HomeMy WebLinkAboutT15N R1W SEC 18 LT 74ZO-ZL I - 1 0#
tL 10'I
81 aS
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191379 PID Number: 051-172-02
Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade
Name
Zachary Browning
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
19338 Becky Lane, Chugiak, AK 99567
❑ Other
Phone INumber
of Bedrooms
Soil Rating
Total depth from original grade
REALTOR*: 907-232-4852
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
74
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
15N 1W 18
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
>100,
TANK ❑®.Septic ❑ S:T.E.P. [:]Holding ❑Other
Manufacturer
Greer
Capacity
1250 Gal.
Surface Water
>100'
Material
Polyethylene
Number of compartments
2-
i
Lot Line
I >5'
'
NA
Foundation
>1 Q'
I
LIFT STATION
Manufacturer.
Capacity
Remarks •Owner recently moved out of the country and does not have a permanent phone number yet.
Gal.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 drainfield Tank to
3034
Installer
RPC - Richard Person Construction
Drainfield ' CO/MT3034
Inspector Crewdson Engineering LLC
BENCH MARK (Assumed elevation) 100 , ft
Inspdates;ection ist 9/10/2019 d 9/11/2019
Location and description
2
3ru 4th
Top of porch slab, see record drawing
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp..
A4,1
Conditional Approval: Date
--------- --
.�.1
James A, Crewdson ;
=
Septic System011527
Appro �i,_Z2L Date 0 , C,
i
I ��i, '�=
Note: this does include
\\\OFESS`�P=�
approval not well permit requirements.
(rcev ub/uu1 6) A L LC 11\11'49
SWING TIES (feet)
A B
MH 66.90 69.20
S1 71.52 72.96
DC 74.28 75.25
o WELL
NOTES
1. (E) SEPTIC TANK REMOVED AND DISPOSED JAW
THE CODE.
2. NO DRAINFIELD ROCK FOUND WITHIN 5' OF THE
(N) SEPTIC TANK.
Civil & Environmental Engineering
PO Box 671389 Chugiak AK 99567 . ce11c.1 @ou0(
Cellfrext:907-280-9493 . Fax:907-888-2295
BENCH MARK ELEV
TOP OF SLAB AT "BM" EG 99.1'
ASSUMED ELEV 100' FG 99.7'
2"
INSULATION
SEPTIC TANK
GREER 1250 PE
ELEV:
TOT 95.58'
INLET INV 94.62'
OUTLET INV 94.45'
PLAN PROFILE
SCALE: 11'=30' NOT TO SCALE
T1 5N, R1 W, Sec 18, Lot 74
Septic Tank Upgrade Record Drawing
Plan and Profile Views
Prepared for:
Zachary Browning Date: 9-11-19
Permit: OSP191379 Page: 1 of 1
ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING. LLC AND SHALL NOT BE USED FOR
ENGINEERING OR CONSTRUCTION PURPOSES YATHOUT WRITTEN PERWWOH FROM CREWDSON ENGINEERING. LLC
LEGEND
(E) -.existing .
(N) - proposed
BM - benchmark
BR - bedroom
DC - double cleanout
EG - existing ground
ELEV - elevation
FC - foundation cleanout
FG - finish grade
IAW - in accordance with
INV - invert
MH - 24' manhole
MIN - minimum
PE - polyethylene
PL -,property line
S# - septic tank cleanout
SFH single family home
TOT top of tank
F..
moi,, %\
�. James A. Crewdson
C11527
�a®_ pROFESSIOHP o.
ALLC #112279
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191379, Deb Wockenfuss, 08/28/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191379, Deb Wockenfuss, 08/28/19
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
~MAIL NG ADD ESS
LEGAL DESCRIPTION
LOCATION
DISTANCE TO: ]Well j j (~ , I Ab~rptip a,ea
Manufacturer ~
IF HOMEMADE: Inside length Width
Well Dwelling
DISTANCE TO:
Manufacturer
NO..~EDROOMS
PERMIT NO.
No. of co~rtmonts
liquid depth
PERMIT NO.
Material Liquid capacity in gallons
DISTANCE TO: Well lA ~ Found~jorl~.~. Nearest~line!
each line
No. of lines / O
Top of tile to finish grade ~ ~
Material beneath tile
Depth
Crib diameter Crib depth
Well ~ Building foundation
Depth Driller
Building foundation Sewer line
Length ~_ Width
Type of crib
DISTANCE TO:
Class
DISTANCE TO:
PERMIT N(
Distance between lines
inches
Total effective absorption area
Nearest lot line
Septic tank
Distance to lot line
area
OTHER
PIPE MATERIALS
0
INSTALLER
REMARKS
DATE LEGAL
PERM!T NO.
RPPLICANT
_OCATION
_EGAL
I"IUI'-.I ! f-' ! ~ F-IL ! T%-" I'--mF AI'-.I~SI-t,_.~f~:AGE:
DEPFtRTMENT OF MEFILTH FIND ENVIRONMENTAL PROTECTION
825 "L'" STREET,
C~l".l--S I TE
< ?SlOii )
CHFIRLES R. FERRIN
L?4 Si8 TiSN RIW SM
8NC:HORFIGE.,
264-47'20 .........
'
PO BOY, 927 ERGLE RIVER 688 269~
LOT SIZE i100oo SQURRE FEE"['
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
~RXIMUM NUMBER OF BEDROOMS
SOIL RFITING (SQ FT?BR)= 2]:5
I'HE REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
DEF"'TH= .'1_0 LENGT'H= 5-~- '3RR~'EL, D E: F"T I'"'1 ~==
- ~' ~' .JR DR. FIINFIEL[:L
THE LENGTH DIMENSION IS THE LENL]TH (IN FEET) OF ]'HE TRENCH r '
THE DEPTH OF FI TRENCH OR PI"[' IS THE DISTFINCE BETWEEN THE SURFFICE OF: TH[.'".
GROUND FIND THE BOTTOM OF THE E%CFIVFITION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
]"HE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OLITFFILL F'IF'E
FIND THE BOTTOM OF THE EXCBVBTION (IN FEET).
E;: EEI;~L.I I REL~ SEPT I C: TFif-4f{ S; I ZE=: :t [ZIO[Z~ (!iR L.L.C'.".dF,,IE~;
='ERMIT FIPPLICFINT HFIS THE RESPONSIBILIT'¢ "['0 INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF 8NV WELLS FIDJRCENT TO THIS PROPERTY F¢4D THE
NUMBER OF RESIDENCES THPIT THE WELL WILL SERVE.
........ TI-lin] ( 2-:: ) I I%iSPE'EC:'I- I 01'-4 :E; RRE F.,~E (-.~lJ I I~..:EE::[: ..........................
BRCKFILLING OF FINY S'¢STEM WITHOUT FINFIL INSPECTION FIND 8PF'ROVFIL BY THIS
DEPRRTMENT WILL BE SIJBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN B WELL RND FINY ON-SITE SEWRGE DISPOSRL SYSTE:M IS
100 FEET FOR FI PRIVFITE WEL. L.~ OR
150 TO 2.00 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBL. IC WELl
:,PE61F I L..RT I ON=, 8ND CONSTRUCT I ON D I FIGRRMS FIRE:
OTHER REL4UIREMEN"[_ MFIY FIPPLY.
FIVFIILRBLE TO INSURE PROPER INSTFILLRTION.
F'EERM I -i- E ;--', F" I RE~; DEE:Er'IBER ~:.'1....
I CERTIFY THFIT
:.1.: IRM FFIMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS FIS SET
FORTH B'.r' THE MUNICIPFILIT"r' OF' FINCHORFIGE.
2: I WILL INS"I"FIL. L THE SYSTEM IN FICCORDFINCE WITH THE CODES.
2~: I UNDERSTFIND THFIT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLFIRGEMEi'.,I"F IF' THE
RESIDENCE IS REMODELED TO INCLUDE MORE THFIN Z< BEDROBMS.
',,,':ii:. 2
O ~ E GEC ECHNICAL ~' DEVEL ,PMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 S0[~. LOG 688-2280
Soils Et Foundations Land Development
Performed for: Name:
Legal Description: Z~r ~ ~. ~c./~ 'TI~ ~IVV~ ~.~f.
Depth, (feet) Sot] Char~cter1~,t1~
0
2
6
12,
13 ~ ~-~
14,
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments:
No / If yes, what depth ,
Drain Field
Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Ste Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I:D. 051-172-02
1. GENERAL INFORMATION
Expiration Daw-
Complete legal description T1 5N, R1 W, Section 18, Lot 74
Location (site address) 19338 Becky Lane, Chugiak, AK 99567
Current property owner(s) Zachary Browning Day "phone contact realtor
Mailing address contact realtor at: 603 W Recon Circle Palmer, AK 99645
Real estate agent .Jay Van D'lest Day 'phone 907-232-2358
2- TYPE OF DWELLING:-
WELLING:Single
SingleFamily (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3... NUMBER OF BEDROOMS:
3
. 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 $ JrsJ Waiver Fee $
Date of.Payment Date of Payment
Receipt Number Receipt Number
COSA # LIS 14 Ic/28 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 systemis (are) safe, functional. andadequate 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 Crewdson Engineering, LLC Phone 907-280-9493
Address PO Box 671389, Chugiak, AK 99567
Engineer's Printed Name James.Crewdson Date 9/11/201.9
ALLC 11 N201.9
i F A 4 ,'
6. DSD SIGNATURE
System #1 Approved for bedrooms � , , , �• , , , ,
/ JamesA.Orewdwn
System #2 Approved for bedrooms / �' • ,�►
C11517 : �
Disapproved �` F�'• •�'�,f
Conditional approval for bedrooms, with the following stiA�i�d�R��
w OF AA�,��/��,
ByOriginal Certificate date.M `
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: T15N, R1 W, Section 18, Lot 74
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled UNKNOWN
Total depth '40 ft
Cased to UNKNOWN ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) '18 in.
Date of flow test for COSA W212019
Static water level at beginning of test 46 ft.
Comments
B. TANK DATA
Age of tank(s) 0 years
Tank type/material SeptfdPE
❑ Standpipes/foundation cleanout per record drawing
Date of pumping not required
D. ABSORPTION` FIELD DATA
Which system tested.(date installed) 1/911978
❑ ALL standpipes, present per record drawing
Total measured depth:from grade 10 ft (max)
Measured depth to pipe invert from grade 4 ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of drainfield. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Parcel ID: 051-172-02
Structure served by this system
Well production at time of test 6+
pm
Water
Water storage tank volume NONE gallons
Well disinfected for coliform test? ❑ Yes IN Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by Crewdson Engineering
Date of Sample a22"0'9
G. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 8r'2'20'9 .
Results Q Pass For 3 bedrooms
Fluid depth prior to test 30 in
Water added 450+ gat
New depth 38 in
Elapsed time `1440 min
Final fluid depth 30 in
Absorption rate 450+ gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
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'
® Yes
if No
Community Sewer Manhole/Cleanout > 100'
0 Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' ®Yes
if No
ft
Private Sewer/Septic Line > 25' ✓❑Yes
if No ft
Absorption Field on Lot > 100' ✓Q Yes
if No
ft
Holding Tank > 100' ✓Q Yes
if No ft
Neighboring Absorption Fields > 100'
Water Main > 10'
Animal Containment > 50' ® Yes
if No ft
0 Yes
if No
ft
if No ft
Water Service Line > 10'
Q Yes
if No
ft
Manure/Animal Excreta Storage > 100'
0 Yes
Community Sewer Main > 75' [Z] 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
Driveway/Parking > 0'
Q✓ Yes
if No, comment
Absorption Field > 5'
OYes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100'
Q✓ Yes
if No ft
Water Service Line > 10'
Q Yes
if No
ft
Community Wells- 200'
0 Yes
if No ft
From Absorption Field on Lot to: (Please enter distances
if
less than required)
Building Foundation > 10'
Q Yes
if No
ft
Driveway/Parking >. 0'
2✓ Yes
if No, comment
Property Line > 10'
Q Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
0✓ Yes
if No
ft
Private Wells > 100'
Q Yes
if No ft
Water Service Line > 10'
FV� Yes
if No
ft
Community Wells > 200'
Q✓ Yes
if No ft
Surface Water > 100'
Q Yes
if No
ft
F. ENGINEER'S COMMENTS
Onsite records allow the drainfield to extend into the section line easement.
G. ENGINEER'S CERTIFICATION
1 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
A 4.10
O�PROFESS���'�~
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Parcel I.D.
Certificate of On -Site Systems Approval
051-172-02-000
Expiration Date:
al .OLS:, 7 LujS
1. GENERAL INFORMATIONI till
Complete legal description T15N R1 W SEC18 Lot 74
Location (site address) 19338 Becky Lane, Chugiak, AK 99567
Current Property owner(s) Roberta Kolb Day phone 688-5261
Mailing address 19338 Becky Lane, Chugiak, AK 99567
Real Estate Agent Amy Vik Day phone 244-3355
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Fx I
Individual El
Individual Water Storage
❑
Holding Tank ❑
Community Class Well
❑
Community ❑
Public Water System
❑
Public Sewer ❑
WaiverNariance request for:
Distance:
/,,
Received by: tzii( �/�f
l /!'�Ii�
Date: �� y
COSA to be released to the engineer, unless otherWse
requested by the
engineer.
COSA Fee $ 11216)-G —
Date of Payment u-1 [�'�
Receipt Number �i�``�r0Cp7
COSA# OSC���'LGo
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Benjamin Schiller, P.E.
6. DSD SIGNATURE
Phone 522-7773
Date 9/12/2016
OF 44��o
ION ° _Y
4'.sr-0
9 18
System #1 Approved for bedrooms
Y pP
System #2 Approved for bedrooms HSV CE j''�2 0 °ten
Disapproved m6O'����
FESS16f� ®®m
Conditional approval for bedrooms, with the following stipulat
By: i 1 =E3(�� 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.
ATTACHMENTS:.
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet f .. c
If more than 1 septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site ,Systems Approval Checklist
Legal Description: T1_4N R1 W Sed 8 Lot 74 Parcel ID: 051-172-02-000
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed Unknown Sanitary seal (Y/N) Y
Total depth >40 ft. Cased to Unknown ft
Date of test
Static water level
Well production
FROM WELL LOG
Unknown
Unknown ft
Well Log (Y/N) N
Wires properly protected (Y/N) Y
Casing height (above ground) 24.5 in.
AT INSPECTION
9/30/2016
49.71 ft.
Unknown 9 -P.M. 4.383 9 P.M.
WATER SAMPLE RESULTS
Coliform O �onies/100 mL Nitrate ND mg/L
Arsenic ND ug/L Date of sample: 9/27/16 Collected by: And. Engineering
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,000 gal. Number of Compartments 2
Date installed 11/12/78
Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 10/01/20,16 pumper Sanitary Pumpers
C. ABSORPTION FIELD DATA
1'/9/7$ z z 235 sf/bdrm Trench
Date ins�taylled' =t Soil rating (g.p.d./ft or ft /bdrm) System type
a?, 100.,��
Length ftft,
r" "^ Width 3 ft. Gravel below pipe 6 ft.
Tao
Vt tal depths 1101 t 'ft. Eff absorption area�� ft Monitoring tube Y Depression over field N
9%'30/16 Pass 3
;`Date of adequacy test Results (Pass/Fail) For bedrooms
<,\a 39.3 464 49.5
Fli id depth in absorptiodo n field before test in. Water added gal. New depth in.
F
Elapsed Time: 1;440,'min. Final fluid depth 39.3 in. Absorption rate >= 450 g p d
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
Septic Tank is more than 30 years old and nearing the end of its useful life.
D. LIFT STATION
Date installed _
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at
E. SEPARATION DISTANCES
Cycles tested
WELL ON LOT TO:
Septic tank/lift station on lot > 100'
Absorption field on lot >100'
Public sewer main >75
Sewer /septic service line >25'
Manhole/Access (Y/N)
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots > 100'
On adjacent lots > 100'
Public sewer manhole/cleanout >100'.
Holding tank >75
Animal containment areas >50 Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOTTO:
Building foundation >5' Property line >5' Absorption field >5'
10,
Water main > 1 Water service line > Surface water >
Wells on adjacent lots > 100'
ABSORPTION FIELD ON LOT TO:
r
Property line Building foundation >10 Water main >10
Water Service line >10' Surface water >1 00' Driveway, parking/vehicle storage >
10'
Curtain drain None Noted Wells on adjacent lots >100'
F. 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.
Engineer's Printed Name Benjamin Schiller, P. E.
Date to jet 11 1(r
COSA brown sheet 10-10-12.doc
rol
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33' R.O.W. RESERVE
BECKY LANE
SEPTIC
GRAVEL
/
10.2'x18.0' PORCH
1 STORY RESIDENCE-
/
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Lot 74, za.z
SECTION 18
24.2'
T15N, R1 W, GARAGE
S.M., ALASKA
108,845.47
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PLOT PLAN AS BUILT X SCALE -11-= 60' GRID NW 1155 Project No. 16-319/A1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates inc. (907) 522-6476 Phone QooppO�O
(907) 522-4625 Fax — p F
Professional Land Surveyors kenolangsurvey.com AF'? ,. . q ��4
., q p
jonothonOlongsurvey.com �0.• .,S �O
I hereby certify that I have surveyed the following described property:
BLM LOT 74, SECTION 18, T15N, R1W, S.M., ALASKA
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
Dated this the __"*111 Day of Dct•bPavn.. 2,6 tla at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
49TH
. .... .....
A KEN ETH G. N
5202..' yJ4�
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CHAIN–LINK
FENCE
z
22.2 x 24.660
tT 0
p
N
^
OV
11.8 n
n
V
m 58.6'
31.7'
z
N
10S'
WELL
114.0'
121.6'_........_
POWER POLES
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PLOT PLAN AS BUILT X SCALE -11-= 60' GRID NW 1155 Project No. 16-319/A1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates inc. (907) 522-6476 Phone QooppO�O
(907) 522-4625 Fax — p F
Professional Land Surveyors kenolangsurvey.com AF'? ,. . q ��4
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jonothonOlongsurvey.com �0.• .,S �O
I hereby certify that I have surveyed the following described property:
BLM LOT 74, SECTION 18, T15N, R1W, S.M., ALASKA
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
Dated this the __"*111 Day of Dct•bPavn.. 2,6 tla at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
49TH
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A KEN ETH G. N
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40naR.��SSIONAL _o
Ecklund, Timothy J
From: Right of Way Requests
Sent: Tuesday, October 18, 2016 11:02 AM
To: Ecklund, Timothy J; Right of Way Requests
Subject: ELM Lot 74, Section 15, ROW Encroachment into Becky Lane.
Tim
The MOA has not exercised our rights to use this BLM Easement; so we do not object to the stand pipe encroachment.
Regards,
Lynn McGee
Senior Plan Reviewer
Right of Way Section
mcgeelm@muni.org
343-8226
343-8250 (fax)
-----Original Message -----
From: Ecklund, Timothy J
Sent: Tuesday, October 18, 2016 10:49 AM
To: Right of Way Requests <MOAROWRequests@muni.org>
Subject: Encroachment issues
Good Morning,
Do you folks have any issues with a stand pipe located in the 33' ROW Reserve located just West of where the driveway
accesses Becky Lane? See attached As -built Thanks Tim
-----Original Message -----
From: CDA002PRT
Sent: Tuesday, October 18, 2016 11:04 AM
To: Ecklund, Timothy J <EcklundTJ@ci.anchorage.ak.us>
Subject: Scanned Document
MUNICIPALITY OF ANCHORAGE MUNICIPALITY dF ANCHORAGE
~,~/.~:&:=:' '-- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT, OF HEALTH &
825 L Street - A ~chorage, Ah~ska 99501 ENVIRONMENTAL PROTECTION
W"O M TAL. V,S ON OCT 5 1978
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAl.. WATER AND SEW~I~
DIRECTIONS: Complete ail parts on page 1, Incomplete requests will not fie processed. Please allow ten (10} (Jays for processing,
Charles Ferrin ~ 688-2690
Post Office Box 927 99577
~.~ ...................... ~ ......
...... PHONE
Roberta ~oZb ~688-3114
Box 596 Sou~h B~=chwood %oep 99577
Stale of Alaska, Veteran's Adm&n~s~ratlon 274-7555
MAll. lNG ADDRESS
907 West Nor.~thern _Lights Boulevard 99503
4. REALTOR/AGENT
Vir~iina Kohfzeld % Area Realtors 694-9555
MATIi~--~ ADDR ESS
Post__~O_f_fice Box 249 99577
5. LEGAL DESCRIPTION
T15N R1W Section 18 NE¼ of Lot 74
NUMBER OEBEDROOMS
~ SINGLE FAMILY I-L] One [2_-) Four [~-] Other
[~iJ Two [--~ Five
[O MULTIPLE FAMILY ~ Three [~] Six
7. WATER SUPPLY
[--] COMMUNITY
L-l_ PUBLIC UTI LITY
8. SI-'WAGE DISPOSAL SYSTEM
* ATTACH WELt_ LOG, A well log is reqL red for all wells drilied
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
INDIVIDUAL/ON-SITE**
PUBLIC u'rl LITY
If md v dual/on-s~te, g ye installation date 1978
If system is ovm two (2) years old an adequacy test is requiled
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACN REQUEST BEFORE PROCESSING CAN BE INFI'IATEE),
72-0~ 0(3/78)
THIS SIDE FOR OFFICIAL (JSE ONLY
INSPECTION APPOIN'IMEN]%
1, "YPE OF RESIDENCE
!~ SINGLE FAMILY
:T} MULTIPLE FAMILY
2, WATER SUPPLY
INDIVIDUAL
2: COMMUNITY
PUl3 LIC UTI LITY
Connection Verified
L SEWAGE DISPOSAL SYSTEM
: :IIN,r)IVIDUAL/ON SFFE
]]FUBL1G UTILFTY
C;~mleC[~on Verified
{~2}:eptJc Tank or IT] Holding Tank
If Tank is homemade
NUMBER OF BEDROOMS
~] ONE [2~ THREE [~ FIVE TJ OTHER
LT~ TWO [~ FOUR [2~ SlX
PERMIT NUMBER
-6TP-~H OF WELL
)ATE DRILLED
tOG RECEIVED
PERMtTNUMBER
DATE INSTALl_ED
INSTALLER
SOILS RATING
4. I)IS"I ANCES , Septic/Holdhlg Tank lAbsorption Area lSewer Line ~st Eo~ Line
WELL 'TO: [ ................. / I
5 ~:CMMENTS
tL~/APPROVED FOR _,-.~ BEDROOMS
CONDI]IONAL APPROVAL (letter must accompany certificate)
DISAPPROVED
....... --~' ...... ] [~¢-2 Ti~[8~ ~ ....................................
REALTORS
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA_~ FHA CONV
2. Property Owner: ~./,/:: ~:' x~:: / c:
Mailing Address: '_ ~?/,~ A/. ~".> ~.~' >~'i/Day Phone~
?> "',, . .~. ....., ~ Day Phone ~;~-
o
Name of Lending Institution: ,,,~'(c. ~/, /:'
: '' ' -- .":~ "'~ Phone
Mailing Address: .
Name of Realtor or Agent:
.d:;'/~:/~/'~ ~ '~:
Mailing Address: /'~-/:':/ .~"/~
Phone ~..: :~V ' .Y; ':< "~
Legal Description: -('¢ ~:
Location:
Type of Facility to be inspected:
Water Supply
Type of Supply: Public Utility ~ Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility ~
If Individual, date of installation:
Individual (on-site)
//,:~
REALTOR'~
AREA, INC. REALTORS
[] Anchorage
"C" St. Office
3300 C Street
(907) ?7F~ 25?5
[] East Anchorage [] Eagle River
Eastgate Office Parkgate Office
5437E. Northern Lights P.O. Box 249
(907) 278-2525 (907) 694-9555