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Home My WebLink AboutT12N R3W SEC 27 LT 57AT12N R3W Sec. 27 Lot 57A #018-092-67 NAME 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 ?HONE I~ NEW ~ILING ADDRESS ~EGAL DESCRIPTION LOCATION DISTANCE TO'L w~mm Man~iurer ~SLDISTANCETO: ~" /O,3 No. of I--ines ' Length of e~ch line ~op of.tile to finish grade Width ~ ,~- Type of crib Crib diameter uJ Well ~ DISTANCE TO: Class Depth Buildin9 fouodation DISTANCE TO: lAbsorption~rea 6 Inside length Dwelling Foundation Total Ich§th of lines Uepth lMaterial ~"ea r'~7~st I o t line ~iO. ~ F BEDROOMS PERMIT NO. PERMIT NO, Licluid capacity in 9aliens PERMJT NO, Distance between lines *~' :' C~2~ inches Building foundation Nearest lot line Driller Distance to lot line Sewer line ~tan k Total effective abSOl tion area PERMIT NO. area PERMIT NO. ~s~sm ption aTea (S) OTHER -PIPE MATERIALS SOIL TEST RATING INSTALLER ~EMARKS :1 APPROVED DATE LEGAL 'ii!il; i..Ei'-,i(]l-!i D '[ I~]i=i".IS ]: O!",! ]!:'~i; iI'IE I.E]N(]iT!I (lin FE:E:I) OF !'1"1l}; !'f;i'IEi'-,!C:H Oi:;?. "ii-iii] i)E'I:::'-!'H O!::: i:::! i!;~:ENC:i~ Ol:;~' i:::']]T !]'r:; THE !])]]Si'F:It",!t~];E E',E'i'I,!E~(N THE SUi~:F:'F:!C:E ~::~I:;~'OL!N[) F:It'.t!]) T'HE 13OTl'O]'! C~F !'HE E:ldCt::I',,,'l:i~;l:(:)!",~ (Z[!",l !'::'['~:E'I') !i!~; G!q:F!VEL []:,l]~;f::'-ii-I ]I;:'; !'HE !'! it] N ]L HhlH DEPTH OF' ]~il:;~;l::!',,,'l.'~;!.. E'.~Ei!,.!Ei~!".i "I'HE OI..i'iFI:!t..L. FIND '[!-!~; i~:O"! 'i (:)H OIu !'l"lE] i~]::.::C:!:::!',,,'I:::!~'][OI".I (Z[l",l t'::q]~];U"!!] r i::il:;'i::'[ ;[(~:I:II'-,Fi HI:IS 'filE] !q:~;SI:::'ON'~:;[E',;I;I..];TV t'O ];NF'O~:~'I 'i-H;!;S; DE!::'F!R'!'I"IlEI'.]!- I]::,l..l~;i;Zt'.,!(]~i "I'I.iE !]!'.,i'~I'Fi!..!.F::IT[ON ;[i'.,!r~;F:'I~ECi-]h])NrE; OF: !:::ti'..l'?' !,lE;l.L.:~i~; Fti]:,,]FIC:ENT J"O ]I-I]i:S PROPI;~]:;i:'F'~.' ~::!l'.,l!]:, THE '~ ' ~h,.!~ iC)I,C ;7;i~ ]ZT,, ;)J] ii"..!! ~;; ~::::::~ ~::~: i(Z;: -~ :ZiE iiZZ~ ~'..,ii ~5; ~Iz::lt ~;;;2 l~}~Z IF;~( ~!~:ZZ iG~ ~..jl ]l'] ii;;: E~;; iC:: ...................... I]~1::1(:)!(i:::' ;[ !. !. ][ NG O!z I:;:ll'.,i'a.' ?~.".5 ! [r]'l !'! ;[ '[!!0t_1't' ~::' ]; NI:::If.. ;[ I"!SPE;CT ]Z ON t:::!l",il:) !:~lX'l::'t:;;:O","I:::i[ I;Z:,~E;[::'!:'f!:;;:li'l[~;i",l'l' l,!;[i.h E:E SL.tiE',~EC:i- !'0 i"l];i"!i;l'"ll.ti"l DiI:~;I"FINC;I:ii; E~;ll}~;'F!'tE]EN I:::i !,.lEI. L !::ii',!!];' I:::t1",!"*" O!",k-'S;[ f!~L '.E;E!,!I::I(]iI~Z [) ;[ ;~;[;'O']¢t:;'IL ::(.I;El*:EI F*E:;~b. 1' f::'i;;;i~;;: FI F'I:;".[',,,'I:;:ii'IF; t,iEl.t. Ofl~: :].:3g T'O ~1}:.t9 FEET Ft';:'.OH I::;I I::'U[~',L]Z(ZZ: I'.IEL..i I.jF:'ON 'I'HE t'"r'l:::'l:: OF i:::'i...l~:~!._.;[~Z; !,IE[..L. i~I;[NZI;!"ILtI"! I)];i~:;TFIBiC:E I::B'.O!"I I::t F'!:;;t]:~,"Fi'tE Nb:;I..L 'FO F! PIq:i[V!:It"~}: SIE!,!~:~]:R !.];!",!E ;[:E; ;;~'.'5 !':'EiE;' F:!I",iD [:::l C:C~['il'lt...li"! [-! 'i" SEf'.IEI? L:[!"!IE; :l::-i; ;':'U; ix'lEE[ OTHEI:;~'. l:;i:~l];:!l_l]l]!:;'[~!"!~Et".l'i~i]~; t'IFI"~'~ I;;II::'PI.-?. E;F:'E(L:][i;:'][C:FIF][OI"]~; I:::It",!D C:Oi",!'E;Fi~:LIC:!')]Cff',I D).FIGf;?.FI!"IS I'::I~;~t.E l::t",,'l:::l][J..FI![~:l_.li~ TO ;[N:~};!.I!:;i:[:~; I::'t:;;:OI::'I~;F~'. ::' 'i I: '] t-I iL:ff 'IHE l'li .ti",! Z!] C. iii F'I;::IL. iii '! '~" 2: '[ Iq ]] !.L ]] I",!:i]i;i'l;:ll.[- !'HI)-] iii;'~ '}:.: ]] LINI i'Hf:;i!' !'t'!t I! !...~ .... !.. 'Ji 'E; g~ SOILS LOG- MUNICIPALITY OF ANCHORAGE DEPARTMI---NT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMEO POR: UYNA/ SLOPE 3 SITE PLAN 10 11 ~_..~ 12 13 14 15- 16 17 18 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, ATWHAT DEPTH? Reading / Date % PL:RCO LATION RATE PERFORMED Gross Time 17-:17 Net Time Depth to Water /, 3 7 /&, ~/)~/~0 ___{minutes/inch) TEST RUN BETWEEN.~ FT AND ~-- FT CERTIFIED Net Drop .~. ./5 DATE: 72-008 (6/79) Tom Fink, Mayor Department of Health and Human Services 825%" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 March 13, 1991 Tobben Spurkland, P.E. 6751 West Dimond Boulevard Anchorage, Alaska 99502 Subject;: Waiver Request for T]2N R3W Section 27 Lot 57 Waiver Request #WR910008, PID #018-092-45 Dear Mr~ Spurkland: Your request for a waiver of the required 100 foot horizontal separation of a septic sysnem to a private well has been approved. The ,p~roved separation distance from the well to the septic tan~ is 90 feet~ This waiver approval applies to the existing septic system to well separation only~ Any future upgrade to either will require that all separation ~istances b~ Inet or the issuance of another approval from this department~ Sincerely. /~ /Robert W. Robinson Civil Engineer On-site Services Concur walk Acting Program Manager On-site Services ljm:3Z]l 675! ~. ~IHONO BLVb, ANCIIOBABE, ALASKA 99502-;994 (907) 2~8-5095 I:::'r"iva(:e w~'~:l:l t(::) septJ, c 'Lank it::)L 57~ Sect:ion 2'7~ 112N,~ R3U J(::dul I\lJ chcl:l h'hx~l'Ch I [, t99:t RECEIVED I AR 1 Municipality 0f Anch0r~g~ Dept. Health &Human 8ervice~ daLed Marc:h 5,~ ]991 ~ whore you t~.tal:e t:hat I:.he waiver- c:an not: bo qr am~ted bt)taus(.,., J:lie pl:)int~ did nl::)L ad(::l LLI:~ 'LO 16. I ~,¢as hoe a~'~ar'~..sz ar r':i. ved ,,i: I:)y c:cwls:i (her :i Im(j] ¢] (x::)t.tl:)] (o;~ (::)4: :i. ')icamJ~. 1. On I-larcl'~ (l, l";X;~l :[ che(::ked Llle tot:a] depth and !~[.:uL i c: ~.~a't(.~l" ] ~:~v(.,] ¢ ~ ('tl:i !!; ~.~(.:,i[ i[ . 'l'h6~ 't:ota] ch.:al::)'Lh was .~:oLttld 't:(:) 85 '{:t,, ~ and ~:ln~ !~t.lat:Lc wa[-or' l(~vel ~a.'~s at: 7'2 ~:~.,, Eh:)(".h these 11 evet .. .: ] ( )l-l , 6% I::)l:,)'['.~,~L:,(~?J"i 'tThE? w~:~] 1 s,¥'E;(Te:'m .. I t': :i ~:} a '[: ,'.~.J I' a!iS!EiLlfJll:)t i. On (: 0 t'.l'~ J. n k Ehat ;~Lli d 17 Ii (:? s E~,i:) t :i. (::: a Ic:)~.~.'e~' level,, ( [:10 f:ee'l:~ i:):lhts or m:i~n.ts). Ic, tl'~i~ (::a~z,e 't-he :iE~)nl ~,t~(:)t_~:l.(:J t:)(:.~ .~',,9 v(~["~tts ~:~ For a del:)'t:h o.F 40. Ih:lE; I:)l'-J~'~(:~ t:h~:? ( i:)l:a] I..)( .I I (:'(::) .)~ ,,,~ ,. cH'II b'Jlt:t'l tsh:is addJ k:i. on.:~] in.l:c)r"ma'LJcn'~ I hope t. hat: a waiver' (::arl be :i !~,uiu(:.:,d. Tom Fink, Mayor Niunicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 March 5, 1991 Tobben Spurkland, P.E. 6751 West Dimond Boulevard Anchorage, Alaska 99502 Subject: Request for Separation Distance Waiver #WR910008, #018-092-45, T12N R3W Section 27 Lot 57 PID Dear Mr. Spurkland: This office has completed its evaluation of the subject request for waiver of the required 100 foot separation distance between~ and existing private well and the septic tank on the subject lot. The request was flor a separation distance of 90 feet. The request for waiver was evaluated in accordance with the Alaska Department of Environmental Conservation (ADEC) waiver review guidelines. Our evaluation of the supporting documentation, which accompanied the request, yielded a total of 14.7 points. In accordance with ADEC waiver guidelines, a minimum of 16 points is required for issuance of a waiver unless the presence of special construction techniques and/or mitigative factors is documented. Therefore the request for waiver is denied. Resolution of the separation distance deficiency may be pursued by any of the following three alternatives: 1. You may prepare and submit additional supporting documentation which supports the assignment of ].6 or more points in accordance with ADEC waiver review guidelines. Kids Are Our Future Tobben Spurkland March 5, 1991 Page Two 2. You may prepare an engineering report that documents special construction techniques and/or the presence of mitigative measures or factors which support the issuance of the waiver. Such a report must conclude that there is negligible possibility or probability of wastewater system serving as a point source of contamination to the well. The conclusion must be supported by an appropriate engineering analysis. 3. You may relocate the offending we~L1 or septic tank. If you have any questions, please call our office at 343-4744. Sincerely, Susan Oswalt Acting Program Manager On-site Services cc: Robert W. Robinson, Civil Engineer, On-site Services 6751 ~I, DIHONB BLVD. AWCHO~AWE, ALASKA 99§02-590~ (907} 24fi'.50% ~::_.-~']~::(~)~:~ st:a'l:c,(J :in 'liLle :l. tg,~ /.iI, a~:;il::a AcJmi. rlishr'a't-ivc* Codec, ('~ p/.:r tn:Lt: ~,~,:tts :[~';~tt(e(:l eli Jit]y :L?~ :1.~?E32~ '[:c:)F' Pltu]:ic:ip,:dl hs Btt:i. ilt:. 't'ht:~ 14(;aa:l'l'.ll D(.z. pal'tmerrk ol:)v:iously wa:ivd)d thc, ~,~.~J (]hbor-:[ ncI [l eL's; llacl l.~.~,E:.li cIc](Zl..tlllC)l]12l.ed and ~: o] :1. Ov.~:i r,g 'k at:)] 6): LOT 51 LOT4? LOT56 LOlbO Installed 1959 ~978 lgB1 1979 fatal beptB 168 152 118 143 Water Lavelis) 167 148 117 132 lay -Fclllow:ilu] 'tile td6t:iv(i~r E'h.uil:he]:ili~as~ for' SE;IRE) o.B I:;he:~ D[CC, ar'r i v~.a<:l at: I:.ll~:.? 'f:o:£ ! owi rig I o t: ,'it I o o ~,o~ oF' 0 0 0 j C.~V Municipality of Anchorage •° • ^� Development Services Department �. / Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Gly cL �lr i Anchorage. AK 99519-6650 / www.muni.orglonslte (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-09-267 COSA# (// 0_r ��t/vv 1. GENERAL INFORMATION Expiration Date: .S' _2 & -- /() Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address T12N R3W SEC 27 LOT 57A 4401 DEARMOUN ROAD *ANCHORAGE, AK 99516 JOHN NICHOLS Day phone 345-0984 4401 DEARMOUN ROAD 'ANCHORAGE. AK 99516 Day phone PEGGY KELLY W/ DYNAMIC PROPERTIES Day phone 261-7600 3111 C STREET 'ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 riles 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 Engineers Printed Name ,JEFFREY A. GARNESS, P.E. Date Z Z3 to _ Engineers Comments: In conducting this evaluation, GEG, VD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE J� Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory y Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other C "'1;Y OFq�y ,.\Qp�. •, .... All ON-SITE •' �t: ��• WATERAND ; rn_ WASTEWATER . PROGRAM IM By: �/l�ir� / / ` Original Certificate Date: (R". IM) --\\ Municipality of Anchorage , (/ �l Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T12NR3W SEC 27 LOT 57A Parcel ID: 018-09-267 A. WELL DATA *PER SURROUNDING WELL LOGS Well type MOTE If A, B, or C provide PWSID# N A Well Log (Y/N) NO Date completed PRE -1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) Total depth 85'+ ft. Cased to *40'+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 2/9/10 Static water level _ ft. 75 ft. Well production __ ..: 9.p -m. _ .. _ 9.40 g.p.m. _ . _ WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate I *3lohlgJL. Other bacteria 0 colonies/100 ml. Arsenic: '5'S•CLg./L. Date of sample: 2/9/10 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7/28/82 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) N -O High water alarm (Y/N) N/A Date of pumping O Pumper � 1 SOtCA G r 5 �l t ✓yraQ iim� C. ABSORPTION FIELD DATA 0w EXISTING cRnoE NORTH/SOU PORTIONS OF TRENCH Date installed 7/28/82 Soil rating (g.p.d.tft 2 oof/bdm 150 System type TRENCH Length 20/28 ft. Width 3/3 ft. Gravel below pipe 9/**3 ft. Total dep"8.04/*12.75 ft. Eft. absorption area360 168 ft' Monitoring tubeYES Depression over field NO Date of adequacy test ***2/9/10 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 36.5 in. Water added** =gal. New depth 60.5 in. Elapsed Time: 27 min. Final fluid depth 52.5 in. _ 'Absorption rate >= 450+ g.p•d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — **SEE ATTACHED LETTER CONCERNING EFFECTIVE DEPTH FOR SOUTH TRENCH ***ONLY SOUTH TRENCH WAS TESTED. THE NORTH TRENCH WAS FOUND TO BE SURCHARGED. "***LAST 640 GALLONS INTRODUCED ONLY CAUSED A RISE OF 3 INCHES. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N 'Pump on" level at in. "Pump off" leve High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *85'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main NIA Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEE REQUEST FOR WAIVER AMENDMENT TO WR#910008 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. Engineer's Printed Name JEFFREY A. GARNESS 'Vo' �a �y \�.� o° Date Ib dProfe°s,0110, �040000�d COSA Fee $ 0 Waiver Fee $ Date of Payment 0 Receipt Number O Q " L/ (Rev. 11105) Date of Payment Receipt Number i GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b GENERAL CONTRACTORS ar eumr xesa�® February 10, 2010 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: COSA for T12N R3W, SEC 27, L57A, Waiver amendment request To whom it may concern: It was observed during our COSA site visit that the original waiver granted to 90' from the well to the septic tank is not sufficient. It was observed that the distance from the edge of the well casing to the clean out stand pipe of the first compartment of the septic tank onsite is exactly 90'. Given the fact that the tank is sitting perpendicular to the well, the Northeast corner of the septic tank onsite is encroaching upon the well by approximately 86'. We request that the existing waiver issued for the addressed property be amended to a distance of 85'. Drainfield notes It was observed during our septic adequacy test that the measurements conducted in the field to not match -up with the criteria notes on the original inspection report from 1982. The inspection report shows that the original design was modified to accommodate a "huge rock" using a twin trench spill over type system. The inspection report shows the effective depths of 108" for the north trench, and 36" in the south trench. Per our field measurements, the effective depth of the north trench is roughly 105" and the south trench an effective depth of 95.5", measured through a sump type monitoring tube. The north trench was found to be surcharged. The system absorbed over 826 gallons in the South trench, thus proving that the system can absorb 450+ gallons in a 24 hour period. The original test hole shows no water or impermeable soils encountered to a depth of 20'. Please take these facts into consideration while reviewing this COSA submittal package. n�, P.E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 0 Fax: (907) 338-3246 • Website: www.gamessengincefng.com Municipality of Anchorage / Development Services Department Building Safely Division On-Sitc Water and Wastewater Program ° 4700 Elmore Street s P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343.7904 Waiver Review Worksheet WR#: 910008 PID#:018.092.67 HA#: 01 0041 Permit#: Date Received: 2123110 Legal Description: T12N R3W Section 27 Lot 57A Engineer: Garness Engineering Grout), Ltd. 3701 E. Tudor Road, Suite 101 Anchorage Ak. 99507 Applicant: John Nichols Waiver Requested: This March 13. 1991 waiver is amended from 90 feet to 85 feet. Distance noted on original permit was 85 feet. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ..................../.......................................................... Waiver is Granted:y Waiver Is not Granted: List Conditions or Reasons for above: Date: .2 -::2 (, — /O By: .........a.a ............................... Rec#: Amount: Date Paid: .......... ................... .r Lot 49 1 Lot 48A I Lot 47 Lot 56A C -)49T ..�... ................. 27"E 165.00' 10' CEA Easement ----------------------------------- 52.0 ®0 Os Septic (� Stondpipes Rock Retaining Q �J L: Shed 0 Well I(o zt.s 43-� � td o 19.2 Existing House to ui 43.9 0 200 o a 20.2 N Rock Retaining Wall Paved Drive 0 N BLM Lot 57A S89'49'00"W 164.97' Bike Path to Dearmoun Road —9020 Q .1.• s sionct _G,- THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. ® m h Ordered By John Nichols 12 97Legal Description: AS—BUILT LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS BLM Lot 57A 440 West Benson Boulevard. Suite 200 Phone: 562-5291 Section 27, T12N, R3W Anchorage, Alaska 99503 Fox: 561-6626 Date Feb 16. 2010 Orown By. CB plot: 97-121 Scole: 1"e30' Work Order. 201 OL24 lChecked By JMZ arid: 2936 Fb/Pg- 753/66 wwwwes �J 29.1 ■ O 30.9 0 N Eo rq OR 0 N Septic Standpipe PVC Septic Stondpipe Cast Iron Water Well Fence Asphalt Wood Deck Lot 58 0 —X—X SURVEY CER71FICAMON: LAN7ECH has conducted a physical survey of the property as shown on this drawing and certifies that the knprovemenls situated thereon ore within the properly lines and no encroachments exist other than noted. EXCLUSIONARY NOTE: It Is the owners' responsibility to determine the existence of any easements. covenants. restrictions or right—of—way takings which do not appear on the recorded subdivision plot. Under no circumstances should any data hereon be used for construction. for establishing property lines. or for plot—plan purposes.