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GEORGE SEHM LT 19
or'ge hm Lot 051 - 102 -25 Municipality of Anchorage Development Services Department Building Safety Division On-Site VVater and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: O$Pl11332 PID Number: 051-102-25 Name: RUSSELL BEVER & SARA REMILY Wastewater System: [] New [] Upgrade Address: 23043 TUNDRA ROSE, CHUGIAK, AK 99S67 ABSORPTION FIELD Phone: Number of Bedrooms: I (,3BR-SYST) I~DeepTrenchl-IShallowTrenchl-IBed I-IMound DOther: LEGAL DESCRIPTION Se~, Rating: Total Depth from original grade: 0.8 ~PD~FF ~ Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: ~9 GEORGE SEHM 2.5 Ft. 6. S Ft. Township: Range: Section: Fill added above original grade: Gravet Length: 11.5 Ft. 49 Ft. Well: [~] New [] Upgrade Gravel,~dth: Numbe~of,nes: I Distanoebet~n,nee: 2 Ft. ]I -- Ft. Classification (Private, A, B, C): Total Depth: Cased to: ! Total absorption area: Pipe Material: PUBLIC Ft. Ft. 637 Ft~ D3034 / F810 Driller: Data Drilled: Slatic Water Level: Installer: Date Installed: Ft MIKE ANDERSON 10/7/2011 Yield: Pump Set at: Ft. Casing Height Abeve Ground: ~PM Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T~ To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity: Tank Field Station Tank Sewer Line Anchorage Tank 1000 Gal. Well 200~q' 200'+ NA NA 25'+ Material: Number of Compartments: Steel 2 Su~aceWatar 100'+ 100'+ NA NA ~ / LIFT STATION Lot Line 5'q- *1' NA NA~ Size: Manufacturer: Gal. Foundation ~t+ 10~q- NA NA "Pump on" level at: "Pump off" level at: J High water alarm at: in. in.I in. Curtain Drain NA w~ ~0~.1. NA NA Pump Make & Model Electrical Inspections pedormed by: Remarks: Existin8 well and septic system were decommissioned in BENCH MARK place per code. Tank and field insulated. Location and Description: Finished Floor * ~aiver# OSP 1111111333. ** None known. Assumed Elevation: 100 Ft. Engineer's Stamp Inspections performed by: ArcTerra Dates: 1ST &2ND 12/6.7/2011 3RD 112/S/zo!nl Development Services Department Approval (Rev. 12/00) AS-BUILT SYSTEM DETAILS/SITE PLAN Pe~-,i~asPiiissa GEDRGE SEHM LET 19 PID~ osi-ioe-es ~ EXISTING l-ER ~ ~ ~ HOUSE ~ 12,4' ~0 ~ % Fco ~ ~ ~ < ~ ~ E 4.3' I 24.4' o~ ~ I IO00eAL ~ f~ ]:~ I s~P~C TANK I 0 ~ L,=0' ~ LOT 18 8.0' = : CO.RED ~ 0 / 19.0' ~ GRAIL ~ ~/w -= x SCALE= [' = ~0' ~g_C=~,8~ -A-D=14,0' ~~ FINAL GRADE ~ II II iiii ~ ~ - T~[O00 GAL [~"" ~' 1 EB-E=33,8' ~ /I SEPTIC IX ~ ~A-F=Sa,8' ~/ ITANK 'X SEWER RBCK ~ ~ ~.~ T ~o ~ox~o~ ////~~~% FIELD BOOKS C~PU~D: ~ BOUNDARY: BOUNDARY DRA~: BMW ~ ACAD ~: FILE CB No.: 11-114 ~m ~57~ ~ ~1 Illl /-~u, ~.u_._~ ......... tO00 GAL [('" 0~, SEPTIC TANK SEWER RBCK ~, ARCTIC PUMP & V~ELL INC. Jim Sullivan, CPI PO Box 770197 Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 apwChCgci.net Decommissioning Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Legal Description: George Sehm Lot: 19 Block: Property Owner Name & Address: Russ Bever PO BX 671066 t-'h~o;~lc AT~ 00q'7'7 Pump Installation Date: 1 1/21/2011 Pump Intake Depth Below Top of Well Casing: Feet Pump Manufacturer's Name: Pump Size: Pump Model: hp Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: feet Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Well permanently decommissioned by procedurel 5.55.060L.c. Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of 1 On-Site Wastewater Disposal System Permit Permit Number: Tax Code Number: OSPl11332 05110225000 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: November,~2~011 to November 27, 2012 Design Engineer: ARC TERRA CONSULTING INC Subdivision: GEORGE SEHM Site Legal Address: GEORGE SEHM LT 19 G:1359 Owner/Address: BEVER RUSSELL E 50% & REMILY SARA L 50% AKA REMILY-BEVER SARA PO BOX 671066 CHUGIAK AK 995671066 Site Mailing Address: 23043 TUNDRA ROSE AVE, Chugiak Lot Size in Sq Ft: 7500 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy N 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: The existing well is to be decommissioned per code prior to Final Inspection report approval. Received By: Date: Issued By: ,,~/¢¢---'~ U~/C-r,~./~:.~.~ Date: Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519,6650 ® (907) 343-7904 · Fax (907) 343-7997 http://www.mu ni.or.q/OnSite Development Services Department On-Site Water and Wastewater Pro,qram **** VARIANCE/WAIVER REVIEW **** WaiverS: OSPl11333 COSA#: PID#: 051-102-56 Legal Description: George Sehm Lot 19 Engineer: ArcTerra Permit~: OSPl11332 · Applicant: Russell Bever and Sara Remil¥ 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 1.0 foot. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval fi-om this department. [~ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [--] Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. Waiver is Granted: X Waiver is not Granted: Rec#: 05553D Amount: $200.00 Date Paid: 11/8111 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Development Services Division On-Site Water & Wastewater Program Mayor Dan Sullivan Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ~C/-/dZ_- Z~ Property owner(s) /'~;s,~ ~/~-~ :¢* R~ ~/~/ Day phone Mailing address ~0, ~,~ ~/o~ ~.~/ Site address Z~¢y~ ~~ ~'~ ~E./ ~¢~4/~ ~ ~1~ Legal description (Sub'd., Block & Lot) ~o¢¢~ Legal description (Township, Range & Section) Lot Size ~09 Sq. Ft. Number of B~rooms THIS APPLICATION IS FOR: ([~ all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage THIS APPLICATION IS AN: Initial [] Upgrade I~ Renewal [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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. wner or authorized agent) Permit/Rush Fees: /~'~ ~ - /~t'~/,,¢,, i/ Date of Payment: /"7/ Receipt Number: ©~'~.'~ ~ ~ Permit No. O%'¢ ~ ~ ~ ~'~'~ Waiver Fees: /,2,-¢ 0, ~ Date of Payment: /////¢;, Receipt Number: ©%.%.~ ~ ~ WaiverNo. ~fo li/ ~'~ G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11) T EltRA CONSULTING~ INC 212 E. 51~t Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 November 17, 2011 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit & Lot-Line Waiver - George Sehm Lot 19 Per previous discussions with your office, attached is a modified design for your review. Due to existing constraints, such as the water service line--we are requesting a waiver of lot-line to septic field and septic tank of one foot feet be granted. We do not expect there to be any adverse effect on adjacent lots by the issuance of this waiver or the development of this system. The property and adjacent lots are served by public water. An existing private well will be decomissioned per code prior to septic system connection. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. If you have any questions, please contact me at 868- 3792 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. e /' Attachments: Revised Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 9957%8736 · PH (907) 868-3791 ° FAX (907) 868-3793 A cTEaaA CONSULTING, INC 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 November 7, 2011 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit & Lot-Line Waiver - George Sehm Lot 19 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed leachfield on the subject lot. MOA records show the failed system on Lot 18, which is incorrect--it is on Lot 19. Due to existing constraints, such as the water service line--we are requesting a waiver of lot-line to septic field of zero feet be granted. We do not expect there to be any adverse effect on adjacent lots by the issuance of this waiver or the development of this system. On October 31, 2011 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The general slope of this lot is flat 0-1%. The proposed upgrade will serve the existing 1- bedroom house. We propose to install one deep trench. The property and adjacent lots are served by public water. An existing private well will be decomissioned per code prior to septic system connection. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. If you have any questions, please contact me at 868- 3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/Contractor Specs 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 ° FAX (907) 868-3793 CONSULTING~ INC 212E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 December 7, 2011 James Crewdson, P.E. Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit & Lot-Line Waiver - George Sehm Lot 19 Dear Jay, Per the on-site construction discussion with you last night at the above referenced property, please see the attached modified design for your review. From this on-site discussion and per the existing property constraints, to maintain the 10' water service line separation to the septic tank--the modified design pushes the tank towards the proposed absorption trench. Based on field measurements, the separation between tank and absorption field will be 2'+/-. A l'waiver to property line and field has already been granted and we request that the tank to field separation reduction also be incorporated with the existing waiver. We do not expect there to be any adverse effect on adjacent lots by the issuance of this waiver or the development of this system. If you have any questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachments: Revised Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 · FAX (907) 868-3793 WELL WASTEWATER DISPrlSAL SYSTEM GEBRGE SEHM LBT 19 DETAILS/SITE PLAN LOTS SERVED BY PUgLIC WATEI~ NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. Scare: PAGE 1'"= 60' 10F2 1. INSTALL 1000 GAL SEPTIC TANK & INSULATE TANK IF <4' COVER, 2. INSULATE TRENCHES WITH 2' HI] BURIAL FOAM IF & 2,5' OF FILL. ~ MIN, 2' FILL WITH INSULATION, ~o 3, CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4, CBNTRACTBR WILL ENSURE ALL SEPARATIBNS TO AI]JACENT g, ..,~.,..'""~'~'~ --"-"--~ ~ELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC,,. CHUGIAK, AK 99567 ~ ~// ~ F ' ~ ~ ' · 907-6ee-8900 ~ //// ~ /~ , ~ A~UILT: JLS DA~: 12/07/11 '~¢""%kx X [ / /X .~/ tILL /II/Iff ' AK. 99577~ ROW AVE ~ DESIGN DETAILS 3 BORN X 150 GPI] = 450 GPI] 450 GPI]/,80 GPI] PER SQ, FT, (8 MIN/IN,)= 563 SQ, FT (563 / 2 x (6' GRAVEL) = 46,9 FT. TRENCH USE 1 TRENCH - 47' (L) X 2' Total depth oF system is 9' From originct gr~cte, Totcl depth oF gpavel below distribution pipe is 6' NOTES, WASTEWATER DISPBSAL SYSTEM DETAILS GEBRGE SEHM LBT 19 LOTS SER' BY PUBLIC E--E--E 15' ELEC ESMT BK 535 PG 699 DECOMMISSION EXISTING FIELD & TANK PER CODE fED ~ATER INSTALL NEW 47' TRENCH AT 1' FROM PL ~ FLAT RLS TD FLAG WELL RADII & PRIOR TH11-1 LOT 20 FLAT PRDPERTY LINES EASEMENTS TD CDNSTRUCTIDN N89'58'25"E '~0PP 50.08' (50.00' Rec) FLAT OU.2' EXISTING HOUSE EXISTING INSTALL NEW S.T. 1000 GAL SEPTIC TANK & FCO 19.T ND SLBPES >15X WITHIN 100' DF SEPTIC LDTS SERVED BY PUBLIC WATER PREPARED FDR: RUSSELL BEVER & SARA REMILY PD BDX 671066 CHUGIAK, AK 99567 907-62a-8900 FIELD BOOKS COMPUTED: DOUND~Y:BOUNDARY DRAm: BMW ST~NG: STAKING C.EC~: KMD ASBUlLT: JLS DATE: 12/07/11 OWe. FILE: GRID: NWl 359 Score: 1'= 20' PAGE 2 DF 2 ACAD FILE: FILE JoB .o.: 11-114 Performed for: Project: Depth (Feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 15- 16- 1% 18- 19- 20- AR c TERRA CONSULTING~ INC 212 E. st 51 Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Russell Bever Date Performed: 10/31/2011 GEORGE SEHMM LOT 19 ORG/OL TEST HOLE # TH 11-1 SEE ATTACHED SITE PLAN FoR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? DRY Date? 11/07/11 GM/gp w/occ, boulders 1' + B.O.H. Reading Date Gross Net Depth to Net Time Time Water Drop 1 11/1/11 1:00 6" _ 2 1:30 30 rain 2 4/16" 3 12/16" 3 * 1:31 6" 4 2:01 30 rain 2 6/16" 3 10/16" 5 * 2:02 6" 6 2:32 30 min 2 6/16" 3 10/16" 7 8 9 10 11 12 · Water Added HOLE PRESOAKED PRIOR TO TESTING Percolation Rate 8.28 Test Run Between __ (min/in) Perc Hole Diameter 6" __4__ feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage Development Services Department. Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DVVELLING Parcel I.D. 051-102-25 1. GENERAL INFORMATION Complete legal description GEORGE SEHM LOT 19 Expiration Date: /~.-~ .- / 3 ~-/-2 Location (site address) 23043 TUNDRA ROSE AVE., CHUGIAK, AK 99567 Current Property owner(s) RUSSELL BEVER & SARA REMILY Mailing address PO BOX 671066, CHUGIAK, AK 99567 Lending agency Mailing address,,,. .,... ¥.., Real Estate Agent Mailing Address Day phone Day phone FINIS SHELDEN Day phone 688-3263 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TY.PE OF WAtEr, SUPPLY: · ~:.:lndividual Well'~ i Indivi~uai Water Sto~age C0¢~un~ blass Well P U blir::. Water System 1 (3-BR SYST) TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank El [] Community on-site El [] Public Sewer ' r'-'] 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 pdvate 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 sygtem. 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 vedfy 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 redly 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 ARCTERRA CONSULTING, INC. Phone 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 12/09/2011 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may.flUctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE Approved for Disapproved. Conditional approval for' bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X ON-SITE AND . WASTEWATER . - PRO M .. Arsenic Adviso~ '~)))))~)~ Maintenance Agreements Supplemental Engineer's Repo~ Other Original Certificate Date: 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,org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GEORGE SEHM LOT 19 A. WELL DATA Pamel ID: 051-102-25 Well type PUBLIC IfA, B, or C provide PWSiD #~ Date comPleted Sanitary seal (Y/N) Total depth ft. Cased to ft. FROM WELL LOG Date of test Well Log (Y/N) wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Static water level Well production WATER SAMPLE RESULTS: g.p.m. Coliform colonies/100mL Nitrate Arsenic: mg/I Date of sample: B. SEPTIC/HOLDING TANK DATA rng/L Collected by: Tank Type/Material Septic/Steel Date installed 12/7/2011 Tank size 1000 gal. Number of Compartments _2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) __Y Depression over tank (Y/N) High water alarm (Y/N) N Date of pumping NA - New Tank Pumper - C. ABSORPTION FIELD DATA Date installed, !2/~/20110 · Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type Length 49 ft. Width --2 ft. Gravel below pipe 6.5 ft. Total depth _9 ff. Deep Trench Eft. absorption area63~ ftc Monitoring tube Y Depression over field N Date of adequacy test NA - New Field Results (Pass/Fail) Pass Fluid depth in absorption field before teSt --- in. Water added-- gal. New depth - Elapsed Time: .- min. Final fluid depth -- in. Absorption rate >= For 3 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date __ bedrooms g.p.d. LIFT STATION Date installed "Pump on" level at Datum in. E. SEPARATION DISTANCES Size in gallons "Pump off" level at~ Cycles tested in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septicservice line Animal containment areas Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout HoldJngtank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field *2'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '1' Building foundation 10'+ Water Service line 10'+ Surface water lo0'+ Water main 10'+ Driveway, parking/vehicle storage Wells on adjacent lots 200'+ Curtain drain 50'+ (None Known) F. COMMENTS *Waiver~ OSP111333 10'+ G. ENGINEER'S CERTIFICATION ~ certify that I have determined through field inspections and .~ review of Municipal records that the above sy. stems are in "...~.~:"" '"'~'..~'~:..:.~.. . conformance with MOA COSA guidelines in effect on this date. ':..~ Engineer's Printed Name KENNETH M~ DUFFUS :'~ Date 12/09/2011 ':~ COSAFee ~'-- Waiver Fee $ Date of Payment ~1\ ~-I \1 C,~ Date of Payment Receipt Number (~/-~ '~ ~ Receipt Number (Rev, 11/05) --I ROSEBUD ROW AVE N89'36'45"E N89'56'45"E V ' ~0 50.01' (50.00' Rec) 50.01' (50.00' Rec) "3 V 15' ELEC ESMT BK 535 PO 699 CO 30.7 ~ EXISTING ~ HOUSE 12.4' ~ SEP~C ~ ~NTS ~ LO? ~9 ~ o o ~ o LOT 18 F zo zb < CO.RED ~ 0 0 PARKING ~ Z Z < 19.0' < ~ GRAVELD/w x x x GA~ X X / KE~,)X IX X X X--X- so.o~' (so.oo' ~) so.re' (so.oo' ~) TUNDRA ROSE AVE 0 ~-~ ANCHORAGE RECO--6--I~ING DISTRICT, ALASKA AS-BUILT OF: GEORGE SEHM ADDITION LOT 18&19 PLAT P-382A SURVEY CERTIFICATE: I, 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 should 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. ~)RK ORDER NUMBER: OAl~3 SCALE DEC 8, 2011/ 1"=20' kndeng~(~k.net 11 --044 0.^~. ,~: c~ "~1~° .u.~ ~o~/~^~ JLS / NW1359 110164 ~) = FND 5/8" REBAR ~L LAND 1831 Ta~eetna Street ~chorage, ~aska 99508 (90~) gg~-1455 office (90~) ~74-499~ fax