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Home My WebLink AboutTURNAGAIN PARK #2 BLK 2 LT 2rn in Park #2 Block 2 Lot 2 #0 18-241-27 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSPI21249 PID Number: 018-241-27 [Z] New ❑ Upgrade Name: Timothy &Pauline Peters ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound Address 2436 Clements Drive, Anchorage, AK 99514 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 7Ft. Subdivision Block Lot Turnagain Park #2 2 2 Fill added above original grade - 1.2-3 Ft Gravel length 36 Ft. Township Range Section - Gravel width - 5Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches - Dist. between trenches From Tank Field Tank Line 504 Fe TWO >14 Ft. _ wlen >100' >100' N/A N/A >25, TANK n Septic ❑ S.T.E.P. ❑ Holding ❑ Other _ Manufacturer Anchorage Tank Capacity 1,250Gal. surface Water >100' >100' NIA N/A Material Steel _ Number of compartments Two - _ fi 2.5'2.5' ^N/A` N/A Lct Line NA --- -- r -- — -- LIFT STATION Foundation >5'>10' NIA N/A Manufacturer Capacity Curtain Drain None Noted GV.i. " Pump on leve! at Pump off level at Hlgn water alarm at Remarks See Lot Line Waiver. in. in. - Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer _ A Plus Home Services Drainfield F810 COiMT D3034 Inspector A Harala BENCHMARK (Assumed elevation) 96.8ft Inspection .+ 8/17/13 a 8/17/13 Location and description dates, 2 '" Garage Slab. 3" 8/18/13 4 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF.,4 Conditional Approval: Date `P.•'•�\�=pp 'qSs®, H 49T j.. ............. p, MICHAEL E. ANDERSON = 0 s. CE -4381 �; _` 0 Date +#N%"R iw�0;40, Approve �� Inspection Repor_1-1-12.doc Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Bragaw Street Anchorage, AK. 99519-6655-343-7904 Permit No. OSP121249 On -Site Wastewater Disposal System or Well Inspection Report yo TURNAGAIN PARK SUBD., NO. 2 LOT 2, BLOCK 2 Lot 1 .-I N �1 �yo56 NO Well R She Lot 12 �LQ, 00,,E do�Q X00 ��i r o/ Four B edroom Home >xi / Alternate / Site A / a 0 96 �y6 A Lot 3 A B S1 46.4' 86.8' S2 52.1' 90.2' C4 61.5' WT Al 43.8' 38.7' C5 53.3' 82.1' M2 1 68.51195,2' C6 I 68.6' 99.0' C7 66.3 88.5' FSV 1 52.2' 85.0' PLAN AS -BUILT SCALE 1" = 40' Page 2 of 3 P.I.D. No. 018-241-27 Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP121249 PID No. 018-24149 M a S U � F Finished Grade Ensdng Grade U WE 83.8 95.5 LRnI.J 5 94.8 92.8 U Drainfeld Rock 90.8 75.8 II 18' (Trench Length) ' No Groundwater u 8-15-12 EAST TRENCH M U 94.0 92.8 II II n ina and Finished \ II II II ------------- Drainfield Rock 89.9 — 82.9 75.8 ... �.......,.. _.,..�..., No Groundwater 8-15-12 WEST TRENCH o.............. ;..........49t............... :...............................z :fir ; .MICHAEL E. ANDERSON PROFILE AS -BUILT No. CE43n No Scale ��.'t�f, ..-Jr/Z;�¢'�'' Alpine Drilling & Enterprises Well LL-onfll Q;P1X01gq say a Permit Number: Date of Issue: Parcel Identification Number: 01824127000 Date Started 9-17-12 Date Completed: 9-17-12 Is well located at approved permit location? x Yes n No Legal Description: Tumagain Park #2 Block 2 Lot 2 Well #2 Property Owner Name & Address: Peters Timothy P & Pauline M 2436 Clements Drive Anchorage, Alaska 99515 Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From To Method of Drilling x air rotary ❑ cable tool Casing type: steel stick-up 0 3 Wall Thickness:.025 inches silt gravelly silt 3 5 5 29 Diameter: 6 inches Depth: 121 feet Liner Type: Diameter: _ inches Depth: _ feet Sill 29 35 Casing stickup above ground: 3 feet Static water level (from ground level): 93 feet cobbly gravelly sill 35 65 gravelly sand 65 97 Pumping level: 121 feet after silty sandy gravel 97 104 2 hours pumping 15 gpm Recovery Rate: 15 gpm water sand & gravel 104 121 Method of Testing:i li Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start _ feet Stopped _ feet ❑ Perforations Start _ feet Stopped _ feet Grout Type: Bentanite granules Volume: 2 bps Depth: Start 0 feet Stopped ? feet Pump: Intake Depth _ feet Pump size _ hp Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Development Services Department Building Safety Division • On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.muni.org/onsite (907)343-7904 Pump /Installation Log r %t raf±aT Well Drilling Permit Number�e�**»'i" Date of Issue• t o? Parcel Identification Number: 01624127000 Legal Description Block 2, Lot 2 Turnagain Park #2 Pump Installation Date: 6/30/2013 Pump Intake Depth Below Top of Well Casing: 113 feet Pump Manufacturer's Name: Orundfos Pump Model: 10 SQE 15-330 Pump Size 1 112 hp Pitless Adapter Burial Depth: NIA feet Pitless Adapter Manufacturer's Name: NIA Pitless Adapter Installer: NIA Well Disinfected Upon Completion? Q Yes ❑ No Method of Disinfection: chlorine tablets Comments: Pump Installer Name: Aarow Pump & well Service, LLC P.O. Box 110496 Anchorage, AK 99511-0496 Property Owner Name & Address: Tim & Pauline Peters 2436 Clements Dr. Anchorage, AK 99515 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 5p CF •q�qs�, „�'• 49th00 y �j *: j. 00 00V. Fred Walatka. ff / 0� c'IN • 3255 - S Jrt�� !1 �p ••, ••gyp �'� 111 �ftsslaua. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Plot plan BE \ Jo - l RECERTIFIED 5 AS -BUILT NO 8351K Lot 12 SCALE: 1"= 30' Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 11th day of August ,2014. FRED WALATKA & ASSOCIATES Engineers and Surveyors (907-248-1666) -- Municipality of Anchorage - Community Development Department On -Site Water and Wastewater Program 4700 Elmore St. • P.Q. Box 196650 Anchorage, AK 99519-6650 • http:/Iwww.muni.orgtonsite • (907) 343-7904 Well Legal Address: ,..�'` �., �„ ZI Subdivisioni�/'r%•,� Blocker Lot T R Section On-site Water & Wastewater Program codified contractor performing the wall decommissioning: Na Signature: Signature: Well decommissioning date /7 /,� Method ofdacnmmissioning: AMC 15.55.0601-1 a. ❑ b. ❑ C. Location: Use the space below to provide a drawing of the property showing the following items; • North arrow - • Decommissioned waC • OthTwo septer arate swing -tie onthe disiRproperty, • Two separate swing -tie distances for each well shown on the drawing, Note: The swing -tie distances shall he measured from either permanent structures or the property corners. � I F ;k 16- Alpine Drilling & Enterprises Well Log Permit Number: #SWOSP111121 Date of Issue: 7-12-11 Parcel Identification Number: 01824127000 Date Started: 7-9-11 Date Completed: 7-9-11 Is weil located at approved permit location? x Yes ❑ No Legal Description: Tumagain Park #2 Block 2 Lot 2 Property Owner Name & Address: Peters Timothy P & Pauline M 2436 Clements Drive Anchorage, Alaska 99515 Borehole Data: Depth (ft) Method of Drilling Soil Type, Thickness & Water Strata From To x air rotary ❑cable tool stick-up silt gravelly silt silt cobbly gravelly silt gravelly sand silty sandy gravel water sand & gravel 0 1.5 9 27 31 58 71 98 Casing type: steel 1.5 Wall Thickness:.025 inches 9 Diameter: 6 inches Depth: 101 feet Liner Type: 27 Diameter: inches Depth: feet 31 Casing stickup above ground: 1_5 feet 58 71 98 101 Static water level (from ground level): 84 feet Pumping level: 101 feet after 2 hours pumping 6 gpm Recovery Rate: 6 gpm Method of Testing: air li t Well Intake Opening Type: x Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: Bentonite granules Volume: 2 bes Pump: Intake Depth feet Pump size _ho Brand Name Well Disinfected Upon Completion? x Yes ❑ No Method of Disinfection: chlorine tablets 11 Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 On -Site Water & Wastewater System Permit Permit Number: OSP121249 Tax Code Number: 01824127000 Work Type: WellSeptic Renewal Permit Effective Dates: August 24, 2012 to August 24, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: TURNAGAIN PARK #2 Site Legal Address: TURNAGAIN PARK #2 BLK 2 LT 2G-3033 Owner/Address: PETERS TIMOTHY P & PAULINE M 2436 CLEMENTS DRIVE ANCHORAGE AK 995154139 Site Mailing Address: 14495 OLD SEWARD HWY, Anchorage Lot Size in Sq Ft: 17500 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: This renewal permit is also Change Order 2 to initial permit OSP111121, Change Order 2 includes waiver OSP121250, allowing the drainfield and septic tank to be a minimum of 1.5 feet from the Lot 3 property line, and the well to be 87 feet from the absorption field on Lot 1. Received Issued By Fa i MUNICIPALITY OF ANCHORAGE Development Services Department ; On -Site Water & Wastewater Program ' 4700 Elmore Road, PO Box 196650 1)c l,o- rtrn .nt Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: WellSeptic Renewal Permit Effective Dates: August 24, 2012 to August 24, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: TURNAGAIN PARK #2 Site Legal Address: TURNAGAIN PARK #2 BLK 2 LT 2G-3033 Owner/Address: PETERS TIMOTHY P & PAULINE M 2436 CLEMENTS DRIVE ANCHORAGE AK 995154139 Site Mailing Address: 14495 OLD SEWARD HWY, Anchorage Lot Size in Sq Ft: 17500 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: This renewal permit is also Change Order 2 to initial permit OSP111121, Change Order 2 includes waiver OSP121250, allowing the drainfield and septic tank to be a minimum of 1.5 feet from the Lot 3 property line, and the well to be 87 feet from the absorption field on Lot 1. Received Issued By Fa i C. W 11TOINTATITRIUMA Community Development Department, Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Stailivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-241-27 Property owner(s): Timothy and Pauline Peters Day phone: 351-3059 Mailing address : 2436 Clements Drive Anchorage, AK 99515 Site address: Old Seward Highway Anchorage, AK 99515 Legal description (Sub'd., Block & Lot): Turnagain Park No. 2, Block 2, Lot 2 Legal description (Township, Range & Section) Lot Size: 17,500 Sq. Ft. Number of Bedrooms: Four (4) THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (M all that apply) Initial ElAbsorption Field X Septic Tank X Upgrade ❑ Holding Tank ❑ Renewal X Privy ❑ Private Well X Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Well to Absorption Trench and Absorption Trench/Septic Tank to Lot Line. 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. nature property owner or authorized agent) Permit/Rush Fees: 10� Waiver Fees: Date of Payment: Date of Payment: — Receipt Number: Receipt Number: — Permit No. as 0) Waiver No. OSPIst S�6 C:\Users\AndEng\Desktop\MikelCross View EstatWPermit Application Lot 1 H2L.docC:\Users\AndEng\Desktop\MikelCross View Estates\Permit Application Lot 1 H2L.doc Community Development Department Development Services Division On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 2 7 Property owner(s) % I t"f N`l +- 1 0t cr P`T07P_ S Day Mailing address `L C"Iis [)L\u:' i Site address h'i t oc. dim( Legal description (Sub'd., Block & Lot)L.v Phone: 907-343-7904 Fax: 907-343-7997 rr:h( �= r�l` fief`s i5 Legal description (Township, Range & Section) Lot Size !%t S Ce" Sq. Ft. Number of Bedrooms Fr___Agt _ Ql THIS APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank KSI Holding Tank ❑ Privy ❑ Private Well 19, Water Storage ❑ THIS APPLICATION IS AN: Initial �1 Upgrade ❑ Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 6 `�=� C"ti.• i'C SC` dam . n r t I IZ` /� Ct I _ C..U. j 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 or authorized agent) �Pen*,Rush Fees ate of Payment Receipt Number: j 75 - 1 Permit No. L .,i' I t 11; )- Waiver Fees. I L -`7k_' Date of Payment. Receipt Number.'c Waiver No. G:\Building\On SiteTorms\Client FormsTermit App _010411.doc (Rev. 1/11) �— C0�Z Municipality of Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage. Alaska 99519-6650 0 (907) 343-7904 0 Fax (907} 343-7997 http:11www.m un i.oM1Onsite Development Services Division On -Site Water and Wastewater Program DEpertment **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121250 COSA#: Permit#:OSPI21249 PID#: 018-241-27 Legal Description: Turnagain Park #2. Block 2, Lot 2 Engineer: Anderson Engineering Applicant: Timothy and Pauline Peters Your request for a waiver of the required 10 feet(absorption field) and 5 feet(sepfic tank) horizontal separation from the absorption field and septic tank to the property line has been approved. The approved separation distance is 1.5 feet. Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 87.0 feet. This waiver approval applies to the proposed absorption field and septic tank, and well only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ..................I.............................................. a........... 0. Waiver is Granted: X Waiver is not Granted: Date: g a o2 Approved by i Name of Reviewer ............................................................................... Rec#: 006008 Amount: $1,050.00 Date Paid: 5/23/2011 **** VARIANCE/WAIVER REVIEW **** coo ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) August 15, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Block 2, Turnagain Park Subdivision No. 2 Septic System Design and Permit Application Renewal Permit Number OSP 111121 Dear Onsite Services Engineer: We are hereby requesting the well and septic system permit for Lot 2, Block 2, Turnagain Park Subdivision No. 2 be renewed for a second year. All provisions of the original design remain the same with the exception that the subsurface soil materials near the front of the lot were found to be much cleaner and more conducive for the development of a septic system. A recent test hole revealed silty gravel with sand to a depth of 17'. No groundwater was found and none has developed during the monitoring period. The percolation rate of the soil is 5 minutes per inch. The existing well on the lot will be decommissioned in accordance with Municipal Code. The new well will be placed 87' from the adjacent absorption trench on Lot 1 which is nearly 20' further than the previous well location. The new septic system location is much more efficient than the original plan. The alternate site will remain at the original location. If the system is constructed in accordance with our revised design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. c0a Lot 2, Block 2, Turnagain Park Subdivision No. 2 August 15, 2012 Page Two 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments �: 49th �•••':� MICHAEL E. ANDERSON No. CE -4381 • COa ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX August 15, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 2, Block 2, Turnagain Park Subdivision No. 2 Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The new septic system absorption trenches proposed for construction on Lot 2, Block 2, Turnagain Park Subdivision No. 2 will be placed 1.5' from the southeast lot line and 4.5' from the northwest lot line In addition, the septic tank will be 4' from the southeast lot lien. The new system is more than 10' from the neighboring system and meets all separation distance requirements. The lot is small and fronted on the northwest by the Old Seward Highway right of way. The entire system will be more than 100' from all private wells in the area. We therefore recommend the lot line waiver be issued as described above. Sincerely, Michael E. Anderson, P.E. co.12 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) August 15, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Attention: On Site Services Engineer Subject: Lot 2, Block 2, Turnagain Subdivision No. 2 Separation Distance Waiver Well to Absorption Trench Dear On Site Services Engineer: Lot 2, Block 2, Turnagain Subdivision No. 2 along with the lots on either side are only 100' in width. The well on the lot to the northwest was placed in the middle of the lot apparently with little regard to the effect of the 100' setback on Lot 2. In addition, the septic system on Lot 1 was placed without regard to the location of a possible well on Lot 2. Very little area remains on Lot 2 for the placement of both a well and septic system making the lot undevelopable without a waiver from the well on Lot 2 to the absorption trench on Lot 1. The well is currently located 87' from the closest edge of the absorption trench. We are therefore requesting a waiver be issued allowing the well to remain in its proposed location so the lot can be developed. We anticipate the well will be approximately133' deep with casing the entire depth based on the depths of wells already in place in the subdivision. The well will be drilled through what appears to be very dense silt with gravel and sand the entire depth. Test holes on the lot indicate nearly impervious material for the first 10'. Soils from 10' to 24' were found to percolate at rates approximating 60 minutes per inch. The aquifer level is anticipated to be at least 93' below the ground level where the pump will be placed. The intake to the pump will probably be found more than 117' below the bottom elevation of the septic tank. The absorption trench on Lot 1 is served by a Biocycle Tank, which is considered a Category II Wastewater Treatment System and is much more effective in the treatment of septic effluent prior to disposal to the environment than a standard septic system. In most cases the effluent from a Biocycle Tank contains less than 10% of the contaminants that can be expected from a standard septic tank. The original ground surface on the lot slopes away from the well and toward the septic tank at an approximate 10% slope. The original topography of the lot will be contoured with the construction of the house and the well head will be contoured for any surface water to drain away. The ground elevation at the absorption trench is approximately 20' lower than the well C D1� Lot 2, Block 2, Turnagain Park No. 2 August 15, 2012 Page 2 of 2 head. We assume the water gradient slopes away from the well at a slope similar the original ground surface. Water samples will be taken from the well once it is drilled to determine whether contamination from any source in the area is occurring. We are confident the Biocycle system will have no impact on the quality of the water to be produced on Lot 2 for several reasons. The first and primary being the treatment from the tank itself before the effluent is discharged to the environment. We are also confident sufficient dense soil exists between the bottom of the absorption trench and the aquifer to prevent contamination from occurring. ADEC POINT ANALYSIS (ESTIMATED) Bottom of Tank to Highest Water Table — 83' 5.90 Points Soil Absorption Type — Silt 3.50 Points Permeability — Perc. Rate > 50 Min./Inch 3.00 Points Water Table Gradient - +10% 6.00 Points Horizontal Separation — 87' 2.50 Points TOTAL POINTS 20.90 Almost sure to be free from any form of contamination from household sewage. Attached are logs from wells in the area, Site Plan and other drawings showing the proximity of the existing septic system to the well. We hereby request the waiver be issued and the permit to construct a well and septic system on Lot 2 be approved. Sincerely, r o Michael E. Anderson, P.E. Attachments �'•' 49th,•••• MICHAEL E. ANDERSON ._ NO. CE-43Bi NOTE: Existing Well on Lot 2 to be Decommissioned in Accordance with Municipal Code. 100' Proteotive i Well Radius \ i / / Od ;boa 5 i NtW59'00'E 121.01 (R) N89'59'00"E 104.Al (R) Existing W II xisting We Lost 12 / l� $i� I / Lot o a ae� / Existing Well \ z / m 100' \ Protective �� • _ o II Well Radius �'ly- Proposed Lo I 2 / ' �o a, _— z \ ,N,p1Nr 887' Well / $ — — _ 0� 00 = 0 Four ��n / / ®/ S Lot 1 1 \ 3 \ Bedroom Home h Existing Z Well me >0�OQO .3 \ O a <1E Lot 3 R 0 .o ��" S O'o +,� �y� Existing ell O y yO \ cow I1 N89'56'59"E 29.57 � G1 �oo. SYSTEM DESIGN 1,250 Gallon Septic Tank °o�. LEGEND / w/2 — 18' Long x 3' \ " SV — Septic Vent Wide x 7' Effective Depth CO — Clean Out / Absorption Trenches. Flow MT — Monitor Tube / Splitter Required. \ TH — Test Hole FCO — Found fon Cleanout SITE PLAN SCALE V'= 60' \ �FSV _Flew Splitter Vavle ALTERNATE SITE Advantex Treatment System w/20' Long x 3' Wide x 8' Effective Depth Absorption Trench. NOTE: Well Radii in the Area to be Staked by a Registered Land Surveyor Prior to Construction. U LOT 2, BLOCK 2, TURNAGAIN PARK SUBDIVISION NO. 2 DESIGN FACTORS: SYSTEM REQUIREMENTS Four Bedroom Home Deep Trench System Perc. Rate: 5 Min./Inch 1,250 Gallon Septic Tank Application Rate: 1.2 GPD/SF 7' Drainfield Rock 4 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 500 SF Absorption Area 500 SF/14 SF/LF = 35.7 LF Trench Length THEREFORE: Construct 2-18' Long x 3' Wide x 7' Effective Depth Absorption Trenches at the Location Shown. Flow Line Elevation in Trenches to be 2' Below Original Ground Surface. Total Depth to be 9' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trenches. Maintain 100' Separation from Wells in the Area. Place a Flow Splitter Valve in the Configuration Show to Insure Even Flow to Each Trench. Natural Backfill 1'6" Geotexthe Fabric Fabric g^ U I " Perforated t PVC (Holes Down) T0" 3' Drainfield Rock TYPICAL DEEP TRENCH SECTION •..�� (NO SCALE) ��..P�E.OF 741 NOTE: Grade Area Over Trench to Drain Away.: �y Minimum 6' Separation From Bedrock. .... 49th.....•........:,....::. Minimum 4' Separation From Groundwater. iYs'�czt<',r✓i Minimum 100' Separation From Wells in the Area. ��; MicHne�e nnoeRsory Minimum 100' Separation From Surface Water or Streams MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 2, Block 2, Turnagain Park No. 2 PERFORMED FOR: Tim Peters DATE: 8/1/2012 PROJECT No.: PARCEL ID#: TECHNICIAN: JKB (feet) TEST HOLE # 3 I (fee[) 1 2 3 4 5 6 7 8 9 1C IJ I I 1 1 1 1 1 Grass/Organics SLOPE �4. Silty Gravel with Sand GM e E e Q:. ^e.a 9 e. BOH COMMENTS: 2%1 49th_ MICHAEL E. ANDERSON Pmkss3onal SI I E ELAN SEE SITE PLAN Y GROUN D WATER ENCOUNTER ED? NO IF YES @WT DEPTH° %of DEPTH CMONONITORIA`G None 0 1O/a DATE GP MONITORING. 8/15/12 E DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH of WATER (INCHES) NET DROP (INCHES) 8/3/12 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 2:15 1.88° CHARGE 2 2:45 30 8.13" 6.25" 3 2:46 1.63" RECHARGE 4 3:16 30 7.63" 6.00" 5 3:17 1.75" RECHARGE 6 3:47 30 7.75" 6.00" PERCOLATION RATE: 5 (MINANCH) PERC. HOLE DIA.--8--(INCHES) TEST RUN BETWEEN: 4_0 FT. and 5.0 FT. TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/15/2012 col Municipality of Anchorage Development Services Department Building Safety Division yE On -Site Water and Wastewater Program 4700 Elmore Road P.O. Bax 191 Anchorage, AK 99507 www-ci anchorage.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: Timothy Peters Legal Description: Tumagain Park Suhd., No. 2, Lot 2, Block 2 Township, Range, Section: s Mma 7- t'f -ens'c' WAS GROUND WATER ENCOUNTERED? `O Xxx e IF YES, AT WHAT DEPTH? L {r DeptU fa.Wetar After p �y r M.mtodag? E C.J �'� /..5`jr Date: It ' L? May 20, Reading Date Gross Time Nel Tlme Depth to Water Net Drop May 21, 14 1 t1 �. .m II 19A d Mr ��Iv 15-4 Iz+`R PERCOLATION RATE 54 (mimm&incr,) PERC HOLE DIAMETER 7 " V� _Y TEST RUN BETWEEN 10 FT AND 10112 pT COMMENTS TEST CAVITY was presoaked on May 20th TEST HOLEg1 PERFORMED BY: A. Harala i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: col Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 106650 Anchorage, AK 99507 www ci anchcmae.ak.us (907)343-7904 Soils Log - Percolation Test Performed For: Timothy Peters Date Performed: Apol 27, 2011 Legal DDAription: Tumagain Park Bubo., No. 2, Lot 2, Black 2 Township, Range, Section: I>Q1 Site Plan PERCOLATION RATE 54 (minuteslinch) PERC HOLE DIAMETER 7" �^ TEST RUN BETWEEN 10 FT AND 101/2 FT COMMENTS TEST CAVITY was presoaked for 1 day prior to testing - TEST HOLE #2 - PERFORMED BY: A. Harala i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: WAS GROUND WATER I p APR 28, 11 ib15 A 14 ENCOUNTERED? rr 11'zl 14;44 IF YES, AT WHAT DEPTH? S L 11:4 v Iiw `f• bI1YL Depth to Water Attar xx lam. Monitoring? l Cji 511) Date:VV R E i 7-ts Reading Date Gross Time Net Time Depth to Water Net Dro PERCOLATION RATE 54 (minuteslinch) PERC HOLE DIAMETER 7" �^ TEST RUN BETWEEN 10 FT AND 101/2 FT COMMENTS TEST CAVITY was presoaked for 1 day prior to testing - TEST HOLE #2 - PERFORMED BY: A. Harala i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: p APR 28, 11 ib15 A 14 to -44 v rr 11'zl 14;44 11:4 v Iiw `f• PERCOLATION RATE 54 (minuteslinch) PERC HOLE DIAMETER 7" �^ TEST RUN BETWEEN 10 FT AND 101/2 FT COMMENTS TEST CAVITY was presoaked for 1 day prior to testing - TEST HOLE #2 - PERFORMED BY: A. Harala i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: SpuMand Eno�'nsn"Onp . Environmental Consulting and Design7�'z 1117 SEPTIC SYSTEM DESIGN Municipality of Anchorage July 8, 2011 DevelopiileiltSerf ices DePal'tnlcDt Oil Site Water and Wastewater PrOgnUrt 4-700 South Bragaw Street ,Anchorage, Alaska 99519 Subject: Septic System Ladies and Gentlemen: rhe old septic system at Turnagain Park #2 Block 2 Lot 1 was abandon per MOA requirements. 'rhe old drain field is not connected to the existing BioCycle AWW rS. If you have any questions or concerns, please contact me at 279-3916. LaE4rP)drk'1wtd, P.L. Civil Engineer 203 West 15'h Avenue Suite 203. Anchorage-, AK 99501, Phone' (907)279-.1916 Fax- (866) -454-1597, Lspurldandoo, gei.net Septic)EE�� / Area / / / Septics Area BLOCK 1 2 TC 5.0' 13.0' 1 INSTALLED BIOCYCLE 82.5' 3-BEDROOMTRENCH / TOTAL LENH 36 71.5' C TOTAL DEPT 1 T ROCK 7.0 F COVER 3.0 FT / o \ A L TC 5.0' 13.0' 1 D 74.5' 82.5' i \E 69.5' 71.5' C I -¢- Well A( J 0 7estMle C \'// / ♦ :o +♦/♦ \ R ABANDONED EXISTTND—SY VACEN T 9� d r \ C 9� 25 0 25 50 75 100 125 150 SCALE, I' -- 50 FT \ Septi Area \ kr Lars-�urkr5/1 ic! 3 Well rt � TH�BEN SPURKLAN➢.. ,(� C �u No. cE-2225 TOBBEN SPURKLAND P.E. TURNAGAIN PARK 12 LOT I BLOCK 2 SEPTIC SYSTEM ASBUILT 203 W 15711. AVENUE DATE. • DECEMBER 6, 2005 ANCH. AK. 99501 J. R. MASDS£N 907 279-3916 11 2320 CLEMENTS DRIVE SHEET- 2/3 GRID: 3033 PERMIT # EW05OXXX PID # 018 -241 -XX TAP2020120 WG Rim T tom':- at g r •�. x �- -,✓'.ate'" a E N *, t Rx S; r C �u t MR, ` w J s � n a ah 6 x' a`w 2 £ a n@ ANI-,IN r ` i x UP, '# °�',#� ak Ca k }:�.s.t • = a a e _ i M'41 �p :r E� 5 n a. 8 9107i MUNICIPALITY OF ANCHORAGE tiblr�r'Ila 1/: • Development Services Department Ph• 907-343-7904 On-Site Water & Wastewater Section F:%•07-343-79• ti Certificate of On-Site Systems Approval 0/ 6 8 L 9 Parcel I.D. 018-241-27 Expiration Date: la-s- 1. s1. GENERAL INFORMATION Complete legal description Turnagain Park #2 Block 2 Lot 2 Location (site address) 14495 Old Seward Hwy, Anchorage, AK 99515 Current property owner(s) Timothy & Pauline Peters Day phone Mailing address 14495 Old Seward Hwy, Anchorage, AK 99515 Real estate agent Dave Windsor Day phone 907-727-3300 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex LI Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Lf 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well l Private Septic lX� Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: — -. Date: 101A II COSA to be released to the engin r,unless otherwise requested by the engineer. COSA Fee $ 52f Waiver Fee $ Date of Payment loft/1 Date of Payment Receipt Number Oega21) Receipt Number COSA# 05CIZl6 J Waiver# 5. 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 Forge Engineering Phone 907-522-7773 Address PO Box 240773, Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 9/27/18 oF 0 49 TH / o\ .*'/ 6. DSD SIGNATURE % •-- �•• •••�;• •••- System #1 Approved for bedrooms �.__ Benj m' Schiller _. System #2 Approved for bedrooms �1i`%rF�..9/27/1s2.•�� Disapproved i�1F�PROFESSI�Nv Conditional approval for bedrooms, with the following stipulations: �J �N.SIT ° woWAsERAND pRoGwA1�R RAMcp .0 .4SERVtCL`'�\ / �3 2 ^1 By: � Original Certificate Date: / 0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Turnagain Park #2 Lot 2 Block 2 Parcel ID: 018-241-27 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 9/17/12 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 121 ft. Cased to 121 ft. Casing height(above ground) >24 in. FROM WELL LOG AT INSPECTION Date of test 9/17/12 10/24/17 Static water level 93 ft. 94 ft. Well production 15 g.p.m. 5.4 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0.139 mg/L Arsenic ND ug/L Date of sample: 9/17/18 Collected by: Forge Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8/18/13 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 9/22/18 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed $/17/13 Soil ratingd./ft2 or ft2/bdrm) 1.2 GPD/SF System type Shallow Trench @ (g•P• Y YP Length 2 I ft. Width 5 ft. Gravel below pipe 7 ft. Total depth 11 ft. Eff. absorption area 504 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/24/17 Results (Pass/Fail) Pass For 4 bedrooms Fluid de th in absor tion field before test 56/62 in. Water added 915 73/68 p p gal. New depth in. Elapsed Time: 1 440 min. Final fluid depth 56/63 in. Absorption rate >= 600 g p d None 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 alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot X100' On adjacent lots >100' Absorption field on lot 00 On adjacent lots >100 Public sewer main >75' Public sewer manhole/cleanout >100' Sewer/septic service line >25 Holding tank Animal containment areas Manure/animal excrete storage areas >100 SEPTIC/HOLDING TANK ON LOT TO: 1* 5' Building foundation Property line 2'5 Absorption field Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots 100' ABSORPTION FIELD ON LOT TO: 1* Property line 2'S Building foundation 10 Water main 10 Water Service line Surface water >100 Driveway, parking/vehicle storage 10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS Waiver OSP121250 for separation distances between tank & field to property line. G. ENGINEER'S CERTIFICATION `�t\\\\d I certify that I have determined through field inspections and OFA .,qlkk review of Municipal records that the above systems are in �,`P�- -S' conformance with MOA COSA guidelines in effect on this date. op: 1.--'t-At Engineer's Printed Name Benjamin Schiller, PE ' 49 TH �� / Date 10/2/18 % � "' o r - Benj mJ Schiller 0 . � f C 12592 -�� ck�rl9-.-10/2118 ..��;�.� �ItiF�PROFESSIO0�4.� COSA brown sheet 10-10-12.doc 1�`' RAGS 8Lr • Municipality of Anchorage s On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I. D. 018-241-27 Expiration Date: "/ hy/,_�' 1. GENERAL INFORMATION Complete legal description Turnagain Park # 2, Block 2, Lot 2 Location (site address) 14495 Old Seward Highway Anchorage, AK 99514 Current Property owner(s) Tim & Pauline Peters Day phone Mailing address 2436 Clements Avenue Anchorage, AK 99514 Real Estate Agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑Duplex SUBMITTAL [IMultiple Dwellings (Single Family and/or Duplex) OCT 2 9 2014 3. NUMBER OF BEDROOMS: Four 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual Q Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for. Distance: Received COSA to be requested by the engineer. Date- (P `I -I — IS COSA Fee $ 80 Waiver Fee $ Date of PaymentO) Wl lq rgrq Date of Payment Receipt Number 0 G Receipt Number COSA# �� Waiver# 5. 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 10/29/14 OF 16# 6. DSD SIGNATURE'^••• • 0••' L.. ° ...... System #1 Approved for bedrooms 0 MI I ............. IS°° °°°° °°° �, MI ° l�E ANOE2SON �_ c>4 System #2 Approved for bedrooms P; sem.,+ CE -4381 ."Z' 09 FqF • ?'0 -7�F t}O•'�� Disapproved0 ROFESS1p4 a ♦ P a Conditional approval for bedrooms, with the following stipulationsre®®®+®® By: 19.. 1iv� Peet Original Certificate Date: l^ Th nicipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet f :+ c If more than 1 septic system is on the lot: COSA Checklist #_of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Turnagain Park # 2, Block 2, Lot 2 parcel ID: 018-241-27 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 9-17-12 Sanitary seal (Y/N) Y Total depth L21 ft. Cased to 121 ft. FROM WELL LOG Date of test 9-17-12 Static water level 93 Well production 15 WATER SAMPLE RESULTS: Coliform colonies/100 mL Arsenic ND ug/L Date of B. SEPTIC/HOLDING TANK DATA Tank Type/Materia,) Septic/Steel ft. 9 Tank size 1,250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Const. Pumper Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) >18 in. AT INSPECTION ft. Collected by: Anderson Engrg. Date installed 8/17/13 Cleanouts (Y/N) Y High water alarm MN) N C. ABSORPTI LSD TA Date iristalle8118/13 oil rating (g.p.d./ftZ or ftZ/bdrm) 1.2 GPD/SF System type Deep Trench Length 2 ft. Width 3 ft. Gravel below pipe 7 ft. Total depth 12-13 ft. Eff. absorption area 504 ftZ Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For _ bedrooms 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) N If yes, give date D. LIFT STATION No Add On Manhole - Gravity Flow to Absorption Trench. Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankAift station on lot Absorption field on lot N/A Public sewer main Size in gallons "Pump off" level at Cycles tested _ >100' >100' Sewer /septic service line >25' Animal containment areas >50' SEPTIC/HOLDING TANK ON LOT TO: in. Manhole/Access (YIN) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots >100' On adjacent lots 871* Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas >100' Building foundation >5 Property line 2.5 ** Water main >10, Water service line >10' Wells on adjacent lots >100, ABSORPTION FIELD ON LOT TO: : Property line 2.5** Building foundation Water Service line >10' Surfacewater >100' Curtain drain None Noted Wells on adjacent lots >100' Absorption field >51 Surface water >100' Water main N/A Driveway, parking/vehicle storage > 10' F. COMMENTS *See Waiver Well to Absorption Trench. **See Lot Line Waiver. Second Water Sample Taken 6/10/15 - Results Negative for Coliform. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and M P," review of Municipal records that the above systems are in �G7•^�, g� ,y conformance with MOA COSA guidelines in effect on this date. i .'E S �......... W. ,. Engineer's Printed Name Michael E. Anderson, P.E. j,,,,,,,,, ,,,,,,, .,... %° MICHAEL E. ANDERSON Date 6/17/2015 I� mss•,, 4E-4381 ,tiIIIII�riFES '' OOSA brown sheet -1 0-10-1 2.doc in.