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SCIMITAR #1 BLK 3 LT 4
Onsite File Scimitar # 1 Block 3 Lot 4 #051 - 132 - 36 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181032 PID Number: 051-132-36 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple(SF and/or D) Project: ❑ New ❑ Upgrade Name: Bob & Jackie Brock Family Trust ABSORPTION FIELD Address ■❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 3705 Arctic Blvd. #1190, Anchorage, AK 99503 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 2.0 Ft. 8.0 Ft. Scimitar#1 3 4 Fill added above original grade Gravel length Township Range Section 3.5 Ft. 25.0 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 3.0 Ft. Ft. MI Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line 400 Ft2 1 Ft. Well >100' >100' N/A N/A >25' TANK L I Septic ❑S.T.E.P. 0 Holding 0 Other I Manufacturer Capacity Surface Water >100' >100' N/A N/A Anchorage Tank 1000 Gal. Material Number of compartments Lot Line >10' >10' N/A N/A Steel 2 NA LIFT STATION Foundation >10' >10' N/A N/A Manufacturer Capacity Curtain Drain None Noted Gal. Remarks Pump on level at Pump off level at High water alarm at No insulation was installed during construction. _ in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034Tank to D3034 Installer drainfield Northern Excavation Drainfield D3034 CO/MT D3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection 151 5/18/18 2n° 5/18/18 Location and description da 3rd 415 Top of foundation COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL v . .‘t\\Vl 4 1 Conditional Approval: Date ;. r.. .'. '•!n +# 047149TH i •.*#6 0 •• •Ben in Schiller : A 0 Al 6,- . Cv�12592 .• `•�0' L ��/lc i ,,......., ,, 4,$..pROFEssos .� Approved J C Date \\\����� Inspection Report_9-1-12.doc SCIMITAR #1 , BLOCK 3 LOT 4 # OSP181032 PID # 051-132-36 - f _,,,, PERMIT // \ \ \ / v71 ' z 4) \ \ `� /0 1 / o \\ LOT 11 NEIGHBORING SEPTIC IS>10d'FROM PL \\ // ��\�� LOT3 l LOT 12 ///i, _n\ .. \ PROPOSED f ELL / \)\ 575° / 580.0 / / 25'LONG x 3'WID EFFECTIVE .• " / / DEPTH AB$O'PTION TRENCH MT ,.01 • 585.0 / / / / • . ,e4 V2" 5`�°� 595° // 0 100Q GAL SEPTIC TANK 6p00 '/ T2 � S 1 TH#1 / 0 y°y� -4 /° iy / • TH#2• ��� • •O!•' 6�y0 / / ` - / O� ALTERNATE SITE W/ / \ / / �� LIFT STATION \ \//// / / ._ _•- ,, -•,' -- / < ,-- - / / / "/ • - ,cg / tc, \ // / -- _ - - _ - n' / LOT 5 LOT 4 / / N° / \\ / / / \\ APPROXIMATE SEPTIC AREA / \ I/ t/ LOT17 ,` NEIGHBORING WELL IS>100'FROM PL i / \ 0 \z. , i A B C FCO 3.1 28.1 SV1 23.6 8.8 • �'_ `��` i SV2 24.9 12.1 _ 2C0 25.8 14 LEGEND �'�P ... .••.4-9 MO1 31.4 21.3 .T1 29.7 20.2 CO CLEANOUT /Q); - '•.9 I2C0-DOUBLE CLEANOUT 1*:49 TH /\ •*�� CO2 21.2 26.6 FCO-FOUNDATION CLEANOUT V MT2 20.2 25.5 FS-FLOW SPLITTER VALVE "' MH-MANHOLE V6 • njam' Schiller ' , 0 50 100 T+�,F�... CE 12592 ..����i _ _ — — FEET MT MONITORING TUBE I kk.I"P OFESS:- ...r SV-SEPTIC VENT � �\"`. � 1"=50' TH-TEST HOLE SCIMITAR #1 , BLOCK 3 LOT 4 PERMIT # OSP181032 PID # 051-132-36 oN o U > > U LL U) (1) N - - 99.2 - - - —' —' r 95.1 95.6 j ///J �� 94.3 94.6 J 1000 GAL 94.5 SEPTIC TANK V �. – 90.2 f 98.5 FINISH GRADE OB 95.0 ORIGINAL GRADE 20 U 93.0 -----).) <4.'`- 93.0 DRAINFIELD ROCK � — 85.0 25, 85.0 �� J c. 79.0 NO GROUNDWATER 3/19/18 of�sl�l *:49 TM• /\ •.* /4 • Benj• n Schiller PROFILE AS-BUILT 0�I���,,.. ��92p92 .•�•���' (NO SCALE) ,kIiF�PROFESS10NAti� Wheaton Water Well, Inc. 1190 N. Wasilla-Fishhook Road Wasilla, AK 99654 (907)376-2041 Name: Troy Davis Homes, Inc. Address: 1689 Knik Goose Bay Road, Suite 400 City: Wasilla State: AK Zip Code: 99654 Well Site: Scimitar #1 Lot: 4 Block: 3 Additional: Permit #OSP 181032 -- 19816 Tulwar Drive Well Depth: 245 ft. From: To: Formation: Below Ground: 243 ft. 0 8 stickup, gravel, cobbles Above Ground: 2 ft. 8 17 wet gravel, cobbles 17 43 silty gravel, cobbles Gal/Min: 1/2 43 75 hardpack silt, gravel, boulders Static Level: 93 ft. 75 84 gravel, cobbles Casing: 141'of 6" x .25" Steel 84 112 silt, gravel 112 118 boulder Liner Pipe: none 118 131 silt, gravel, boulders Screened: none 131 135 fractured rock Perforated• none 135 210 hard bedrock • 210 230 hard gray rock with quartz Grouted: Bentonite 230 245 hard gray rock Depth: 20'+ Develop. Method: Air fracture at 210 to 211 Use of Well: Residential Drilling Method: Rotary WATER QUALITY TESTING Well disinfected with chlorine 50 ppm Collform WO CoI/100mL Nitrates I'1/41. 0 mg/L Misc: none Arsenic t I•hI ug/L Other: none bate Drilled: 4-2-2018 Driller: Ben Mattson The well was pumped 5' off the bottom with 100% draw down for 2 hours and recovered at 1/2 gpm. Development Services Department ' • Building Safety Division GE 8V On-Site Water & Wastewater Program z ' 4700 Elmore Road Z. Z P.O. Box 196650 i ii I i " Anchors s n E T Y Anchorage, AK 99507 Mark Begich 9 Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW OSP181032 Date of Issue: 3/22/2018 Parcel Identification Number:051-132-36 Legal Description Property Owner Name& Address: Scimitar#1 Block 3 Lot 4 Troy Davis 1689 Knik Goose Bay Road Suite 400 Wasilla,AK 99654 Pump Installation Date:7-31-2018 Pump Intake Depth Below Top of Well Casing:235 feet Pump Manufacturer's Name:Myers Pump Model:3NFL72-5-P4-01 Pump Size 3/4 hp Pitless Adapter Burial Depth: 13 feet Pitless Adapter Manufacturer's Name: Harvard Pitless Adapter Installer: Well Disinfected Upon Completion? ✓❑ Yes ❑ No Method of Disinfection:Sterilene Comments: Pump Installer Name: Wheaton Water Well 1190 N.Wasilla-Fishhook Rd. Wasilla,AK 99654 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 40,�!:1PALsrt. MUNICIPALITY OF ANCHORAGE meter On-Site Water& Wastewater Program di&- tPO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite I)rI,aruncut 4NCiO0.P6E On-Site Water & Wastewater System Permit Permit Number: OSP181032 Effective Date: 3/22/2018 Work Type: WellSeptic Initial Expiration Date: 3/22/2019 Tax Code Number: 05113236000 Site Legal Address: SCIMITAR#1 BLK 3 LT 4 G:1261 Site Mailing Address: 19816 TULWAR DR, Chugiak Owner: BROCK BOB & JACKIE FAMILY TRST Lot Size in Sq Ft: 49227 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: Q Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 By: enkitA , id/ Date: � • Issued By: , (/t// / Date: larg MUNICIPALITY OF ANCHORAGE • Community Development Department zio or 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. 051-132-36 Trey Dav;s Property owner(s) Bob-St-Jackie-Brock Fad T-rust Day phone Mailing address-37a ^`;c—B+ Dra-9e,-AK 99503 - ., Site address NHN Tulwar Dr Legal description (Sub'd., Block & Lot) Scimitar #1 Block 3 Lot 4 Legal description (Township, Range & Section) Lot Size 49,227 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (EI all that apply) Absorption Field ❑X Initial ❑X Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑X 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. (Signature of property owner or authorized agent) Permit/Rush Fees: 181f 00 Waiver Fees: Date of Payment: /aO I t g Date of Payment: Receipt Number: OiaLes p Receipt Number: Permit No. OS p L 1032_ Waiver No. CP LA IQ Permit App_ . :c: PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) March 21, 2018 Municipality of Anchorage Development Services Dept- On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Scimitar #1 Block 3 Lot 4 – Tulwar Drive Septic system design and permit application Dear On-Site Services Engineer: The owner of the above lot intends to build a 3-bedroom home on the property, so we are submitting this permit application for the construction of a new well and septic system. The attached site plan identifies the location of the home as well as the proposed well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes toward the road steeply near the back of the lot, but near the front the slopes are much milder. It is in that flatter area that the new septic system is located. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Drainage arrows are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. It will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 16’ away. Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE 3/21/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 620.0 615.0 6 05 .0600.0 595.0590.0 585 .0 5 80.0 575.0 570.0625.0610.018.2%51.8%42.7%44.0%19 .3%22.4%19.1%18.3%16.8%ALTERNATE SITE FCO 10050 0 FEET 1"=50' 25' LONG x 3' WIDE, 8' EFFECTIVE DEPTH ABSORPTION TRENCH3-BDRM HOME PROPOSED WELL 1000-GAL SEPTIC TANK NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND CO TH#2 TULWAR DRIV E SCIMITAR #1, BLOCK 3 LOT 4 Mar 22, 2018 10' UTILITY EASEMENTS CO MT 2CO TH#1 NEIGHBORING SEPTIC IS >100' FROM PL NEIGHBORING WELL IS >100' FROM PL APPROXIMATE SEPTIC AREA WELL IS >100' FROM PL SEPTIC IS > 50' FROM PL AND OUTSIDE WELL RADIUS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 SCIMITAR #1, BLOCK 3 LOT 4 NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY TYPICAL DEEP TRENCH SECTION (NO SCALE) BOTTOM OF TRENCH: 10' BELOW GRADE FLOW LINE ELEVATION: 2' BELOW GRADE TOP OF TRENCH ELEVATION: 0.5' ABOVE GRADE 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 3' 6" 6" 1'6" 8' Mar 21, 2018 INSULATION DESIGN FACTORS: SYSTEM SPECIFICATIONS: 3 BEDROOM: 450 GPD PEAK FLOW PERK RATE: <1 MIN/IN APPLICATION RATE: 1.2 GPD/SF 3' WIDE DEEP TRENCH SYSTEM 1000-GAL SEPTIC TANK 450 GPD / 1.2 GPD/SF / 8' DEEP / 2 SIDES = 23.4 LF TRENCH REQUIRED (25 LF SPECIFIED) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Scimitar B3 L4 3/08/18 J. Millette Development Services Department 4700 Elmore Road Anchorage, AK 99519-6650 Municipality of Anchorage DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? NO none none 3/08 0.1 6 4 5 1.5' OB 051-132-36 Troy Davis Homes Professional Engineers Stamp: Mar 19, 2018 0:55 6"11:11 - 11:12 1 6"2 6"3 6"4 6"5 6"6 6" - 12" 0:5111:13 - 11:14 6" - 12" 0:5511:15 - 11:16 6" - 12" 0:5311:17 - 11:18 6" - 12" 0:5311:19 - 11:20 6" - 12" 0:5611:21 - 11:22 6" - 12" POORLY-GRADED SAND W/ SILT AND GRAVEL (SP-SM) 3/19/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 2 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) Scimitar B3 L4 3/08/18 J. Millette Development Services Department 4700 Elmore Road Anchorage, AK 99519-6650 Municipality of Anchorage DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? NO none none 3/08 0.02 6 4 5 1.5' OB POORLY-GRADED SAND 051-132-36 Troy Davis Homes Professional Engineers Stamp: Mar 19, 2018 51 2" - 11 1 2"0:10 6"12:01 1 51 2" - 11 1 2"0:11 6"12:02 2 51 2" - 11 1 2"0:12 6"12:03 3 51 2" - 11 1 2"0:11 6"12:04 4 51 2" - 11 1 2"0:10 6"12:05 5 51 2" - 11 1 2"0:11 6"12:06 6 W/ SILT AND GRAVEL (SP-SM) 3/19/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181032, Deb Wockenfuss, 03/22/18 MUNICIPALITY OF ANCHORAGE Development Services Department �$r p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-132-36 Legal description SCIMITAR #1 BLK 3 LT 4 Site address 19816 TULWAR DR Current property owner(s) POWELL KAYLA JO Expiration Date: 8/26/23 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: By: Original Certificate Date: 6/7/23 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 X Absorption Field Advisory Nitrate Advisory Tank Age Advisory. Arsenic Advisory Other COSA Approval_June 2022 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 Application 1. GENERAL INFORMATION Parcel I.D. 051-132-36 Complete legal description Scimitar #1 Block 3 Lot 4 Location (site address) 19816 Tulwar Dr. Chugiak, AK Current property owner(s) Kayla Powell Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 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: V Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 5 - 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 $ S-50 // Waiver Fee $ Date of Payment �1�s�3 Date of Payment COSA # Waiver # COSA Application—June 2022 Legal Description: COSA Checklist Scimitar #1 Block 3 Lot 4 Parcel ID: 051-132-36 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 4/12/18 Total depth 245 ft Cased to 141 ft 0 Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 8/27/21 Static water level at beginning of test 105 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping . 5/25/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/18/18 ❑✓ ALL standpipes present per record drawing Total measured depth from grade 13.5 ft (max) Measured depth to pipe invert from grade 5.5 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) If yes, enter date CommentsfDeficiencies COSA Checklist June 2022 Well production at time of test 0.5 qpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes 0 No R] Coliform bacteria is Negative Nitrate 1.51 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L W] Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 5/9/23 T STATION ❑ Required enance completed Age of lift station s Lift station material Comments Adequacy test date Results © Pass Fluid depth prior to test 8/26/21 Water added 500 gal New fluid depth 2.5 in Elapsed time 5 min 0 in Final fluid depth 0 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) % in Effective depth used 0 in Effective depth remaining % in 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" ❑ Yes if No 8.8* Community Sewer Manhole/Cleanout > 100' FVJ Yes if No _! ft ❑✓ Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100'✓❑ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft Q Yes if No ft ft If tank or field is under driveway comment below 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 8.8* ft Surface Water > 100' ❑✓ Yes if No ft Tank to Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' 0 Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > .10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *8.8' separation of Tank from Foundation based off of tank standpipe. but should not have anv adverse affects on foundation bearing soils. Field to Foundation >10' per 9/18/18 IR_ 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 Arcterra Consulting Engineer's Printed Name lisnneth Duffus 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 future occupants or can Arc Terra guarantee that no unseen encroachments, deficiencies or discrepancies exist. CASA Checklist June 2022 Phone (907)-696-6111 Date 5/26/23 #}*M%%F!kTk%04 .01 til t S� KENNETH VUiw �s�.. CE SIS a Well Nater Advisory Certificate of On -Site Systems Approval # OSC231159 Subdivision: Scimitar #1, Block: 3, Lot: 4 This well's productivity was determined to be .5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Marling Address P O Boxr196650 *Anchorage, Alaska 99519 6650 *www muni org • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-132-36 Expiration Date: --2 1. GENERAL INFORMATION Complete legal description Scimitar #1 Block 3 Lot 4 Location (site address) 19816 Tulwar, Chuqiak, AK Current Property owner(s) _Chase Markel, Soto Karra, Donna Franklin _ Mailing address 10296 Valley Park Drive, Anchorage _AK 99507 Real Estate Agent __ _ _ Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: X 3 Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment 51//y/z I _ _ Date of Payment 11 1 Receipt Number D(,5 Zq r.- Receipt Number COSA # OS C 2 1 1 5 y-7 Waiver # TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer ❑ Public Water System ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment 51//y/z I _ _ Date of Payment 11 1 Receipt Number D(,5 Zq r.- Receipt Number COSA # OS C 2 1 1 5 y-7 Waiver # v. u � n � v�r���: � v� uw� vv t tv�• v � i��vu����� 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 _ARCTERRA CONSULTING, INC. _ _v_Phone 696-6111 Address 20441 PTARMIGAN BLVD EAGLERIVE / Engineer's Printed Name KENNETH M. DUFFUS _ Date fZ / 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 future occupants orcan ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. �fiti�rf )011 6. DSD SIGNATURE System #1 Approved for bedrooms. � - KENNETH l- m F . System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulat, _ GlQp,� ``�d�AT _ 0A/"zs7r-.__- C>..-.� SATE E o ANU M:= -- PP -- -_ WO \o By: -_-- �.V Original Certificate Date:__ 1�eb�ua �aa 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 10-10-12.doc • Legal Description: Scimitar #1 Block 3 Lot 4 If more than 1 septic system on lot: COSA Checklist # of _ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 4/2118 Total depth 245 ft Cased to 141 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 8/27/21 Static water level at beginning of test 105 ft. Comments B. TANK DATA Age of tank(s) 3 years Tank type/material Septic/Steel Measured operating fluid level in septic tank 49" Standpipes/foundationcleanout per record drawing Date of pumping 7/20/21 D. ABSORPTION FIELD DATA Which system tested (date installed) 5/18/18 ALL standpipes present per record drawing Total measured depth from grade 13.5 ft (max) Measured depth to pipe invert from grade 5.5 ft (min) ❑ N/A — 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 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 051-132-36 Structure served by this system Well production at time of test 0.5 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes 0 No IN Coliform bacteria is Negative Nitrate mg/L 01 Nitrate less than MRL (ND) Arsenic 7.19 ug/L [:]Arsenic less than MRL (ND) Collected by Arcterra Consulting Date of Sample 8/27/21 IFT STATION ❑ Requl aintenance completed Age of lift station years Lift station material Comments: Adequacy test date 8/26/21 Results M Pass For _ Fluid depth prior to test 0 Water added 500 gal New depth 2.5 in Elapsed time 5 min Final fluid depth 0 in Absorption rate 450+ gpd 3 bedrooms it Any rejuvenation treatment (past 12 months) If yes, enter date 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 if No Community Sewer Manhole/Cleanout > 100' Water Main > 10' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'RI Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 8.8r ft Surface Water > 100' ® Yes if No 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 ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® 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' 0 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' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS x8.8' separation of Tank from Foundation based off of tank standpipe, but should not have any adverse affects on foundation bearing soils. G. ENGINEER'S CERTIFICATION / certify that / 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 Well Nater advisory Certificate of On -Site Systems Approval # OSC211547 Subdivision: Scimitar #1, Block: 3, Lot: 4 This well's productivity was determined to be 0.5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute or 150 gallons per day per bedroom. Although the well production currently exceeds this minimum requirement, and an additional 500 gallons of water storage has been provided, the well production can fluctuate and water conscious practices may be needed. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. -aw -q- ��,�� _ ���� Mailing Address`�F�O Box 196650 Anc orage; Alaska 99519 665 * www�mun� or �� �` �=��� � �} Parcel I.D. 051-132-36 Municipality of Anchorage =�F On -Site Water and Wastewater Program 4 (907) 343-7904 5 R F E T Y Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date:1 —1 f a0 Complete legal description Scimitar #1, Block 3, Lot 4 Location (site address) 19816 Tulwar Drive Chugiak, AK Current Property owner(s) Mailing address Real Estate Agent Troy Davis Homes, Inc Day phone 357-9394 1689 S. Knik Goose Bay Road #400, Wasilla, AK 99654 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or. Duplex) Day phone WaiverNariance request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ KS • Qc) Q Waiver Fee $ Date of Payment t0(�-1 Date of Payment Receipt Number 03��4� Receipt Number COSA # W CI �`' % Waiver # 3 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well I -XI Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ KS • Qc) Q Waiver Fee $ Date of Payment t0(�-1 Date of Payment Receipt Number 03��4� Receipt Number COSA # W CI �`' % 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. Name of Firm Forge Engineering Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE _X_ System #1 Approved for .3L bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 522-7773 Date 09/09/19 OF ................... �® ®. �f• 49th � J�'y�•.� �®� 6 '•MICHAEL E. ANDERSON ®F Air No. CE -4381 ,•' -All 0/10/19 Conditional approval for bedrooms, with the following stipulations: ,►tl Cis,_ By: 1 ,, Original Certificate Date: ���-i % _/ 7 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 c Legal Description: Scimitar #1, Block 3, Lot 4 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 4-2-18 Sanitary seal (Y/N) Y Total depth 245 ft. Cased to 141 ft. FROM WELL LOG Date of test 04/02/18 Static water level 93 ft. Well production .5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 09/09/19 B. SEPTIC/HOLDING TANK DATA If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system -4 71445m, Parcel ID: 051-132-36 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION New ft. ti• Collected by: Forge Engineering Tank Type/Material Septic/Steel Date installed 5/18/18 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper New Construction* C. ABSORPTION FIELD DATA Date installed 5/18/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type Deep Trench Length 25 ft. Width 3.0 ft. Gravel below pipe 8.0 ft. Total depth 13.5 ft. Eff. absorption area 400 ,ft2 Monitoring tube Y Depression over field N Date of adequacy test 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.) (Y/N & type) If yes, give date D. LIFT STATION Date installed _ "Pump on" level at Datum Size in gallons _ in. "Pump off' level at Cycles tested _ in Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot > 100' On adjacent lots >1 00' Absorption field on lot >100' On adjacent lots >100' Public sewer main >75' Public sewer manhole/cleanout >100' Sewer /septic service line >25' Holding tank >100' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line >5 Water main >10, Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line X10, Building foundation >10' Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' Absorption field >5' Surface water >100' Water main >10' Driveway, parking/vehicle storage > 10' it F. COMMENTS *Home has been vacant since installation. **Trench was inspected 9/9/19. No water was found. G. ENGINEER'S CERTIFICATION I certify that 1 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 Michael E. Anderson, PE Date 10/10/19 COSA brown sheet -1 0-10-1 2.doc OF ;�•' 49th MICHAEL E. ANDERSON • :awe No. CE -4381 0 PR 0/10/19FESS �P����� Well Nater Advisory Certificate of On -Site Systems Approval # osc191490 Subdivision: Scimitar #1, Block: 3 , Lot: 4 I sa This well's productivity was determined to be .5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150.gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. E • •- Municipality of Anchorage u�6 On-Site Water and Wastewater Program Y y �r (907) 343-7904 SEP Certificate of On-Site Systems Approval 051-132-36 �� Parcel I.D. Expiration Date: 1. GENERAL INFORMATION Complete legal description Scimitar #1 Block 3 Lot 4 Location (site address) 19816 Tulwar Drive Current Property owner(s) Bob & Jackie Brock Family Trust Day phone Mailing address 3705 Arctic Blvd #1190, Anchorage, AK 99503 Real Estate Agent Day phone 2. TYPE OF DWELLING: H Single Family (w/wo ADU) I I Duplex Il Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ITi Individual Ix I Individual Water Storage U Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System [ Public Sewer ❑ WaiverNariance request for: Distance: Received by: l Date: t)411?COSA to be released to the enginee unless otherwise requested by the engineer. COSA Fee $ ���•�� Waiver Fee $ Date of Payment q/lQ/l g Date of Payment Receipt Number 6n7-07 Receipt Number COSA# CSC lSl09. Waiver# .'•»a '. m a I. +ti„F' 4 6 5. STATEMENT OF INSPECTION BY'ENGINEER •-,0 As certjf'd 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 Forge Engineering Phone (907) 522-7773 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, PE Date 09/17/18 6. DSD SIGNATURE System#1 Approved for bedrooms t/` '. Ben;amin Schiller : l 1 V• CE 12592 .•4`�� System #2 Approved for bedrooms Oh6,k`0'•- ••,.�;� ,t -RGFESS!Gt Disapproved \���"_-`6 Conditional approval for bedrooms, with the following stipulations: '�j GNRPp.,-\- .‘2. =_ � Q M \IN co P51R RGGo lop . 111ENT SER a B Original Certificate Date: l a&--Z 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. 'i•• i. 7. ATTACHMENTS: "' • ( , COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Adtiisory% ,f Well Flow Advisory Other ticll.', •-.,-,'r COSA blue sheet_f , c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Scimitar #1 Block 3 Lot 4 Parcel ID: 051-132-36 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 4-2-18 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 245 ft. Cased to 141 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 04/02/18 W6J Static water level 93 ft. ft. Well production 5 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic 4.4ug/L Date of sample: 7/31/18 Collected by: Wheaton Water Wells B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/SteelDate installed 5/18/18 Tank size 1000gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper New Construction C. ABSORPTION FIELD DATA Date installed 5/18/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 1 .2 System type Deep Trench Length 25 ft. Width 3.0 ft. Gravel below pipe 8.0 ft. Total depth 1 3.5 ft. Eff. absorption area 400 ft2 Monitoring tube Y Depression over field N Date of adequacy test 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.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 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 100 Public sewer main >75' Public sewer manhole/cleanout >100 Sewer/septic service line >25' Holding tank >100' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line >5 Absorption field �5 >10' >100' Water main 0>1Water service line Surface water Wells on adjacent lots >100 ABSORPTION FIELD ON LOT TO: Property line 10 Building foundation 10 Water main 10 >100' Water Service line 10 Surface water Driveway, parking/vehicle storage Curtain drain None Noted Wells on adjacent lots >1001 F. COMMENTS G. ENGINEER'S CERTIFICATION .��-4%. .XX N , I certify that I have determined through field inspections and i"�`.'•''• �+ review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 0#�•,9 M i\ *�#i Engineer's Printed Name Benjamin Schiller, PE %7;;;47r,__, 9/17/18 ...... A Date . Beller : �7 l%;•. CE.12592 '.•� �� A °44 F1ssioo--„o COSA brown sheet 10-10-12.doc MUMCDP,t DUTY SF ANCHOR GE DEVELOPMENT SERVICES DEPARTMENT ' �' ! 907-343-7904 " {� �iK On-Site Water and Wastewater Section 7 Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On-Site Systems Approval # 0SC181492 Subdivision: Scimitar #1, Block: 3 , Lot: 4 This well's productivity was determined to be .5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address:P.U.Box 196650*Anchorage,Alaska 99519-6650.*www.muni.org R=440.00' PIPES —WELL 1p� Lot 3 / 10' UTILITY EASEMENTS 2 / / / \ \\\ Lot 4 / / 49,227 s.f. Lot 5 Lot 17 11 7.5'x6 HOUSE DETAIL SCALE: 1"=20' Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax pF q Professional Land Surveyors kenOlongsumay.com 9 lonathanOlangsurvey.com P •''••. s I hereby certify that I have surveyed the following described property: �:' LOT 4, BLOCK 3, SCIMITAR SUBDIVISION, UNIT No. 1 (PLAT 74-166) PAN-' Anchorage Recording District, Alaska, and that the Improvements situated thereon aro within the property lines and do not encroach onto the property adjacer IharNo, that no Improvements on the property lying adjacent thereto encroach on the surveyed VENN: Promises and that them are no roadways, transmission lines or other visible o 41�t8 easements on sold property except as Indicated hereon. Q Q'N%" --- l.S-5202: ' 49 Dated this the 4:I� Day of 51:F -,ow Pnoh.2,�_, a1 Anchorage. Alaska 4�Q�RS610NN�e 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 plat. AECC963