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SCHROEDER EAST BLK 6 LT 2
__ _5 ..4 - -__ ._ _, - r �_ _ _ -�.{ - _ �' ��1 �� �; C�atiffirb Drilting lkxg hN DOC Co. tlba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 6882759 OWNER OF LAND L— ADDRESS LEGAL DESCRIPTION -- DATE - Started Ended PERMIT NUMBER -- n' : _— `` f - DEPTH OF WELL - — STATIC LEVEL OF WATER FT. DRAW DOWN FT. .i, GALS. PER HR —' KIND OF CASING KIND OF FORMATION: Ft. to Ft. From Ft. to Ft. " From. Ft. to --Ft. Ft. to From Ft. to From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. -- From Ft. to Ft. From Ft. to . Ft. - Fram_ Ft. (()—_Ft Ft. F1,0111—Ft. to _Ft From Ft. to From Ft. to Ft. From Ft. a> --. Ft. Ft. _ _ j From Ft. to Ft. - - From_ Ft. to Ft. From Ft. to__.Ft. -- From Ft. to Ft. t From Ft. to__.Ft. From Ft. to From Ft. to Ft. - From Ft. to_Ft. Ft. ! From —Ft. to Ft. ®- From Ft. to Ft. From— to From Ft. to Pt. _Ft. From _Ft. to Ft. / . 1 ;< J J From Ft. to From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: Froin-- Ft. to_. �tj, f�lp 1J - F { �nchorag� From FI. to--- Urlt�lialtt MGm rV1Ge``-- From_ Ft. to ©®pt.Maalth & From Ft. to Ft -- --- DRILLER'S NAME, — PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON—SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW910340 DATE ISSUED:10/24/91 DESIGN ENGINEER:S & S ENGINEERS EXPIRATION DATE:10/24/92 OWNER NAME:PIERSON JOHN 500 & OWNER ADDRESS:6909 E. 8TH AVENUE DR ANCHORAGE, ALASKA 99504 PARCEL ID:05007129 LEGAL DESCRIPTION: SCHROEDER EAST BLK 6 LT 2 LOT SIZE: 22873 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL. REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ,h -s >— DATE: I C).— ISSUED BY: /""" '.`— C� ��.c" t DATE: /L` ` °a' '�/ _ �z BK02205r-400 AGREEMENT FOR CREATION OF EASEMENT TO SHARE WATER WELL AGREEMENT made this l,a day of October, 1991, by and between Daniel J. Janke and John R. Pierson (hereinafter Grantors) of P. 0. Box 770567, Eagle River, Alaska, and Edward Ditlevson (hereinafter Grantee) of 12403 East Prince of Peace, Eagle River, Alaska. RECITALS The parties hereto are owners of adjacent property and desire to enter into an agreement for the creation of an easement as follows: SECTION ONE CONVEYANCE OF EASEMENT Grantors of Lot 2 Block 6 Schroeder Subdivision, East, hereby grant and con- vey an easement to Grantee of Lot 21 Block 6 Schroeder Subdivision, East, Plat #71-298, recorded in the Anchorage Recording District, Third JudicialDistrict, State of Alaska, for the use of a proposed water well, together with water service line and/or plumbing system on property owner by Grantors. Grantors of Lot 2 Block 6 Schroeder Subdivision also grant and convey the the right to Grantee to locate and drill a water well on Grantors property at a site designated by Grantor. Cost of future upgrade to Class C Well will be shared by Grantors and Grantee, The Grantors realize the designated well location may in- habit the development of Lot 2 is available to the property. Qxtl\ Daniel J. an e G�- John R. Pierson Block 6 until such time that public water or sewer Edward Ditlevson ��epf. I laalth F l-luman Services bl.!ICGU., ,<<U0 PULL NOTARY ACKNOWLEDGEMENT FOR AN INDIVIDUAL: STATE' OF �j(ISLL. �j•i� Judicial District T / On the - 2i {�lday-of .��i7Q. 19 91, before me �(� f I CLaL�. , a notary public -yin and for the State of 0.S �_ personally appeared known to be the person(.a'i whose name( -di islayer subscribed to the foregoing document. Ile/S1>e acknowledged to me that he/s>e%xecuted the above instrument and knew the contents thereof. N i'ARY PURL (SCAL) t ` MY COMMISSION EXPIRES FOR A CORPORATION: STATE OF Judicial District on this _ day of , 19-, before me, the under- signed, a Notary Public in and -for the State of , duly commissioned and sworn, personally appeared and to me known to be the and Secre'tar.y, respectively of President the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said instrument and that the seal affixed is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above written. (SEAL )/ A I p y 5 3 1 0 NOTARY PUBLIC My Commission Expires'. AISTR1ACE REE. 0 U d/Y p,ti ISTRIT PEQUESTED BY Y ; 191 OCT 29 An 9 56 €_. Doo. idac-;I ii e i-l'urnan Servilces DK02205P,1s0i1 I•'ULL NOTARY ACKNOWLL'DGEMENT I'OR AN INDIVIDUAL: ' STATE OV _Judicial District - On the- istrictOr lay of •.Ojbb" , 19 LI before me a notary public in and for the State of L('^d�,.personally'appeared {(� Q,11_L�i, known to be the personJs'T whose namei� is/p , subscribed to the foregoing document, ile/Slte acknowledged to me that he%skits executed the above instrument and knew the contents thereof. `AiiY ,�,o NO1`AR!Yj -- My COMMIXPIRES POR A CORPORATION: STATE OP Judicial District On this day of 19 , before me, the under- signed, a Notary Public in and,for the State of commissioned and sworn, personally appeared _ and a ri d , duly to me known to be the President Secre'tnry, respectively of the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute t'he said instrument and that the seal affixed is the corporate seal of said corporation. Witness my hand and official seal hereto affixed the day and year first above wri.Lten. (SEAQ,) NOTARY PUBLIC - My Commission Expires: 1 �t10) C—, Qr; L, « OF Je^�E , %0. ISIi3 7,�I(1 (j4 I -i i.iil li :.Jti�u Ci `Ln'J rl&Z; t om..' z e4�i SSP E RIV E R, AQP HEALTH AUTHORITY September 30, 1991 APPROVALS ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694.2979 FAX 694.1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES SEWER &WATER 825 L Street MAIN EXTENSIONS Anchorage, AK 99519-6650 REFERENCE: Schroeder Subdivision, East Addition, Block 6, Lot 21 SEWER& WATER INSPECTION We request you issue a permit to install a septic system to serve the proposed 2 bedroom house on the referenced property. ENGINEERING STUDIES AND REPORTS A test hole was performed on the property on September 19, 1991. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the hole has been checked and found to be dry. WELL INSPECTION &FLOW TEST The lots in -this area are relatively large with sufficient room for future septic upgrades which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed SITE PLANS septic system. .✓�� 1 e g wel w'th Lot of Schroeder S/D, East Addition, Block 6. The lot to the North, Lot 20A, ROAD DESIGN is served by a private well and the lot to the South, Lot 1, Block 3, Spring Brook Vista is served by Community Water. If you have any questions, or require additional information for your review, please contact us. SOILTEST Sincerely, PERCOLATION TEST Roger J7� Sh fer, P.E. RJS/lsu STRUCTURAL& MECHANICAL , INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 no 10' Z D ppr © 1 J � �p o. m d ^ \ 8 J 10'