HomeMy WebLinkAboutWOODHAVEN HEIGHTS LT 1Woodhaven
Heights
Lot 1
#020-093-47
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP201137 PID Number: 020-093-47
Dwelling: ❑N- Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade
Name
YARGER FAMILY TRUST
ABSORPTION FIELD
❑ Deep Trench Q Wide Trench ❑ Bed ❑ Mound
Site Address
16547 BETTY STREET *ANCHORAGE, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
907-980-6601
3 (4 -BEDROOM DESIGN)
*3 GPD/SF
*SEE DWG Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
*SEE DWG Ft.
Gravel depth beneath pipe
1.1 Ft.
Subdivision Block Lot
WOODHAVEN HEIGHTS; LOT 1
Fill added above original grade
*SEE DWG Ft.
Gravel length
26 Ft.
Township Range Section
N/A
Gravel width
7 Ft.
Beds: Number of Lines
2
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
202 Ft2
-
- Ft.
Well
50'+
50'+
50'+
—
25'+
TANK ❑ Septic I] S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
GREER TANK 1500 Gal.
Surface Water
50'+
50'+
50'+
-
Material
Number of compartments
Lot Line
P5'+
'+
5'+
-
NA
HDPE
2
Foundation0'+'+
� 0'+
LIFT STATION
Manufacturer
GREER
Capacity
500 (2ND COMPARTMENT) Gal.
Remarks OLD TANK DECOMMISSIONED PER UPC
PER CONTRACTOR
Alarm location
REMOTE MONITORING
Electrical installed by
PIPE MATERIAL House to tank EXIST16 drainfield Tank to
1:7 D1785
Installer
WILCO EXCAVATION
Drainfield D1785 CO/MTD3034
Inspector TIM ECKLUND AND DAVID GARNESS, PE
BENCH MARK (Assumed elevation) 100.64 ft
Inspection 1�' 6/1/2020 6/2/2020
Location and description
2nd
aro
TOP OF MANHOLE 1
6/3/2026 4m 6/3/2026 1
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineers St'mp
ao600O
04
OF A �Op
Conditional Approval: Date
o
,t
o._... ,,...1 . . ........... VIP
... ..............o
r y'A, Gornes
Q J�If
0 l �T--�. O
Septic System �_
Approved' Date 202
Q CE—•795 •
09s� i �Z.cow
Note: this approval does not include well permit requirements.
4ea %DOpOs
avec essio"
trcev uoiuui u/
PERMIT NUMBER: PARCEL ID NUMBER:
OSP201137 RECORD D RAW I N G 020-093-47
A2 75.5 87.0
VP2 78.4 89.3
PV 1 83.4 1 93.4
MTt 91,2 78.8
MT2 1 69.7 1 55.6
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EXISTING DRAINFIELD
10'TBEEASEMENT
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FCO 25.5 55.0
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MHt 36.8 52.2NEW
MH2 40.9 55.7
+
1500 GALLON GREER TANK RATED FOR
10' BURIAL WITH QUANICS COMPONENTS
H
VP1 68.7 81.4
-I-
I +
\
MT T1
Al 72.0 84.2
+
NEW DRAINFIELD
!
A2 75.5 87.0
VP2 78.4 89.3
PV 1 83.4 1 93.4
MTt 91,2 78.8
MT2 1 69.7 1 55.6
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:�. o•GARNE
ENGINEERING SALES CONSULTING
FN{9071J7B•3245®��770fE, TUDOR ROAD. SUITE 101'AM1GYORAGE,AK99507'PHOhE(907j S37S179i®
,st L�'1 .............. '�"„•, ffi
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DEMIN YARGER 907-980-6601 2 OF 3 4d �' /fie ° A. Games = �®
LEGAL DESCRIPTION: DRAWN BY: * ®��F79S3
® �'�., 8xz' d c,
WOODHAVEN HEIGHTS; LOT 1 D.J.G.•..tf„��. 4ti,®
TYPE OF WORK: DATE: LICENSE �4®®RO ESS\Coo Orj.
SEPTIC SYSTEM RECORD DRAWINGS 6/5/2020 #AECC884
`r 1 MUNICIPALITY OF ANCHORAGE
��\ 1 On -Site Water & Wastewater Program
j PO Box 196650 4700 Elmore Road
F Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://�vww.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP201137 Effective Date:
Work Type: Septic Upgrade
Tax Code Number: 02009347000
Site Legal Address: WOODHAVEN HEIGHTS LT 1 G:3337
Site Mailing Address: 16547 BETTY ST, Anchorage
Owner: YARGER FAMILY TRUST
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Q Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms
t»�nC
mot
Gro 1�!
� 9k�
Department
6/1/2020
6/1/2021
81327
❑ 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
Received B)
Issued By:
Date:
Date:
4
Municipality of Anchorage
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Department
On -Site Water and Wastewater Section
\\\Cfl(
T.�
51 c .a �.
l)cparttnent
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV201024 COSA#: Permit#:OSP201137
PID#: 020-093-47
Legal Description: Woodhaven Heights Lot 1
Engineer: Garness Engineering Group
Applicant: Demin Yarger
Your request for a waiver of the required 35.0 feet horizontal separation from the
absorption field to the excessive slope has been approved. The approved separation distance is
0.0 feet. See engineer's waiver request for justifications.
This waiver approval applies to the proposed and existing absorption fields only. Any future
upgrade to the on-site wastewater disposal system will require all separation distances be met or
another approval from this department.
.................. 0 U N a a W 0 N X Z 0 E ................. ■ .......... t t t. t ............ a N 1
Waiver is Granted: X Waiver is not Granted:
Date: b/w/;W)U Approved by:
J Name of Reviewer
............ ■ ........ t a X X 0 K U ....... t t .... t ■ ■ ■ ..... t t .. t t ......... t . ■ ■ ■ ...... 0 ■ (
**** VARIANCE/WAIVER REVIEW ****
-15
P� (0(2/2020
(�� Q55`75CG
A?, us P -e
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Ethan Berkowitz
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 020-093-47
Property owner(s) DEMIN YARGER Day phone 907-980-6601
Mailing address 16547 BETTY STREET `ANCHORAGE, AK 99516
Site address 16547 BETTY STREET 'ANCHORAGE, AK 99516
Legal description (Sub'd, Block & Lot) WOODHAVEN HEIGHTS; LOT 1
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 3 (4 -BEDROOM DESIGN)
APPLICATION IS FOR:
( ® all that apply)
Absorption Field
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
APPLICATION IS AN:
Initial ❑
Upgrade
Renewal ❑
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
TYPE OF DEWELLING:
Single Family (SF)
(w/wo ADU)
Duplex (D) ❑
Multiple Dwellings ❑
(SF and/or D)
N/A Distance: -
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
emo
Date of Payment: ✓l d -r-1 CILV 0 --
Receipt Number: ORNeit)
Permit No. QJlo 124 1107
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 01/11)
COVID-l9
25% DISCOUNT /APPLIED
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201137, Rebecca Carroll, 06/01/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201137, Rebecca Carroll, 06/01/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201137, Rebecca Carroll, 06/01/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201137, Rebecca Carroll, 06/01/20
HOUSE DETAIL
Scale:
2.0'x 10.3' C
2.0'x10.3' CAN
Lot 2
Lot 3
3T PLAN — — — AS BUILT —2�— SCALE 1 " =
-LITTLE SURVIVAL CREEK
(PLATTED LOCATION)
- I
Long & Associafes, inc.
Professional Land Surveyors
)'x8,0' CANT
;ANT
eA
Unsubdiv ided
25' STREAM MAINTENANCE
PROTECTION EASEMENTS
Il
GRID SW 3337
Project No.
11500 Daryl Avenue, Anchorage, Alask*
(907) 522-6476 Phone
I
N WMI In U,
k Z�4 --FO.4� 0 FUR F
ken0langsurvey.com
JonothanOtangsurvey.com
4w,
I hereby certify that i have surveyed the following described property:
LOT 1. WOODHAVEN HEIGHTS (PLAT No. 2004-118)
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 sold property except as indicated hereon.
Dated this the
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 1lot.
49TH
............... .......
KENNETH, G. [AG
-5
-..LS-5202
AECC963
vy
AV
7`71
r,LLI Li
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�t'R'*� �T.', •� "fit y�1- k — .:/ :, �
MAN
1
V1,
Mutiiicipality of Anchorage ±•,e. '••.,
Development Services bepartment i
Building Safety Division +. , ...
Ort-Site Water and Wastewater Program, 4700 S. Bragaw SL
P.O. box 196650 Anchorage, AK 99519.6650 Page of 3
www.ci.anchorage.ak.os (907) 343.7904
ON-SITE WASTEWATER bISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. - W t7 41117. PID Number. -aq a- Qs
Naew—F
e eon OFy! n
Wastewater System: New rade
Y Upgrade
Addrasr
5 ,Ore P.e Zria a
03 ABSORPTION FIELD
Phare: •�7 �-7— 7 0 O Numbxol BeAoo l s: q
/q /
O Deep Trench Whanow Trach O Bed O Maurd 0 Other.
LE/GAL DESCRIPTION
sov Raft. 08:3
Total Depth frau adalrol Wade:
P
el �t�FL f '� ' lift � f
t to pipe botlan Fan Mgwt gmdq
J
Gravel depth bemath WPe:
Ft.
Tavms P: v/V () Range:�W Sadhm�
Fn added above alylret Grade: ft.
` QFL
U 'f♦�f— 3b Ft.
Well: tKNew ❑Upgrade
Gravel emmri
..J Ft.
N o1on":
DlstanoebeMeenlims:
1 I-5— FL
Clessificagm(PiNale, A B. Cg
Ii
Total Depth: Cased lotTotal
Al
absom0on now �7
Pi�T� l:
VII-T-
a 07 Ft. FL
✓s Fl
Driller.
A. INi- 261-Loic
DateD ledSltlWeereve:
1ai
W:,
Dale putaeed:
Yleld
Pump SM at:
V /k
aslrg Height Above Gratrd
I "
TANK
GPM
Ft.
p 'Ft
SI=PAkATIoN bIsTANWEs
❑ Septic ❑ Holding KS.T.E.P. ❑ Other.
To
Septic
Ab=on
Lift
Holding
PubarlPrhal
M aahaea "-^
away.
From
Tank
Field
Station
Tank
sewer Line
nee a
N1.
wen
I I q T
1 Z
�
9 L3
-5
Mat" .5 / _1Y ee
Number of Coenparlot�
'O(1
8adawWeltt
143'
130'
I qT
LIFT STATION0:
Loi line
031
/v'e
/V17VS
me taw
(/Gat
frG/!Oi a
foundation
iV�
'Pumpm IBM �OPunP
off- law ak alarmLill
G7�J
�1/
.30Hiphwatet
�
Curtain Drain
O
NnC
n
F o
ibr'/
Elacbkat naPactlaa pedamad b
M. d,A
Remarks: Pro
1
&e o be le e
13tNcN MARK
4e ( f-
atlm.�De, k f CM
Assumed levetlac
� ...
-
Inspections performed by: Dates: lel
nd
beiieloptner 8d be{iartrttert Approval
ROBERT C. COWAN
"% CE•8801
Reviewed and approved b Date: / /. r
PP Y--
�Zr a$pc n`...... «..•••°;
11
PERMIT No. SW020407
PAGE 2 OF 3
Municipalityof Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
PD. Box 196650 *Anchorage, Alaska 99519-6650 9 Te'l�ephones 343-4744
UY
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL PROPOSED LOT 1. WOODHAVEN HEIGHTS P.I.D. NO. 020-092-06
S2SW4NE4NW4SE4 & W2SE4NW4SE4, SEC. 3. T11N. R3W
I
I
I
1
1
�
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I
i
LOT 3
WELL RADIUS
SA
�REA
I
100'
IE -I
'
--------------------------------------------1.__+,�
10'
ELECTRIC & TELECOM EASEMENT
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NEW 2010?
70E PC.AiANK
/ O I
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ww
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----- -
/ y ROBERT C. COWAN
1
CE -8801
PERMIT N0, SW020407 PAGE 3 OF 3
Municipa(it of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 * Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL
FINAL GRADE
102.9'
100.0'
MT3 = 99.0
)DHAVEN HEIGHTS P.LD. NO. 020—
V2SE4NW4SE4, SEC. 3, T1 1 N, R3W
1 ST2 96.6'
MH
88.9'z NEW 2000
GALLON S.T.E.P.
SYSTEM
SR
103.6' 99.4'-
-FINAL GRADE
,,,2" INSULATION
e
DISTRIBUTION PIP:
MT4 = 99.2'
MTI = 94.7'
At
65.7 WATER FOUND
82.7L' B.O.H.
2" INSULATION
88.7'
MT2
•::
SR JR -95.7'
MT2 = 94.7'
N. T. S.
BERT C. COWAN i
C: - 8801 4
Mar 21 03 11:36a Dean Company 2777087 p.2
Municipality of Anchorage
Department of Health and human Services
925 "L" Street
P.O. Box 196650 Anchorege, Alaska 99519-6650
RickaYoyoMysr htipYhvww.d.anchorage.ak.us
Permit Number. #SW 020407 Date of Issue: 10-11-02 Parcel Identification Number. 020.920.6
Date Started: 12-1&02 Date Completed:1 -17-02 Is well Iocated at approved permit location? ® Yes No
Legal Description: T11N R3W Sec 3 S2SW4NE4NW4SE4 & W2SE4Nw45E4
Property Owner Name & Address: Alaska Showcase Homes
405 E Fireweed Lane STe. 201
Anchnrana Arae" OoAn1
Borehole Data:
Soil Type, Thictmess & Water Strata
stick-up
Depth (ft)
From To
0 2
Method of Drilling ® air rotary ❑cable tool
Casing type: steel
Wall Thickness: inches
gravelly silt
2 17
Diameter. 6 inches Depth 46 feet
silty cobbly gravel
17 26
Liner Type:
gravelly silt
Bedrock43
26 43
207
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
Static water level (from ground level): Al feet
Pumping level: 207 feet after
2 hours pumping 4 gpm
Recovery Rate: 4 gpm
Method of Testing: aktiR
Well Intake Opening Type:
❑ Open End 0 Open Hole
❑ Screened Start feet Stoppcd feet
❑ Perforations Startfeet Stopped feet
Grout Type: Bentonite 48 Volume: I be
Depth: Start0 feet Stopped feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? ® Yes No
Method of Disinfection: chlorine tablets
Comments:
Well Driller. Alpine Drilling & Enterprises
PO Box 110496
Anchorage Alaska 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
.._.......r.. _...n a.m._ _..m _... :.�......:�..... n.. r... .r��....:, n ��_...... n...:.... _: n. :. ro ."_.._ .r .... _. _.:..
RightFax
333�
11/17/2003 6:03 PAGE 1/1 RightFax
Inspection Report
Municipality of Anchorage, Building Safely Division
4700 South Bragow
INSPECTIONS VOICE 343.8300 INSPECTION: FAX (907)249-7777 INFO! 343-7962
Name
Aad rose
Legal
Subdivision
Comments or Directions
AK SHOWCASE HOMES
16547 BETTY STREET
T11N R3W SEC 3
Permit 02-1617
Phone 529-2335
Inspection Date 11/17/2003
HE SAID ELEVATOR ELECT CALL SHANE 30 MIN B-4
\ Inspection Rough Electrical Reinspection N
�1 NO NONCOMPLIANCE OBSERVED
❑ CORRECTIONS ESSENTIALAS EXPLAINED BELOW
❑ WILL RE-EXAMINE AT NEXT ❑ DO NOT CONCEAL UNTIL REINSPECTION
INSPECTION
COMMENTS: (for inspector use only)
L 20,a?
�u�� slur.. ��ll��.- ���jo�c�J✓
U-6
Inspector Data •l/ 1 7—
1
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bmgaw Street
P.O. Sox 196650, Anchorage, AK 99519-6650
(907) 343-7904
/1) - 30 -02
/o:a
/:L ;. c
) 0 -31- 02 P 2:
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Oct 11, 2002
Expiration Date: Oct 11, 2003
Permit Number: SW020407 Parcel ID: 020-092-06
Legal Description: T1 IN R3W SEC 3 S2SW4NE4NW4SE4 & W2SE4NW4SE4
Design Engineer: 0003 S & S Engineering Site Address:
Owner Name: The Dean Company Lot Size: 272250 SQ. FT. .
Owner Address: 405 E Fireweed Lane Total Bedrooms: 4 Permit Bedrooms: 4
Anchorage , AK 99503 -
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 (1BAAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by catling
(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:
i
Issued By:
Date: 10 / j Sr/02
Municipality of Anchorage
e 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 SEWERMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0 a 0 " 02X ` O 6 Permit Number SWO20¢67
Propertyowner(s) THC '044.4 COriPANy., !Nc- Day phone a-'77 —?Og0
Mailing address(1) 409— E. X03
Mailing address (2) 41v 0,140 R4 t~C, Zip Code 0)`t So 3
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot SizeD-72.0 a a ► Acre Sq.Ft.
THIS APPLICATION IS FOR:
SOtitti lQ5II A_ L % A) W.& SF%, Seeiiko
VI ,�3t.15M1'4K y
Num er of�Bedrooms
Sewer Only ❑ Well Only ❑
Sewer and Well (g Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. 1 further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
S & S ENGINEERING
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99577
(Signature of property owner or authorized agent)
Permit Fees: v= Waiver Fees:
Date of Payment: /0 /7 A z Date of Payment:
Receipt Number: O a C }Y L1— Receipt Number:
(Rev. 12100) /"
October 7, 2002
ROBERTO. COWAN, RE
ROBERTA.SHAFER,RE
CIVILEiNGINEERS
(907)694.2979
FAX(907)694.1211
LiALTHAUTHORITY
MUNICIPALITY OF ANCHORAGE
APPRWAM
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWER&WATER
WNDQEM14"
REFERENCE: South 825', W%2, E'/2, NW'/4, SE%4, S.M.
SEWER&WATER
It is requested that you issue a permit to install a well and a septic system to serve the
MISPECTM
proposed four bedroom dwelling on the referenced property.
Two test holes were excavated and percolation tests performed. The approximate locations
ENGINEERWGSTRAIES
of the test holes are located on the attached site plan. At the time of excavation 9/17/02
ANOREPORTS
water was not found. After seven days of monitoring, ground water was not found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
WaLOWECUM
areas or drainage patterns by the installation of the proposed septic system. The
&PMTEST
construction of this system will not prevent any future development on any of the adjacent
properties.
SITEPIANS
If you require additional information, please contact us.
Sincerely,
ROAMSM
Robert C. Cowan, P.E.
SOILTEST
RCC/bjj
Enclosure
PERCWTION
'
TEST
STRUCTURAL&
MECHANICAL '
WPECTION3
ONSRE
WASTEWATER
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Development Services Department
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On-siteWateraridWastevmterPr*gram;.. ,
4700SoABragawSL ?:' T ,ROBERTC
P.O. Box 19665D Anchorage, AK 995196650
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Performed For. P 64iJ C O 0 PA,`Y y.JC'; ”' Dale Perfartiied:'
Legal Description: ppoeP fgO, Loi J WOpi).gsy"Jl7STownship,Range, Section: E'71JW y
: Depth
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-r I(, H T WAS GROUND WATER 0
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COMMENTS -
S & S ENGINEERING
PERFORMED BY' o-�-.te��a I CERTIFYTHAT THIS TEST WAS
PERFORMED IN�yOI�cROTIWICIPAI GUIDELINES IN EFFECT ON THIS DATE DATE: i 7 /0 2
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WASGROUNDWATER
Municipality of Anchorage
ENCOUNTERED?
Development Services Department
7'lL.Ni IF YES, ATWHAT DEPTH
i'
Building Safety Division
0
On -Site Water and Wastewater Program
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Date:
(iAt hIw/!H)
4700 South Bragaw SL
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P.O. Box 196650 Anchorage. AK 99519-6650
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www.d.anchoraee.ak.us
(M 343.7904 ,
'30
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ROBERT C. COWAN �-1
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COMMENTS
PERFORMED BY: S & S ENGINEERING 1 CERTIFY THAT THIS TEST WAS
PERFORMED IN P4CxQ�EAVJT&k MICA �.IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: I 0410 Z
Parcel I. D.020-093-47
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 s T
Certificate of On -Site Systems Approval
Expiration Date: 1 -' I v z c) 't>_C)
1. GENERAL INFORMATION:
Complete legal description WOODHAVENT HEIGHTS: LOT 1
Location (site address) 16547 BETTY STREET *ANCHORAGE, AK
Current Property owner(s) Day phone
Mailing address
Real Estate Agent KEVIN TAYLOR Day phone 907-244-7437
2. TYPE OF DWELLING: ti
® Single Family (w/wo ADU)
❑ Duplex
Y
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer. ❑
WaiverNariance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ ��G�y Waiver Fee $
Date of Payment ! Date of Payment
Receipt Number 04 13 C)!6 Receipt.Number
COSA # �c`7G��1 �3� Waiver #
COVID-19
257o DISCOUNT APPLIED
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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date:
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the.person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE q
System #1 Approved for.',Zbedrooms
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms, with the following
�, It�,)l zU
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MATER A1VD rn
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IatiG�ATEF? o
Original Certificate Date: Uc '-� "2C% 20
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist
Legal Description: WOODHAVEN; LOT 1
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth 207 ft
Cased to 46 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 517/2020
Static water level at beginning of test 18.6 ft.
Comments
B. TANK DATA
Age of tank(s) NEW years
Tank type/material "'Ph"PE
Measured operating fluid level in septic tank NEW
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW
❑ ALL standpipes present per record drawing
Total measured depth from grade 5.1+ ft (max)
Measured depth to pipe invert from grade ft (min)
❑ NIA — pressurized field
❑ Monitor tubes go to bottom of effective. 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 N/A gallons
Comments/Deficiencies: OLD TRENCH WAS NOT EVALUATED
Parcel ID: 020-093-47
Structure served by this system
Well production at time of test 3.3+ 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 GEG
Date of Sample 5f712020
C. LIFT STATION
❑ Required maintenance completed
Age of lift station NEW years
Lift station material HDPE
Comments:
Adequacy test date N/A
Results ❑✓ Pass For bedrooms
Fluid depth prior to test - in
Water added - gal
New depth - in
Elapsed time - min
Final fluid depth - in
Absorption rate 450+ gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date -
NIA
COSA Checklist yellow sheet /1A
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
50
Community Sewer Manhole/Cleanout > 100'
r7 Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' ❑✓ Yes
if No
ft
Private Sewer/Septic Line > 25' Q Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
50'+ ft
Holding Tank > 100' ❑✓ Yes
if No ft
Neighboring Absorption Fields > 100'
F. ENGINEER'S COMMENTS
Animal Containment > 50' ❑✓ Yes
if No ft
0 Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' MV 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' 121 Yes if No ft Surface Water > 100' ❑ Yes if No 50'+ ft
Property Line > 5
� Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓ Yes
if No
ft
Private Wells > 100' ❑ Yes if No 50'+ ft
Water Main > 10'
❑✓ Yes
if No
ft
Community Wells > 200' Q Yes if No ft
Water Service Line > 10'
121 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'✓❑
Yes
if No ft
Private Wells > 100' ❑ Yes if No 50'+ ft
Water Service Line > 10'
0 Yes
if No ft
Community Wells > 200' ❑7 Yes if No ft
Surface Water > 100'
❑ Yes
if No 50'+ ft
F. ENGINEER'S COMMENTS
THIS IS A CAT 11 QUANICS AWWTS
G. ENGINEER'S CERTIFICATION
l 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
#AECC884
VJ
HOUSE DETAIL
Scale: I" = 20'
2.0'x 10.3'
a)
.of 6
GA
rri
Lot 5
\J
2.0'.16.3* CA
�44' PUBLIC
USE EASEMENT
30- ROAD &
GAS EASEMENT
Lot 3
CANT
01
�-- - -1
10' T& -E EASEMENT
PIPES
LWNHOLE-1/-
73.7'
GARAGE
514'\
Lot 1,
89'46'30"4 330.29'
"-'.nsubd1v1ded
1.867 Acres
138.8'
25'
STREAM MAINTENANCE
Lot 3
�-LITTLE
Tract A
0
10' T&E
EASEMENT
Lot 4
ASPHALT
I I p
ASPHALT
PIPES
LWNHOLE-1/-
73.7'
GARAGE
514'\
89'46'30"4 330.29'
"-'.nsubd1v1ded
Lot 2
25'
STREAM MAINTENANCE
Lot 3
�-LITTLE
PROTECTION
TON EASEMENTS
SURVIVAL CREEK
(PLATTED LOCATION)
PLOT PLAN AS BUILT X- SCALE GRID - SW 3337_ Project No. 0-224
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Long & Associates, inc. (907) 522-6476 Phone
(907) 522-4625 Fax
Professional Land Surveyors ken0langsu"oy.com
OF A
jonafhonOlongsurvey.com
I hereby certify that I have surveyed the following described property:
LOT 1, WOODHAVEN (PLAT No. 2004
HEIGHTS -118)
49TH •-Y.
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
......... ........ "...V
KEN H G. LANG
easements on said property except as Indicated hereon.
S'
L -5202..-"
Dated this the Day of _11 at Anchorage, Alaska
ppOR0 V��-
oNo
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 plot.
AECC963
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATIV•11EENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT' made and
entered into as of this .EtJV Day of 3\JNS of 20 20, by and between
JAS r� �t\1� -herein the "OWNER,' and the Municipality of
Anchorage, herein the "\ZUNICIPALITZ"'; in accordance with Anchorage Municipal Code
(AMC) 15.65.365. .In consideration of the mutual covenants contained herein, the parties to this
Agreement agt•ee as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS).,
described as tr001`1'-� t-'� tom'- �1 , Pt -FSO. A&9-9 c,61 -L
located at (legal description)
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Tlv-oughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactor-v
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance; adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
l...) agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturers representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
NOwner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drain -field
replacement.
(rev. 05/18/2018) Page 1 of 3
N_ Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
�i
a Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
t7uidelines for the construction; maintenance and repair of the Owner's AWWTS.
Owner aarees to maintain remote monitorin, of the AWWTS as required by the
AWWTS approval.
3.
Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions; nor in any way affect
the validity of the Agreement or any part hereof-, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall. be void.
6. Jurisdiction: Choice of Law. Any civil action arising from thus Agreement shall be
brought hi the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
.jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: (signature)
i
6'16— (print name)
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
Theoregoing
20, by
sS.
before me this
NOT�RY PU"P7C FOR AL Ara
lmy Commission expires: ,6 , o �
MUNICIPALITY:
.:=B3 , l vo.. ( (signature)
Date- A
4•.'4 vii Fa_aa&aoa:.3paCa1"i„�✓}¢+�.:�
h tl
'o oYa� v �e
F!`j maa a°ocaaa°Uo a-'-i'� •:�a�
day of
Date: (,C� — (l — z 0ZC)
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
Municipality of Anchorage
Development Services Department s
Building Safety Division '
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite (907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 020-09347 COSA # OSCIa I lSz(
Expiration Date:/
1. GENERAL INFORMATION
Complete legal description WOODHAVEN HEIGHTS LOT 1
Location (site address) 16547 BETTY STREET, ANCHORAGE, AK 99516
Current Property owner(s) ROBERT & TERESA
JOHNSON Day phone
Mailing address 16547 BETTY STREET, ANCHORAGE, AK 99516
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well ®
Individual On-site
Individual Water Storage ❑
Individual Holding Tank
Community Class Well ❑
Community On-site
[]
Public Water System ❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 ARCTERRA CONSULTING, INC. Phone 868-3792
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer'sPrinted Name KENNETH M. DUFFUS Date 5/14/2012
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The
assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow
and absorption rates may change due to subsurface conditions that may not be observed from the surface,
changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the
water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or futureow.
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD SIGNATURE
_j`/ Approved for __L� bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date:
�R�.iiros�, r
G
Municipality of Anchorage
' Development Services Department
Building Safety Division
On -Site Water and Wastewater Program s ^ E
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www.muni.org/onsite (907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: WOODHAVEN HEIGHTS LOT 1 Parcel ID: 020-093-47
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID # Well Log (Y/N) Y
Date completed 12117/2002 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 207 ft. Cased to 46 ft.
FROM WELL LOG
Date of test 12/17/02
Static water level 41 ft.
Well production 4 9.p -m.
WATER SAMPLE RESULTS:
Casing height (above ground) 24 in.
AT INSPECTION
5/1/2012
Coliform NEG colonies/100mL Nitrate ND mg/L
Arsenic: LS mg/I Date of sample: 5/1/2012 Collected by: ArcTerra
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 10 30 2002 Tank size 2000 gal.
ft.
Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YM) Y Depression over tank (y/N) N
High water alarm (Y/N) Y Date of pumping 511L2012 Pumper Northland
C. ABSORPTION FIELD DATA
Date installed 10/30/2002 Soil rating (g.p.d./ftz or fe/bdrm) 0_S System type Trench
Length 138 ft. Width 5 ft. Gravel below pipe 1 ft. Total depth 3.8/4. ft. (Measured 5/1/12)
Eff. absorption area 793 fl? Monitoring tube Y
Date of adequacy test 5/1/2012
Depression over field N
Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 0/6 in. Water added 630 gal. New depth 2.4/6 in.
Elapsed Time: 25 min. Final fluid depth 0 6 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date -_
D. LIFT STATION
Date installed 10/30/2002 Size in gallons 2000
"Pump on" level at 40 in.
Datum Tank Bottom
E. SEPARATION DISTANCES
"Pump off" level at 30 in.
Cycles tested 2
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 1001+
Absorption field on lot io0'+
Public sewer main
Sewer/septic service line 251+
Manhole/Access (Y/N) Y
High water alarm level at 44 in.
Meets alarm & circuit requirements? Y
On adjacent lots
On adjacent lots ioo'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Animal containment areas 50'+
Manure/animal excrete storage areas 10(y+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 51+ Property line 51+
Absorption field 5'+
Water main 10'+ Water service line 10'+
Surface water l00'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+
Water main 1d+
Water Service line 10'+ Surface water 100'+
Driveway, Parking/vehicle storage 1(_+
Curtain drain 501+ (None Known)
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/ certify that f 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 KENNETHM. DUFFUs
Date 5/14/2012
COSA Fee $490.00
Date of Payment_ 07IL a
Receipt Number G Gs�t ti
(Rev. Ii/05)
Wells on adjacent lots 100'+
Waiver Fee $
Date of Payment
Receipt Number
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CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE
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UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE UNES.
THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY,
LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE.
LOT WR4EY SURVEY TYPE SYMBOLS
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IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO
CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE
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CONNECTIONS AND TO DETERMINE
THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS
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ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS,
ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED,
ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED.
Prepared by
Robert E. Johns, Jr. & Assoc.
Professional Land Surveyors
1700 Brink Drim
ANCHORAGE. ALASKA 99504
Scale: 111 60, Rec. Lot S.F. Rec. Plat File No.
Date saTYeye°: 4/26/12 Drawn by REJ Checked bYJ MK
Date Drown: 4/27/12 Ord: W.O.
3337 12-103
LOT 1
WOODHAVEN HEIGHTS