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HomeMy WebLinkAboutWYNTER PARK #1 BLK 1 LT 16I/Vynter Pork Block I Lot 16 #051-491-37 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP261132 PID Number: 051-491-37 Dwelling X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New [01 Upgrade Name Naugher, Landon &Alyssa ABSORPTION FIELD Al Deep Trench ❑Wide Trench E] Bed F-1 Mound Site Address 21014 Sparkle Dr, Chugiak ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907.305.1147 3 GPD/SF Ft LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft- Subdivision Block Lot Wynter Park #1 Block 1 Lot 16 Fill added above original grade Ft, Gravel length FL Township Range Section Gravel width Ft. Beds: Number of Lines Distance between fines Ft, SEPARATION DISTANCES To Septic j Absorption Holding Sewer Total absorption area Number of trenches Dist between trenches From Tank ! Field Lift Station Tank Line Ft' Ft, Well na na na TANK X Septic ElS.T.S.T.E.P [IHolding El Manufacturer Greer Capacity 1000 Gal. I Surface Water i > 100 +100 iI 1 I Material hdpe (peep Burial) Number of compartments 2 Lot Line >10 1 +10 , NA Foundation>1 O +10 i LIFT STATION Manufacturer Capacity i Remarks community well Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer Alaska Quality Septic LLC Drainfield 3034 cO/MT3034 Inspector Alaska Rim Engineering, C. Leet BENCH MARK (Assumed elevation) 100 ft Inspection 1't 6/1312026 6/15/2026 dates:2' Location and description 3" 6/6/16/ 4'" 6i17/20e3 Concrete slab left side garage door ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: Date • .... as 'C7, ;v'r TH Septic Syste Approved." Date ` o e: this approval does not include well permit requirements. 6/24/2026 r' (Rev 05/02.r18) C:Wse swemmkuneunveNuesKropwnr u.L,'.ZuZo rKUJ i.IauUdOWD vvymer rarK N1 blOCK i La iowrw uravnngsI.rur vvorxing urahingstwzouso nrrnrtK rnra, 0 0 m o r p o m o m = m m n r N pq,� p O? rn Z v rn Z z C v c q (r :P 5 z -� {� A n m Z .n °°�(/� cccc vac o < Z ���: •n +�° i�isD�A�� Z z Z z r�^1 .e�d�� 0 W o 000 00 r- D N O y c Z n (P/ �< fTl y N p 0 fTl n y m CO D �. I= :�O mrnrn ZZ z .p A ;uD D O 0 x A r0 C. PO e CD . 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N 0 z rr^� (n Vl m N o o h�1 N A N A (T A Cb A (A L4 N L4 ALA LAL4 C71 (O A V O Cn N Ln n Ll 00000000m O z o N z x n zm m; x m z Z m p r- m C C o r�i C D Z z � a o m 0 O D O D MZ VI o I v I C7 -4 r _ O 0 M z rrim mo - rn 0 vM 0 r- -< v A O O (.l \ m Zi C-) A m n n D Uf 2 m 0 - D S 2 z X 0 A 0 n m r O O U O ri y D r 7 C C I O O O A n D m C ZO n Z z � a ri � Z C: D z J/ l \� ©: 0 x 0 m � = I o n < o �o rrl C� O X 0 -D m 0 m z C rrr I � O (/) N W N C', Users, adm009eDnve'TlesktopARE LLC+2026 PROJECT&2026035 Wynter Park nt Block 1 Lot MOW Drawings�701 Work,ng Draw.ngs'A026035 WVNTER PARK RECDWG.dwg, 6.10 2026 8 5558 PM °•° oED ON° y o n CD 9= dd 4040 000 MZm r'D� Q0 m0 m D z Ln mm r, < D z N� I N _� Z I I i D (J1 (Q i CA L D Z C7 0 0 I I D < c - A v W C CD to � I 7 O /� ll� ( TI N O 9 < D ^ 1 I Z C/)(Tl j m� > 1 -, CD !� ;u a '-c r 1 moo. % N C)�a o N D00 C1l o x HLI d I O > co I D > r - m m .. i r D D D_ '^ 0— No C) I U)(A 3z 1- X 1,0 m I cfl I Cu rn M��o < m ;vX-,<' Z N (3)I tr o ^ n Y I Ln N o o CPO m 3 11 N O O M = (.r N 0 Z N o 3G) MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700Bmore Road Anchorage, Alaska 98519-585V Phone: '7904 Fax: (8O7)343-7897 On -Site Wastewater Disposal System Permit Permit Number: C)SP261132 Work Type: 8euticTmnkUpgrade Tax Code Number: 05149137000 Site Legal Address: VVYNTERPARK #1BLN 1LT16 G:1361 Site Mailing Address: 21O14SPARKLE DR, Chugiok Owner: NAUGHEFlLANO{}N&ALY88A Design Engineer: ALASKAF(|K4 ENGINEERING This permit imfor the construction of: 0 Oinpoom| Field 0 Septic Tank Holding Tank [] Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/29/2026 5/29/2027 Non -Public 171 Water Well Water Storage All construction shall bm|naccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 1555 and 1565 andth State nfAlaska Wastewater Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80) -. The wastewater ---~ requires^inspections^during^the installation.^^The engineer^shall^ notify the =e,°=p'''e''` Services Department per AMC 15.65. Coodinatmwith On -Site staff regarding preferred method. 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: e. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Issued To: ALASKARIM ENGINEERING Issued By: Curtis Townsend 5/28/2U26 5/39/202 3 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051 491 37 Property owner(s) Landon & Alyss Naugher Mailing address 21014 Sparkle Drive, Chugiak AK 99567 Site address same as above Legal description Wynter Park #1 Block 1 Lot 16 Number of Bedrooms 3 Engineering Firm Alaska Rim Engineering Building Permit Number Day phone 907.227.4968 Not Applicable ❑ APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Disposal Field ❑ Initial ❑ Septic Tank ❑ Upgrade 0 Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: Z Date of Payment: Permit No. Waiver Fees: Date of Payment: Waiver No. Distance: May 2025 ARE, LLC dba ALASKA RIM ENGINEERING CONSULTING CIVIL ENGINEERS & PLANNERS 1920 Kentucky Derby Dr. Palmer Alaska 99645 Telephone: 907.775.2347 Email: alaskarimengineering.llc@gmail.com Alaska Rim Engineering Professional Consulting --- Practical Solutions ARE, LLC Proj No. 2026035 May 26, 2026 Municipality of Anchorage, D.S.D., On-Site Water and Wastewater Department 4700 Elmore Road, Anchorage, AK, 99519 RE: Wynter Park #1 Block 1, Lot 16 21014 Sparkle Drive PID 051-491-37 Subject: Septic Tank Replacement/upgrade Design Narrative and Permit Application Dear Plan Reviewer, During a mortgage inspection, it was discovered that the septic tank of the referenced three -bedroom ( per MOA records) home was leaking and now requires replacement. 1985 DUPLEX DESIGN BY S & S ENGINEERING The original design that was approved by the Alaska Department of Environmental Conservation (ADEC) was for a 6-bedroom duplex. A 2000 gallon tank was specified along with two unequal leg 10’ deep trenches. Both trenches were tested on May 18, 2026, and found to be in functioning condition. There are some questions regarding the construction of the absorption system that will be checked out during the installation of the tank. 2015 COSA BY NORTH RIM ENGINEERING The wastewater system passed the adequacy test conducted by North Rim Engineer in 2015. SEPTIC TANK REQUIREMENTS We propose to remove the existing 2000 gallon steel tank after it has been pumped. The tank will be decommissioned pursuant to the UPC and MOA Codes. A new 1,000 plastic septic tank will be installed away from the existing stairs that were built over the old tank. The new tank shall be covered with a minimum of 2" MOA approved insulation and 3' of cover or a minimum of 4' of cover without insulation. DRAIN FIELD CONNECTION We are proposing to connect the existing building service line to the new septic tank and to the existing outlet line as determined in the field. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261132, Curtis Townsend, 05/29/26 ONSITE SEPTIC TANK REPLACEMENT WYNTER PARK #1 BLOCK 1, LOT 16 CONTRACT FOR WORK PAGE 2 OF 2 MAY 26, 2026 Alaska Rim Engineering Professional Consulting --- Practical Solutions ARE, LLC Proj No. 2026035 DRAIN FIELD IMPROVEMENTS While on site we propose to have the septic field scope to verify the lines are clear. Clean outs will be installed on them to allow for future inspection of the drainfield lines in short bring the septic field lines up to code. In addition, the ends of the deep trench that do not have monitoring tubes will be added. SURFACE WATERS There is no surface water within 100 feet of the proposed tank. Drainage arrows on the site plan indicate the slope and direction of stormwater runoff. (See attached site plan) WELLS & DRINKING WATER There are no water wells within 100 feet of the proposed tank. The property is served by a private community well. SURROUNDING PROPERTIES We do not anticipate any adverse effects on the neighboring septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank replacement. Upon completion of the installation, a record drawing will be submitted along with a COSA showing the location of the new tank, leach field, well, and other applicable features. Sincerely, Alaska Rim Engineering May 26, 2026 Charles A. Leet, P.E. Principal Engineer Attachments: • Permit application • Asbuilt • Overall Site Plan • Tank Replacement Plan Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261132, Curtis Townsend, 05/29/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261132, Curtis Townsend, 05/29/26 24.3' 40.3' 24.3' 40.3' 3.0' C A N T. 3.0' C A N T. G A S E L E C. SHED 10'x10' R E SID E N C E LEGEND EDGE OF GRAVEL DRIVEWAY UTILITY PEDESTAL RECORD DATA PER PLAT #73-149 SEPTIC PIPE UTILITY VAULT WATER VALVE DECK CONCRETE TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 26.082 SCALE: 1" = 30 FEET DATE: 5/26/2026 SHEET: 1 of 1 MOA GRID: NW1361 SCALE: 1" = 30 FEET(11"x17") 30'0' 60' AS-BUILT OF: ADDRESS: 21014 SPARKLE DR, CHUGIAK, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 16, BLOCK 1WYNTER PARK SUBD. NO.1PLAT #73-149 _a-im >mm m=z z0� 0 =zm =0 =mom AP Mm O ? 0 A 0= z Z .�, %I%% ow 00 CL JI /0 • U •Q / 00 L4 : 00 00 v, m w n 8420F m I W O k�F\ I I J A Jam•. `_+ �`� 1.....,,..-.-.. - ... ��..---_._'_. �.-.�,,,. -vw.� t�+.3 '` i! r! 1715 1— Z71 2N� Ae . . ............ i--a�.� lot- . - 1 NIUNICIPALITY DEPr\T-CfNqFNl-r CF iiEALTII AND 4,7 132�� COH-8 PCIFICOLATICIN TEs,r zl JW! V ap �v:t HA I L —� _ r+ ry' __-- --- 11Y i STATE OF '�L.ASKA _ CtEfy1,(;TMEN r C?F ENVIRr�NMEN'1`AL G(tt1SEI t/ATICTN i:tJ>PROVAL rtIV 0S-4_S% `E RESliDES TIAL VHF- TLIA AND SEWER SYSI-EMS Pr3OVERTY D 4,�i lF'i k TE�I �I l 1 ..wljf-talc tol 11"t?Ifr..nitwi Nn I.,tlt? L1epar':tlient 0 Envlrilt`Imentai Gonsf.'r-vat!an dct''`a not quttraote,, ttxc !;L1S1tipktiN,�s Sal, af?2nc,c '� j:-Jeyiit;:,t n- 1mce of i r. v1crif_r supply find wasteyva er dispusal Eyst.t'•rns, The vilidat;iot, dates are hsi.`iLd or, e-Wilua? 0r7 }± clef: 5'y5t8fbl$ !.o5lflC! at,G��?T tt + rlpirruE?rrnr practic-S and v"-iS11mirig satfsfactory maintenance. VVAI Eli SUPPLY 'VVilTt::i S} TetTt 1lac llfrv°r-I evaivaTed anti f� and [o comply with 1 8 AAC 80,. satisfying standards 5rriSt=Ili ,t)ii:itrt.tr:t![it7 3CF+j yy'c1i'r {fl.i;}jitV C?1 1a355 We�tis' ;i1¢J?IiEs i)vrl for nliniriltlrti E�71r73if1n dist;3nc£. ae aGrl:rrtllr`iate. 1-lii, approval is vvlirJ f'>r manths for the Watt:r Supply System from date of issuance;, 6deil tho wstem k, properly maintain -ad. vwnp i tie r3ete v4AS i FWA1 Eci DISPOSAL l lir, t�rifTiflilr, ti"F;sr24WW1t4,r tfe atroerkt and disposal system has l)cvj. evaluated and has l'1eeti found to hP in t.C)r,lf,i:iclr,;-PF voth li? AA".' '" fof ra s!rge famPy C`trlultc-r:jrOy Urlit witl'ftot3l bedrnomna - .'"�Vtl`a t��t FNt�li6fl;'+?,•'ftT`_, FClr drHilyn. S, ;rill and a:[1w,trucTion of a waste vatef dispos5l S'rrmim. ' tlis crer•tifiusle is vjI'd tsar —_ monihs for the Wa,,iu eater Disl3osai System from, date of is i Y'[nvltfi:cf the sytam Is ijr i' P. rIiii-is i,)r tank PI1Jj1p!r1g, which !S Tequ,ir0(_J rtttr+;�, rrl w be reiained for a valid approval. i �,,.,•, r ltln c��t� E 1;2,':T tja. r,;^a. — k':rt,ta SonwiLar,1mg lnt.iiut,on: Ca,inr� Anr•:icwgt.+'ni,. Dwparl."ny MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC261207 Parcel ID 051 -491-37 Expiration Date Legal description WYNTER PARK #1 BLK 1 LT 16 Site address 21014 SPARKLE DR Current property owner(s) NAUGHER LANDON & ALYSSA X The On-site system(s) is/are approved for 3 bedrooms 6/27/2027 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By:/ Original Certificate Date: This Certific a of O e Systems Approval (COSA) is intended to demonstrate the s bject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other _ MUNICIPALITY OF ANCHORAGE aA i Development Services Department �^� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05149137 Complete legal description Wynter Park #1 Block 1 Lot 16 Location (site address) 21014 Sparkle Dr Current property owners) Landon & Alyssa Naugher Day phone 907.305.1147 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑■ Private Well serving # dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑■ Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ fl Date of Payment COSA# 0 a-0 �- Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc 0 Co nD ❑ (� O r-tt, 3 (n ❑ r 3 v m OcnC 3Q- o — � °' w* F- _� O 0 3 n v 0 z 3 c)(D i� ❑ (D ❑(wn _� o D n C 0 3O � ° 73 m iD O - m z 3 r V. O 3 iD m (D < 0 :3wr- O m (n _� ° y(D (D m < Z Q (n p j D (n O a a m c°n c °m0 a m 3 v a C 3 3 o ° a o n�' =m a m a v(Di Q7-0 �_ FD' � co O (0 a _� O m (n R n° CQ D (D m ED m o U) - aomOL g O o 5-0 �_ -o a r C O ° - �. 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G A S E L E C. SHED 10'x10' R E SID E N C E LEGEND EDGE OF GRAVEL DRIVEWAY UTILITY PEDESTAL RECORD DATA PER PLAT #73-149 SEPTIC PIPE SEPTIC TANK LID UTILITY VAULT WATER VALVE DECK CONCRETE TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 26.082 SCALE: 1" = 30 FEET DATE: 6/18/2026 SHEET: 1 of 1 MOA GRID: NW1361 SCALE: 1" = 30 FEET(11"x17") 30'0' 60' AS-BUILT OF: ADDRESS: 21014 SPARKLE DR, CHUGIAK, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 16, BLOCK 1WYNTER PARK SUBD. NO.1PLAT #73-149 Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-491-37 Expiration Date: ~ ..~.LP.. _~"-] 7 Complete !egal description L~cation (site address) Current Property owner(s) Mailing address GENERAL INFORMATION Wvnter Park#1 Block I Lot 16 21014 Sparkle Drive, Chu§iak, AK Schwartz Day phone 242-9750 Real Estate Agent Steven Cavin, Windermere Day phone 244-1210 2. TYPE OF DWELLING: [] Single Family (w/woADU) [] Duplex [] Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class C Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual [] Holding Tank [] Community [] Public Sewer [] Received by: : _ CQSA to be reieased to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ ~-2'~ Date ¢ Payment Receipt Number Date: Date of Payment Receipt Number Waiver # ~~ OFINSPECTIONBYENGINEER 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 NorthRim Engineering Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Phone 694-7028 Date 7/2/2015 6. DSD SIGNATURE \j System #1 Approved for System #2 Approved for Disapproved, Conditional approval for bedrooms. bedrooms. bedrooms, with the following stipule The Municipality of Anchorage Devlopment 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 Septic System Advisory Well Flow Advisory COSA blue sheet_9-1-12 doc X Nitrate Advisory Arsenic Advisory Other 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: A. WELL DATA I°MSL~C: Well type Date completed Total depth IfA, B, or C provide PWSID # Sanitary seal (Y/N) Cased to ft. FROM WELL LOG ft. g.p.m. mg/L Parcel ID: (::)'S'(- 5/~'/'- ,3 7' Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION Collected by: Date of test. Static water level Well production WATER SAMPLE RESULTS: Coliform .__colanies/100 mL Nitrate Arsenic ug/L Date of sample: in. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ;~_ ~'7-/c...//~,.~ Tank size 2~00 gal. Number of Compartments Foundation cleanout (Y/N),7;~ Depression over tank (Y/N) Date of pumping ~'/(:~'/~ ~" Pumper Date installed Cleanouts (Y/N) High water alarm (Y/N) C. ABSORPTION FIELD DATA Date installed (:~/~.~' Soil rating (g.p.d./ft2 or ft2/bdrm) / Length ~ 7 ff. Width 3 ft. Total depth' //,?Z' ft. Eft. absorption area,/,/Z5 fi2 Monitoring tube . Date of adequacy test ~,/~---P.~'I/.S' Results (Pass/Fail) /O/~,,J',~' For ~ bedrooms Fluid depth in absorption field before test (:~ in. Wateradded Z-tt,.~'O gal. Newdepth. Z in. Elapsed Time: ,_~O min. Final fluid depth O in. Absorption rate >= Z./,/,5'O g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) /"(,,/'~_--~ If yes, give date System type Gravel below pipe /t~ ft. '-/' Depression over field D. LIFT STATION ,,~/~ Date installed "Pump on" level at __ Datum Size in gallons "Pump off" level at Cycles tested in. Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main t/ d'/~-- We/Is on adjacent lots /~ ¢'~' ABSORPTION FIELD ON LOT TO: Property line Water Service line Curtain drain ~j'-<2 On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Property line /(2 t.¢. Absorption field ,~' ~-' Water service line / ¢ ,¢'' Surface water /¢:2' ¢ ~ Building foundation Surface water Water main Driveway, parking/vehicle storage Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the ebove systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name ~'~"L/",~-~' Date 7~/~f/~' COSA yellow sheet_2-6-15.doc