Loading...
HomeMy WebLinkAboutCLEARVIEW LT 4cl 0 earview � a '` a„s� a ri� `ww r s.;r ;-x;,49 .a. '"'s . Municipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage,AK 99519-6650•http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181069 PID Number: 015-242-43 0 New ❑ Upgrade Name: WHITE RAVEN DEVELOPMENT ABSORPTION FIELD Address 8040 ALATNA AVENUE 0 Deep Trench Shallow Trench 0 Bed 0 Mound ❑✓ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.8 GPD/SF 3.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2.0 Ft. 1.0 F1. CLEARVIEW 4 Fill added above original grade Gravel length Township Range Section 0.5 Ft. 82/82 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.OFt. N/A N/A Ft. To Septic Absorptionj Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station i Tank Line 943 Ftz 2 10.9 Ft. Well 104.4 117.6 N/A N/A 100.0 TANK 0 Septic ❑S.T.E.P. 0 Holding 0 Other Manufacturer Capacity Surface Water 100+ 100+ N/A N/A ANCHORAGE TANK 1500Gat. Material Number of compartments Lot Line 57.8 13.2 N/A 1 N/A STEEL 2 NA Foundation 12.2 18.7 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to Idrainfield 3034 Installer WHITE RAVEN Drainfield 3034 CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 98.0ft Inspection 1m 6/14/18 Location and description dates: _ __ 2 6/1 5/1 8 3"1 6/15/18 a"' 11/7/18 BOTTOM TRIM AT HOUSE POINT B COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp rc OFA(��j� Conditional Approval: Date •• s — • *.. . • TM 1` ...':* , m s��,t.. . 0 tteven` . .) annc re•, �!♦� 9s • 149 Appr 4"`"4 _ _— Date y^« kik PR �A� G Inspection Report_1-1-12.doc CLL C v Uri ` DESIGN PARAMETERS I W / r PRIMARY SEPTIC SYSTEM / / e' r NQ. BEDROOM: 5 (750 gpd) • TANK SIZE: 1,500g \ f / / ?�� PERC RATE: 6-15 MPI \ \ \ SOIL RATING: 0.8 GPD/SF i / AREA ROD: 937 SF II'SYS. TYPE: WIDE TRENCH - 1.0'ED RF: 0.87 \ \ / / MIN LENGTH: 153 LF ( ! /y I sy/ ' RESERVE AREA (NIC) 1 f USED: ) Wim- W BASED ON CAT III AWWTS I W /e g (2EA) 82 LFx5'Wx1,0' E.D,, 3.0' TD ( N TOTAL AREA: 943 SF 1 \ I ! / 1 I \\ r " �/ TH-1 I INSTALLED DRAIN FIELD l WILLIAMS / ( (2EA) 82LF x 5.O'W x 1.0'ED x 3.0'TD �� 1 ! I INSTALLED CLEAN OUT AND MONITOR // TUBE Al EACH END. / V \ P{ / f II If / 19.6` < I I I / C4 , 'V' �c I /� I • / 80 / / /M4 `' C I 4' �/ A B C #11 //• M2 / / TH-2 , /�S 5BR } FC 46.9 16.3 f �,�/ WILLIAMS Wks s HOUSE Ti 61.7 14.8 �i (E) -` �MT2 71,1 15.0 t85/ T - 4/ 4iPie DCO 74.8 16.9 PES • 'y FS 80.1 17.2 'M3 /T2 A / / / / Cl 93.9 48.0 90 I// T1110 ' \ M1 93.8 45.4 /- 1 C3 FC� IN1OTALLED 1500g SEPTIC TANK C2 43.1 56.9 M 1 Cl9 , M2 38 5 28 2 / 95 - W/ FOUNDATION CLEAN OUT, AND / / 104.4 DOUBLE CLEAN OUT AFTER C3 106.5 54.8 M3 107.1 53.4 / 100 1 C4 52.9 39.6 / / cs / 1 M4Z 49.6 39.5 / �I / 11Z\ WELL - I / i II' oi- I- 1-D D QO 0 0 F Z Z ZZ ''° _ W l m mEoJO O pcc `U U U o U FILTER FABRIC OC.FC. 100.0 0 0 J DRAIN ROCK 6"ABOVE PIPE INV z g F \ -� o'a DRAIN PIPE z v EAST: C. WEST96.5 WEST:95.0 _ / /72R.IEAST:96.0 --.-r - E :lam i 4,1 1500 g SEPTIC �„ 1.0'ORNN ROCK I ' _ ,95,4 CONNECT I � ICEI TANK TO MIDDLE WEST:93,Q WEST•93.0/ 4 : Mil OF EACH EAST:94.0 FIELD EAST:94.0 PROFILE SCALE:NTS 4 3/4/18 t Iroe 7 .. . t e arc S:9 ® 0 9 10 1:co:•/��/le 11 r la u 1• tow GM ncxroa.rto:•/s/se NOTES: PANNONE ENG SVC, LLC ,�``\\\fit Dote RECORD DRAWINGOF'' .•qQ� �l 12/3/2018 P.O. BOX 100217 ANCHORAGE, AK 99510 r'C�•. S PHONE (907) 272-8218 FAX (907) 272-8211 ico.• �) ,i, Scale ;,1*.. 4• U. 411k •*r 1"=50' DRAWN: ACP CLEARVIEW, LOT 4 / �A P.I.D. NO WHITE RAVEN DEVELOPMENT , S'te•ven m. Ponnone / PERMIT NO. 8040 ALATNA AVENUE r� c;•REv s/1 s •s‘,„1.-4.,01'� OSP181069 PLAN ANCHORAGE, AK 1tl`;\\`�`�� .r Sheet 2 DOC CO dba to BILL a COLE 10 ULLIVAN WATER WELLS -K. . P.O. Box 670269,Chugiak,AK 99567 688-2759 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number:SW OSP181069 Date of Issue 5-21-18 Parcel Identification Number: 01524243000 Legal Description Property Owner Name & Address Clearview Lot 4 Hultquist Homes Pump Installation Date: 6-1-18 Pump Intake Depth Below Top of Well Casing: 310 feet Pump manufacturer's Name: F&W Pump Model: 4F07G10301 Pump Size: 1 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: White Raven Disinfected Upon Completion? ® yes n no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention:The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 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: OSP181069 Work Type: Septic Initial Tax Code Number: 01524243000 Site Legal Address: CLEARVIEW LT 4 G:2740 Site Mailing Address: 8040 ALATNA AVE, Anchorage Owner: BUNDY GAVIN & MICHELLE 50% & Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: 0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 5/21/2018 5/21/2019 52072 ❑ 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 Issued By Date: 45418 Date: 5,Z Ii 5 MUNICIPALITY OF ANCHORAGE A 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. 015-242-43 Property owner(s) Hultquist Homes Inc. Day phone _ Mailing address 12570 Old Seward Highway, Ste 204, Anchorage, AK 99515 Site address 8040 Alatna Avenue Legal description (Sub'd., Block & Lot) Clearview, Lot 4 Legal description (Township, Range & Section) Lot Size 52,072 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION 1S AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial M Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. h (Signature of property owner or authorized agent) r Permit/Rush Fees: 5b l/ Waiver Fees: Date of Payment: �3 () l is Date of Payment: Receipt Number: /� ���{, Receipt Number: Permit No. (jSP %5?1 b ( C? Waiver No. Permit App__- : . -..:c H 0 M E-3 office. This design and perm. it for this home N for 5-bedroorn max. Sincerely, Greg Purvis HuRquist Homes Inc 907-770-1516 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181069, Rebecca Carroll, 05/21/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181069, Rebecca Carroll, 05/21/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181069, Rebecca Carroll, 05/21/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181069, Rebecca Carroll, 05/21/18 @5/13/i B9~4 0~; S3 3~B2~32 POL~ RE~LTV P~GE &,OCATIO#/~KLrTCH! NILL OMV~L P~ TYPt: ....... C~N'r IM,LgOR INIOR¥&llON: IqlAARKI: 14~. tIOIIlIt.#II.l'.x IlO7)~lL,111# RECEIVED MAY 19 1998 Mufnc,~palJcy o! Anchorage Health & Human Se .fy. ieee. PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW980076 DESIGN ENGINEER:ALASKAWATER & WASTEWATER SERVICES OWNER NAME:PONSFORD MICHAEL R & JUDY OWNER ADDRESS:8040 ALATNA AVE ANCHORAGE, ALASKA 99516 DATE ISSUED: 4/24/98 PARCEL ID:01524243 LEGAL DESCRIPTION: CLEARVIEW LT 4 LOT SIZE: 52072 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF SPECIAL PR~ISIONS: BE RECEIVED BY: ISSUED BY: (1) NOT USE/BUILDING PERMIT. DATE: DATE: 4-24-F8 Alaska Water & Wastewater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers April 23, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Exploratory Well for Lot 4, Clearview S/D. To whom it may concern: The subject property is currently undeveloped and a sale is pending. As a condition of the sale the buyers are requesting an exploratory well be drilled to ensure that an adequate aquifer is present (The wells on Lots 1,2, &3, Clearview S/D have marginal wells). Attached is a 100 scale site plan that shows the proposed well location. Also attached is copies of the soils logs, which indicate that suitable conditions exist for an onsite septic system. The septic system permit will not be applied for until the well adequacy is confirmed. If you have any quest assistance Sincerel)~ j~~~~ mess, P.E., M.~S. Prir/cilSal u OhS, please contact me at 337-6179, or 244-9612. Thank you for your LOT 10, CLEARVIE~/ S/D UNI)EVELOPE]) PROPERTY AREA LOT LOT 3, CLEARVIE~/ S/D. PVT. WELL AND SEPTIC. SEPTIC IS GREATER THAN IOn FEET FROM LOT 4, CLEARVlE~/ SEPTIC AREA LBT 2o CLEARVIE~/ S/D. PVT, ~/ELL AN]) SEPTIC, SEPTIC IS GREATER THAN 100 FEET FROM LOT 4, ',E~/ ]NE]) ~/ELL SST HOLE #1 HOLE LOT 9, CLEARVIE~ ORIGINALLY ~AS A PVT, ~ELL AN]) SEPTIC SYSTEM, BUT HAS/MAY NO~ BE A DED AND ~REAKFAST. LOCATION DF SEPTICj D ]~E FIELD VERIFIED. LOT 5. :ARVIE~ S/D. PVT. & SEPTIC PEG :'LL LOT 4, C t GENERAL :ATIBN OF ~/ELL,_/ SHOULD "-L]) VERIFIED. LDCATIDN LOT 1o PRESCOTT S/~. PRIVATE ~ELL AND SEPTIC SYSTEM PER M,O,A, RECORDS. NOTE~ THIS IS NOT A SURVEY. THE LOCATION OF ALL ~/ELLS, SEPTIC SYSTEMS, AMI3 STRUCTURES IS APPROXIMATE, UNDEVELOPED LAND WELL LBCATIDN, LBT 4, CLEARVIEW S/I], PREPARED FDR, PETE McCDRMICK PREPARED BY~ ALASKA WATER & WASTEWATER DATE~ 4/22/98 ]RAWN: GARNESS SCALE: 1' = 100' , A. ~ar ---795.,9 Municipality of Anchorage ~ ," 4 91'~ DEPARTMENT OF HEALTH & HUMAN' SERVIOE~~ 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCO~TION TEST ~'.. ~,~1 ~" s~o.. 4 WAS GROUND WATER ENCOUNTERED7 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Depth to Water After' V' ~ / Monitoring? Date: SITE PLAN S L o P E I')~-~C'- ' Gross Net Depth ~D E: Net ~_..~.-(~[ Reading Date Time Time Water Drop gA-Lo' ? I~ ~ ?" ~ ~.~ ~/~ v. ,, ~ Less ~ ~-~. COMMENTS //~4 ACCORDANCE V~H ALL STATE AND MUNICIPAL GUIDELINE~N EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/~) PERCOLATION RATE 7 5/,'~ 'j''' ' P (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'~I- ~' 0 FT AND __ TEST WAS PERFORMED IN Municipality of Anchorage. ~.~'~-~o,",4, ?,T~. 825 "g" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST · ~ ~L ~/~ Township, Range, Section: 1 3 "~'/'v"'/AA /~A L- - SLOPE 6 7 8 9 WAS GROUND WATER ~ 0 10 ~Jl 5 (-~ ('-y ~'~ ENCOUNTERED? L IF YES, AT WHAT f O DEPTH? p 12 E Depth to Water Altor Ot.,.~ q/~lJ~Js 13 Monitoring? Dale: SITE PLAN Z,,,..~ Reading Date Gross Net Depth I:~ Net Time Time Water Drop ~ ~o ~o ~,~ 6 ,, ,1~ 14 E.C), \'""~ 15 16 17 18 19 20 (:,c) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN q' ~..~_ FTAND S,(.) FT /' ~ PERFORMED BY:/~/~-// ~ /~ //~/£,L,, CERTIFY THAT THIS TEST WAS PERFORMED IN AOOORDANCE~ALLSTATEANDMuNiOiPALGUiDELiNF~i::;FEOT~N~HiS'DATE. DATE 72-008 (Rev. 4/85) LEEPLONS • •,' Municipality of Anchorage ' On-Site Water and Wastewater Program (907)343-7904 C♦{ ;,T Y Certificate of On-Site Systems Approval 015-242-43 t -� Parcel I.D. Expiration Date: 1. GENERAL INFORMATION Complete legal description Clearview L4 Location (site address) 8040 Alatna Current Property owner(s) Buddy& Michelle Gavin& Hultquist Homes Day phone Mailing address 10651 Concord Hill Cir, Anch, AK 99515 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 521,, Waiver Fee $ Date of Payment /l) /12 Date of Payment Receipt Number O?B 1 C? Receipt Number COSA# C5C.1? /625- 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 Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date 11/28/18 OF At. kk *49 T1-1i *l � 6. DSD SIGNATURE o.." * .. . "• 9 System #1 Approved for 5 bedrooms S eve R. •arinone• System #2 Approved for bedrooms rTI - CE-8149 \ Ase Disapproved �OFE5S1fRtP+ Conditional approval for bedrooms, with the following stipulations: r ur r` ON-SITE (7) WATER AND I' - WASTEWATER c r PROGRAM 4/7',CFR\l‘C By:-- V`-v OF Original Certificate Date: J — qC2 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 blue sheet f . . ., If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Clearview L4 Parcel ID:015-242-43 A. WELL DATA Well type Private If A, B,or C provide PWSID# Well Log(Y/N) On file Date completed 4/29/98 Sanitary seal (Y/N) Y Wires properly protected(Y/N) Y Total depth 325 ft. Cased to 76 ft. Casing height(above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 4/29/98 6/1/18 Static water level 72 ft. 102.1 ft. Well production 2 g.p.m. 1.4 g.p.m. WATER SAMPLE RESULTS: Coliform neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 11/20/18 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic / Steel Date installed 6/15/18 • Tank size 1500 gal. Number of Compartments 2 Cleanouts(YIN) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A Date of pumping n/a (new) Pumper C. ABSORPTION FIELD DATA Date installed 6/15/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type Shallow Trench(x2) Length 82/82 ft. Width 5/5 ft. Gravel below pipe 1/1 ft. Total depth 3/3 ft. Eff. absorption area 943 ft2 Monitoring tube Y Depression over field N Date of adequacy test N/A (new) Results(Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.)(YIN&type) If yes,give date D. LIFT STATION Date installed N/A Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off'level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100 + On adjacent lots 100'+ Absorption field on lot 100 + On adjacent lots 1001+ Public sewer main 75'+ Public sewer manhole/cleanout 1001+ Sewer/septic service line 25'+ Holding tank 1001+ Animal containment areas 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 101+ Property line 10'+ Absorption field 101+ Water main 25�+ Water service line 25'+ Surface water 100'+ Wells on adjacent lots 1001+ ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10�+ Water main 101+ Water Service line 25'+ Surface water 1001+ Driveway,parking/vehicle storage 101+ Curtain drain 501+ Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION �'�'pF`\��'\ P,�,.. 4..�!L,�s1>i I certify that I have determined through field inspections and '""< VA review of Municipal records that the above systems are in *'• • 11-I• %\ *T conformance with MOA COSA guidelines in effect on this date. 0 ' • ••. Steven Pannone Engineer's Printed Name •Sieven •...•onnorie:'• 11/27/18 X ' CE-8149Date 9,4 . i COSA canary sheet_2-6-15.doc N \ . N, '''‘ A/oto / \ Ven :: : , :7c,o d, ``` S -:se er R�.2> - \ \ \. _ooa00000 \ vpi�`t,.o "�..'QSIQOT •-,,, Lot 3 P U V.„--:-.,, 4w ...Thomas H. Dreyer: ,o,I'",. '- LS-7625, •' (.16;:::,a .ep " /i-r'6` eteO 'of es sionotoo 3/ .:.......-. ':•• S ,. ::.;:: . N o. • !Lot 2 0) © ® o� rF to am `, a. ' . � h u�^ 1�a' '1 r•7 '341 A \ A) ® zistir�9 Nouse id '3 .."....+A38.6• 2 � CO ® ® Lor 4 52,072 sf Lot 5 .ott a M co 1 N89'56'25"E 235.73' '0' JtilitylF.csernc•ill S4 Legal Description: Legend: As 1 Set Rebar with Cop •O As Built AL. Monument $ Found Rebar 0 Lot Monument 0 Well e GroupClearview Subdivision Septic o Survey Certification: : hereby certify that a Mortgagee's Pavement :'•;,`%:;`:..;:;'f Land Surveying Inspection was performed on the described property. Overhang rp Land Development Consultants Notes: It is the owner's responsibility to determine the 4E—. Subdivision Specialists existence of any easements, covenants, or restrict'on which Wood Deck %01 Construction Surveying ore not on the recorded subdivision plat. It is the contractor's responsibility to check top of foundation Concrete ;;?:3, 1 Tom H Dreyer,P.L.S. grade & building setbacks in relation to property lines and Fence 124 E 7th Avenue easements Anchorage,Alaska 99501 Checked by. CB Drown by. AK Scale 1 = 40' Grid 2740 (907)306-8104 i mail@S4AK.com Job 2017-88 i Field Book: 144-69 I Plot 80-178 Date: 11/5/2018