The URL can be used to link to this page

Home My WebLink AboutRAMERT LT 2P,amert Lot 2 #060-342-08 Municipality of Anchorage " Development Services Department O g , Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St P.O. Box 196650 Anchorage, AK 995136650 Page I Of www.chanchorage.akus (907) 343-7904 ONSITE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 1WASTEWATER Permit Number: SW Q3Oa69' PID Number 0— 3`��—��j Name: �/ >'' A ✓l B� Wastewater System: NdNew ❑Upgrade Aeeresg--Og , 'Hidn Id on Ie IVB . 77 ABSORPTION FIELD Phone: 52`2-670`9Number or Bedracnrs: 41 ❑Deep TrerK'h Ksbtow Trdgh O Bed Q Ma,M ❑ Other. LEGAL DESCRIPTION So"m V , ®P V GPDiFlt Total Depthlrpnodglndgraoe: SFt. Block: Lot: Subdivision: Depth to pgp Oodanfnromongthd = Gravel depth beneath PW Q Ft. Township: Range: Section: FJI Addeo above odgrl yade: / j FI. ®6 FI. Criv+ Well: ® New ❑ Upgrade d�"� xan�e er,� Dlslana beav,eiri Ines: �` Ft. Classification Pri,�vra°7i te, A, B, C): Total Depth: Cased to: Total absorption area: `yam^ ^�/ ! C /00 Ft. o FL 11 Ft. Phe Mah sok (�C, 'I. v /Q 45T/11 Q3 J / Fle Dnller. Date Imtaller Ileo: Slatm Water Level: s„LL-iVR� 0))) 3 is FL tr c�ec6 Date lnatdYlQ IO-f7-c3 Yield: Pump SH at /� Casing Height Above Grouts: S GPM Uri MG Qq TANK 4' 1 FL FL SEPARATION DISTANCES Sep6c 11 Holding ❑ST.E.P. ❑Other. To From Septic Absorption Field Lift Station Holding Tank ublinPrivate ruanarawaer. Capaolr. 5^e1wrerune L7-i^L9/�ir12,-15 las(�ca. well /Taa�nk �' t i Materiel: ` (_oA' N ar Compartmen45: TC- "++ll ✓` C— Surtax Water LA—) y (�� ^�/{,. / y ) t LIFT STATION Lot Line I� t 1 I a 1 e. ^zo n rer. t 1 �,)6s P LSC a() G�. - 3� Foundation \ ' a _ \ �Xt .� \ Pump on' level at I'Lig in_ •Pump or level al Hi water alarm al: fi I " 5-/,::) m. �7i- Cunam Drain x%11 �l/V/1 aMakeE �Moydqel�tt I S+e'-X 4 in. mcfri a mspecdon5 pertamiMby, Remarks: BENCH MARK Loaaa and Oesrnpoa: ry"I 0-(t Smit AssuQW0 Eievauon: Of 17 60 Ft. En'4 !z r 7AIN wr ........... r ENGINEERING Inspections performed by: 171134 EagleRivertoopRoad,MO 1st!U-/(,—®3 j Engle Rim,:�;mk. 9957r /.• Developrin t Services Department Approval ROBERT C. COWAN i �2 l� Zj,w ed and approved Review p by: Date: Cj, • CE - 8601 �P _ i PERMIT NO. SW030266 PAGE 2 OF 3 Municipa(lt of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Ataska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, RAMERT S/D P.I.D. No. 060-342-08 ------------------ --------------- STONEHILL DRIVE oR/�\�qY 41R M USEO 4 NN rs'r�-1TH$tA `NEW TRENCHES NEW 250 GALLON \- S.T.E.P. BASIN \ETON SaLE. 1' = 50' Wt HILA A 7� AND - ROAD _ _ COWAN— �,� ROBERT C. CN — LL111'l1 �c�,:� CE -8801 PERMIT NO. SW030266 PAGE 3 OF 3 Muricipa(lty of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 O Anchorage, Alaska 99519-6650 6 Tele hone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, RAMERT S/D P.I.D. NO. 060-342-08 FINAL GRADE 97 9,/ NEW 1250 GALLON 97 7' SEPTIC TANK MT2 MT4 MTl MT3 98.8, -\CO2 /- 99.2' 99.9' (l / FINAL GRADE �C01 /-99,8' .-2" INSULATION-, 96.9'-[ j SR DISTRIBUTION PIPE SR 97.9' MT2 = 94.9 �MT4 = 94.9' MT1 = 95.9- A \TOP 99.5' C Z' INSULATED 2 INSULATION - 12.0' ST1 ---EFFLUENT OUTLET 97 9,/ NEW 1250 GALLON 97 7' SEPTIC TANK MT2 MT4 MTl MT3 98.8, -\CO2 /- 99.2' 99.9' (l / FINAL GRADE �C01 /-99,8' .-2" INSULATION-, 96.9'-[ j SR DISTRIBUTION PIPE SR 97.9' MT2 = 94.9 �MT4 = 94.9' MT1 = 95.9- A NO WATER FOUND 83.11' B.O.H. MT3 = 95.9 N. T. S. A B C FCO 50.5' - 12.0' ST1 47.0' - 21.0' ST2 46.0' - 28.5' CO3 46.0' - 31.0 MH 46.0 - 32.5' C01 74.0'- 76.0' - 0O2 83.0' 75.0' - MT1 75.5' 77.0' - MT2 86.5' 78.5 - MT3 25.5 49.0 - MT4 33.0' 40.0 - A NO WATER FOUND 83.11' B.O.H. MT3 = 95.9 N. T. S. 01/01/1999 00:01 6882259 SULLIVAN PAGE 01/01 Cerffffeb mritting -tog by Doc Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99687 OWNE13OF LAND• . f 3Q 1 &_ i L3'44_. ADDRESS: LEGAL DESCRIPTION: A✓+1 h e'' �'"" +CO� DATE: r PERMIT NUMBER: 0344R K Date of issueZ -92�3-e_13 TAX IDEtMRCATION NUMBER: 1266 -1 0 , 2 -- _r � Is well located at approved permit location? �S a No Method of DnTI•mg fillrotary n Cable tool Depth of well: j OO Casing Type S ,5 ' 6L Wal Thickness a5� inches Diameter (t I kt PXM depth 35> leek Liner Type: y Ol le _P_ (fie- fS� Cas{ng Stickup Above Ground: feet Stalic Water Levet I d feet Recover Rate:.—s—gpm Method of Testing: At ,6L Well Intake Opening Type O open end U open hole Screened; , Start feet Stopped fleet r��,,�, !.i Perforations Start n feet %pped � feet Grout Type: 13 �'„� f'o -4 I'M vol m/e Depth: from feet, to o1 fJ feet Well Dimfected Upon Completion? �es ❑ No Method of Diisintection: _ CA& a AeAl'a S� PP✓n . Comments: A 02-095'f-jr, S-F1CIC j -R up< to mfr 1 CvF � i,&,f- Xe• Drfller's ATTENTION: It Is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality )f Anchorage: Department of Health 8 Human Services and/or Department of Environmental Conservation. Matsu Borough: )ePartment of Environmental Conservation. 05/07/2004 00:09 9076962135 FILE No.%9 05/M '04 16.47 ID. MAY b 2004 ELEMUCAL WORK: LIFT STATION RAMERT SUBmisiON LOT 2 COLBRY111111 1111 PAGE 02/02 FAX:190.73441245 PAGE 1 1, KURT LOVEJOY, PERFORMED THE FOLLOWING TASK. CONTROL BOX MOUNTED ON HOUSE CONNECTIONS WERE MADE AND TERMINATIONS LANDED BY ME PUMP CONNECTION AND FLOAT CONNECTIONS WERE MADE BY ME *Connections are temporary due to cable routing above ground. Connections wig have to be broken and wires buried then reestablished to proper cozm bons. I WILL NOT BE HELD RESPONSABLE for connections or burial of underground wiring once my terminations are broken. Best of my knowledge the lift station is functioning normal and works fine. Journeyman KURT LO Y MUNICIPALITY OFANCHORAGE f a _ t7 - 3 E �� Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW030266 Legal Description ' ame ' o ` 1 Design Engineer: 0003 S & S Engineering Owner Name: Brian Bell Owner Address: 5128A Hiland Road Eagle River , AK 99577 - Date Issued: Jul 23, 2003 Expiration Date: Jul 22, 2004 Parcel ID: 060-342-08 Site Address: Unknown Lot Size: 69670 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. fciOTix-t' >Gv�svv'7—lcz 2- 5 (✓trrS i 3'x Received By: Issued By: Date: ' k Date: 7/23/O.3 "twidpiity bid' Atithadge beifeiopttteHt t owlees bepatmeht building Safely bivislon = on-site Water and Waslevmier program 4704 South bregaw St. 0.0. box i9665o Anchorage, Ak 99519-6650 www. cl.ahchor2ge. ak.0 s (907) J41a904 ON-Sltr_ SI=WEiziWIEELL PlEIRMit APPLICATION rolz A SINGLt rAMILY bWELLING Parcel I.D. fl -3u 7 'LJ % permit Number SW 030266 property owners) 13 R I A" N 6 +z. L' t- bay phone Mailing address (1 Mailing address (2) fZgF.LC RrV6✓L Legal description (Lot, block & Sub'd.) � zip Code 9 9 S- 7 7 Legal description (Sec(loh towhship & t2ange) Lot Size -4- 6 1Acr lSg.Pt: Number of Bedrooms _ tNls OPLIcAtION Is Pok: Sea/er Only d Well Only Sewer and Well Water Storage Sealer Upgrade this pl 0PIEktY tONTAiNS: Not tub t] Jacuzzi Swimming Pool d Water Softening Unit therapy Pool L� bertity that the above Informalioh Is correct. I further certity that this application is being trade for a slhgle Pafhlfy b*LIlthg and is In eiccotdahce With applicable Municipal Codes. 5 & 5 ENGINEERING 17034 Eagle River Loop Road No. 204 Pm6 P-6Rivar Al,,k. 99e77 (Signature of propetty owner or authorized agent) hermit trees: 000 �"" -I- ! SO. " Waiver keel bale of payment: bate of aaytnehl• kieceipt Number: O 3 `6 3 '7 / ttecelpl Number: (Rev, 12/00) HEALTHAUTHORITY APPROVALS SEWER&WATER MWNEICTENSIONS SEWER& WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELL INSPECTION &FLOWTEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL"& MEOHANIOAL WSPECTIONS ONSITE WASTEWATER DISPOSALSISTEAI. DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 July 6, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 2, Ramert Subdivision It is requested that you issue a permit to install a well and a septic system to serve the proposed four bedroom dwelling on the referenced property. Two test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation (6/11/03), water was found at 8 feet. After seven days of monitoring, ground water was found at 7.5 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, *oert44�� RCC/bjj Enclosure 17034 NORTH EAGLE RIVER LOOP i SURE 204 EAGLE RIVER, ALASKA 99577 9 W = � ApS\V� pIN pGE sNN-a ci e-� w W � N U LLJ W W W Z O N�N W W O O ow3J �w..p u7 O O M NVId-311S NJIS34 46 O _ 11 L W O cy W F- W 0 o� E- 0 o°O 'n O co r" II o II g II 00 � � O co O O O 0 'tLn(D l 9 W = � ApS\V� pIN pGE sNN-a ci e-� w W � N U LLJ W W W Z O N�N W W O O ow3J �w..p u7 O O M NVId-311S NJIS34 46 O _ 11 L 4/ 0 l I 3 0 f I a J 9 W = � ApS\V� pIN pGE sNN-a ci e-� w W � N U LLJ W W W Z O N�N W W O O ow3J �w..p u7 O O M NVId-311S NJIS34 46 O _ 11 L Municipality of Anchorage sy�ta�ERs S Ftta; Development Services Department AW19r Building Safely Division 4 • �.r On -Site Water and Wastewater Program ""p •.'^ 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6'650 7A i ROBERT C. COWAN www d anchorace.ak.us t^ \ 607) 343-7904 CE - 8801 Performed For: Legal Description: Depth O. , 4- 5- _0 -5 0 7- 8- - 8- 10- 11- 12- 13- 14- 15- is- 17- 13- 19- 20- 10- 11- 12- 13- 14- 15- 1517- 1a- 19- 20- -9' O' Soils Soils Log - Percolation Test yz t /J,� r Date Performed: 4 LDT Zt 2qy i EyLq S/� Township, Range, Section: Stood Site -M-* 1A COMMENTS OOH WAS CROUNDR Date I =RVT EkCOUNT=RED? �S Depth to Water / 5 IF YES, AT WHAT DEPTH? L0 Depth to Waver After M1t6niroring?J_,_ �,Z-) p E Date: 03 3 Reading Date I Gross Time Net Time Depth to Water Net Drop -Z " O r n �I`� _ 0 I t/2" 130 11I I I i I I P=R"OLATION PATE (G (r. inc;essrcq FERC HOLE DIAMETER ('2.1TEST RUN 6:1 NEEM 5 FT PND 4 FT PERFORNIED BY: N&&eLt,4CT I ��% �/%L-G >�. CERTIFY THAT T'r,IS TEST/ WAS. FERFOR,MED IN ACCOkDANCE 4YITH P.LL STATE A.ND %IUmUPAL GJ!DELIPIES IN EFFECT ON THIS DATE. DATE: 7 / !G �O 3 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: abti� ~F=fLT DATE LEGAL DESCRIPTION:�i6gi rzgA1{IIpq geovTownship, Range, Section: SLOPE COMMENTS L,07 WAS GROUND WATER VES. ENCOUNTERED? _ '=]_ IF YES, AT WHAT 4 ` DEPTH? Depth to Water Ager pp ` Monitoring? Date: iLWTI_ .11 ROBERT C. COWAN '11c: "�°•.� CE -8801 r ' T14,44`— Reading Date Gross Net Time Time ^� p(2(igNIGS 2 10 r .1 U tw 3 J ntiw &M/Sw �%1J�8 i'/L'1 a 1" 05 yp ./ 6 74 8- 9 to - 12 13 14 15 16 17 18 19 20 �tt,l COMMENTS L,07 WAS GROUND WATER VES. ENCOUNTERED? _ '=]_ IF YES, AT WHAT 4 ` DEPTH? Depth to Water Ager pp ` Monitoring? Date: iLWTI_ .11 ROBERT C. COWAN '11c: "�°•.� CE -8801 r ' T14,44`— Reading Date Gross Net Time Time Depth to Water Net Drop LL f 'ep r .1 U tw J ntiw �%1J�8 i'/L'1 lU kl� 1" 1 S to yp ./ PERCOLATION RATE r •7 f (minutes/inch) PERC HOLE DIAMETER V '� TEST RUN 13ETWEEN J FT AND r FT S S S ENGINEERING 17D34 Eagle River Loop Read N6. 2W I PERFORMED BY: Its t CERTIFY THAT THS TE/$T WAS PERFORMED IN ACCORDANCE WI ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: r / 72-008 (Rev. 4/85) I HEALTHAUTHORITY APPROVALS SEWERBWATER MAINEXTENSIONS SEWER 8 WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELL INSPECTION 6 FLOWTEST SITE PLANS ROAD DFS10N SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERiC. COWAN, P.E. ROBERT A. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 2, Ramert Subdivision July 6, 2003 GENERAL: 1. The scope of this project includes the installation of a 1300 gallon HDPE septic tank and drainfield trenches to serve the proposed four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP 4 SURE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 2, Ramert Subdivision July 6, 2003 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCEUDRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 2, Ramert Subdivision July 6, 2003 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tyne of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Miraf. 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 2, Ramert Subdivision July 6, 2003 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER . ..v ,,... .. a. rrr e, v.., wv vYv,• •Ivv Yw Malw Ivyvvllla .v Inpw tVl wlv }V14Vnl}la 19C}DVlli ❑ Orf in signature or stamp missing on ❑ Calculation error in design. Lj Additional soils information needed Q Water monitoring results lnadequate. Discrepancy m Iinformation submitted „.i.e,.: ... ., «_ Q Topographic information missing or inadequate x + y ❑ Incomplete, missing Incomplete, missing Additional -adequacy test information needed, ❑ Water'-sarnple unacceptable Measurecflproposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. 11EA0IAU1110nITY WnovAL9 SMEM&MitM MAIMWN910119 .SEWEnd WAI M @J9ntc11CM tNCINEttTIft09ilMNE9 ' AMDnEEOntS WELLIMSotcTToM ArtaNTesf SITE I'L1MS "OAbbE91GH 5CIL1tST ItMco1XMON test stnucT0nkl 61€d MCAL *181*0710149 bt1'Stt@.. WhA*AiM bbk)iAL8vbfkU be9TON Date s 11-0q-03 Ndfilcipaiity of Anchorage DEPARTMENT OF 11HALTII AND lIUMAN SERVICES 825 L Street P O4 Sox 196650 Anchotggey Alaska 99519-6650 REFERENCE: er S D nosEn r c. COWAN, P.E. nOBEnT A. SHAFER, P.E. CIVIL ENGINEMS (907)694-2979 PAX (907) 694.1211 The septic n inspectios for t17e a erenced property were performed on 10-17-03 and t . Prior to submitting the On-site Wastewater DisposalSystem and/or Well Inspection Report we are ' waiting for the 4S 1.;14.3ttrVeV to be completed. It we may be of further service please contact us. SincetelyA Q t C: Cow E. a 1704 NohTN EAGLE hivo 1.000 i SUITE 20 • EAGLE nIVEn, ALASKA 99577 " • • Municipality of Anchorage �!`` __`, i_ On-Site Water&Wastewater Program (907)343-7904 SA STY 6789 CERTIFICATE OF ON-SITE SYSTEMS APP'4 A US f JUL . ., r f8 Parcel I.D. 060-342-08 Expiration D (0 — 1, ce << cu 01 1. GENERAL INFORMATION 6 8 L 9 9 h Complete legal description RAMERT S/D; LOT 2 Location (site address) 19730 STONEHILL DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) JASON DECOURCEY Day phone 227-3894 Mailing address 19730 STONEHILL DRIVE, EAGLE RIVER,AK 99577 Real Estate Agent KATIE LIKKEL Day phone 313-7929 2. TYPE OF DWELLING: II Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well • . Individual On-site II Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariancerequest for N/A Distance: - Received by: 41 Date: 0061 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ v 41''° Waiver Fee$ Date of Payment h/t3jI8 Date of Payment Receipt Number 013 (4 G Receipt Number COSA# °SG IV 33S Waiver# C1 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 GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD, SUITE 101 *ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 71( 2/8 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the 4;6 wil.IM\►ii. guidelines and regulations established by the Municipally of Anchorage and industry practices.The reported results describe the �4 G condition vr of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. 4, \ . • 4 4•♦ Hidden defects or encroachments may exist that were not identified during the evaluation.Theoperationallife ofall wells and septic ir � ...•••••,••• • ..vane ty the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system/s.These 4* 1.A\ •...7�♦1• conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the system/s;therefore,GEG makes no warranty(express or implied)regarding the Mum performance of the well or septic system. 0 r 01 GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the • current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the # J-- - A. Go ess : : information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦ C3 • / Ji authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. I.�ri> • 9 • •:-_Jr • 6. DSD SIGNATURE • ♦♦4 PRQfFESS\�Pi4.• LICENSE II1jsis*** / System#1 Approved for V bedrooms. #r,Eccaaa System#2 Approved for bedrooms. ( Vic`'. Of.iI/�rC, � Disapproved. G� J�� ON-SITE z Conditional approval for bedrooms,with the following stipulations: WATER AND �' r�r�► WASTEWATER<- . PROGRAM : ,,,,..----e--7.------.7____„:1(`----__ Original Certificate Date: (3 "1 The Municipality or Anchorage Develop,emt 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. ATTCHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12/12) 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: RAMERT S/D; LOT 2 Parcel ID: 060-342-08 A. WELL DATA WelltYP e PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/15/03 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 100 ft. Cased to *30 ft. Casing height (above ground) 24+ in. *CASED TO BEDROCK FROM WELL LOG AT INSPECTION Date of test 9/15/03 6/29/2018 Static water level 12 ft. 12 ft. Well production 5 g.p.m. 4.8 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 3.38 mg./L. Collected by: GEG, Ltd. Arsenic: <5 ug./L. Date of sample: 6/29/2018 NOTE:ONLY MEASURED TO HAVE 17"-20"OF COVER OVER B. SEPTIC/HOLDING TANK DATA TOP OF TANK.TANK IS INSULATED PER INSPECTION REPORT. NO FREEZING ISSUES-SEE EMAIL STATEMENT FROM OWNER. Tank Type/Material SEPTIC/STEEL Date installed 10/16-17/03 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) YES Date of pumping 5/2/2018 Pumper JR'S PUMPING "BELOW EXISTING GRADE.MT3 IN SOUTH TRENCH IS BELIEVED TO NOT EXTEND C. ABSORPTION FIELD DATA TO BOTTOM OF DRAINROCK AND HAS DEBRIS IN IT.MONITORING TUBE STILL TO BE FUNCTIONAL.7.75"OF LIQUID LEVEL IN MT3&MT1 WAS FOUND TO BE DRY. Date installed 10/16-17/03 Soil rating cp.d./I'or ft2/bdrm) 0.8 System type SHALLOW TRENCH Length 106 (2 @ 53) ft. Width 5 ft. Gravel below pipe 2 ft. Total depth *3.67-4.83ft. Eff. absorption area 757 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **6/29/2018 Results (Pass/Fail) PASS For **4 bedrooms ***0/ ***18.75/ Fluid depth in absorption field before test 0 in. Water added 788 gal. New depth 0 in. ***0/ Elapsed Time: 10 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.)(Y/N &type) NONE KNOWN If yes, give date - **NOTE:TESTED NORTH TRENCH ONLY.ADDED WATER TO MT4 AND MONITORED LIQUID LEVEL IN BOTH MONITORING TUBES (MT2&MT4) NO CHANGE IN LIQUID LEVELS IN SOUTH TRENCH DURING TEST.CONDITION OF SOUTH TRENCH IS UNKNOWN. ***MT4/MT2 (NORTH TRENCH) *SEE ATTACHED LIFT STATION/PUMP VAULT MAINTENANCE LOG. D. LIFT STATION **PER 5/6/04 ELECTRICIAN REPORT. Date installed 10/16-17/2013 Size in gallons 280 Manhole/Access (Y/N) YES "Pump on" level at * in. "Pump off' level at * in. High water alarm level at * in. Datum * Cycles tested * Meets alarm & circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM 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 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation `5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage **0'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION.TANK PARTIALLY UNDER DECK. DECK SUPPORTED BY PIER BLOCKS. DECK HEIGHT IS LESS THAN 24"TALL. *.MT4 IS UNDER DRIVEWAY AND HAS A PAVER TYPE COVER.NO ISSUES WITH FREEZING PER OWNER (SEE ATTACHED EMAIL) 00.111slivi vi _.• OF .r 0, G. ENGINEER'S CERTIFICATION ••,`P�*•........a •!�,1.. I certify that l have determined through field inspections and lir • %..* �• 0 review of Municipal records that the above systems are in NI conformance with MOA COSA guidelines in effect on this date. I�^ : J•ff :I A. .•rne-s•c i Engineer's Printed Name JEFFREY A. GARNESS �-j-, .. E-7951 '� • Date -7/I / •♦•1� 3••..•• - •?*1P-ci. • LICENSE ,4•1� ESS1 *�. #AECC884 ��"� (Rev. 10/12/12) esceOieo new • On(ASSUMED) mom _- _. _ _ _,—-_._.�._._..-.._. __,....._ —-�—_ ..Y... fe.rektitttfleptIri0 OORNFA m ' fST'ONEHILL DRIVE FRONT OUOORIO SMACK Lf) 906 swum SITOAGIt 589°50'36"W 300.00' • REAR RU0.0INo MAACC E WELL a t \ b • \• c •\ • fif. ,f'�` ' N.x�, .J �k P 4 EXISTING / • HOUSE /' N 9313• / } 01 N A{fffc. b •1 0 1 LLICO ° 06415 0.0.6sAi. E-7 •p. 2o 0 CO to S CV 302.?9' � S83° 'f 6'00"� HILAND ROAD UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES, THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY. USTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY ERRORS IN SCALE. �or SURVEY SURVEY TYPE SYMBOLS ElFOUNDATION AS-BUILT a SET REBAR 'W0 1•` DRAINAGE :"`;:"':11 ASPHALT ❑ FINAL STRUCTURE AS—BUILT 0 FOUND REBAR h` =A PLOT PLAN...AS-0%AT• . . LOT SURVEY. ,, TOPOGRAPHY e-�'�• wow0� FEPICE �' •e CONCRETE ati-euILT. . .NO CORNERS SET 0RECERTIFICATION A `.uu.T.. . .NO CORNERS SET OD r] ASSUMED ELEV. X )( X METAL FENCE rigni.ril WOOD DECK PLC F PLANS Sc LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL GE CONE. 'RUCTION, TO'VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTIUTY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE I XISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED, ' WHICI DO NOT APPEAR ON THE RECORDED SUE3DIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERVWSE NOTED. SURVEY CERTIFICATION ®��a��EppggB Prepared by PLOTPLAI 4441-r„CF,,,• 44e Robert E. Johns, Jr, & Assoc. I horoby awlIfy bat I hate Oriskany eravoyed ®� Pe.•e �•�. the let drawn and described harem,and that I Q, \ ,, e,. ®6 Professional Land Surveyors halve found ar eMdYl hod er of the tot owner* Av --J o 4, V 1700 Artnk Drive. et aharn of Tho plan and to Ma beat of my hnododbe and abiltNa.ad mna,elene have boon y C• t,, `67 •� ant ANCHORAGE, ALASKA 99504 mutative We and aonoal. ® : • +tl l r : V ' ` Scala: 1 n = 501 Rec. Lot S.F. Rec. PILI Fne No. FOUNDATICI AS-BUILT if' e••,” 410 L Robert I.Jeldle.U..hereby wetlly that I I' Date Surveyed: 09/05/13 '` howl performed on Ae—Buaki sunny of the Drawn b RE.! Checked byR A� feunaNlon an i lot and that oh the •• •e•e••••••e�• ' u� G J IV' dY.emNeae and tlfamot!o ea ehorn hereon I tl . ,e', t are tea end n,encroachments valet union O' `-BERT E.�t JR. ; i Act Dote Drnwn: CA•Id: W.O. FINAL ahem eSIRt ;IURE AS-BUILT ®0 l' ''', 41 —S •�••: e 09/06/13 SW355 13-456 t ttabart L h.to.Jr,hereby earthly shot I ', '•., ....how prime' 5 a�' blanc ore m Ode let and that ell M. .A d d dw,a,ota°o end Mfamatkn or dtoan haw e�4 rofessionekk..t‘ Lot 2 we lnA,and Ar.a etaaohatada natal teniae %��.n�'0 RAMERT ettaee�oNarala. • MUNICIPALITY OF ANCHORAGE fr � Development Services Department Phone; 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault . Maintenance Logi t� o� i sg3t7 5.�c.,,.Q h. Owner jc co— pe Lvc�r <j'�1" Street Address f_Ay le a", A K Septic Tank: ,1 'Sludge level .4- inches 'Pumping: required ves p 'Pumping completed vej no Lift station: •Pump basket cleaned KS no -Effluent filter cleaned no 'Control floats cleaned 1 no 'Proper float settings confirmed v no *Operation satisfactory Ola no { Alarm System: 'Dedicated electrical alarm circuitir/ *A2 'Audible and visual alarm Inside dwelling a no -Alarm system operation skis--4toy/ not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection yes no 'Ground water intrusion around pipe penetrations yes na 'Weep hole functional ves no •Manhole lid: Functional no Insulated es no Properly Securedtii-s, no Other •Ali manufacturer required inspections and maintenance completed yes no Comments: Qualified Maintenance Provider: Technician ��l2- Date of maintenance f/% _'1/ I' Company Signature ' Mailing Address. P. 0. Box 19E650 * Anchorage, Alaska 99519-6650 'www.muni.org Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL Parcel I.D. 060-342-08 Expiration Date: / - / /�" -" 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: RAMERT LOT 2 19730 STONEHILL DRIVE *EAGLE RIVER. AK 99577 BRIAN & AMANDA BELL Day phone 529-6708 19730 STONEHILL DRIVE *EAGLE RIVER. AK 99577 ANNELIESE COOPER W/ KELLER WILLIAMS Day phone N Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 865-6549 TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: ['6 r�'"+� Date: LC t i COSA to be released tdthe en¢neer, unless otherwise requested by the engineer. COSA Fee $ Ljg01,9) Waiver Fee $ Date of Payment 10177 13 Date of Payment Receipt Number 004W6 Receipt Number COSA# Q sC/36b1(,:;7 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Phone 337-6179 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date I 01ILd 13 Engineer's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for _ bedrooms. System #2 Approved for Disapproved. Conditional approval for 0 bedrooms. bedrooms, with the following VW A. ornessr OF ON-SITE MATER AND Original Certificate Date: / 0 — / 0 1, 3 The`Municipaldlol-,rndhorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other m— iiinq% 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: RAMERT; LOT 2 Parcel ID: 060-342-08 A. WELL DATA Well type PRIVATE *CASED TO BEDROCK If A, B, or C provide PWSID# N/A Date completed 9/15/03 Sanitary seal (YIN) YES Total depth 100 ft. Cased to *30 ft. FROM WELL LOG Date of test 9/15/03 Static water level 12 ft. Well production 5 g.p.m. WATER SAMPLE RESULTS: Coliform Q colonies/100 ml. Arsenic: N D ug./L. B. SEPTICIHOLDING TANK DATA Nitrate':Z_�3 mg./L. Date of sample: 9/17/1 Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 24+ in. AT INSPECTION 9/17/13 20 ft. 3.79 4 g.p.m. Collected by: GFr Ltd. Tank Type/Material SEPTIC/STEEL Date installed 10/16-17/03 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping — Pumper 0 C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 10/16-17/O3 Soil rating (g.p.d./Wor '/bdrm 0_8 System type SHALLOW TRENCH Length 2 ® 53 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth *3.83 ft. Eff. absorption area 757 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **9/17/13 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 3 in. Water added 850 gal. New depth 7-5 in. Elapsed Time: 121 min. Final fluid depth 3_5 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date — **NORTH TRENCH TESTED ONLY. SOUTH TRENCH HAD 18 INCHES OF LIQUID AT TIME OF INSPECTION. D. LIFT STATION Date installedl0/16-17/03 Size in gallons 280 Manhole/Access (Y/N) YES "Pump on" level at 61 in. "Pump off" level at 61 in. High water alarm level at 57 in. Datum TOP OF LID E. SEPARATION DISTANCES Cycles tested 3 Meets alarm & circuit requirements? YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main Sewer/septic service line 25'+ Animal containment areas 50'+ Public sewer manholeldeanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1 ' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION ...:..... .. 1 certify that t have determined through field inspections and p review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. �. .J. .A .... ness: Engineer's Printed Name JEFFREY A. GARNESS 3 CE -79 Date lo/�t�13 O�f"^e i��t3'� ��a000 410Prof.ea'100�\ o (Rev. 11/06) Sep 04 13 09:04a Rmanda Hell 19076220433 p.l 50 _ 50 N 00°10'12°W 214.10' I CO F m 0 :c 7D'oear 0.4.9•.. az. o ui cn C, e Cy �Q O �s �— N�° m Q p o Y O T y ' o` vro m = N p N 8� W N m 1_y 'b n 1 N 00°10'12°W 250.35' 50 50 A i C.1 b c o c O v v Z 0) _ a c O O \ D O m N 7 6 P< ••'1 I D -4` -i m gy m. 7 'OR Z, W O O -A-1 CffIrn �.� o�oao'='mow !�a •.• r0 cn z CP .9 ivjw ao Fn 00 Ar I a c is m o; o �3� W O (n o N E _, m I I