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Home My WebLink AboutPALATERRA ADDN 2 LT 11AgENhh, A 1 11 ANN,, Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221471 PID Number: 017-151-35 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Colony Builders ABSORPTION FIELD ❑ Deep Trench Q Wide Trench ❑ Bed El Mound Site Address 13336 De Palatis Cir ❑ Other Phone 907-345-0371 Number of Bedrooms 4 Soil Rating JTotal depth from original grade 0.6 GPD/SF 12.0 / 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 9.0/9.0 Ft. Gravel depth beneath pipe 3.0 / 3.0 Ft. Subdivision Block Lot Palaterra Addn 2 11 Fill added above original grade 0.7/0.7 Gravel length 60 / 60 Township Range Section Ft. Ft. Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1034 Ft z 2 6.0 Ft. Well >100' >100' N/A N/A >25 TANK l�] Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water >10o, >100' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >10' >10' N/A N/A LtwfftaLATION Manufacturer Capacity Remarks Insulation installed over tank Gal. Trenches listed west/east Alarm location Elec r Iled by Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Bolinder Excavating, LLC Drainfield D3034 CO/MTD3034 Inspector B Schiller BENCH MARK (Assumed elevation) 100 ft Inspdection 1-` 9/21/23 2�d 9/22/23 Location and description 3rd 9/22/23 4'h Bottom of siding @ A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp _Or el Conditional Approval: Date ��Q'��•'9cA,lfi� �� i* •49 TM '� �l• Septic. System (� Benja rSchiller •:� r�, �G� • CE 12592 • c�`v V/ / Date O /�� z, Approved a r„o� 10/5/23 4P Note: this �� ROFESSI�N�r approval does n include well permit requirements. in_.. nr mnrem Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A L E N GINEER 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 PERMIT # OSP221471 PID # 017-151-35 PALATERRA ADDITION 2, LOT 11 A B FCO 57.4 MH 52.8 SV 52.7 A B 2CO 53.2 CO1 87.5 MT1 86.8 4.7 17.3 21.6 26.6 66.0 65.9 FEET 0 50 100 De P A L A T I S C I R C L E 4-B D R M H O M E 935 10/9/23 10' T&E EASEMENT 930 925 920 915 910 TP11 P11 SEPTIC AREA OF NEIGHBORING LOT SEPTIC AREA OF NEIGHBORING LOT IS OFF THE PAGE MT3 2 x 60' LONG x 5' WIDE, 3' EFFECTIVE DEPTH ABSORPTION TRENCHES 1250-GAL SEPTIC TANK AS-BUILT PLAN MT1 MT2MT4 FCOCO1 CO3 CO2 CO4 WELLS OF NEIGHBORING LOTS ARE OFF THE PAGE EXISTING WELL BTH TEST HOLE 2CO CO2 43.8 MT2 45.0 72.6 73.8 CO3 94.3 MT3 93.6 77.3 76.5 CO4 54.6 MT4 55.2 82.1 81.9 FS FS 60.851.5 ALTERNATE SITE PROFILE AS-BUILT (NO SCALE) 93.8 94.3 98.3 FC O MH SV 1250 GAL SEPTIC TANK 95.0 FINISH GRADE 60' DRAINFIELD ROCK MT 1 NO GROUNDWATER 8/19/23 82.3 85.3 CO 1 CO 2 76.3 82.3 85.3 94.3 ORIGINAL GRADE MT 2 2C O 93.6 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER 10/4/23 PERMIT # OSP221471 PID # 017-151-35 PALATERRA ADDITION 2, LOT 11 WEST TRENCH 95.0 FINISH GRADE 60' DRAINFIELD ROCK MT 3 BT H T E S T H O L E NO GROUNDWATER 8/19/23 82.3 85.3 CO 3 CO 4 76.3 82.3 85.3 94.3 ORIGINAL GRADE MT 4 EAST TRENCH INSULATION BT H T E S T H O L E 01/04/2023 23:45 907-345-0202 ALPINE DRILLING PAGE 01/01 Permit Number- 4SW221471, Date of Issue. 11-17-22 Parcel Identification Number: 01715135000 Date Started: 4- ' 18-23 Date Completed: 4-20-2 is well located at approved permit location? x Yes No Legal Description. Palaterra Addition #2 Lot 11 Property Owner Name & Address. Colony Builders /tic 9420 Vanguard Unit A Anchorage, Alaska 99507 Borehole Data: Depth (ft) Method of Drilling x air rotary El cable too] Soil Type, Thickness & Water Strata From TO Casing type: steel sack - up 0 3 Wall TWckness:.25Q inches organies & sily 3 4 Diameter: 6 inches Depth: 297 feet Liner Type., - Graelly silt 4 is Diameter: inches Depth, feet san4v silt is 25 Casing stickup above ground: 3 feet Static water level (from ground level): 205 feet silt 25 120 silty sandy gravel wet gravelly silt 120 130 130 J76 Pumping level: 296 feet after hours pumping 20 gpin Recovery Rate. 20 gpm silty gravel Wet 176 J82 Method of Testing: air li4 gravelly silt 182 225 Well Intake I Opening Type: silt 225 234 x Open End 0 Open Hole graver silt 234 290 El Screened Start feet Stopped feet El Perforations Start feet Stopped fi)d MV water scud gravel 290 297 Grout Type. bentonite granules Volume: jbg Pump: Intake Depth feet Pump size - hp, Brand Name Well Disinfected Upon Completion? x Yes El No Method of Disiafection: chlorine tablets Comments. Well Driller: Alpine Drdlikg & Enterprises PO Box 110496 Anchorage AK 99511 mm� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 10' T&E EASEMENT ' — WOODEN FEN( l Block 1 8.2'x16.2' SHED HOUSE DETAIL Scale: 1"=40' / RETAINING 10' T&E EASEMENTS 1 Loft 12 _PLOT PLAN AS BUILT _X SCALE _1 50' GRID _ 5W 2939Project No. 23-1341A1___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone ken®langsu rvey.com Professional Land Surveyors jonathan9langsurvey.com of At k'k travis®longsurvey.com P'�, 11 19"':4A I hereby certify that I have surveyed the following described property: LOT 11. PALATERRA SUBDIVISION — ADDITION 2 (PLAT No. 2021-61) 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=?t�`� _ Day of=, 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 ..:* �0 9 • KENNETH G. LANG o.�202 � o� ESS�O1yA State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water & Wastewater System Permit Permit Number: OSP221471 Work Type: WellSeptic Initial Tax Code Number: 01715135000 Site Legal Address: PALATERRA ADDN 2 LT 11 G:2939 Site Mailing Address: Owner: COLONY BUILDERS INC Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: e n t No Sir .f l■ ! L)C;I)211'CiT1l:I1C 11/17/2022 11/17/2023 43856 Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing -may: 1_s5 ue Issued By: Des G�1 a rt q 9///Z3 Date: Date: M MUNICIPALITY OF ANCHORAGE QuS g Community Development Department f. ' Phone: - 43-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-151-35 Property owner(s) Bill Taylor Day phone 907-345-0371 Mailing address 9420 Vanguard Drive #A Anchorage, AK 99503 Site address NHN DePalatis Circle Legal description (Sub'd., Block & Lot) Palaterra Addition 2, Lot 11 Legal description (Township, Range & Section) Lot Size 43,856 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank ❑x Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ APPLICATION IS AN: Initial ❑x Upgrade ❑ Renewal ❑ TYPE OF DWELLING: Single Family (SF) ❑x (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: 9 /J�:Z . vu _ Date of Payment: Receipt Number: 0803� a Permit No. p2��"� Permit App_:;- :- .-.,:c , Waiver Fees: Date of Payment: Receipt Number: Waiver No. November 16, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Palaterra Addition 2, Lot 11 Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the property, so we are submitting this permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home as well as the proposed well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot is relatively flat; the new septic system is placed in the rear of the lot (There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site.) Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trenchES will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 16’ away. Please refer to the attached test hole logs, plan and profile pages 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 OSP221471, Deb Wockenfuss, 11/17/22 PALATERRA ADDITION 2, LOT 11 I I SEPTIC AREA OF WELLS OF I NEIGHBORING LOT IS NEIGHBORING LOTS I OFF THE PAGE,- ARE OFF THE PAGE -SEPTIC OF NEIGHBORING,_LOT BTH TEST HOLE GD -I-,- 1 PALATERRA BLOCK 1' - / 1935 / I \ 930. ` LO`T 12 \ / I PROPOSED WELL / it 12507GAU SEPTIC TANK 925 10' SEPARATION/FROM — FOUNDATION % 10' T&E EASEMENT I / —Z I, 2c FCO CO P11 MT FSCo NIT MT CO 920 T V� \� / - -P11 CO �� S / /\ / // LOT 1 2 x,60' LONG x 5' WIDE, 3'/ t ''I / ALTERNATE SITE EFFECTIVE DEPTH ABSORPTION TRENCHES - MIN 6' SEPARATION \ MAINTAIN 10' SEPARATION FROM \ FOUNDATION AND FROM }� j PROPERTY LINES LOT 11 I \ I LOT 10 I \ LOT 2 910 �z ENGINEERING OF • . 4h ►. *7-'49 7H�^ •;* . .......... Benja i Schiller F�JP•.•CEv1s/z92 .•.gyp dp 1 1 iIF�FOFESSIONP�� - � a — — — — — — — — — — ----------- SEPTIC PLAN 0 50 100 FEET 111=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PALATERRA ADDITION 2, LOT 11 Co -4c 1 DESIGN FACTORS: 600 GPD PEAK FLOW PERK RATE: 24 MIN/IN APPLICATION RATE: 0.6 GPD/SF SYSTEM REQUIREMENTS: 5 -WIDE TRENCH SYSTEM 1,250 -GAL SEPTIC TANK 600 GPD / 0.6 GPD/SF / 5' WIDE * 0.58 (3.0' DEEP) = 116.7 LF TRENCH REQUIRED (120 LF SPECIFIED) BOTTOM OF TRENCH: 12.0' BELOW GRADE FLOW LINE ELEVATION: 9.0' BELOW GRADE cn r � 1 EXTILE FABRIC RFORATED PVC (HOLES DOWN) (FIELD ROCK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY A. _ GE E N G I N E E R I N G '*7. .A9 •:* .......... . ' • • • • • Benja 'n Schiller ' . 9Fc • CE 12592 �slF9•.,:1115122 .•��v� it\��PROFESSIONP�� BTH CONSTRUCTION EXCAVATION h ENGINEERING Gd -,.;e � SOILS LOG AND PERCOLATION TEST Performed For: COLONY BUILDERS Legal Description- PALATERRA ADDITION 2, LOT 11 Slope 0- 1- 2- 3- 4- 5 - 3- 4-5 — 6- 7- 8 — 9 - 7- 8- 9-10-11 — 12- 13- 14 2-13-14 — 15 — 16 = 17- 18- 19 — 20 — COMMENTS: VEGETATION AND ORGANICS SM – SILTY SAND WITH GRAVEL ML — SANDY SILT BOTTOM OF HOLE OF _: ; ; �-- BRIAN T. HARTEN ttt ��'•, NO. 10068—CE 11\\X'o'OROFESS I ONa� Date Performed: " i/., cvca Parcel I.D. Number: 01715135000 Site Plan 1250-GALSEPTIC TANK 10'SEPARATION,FROM- BTH CONSTRUCTION TESTHOLE FOUNDATION :' ENCOUNTERED? FINISH DEPTH 10' TBE co[[�� idit •.. 6-4/16" 1•. Mr C0f4C0 ..: QFC IF YES, AT WHAT DEPTH? .'pSC' ePi 0- 0 DEPTH TO WATER DRY WAS GROUND WATER NO GROSS TIME ENCOUNTERED? FINISH DEPTH NET DROP 08-12-23 6-4/16" W IF YES, AT WHAT DEPTH? 8-4/16" 0- 0 DEPTH TO WATER DRY ( j AFTER MONITORING? 7-8/16" 1-4/16" DATE(S): 08-19-23 90 MIN 2 x 32' LONG x 5' W IDE, v EFFECTIVE DEPTHABSORPTION ALTERNATE SITE TRENCHES•MINfi SEPARATION LOT 11 DATE START DEPTH GROSS TIME NET TIME FINISH DEPTH NET DROP 08-12-23 6-4/16" 30 MIN 30 MIN 8-4/16" 2" 6-4/16" 60 MIN 30 MIN 7-8/16" 1-4/16" 5-8/16" 90 MIN 30 MIN 6-12/16" 1-4/16" PERCOLATION RATE 24 MIN/INCH TEST HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 9.0 FT AND 10.0 FT PERFORMED BY: BTH CONSTRUCTION, LLC I, BRIAN T. HARTEN , CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: AUGUST 19, 2023 Depth 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 19- 20- FT AND FT BGS I (ENGINEER'S SEAL) Project Name/No.: Legal Description: 15- 16- Date Gross Time Start/Stop (HH:MM) Slope Site Plan (minutes/inch) Net Time (Minutes) Depth to Water Start/Stop (feet BTOC) Net Drop (inches) Reading No. COMMENTS FINAL PERCOLATION RATE 17- 18- PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: CERTIFY THAT THIS TEST WASPERFORMED BY: S L O P E WAS GROUNDWATER OBSERVED ATD? IF YES, AT WHAT DEPTH? MEASURED DEPTH TO GROUNDWATER DATE OF MEASUREMENT Date Performed: Northern Geotechnical Engineering, Inc. Terra Firma Testing 11301 Olive Lane Anchorage, AK 99515 (907)344-5934 Soils Log - Percolation Test Proposed Lot 11, Palaterra Subd. 16:08 / 16:13 16:14 / 16:19 16:20 / 16:26 15:56 / 16:00 16:01 / 16:06 5 1 6 in./4 in. 14.3 14.8 7/2/21 June 17, 2021 3 4 5 6/17/21 6/25/21 Proposed Lots 1-11, Palaterra Subd. / 5969-21 Colony Builders, Inc. No N/A None 1 4 5 5 6 6 Andrew C. Smith, CPG Keith F. Mobley, P.E. 2 6 16:28 / 16:34 6 15.120 / 15.620 (feet) 24- 25- 21- 22- 23- PERC HOLE/CASING DIAMETER Test Performed For: Borehole ID: P11 Drilled On: 6/15/21 TEST RUN BETWEEN CASING S/U 0.82 15.120 / 15.620 15.120 / 15.620 15.120 / 15.620 15.120 / 15.620 15.120 / 15.620 6 6 6 6 6 SEE SITE MAP SEE SITE MAP OL ML GM ML SM S2 S3 S4 S1 S2 S3 S4 S2 MC = 39.8% S3 MC = 7.8% 35.1% gravel, 30.9% sand, 34.0% silt S4 MC = 16.0% 8.8% gravel, 34.0% sand, 56.5% siltDEPTH(ft)0 5 10 GRAPHICLOGFROZEN SOILSEXPLORATION METHOD:Test Pit Excavation DATE/TIME COMPLETED:5/13/2021 @ 11:15:00 AM EXPLORATION CONTRACTOR:Red Dog Excavating LOGGED BY:S. Murphy WEATHER CONDITIONS:Partly sunny, calm, 42-55°F EXPLORATION TP11 GROUND ELEVATION: Apx. 921 ft above msl Always refer to our complete geotechnical report for this project for a more detailed explanation of the subsurface conditions at the project site and how they may affect any existing and/or prospective project site development. NGE-TFT PROJECT NUMBER:5969-21 GROUNDWATER ():N/A Northern Geotechnical Engineering, Inc. and Terra Firma Testing 11301 Olive Lane Anchorage, AK 99515 Telephone: 907-344-5934 PAGE 1 OF 1 NGE-TFT PROJECT NAME: Proposed Lots 1-11, Palaterra Subdivision PROJECT LOCATION: Anchorage, AK EXPLORATION EQUIPMENT: Hitachi Zaxis 120 SAMPLING METHOD: Grab Sample DATE/TIME STARTED: 5/13/2021 @ 10:45:00 AM EXPLORATION LOCATION: Proposed Lot 11 - See report Figure 2 GROUNDWATER (ATD): None observed EXPLORATION COMPLETION: Backfilled with excavated spoils SAMPLE TYPELAB SAMPLE IDSAMPLE INT. COLLECTFIELD SAMPLE ID LAB RESULTSSURFACE ORGANICS SILT (ML), brown, damp SILTY GRAVEL WITH SAND (GM), gray, damp SANDY SILT (ML), gray, damp Bottom of test pit at 10.0 ft bgs. MATERIAL DESCRIPTION MUNICIPALITY OF ANCHORAGE Development Services Department p p �.- -' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-151-35 Legal description PALATERRA ADDN 2 LT 11 Site address 13336 DE PALATIS CIR Current property owner(s) COLONY BUILDERS INC Expiration Date: 1/11/2024 XThe On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: By: y Original Certificate Date: 10/11/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 PP�l/�U�� UP �� LIT 7 OF ' G��CH0R% d�GE Development Services Department - " Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-151-35 Complete legal description Palaterra Addition #2 Lot 11 Location (site address) 13336 De Palatis Circle, Anchora e, AK 99516 Current property owner(s) Colony Builders Day phone (907) 354-0371 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: s❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass Age C 1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑® Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ /20 Date of Payment 0 �-7-0 z,3 COSA# OSG2� I�4156 Waiver Fee $ Date of Payment Waiver # COSA Application_ June 2022 Palaterra Addition #2 Lot 11 017-151-35 20 4/18/23 297 N/A 297 1.09 36 4/20/23 Forge Engineering 205 8/29/23 N/A New Installation N/A N/A N/A New Installation > 36 0 36 Benjamin Schiller, P.E. (907) 522-7773