HomeMy WebLinkAboutSNOWBIRD LT 102BSnowbird
Lot 1028
#051 - 152-24
Permit Number: OSP131039
Tax Code Number: 05115224000
Work Type: WellSeptic
Permit Effective Dates: April 08, 2013
On-Site Water & Wastewater System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Initial
to April 08, 2014
Design Engineer: ANDERSON ENGINEERING
Subdivision: SNOWBIRD
Site LegalAddress: SNOWBIRD LT 102B G:1256
Owner/Address: TROY DAVIS HOMES INC
165 E PARKS HIGHWAY STE 200 WASILLA AK 996540000
Site Mailing Address: 20313 CYRUS ST, Chugiak
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank
Lot Size in Sq Ft: 40241
Total Bedrooms: 3
N Privy Y Private Well N Water Storage
All construction must be in accordance with: 1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsu[face soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWERNVELL PERMIT APPLICATION
Parcel I.D. 051-152-24
Property owner(s) Troy Davis Homes, Inc. Day phone
Mailing address 165 E. Parks Highway, Suite 200 Wasilla, AK 99654
Site address
McKinley View Drive Chugiak, AK 99567
Legal description (Sub'&, Block & Lot) Snowbird, Lot 102B
Legal description (Township, Range & Section)
Lot Size 40,241 .Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
([] all that apply)
Absorption Field [] Initial [] Single Family (SF) []
(w/wo ADU)
Septic Tank [] Upgrade []
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
applicabre Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
April 2, 2013
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Su~e~:
Lot 102B, Snowbird Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 102, Snowbird Subdivision intends to construct a new three-bedroom
home on the lot. We are therefore requesting a permit be issued for the construction of
a new well and septic system to accommodate the home. The attached Site Plan and
backup documentation identify the location and configuration of the proposed septic
system along with the alternate site. No existing wells are closer than 100' from the
proposed septic system. Drainage arrows are shown on the site plan showing the
grade and direction of flow on the lot. The drainage pattern will not be changed as a
result of this project.
The test holes placed on the lot in the area of the absorption trench and alternate site
indicated clean sand (SM/SP/SW) material with some silt. The percolation rate of the
soil was determined to be 2.5 minutes per inch. No groundwater was found during the
placement of the test holes and none was noted during the monitoring period. An
application rate of 1.2 gallons per day per square foot was used in the design of the
absorption system. We are proposing to place a new 1,000-gallon septic tank and a 38'
long by 5' wide by 4' effective depth absorption trench to treat and dispose of the
effluent generated in the house. The elevation of the distribution line in the absorption
trench will be 3' below the surface and the total depth will be 7'. A minimum of 3' of fill
or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the
septic tank.
The ground surface on the lot in the area of the absorption trench slopes from the east
to the west at 2% and the ground surface is virtually flat. A steep slope is located in the
back of the lot which drops down to the flat area. The new trench will be constructed
parallel with the contours of the slope as much as possible in conformance with
Lot 102B, Snowbird
April 2, 2013
Page Two
Municipal requirements. The new septic system will be constructed a minimum of 100'
from all wells and any surface water and 10' from the proposed and existing water
services in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
/
/
S89'SB'OO"E 550,00 /
McKINLEY VIEW / DRIVE
~ ~ ~a~ ~; \ Proposed Lot Line
® I I Exi
~.~ / -
~ NO Seporefion DistG~ ~nflicts Between
S~tem with 15' Long x
LOT IO~B LOT lOgA
II
10 7 ~g.: .............
LOT 102B, SNOWBIRD SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Three Bedroom Home 5' Wide Trench System
Perc. Rate: 2.5 Min./Inch 1,000 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
3 Bedrooms X 150 GPD/1.2 GPD/SF(Application Rate) = 375 SF Absorption Area
375 SF/5 SF/LF*.5 (Red. Factor) = 37.5 LF Trench Length
THEREFORE: Construct a 38' Long x 5' Wide x 4' Effective Depth Aborption Trench at the
Location Shown. Flow Line Elevation in Trench to be 3' Below Original Ground Surface. Total Depth
to be 7' Below Existing Ground. Provide 3' of Cover Over Trench and 4' Over Tank or Provide
2" of Insulation and 2' of Cover. Maintain 10' Separation From Water Services in the Area.
~"~Natural~'""~.%
Backfill
Geotextile
-- Fabric
4" Perforated
PVC (Holes Down
-- Drainfleld Rock
TYPICAL DEEP TRENCH SECTION
NOTE:
(NO SCALE)
Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Private Wells in the Area.
Minimum 100' Separation From Surface Water or Streams.
Minimum 10' Separation From Water Service Line,
· A700
DEPTH
(~et)
1
2
3
4
5
6
7
8
9
11
20
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: ELM LOT 102
PERFORMED FOR: TROY DAVIS HOI'IES, INC.
DATE: 6/20/2012 PROJECT No.:
PARCEL ID#: TECHNICIAN:
I TEST.OLE^ I
S~LTY GRAVEL
WITH SAND
BOH @ ~'
MEA
WAS GROUND WATER ENCOUNTEI~ED? __
IF YES I~ WHAT DEPTHS__
DEPTH OF WATER AFTER MONITORING:
DATE OF MON1TOPdNG: __
SLOPE
NO
0
SITE PLAN
SEE SITE PLAN
DEPTH TO
DATE READING GROSS TINE NET TildE WATER NET DROP
(PIINUTES) (I'41NUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
6/20 1 12:03 0.63"
2 12:33 30 8.13" 7.50"
3 12:34 0.75"
4 1:04 30 8.13" 7.38"
5 1:05 0.63"
6 1:35 30 8.00" 7.38"
PERCOLATION RATE: 4. l .(MINm,~C~ PERC. HOLE DIA. 6" _(INCHES)
TEST RUN BETWEEN: 4.0 FT. and 5.0 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: /I/5/2012
~700
iV]UNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
BRAGAW STREET ANCHORAGE AK ggsIg-G650
LEGAL DESCRIPTION:
PERFOILMED FOR:
DATE: &/15/2012
PARCEL ID#:
SOILS LOG - PERCOLATION TEST
BLM LOT 102.
DEPTH
(fee0
1--
2
3
4
5
6
7
8
9
TROY DAVIS HOMES. INC.
PROIECT No.:
TECHNICIAN:
11
20:
OB/0G
SILTY GRAVEL
WITH SAND
0i'4
B0H @ 1,5'
WAS GROUND WATER ENCOUNTERED? __
iF YES ~ WHAT DEPTH?
DEPTH OF WATER AFTER MONITORING:
MEA
SLOPE
NO
SITE PLAN
·
TH2
·
THI
DEPTH TO
DATE READING GROSS Tlr'II NET TildE WATER NET DROF
(MINUTES) (HINUTES) (INCHES) (INCHES)
TEST HOlE PRESOAKED PRIOR TO TESTING:
4/5 1 12:14 1.63" '
2 12:24 10 5.87" 4.24"
3 12:25 1.50"
4 12:35 10 5.50" 4.00"
5 12:36 1.75"
6 12:46 10 5.75" 4.00"
PERCOLATION RATE: 2.5 (Mnq/~CH) PERC. HOLE DIA. 6" /]NCHES)
TEST RUN BETWEEN: 3.5 FT. and 4.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES 1N EFFECT ON THIS
DATE: 10/26/Z012
z+700
[
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
· BRAGAW STREET ANCHORAGE, AK g951c)-66bO
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: &/15/2012
PARCEL ID#:
DEPTH
(feet)
OB/OG
1
3
4
5 SILTY GRAVEL
WITH SAND
6 GM
?--
9--
11
20
BOH @ 15'
BLM LOT
TROY DAVIS HOMES. INC.
PROIECT No.:
TECHNICIAN: HEA
SLOPE
WAS GROUND WATER ENCOUNTEKED? NO
DEPTH OF WATER AFTER MONITORING: NONE
DATE OF MONITOP, JNG: 5/15/201~
SITE PLAN
·
TH2
·
THI
2%
DEPTH TO
DATE READING GROSS TIME NET TIME WATER NET DROP
(MINUTES) (MINUTES) (INCHES) (INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
4/5 1 12:ig .75"
2 ]2:28 10 4.25" 3.50"
3 12:29 .87"
4 12:39 10 4.37" 3.50"
5 12:40 .75"
6 12:50 10 4.25" 3.50"
PERCOLATION RATE: 2.8 0mN/INCH) PERC. HOLE DIA. 6" _(rNCHES)
TEST RUN BETWEEN: 3.5 FT. and 4.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/25/20/2
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 102B, SNOWBIRD SUBDIVISION
GENERAL:
The scope of this project includes the procurement and placement of a new
1,000-gallon septic tank at the location shown on the Site Plan. Work also
includes the construction of a 38' long by 5' wide by 4' effective depth
absorption trench also at the location shown on the plan. The distribution line
in the trench will be placed at 3.0' below the existing ground surface. Total
depth of the trench will be 7.0' below the existing ground surface. The new
absorption trench must be placed a minimum of 100' from all wells in the area
and 100' from any surface water in the area. The septic system must also
be a minimum of 10' from the water service line on the lot. A minimum of 3'
of cover is required over the absorption trench and 4' of cover over the septic
tank.
Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified by the
Municipal Department of Building Safety On-Site Water and Wastewater
Program for system installations. Owners installing their own systems must
receive prior approval from the On-Site Water and Wastewater Program
before beginning system installation.
SEPTIC TANK INSTALLATION
1. A new 1,000 gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 102B, Snowbird Subdivision
April 2, 2013
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below the distribution line must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
absorption trenches. All pockets of unacceptable materials must be removed
and replaced.
Lot 102B, Snowbird Subdivision
April 2, 2013
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. Ail drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction notes
for use in preparing the certified as-built of the completed system.
fj11Y
MUNICIPALITY OF 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. 051-152-24
1. GENERAL INFORMATION
Complete legal description Snowbird, Lot 102B
Expiration Date: 2--S9—Z02-0
Location (site address) 20313 Cyrus Street Chugiak, AK
Current property owner(s)
Mailing address
Real estate agent
James & Paula McCormick Day phone (907) 244-3342
P.O. Box 3868, Palmer, AK, 99645
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Three
Day phone
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well El Private Septic Z
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 $ MD
Date of Payment /111119
Receipt Number &7'52P
Waiver Fee $
Date of Payment
Receipt Number
COSA # l7 ('.1 [ 5 Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site'to verify the information submitted.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503
Engineer's Printed Name Michael E. Anderson, P.E. Date 11/1/19
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
\\rf7 :z
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Q r
jy>>// 71[71 1111�}�`
By �V, Original Certificate Date: ) 1— 2--,— IL
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: Snowbird, Lot 102B
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 4/12/13
Total depth 260 ft
Cased to 144 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) >24 in.
Date of flow test for COSA 10/28/19
Static water level at beginning of test 31 ft.
Comments
B. TANK DATA
Age of tank(s) 6 years
Tank type/material SEPTIC/STEEL
Measured operating fluid level in septic tank 48
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 10/22/19 - One Stop Pumping
D. ABSORPTION FIELD DATA 5' Wide Shallow Trench
Parcel ID: 051-152-24
Structure served by this system
Well production at time of test 4 gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L RM Arsenic less than MRL (ND)
Collected by FORGE ENGINEERING
Date of Sample 10/15/19
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Which system tested (date installed) 8/20/13
Adequacy test date 8/29/19
❑ ALL standpipes present per record drawing
Results EDPass For 3 bedrooms
Total measured depth from grade 8 ft (max)
Fluid depth prior to test 10.5 in
Measured depth to pipe invert from grade 3.9 ft (min)
Water added 510 gal
❑ N/A — pressurized field
10.5
New depth in
❑ Monitor tubes go to bottom of effective. If not, state
0
depth into effective
Elapsed time min
FMCode-requiredsoil cover over field
Final fluid depth 10.5 in
❑ System presoaked
Absorption rate 450+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) No
date of test)
Gallons introduced 2100 gallons
If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
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'
F✓ Yes
if No
Community Sewer Manhole/Cleanout > 100'
0 Yes
if No
ft
❑✓ Yes
if No
Neighboring Tank > 100' M Yes
if No
ft
Private Sewer/Septic Line > 25' 7 Yes
if No
Absorption Field on Lot > 100' P- Yes
if No
ft
Holding Tank > 100' R✓ Yes
if No
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment > 50' 0 Yes
if No
✓,/ Yes
if No
ft
if No
ft
F. ENGINEER'S COMMENTS
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 7✓ Yes
if No
ft
[✓ Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' P/ Yes if No ft Surface Water > 100'
ft
ft
ft
ft
ft
F Yes if No ft
Property Line > 5'
F✓ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓ Yes
if No
ft
Private Wells > 100' Yes if No
Water Main > 10'
E✓ Yes
if No
ft
Community Wells > 200' Q✓ Yes if No.
Water Service Line > 10'
0 Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
✓❑
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
✓�
Yes
if No
ft
Private Wells > 100' 0 Yes if No
Water Service Line > 10'
0
Yes
if No
ft
Community Wells > 200' 0 Yes if No
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
q\i..1.EtY.i11a1. 1
I certify that I have determined through field inspections and review '��.•° '�,p 4,
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date. 49th "•
Ik�l1gYY1TYf111111i111#itlili�i� SEtit
MICHAEL E. ANDERSON
No. CE -4381
°•+.,11/1/19,.*`'4
COSA Checklist yellow sheet
ft
ft
ft
ft
LOT 102B HAS 40,241 S.F.
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75B 75A
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5B9'58'Oi'E 114.96
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FOR: Trov Davis Homes °ate stelaLegal
Descrip
SEPI,C
07-26-13
1" = 40'
FORBES & ASSOCIATES INC
8rid
A= -Bent
Let 102EBlock
P.O. Boz 232293
NW 1256
2130107
SNOIYBIRD
In g
l
i
x u
ul
103
242
I hereby certify that the property described hereon has been surveyed
by mc, or at my direction, and that the improvements
y�,�.�Y►4i
OF
situated thereon
are within the property lines and do not overlap or encroach on the
1"► L . /.��j
•"'
i.RdFh'IC
property lying adjacent thereto unless otherwise shown. That no
�'t ,
.` •' s�rt
Sa,LE. 1 (n[l • 10 feet
improvements on the property lying' adjacent thereto encroach on the
106
134.99 —
i
107
FOR: Trov Davis Homes °ate stelaLegal
Descrip
07-26-13
1" = 40'
FORBES & ASSOCIATES INC
8rid
A= -Bent
Let 102EBlock
P.O. Boz 232293
NW 1256
2130107
SNOIYBIRD
Anchorage. Alaska 99523
(907) 227-5331
Drawn by
Field Book
SUBDIVISION
CEF
242
I hereby certify that the property described hereon has been surveyed
by mc, or at my direction, and that the improvements
y�,�.�Y►4i
OF
situated thereon
are within the property lines and do not overlap or encroach on the
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property lying adjacent thereto unless otherwise shown. That no
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improvements on the property lying' adjacent thereto encroach on the
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premises in question and that there are no roadways, transmissinn
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tines or athcr easements on said property except as shown.
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It is the responsibility of the owner or builder, prior to construction.
to verify building
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proposed grade relative to finish grade and utility
connections and to determine the existence of any casements. covenants,
. CHARLES E•FORBES•l•`.
LS -7326 •d:
or restrictions which do not appear on the recorded subdivision plat.
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Listed distances prevail over scaling.
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Reproduction may cause distortion.
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