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HomeMy WebLinkAboutSTOCKHAUSEN LT 21 PTNOnsite File Stockhausen Lot 21 PTN #051-062-79 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201193 PID Number: 051-062-79 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name JOE ALTER ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 21219 GINGER LEE DR ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Subdivision Block Lot STOCKHAUSEN LT 21 PTN Ft. Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holdin g Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft, Well 100'x. 501+ TANK ❑e Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Greer Surface Water 100'+ 1000 Gal. Material Number of compartments Lot Line 10,+ NA PLASTIC 2 Foundation 10,+ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield 3034 MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 101 ft Inspection ection 1" 7/18/20 �d 2 Location and description 3,d 4,h NE CORNER OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 0 P *, �, r •,� ft '49TH •�1 .> 4-J N ; ac MICHAEL N. ANDERSOCE 9 14r Septic Syste Approved Date�A j . ��.: a %�3 v•'�.,`�� Note: this appro oes not include well permit requirements. t'r^r� (RPV 0sx9r1 uM Permit No. OSP201193 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorqge, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: STOCKHAUSEN LT 21 PTN PID No.: 051-062-79 MARK A B C01 10 -4 CO2 12 1 TC01 17 5 TCO2 /20 29 \ CO3 25 Z 1 \ C04 126 1 31 ELL I I o I 1 C01 \\ DRIVEWAY I � I / � I i I ASBUILT SCALE: I"=50' Y�tT BENCH BOTTOM OF SI ITC01 TCO2 0. 03 02 Ci i i NEW 1000 GALLON PLASTIC TANK OLD TANK BURIED IN—PLACE ®®� )F q ®® �•'' •.'•.;Y e � 49TH �: ®® ' MICHAEL N. ANDERSON: iv - 0 No. CE 9469 ' ® 7-30-20 tm®it IMUIL�®® 8474J LOT 13 Sheets Subd. / LOT 22 I / N89032'43"E 178.55 (D) EAST 178.55 (P) W 30 oWell > co 10.7 N00007'1 0"W (P) 4.29 (D) IQ 20.0 - 35.0 v 21.0 (Manhole o S00°36'31 "E 4.29 (D) Q ^ o �l a ` W Carport o 1 Story Frame House 0 Septic vent (typ) `,.• Q N N N W `-� 6 6 20.0 66.7ry 0 N W "'O d � �LOT 21 0Jz Gravel driveway,Zo CL �pc C) 6.5 r V `� = 12.0 Shed 0 O O Cl? 20.1 `�5 M Z z Carport c9 ,fL� IV !\ 5.9 G�`air SCALE: 1 "= 40' 30 Note 1: The boundary of Portion of Lot 21 is described in the EAST (P) 26.63 (D) Warranty Deed recorded June 14, 1982 in book 741, Page 414. Said Deed refers to Plat P-450, N89032'42"E 26.63 (D) Stockhausen Subdivision. The distances per deed are identical to the plat on lines that are original to Lot 21 but LEGEND the bearings are different. (D) Record per deed (P) Record per Plat P-450 Q RECERTIFIED 7-22-20 !G AS -BUILT NO CORNERS SET THIS DATE OF , A ' I hereby certify that I have performed a Mortgagee's inspection AW .S in accordance with ASPLS Standards of the following A A 1F 0 '0" 49th .'�9 6 described property: Portion Lot 21, Stockhausen Subd., 4.9 th ,•4® (Warranty Deed book 741, page 414) See Note 1 00 4-. r ...... .j. Anchorage Recording Precinct, Alaska, and that the X 00 G improvements situated thereon are within the property lines • • •/uuu ® and do not overlap or encroach on the property lying lizabeth L. Walatka . ,o f adjacent thereto, that no improvements on the property lying �P• • 8036 - LS • Je,� ,, adjacent thereto encroach on the premises in question and • pF . • • 5 that there are no roadways, transmission lines or other o io +� visible easements on said property except as indicated MorESSIoNA�- VV, hereon. ®®0®®®� Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 26th day of JUNE 2018. THOSE SHOWN ON THE RECORDED ' �p�� FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON. FB 20-4, pg 16 Engineers and Surveyors UNLESS OTHERWISE NOTED FB 18-3, pg 45 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. 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: OSP201193 Effective Date: Work Type: SepticTank Upgrade Tax Code Number: 05106279000 Site Legal Address: STOCKHAUSEN LT 21 PTN G:1460 Site Mailing Address: 21219 GINGER LEE DR, Chugiak Owner: ALTER JOE T 1/3 & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: ❑ Disposal Field 21 Septic Tank ❑ Holding Tank ❑ Privy Expiration Date Lot Size in Sq Ft: Total Bedrooms „enc fi �� OR - "11611 r, !• Department 6/30/2020 6/30/2021 15071 ❑ 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 B Issued By: 0011", V Date: Date: 3 MUNICIPALITY OF ANCHORAGE Development Senjices Department ; Phone: 907-343-7904 On -Site Water & Wastewater Section -/ Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-062-79 t Property owner(s) TERRAY ALTER Day phone 952-4847 Mailing address 1142 STERLING CREEK ROAD, JACKSONVILLE, OR 97530 Site address 21219 GINGER LEE DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) STOCKHAUSEN; LOT 21, FTN Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank Q Upgrade R Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: l 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: JI' (5� /-5 Waiver Fees: Date of Payment: Date of Payment. Receipt Number: DO 52 G Receipt Number: Permit No. 05P201l ct:� Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201193, Rebecca Carroll, 06/30/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201193, Rebecca Carroll, 06/30/20 I ME 30 LOT 22 N89032'43"E '1178.55 (D) =A C" -r- -1-70 r_= IM OWell Ip— 10.7 20,0 1 36.0 1 2TT Carport 290 C I Story Frame House 6 667 N rteLOT 21 UIravel uriveway, �c J� 04A 'X 3.5 I i.0 Shed 2111 17 A 0 frit ell 12!e3 11`11 L -r -\%J i ki fX_%J.V'J kL-,/ N8903243"E 26.63 (D) LEGEND (D) Record per deed (P) Record per Plat P-240 4k \e VV XINNI 0� 8474f 1 OT 13 Sheets Subd. N00'07'1 O"W (P) 4.29 (D) S00036'31 "E 4.29 (D) Note 1: The boundary of Portion of Lot 21 is described in the Warranty Deed recorded June 14, 1982 in book 741, Page 414. Said Deed refers to Plat P-450, Stockhausen Subdivision. The distances per deed are identical to the plat on lines that are original to Lot 21 but the bearings are different. 4ft" OF AI I AAI 49th -Y I 00 ....................... 00 00 so ............... A# f4 . Elizabeth L Walatko sW A*� 8036 — LS jw ci � Vp'r,? -ftm- EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHO)AII'41HEREON, UNLESS OTHERWSE NOTED FB 18-3, pg 45 AO-w=LT NO SET T1113 DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: Portion LOT 21, STOCKHAUSEN SUBDIVISIW�F_an+ Deied_15661< 741, page 414; See Note 1) Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying iiujduetd iifeoeW efiuUckfi un Vht: Viwtd=z� Ili qut:btivii aims that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this _ 26th —day of JUNE 2018. FRED WALATKA & ASSOCIATES, LLC. Engineers and Surveyors 907-248-1666  ~"-'\ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION (kd L~'~, ~)) ENVIRONMENTAL ENGINEERING DIVISION ~x'~ - ~.~.'/'~'~ ~/ 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ..... PHONE ~W MAIUNG ADDRESS LEGAL DESCRIPTION LOCATION NO, OF B~OOMS DISTANCE TO: ] ~'0~ ~ IAbs°r~ti°n aroa,:~- / Dwelling ,~-- ~ I Material ~ No, of compartments ~ .~ Manufacturer ~J~ ~.~' ~ ~--~L Liq. ca:a~acity in gallons ~OMEMADE: inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons a ~ ~%~*4 ~[~*tth Oriller 'Distance to lot line ~ PERMIT NO, ~ DISTANCE TO: . OTHER PIPE MATERIALS ~ SOIL TEST RATING I0~, INSTALLE~ 72-013 (Rev. 3/78) : PERMIT' ~ ':'"-'~: . .NO, !, ,-,~-~.:----..-, -" APF'LICFtNT MR BILL FILTER 'LOCRT I ON ~EGRL L21R STOCKHBUSEN TYPE OF SOIL RBSORPTION SYSTEM IS: MFtXIMUM NUMBER OF BEDROOMS PO BOX 796 E. R 99577 PERr4~I T~ 694-9150 LOT SIZE ~9999 SQURRE F%ET TRENCH SOIL RATING (SQ FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: /~,~'~ ~3 [~EF,.i~H= 12 LENISTH: 42 6Rt%-'EL DEPTH: ~; THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE GROUND RND 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REG~LII ~:E~l SEPT I C: l-tr-JK SIZE= :1250 13tLLO~JS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THB NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TW~] ( 2 ) I NSPEr:T I 0~4S iRE REC41J I RED BRCKFtLLINO OF ~NY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ±00 FEET FOR R PRIVATE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVBTE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS RND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PER£4 IT E)<F'IRES C~EcE~BER Z;:L. :]LS~-82 I CERTIFY THAT 1: I AM~FRMILI~R WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS AS SET FORTH BY THE MUNICIPALITY OF 8NCHORBGE. 2: I WILL INSTBLL THE SYSTEM IN ~CCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE TH8N 4 BEDROOMS. RPPLICANT MR BILL RLTER O & E ENI~','NEERING & DEVELG. 'MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Performed for: Name: /)~ /~ i c-~- /~/~"7--z=--/~ Mailing Address: ?Z~../_~). ~,~ 7'~'~/ Legal Description: ~---,~ '~ j -~ Earl Ellis 688-2280 Depth (feet) Soil Characteristics 10__ 16 Ground Water Encountered: Yes No / If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: -r~7,~ PLOT PLAN PERC. TEST ... ~ ~v~ ~ % '~;~2... Performed by: Parcel I.D. 051-062-79 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval U 5 g -A P c -F 7... Expiration Date: 1.1 - 7 Z &?_0 1. GENERAL INFORMATION: Complete legal description STOCKHAUSEN S/D• LOT 214 P 71 Location (site address) 21219 GINGER LEE DRIVE CHUGIAK, AK 99567 Current Property owner(s) TERRY ALTER Day phone 9524847 Mailing address 1142 STERLING CREEK ROAD JACKONVILLE, OR 97530 Real Estate Agent ALAN JONES Day phone 440-6929 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -7 fa, 5o IGDLO -1 Date of Payment;2'0A0 Receipt Number 0 ( 2 ('0� G COSA # DSC 2 b y 1 - 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 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 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 (GEG) . Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: > 2 L In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system c ]: 1`v`l.�Y in accordance with the guidelines and regulations established by the Municipality of Anchorage and �`C�,.• < industry practices. The reported results describe the condition of the system/s on the date/s of the ✓ p :•' G�Ij evaluation. Separation distances were measured to readily identifiable features. Hidden defects or t L encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including, but not limited to, soil conditions, (� • • • • • • • • . • • • • • • • • • • • • • • • groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the ft- f 6 G- rness system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of V/�? 70 the well or septic system. GEG makes no representation whether an altemative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to �1�° ar : ess,00ll' perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for I.? bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the #AECC884 L1 -Ty tpF���i�i//i AN �- lNgsT__- D m sti t mi ER z O ki Original Certificate Date: Z 026 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of Onsite 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12.doc COSA Checklist Legal Description: STOCKHAUSEN; LOT 21A Parcel ID: 051-062-79 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1982 (ASSUMED) Total depth UNK. ft Cased to UNK. ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/23/20 Static water level at beginning of test 63.5 ft Comments Well production at time of test 5.1 gpm Water storage tank volume NIA gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.46 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Al Arsenic less than MRL (ND) Collected by GEG,LTD. Date of Sample 6/23/20 NEW SEPTIC TANK INSTALLED AND INSPECTED B. TANK DATA BY MIKE ANDERSON, P.E. ON 7/18/2020.FT STATION Age of tank(s) •NEw years ❑ Requir aintenance completed Tank type/material PwsT'c Age of lift station ye Measured operating fluid level in septic tank NEW Lift station material ❑ Standpipes/foundation cleanout per record drawing Comments* Date of pumping NEW D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 10127102 Adequacy test date 6/23/20 RM ALL standpipes present per record drawing Results [DPass For 3 bedrooms Total measured depth from grade *9 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 5.2 ft (min) Water added 896 gal ❑ N/A — pressurized field 0 ❑ Monitor tubes go to bottom of effective. If not, state New depth in 0 depth into effective `3 8' Elapsed time min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: 'SUMP (MT) DOES NOT EXTNED TO BTTOM OF DRAINFIELD. DRAINFIELD SHOULD HAVE 6' OF EFFECTIVE. COSA Checklist yellow sheet 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' [Z] Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft 0 Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' F�l Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft 0 Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [Z] Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' ✓0 Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' ✓V Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ✓0 Yes if No ft Water Service Line > 10' 0 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' ✓0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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. COSA Checklist yellow sheet #AECC884 8474J LOT 13 Sheets SUM. I LOT 22 ( / N89032'43"E 178.55 (D) EAST 178.55 (P) f 30 } > °well Co 10.7 N00°07'10"W (P) 4.29 (D) 0 20.0 , 35.0 `r v 21.0 anhole o o r rr p o S00 36 31 E 4.29 (D) .-� Carport `� U 1 p o p o 1 Story Frame House o Septic vent (typ) W C_ p o N N J N 20.0 66.7 f N - 6.6 W �o X01 CD �� _z Gravel driveway. LOT 21 0 M 6.5[Shed oeo 020.1 b` `' ZO Carport 5.9 �G SCALE: V= 40' I 30 Note 1: The boundary of Portion of Lot 21 is described in the EAST (P) 26.63 (D) Warranty Deed recorded June 14, 1982 in book 741, Page 414. Said Deed refers to Plat P-450, N89°32'42"E 26.63 (D) Stockhausen Subdivision. The distances per deed are identical to the plat on lines that are original to Lot 21 but LEGEND the bearings are different. (D) Record per deed (P) Record per Plat P-450 RECERTIFIED 7-22-20 AS -BUILT NO CORNERS SET THIS DATE m' OF I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following mw A described property: Portion Lot 21, Stockhausen Subd., 49th (Warranty Deed book 741, page 414) See Note 1 ! .:J... ....�. Anchorage Recording Precinct, Alaska, and that the �/improvements situated thereon are within the property lines cum / and do not overlap or encroach on the property lying Nlizabeth L. Walatka , ,� ea adjacent thereto, that no improvements on the property lying srF • . 8036 - LS . • •�� adjacent thereto encroach on the premises in question and AW that there are no roadways, transmission lines or other g o pROFessIONA� •LP�'� visible easements on said property except as indicated a hereon. ��®ate' Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN r� . this -26th day of JUNE 2018. THOSE SHOWN ON THE RECORDED - �(%' 2�Zt�FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON. FB 20-4, pg 16 Engineers and Surveyors UNLESS OTHERWISE NOTED FB 18-3, pg 45 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence Is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.