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HomeMy WebLinkAboutSAND LAKE #2 BLK 5 LT 18ASand Lake #2 Block 5 Lot 18A 011-134-09 Not eligible for Certificate of Health Authority Approval because well is less that 100' to the septic on Lot 7 Block 6, Sand Lake #2. MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEi� Jimimie, a1 hnlI ( PHONE 49-86166 NEW ❑UPGRADE MAILING ADDRESS Y I—In AI LEGAL DESCRIPTION Sary C/ LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Well Absorption area �'� ' Z� Dwel ingPERMI -r .P �cF in NO. _ az Wa Manufacturer Material - No. of compartments 2 y~ Liq. capacity in gallonsIF HOMEMADE: th = Width Liquid depth 0 y _j 02 DISTANCE TO: Well Dwelling PERMIT NO. = z F Manufacturer Material Liquid capacity in gallons D w= DISTANCE TO: Well �� oundation {''Irl67 Nearest lot line 1 PERMIT NO.. W U t J2w F —4 No. of lines Length of each lin g 2.L Total len h of line r'� Trench width inches Distance between lines Q F Top of ti e to finish grade f Material beneath file AA inches rp�tlon area Total ff �c6tiave TP r k.T LU a Length Width Depth PERMIT NO. Q F wa Type of crib Crib diameter Crib depth Total effective absorption area WWell WDISTANCE TO: Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER �... e D L PIPE MATERIALS i , SOIL TEST RATING See Le M e), INSTALLER X) kyjz� REMARKS �� -YU 20.5 125 0" I N APPROVED DATE LEGAL -�� V_C z Lo 72-013 (Rev. 3/78) lie § F. @ E / ■ ; k § [ Q \ § G ©�) � � § ee �u • 8 co Oak � ©§{ ` v e«� ( k § 2 m z�\ �§: ! 2 & - p) ( �A� lie § F. @ E / ■ ; k § [ Q \ § G ©�) ! � .',) ee �u • 8 co ° k ` , ( k § 2 m ! � \ i ®\!an ! 2 & \ \ \ \\ \ \ \ \ \ \ \ k kkk/k /§k/ // ! ! | 5 | | Sl ! \ \ § | Eb ) d 2 tp}� � : � iq , ! k d/ d$ q k \) ( \ \ / \ \l \ \ § § § Cl /coi } \ c c c c c c c c c c c c (� \ \ § § / § k $ ! § z L6 66 W. L6 L& L6 2 66� L6 2 L/ } TYPE OF SOI[ SYSTEM I�: TRENCH MHXIMUM NUMBER OF SOIL RHTING (SQ FT/BR)= 182 THE REQUIRED SIZE OF THE.': SOIL HBSORPTION SYSTEM IS: �FEE. ��" V H-0 — ��FEE ����� �owl W 10 "up FEE U. ED ET: MV �� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) Cl.' THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTQM OF THE EXCHVHTION (�N FEET) THERE IS NO SET WIDTH FOR TREtJCHES. THE GRAVE]. DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OQTFHLL PIPE HND THE BOTT011"I OF THE EXCAVATION (IN FEET). MMOTAU X F&MEEK.-ji 1 �K WO K G 'Ir E__­�_ ��D !�E�.Ar ����IC, M SO.; PERMIT HPPLICHNT HAS THE RESPONSIGILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF' HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE� \ ' �f, - F Clq on 3. 14M W W K Cy 1- X 1.0 Wl 10 101 lot FEE W FEE ca u z EY'..: E:::,, BHCKFILiINGOF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETNEEN H WELL HND HNY ON�Sl:TE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE NELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LIAlE IS 75 FEET� WELL LOGS FARE.' REQUIRED HND MUST BE RETURNED TO THE DHYS OF THE WEL� COMPL�TION OTHER REQUIREMENTS MHY HPPL\! SPECIFICATIONS HND CONSTRUCTION DIAPUMM FiRE HVHILHBLE TO INS ER IN HLLHTION `"`^� ' ^` ^ ^ . F" EYE in'. P'l, 1. ���FEE KH FYI FEE FW� . . .... I CERTIFY THAT 'I :I HM FHMILIHR WITH THE RE8UIREMEWTS FOR ON~SIT� SEWERS FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2: I WILL INSTHLL THE SYSTEM IN HCCORD�NCE WITH THE CODES� ]lNDERSTHND THAT THE MHY RE�UIRE RESID��CE I� �E�OD�L�D T� uiCLU[)E MORE THAN ] BEDROOMS. SIGNED _ H�PLICHNT JIMMIE VlHRSHHLL ISSUED BY HND WELLS HS SET UNLHRGEMENT IF THE ^A �__~ �----^– V40 DEFOA RTMENT r HBHLTH HND ENYIRONMENTHL '�OTECTION 'STRE�T/ HNC: HORHGE, ^ ~~ 264-4720 " ���� ��� �P� ���K ������ ������ PERMIT ` ` RPPLICHNT JIMMIE MHRSHHLL SRH BX 1799 LOCHTICIA! SHNDLHKE LEGHL LT.19 SHNDLHKE #2 S/D 5Q8HRlE FIP`�ET TYPE OF SOI[ SYSTEM I�: TRENCH MHXIMUM NUMBER OF SOIL RHTING (SQ FT/BR)= 182 THE REQUIRED SIZE OF THE.': SOIL HBSORPTION SYSTEM IS: �FEE. ��" V H-0 — ��FEE ����� �owl W 10 "up FEE U. ED ET: MV �� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) Cl.' THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTQM OF THE EXCHVHTION (�N FEET) THERE IS NO SET WIDTH FOR TREtJCHES. THE GRAVE]. DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OQTFHLL PIPE HND THE BOTT011"I OF THE EXCAVATION (IN FEET). MMOTAU X F&MEEK.-ji 1 �K WO K G 'Ir E__­�_ ��D !�E�.Ar ����IC, M SO.; PERMIT HPPLICHNT HAS THE RESPONSIGILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF' HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE� \ ' �f, - F Clq on 3. 14M W W K Cy 1- X 1.0 Wl 10 101 lot FEE W FEE ca u z EY'..: E:::,, BHCKFILiINGOF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETNEEN H WELL HND HNY ON�Sl:TE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE NELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LIAlE IS 75 FEET� WELL LOGS FARE.' REQUIRED HND MUST BE RETURNED TO THE DHYS OF THE WEL� COMPL�TION OTHER REQUIREMENTS MHY HPPL\! SPECIFICATIONS HND CONSTRUCTION DIAPUMM FiRE HVHILHBLE TO INS ER IN HLLHTION `"`^� ' ^` ^ ^ . F" EYE in'. P'l, 1. ���FEE KH FYI FEE FW� . . .... I CERTIFY THAT 'I :I HM FHMILIHR WITH THE RE8UIREMEWTS FOR ON~SIT� SEWERS FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2: I WILL INSTHLL THE SYSTEM IN HCCORD�NCE WITH THE CODES� ]lNDERSTHND THAT THE MHY RE�UIRE RESID��CE I� �E�OD�L�D T� uiCLU[)E MORE THAN ] BEDROOMS. SIGNED _ H�PLICHNT JIMMIE VlHRSHHLL ISSUED BY HND WELLS HS SET UNLHRGEMENT IF THE ^A �__~ �----^– V40 SOILS LOG MUNICIPALITY OF ANCHORAGE �//r • +� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: M J(- '-&" i n-\. eyv-)'f !�'1.uL I,_ DATE PERFORMED: LEGAL DESCRIPTION: ick 1< �* '51Pr(k10.K2 Sc 2 ci noc circ of nni 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMME WAS GROUND WATERS ENCOUNTERED? L O P .- IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 4 ta, iy 02 >0 PERCOLATION RATE /y (minutes/inch) TEST RUN BETWEEN FT AND 12 FT/ � A7 PERFORMED BY: ��6e.+�_ h �P4 CERTIFIED BY: 72-008 (6/79) DATE: 0 20 _ Easi 195.00/ y% f as 19 2 5fy. 6750 SF Frame p p � Con c. Fnd. h �pr�c 1 !1• L _ � _ � h West 135.00' 16 301 SCALE I"m 5d B, at •' may F/�1 ;.... RL, 0o �� LEGEND •�• Y 5/8"REBAR SET THIS SURVEY U-0-1 t s' DRAINAGE ARROW`�� 4�_ '�. *_i:arles W. Trvcl � ,o x SPOT ELEVATION tl�`T"`; No. 34�YY•JQ'a� � +pBY••Y Y•Y°Y o�Aw p90FF5000400�oltw TOP OF FOUNDATION WALL ELEVATION = IT SHALL BE THE RESPONSIBILITY OF THE BUILDER ELEVATION$ BASED ON Al '5" 172 OATUM OR OWNER TO VERIFY THAT BUILDING LOCATION SHOWN MEET$ ALL SUBDIVISION COVENANTS AND PREPARED FORS Larry Ad -shall LOCAL ZONING CODES AND ORDINANCES, ALL LOT INFORMATION SHOWN IS FROM RECORDED PLAT ONLY. PLOT PLAN TR^Y,wCwKw LOT 19 BLOCK 5' ; DES. CR DA 5_IZBZ w,`,y I V i SAND LAKE 54/9 Na 2 CHK GRID ZZZ4 &HAYES f.B. JOB N0. �r:a:•�e++, nuw�•t iw•vero•e (p — 176 ) SCALE I"m 5d Time APPLI( NT FILLS OUT UPPER HAL, ONLY 'Property Owner Time Phone Mailing Address Zip Code �Z16:L)i Z5 (2 Buyer Address Zip Code Lending Institution Z7 Phone Address , - Zip Code Realty Co. & Agent C �,,/'//71--- ,, //,-V— Phone Address Zip Code Legal Description Hyl Street Location S Type of Residence Single Family Field Notes:MUNICIPALITY VJQL� Multiple Family No. of Bedrooms EI Other Water Supply Individual (I L i? 'An.,L)L] L,-:) L c.Z_U "TACH WELL LOG. A well log is required for all wells drilled since June 1975. drilled to that date, we v; th (attach log if available). Community _f po- I I 1 1, PEA fYL(0 jor wells prior Public Utility Sewer Disposal X Individual Year Individual Installed: D Public Utility 11 Holding Tank When Connected toPublic Utility: 1 0 -h( I 9 t % --CPx- APPROVED BEDROOMS NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time me C)I Date Date Date Date Inspector Inspector Inspector Inspector nil Field Notes:MUNICIPALITY VJQL� OF ANCHORAGE 4) PT C -.74 ENVIE it. J, A. .0 E 4 8 IM2 RECEIVED APPROVED BEDROOMS *CONDITIONS OF APPROVAL DISAPPROVED CONDITIONAL APPROVAL* DATE BY: C aal Soils Rating 7 Date Sewer Installed Well To Absorption Area Received Size / 2 ,o 7�W.11 L- L4 -Scl f� Tank ? 72-023 (3182) 6_1feyh MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 7 Parcel I.D. # O It - 13 y - Y9 HAA # 1. GENERAL INFORMATION Complete legal description i -of 16.4, Cloctc C- Scud ". ct SID 7ttZ Location (site address or directions) 8'2 S 2 S'iez v, e w fjr Propertyowner w;llidia R Pan+ 3't,,e�ro., Day phone 2 Y3 -'f7Zy Mailing address 19F-Sz S.a ��.�. Sf. i¢n�Aorogp ,gcc 9s'so Lending agency Ncr c Day phone Mailing address Agent /er'ue< DoF{- ERA )'ivFv;ricr,af R.f Day phone- S6z-73GQ Address i}k 99So Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Y Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site ✓ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rw 1Np Front MOA X21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm rlaffaoe Tirc%ve;ca.f Seevfc.51 _ Phone Sys'- i3 ss Address iyS3o ��� S�� fir ctia�ac�p Ak 99s—r� Engineer's signature Date June Z zoaQ . 6. DHHS SIGNATURE Approved for Disapproved. By: 3 bedrooms. Conditional approval for Additional Comments C✓. bedrooms, with the following stipulations: Date 7. 3 " O o The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. TSCS (P .. 191) B.ck MOA 121 KECEIVED • Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 28 Environmental Services Division NWNIGVAUTY Of AW-NUKAGE 825 L Street, Room 502 • Anchorage, Alaska 99501 •'(§6WN ffW4"1 D1VIT' Health Authority Approval Checklist Legal Description: /6i0r 6/k i S4nef "G.e 0#'Z Parcel I.D.:__ 0 I / -'13 Y - Y9 A. WELL DATA Well type Pr1 ✓a Ae If A. B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed &/13 /& Z Total depth 30G' Cased to 306' Casing height (above ground) 22 " Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test R/ r 3/ 8 2 _9' ts'/ O Static water level -azo 1 r36 Well production I op g,p,m, 49. N + g.p.m. WATER SAMPLE RESULTS: Coliform 0 Cal / 100 .T .( Nitrate 'e, o. S rn /A Other bacteria Mo -e repo -,Ara Date of sample: _ _ /.0 / 2 G 00 Collected by: F (or i loP 7eciin: ce / X f -e r S. SEPTIC/HOLDING TANK DATA Date installed 6 /Y / 8 2 Tank size 12_ 0� Number of Compartments 2 Cleanouts (Y/N)_y Foundation cleanout (YM) Y Depression (YM) N High water alarm (Y/N) _ W. 4. Date of Pumping S /Y /Oo Pumper X7ratet c r C. ABSORPTION FIELD DATA Date installed _6^ / Y / B 2 Soil rating (g.p.dJff or ft2/bdrm) r8 L i System type "Tien c/, Length 22 r Width 6-' Gravel thickness below pipe I r , Total depth 14r. s' Effective absorption area 5'2 8 0' Monitoring Tube present (YM) Y Depression over field (Y/N) V Date of adequacy test _6 /S /do Results (Pasa/Fall) tsw For 3 bedrooms Fluid depth In absorption Held before test (in.);'"_ Immediately after';'& gal. water added (in.): 26.S " Fluid depth 12.6" (ins) Minutes later. 2� Absorption rate Perwdde treatment (past 12 months) (YM) None tcno e..n if yea, give date /1. a. 72-026 (Rev. 3M6)• D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at" _ Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at' "Pump off" level at' "Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septietholding tank on lot Ito, On adjacent lots t oo' Absorption Held on lot 124' On adjacent tots too' Public sewer main N. A. Public sewer manhole/cleanout N• A. Sewer /septic service tine > ZS' Lift station N• SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation '!S' Property line 7' Absorption Heid 12' Water main/service line > [O rao' Wells onadjacentSurface water/drainage •�lots 7 mau' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property Ane 6 1 Building foundation � 6S•' Water main/service line > 10 Surface water > 1&0' Driveway, parking/vehicle storage area -2-50' Curtain drain None S eenL Wells on adjacent lots > 1410' # vtf7QAee /IefYeC pn fw,CAOe re/00-1 F. ENGINEER'S CERTIFICATION woeveor reyuctt le.kAr,- aNc.ch r(_no Fit aeee 1 certify that I have determined thru Held inspections and review of Municipal reco►a asters are in conformance with MOA HAA guidelines in effect on this date. '',1,; ;.-• • •' • • .:, . << , , Signature 'l,�.e d�t. %?e o.1 �s y.' : S a <:• ! Engineer 'sName Th[OGIGK � C ............ .................a� � �...,.�,.�. .....,... . TIIECDO^._ F. ,,100RE Date .i ung Z7 7-00 p HAA Fee $ 3 GO Waiver Fee S Date of Payment 0 L/. _ �/ 8 —V � Receipt Number 72-026 (Rev. 3196)' Date of Payment Receipt Number :FLATTOP TECHNICAL . SERVICES `. CM & ENVatONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345.1355 ANCHORAGE, ALASKA 99516 June 27, 2000 M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dear Sirs: By means of this letter I am requesting issuance of a formal waiver allowing the existing septic system serving the residence on Lot 18A, Block 5, Sand Lake S/D #2 to remain within 6 feet of the west property line. Copies of relevant documents are enclosed. As I discussed with Dan Roth on June 5, when the system was installed in June of 1982 the correct distance was noted on the approved as -built inspection report, so no waiver fee should be required. It should be noted that at the time of septic installation this lot was identified as Lot 19. The lot has since been merged with Lot 18 to form Lot 18A. Although the lots in this subdivision are quite small, the presence of sandy soils allows many of the on-site soil absorption systems to function well. The topography in this area is flat and granting the requested waiver should not significantly impact the ability to construct replacement systems on the adjoining Lot 6. Because it trns out that the existing soil absorption system is also in a ten -foot electrc easement, i the owners have f '" an encroachment permit (see attached),•ng ,4�b, &naliacd-by Chugach Electric Association. Thank you for your assistance in this matter. Please give me a call if you have any questions on this waiver request. cc: William and Pamela Iverson Wy-IC7CO3D L+ LD Sincerely, Ted Moore, P.E. Flattop Technical Services ATTN: Theodore E. Moore, PE 14530 Echo Street Anchorage, AK 99516 - July 03, 2000 Subject: Waiver Request for SAND LAKE 42 BLK 5 LT 18A Waiver # WR000046 Lot Line Request for Parcel ID 011-134-49 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 6 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Jeff Poei Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Heakh & Human Services On -Site Services Waiver Review Worksheet WR#: WR000046 PID#: 011.134.49 HAM HA000277 Date Received: June 27, 2000 Legal Description: Sand lake #2, Lot 16A, Block 5 Engineer. Flattop Technical Services 14530 Echo St., Anchorage, AK 99516 Applicant: William & Pam Iverson .......... Waiver Requested: 6 foot lot -line waiver Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other. .......... Waiver is Granted: List Conditions or Reasons for above: Permit#: Waiver is not Granted: Date: %- 3-06 By : J�� W .......... �N of Reviewer Rec#: 0000 Amount: 00 Date Paid: 0 � nM m r•� N A LAW u: litKiu (n D Z r 0 D IA I A'^WA p D � Drl m C N � u Ln � X s` N D V 0 £ � > • Z W _ � � nM m r•� N A LAW �i P' (n D Z r 0 D IA I xfOJ Zmg i p D � Drl m C �tmo n n » � X s` m 0 V 0 £ � > • Z o m N O 0 • H O Z at af�C w\ 43� noA f W o<<t N a i•i � n n » on30 0<,3,�oon s` m I V 0 1• y � > O 4m o N S r Y m Y S° 3 o � o S^Yb � !• I �� 33F— M3.o N ogo� 0 ^off a�3' a a O -Fa 4» 7C 03 ,00,001 M .00,20.00 N U4 W 0 0 133dIS X0311M 00 LO cn Cn 0 0 fTl W U7 O 0 af�C w\ Z W A ll, 0 > 22p s` m I V 0 4m Y m I �� ,00,001 M .00,20.00 N U4 W 0 0 133dIS X0311M 00 LO cn Cn 0 0 fTl W U7 O 0 8K03653PG0798 ENCROACHMENT PERMIT 1204-1OB G-2224 EN00017 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach'), whose address is P. O. Box 196300, Anchorage, Alaska 99519 and William and Pamela Iverson of Anchorage (herein "Permittee'), whose address is 8252 Seaview Street, Anchorage, Alaska 99516. 1. Easemen . Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities as follows: Dedicated by the plat of the subdivision known as Sand Lake Subdivision No. 2, according to PlatNumber 95-86, recorded on the 13t° day of October, 1995, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 23rd day of February, 1984, in Book 1052, Page 527, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, State of Alaska, Described in that certain written instrument recorded on the 23rd day of February, 1984, in Book 1052, Page 528, ou file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, State of Alaska, (herein "Easement") which pertains to the following described real property: The West Ten Feet (W 10') of Lot Eighteen "A" (18A), Block Five (5), Sand Lake Subdivision No. 2, according to Plat Number 95-86, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Eighteen "A" (18A), Block Five (5), Sand Lake Subdivision No. 2, according to Plat Number 95-86, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to the Easement: A septic system and standpipe that encroaches approximately Four (4') into the Easement for a distance of approximately One Foot (P), (herein "Encroachment"). Encroachment Permit - Page 1 of 4 BK03653PGO799 3. EgM2h. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its current location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the construction or continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is rot made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. S. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. Encroachment Permit - Page 2 of 4 BK03653PG0800 11. Entire Agreement. This written permit constitutes the entire agreement between the'parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. By: •d �� Title: Eu a N. Bjo d Gen Manager STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) PERMITTEE William and Pamela Iverson By:yd William Iverson Date: ZO "21, /r7) The foregoing instrument was acknowledged before me this e. d y of 14.4-0- 2000, by Eugene N. Bjornstad, the General Manager of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Notary Public in and for the State of Alasl My commission expires s—/3 -a; .••� H/(�' = i v�LQLI y F :z Fo A' Encroachment Permit - Page 3 of 4 s 6K03653PGOBOI STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this � day of .O _ 2000, by Q � �,OTAT%Y `; � �A rhpt11111c11\\\.,•P . STATE OF ALASKA THIRD JUDICIAL DISTRICT 1�Io�aq Tublic idand for the State of Alaska My commission expiresal ZJ; 2'0c� ss: foregoing instrument was acknowledged before me thisday W . 2000, by A -<e Notary Public in and for the State of Alaska My commission expires � 'Z-1" .-1 Zm'-o 031226 A1:Ciii. ;AGE RECOR01" DISTP,ICTaA GG 2000J1,28 AN 11: 19 REQUESTED BY AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. Land Services Department P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit • Page 4 of 4 Time Time Tl1Ae Time APPLIC- 'NT FILLS OUT UPPER HAL"70NLY 'M Property Owner \ afO Of Phone Malting Address InsPeclorinspector Zip Code 96 Byer s yy Address 1 Zip Code Lending lnstlNll0 /�� / T�C /'��S��nF y./�� '/ Phone Address '� Realty Co. 6 Agent Zip Code A /� Phone Address SEP 8 1982 vY1/ Zip Code Legal Description Street Location Type of Residence ( ) DISAPPROVED Single Family Multiple Family No. of Bedroom ❑ Other L— DATEmc Water Supply Individual Community �t7 v� Cs)i. (.� ,' (Q(]ACH WELL LOG. A well lop Is required for O Public UGllty all wells drill since June 1975. Rp + or wells drilled prior to that date te, Iva well depth (attach lop If available). Ptn ryj Sewer Disposal P %Z Individual O Public Utility Year Individual Installed: ❑ Holding Tank When Connected to ecPubt le Utility: -- 1p lc ^.ty: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Tl1Ae Time Date Date DateD \ afO Of Date InsPeclorinspector l� - I, ' Inspector Inspector 1 Field Notes: ' y �1 MUNICIPALITY OF ANCHORAGE iNVIn ,: d..r A. 1 E. .O SEP 8 1982 vY1/ RECEIVED (y ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED 1 ) CONDITIONAL APPF20 fl.' L— DATEmc BY: Soils Rating Date Sewer IInCnsttalled Well To Absorption Area Well Lop Received Lo � Li'naa zzon ueh WMI to Tank Septic Tank Size L SO CHEMICAL & GE�;OGICAL LABORATORIES r' ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274.3364 5633 B Street 4 �- Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. Water System Name / Phone No. Mailing Address /J - ,. f% C i .. ...... 1 City State Zip Code' — SAMPLE DATE: L d Z Mo.' Day yeast SAMPLE TYPE: 0, Routine ❑ Check Sample (for routine sample with lab ref. no. t ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE NO. LOCATION z I . �. �_.�; r1' 3 4 1 1 i5 I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Tlma Collected Collected By v Analysis shows this Water SAMPLE to be: 9 satisfactory ❑ Unsatisfactory ❑ Sample too long in transit: sample should — not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: ❑i,� Fermentation Tube J� Membrane Filter Lab Ref. No. Result* Analyst I X99'/LSI m Y)S l I m l I m I I m I I m .Ne or<obrwr/loo"N or No of pavrry poruom. 06.1220 tet - BACTERIOLOGICAL WATER ANALYSIS RECORD Per. 1976 Date Calleoted a.m. EMS Brom 2e hours.Broth 46 hours, Multiple Tube Report, loml Tub" PoelOve/Tatal 10ml Portlons Membrane F9ten Direct Count Colleorm/loom) Verifications LTO Bce Final Membrane Fetor RewRa Colltorm/100ml Reported By i 1 11 Date 7-7,I P.M. 1 MUNICIPALITY OF ANCHORAGE • COMMUNITY PLANNING AND DEVELOPMENT P.O. Box 196650 Anchorage, Alaska 99519-6650 PRELIMINARY PLAT APPLICATION /1/oT�: —arca ,� A /«��gnrlTrAL 0-f s—,) W - %4,E A. Please fill in the information requested below. Print one letter or number per block. 1. Vacation Code 2. Tax Identification No. 3. Street Address OFFICE USE REC'D BY: Zvt,*,-1 Gl7� Sr-C)(Ply- ❑ ail�3yi9 8 2 sc-Av) c ST�zc G g16) 4. NEW abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34). 5. EXISTING abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page. 6. Petitioner's Name (Last - First) NINE ,J r 8. Petition Area Acreage ■n■nann. ■els■■■ 9. Proposed Number Lots 7. Petitioner's Representative LAN G-�N s Address yVo V\/ B6,Vcr0,✓ /?Ly - City AA eG;I) I(/y6� o State NK Phone If . 2 — S 2 / I Zip % 95© 10. Existing Number Lots Ione MME 11. Grid Number MMMIM 0101111 12. Zone IMEMNIM monism 13. Fee $ J J © 9 C 1t/ -EC �v 14. Community Council ✓�1N'r✓ 1,41< B. I hereby certify that (I am) (I have F —J U6�_ ter of the property described above and that I desire to subdivide it in conformance with Chapter 21 ofn I' )rdinances. I understand that payment of the basic subdivision fee is nonrefundable and is to cover the//q�� ^ is application, that it does not assure approval of the subdivision. I also understand that additional fees f /1> y's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative ana may a w be postponed by Planning Staff, Platting Board, Planning Commission, or the Assembly due to administrative reasons. Date: Signature 'Agents must provide written proof of 20.003 Flonl (Rev. 952)' o zav, E;' 90 X00 00z 6a . T��O r V DMI1 N➢NOC sl; co �Z� 0° •. N o �0 D COO •. '�o fil N OGI' a �4 eYo' ;qVo O W m 7! 0 00 O 0 00'OOL M ,OO,ZO.00 N z= II `. 10' CEA Esm't N _ I ' m m rev] ym M Ne D O D o O C/')a` Z w�m Cf)0:0 t I Q W 00 C co 001 r CO 00 z� r D r � X10 rs D cn w M r 0 o �i 0 o CT wF C I sh M U, M � In r �� 1 1 o II <:� Z 00 Q O c D QI 9 s.o y � 1 N Z o �I _ Q = x ooXI W "C N o x N 1 aA n W ° C( 1 0 v o -m W5 { m o zO 1D wv°,z �o m o O x Z V/ m a,3p0 o No OX mv£n 36.3 5.01 O O" 9 O y moo p O x o N 71'o z x 0 v n •< ti1 1 ONO a~1 x -X amort a�.x I Qla. W O X OCw /. p O im CD` X x 7 N O C (U — Qo 3.a T '� X s c h m-�- � 00'OOl M ,00,M.00 N x< w �J o 0 m� ILm.T" R P, 13'12l1s X03 -11M 8 S 1^ z A �o ��. � � ' Iib 0 133a5 .0 O m m m m rn r a oWW My -a Y u rZW �$ a.s II Z X30; I QZZ �. EfC YO _ u O f 1- Q27 i Q 17i 01• n is OdWI� «a ocogaa °p x ZI Z� t S' �aa j_3MVl l3nt3f ! I` 0°i cai� oI rU € nay ax� ° =x�b E �c wl E og xa01 01 - `°� $ �' o nl n meI 3s41 tn� =o«V�,_c ot€ rFo it o Genoa 31 ° m 1I� Umotirr^ ffN¢II a OU) zz « $o xgm UI l <°mwfi UI .3, '� rc mLL, mU' Om xI �+a� pOL Oaa o S CI a o ¢'aha QI p I € a{ �� am,�n0za4 - 0 �', � Jmom��� it E xIs- toDla-I 01 i m ofgUQ'wo n1 i Q"zm same` ° y °oma a �g i I a _ G ot2 Nto I I n mka a o Pn Z Q La`osNt �d c ull j6 «Y« 5 V r°c° 13 O <" _° _9 ,t - w _ aio ao to i- x (-) 0 -I IAA I ! i I rc V a I V I ~I F ¢ W oop`a J: p a IoFao awl o.. ig" ° E V; 0 Qry �4p4Sti'�V��q.•°. 18G 3 I=�3o yl y a aez C) Kl t > r 0 I ! i I rc V a I V I ~I F ¢ W IoFao awl m 18G of I=�3o yl y Kl t I, MUNICIPALITY OF ANCHORAGE M E M O R A N D U M DATE: May 5, 1993 TO: Department of Economic Development and Planning Zoning and Platting THRU: John Smith, P. E., Program Manager, On-site Services Department of Health and Human Services JLv$w,n7' FROM: Daniel J. Roth, Civil Engineer, On-site Services Department of Health and Human Services SUBJECT: Request for Comments on Subdivision(s) May 14, 1993 The Environmental Services Division, On-site Services Section, of the Department of Health an Human Services has reviewed the following cases and has these comments: S-9391: Lot 18 Block 5 Sand Lake 42 Add a note to the plat that states: "existing home must not exceed three (3) bedrooms while utilizing on-site wastewater disposal". S-9392: Lot 33A Tract A Eagle Crest #1 Add a note to the plat that states: "existing home must not exceed three (3) bedrooms while utilizing - on-site wastewater disposal". S-9393: Lots 149A, 149B Lashbrook Subdivision This case is being returned for the following reasons: 1. This office has as -built information for the septic system that serves the dwelling on the north half of the lot. However, our files do not have a well log for the well serving the dwelling. A well log must be submitted to complete the subject file and prove water availability for the proposed subdivision. 2. Developer must designate the option they intend to use to determine reserve area for the existing developed lot and the proposed new lot. Either 15.65.180 B1 or B2. 3. Soils information submitted with the proposed subdivision appear to be located in the west portion of the proposed new lot. If a permit to construct a new septic sytem were applied for, this office will not allow a septic system to be constructed in the west portion of the lot since the existing septic system on the existing lot is constructed in the east portion of that lot. 4. Developer must locate soils test on the plat. DJR/ljm MUNICIPALITY OF ANCHORAGE COMMUNITY PLANNING AND DEVELOPMENT P.O. Box 196650 Anchorage, Alaska 99519-6650 PRELIMINARY PLAT APPLICATION A. Please fill in the information requested below. Print one letter or number per block. 1. Vacation Code 2. Tax Identification No. 3. Street Address R OFFICE USE REC'D BY: q �p\ ❑ 1 1A11 1 M252 1:51s -1,410 114W S Rz-14 4. NEW abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34). 5. EXISTING abbreviated legal description (T1 2N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page. 6. Petitioner's Name (Last - First) 7. Petitioner's Representative L!1 T �G11 uhf Address Ur - SZ s«VI�V`� rRH�% Address 00 W 81�NSOA/ pzva 4r%©3 City kV6t 1j11ZL(jk'-- State City AN4467P, i --4 State 41Y Phone # 2-Y?" b �Zipp�©Z Phone # 56-2-5221 Zip 39503 8. Petition Area Acreage 9. Proposed 10. Existing 11. Grid Number 12. Zone Number Lots Number Lots G , 3 1 � 222 2 -SAA 1 1H °°sA vo LAI -z- 13. Fee $ 17�� � 14. Community Council B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission, or the Assembly due to administrative reasons. Date: � AgAg --5 20003 Front (Rev. 9192) - Signature 'Agents must provide written proof of authorization. �N I I 1 lye ao o -L,, I I I iN O GSI w M I e s I N I �u�u�uIuJ - -� - �.s �noa3s yQ s I m ToiT-4I—i87;I f� j iJ4- I-1 LI I vivo (dw U f Y izZs OQW NO unn. g c y t yrs n S ��Yy j����Ct b� � F � r � F � x• �� N � r WAX u rqua i Jh�rz.S{{66�,'d��}j y � i � � � � � +arti iM9• ry + a it � 05 s ��9 f 133 Ja S X0o11M ya P«a¢ o dS „� Fd Z�� I N h • I N I m I A I ��T � ' I ' I ' I ._ _. _ -.. � 6— �� - - �13;a s M:SJAV3S yap TO 100, GL' N',-.'. 00°02'00 00 U� U7 100, GL' N',-.'. 00°02'00 00 40'9 60,9 S 00"02'00" E 100,00' 3p0 -p a„.°nog- Vl 983.3 j Q A � W V �PR'9�2 G -�o3sg� a i Di N < N N K 3 m M m -U Zr L7 D mZ Z FqM AA NN R n 0 Z I -, � FaQ 1��j ff�M a , ON Msapp 1641m llr� FFnn���G-Fl TnlnT- L I aO Of 2n SEACLIFF _STR`EET N N nO mTN�In w I .2 I^ t wJ u a <n m ITIj 00 Li LF I _ SnEA�/iEW STREET FJ I FTI In 'n In G��iy FI C O� m I N N I G LnnnnnnnJ 2 WILCOX STREET m o�onN(Zn �s 2"a m i4zs gIIpb 9i S OyA `' v,T.aa9y^d5. AFa a D ng ! OA.si10O '�j L) If 4 A o S IA X D i I1 vim�iv ;� y. go�6 I7 'MzsDD 2 5 2 o A" "_ o ID �Ja '-b rz' I� a"'�� g�,�o °4 n $ ie`.. oc>zmS. > a n nos 8_ i IT. ,'q3a F, Z- a W x ,g g x s z g° o oNz r �'a vw E RD z - 1Z p2g% 2 9a to > -; ego qs%ggse° .. -a9MC0 i Y I� t%3' v �m ez g-' S"'Rg"$�" o mICU 7OU n�i 1c�i s9 so a9s:$�a"3$7 An�(nJEWEL LAKE M5 s �m s IZ yOu °%uERay^ 2 VB goo J I o2. I 2. eoilly o nFN 9 v S 9 '%9§Q X33=811 mo Fz�n m = F Yo ag$`..a n Zii -� s ° sR 301: a y nmol "• I '' a4V�sgy mAz R 4 W - m °a$ °r o8'�.15 s M R 3 W ; -C' STREET --RECEIVE-p- -- APR APR 2 7 1993 Municipality of Anchorage Dept. Health & Human Services A � W V i W WILCOX STREET m o�onN(Zn �s 2"a m i4zs gIIpb 9i S OyA `' v,T.aa9y^d5. AFa a D ng ! OA.si10O '�j L) If 4 A o S IA X D i I1 vim�iv ;� y. go�6 I7 'MzsDD 2 5 2 o A" "_ o ID �Ja '-b rz' I� a"'�� g�,�o °4 n $ ie`.. oc>zmS. > a n nos 8_ i IT. ,'q3a F, Z- a W x ,g g x s z g° o oNz r �'a vw E RD z - 1Z p2g% 2 9a to > -; ego qs%ggse° .. -a9MC0 i Y I� t%3' v �m ez g-' S"'Rg"$�" o mICU 7OU n�i 1c�i s9 so a9s:$�a"3$7 An�(nJEWEL LAKE M5 s �m s IZ yOu °%uERay^ 2 VB goo J I o2. I 2. eoilly o nFN 9 v S 9 '%9§Q X33=811 mo Fz�n m = F Yo ag$`..a n Zii -� s ° sR 301: a y nmol "• I '' a4V�sgy mAz R 4 W - m °a$ °r o8'�.15 s M R 3 W ; -C' STREET --RECEIVE-p- -- APR APR 2 7 1993 Municipality of Anchorage Dept. Health & Human Services M 66004N000 N (00,00 VV ET 5.5' O O� 0 0 10 0' 77 00 (A O O O 0 cj� 0 0� 0 s 5.0 LPA 0 0) 600 1 00� 66006Z0000 O v \ RECEIVED -- t APR 2 7 1993 � V f Municipality of Anchorage Ciept. 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