HomeMy WebLinkAboutGREAT LAND ESTATES #1 BLK 2 LT 2Great Land
Estates #1
Block 2
Lot 2
#051-131-06-
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.sk.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW060313 PID Number. 051-131-06
Nome: Wastewater System: ❑ New ■ Upgrade
AUDREY HILL
Address:
700 W. WINTER COURT ' WASILLA, AK 99654
ABSORPTION FIELD
Phone: No. or Bedrooms:
(907) 357-6212 3
CI Deep Trench O Shallow Tench Need D Mound 0 Other
SW Rakq: Taa D.plh fnNn *AV'1W gnWs:
LEGAL DESCRIPTION
0.5 apo/ea. n '• 1.99 n
Block: Cot Subdnision:
O.ah to R4• sal«" here "kwl wwd.:
arewl dWh bwwoth Pae 0.61
2 2 GREATLAND ESTATES #1
SEE DWG. n
R
Township: Range: Section: —
N edd.d •b•"" "kw gro "`
cre.N bgec
60
— —
SEE DWG. n
R
crs .l ekRh:
NwM.r a Rn..:
U.t«w. w.an..:
WELL: ❑ New ❑ Upgrade
15 R
3
5 R
ckwrtwe4on I'rwet.. A6.0 : raa g.p
ce..d Te:(�
Tad eb.«plwn «w•:
900+
�'" D 3034/ F-810
r
n
m. R
static waw le.w:
R
kwlown
DIRTWORK
oa. krtdwe:
10/28/2006
a,w,,; 0a* wxrd:
7
rwip:
Pump=« At:
ras" "ht #be.. c.«Rm:
TANK
GPY
R
SEPARATION
DISTANCES
■septic DHolding OS.T.E.P. ❑Other
To
Septic
Absorption
Lift
Holding
sp/pdRpb
r
Llwlm*ctur..
ANCHORAGE TANK
Ce dy in 9.w.;
1000
From
Tank
Field
Station
Tank
flee
100'+
too'+
—
—
25'+
kbl«W.
STEEL
Nump« a .emppnmwes.
2
Well
Surface water
100'+
100'+
—
—
—
LIFT STATION
S.. In spam.:
I1p Wt«tu .n
Lot Line
5'+
10'+
—
—
—
on k of
Limp ell a.
Hph wa« akRm a:
Foundation
5'+
10'+
—
—
—
►unp Npk. l
Ewarkel swp.al«w p.rbrrn"d br.
curtain Drain
NONE KNOWN
BENCH MARK
Remarks: *OLD SEPTIC TANK AND CRIB WERE PUMPED,
CRUSHED, AND COMPLETELY ABANDONED.
tOMwn prw w. App :
BOTTOM OF WINDOW SILL NEAR POINT "'B"
•' TO TOP OF SAND
A..Nnwe EbvplwR. 100.00 n
ENGINEER'! e
Inspections performed by: GEG, Ltd. Dates: 1st 10/26/2006
OF
QF gsp0
2nd,10/27/2006
P • •
3rd 10/28/2006
ov00
A
Development Services Department Approval I
�*00�
�: T ..........
Reviewed and approved by: Date:.•••
'••J f A. Gar "" 0
ess:'
E_ � •' SFO
• 11.2 . � o°o
��0�°
Reviewed and approved by: Date: 1 Z ZO
°ro(eseja�ao�
(R.v. 4/0e)
M
NUMBER
SWO60313 :
SW0
AS -BUILT DRAWING
H.5
WL2
GREATLAND DRIVE
1
I3.�
511
11.6 1
23.1
S12
22.0
DBL 1h2
3"1 L TIOM AWA 9M[ 101 • MIC1OR GL Mt spot • n 007)SAf" •IMI t90nW-uw • A w•.9•^�'M+�M••"
0%3
24.1
31.1 1
-
•r�'.• -^' NEW 1000 GALLON
26.6
33.0
•�^•�`.`. / SEPTIC TANK
COl
8
.0.5
66.0
CO2
EXISTING/ A DBL 3&4
N.1
1 50.6
3
64.0
F
Hous�M
MTt
66.2
BLUE804RD
55.5
_
n - n INSULATION
NEW DRAINFIELD�
��ALTERNATE SITE WILL
4a0� REQUIRE THE USE OF AN
ADVANCED WASTEWATER
TREATMENT SYSTEM
PARCEL ID NUMBER:
051-131-06
r_._l_ _81--cl
pall
1!.3 1
H.5
WL2
1..1
I3.�
511
11.6 1
23.1
S12
22.0
2e.e
3"1 L TIOM AWA 9M[ 101 • MIC1OR GL Mt spot • n 007)SAf" •IMI t90nW-uw • A w•.9•^�'M+�M••"
0%3
24.1
31.1 1
-
OM.
26.6
33.0
-
COl
69.2
.0.5
66.0
CO2
61.0
N.1
1 50.6
Lbs
64.0
4a.3
1 65.2
MTt
66.2
39.0
55.5
Ca
111.1
65.3
63.0
COS
112A
01.6
61.2
C06
113.1
66.1
09.9
MT2
1 114.1
69.4
90.6
(R". 01m)
.. r. './� it _ .._.. __ ��
• ... _..._. .. ._
GARNESS ENGINEERING
GROUP, Ltd.
p;'�:` T
CONSULTANTS b GENERAL CONTRACTORS
VA"""' """'
"'•""'
3"1 L TIOM AWA 9M[ 101 • MIC1OR GL Mt spot • n 007)SAf" •IMI t90nW-uw • A w•.9•^�'M+�M••"
D
PREPARED FOR: PHONE NUMBER:
AUDREY HILL 357-6212
PAGE NUMBER:
2 OF 3
•: • ' .••• ...
Q e '• If GQ
..••,•"
ass:
LEGAL DESCRIPTION:
DRAWN BY:
B.F.M.
O o, C -7953
O
00 L PL•
vi
•• ���'
GREATLAND ESTATES #1; LOT 2. BLOCK 2
DATE:
.6�1 Fpoo
�OQ444�QQOoo
TYPE OF WORK:
AS -BUILT FOR SEPTIC SYSTEM UPGRADE
11/2/2006
(R". 01m)
PERMIT NUMBER: AS–BUILT DRAWING PARCEL ID NUMBER:
SWO60313 051-131-06
INSULATION
FINAL GRADE - 99.60-99.66
STI ST2
ATTOP
T95K92� /AT TOP OF TANK
AOUTLET .95.90
I THAI
INVERT OF BUNG
AT INLET - 95.31
TOP OF SAND
. 93.72 –
H2O O 88.71
ON 9/8/2006
I OF BOTTOM
- 81.71
NEW 1000 GALLON
SEPTIC TANK
-FINAL CRADE
. 97.67-98.31
BOTTOM OF BED
- 91.71 —
INVERT OF BUNG
AT OUTLET - 95.06
FABRIC
GARNESS ENGINEERING GROUP, Ltd. ;
CONSULTANTS 6 GENERAL CONTRACTORS
n1 L nua ro.a sm Io. • mowML m ram • r (907)5P- In • ra (907)33 " • �umc ....�.-.a-.Foa-
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
AUDREY HILL 357-6212 3 OF 3
LEGAL DESCRIPTION: DRAWN BY:
GREATLAND ESTATES #1; LOT 2. BLOCK 2 B.F.M.
DATE:
TYPE OF WORK: 11 2 2006
PROFILE DRAWING FOR SEPTIC SYSTEM UPGRADE
(Rm. 0IM5)
ORIGINAL GRADE
. 95.71
IT OF DISTRIBUTION
UNE - 91.33
9 wmt
�.�. .......
rey orness:
u CE -7 53 ei
QD' •.
FO
Q°e^ y.7li (!b' gado
MUNICIPALITY OFANCHOR4GE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 26, 2006
Expiration Date: Sep 26, 2007
Permit Number: SWO60313 Parcel ID: 051-131-06
Legal Description: GREAT LAND ESTATES #1 BLK 2 LT 2
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 023324 GREATLAND DR
Owner Name: AUDREY HILL Lot Size: 90000 SO. Fr.
Owner Address: 700 W. WINTER COURT Total Bedrooms: 3 Permit Bedrooms: 3
WASILLA , AK 99654 -
This permit is for the construction of:
❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued
Date: 2 0
Date: 2 u
Municipality of Anchorage
"1 Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ek.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Property owner(s) AUDREY HILL Day phone 357-6212
Site address
Legal description (Sub'd, Block & Lot )
Legal description (Township, Section & Range) N /A
Lot Size q0 r 008 Sq.Ft.
THIS APPLICATION IS FOR (gall that apply):
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Zip Code 99654
Number of Bedrooms 3
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP Ltd.
Permit/Rush Fees: l9 L/ - 0 O
Date of Payment:
Receipt Number. �� O ��xR
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number.
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 8 GENERAL CONTRACTORS
September 18, 2006
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Septic Upgrade for Greatland Estates Subdivision #1; Lot 2, Block 2,
To whom it may concern:
The existing 3 bedroom house is served by a private well and an "undocumented" septic system. We are
proposing to install a new 1000 gallon septic tank and a bed type drainfield. One test hole was excavated
on the property. The drainfield will be designed around the 30 foot radius of this test hole. 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.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
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 design drawing the area around the proposed
drainfield is relatively flat. 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 assistance.
M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design packagefor
this septic system. (Contact C.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 " Anchorage, AK 99507-1259
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: www.gamcsscnginccring.com
GREATLAND EST. /1;I GREATLAND EST. /I: I GREATLAND
BLOCK 01,
LOT 1, BLOCK 1 LOT 2, BLOCK 1
NO CONCERN
NO CONCERN
/ GREATLAND DRIVE
IF
I qtr;
EXISTING
1 CLOT BLOCK 21 SYSSTTEM-
I
I
I
/ GREATLAN EST. /3: \
/ LOT 13. BLOCK 2
100' WELL RADIUS 1
��EA
\ /
0
/
TN/1
GREATLAND EST. /k
LOT 12, BLOCK 2
(NO CONCERN)
OSED SEPTIC UPGRADE
DESIGN PACE 2 OF 2)
GREATLAND EST. #I;
LOT 3, BLOCK 2
NO CONCE
GREATLAND EST. f3;
LOT 11, BLOCK 2
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS E GENERAL CONTRACTORS �� Q• • • • • • • •' "' """"""
M1 L TDM sOb. ■II[ JOI • M1CMM/!L. At N101 s2ac 111-s1» • f111 JJs -124 • `ESA2: w. assn Q
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• : "'
AUDREY HILL 357-6212 1 OF 1 �Q '•, 1 arness:
LEGAL DESCRIPTION: DRAWN BY: O a CEj7953 `FG
GREATLAND ESTATES SUBDIVISION #1; LOT 2, BLOCK 2 C.J.G.
TWE OF WORK: DATE: �OQProfesslo0eOQ���OOox
SITE PLAN FOR PROPOSED SEPTIC UPGRADE 1 9/18/2006
III". G1.05)
GREATLAND DRIVE _
CRIB TO BE
.RUSHED AND
/ .� COMPLETELY AUANUUNLU
\- 4
LL l
EXISTING WELL TO I I EXISTING DRAINFIELD TO BE
BE COMPLETELY P•1 I COMPLETELY ABANDONED
II
II
NED
EXISTINGSEPTIC'UNDOCUMENTED"
NK TO BNE D•
PUMPED, CRUSHED AND II
COMPLETELY ABANDONED Lmd MT
U
ALTERNATE SITE WILL
REQUIRE THE USE OF AN
ADVANCED WASTEWATER
W7
SYSTEM
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
%._�' _�, _ _ __ pow,. • •.S��
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS�•.... ::
I»I c 11mIr arse, qrt[ lel • MUgIULC Mt Neo) •wart (.o1W»1» • FM (ee1).0 46 • WOerC w..e....•.y..�Me O.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••' ......
G ness:
QO E-795 tiFa
LEGAL DESCRIPTION: DRAWN BY:
GREATLAND ESTATES SUBDIVISION #1: LOT 2. BLOCK 2. C.J.G.CbV k-'
TYPE OF WORK: DATE: DO 0\
o
DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE
9/18/2006
(Rev. 01105)
NUMBER OF BEDROOMS:3
GALLONS PER DAY (GPD): 450
_
PERCOLATION RATE/S: 5.45 MIN./INCH
PROPOSED APPLICATION RATE: 0.5
MINIMUM DRAINFIELD SO.FT.: 900
INSTALL FOUNDATION
DRAINFIELD DESIGN:
MAXIMUM DEPTH:4 FEET
WIDTH: 15 FEET
CLEANOUT
LEN6TH:60 FEET
PROPOSED 1000
M.O.A. APPROVED SND FILTER: 2 FEET
GALLONS SEPTIC TANK
EFFECTME:0.5 FEET
REDUCTION FACTOR: N/A
/
ACTUAL SO.FT.: 900
CRIB TO BE
.RUSHED AND
/ .� COMPLETELY AUANUUNLU
\- 4
LL l
EXISTING WELL TO I I EXISTING DRAINFIELD TO BE
BE COMPLETELY P•1 I COMPLETELY ABANDONED
II
II
NED
EXISTINGSEPTIC'UNDOCUMENTED"
NK TO BNE D•
PUMPED, CRUSHED AND II
COMPLETELY ABANDONED Lmd MT
U
ALTERNATE SITE WILL
REQUIRE THE USE OF AN
ADVANCED WASTEWATER
W7
SYSTEM
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
%._�' _�, _ _ __ pow,. • •.S��
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS�•.... ::
I»I c 11mIr arse, qrt[ lel • MUgIULC Mt Neo) •wart (.o1W»1» • FM (ee1).0 46 • WOerC w..e....•.y..�Me O.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••' ......
G ness:
QO E-795 tiFa
LEGAL DESCRIPTION: DRAWN BY:
GREATLAND ESTATES SUBDIVISION #1: LOT 2. BLOCK 2. C.J.G.CbV k-'
TYPE OF WORK: DATE: DO 0\
o
DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE
9/18/2006
(Rev. 01105)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERALCONTRACTORS� �.
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: CR ND ESTATES SUBDMSION J1: LOT 2. B
PERFORMED FOR: AUDREY HILL D)
DEPTM—;;;;
(feet1ORGANICS
8-
9-
10-
11-
12•
13
14
15
16
17
18
ujim
J r A�6arr'es*s
InP°o:
El-79p3l
GREATLAND DRIVE
FN.A
TH#1 +
SCALE:
t• •too'
DATE READING
CLOCKTIME
NET TIMENT
(MINUTES)
ER
W RTEADING EL
DROP
(INCHES)
8 31 2006 1
2
2:37
3:07
—
30
6"
0"
6"
3
-II • -
—
6"
4
3:37
111111111
1 2"
5 1 2"
5
3:37
—
l�li CIL
6
4:07
30
1 2"
N/NHSF3M GC •
1SOIL•
����.CH
Il��llls;MH
•
t`SC
GM
DEPTH TO
8-
9-
10-
11-
12•
13
14
15
16
17
18
ujim
J r A�6arr'es*s
InP°o:
El-79p3l
GREATLAND DRIVE
FN.A
TH#1 +
SCALE:
t• •too'
DATE READING
CLOCKTIME
NET TIMENT
(MINUTES)
ER
W RTEADING EL
DROP
(INCHES)
8 31 2006 1
2
2:37
3:07
—
30
6"
0"
6"
3
3:07
—
6"
4
3:37
30
1 2"
5 1 2"
5
3:37
—
6"
6
4:07
30
1 2"
5 1/2*
PERCOLATION RATE 5.45 (MIN./INCH) PERC. HULt UTA.
19
TEST RUN BETWEEN 3.0 FT. AND 3.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: M YES ❑ NO
SOILS LOGGED BY:
JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MADS
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER o oMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Parcel ID 051 -131-06
Certificate of On -Site Systems Approval
OSC251477
Expiration Date: 9/4/2026
Legal description GREAT LAND ESTATES #1 BLK 2 LT 2
Site address 23324 GREATLAND DR
Current property owner(s) BUYSE DOUGLAS L (TOD) &
X The On-site system(s) is/are approved for 3 bedrooms
By
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
2/27/2026
This,Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
9s tem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
evelopment Service Department (DSD) issues COSAs based upon representations provided by an
independent professional engineer. The Municipality of Anchorage is not responsible for errors or
omissions in the professional engineer's submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
Development Services Department
On -Site Water & Wastewater Section
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 051-131-06
Complete legal description GREAT LAND ESTATES #1 BLOCK 2 LOT 2
Location (site address) 23324 GREATLAND DRIVE CHUGIAK, ALASKA 99567
Current property owner(s) BUYSE DOUGLAS & MAUS DEENA
U Day phone
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units
F-1 Other Non-public well as regulated by MOA F-1 Water Storage
R Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: FE Private Septic ❑ Private Septic serving 2 dwelling units
F Holding Tank El Community Septic or Public Sewer
5. SEPTIC TANK: RN Steel R Plastic R Concrete R Fiberglass
Age 19 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: Fj AWWTS V Bed ❑ Deep Trench EJ Wide Trench ❑ Seepage Pit
Waiver request for: Distance:
Expedited review requested: F
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $_ 55O//
Waiver Fee $
Date of Payment 16 b-6 Date of Payment
COSA # CSC 2-s-1 q 7 Waiver #
COSA Application—Apr2025.doc
COSA Checklist_May2025 .docx
COSA Checklist
Legal Description: GREATLAND ESTATES #1 BLOCK 2 LOT 2 Parcel ID: 051-131-06
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled UNKNOWN Total depth UNK ft
Cased to UNK ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 28 in.
Date of flow test for COSA 9/4/25
Static water level at beginning of test 147 ft.
Well production at time of test 5+ gpm
Water storage tank volume None gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 4.88 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 9/4/25
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank 49"
Date of pumping 9/5/25
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed) 10/18/2006
ALL standpipes present per record drawing
Total measured depth from grade 4.3 ft (max)
Measured depth to pipe invert from grade 3.5 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 9/4/25
Results Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 1 in
Elapsed time 30 min
Final fluid depth 0 in
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 7 in (MOA 0.61’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth remaining 7 in
Comments/Deficiencies: The surveyor conducted a second site visit and found all the pipes visible. We extensively dug again after
other attempts and found the missing pipes between the house and the tank that the surveyor noted. All good and visible when we left.
COSA Checklist_May2025 .docx
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’ Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/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
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No *5+ ft
Field to Foundation > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*Per code at time of install.
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 10/22/2025
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
10/22/25
GREATLAND DRIVE
NRW.55'�R"F inn_ nn'
ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF:
GREAT LAND ESTATES UNIT Nol
LOT 2 BLOCK 2 PLAT 71-274
SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance shoul(
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE: SCALE:E—MAIL:
1 Is
SEPT 26, 2025 "=50' schullerakOgmailxom
25-121 DRAWN BY: CHECKED BY: GRID NUMBER: BOOK AGE:
I JLS NW1 260 250354
* = FND 5/8" REBAR
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LS -10408 •'1831 Talkeetna Street
Z(V. ! 20so, Anchorage, Alaska 99508
1 'or`� (907) 227-1455 office
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NIQ41 (907) 274-4992 fax