Loading...
HomeMy WebLinkAboutSAND LAKE #1 LT 3AOnsite File MUNICIPALITY OF ANCHORAGE %icnt On -Site Water & Wastewater Program �o S� PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ,� v 1� http://www.muni.org/onsite ' De On -Site Wastewater Disposal System Permit Permit Number: OSP231103 Effective Date: 5/24/2023 Work Type: SepticTank Upgrade Expiration Date: 5/23/2024 Tax Code Number: 01111131000 Site Legal Address: SAND LAKE #1 LT 3A G: Site Mailing Address: 5007 W 80TH AVE, Anchorage Owner: REIFEL SAUNDRA & Lot Size in Sq Ft: 25342 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: j 1. The record Drawing is to accurately show the field as a 12' by 47' bed. 2. Prior to tank installation, determine the edge of the bed to ensure that the 5' tank to field separation is met. Ree-eiv_edZ-y: Issued By:����� Date: Date: �Zl (/� -; MUNICIPALITY OF ANCHORAGE 4� Community Development DepartmentPhone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 011-111-31 Property owner(s) Sunny Reifel Mailing address 5007 W 80th, Anchorage, AK 99502 Site address 5007 W 80th Day phone 206-909-5344 Legal description (Sub'd., Block & Lot) Sand Lake #1 Lot 3A Legal description (Township, Range & Section) Lot Size 25,342 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade I -Xi . Duplex ❑ (D) Holding Tank ElRenewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 7 2 Date of Payment: Receipt Number: Oyn73D Permit No. _ c� S P Z 3 1( o .3 Permit App_'-:- ,'-..:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. May 5, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Sand Lake #1 Lot 3A - 5007 W 80th Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with a larger 1,500-gallon septic tank. The new septic tank will be a minimum of 100’ from all wells and surface water. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231103, Deb Wockenfuss, 05/24/23 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND SAND LAKE #1, LOT 3A FEET 0 50 100 3-BDRM HOME SEPTIC PLAN 5/5/23 SAND LAKE WEST 80th AVE GARAGE DECK DOCK 10' T&E EASEMENT DECOMMISSION EXISTING 1000-GAL SEPTIC TANK NEW 1500-GAL SEPTIC TANK FCO 2CO Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231103, Deb Wockenfuss, 05/24/23 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I' ENVIRONMENTAL ENGINEERING DIVISION *0 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW s�3raXlj BRIAN W. HALL ❑UPGRADE MAILING ADDRESS o bre ee LEGAL DESCRIPTION A, X:�, 4. LOCATION NO. OF BEDROOMS 1: DISTANCE TO: Well / Absorption ^rea Dwelling .3 / PER ITN Uy E- Z W h Manufacturer ^•����' %% PL Materia f No. of compartments P N1r� .� IZM C_ 5,4/ Liq. capacity in gallons O IF HOMEMADE: Inside length Width Liquid depth 0 DISTANCE TO: Well Dwelling PERMIT NO. J(7Z = z ManufacturerMaterial Liquid capacity in gallons = LU DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. J LL Z Z w No. of lines Length of each line Total len t lines Trench widt Distance betweef lines � �of inches mH Top of tile to finish r de / Material beneath tile Total effective absorption area -W—/ ❑ 6 Z inches 5 1 .0 w Length Width Depth PERMIT NO. dI— wa Type of crib -. Crib diameter Crib depth Total effective absorption area Lu h DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS C / -f o)y5.4e - Al SOI L TEST RATI NG 2� 4 ` � INSTALLER 5• r �, -4- REMARKS Pok' k1l. /moo r 7+1 7 APPROVED DATE LEGAL r , �U r-4 I C- I F:"F-i I_ I CH Fr' ���OD F,.- F --i Ca V-7 , DEPARTMENT O'�9EHLTH AND ENVIRONMENTAL r'lTECTION 825 'L STREET, ANCHORAGE, HK. 99 .1. 264-1720 . t'J I- COLNI-­ I -F ����� ����� � PERMIT N[\ ( 810483"> � APPLICANT BRIAN W HALL 3704 IOWA DR 26] 81]5 LOCQTION 5007 W80TH �> LEGAL L4 SAND LAKE SBD \ LOT SIZE 15400 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)=: 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ��F"-" 7' I -I= �-2L ��P-4 8:3 _r " r-'- ;2 4- ��FLO V E: I_ �7'"I-il� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELC\ THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ����j 1 F;-" El r_� c- --- F --"-T- 3: c- ���lr-j V., �k D- a2l B D- 93i Fl 9 p CH "!E; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES 'THAT THE WELL WILL SERVE �III ED F ­F=7 97-- -F I CH r-4 SE; F-1 R? I= CA k-1 I F-_"EE.U.a BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION HND APPROVAL. BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F.0 T-8 I -r F=' 3: R* E-7 !ErE 0 IFE 1-1 E=_. F= FR 2: --p- 1_ "-=-a E3 :JL I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED: APPLICANT BRIAN J HAI ISSUED B ` DHTE 45V4.0 SOILS LOG - /�nctiuieatlr /✓iar/tq �'���� // MUNICIPALITY OF ANCHORAGE • ae DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED T FOR: i;R {KN' 1kA LL DATE PERFORMED: 6I21IB CA LEGAL DESCRIPTION: LT I'SAND I,.•.•Ay a t' I F ILLDZ SLOPE SITE PLAN 2 CLEAN %At4 0 3 r T3E:C014IN6, 4 COUtZSMTZ uGITH 5 K� DM-PiLi 6 ` 7 S \x/ r 8 * ' pa.''�e- E I oo+a 9- 10- 11 1011 l 12 S 13 14- 15- 16-- 17 415 16 17 81920 18- 19- 20 COMMENTS r OF A( ax`� IS ri•�• '4�':-i n *:•.49TH •••'• d..T. .. �� 2225-E;� i `�5 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? NdS L O P E 4 0 Reading Date Gross Time Net Time Depth to Water Net Drop + J NE 25, 1971 ••• ;ate ®SFS 'GN`AqF s PERCOLATION RATE X7170 XI.il�' TEST RUN BETWEEN PERFORMED BY: ,. CERTIFIED BY: 72-008 (6/79) FT AND (minutes/inch) — FT DATE: 5 H O o 9 d O o � r v77 ren :\o :ON : .%A : ; W ::\o :N : co :--.3 N :ln N : O it i0 :ri v v w :^ ?C+ H H H H H H H H O O O O O O O O icn i iW :N:00 h7 :� In M Er• -TI -Z O H H H �iN fD �G :c+ :5 c+:N i 2-d CSD :n : Co?ii M t H :tom : r• Eul r :ul :e :P i n i N :r• E N: m :r Tc C+: • ° :C+ C) .W :ci ` c+ a_ : (D i iW icni i :(n � a � C� x 'rl "%7 'if -4 'n o A tTl y � z (ON N) N :F' :\ + ON ® ® O O O O O O H H H H H H H O o 9 d O o � r v77 ren rTj t7 : 4-- o i i it i0 :ri v v w :^ ?C+ i OD : co i (se : Fl :F1 icn i iW � x Er• O :H �iN '\0 : � o tip-, • ° C) .W a_ a � C� x O d o r. o A tTl y � z (ON N) N :F' :\ + ON H iW F1 :u •W Q. :to to : O icF :(D i i� LL ~ J (D A W � J • • PG� 'T1r-B Municipality of Anchorage ' Gi On-Site Water and Wastewater Program 4' (907) 343-7904 °i SA E "�. T Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 011-111-31 Expiration Date: l d-1 J 1. GENERAL INFORMATION Complete legal description SAND LAKE#1 LOT 3A Location (site address) 5007 W 80TH AVENUE,ANCHORAGE,AK 99502 Current Property owner(s) BRIAN W. HALL Day phone Mailing address 5007 W 80TH AVENUE,ANCHORAGE,AK 99502 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: 3 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: 4:20,f4Date: 7- /Y—/E COSA to be released to the engineer,unless othe 14-d-sted by the engineer. COSA Fee $ 45? Co Waiver Fee $ Date of Payment ? ��( Date of Payment Receipt NumberO1/4;°D- Receipt Number COSA# cfe.,1r13 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 ARCTERRA CONSULTING,INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/23/18 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. 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 ArcTerra guarantee that no unseen �� .\Nok ` encroachments,deficiencies or discrepancies exist. . OF A ` irr����� AL; V1 <7 / k A • 6. DSD SIGNATURE i--AUM`—;� �e r0 System#1 Approved for 3 bedrooms. + KENn'ETH M.o lie , uue�I / / System #2 Approved for bedrooms. `r�F c� Disapproved. \``-11b2.- / Conditional approval for bedrooms, with the following stipulations: v ' " k '( . cQ1,) Li){ (2: r.- „ 4.,.4.4.,4 4 t ,. d (if c.( 07 ,.. L.,. �� ON-SITE *7 WATER AND R‘ WASTEWATER c 7) PROGRAM U rt: ------� v t w_ Original Certificate Date: 7- l�-to 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 Advi Septic System Advisory Arse ' Advisory Well Flow Advisory Othe \( .C- M t.124� COSA blue sheet 7010-12.doc 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: SAND LAKE#1 LOT 3A Parcel ID: 011-111-31 A. WELL DATA Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 6/27/1981 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y Total depth 156 ft. Cased to 156 ft. Casing height(above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/27/81 10-13-2017 Static water level 63 ft. 54 ft. Well production 20+ g.p.m. 5.7 g.p.m. WATER SAMPLE RESULTS: Coliform 'N/`EG 2 colonies/100 mL Nitrate mg/L Arsenic: t 't'3 ug/L Date of sample: 6/22/2018 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7-11-1981 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 10.11.2017 Pumper Northland Pum in C. ABSORPTION FIELD DATA Date installed 7/11/1981 Soil rating (g.p.d./ft2 or ft2/bdrm) 125 System type SHALLOW TRENCH Length 47 ft. Width 12 ft. Gravel below pipe 1 ft. Total depth 13.3 ft. (Measured 10/13/17) Eff. absorption area 564 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10-13-2017 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 490 gal. New depth 0 in. Elapsed Time: 1 min. Final fluid depth 0 in. Absorption rate >=450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) N 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 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ 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 10'+ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS Although,the steel septic tank is significantly past average life expectancy the fluid levels appear to be normal and tank operating adequately based on pumping and observations. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. i�" OF AZA ' Engineer's Printed Name KENNETH M.DUFFUS 1 -7 ` Date 6123/2018 4 i TH COSA canary sheet_2-6-15.doc KENNETH . par 4. Air Nik.".`ESS1* o MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • `!r 907-343-7904 On-Site Water and Wastewater Section `' j` Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval # OSC181322 Subdivision: Sand Lake #2 , Lot: 3A The septic tank for this property is 37 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. t, s s. iiil 1P�� 1 '' �f .1 t," L. - �y Rei ...'.. ' e - F ,F R1 ? 1 ti �, . +. ,s i s em ... ' t. v,' S,' y c $% i _i-; .yyy V5 t• 3k:,� r r ,•' ° Ali Alt. Y ... . , �_ .0,%.*.,,3 kr t ' . . 40 ! tea P 4 a ,. � .M. ..,....... .,,,,,..„,,:..,,,......,..a.�' ,,,,z„....,:, y.` .ri r r • SA I4 '-, 1: ,`Y `a 4 y.Vs , N® X 01 S y, . ; * 2 0 8, 44 13 xl ‘,_, Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT i` . [' '; 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Arsenic Advisory' Certificate of On-Site Systems Approval # OSC181322 Subdivision: Sand Lake #2, Lot 3A A water sample revealed an arsenic concentration of 44.3 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O. Box 196650 *Anchorage,Alaska 99519-6650 * www.muni.org SAND LAKE DOCK EXISTING SHORELINE . PLATTED SHORELINE i — c 1 N84'37'24' 105.45' (N84'34'16"E 105.38' R) 7-------------J WELL® o Deck �' 15.7' 17.0' S) Fk�s .6T.,: 17.5' BCC q 7."�� k0p •s. O . O _ • 24.2'---..- O 0 O O Z O d LOT 2A w o LOT 3A N LOT 5 mo O N 't O rn O O co (7 O P Q ; • SEPnV O O CO 00 VENT Z O Z (tra) P 0 0 Zil 7.0 g J 3 o EXISTING o • • o GARAGE 47.3' _ 26.0' • GRAVEL DAV ui * 10' T&E ESMT /— ____IV 0 - ______\3• N89'58'S1"W 104.85' (N89'59'00"W 104.92' R) 0 to W 80TH AVE ANCHORAGE RECORDING DISTRICT,ALASKA AS-BUILT OF: SAND LAKE SUBDIVISION NO.1 0 =FND 5/8"REBAR LOT 3A PLAT 2001-85 SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a <\.. -:*C OF A��` y. LAND 4. physical survey of this property as shown on this drawing and that the / ''" `. 11 A4. .`O G improvements situated hereon are within the property lines and no �01ts�`' � 1 f enchroachments exist other than noted.Under no circumstance should / : 49T i .. 1, os' ��•�� any information on this drawing be used for construction of fences, .�+as N. 1. r4 structures,improvements,or for establishing boundary lines. , �// Kms- U • r'' EXCLUSION NOTES:It is the owners responsibility to determine to P" ‘....c,.., n the existence of any easements,covenants,or restrictions which '.J HN L. SCHULLER: / = �,� do not appear on the recorded subdivision plat. SI1/4ke'„.../0 ' LS-10408 .I'vol 'i••••,....4.0.— WORK ORDER NUMBER: acre SCALE: EMAIL • ' gJj� 1831 Talkeetna Street OCT 25, 2017 1""30' ' '11'�,ai Anchorage, Alaska 99508 17—052 °R"""BN°Cam er ORO Mrs BO°c/PAGE: �ztofess.ono� ��� (907) 227-1455 office JLS 2224 170165 �\\��`�� (907) 274-4992 fax `00 Time Time e Date Date Date s� e /'r3 v Inspector Inspector Inspector Comments Conditional Approval A;u nrovnd BedroomIt s Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received 1s� Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner rl an W. Iia I I hone Mailing Address P.O. Bax 8295 Anchorage AK 99508 J02%0 Buyer Address Lending Institution First Nationalan Phone Address Realty Co. & Agent Phone Address Legal Description tot 4 SandLake No. Street Location 5007 tJ 80th Ave of TypeResidence Single Family three ❑ Multiple Family No. of Bedrooms ❑ Other WatK Supply ❑ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June ❑ Community 1975. For wells drilled prior to that date, give well depth (attach log if ❑ Public Utility available. Sewa�gge Disposal 1d 981 - Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST.ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.