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HomeMy WebLinkAboutPTARMIGAN VIEW ESTATES LT 7Onsite File Ptarmigan View Estates Lot 7 #015-271-45 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of 1 .1 ON-SITE WASTEWATER INSPECTION REPORT � Permit Number: OSP221212 PID Number: 015-271-45 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Thomas Schram ABSORPTION FIELD n- Deep -Trench ❑ Wide Trench ❑-Bed ❑ Mound Site Address 11021 Hane Street, Anchorage AK 99516 ❑ Other Phone rNumber of Bedrooms Soil Rating Total depth from original grade 1.2 GPDISFJ 12.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.0 Ft. Gravel depth beneath pipe 6.0 Subdivision Block Lot Ptarmigan View Estates 7 Ft. Fill added above original grade 0.0 Ft. Gravel length 45 Ft. Township Range Section Gravel width 2.5 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 540.0 Ftz 1 Ft. Well 100'+ 100'+ NA NA NA TANK © Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5.0'+ 10'+ NA NA NA HDPE 2 Foundation 10.0'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Dan Beek Drainfield 3034 CO/MT3034 inspector Pannone Engineering BENCH MARK (Assumed elevation) 332.0 ft Inspdecct Sn v 07/01/22 07/08/22 Location and description sb 07/09/22 2�e 41" 07/22/22 South East Corner House Trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: DateC b OFA ..q� Steven Pannone Septic S tit Approved Date P . ,ZCE 8,14 } Note: this approval does not include well permit requirements. v�innm��D o-+ o.=CD CU y E -<prOrxAf*l� F, P 0 L D Z z 0= y [ r p c p r o cEi r*m z M;0,ID m o -o z gg Z z r-- m 0 o cn ;;u Dr 1 02 o cm » Z .A U) cn D O rr rX f*7 N Cn S' Ixx O Ci r -j -I -11, (n D N -D ---I 7_ Ocn m z�r,pmm,zp�� -O C IC D O D r O 7 D _ r W DX .. z��➢��o�G fV ID={ 110 015-271-45 N N K f O O N o 07 0 .p � D N <> D - - z N_0 S O *� / D � y nr -• Z .A U) cn D O rr rX f*7 N Cn S' Ixx O Ci r -j -I -11, (n D N -D ---I 7_ Ocn m z�r,pmm,zp�� -O C IC D O D r O 7 D _ r W DX .. z��➢��o�G fV ID={ 110 015-271-45 N N K f O O N cnN.. rn o. I Cn p 07 0 .p N N <> rnco -{ z N_0 S ?- cn y N -• c) W � o rn O rn rn cn cn L4 C4 C4 N 41 F- co o -P co �1 O -. o m J J cfl W D C7 I3 E Z .A U) cn D O rr rX f*7 N Cn S' Ixx O Ci r -j -I -11, (n D N -D ---I 7_ Ocn m z�r,pmm,zp�� -O C IC D O D r O 7 D _ r W DX .. z��➢��o�G fV ID={ 110 015-271-45 �1 GNU DN =n ozrlM0 D LZ c>p • U, - x ••per.. -�M� m cnN.. rn o. I Cn p (7 .p corn rA -9C) K o TI m O <> p O - n -{ z N_0 S OC, "-�K: Tt Q N \ FTI c) 0 -IV. o rn O N N tD to a m O D x N � mom HANE ST -- L T P t O Z f • \ m Im m rn z NOTES: RECORD DRAWING DRAwH I mmm SITE PLAN Im PAldNONE ENG SVC, LLC 1C.1. 10881 l\ REVISIONS DATE PTARMIGAN VIEW ESTATES L7 THOMAS AND BONNIE SCHRAM 11021 HANE STREET ANCHORAGE, AK 99516 - � OF AC9s�Wl ...P.I.D. .... i� n • ce-sins : ��= - m / SCSAEE6/2022 50, r 110 015-271-45 PEP.611T PIU. OSP221212 SHEET 1 OF 2 OC, "-�K: \ c) N N - D O r r 3 F- I < < m m D I3 E -D O I P 0 O D v cn 6 C7 N VI I I3 I Frl 0. / 7 m 7 mmm 0=icl 4 a K: a I a i � �W m \:0 �zv 71 FD Tl I P t O Z f • \ m Im m rn z NOTES: RECORD DRAWING DRAwH I mmm SITE PLAN Im PAldNONE ENG SVC, LLC 1C.1. 10881 l\ REVISIONS DATE PTARMIGAN VIEW ESTATES L7 THOMAS AND BONNIE SCHRAM 11021 HANE STREET ANCHORAGE, AK 99516 - � OF AC9s�Wl ...P.I.D. .... i� n • ce-sins : ��= SCSAEE6/2022 50, 110 015-271-45 PEP.611T PIU. OSP221212 SHEET 1 OF 2 FOUNDATION CLEAN OUT(E) CLEAN OUT MONITOR TUBE A N .. "l, OF A(qs� _ C2 ...9 h - % ;....aet iSleven R. annona "' = ,� cE-alas= ;� '. - a,......... O o i TANK ONE i G) D � OD < Z A 4 -- rn TANK TWO rOR, :0 i Cn� fr DOUBLE F— CLEAN OUT m " CLEAN OUT MONITOR TUBE MONITOR TUBE CLEAN OUT -a O NOTES: rt .. "l, OF A(qs� _ C2 ...9 h - % ;....aet iSleven R. annona "' = ,� cE-alas= ;� '. - a,......... a i ' a) � m A OD < Z n -- P.I.D. tlo 015-271-45 — — DRAWN ACP :0 i D O — n .Z7 00 n R7 O ZO> v G MONITOR TUBE CLEAN OUT -a O NOTES: PANT NONE ENG SVC LLC (C 9. 1088) .. "l, OF A(qs� _ C2 ...9 h - % ;....aet iSleven R. annona "' = ,� cE-alas= ;� '. - a,......... PEVIs1oP1S DATE 8/26/2022 RECORD DRAWING PTARMIGAN VIEW ESTATES L7 THOMAS AND BONNIE SCHRAM 11021 HANE STREET ANCHORAGE, AK 99516;a__ SALE NTS -- P.I.D. tlo 015-271-45 — — DRAWN ACP PROFILE — F'EP,t.1iT ,'J?. OSP221212 'SHEET 2 OF 2 Wockenfuss, Deborah M. Pfo rrn iIoo, V,'ew t'__ -5t o-tc5 Ll From: Walters, Michael S. Sent: Wednesday, August 17, 2022 2:13 PM To: Ecklund, Timothy J Cc: Wockenfuss, Deborah M.; Kim Johnson Subject: RE: OSP221212 11021 Hane St. Follow Up Flag: Follow up Flag Status: Flagged Tim, Right of Way has no objections or comments in reference to the as -built submitted for this permit. Feel free to contact me if you have questions. Michael S Walters Senior Plan Reviewer (0)907-343-8226 From: Kim Johnson <Kim@panengak.com> Sent: Wednesday, August 17, 2022 2:04 PM To: Walters, Michael S. <michael.walters@anchorageak.gov> Subject: FW: OSP221212 11021 Hane St. [EXTERNAL EMAIL] Mike Will we be cc'd on your response to Onsite? Thank you, Kim Johnson Project Coordinator Pannone Engineering Services 907-745-8200 Customersvc@panengak.com From: Kim Johnson Sent: Wednesday, August 17, 2022 1:11 PM To: Michael.walters@anchorageak.gov Subject: OSP221212 11021 Hane St. Mike Please find the attached as -built, per our discussion. Thank you for your expedited response. 1 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 Wastewater Disposal System Permit Permit Number: OSP221212 Work Type: Septic Upgrade Tax Code Number: 01527145000 Site Legal Address: PTARMIGAN VIEW ESTATES LT 7 G:2634 Site Mailing Address: 11021 HANE ST, Anchorage Owner: SCHRAM THOMAS L & BONNIE J Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: cnt f Departtnent 6/28/2022 6/28/2023 21737 CEJ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 4 Special Provisions: The location of the existing absorption field shall be determined at time of construction. A property line waiver, a septic system easement, and ROW encroachment permit shall be obtained (as applicable) to close out this permit. Received By: Date: Issued By: �(�(�� Coo-L�Q Date: a �o� MUNUIPAUTY 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 Parcel I.D. 015-271-45 Property owner(s) Thomas & Bonnie Schram Mailing address 11021 Hane Street Site address Same Day phone Legal description (Sub'd., Block & Lot) Ptarmigan View Estates, Lot 7 Legal description (Township, Range & Section) Lot Size 21,737 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:. .(N all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) n Septic Tank Upgrade (w/wo ADU) nX Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (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 applicable Municipal Codes. � 1 (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: —Z ® _ z 2 Date of Payment: Receipt Number: 000 Receipt Number: Permit No. 0 l a Waiver No. Permit App_:-:• ::...:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221212, Rebecca Carroll, 06/28/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221212, Rebecca Carroll, 06/28/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221212, Rebecca Carroll, 06/28/22 t3} (i} W r, Cd a 0 C) Porch rn rti Lot 7 V Ln Paved Path N 89'49'29" E 53.86' J W -- IBM .+rr CURVE RADIUS ARC LENGTH FCjHj0RjjDT8ZEARt,;�r*::� THC1 50.04• 35.14' CZ 50.00' 37.37' Chris Circle _ ��-r�Ic ��y;IRrva=.Yo; 1. NOTESAAW Bearings and distances are record per referenced plat unless otherwise noted- p 4 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground. Notal! controlling evidence is shown hereon. ofnt Land 5ervtce'5 LLC LEGEND 5URVEYING. MAPPING. LAND F='LANNING, GI---)ivlonument 5e ptrC Vent 1 1 3 1 I=, 79thAre-_. 5urte 10 i Ancharagc. A1a5Va 995 ! 8 �rarpo�rlt;IeK.corri ■ (9 07) 5�?.-i770 • purvey@farpa+ni~�k_can, well ASRUll_T SIJRVI--Y OF: SURVEY CERTTICATDN: FARPOI€VT has conducted a physical E)1P Tele. Pedestal Lot 7. Ptarn-aagain View Estates surrey of the subject property, the improvements satiated C) CP Cable Pedestal ,Subdivision. thereon are wrthrn the property lines as shown. (0 Catch Basin r1nchora,�e. Alaska EXCLUSION NOTES: it is the owners responsibility to determine PREPARED FOR: the existence of any easements, covenants, or restr ctrons which SCHP.AM THOMAS L & .VERY ORDER No DATE: 5CALE� Z��.It�G: do not appear on the Plat used For this survey. NOTE: tinder no BONNIE 3 221-4 j i c� MAY 19. 2022 1 "=30 R61R1 circumstances should any data hereon be used for construction 11C- ;-.ANE 5T. G� 1 -7 "1t.n+Nr}r CHECtF.L�: GRIDNa. FB ?i?O::IPAGE or for the establishing of property lines. A.::: 6 CB ME SW2634 159/6 ('t MUNICIPALITY OF ANCHORAGE elJ'~'e , !:1), DEPARTMENT OF ttEAI.TH & FNVIRONMENT~i, PF.O] ECTION 825 I. Street - Anch~raf!e, AJaska 99501 T~Jol~hcn~ ~'~ ~;" ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELl_ INSPECTION REPORT MAILING ADD~ESS LEGAL OESC~IPTION We JAbsorption "~ / Dwellinq 'T ~ I PERMIT ~,, of ,N~ .... ~ Z Manufacturer ~ Materia~ r~:e ( Liq. c;*pacity in gallons [ inside length Width Liquid ctepth f&%0 IF HOMEMADE:j = -- ~ DISTANCE '~ Well j Dweilinq IPE'M'T No. Nearest lot ~ Well Foundation . ~ , J PERMIT NO. DISTANCE TO:  Total h,r,fuh of lin,~ ~f, elu:h;~[h D,stance I,etween ~ ~ No, of ~s Length of eact~ ~ n.~ ;~.5 ~,~ , 2~~,~ _. _ ~'t ~ ~ ~ ~op of tiP, 1o finish tirade ~ ~ Mate, iai beneath tile ' -- ~ ~ ~ h;~; ;Q Total e [fectiw, a~so,ption are3 Length ~idth Depth PERMIT NO. ~ · ~ Class Depth Driller Distance: [o lot line J__PERMIT ~ Builder, s rounclation Sewer line Septic tank ~ DISTANCE TO: OTHER -' , j , ~ ', + q, : PIPE MATERIALS ' J -~ '~O I ' ~ ~ ............ INSTALLERt . , I REMARKS. t---~ ~I .... ' , , I ~ i ~P5 me I _ _ ~ : ~ · I APP~ ~ , DATE LEGAL ] 72-013 (Re(3/78) PERMIT NO. aPPLICaNT LOCATION LEGAL rqUr~I,~I "aLITV EmF aNCF ~RaGE DEPARTMENT ._. HEALTH aND ENVIRONMENTAL , ROTECTION 825 'L" STREET, aNCHORaGE., aK. ~95[~1 264-4720 .~r~-~ /~,, ~ibb Rt4E) O[4--~ I Ti SE~ER PERM I T HRNE ~T. u z &O. LOT SiZE TYPE OF SOIL aBSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR>= i50 THE REQUIRED SIZE OF THE SOIL aBSORPTION SYSTEM IS: ~EPTH= ii LENGTH= 50 GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF a TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND aND THE BOTTOM OF THE EXCaVaTION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFaLL PIPE aND THE BOTTOM OF THE EXCaVaTION (IN FEET). RE~.LI I RED SEPT I C TaNK S I ZE= 1250 GALLONS PERMIT aPPLICaNT HaS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTaLLaTION INSPECTIONS OF aNY WELLS aDJaCENT TO THIS PROPERTY aND THE NUMBER OF RESIDENCES THaT THE WELL WILL SERVE. TWm] < 2 ) INSPECT IONS aRE REQU I RED BACKFILLING OF aNY SYSTEM WITHOUT FINAL INSPECTION aND aPPROVaL BY THIS [.~EPaRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN a WELL aND aNY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR a PRIVATE WELL OR 150 TO 200 FEET FROM a PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM a PRIVATE WELL TO a PRIVATE SEWER LINE IS 25 FEET aND TO a COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS aRE REQUIRED aND MUST BE RETURNED TO THE DEPARTMENT WITHIN 50 DaYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MaY aPPLY. SPECIFICATIONS aND CONSTRUCTION DIaGRaMS 8RE aVaILaBLE TO INSURE PROPER INSTaLLaTION. PERM I T E×P I RES DEE'EMBER ~l~ 1~80 I CERTIFY THaT t: I aM FaMILIaR WITH THE REQUIREMENTS FOR ON-SITE SEWERS aND WELLS aS SET FORTH BY THE MUNICIPALITY OF aNCHORaGE. 2~ I WILL INSTALL THE SYSTEM IN aCCORDaNCE WITH THE CODES. ~ I UNDERSTAND THaT THE ON-SITE SEWER SYSTEM MaY REQUIRE ENLARGEMENT IF THE REMODELED T~-INCLUDE MORE THaN 4 BEDROOMS. RESIDENCE IS ,x aPPLICaNT THOMAS SCHRRM ISSUED B~~ ~-~ -DRTE--~--]~--~.-.,¢(/ V4. 0 PERFORMED FOR: LEGAL DESCRIPTION: 4 5 6 7 8 9 10 11 12 13 ., ..',-. ,~ SOILS LOG C iTItACTIN NGINEEI S & ASS{ . ENGINEF~IS,~G AND S~RVEYING ;  PERCOLATION 212 E. INTENTIONAL AI~PORT ROAD ANC~GE, ALASKa99502 TEST SLOPE SITE PLAN WAS GROUND'WATER ENCOUNTERED? P DEPTH? I 1Gr°ss 1Net IDepth t° I Net Reading Date Time Time Water , ° Ormn 14 · 15 17 ~ ,. ~ ~.~; Ralph ~Jok~a · .~.~ROF~~ PERCOLATION RATE {minutes/inch) ' ~ ~ ~ T T~ST ~u~ .~EEN -~ .... ..... ,_ ~5%.... ~--- MUNICIPALITY OF ANCHORAGE Development Services Department c Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate -of-On=Site-Systems--Approval --- Parcel I.D. 015-271-45 Legal description Ptarmigan View Estates Lot 7 Site address 11021 Hane St Achorage Current property owner(s) Thomas Schram Expiration Date: 11-30-22 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: �J 1 ^ z2_ 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 MUNICIPALITY OF ANCHORAGE s 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. 015-271 Complete legal description PTARMIGAN VIEW ESTATES LOT 7 Location (site address) 11021 HANE ST, ANCHORAGE, AK 99516 Current property owner(s) THOMAS & BONNIE SCHRAM Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® 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: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age 0 YEARS - NEW - 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 $ 2 -SO Waiver Fee $ _ Date of Payment g1171ZZ Date of Payment COSA # 0Sr_, 22 19 ► 7 Waiver # COSA Application—July 2022 copy.doc Legal Description: PTARMIGAN VIEW ESTATES LOT 7 Parcel ID: 015-271-45 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled CIRCA 1980 Total depth 127+ ft Well disinfected for coliform test? ❑ Yes Cased to 40+ ft (ASSUMED) ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate mg/L ® Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 12 in. FWIrs Date of flow test for COSA 8/2/2022 Collected by Static water level at beginning of test 117 ft. Date 8/2/2022 Well production at time of test 5.6+ gpm Comments B. (NEW TANK) TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW TANK ❑ Required maintenance completed, if AWWTS Comments: NEW SEPTIC SYSTEM PES D. (NEW FIELD) ABSORPTION FIELD DATA Which system tested (date installed) NEW FIELD ® ALL standpipes present per record drawing Total measured depth from grade 13 ft (max) Measured depth to pipe invert from grade 6.7 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ® Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test _ in Water added _ gal New fluid depth _ in Elapsed time _ min Final fluid depth _ in Absorption rate _ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) _ in Effective depth used _ in Effective depth remaining in Comments/Deficiencies: MT/CO AT GRADE. NEW TANK AND FIELD PES DESIGN — EFFECTIVE DEPTH APPEARS TO BE APPROXIMATELY 6.3 `ED. N_ ESI COSA Checklist—July 2022.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption-Field-on-tot->-100'--®-Yes – if-No—ft---- Hold ing-Tan k-> 100'- - - Z -Yes if"No --fit — Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft ❑ N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Field to Property Line > 10' ® Yes if No ft Water Main > 10' ® Yes if No ft Water Service Line > 10' ® Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' ® Yes if No ft Community Wells > 200' ® Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/22/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 law due due to subsurface conditions that may not be observed from the surface, changes in land use, ��Ai • • • ' • • : ry��l� local soil characteristics, groundwater levels that may fluctuate during the year, quality of ) construction (workmanship & materials), the water usage of the family being served by the g • •9 `I system and maintenance. The operational life of all well and septic systems are subject to / *� • TM �* these various and dynamic characteristics and are outside the control of the evaluator of the .. , • • • • • , • , • •i• well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or J discrepancies exist can be given by First Water Consulting & Curtis Huffman �� �F••. CE 128991 �����' • • 8/22/22 • •'�G�,i COSA Checklist—July 2022.docx ��l\��pROFESSIONP`��� -I*-.,. :*,* \* 10' Utility Easement--- ___ _ N 89'59'36" E 154.00' t 10' "Side Setbock _�. I''j ..• y.. /r I 1".3 Shed 8'x25' Gravelj Driveway ' 28.0' o ' = j �-a c C4 ! Porch o 'f : ryry�� m CD Mh o N Cd r ! ° .dot 7 i i � 28.0' y CO f I Paved Path Q6 j 30' i 12.0' 1 16.0' Septic no Access - Lids i ( -Deck s 12.5' f=ront Seiback N 89'49'29" E 53.86' N CURVE RADIUS ARC LENGTH CHORD BEARING 49TH C1 50.00' 36.14' N 69'07' 11 " E , . • . . �� C2 50.00' 37.37'_ S 69'49'50" W d • • • • . • • • .. C�1Y'IS CII'Cl G �� Rob�� g�pkin NOTES Gi • o. 9 1. Bearings and distances are record per referenced plat unless otherwise noted. pR0FtSSKItjAl�pX0' 2. Sufficient boundary evidence was recovered to establish the subject parcel on the ground. Not all controlling evidence is shown hereon. �Ir�s���areoint Lana Services, LLC LgGEND L ^•:p 3e SURVEYING, MAPPING, LAND PLANNING, GIS Monument 1 1 3 1 E. 76th Ave., 5uite 10 1 Anchorage, Alaska 995 18 `a . •4 00 Septic Vent wp FarpointAK.com a (907) 522-7770 o survey@farpointak.com Well ASBUIL'r SURVEY OF: Lot 7, Ptarrnagain View Estates Subdivision, ' SURVEY CERTIFICATION: FARPOINT has conducted a physical survey of the subject property, the improvements situated thereon are within the property lines as si'bwn. . [-]Tp Tele. Pedestal �0 CP CL!Ne PedeLtai o Catch Basin Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine PREPARED the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: Under no FOR: THOMAS L & WORK ORDER No DATE: SCALE: ZONING: "=30' 4 g July 21, 2022 DRAWN: CHECKED: 1 R6/R7 GRID No: FB BOOK/PAGE: circumstances should any data hereon be used for construction BONNIE BONNIE J 11021 HANE 5T, CB MESW2634 159/6 or for the establishing of property lines. AK 99516