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Home My WebLink AboutSKYWAY PARK ESTATES BLK 4 LT 6Bkyway Park 01 • t #019-141-27 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251060 PID Number: 019-141-27 Dwelling: E Single Family (SF) n with ADU n Duplex (D) El Two Single Family Project: n New E Upgrade Name KIDDLE COMMUNITY PROPERTY TRUST ABSORPTION FIELD El Deep Trench n Wide Trench E Bed 2 Mound Site Address 11941 TOY DRIVE ANCHORAGE El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 3 1 GPD/SFI 0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0 Ft, Gravel depth beneath pipe 0.5 Ft, Subdivision Block Lot SKYWAY PARK ESTATES 4 6B Fill added above original grade VARIES 2.69'— 3.29 Ft. Gravel length 30 Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To; Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches Lift Station Tank 1 Line From Tank Field 1 450 F t2 Ft. Well 1001+ 1001+ 25'+ TANK 0 Septic G1 S.T.E.P, 1771 Holding 171 Other Manufacturer ANCHORAGE TANK Capacity 1500 Gal. Surface Water 100 100,+ Material EPDXY STEEL Number of compartments 2 Lot Line i 51+ 10'+ NA Foundation10,+ 10'+ j LIFT STATION Manufacturer ANCHORAGE TANK Capacity Gal. Remarks 1500 Alarm location Electrical installed by INSIDE WEST ROOM BRICKWELL PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer MNA - ------ . ...... — Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspectes:tion ls' 5/7/2025 ,5/9/2025 Location and description da2 3'd 5/9/205 4h 5/22/25 12nd MH TOP ON-SITE WATER AND WASTEWATER SECTION APPROVAL At Conditional Approval: Date ,0 TH �0. ...... Septic System Approved �17 •• Curt ** Curtis Huffman CE 128991 Dat 07/11/25.. PROFESSO Note: this approval does not include well permit requirements. (Re vAI02118) PID:019-141-27 PERMIT:OSP251060 FIRST WATER CONSULTING SKYWAY PARK ESTATES BLOCK 4 LOT 6B MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251060 Work Type: Septic Upgrade Tax Code Number: 01914127000 Site Legal Address: SKYWAY PARK ESTATES BLK 4 LT 6B G:2729 Site Mailing Address: 11941 TOY DR, Anchorage Owner: KIDDLE COMMUNITY PROPERTY TRUS Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 3/28/2025 3/28/2026 44807 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: F I-`' C_ Date: �l Issued By: Date: O 'Zo Z' S M MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 019-141-27 Property owner(s) KIDDLECOMMUNITYPROPERTY TRUST Day phone Mailing address 11941 TOY DRIVE ANCHORAGE, ALASKA 99515 Site address 11941 TOY DRIVE ANCHORAGE, ALASKA 99515 Legal description SKYWAY PARK ESTATES BLOCK 4 LOT 6B Number of Bedrooms 3 Engineering Firm FIRST WATER CONSULTING Building Permit Number Not Applicable FE APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Absorption Field Initial ❑ Septic Tank Upgrade El Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: 5q,5 Date of Payment: V2 //,Z-,-, Permit No.2 I q Waiver Fees: Date of Payment: Waiver No. Phone: 907-343-7904 Distance: 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! March 24, 2025 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: SKYWAY PARK ESTATES BLOCK 4, LOT 6B The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. The existing 1977 absorption field is also encroaching groundwater. We propose to install one mounded bed and an anchored epoxy steel 1500-gallon STEP tank to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted on March 14, 2025, with sieve analysis. Groundwater was observed at test hole excavation & monitoring. The slopes are flat at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251060, Curtis Townsend, 03/28/25 FIRST WATER CONSULTING SKYWAY PARK ESTATES BLOCK 4 LOT 6B NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. DESIGN CALCS: EX S T . T R N C H . Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251060, Curtis Townsend, 03/28/25 FIRST WATER CONSULTING NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK OR MOUNDED BED. SKYWAY PARK ESTATES BLOCK 4 LOT 6B Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251060, Curtis Townsend, 03/28/25 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 FirstWaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : SKYWAY PARK EST. B4, L6B PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 03/21/2025 DEPTH FEET OG SOILS 1 2 ORG/OL 3 4 5 6 GRAB SAMPLE 7 SP 8 9 10 ML/SM - DENSE 11 BOH 12 13 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 03/14/25 2 min 6” 6” “ 6” 6” “ 6” 6” PERCOLATION RATE <1 (MIN / INCH) TEST RUN BETWEEN 3 & 4 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 7’ DEPTH TO WATER AT MONITORING: 6.7’ DATE: 03/21/2025 TESTHOLE # 25-1 DATE PERFORMED: 3/14/25 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERY RAPID PERCOLATING SOILS – SEE SIEVE SP INSITU MATERIAL SUITABLE FOR FILTER. VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: FRASER & LIZ KIDDLE 03/21/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251060, Curtis Townsend, 03/28/25 % GRAVEL 36.9 USCS SP % SAND 62.7 USACOE FC N/A % SILT/CLAY 0.4 % PASS. 0.02 mm N/A % MOIST. CONTENT 3.5 % PASS. 0.002 mm N/A N/A N/A N/A SIEVE SIEVE TOTAL %SPECIFICATION SIZE (mm)SIZE (U.S.)PASSING (% PASSING) 152.40 6" 76.20 3" 38.10 1.5"100 19.00 3/4"95 12.70 1/2"84 9.50 3/8"79 4.75 #4 63 2.00 #10 43 0.85 #20 23 0.43 #40 10 0.25 #60 3 0.15 #100 1 0.075 #200 0.4 ELAPSED DIAMETER TIME (MIN) (mm) 0 1 2 5 8 15 30 60 250 1440 FRACTURE COUNT (ASTM D5821) Double Face DEGRADATION (ATM T-313) LA ABRASION (ASTM C131/C535) SP. GRAV. COARSE AGG. (ASTM C127) CLASSIFICATION: DATE RECEIVED: TESTED BY: REVIEWED BY: UNIFORMITY COEFFICIENT (Cu) COEFFICIENT OF GRADATION (Cc) ASTM D1557 (uncorrected) ASTM D4718 (corrected) OPTIMUM MOIST. CONTENT. (corrected) PROJECT CLIENT: PROJECT NAME: PROJECT NO.: SAMPLE DESC.: NGE-TFT ID #:10.3 0.9 First Water Consulting Services HYDROMETER RESULT N/A SIEVE ANALYSIS RESULT 2025 Material Testing 7311-25 Skyway Est.B4, L6B, at 5' 25-S-1 Poorly-graded sand w/ gravel 3/14/2025 Aaron Kaiser Sean Totzke TOTAL % PASSING 11301 Olive Lane ∙ Anchorage, Alaska 99515 ∙ Phone: 907-344-5934 ∙ Fax: 907-344-5993 ∙ www.nge-tft.com N/A N/A The testing services reported herein have been performed to recognized industry standards, unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required, NGE-TFT will provide upon written request. N/A 125 130 135 140 145 150 155 0 2 4 6 8 10 12 14 16 DR Y D E N S I T Y ( p c f ) MOISTURE CONTENT (%) MOISTURE-DENSITY RELATIONSHIP ASTM D1557 SILT or CLAYCOBBLES GRAVEL Coarse Fine SAND Coarse Medium Fine 0 10 20 30 40 50 60 70 80 90 100 0.0010.010.1110100 FI N E R B Y M A S S ( % ) GRAIN SIZE (mm) PARTICLE SIZE ANALYSIS ASTM D6913 / C136 / D422 #200#40#101.5 1/2363/4 #4 #20 #60 #1003/8 U.S.SIEVE OPENING IN INCHES U.S.SIEVE NUMBERS HYDROMETER LOT 6A N 89'50'57"E 330.37' SHED 12.2 LCHAINLINK FENCE WOOD FENCE I o BALCONY X N ;7.12.4" x 12.1 " 12.' WELL 8' _^ 2 CHAINLINK FENCE I 21SEPTIC 6 .9' ^ 1 8.2. CABIN 30.0' X ^ 4.2 CLEANOUT� cv 2,47 7' OFCK 4.0' 8.2" x 10.3" z 2 STORY / Ir GREEN HOUSE 0 18,5, RESIDENCE � V o O X 1 1 O.6' W EIS\VE RPM\ <r 10.0' DECK i r� o PR D 24.9' X 1.3 10' UTILITY EASEMENT w LOT 5 ASPHALT DRIVEWAY 3.5' n 282, LOT 6B N GARAGE 44,807 s.f. N Ict 8.2' CHAINLINK FENCE \ x� \ 5' UTILITY EASEMENT �2 8.2" x 12.2" Shed x x x S 89'55'02"W 330.29' LOT 7 PLOT PLAN AS BUILT X SCALE 1 " = 40' GRID SW2729 Project No 14-062 Lang & A S S O C I a t e S, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone 000�DO�p Registered Land Surveyors (907) 522-4625 Fax o p ken@langsurvey.com / jonathan@langsurvey.com o �� F �. qsp� 1 hereby certify that I have surveyed the following described property: LOT 6B, SKYWAY PARK SUBDIVISION 49 TH Anchorage Recording District, Alaska, and that the improvements situated thereon are 0 • • • : • . • • . • • . • . • . • • . • • • • • . within the property lines and do not encroach onto the property adjacent thereto, that Q no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible KENNETH G. LANG o easements on said property except as indicated hereon. OQO i Dated this the Day of at Anchorage, Alaska 04F�Fa •LS-5... SJO� It is the responsibility of the owner to determine the existence of any easements, pROFESSIONA\-oo� covenants, or restrictions which do not appear on the recorded subdivision plat. GRE', ,'ER ANCHORAGE AREA BOR gGtt DepBrtment of EnvironmentBI QuBlity 3330 C Street AnchorBge, AIBsk8 ggS03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM LOCATION SEPTIC TANK: DISTANCE / ~,~,L.4~/~,L,//) NUMBER OF FROM WELL_ ~/(~ MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTFI INSIDE WIDTH ___ LIQUID DEPTH LIQUID CAPACITY/ TILE DRAIN FIELD: DISTANCE [:ROM WELL FOUNDATION TOTAL LENGTH ~/O r NEAREST LOT LINE OF LINES NUMBER OF LINES ____ DISTANCE BETWEEN LINES __ .TRENCH WIDTFI____ IN. TOTAL EFFECTIVE ABSORPTION AREA ~ (~ f '\ Sq. FT. LENGTH OF EACN LINE DEPTH OF FILTER .~)~../r DEPTH; TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ~f / -~'J. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION __ CONSTRUCTION_ _ _~-_(l~_ NEAREST NEAREST LOT LINE SEWER LINE SEPTIC SEEPAGE , TANK SYSTEM CESSPOOl OTIIER SOURCES APPROVED DISAPPROVE[) REMARKS DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: L~OT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM ,~.A..A.B. o,.oh SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PI!EMIT NAME OF' APPLICANT_ MAILING ADDRESS J~/ ,NSTALL^T,O. LOOATION ' INSTALLATION OF: SEPTIC TANK _ TYPE AND SIZE OF FACILITY TO BE SERVED _ SEEPAGE PIT- -----, DRAIN FIELD FINANCED THROUGH ~ COMPLETION DATE ANTICIPATED --~=7- '7 NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING O~-~ ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DI~I'ANCE~, RE(~UIREMENTS FOUNDA'rlON to SEPTIC 'rANK SEPTIC TANK TO SEEPAGE PIT WALL. TO NEAREST LOT ~INE. DRAIN FIELP WATE~ MAIN TO SEPTIC TANK SEPTIC TANK, DRAIN FIELD , ALSO CONSIDER AREA WELLS. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WJTN AIRTIGHT REMOVABLE CAPS. GRAVEL SACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A RAGE AREA BOROUGH OR ANCE NO. 28.(~8 AND THAT THE ADOVE "One ~s~ is ~,orlh ~ ~ho~san~ opinions" ~.~.Q.4~velan~ Anchorage, Alaska 99503 This ~orm Renorts So~ls Loq~V~ ~erc~ati~Test Perth Feet ~,'~.~,/ Soil Characteristics ',~r4~- 10--- 16-- 18-- 20-- Was Ground Water Encountered?_/~ I¢ Yes, At what Denth? 'T L_i Il ~ i I J Readinq Date Gross Time Net Time Depth to H~O Net Dron Percolation Rate rtl nute Proposed Installation: SeenaQe Pit Drain Field Der) th of Inlet ~ Depth To Bottom Of Pit Or,~rench Test Performed ~y ' ~ ~< Data Certified BY: ~,~ __fLTO 2 � ..S, --TO , ? FLT 0 14o 71 il±L—TO --TO— 4L --TO- _—To_ i 61 vy A --TO--- 7 14o 71 lie, _—To_ i 61 d. SON WEt. L DRILLh G:': Well Owner 1305 W~ 45TH STREET ANCHORAGE, ALASKA 99503 PHONE 272-9343 DRIVING LOG Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of casing i,! Depth of Hole (') (3 ';~ f et Cased to__(' V! 5/' feet Static water level // ' ft. (above) (bel0w'}: : .. land surface. Finish of well (check one) open end ( Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at : _gallons per (hour) 5~minut~) for of drawdown from static level. Date of completion ": '! ~[?\-~ /'ii ;/? WELL LOG · } hours with ); Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ,,'.~',, : ~ ' . ;, ,-,:,. '/,'., _TO. .TO. .TO_ TO TO_ TO; TO TO TO TO _TO TO, TO MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251210 Parcel ID 019 -141-27 Expiration Date:,�W P .� Legal description SKYWAY PARK ESTATES BLK 4 LT 6B Site address 11941 TOY DR Current property owner(s) KIDDLE COMMUNITY PROPERTY TRUS X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: A Original Certificate Date 7/16/2025 Th!yCertificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject s tem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 019-141-27 Complete legal description SKYWAY PARK ESTATES BLOCK 4, LOT 6B Location (site address) 11941 TOY DRIVE, ANCHORAGE, AK 99515 Current property owner(s) KIDDLE COMM. PROP. TRUST 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: 0 Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: M 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 or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS 0 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 $ 2 W Waiver Fee $ ! Date of Payment 2 JA S_ Date of Payment COSA # .P5 1 P ► O Waiver # COSA Application Apr2025.doc COSA Checklist_May2025 copy 2.docx COSA Checklist Legal Description: SKYWAY PARK ESTATES BLOCK 4 LOT 6B Parcel ID: 019-141-27 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 6/7/1977 Total depth 80 ft Cased to 80 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 3/6/25 Static water level at beginning of test 47 ft. Well production at time of test 1.2+ gpm Water storage tank volume 300 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.72 mg/L Nitrate less than MRL (ND) Arsenic 6.12 ug/L Arsenic less than MRL (ND) Collected by Date 3/6/2025 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NA – NEW SEPTIC TANK Required maintenance completed, if AWWTS Comments: 1500 GAL STEP TANK C. LIFT STATION Required maintenance completed Age of lift station NEW years Lift station material EPOXY STEEL STEP Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) NEW SYSTEM ALL standpipes present per record drawing Total measured depth from grade 3.3 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes 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) N If yes, enter date Adequacy test date NEW SYSTEM 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 – NEW SYSTEM Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: COSA Checklist_May2025 copy 2.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 07/11/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 07/11/25 O A� rn w 0 0 m 0 ; S a 3- 000 mm0-rp�.Q rt " 40 O " " < m m w A 0 m m m 3aoomy M Iv' AA"m,rt O RO IN drt07�c �- O o -0 0 :L < , o Owe rm N o O o.:-,= W mm O A m 0 G3- G 0 3 �• m < m O 7C N m CL o c.'� rt ° o a '" f fG m Z M_ for 0 S :,^m " Fav C rt S — �c m S� zo S0 m 14 m y m m"m I M rt3 : 3 o o'0 o • -4 —m p < O' m 0 O A a o o ctvl o 0 O N O ?3ff @ N td `4 O N rt m G 0 N� zmm m 3a � N Oto m O Sm < O m m m 7 0 O m a 0 ul N D G D m o N rt O Ln G� z 0 M r M — 0 r� co D 0 O Z C z v m r N � m � c ;o O rI m- IX z N N = n O D z rrim ° D II 0 0 0 0 0 x D m O v _ 0 z o m 0 n 3AIba koi -b- — W O O 1-1 O 4 0) D r- 0