Waters Department
Total Nitrate/Nitrite-N 3.62 0.100 mg/L SM20 4500NO3-F B 06/17/11 AYC
Microbiology Laboratory
E. Coli Negative 1 100mL SM20 9223B A 06/16/11 DLC
Total Coliform Negative 1 100mL SM20 9223B A 06/16/11 DLC
Private Individual Analysis
Alkalinity 190 10.0 mg/L SM20 2320B D 06/17/11 SDP
Aluminum ND 20.0 ug/L EP200.8 C 06/20/11 06/21/11 NRB
Antimony ND 1.00 ug/L EP200.8 C (<6) 06/20/11 06/21/11 NRB
Arsenic ND 5.00 ug/L EP200.8 C (<10) 06/20/11 06/21/11 NRB
Barium 27.3 3.00 ug/L EP200.8 C (<2000) 06/20/11 06/21/11 NRB
Cadmium ND 0.500 ug/L EP200.8 C (<5) 06/20/11 06/21/11 NRB
Calcium 77400 500 ug/L EP200.8 C 06/20/11 06/21/11 NRB
Chloride 20.1 0.100 mg/L EPA 300.0 D (<250) 06/20/I1 06/21/11 SDP
Chromium ND 2.00 ug/L EP200.8 C (<100) 06/20/11 06/21/11 NRB
CO3 Alkalinity ND 10.0 mg/L SM20 2320B D 06/17/11 SDP
Conductivity 476 1.00 umhos/cm SM20 2510B D 06/17/11 SDP
Copper 24.5 1.00 ug/L EP200.8 C (<1300) 06/20/11 06/21/11 NRB
Fluoride ND 0. I00 mg/L EPA 300.0 D (<2) 06/20/11 06/21/11 SDP
HCO3 Alkalinity 190 10.0 mg/L SM20 2320B D 06/17/11 SDP
Iron ND 250 ug/L EP200.8 C (<300) 06/20/11 06/21/I1 NRB
hborhood Name Golden View Map Reference 3337 Census Tract 0028.23
)ant [] Owner [] Tenant [] Vacant Special Assessments $ 0.00 [] PUD HOA $ [] per year [] per month
~raised [] Fee Simple [] Leasehold [] Other (describe)
Type [] Purchase Transaction [] Refinance Transaction [] Other (describe)
Lender/Client Premier Mortgage, LLC Address 101 W Benson Blvd, Suite 201, Anchorage, AK 99503
' offered for sale or has it been offered for sale in the twelve months prior to the effective date of this appraisal? [] Yes [] No
)crt data source(s) used, offering price(s), and date(s). MLS, Public Records, and Contract. The subject was listed on 08/09 for $635,000. An offer was
10/29/09 for $550,000 and 'is currently pending financing. Agent days on market 67.
[] did [] did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not
)erformed. The contract is typical for the Anchoraqe market.
Contract Price $ 550,000 Date of Contract 10/29/09EM Is the property seller the owner of public record? [] Yes [] No Data Source(s) MLS,Public Records
Is there any financial assistance (loan charges, sale concessions, gift or downpayment assistance, etc.) to be paid by any party on behalf of the borrower?
]crt the total dollar amount and describe the items to be paid.
[] Yes [] No
Note: Race and the racial composition of the neighborhood are not appraisal factors.
Location [] Urban [] Suburban [] Rural IPrOper~va'ues '~] i~i~Jni ~'~i~i~ [] Decii'ning I ~'~i~E AGE ''
[] Over 75% [] 25-75% [] Under 25% Demand/Supply [] Shortage [] In Balance [] Over Supply J $ (000) (yrs)
Growth [] Rapid [] Stable [] Slow J Marketing Time [] Under 3 mths [] 3-6 mths [] Over 6 mths J 200 Low New
Neighborhood Boundaries The boundaries include 172nd St. south; Old Seward Hwy. west; Rabbit Creek 2,000 High 50
)rth; Goldenview Dr. east 600 Pred. 10
~leighborhood Description The area is located approximately 15 miles south of the "Downtown Business Core Area" of Anchora¢
e to above The marketability is good as is the maintenance and appeal of the area. Support services
centers are approximately 3-5 miles away.
Market Conditions (including support for the above conclusions/ See Market Conditions Addendum.
One-Unit 65 %
2-4 Unit 2 %
Multi-Family 1%
Commercial 0 %
Other 32 %
e. The homes are bf
including shopping
Dimensions Not Available Area 45,904 sf Shape Irregu ar View Good
Classification R6 Zoning Description Suburban Residential
]pliance [] Legal [] Legal Nonconforming (Grandfathered Use) [] No Zoning [] Illegal (describe)
:best and best use of subject property as improved (or as proposed per plans and specifications) the present use?
[] Yes [] No If No, describe
Utilities Public Other (describe) Public Other (describe) Off-site Improvements- Type
[] [] Water [] [] Well (Typical) Street Gravel
Public Private
Gas [] [] Sanitary Sewer [] [] Septic (Typical) Alley None [] []
)ecial Flood Hazard Area [] Yes [] No FEMA Flood Zone C FEMA Map-# 0200050360B FEMA Map Date 9/18/1987
Are the utilities and off-site improvements typical for the market area? [] Yes [] No If No, describe
' adverse site conditions or external factors (easements, encroachments, environmental conditions, land uses, etc.)? [] Yes [] No If Yes, describe
An as-built was not available to the appraiser. It is assumed only normal access and utility easements apply to the subject.
Units [] One [] One with Accessor
# of Stories 3
[] Det. [] Att. [] S-Det./End Unit
Year Built
Under Const,
2 Story w/Bsmt
1999
5 Yrs.
Attic [] None
Stair [] Stairs
[] Floor [] Scuttle
[] Finished [] Heated
)liances [] Refrigerator [] Range/Oven
Concrete Slab [] CrawlSpace
Full Basement [] Partial Basement
:Basement Area
407 sq.ft.
Basement Finish 100 %
[] Outside Entry/Exit [] Sump Pump
Cooling [] CentralAir Conditioning
[] Individual J[] Other N/A
[] Dishwasher
Foundation Walls Conc/Aver
Exterior Walls Wood/Aver
Roof Surface Comp Shgl/Avg
Gutters & Downspouts Yes/Avq
Window Type Vinyl/Avg
Storm Sash/Insulated None
Evidence of [] Infestation
[] Dampness [] Settlement Screens Yes/Avg
Heating [] RNA J[] HWBB J[] Radiant Amenities [] Woodstove(s) #
[] Other JFuel Gas [] Fireplace(s) # 3 [] Fence
[] Patio/Deck [] Porch
[] Pool [] Other Jtb,Cvc
[] Disposal [] Microwave [] Washer/Dryer [] Other (describe)
Floors Crpt,TileAvg
Walls Drywall/Aver
Trim/Finish Wood/Ave
Bath Floor Tile/Avq
Bath Wainscot Tile/Aver
Car Storage [] None
[] Driveway Cf of Cars 4+
Driveway Surface Paved
[] Garage # of Cars 3
[] Carport Cf of Cars
[] Att. [] Det. [] Built-in
Cook Top~ Vent
Finished area above grade contains: 8 Rooms 4 Bedrooms 3 Bath(s) 2,784 Square Feet of Gross Living Area Above Grade
Additional features (special energy efficient items, etc.). The subject has in-floor radiant heat, custom cabinets, vaulted ceilinq, cer~tiai vacuum, jetted tub,
ood view of inlet, walk-in closets, upgraded lighting, decks, storage sheds (2) 3-car garage.
Describe the cond tion of the property (including needed repairs', deterioration, ren;Jvations, remodeling, etc.). No items of extraordinary physical deterioration were
noticed. No functional or external obsolescence were observed at the time of the inspection. A home inspection was not provided or reviewed by
:)raiser.
sical deficiencies or adverse conditions that affect the livability, soundness, or structural integrity of the property? [] Yes [] No If Yes, describe
A home inspection was not provided or reviewed by the appraiser. It is assumed that the property is free from any physical deficiencies or adverse
conditions that affect the livabilit_.y_~soundness, or structural inte rit of the ro err '.
06/15/2011 05:34 868B?70 APLUS
A+
INVOICE # 4 0 3 ~[ 0
CUSTOMER
7501 E. 140th Avenue
Anchorage, Alaska 99516
345:1890
la~"~'o'ne Eagineering -
.Anchorage..AI{ 99..5
Block
DATE
Lot
DESCRIPTION
AMOUNT
06- 11
__ Pump $~tic god lift: t'~ 8~eq~T:t~ ~t .~0~~
$165.1
Tank l~:~ated 15' behb2d house
' TOTAL
REM,RKS ,,
--~.~. ._ . ~ ' .- ....~.-,
~EDS TO BE DONE AGAIN IN 6 MONTH~
neeas replacing .......
Municipality of Anchorage
.Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. o2o-o92-2z~
1. GENERAL INFORMATION
Complete legal description
Loma Estates Block z Lot 4
COSA# 0 qU/) L/~2~~
Expiration Date: ,0/~ ~'//a
Location (site address) 52~o Davis Drive, Anchorage AK 995~.6
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Wendy & Jefferey Briggs
_~2Ro Davis Drive Anchorage, AK 995:~6
Day phone 441-246q
Day phone
Real Estate Agent
Mailing Address
Sally Nickerson
Day phone =29-1~z~8
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site [~
[] Individual Holding Tank ~]
[] Community On-site [--1
[] Public Sewer r-1
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in Paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of 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.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site SYstems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Pannone Enqineering Services, LLC
Address P.O. Box lOO2_17, Anchorage, AK 9q51o
Engineer's Printed Name Steven R. Pannone, P.E.
Phone 272-82z8
Date ¢:~'~11/_'~,
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily identifiable features.
The operational life of all wells and septic systems depend on the local soil condition, ground water
levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the 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.
5. DSD SIGNATURE
L/// Approved for ~ bedrooms.
Disapproved.
Conditional approval for
~c OF 44~.~.
............
bedrooms, with the fOllowing stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitr. gte Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ///~~/~ ~'
M ipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box !96650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Loma Estates BIOCkr! Lot
A. WELL DATA
Parcel ID:
Well type _P
Date completed 611h. qe9
Total depth 63. ft.
Date of test
Static water level o
Well production ~
WATER SAMPLE RESULTS:
Coliform . '~,~ colonies/100 mL
SEPTIC/HOLDING TANK DATA
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to 6.. ft.
FROM WELL LOG
_.. 6111zqqq
ff.
g.p.m.
Nitrate 5 ~g/L
Date of sample: ',ilql2ee9
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground)~ Az,"+
AT INSPECTION
zzlzz/'~oo9
_ 2~ fl.
g.p.m.
in.
bacteria'
Other (_,] colonies/100 mL
Collected by: Laura Pannone
Tank Type/Material. Anchorage Tank Steel
Tank size ."2~o gal.
Foundation cleanout (Y/N) Y
Date of pumping
ABSORPTION FIELD DATA
Date installed ¢jle, l=.¢~99
Number of Compartments _= Cleanouts (Y/N) Y
Depression over tank (Y/N) N High water alarm (Y/N) Y
Pumper A+ Home Services
Date installed nlnlan99
Length =~o/~o ff. Width ;In
Total depth 6.on* ft. Eft. abSorption area nun ~
Date of adequacy test .=.t/1."12oo¢, Results (Pass/Fail)
Fluid depth in absorption field before test p.ee in.
Elapsed Time: e.ee min. Final fluid depth Dry. in.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N
Soil rating (g.p.d./~ or ft=/bdrm) ',.2
ft.
Monitoring tube Y
Pass
System type .Shallow Trench
Gravel below pipe /, ft.
Depression over field N
For A bedrooms
Water added.6oo gal. New deptho.oo in.
Absorption rate >= 600+ g.p.d.
If yes, give date
LIFT STATION
Date instailed
"Pump on" level at .~3 in.
Datum Bottom of Tank
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot ~.oo+
Public sewer main 1oo+
Sewer/septic service line
Animal containment areas =oo+
Manhole/Access (Y/N) Y
High water alarm leYel at zr6
Meets alarm & cirmJit requirements? Y
Size in gallons 25e
"Pump off' level at 39 in.
Cycles tested 2
On adjacent lots ~oo+
On adjacent lots =.oo+
Public sewer manhole/cleanout =.oo+
Holding tank =.oo+
Manum/animai excrete storage areas =.oo+
SEPARATION DISTAN, ~ CES FROM SEPTIC/HOLDING TANK ON LOT TO:
Property line ~.o+
Water service line
Building foundation 5+
Water main lOO+
Wells on adjacent lots
Absorption field 50+
Surface water *,oo+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation
Surface water =.oo+
Wells on adjacent lots
Property line, 5**
Water Service line 25+
Curtain drain None Observed
COMMENTS
Water main :roe+
Driveway, parking/vehicle storage ~.o+
*Septic field insulated per installation report. **~Waived ~l~lq8
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 guidelineg in effect on this date.
EngineeCs Pdnted Name Steven R. Pannone, P.E.
Date
COSAFee $ ,qt~l/~
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
in.
LOT
5
·
DAWS
DR/YE
/vo TS: ~ ~
FROM THE PLAT OF ~
RECORD. ~
WA~ PER ~ORM ED AT ~
lot 4 , Block /
Anchorage Recording District~ Alaska
~OT SU~ ~RTIFICATION
~ty Ii~ ~ ~ ~ ~rlap or~ ~ ~j~ ~o~
a ~la ~ ~t ~ we no ~dwayo, ~1I~ i~, W ~ ~olble
eaumen~ ~ ~ld pro~ e~t ~ I~
Scale
JDme ' '
F.B. No. 0,9- 0¢8
Ref.
LOT
3
~ '%~~~ _..~?
//'/3-09
~aoma~
~ plot 'ff
LEGEND
~ ~ Aluminum ca.ed monument teetered
0 E~ pi~ a~ ~r recovered.
2 x2 hub & taok ~red
~" x ~" rebar set this survey
, Fence Li~e (Ap~ox. L~afion)
Prepored by: ~ /-. BUTTON
~egiste/'e~ /..~/~ Surveyor
(D07)2~.~ 519 ~ ff/gh~ Ave. ~n~ A/~ ~01