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Home My WebLink AboutT15N R1W SEC 9 LT 47BOnsite File T15N R1W Section 9 Lot 47B #051-104-54 Casing of decommissioned well shall be cut off 2 feet below grade if structure is ever removed (see photo in file) Permit Number: Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT OSP211266 PID Number: 051-104-54 Page 1 of 3 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New N Upgrade Name CHRISTINE HOOVER A ORPTION FIELD El De Trench ❑Wide Trench [:1 Bed ound Site Address 20813 BOWERY LANE, CHUGIAK, AK 99567 Other Phone 382-4564 Number of Bedrooms 5 Soil Rating Total depth f original grade /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original a Gravel depth beneath pipe Subdivision Block Lot - - 47BFill Ft. added above original gr Gr I length Township Range Section 15N 1W 9 Ft. Ft. Gravel width Beds: Number of Lines Dist a between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between ches From Tank Field Tank Line Ftz - _ Well 100'+ EXIST. - - 25'+ TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1500 Gal. Surface water 100'+ EXIST. - - Material Number of compartments Lot Line 51+ EXIST. - - NA PLASTIC 2 Foundation 10'+ EXIST. - — L TION Manufacturer Capacity Remarks Gal. Alarm location Electn Iled by Installer PIPE MATERIAL House to tank Tank to D3034 grainfield D3034 JR'S EXCAVATION Drainfield EXIST. CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspdection 15` 8/24/2021 Location and description 2nd 3'd 4"' TOP OF TANK MANHOLE ONSITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Star'p oo600p �� Conditional Approval: Date A � - �A :0........�.yD ................. .� r D System / Approved �� I�� f �Z( �O .J7� ey A. Gar ess, 00 CE"Septic QII ' Date (o -1 f� .• o Note: this approval does not include well permit requirements. EC�pd�'rOfess.°�°ate #A ;C884 tQa nizinom o% PERMIT NUMBER: PARCEL ID NUMBER: OSP211266 RECORD DRAWING 051-104-54 I-- — — — — — — — -} ( A B C I �I 1 i -T I I I 1 DBL1 150.3 161.5 167,7 DBL2 153.4 164.7 171.0 MH 155.7 167.1 173.5 STI 159.9 171,5 177.9 DBL3 161.4 173.0 179.5 DBL4 1162,2 1174.0 1180.5 EXISTING 40'X 30' DRAINFIELD ASSUMED CONFIGURATION/ LOCATION. PASSED SEPTIC ADEQUACY TEST ON 6/10/21--,,�' I I NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER \�\ i !DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE ` GENERATED IN AUTOCAD. �\ I 1 � AI •;Y !y INSTALLED FOUNDATIOI r CLEANOUT �. — 1 I EXISTING I i 4 -BEDROOM HOUSE. SEPTIC I I SIZED FOR 5 -BEDROOMS I I i OLD WELL. I (DECOMMISSIONED I L--- 5/8/2020) --- NOTE: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC PER CONTRACTOR. EXISTING WELL DRILLED ON 5/7/2020 O rEl i -INSTALLED DOUBLE CLEANOUTS (DBL3 & DBL4) NEW 1500 -GALLON GREER PLASTIC SEPTIC TANK '--INSTALLED DOUBLE CLEANOUTS (DBL1 & DBL2) As DROST; LOT 47A 1\ 1\ 1\ 1 \ I \ 1 i I I 1 1 I I r 1 I I ! I i I r "ARNESS ENGINEERING` G"RO"UP, Ltd • ENGINEERING SALES CONSULTING -. 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA -PHONE (907) 337-6179' WEBSITE: www.gamessengincering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHRISTINE HOOVER 382-4564 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: Tl 5N, R1 W, SECTION 9; LOT 47B J.L.M. TYPE OF WORK: DATE: RECORD DRAWING FOR SEPTIC TANK UPGRADE 10/8/2021 I � I � I \ I \\ I N \\ l 1 SCALE: I II 1"=40' 1 I_ I®® OF o®x .1 i Cmwlffju& : ..............,...$.......... o, f�_N :• effriy A. Garness : iv a LICENS®�®®®E�, #AECC884 TA klk � PERMIT NUMBER: PARCEL ID NUMBER: OSP211266 RECORD DRAWING 051-104-54 FINAL GRADE GARNESS ENGINEERING J , Ltd ENGINEERING s SALES., CONSULTING 3701 E. TUDOR ROAD, SURE 101 - ANCHORAGE, ALASKA • PHONE (907) 337-6179' WEBSITE: www.gameasongineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHRISTINE HOOVER 382-4564 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: T15N, R1W, SECTION 9; LOT 47B J.L.M. TYPE OF WORK: DATE: RECORD DRAWING FOR SEPTIC TANK UPGRADE 10/8/2021 'ION TOR 3@ 0 'y® ...........4{ .1 ........................ Pbffrey A.'Ggmess :74 i 0 0%' C 7953 ® ftFESS\Cl ®® LICENSE ®�>�loalk #AECC884 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: OSP211266 Work Type: SepticTank Upgrade Tax Code Number: 05110454000 Site Legal Address: T1 5N R1W SEC 9 LT 47B G:1358 Site Mailing Address: 20813 BOWERY LN, Chugiak Owner: HOOVER CHRISTINE Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms 1°g �c�. crs c °,r Department 7/12/2021 7/12/2022 44452 ❑ 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: Date: J ff Issued By: KW6CA Date: 7LI-20 I E RNW.11UNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax. 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-104-54 Property owner(s) CHRISTINE HOOVER Day phone 382-4564 Mailing address 20813 BOWERY LANE, CHUGIAK, AK 99567 Site address 20813 BOWERY LANE, CHUGIAK., AK 99567 Legal description (Sub'd., Block & Lot) LOT 47B Legal description (Township, Range & Section) Lot Size T15N, R1 W, SECTION 9 Sq. Ft. Number of Bedrooms._3 (SEPTIC SYSTEM SIZED FOR 5) APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ED Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade x❑ Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) Q (w/wo AD U) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: Z Waiver Fees: Date of Payment: 7 11-1 1)-02 Date of Payment: Receipt Number: 0 0 `i 9 3 G Receipt Number: Permit No. (22102-112 66 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211266, Rebecca Carroll, 07/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211266, Rebecca Carroll, 07/12/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211266, Rebecca Carroll, 07/12/21 e!5 -_p ' a .r, 400 e!5 -_p ' a .r, sic s es r sic Certified Drilling Log ® DOC CO dba BILL 4&GOLE 4-ot LLIVAN WATER WELLS P.O. Box 670269, Chugiak, AK 99567 688-2756 OWNER OF LAND: Christine Hoover ADDRESS: 20813 Bowery Lane Chugiak, AK 99567 LEGAL DESCRIPTION T15N R1W Sec 9 Lot 47B DATE: 5-7-20 PERMIT NUMBER: OSP201081 DATE OF ISSUE: 4/29/20 TAX IDENTIFICATION NUMBER 05110454000 Is well located at approved permit location: ®Yes [—]No Method of Drilling: ❑air rotary ❑cable tool Depth of Well: 65' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 54 feet Liner type Static Water Level: 24 feet Recovery Rate 8 . ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ❑ open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Drilled down to 65' but pulled back to 54' for better material. Bore Hole Data Depth From To 0 2 2 4 4 12 12 43 43 56 56 65 Casing Stickup Overburden Sand & Gravel w/ Cobbles Tight Silty Sand & Gravel Tight Sand & Gravel Clay & Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW OSP201081 Date of Issue 4-29-20 Parcel Identification Number: 05110454000 Legal Description Property Owner Name & Address T15N R1W Sec 9 Lot 47B Christine Hoover 20813 Bowery Lane Chugiak, AK 99567 Pump Installation Date: 5-11-20 Pump Intake Depth Below Top of Well Casing: 40 feet Pump manufacturer’s Name: Red Jacket Pump Model: Unknown Pump Size: 1/2 hp Pitless Adapter Burial Depth: 12 feet Pitless Adapter Installer: Northern Excavation Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson NOTE: Existing pump from original well installed in new well. Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality ofAnchorage Community Development Department On -Site Water &Wastewater Program 47UOElmore St. aP.O.Box 1966SOmAnchorage, AK 99507-6650a a(9O7)843-79O4 Lei Subdivision ' Block Lot On-site Water & Wastewater Program certified contractor performing the wellning- <1 N@On8: Signature Company: ^ Well decommissioning date: 5A/Z-02&ethodofdecommissioning: AMC 15:55.0601-1 a. 7 h. [] c. Location: Use the space below to provide a drawing of the property showing the following items; w North Arrow , Decommissioned well, ° Other water wells unthe property, ° Two separate swing -tie distances for each well shown |nthe drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners, 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 Water System Permit Permit Number: OSP201081 Work Type: Well Upgrade Tax Code Number: 05110454000 Site Legal Address: T1 5N R1 W SEC 9 LT 47B G:1358 Site Mailing Address: 20813 BOWERY LN, Chugiak Owner: HOOVER CHRISTINE Design Engineer: This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: n III DeI)artment 4/29/2020 4/29/2021 44452 Q 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 S*cial Provisions: To close out this permit, please submit the following: Well log Pump install log 3. Water sample results for total coliform, nitrates and arsenic 4. Well decommissioning log for the existing, failed well. Received By: Date: L Issued By: Date: 2 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 0517-104-54 Property owner(s) Christine M Hoover Day phone 907-382-4564 Mailina address PO Box 670642 Chugiak, AK 99567 Site address 20813 Bowery Lane Chugiak AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 5N R1 W Sec 9 Lot47B Lot Size 44,452 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) X❑ (w/wo ADU) Septic Tank ElUpgrade ❑ El (D) Holding Tank ❑ Renewal F-1Duplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well X❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Zg rP-� Receipt Number: O S Z Permit No. () 0� P a 0 1 D S 1 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc -eq 4c Y. -eq 4c Ll I CO WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division o! Geological ~ GeophysicolSurveys ~lSo,o.0h s..,.I,,o. Lo, s,o., ~' '/..,,T- -'~;Ji;. NT-To DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS Gravel 0 14 6. Brown clay L4 ~rey clay 1~ 3~ Grey siltv ~ravel 38 41 G~avel 41 4~ ~~dri~ __._AA .53~ ~d~.,,: P.O. Bozx 504 Ea~e River~ WNER OF WELL: Mr. ltarry While Address: SR 1 Box 2672 Chugiak, Ak. 99567 /aZ cf _ 6 - 26 - 82 C ASI~G: ~ Threaded to 4~ Dap h Weight 17 Ibs,/ft Bail tea;lcd al 15 CPM ool,, .... J'al:y '5~ 198-2 ............... PERMIT NO. ( DEPBRTMENT HEBLTH BND ENVIRONMENTBL .OTECTION 825 ~L' STREET, BNCHORRGE, BK. DD501 264-4?20 I,~ELL F"EF~r.1 8200?4 ) RPPLICBNT LOCBTION LEGBL HSRRY 0 NHITE L4?B Ti5NR~N S 9 SR ~i BOX 2672 99560 LOT SIZE 688-9498 999999 SQUBRE FEE]" MINIMUM DISTBNCE BETWEEN 8 WELL BND RNY ON-SITE SEWBGE DISPOSBL SYSTEM IS 100 FEET FOR B PR. IVRTE WELL OR'±..0-=,,' TO 200 FEET FROM R PLIBLIC NELL DEF'EN[:,ING UPON THE TYPE OF PUBLIC WELL. MINIMUM [:'ISTRNCE FROM B PRI'¢BTE WELL TO R PRIVBTE SEWER LINE IS~._,""~ FEET BI'4D TO B COMMUNIT'¢ SEWER LINE IS 75 FEET. NELL LOGS RRE REQUIRED AND MLIST BE F.'.ETURNED TO THE DEF'RRTMENT WITHIN Z<.O OF THE WELL COMPLETION. OTHER REE,~LIIREMENTS MB¥ BF'PL'¢. SPECIFICRTIONS AND CDNSTRLCTIIDN [)IRGRMtl=,''-,'- ARE BVBILBBLE TO INSURE PROPER INSTRLLBTION. P'EF~:f-1 I T E:~-=: P I RES IDECE~'IBER .7;.- ::1_.. ::I-L~8_--< I CER'I'IF¥ THRT :t.: I BM FRMILII=IR NITM THE F..EQLIREMENT_-,' ~ I ' '- FOR ON-SITE_ SEI.4ERq_ BN[:, WELL'=; RS SET FORTH BY ]'HE MUNICIPBLIT¥ OF BNCHORBGE. 2: I WILL INSTRLL THE SYSTEM IN BCCORDBNCE WITH THE CODES. ) /'/i=IPPLIC:C'IN_T HRRR"r' 0 WHITE '¢4. 0 Mun c pa - y Anchorage P.O. [ ( 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-~tXX'~ 4 7 4 4 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 James P. Pressley SR-1 Box 2672 Chugiak, Alaska 99 Subject: T15N R1W On-site S~ A permit issued by and/or on-site sewe~ 1986. Permits are issued ( .......... ~ ....... ~ ~3 ~uu,~u~zuy of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. In addition to the expiration of the permit, the fees for the subject permit were not paid nor the permit signed by the applicant. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report(three part form) must be sent to this office for review and approval, and for documentation. The fees for the permit will need to be paid and the permit signed by the applicant if any or part of the installation have been installed. If there are any further questions, please call this office at 264-4744. Sincere 1v~, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit DEPARI'MEN't [: FIEALf'H AND ENV]]::'~ONMENI'AI i~!;:?.5 t.. StREEt, Ffl'~I[?,H[]RAGE, AK 99501 264".-4'?'20 DESIGN · III I....d.,Al~ll ,, AD])I d ....... C;ON'rAC'I' [::'I-.I[]NE: SF:/....J. BOX 2672 CHUG :l Al'::: .,,AK 9956'? 6 ~:i! 8 '"- :3 '7 3 '!'i fy {hat: {or'tl'l by the Mun:[c:ipa].:i. Ly o{' Anchc:)Page (MOA) arid 'Lhe State o{' Alasl<a,, :[ w:i.].:l. :[l"lsLa].l 'Lhe s'ys~'..em in ac:c:or, dance w:i. th all MOA c::c~des and pegu]at:[cm, s, ar'id 'in comp]:i, ance wi. th 'l:he des:[gr'~ cr. iteP:i.a c:)[' th:i.s per~m:i.t. I will ac:lher'e 'Lo all MC)h and State (::){' Alaska Pequ:lr. ements {'ol', 'Ll'd~e se'L back dis'[ar'H:::es {r. om any exis'[:lng well, *~astewa'l'.el' disposal sys'Lem Il::: A I....II::"f' St'A"IION tS IIqS'r'AL.I...li!i:D IN AN AREA COVERI,:i]) BY MOA BIJiLDINI':~ CODI!i:S; ]I'"II!!!.N ~,:1 ) AN EI...Ei:CTRiCAI. PEF:~MIT AND INSPEC] ION MUS] BE OBIAINED; ('2) AS""BUII.I,S W I I..I... NOT Bl:.i: AI;::'I:::'I::~OVE:'D t41 '11"'IOU"t AN E[.Ei:CTI::~'. :[ CAL :1: NSF'ECT :1] ON I:::flli!:F:'OR]' !I AND C]!: ) THE Ei].EC~TI:?fC]AI. WORK MU,SI BE DOI\IIii: BY A I..IC;Ilii]xlSED Ei]....Ei:CTRICIAN,, S I G I",] E D Al I I....[.,AIII ,, SITE PLAN I SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 829 L, Street, Anchorage, Alaska 995S1 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST DATE PERFORMED: LEGAL DEECRIPTION= ,~O 7u Z/ 7 ,l~ SLOPE 7-/~-~/ ~/~/ SITE PLAN 5- 6 7- 8- 10- 11 12 13 WAS G~ ENcOL IF YES DEPTH GROUND WATER PERCC TERED? y~: AT WHAT ,~,' 14 15 16 17 18 19. 20- COMMENTS Gross Net Depth to Net Reading Date Time Time Water Drop ~OLATION RATE TEST RUN BE'rWEEN ~' 'I~--AND 4/ FT PERFORMED BY: 72.oo8 (6/79) Ealle River Engl~eerln~ ~e~,~ P. D, lox 773294~ Eagle River, AK~5~ '.: CERTIFIED BY: ~-~ ~~z~n~ DATE: ~/,~/,/~ ,'~ EAGLE RIVER ENGINEERING SERVICES P.O. BOX 775294 EAGLE RIVER, ALASKA 99577 ~94-5195 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEId LEGAL: Lot 47B T15N, RIW, Sec. 9 A. GENERAL 1. The well and septic plan are for single family residence use only. The drawing and or site plan shall be a part of this specification,, Ali materials and workmanship sl~aii meet the requirements of the Anchorage Department of HeaIth and State Ail soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5.. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet MOA, D.E.C require- 6. It is the r-esponsibllity of the owner to obtain ali permits or- easements and to locate any adjacent multi-family wells. '7. It is always recommended that a surveyor locate the nearest Iot ].ine position and the location of any easements· DRAINFIELD I_ The new drainfield is to be connected to the existing leaohfield cry if the existing piping ~s in good repair.. The bottom of the bed shall be level, plus OF minus Soil conditions at the total depth of the bed subject to verification. Soil or combination of moll and extruded board insulation to a depth of 4~ or equivalent is to be placed over the bed. 5~ The area over the bed is to be finished graded to prevent ponding of eurfaoe water runoff. The septio tank and leaohfield must not be oloeer than 100 feet to any existing private well, 150' to any Class "C" well, or 200 feet to any oommunity well. BED DIMENSIONS 5 Bedroom Dwelling 8ED TOTAL, DEPTH= 1' elevation relative to test hole site BED WIDTH= 18~ 8ED LENGTH= 58~ BED TOTAL SURFAOE AREA= 684 S~. FT. GRAVEL DEPTN= 6" under pipe/2" over SEPTIO TANK SIZE= 1000 gallons (existing) Soil conditions may vary from those at test hole and therefore leachfield design may be changed by engineer during construction. Design changes may include a stepped bed design, placement of sand fail, and mounded cover. Use of a lift station ~ill be determined by the elevation of the septic tank outlet to be uncovered during construction. GREA' 'NCHORAGE AREA BORC"'q , Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME f,/~'~//"/~ L;~"~ 2'-~'~" ~:-""~£' MAILING ADDRESS,,;',: ~/I + ~ / ...... PHONE LOCATION //~/'~" ~;~/'(7~/-g//'~''2f~)~'~ ~;':~//~/'~ LEGAL DESCRIPTION ~/~-/ SEPTIC TANK: DISTANCE .~, FROM WELL/~/~/' MANUFACTURER INSIDE LENGTH INSIDE WIDTH SEEPAGE PIT: /'. NUMBER OF PITS / DIAMETER ~' OR WIDTH '~'~, LENGTH "~/,,) DEPTH LINING MATERIAL ~'~/ ' ['-:' CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL /~,~:'/'/z~ ":~ ~:~(//:~ ~' '." , TOTAL EFFECTIVE BUILDING FOUNDATION~"~4,/- NEAREST LOT LINE/~"~.. ABSORPTION AREA (WALL AREA} /:~-SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE DISTANCE FROM: BUILDING NEAREST FOUNDATION ¢:~ LOT LINE CESSPOOL/'t-/.///l/Z"',', OTHER SOURCES APPROVED DISAPPROVED SEEPAGE NEAREST SEPTIC ,:,/'z:'.~ :/,/~ SEWER LINE ~/~/~' TANK SYSTEM DISTANCES: INSTALLED BY: /~2~ ~".//.~ / PIPE MATERIAL: LOT SLOPE: Form No, EQ-031 DIAGRAM OF SYSTEM NAME OF APPLICANT GREATE,, ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PET~MIT NO PHONE INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK FINANCED THROUGH , SO,L TEST .ESULTS FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. DIAGRAM OF ~¥STEM NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~1~ ) FOUNDATION TO SEEPAGE PIT ~) I , DRAIN FIELD /~/ , SEPTIC TANK TO SEEPAGE PiT WALL- / ~/ 1/ SEPTIC TANK ~'~ SEEPAGE PIT ~. I DRAIN FIELD ., SEEPAGE PIT DRAIN FIELD ~ ,~ I ALSO CONSIDER AREA WELLS* CAST IRON INTO AND OUT OF SEPTIC TANK AND iNTO CRIB CROSSING GAP OF EXCAVATION 5 FEET iNTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST [RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6S AND THAT THE ABOVE DESCRIBED SYSTEM IS JN ACCORDANCE WITH SAID CODE, 0 6~ E GEOTECHNICAL ~t DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russel) Oyster' ' 694-2774 Soils ~- Foundations Ear/Ellis 688-2280 Land Development SoiL LOG Performed for: Name= <~P~//~/~ ~-z~/~ ~-~-~//~77~/~Te1. No. Matllng Address: ~ ~j~ ~ i~T~/ ~/~/<, ~. Legal Description: Depth (feet) $otl Characte~.lSt;Ic~ 1 7 8 g 10 ll Ground Water Encountered: Yes Proposed ]nstallatton: Seepage Pit Comments: No / If yes, what depth i Drain Fte~d Performed by: Date: R&M Civil Engineers ENG,, EERING & GEOLOGICAL CONSULTANTS 229 EAST 51 st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279--0483 TELEX 090--35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES FI. WELLMAN, P.E. June 15, 1972 R & 1VI No. 26525 RALPH R. MIGLIACClO Engineering GeologlsL Mr. Thillman Wallace Wallace Construction Box 529 Chugial% Alaska 99567 RECEIVED' RE: Test Hole and Soil Log Report for Sanitary System Lot 47, Section 9-T15N-R1W-Seward IV[eridian Dear Mr. Wallace: We are submitting herewith the test boring results and our comments re- garding soil conditions encountered at the subject site. This investigation was. performed in accordance With your request of June 14, 1972, and those procedures outlined in a letter dated September 13, 1971 by Mr. Roll Strick- land of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down vHthin the Lot 47 area for the purpose of defihing general subsurface soil conditions for the proposed sanitary sys- tem. Excavation was accomplished with a ~cractor-mounted backhoe and the test hole was extended to a total depth of 15 feet below ground surface. One sample was recovered from the test hole and retained for grain size analysis. The sample will be held in storage, up to approximately one month, for possible testing before it is discarded. The final log prepared for the test hole has been included in Drawing A-01. Ground waker was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & B/[ E I RING & ,GE LOGICAL James W. Rooney CONSULTANTS JWR:wb Enclosure cc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU T.H.-I 6-14-72 0.01 SANDY GRAVEL Grey GW) SANDY GRAVEL (GW) W / COBBLES Grey 4.01 6,01 SILTY SAND (ML) Grey No water table Note: Minor water seep at 5.0'. Hole excavated with tractor mounte~d backhoe, Engineering Eh Geological Consultants Neal Menschel Property LOG OF TEST BORINGS Anchorage Alaska DATE 6--14-72 JSCALE Ij' :2' ]DWN ~¥ GAW A-01 APPLI ,NT FILLS OUT UPPER HA : ONLY Proper,yOwner ."74,*"7 Pho.e Buyer Lending Instll~tlon Phone Address /d ,7~/ /~, ZlpCode Realty Co. & Agent Phone Address Zip Code Legal Description ~'15~ ~R'I~ Sec'~O~. Street Locatl(~ Type of Residence [~ Single Family [] Multiple Family No. of Bedrooms. [] Other Water Supply ~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal ~ Individual Year Individual Installed: /~'~ ,v';/ ~ / ~ 7 r~ [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE ~NSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN SE ~NITIATED. Time Time Time Time Date Date Date Date ,M,j,N!C!p,~.L!TV C~F ANCHORAGE ENVIR~Ji RECEIVED ~PPROVED BEDROOMS f~; ~ , ~ 'CONOIT~O~ OF APPROVAL ( ) DISAPPROVED ~ ' ........ ~ /~ · ~ ~ CON~mONA~*PR~OV*n' DATE ~; %~ Soils Rating. / Date ~wer Installed~ ' '"~ --'~ ~ WelIWell To Absorption Area , ,-~_~to Tank ~" ~ SeptlcWell Log RecelvedT~k 72-023(3/62) February 2, 1983 Harry O. White Rt 1 Box 2672 Chugiak, AK 99567 Subject: T15N R1W Section 9 Lot 47B Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: °~ ° Well permit is needed - permit obtained at Health and Environmental Protection, 825 L St. - well was drilled without a permit. ~A well log review · submitted to this office for our files and The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Survey the property to ascertain location of the sewer system on your property. Locate well on Lot 47~ the distance from the well to your sewer system needs to be verified. Expose the septic tank manhole to verify its existence - verify tank for two (2) compartments. ~//%'he septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. tIarry O. White l"ebruarV 2, 1983 Page 2 The stand} lpe to the sewer system need cap~, on them. /_A soils test is also required. Please notify this .Depart~aent for a reinsPection uben the noted discrepancies have been corrected. If there are any further questions, please call this office at ?.64~4720. Sincerely, J R57/p/Eli Enclosure Jim Roberts Associate '~ ' ~ knvlronm,,ntal Specialist EXCAVATION ROBERTA. SHAFER WORK CIVIL ENGINEER 694-2979 February 15, 1983 Harry white Star Route $1 Box 2672 Chugiak, Alaska 99567 Dear Mr. White, Reference: Lot 47B; Section 9; T15N; R1W A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of water over a period of 48 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent fai!6re. If we may be of further service, please Since~ z P. E. CC: Municipality of Anchorage Department of Health and Environmental do not hesitate to contact Protection SRB 196X EAGLE RIVER, ALASKA 0'46 O0 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER &'WATER FACILITIES FOR 1. Approval requested by: ~F~~ ~ ~----__~. Mailing Address: ~ q ~%. ~-~.~ ~'~wj~z~, Phone: 2. Property Owner:~~% ~~~~ Phone: Mailing Address: ~ ~o~ 3. Legal Description: ~ ~ ~ ~. ~ ~ 4. Location: /.~' '~'/ ? ~ ~/ /~ j y~ ~./~,. ~,~,~. / 5. Type of facility to be inspected~~ No. of bedrooms 6. Well Data: ~. A. Type B. Depth C. Construction 0,~-, D. Bacterial Analysis Sewage Disposal System: ~.'o~kx A. Installed ~. ~ns~a~er C. Septic Tank: 1. Size 2.~-Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line , Absorption area , Other contamination , Sewer Lines , B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mai.ling Address: CMRO VA x Marion T.& Salnm~ a+kins 4306 HarrJ~n~ n~ive Anchorage,Alaska FHA CONV Day Phone 27B-~4~_56-- 3. Name of Buyer: Cecil Haines Mailing Address: U.S.A, Meddac Co. Ft. Richardson 4. Name of Lending Institution: Mailing Address: 319 w. 5. Name of Realtor or Agent: Mailing Address: ~n~ ~_ Kassler & Co. Day Phone688-2424____ Off~ce 863-~ 5th Av. Phone 272-9501 Don Sherman- Sherm & Stahl Realtors wnreh~rn T,~s Phone 274-1312 6. Legal Description: Lot 47B Sec.9 T15N R1W S.M. Location: N. Birchwood Loop & Bowery Lane 7. Type of Facility to 8. Water Supply Type of Supply: If Individual, If Individual, 9. Sewage Disposal be inspected: Tri-Plex No. Bdrms. 6 Type of System: Public Utility If Individual, date of installation Public Utility Individual x number of dwellings presently served 1 depth of well 58ft.plus 500 gallon holding tank. System Individual (on-site) June 1975 X EQ-037 (1/74) Page 2 of two, pages - Ref for Approval of Individual F & Water Facilities Legal Description Ap~)~al Valid for one year from date signed Greater Anchorao~Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify 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 satisfactorilyJ SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH ~"~..',.,'?/ Ir ' 3330 "£" Department of Environmental Quality ~ ~ ~p ~ ~_ _ Street, Anchorage, Alaska 99503 274-4561 ~/~2,,~t,~ ~)/?' Date Received 5-29-75 ~'~ (}~J'"' Time of Inspection ~ate of Inspection 6-4-75 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2044 E Northern Lights 2. Property Owner: Sally Adk±ns Mailing Address: 3. Legal Description: 4. Location: 5. Type of facility to be inspected 6. Well Data: Shem and Stahl Realtore Phone: Phone: Lot 47B Section 9 T15N R1W Tri-plex No. of bedrooms A. Type ],~/~,~? B. Depth C Construction ~.~ J~,<.~ D. Bacterial Analysis / -~ ~ewage Disposal System: ~.~U. ""~'' -" ~ / - ! A. Installed (m' /~ B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line __ , Sewer Lines ., EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req~ t for Approval of Individual St r & Water Facilities Legal Description Lot 47B Section'..9 T15N R1W · ' n Comments ~q~tB approval pending lnstallatlo of a Borough approved sewer system by Ju!y 1, 1975 Approved Disapprov~.~ Date 6-10-75 Approval Valid for o~e/year from dat~ signed Greater Anchorage Area Borough, D~partment of Environmental Quality DIAGRAM OF SYSTEM certify 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) �E Q Municipality ®f Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-104-54 Expiration Date: /q " 20ZZ 1. GENERAL INFORMATION: Complete legal description _ T15N, R1 W, SECTION 9, LOT 47B Location (site address) 20813 BOWERY LANE CHUGIAK AK 99567 Current Property owner(s) CHRISTINE HOOVER Day phone 382-4564 Mailing address 20813 BOWERY LANE CHUGIAK AK 99567 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: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual 0 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 $ -5.5 D Waiver Fee $ _ Date of Payment I c9 2 2 � Date of Payment Receipt Number 0 0 f i Cj Receipt Number. COSA #_05C Z. 1 16 0 7 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: Q o000� 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 I encroachments may exist that were not identified during the evaluation. The operational life of all wells' y 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 /� J f-ey Ger ass; system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of 0c, ' : CE 7953 G the well or septic system. GEG makes no representation whether an alternative well or septic system rr c G can be installed on the property in the event either of the current systems fail to perform adequately inems'!, �.I, .. • '' �� the future. The content of this report is for the sole benefit of the person/party that retained GEG toCar�Fessior°dam 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 Jr bedrooms System #2 Approved for bedrooms Disapproved o �N-slrE y0 Conditional approval for bedrooms, with the follp�tu,�g S 6 ?rT m By: Original Certificate Date: -f-)- q 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 COSA blue sheet 10-10-12.doc /fin r Legal Description: T15N, R1 W, SECTION 9, LOT 47B If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/7/20 Total depth 65 ft Cased to 54 ft ❑ Sanitary seal is functioning correctly Parcel ID: 051-104-54 Structure served by this system 1 Well production at time of test 2.8+ Qpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No n Coliform bacteria is Negative Nitrate Z,-/3 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG,LTD. x/10/21 Date of Sample ' 6/10/21 10!6/21 --� X e- - 5.�� — Date of flow test for COSA � �_ � 18.2 _ ��s'.,i- Staticwater level at beginning of test ft. p 0o, i�- Comments THERE IS A DECOMMISSIONED WELL INSIDE STRUCTURE. SEE NOTE ON MOA ONSITE FILE. B. TANK DATA Age of tank(s) NEW years Tank type/material SEPTIC/PLASTIC Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA BED DRAINFIELD Which system tested (date installed) 1986 ❑ ALL standpipes present per record drawing Total measured depth from grade 3.33 ft (max) Measured depth to pipe invert from grade 2.25 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective STATION ❑ Requi aintenance com Age of lift stationy Lift station material Adequacy test date 6/10/21 Results ❑✓ Pass For *5 bedrooms Fluid depth prior to test 0 in Water added 858 gal New depth 0 in Elapsed time 0 min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced gallons If yes, enter date Comments/Deficiencies: *HOUSE IS CURRENL-IY 4 -BEDROOM, BUT SEPTIC SYSTEM IS SIZED FOR 5 -BEDROOMS. SOUTH MT EXTENDS 4" BELOW INVERT. NORTH MT EXTENDS TO BOTTOM. HOME VACANT FOR ABOUT 25 DAYS BEFORE TEST. COSA Checklist yellow sheet r 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' F-11 Yes if No Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Q Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25'R-1 Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' H✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Fvl' 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' R1 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' F-11 Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' iM Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' Q✓ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ✓v Yes if No ft Water Service Line > 10' M Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Q Yes. if No ft Water Service Line > 10' El Yes if No ft Community Wells > 200' iQ Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS r* NO INSPECTION REPORT LOADED INTO MOA FILES FOR THIS SYSTEM. BED IS 30'X 40' PER LOU BUTERA, P.E. LETTER IN MOA RECORDS DATED 6/4/87. TRENCH WAS NOT FOUND AND CONDITION IS UNKNOWN.- 5�.� do�oop G. NEER'S CERTIFIC I certify that l have determined through field inspections and review Q :. •' �Q of Municipal records that the above systems are in conformance with p Cij . ' T y g MOA COSA guidelines in effect on this date. * 1ut�iFp/j 1 �f ��J �l1Jef re R Garnes 0 Qo9. 1 CE 79� �p COSA Checklist yellow sheet°r o f e s sio� #AECC884 I �I I30.0'I� Z O 0 O v CJt O O Lot 47—C MANHOLE 6.5x6.2' COOP 1'10' UTILITY EASEMENT 1--50' BLM ROAD RESERVATION yp 0 5 N 89'59'00"E 125.19' ' u ASPHALT•., _ -DRIVEWAY a �0.7' u DECK ` 14.7 24.6 N 39 J S Lot 47—B 6 44,452 S.F. N RETAINING WALL 8.0' CANT 12.2'x12.2' DECK GREENHOUSE 13.0' - iv WOODEN—/ n 11.1'x4A" FENCE 4.0 STORAGE N /—HELL SHED \cn Cr7.0'x7.0' \ _SHED i STORY RESIDENCE 7.9'x7.4' SHED -SCREEN PORCH WIRE FENCE 1 +t; i Lot 2 i Lot 9 NN 899'59'05"E 90.00' _ M�4 w 0 0 �_I CHAIN-LINK W FENCE O , m Lot 48A SEPTIC PIPES ---------- S _ S -89'59'00"W 140.00' �— — — RE FENCE I Lot 48B 50' BLM ROAD RESERVATION Lot 47—A PLOT PLAN AS BUILT _X_ SCALE 1=_� 60' GRID _ NW 1358 Project No 21-67Z/ --- 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax �44�Q��i Professional Land Surveyors ken®Iangsurvey.com 0� Jonathon0longsurvey.com I hereby certify that I have surveyed the following described property: LOT 47-8, SECTION 9, T15N, R1W, SEWARD MERIDiAN, ALASKA (PLAT No. 74-236) 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 lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. a, Dated this the 't Day of _-_�-�� u=___' _! _'__ of Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. '? 49TH y* KENN H G. 'LAAiG o� Q4�'Fb LS-5202.ID -" ��Rr��E'SS(ONA1- aO AECC963