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HomeMy WebLinkAboutSEACLIFF BLK 1 LT 13eac i leff Block I Lot 13 #011 �221 � 14 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211150 PID Number: 011-221-14 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑k Upgrade Name Sharon Mauri ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 9330 Shorecrest Drive ❑ other Phone Number of Bedrooms Soil Rating Total depth from original grade 903-6263 4 Existing GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Seacliff 1 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well N/A N/A N/A N/A >25' TANK ❑. Septic EJS.T.E.P. E]Holding E]Other Manufacturer Capacity Greer 1250 Gal. Surface Water >10o- N/A N/A N/A Material Plastic Number of compartments 2 Lot Line >5, N/A N/A N/A NA Foundation > 10' N/A N/A N/A LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Ground Up Excavation Drainfield Existing CO/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection s, 7/8/21 1 Location and description nd dates: 2 `tnh Threshold of sliding glass door 3`d 4 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp -® ®F Conditional Approval: Date Ben)amlaiSchiller Septic Syste / Approv ( � ' Date -LE-21 �� 1F'• CE 12592 • `�� ����slF9�. ,7/15/21 �kt�,OpROFESSION�.� Note: this approval does not include well permit requirements. (Rev 05/02/18) SEACLIFF SUB, BLOCK 1 LOT 13 PERMIT # OSP211150 CONFIRMED 5 SEPARATION FROM DECK POSTS NEW 1250 -GAL SEPTIC TANK w/ 20" MANWAY EXISTING TRENCH TO REMAIN IN SERVICE CLEANOUT AT END OF FIELD CONFIRMED & LOCATED k ENGINEERING :49TM •. Benja i Schiller P1 • JulyCE ,s 202 . � All .� IO PROFcSS10 ' AW PID # 011-221-14 PLAN AS -BUILT 0 50 100 IBM ME hm FEET LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LOT 12 CD WATER SERVICE LINE LOCATION CONFIRMED LOT 13 p r j �o j MH _ O 2C0 Sv m i i ! i s • O B 5 P1 �� Ut�U1Y EXISTING FCO CONFIRMED EXISTING TANK DECOMMISSIONED IN PLACE PER UPC \ \ LOT 14 \A _-. MH 44.7 29.6 SV 47'0 32.7 2CO 48.0 1 34.1 PLAN AS -BUILT 0 50 100 IBM ME hm FEET LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE SEACLIFF SUB. BLOCK 1 LOT 13 PERMIT # OSP211150 PID # 011-221-14 9 ENGINEERING PROFILE AS -BUILT (NO SCALE) 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:llwww. mu n i. o rglons ite On -Site Wastewater Disposal System Permit Permit Number: OSP211150 Work Type: SepticTank Upgrade Tax Code Number: 01122114000 Site Legal Address: SEACLIFF BLK 1 LT 13 G:2424 Site Mailing Address: 9330 SHORECREST DR, Anchorage Owner: MAURI SHARON Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/1912021 5/19/2022 17600 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage GI 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 (2417). 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: A water main is routing through the utility easement along the south property line. Prior to installation of the septic tank, the water service line to the house shall be located to confirm minimum 10 ft separation to the septic system. In addition, prior to COSA, the separation between the water service main and the drainfield needs to be confirmed. Veronica Pope Received By: *�� 2021.05.19 14:13:12 -08'00' Date: Issued By: ' _ Date: 5_// 1 MUNICIPALITY OF ANCHORAGE n^,iui C7 r a p p `, Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 011-221-14 Property owner(s) Sharon MaUri Day phone Mailing address 9340 Shorecrest Drive , Anchorage, AK 99502 Site address 9330 Shorecrest Drive Legal description (Sub'd., Block & Lot) Seacliff Sub, Legal description (Township, Range & Section) Lot Size 17,600 Sq. Ft. Number of Bedrooms 4 Block 1 Lot 13 903-6263 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex ❑ (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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: 225- Date of Payment: -5/17 1 Receipt Number: a 8& 87 Permit No. 0SI02 l 115-0 Permit App__- : ,_..:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. May 12, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 5/12/21 Subject: Seacliff Sub, Block 1 Lot 13 – Shorecrest Dr Septic tank replacement Dear On-Site Services Engineer: The owners of the above lot intend to sell their 4-bedroom home on the property and the existing septic tank is well beyond its 30-year life expectancy. Therefore, we are submitting this permit application for its replacement. The subdivision is serviced by a community well that serves this lot as well as the surrounding properties, and is greater than 200’ away from the property lines of this lot. No septic system on this lot or adjacent lots will have any effect on the proposed septic tank location. The tank will be at least 10’ away from the foundation and 5’ away from the existing septic trench. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211150, Rebecca Carroll, 05/19/21 Benjamin Schiller CE 12592R EGISTEREDPROFE S S I O N ALENGINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND SEACLIFF SUB, BLOCK 1 LOT 13 FEET 0 50 100 NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM NO EXISTING WELLS - PROPERTY IS ON A COMMUNITY WELL SYSTEM4-BDRM HOME10' UT I L I TY EASE MENT NEW 1250-GAL SEPTIC TANK w/ 20" MANWAY DECOMMISSION EXISTING SEPTIC TANK PER UPC INSTALL FCO WITHIN 5' OF FOUNDATION 2CO EXISTING TRENCH TO REMAIN IN SERVICE LOCATE MISSING CLEANOUT AT END OF TRENCH & EXTEND TO SURFACE IF NEEDED SHEDMay 12, 2021 ≥10' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211150, Rebecca Carroll, 05/19/21 60 7— I } k M Loft 1. , Block Anchorage Recording DistrIety Alaska OT SURVEY CERTIFICATION llJT /4 I rwv" earflF.T Fhat I lwr,J ■wrrrra Iha praparfy rhwm Drill dwi.u'rb.d rtwb ri, -4 that "w wo%wsmvn% viruoted "woon wi ■6jh6n the prGp- irty U— rind do W aM@r6ap ar WKY000h W ad j aa.nf proP+.tr an¢ that M arwawnw s art adjMW4 Pf4P' y owriap 6e •noroaah M tho WMI■rs &n W�t6M ono tMt fhr,r ar■ "' Mcdr149, ufIlily 66ws, w oftow YliJWo 24""RF4 an said proparfr .aadwt in Indl4atao har•an. Ref. 2 .30° %„ .b. °. •, �- 1 + ; -;+ss ...s.*sass.. vear, + I = � *. EUMPM"ts of rawil a"W Mon "4N amort ai th* PI*t of rraard we ret wha*n hvraa uRI.&O w"mr*ls• +ratad. fir+ END IBM" or Aluminum Ca"d nlorwrnont roo0vu6d 0 Iron pip* urrdlor rabor r■cov■rod ❑ 2 x P- hub & tock rbooversd • 5/0"X W{ 'rabar is#t thl# Ilurvay — FENCE [111 (APPROX, I-XATI N ) Date /J Prepared by: R L. BurroN { `� — �02(9 T12 9-E2C�O f?a�xiversdLorAd i rr*Q, 519 W, Ei0Jfth rarr.. nC1kv .+1fwft 9350? F. 5, No, � property of.. MUNICIPALITY F ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-221-914 1. GENERAL INFORMATION Complete legal description Location (site address) Expiration Date: q,2— 7 2 0 Seacliff Sub, Block 1, Lot 13 9330 Shorecrest Drive Current property owner(s) Sharon Maurl Day phone (907) 903-6263 Mailing address 9340 Shorecrest Drive, Anchorage, AK 99502 Real estate agent 2. TYPE OF DWELLING: ❑ Single -Family (w/wo_AQ_U) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Q Water Storage ❑ Holding Tank ❑ Community Well ❑° Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment 7 a02 1 Date of Payment Receipt Number 6 L 4 q'� b Receipt Number 0� COSA # Z I LI O 3 Waiver # v 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 Engineering Phone (907) 522-7773 Address 99 t AveSuite And-orage, A - 9-503- - Engineer's Printed Name Benjamin Schiller Date 7/15/21 law ',c<c °F •q��l s �TH*I 6. DSD SIGNATURE System #1 Approved for bedrooms —� Y pP 'S / Benja .. Schiller System #2 Approved for bedrooms ��}�<`VIP, CE 12592 Disapproved ,tll� pROFESSIQP�'� Conditional approval for bedrooms, with the following stipulations: ,o\\OF —11N -SITE -N WATER AND m By Original Certificate Date: 7 — 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: Seacliff Sub, Block 1, Lot 13 If more than 1 septic system on lot: COSA Checklist # of UVRT011:440Rl,T4r-1 I_Til o is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Community Well PSWID 210485 B. TANK DATA Age of tank(s) <1 years Tank type/material Septic / Plastic Measured operating_fluid level in septic tank N/A lJm_1 Standpipes/foundation cleanout per record drawing Date of pumping Installed on 7/8/21 D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 1/13/93 Fm_1 ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ NIA — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 3.0' © 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: 011-221-11-1 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative itrate mg/L E] Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION E5-R.e,guired maintenance completed Lift station material Comments: Adequacy test date 4/29/21 Results ® Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 749 gal New depth 19 in Elapsed time 30 min Final fluid depth 0.5 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date MLO E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) ❑✓ Yes Septic Tank/Lift Station on Lot > 100' N/A Community Sewer Manhole/Cleanout > 100' N/A ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No N/A ft Private Sewer/Septic Line > 25' ❑ Yes if No N/A ft Absorption Field on Lot > 100' ❑ Yes if No N/A ft Holding Tank > 100' ❑ Yes if No N/A ft Neighboring Absorption Fields > 100' N/A Animal Containment > 50' ❑ Yes if No N/A ft ❑ Yes if No ft ❑✓ Yes if No Community Sewer Main > 75' ❑ Yes N/A if No ft Manure/Animal Excreta Storage > 100' ❑ Yes if No N/A 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 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'✓❑ ft 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' [D Yes if No fit 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'✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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 M OF A]49 ,q�,l�� TH Benjarrn/Schiller 0 ��11�F� •. CE 12592 • �`��® Tj i�IF9•,.7/15/21 ,'�n V PROFESS1g0t gy_. Parcel I.D. 011-221-14 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 (9O7) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: Howard Roberson Day phone 243-7707 9330 Shorecrest Drive. Anchoracle. AK 99515 Day phone 1. GENERAL INFORMATION Complete legal description Lot 13, Block 1, Seacliff Subdivision Location (site address or directions) 9330 Shorecrest Drive Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. Four (4) Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank E] Community On-site [] Public Sewer [] 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well . Individual Water Storage Community Class_A Well Public Water System The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of litle (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority 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 sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in t.he 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 Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(am) 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 Anderson Enqineerinq Phone 522-7773 Address P.O. Box 240773 Anchoraqe, AK 99524 Engineer's Printed Name Michael E. Anderson. P.E. Date 10/712002 DSD SIGNATURE I.,''/ Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist ' Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorege.ak.us (907) 343-79O4 Legal Description: A. WELL DATA Well type Class A Date completed __ Total depth HEALTH AUTHORITY APPROVAL CHECKLIST Lot 13. Block 1, Seacliff Subdivision Par(el ID: 011-221-14 If A, B, or C provide PWSID # 210485 Well Log (Y/N) Sanitary seal (Y/N) Wires properly protected (Y/N) . ft. Cased to __ ff. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well preduction WATER SAMPLE RESULTS: Coliform c~onlas/100 mi. Date of sample: B, SEPTIC/HOLDING TANK DATA Tank Type/Material Concmts Block Tank size 1~00 gal. Foundation claanout (Y/N) N_ Date of pumping 10r/12002 c. ABSORPTION FIELD DATA gp.m. g.p.m. Nitrate mgJI. Collected by: Other bacteria Number of Compartments 1_ Depression over tank (Y/N) N_ Pumper Northland Pumping colonias/100 mi. Date installed 9/1/1972 Cleanouts (Y/N) Y High water alarm (Y/N) N Date installed 12J2'1/1983 Soil rating (g.p.d./f~ or ~/bdrm) 85 SF/BDRU System type Oeeo Tm3ch Length 40 fl. Wmdth 5-6 fl. Gravel below pipe 3.5 Total depth ~ ff. Eft. absocpfion area 370 tt~ Monitoring tube Y Depression over field N_ Date of adequacy test 10/2/2002 Results (Pass/Fail) Pass Fluid depth in absorption field before test 0_ in. Water added6b'2 gal. Elapsed Time: 0_ min. Final fluid depth 0_ in. Abso~tion rate >= 600 Any rejuvenation, treatment (past 12 mo.) (YIN & type) Far _4 bedrooms New depthS_ in. g.p.d. N If yes, give date D. LIFT STATION Date instafled 'Pump on" level at __ in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" level at __ Cycles tested Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic taoldlift slation on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/deanout Sewer/sepfic service line Holding lank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Properly line >5, Water main N/A Water service line >t0° Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Prope~y line >t0' Waler Servk=e line >t0' Curtain dram None Noted COMMENTS Building foundation >t0' Surface water >100' Wells on adjacent lots >200' Absorption field >5' Surface wats~ >100' Water main >t0' Driveway, paddng/vehide storage >t0' 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 HAA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Da~e 10/"/12002 Waiver Fee $ Date of Payment Receipt Number HAA Fee $ _~.?~ Date of Payment Receipl Number ~.~j5"O ,~., (Rev. 12/o0) in. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) MEMORANDUM DATE: October 15, 2002 TO: Jeff Poet FROM: Mike Anderson, P.E.'~(~-' SUBJECT: Lot 13, Block 1, Seacliff Subdivision Certificate of Health Authority Approval Attached is the as-built for the subject lot. The system does not have an exterior foundation cleanout, but it does have a cleanout, in the cmwlspace making access to the line between the house and septic tank possible. Please let me know if you have additional questions.