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Home My WebLink AboutHULTQUIST HEIGHTS LT 3Hultquist 'D Heights Lot 3 #020-044-05 a r-1 Municipality of Anchorage amp On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141223 PID Number: 020-044-05 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade Name: HULTQUIST HOMES ABSORPTION FIELD Address ❑ Deep Trench ® Shallow Trench 0 Bed ❑ Mound 12580 OLD SEWARD HWY ANCHORAGE AK 99515 El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1,2 GPDISF 7.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 3.0 Ft 4.0 Ft HULTQUIST HEIGHTS 3 Fill added above original grade Gravel length Township Range Section 0-1.0 Ft 60 FL Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 5 Ft. Ft. Toj Septic Absorption Holding Sewer Total absorption area Number of trenches _ Dist. between trenches From Tank Field Lift Station Tank I Line soo Ft= 1 NA Ft. well >100' >100' >100' NA >25' TANK ❑septic ®S.T.E.P. ❑Holding ❑ Other I Manufacturer ANCHORAGE TANK Capacity 1500 Gai. Surface Water >100' ' >100' I >100' NA Material Number of compartments Lot Line >5' >10' >5' NA STEEL 2 NA Foundation >5' >10' >5' NA LIFT STATION Manufacturer Capacity _ Curtain Drain j >50' 1 >50' >50' NA ANCHORAGETANK 1500 Gal, Remarks Pump on level at Pump off level at High water alarm at 25 in. 44 in. 22-5 n. J Pump make and model Electrical Inspections performed by ORENCO MOA PIPEMATERIAL Housetotank3034 TanktoSCH40 drainfield Installer A+ HOME SERVICES Drainfield SCH40 CCIMT3034 inspector LARS SPURKLAND/ANSON MOXNESS BENCHMARK (Assumed elevation)100 ft Inspection V 8/22/14 $/26)%14 Location and description 2"" 3° 8126114 4"1–— TOP FOUNDATION SW CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Conditional Approval: Date a Ve, A4,4 pH URIK' NO A roved Gl/ pp Date rJ Inspection Repor(_g-,'K1ZAocl/ LOT 2'. I i LOT 3 I W (, INSTALLED 4 -BEDROOM SEPTIC SYSTEM INSTALLED 1500 GALLON STEP TANK FRENCH LENGTH 60 FEET �o TRENCH WIDTH 5 FEET MAX EXCAVATION DEPTH 7 FEET - ROCK DEPTH 4 FEET PROPOSED a H5-9 I1 Pr +?5fq _ SWING TIES A 8 C diSiY' S. T. C. 0. D 11.0' 31.0' LIFT STATION OFE20.0' 36.0' `.. OF. M.T. lK F 56.0' 53.0' OF. M. I. )f' G 44,0' 775' A F I 0 I E TH7 zd I T11N R3W SEC 2 SE4SW4NW4NW4 / I 3 Septicn (- Area 1 Y RESRfY£*: AWWFS MAXIMUM APPLICATION RATE 60PDIM USE SHALLOW TRENCH W/ 4 FT EFFECTIVE. MINIMUM TRENCH LENGTH=4*f/5*0.5=10 FT NOTE: SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION RaD LOCATIONm, NOTE.: THIS IS NOT A SURVEYED PLAT. WELL R SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT 00CUM£NTATLON. ALL LOCATIONS SHOWN ARE APPROXIMATEE, 25 0 25 50 75 100 125 150 SCALE 1' = 50 FL 4' CONTOUR LINES N V 1SAND ENGINEERING SEP NST HEIGHTS LOT 3 SEP 20303 W TIC SYSTEM ASSUILT T1L AVENUE ANCH. AK 99501 HULTQUIST HUMES DATE AUG 28 2014 (907) 279-3916 15872 ELIZABETH ST ANCHURAGE AK 99516 SHEET 2/3 6RID SV3238 I PERMIT # OSP141223 PID # 020-044-05 HULTOUISTHEIGHTSLjSC50-ASB.BV6 WIDE Trench: 5' vio'e 60' Long T Max. Depth 4' Serer Rock 3116' hate 30' on Center 1 114' SCH 40 PIPING TII Er atv loaf eas' armr aew � Na sir •i r 6 Ur JC[J wL fCVLK 1500 GAL STEP TANK BENCH MARK TOP FOUNDATION SW COMB ASSUMED ELEVATION 100 FEST SPURXLAND ENGINEERING HULTQUIEST IIEIGM LOT 3 SEPTIC SYSTEM ASBUILT 203 W AVENUE ANCH. AK. RUL TOUIST HDMES DATE, AUG 26 2013 9 9 95(11 (907) 279-3916 11 15872 ELIZABETH DR, ANCHlIRAGE AK 99516 SHEET 313 GRUA SV3238 PERMIT # IISP141223 PID # 020-044-05 HULTBUISTHEI6HTSL.3D3-ASB.DW6 09/19/2014 10:43 907-34202 ALPINE Di2ILLI PAGE 0" Alpine Drilling & Enterprises Well Log Permit Number: #SW141223 Date of Issue: 7-10-14 Parcel Identifleation Number: 02004405000 ,Date Started: 10-25-14 Date Completed: 10-30-14 Is well located at approved permit location? x Yes ❑ No Legal Description: Hultquist Heights Lot 3 Property Owner Name & Address: Hultquist Homes Inc 12580 Old Seward Highway Anchorage. Alaska 99515 Borehole Data: Depth (ft) Method of Drilling x air rotary ❑ cable tool Soil Type, Thickness & water Strata From To Casing type: steel Stick-up silty gravelfill Organics silt 0 2 2 g 8 9 Wall Thiclmess:• 2U inches Diameter: 6 inches Depth: 486 feet Liner Type: pvc Diameter: 4 5 inches ,Depth: 16-470 £rd. gravelly snit 9 29 Casing stickup above ground: 2 feet Static water level (from ground level): 37 feet bedrock :. • ' 29 486 Pumping level: 486 feet after 24 hours pumping 7 gpm Recovery Rate: 7 gpm Method of Testing: _,,, Well Intake Opening Type: ❑ Open End x Open Hole ❑ Screened Start _ feat Stopped ,_ feet ❑ Perforations Start _ feet Stopped ^ feet Grout Type: bentonite granules Volume:L-bv De the $ 0 feet Stopped ? feet Pump: Intake Depth feet Pump size — hp Brand Name ___,^ Well Disinfected Upon Completion? x Yes El No Method of Disinfection: chlorine tablets Comments: Well was hydrofraced with results of 7 gpm at 40 feet of drawdown for a 24 hour period Well Driller: Alpine Drilling & Enterprises POBox 110496 Anchorage AK 99511 development Services Departmep Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark&egich Anchorage, AK 99507 Mayor www.muni,orglonsite (907)343-7904 Pump Installation Lag Well Drilling Permit Number: SW 141223 Parcel Identification Number: 02004405000 Date of ISSUe: 71102014 Legal Description Property Owner Name & Address: Hultqutst Heights Lot 3 Haitquist Homes Inc. 12580 Old Seward Hwy - Anchorage, AK 99515 Pump Installation Date: 12/1112014 Pump Intake Depth Below Top of Well Casing: 452 feet Pump Manufacturer's Name: Goulds Pump Model: 5GS15412CL Pump Size 1.5 hp Pitless Adapter Burial Depth: 12 feet Pitless Adaptcr Manufacturer's Mame: Maass Pitless Adapter Installer: David Harper Well Disinfected Upon Completion? Z Yes ❑ No Method of Disinfection: Comments: Pump Installer Name: Aarow Pump & Well Service, LLC P.O. BOX 110496 Anchorage, AK 99511-0496 Attention: The pump installer shall provide a pump installation log to the DSD within 3)0 days of pump installation. r a Attention: The pump installer shall provide a pump installation log to the DSD within 3)0 days of pump installation. 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 Permit Number: OSP141223 Tax Code Number: 02004405000 Work Type: WellSeptic Initial Permit Effective Dates: July 10, 2014 to July 10, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: HULTQUIST HEIGHTS Site Legal Address: HULTQUIST HEIGHTS LT 3 G:3238 Owner/Address: HULTQUIST HOMES INC 12580 OLD SEWARD HIGHWAY ANCHORAGE AK 995153506 Site Mailing Address: 15872 ELIZABETH ST, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 0 - 2 2 -/Lf 55464 4 Y Disposal Field Y Septic Tank N Holding Tank 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 subsurface 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. Received Issued By C01 1/"evz1es 4/e v`eserdf dl"'}" Af Id. MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcell.D. 020-044-05 Property owner(s) HULTQUIST HOMES Day phone Mailing address 12580 OLD SEWARD HIGHWAY ANCHORAGE AK 99515 Site address 15872 ELIZABETH DRIVE Legal description (Sub'd., Block & Lot) HULTQUIST HEIGHTS LOT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field El Initial Single Family (SF) Q (w/wo ADU) Septic Tank ElUpgrade F]Duplex (D) F1Holding Tank ElRenewal E]Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/RushFees: (A-;?l5'=IN^ Date of Payment: 2y / Receipt Number: 011vi G Permit No. OSJ?i1�i �Z Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. &Ak Spurktand Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN HULTQUIST HEIGHTS LOT 3 Municipality of Anchorage June 16, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Well & Septic System Installation Permit 15872 Elizabeth St Ladies and Gentlemen: I am writing to request a well & septic system installation permit for the above referenced property. The proposed system will serve a new 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: Groundwater observed at 13' BGS in 10/2013. No groundwater to 15' on 6/16/14 Soil Rating. From Mike N. Anderson, P.E. test hole 6/15/13 3.33 min/in =1.2 gal per sq.ft./day No. of Bedrooms 4 Required Area per Bedroom: 150/ 1.2 =125 sq.ft. Total area required: 125 x 4 = 500 sq.ft. System: The existing We are proposing a 1500 gallon STEP tank followed by a wide trench absorption field. The absorption field will be 60 feet long and 5 feet wide and contain 4.0 feet (600 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on July 15th, 2013 by Anderson Engineering. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Per Mike Anderson, PE there was ground water at 13' below the ground surface in October 2013. No groundwater was found on June 16, 2014. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net S urk nd En ineerin p g g Environmental Consulting and Design Topography: The ground level generally slopes down towards the west at around 20% slope. Waivers: None Well: Due to neighboring septic systems, the well will be placed in the back yard such that the 100' protective radius does not impact neighboring properties. The installation of this well and septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, G�'� Lars Spurkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Tr Cii I I swwwwom VIM RSW SEC Y SE4SWO MMW I I W" I I NOTE: THIS IS NOT A SURVEYED PLAT. WELL i SEPTIC LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE; 1' = 100 FT, SPURKLAND ENGINEERING HUMII.�UISY' HHIGHI S' LOY' 3 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ANCH. AK. 99501 HUL TQUIST HOMES 11 DA TE, JUNE 16 2014 (907) 279-3916 15872 ELIZABETH STREET, ANCHORAGE AK 99516 SHEET, 1/3 GRID, EV3238 PERMIT # OSP1110XX PID # 020-044-05 HULTQUISTHE16HTSL 3.SC100.DWG W LOT PROPOSED TI IN R3W SEC 2 SE4SW4NW4NW4 RESREVE4• AWWTS MAXIMUM AAPUCATTON RATE 66PD/FT2 USE SHALLOW TRENCH W/ 4 FT EFFECTIVE. MINIMUM TRENCH LENGTH=4'f/5'0.5=I0 FT NOT£.• SLOPES EXCEEONG 251 W£RE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF TH£ PROPOSED ABSORPRON FIELD LOCATION. N01£.• 1TB5 IS NOT A SURVEYED PLAT. WEU k S£POC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. INSTALL 1500 GALLON STEP TANK TRENCH LENGTH 60 FEET TRENCH WIDTH 5 FEET MAX EXCAVATION DEPTH 8 FEET ROCK DEPTH 4 FEET COVER 3-4 FEET PROPOSED 4 BDRM SFR 25 0 25 50 75 100 125 150 SCALE., 1' = 50 FT. 4' CONTOUR LINES W LZ W ISPURKLAND ENGINEERING I I HULTQUIST HEIGHTS LOT 3 (I SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE HUL TOWS HOMES BATE. JUNE 16 2016 ANCH, AK. 99501 (907) 279-3916 15872 ELIZABETH ST ANCHORAGE AK 99516 SHEET, 2/3 GRID: SV3238 PERMIT # OSP141XXX PID # 020-044-05 HULTOUISTHEIGHTSL3SC50,DV6 WIDE Trench, 5' Wide 60' Long 8' MQX. Depth 4' Sewer Rock 3-4' Cover. 3/16' hole 30' on Center 1 1/4' SCH 40 PIPING Trench Elevation (TyP) Monitors Slit Barrier Install Foundation Cleanout 4 Pt of Septic Rock 1500 6AL STEP TANK ISPURKLAND ENGINEERINGI I HULTQUIEST HEIGHTS LOT 3 I I SEPTIC SYSTEM DESIGN 203 W K 99501 15TH AVENUE ANCH. AK. HULTOWS T HUMES DATE, JUNE 16 2013 (907) 279-3916 15872 ELIZABETH DR, ANCHORAGE AK 99516 SHEET, 3/3 GRID: SW3238 PERMIT # OSP141XXX PID # 020-044-05 HULTQUISTHEI6HTSL3.D3.DWG 06/13/2014 08:55 9073437997 ONSITE Municipality of Anchorage Development Services Department Building Safety Division On -SM Water and Wastewater Program 470D Elmore Road P.O. Box 196659 Anchorage, AK 99507 wwrv.ci anchorage ak.us (907)343-7904 PAGE 03 *'49TH •yYjaY�gY�e+YSYSY•. Sbils Log - Percolation Test 1 Performed For: C LA II l Date Performed: Legal Description: i,/Q Township, Range, Section: ope SI 11 1 COMMENTS "4) . h r -n WAS GROUND WATER ENCOUNTERED? y Y IF YES. AT WHAT DEPTH? s L Wath to WOWAnor MOnRCHn/g7 O f E L Date: Rohl I's r '04 20' MICHAEL Iv, ANIORSON CE -9469 aiMw a. G� YY ®®®�® P PERCOLATION RATE lg j? IminuMslmmJ PERC HOLE DIAMETER TEST RUN BETWEEN^3 FT AND FT PERFORMED BY: m6 A• I CERTIFY THAT THIS TEST PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 06/13/2014 10:04 No.: B708 P. M3/004 UP TA Municipality of AnJora'2 8 2,.,,_5 On -Site Water and Wastewater Programer _, (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 020-044-05 Expiration Date: 2 /D 1. GENERAL INFORMATION Complete legal description Hultquist Heights, Lot 3 Location (site address) 15872 Elizabeth St. S, Hultquist Homes INC. Current Property owner(s) Day phone Mailing address 12580 Old Seward Highway Anchorahe, AK 99515 Real Estate Agent Day phone 2. TYPE OF DWELLING: FxFl Single Family (w/wo ADU) [I Duplex F-1 Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual f -.1 Individual Water Storage F-1 Holding Tank F-1 Community Class Well F-1 Community F -I Public Water System F-1 Public Sewer ❑ WaiverNariance request Received by: � 4�212f Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 41-90 Waiver Fee $ Date of Payment 111111K — Date of Payment Receipt Number lltv&+ mm Receipt Number COSA # 09cLS 10 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this. system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 1/21/2015 ��waoegN OF AI �:'49,ZH it • Steve i�dnno CE -8149; Conditional approval for bedrooms, with the following stipulations: By: � Original Certificate Date: Theunlcipa /e nchorage 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 blue sheet E .. If more than 1 septic system is on the tot: COSA Checklist # I of Structure served by this system r Certificate of On -Site Systems Approval Checklist Legal Description: HUltquist Heights, Lot 3 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 10/30/2014 Sanitary seal (YIN) Y Total depth 486 ft. Cased to 486 ft. FROM WELL LOG Date of test 10/30/2014 Static water level 37 Well production 7 ft. HIM WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate L)0 3 ,mg/!_ Arsenic n L� ug/L Date of sample: 1/20/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./Steel Tank size 1,500 gal. Number of Compartments 2 Foundation cleanout (YIN) Y Depression over tank (YIN) N Date of pumping New Pumper Parcel ID: 020-044-05 Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 18+ in. AT INSPECTION New New ft. New Collected by: PES tela//! Date installed 8/26/2014 Cleanouts (YIN) Y High water alarm (YIN) x C. ABSORPTION FIELD DATA Date installed $126/2014 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF System type Shallow Trench Length 60 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 8 ft. Eff. absorption area 600 ft2 Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date D. LIFT STATION Date installed 8/26/2014 "Pump on" level at 25 in. Datum Top of Tank E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 250 "Pump off"level at 44 Cycles tested New Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ in. Manhole/Access (Y/N) Y High water alarm level at 22.5 Meets alarm & circuit requirements? Yes On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS 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. Engineer's Printed Name Steven R. Pannone Date 1/21/2015 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ • • � S)everi �?. • �anriarie . • • j f% CE -8149 c4i ? IK ho 3 m a N N o 7 p Q ��m3 0 v N Dyc S2 h0` 0 A D r N 3 ID v N fn Lot 2 0 5 •Bti N Vl O SO'07'54"E 185.00' Lot 1 m W I 10' T&E Easement o a S0'10'01 w Elizabeth o Wa O c P'o�baa �4 o cr CD :nDN NO z 00 co v� O1 .p - 0 o M N N J Ut "E 185.00' Street o O* O "O (n :E K: �t 0 0 0 ❑ 0 < ❑ W M o r m O p W <-V- p c W ° a W c a n m o m o m a v W n ❑ rt A M W C❑ c o 3 � W � rt ' s a _ a