HomeMy WebLinkAboutWARD LT 3Ward
Lot 3
#011 - 122-82
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: OSP121092
PID Number: 011-122-82 ❑✓ New ❑ Upgrade
Name:
Merit Homes LLC
ABSORPTION FIELD
❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound
Address
1920 W. Dimond Blvd., Suite F Anchorage, AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
334-9233
4
1.2 GPD/SF
9 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
5 Ft.
Gravel depth beneath pipe
4Ft.
Subdivision
Block Lot
Ward
3
Fill added above original grade
1-2 Ft.
Gravel length
58 Ft.
Township
Range Section
Gravel width
5Ft.
Beds: Number of Lines
Distance between lines
SEPARATION DISTANCES
Ft.
To
SepticDAoHolding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tankation
Tank
Line
580 Ftp
One
Ft.
Well
N/AA
N/A
N/A
TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1,250Gal.
Surface Water
>100'A
NIA
Material
Number of compartments
Lot Line
>5'A
N/A
Steel
Two
NA
Foundation
>5'A
N/A
LIFT STATION
Manufacturer
CapaCurtain
Drain
None
Gal.
Remarks
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL Housetotank D3034 Tankto D3034
drainfield
Red Dog Excavating
Drainfield HDPE CO/MT D3034
Inspector MEA
BENCHMARK (Assumed elevation) 100.Ofl
Inspdates.. t.� 6/15/12
pm 6/16/12
Location and description
3b
41°
Back Deck SW Corner.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
a
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Conditional Approval:
Date
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\O,N,N,Ui.� . �....0(
0,4 z : MICHAEL E ANDERSON :
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Approved
Date/(�
Inen<Minn Rcnn . 1 1 d.,..
Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT
Permit Number: OSP121092 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
PID No. 011-122-82
'A
7
N 89'51'06"E 222.64'
10' UTIL. ESMT.
-----------------------------------
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PLAT NO. 2006-13
Four Bedroom Home WARD SUBDIVISION
LOT 3
41,847 S.F.
LEGEND
S1 — Septic Vent
A'� ORIVE M1 — Monitor Tube
C5 — Clean Out
TH — Test Hole
FCO — Foundation Clean Out
PENNY ROSE
CIRCLE
PLAN AS BUILT
SCALE 1" = 40'
49th
E. ANDERSON
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP121092
sz8
y �N UU
1,250 Gallon
Septic Tank
PID No. 011-122-82
U
68' (Trench Length)
PROFILE AS -BUILT
No Scale
92.0
On -Site Wastewater Disposal System Permit
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
Permit Number: OSP121092
Tax Code Number: 01112282000
Work Type: Septic Initial
Permit Effective Dates: May 29, 2012 to May 29, 2013
Design Engineer: ANDERSON ENGINEERING
Subdivision: WARD
Site Legal Address: WARD LT 3 G:2222
Owner/Address: MERIT HOMES LLC
1920 W DIMOND BLVD STE F ANCHORAGE AK 995151471
Site Mailing Address: 6991 PENNY ROSE CIR, Anchorage Lot Size in Sq Ft: 41847
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank 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.
Received
Issued By
MUNICIPALITY OF
Community Development Department R
Development Services Division
On -Site Water & Wastewater Program
Parcel I.D. 011-122-82
Mayor Dan Sullivan
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Phone: 907-343-7904
Fax: 907-343-7997
Property owner(s): Merit Homes Day phone: 334-9233
Mailing address : 1920W. Dimond Blvd., Suite F Anchorage, AK 99515
Site address: 6991 Penny Rose Circle Anchorage, AK
Legal description (Sub'd., Block & Lot): Ward Subdivision, Lot 3
Legal description (Township, Range & Section)
Lot Size: 41,847 Sq. Ft. Number of Bedrooms: Four (4)
THIS APPLICATION IS FOR: THIS APPLICATION IS AN:
(® all that apply)
Initial X
Absorption Field X
Upgrade E]Septic Tank X
Renewal ElHolding Tank El
Privy ❑
Private Well ❑
Water Storage ❑
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.
(Signature of property owner or
Permit/Rush Fees: 46-36— Waiver Fees:
Date of Payment: S���eL Date of Payment:
Receipt Number: Receipt Number:
Permit No. Waiver No.
C:\Users\AndEng\Desktop\Mike\Ward\Permit Application Lot 2.docC:\Users\AndEng\Desktop\Mike\Ward\Permit Application Lot
2.doc
ANDERSON ENGINEERING
P.O.'BOX 244773
ANCHORAGE, AK 99524
522-7773 677-7766 FAX
May 21, 2012
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 3, Ward Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer
The owner of Lot 3, Ward Subdivision intends to construct a new four-bedroom home
on the lot. We are therefore requesting a permit be issued for the construction of a new
septic system to accommodate the home. The subdivision is served by the AWWU
water system. The attached Site Plan and backup documentation identify the location
and configuration of the proposed septic system along with the alternate site. No
existing wells are closer than 100' from the proposed septic system. Drainage arrows
are shown on the site plan showing the grade and direction of flow on the lot. The
drainage pattern will not be changed as a result of this project.
The test holes placed on the tract in the area of the absorption trench and alternate site
indicated clean sand (SM/SP/SW) material with some silt. The percolation rate of the
soil was determined to be 1.7 minutes per inch. No groundwater was found during the
placement of the test holes and none was noted during the monitoring period. An
application rate of 1.2 gallons per day per square foot was used in the design of the
absorption system. We are proposing to place a new 1,250 -gallon septic tank and a 50'
long by 5' wide by 4' effective depth absorption trench to treat and dispose of the
effluent generated in the house. The elevation of the distribution line in the absorption
trench will be 5' below the surface and the total depth will be 9'. A minimum of 3' of fill
or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the
septic tank.
The ground surface on the lot in the area of the absorption trench slopes from the west
to the east at a grade of 10%. The new trench will be constructed parallel with the
contours of the slope as much as possible in conformance with Municipal requirements.
The new septic system will be constructed a minimum of 100' from all wells and any
Lot 3, Ward Subdivision
May 21, 2012
Page Two
surface water and 10' from the proposed and existing water services in the area.
If the system is constructed in accordance with our 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.
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
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4..9th%
MICHAEL E••AN DERSON
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4EL E. ANDERSON
NO. CE- 4383 .
24
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N 89'51'06"E 222.64'
10' UTIL. ESMT.
------------------------------------
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LOT 3
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41,847 S.F.
242.3'
240.6'
No
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Septic vent
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Monitor Tube
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Clean Out
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— Double Clean Out
Test Hole
SITE
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f' No. CE-4381
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......
LOT 3, WARD SUBDIVISION
DESIGN FACTORS:
Four Bedroom Home
Perc. Rate: 1.7 Min./Inch
Application Rate: 1.2 GPD/SF
SYSTEM REQUIREMENTS:
5' Wide Trench System
1,250 Gallon Septic Tank
4' Drainfield Rock
4 Bedrooms X 150 GPD/1.2 GPD/SF (Aplication Rate) = 500 SF Absorption Area
500 SF/5 SF/LF-.5 (Red. Factor) = 50 LF Trench Length
THEREFORE: Construct a 50' Long x 5' Wide x 4' Effective Depth Aborption Trench at the
Location Shown. Flow Line Elevation in Trench to be 5' Below Original Ground Surface. Total Depth
to beg' Below Existing Ground. Provide 3' of Cover Over Trench and 4' Over Tank or Provide
2" of Insulation and 2' of Cover. Maintain 10' Separation From Water Services in the Area.
Natural
Backfill
Eln
Geotextile
Fabric
6" 4" Perforated
PVC (Holes Down)
4'0"
5'
Drainfield Rock
TYPICAL 5' WIDE TRENCH SECTION
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Private Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
Minimum 10' Separation From Water Service Line.
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/BUILDING SAFETY DIVISION
ON-SITE WATER AND WASTEWATER PROGRAM
4700 SOUTH BRAGAW ANCHORAGE, AK 99519
SOILS LOG - PERCOLATION TEST
PROJECT #:
PERFORMED FOR: LanTech Inc. DATE PERFORMED: 2/16/05
LEGAL DESCRIPTION: Lot 3 Johnston Subdivision
X71 TEST HOLE # 5 SL
IIIIIIIIIII' OG
OL/SM
SM
Light Gray
Fine/Uniform Graded
Sand with Silt
'.'."OF
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`0 49th
�...,..�.:�.'............. ...
�.AC(•.................
MICHAEL E.Ah
�Ic °
No. CE
BOH 18'
COMMENTS'. 1esr
WAS GROUNDWATER
GROSS
TIME
ENCOUNTERED? NO
_S
NET
DROP
L
IF YES, WHAT DEPTH?
0
6.88"
P
DEPTH OF WATER None
13:50
AFTER MONITORING:
E
2/28/2005
Recharge
DATE:
SITE PLAN
N
See Site Plan
See Site Plan
READING DATE
GROSS
TIME
NET
TIME
DEPTH TO
WATER
NET
DROP
Start 2/17
13:40
6.88"
1
13:50
10
12.88"
6"
Recharge
13:52
688"
2
14;02
10
12.88"
6"
Recharge
14:04
6.88"
3
14:14
10
12.75"
5.87"
PERC RATE: 1.7 MIN./INCH PERC. HOLE DIAMETER: 6"
TEST RUN BETWEEN 5.0 FT. AND. 6.0 T.
Percolation Test.
TEST PERFORMED BY: AH I, MICHAEL E. ANDERSON, CERTIFY THAT THIS NEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 2/28/2005
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT/ BUILDING SAFETY DIVISION
ON—SITE WATER AND WASTEWATER PROGRAM
4700 SOUTH BRAGAW ANCHORAGE, AK 99519
PROJECT #: SOILS LOG -PERCOLATION TEST
PERFORMED FOR: LanTech .Inc. DATE PERFORMED: 2/16/05
LEGAL DESCRIPTION: Lot 3 Johnston Subdivision
I�TTT1TTT�T1 TEST HOLE # 6 SLOPE SITE PLAN
IIIIIIIII111 OG II
OL/SM
SM/SP
WAS GROUNDWATER
ENCOUNTERED? NO S
L
IF YES, WHAT DEPTH? O
DEPTH OF WATER None P
AFTER MONITORING: E
DATE: 2/28/2005
N
See Site Plan
See Site Plan
READING DATE
Sloughing Sidewalls
NET
TIME
Sand with Silt
NET
DROP
Start 2/17
15:25
7.5"
OF
1
1��E...
10
13.63"
6.13"
Recharge
,.: .:.
0y 49th
jo
21
ZZ .... E.':
2
15:47
10
13.38"
5.88"
Recharge
15:49
7.5 "
3.
60H 19'
WAS GROUNDWATER
ENCOUNTERED? NO S
L
IF YES, WHAT DEPTH? O
DEPTH OF WATER None P
AFTER MONITORING: E
DATE: 2/28/2005
N
See Site Plan
See Site Plan
READING DATE
GROSS
TIME
NET
TIME
DEPTH TO
WATER
NET
DROP
Start 2/17
15:25
7.5"
1
1535
10
13.63"
6.13"
Recharge
15:37
7.5"
2
15:47
10
13.38"
5.88"
Recharge
15:49
7.5 "
3.
15:59
10
13.56"
6.06"
PERC RATE: <1 MIN./INCH PERC. HOLE DIAMETER: 6..
TEST RUN BETWEEN 5.0 FT. AND 6.0 FT.
COMMENTS: Test Hole Pre Soaked Prior to Percolation Test.
TEST PERFORMED BY: AH I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST'WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 2/28/2005
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 3, WARD SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,250 -gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a 50' long by 5' wide by 4' effective depth
absorption trench also at the location shown on the plan. The distribution line
in the trench will be placed at 5.0' below the existing ground surface. Total
depth of the trench will be 9.0' below the existing ground surface. The new
absorption trench must be placed a minimum of 100' from all wells in the area
and 100' from any surface water in the area. The septic system must also
be a minimum of 10' from the water service line on the lot. A minimum of 3'
of cover is required over the absorption trench and 4' of cover over the septic
tank.
Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal
Municipal Department of Building Safety
Program for system installations. Owners
receive prior approval from the On -Site
before beginning system installation.
SEPTIC TANK INSTALLATION
systems must be certified by the
On -Site Water and Wastewater
installing their own systems must
Water and Wastewater Program
A new 1,250 gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 3, Ward Subdivision
May 21, 2012
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below the distribution line must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for
absorption trenches. All pockets of unacceptable materials must be removed
and replaced.
Lot 3, Ward Subdivision
May 21, 2012
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as -built of the completed system.
EO
Parcel I.D. 011-122-82
Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description Ward, Lot 3
RASH!
OCT 2 3
Expiration Date: 6 `- ��
Location (site address) 6991 Penny Rose Lane Anchorage, AK
Current Property owner(s) Merit Homes LLC Day phone 334-9233
Mailing address
Real Estate Agent
1920 W. Dimond Blvd., Suite F Anchorage, AK 99515
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
P�
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
0
Public Sewer
❑
WaiverNarianoe request for:
Received by: _W�t'Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ (oS
Date of Payment 10
Receipt Number ti�?;t`t>
COSA # Qt)C 1 a 1'A� 1
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
i F
5: ',STATEMENT OF INSPECTION BY ENGINEER
Ai'certifed 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 ori -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
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
522-7773
Date .,110/23./2012
49
6. DSD SIGNATURE
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System #1 Approved for bedrooms
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System #2 Approved for bedrooms
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Disapproved gg1k
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date: / O
T6,1u.. ali 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 blue sheet ! 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: Ward Subdivision, Lot 3
A. WELL DATA
Parcel ID: 011-122-82
Well type If A, B, or C provide PWSID # Well Log (YIN)
Date completed Sanitary seal (YIN) _ Wires properly protected (YIN)
Total depth ft. Cased to ft. Casing height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate
Arsenic ug/L Date of sample:
Iii
g.p.m.
mg/L
Collected by:
ft.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 6/15/2012
Tank size 1,250 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) 2 Depression over tank (YIN) N High water alarm (YIN)
Date of pumping New Pumper Construction
C. ABSORPTION FIELD DATA
7
Date installed 6/16/12 Soil rating (g.p.d./ftz or ft2/bdrm) 1.2 GPD System type 5' Wide Trench
Length 58 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 11 ft. Eff. absorption area 580 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.) (YIN & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons _
in. "Pump off" level at
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot _
Absorption field on lot
Public sewer main
in.
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout _
Sewer /septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOTTO:
Building foundation >5' Property line >5'
Water main >10, Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation X10'
Water Service line >10 Surfacewater >100'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
Lot is Served by AWWU Water System.
G. ENGINEER'S CERTIFICATION
I certify that 1 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 Michael E. Anderson, P.E.
Date 10/23/2012
COSA brown sheet 10-10-12.doc
Absorption field >5
Surface water >100'
Water main >10'
Driveway, parking/vehicle storage >1 Or
49TH.77
-,-1 AUCHAEt 6 ANDERSON :
®� CE -4381 2�
in.
1 "= 40'
N
PLAT NO. 2006-13
WARD SUBDIVISION
LOT 3
41,847 S.F.
N 89'51'06"E 222.64'
PENNY ROSE
CIRCLE
AS -BUILT
GASTALDI LAND
SURVEYING, LLC
JEFF A. GASTALDI. R.L.S.
2000 E. DOWLING RD., SUITE 8
ANCHORAGE, ALASKA 99507
PHONE 248-5454
GRID DATE
SW2222 10/23/2012
F. B. JOB NO.
12-06 WARD3
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS 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 SUBDIVISION PLAT.
UNDER NO CIRCUMSTANCES SHOULD ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABLISHING BOUNDARY OR FENCE LINES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE.
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