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PID:050-652-11 PERMIT:OSP241015
FIRST WATER CONSULTING
SUN VALLEY NORTH B4, L10
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road : ,; t.• k sa * �_
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite I J.
D(!I)artment
On -Site Wastewater Disposal System Permit
Permit Number: OSP241015 Effective Date: 2/9/2024
Work Type: SepticTank Upgrade Expiration Date: 2/8/2025
Tax Code Number: 05065211000
Site Legal Address: SUN VALLEY NORTH BLK 4 LT 10 G:0758
Site Mailing Address: 3915 HILAND RD, Eagle River
Owner: GULLETT COY L Lot Size in Sq Ft: 101728
Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
R�rr�iv�: 55u �� -I v r, Date:
Issued By: Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department `"
p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-652-11
Property owner(s) COY L GULLETT Day phone
Mailing address 1371 FM UNIT A, HALE CENTER, TX 79041 3511
Site address 3915 HILAND ROAD, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) SUN VALLEY NORTH
Legal description (Township, Range & Section)
Lot Size 101,728 Sq. Ft. Number of Bedrooms 4
f31, l-� 1-t ) 0
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) 0
Septic Tank
El
Upgrade Q
(w/wo ADU)
Holding Tank
ElRenewal
ElDuplex
(D) El
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(bignature of property owner or authorized agent)
Permit/Rush Fees: Z Z ( Waiver Fees:
Date of Payment: -a LcA_gl Date of Payment:
Receipt Number: _0160715 Receipt Number:
Permit No. Q 5 P Z `1 ! D /.S- Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
February 5, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: SUN VALLEY NORTH BLOCK 4, LOT 10
The owner has requested that we obtain a septic permit to upgrade the existing aged steel STEP
septic tank on the above referenced lot. We propose to install an Infiltrator IM-1530 plastic
STEP septic tank and reconnect to the mounded absorption field per the attached design to serve
the existing 4-bedroom residence. Groundwater was not noted in the adjacent MOA on-site file
but was noted on the subject property at 8-9 below grade. If groundwater is encountered during
installation an epoxy coated steel septic tank may be required. There are missing field
monitoring tubes that must be found and fixed as needed. The lot and area are served by private
water and any encroaching wells, easements, … must be staked prior to construction. The design
will not impact any of the neighboring properties. Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241015, Deb Wockenfuss, 02/09/24
FIRST WATER CONSULTING
SUN VALLEY NORTH B4, L10
DESIGN DETAILS:
DESIGN BASED ON DIGITIZED MARK SEWARD HAND DRAWN
SURVEY 6/24/2000. NEW SURVEY TO BE COMPLETED AFTER
INSTALLATION.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241015, Deb Wockenfuss, 02/09/24
Municipality of Anchorage Page _ I of '~.,.-.
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~l'~-J¢1,~0(~¢~ PID Number: '
Na,~e: ~ [~ Wastewater System: ~New U Upgrade
Address:
I~t~ ~ ~. ~l~ ABSORPTION FIELD
Phone:,1"°' of B~o;,s: ~Deep Trench ~ ShailowTrench g Bed ~ound ~Other
LEGAL DESCRIPTION SoilRating: ¢~GPD/Sq. Ft, Total Depth from original grade:
Subdivision: Delah to pipe bottom from original grade: Gravel depth beneath pipe i
Lot: I~ Blook~ ~~ ~ --¢.~t. ~'~ Ft.
Township:JJ Range:J ~ctio --Fill added above original grade:~l ~FI.I Gravel length: ~ I Ft.
Num~of lines: I Distance between lines:
WELL: g New g Upgrade er~ve~ width: ~lFh ~ I , Ft.
ification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ~1
Driller: Date Drilled: StaticWa~erLevel: In taller:
GPMJ Ft Ft
SEPARATION DISTANCES u s~,t~c u ,o~din¢ ~,T.~.~.
TO Seplic Absorption Ldt Holding Public/P¢ivCk Manufacturer: Capacity in gallons:
Fro~[ Tank Fiold Stalion Tank Sewer Li~es ~~~ ~
Well [~J [~1 I~ ~ ~ Materi~ Numb~Compertments:
Surface
w~te~ I~'~ I~'+ I~'~ -- LIFT STATION
Lot Size in gallons; ~ Manufacturer:
Un~ I~'+ I~'~ I~'+ ~ ~ t~~~~ ~'
~ "Pump on" level at: ~ ~ High wa~er alarm at:
Foundation ID'~ ~O'+' fO'~ ~ ~'~~
Curtain Pump Make & Model ~ Electrical inspections perlormed by:
Remarks: ~¢1~ ~1 ~¢~ BENCH MARK
Localion ~nd Descriptiom
Assumed Elevation:
~nspections performed by: 17~.~-~*~l~-,L~oad. N~: lst~~l°'ff~
Department of Healthand'Huma~S~wces a~proval
/
72-o13 (Rev. 9/91) MOA 25
Page ~ of ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION /
P.O. Box 196650 · Anchorage, Alaska 99519-6650 ® Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
~J
72-013 A (Rov. 9/91 } MOA 25 '
Sep. ll ~92 1i:36
SOiJTH FORK COHST
ED'S ELEC fR~C INC,
a138 COMMI~f~CIAL DtllV~
ANCHORAGE, A.~ASKA 9~$0I
VALDEZ
([:o?} 272-4591
~3~D ); !o C:t tic
Z
Op
,.atlon$ Manager
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920068
DESIGN ENGINEER:S & S ENGINEERS
OWNER NAME:IHDE KENT
OWNER ADDRESS:12210 MARY AVE.
ANCHORAGE, AK 99515
PAGE 1 OF 1
DATE ISSUED: 4/30/92 ~')LI'~
EXPIRATION DATE: 4/30/93
PARCEL ID:05065211
LEGAL DESCRIPTION: SUN VALLEY NORTH BLK
LOT SIZE: 101728 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
4 LT 10
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 TNE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE
APPROVED ENGINEER'S DESIGN DATED 4/11/92.
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
01SPOSAL SYSTEM
DESIGN
ROBERTSHAFER. PE.
ROGERSHAFERiPE
April 27, 1992
CIVIL ENGINEERS
19071694-2979
FAX 694 1211
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
Anchorage, AK 99519-6650
REFERENCE: Sun Valley North Subdivision, Block 4, Lot 10
We request you issue a permit to drill
septic system to serve the proposed 4
referenced property.
a well
bedroom
and install a
house on the
Three test holes were excavated and percolation tests
performed on July 15, 1991. The approximate location of the
test holes are located on the attached site plan. The
monitoring tubes within the holes were checked on July 28,
1992 and water was found at 8.5', 9', and 9.5'
This property has enough area for a septic upgrade which can
be seen on the attached site plan. We do not anticipate any
adverse effects on neighboring properties by the installation
of the proposed septic system.
If you have any questions, or require additional information
for your review, please contact us.
Sincerely,
RJS/lsu
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
,001 = ,,I
?fiL~B J
]qVOS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SLOPE SITE PLAN
6
9
10
11
12
13
14
15
16
17
18
19-
20'-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Waler ^ller
Monitoring? Dote;
Gross Net Depth to Net
Reading Date Time Time Water Drop
__
PERCOLATION RATE
(mmutes/~nch~ PERC HOLE DIAMETER __
TEST RUN BETWEEN ____ FT AND FT
PERFORMED BY: ~ & ~ ~,~O I CERTIFY IHAT THIS TEST WAS PERFORMED
Ea~la River, Alaska 99577
72-008 (Rev. 4/85~
MuRicipality Gl Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~'t(.~ l~r ~,.~t~ 'V//X/~L,~l-ownship, Range, Section:
---- ,5:::~- ~1~¢~ SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT I~
DEPTH? pQ
E
5
6
7
8
9
10
11
12
13
14
15-
16-
17
18
19-
20-
Deplh Io Water Altar
Cross Net Depth to Net
Reading Date Time Time Water Drop
~ ~,, ~.~ ~ ~ tjx"
PERCOLATION RATE ~'C~__ (m~nutes/inch) PERC HOLE DIAMETER
TESTRUN BETWEEN _ ~' FTAND ~FT
COMMENTS
$ & $ ~NGINEERIN6 ~ '~2.~ CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED BY: I/t);,tl4. t~agle Ri,;ar LOOp ROa~ NO, 204 v ~ - "~ X -':::~ '~.~-
ACCORDANCE WlTFF.~l~l~t~ra'/~k~[~i¢~t~l[ GUIDELINES IN EFFECT ON TNIS DATE. DATE:
72-008 (Rev. 4~85)
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
August 7, 1991 FAX694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
ANO REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
iNSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Kent lhde
12210 Mary Avenue
Anchorage, Alaska 99515
REFERENCE: Lot I01 Block 4~ Sun V~J~ley North Subdivision~
Dear Mr. lhde,
At your request we performed so~.~ t~sting with groundwater mo~o~ng
on th~ r~f~nc~ prop~ty to d~in~ so~ s~b~y for on-sit~
wast~r ~pos~. Th~ thr~ t~st hol~ w~ ~x~v~ed by So~h Fork
Co~tru~on.
As can be seen from the attached soil logs, the soils are poorly
p~rm~abl~, however, they arc ~cccptabl¢ for wast~w~t~ disposal.
Groundwater levis were monitored b~tw~en 8 ft. and 9.5 ft. on July 28,
1991. This water lev~ will require the installation of shallow
absorption beds.
It is probable that water l~vels will rise during the seasonally high
water lev~ period during the spring. Therefore, we a~ti~pate a
sewage effluent lift station will be required due to the minimal depth
of the proposed leachfi~ld.
We ~stimate the construction cost of such a septic system at
approximately $8,500.00 depending upon the size of the proposed house.
If we may be of furth~ s~rvice, please contact us.
Sincer~y,
R~OGE~R~J~ SHAFER, P.E.
RJS/gm
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER. ALASKA 99577
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
Township, Range, Section:
1
2
3
4
5-
6-
7
8-
9
10
11
12
13
14
15
16
17
18
19-
20-
COMMENTS
SLOPE
WAS GROUND WATER ~
ENCOUNTERED?
S
YES, AT WHAT ~)
DEPTH?IF ~_,v~..~ '~ p
E
Depth '0 Waler ADar 15;1 b '7//4
Monilodgg? ! Dale: ~--'"~ ~
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
,
. I' ,\¥ E '1
PERCOLATION RATE ~'~q (minutes/inch) PERC HOLE DIAMETER ~ ~4
PERFORMED BY: ..---..tZO~-~l~ I~1~r J,,Jo(~.~31~, I~..~_, ~,~-~,~,~. /' ~ J¢~ [,"CERTIFY THAT THIS TEST WAS PERFORMED IN
a e Riv ] -- "
ACCORDANCE WITH AL~ ~ATE ~II~DJJ~IaUSi~I(~I~I~IA~7~UIDELINES ,. EFFECT ON THL~ DATE. DATE: . ~' ~ '"~ l
72-008 {Rev. 4/85)
Municipality ol Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
DATE PERFORMED:
1
2
3
4
5
6
7
8-
9-
10-
11
13-
14
15
16
17
18
19
20
COMMENTS
Township, Range, Section:
SITE PLAN
WAS GROUND WATER ~J~_~
ENCOUNTERED?
s
rF YES, AT WHAT L
E
Monilodng? ~ Dale:. ~
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLA]ION RATE ~'~::~ (minutes/inch) PERC HOLE DIAMETER ~j~ R
TEST RUN BETWEEN ~ FT AND ~{' -- FT
PERFORMED SY: ~J~3~.~!N~ ~'~-~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
72-008 (Rev, 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
DATE PERFORMED:
L.-~.c~ '~2,~¢' ~ [..~ . Township, Range, Section:
4- ~---~[~
5-
6-
7
8
9
11
12
13
14
15
16
17
18
19
20
COMMENTS
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~)
E
Reading Date Gross Net Depth to Net
Time Time Water Drop
P~RCOLATION RATE
TEST RUN BETWEEN
I (minutes/inch) PERC HOLE DIAMETER
FT AND ~ FT
A C C O R D A N C E W R' H 'IATL0'?b4r ~lilg I,~ 14z~[ll~l~A~ I~'11~1N E F F E C' 'T O~ THIS DATE. DATE:
Eagle River, Alaska 9~577
72-008 (Rev. 4/85)
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CCOSA WS Checklist NEW TANK copy.docx
COSA Checklist
Legal Description: SUN VALLEY NORTH BLOCK 4, LOT 10 Parcel ID: 050-652-11
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 06/1992 Total depth 270 ft
Cased to 254 ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA *4/11/2022
Static water level at beginning of test *106.5 ft.
Well production at time of test *3.6 gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 1.32 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 2/1/2024
Comments *Per Garness Engineering Group, Ltd (GEG) test on 4/11/2022 – see attached GEG letter/docs.
B. TANK DATA
Measured operating fluid level in septic tank NA
Date of pumping NA – NEW TANK
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station NEW years
Lift station material HDPE
Comments: NA – NEW STEP
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/14/1992
ALL standpipes present per record drawing
Total measured depth from grade 3.3 ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
*Monitor tubes (MT) go to bottom of effective (ED).
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date *4/11/2022
Results Pass
Fluid depth prior to test *1 in
Water added *751 gal
New fluid depth *2 in
Elapsed time *15 min
Final fluid depth *1 in
Absorption rate *600 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 6 in (MOA 0.5’ ED)
Effective depth used *1 in (Final Fluid Depth)
Effective depth (ED) remaining *5 in
Comments/Deficiencies: Approximate total measured depths from existing grade on 2/1/24 at “MT4” of the MOA Inspection Report &
was also found dry with no fluid. *Per GEG 2022 testing. A 1500-gallon STEP tank was recently installed & all field pipes were found above
grade.
CCOSA WS Checklist NEW TANK copy.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No * ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*Unknown per MOA record docs and visual observations.
G. CERTIFICATION & 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, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 6/5/2024
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. 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 in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. 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, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
6/5/24
L
3
ANCHORAGE RECORI
AS -BUILT "17
SUN VALLEY NORTH
LOT 10 BLOCK 4 PLAT 83-297
SURVEY CERTIFICATE: 1, 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 shout(
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.
WORK ORDER NUMBER: DATE: SCALE; E-MAIL-.
JUNE 1, 2024 1 —50' schullerokOgmail.com
24-050 DRAWN BY: ICHECKED BY., GRID NUMBER: BOOK/PAGE:
[_JLS - SW0758 240174
50'
AM4 SUR V
AMW OF 4Z L A Nr
APAW
C-:)-- 49TH 4r,
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. ......... . .........
/�. A10
FA
JOHN L. SCHULLER: 0 R
LS -10408
'S 1831 Talkeetna Street
Anchorage, Alaska 99508
AW
0 fes siono\ (907) 227-1455 office
(907) 274-4992 fax
MUNICIPALITY OF ANCHORAGE
�,ce
Development Services Department' Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 050-652-11-000
Expiration Date: 2/1/2025
Legal description SUN VALLEY NORTH BLK 4 LT 10
Site address 3915 HILAND RD Eagle River AK 99577
Current property owner(s) GULLETT COY L
The On-site system(s) is/are approved for bedrooms
X Conditional approval for 4 bedrooms, with the following stipulations:
Comments or advisories: Tank replacement to be installed on or before 6/15/2024
Original Certificate Date. 2/26/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services 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 work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA ApprovaLJune 2022
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