Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutSUNSET HILLS WEST BLK 2 LT 4
GREA.ER ANCHORAGE AREA BOR ,JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
WELL /Cz/
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID C A PAC I T Y_,~:::a"~-~'~G A L LO N S.
TOTAL LENGTH ~ /
/ '~"-~' _OF LINES ~;:'~ u
DISTANCE FROM WELL Jdd FOUNDATION X~ _._NEAREST LOT LINE~') __
NUMBER OF LINES__/~ DISTANCE BETWEEN LINES_ ~¢//~ TRENCN WIDTH'':''~; IN. TOTAL EFFECTIVE
DEPTH: TOP OFTILE TO FINISH GRADE
SQ. Fr. LENGTH OF EACH LINE ~'~"/
.,.,.~DEPTH OF FILTER
~! MATERIAL BENEATH TILE 7c~_IN. ABOVE TILE ~//
WE LL:,~/,, 'II I
_ CONST RUCTION ~ ,/ (~ '~i~") CI
IN.
DEP'r H DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTI?¢(_j ! SEEPAGE
FOUNDATION____ LOT LINE SEWER LINE TANK , SYSTEM
CESSPOOL __
APPROVED
OTIIER SOURCES
SEWER LINE DEPTH:
DIAGRAM OF SYSTEM
G.A.A.B.
Form EQ-O32
F'ER.M I T NO.
Ih,ll IU lt"ql ]( E;:: ]E FII L.. :.E q"' "*,.." E3 IF;'- IF:Il ~'..,[ II;Z:: It.* I CE: IF:~ IIZi!~ lEE: //-/oi
I.. E.F t- RI I lEI 4 [ t.,r~ HERL.TFI RI",tE:' EN',,,' I F::OHMEI",ITFII_ , ¢. J I E.... ~ l ... I I ~-~,~ ~
'""~" r:' . -')
~.... '1 .., E. T JIF, FIE) IE.[ .., I::II",ICHOR. FI[~iEE., Fik:. ql':.) ~EI'?' ~f/.7.
B"-ll E It__ It__ lEI IP41 [> Eli IP,,ll --- ~ :£ 'T' EE EL~ IE Ik,.l~ EE: ~'-;-::'. $' EEZ E;E: ~",'113E "'IF
( '76749 )
RF:'PL I CRNT
LOCFIT I ON
LEGRL
D.W. BIJRD F:'O BO::'?, 4.-d. 72E.' RI"4C.':HORRGE RK 995
I...4. Ei:2 SUNSET HILLS WE:ST SUBD LOT SIZE ;_;.~I~IZIEIO SL~E]FIRE FEET
'Th"PE OF' SOIl_ RBSGRE:TION S"r'STEH IE;: TRENCH
I'"IFINIHUH NUi"IE,'ER OF' BEB, ROOHS = ]':
SOIL F.'.RTING <sg! F'T/BR)= ::1.;25
THE RE6,~UIRE[:, E;IZE OF THE SOIL. FIE:SI]RPTION S'gSTEEM IS:
TFIE L. ENG"rFI [:,IMENSION IS THE: LENGTH (IN F'EET) OF THE TRENCH OR DRRINFIELI).
THE [.~EP'I't4 OF R TRENCH OR PIT IS THE DISTRNCE E',ETWEEN THE SLIRFRCE OF THE
GROUND FIND THE BO]'TOH OF THE E,'qCR',,,'FITION (II',l FEE]"::,.
THERE IS NO SET I,.II[:,TH FOR TRENCHES.
'I,HE GRFIVEL [:,EPTH IS THE i','IINIHUH DEPTI4 OI= GRFI',,,'EL BETWEEN THE GUTFFILL. PIF'E
FIND 'f'NE BOTTOH OF ]'HE E',qCRVFITION (IN FEET).
"It"' !Ldl IZii ,::; ,,'::--':" F :E ~'ql '.E; IF::' E ~2:: l- ][ IZ~ NI ~ IFI FF.'. EE I;.:: E: G:::." Lit .T. E;;~: E:]
BRC'KFILLING OF Ri'.,I'¢ S'-tSTEH !.,.IITt4OUT FINFIL INSPECTION RN[:, RPPRO',,,'FIL E?¢ THIS
E:,EPFIRTIdENT !.,.1ILL. E.)E SUE:JECT TO PROSECUTION.
MINIMIJH DISTRI'.,ICE BE'FFIEEN R WELL FIND FINY ON-SITE E;E!.,.IRGE [:,ISF'OSFIL S"r'S'f'EM IS
'.l.i?JEt FEET FOR R PRIVRTE WELL OR 2OE!l FEET FOE;.'. R PUBLIC WELL.
!.,.IELL. LOGS FIRE RE6!UIRE[:' FIND MUST E:E RETURNED TO THE [)EPFIR]"MENT NITHIN ]:E~ [>FI"r'S
OF THE WELt. COI'4F'LE'['ION.
S;F'ECII'=ICRTIONS RI"4D CONSTRUCTION [:,IRGRFIMS FIRE FIVRILFIBLE TG INSURE F'ROF'ER
I NS'T'FILLRT I ON.
I CEZRTIF~r' TFIRT
~L: I RM FFIi'"IILIFIR NITFI ]'FIE REQUIRE'.'MENTS FGR ON-SITE SE!.,.IERS FIND b.IEL..LS RS SET
FORT'H b"r' 'T'HE I"IUN]:CIF'FIL..IT~r' OF FINCNORRGE,
~:?.: I .WILL INSTRL. L TNE S~'¢SI"Ei"t IN FiCCORE:,RNCE WITH THE CODES.
ii:: I UN[:'ERSTFIN[) THR]" 'f'HE ON-SITE SE.klEF:: S"r'STEM 1'4R'¢ RE6!IJIRE ENL. FII~'.GEHENT IF' 'THE
RESIDENCE IS F.:EHODEL.ED TO INCLUDE HORE THFIH ]: E~E[:'ROOHS.
./* , /"-']
FIF'F'L. ICFtNT D.W. E:UR[:,
,.:,:,,=...
'-'¢' .~, l.~I__ [' FITE
4040 "B" STREET,
ANCHORAGE, ALASKA 99503
PHONE: 907-279-2581
September 10, 1976
W.O. I~17834
Mr. Brent Ulmer
2125 Minerva Way #6B
Anchorage, Alaska 99502'
Subject:
Subsurface Investigation for Suitability
of on-site Sewer
Lot 4, Block 2, Sunset Hills Subdivision
Dear Mr. Ulmer:
Transmitted herein in accordance with your instructions are
the results of the above referenced investigation as performed
by us on September 9 and 10, 1976. The scope of this project
is investigation for suitability of an on-site sewerage system.
Zncluded in the transmittal are:
Test Hole Log
Explanatory Information
Table A
She.ets
The exploration was eonducted using a Nodwell mounted Mobile
Drill Model B-50 drill rig with a continuous flight solid stem
auger. The rig is owned and operated by Denali Drilling, Inc.
Drilling was supervised, and the test holes logged and perco-
lation test performed by Alaska Testlab.
Tile test hole was placed approximately 50 feet southeast of
the planned building location. The log of this test hole is
included as Table A of this report. In interpreting the log,
it would be helpful to utilize the explanatory information
contained in Sheets 1 to 3 of this report.
When drilling was completed a 3/4" slotted PVC pipe was in-
serted in the hole 'to aid in determining the free water level.
For the percolation test, the test hole was filled with water
and left overnight 'to saturate. On returning the next day,
~]e hole was refilled with water and the drop in the water
level carefully monitored over the next 60 minutes.
This procedure is not a standardized percolation test, how-
ever, we understand that the Municipality of Anchorage and
Department of Public Health and Environmental Quality prefers
tests performed in this manner to evaluate a site for a pro-
posed on-site sewerage system.
Using the above test, the observed minimum percolation rate
was 5.0 minutes per inch.
No water table was observed during drilling, but it should be
noted that the free water level normally fluctuates seasonally
and with precipitation.
We hope this report meets your present needs. If we can be of
further service, please f~el £ree to contact us.
Very truly yours,
ALAS ICA TESTLAB
Melvin R. Nichols, P.E.
Laboratory Manager
MRN: amc
Attachments
September 10, 1976
Logged By: Mel Nichols
/Jot 4, Block 2
Sunset Hills Subdivision
TABLE A W.O. #17834
Depth in Feet
From To
Soil,, ~ e s c_!g!j~ t_iio_n ....
0.0' 1.0
1.0' 15.0
15.0' 20.0
Organic oberburden.
F-2, grey ~i!~y sand, SM, damp, medium
density.
F-2, grey.gravel].. · .~ s__i.lt~ sand, SM, damp
medium density.
Bottom of Test Hole:
Frost Line:
Free Water Level:
20.0'
None observed
None observed
Remark s:
Type of Sample, G=Grab, SP = Standard Penetration,
U = Undis%urbed.
Dry Strength, N=None, L=Low, M=Medium, H=High.
Group refers to similar material, this study only.
7'?
MUNICIPALITY OF ANCHORA~j DEPT. OF ~ ".cc~ ON
B25 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING I)IVISIO~
,glephone 264-4720 AN~ S~E~W~. ~ V. ~. D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER ER FACILITIES
DIRECTIONS; Complete all parts on page 1. Incomplete requests wilt not hB processed. Please allow ten (10) days for [~rocesslng.
1. PROPFRTY~?WNER PHONE
ML~_AILI G ADDRESS
PIPROPERTYRESID~ENT0 ~) e
MAIL~'ADD ~ESS
~A g bI~SS
4. REALTOR/AGENT
MAILING
/PHONE
P H 0 N E '!
/
5. LEGALD CRIPTION
~SINGLE FAMILY ~ One ~ Four
~ Two ~ Five
~ MULTIPLE FAMILY ~Three ~ Six
Other
7. WATER SUPPLY
~"'~j~;;~N DI V I D UA L *
[] COMMUNITY
PUBLIC UTI LITY
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
~epth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
r~ 'INDIVIDUAL/ON-SITE''
PUBLIC UTILITY
**If individual/ou-site, give installation date /"(~'~ ~
If system is over two 12) years old an adequacy test is renuired
by this Department,
NOTE: THE INSPECTION FlEE MIJST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
/
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I NSPECTO R INSPECTOR INSPECTOR
7DIR ECTIONS:
I, TYPE OF RESIDENCE NUMBER OF BEDBOOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
· [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DR I LLE D
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tankor []HoldingTank ' '~ ,,,,.~..~.
Size: / ~)-,,-~ If Tank is homemade SOILS RATING
give dimensions:
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
[[~PPROVED FOR --~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
~OX ][~6~.~ S~A~/ I~OUTE ~ ANCHOIIA¢iE; AhASKA 99~02
~,~-~-~14
SIX INCH WATER WELL, DRILLED AND CASED OUT TO THF DEPTH OF
DRILL,ED AT THE RATE OF' ~~- PER FOOT,
PROI:'ERTY OWNER ~_l~.l~r 3b~-iO~i
LOCATION OF WELL BIT~.
WELL LOG:
~. 4 ]llk, 2 5~!~; Sunset Hills West
of ~aapar~ Dr~t~
gravel, lime signs of water, Very silty
:[2~-129' krate~ bearing gravel prcdue:txtg 9 GI~ with water re~overy baek t~ ?0 feet of
sarfaceo i/2 horse Su~, P~ap ehm~l~ be i~stalle~ 5 feet off oase~ bo~t~ of 1~ recto
Water ia. new oXear a~e~ easing the last few feet into the water fonaa%ion,
C~st of D~illiag,
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH.
· BERNIE ¢:LALIS OF RAMPART DRILLING WORKS .
~HE~.CAL & gEOL,Oe~CAL LABORAI'OR~.8 OF ALAS~h
P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD.
TELEPHONE
(9O7) 279.4014
Drinking Water Analysis Report for Total Coliform Bacteda
TO BI'.' COMPLETED BY WATER SUPPLIER
LO. NO.
Public Water System Name
Mailing Address /" ~ '
City State
Zip Code
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
1 I
I
LOCATION
Time Collected
Collected By
TO BE c;oMpLETED BY LABORATORY
LABORATORY:
NAME
( ADDRESS '
CITY
Date Reoe~ve,~ ~--'~$---
Time Received /~t~'~
Analytical Method:
[3 Fermentation Tube
~)~ Membrane Filler
Lab Ref. No. Result* Analyst
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Form No. 18-310 (3.78)
o6.122o (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Collected '\ Source
48 Hours
4._._9 Ho____u_rs
~ ,~ ~3'330
GREATER ANCHORAGE AREA~I~OROUGH
Department of Environmental Quality
"C" Street, Anchorage, Alaska 99503 274-4561
Date Received March 2, 1977
Time of Inspection ~i~//3 P~)'I.
Date of Inspection ~-}~--/7
REQUEST FOR APPROVAL OF ./~ ~/
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by: National Bank of Alaska % Ruth
Mailing Address: Post Office Box
Property Owner: Doug Burd
Mail ing Address:
3-3859
Phone: 279--2506
Phone: ,--~'~/')"' ~c~'~3'7
Legal Description: Lot 4 Block 2 Sunset Hills West
Location:
14335 Hancock Lane
5. Type of facility to be inspected Single Family
6. Well Data:
A. Type Individual B. Depth
Construction
C. Septic Tank: 1. Size
D. Seepage Pit:
No. of bedrooms 3
D. Bacterial Analysis
system, Permit #76749
2. Manufacturer
1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines __.,
Nearest 'lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (l/74) Page 1 of two pages
Page 2 of two pages - Re( it for Approval of Individual S .r & Water Facilities
Legal Description Lot 4 Block 2 Sunset Hills West Subdivision
· Approval ~Valid for one year from date signed -~
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
Tcertify that-the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCH()BAGE
D['PAI~,TMt~N'~ OF E!g\qlIOi~JkqL'-.l',q'AL QUAI. I'f¥
251~4 Tudor 7
REQUEST FOR AI~PR£)\H~,I_ OF
INDIVIDU/\L SIiVVER and VtIATE:I~, FACI
MUNICIPALITy OF ANCHORAQI~
DEPT, OF HEALTEt &
ENVIRONMENTAL PROTECTION
/vblR '4 1977
27~,-2221
RECEIVED
1, Type of Insl)cctiorn CMRO VA FHA CON\
Mailing Address: ......................................................... Day Phone
4. Name of Lending Institution: ...... ~~
Mailing Address: _ ~ ..................... [ ....... Phone
~. Name o! Realtor or Agent: ............. ~
Mailing Address: ............................................ Phone
7. Type of Facility to be inspected: ......... .~. ~ No. Bdrms ...... ~ .......
8, Water Supply
Type of Supply: Public Utility ................ Individnal .................~ .........
If Individual, number of dwellings plesenlly selved
If Individual, depth of well
9. Sewage Disposal Syslem
Tyl)~ of System: Public Ud!itV ................. Individual (on-sike)
If Individual, dal:e of installation
[!O-037 (I174}
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 018-204-22
1. GENERAL INFORMATION:
Expiration Date: Z - (fig_ I q
Complete legal description Sunset Hills West; Block 2 Lot 4
Location (site address) 14331 Hancock Lane *Anchorage, AK 99515
Current Property owner(s) Estate of Ralph Frederickson Day phone -
Mailing address 14331 Hancock Lane *Anchorage, AK 99515
Real Estate Agent Day phone
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:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 5YO Waiver Fee $ _
Date of Payment �! Q /zq Date of Payment
Receipt Number ()??(/? Receipt Number ,
COSA # 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: G t
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
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
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative 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
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.
#AECC884
6. DSD SIGNATURE
System #1 Approved for bedrooms
System #2 Approved for bedrooms OF((A,i�,���/�itn�i Disapproved '"�yiConditional approval for bedrooms, with the followulaQW.SITEWATER APUD
ATE z,
0
J 1
1)1)i)11111
Original Certificate Date: r
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_ Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAblue sheet 10-10-12.doc
COSA Checklist
Legal Description: Sunset Hills West; Block 2, Lot 4
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
X Well log is filed with Onsite (or attached)
Date drilled tonus
Total depth 129 ft
Cased to 129 ft
© Sanitary seal is functioning correctly
M Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 6/30/19
Static water level at beginning of test 64.4 ft
Comments
B. TANK DATA
Age of tank(s) years
Tank type/material
Measured operating fluid level in_sep�tic—tank
❑ Standpipes/founda ' oteaTs ut per record drawing
ping
D. ABSORPTION FIELD DATA
Which system tested (date installed)
❑ ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
ElSystem presoaked
(Required if vacant for er than 30 days prior to
date of test)
Parcel ID: 018-204-22
Structure served by this system _
Well production at time of test 6+ qpm
Water storage tank volume n/a gallons
Well disinfected for coliform test? ❑ Yes © No
© Coliform bacteria is Negative
Nitrate mg/L ,,Nitrate less than MRL (ND)
Arsenic q.gd j ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG, LTD
Date of Sample 8/21119
C. LIFT STATION
❑ Required maintenance
A� Ion years
Lift station material
Comments:
Adequacy test date
Results ❑Pass For b oms
Fluid depth prior to test in
Water added gal
N epth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months) _
Gallo ' roduced gallons If yes, enter date
ments/Deficiencies:
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'
0 Yes
if No
Community Sewer Manhole/Cleanout > 100'
0 Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' M Yes
if No
ft
Private Sewer/Septic Line > 260 Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' Fv� Yes
if No ft
Neighboring Absorption Fields > 100'
ervice Line > 10'
0 Yes
Animal Containment > 50' 0✓ Yes
if No ft
F-11 Yes
if No
ft
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 19 Yes
if No
ft
E] Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
0 Yes
if No
ft
Surface Water> 100' s �if No ft
Property Line > 5'
❑ Yes
if No
ft
Wells o djat ent Lots:
Absorption Field > 5'
❑ Yes
if No
0 Yes
Private Wells > 100' ❑ Yes if No ft
Water Main > 10'
Yes
if No
ft
Community Wells > 200' 0 Yes if No ft
ervice 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'
❑ Yes
if No
ft
If absorption field is under driv
omment below
Property Line > 10'
0 Yes
if No
ft
Wells . ent Lots:
Water Main > 10'
0 Yes
if No
Private Wells > 100'
❑ Yes if No ft
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200'
❑ Yes if No ft
S ater > 100'
0 Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION �F A Bpd
! certify that 1 have determined through field inspections and review DO`P. ' , Q
of Municipal records that the above systems are in conformance with H I
g
MOA COSA guidelines in effect on this date. �. *, : • • . • .. • • . *•
COSA Checklist yellow sheet
1 fr Garne s•-
�Q4d rofessio�'\
#AECC884 ��0O�O�a
BOUNDARY NOTE:
THE ORIGINAL LOT AS SHOWN ON THE ORIGINAL PLAT OF
SUNSET HILLS WEST (PLAT No. P-600) WAS MODIFIED BY A
RIGHT—OF—WAY TAKING BY STATE OF ALASKA DEPARTMENT OF
TRANSPORTATION AND PUBLIC FACILITIES (DOT&PF PLAT No.
99-80).
THE BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD (R) \
PER THE ORIGINAL PLAT AND RECORD (R—DOT) AND COMPUTED \
FROM DOT&PF (C—DOT) \
\
Lofi 3
1.3'x7.8' CANT
2.3'x8.3' CAYT E tFi
\
}S �4}0'00 g2�
0
\\
\
/ WOODEN FENCE
,w 36.9
N CANT w/ DECK BELOW
1.7' CAN
5 o -AN
}7 0'
NN
32• a
CAM w/ n
s� i ��
L4 w PORCH BELOW
0 1.7' CANT }3.2 p 3.0'x4.0' DECK
2 �J
s
O •r, N
1 � 2.0'x6.2' CANT
�•
t
100' PROTECTIVE WELL RADIUS
I
�.- .. 24.2'
l
N Lot 4
24,246 s.f.
24.2'
14.5
S
10' UTILITY EASEMENT \
Tra ct 13
PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 3033 Project No. 19-117/R1
j 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Long & A S S o C i a '1 e inc. (907) 522-6476 Phone aoo04p0�
(907) 522-4625 Fox �� F A ©©
Professional Land Surveyors kenOtengsurvey.com cQ L
jonathan®iangsurvey.com
I hereby certify that I have surveyed the following described properly:
LOT 4, BLOCK 2, SUNSET HiLLS WEST SUBDIVISION (PLAT No. P-600) O 49TH
Anchorage Recording District, Alaska, and that the improvements situated thereon are"""""""
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property tying adjacent thereto encroach on the surveyed tCEM1lhiEtli G
premises and that there are no roadways, transmission tines or other visible
easements on said property except as indicated hereon.
Dated this the =` D of —g P2
Day �P,.�L L''t� at Anchorage, Alaska p 0 c>
��ROfiESSfoNAL �o
It is the responsibility of the owner to determine the existence of any easements, �OppOp��
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963