Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 31 SW4NW4SW4NW4SW4T15N RIW Sec 31 SW4 NW4 SW4 NW4 SW4 051-351-03 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW Aoto el�_ rVS cec ❑UPGRADE MAILING ADD )SS 8 rn A C t /Z LEGAL DESCRIP ION LOCATION NO. OF BEDROOMS Well / } Absorption are/ Dwelling / PERMIT NO. Uy DISTANCE TO: D - � 4-'� f�� WQ Manufacturer l.. �2 Material �,� � No. of compartments �- ~ N Liq, capa gallons LL IF HOMEMADE: Inside length Width Liquid depth 0 �' DISTANCE TO: Well Dwelling PERMIT NO. J � z = z F Manufacturer Material Liquid capacity in gallons DISTANCETO: Well JS� Foundation I 1 . 5 Nearest lot line / PERMIT NO. n et f Z IF -'Length of i?a 1" e/� Total length o li es/} Trench width Distance betweenV /} ITT,- incheTop of ti le to finish grade / �� Material beneath ti le � inches Total effective ab or do rea �� `/'' Length Width epth PERMIT NO. w (7 Q h Type of crib Crib diameter C depth Total effective absorption area Lu y Well Building foundation Nearest lot line DISTANCE TO: J Class G Depth150 illtrys i C. Distance to lot line PERMIT NO. J ✓ , V DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS V11M Lt Pv G SOIL TEST RATING /a� i/ i R �1 INSTALLER I G' REMARKS 1 eo E 3 T, �O, s a q� I d I. , kuberf A. Shafer J. 1457-E APP O E DATE LEGAL tno 19ox.RIVER AUSKGA �w6t7 7713 (rev. 38) I /7 MUNICIPALITY OF ANCHORAGE Department -1 Health and EnvironmentaY'Jrotection 825 Street, Anchorage, AK. _9501 264-4720 # # # HANDWRITTEN PERMIT # # # Permit WEtt OR ON-SITE SEWER PERMIT Nv Applicant: Location: 0 1 GGG ) Mailing Address: I y Phone Number: PCO, Qxtel% _fir Legal Description: /_O/ J / /S/YK6LU ) 'S / Type of Soil Absorption System Is: Trench: X Drainfield: Seepage Bed: Lot Size: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the .Soil Absorption System Is:' 5 'v DEPTH LENGTH �� / GRAVEL DEPTH �3 WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). _ * * REQUIRED SEPTIC018EDI-,Na^) TANK SIZE _ � y GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * # * TWO(Z) INSPECTIONS ARE REQUIRED # # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # # # PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes*tha3 (3) I understand that the on-site sewer systere enl rg en if the residence is remodeled to include mordroom .Signed: �-�1 Issued by pplicantDate: SWP/024(1/81) 1 A' SOILS LOG MUNICIPALITY OF ANCHORAGE 11 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: / — Lf \ apl,�$7 DATE PERFORMED:( r LEGAL DESCRIPTION: `7�- c SLOPE SITE PLAN 1 ' 2 3 4- 5 0.. 1 6 © � 7 '01 .V 9 t,' l7 10 U O, 11 12 13 0 14 15- 16- 17- 18- 19- 20 51617181920 COMMENTS snrvOY Qv' -F i/0 9/'m WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? �— S L O P E PERCOLATION RATE �//7 (minutes/inch) TEST RUN BETWEEN FT AND � FT PERFORMED BYtj,gs ' �aGa1, CERTIFIED: /- DATE III pit a9�-2J79 72-008 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop 9 o .C° V ys �� PERCOLATION RATE �//7 (minutes/inch) TEST RUN BETWEEN FT AND � FT PERFORMED BYtj,gs ' �aGa1, CERTIFIED: /- DATE III pit a9�-2J79 72-008 (6/79) M -W DRILLING, Inc. P. O. Box 4-1224 • 1310C International Airport Road (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Linda Parker Location (address of: Township, Range, Section, if known; or distance main road Tot 5 Sar '11 1 T 1 SN R 1 W, S lel Size of casing 6 Depth of Hole 184 feet Cased to feet of Well Domestic Static water level 159 ft. (ODM (below) land surface. Finish of well (check one) open end ( XX ) ; Screen ( ); Perforated ( ): Describe screen or perforation Well pumping test at 5+ gallons per (11W (minute) for 1 hours with 10 / ft. of drawdown from static level. Date of completion 5/10/83 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 Stick up --L—To 140 Brown Silty Gravel & Cobbles 140 TO 155 Brown Silty Gravel &Cobbles 155 TO 165 Brown Silty Gravel (Da11D) 165 TO 184 Clean H20 Gravel 5 GPM TO TO 1 —CUSTOMER Time APPLI(_,NT FILLS OUT UPPER HA' ''' ONLY Time Property Owner � � ' . �.,I � �. � Phone - �, I % Zip Code Date n, -1 U Ma#ling Address ; ,(, . - �!t Inspector Inspecto \ G Buyer �.. C. \ Address Zip Code Lending Institutioni"j` / DEPT. OF HEALTH & Phone Address - ENVIRON 1 NTAL PROTECTION Zip Code Realty Co. & Agent SS P 14193`4 9 LAS. Phone Address APPROVED BEDROOMS Zip Code 'CONDITIONS Legal Description ��'L.G�=%. % C'7� l'.! E i /-� .i ��A _ Street Location / - l r,%-:- ) L BY: ti Type of Residence ❑ Sin le Family Soils Rating Date Sewer Installed - ultiple Family No. of Bedrooms — Well Log Received Septic Tank Size Z.SC.) ❑ Other 5 -_8 Well to Tank ' 'b y Water Supply ndivitlual � `. ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. O Community \/ For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility - Sewer Disposal / �; Xj �ividual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date 4. Date n, -1 U Inspector Inspector Inspector Inspecto \ G �.. C. \ Field Notes: ,,l, MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRON 1 NTAL PROTECTION GL SS P 14193`4 9 LAS. RECEIVED APPROVED BEDROOMS 'CONDITIONS OF APPROVAL DISAPPROVED ( ) CONDITIONAL APPR AL' DATE �� BY: ti Soils Rating Date Sewer Installed Well To Absorption Area Sa Well Log Received Septic Tank Size Z.SC.) 5 -_8 Well to Tank ' 'b y 7220x] (Neel r Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 kklt'SMITTA CERTIFICATE OF ON-SITE SYSTEMS APPRUAL JAN 2 2 2014 L Parcel I.D. 051-351-03 Expiration Date: 1. GENERAL INFORMATION Complete legal description T15N RIW, SECTION 31; SW4, NW4 SW4 NW4 SW4 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 13707 KNOB HILL DRIVE, EAGLE RIVER, AK, 99577 THOMAS HATSADY Day phone 13707 KNOB HILL DRIVE, EAGLE RIVER, AK, 99577 830-5020 WON ZONG W/ REMAX Day phone 227-2327 2. TYPE OF DWELLING: XDuplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: n O Received by: +E s "rte iC COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA# obc_� N loo` b Date: Waiver Fee $ Date of Paymen Receipt Number Waiver # Distance: — 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site watersupply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, L(D. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identilrable features. The oparetionallife of all welts and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions am outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTO. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this reportis for the sole benefit of the ownerlisted above. Any reliance upon or use of this report by any otherperson orpany is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE __Z System #1 Approved for --4-- bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. 337-6179 Date bedrooms, with the following stipulations: OF `j ON -SATE g WATER AND z^ ,hlASTFWpjE�R ®� Original Certificate Date: I - a V - The l0diiicipalify of %nchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory In— runs t,_ Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: T15N, R1W, SECTION 31; SW4, NW4, SW4, NW4, SW4 ParcellD: 051-351-03 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/10/1983 Sanitary seal (YIN) YES Total depth 184 ft. Date of test Static water level Well production Cased to 180 ft. FROM WELL LOG 5/10/1983 WATER SAMPLE RESULTS: 1 Coliform 0 colonies/100 ml. Arsenic: AJ!0 ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate 3 Ie mg./L. Well Log (YIN) Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 1/9/2014 165 ft, Date of sample: 1/ 13/2014 Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments E 4.45+ Collected by: GEG, Ltd. Date installed 5/13/1983 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N1) NO High water alarm (Y/N) N/A Date of pumping :5 l 3 Pumper „; 7 OL 9:,-r;,[ S C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE Date installed 5/13/1983 Soil rating (g.p.d.lftor /bdrm 110 System type TRENCH Length 44 ft. Width 2.5 ft. Gravel below pipe 5 Pa ft. Total depth *8.6 ft. Eff. absorption area 440 ft2 Monitoring tube **YES Depression over field NO Date of adequacy test 1/9/2013 Results (Pass/Fail) PASS Fluid depth in absorption field before test 27 in. Water added 650 gal. Elapsed Time: 120 min. Final fluid depth 30 in. Absorption rate >_ For 4 bedrooms New depth 38 in. 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — **NOTE: SUMP ONLY EXTENDS 43" BELOW INVERT OF DRAINPIPE. TOTAL DEPTH AND LIQUID LEVELS ARE CALCULATED. t D. LIFT STATION Date installed Size in gal "Pump on" level at in. "Pump off' level Manhole/Access (Y/N) level at Cycles tested Meets alarm & circuit requirements? E`.' SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots too'+ Absorption field on lot 100,+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: _ Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *PER WAIVER G. ENGINEER'S CERTIFICATION I certify that f have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name = JEFFREY A. GARNESS Date J 1Z414 (Rev. 11/05) Driveway, parking/vehicle storage 10'+ Municipality of Anchorage • j Development Services Department r� ► _ '� Building Safety Division +. On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 9951519-6650 (✓I I Un_f+„_y www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. D 51 -,561- 03 CosAV %ixaN01.3 1. GENERAL INFORMATION Expiration Date: / Cz " d Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T15N RlW SECTION 31 SW4, NW4, SW4, NW4, SW4 13707 KNOB HILL * EAGLE RIVER AK 99577 CHRISTA CONNORS Day phone 250-2605 13707 KNOB HILL • EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site E Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 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 rites and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) In compliance with alt applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Q EA -IL Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSO Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the Gime of the test, and separation distances measured to readilyldentifrable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole beneffl of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for bedrooms. Disapproved. A / A Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other GST -• .Vo . 0 - ON -SITE • ••�S' WATER AND m: WASTEWATER �• PROGRAM By. Original Certificate Date:_ f —II O % (RAv. 17N5) Municipality of Anchorage -- Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragew Street P.O. Box 198650 Anchorage, AK 995196850 www.rnuni.org/oreft (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T15N R1W SECTION 31, SW4, NW4, SW4, NW4, SW4 Parcel ID: Q_6'/- 35-/-Q-3 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/10/1983 Sanitary seal (YIN) YES Total depth 184 ft. Cased to 180 ft. FROM WELL LOG Date of test 5/10/1983 Static water lemrel 159 ft. Well production 5 g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 7/12/2007 163 ft, 5.3 g.p.m. Coliform Q colonies/100 ml. Nitrata73-65mg./L. Other bacteria _colonies/100 ml. Arsenic: do ug./L. Date of sample: 7/12/2007 Collected by: GEG Ltd. B. SEPTIGHOLDING TANK DATA TankType/Material SEPTIC/STEEL Date installed 5/13/1983 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cieanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 6/28/2007 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA Date installed 5/13/1983 Soil rating (g.p.d./feort(� 110 System type TRENCH Length 44 ft. Width 2.5 ft. Gravel below pipe 5 ft. Total depth _!Z&& -ft. Eft. absorption area 440 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/12/2007 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test"0 in. Water added7'40 gal. New depth 14 in. Elapsed Time: 270 min. Final fluid depth 0 in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN if yes, give date - **MT ONLY EXTENDS 45.5 INCHES BELOW THE INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access(YM) "Pump on" level at —in. "Pump off" I High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/llR station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ Public sewer manhole/clesnout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ' 7' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS • 7' PER AS -BUILT SURVEY. SEE ATTACHED WAIVER LETTER. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and •' 4 .7* review of Municipal records that the above systems are in ' • """' • • ' . • .. • • • • •' • • • conformance with MOA COSA guidelines in effect on this date. •,Jef a. Engineer's Printed Name JEFFREY A. GARNESS ` Q 79/j3 Date COSA Fee S !/3(3, o1) Date of Payment1711� D-7 Receipt Number & 1010 (Rw. 11/05) Waiver Fee # 1 -7 6. o Data of Payment 2h_51 _5, V 7 Receipt Number $ O 1 q O 07/10/2007 TUE 15:28 FAI ASBUILT-NO CORNERS SFT TW HZRcBY CERTIFY -THAT I HAVE SURVEYED THE OLLOWING DESCRIBED PROPERTY -irF WD THAT NO ENCROACHMENTS EXIST EXCEPT AS NOICATED. IT IS THE RESPONSIBILITY OF THE &WNER TO DETERMINE THE EXISTENCE OF ANY :ASEMENTS, COVENANTS, OR RESTRICTIONS "riICH DO NOT APPEAR ON THE RECORDED SUBDI- ISION PIAT. UNDER NO CIRCUMSTANCES SHOULD NY DATA HEREON BE USED FOR CONSTRUCTION F FENCE LINES, OR FOR ESTABLISHING BOUND - Ry LINES. 2002/002 dW/U6 e S TISN (2-ILA1j Sr- 11 3 sw4� NuUL+ Sw+ NwLf- -SwL{- SCALE: �� 7o Qaasy�*e F DATE& ` P�� O A��s�e . � GRID:. cern. 1 �Y!•v scr/ / s� FB o�.. a ..,e _M j �9•rS Aw �'•, 1S-6918 DRAWN: ays °`AaawT'' GARNESS ENGINEERING GROUP, Ltd. - — -- .—:-_---= , T CONSULTANTS & GENERAL CONTRACTORS r - , - - =— -- - —"' July 19, 2007 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 Ref: Lot Line Waiver for T15N, R1W, Section 31, SW4, NW4, SW4, NW4, SW4 To whom it may concern: We request that your department issue a 5 -foot lot line waiver from the west property line to the existing drainfield. The drainfield is next to the road on both comers of the lot. Surrounding septic systems are more than 60'+ from our drainfield. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337,0179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 r Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: www.gamesscngincering.com Municipality of Anchorage Development Services Department +.r Building Safcty Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.ci.anchorage.ak.us (907) 111-7904 Waiver Review Worksheet WR#: 070046 PID#: 051351-03 HA#:070363 Permit#: Date Received: 9/5/07 Legal Description: T15N R1 W Section 31 SW1/4 NW1/4 SW1/4 NW1/4 SW1/4 Engineer. Jeff Gerness Garness Enaineerina Group Applicant: Christa Conners Waiver Requested: 5 feet separation distance absorption field to property line. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: .... season ... ...........y..manages ... ........................................ as Waiver Is Granted: Waiver Is not Granted., List Conditions or Reasons for above: Date: 9-1/-07 By: ........................................ Rec#:19 5107 Amount: $175.00 Date Paid: 915107 ................................... AZuniciPalit.y of .Anchorage v I:(1. IG�x I!Xi1Li)- Aav1wnigc,.U;iamNix (1X171:S i-KNXI ' 471X1 llml;.nc Strcct •:lnchnm>;c, :\6alu; !XLi117 a�ru.nuwLurg Ilnynr.11urk Ikgich Ilulldln� S.ifety DMsion 9/11/2007 Jeff Gamess Gayness Engineering Group, Ltd. 3701 E. Tudor Rd. Suite 101 Anchorage, Ak. 99507 Subject: Waiver Request for T15N RIW Section 31 SWI/4NW1/4SW1/4NW1/4 Swl/4 Waiver Request #WR070046 Parcel ID #051-351-03 HAM 070363. . Dear Engineer, Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program C01111111111itY, Security, Prosperity