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HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK C LT 2 REM Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201483 PID Number: 050-491-34 Dwelling: EZ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name Robert Specs A ORPTION FIELD E01D Trench ❑ Wide.Trench ❑ Bed ❑ Mound Site Address 22401 Glacier View Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original a Gravel depth beneath pipe Ft Subdivision Block Lot Glacier View heights C 2 Fill added above original grade G (length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dis between lines Ft. SEPARATION DISTANCES To Septic Absorption I Holding Sewer Total absorption area Number of trenches Dist. between ches From Tank Field Lift Station Tank Line Ftz Well 100.5+ TANK © Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 1001+ Greer 1250 Gal. Material Number of compartments Lot Line 57+ NA Plastic 2 Foundation 101+ ATION Manufacturer Capacity RemarksGal. Excavator dug 5' past tank to verify seperation • Alarm location Ele r Iled by of tank and absorption field. Installer PIPE MATERIAL House to tank Tank to D3034 drainfie[d D3034 JR's . Drainfield CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspection1S, -dates: 12/21/20 2nd 12/21/20 Location and description 3i11 12/28/20 4'" Garage door corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date"'C°`"""°"""�.� 4 {fir C`. 49M �ir„rii+ airr,wFw, eiwu �a,r,�. ?� Fats Septic System1.6 Approv Date i-z1a; 1W t�:'r- Note: this approval does not include well permit requirements. traev uaruu"ia/ A -C=49,8' B -C=39,7' A -D=50,4' B -D=40,6' A -E=51,6' B -E=41,9' A -F=54,5' B -F=45.4' A -G=55,0' B -G=46,3' A -H=55.9' B -H=47,5' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit _0SP201483 GLACIER VIEW HEIGHTS BLOCK "C" LOT 2 REM PID# 050-491-34 ;* 1' CANT CONG c\ G \co- 'k, ok o e SEPTIC PIPE II W =11,01=101111 1850 GAL 88,8D SEPTIC TANK . OT. � • �• * ; 4 TH : * KENNETH M. S • f CE -7 .' � t!! olumes ArcTerra Shared 7starnnp.771 I Ar SFPTIC PREPARED FOR: ROBERT SP£ES 22401 GLACIER VIEW EAGLE RIVER, AK FIELD BOOKS COMPUTED: 80UNOARY: N/A DRAM KSD STAKING: N A CHECKm: KMD ASaulLT: SLS DATE: 12/2 DWG. RM. GRID: SWOCi° ACAD FILE: FILE N°'` 20218 — Pil—I R. unnl r_b se. ire ' = AIY SCALE, NTS g.0 ER k w � V. m m� a� a � x � d k m � �9c�F Co SjyG 96�,Q �i� NS UI TING, el FR AK. 99577`a�3 20218 Tank Renlace.dwo 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: OSP201483 Work Type: SepticTank Upgrade Effective Date: Expiration Date Tax Code Number: 05049134000 Site Legal Address: GLACIER VIEW HEIGHTS BLK C LT 2 REM G:0059 Site Mailing Address: 22401 GLACIER VIEW DR, Eagle River Owner: SPEES ROBERT & EMMA Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy »%cnt S �o T Depa1'tn]ent 12/10/2020 12/10/2021 Lot Size in Sq Ft: 19313 Total Bedrooms: 4 ❑ 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 Special Provisions: 1. Locate the beginning of the field toconfirm that the 5' separation between the tank and field will be met. A change order will be required if the tank location has to be moved. 2. The record drawings do show a cleanout at the beginning of the field and that will have to be found, repaired if needed, so that the surveyor can pick it up. Received By: Issued By: Date: Date: I Z /O 4iUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-491-34 ON-SITE SEPTICIWELL PERMIT APPLICATION Property owner(s) Robert Spees Day phone Mailing address 22401 Glacier View Dr. Site address 22401 Glacier View Dr. Eagle River, AK Legal description (Sub'd., Block & Lot) Glacier View Heights Block C Lot 2 REM Legal description (Township, Range & Section) Lot Size 19,313 Sq. Ft. Number of Bedrooms 4 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Y (w/wo AD U) Septic Tank FX Upgrade ❑x Duplex (D) ❑ Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: I6g.75 royip Waiver Fees: Date of Payment: I 1 °) I a Q�, O Date of Payment: Receipt Number: 0` C-1 Receipt Number: Permit No. O 7RZ0 l `{ 8-3 Waiver No. GADevelopment 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 OSP201483, Deb Wockenfuss, 12/10/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201483, Deb Wockenfuss, 12/10/20 F�1 • c� ANCHORAGE RECORDING DISTRICT, ALASKA. AS -BUILT OF: GLACIER VIEW HEIGHTS LOT 2 BLOCK C PLAT 70-151 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should j any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility, to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E-MAIL DEC 7, 2020 i "=30' 20-090 DRAWN BY: CHECKED BY GRID NUMBER: BCK RPAC JLS SWO059 200258 MYRTLE DR O = FND 518" REBAR ASW OF 4 NN >. . L % o 49TH ••."� � � � � � PAI ............ .........� ....... G� ?A . _ • . . . . . . / • . . . . • . . . . f i • • ♦ • : ♦ I� • i ••.J N L. SCHULLER.• Q ` s LS -10408 ��, ` • ♦ ��� / 1831 Talkeetn.a Street �� '•:. ` f • ,,�,� Anchorage, Alaska 99508 o fe a, \10 (907) 227-1455 office ssion,■.. ���.�.���s'a (907) 274--4992 fax MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE ~EW .~ ~ C'~.~.~_.'~'.~ (<:)'~g.. ~..~ ~-~ [] UPGRADE '~AME MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well DISTANCE TO: I Man ufacturer Liq. capacity in gallons D,STANOETO: Manufacturer IWe]l DISTANCE TO: I Top of tile to finish grade Length Width Type o~ ~ Crib diameter DISTANCE TO: Well ~ass ~ Depth DISTANCE TO Building foundation IAbsorption Inside length Dwelling Foundation Total length of I~z~e~ Material beneath tile Depth Dwelling Material W dth Material "~(0 inches inches NO. OF BEDROOMS PERMIT NO. No, of compartments Liquid depth N / PERMIT NO, Liquid capacity in gallons PERMIT NO. Total effective abs~p.~area PERMIT NO. Crib depth Tota~ effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS DATE LEGAL '~ '~ DEPRRTItENT 0'- HEaL. TH aND ENVII~,ONHENTRL- r"'~)TEC'FION L.OC~T~ON L..2 BL.K C OL.~C.~ER V~EN . , ,e,:mk. e,C GL C: er LOT TYF'E CF SF~II FIIgSORDTION SYSTEM I',5: TRENCH · THE REQUIRED SIZE OF THE SOIL aBSORPTION SYSTEM THE L,ENC~TH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAIhlFIELD. THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETHEEN I'HE SURFACE OF THE GROUND AND THE BOTTON OF THE ExcaVaTION (IN FEET). THERE %~ NO SET NIDTH FOR T~'.ENCHES, THE GRRVE',L DEPTH ~S THE MINIMUH DEPTH OF GRAVEL, BETHEEN THE OUTFALI... PIPE fiND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HRS THE RESPON~IBtLiTY TO INFORM THIS I)EPaRTMEN¥ DURING THE INSTRLL. RTION INSPECTIONS OF ANY HELLS ADJRCENT TO THIS PROPERTY RND THE ~NUPlBER OF RESIDENCES; THaT THE HELL HILL SERVE. BACKFILLING OF aNY SYSTEH WITHOUT FINAL INSPECTION aND aPPROVal., B'¢ THIS E~EPflRT/.1ENT HILL. BE SUBJECT TO PRO~;ECUTION, M!NIFIUH DISTANCE 8El14EEN R HELl,., RN[) aNY ON-SITE' SEWAGE DISPOSAL SYSTEM tS 1~0 FEET FOR a PRIVATE HELL.~ OR i58 TO 2~0 FEET FROM Ft PUBLIC HELL DEPENDING UPON 'THE TYPE OF PUBLIC HELl.. HELL LOGS fiRE REQUIRED aND HUS4T BE RETURNED TO THE DEPRRTMENT HITHtN 30 DAYS OF THE HELL CORPL,ETION, OTHER REQUIREMENTS MaY aPPLY. SPECIFICfl'rION:g fiND CON:~:TRUCTION D1flGRFIHS ARE aVaILABLE TO INSURE PROPER INfFFflLLRT:[ON. I CERTIFY TI4RT 1: I RM FflMtl...tRR WITH THE REI~UIREMENTS FOR ON-SITE SE~,IERS RND HELLS RS SET FORTH DY 'THE MUNICIPRLITY OF RNC;MORRGE. 2: I HiLL ~NSTRLL THE SY~TEH IN RCCORBaNCE t,.ltTH THE [~: I UNDERS'I"RND THRT THE ON-SITE SEHER SYS"FEFI MAY REQUIRE ENLRR6EMENT IF THE RESIDENCE I:~ REMODELED TO INC[..Ui)E MORE THRN 4 BEDROOMS, RFPI.,ICRN r HRi.F,~ R, "." ?. 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99B02 276-2221: SOILS LOG- PERCOLATION TEST [~ SOILS L.OG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DElrH , 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15- 16 17 18 19 2O [:lATE PERFORMED: SITE PLAN WAS GROUND WATER ENCOUNTERED? ~.0 IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop NO. t~4~ R AT~~~(minutes/inch) PERCOLATION TEST RUN BETWEEN PERFORMEDBY: ~ ~- CERTIFIED BY: DATE:~ 72-008 (7/76) Well Log: Lot 2, Blk C, Glacier View Subdivision Myrtle Drive and Eagle ~iver Moad Eagle ~iver, Alaska 99577 Drilled by Harry A. Mackey Triole M Owners: N6bert and Emma Soees Log: 0-4 feet 4-~8 feet ~8-20 feet 20 feet 2~-29 feet 29-42 feet 42-46 feet 46 feet 46-49 Overburden Gravel/Shale conglomerate Large Buulders small amount of water Hit hardoan Qlay, gravel and s~nd mixture Sand some more water Silt Mit gravel at 5~ feet and 6/7 gal water oer mi,n. Static Level ~2 feet. Cased to 50 feet 6 inches. · ( ~-~' MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. O;: ~'-%?. & REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE I DIBECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTYOWNER I PHONE Harry/Madeline M. MackeyI 688-2813 MAILING ADDRESS Star Route Box 1175 99567 PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE I MAILING ADDRESS 4. REALTOR/AGENT [ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 2 Block C Glacier View Heights Subdivision STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One ~ Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior, to that date, give well depth (attach log if available.) ~¢~c'~t~ - }Lc_~ q 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO ""E3 FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY --~ ~d;E] INDIVIDUAL DEPTH OF WELL [] COMMUNITY L~-~ DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER -[]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY O~ _ Connection Verified INSTALLER (~]SepticTankor [] Holding Tank~ ~ ~,c ~ ~) Size: ~,~3 If Tank is homemade SOILS RATING ~ ~ give dimensions: \ TYPE OF TAI~ MANUFACTURER TOTAL ASSQRPTION AREA MATERIAL 4. DISTAr~CES Septic/Holding Tank Absorption Area Sewer Line [ Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS I~'~PROVED FOR ~- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE~..~..... / .__., ~ BY (Ti~2L LEGAL DESCRIPTION N,.v 72-010 (Rev, 3/78) E �4 Municipality of Anchorage`�� On -Site Water and Wastewater Program y. z (907) 343-7904. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-491-34 Expiration .Date: 1. GENERAL INFORMATION Complete legaldescription Glacier View Heights Block C Lot 2 REM Location (site address) 22401 Glacier View Dr. Eagle River Current Property owner(s) Robert Spees Day phone Mailing address 22401 Glacier View Dr. Eagle River, AK Real Estate Agent Day phone 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) ❑ Duplex` - ❑ Multiple Dwellings (Single Family and/or. Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _ Well ❑ Public Sewer ❑ Public Water System ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 412.50 COVID Waiver Fee $ Date of Payment a 130 aDate of Payment Receipt Number z 0 `ti Receipt Number COSA# OSC201702 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. 1 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 ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD.. EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date ix .? Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future +-+►.`\ occupants or can ArcTerra guarantee that no unseen �^ OL' T\ encroachments, deficiencies or discrepancies exist. rr <Q `*�Id 49 TI`:i x �� 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the fol ?s 10NNETH D F JS C� 1 �n t `Fa Z9 1,�����( � �wtpulations:CyO J t7N-SITE WATER A R z^ �,, �.IV/ 5th" 1 Original Certificate Date: 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc COSA Checklist Legal Description: GIacier View Heights Block C Lot 2 Parcel ID: 050-491-34 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled UNK Total depth 51 ft Cased to 50.5 ft Sanitary seal is functioning correctly Wires are properly protected . Casing height (above ground) 27 in. Date of flow test for COSA 11/13/20 Static water level at beginning of test 27 ft. . Comments B. TANK DATA Age of tank(s)12/21/20 years Tank type/material Septic/Plastic Measured operating fluid level in septic tank NEW Standpipes/foundation cleanout pet record drawing Date of pumping D. ABSORPTION FIELD DATA Well production at time of test 5.5 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes 0 No 01 Coliform bacteria is Negative Nitrate 4.96 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L in Arsenic less than MRL (ND) Collected by Areterra Consulting Date of Sample 11/13/20 STATION ❑ Requl aintf Age of lift station Lift station material Comments: nce completed vears Which system tested (date installed) 9/22/78 Adequacy test date 11/13/20 ALL standpipes present per record drawing Results QPass For 4 bedrooms Total measured depth from grade 10 ft (max) Fluid depth prior to test 17 in Measured depth to pipe invert from grade 4 ft (min) Water added 600 gal ❑ N/A — pressurized field New depth 21 in Monitor tubes go to bottom of effective. If not, state 30 depth into effective Elapsed time min Code -required soil cover over field Final fluid depth 17 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons . If yes, enter date Comments/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' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft [p`J Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'21 Yes if. No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes . if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ®Yes. if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75 ® Yes if No ft ® Yes if.No ft" From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No. ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells> 100' ® Yes if No ft Water Main > 10' ® Yes . if No ft Community Wells > 200' ® Yes if No ft. Water Service Line > 10' ® 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' ® Yes if No ft Wells. on Adjacent Lots:" Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I 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 ti �2 1 Q. RQ jQ GG Ne��HQo ^°� .41 GRAVEL D/W S ® VENT °% MH (typ) /x x` SSS(. �Q 72 SOS Fac O ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: GLACIER VIEW HEIGHTS LOT 2 BLOCK C PLAT 70-151 c \ \ 3SS, \ a �2g WEL SyED o LOT 2 \ BLK C 2Z. 0, z� VO N N i+� N N 2,p CONC Q0 2.0' 1' CANT )Z� C104J 1' CANT �(Jj of 7 O 14.0 i) ry� p eCi vJJ SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enehroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to detennine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DAM SCALE: E-MAJL: JAN 6, 2021 1"=30' 21-002 DRAW BY: CHECKED RY GRID NI MSM' BOOK/PAtF JLS SWO059 210001 ==25-22' =80.36' MYRTLE DR © = FND M" REBAR 49TH ........... ........ s .. JOHN L. SCHULLER: ®a� LS -10408 ��� 'gagAO S� AZD L NDR��� '1 1831 Talkeetna Street Anchorage, .Alaska 99508 (907) 227-1455 office (907) 274-4992 fax