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Home My WebLink AboutTHE TABLELANDS BLK 5 LT 5The Tablelands Block 5 Lot 5 #051-811-63 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211152 PID Number: 051-811-63 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑N Upgrade Name Daniel Flodin ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound Site Address 23331 Muley Cir, Chugiak ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2 GPD/SF 8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5 Ft. Gravel depth beneath pipe 3 Ft. Subdivision Block Lot The Tablelands 5 5 Fill added above original grade 0.2 Ft. Gravel length 76 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 655 Ft2 1 Ft. Well 100'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ Gal. Material Number of compartments Lot Line 10'+ NA Foundation 10'+ ILIFT STATION Manufacturer Capacity Remarks Property served by public water. Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield Martin Construction Company Drainfield 3034 CO/MT 3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation) 100 ft Inspection es: 1�t 5-25-21 2nd 5-25-21 Location and description 3rd 5-26-21 4" 6-2-21 Top of slab at "BM" on record drawing ON-SITE WATER AND WASTEWATER SECTION APPROVAL SOFA Conditional Approval: Date _ �. ............. aures A. Crewdson ;. Septic Se �' •. C11527 • �/ Approved 1,11rDate z 9F�' • ...... • '�� Note: this appro//does not include well permit requirements. ev J Uzi[ ()I L JAN 2 3 2023 GARAGE 2008 DRAINFIELD REMAINS IN SERVICE 30 / DRIVEWAY / A BM B / C�: 10'+ / DV o H3 -NE o TH2 6'+ M2 10'+ i C M1 7S\ 27.4' ST 0%, \ iN BENCH MARK TOP OF SLAB ASSUMED ELEV 100' C# M# s.� DRAINFIELD WIDE TRENCH TED x 5'W x 76'L 3 0%± 0%+ o TH1 �o LOT ® ® PL-\ � I EG 99.1' NOT TO SCALE FG 99.3' M# C# TH1 TH2 99.1'OG99.1' L ROCK 11 1 DRAINFIELD ELEV INV 94.1' BOR 91.1' OG PUBLIC WATER SERVICE a LINE LOCATION: SOUTH SIDE OF LOT 4 ML WEST SIDE OF LOT 5 ML with sand 35.7' PROFILE EG 99.1' NOT TO SCALE FG 99.3' M# C# TH1 TH2 99.1'OG99.1' L ROCK 11 1 DRAINFIELD ELEV INV 94.1' BOR 91.1' OG B ML with sand ML with sand 35.7' 94.1' MI 94.6' 42.7' C2 S with silt SW with silt 29.2' 89.1' 26.0' 88.6' ML with sand, 42.4' C4 65.2' permeable ML with sand, BOH X5.1'- BOH permeable GROUNDWATER TH1: DRY TH2: 86.6' NOTES 1. All construction completed IAW AMC 15.65 Crew, dsotn Engineering, ILLC ( The Tablelands, Block 5, Lot 5 Septic Drainfield Upgrade.. Record Drawing �- CM1&Er%*umnenW Bijkxoing Prepared for: Dan Flodin Date: 8-24-2021 PO Box671389ChugiakAK99567 a cellc.1@outlook.com Permit: OSP211152 Page: 1 of 1 Cell/Text: 907-280-9493 • Fax: 907-688-2295 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC SWING TIES A B DV 10.1' 33.0' C1 35.7' 42.8' MI 37.5' 42.7' C2 70.4' 42.2' M2 47.5' 29.2' C3 26.0' 38.0' M3 70.5' 42.4' C4 65.2' 37.7' M4 23.8' 38.4' LEGEND BOR - bottom of rock BOH - bottom of hole BR - bedroom C# - cleanout ED - effective depth EG - existing ground ELEV - elevation FG - finish grade IAW - in accordance with INV - invert M# - monitor tube PL - property line SFH - single family home TD - total depth TH# - soils test hole OF A�gs�l ®Gr. •:vii far: 49 •. - James A. Crewdson I Fc C11527 �Vk- ROfES510NP��d ALLC #112279 i HOUSE DETAIL Scale: 1 "=30' 4.0'x3.2' DECK 2 STORY RESIDENCE �YPORCHw/ DAYLIGHT BSMT. DECK co 4 0.4'_ BALCONY AMMOT-My-W M. N 89'55'23"E 413.80' 33' SECTION LINE EASEMENT N CP 56.0 ... -ASPHALT". L®t - DRIVEWAY - n� SEE HOUSE ��' DETAIL '28.3' NGARAGE 40,000 S.F� 0t, k GREENHOUSE N 90'00 wo L=14.27' R=180.00' ULEY CIRCLE 00'W 107.84 PIPES A0- 57 Lot 4 15' T& E EASEMENT L=51.82'\ \ L=32.18' R=50.00' R=50.00' NOTE: LOT IS SERVED BY A COMMUNITY WATER SYSTEM. MORTGAGE SURVEY _X_ SCALE —1: = 60__ GRID __NW15_5_9 Project No. N 21-345(&1 g,, Associates, � 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lana& A S S o C i a t e S inc. (907) 522-6476 Phone (907) 522-4625 Fax O F �40��Professional Land Surveyors ken0langsurvey.com - jonothan®langsurvey.com .-�s 00 I hereby certify that I have surveyed the following described property: LOT 5, BLOCK 5, THE TABLELANDS SUBDIVISION (PLAT No. 2004-25) Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained hereon shall not be used to establish any fence, structure, or other improvements. Dated this the --L — Day of »ILLL—, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. �* 49TH y* KENN LA 4 4 Fo''•.LS-5202.••' � p �40�h�FSSS101JA4 Qo AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211152 Work Type: Septic Upgrade Tax Code Number: 05181163000 Site Legal Address: THE TABLELANDS BLK 5 LT 5 G:1559 Site Mailing Address: 23331 MULEY CIR, Chugiak Owner: FLODIN DANIEL R & DEBORAH L Design Engineer: CREWDSON ENGINEERING, LLC This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft Total Bedrooms: nc of MAI Department 5/20/2021 5/20/2022 40000 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: 4/i 2� Z MUNICIPALITY OF ANCHORAGE U EFt Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-811-63 Property owner(s) Dan Flodin Day phone Mailing address PO Box 672543, Chugiak, AK 99567 Site address 23331 Muley Circle, Chugiak Legal description (Sub'd., Block & Lot) The Tablelands, Block 5, Lot 5 Legal description (Township, Range & Section) Lot Size 40,000 Sq. Ft. Number of Bedrooms 5 'Ayl e APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank ElUpgrade Q (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:. -6°I-6- f � 357 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 2615 Receipt Number: Permit No. 05F2_11152- Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc James “Jay” Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280‐9493 Fax: (907) 688‐2295 PO Box 671389 ● 18368 Amonson Road ● Chugiak, Alaska 99567 May 18, 2021 Onsite Reviewer Municipality of Anchorage On‐site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519‐6650 Reference: The Tablelands, Block 5, Lot 5 Septic System Drainfield Upgrade Design Narrative The existing 5‐bedroom drainfield needs to be upgraded. It will remain in service by means of a diverter valve between it and the new proposed drainfield. In an effort to ensure all of the existing soils information is still valid, the proposed drainfield design is based on two new soils test holes. Please see the design drawing for more details. The proposed septic system drainfield, if constructed as designed; Will satisfy all code required horizontal and vertical separation distances, Will not cause any probable adverse impacts to adjacent properties, Will not negatively impact existing wells and septic systems on adjacent properties, Will not be adversely affected by potential drainage that could flow onto and off of the subject property. Please feel free to contact me if you have any questions. James “Jay” Crewdson, P.E. LOT 5 GARAGE DRIVEWAY 0 DV PUBLIC WATER: SERVICE LINE LOCATED ON WEST SIDE OF PROPERTY o 0%± C1 M1 ESM i � 2 .5' CPo 0 NOTES 1. All construction shall be in accordance with the code. 2. Soils Test holes completed by Crewdson Engineering LLC. a. TH1: BOH 14', Soils: SW-w/silt 5'-8'BGL, Perc: 1-5 mpi, May 2021 7 -Day water reading: Dry b. TI -12: BOH 14', Soils: SW-w/silt 5'-8' BGL, Perc: 1-5 mpi, May 2021 7 -Day water reading: 12.5'BGL Crewdson Engineering, ILC 6'+ � o M2 {E) DRAINFIELD DO NOT ABANDON, REMAINS IN SERVICE (P) DRAINFIELD WIDE TRENCH TED x 5'W x 731, 87D SEE NOTES FOR DETAILS �`M 0%+ �o TH3-NE ° 0 o TH2 oTH1 �o LOT 4 PUBLIC WATER: SERVICE LINE LOCATED ALONG SOUTH SIDE OF PROPERTY 5. (P) Drainfield: a. Design: 5 bedroom, 750 gpd, AR: 1.2 gpd/sf, RF: 0.58, required area: 625 sf 6. Set diverter valve to direct effluent flow to the new drainfield. 7. Insulate all pipe and/or drainfield sections that have less than 3' of cover soil. 8. Inspection Notifications: call Crewdson Engineering 907-280-9493 24 hrs and 2 hrs prior to the MOA bottom -of -hole inspection 2 hrs prior to completion of drainfield plumbing 2 hrs prior to completion of final grading The Tablelands, Block 5, Lot 5 Septic Drainfield Upgrade DESIGN C1W&HnnmmymWEV9 Prepared for: Dan Flodin Date: 5-18-2021 PO Box 671389 Chug iak AK 99567 • cellc.l@outlook.com Permit: OSP211152 Page: 1 of 1 Cell/Text:907-280-9493 • Fax:907-688-2295 ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING, LLC AND SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC LEGEND (E) - existing (P) - proposed C# - cleanout DV - diverter valve M# - monitor tube NE - Northrim Eng. TH# - soils test hole —`� of Al-slll *: TH J s A. Crewdson C11527 • 14 l�I��PR�FESSIONP��.� A1W ALLC #112279 Performed For: Legal Description: TH2 Depth (Feet) O 1- G 2- 3- ML 4- 5- 6- SW 7- 8- 9- 10- 11- 12- M L 13- 14- 15- 16- 17- 18- 19- 20 - welkyllUTMEN Municipality of Anchorage Municipality of Anchorage On-site Water and Wastewater CODE COMPLIANCI VCX e uss. 05/20/ Development Services Department On -Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 wWw.muni.orq/onsite ®0 �, ,James A. Crewdson ; (907) 343-7904 C C11527 �.•�/r �©�OFfS�Ot�,� Soils Log - Percolation Test i��.-- Dan Flodin Date Performed: 5-3-2021 The Tablelands, Block 5, Lot 5 Township, Range, Section: Slope Site Plan with sand with silt see design drawing WAS GROUND WATER Date ENCOUNTERED? No Net Time Depth to Water s IF YES, AT WHAT DEPTH? L Depth to Water After D Monitoring? 12.5' E with sand, permeable Date: 5-11-21 see design drawing see design drawing Reading Date Gross Time Net Time Depth to Water Net Drop 5-3-21 1 hour 10 min. 2-9/16" 10 min. 2-8/16" 10 min. 2-6/16" 10 min. 2-6/16" 10 min. 2-6/16" 10 min. 2-6/16" PERCOLATION RATE 4., ' (minutes/inch) PERC HOLE DIAMETER ID TEST RUN BETWEEN 5 FT AND 6 FT PERFORMED BY: Crewdson Engineering i James Crewdson CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5-3-21 1 1 1 1 1 1 1 1 1 1 2 Performed For: Legal Description: TH1 COMMENTS Municipality of Anchorage Municipality of Anchorage On-site Water and Wastewater ODE COMPLIANCE e fuss, 052 ,, Development Services Department 0 4� . tP On -Site Water and Wastewater Section 0 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 ® , www.muni.org/onsite / .Jam A. Crewdson , o (907) 343-7904 �� 011527 ®"w AW Soils Log - Percolation Test ®1 ESS.� Dan Flodin Date Performed: 5-3-2021 The Tablelands, Block 5, Lot 5 Township, Range, Section: Slope Site Plan with sand with silt see design drawing WAS GROUND WATER ENCOUNTERED? No s IF YES, AT WHAT DEPTH? L Depth to Water After 0 Dr P Monitoring? �/ E with sand, permeable Date: 5-11-21 see design drawing see design drawing Reading Date Gross Time Net Time Depth to Water Net Drop 5-3-21 1 hour 10 min. 3-13/16" 10 min. 3-10/16" 10 min. 3-7/16" 10 min. 3-5/16" 10 min. 3-5/16" 10 min. 3-5/16" PERCOLATION RATE .j (minutesfinch) PERC HOLE DIAMETER TEST RUN BETWEEN 5 FT AND 6 FT PERFORMED BY: Crewdson Engineering i James Crewdson CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5-3-21 f v Inspections performed by: od A e1, 505Dates: 1M C// I/O 2" c// 9/Ot Development Services Department Approval Conditional Approval Date: Reviewed and approved by:�1/��G (Rel arose l e:i1^iS"0S OF 44 ,itR* � :e•.No.eeee�S eY t s. .� hal••• • : a - E t: Sloan W. Eng j,• PE 6256 • VG'r Municipality of Anchorage �� :;. Development Services Department ' Building Safety Division Program. 4700 Bragaw St On -Site Water and Wastewater P.O. Box 195650 Anchorage, AK 99519-6550 Page / J of 3 www ci anchorage ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PID Number: n5 1— ?',— C 3 Permit Number. SS / O?O02 / /V/Ne.- N.Marne <> ubvAr Wastewater System: eg(New ❑ Upgrade M*esSf 0 &IK 772071ABSORPTION FIELD PMner q a _ 755 Number al Bedroom5 Trc . O Shallow Trend) WuxiBe0 WuxiOther0 OB LEGAL DESCRIPTION 504 Rating / a. GPD'N Tar Depth from c.geul Wade S FI. Block Lot ..}.�( S�n4onA p r� / S/ /le T?OLEt,441 r DepIhto ppe bottom hod coral oda .2 Fl. Gruel tePlhWroMn PPe 3 Ft Toensmp Bros Searon Fit .mad above ong^N 7$t Sti- J T Ft. Gravel Lady/ FI. InesWell:4 WW if ■ New ❑ Upgrade Gravel mdtmNNumberellinesDIM .s' arFI. / DIM bowman — Ft GMSrI�Cel'M (Pnrate. A. B. C) Tar Depth Ft. Ca , to FI Tar absrpiron r.. 6a j re Ppe Material eve_ 363'f Drawb/ Date ()NW] $'Jiro Wald Level Ft Imt l.t �t•'Vc�f -i q .!S Data Instant)�// �/O Y» t GPM Pump Pusal at FI. at ap Medd boar Grtvrd FI TANK SEPARATION DISTANCES "aseptic ■ Holding 0 S.T.E.P. 0 Other. CapSCdy • To From Septic Tank Absorption Field Lift Station Holding Tank oubbUPnvate Sewer Line 'auuer 1.Wwl �n A' Ace-, I/500 Gr A Li C`e'rt� C 7794,1(e_. r Co^+mteni+ Number w Mideast a Slam Water /00'4- /0 /3 '-r — — LIFT STATION Lo Un• /0 Ft- 10'4- — 53e Gal MaM%•JYer m FouMron 5•'-f-/ 0 /4- _ 'Perp on lewd at m 'Pump ole tea at at Wgn water mann at m Coven Drain Pure Make MOGI EMamcr Impact, Caned By Raman BENCH MARK Locaocn .'b Dew.pton 72 F' or CA/e,4CE_ Fb(JAM,l iJ AssuntC EI..abon /00 FI Fnnineet's StamD f v Inspections performed by: od A e1, 505Dates: 1M C// I/O 2" c// 9/Ot Development Services Department Approval Conditional Approval Date: Reviewed and approved by:�1/��G (Rel arose l e:i1^iS"0S OF 44 ,itR* � :e•.No.eeee�S eY t s. .� hal••• • : a - E t: Sloan W. Eng j,• PE 6256 • VG'r purktand (Test Hole 41-- 5 BDRM HOME 500 Gallon Septic buble C.O.' Absorption Trench TH3 Replacement Slte RECORD DWG MEASUREMENTS A B FCO 4 25 ST COI 16 30 STCO2 25 37 DCO 33 CO 2 139 139 CO 1/MT 79 89 Detached Garage NORTHRIM y;a ENGINEERING PO fax 770724 Eoys WNW. Mosta 99577 907.694. 7028 THE TABLELANDS S/D BLOCK 5, LOT 5 1'=50' RECORD DRAWING 11/13/08 rof 3 v /' vaa G?ID33?1 z W ri —I xi z —1z in ("") D = z 70D -11 C Fl N ,yg = uoi}onal3 IHl ,16 = uof}onal3 mm y < n h h m 3 '0 11 0 N P 4 -0 h 1� TI O 1 Q h 3 10 II z w n1 3 No n 0 n 3 O C Z 0 ID O3 ID I N S'+ r2 Li! v) O acini Jo}(uoW 1 a13 uon.opuno3 O V O 0 3 (0 n 10 O 3 0 L 4+ 01 w 'o h '0 N 3 ca Io 0 4+ n -a 0 3 W -I Z N 3 n 3. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW080074 Legal Description: THE TABLELANDS BLOCK 5 LOT 5 Design Engineer: 0838 NORTH RIM ENGINEERING Owner Name: MIKE QUINN Owner Address: PO BOX 772641 EAGLE RIVER , AK 99577 - Date Issued: Jun 12, 2008 Expiration Date: Jun 12, 2009 Parcel ID: 051-811-63 Site Address: NHN MULEY CIRCLE Lot Size' 40000 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: Water Storage Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy E1 Private Well 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. 5. The following special provisions. SCONSTCTION MAY UBMIT ST STAMPED AND SIGNEDD AT OWN RISK WITHOUT RESULTS WITH THE AS -BUILT MONITORING. PLEASE LT INSPECTION REPORT. Received By: Issued By: Zi / 2) Date: C/62/0 Date: 6705 Municipality of Anchorage Mayor ,lark Begich June 18, 2008 mens S. A"' CO. IGix 19665f) •:\ncharngc, Alaska lEI,il SLfifi�•4i1N)Iihnon Howl�/ *..Y" ()nice: (907) 3%3-891)1 • Fax: (907) 313.89(X) http://htwxe.munI.nry; Northrim Engineering Steve Eng 17237 Bear Paw Circle Eagle River, AK 99577 Development Scnices DepartmentUeparirnent Subject: Waiver Request for The Tablelands,135 L5 Waiver Request WR#: 080030 Parcel ID # 051-811-63 SW080074 Dear Northrim Engineering: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.0 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 343-7904. Sincerely, Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity 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.ci.anchoragc.ak.us (907) 343-7904 Waiver Review Worksheet WR#:080030 PID#:051-811-63 HNPermit# SW080074 Date Received: Juno 18, 2008 Legal Description: The Tablelands, B5 L5 Engineer. Northrim Engineering Steve Eng 17237 Bear Paw Circle Eagle River, AK 99577 Applicant Mike Quinn Waiver Requested: 2' Lot Line Waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: X Waiver is not Granted: List Conditions or Reasons for above: Date: 6/18/08 By: Deb Wockenfuss Name of Reviewer Rec#: 108792 Amount: $175 Date Paid: 6/18/2008 Parcel I.D. 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 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 05-1- 211-(c? Property owner(s) ,41 i e. Of if•... Day phone ,Cit/--- ypS.S" Mailing address," ox 7 7077q/ Zip Code ff n .7 7Site address �, �r. Ceere-ie Zip Code %'-51( Legal description (Sub'd, Block & Lot)lit; ei t_Lots 55 ZS Legal description (Township, Section & Range) Lot Size WO , 000 Sq. Ft.. - Number of Bedrooms THIS APPLICATION IS FOR (®all that apply): THIS APPLICATION IS AN: Absorption Field a Initial Septic Tank Upgrade Holding Tank ❑ Renewal Privy 0 Private Well 0 Water Storage 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner o(s3dthorized agent) Permit/Rush Fees: HUD Waiver Fees: 0175 Date of Payment: Piga ICI Date of Payment: ✓��30/0) Receipt Number: I b t)(p Receipt Number: /057 92 (Rev. 11/05) THI�M cgiloNEERING Date: 5/30/08 To: Debby Wockenfuss MOA On -Site Services MEMO Steve Eng, PE, PH PO Box 770724, Eagle River AK 99577 (907) 694-7028 tel NorthRimEng@aol.com Subject: The Tablelands, Block 5, Lot 5 Septic System Design Debby, Number of Pages: 8 This is revised design in reference to your comments. I louse was relocated & new test holes completed. Lot line waiver requested. Please call if you have any questions on the attached design. • Thanks -Steve IM EN NEERING Date: 6/11/08 To: Debby Wockenfuss MOA On -Site Services MEMO Steve Eng, PE, PH PO Box 770724, Eagle River AK 99577 (907) 694-7028 tel NorthRimEng@aol.com Subject: The Tablelands, Block 5, Lot 5 Septic System Design Debby, Number of Pages: Reply to your comment sheet dated 6/5/08. 1. Detached garage labeled on Sht 1. 2. Added detail Spec Sheet concerning cover/insulation. 3. Due to the section line easement, lot line waiver appears necessary. An attempt will be made to maintain 10' separation during construction. 4. Profile drawing clarified in Sht 3. 5. After conversation with you, another test hole was competed, Test Hole 4. The hole was similar in soil to TH2 & TH3. No water was present during excavation and after 24 hours monitoring. 6. Topography description added to Sht 1. Please issue approval. The shallow trench design is compatible for this site. Regards -Steve Steve Eng, PE, PH NorthRim Eng. 694-7028 Key Box 1500 Gallon Septic Tan Double C.O.'s TH4 Absorption Trench DESIGN NOTES: 1. Total Depth of Trench is 5'. Terrain relatively flat. 2. Sewer Service Line minimum 29 slope. 3. Trench is Minimum 2' from Lot Line. 4. Lots Served by Public Water System. 5. Insulate Sewer Service Under Driveway— 6". 6. Note Angle Point ® 10' From Garage To Absorption Septic System Construction Does Not Preclude Adjoining Lots Fron Sanitation Inprovenents. Topography, Site Topography generally slopes Fron Northwest To Southeast As Indicated. Area Topography Is Directed Toward A Gloclofluvlal Channel Located In A Greenbelt Toward The South. No Excessive Slopes Are Present On Lot 5. The Highest Slope Is The Road -Cut Directly In Front Of The House. Detached Garage NOR THRIM ENGINEERING Pa Dor 770724 [a91a River. AInka 99577 907.694.7028 1`• �~ Y THE TABLELANDS S/D LOT LAYOUT 1' = so' •. ~� BLOCK 5, LOT 5 bneioe 1 oP 4 N N a o+'t NO a a >.c i t O 3 O1 O O L y F Q J m° 13 0LC CU C T++ L; O s NQ of aW H U a 0a 50- .0 cu -a a s 0)4.+' o,— a0 L o a 0 u U L O • rt N 4. a• 0 O�'Q O f L N N O t—h LIQ.-. u~ 0 4- c. o • N W+ pj ~ • O=ax +' &5 °'d,c3.0 ▪ 2 -Ur- wc1 y 1/1 IS i N C0 X 0 O' +' Q W J CCU C .c O C .0 L ZOL-L. O NW t cp z o Z Z V) H W 0 c 0 1- 4) c J 4. Lots Served by Public Water System. N N Oi J 0 O Cu 0. 0 N t0 N >' 0 L W oc c L7 Y r 0 J tt- O N o ▪ ° oaL L W > i Q u 0 w AREA PLAN c 03 O Y 3 -3 i a O c� oa a U 3 i' u C £ W O in N+ �a c 0 E N O L y urt` > L Cu 00 0 a NAJ.-. Foundation Cleanout N 0 C u, ca NO U Y c. cc a o. 0 ti flrqv.• IN •aS S i 3 ° cu V M N� (.4 v) AI -- Z O Q J w J Wlf) F— U W 2 J crl �I 0 W U N 0 a 0 E U O (h c O o a o, Ili a u 0 N aN W N s w 0 r O 3 3 O me . a E O tnO- L s Z u 907.694.7028 • N 0 N U d uIL0 08 U s C L 2 Oi d Qmoi + • L L 3 U N C� 3 n. a) cu L W • 0 Inc (4 � 1 ,, a � } • _ f> 0. oj o 3 C1 L_jj }' Q N N rn u0 Z 0 1- L 3 3 ozF £s cUC z7:3f w N 1— CSI— U7 LJ A.: 0.1 Cr) vi :.;.;• ' 4-I - 1104044 "41.4'4• esiilis lel 0 ,d Pipe 11 Plan / Clean I lid Pipe to Septic Tank nd Cover To Obtain 3' Cover Material Pipe Level, Holes Down \ 1 h 1'• Minimum 6' to Bedrock, 4' to Groundwater THE TABLELANDS S/D BLOCK 5 LOT 5 0 r, i'y y' tit ... • :.Y..;c •. ;,... . 1 H'H�} teft.%..i iis,“1•11h'11 Ii.., � i• ; ':' 1. ASA. I `I,•'�r ? AS04. to ;:!; i �1 4 ,A 1 �1'1�1'1 fil �n ii S' 6: .1 , koi0.� •.1� ,171'.4.4 04040. fh :. .. : `t'}t'l�L. N 4' Perforc Cleanout I )nitoring Tube f leanout 1 Filter Fabric Mou 'Perforated . r` '.•��• .• ,r....Y '••1 4 '�11�1i1• •.''•44 1 1 0:11440: FY:' 1; :'• • • 044.4 I ?i.11ttp..11 •,rte%I4i -- 5' WIDE TRE PLAN & PRD OA jaP• 00 • r '�a'r1• l I 110:1114 1' ii fHRI M X11'. *,� s: ae i�`' . .ERING ire* �,,. w /osko 99577 a -es 4. 7028 41114( r1."•'� • _ 1�.1'ICIW }�wY��Y- � .. .: 141 u• -�-� W THRIM ftI NEERING S❑ILS LOG — PERC❑LATI❑N TEST Date Performed: 6/10/08 Performed For: Mike Quinn Legal Description: The Tablelands Subdivision, Block 5, Lot 5 DEPTH (FEET) 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 14 - 15 - 16 - 17 18 19 20 21 Organic SP Sand w/ Gravel Dense T.H. Location See Attached Design Groundwater? No Depth Water Depth After Monitorinq.None Date: 6/11 $$ Date Gross The Net Time Depth Net Drop 1 6/10 0 -- 9' -- 2 6/10 30 30 riln. 15' 6' 3 6/10 30 -- 9' -- 4 6/10 60 30 riln. 15' 6' 5 6/10 60 -- 9' -- 6 6/10 90 30 rein. 15' 6' Percolation Rate 5 rain./inch Perc Hole Diameter 6' Test Run Between 3' and 4' Comments: Precnnkpd. MnrP thnn 50% cnnd. Performed By NorthRim Fng I 5' CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE' 5/15/08 NORTHRIM ENGINEERING PO Box 770724 Eagle River, Alaska 99577 907.694.7028 ci9m *^--.•• ••.. * T. H. 4 TESTHOLE LNG f►w 4 a -as GE❑TECHNICAL bath/11/o8 3 of 3 THRIM ftJINEERING S❑ILS LOG - PERC❑LATI❑N TEST Date Performed: 5/7/08 Performed For: Mike Quinn Legal Description: The Tablelands Subdivision, Block 5, Lot 5 DEPTH (FEET) 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 11 - 12 - 13 14 - 15 - 16 - 17 - 18 - 19 - 20 - r.: b Organic SP Sand w/ Gravel Sig o/ot Mo 4, t'o r T.H. Location: See Attached Design Groundwater? No Depth Water Depth After Monitorinq.None Date: # Date Gross Time Net Tine Depth Net Drop 1 5/7 0 -- 11' -- 2 5/7 30 30 min. 17' 6' 3 5/7 30 -- 11' -- 4 5/7 60 30 min. 17' 6' 5 5/7 60 -- 11' -- 6 5/7 90 30 min. 17' 6' 21 Percolation Rate 5 min./Inch Perc Hole Diameter 6' Test Run Between 3' and 4' Comments! Presnnkpd. Mnre than 50' sand Performed By NorthRim Fng I CERTIFY THAT THIS TEST WAS Performed in Accordance with All Stu e/Municipal Guidelines in Effect ON THIS DATE. DATE! 5/15/08 NORTHRIM 1.c: ENGINEERING •.49m '••,k T. H. 2 TESTH❑LE LIG PO Box 770724 sr+1 Eagle Rive , Alaska 99577 a -sal 907.694.7028 ""' GEITECHNICAL '`5/16/08 Zof 3 DE: THRIM EN NEERING S❑ILS LOG - PERC❑LATI❑N TEST Date Performed: 5/30/08 Performed For: Mike Quinn Legal Description: The Tablelands Subdivision, Block 5, Lot 5 1 - 2 - 3 - 4 5 - 6 - 7 - 8 - 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (FEET) 'W4Y/ice Organic SP Sand w/ Gravel T.H. Location: See Attached Design Groundwater? No Depth Water Depth After Monitoring. Date: it Date Gross Time Net Tine Depth Net Drop 1 5/30 0 -- 3' -- 2 5/30 30 30 min. 9' 6' 3 5/30 30 -- 3' -- 4 5/30 60 30 min. 9' 6' 5 5/30 60 -- 3' -- 6 5/30 90 30 nin. 9' 6' 21 Percolation Rate 5 min./inch Perc Hole Diameter Test Run Between 4' and 5' Comments: Prpwnnkpd. Mnre than 507. sand. Performed By NorthRim Eng. I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect IJN THIS DATE. DATE: 5/30/08 NORTHRIM ENGINEERING PO Box 770724 Eagle Rive, Alaska 99577 907.694.7028 .itslir" 4,‘:••• •'''49m '•. •, aelis"". '+ '' : T. H. 3 TESTH❑LE LEG GE❑TECHNICAL bet 5/30/08 13 him. f 3 F DE: 4::1,715-2:? iet;t:t �r.-1� ..� TUE t�.�c P4 ja. } 11:.•1,7: Reli;j 4iIly;bf Anchor{�a• •da;:itt' ;1'eri irrs. eaioei 'cfei�j 10iit Wiy!L .ielomr., Z : _ CA SI. %4eni,Ir 4WSi i r'Qropt>.•n' •E7Q0Sat ai tEc• P.O. Por 199550 Mawr" Arc 10719 e9S0 . *Ave..T.1* dae eg,ttt • • (9C7) 313420e Soils Log - Percolatlon Test /2102.c. Perlo+r+00 Fu1, : � 12.0it \ C DE V[. � 00!44 Peivmel: • -j Lig V t tztii NOiti 4TAril, R+:Ge gat"T//co SHc. tile)/ . LO •l 6 i v 5 UPI Sle Pun Z0 74— (Lo r 5 61:0 20 COI+dENTS WAS GAO6FO WATER E'7COUNTERFD7 f SEl, A7 NAME DEVT47 0.440 le Mtn AMr Ywwwy7 o Rae67 Dob Dross Mr* Net Time Depth lo W44er OW Oita rah 3 -v -at 194,E -504i< 7 141 04,55- 711- / : 2.0 Sri 0.4-x 1 lit 7%y a;0-0 3G d3 7/T- • 7Vt d : Pilo bo did PtRGOIATOI BATE Ef 100/6414ra4 IF eC NOE E Ewa fin LEST REN BETWEEN DS, FE AHO 3 FT PERFORMED Br , S 1 (. CERTIFYTHAT THIS TEST WAS PERFORMtZD W ACCCROANCE WITH A:E STATE AND MUNICIPAL GUIDE EC CS W EFFECT ON THIS GATE. DATE. 114 -OL THRIM MNEERING Tablelands S/D, Block 5, Lot 5 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a new 5 -bedroom, single family home. All of the neighboring Tots have been developed. Two new test holes were used for design after comments w/Debby Wockenfuss @ MOA. The house location was shifted. No groundwater was present in the monitor tube at mid month but was later present on 5/30. A 4th test hole was excavated in the field location on 6/10/08- log attached. A conventional septic system is designed with a 5' depth - the grade drop from the house will allow this shallower depth without use of a lift station. This lot is close to 1 acre in size and no adverse impacts are expected from development. A lot line waiver is requested toa,'. The neighboring Tots are similar. The Tots are served by a public water system. No conflicts to the other lots will take place by this septic system construction. The easements are located on the drawing and are not encroached upon. An application rate of' 1.2 GPD/FT2 with 0.58 reduction factor for utilizing a 5' wide trench. Trench Length = 625 FT'/5'x .58 reduction factor = 72.5'; 1 line rr 73'. Soil will be verified during constntction. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment, 1500 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' to property lines. • 3'cover is required for trench; 4' cover for tank. Cover may be lessened by 1' with the addition of 1" insulation. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain -rock. • Drain rock to be %z inch to 2 V2 inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • Backfill over drain rock must not be Tess than 36". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D266I, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam 111 or equal) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore 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.fl 57-i`%/- 63 COSA# 0$og5 Expiration Date: 1 l— 1 q— 0 9 1. GENERAL INFORMATION Complete legal description THE 774811- L94 OS E3 5 L 5 Location (site address) c13531 41t1/e / O /!ECir Current Property owner(s) /%1/K&- (3u Abt) Day phone Mailing address f6 go/ 77r?Cq/ Lending agency Day phone Mailing address Real Estate Agent beg- QU/A/x) Day phone ‘91/-17,-.5S- 94/- 91/-4/'SS yy- e/9 5-s Mailing Address /?P/fMIC r»c 46.16' Fider,,e. Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Welt Public Water System 5 - TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of 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 A(m-7 CRnn gelq Address Pa &ox 7707,7 Engineer's Printed Name c, red le EA1(' 5. DSD SIGNATURE I/ Approved for bedrooms. Disapproved. Conditional approval for Phone C W-7 0.2cP Date // /?/f da' at O,GC' *10 9. w H . N..ul:sist ?3 n... 1 'wOf Ci `' • Steven W. Eng : �''/ �t� P\ •.111-0:410. PE 62.6 �4r, $t�/1OFESV"... .y bedrooms, with the following stipulations: Yr' sx1OFgM `.,.,....,,, ,e; t ON-SITE t. • -c _ WATER AND • m: twos see WASTEWATER PROGRAM • . • • \ • 1i/A))11» Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ! re71— Original Certificate Date: / /_ / g " 03 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgfonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: r/fe 7 CLEL.tai S B S L$ Parcel ID:0 S/—py/— C3 A. WELL DATA e w. -u LJ) Well type If A,B, or C provide SID # _ Well Log (Y/N) Date co eted _ Sanitary seal 1N) _ Wires properly prot led (YIN) Tot depth ft. Cased t ft. Casing heigh above ground) in. AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESU S: FROM WELL LOG Coliform ft. g.p.m. g.p.m. onies/100 mL Nitrate mg/L Other •.cteria colonies/100 mL Arsenic: mg/I Date of sample: Col ted by: B. SEPTIC/HOLDING TANK DATA / / Tank Type/Material/`/A/ ffa (VICE Tff,(JlG/ S ire -EL Date installed 4-1/9/ O e Tank size /500 gal. Number of Compartments c2 Cleanouts (YM) y Foundation cleanout (Y/N) y Depression over lank (Y/N) N High water alarm (WN) A/ Date of pumping item Pumper C. ABSORPTION FIELD DATA Date installed 6/ii 0 k Soil rating (g.p.d./ft2 or ft2/bdrm) �.a System type a Length 73 ft. Width S ft. Gravel below pipe 3 ft. Total depth (1 -5-ft. Eff. absorption area C27 ft2 Monitoring tube y Depression over field t / For _ bedrooms Date of adequacy test AJf .) Results (Pass/Fail) Fluid depth in absorption field before test _ In. Water added_ gal. New depth_ In. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N/ 'Pump on level at In. 'Pump off' level at in. High water alar n) el at Datum Cycles teste E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 414./(Ail) Meets ala rryt circuit requirements? Septic tanklli(t station on Absorption field on Public sewer : in Sewer /se ic service line On adjacent Tots On adjacent Tots Public sewer man • •le/cleanout Holding tank in. Animcontainment areas Manure/ mat excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 'f- Property line /0 r71-- Absorption field / 0 e',' /0'+ Water main Water service line /0 "-f- Surface water /t)O Cr Wells on adjacent Tots 200 /-1- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / O �# Building foundation Water Service line /01 ,f- Surface water i /5 t Water main /O #1- /4014- - //i04- Driveway, parking/vehicle storage 5 (4- t Curtain drain r Wells on adjacent lots 2-r F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / 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 ST21/E. r_ A/ Date / SA P -,,,i.OF ,c t' 41, 4.7‘•,C,:,... .1. •.•1.t,r, s rrt• it to .{,,....... .....,a re �G� � "° t 'eleven W. Eng . •fi d ea"., PE 6256 • '. '••..% • �t ew 4� F°p/10.,Frg,CVC.`,'v COSA Fee $ 5? —50 Date of Payment Receipt Number (Rev. 11/05) "108 bgS014 3 V. - Waiver Fee $ Date of Payment Receipt Number ASBUILT I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: nrrHarlflirr ye<cpCors? Bf�s AND THAT NO FNCROACHMEFJTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SCALE: -� 7.0 SEWARD h ASSOCIATES LAND SURVEYING 694-0824 DATE- GRID: /Yui/S6o FB: ,i7 69 DRAWN: • • . • , 4 ••• Oven* Merl Sews. C LS -e9 • •r , SAR.r J1 Li=• a41*.