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HomeMy WebLinkAboutCOLT LT 1Onsite File • t 8 om j&Ikt Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191065 PID Number: 018-331-13 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑® New ❑ Upgrade Name SPINELL HOMES,INC ABSORPTION FIELD El Deep Trench 0 Wide Trench E] Bed E:1 Mound Site Address 5241 LOC Oman Lane ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.8 GPD/SF 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Colt 1 Fill added above original grade 0.0 Ft. Gravel length 2@30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 600 Ft2 2 8.0'+ Ft. Well 1001-1- 100,+ 6or CJ TANK 9 Septic ElS.T.E.P. El Holding [:1 Other Manufacturer Infiltrator Capacity 1094 Gal. Surface Water 100,+ 100,+ Material Plastic Number of compartments 2 / Lot Line 5'+ 10'+ NA Foundation 10,+ 1 Q'+ / LIFT STATION Manufacturer Capacity Remarks 'Electrical Gal. Alarm location installed by Installer PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Reid Pomraning Drainfield 3034 CO/MT3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 265.0 ft Inspection ection 1s' 4/26/19 2�e 6/13/19 Location and description 3"' 6/13/19 4m 6/14/19 Bottom Trim @ A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date � OF AL,, k �� meg. •�- .y��� TH tom' A ,i�tevon N. PryrinG1711. Septic Syste Aper �2= 2(%� :�• . f Ei Q �' `•:;._ �C©Q Date -�- Note: this approval does not include well permit requirements. .6'r -�-I LI) C-) n m 'O m O•.•.�_ I --- W W N QJ W N 0 cc: N Omm �Ln 8m m0 m -1Z -00 ;u z(AL. �OmDO� T Dv� r r-, >C7Dmr-n� -! D coW > i/7 6: P, SiZZ�-i I I DO ZjmxQm§xwmx D00='{ -I >fVA -C� C7 .z-., r-0rO N rM, DX �rn =��0 *1 I?'lO z DD Oczi O -I-O-r momma C I I 0, L", to-ODCn U O .. O J I rn z Z W m z z � � O. p 0 V ('�N. O.. m -+ Co - 0 o -i IQ 0 co ,Q ; Lo D z Z ` �m V) m -P Lrl 'TmjV.. 0-0 ON� 6� O a m ;0;:op D r G CIS vI� m = U� N m —I -. Z n E m m m a A L mN N v 03 V cO CO 0) -1' OD N W O) CO V cD W W N O O i O oo ION CLEANFOUNDU CLEAN OUT o CLEAN OUT O D� I>C z m o� m 'j CLEAN OUT n I I DOUBLE CLEAN OUT FLOW SPLITTER = CLEAN OUT ---I MONITOR TUBE oz 5) n i 0 E--- 1 CLEAMONIN OR TUBE CLEA L�V ' N OUT 0 m i 2 3 NOTES: RECORD DRAWING ' DRAWN I ACP I SITE PLAN A .p W W N N Cn T rn W rn rn NG7 rn O V -a fD cn O rn O .a N L.+ O7 Cl V D 6� W ? CIS -. N -. CO CW •A O N v 03 V p p cO CO 0) -1' OD N W O) CO V cD W W N O vEl i :I,Cn m W c0 PANNONE ENG SVC LLC P.O. BOX 1807 PALMER, AK 9645 ��pFq�q\Slt ~REVISIONS D9/24/2019 PHONE 907 745-8200 FAX 907 745-8201 :yr\P• �tft' REV1:12/17/19 scALE COLT Li i*• •�. � 1'• = so' SPINELL HOMES,INC .•. / P.I.D. NO �•�•t'n 0. onnone 018-331-13 W. 31900 NORTHERN D #200 SITE14LOC LOMANBAE �lIk5OSP191065 ANCHORAGE, AK 2 of 2 „�t,r` MUNICIPALITY OF ANCHORAGE cJ', O J `) On-Site Water & Wastewater Program �o��� ��1 S� 1i PO Box 196650 4700 Elmore Road ��. y r. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 `.`ice ��,' htlp://www.muni.org/onsite w.muni.org/onsite I ”1. n 'Kt i 1' ��yy�l = I)t part'metit CHon�� On-Site Wastewater Disposal System Permit Permit Number: OSP191065 Effective Date: 4/8/2019 Work Type: Septic Initial Expiration Date: 4/7/2020 Tax Code Number: 01833130000 Site Legal Address: COLT LT 1 G:3135 Site Mailing Address: 15241 LOC LOIVIAN LN, Anchorage Owner: SPINELL HOMES INC Lot Size in Sq Ft: 44936 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: ,'5-'3 This permit is for the construction of: Q Disposal Field 0 Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 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 • LOG-9 CO I yncrc 401, -14lt- 72&( lei c2 beJroo°15 -I-c) .r 5'hi/ra Co-*I. Sock tv 3 '( . • 9 Received By: / / 4-4e—' Date: / / 9 Issued By: 11,:;d-Alo-c i .4 . _-- Date: / /� Municipality of Anchorage • ; elh� ,• 1 r.partmrnt P.O. Box 196650 • 4700 Elmore Road Anchorage. Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV191065 COSA#: Permit#: OSP191013 PID#: 018-331-30 Legal Description: Colt L1 o�Z Engineer: Pannone Engineering Services C. �c�'� 5e 2p Applicant: Spinel! Homes Your request for a waiver of the required 50 feet horizontal separation from the absor tion field to the excessive slope has been approved. The approved separation distance is 2 eet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: t70//GJ Approved by:.A ,i Name of,tr=wer **** VARIANCE/WAIVER REVIEW **** PLMIS MUNICIPALITY OF ANCHORAGE Community Development Department 'LI) Phone: 907-343-7904 Development Services Division �-� Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 018-331-30 Property owner(s) Spinell Homes Inc Day phone Mailing address 1900 W. Northern Lights #200, Anchorage, AK 99517 Site address 15241 Loc Loman Legal description (Sub'd., Block & Lot) Colt, Lot 1 Legal description (Township, Range & Section) Lot Size 44,936 Sq. Ft. Number of Bedrooms 3 5 ee CO-ofr2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X Septic Tank ElUpgrade (`^�/wo ADU) El Holding Tank ❑ Renewal Duplex (D) III❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /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) Permit/Rush Fees: 5515 Waiver Fees: Date of Payment: 3lent lel Date of Payment: Receipt Number: 000610 Receipt Number: Permit No. OSpiq 10(4c Waiver No. Permit App_:-:• .:..,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191065, Deb Wockenfuss, 04/08/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191065, Deb Wockenfuss, 04/08/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191065, Deb Wockenfuss, 04/08/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191065, Deb Wockenfuss, 04/08/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191065, Deb Wockenfuss, 04/08/19 SOILS LOG - PERCOLATION TEST TEST HOLE 2 SLOPE • 1 I . SITE PLAN J I OR ORGANICS • Tom`^ L`J LOT 2 I I 3 ` I I 1 / 4 rr-----• 5 M . 6 X me , I I 6 \ l TH TH-2 cp. 7 FINE SILTY 1 SM! SAND WITH 8 GM SOME GRAVEL 1 r `KL W� 9 CD 1T ,.M�M_1\ -TH-1 I 10 /4' __c,,,-, . 4,, 11 1._„ 12 / 7 \ F 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N BOH 15 IF YES,AT WHAT TH DEPTH? -DRY X 16 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 3/10/17 19 DEPTH TO WATER AFTER CLOCK WATER MONITORING? DRY READING DATE TIME NET TIME LEVEL NET DROP READING DATE: 5/22/17 1 3/3/17 2:10 DATE PERFORMED: 3/3/17 6.08 --- 2 2:20 10 MIN 7.50 1.42 3 2:20 --- 6.08 --- 4 2:30 10 MIN 7.39 1.31 5 2:30 --- 6.08 --- 6 2:40 10 MIN 7.33 1.25 PEROLATION RATE 8.0(min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS:Test hole excavated by POMRANING EXCAVATION. PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: ��..��x\ Dote PANNONE ENG SVC, LLC — OF A�til 7,,9i2o, SOILS REPORT P.O. BOX 102954 ANCHORAGE, A 99510 ..i....-- �� qs k0 PHONE (907) 272-8218 FAX (907) 272-8211 7 ico.• �4,,. . .. , Scale AO*: ' • )� *0/ NTS •..• . ••• Ns ... � P.I.D. NO COLT SUBDIVISION ��� xxx-xxx-xx SUBDIVISION OF T12N, R3W, Sec 33, LOT-i•' . � Steven -. -onnone pERMIT N0. SPINELL HOMES /�•V•. CE 8149 .•�i S12341 RABBIT CREEK ROAD .. • SOILS LOG ANCHORAGE, AK ,l \��`�=�� � Sheet 3eOF 3 ]]' RL Rt AY MT. 1 "=30' MOA CASE NO. 512341 COLT SUBDIVISION PROPOSED LOTS 1 & 2 RABBIT CREEK ROAD JO' BEM ROIDNAY ESMT. °i+" M1ae ^Oq SAC. PAHO 0 O M1�` • ya 5 �ORMENT SETBACK 1 9° M1� 1 •M1 ee • 1 I 1 11-01 Po: 16-49 I ryl • ee7 e'` e I 1 1 eM1Os I : ' I e len q bMEETEN. g I I6t.1 ' � LOT 1 44,961 S.F. 8 ' $ I ,4M1' •M1 I T. E. EMT. I LOT 2 44 966 S 7 �6 I I 11 M1� 9 i RSC ❑ M1M1' i b •$ 'J � �e • I I B02 °4 OtE ry, M1 � I r L • 1 e I 1 �e I ^•Q� OI I I 1 1 � GASTALDI LAND SURVEYING, LLC 2000 E AN&O CEN ALASKA• 9507G ROADSUITE 8 11-01 Po: 16-49 Dram: le. CN No.: COLTTOPo CnecMY By. JAG. i pr�•OF••4 q'1'f- • • 49In •: � • ...... ... .. • j'� .MII.rT�_M9in�. g 10' T. A E MT. —10' EMT. la]. K. 9SJJ �J GAAB-HD-I G~.~,,TER ANCHORAGE AREA BORO~'~H HEALTH DEPARTMENT $27 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: t' DISTANCE FROM WELL .~ LIQUID CAPACITY GALLONS. SEEPAGE SYSTEM: SEEPAGE PIT:  "~.,~:~ NUMBER OF MATERIAL COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDTH NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH NEAREST LOT LINE(~;D LENGTH LIQUID DEPTH____ /9/7 / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) BUILDING FOUNDATION-- TILE DRAIN FIELD: DISTANCE FROM WELL , FOUNDATION . NUMBER OF-'~I N ESINE$ ~EN ABSORPTION ~ / SQ'. FT. LENGTH OF EACH LINE TOTAL LENGTH DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TIL[~ IN. ABOVE TILE WELL: T y p E'c~j-,~,/~/~-~ DEPTH NEAREST LOT LINE /(_.7 ,~- . SEWER LINF DISTANCE FROM WATER ~ ~ , BUILDING FOUNDATION SAMPLE NEAREST SEPTIC . SYSTEM /~7~7 , CESSPOOL '-- . SOURCES TANK ~ / SEEPAGE/r_/ ! OTHER DISTANCES: DATE DIAGRAM OF SYSTEM .' GREATEY" NCHORAGE AREA, ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-25 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT · ,. i,> RESIDENCE ADDRESS~Cx~,Io~W,'^J(/ ~-'~)/~t~/~t~, LOCATION OF INSTALLATION APPLICATION TO INSTALL: SEPTIC TANK ¢ , SEEPAGE PIT , DRAIN FIELD TOSERVETNEFOLLDW,NG,AC,L,TY 'a n_ '77, FINANCED THROUGH c-~:~c'-~ L _r"~: TO BE INSTALLED BY PERCOLATION TEST RESULTS ,OTHER. ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS //'~ ~ /~ ~';~ ~¢-}-~ '/~' ) , PERMIT TO INSTALL A AS DESCRIBED BELOW, SIZE OF U~IT TO BE SERVED SEPTIC TANK SIZE /~'~(~ TYPE ~EPAGE AREA TYPE ~' ~¢~f~7DIAGRA~ OF SYSTE~ BISTANCES: ~' l i /~'~''~ LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinanc~ No. 28-68 and that the code. above described system is in accordance with}aid ~) ~"~-- ~,~' ~ i---i, ~") ~/ O ()~ ~(3t l.~ ~' APPLICANTS SIGNATURE ~ j 'REATER ANCHORAGE AREA BOROUGH' · HEALTlt DEPAkTI4ENT CASE F ,, / - 327 EAGLE STREET ANCHORAGE, ALASKA' 99501 · ~ . This Form Reports a: Sozls Log ~ ,.Percolation Tes~ · _ _ _ Feet Soil Characteristics Was Ground Water Encountered? If Yes, At What Depth Location Sketch V--F-C--C-yq I I [ , ~ ~ ,II ~I [ [l J ..... I I Reading Date Gross Time Net Time Depth To H20 Net Drop .erco£azzon (ate 1"/ s~nute Pro.~sed Instal~Seepage Pi( X, I,Dpain FieldI I ' .Depth' Of Inlet l)~th To Bo~$om Of Pit Or TPench , y _S 77 Certif"i'd Well For"_ - _n Location_ '-Dj Lte c6inple e- 3 1-d. =1, 6f weD._..-.;: 'Ali 33 &34 W1 11-Sin-61-fSam ter—_4 .. Distance w—atrate water,.. C61jbm. a from.. to afonxikd=4 t , ?-� :DeKripddn J_Z A -;Ii;A ciw7ecL 6thC :abw 2 'Dr 111er J" 4 Sir id Drilfionq 3401 Spinard Road L Spenard, Alaska We advise you to attach this certificate to your deed. n" N, _w mm - C -,#, to. IF maw, rA%l 1 P j'6, EpoiPS 0 Certificate of On -Site Systems Approval Parcel 1. D. 015-331 jg' Expiration Date: 1. GENERAL INFORMATION Complete legal description Colt Lot 1 Location (site address) 15421 Loc Loman Lane Current property owner(s) Spinell Homes Day phone 1900 E Northern Lights Blvd #200, Mailing address Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic E Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number JR 636 COSA # 05C19/J�I3 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verifyi 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Phone (907) 745-8200 Engineer's Printed Name Steven R. Pannone P.E. Date OF. A�qs���� d Gj.• •:9 I DSD SIGNATURE f System #1 Approved for bedrooms P Stever .�. oniioriz CE 8149 System #2 Approved for bedrooms Disapproved 7OF5SlU ��q Conditional approval for bedrooms, with the following stipulations: F O 1/� ol V 1E o J 1 PCOM Original Certificate Date: 12 -ZCP The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Colt Lot 1 Parcel ID: 018-331-13 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA FE� Well log is filed with Onsite (or attached) Date drilled 1965 Total depth 108 ft Cased to unknown ft ❑ Sanitary seal is functioning correctly FI -M] Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 61112018 Static water level at beginning of test 41.2 ft. Comments B. TANK DATA Age of tanks) 6113119 years Tank type/material Measured operating fluid level in septic tank n/a F01 Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 6/13119 MR ALL standpipes present per record drawing Total measured depth from grade 8.0 ft (max) Measured depth to pipe invert from grade 4.0 ft (min) ❑ N/A - pressurized field X Monitor tubes go to bottom of effective. If not, state depth into effective 0 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 5.0 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? ❑ Yes ❑✓ No FE -1 Coliform bacteria is Negative Nitrate mg/L L1 Nitrate less than MRL (ND) Arsenic 1,1,2 ug/L [] Arsenic less than MRL (ND) Collected by Pannone Engineering / Date of Sample 12110/19 fir' C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date n/a Results ❑ Pass For 3 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ✓� Yes Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' F✓ Yes if No Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' [D Yes if No ft R] Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft . Surface Water > 100' ft ft ft ft ft ®✓ Yes if No ft Property Line > 5' ✓� Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ✓[] Yes if No ft Private Wells > •100' Yes if No. Water Main > 10'✓0 ✓0 Yes if No ft Community Wells > 200' ✓� Yes if No . Water Service Line > 10' M Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓1 Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' ✓0 Yes if No ft Community Wells > 200' Q✓ Yes if No Surface Water > 100' ✓/ Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. / C?,( �/ 0 COSA Checklist yellow sheet .�POF A�qs�4 •lr T% 1 n... ... ... Steven R1Pcnnorie CE 2149 0Fq��SSt�a1?� M ft ft ft TO: Spinell Homes PHONE DATE OF ORDER ORDER TAKEN BY CUSTOMER ORDER NO. ❑DAY WORK ❑ CONTRACT ❑ EXTRA JOB NAME/NUMBER JOB LOCATION Colt Lot 1 (Existing Well) JOB PHONE STARTING DATE 6-1-18 I LRIVIJ. 1 /2 70 IIIlCI CJI t.ICI IIIUIIUI U11 UIIPCIIU UdIdIlUc QTY. I DESCRIPTION OF WORK PRICE AMOUNT 1 1 FLOW TEST Static Level: 41.2' Well Depth 105' Flow Rate: 5 GPM Maximum Drawdown 96.8 @ 5 GPM No discounts will apply if invoice is not paid within 30 days. If paying with credit card please add a 3.75% credit card fee. If invoice is not paid within 90 days a lien will be placed on the property. Thank you, Bill & Cole Sullivan WORK ORDERED BY: SIGNATURE DATE COMPLETED: 6-1-18 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE DESCRIBED WORK. -1 I HEREBY CERTIFY THAT I HAVE SURVEYED THE W Iz m 4 N Z i (a25'o J N IT IS THE RESPONSIBILITY OF THE OWNER TO 10 J O O Z 1 "=40' 1 1 1 COVENANTS OR RESTRICTIONS WHICH 00 NOT YLAI NV. ZV I /-0/ COLT SUBDIVISION LOT 1 44,936 S.F. RABBIT CREEK ROAD N 90°00'00^E 152.41' 5' DEVELOPMENT SETBACK uiv < GRAVEL DR. OZ0NNo3 RAP DRIVE EXISTING BUILDING • SEPTIC SYSTEM AGREEMENT TO PROVIDE ACCESS (2019-010378-0) ' 33' BLM ROADWAY ESMT. I E —- — ———— — — — — —— -- —— 10'T.&E. ESMT. _ 10' TELEPHONE ESMT. S 89°59'48"E 152.41' (BK. 743, PG, 953) AS -BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALOI LAND PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING. LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS ?ODO E. DOWLING RD.. SUITE 8 COVENANTS OR RESTRICTIONS WHICH 00 NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW3135 9/10/2019 ESTABLISHING BOUNDARY OR FENCE LINES, ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB N0. 19-02 COLTI NOTE: NO CORNERS SET THIS DATE BUILDING DETAIL SCALE: 1-20' OF 44 �. * :.49TH .' �. Jeffery A. Gasfaldi AN ®O LS-6091Aw 9/10/2019 ;'�J, I& Pa '6 ®® •• ®®® pro%ss ionol oo ®® ®�llauu '