HomeMy WebLinkAboutELMORE #2 BLK 12 LT 6AEirnore 2
Block 12
Lot 6A
#018�173�35
SUBMITTAL
.TIM
Municipality of Anchorage
On -Site Water and Wastewater Program ^ (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181147 PID Number: 018-173-35
Page 1 of 3
Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New EJ Upgrade
Name: A
Robert Nibert
PO Box 112203 Anchorage, AK 99511
Phone Number of Bedrooms
907-748-2586 4
LEGAL DESCRIPTION
Subdivision Block Lot
Elmore #2 12 6A
Township Range Section
BSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
F1 Other
Rating
depth from original grade
Depth to pipe invert from original grade Gravel depth beneath pipe
Ft.
Fill added above original grade Gravel length
Ft.
C;rnvPl width I Beds: Number of Lines IDistance between
III
lines
SEPARATION DISTANCES
Ft. I
I
1-t.
To
From
Septic
Tank
Absorption
Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
F{Z
Number of trenches
Dist. between trenches
Ft.
Well I
> 100'
>100 I
N/A
N/A
>25
TANK ❑° Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank 11500
Capacity
Gal.
Surface Water
>100'
I >100'
N/A
N/A
NA
Material
Steel
Number of compartments
2
Lot Line
>5'
>10'
N/A
N/A
Foundation
>10,
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Gal.
Curtain Drain
None
I Noted
I
Remarks Tank Only Replaced Under This Permit.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Existing Tank Decommissioned Per MOA
Code.
Pump make and model
Electrical Inspections performed by
Installer
Wh
Inspector ,J
Inspection
dates:
PIPE MATERIAL House to tank Exist
itters Construction Drainfield Existl
Millette BENCH MARK (Assumed elevation)100
` 7110/18 Location and description
2"d
3,d 4 Garage Slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En
itional Approval:
Approved�?C'�
Date
Date %
TanktoD3034
drainfield ld
CO/MT p3Q3
ft
gineer's Stamp
�(E OF A�4
. 49 TH `
Michael E. Anderson •:
4381-E o-
h
PROFESS,ION+��
100500
FEET
1"=50'
4-BDRM HOME
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
SV1
CO2CO BUFFALO STPERMIT # OSP181147 PID # 018-173-35
ELMORE #2 B12 L6A
A B
CO 91.6
SV1 95.6
SV2 105.1
A B
2CO 108.4
68.4
72.3
81.4
84.6
Sep 27, 2018
10' UTILITY EASEMENT
20' ELECTRIC EASEMENT
E 147TH AVE
EXISTING
ABSORPTION
TRENCH
EXISTING WELL
NEW 1500 GAL.
SEPTIC TANK
SV2
EXISTING WELL
EXISTING SEPTIC TANK REMOVED AND
DISPOSED OF PER CODE. NEW TANK
PLACED IN SAMELOCATION
PLAN AS-BUILT
E LM O R E #2 B12 L6A
PERMIT # OSP181147
PID # 018-173-35
NOTE:
TANK ONLY REPLACED UNDER THIS PERMIT.
(NO SCALE)
.........� :�
Michael E. Anderson
�e���pROFESSI��P -®
�,N�1PA[ItY Op MUNICIPALITY OF ANCHORAGE ,i,,,,,1
1 ) On-Site Water&Wastewater Program S;.
PO Box 196650 4700 Elmore Road
I Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
ws "R http://www.muni.org/onsite
1>cl, it ttn[•ni
9NCHORPGE
On-Site Wastewater Disposal System Permit
Permit Number: OSP181147 Effective Date: 7/5/2018
Work Type: SepticTank Upgrade Expiration Date: 7/5/2019
Tax Code Number: 01817335000
Site Legal Address: ELMORE#2 BLK 12 LT 6A G:3036
Site Mailing Address: 14700 BUFFALO ST, Anchorage
Owner: NIBERT ROBERT G & MICHAEL J Lot Size in Sq Ft: 42000
Design Engineer: FORGE ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
El Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: j/ eA lgC, rnr& Date:
r_ yIs14-tie./0
sued By: C. �S�, i Date: 7N 8
MUNICIPALITY OF ANCHORAGE
•
Community Development DepartmentitOr Phone: 9s. .fe, V,77
Development Services Division Fa ; ':
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION JUN 18 2018
cJ
Parcel I.D. 018-173-35 /1 01 6 8 L °'c5•e\
Property owner(s) Robert & Michael Nibert Day phone
Mailing address P.O. Box 112203 Anchorage, AK 99511
Site address 14700 Buffalo Street Anchorage, AK 99516
Legal description (Sub'd., Block & Lot) Elmore #2, Block 12, Lot 6A
Legal description (Township, Range & Section)
Lot Size 42,000 Sq. Ft. Number of Bedrooms 4 (Four)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(Z all that apply)
Absorption Field Initial I I
Single Family (SF) I X1
(w/wo ADU)
Septic Tank (51 Upgrade ❑X
Duplex (D) [_J
Holding Tank ❑ Renewal ❑
Multiple Dwellings
Privy LJ (SF and/or D)
Private Well n
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
'r� 1.J_
(Signature of property owner or authorized agent)
Permit/Rush Fees: a 16 - Waiver Fees:
Date of Payment: Co -( 1-I' Date of Payment:
Receipt Number: D ' 1'/(0b Receipt Number:
Permit No. OSP I g» l Waiver No.
Permit App_ • ':.,c
law
11,,a ' GE
ENGIN E E R I N G
PO BOX 240773
ANCHORAGE,AK 99524
522-7773 677-7766(FAX)
June 18, 2018
Municipality of Anchorage
Development Services Dept-On-Site Water& Wastewater Program
4700 Elmore Rd
Anchorage,AK 99507
Subject: Elmore#2,Block 12,Lot 6A— 14700 Buffalo Street
Septic System Design and Permit Application
Dear On-Site Services Engineer:
The septic tank on the subject lot has failed and must be replaced. We are submitting this permit
application for the construction of a new 1,500 gallon tank. The owner has requested the larger
tank for a possible future upgrade to the house. The existing tank will be decommissioned in
accordance with Municipal Code. The existing absorption trench will remain in service. The
attached site plan identifies the location of the home and the existing well, and the existing septic
tank and absorption trench. Well radii on the adjacent lots are also shown. No conflicts exist
between this proposed system and any other well or septic system,whether on this lot or adjacent
lots.
The new septic tank will be constructed in accordance with Municipal Code. It will be a
minimum of 100' from all wells and surface water, and more than 5' away from the existing
absorption trench. Storm water drainage will not impact this septic system.
Please refer to the attached plan sheet for the septic design. If this design is followed, there will
be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, P.E. m.co: ''•1 '
s'*; 49! �I
Attachments i•... �••• ••�•� •
•
IO.MICHAEL E. ANDERSON :4.7711�I J, • CE-4381 •4-
f,its ortssiO '�
ELMORE #2 B12 L6A
S'
SNE 147TH AVE
\ / \
r- /-t-\ 20'ELECTRIC EASEMENT1 -\
/ :\\
I
7t 11
I
I EXISTING WELL I
EXISTING WELL I r li / i I
EXISTING / I4-BDRM HOME
ABSORPTION / LOT 6A /I �I I
TRENCH I I,_I
Rf?TA ING WALL _'`
FCO �' I/ co
\ Cv y c
// \ \r/ " =N / m
7.
- - - S �� / 1 O
I
NEW 1500 GAL. - .': .:.....:..,
SEPTIC TANK
EXISTING 1250 GAL. I
\ SEPTIC TANK
LOT 5
10'UTILITY EASEMENT
NOTE: LOT 68 I
DECOMMISSION EXISTING 1250 GALLON SEPTIC TANK IN
ACCORDANCE WITH MOA CODE.
illiiii•GE I
N G I N C C R I M 4
NOTE:
�, . \Nu NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND
`, .0 !4��$ PROPOSED SEPTIC SYSTEM CO-CLEANOUT
Ale
*:49TH j\• .*V ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2C0 DOUBLE CLEANOUT
0 PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC FCO FOUNDATION CLEANOUT
•••• FS-FLOW SPLITTER VALVE
�/ SYSTEMS. MH-MANHOLE
. Michael E.Anderson :
I0,1'43'•• 4 31-E ��i 0 50 100 MT-MONITORING TUBE
't — — 1 FEET
�it44t- e.113p'�+ SV-SEPTIC VENT
\�vk\"`` r=50' TH-TEST HOLE
E. 147TH AVE.S,
,
NB9 55'12"E 201.25' �
_ ___u R=20.00'
L=31.49'
r� H .. 5( T=20.07'
I _ D=90"12'50"
ci I CH=28.34'
MORE 2in
PADCONC I
30'
EL N69.1' I R.O.W.
z w DI V'51012 . ,36.5 F-�- _I
/co x
ocK
v, z4 ; o
oi IL'r WELLku Mo_7.0• '�.: z obi
I- NI V r- / w
LA srN D LOT 6A �'� co = Q o
- BRICK 4J
oD 107.3' % �=� PAVERS o c0
0 26.5/ CONC. PAD I
Lo N
O RETAINING
Z WALL w O
A.C. oN
®o 0 0 4-`' DRIVEWAY
GF'Q P� :t
4
k
0
J
Q
Lor S89 55'44"W 221.81' L_
CO I
LOT 6B I
I I I
NOTES; LEGEND
1. SURVEY CERTIFICATION: RODNEY P. KINNEY — — — BUILDING OVERHANG
��.+����\,t ASSOCIATES INC. HAS CONDUCTED A PHYSICAL
�� OF `q��`` SURVEY
DRAWING OF ANDHIS THATTY AS SHOWN IMPROVEMENTS ON THIS 0 SEWER VENT
/ Q. S SITUATED THEREON ARE WITHIN THE PROPERTY 4 WATER WELL
���.• 4 •• 't LINES AND NO ENCROACHMENTS EXIST OTHER
* ; . * I THAN NOTED.
d — 12. EXCLUSION NOTES: IT IS THE OWNERS
RESPONSIBILITY TO DETERMINE THE EXISTENCE
Clark E. Kinneyti OF ANY EASEMENTS, COVENANTS, OR
• '• •' RESTRICTIONS WHICH DO NOT APPEAR ON THE
I %tee .**....r
lr i7go / GRAPHIC SCALE
I% � •, s- �g.•''�'/ RECORDED SUBDIVISION PLAT. NOTE: UNDER NO ,� 0 20 40
,,,1 i CIRCUMSTANCES SHOULD ANY DATA HEREON BE
`\ '°lessies:al "� USED FOR THE CONSTRUCTION OR FOR THE
�.''k'•��ibliw'"' ESTABLISHING OF PROPERTY LINES. i inch = 40 feet
r
111,, LOT 6A, BLOCK 12
IPKI ELMORE SUBDIVISION #2 AS-BUILT
vElloriissocla (PLAT 74-211)
,� �B�„ ANCHORAGE RECORDING DISTRICT 5/24/18 FIGURE 1
Municipality of Anchorage Page I of 3
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage. AK 99519-6650
www.d.anchorage.ak.us
(907) 349-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW020360
PID Number: 018-173-35
Bob Nibert
Wastewater System: Upgrade
Ad�;
P.O. Box 111203 Anch., AK 99511
ABSORPTION FIELD
P�: "�Gfb�a:
748-2586 Four (4)
5'Wide Shallow Trench
LEGAL DESCRIPTION
s� Ra". T" DOPM Irm "� 9,a0a.
1.2 6
cjwe Ft.
elma: LN: sut,��:
Depth W ppe txAtm ft. ta" waft; c4a� OnO tWeath pi":
12 6A Elmore No. 2
2 Ft. 4 Ft.
T�qr Ftww: sa�;
FM w9i" qrWe: Gawl LWWh:
2 Ft. 51 Ft.
Well: Existing
G,a� �1": N�W of knes:
5 1
0�.lame lo�
Ft.
Ft.
amvfmai� (�ale. A. k C):
T" D"M: cami W:
Tval abacp� wea: P" mat�.
Private
Ft. Fl.
510 Fe ASTM D3034 PVC
D'dw:
Date Sam Wstw L�:
I
ins�: Cale mqtalw:
Ft.
Poor Boy Const. 9/24-25/02
YMW.
pw"p sm at:
Cowng 1�91,t A� C�:
TANK
C�
Ft.
Ft
SEPARATION DISTANCES
123 Septic (3 Holding 0 S.T.E.P. 0 other.
To Septic Absorption Lift Holding 5ublidPrivate
Anchorage Tank
i_,Pawy M �W$.
1,250
From'�, Tank Field Station Tank Sewerune
Wes >100' >100' N/A N/A >251
Male, 1.
St;el
Nu.W of Cm�ts.
Two (2)
sud� WSW >100' >1001 N/A N/A
LIFT ST) 1N LOT
Lot u"a >51 >10' N/A N/A
�waau,e,.
Gal
Four"� >5' >10' N/A N/A
X
'N.P W, le"ei at. -P�p Off- ie� at.
Hgh alw W.. at.
in. M
M.
None Noted
P�p Wke & V� E� wmp� ped� by.
c.t...or.
Ftem*,as:
Existing Septic Tank and Absorption Crib
BENCH MARK
Pumped, Crushed and Backfilled On Site. 2"
L�� " 0.w�k..
Garage Slab
—insulation Over New Tank and Absorptiom
A�mw Elevai�.
Trench.
100.0 Ft.
Inspections performed by: Mike Anderson Dates: 1" 9/24/02
2nd 9/25/02
Department of Health and Human Services approval
Reviewed and approved by: Date: 7—
(R�. 10") t 1/0/1
Engineer's Stamp
Municipality of Anchorage Page 2 of 3
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW020360 PID No. 018-173-35
1 -47th
10' Utility Easement
A B
si 73.9 62.3
S2 81.4 57.7
Mi 108.3 30.5
C4 108.4 29.7
C5 85.4 80.4
I+
F+
I
C) I
Power Pole
(Point B)
F>L-Ak" ^.,S,-E3U1L--F
:S(--Ak1—EZ I" = .40'
N
th
MiCHAEL E. ANDERSON
�. No. CE�4381 J
�1- - 3
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-79G4
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW020360
0
rum 6.4
UU W V 1r)
LYJ
92:1 1250 Cation
ptic Tank
C� � r\�23 I I Ell 1'
/'_�03
94.5
Geotextile robric
& 2* Insulation
Drainfield Rock
51'
PROFILE AS -BUILT
Scale: 1"= 10'
Page 3 of 3
PID No. 018-173-35
88.0.—/
4%1
1 4
MICHAEL E. ANDER!
%., Nom CE�4381
MUNICIPALITY OFANCHORAGE qfp*vk
Development Services Department
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 18,2002
Expiration Date: Sep 18, 2003
Permit Number: SW020360 Parcel ID: 018-173-35
Legal Description: ELMORE #2 BLK 12 LT 6A
Design Engineer: 0014 Anderson Engineering Site Address: 014700 BUFFALO ST
Owner Name: Bob Nibert Lot Size: 42000 SO. FT.
Owner Address: PO BOX 112203 Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE, AK 99511-2203
This permit Is for the construction of'.
E Disposal Field [?] Septic Tank Holding Tank [-] Privy E] Private Well E] Water Storage
All construction must 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907)343-7904 (24 hours). (Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
WA
Date: �O�Z'319_'V
Date: 7// 19/0 ?_
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 018-173-35
Property owner(s) Bob Nfbert
0
A 1 4 T_�/
Permit Number SWO20360
Day phone 748-2586
Mailing address (1) P.O. Box 112203 Anchoraqe, AK 99511
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 6A, Block 12, Elmore Subdivision No. 2
Legal description (Section, Township & Range)
Lot Size qQ tr_)'Ct�) Acres/Sq.Ft. Number of Bedrooms Four (4)
THIS APPLICATION IS FOR:
Sewer Only Well Only 0
Sewer and Well Water Storage
Sewer Upgrade
THIS PROPERTY CONTAINS:
HotTub Jacuzzi E]
Swimming Pool Water Softening Unit 0
Therapy Pool El
I certify that the above information is c-orrect. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
yyjt"C-)'MA zov_ce�
(Signature of property owner or authorized agent)
Permit Fees: qt'o � Waiver Fees:
Date of Payment:
0/- 17—or,
Date of Payment:
Receipt Number: Receipt Number:
(Rev. 12/00)
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
September 11, 2002
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 6A, Block 12, Elmore Subdivision No. 2
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The existing absorption pit on the subject lot has failed and must be upgraded to
prevent a possible health hazard and damage to private property. We are therefore
requesting a permit be issued for the construction of a new septic system to serve the
four-bedroom home on the lot. The attached Site Plan and backup documentation
identify the location and configuration of the new septic system and the parameters
used in the design. Also identified on the plans are the existing well location, existing
absorption pit, test hole location and the locations of the well on the adjacent property.
Drainage arrows are also shown and current drainage patterns will be maintained after
construction. The existing septic tank will be pumped, crushed and backfilled. The new
tank will be placed outside the 100' protective radius of the well on the lot.
The test hole placed near the location of the proposed absorption trench indicated
clean fine sand with a minor amount of silt. No impervious layers were encountered.
The material absorbed water well with a percolation rate of 2.5 minutes per inch in the
acceptinglayer. Groundwater was found at approximately 11.5' below the surface and
rose to 11' during the monitoring period. We are therefore proposing to construct a 5'
wide absorption trench system with a 50' long trench with a 4' effective depth. The
distribution piping depth will be 2' below the surface. Total depth of the trench will be
6'. All components of the septic system will be constructed a minimum of 100' from
Elmore Creek to the south.
The ground surface on the lot slopes at shallow grades from east to west and north to
south. The absorption trench will be constructed parallel with the slope as much as
possible in conformance with Municipal requirements. All components of the new
septic system will be constructed a minimum of 100' from the well on the lot and on the
adjacent lot. The system will also be constructed a minimum of 100' from any surface
water in the area.
If the system is constructed in accordance with our design the following statements
Lot 6A, Block 12, Elmore No. 2
September 11, 2002
Page Two
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed In the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located In the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
�,Ywu, (f aa-,-,
Michael E. Anderson, P.E.
Attachments
49th
AEL E. ANDERSON
No. CE -4381 i
a
22067
20
8
7
L
212,00 22116
147th V�n 'D
r--- C
— — — — — — — — — —
10
A� T�
FE�y
6B
212.00
S09)56'17 -v 222.38 SLS
AREA SYSTEM PLAN
SCALE I" = 100'
I
00
49th
0
NICHAEL E.
AGERSON
No. CE-43.Rl
SCOPE OF WORK:
1. Pump, Crush and Backfill Existing Septic Tank.
2. Pump, Crush and Backfill Existing Absorption Crib.
3. Intercept. Existing Sewer Service Line.
4. Place New 1,250 Gallon Septic Tank.
5. Construct New 50'Long x 5'Wide x 4'Effective Depth
Absorption Trench.
S. Regrade All Disturbed Areas.
6. Revegetate Area As Required.
N
1 -47th U4e
Fr
TH
Existing A
50'Long X 5'Wide
X 4- Ett. Uepth
Absorption Trench
10' Utility Easement
Existing
Well
1,50
Gallon S
House
Septic Tank
Tank
�3 1 -F F-= F> I /k N
>C�^L-EE 1*" = 40*
M
Vj
C
0
r+
ACL E. ANDFRSON
No. CE -4381 .11
LOT 6A, BLOCK 12, ELMORE
SUBDIVISION NO. 2
DESIGN FACTORS:
4 Bedroom House
Perc. Rate: 2.5 Min./Inch
Application Rate: 1.2 GPD/SF
SYSTEM REQUIREMENTS:
5'Wide Trench System
I : 250 -Gallon Septic Tank
4 Drain Field Rock
4 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 500 SF of Absorption Area
500 SF/5 LF (Width)-.5(Red. Factor) = 50 LF Trench Length
Therefore: Construct a 5'Wide Absorption Trench 50'in Length With a 4' Effective Depth.
Flow Line EleVation In Trench to be 2' Below Original Ground Surface. Total Depth to be 6'
Below Existing Ground. Maintain 10' of Separation From Existing Absorption Crib.
Provide 3' of Cover or Place 2" Insulation and 2" of Cover Over Trenches. 4' of Cover
Required Over Septic Tank.
2- 11nsulation a
or
----Cz--�Geotextile rabr
1-86"
6'@
C)
4'
51
.1
4" PVC ASTM D3034
Drainfield Rock
TYPICAL WIDE TRENCH SECTION
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4'Separation From Groundwater.
Minimum 100'From Wells in the Area.
Minimum I O'Separation From Water Service Line.
Municipality of Anchorage
Building Safety Division/On-Site Water and Wastewater Program
4700 South Bragaw Street, Anchorage. AK 99519
SOILS LOG - PERCOLATION TEST
Performed For: Bob Nybert
Legal Description: Lot 6A. Block 12. Elmore Subdivision No. 2
SLOPE
OG/01-
10
11
12
13
14
15
16
17
18
A
SW
Golden
bate Performed:
SITE PLAN
LIT 4
A
V�.AE- E. A%�EgSON
11� Nom CE�A39'_ /
917/02
TESTHOLE NO. I
'I)
See Site Plan
Well Graded
Sands
with
Gravel
V
Gray/Loose
Some Silt
Was Groundwater
Encountered?
Yes
S
If Yes, What Depth?
11.5'
L
50%6-100
Depth to Water
0
After Monitoring
i'll
P
Date:
9112/02
E
Reading
Date
Gross
Net
Depth To
Net
Time
Time
Water
Drop
ML
1
7 -Sep
4:05
1.25
2
4:15
10
6
4.75
Boftorn of
3
4:16
1.25
Hole
4
4:26
10
5.5
4.25
5
4:27
1.25
6
4:37
10
5.5
4.25
7
4:38
1.25
8
4:48
10
5.5
4.25
Perc. Rate: 2.5 Min./inch Perc. Hole Diameter: 6"
21 Test Run Between 4.5 Ft. and 5.5 Ft.
Comments: Perc Cavity Presoaked Prior to Test.
Performed By: MEL 1, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 9/4102
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 6A, BLOCK 12, ELMORE SUBDIVISION NO. 2
GENERAL:
1 The scope of this project includes the pumping, crushing and
backfilling of the existing 1,500 gallon septic tank and absorption crib.
The project also includes include the procurement and placement of a
new 1,250 -gallon septic tank at the location shown on the site plan
and the construction of a new 50' long by 5' wide by 4' effective depth
absorption trench also shown on the Site Plan. The total depth of the
trench will be 6' below existing ground and the distribution pipe will be
placed at 2' below the surface. All components of the septic tank and
absorption trench must be constructed a minimum of 100' from the
existing well on the lot and the adjacent lot. A minimum of 4' of fill
must be placed atop the septic tank and 3' of fill above the absorption
trenches. In lieu of fill 2" of direct bury insulation may be placed with 2'
of fill atop the insulation. The septic system must be constructed a
minimum of 100'from Elmore Creekto the south of the property.
2. Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
4. Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
I . The 1,250 -gallon septic tank must be procured from an approved
septic tank manufacturer and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
Lot 6A, Block 12, Elmore No. 2
September 11, 2002
Page 2 of 2
5. Tanks installed without 4'of cover shall have a minimum of 2" of direct
burial insulation.
6. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200'from any community well.
6. Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1 . Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
Lot 6A, Block 12, Elmore No. 2
September 11, 2002
Page 3 of 3
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as -built of the completed system.
GRE ER ANCHORAGE AREA BO"UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
-;�PHONE
NAME MAILING ADDRESS,��'
LOCATION LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
NUMBER OF
FROM WELL MANUFACTURER MATERIAL �OMPARTMENTS
INSIDE LENGTH � INSIDE WIDTH LIQUID DEPTH — I IQUID CAPACITY GALLONS.
SEEPAGE PIT:
NUMBER OF PITS DIAMETER �
OR WIDTH—,
LENGTKE:5� DEPTH
LINING MATERIAL
CRIB SIZE:
DIAMETER-!:!f-;EPTH -157- -DISTANCE FROM: WELL
BUILDING FOUNDATION 71"."
-3,0 �-v
NEAREST LOT LINE-e�--�
TOTAL EFFECTIVE .4
ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL:
��t4 � -
TYPE —CONSTRUCTION DEPTH -DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
7'
FOUNDATION LOT LlNi��. SEWER LINEI�, TANK SYSTEM
1 -*V '_z? 'w
CESSPOOL—, OTHERSOU
_3r'�Fz;_
APPROVEC,�=22ZL-r DISAPPROVED
DISTANCES:
INSTALLED BY:
PIPE MATERIAL: Ze!2�
LOT SLOPE.
REMARKS:,!W
Form No. EQ -031
REMARKS
DIAGRAM OF SYSTEM
V
X
DATE APPROVED C*-
G.A.A.B.
NAME OF APPLICANT
INSTALLATION
LEGAL DESCRIPTION
GREATER ANCHORAGE AREA E30ROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330"C"STREET ANCHORAGE. ALASKA 99503
TELEPHONE 274-4361
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
-277
MAILING ApDRESS V.0. Z�nk PHONE
jq?,a.�j LQj�&
z -
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD - OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
NOTEs THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
I FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BAC�ILLmr OF ANY SYSTEM WITHOUT FINAL INSPECTION BY T14E
bEPARTmENT OF ENVIRONMENTAL QUALITY AUTHORIT Y , ILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SI E tt?'5'� TYPE
MINIMUM DISTANCES. REQUIREMENTS
-c- I
E AREA SIZE TYPE
'7-1 DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK - I -
-10 DRAIN FIELD
FOUNDATION TO SEEPAGE PIT C
SEPTIC TANK TO SEEPAGE PIT WALL -
SEPTIC TANK ' 5 SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE. f
WELLTOSEPTICTANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK. SEEPAGE PIT /0 C3 1 DRAIN FIELD
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
A INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
L
CONFORM To BOROUGH REGULATIONS REGARDING INS ATION.
J.,k ee
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E30ROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
'7
DATE APPLICANT'S SIGNATURE
�L �/-- i 2mz:
FORM NO. CO -014
I
R&M ENG ,4EERING & GEOLOGICl CONSULTANTS
229 EAST Sist. AVE. —P.O. 13OX 6087 —ANCHORAGE, ALASKA 99503
TELEPHONE 907-279-0483 TEL'EX 090-35419
Civil Engineers Geologists Land Surveyors
RALPH R. MIGILIACCIO
JAMES W. ROONEY. P. E. Engineering Geologist
MALCOLM A.161ENZIES,P.E..L.S.
JAMES H. VIE LLMAN, P.E.
July 25, 1973
Mr. Jerry Holland
P. 0. Box 42123
Anchorage, AX 99509
Ro& M Project No. 36638
RECEIVED
AUG ;3 1973 PM
GREATER ANCHORAGE AREA BOROUGH
9)EPT. Of ENVIRONMENTAL QUALITY
Re: Test Hole and Soil Log Report for sanitary System
Lot 6? Block 12, Elmore Subdivision.�-.,—.
Dear Mr. Holland:
Vie are submitting herewith the test boring results and our
comments regarding soil conditions encountered at the subject
site. This investigation was performed in accordance with
your request of July 25, 1973, and those procedures outlined
in a letter dated September 131 1971 by Mr. Rolf Strickland
of the Greater Anchorage Area Borough Department of Environ-
mental Quality.
A single test hole was put down within the Lot 6 area for the
purpose of defining general subsurface soil conditions for the
proposed sanitary system. Excavation was accomplished with a
tractor -mounted backhoe and the test hole was extended to a
total depth of 11.5 feet below ground surface. The final log
prepared for the test hole has been included in Drawing A-01.
Ground water was encountered in the test hole at a depth of
11.5 feet.
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 & M ENGINEERING & GEOLOGICAL CONSULTANTS
,7=1.7. Rooney
JWR * ph
xc: GAAB
ANCHORAGE FAIRBANKS JUNEAU
7-27-73 Do'
ORGANICS
0.5'
ORGANIC SILT, TRACE
SAND
O..C,
00.
..60 SANDY GRAVEL WITH
COBBLES TRACE' SILT (SW)*
..q
'boo.
SILT, SOME SAND (SM).Z�Qee5
7.0'
00
,a.
:7 , I
:0
0,
�, 6. ?x
SANDY GRAVEL WITH
COBBLES TRACE SILT (SW)
11.5'W.D. X to"' 11. 5'
T.D.
Note & Hole excavated with tractor mounted backhoe.
Water table encountered at 11.5.
Jerry Holland Propert
Engineering Ek Geological Consultants LOG OF TEST HOLK
ANCOORA09 v^,pe&mme ALASKA ju"eAu Anchorage Alaska
cATe 7-27-73 1 SCALE I " - 2' JOWN BY B.R.S. ICHKO 13Y W. E. D IPROJ. NO. 36638 1 DWG NO. A - 01
E. 147TH AVE. o o
N89 55'12"E 201.25' cl�
R=20.00'
L= 31.49'
F-------------- --------- --- { T=20.07'
D=90'12'50"
o I CH=28.34'
L
�MoRE2 I 30'
N #
� I ' I E \ 69.1' � R.O.W.
Sv�DIV0CK �2 0 ,36.5'/0p w
gL Z i o
w l 4
WELL I 'o>- 9/14.
of I YI ;,,0' I in
W N Om j Y W
13 (0� W I w rn
LOT 6A MO - I o BRICK I w
01
3
DO 107.3' % J PAVERS i 0
26.5' F °o
o I CONC. PAD
Z I RETAINING
Ld
WALLI w O
A.C. I o
Cm 00 �\, DRIVEWAY
C5
I I
� I �
I �
0
I a
LOT 5 LL_
S89 55'44 "W 221.81' L-
j m
I LOT 6B I I I
NOTES: LEGEND
1. SURVEY CERTIFICATION: RODNEY P. KINNEY — — — BUILDING OVERHANG
ASSOCIATES INC. HAS CONDUCTED A PHYSICAL
j�� OF `q�� \1 DRAWI GSURVEY OAND THAF THIS TOTHE MPROVEMENTSPERTY AS SHOWN ON THIS o SEWER VENT
/ 1 SITUATED THEREON ARE WITHIN THE PROPERTY WATER WELL
LINES AND NO ENCROACHMENTS EXIST OTHER
* I THAN NOTED.
2. EXCLUSION NOTES: IT IS THE OWNERS
RESPONSIBILITY TO DETERMINE THE EXISTENCE
Clark E. Kinney o OF ANY EASEMENTS, COVENANTS, OR
'.RESTRICTIONS WHICH DO NOT APPEAR ON THE
�1 r� Ls -11 60 / GRAPHIC SCALE
RECORDED SUBDIVISION PLAT. NOTE: UNDER NO ao o zo ao
i CIRCUMSTANCES SHOULD ANY DATA HEREON BE
°fessianelUSED FOR THE CONSTRUCTION OR FOR THE
\ %_4 ESTABLISHING OF PROPERTY LINES. i inch = 40 teat
LOT 6A, BLOCK 12 AS—BUILT
&RPKI ELMORE SUBDIVISION #2
havp-mmy1maink (PLAT 74-211)
�Lnno $stnvinn ANCHORAGE RECORDING DISTRICT 5/24/18 FGURE 1
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section �' Fax: 907-343-7997
Certificate of On -Site Systems Approi al
Parcel I.D. 018-173-35 Expiration Date: Zo Zd
1. GENERAL INFORMATION
Complete legal description Elmore #2, Block 12, Lot 6A
Location (site address) 14700 Buffalo Street Anchorage, AK
Current property owner(s)
Mailing address
Real estate agent
Robert & Michael Nibert Day phone _
P.O. Box 112203 Anchorage, AK 99511
2. TYPE OF DWELLING:
❑■ Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
310-3021
3. NUMBER OF BEDROOMS:
Five
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑E
Private Septic:
❑■
Water Storage
❑
Holding Tank.
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
I
❑
Waiver request for: j Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 1 •4�b Waiver Fee $
I
Date of Payment i+` I& P Date of Payment
Receipt Number Receipt Number
COSA # i�c�7 C a % 1 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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Forge Civil Engineering Phone 907-522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 2/6/20
6. DSD SIGNATURE r
System #1 Approved for J bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for
bedrooms, with the following stipulations:
Original Certificate Date: 2-13-2,0Z-6
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 Checklist blue sheet
Legal Description: Elmore #2, Block 12, Lot 6A
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 7/23/18
Total depth 97 ft
Cased to 97 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) '24 in.
Date of flow test for COSA 6/21/18
Static water level at beginning of test 77 ft.
Comments
B. TANK DATA
Age of tank(s) 2 years
Tank type/material SEPTIC/STEEL
Measured operating fluid level in septic_tank 49
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 10/21/19 - A+ Home Services
D. ABSORPTION FIELD DATA 5' Wide Trench
Which system tested (date installed) 9/25/02
❑ ALL standpipes present per record drawing
Total measured depth from grade 6.7 ft (max)
Measured depth to pipe invert from grade 2.7 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
Al Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced N/A gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 018-173-35
Structure served by this system
Well production at time of test 1.9 gpm
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 ug/L ❑ Arsenic less than MRL (ND)
Collected by Forge Engineering
Date of Sample 2/5/20
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 6/21/18
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 9 in
Water added 619 gal
New depth 9 in
Elapsed time 0 min
Final fluid depth 9 in
Absorption rate '600 gpd
Any rejuvenation treatment (past 12 months) No
If yes, enter date
Monitor Tube indicated 6.5" of water on 2/5/20. Additional testing is unnecessary.
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'
Building Foundations > 10'
Community Sewer Manhole/Cleanout > 100'
M Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' ✓0 Yes
if No
ft
Private Sewer/Septic Line > 25' 0✓ Yes
if No ft
Absorption Field on Lot > 100' ✓0 Yes
if No
ft
Holding Tank > 100' R Yes
if No ft
Neighboring Absorption Fields > 100'
ft
Private Wells > 100'
Animal Containment > 50' 0✓ Yes
if No ft
0✓ Yes
if No
ft
ft
Community Wells > 200'✓0
Yes if No ft
Water Service Line > 10'
✓0
Manure/Animal Excreta Storage > 100'
if No
Community Sewer Main > 75' 0 Yes
if No
ft✓0
Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
0✓
Yes
if No
ft
Surface Water > 100'
Q Yes if No ft
Property Line > 5'✓0
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
0
Yes
if No
ft
Private Wells > 100'
✓0 Yes if No ft
Water Main > 10'
0
Yes
if No
ft
Community Wells > 200'✓0
Yes if No ft
Water Service Line > 10'
✓0
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot
to:
(Please enter distances
if
less than required)
Building Foundation > 10'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
0✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'✓0
Yes
if No
ft
Private Wells > 100'
Yes if No ft
Water Service Line > 10'
El
Yes
if No
ft
Community Wells > 200'
Q Yes if No ft
Surface Water > 100'
0
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
...... ��.........
.• 49th
N41CHAEL E. ANDERSON g'�ro
No. CE -4381 +
� �F'° 2/13/20 .•'••<,',�
t o f Ato
LOI
CARGM: -Wyg
NAME: go IVb er
ARMF r2mlwn DATE: I s
H L
AKE M c,
MOD& 'T
Itz A 2
DROP TYPE- Typo Pvc— Si2o
Cant6tion --.A/�-4
POWER CABLE--- TypoF�r 6 kei siza 42
ELECTRICAL- Volts
MATER TAM: Tjpa k1t 11AY-b �
VZLL CASMI, Size D-;13. f
I CASED HOLF– Fram TO 97
HE STRUCTURE: 71-ae, C. -I 51-�
From TO —
OPEN :-SOLE: From TO
� I
E. 147TH AVE. o o
N89 55'12"E 201.25' �
R=20.00'
L= 31.49'
----- -----------I T=20.07'
I
N D= 90'12'50"
C I CH=28.34'
I
E�MOREN 2 C I 30'
# PAD
\ 15I O Y 69.1' i R.O.W.
' 1gO�vIG� �2 0 .36.5'/ao Y
V U
00 LLJ
w I au
o WELL /> p 4.0'
� r ( �� ;� o z
no. o
LOT 6A o ,co BRICKW
3
^I_ PAVERS I '^��
00 107.3'26.5'
o _ CONC. PAD
Z i RETAINING I w
WALL w O
LO
Amo 00 � DRIVEWAY I
Q Po
I
I to
—1 O
I
LOT 5 Lt_
589 55'44 "W 221.81' U-
j m i
LOT 6B
I i I I
N011S SND
1. SURVEY CERTIFICATION: RODNEY P. KINNEY — — — BUILDING OVERHANG
ASSOCIATES INC. HAS CONDUCTED A PHYSICAL
W� OF SURVEY F TIS PROPERTY AS SHOWN
DRAWINGOANDHTHAT THE MPROVEMENTSON THIS o SEWER VENT
SITUATED THEREON ARE WITHIN THE PROPERTY WATER WELL
49THy1+ LINES AND NO ENCROACHMENTS EXIST OTHER
®* ; THAN NOTED.
f 2. EXCLUSION NOTES: IT IS THE OWNERS
�.......... ..................... RESPONSIBILITY TO DETERMINE THE EXISTENCE
I+ Clark E. Kinney .' o ® OF ANY EASEMENTS, COVENANTS, OR
IP ® RESTRICTIONS WHICH DO NOT APPEAR ON THE
LS x,760 / GRAPHIC SCALE
@r ' / / RECORDED SUBDIVISION PLAT. NOTE: UNDER NO 40 0 20 ,w
!!
f.u'.. ,i CIRCUMSTANCES SHOULD ANY DATA HEREON BE
ofes9gca►el `® USED FOR THE CONSTRUCTION OR FOR THE
®�®®\�►®®® ESTABLISHING OF PROPERTY LINES. 1 inch = 40 feet
LOT 6A, BLOCK 12
�&RPKA
ELMORE SUBDIVISION #2 AS—BUILT
y F.
➢ Ate, (PLAT 74-211)
eenunu amissaSav""s ANCHORAGE RECORDING DISTRICT 2/11/2020 FIGURE 1
