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Home My WebLink AboutT12N R3W SEC 15 LT 28C Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221423 PID Number: 015-501-11 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ D Duplex p (D) El Two Single Family Project: ❑New 11001 Upgrade Name MITCHELL ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10770 SPANDA CIR, ANCH ❑ other Phone Number of Bedrooms il Rating Total depth from original grade 5 .4 GPD/SF 3.0 Ft. LEGAL DESCRIPTION fDepthto pipe invert from original grade Gravel depth beneath pipe 0 Ft 1 0 Ft. Subdivision Block Lot T12N, R3W, SECT 15, LOT 28C l added above original grade 0 Gravel length Township Range Section Ft. 50 Ft. Gravel width 37.5 Beds: Number of Lines 9 Distance between lines SEPARATION DISTANCES To Septic Absorption Holding Sewer Lift Station Ft. Total absorption area Number of trenches 5 FL Dist. between trenches From Tank Field Tank Line 1875 Ft2 Ft. Well 100'4- 100'+ 501+ TANK @I Septic ® S.T.E.P. 0 Holding 0 Other Manufacturer ANCH TANK/GREER TANK Capacity 1500 Gal. Surface water 1001+ 1001+ Material Number of compartments Lot Line 10,+ 10'+ NA PLASTIC 2 Foundation 10,+1 10'+ LIFT STATION Manufacturer Capacity Remarks ANCH TANK 250 Gal. Alarm location SW CORNER HOUSE Electrical installed by RISING SUN Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100 ft Inspection 1a 1/24/23 2� 1/26123 dates: Location and description 31d 4m TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL. Engineer's Stamp Conditional Approval: Date * ,' 1� ..........: :... s ...•� . --- '°• ••••• A.. . . a ,rflCFil;Et �, 7 , ;°.• cL - va Septics System Approved Date 'L ? {�� • Note: this approval does not include well permit requiremen s. '' . Permit No. OSP221423 Page 2 of 2 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: T12N R3W SEC 15 LT 28C MARK A B C01 12 15 CO2 TC01,� -1-2 18 y8 25 — TC.022 21 28 ASIN 24 32 MT1 55 50 MT2 40 12 kT3, 84 70 MT4 \ 75 47 BENCH, TOP OF i H- 1500 GALLON PLASTIC TANK W/ PUMP BASIN I I I I 1 f� / / / 1.500 GALLON FLASK TAMC PID No.: 015-501-11 I X IT _ / 4 1 I ® WELL / f' t � I i 1 TC01 T 02 C B Mil Mi2, \ I \ I / WELL IT MT4 SBUILT \ SCALE. 1"=50' \ `� MTZ MTI MT MT4 ®® OF ®� 4.4 4.7 • G'//J FlMSH GRADE ®_'`� •• ••t•1S® FILTER FABRIC h RlSUUTION ® 9 TH ML O®� :MICHAEL N. ANDERSON: 0® No. CE 9469.'•-.; NO WATER ®88 OCT 1990 ®�� TEST HOLE DATA FR.OM N.T.S 4j SEPTIC SECTION TED MOORE, TH/i, MOA FILE ®� 6�p� ®® O®®® ® Lo Lo N -- - -- - - i I 3�MIO VGVdS Ojgz-.-Vgz A10,02Z 30V8VO NONJISIX3 ,L,t9 M,,00,-VO.00N) M,,t,9,20.00N LD X.0 - J,Lc c, CA a:) -0 0 CD -.2 F- Z U)Lu 0) 'd CQ atom -cs E-0 1010 02 MI_-_ -0 IVIS3 Ainan ot 9/-*-vez) gL,Ogz 3,,Oo,to.00s SNIdV38 JO SISV8 1,3 0 Ln o (0 P Ln 0 b-) p 00 0 ,9/ 0 J,Lc c, CA a:) -0 0 CD -.2 a) LO D 0) 0) 'd CQ atom -cs E-0 1010 02 Ssd 10, — E- r- 0 MA 0 0) co 0 03' 0 d Ura22 ;:I� - 2 LO R � -5 0--. -, -, s, 3,: Ea w) -0 0 7a (n z z 0 -A co Ln 0 -o(n 0) 4 . 0 K3 owl —0 ANN CA -.2 o -cs Ura22 ;:I� - 2 LO R � -5 0--. -, -, s, 3,: Ea w) -0 0 7a (n Ln 0 K3 —0 ANN 25 15 6 F= 2. u tL -a 0 IS VV7 N CJ ig 0 L4 0 Wm 0 r o 7-1 m ;�Il WQ D 0O or U z 0 N0 cn C/) 0. 0 MUNICIPALITY OF ANCHORAGE 1tvent s On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road i Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite f llepartinent On -Site Wastewater Disposal System Permit Permit Number: OSP221423 Effective Date: 10/13/2022 Work Type: Septic Upgrade Expiration Date: 10/13/2023 Tax Code Number: 01550111000 Site Legal Address: T12N R3W SEC 15 LT 28C G:2537 Site Mailing Address: 10770 SPADA CIR, Anchorage Owner: MITCHELL JEAN MARY & Lot Size in Sq Ft: 43292 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 5 This permit is for the construction of: Q 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 Received By: Issued By: Date: Date: l 0 /'3/70 -Z. Z Development Services Department- Phone: 907-343-7904 On -Site Water & Wastewater Section — Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I. D. 015-501-11 Property owner(s) MITCHELL Mailing address 10770 SPADA CIR, ANCHORAGE AK Site address 10770 SPADA CIR, ANCHORAGE AK Legal description (Sub'd., Block & Lot) T1 2N R3W SEC 15 Legal description (Township, Range & Section) Lot Size 43,292 Sq. Ft. Number of Bedrooms 5 Day phone LT 28C APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) Fx_1 (w/wo ADU) Septic Tank 0 Upgrade Q Duplex F-1Holding (D) Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (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. (Signature of property owner or authorized agent) Pertoa�yment: ees: 5g5 -t' 357 Waiver Fees: _ atto f 1 122 Date of Payment: Receipt Number: O Receipt Number: Permit No.Waiver No. f]•\rA---Innmon+ Cenri..oc\RnilA in.+ C.ic+a\(ln Ci+.� \A/n+e� nnA 111/nc+c�..n+r��\Cnrmc\(`6nn+ Cn...�c\Dc,rmi+ AnnGnn+inn Ann v.wcvcwNnicmQUIIII ca— IUl iy.�aic�ywn.�nc vvaici anu vvaaicvvaici%i unuawucuii uinia�rcnnunNNiwauuii.uw Oct. 8, 2022 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: New septic tank permit Legal: T12N R3W SEC 15 LT 28 To whom it may concern: This is a request for a septic system permit replacement on the above referenced lot. This new system will be an entire placement of the existing tank and bed system. The bed system is larger (50 x 37.5) than normal but access is available from 3-sdies so the bed will not be driven on with the excavator. New monitoring tubes will be installed showing the extent of the system. The existing drain rock will be removed and any contaminated material below to maximum of two feet, see proposed cross section. This new system will not impact the neighbors or encroach on the creek in the back of the lot. A new 1500 gallon tank will be installed with a pump basin to lift the fluid up to the rebuilt bed, see the site plan. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221423, Curtis Townsend, 10/13/22 SEPTIC FIELD SECTION DESIGN CRITERIA: 0.5' EFFECTIVE 5 BDRM X 150 = 750 GPD SOILS = 750/0.4 = 1875 GPD 1875 GA/50 = 37.5' 50.0' WIDE 37.5' LONG (1) BED, EXISTING BED TO BE REPLACED 3.0' DEEP 3.0'50.0' -2.0 -1.0 MOUND OVER FILTER FABRIC 0.5' SEWER ROCK 3,3(: GRADE 1"=200' PROPERTY LINE EXISTING SEPTIC EXISTING WELL 100' RADIUS -BARONIK STREET-SCALE: DJRDRAWN: DATE: T12N R3W SECTION 15, LOT 28C Anchorage, Alaska JEAN MITCHELL 10/5/2022-TOTEM ROAD--O'MALLEY ROAD- SOU T H F O R K L I T T L E C A M P B E L L C R E E K EXISTING HOUSE -SPADA CIR-+2/(6$7 MOA FILTER MATERIAL EXISTING WELL 100' RADIUS TO REPLACE OLD SATURATED SOIL BOTTOM OF BED UNKNOWN, NEW BED IN SAME LOCATION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221423, Curtis Townsend, 10/13/22 1"=50' EXISTING SEPTIC TANK MT TH#1 30' WELL DRI V E W A Y EXISTING HOUSE EXISTING WELL 100' RADIUS SHED SCALE: DJRDRAWN: DATE: T12N R3W SECTION 15, LOT 28C Anchorage, Alaska JEAN MITCHELL 10/5/2022 -O'MALLEY ROAD--SPADA CIR-S O U T H F O R K L I T T L E C A M P B E L L C R E E K T12N R3W SECTION 15, LOT 28D T12N R3W SECTION 15, LOT 28B T12N R3W SECTION 15, LOT 28A T12N R3W SECTION 15, LOT 27 EXISTINGGARAGEEXISTING 50x37.5 BED TO BE REBUILT, 6' PIPE SEPARATION, 3' EDGE, ACCESS IS OPEN ON 3 SIDES, NO TRACKING ON THE NEW BED SYSTEM. MT MT MT MT NEW 1500 SEPTIC TANK W/ PUMP BASIN EXISTING WELL 100' RADIUS MAINTAIN 10' FROM PROPERTY LINE, STAKED BY SURVEYOR Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221423, Curtis Townsend, 10/13/22 N89'59'33"E 139.69' N89'56"50"E 139.68' (N90'00'00"E 139.76' R) OWALLEY ROAD ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 28C T12N R3W Sec15 S.M. AK PLAT 70-6 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 shouh any information on this drawing be used for construction offences, 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: I w' scue: E -vis: OCT 2, 2022 t"=40' schWkrOaknet 22-107 o urM BY. Ia ra® er aso xuvsr c soa �cc JL5 SW2537 1 220352 25' = FND ALUMINUM MONUMENT O = FND 3l4" IRON PIPE ��Ar��.. Q F ..A ��s�� .� .49TH .. ......... ...E .. ... m '.JOHN L. SCHULLER.- o LS -10408 ,o� �Ofessionct�s O �tD SURA rna cC) o 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE DEPARTMENI' OF HEALTH AND HUMAN SERVICES 0 l J- ~./~(~ / Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl. INSPECTION RI=PORT -/I _ ~/ILLi,~h,'t ~. FLOYD /o77o -<JPFIDA C~I~CLE LEGAL DESCRIPTION .... TANKS LIFT- [] HOLDING TYPE OF SYSTEM DISTANCES ~ T( SEPTIC ABSOBPTION FB0rVl "~-~.. TANK FIEL0 WELL WELL J [ 0 I 0 '? LOT LINE :2 5' I 3 L~. FOUNDATION ic~ I ~ 2 2 E 1 TRENCH ~' BED L~ W. DRAIN [] OTHER ~0 FT ~ "7,,~- Fl' J '~'7.~ SOFT ,~ FT CA ~c 5 EXc/lv~ T~ q G ~o WELLS '[~ PRIVATE L~ OTHER (Identify) N.A. __ (oc/ FTl (~ FT )qLPI~E b,~'tL LI~/0 lO d-_~,' oJ~ .¢o;I ¢ou¢r , _ ~'".-.~'~"~ ~ "~2/'¢'"~- . .-- oer(d¥ Iha, Ibis iespectien was p,denimd according to all h]LmiCil)al aed Stale giJi(lelilleS in effect o~ this date: / J / ~ ~ 9~ 72 013 (3/85) ENGINEERS SEAL OF GEOLOGICAL AND GEOPHYSICAL WATER WELL RECORD LOCATION OF W~LL W~LL OW14~R: ~AS~ING ~OINT/ ~top of casing ~gro~nd surfface other: BO~OLZ DATA: Dupth CONTRACTOR INFORMATION: Signature of Au[hori~d Representative Date RECEIVED _LT__L ITJ .... I . . W~.L DEPT DATE OF COM~LETION Depth of tel.: &¢ ftI METHOD OF ORILLING: ~air rotary ~]cable COOl. ' ~other: ' USE OF WELb:~domeatie ~]irrigation ~monitor WELL ZNTAKE: /~ open and ~screoned pe~forated ~open hole Depths of opening0:__ SCREEN TYPE: '" ~ Diem:~-~---~ in Slot/Mesh Size: ~--'~"-~- Length: ----- ft Set Between] ~ and '~ft GRAVSL PACK TYPE: VOlUlUe used: / Depth to top;.~ GROUT TYPE: -' -- Volume: ~ Depth; firom ,~'-~ fit to P~PING LEaL ~D YIELD; ~ft after ~.._hr~ ptff~ping P~ INTAKE DEPTH: ~' ft tloroopower~ Date Pump Installed ~-,/ ~- WAT~ CHEMISTRY S~PLE TA~SN? ~yes ~no / PLEASE ~ZL WHIT¢ COPY OP LOG W,[THZ~ D~ YS TO: DGGS PO BOX 77~2116 EAGLE RIVER, AK. 99577 INSPECTION REPORT MUNICIPALiTy OF ANCHORAGE, BUILDING SAFETy DIVISION 3500 EAST TUDOR ROAD !. FOOTING FouNnAT~O~ _--~-~ BOND BEAM FRAMING INSIJLA TioN ~-~ SHEETROCK STRUcT. ~OMMENT8 ~ ~EN CORBEOT~ONs ARE ~ .... ' ~- ~.~LL FOB INSPECTION -oo~ ~.~. ~,~ DO NOT REMOVE THI~ NOT/CE ELEc. TEMp. ELEC. SERV~c~--,~-' ~ PLUG. UND~ ELEc RO ~ LJ PL ~,_ ' UGH /; .~-) BG. ROUGH CLEO. FINAL ~ ~F GAS -~ MECHANICAL FIRE FiNA~~ MECH. FINAL ~ ~ PLBG. FINAL ~ORRECT ONS ~S~,. FLATTOP TECHNICAL SERVICES CIVH, & ENVIRONMENTAL ENG1NI£ERING · ENERGY CONSERVATION & ANALYS£§ TItEODORE F. MOORE, P.E. PH: (907) 345-1355 October kl.0.A. Dept. of !{ealth and P.O. Bmx 19-6650 Anchorage, AK 99519 Att:n: Susan Oswalt Re: Sept lc upgrade for Lot 18, 1990 Services 2BC, Sec 15, TI2N, 14530 ECHO ST. ANCHORAGE, ALASKA 99516 iViUNICIPALiTY OF ANCHOIb~Oj~ DI!PT. OF HEALTH & I~NVIRONMENTAL PROTECTION RECEIVED The purpose of this letter Js to respond to the concerns raised in the J)HrlS review sheet dated October 15, 1990, regarding the proposed sept:lc system upgrade for the subject lot'. l']e apologLze for any confusLon that [nay have resulted from our designation of tho perk test ]ocat'5on as '#lA" and its inclusion on ~he soils log of test' hole #1. As we discussed, a more thorough evaluar/on of the soL]si would have included a perk test- o[ the layer. ['le recognized that because the S¢~ was only one foot or less thSck the design should he based on the l)erk rate of the underlying layer . 'Pile proposed dimensions of 50~ I) y 37.5' were chosen to fulfill tile //1875 sq Ct design area in order to accommodate the ut Zlit'y easement, the proposed weli radius, and to leave a port ion of t he front yard undi st ur bed . ldo agree that test ho]es shontd be located outsLde o[' the proposed system and we wil] relocate the absorption I)ed five feet to the east. As you can imagine, we did not kl)OW the size or the shape of ]'he system that: we would propose when we st:ar]ed digging test holes. b'trlal]y, as mentioned above, tlne design size of the sy,~;tem is based on the HE, ]ayer that we perked I)etween two and two and a ha]f feet. By constructing the system on rep of the SY[ layer, which exper]once has M]own to have superior absorption capacity, the syste[n should last longer wiLhouL COSI'iIIg any more to build. Also, this desLgn achieves a greater seperat'ion from ground water which is ]5ke]y hlgher during break-ap than our 12 foot' dry test' hole Jndic:ates. We hope that this adequately responds to your concerns. !4e wJl I submLt an "as huilt" site pLan that locates tile ahsorption hod five feel' away from test hole #[, as you have requested. }(()ur prompt: attention to this permit apl) l/cation is appreciated. Sincerely, Chris Allarcl cc: Bil I Floyd LoT LOT L tt',l I~ [~LOT LIFT A IHo' E¥ LOT 2~b o ~E PT~ c P~ 'o CE-3589 ~ LTPi I~'l 20o~ OF pg o ~'o ,,~['b S ¥$T~'F1 Flattop Technical Service~ 14530 ]Echo Street · Anchorage, A]c~sl~c~ 9 L28c SEC_ IS, TI:Z h~, ~3W ~ _S ¥E PLAN bwN BY: NoT'c: Tills 1.9, 5uRvE,'i£b PLA~ Loc/~T IoN 5 A~E A 'PP~o x t MATt:' pvc. MAN~oLD ' 50' "-~ PLAN V~E~ ~o~l't'o R ~:iLTER "T'u ~E FA~I( i oR~MA~ n ' ?~.~ ~ ~ . % / ~ m~c~ssA ~ ? ~v,~) ~?~nS Flattop Techmcal Servic c~v~c s~e~Ac~ ~' ~ :" 14530 Echo Street H~e~T ~o~ o~ ~ ~flq' I~ "~ ~" Anchorage, Alaska 99~ L29C, SEc tS,'TJAN, R3Vv, $.~. S01L ABSOF~PTIoN MOUND PLAN '~ CROSS SECTiON. SCALa : I" '~ Io' bAT[': m/9o Flattop Technical Service~ 14530 Echo Street .Anchorage, Alaska 99516 Lot 28C, Section 15, T12N, R3W, S.M, 10770 Spada Circle Well and Septic System Upgrade Specifications 1. The scope of the proiect includes the drilling of a new well at the location shown on the site plan and the abandonment of the existing 72' well. The project also includes the installation of a new lift station and 37.5' by 50' soil absorption bed at the location shown. The size of the bed is based on a measured percolation rate of 20 minutes per inch, which corresponds to a soil application rate of 0.4 gpd/sq, ft. A 5 bedroom residence requires 5x150/0.4 = 1875 square feet of area. The proposed construction will remedy an existing failing septic system<and separation distance problems. It will have no impact on the ability to construct on-site wells or septic systems on adjoining lots, or on area drainage considerations, Reserve area considerations are not applicable since tl~e system has been permitted for 5 bedrooms since 1980. 2. All construction practices and material specifications shall be in conformance with State and Municipal .requirements. 3. The contractor('s) shall be responsible for obtaining all necessary utility locates. The buried utility lines traversing the site of the proposed soil absorption bed shall be relocated to the west and north of the construction site. 4. The existing 72' deep well is to be abandoned by filling the casing with concrete or bentonite grout, cutting the top of the casing off 4 feet below grade, and welding a steel plate over the top of the casing. The existing soil absorption trenches are to be abandoned in place, with the standpipes removed. The contractor shall verify that the original seepage pit has been properly abandoned. 5. The existing 1500 gallon septic tank is to be retained in service, however a new cleanout pipe~is to be installed to allow pumping of the second compartment of the tank. A double cleanout is to be installed in the waste line between the existing septic tank and the new l~ft station, 6. A new 500 gallon tank with a Municipally approved lift station package (Orenco or equal) shall be installed in the approximate location shown, no closer than 5 feet from the edge of the soil absorption bed. The contractor shall obtain the necessary electrical permit and electrical inspection, and provide documentation to the engineer. The lift station pump shall be enclosed in a 1/8" mesh polyethylene screen and shall be capable of pumping 34 gpm against a 20 foot head. The lift station shall be equipped with on/off and alarm floats set according to the supplier's recommendations to provide a 120 gallon dose and 110 gallon reserve capacity above the point at which the alarm float is triggered. The contractor shall test the system to verify that all pumps and controls are working order. ~laffop Techn~ca! Services 14530 Echo Street · ~/nchorage, .Alaska 9951~ 7. The soil absorption bed shall be constructed by clearing the necessary trees from the construction site, and carefully stripping the black peat material from the 37.5' x 50' bed area, to expose the top of a reddish sandy loam stratum. Care shall be taken not to overexcavate, or drive vehicles on, or otherwise pack the sandy loam stratum. Imported medium sand is to be placed as needed to provide a level bed surface at the elevation of the highest point of the native sandy loam. 8. A total thickness of 9 inches of approved sewer gravel is to be placed over the bed surface, with the manifold and perforated distribution laterals laid level in the gravel such that the bottom of the pipes is no less than 6 inches above the bottom of the sewer gravel. The line from the lift station to the absorption bed, and the manifold shall be 2" dia. schedule 40 PVC. The distribution laterals shall be 1.25" dia. schedule 40 PVC with 1/8" alia holes drilled in the bottom on a 5" spacing. The 70 holes are capable of passing 35 gpm with a residual head of 5 feet. 9. Four monitor tubes shall be installed at the locations shown, and the entire top surface of the bed covered with approved filter fabric and 2 inches of rigid foam insulation. The soil absorption bed shall then be covered with no less than 2 feet of soil cover, the top six inch~s of which shall be topsoil. Side slopes shall be no steeper than .3:1. 10, A total of 5 engineering inspections will be needed during the course of the construction: ( 1 ) initial stakeout, (2) after stripping, but before placement of the sand leveling course, (3) after the sand leveling course is installed, but before placement of the sewer gravel, 14} after the gravel is in place and the pipes are laid and connected up to the lift station, but before placement of filter fabric, insulation and backfill, and (5) after final backfill and grading is complete, and all controls and alarms are installed and in working order. NEMA X Jixnc~on Ioox F!.ct p check 4'-0' 500 GALLON LIFT 1' P V C Pipe Typ 8' ur~eCho, ne ~m (.shop oppO, w~%h T~emec -bop 1/8' ~sh potye%hyleoe 1D' dla x 3~ high l/Sh,P, U,L, L~'-bed SUbMer-~--tb[,~ E,Pf'luent Pu~p -- Re't oJntnO STATION PERFORMED FOR: ~Flaffol~ Technical Se-r:,r~ce~ 14530 Echo Street DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ILL FL©¥D LEGAL OESCRIPTIONI_ ~J.M L2~¢, PT ~ AsH ,SM REDblS~ SANbY LO/~M DRW, Leo sE 10 11 12 13 14 15 16 17 18 PERK ~IA 17 '19 20 COMMENTS Township, Range, Section: ,~£C I,~", 'TI2 SLOPE SITE PLAN WAS GROLJND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? I~,/~ , pO E Depth lo Water After Monitorin0? Oate,. Reading Date Gross Net Depth to Net Time Time Water Drop PR'FSoAk IO./i./?o 2:30 START I: V6 ~__3_ F~ 2:o~ 5 22 Yt :~ Z',16;~o ~ 2~ Yz 2:2~:3o ~ 22 /~ PERCOLA'r[ON RATE 2,~_____ (minutes/inch) PERC HOLE DIAMETER TEST~UNeETWEEN. ~ __FTAND 2,5' .FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Flattop Technical Services 14530 Echo Street DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION:_ 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 '19 20- PT' 5F~ P,~Dbl 5H COMMENTS Townsl~Jp, Range, Sec(ion: ~cC I,~, Ti2 SLOPE SITE PLAN -['OP O~5 Foot L~SS ~IGHTER w~TH DEPTH WAS GROUND WATER ENCOUNTERED? IF YES, Al' WHAT Deplh Io Water Alter I~onitorinD? Dale: Reading Date Gross Not Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FI AND __ FT laERFORMEDL~y: FLA~-'~(~)j~_~'i::L~_[~. ,~VC5 , _ .a~_~..~ ~ _ CEH]d-Y ]HA3 THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 72-008 (Rev. 4/85) JI MUNICIPALITY OF ANCtlORAGE DEPARTMENT OF HF_ALTH & ENVIRONMENTAl. PROTECTION ENVIRONMENTAl. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 9950i I elephone 264-4720 QN-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT L~AL DESCRIPTION DISTANCE frO: ~ ' ILic. Cal>.Cit~n {agons~ ~ IF HOMY'MADE -~ I,,slSJe ienotl~ ' ~g No, of lines Lr,,,gth of each Hne To,al length of lines ~ ~ Type of~ril~ Cl'll~l%lTlet81 Orlb- ' d~pth ~O. OF BED~I;~MS /'V~i~] t h Liquid depth Maledal Nearest lot line ~e n cl~i~tt~ inches ~-E R M Iq NO, LiquM capacity m gallons PERMIT NO. Total ef[ective absorption ~rea PERMIq NO1 OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS DATE LEGAL PERMIT NO. LOT _,I-E 4..z..~.,:: SQLIFIRE FEE]' II.t,.,IH.M NUHEER OF E:E[:,ROOMS = 5 =,OIL RR'FIN3 (S;! FT, EF..- 200 .:,I¢.E ]:FIE '- HE,::,OF:FTILN :,'r.:,TEM THE RE[.:iI_IIRE[:' '~ '~' OP .d...IL -"" " ' '-'"= : '-' THE LENGTH DIMENSION IS THE LENGTH (IN FEEl'E) OF THE "FRENCH Cfi':: DRRINFZlEL.[:,. THE DEPTH OF R TRENCH OR PIT IS THE DISI'RNCE BETHEEN THE BLIRFFIE:E OF THE GROUND RND THE BOTTOM OF THE E~<CRVRTION (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. ]"HE GRRVEL DEF:'TI..~ IS THE MINIMUM DEPTH OF GRR',/EL BETHEEN THE OUTFFILL F'IPE RI',IC, THE BOTTOId OP THE E::.::CRVRTION (IN FEET). /~d ..... E.I r ~ C: TI-If ,11-. ~. ][ ~E ...... ~--~ GFtL. LL, I ~ F'ERMIT RPPLICRNT HRS THE RESPONSZB~L~T'¢ TO ~NFORM TH~5 DEPRRTMENT E:,URZNG THE INSTFILLFITZON ZNSPECT~ONS OF FINM HELLS FIDJRCENT TO Tt..IZS PROPERT'¢ RND THE NUMBER OF RES~C, ENCES THRT THE 1.4ELL HZLL SERVE. BFICg:F'ILLING OF RN'¢ SVSTEM H]:THOUT FINRL IN~F'ECTION RND FIPPRO',,¢RL B'¢ THZS DEF'RRTMENT HILL BE SUBJECT TO PROSECUTION. h'IINIHUM [:,ISTFINCE BETWEEN R HELL RN[:, RN'¢ ON-.S~TE SEHRGE DISPOSRL SVSTEM IS 180 F'EET FOR R PF'.ZVFITE HELL OR 158 TO 288 FEET FROM FI PUBLIC HELL DEPENDING UPON THE TYF'E OF PUBLIC HELL MINIMUH DISTFINCE FROH R PRIVRTE HELL TO R PRIVRTE SEHER LINE ZS 25 FEET RND TO FI COMMUNIT'Y SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MR"r' RPPL'¢. ~PECIFICRTIONS RND CONSTRUCTION [>IF,3RRMS RRE F/',/RIL. RBLE TO INSURE PROPER INSTRLLRTION. I CERTIF't' "FHFIT t: I FIM FFIMILIRR HITH THE R. EQUIREHENTS FOR ON-SI'rE SEHIERS RND HELLS RS SET F'ORTH E:V THE MUNIC:IF'FILIT'¢ OF RNCHORRGE. 2: I HILL INSTFIL. L THE SYSTEM IN flCCOR[:,RNCE HITH THE CODES. ]:: I UNDEf~'.STRND THRT THE ON-SITE SEHER '.S't'STEr'I MFI'.? REQUIRE ENL. RREiEMENT IF THE RESIDENCE IS REMODELE[:' 'TO INCLUDE HORE TFIRN 5 BE:BROOMS. [,EPRF'THEhlT c 14ERLTH FINE', EHVIRL'~rlf'IENTRL r'RCITECTIC'fl FERfI~ T HO. ( ) TYPE OF ~OIL FqB:.CFPTION ~.~_~TEr'I r.~nxlr.~ur.1 flUME:ER OF EEDPOOMS = ~ SOIL RRT[NG (SO FT."BR)= THE REQUIRED SIZE OF THE SOIL ~tBSOPPTION :~YSTEH THE LENGTH D[/'IENSIOII IS THE LENC~H (IN FEET) OF' THE TREflCFt CIP THE (',EPTH ElF R ~RENC:tt OR PIT IS THE ¢~'~%Tf~/.ICE 8EI'HEEfl THE SIJRF¢tCE OF THE GROUIID RHD THE BOTTOH OF THE EXCRVRT]ON (IN FEET). THEF'E IS NO SET H[DTH FOR TRENCHES THE CiRW,/EL. DEPTH IS THE MINIMLIf'I [)EPTH OF GRRVEL BETHEEN THE OLITFRt_L PIPE RHD THE E',ETT3M OF THE EXC:Wv'RT[Otl (IN FEET) F'EF'M[T FIF'F'LICFINT HRS THE RESF'OIIt~I[3~t-[T'¢ TO [tJFORM THIS DEPFIPfMEIlT (~I.IPIHCi [IISTRLLRT[OH INSPECTIONS OF FtNY HELLS RD.Ti~CErlT T) THIS F'F'OF'EPT'¢ F~N[' fg_IHBER OF RES~DEHCES THRT THE HELL HILL_ SERVE. C, EF'RPTHEHT H~LL BE SLIFL~ECT ~0 F'RCr~ECUT~ MINIMUM C,~¢TRHCE E:ETHEEN R HELL RND RNY ON-S~TE 5EH¢IGE DISPOSRL ?¢STEM fS lEtO FEET FOR ¢~ PR.~V¢ITE HELL OR 250 TO 2E~O FEET FROH R F'UBL~C HELL I.Ipl?] THE TYPE I}F F't.IE'.L[C HEI.L HIttlHLIM [,ISTF ICE FF:OH R F'R[Vt~TE I,IEt. I_ TO Ft F'RIVRTE ':CE.EF' [.IHE I'J >'~ FEET TF R ECd'IHI_IIII/Y SEblER LINE IS 75 FEET. I,IELL L_OC~S ¢t~'E F'EQIJ[f;:ED I~fiB, I'ILIST E:E F'ETIJ¢NE[:, TO THE [,EF'Ft~'fHEIIT H[TH[tl Eft OF THE7 HElL CCP1F'LE'rIoH. OTHEF' FLEE, IF'EIdEr.ITS MR'¢ laF'F'LY SF'ECIEICATIO/IS t:ltit} CCiNE;TF'I. IC'TION DIRGY'F4HSi APE A'./I:t [[.F~BLE TO I N'SURE F'RCmPER I flST~I_LFI'[' ~ C EF:T ! f"'¢ THF~T 2 I I.llL_. INSTF4_L THE SYSTEH IH RmZ:COF'[>FINCE I.l]l'lt 'I'HE_L~:m.E~E~ 2 I IJflE,EI;'STFtfJ(, '[HRT Tile I}FJ:¢_jTE SEI.IER SYSTEM I'IRY F'E. OLI~F:E EtILRF:GEMEHT ¢;'[.'.~I[.,EflCE I'5 REflCmE:,E.ED TO ~.UE:,E MOPE THAN 3 E:EDRmDOMS ,-.- ,:; ON-SiTE SEt,IEPS Rfll;, l,l££t_LS RS SET 14ITtf THE: REQI_IIFErlEI,IT:. FOR IF THE '~UNICIPALIT~ OF ANCHORAGE . and Environmental Protec )n Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 ............. II~SPECTION REPORT ON-SITE SEWAGL: DISPOSAL SYSTEM SEPTIC TANK: UISTANCE FROM WELL_ NUMBER OF COMPARTMENTS INSIDE LENGfH ....... INSIOE WIOIII [ IQUIB DEPTH ...... LIQUID CAPACITY__ GALLONS. TILE DRAIN FIELD: f LINE fOt TOTAL LENGTH ~j%! OISTANEE FROIM WELL I~__..LFOUNOATION--~~- O' /2 NEAREST LOT ......... OF LINE tt of Lines ~1 DISTANCE BETWEEN LI~4ES ¢ ~_____TRENCI4 WIDTH~- IN. TOTAL. EFFECTIVE OEPqll OF FILTER t)EPT~I: 'lOP OF TILE lO FINISH GRADE ~__MAFERIAL BENEATH TILE ~ IN. ABOVE TILE ~ IN. OR WIDTIt .... [_ENGTI~___, DEPTEI Log Crib Rings BUILDING FOUNDATION Crib Size: DIAMEI'ER .... DEPTI4 .... DISTANCE FROM: WELL TOTAL. EFFECTIVE NEARES] LOT LINE .... ABSORPTION AREA (WALL AREA) .SQ. FT. Well ,, : Class:~ Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe M~aterial s: # of Bedrooms: Installer: ~_~ Remarks: ~ I [:IF:'F::'I~_ i~ E;EIN'I' I...CIC:EI"I' T'¥~I:::'E: CiE :il;O ]] I. I'll-... I..Jt .I. I ,[ ~' Iq , , .:, I [.I I [)[~'.1::11 NF:: i EL.I) I"II::I::-::]:HI..IH I'IUtlEL. I,.. O1:: I_LI.I ..... ii'l_. ::: ili: Iq[iii: I~El",ll:!i '[1'1 I::' I I'llii:l",l~i; :I: [)N I ~; filE l.I .I ,I. I I l ':: :1:I",1 F:E[E'[' ::' EIE' THE I t".l :.1 ,li...H [)l:;~: l:::'l:;~:l::l ]: t",[t::: :1: ELl:). q-l"lE: J)Eq:::'q'l"l I'- [::' I::1 I t .l~Cl~,l I ~ CII:~: E' I:::il:RIZIIJIq[) I:::IN[) ['HE E~l:)'l-q'[: I'"1 C I:::' '['HE t I .t .I ,I ..[ I 't'q"IE ........... I'.1 :[ I)TH FEff;~. I:::,1:~i.[::1 ]: I",tF: :1: E:L,.[::'I[ I .E;~ I:'E:I~'T. :~1 ,1 I [)EE'TH I~1 TH[ii: H q'l 'IE ' - [::ll",J[::~ I'[IE [ L I t .. I I Lq[ THE Iiii:::'::lZ:l::l',,,'[::lq" F:I E'I::~E:I<iI:::IEiE E'L..I::II",I'I' I"lP:l"r~ Ii:Iii: IN'-:!i;'q'FII..I..[!~[::~ Fi'T 'filE F>E:::F?.P'I]:Tq"EE"!~ Ol:::'q"iCIIq :~;I_IE:..]'E-C:'I' q'o "I'I'IE [::'[:)L.L .OF.El NG ~L. Ei"I'I'I[i:F': [::1 C:l.Fl-'J[i:fi: I [)lq'. ]: :t: N'.:Ei[::' I:::II::'I:::'E~[)~,,,~Fi:[]:~ F::'L..EI[",!q" HF:P'r' E:E: El [:::[)I",1-1' :[ I",ll..J(::ll...l'-:~ P'IF:I I I",Iq"E]I'-,If::INCE F:IG[~:E['::I'"IEI",Iq' I .~:i: I:~'.EI~.:![J :[ [;~:EI'-'). ]: [:: I:1 l"l[::l I I~',t'l'l~:t",]l:::llqE:l~ EI[::iF?.E[ii:HEIqT :I:S~ I",jcIq- [:::[:~F:'I' CUf::'.Fi:EN'[' "r'EILI I"ff:~"r' E]E I:?.E~:!LI :[ [?.E:[::, TO EI",ILFtI:i[:I}ili:i: q l"'llL{ :~i[:):[I ~'""*'AIER ANCHORAGE AREA BORO'~ 'H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE [DISPOSAl_ SYSTEM LOCATION (~ /~,i. ~.~? ,/.. ~/.~( LEGAL DESCRIPTION _PHONE SEPTIC TANK: DISTANCE FROM WELt /'<~ ''~ LIQUID CAPACITY '7 _ MATERIAL _COMPARTMENTS h~ ~'&,-~--,-.~,~ 1f?¢ LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPfH SEEPAGE SYSTEM:' SEEPAGE PIT: NUMBER OF PHS ...... / __OUTSIDE DIAMETER OR WIDTH__ ~ ~:/ , LENGTH_ ~ , DEPTH DISTANCE FROM WELL / [-O ' -F. BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -~- 7~z;~ SQ. FT. TILE DRAIN FIELD: TOTAL LENGfft / NUMBER OF L NES DI IN ____ DISTA CE BETWEEN LINES_~ TRENCH WID~t---~ ABSORPTION Ai~__~.~?'" SQ. FT. LENGIH OF E~CH LINE DEP1H: TOP OF TILE [O FINISH GRADE ~_ DEPTH OF FILTER MATERIAL BENEATH TILE~ IN. ABOVE TILE WELL: DISTANCE FROM WATER TYPE ~ __, DEPTH ~-" ~ , BUILDING FOUNDATION / SAMPLE '~ , NEAREST NEAREST SEPIIC ~ f· SEEPAGE /~C~__,~ OTHER LOT LINE '-- _, SEWER LINE ~ __.,TANK /~O , SYSTEM , CESSPOOL .~ SOURCES DIAGRAM OF: SYSTEM DISTANCES: DATE APPROVED~/~I GREATEY' 327 Eagle St. ~.NCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 991501 ~ qROUGH 279-2511 SEWAGE DISPOSAl. SYSTEM - APPLICA?ION & PERMIT NAME OF APPklCANT/~'~de'4, .,~'O~,,n~ "'/'~ MAIklNG ABD"ESS~/ ~/Z/~// PHONE NO~q~ RESIDENCE ADDRESS LOCATION OF INSTALLATIDN 0~/~ ~ LEGAL ~SCmPT~ON Z.¢ 2-~ ~r /~ ~ ~.~,~, APPLICA'rlON TO INSTALL: SEPTIC TANK_.. ~ __,SEEPAGE PIT_ ~ ,DRAIN FIELD ,OTHER TO SERVE THE FOI. LOWING FACILITY... /~ FINANCED THROUGH ~ TO BE INSTALLEO BY. ~ PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION BELOWTO BE FILLED OUT BY HEAL'rH DEPARTMENT THIS IS TO SERVE AS ~ (~'~'~ ,PERMIT TO INSTALL A .AS DESCRIBED BELOW. SIZE OF UNIT, TO BE SERVED. _. SEPTIC TANK SIZE ..q~-° TYPE ~ SEEPAGE AREA.. DIAGRAM OF SYSTEM DISTANCES: H ~A LT H A UT HO R [ certify that I am ~amiliar with the requh'ements of Greater Anchorage Area Borough Ordnance No. 28-68 and that the above described system is in accordance with said code. ,~~~ 0 A UCA.TS 'REATER ANCHORAGE AREA BOROUGF HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE~ ALASKA 99501 CASE Performed FOP ~OF~ ~L~ ~.~.. LOOL) 4LF% . Date ~erformed Th.ts Form Reports a: $oz!s Log '--¢' , Depth Peet Soil Characteristics l t Location Sketch Reading Date Gross Time Net T~me Depth To ~20 Net Drop n?tallat=on:,Seepage Pit_~._~ -- Drain ['eld Depth Of n.Let Z ,)epth COMMENTS: ' U' . ~t~ :~,~~'" L.L)I..:I':~ I .ton CI i"11.:i L I .Ji::/'r' Ll~.l]l..:lL I .(I.L-~I'.,~I;;~:~:~!4E;:~..~ I...I. ;~i::i:~:-.i.i.: LOI f'l ;t I",t .1. HL.If"I t.;, .t S I FIt*'tC:E t~:tE'l I.,.IEI~]I',,I FI 141ii(I._L.. FINI.) FIN"r' Of',l-'S ]; 'i'E SE].,4FllLiI::_ I) .I. SF"O~:,FIL Ei"r";'i; 'l'El'q ]. !:5 :].1~i1::1 I':EI'¢.I FEll-,?. Pi F'F:'.i';,'I;:II[~: HI:LL..L I.Jll;'4 21.:~il=~i F'EE'[ F'()I',?. I-I I::'IJBL :[ L; I.,.II~L.I .... HEM_ L.()I:.:iS t:ll:;:'.li:, t~'.EI.:.!U]:~'.E[) FII",ID I~'II..IST Bt.~; t'~'.E'I'LII:;?.I",Ilii:L:, ill "l't"lb.: DEI:;:'Ftl;?.I HEr.,tI' iii.:: ]I-iE HEM_ C:OHF'LE1 :[CiI'.,I. Q I HEIR t,:'.D.I.,.IU l I:i!~:l'"lk:;J',,l ] S I'"IFI'T' I:':IF'I:;'L'T'. '_~;F'EC ;[ I:.:' :[ CI::I I ]: ON".;; FIND cor.,IS I I,?.l..ic I ~;i',,,'f;:1:1. L..I;.:II:~:LE; I ]3 ;[ I'*JSIJI4~li~: F, f4:()I:,Ei.,;1. ;t NSI FILI..Ftl ~[ or.,t. Certificate of On -Site Systems Approval Parcel I. D. 015-501-11 Legal description T1 2N R3W SEC 15 LT 28C Site address 10770 Spada Cir Anchorage Current property owner(s) Mitchell C�- Expiration Date: X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 2/27/2023 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 Approval_June 2022 MUNICIPALITY OF ANCHORAGE • Development Services DepartmentPhone: 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. 015-501-11 Complete legal description T12N R3W SEC 15 LT 28C Location (site address) 10770 SPADA CIR, ANCHORAGE AK Current property owner(s) MITCHELL 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 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 NEW - See advisory if steel 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 $ Date of Payment COSA # C) G 71 2 J � Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 Legal Description: T12N R3W SEC 15 LT 28C Parcel ID: 015-501-11 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 10123/90 Total depth 69 ft Cased to 69 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 10/13/22 Static water level at beginning of test 40 ft. Comments B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: NEW SYSTEM D. ABSORPTION FIELD DATA Which system tested (date installed) new ALL standpipes present per record drawing Total measured depth from grade 2.913,2 ft (max) Measured depth to pipe invert from grade ft (min) On N/A — pressurized field. Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. 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) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by ivnvt-� Date 10/13/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station NEW years Lift station material PLASTIC Comments: NEW SYSTEM Adequacy test date neve Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) new in Effective depth used in Effective depth remaining in 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' Community Sewer Manhole/Cleanout > 100' © Yes if No ft 51 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' E Yes if No ft Holding Tank > 100' [E Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' QYes if No ft no Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' QYes if No ft ®Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/bolding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' g Yes if No ft Surface Water > 100' © Yes if No ft Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' FE -1 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS 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 /fit h e- ,Aa A%n a -es 4vh �r Phone 907/727/8864 Engineer's Printed Name l!u V, e, , Date Z--/Z?r z �, f S �. . • Y!'.. YJ.-',� . s . . . . . • ..i ? • MICHAEL N, ANDERSON t'• =�:�•. CE -9469 ,kt •,... w COSA Checklist June 2022 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES_ Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage,Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # . '-'~ ;~ - ;D"~ ~,~. ~"'-'- HAA#_ 1. GENERAL INFORMATION Complete legal description Lo-F ,-2~ C_~t ~.~ I ~ Location (site address or directions) 10 "77 S ~ ~-~¢~ ~--; ,,-~l~. Property owner Mailing address Lending agenoy Day phone Day phone Mailing address_ Agent _ Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: -~ = TYPE OF WATER SUPPLY: Individual well Community well Public water 724725 (Rev. 1/91) Front MeAnt NOTE: If community well system, provide written confirmation from State ADEC at~es~. -' mg to the legality and status of system. ,,,,' ~':" ~":: . TYPE OF WASTEWA'rER DISPOSAL: · .~,~," ' ' ' ,' ~ ' Individual wri~en conhrmation from State ADEC :,;.-.. ,':i: :: attesting to the legali~ and status of system.' - ' -.'; ..... ~", :~: '~-" ;, :'-: STATEMENT OF INSPECTION BY ENGINEER As certified by ~y seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm I ~'-~ ~'?,~,-I/~L--~-"2 '~-~- Phone ~q-?~-~/~ Address ,~C~ % t.¢' i,~'-,L.~ t4,,2¢ "~ Engineer's signature i Date ~ 6. DHHS SIGNATURE '?(' Approved for __ . Disapproved. bedrooms, with the following stipulations: Conditional approval for Additional Comments :.~ ~ , ~. ,., / .; .... , ......... . _ , "The ~un c!pa ~ ef A~chorage Depa~ment of Health and Human Se~ c~ (DHHS) ~ues Hca th Author ~ · A~proval Ce~f~c~ bas~ on y upon the representat OhS g yen m pamgraoh 5 above by an independent ¢,p~f¢~Lqna engt~rreg stered n the State of A aska The DHHS doesth s as e court, to purchasem of homes and t~lr Cend[~g nsbtutions m order to~t~s~ ceda n fedem and state mqu rements Emp oy~ of DHHS do not conduct mspecbons or anal~e data before a ce~ifi~te s ~ued ,~he Mun c pa ~ Of. Anchorage s not :,:~;. .... '. ~; : .,:.' '_ ~ . :,:, - '. - : - ) ': ' ":: "'.'~',;,,; _,h. h' ": '- % Municipality of Anchorage Depar[ment of Health and Human Services HEAl. TH AUTHORITY APPROVAl. CHECKLIST Legal Description: A, Well Data Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Parcel I.D. Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number '"-/ Date completed )0 -' ,.~ '.~ '(-~ LT) Driller /~L'i°l ¢..~ ~/t Cased to ~5~ cji Wires propedy protected (Y/N) FROM WELL LOG AT INSPECTION I ~ .g.p.m. ~/ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I I ~3 Absorption field orl lot I / b Public sewer main ~//d~' Sewer service line ~ (56;) Casing height g.p,m. ; On adjacent lots ~ 10~3 ; On adjacent lots I ,~ O ,~F Public sewer manhole/cleanout i~]//'\' Petroleum tank ~J j[g Itl WATER SAMPLE RESULTS: Coliform d Date of sample: iii (?/q Nitrate 3, ~ ~.~ II Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed j ~ ~(9 Cleanouts (Y/N) "/ High water alarm (Y/N) Date of pumping Tank size / ,'~- 0-6 Compadments Foundation cleanout (Y/N) _ '? Depression (Y/N) Alarm tested (Y/N) SEPARATION DISTANCES FROM SE!PTIC/HOLDING TANK TO: Well(s) on lot J l C' On adjacent lots _ ,>) I o--O Foundation l C1 To property line ~' ,!'~ ?'-' Absorptioe field L~ Water main/service line 1¢-¢ L/;; Sudace water/drainage b,/ I 0 72-026(3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed I, I '50 /cfr' Size in gallons ~'~ Vent (Y/N) '-/ "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer /~,-1~, ~.~LI "~"-',~,.~ ]C_ Manhole/Access (Y/N) "'/ ~'~1~ ~ "Pumpoff" Levelat ~ ~ Cycles tested ! F2 SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 11'O On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ,~-; 0 Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) I '-,5 ~ I~)a Soil rating (GPD/FF) Width '~ ~ '~' r ¢* /, k~ Gravel thickness )/~ 7¢~ Cleanout present (Y/N) '"'// ~1B /~ ~/ Results (pass/fail) System type ~5Total depth Depression over field (Y/N) for ,~ Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ~ / ¢-~2 Properly line To existing or abandoned system on lot Cutbank h~/o Water main/service line Driveway, parking/vehicle storage area ,?" -z..4 E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to ali MOA and HAA guidefines in effecJ.p..n..the, dateg( this inspection. HAA Fee $ ~;~O ~ - O~ Date of Payment Receipt N u m be r ( ¢/~'/,~¢ Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Commercial Testing & Engineering Co. !;!il Environmental Laboratory Services m~,~.,~.~,~.~.~,,~.~.~,~.,~,~.,~,.~2~-~-~-j~'JJJJJJJJ~JJ~JJJ~ c!ien~ Sample ID L2BC SEC!5 LABORATORY ANALYSIS REPORT UA Sample Remarks: ROUTINE S~MPLE COLLECTED B"-': T.S. ...................................................... UA = Unavailable ~D = Seconda~f dilution. 5633 B Street, Anchorage, AK 99518-1 600 --Tel: (907) 562-2343 Fax: {907) 561-5301 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF FNVlRONMEN'FAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~(''~\ %-~--~"~\ -\ \ HAA# ~ 1. GENERAL INFORMATION (Must be Completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) (b) Location (address or directions) Property owner Mailing Address (c) Lending Institution Telephone: (home) .~ ~d'"~c"qT. Business Telephone Mailing Address (d) Real Estate Company and Agent /~_ Address ~ ¢"E:~ 0 ~;::~ r'¢--,~'O ~- ~ ~.~ Telephone ~ ~ ' ~ 7~'-{ (e) Mail the HAA to the following address: (or check here ~, if hold for pick up.) List contact person and day phone number below: "T'e~ ,=,,- ¢A/,.r 3' 2. TYPE OF RESIDENCE Single-Family ~. Number of bedrooms WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4.. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page I of 2 8 ~o ~ abed leAoJdd¥ leUO!~!puo0 Jo SLUJe/ leUOJi!puo0 peAoJddesia / ' suJooJpeq ,/~ pa^oJddv / JOJ paAoJddv 'I¥^Ol:tdd~/SHHCl '9 'uoBoadsu! s!4~ jo e~ep eq] uo loajja u! suoBeln6aJ pub 'aeoueu!pJo 'sepo9 ale,S pub ledp!un~ lie qW~ eoUe!ldwoo u! s! Lue~s,~s lesods!p JaleMelSBM Jo/puB Xlddns Je~eM a~!s-uo eq~ 'uoBoedsu! pub uo!leb!~se^uf ,~w woJJ pub Sel!J a6eJoqouv jo /lHedp!un!AI eq~ woJ~ peujm, qo UOBeLUJOJU! eq~ uo paseq le41 XJ!Ja^ Jeq~JnJ I 'u!eJeq peleo!pu! e~n~onJ~s ¢o edXi pub swooJpeq jo ~eqLunu eql roi alenbape pub fBuoRounj 'ajes s! wa~s/,s lesodslp JaleMa~SBM to/puB ,~lddns JejeM e3ls-uo aq3 Ieql SMOqS Ie^oJddv /~l!Joq~.n¥ 411eaH s!ql jo uoBeegseAu! XLU leql ,~J!JeA I 'MOleq UMOqS alep uoBeP!leA aql jo se pub oJaJaq pBx!jiB leas XLU ,~q paijB~eo sv NOI.LVlNIJO4NI ON¥ ¥.L~'a 'HOId~!iS ~lll-t '$.LS:~.L 'SNOIIO=JdSNI lDNlalAOBcl IN~dlJ 9NIId~I~INIeN=I 'g Well Classification P~'l FATE Well Log Present (Y/N) ~/ Total Depth ~og'~Cased to Static Water Level ___~0 ' Casing Height Above Ground _ Electrical Wiring in Conduit (Y/N) _ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line _ To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments OLD MUNICIPALITY OF ANCHORAGP' (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: Z. ',~', J ~(~ I~' TI2N, R 3 k,', If A, B, C, D.[-'.C. Approved (Y/N) Date Completed _ !o/:Z .~ ,/~/0 Yield 12 Depth of Grouting __N~,/~ , Pump Set At ~' ' Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots !(o ~ 10'7 ~ ; On Adjoining Lots ~ /80' To Nearest Public Sewer Cleanout/Manhole _ '"z/oo FLATTOP TEC~/, S~,'C,S ;Date~O/'~o/¢o B. SFPTIC/HOLDING TANK DATA Date Installed (~/~O Size Standpipes (Y/N) _ )/ Air-tight Caps (Y/N) Depression over Tank (Y/N) _ ~ Pumping/Maintenance Contact on File (Y/N) tq..~. Holding Tank High-Water Alarm (Y/N) Jq,~, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~ IO/ To Building Foundation 1,5'00 No. of Compartments )/_ Foundation Cleanout (Y/N) Date Last Pumped 10/2 ¢0/?0 ;for ~,A . Temporary Holding Tank Permit (Y/N) 14,~ . To Property Line 2,5 ~ To Disposal Field 1'7 To Water Main/Service Line ~' ?'D To Stream, Pond, Lake or Major Drainage Course Comments 72 026 {Rev 7/88l FrOnl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Type of System Design Length of Field ZO ' Depth of Field ~," Gravel Bed Thickness _ ~ ' Statndpipes Present (Y/N) _ Y Depression over Field (Y/N) ~ Date of Last Adequacy Test N,A. (lq£~J ('~ tq 57',) Results of Last Adequacy Test N,~, (N~k./ EONGT,~UCT/Orq) SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well !0'7 ' To Property Line I 3 ¢ To Building Foundation I '2 / To Existing or Abandoned System on Lot ~ ..5'O ' ; On Adjoining Lots 2..10/ To Water Main/Service Line ~ ~O ' To Cutback (if present) /'./ ,/~, To Stream, Pond, Lake, or Major Drainage Course ~./oO ~ To Driveway, Parking Area, or Vehicle Storage Area S"O ' Comments D. LIFT STATION Date Installed 10~2ct /~/o Dimensions ~ ' ~ E ' Size in Gallons ,~oo G. Manhole/Access (Y/N) '7/ "Pump On" Level at FLO/~'r Co~'b f)T 3L~' "Pump Off" Level at FZo~-T CoRb ~T 31.~'" High Water Alarm Level at FLOClT Co~'b ~T 3c/" Tested for N,~. LNEa/ Meets MOA Electrical Codes (Y/N) Comments ~(~c4-¢','~( ,~'~,¢/4~,f(~./~<~,~ ~, Vent (Y/N) ~/ Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HA~.gCdeJj~.e.,~ in effect on the date of this inspection. Signed .¢]"~~ Date II / ~ f~ ,: ~'; ............... :~,,~ Engineer's Seal .OA.o. *¢-¢,¢ Receipt No, Date of Payment //~ 7 --,'~ ~ Amount: $ ./ ,~ ~ ~'~-~) 72 026 (Rev 7188) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 LoT o LOT lifO' 2%C LOT l~ D §ou$£ 138~ FREI4 LIFT 5TA EY I_. 2 8 C 5 ¥E NOTE; THIS 15 NOT /'t SURVEYEb PLAT~ [~I.L I~OCAT ION 5 AI~E' IOJlql z I ' · ' INSPECTIONAPPOIN MEF. DATE ' DATE ~' DATE ~ ~ ~;PECTOR INSPECTO~ ~ INSP MUNICIPALITY OF ANCHORAO~ MUNICIPALITY OF ANCHORAGE nFgT OF IT',",Llll & DEPARTMENT OF HEALTH & ENVIRONMENTAL P~[~NTAL Fi,Oi~Cl't 825 L Street - Anchorage, Alaska 99501 _:~v ~ ENVIRONMENTAL SANITATION DIVISION [[~ ? ~9[~0 Tolophone 204-4720 1, PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different fm~almve) PHONE MAILING ADD~ESS 3. LENDING INSTITDTION PHONE MAILING ADDRESS 4. REALTOR/AGENT J PHONE B, LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE [J~SINGLE FAMILY [~] MULTIPLE FAMILY NUMBER OF~BEDR MS [] TWO J~I'~'-F ivy. [] Three ~] '-~x 7. WATER SUPPLY ~ INDIVIDUAL' [] COMMUNITY [] PUBLIC UTI LITY B, SEWAGE DISPOSAL SYSTE~I ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ATTACH WELL LOG, A well log is required for all w~ s drilled since June 1975. For wells drilled prior to that eate, give wel depth (attach log if available.} 10 /-7~7 YEAR ON-SITE SYSTEM WAS NSTALI. ED, NOTE: THE I N SP ECTJJON-F~LI. ST.,,....~ '"""'~._ACCOMPANYj EACH REQUFST. BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS .~_ [] SINGLE FAMILY [] ONE [] THRE~: [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] iNDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED ~]PUBLIC UTILITY Connection Varified INSTALLER []Septic Tank or [] Holding Tank Size: '7.b--''~) If Tank is homemade BOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~ DISAPPROVED DATE BY 72-010 (Rev. 6/79) 1!)77 Ron~ld To Lowen Star Route A Box 1719H Anchorage, Alaska 99507 Subject: TI2N R3W Section 1~ Lot 28C On--~ite Well Location Investigation of the situation of the location of the ~ell on the above subJeot prop~r~y and consultation wit~ my staff, lead hie to conclude an extension of t~]ile of one(l) year to ~m~ke necessary corre(:tions is exc~ssive and[ failure to make ti%l~o].y correotion:~ could be a danger to the public healtl~ If there are anN' further {B,estions, please con'h~ot this office at 279.-2511, exte~)ion 220. Jo~-~eph So Blair, ~h%vironme]~tal Servicus Manag(~r JSB/ljh MALONEY & HAGGART ANCHORAGE, ALASKA December 9, 19~1 vie ~e___csim~~li.f/jan 343-6?40 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Division P0 B¢)x 196650 Anchorage, Alaska 99519-6650 RE: our Cl;Lent~ La~.A~. Gt~ Our file no. 91.21.1 Parcel I.D. no. DiS-SOl-il ~ no. l{A900480 Dear $ir/M~dam: We represent Larry and Suzanne Gill in a transa(=tien regarding ~eal property purchased ir~ Nove~er, 1990, located at 10770 Spade Circle, Anchoraqe. The matter is now in litigation. We Would like to obtain a copy of your entire file regardin~ the on-site inspection perfo~ed by the Municipality of Anchorage. I have enclosed a release signed by my client authorizing you to release this information to me. WOuld you be so kind as to photocopy the ~ills' file and call ~e a~ your earliest convenience to notify me that the file is ready for my offioe to pick upo We, of course, will be glad to pay any photocopy costs involved. Thank you for your anticipated CooperatiOn. RGH/mp E~lo~osure ~Ani(:ipality of Anchorage Division of Enviro~ental PO ~ox 196650 N 89 °59' 33"E 139.69' 25 1 , ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 28C T12N R3W Sec15 S.M. AK PLAT 70-6 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 shoul( 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. OCT 2, 2022 1 "=40' schullerOak.net 22-107 DRAWN BY: CHECKED BY GRID NUMBER: Bo0#C/PAC+E: JLS SW2537 220352 -Q� = FND ALUMINUM MONUMENT ® = FND 3/4" IRON PIPE Afto; SUR ® OF. A IS, i ;1z o `� ......... ........ ..� ...... U• /YA ? �.. // . . ................ ......! .A co -.JOHN L. SCHULLER.• o � LS --10408 � �10;1'�'� �"�• ' 1831 Talkeetna Street oQ, • ' 0.. z: ,,�'!Anchorage, Alaska 99508 At, p'� �1 O fe � �, ,�„�,. as (907) 227-1455 office sslona.®. ®�Z�`®�'�► (907) 274--4992 fax C D 00 >< Z { Z 0 CIL, 0(0 LOT 28C Q Li � c 00 d�- C\j 00a L N _j 0 x '� �~X SH X 71(D � U ► tn X -----X--_-- _ U0 W { Q = WALL 14.9' Q 0 COA W d - Q"0 WELL. 2� D � Ln 0 C7-;4- Q - 16 p ' 132.7' N � � �' .� �� i`�� ,` �✓ 0 CD 0 t d Zp o 20.1' Z 0 }O �D <Y N PAVED SEPTIC 09 D /W { VENT MH (tyP) N89°56'50"E 139.68' (N90'00)00 E 139.76' R) s Ln O' M ALLEY ROAD A. , ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLM LOT 28C T12N R3W Sec15 S.M. AK PLAT 70-6 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 shoul( 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. OCT 2, 2022 1 "=40' schullerOak.net 22-107 DRAWN BY: CHECKED BY GRID NUMBER: Bo0#C/PAC+E: JLS SW2537 220352 -Q� = FND ALUMINUM MONUMENT ® = FND 3/4" IRON PIPE Afto; SUR ® OF. A IS, i ;1z o `� ......... ........ ..� ...... U• /YA ? �.. // . . ................ ......! .A co -.JOHN L. SCHULLER.• o � LS --10408 � �10;1'�'� �"�• ' 1831 Talkeetna Street oQ, • ' 0.. z: ,,�'!Anchorage, Alaska 99508 At, p'� �1 O fe � �, ,�„�,. as (907) 227-1455 office sslona.®. ®�Z�`®�'�► (907) 274--4992 fax