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HomeMy WebLinkAboutSEIDLER #1 BLK 4 LT 1Seidler #1 Block 4 Lot 1 #050-131-47 Municipality of Anchorage Development Services Department - Building Safety Division 5 a E r On -Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW 0$0 250 PID Number: U 50--- 131 -- q_ - Name. Q1(Jz_ Wastewater System: New Upgrade Y ❑ P9 Address: l 1(d l - clow , D6 ve, ABSORPTION FIELD Phone: Number of Bedrooms: 3 ❑ Deep Trench ❑ Shallow Trench XBed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: i 1 a ® GPD/Fl?q:S Total Depth from originalgrade: e 5 . Ft. Block:Lot: i ` Subdivision: ly SEM'a,% Depth to pipe bottom from original grade: Gravel depth beneath pipe: { I Z.c� Ft. 0Ft. Township: Range: Section: Fill added above original grade: Gravel Length: ' 0, -5 Ft. 2 93 Ft. c Well: GXjSf;� ❑New Upgrade Gravel width: 1 5 Ft. Number of lines: 3 Distance between lines: Ft. Classification (Private,,4, B, C): Total Depth: Cased to: Total absorption area: C �� Pipe Material: FL Ff. J Ftp SC.k Driller. Date Drilled: Static Water Level: Installer.`} y//y��++ ��An Datee_I talled: Ft. 1()17}1, Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES [:]Septic ❑Holding I%S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private Manufacturer. � AQ Capacity: From Tank Field Station Tank Sewer Line 11CL L IG^� 12.50 Gal. Well �/� 1 � W t MMt I till � (('�� l ICU '� ^ / / Y I �� � Material: j _7 1 �' �� Number of Compartments: O� Surface Water Surface t 1 ���� t )00, LIFT STATION Line { S 1-. i O 1 5 T 10Al Size: 12150 Gal. Manufacturer. / 1 n ci oiC\ (V I LI�i Foundation i S+ t ic) + I .5A "Pump on" level at:" —NJ in Pump off" level at: 49 t/2 in. High water alarm at: 2z' 12- in. Curtain Drain /V f� /V rl N 11 /"i �/ Pump Make & Model 0QQijCD p� Electrical Inspections performed by: '�0 Remarks: Itt �Xtsf S��a"�lor� BENCH MARK �► sTem �ti MDA co4e- 2e`s ,. Location and Description: 3o 1n,N. S l Li - � C : Q Assumed Elevation: 100 Ft. Inspections performed by: Lgc,�C)uc'6Lu1 Dates: 1St 6 1 ooq 2nd 27- 1XI Development Services Department Approval 1-00 / ?' 49,111 Conditional Approval Date: j ' ` ` �i/t��a✓i!C* LABS E. S?ct1 ;KIAND,c j� 1000 2 11 �PROFE5S�D��r.� Reviewed and approved by:(A�/ Date: (Rev. 04/06) `/ / LJT 5 - - Lar 21 ` LOT 20 INSTALLED 3 -BEDROOM SEPTIC SYSTE LT 1 I 1250 GALLON STEP TANK \ �� i I I v4', I W/ 15' X 43' BED i , I SEWER SERVICE UNE MUST BE 6' \ DEEP ACROSS UTILITY EASEMENT BED WIDTH 15 FEET �: i \ , , �I BED LENGTH 43 FEET �y o ell I TOTAL DEPTH 4.5 FEET % y` i i I I SAND 2 FEET ROCK DEPTH 0.5 FEET ® v' i m I INSULATION 2 INCHES COVER 2 FEET (MIN) SWING TIES LST 1 g85.3' B C 4 VA CENT D 4.8'8 E 3 0 Es ® s BANDONED EXISANG TANK k I ( O V DRAIN RELD PER MOA CODE REQUIREMENTSI W, ' L©T 2 � LNT 2 LIJ W ®®•�E OF N -7 49th � �®®i I I ,....:... .....�..�...... ............ 25 0 25 50 75 100 125 150 SCALE 1' = 50 FT, SPURKLAND ENGINEERING SEIDLER 11 BLOCK 4 LOT 1 SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE DA TE FEB. 1, 2010 ANCH. AK. 99501 DICK ANTHONY SHEET' 2 3 GRID: NW253 907 279-3916 11641 HEBRON DRIVE PERMIT #SW080250 PID #050-131-47 SEIDLER#IB4LI,DWG 15' X 43' BED N, TS 3/16 inch holes @ 30 inch Spacing o 3 0 15' Wide N, T.S 43' Long 2' M©A Approved Filter Sand ° Total Depth 4.5 feet o 0,5' Rock 1250 GAL STEP TANK ° 2' Insula tion 2' Cover (rein) NO SCALE ° 2' Cover (INSULATE)P TH#1 B.O.H. ELEV = 84.35 F.G E = 98.5' E.G ELEV.= 98.4' Sll t Barrier E/�y= ' T.T. LEV.= 92.5' T.P. ELEV.= 96.1' 0.5' SEPTIC ROCK (EFFECTIVE) T.S. ELEV.= 95.5' , .:. .:...... .. filter: $ntrd , .., : ".. _ ::.: :: '• • "`' :•"' :`": B.O.H. ELEI!= 93.4 �F ®®®®411411 H2O ELEV.= 86.4' ♦ �P`.••'" •. • •,••••. ®® .49th ®'0 B.O.H. ELEK= 84.4' NO SCALE ® ' •• o'er u 7k,�.?............ ....... :y =� LAS SPURKLAND ®♦®✓p:�. No, CE -11500 :_® MARK BOTTOM SIDING ®F.C.o. ASSUMED ELEVATION 100' ® ®BENCH ®1 pRLESSZ��P®® SPURKLAND ENGINEERING SEINER #1 BLOCK 4 LOT 1 SEPTIC SYSTEM ASBUILT 203 W15th Ave Anchorage Ak 99501 DICK ANTHONY DATEi FEB. 1, 2010 11641 HEBRON DRIVE SHEET, 3/3 GRIDS NW253 PERMIT / SWO80250 PARCEL ID # 050-131-47 SE/DLERj1B4L1D3.DWG Municipality of Anchorage P.O. Box 196650 i 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program \C G r� Department * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: 141127 COSA#: Permit#:080250 PID#: 050-131-47 Legal Description: Seidler #1 B-4 L-1 Engineer: Spurkland Engineering Applicant: Dick Anthony Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................... ■ ............................. ■ ■ Waiver is Granted: X Waiver is not Granted: Date: 0 f�/ Approved by: �crc o eviewer ............................................. . ........................ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 20, 2008 Expiration Date: Nov 20, 2009 Permit Number: SWO80250 Parcel ID: 050-131-47 Legal Description: SEIDLER #1 BLK 4 LT 1 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 011631 BIRCH HILLS DR Owner Name: DICK ANTHONY Lot Size: 48186 SO. FT. Owner Address: 11641 HEBRON DR Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - 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. 5. The following special provisions. A COPY OF THE INGRESS/EGRESS AGREEMENT THAT HAS BEEN FILED WITH THE STATE RECORDERS OFFICE IS TO BE SUBMITTED WITH THE INSPECTION REPORT. Received By: ( OQ )(Jh'9' Date: [11 ?_o Issued By: LV WrrC24 Aleal iLi Date: ADA Municipality of Anchorage Development -Services Department Building Safety Division f''' On -Site Water and Wastewater Program , ii A- 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. nom-- 1,V- 47 Property owner(s) • RL lbn i Day phone 67Y- 9607 Mailingaddress IIbWI N nen Dn✓e s_ 2ww f/Qk Zip Code 77S'(.7 Site address — 5cirn — _Zip Code Legal description (Sub'd, Block & Lot) SK, lei Blociz 9 Cot 1 Legal description (Township, Section & Range) Lot Size��I b iQ Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank '❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. owner or authorized agent) Permit/Rush Fees: f!n _ Waiver Fees: Date of Payment: / O - 3 0- O £i Date of Payment: Receipt Number. D O 3 1 IJA� Receipt Number: (Rev. 11105) ii&�& SPUTMand Engonewong n Environmental Consulting and Design SEPTIC SYSTEM DESIGN SEIDLER #1 BLOCK 4 LOT 1 Municipality of Anchorage October 30, 2008 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Upgrade Permit 11641 Hebron Drive Ladies and Gentlemen: I am writing to request a permit for the upgrade of the septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The existing septic tank and drain field will be abandoned per MOA code requirements. System: A 1250 gallon STEP septic tank with a 15' X 30' absorption bed w/ 2' of sand. Soils: A test hole was excavated on August 4, 2008. Seethe attached soil logs. Generally speaking gravelly sand with cobbles and boulder up to and exceeding 24 inches in diameter were observed to a depth of 14 feet. Ground water was monitored for through August 12, 2008. Ground water was observed 12 feet below the ground surface. Surface Water: There are no surface waters within 100 feet of either the proposed septic system area or the reserve site. Topography: The average topography in the area of the septic system absorption field is generally level. Waivers: The home owner owns both Lot 1 Block 4 Seidler # 1 and Broadwater heights Block 2 Lot 1. A suitable site for the upgrade does not exist on Lot 1 Block 4 Seidler 41. We are proposing locating the septic system on Lot 1 Block 2 Broadwater Heights. Permission from right- of-way has been granted to cross the utility easement with a sewer service line. A ingress/egress easement will be created for the septic system. 203 West 1516 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net kv;,-AkSPHTMand ElmOROBTOOHO Environmental Consulting and Design J The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, JP I/�Iur add.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fa:: (866) 354-1597, Lspurkland@gci.net lea SPUMand Engoflewomg Environmental Consulting and Design SEPTIC SYSTEM DESIGN SEIDLER #1 BLOCK 4 LOT I Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 August 25, 2008 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. The septic system design is based on the following: Groundwater at 12.0 Ft. Use 1250 gallon STEP tank and a 15'X 30' bed Soil Rating. From Testhole 6/27/08 <1 min/in = 0.7 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: Total area required: 214.3 x z.S t Bottom Rock At¢'feet Filter Sand 2 Feet Top Rock At I foot 150/0.7 --214.3 sq.ft. 3 = 642.9 sqft Rock Depth 0.5 feet Total Bed Length 642.9115=42.8 feet USE 43 FEET SYSTEM CONFIGURATION 1250 GALLON STEEL STEEL TANK W/ 15'X 30' BED TOTAL LENGTH 43 FT TOTAL WIDTH 15 FT SAND 2.0 FT TOTAL DEPTH 4.5 FT ROCK DEPTH 0.5 FT INSULATION 21N. COVER 2 FT (MIN) 203 West 15" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net LOT 4 1 LOT 5 b I� a \ \ IZI � �W� 1 1 'iv AO LO Wa / I / LOT 20 S VQ LOT 19 Q LOT 1 1 � CENT� \ LOT 18 / r r I � NOTE.• THIS LS NOT A SuRY m PLAT. WELL d SEPTIC LOCATILMS TAKDV /ROY ON-SITE WATER AND WASTE WATER DCPARAW OOCDY WAWM ALL LOCATLONS SWW ARC APPROMIr. 50 0 50 100 150 av P50 300 SCAL& I' = 100 FT. C A LOT 17 LOT 2 SPURKLAND �ruKRLanu r A EcLNint; I I SEIDLEBDf1 BLOCK 4 LOTI BLOC'1C 4 L07 j��SEPTIC SYSTEM DESIGN DESIGN 103 W AK. 99501 AVENUE CK ANTHONY DATE. AUGUST 26, 1008 (NCH. AK. 9916 11641 HEBRON DRIVE SHEET.• 1 3 GRID: NW253 (907) 279-3916 PERMIT #SW080XXX PID # SEIBLER#IB4LLDWG LOT 5 LOT 21 � LOT 20 - I I INSTALL 3-BEDROOM SEPTIC SVSTEY 1 LOT I i 1150 GALLON STEP TANK I &WK 30•Bm R \ \ SEWER SERVICE LMf MUST or 6• DUP ACROSS VTR/TY EASEMENT BED WIDTH 15 FIET �p BED LENGTH 43 FEET �y e 1 I of TTA DEPTH 4.5 FEETSAN, y` I I ROCK DEPTH 0.5 FEET % <o INSULATION 2 INCHES COVER 2 FEET (MIN) ALO q VACENT \LA1 DRAIN FYLD PER MOA \ V CODE RfOUIRLYfMS I 1 ` J I� I /ti LOT 2 lel �O\ I 3O W � LOT 2 I •� I I �on`otvt? °♦♦I I I I 5 �... .. 49th_ :x...00 S.. .l.1A: .: ;LAR PURKLAND l 25 o P5 50 75 1[U 1n 150 ♦♦ ATE ♦ . Igo ••. SCALEt 1' = 50 FT. SPURKLAND ENGINEERING SEIDLER 1 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE # BLOCK 4 LOT 1 DATE. AUGUST 16, DESIGN ANCH. AX 99501 DICK ANTHONY SHEET ? 3 C26, 2008 907 279-3916 11641 HEBRON DRIVE PERMIT 1/ PID # SEIBLERBIB4LLBV6 15' X 43' BED N. T'S 0 3/16 Inch holes P 30 Inch Spacing 0 15' Vide 43' Long 2' MOA Approved Filter Sand Total Depth 4.5 Feet 0.5' Rock 1250 GAL STEP TANK 2' Insulation 2' Cover (min) NO SCALE Monitor 2' Cover (WAUIV sit a5 ft of Septk Rock Effective N. TS 0 1250 GAL STEP TANK 3 0 203 W15tL CIVU1rvttKlrvu SUPER /I BLOCK 4 LOT I SEPTIC SYSTEM DESIGN Anchorage orage Ave DICK ANTHONY DATE, AUGUST 26, 2008 Anc3911; - Ak 99501 11641 HEAW Aftr aw-[+gt6 _ SHEETS 3/3 GRID. NV253 PERMIT / SWO80OXX PARCEL ID / XX S£IDLER/184L1DJDWC Municipality of Anchorage .:ZTE Development Services Department Building Safety Division ,y ��+,•' - / y, �+ On -Site Water and Wastewater Program 4700 //��VV 49!H*' TF'l South Bragaw St. P.O. Box 796650 Anchorage, AK 99519.8650 _ . / .' "�'/' www.munl.orgfonsite (907) 349.7904 1.y¢t� rJPph/`•LA� 0 ?�_'. LARS E. SPURI(LA Soils Log - Percolation Test 11IL' 11500 11 Performed For. 0ICtL A^p ony Date Performed; 1` Legal Description: _ S¢. d ler• M 1, 61K 4 t-sf 1 Township, Range, Section: Depth Fgetit) O(LkANK,S er e Vrwckk y Send W/ c0111toI ko 62y t +S� WAS GROUND WATER ENCOUNTERED? J IQj s IF YES. AT WHAT DEPTH? t L Depth to Water After Monitoring? r P i2, E Dete: S it 0£j t.. Reading I Date I Gross Time I Net Time I Depth to Water I Net Drop I PERCOLATION RATE-41�(mnu•✓ncnt PERC HOLE DIAMETER TEST RUN BETWEEN�_FT AND � COMMENTSParc 1,ijt ka F:�Fo pepjt, of C. - D . A D,,, jy1 2 nt� '•� R&Pe jeA -1-T; rM tS PERFORMED BY: p_�Jp - MA -4) I _� �J - , / .Cp•.�}—CERTIFY THATTHIS TES W S PERFORMED IN ACCORDANCE TH ALLSTATE AND MUNICIPAL UIDELINE IN EFFECT ON THIS DATE. DATE: C7r:5 Municipality of Anchorage f' 14). 1Aa nNf(M - Awhonige—M iskn SYM11M Ml • 37fM) Ilm-ptm Si mci 011ier: (907):it7c- O)I • Fat: (907):W -Heim hup://„tnc.munt.ur, Mayor Mark Begich Development Scn�iccsalcp<trtmcnt November 5, 2008 Richard D. and Betty Lou Anthony Revocable Trust 11641 Hebron Drive Anchorage, Alaska 99577-7907 Dear Property Owners: intent.. ,S. �0 Department --RE: Encroachment: Septic System in Utility Easement Seidler #1, Block 4, Lot 1, Grid NW0253,11631 Birch Hills Drive Broadwater Heights, Block 2, Lot 1, Grid NW0253,11640 Birch hills Drive (Vacant) The Right of Way Division has reviewed a request for a letter of nonobjection to an existing septic system sewer line, which encroaches across the eastern 10' Utility Easement from Seidler # 1 Subdivision, Block 4, Lot 1 to and across the western 10' Utility Easement located on Broadwater Heights Subdivision, Block 2, Lot 1 (Vacant). On the drawings prepared by Spurkland Engineering, dated August 26, 2008, submitted with the request, the petitioner has shown the encroachments. This letter of nonobjection is issued with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of nonobjection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the casement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Obtain letters of nonobjection from the following utilities: ® Anchorage Water & Wastewater Utility ❑ Alaska Communications Systems ❑ Chugach Electric Association, Inc. ® Matanuska Telephone Association ® Matanuska Electric Association, Inc. ® Enstar Natural Gas Company ❑ Municipal Light & Power ® GCI Cable of Alaska ❑ Eyecom (Girdwood Cable TV) ❑ No letters required All letters of nonobjection should be retained in your permanent files. If u have any questi ns, please call me at 343-8033. Sincelely, O"ack L. Frost, Jr. Right of Way Supervisor ✓ Community, Security, Prosperity �(S> G:IDrvrlop+wt Se.rimIRONWowoNrcriw /rumtSrMfrr NI. N41.1 d I. Andony.dw w. GRE,* " -':R ANCHORAGE AREA BOf 'IGH Department of Environmental Quality m- 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Colonel Anthony MAILING ADDRESS_78 Halibut Drive PHONE Or't--rtChar�CSpn---- LOCATION Hebron Dr. off E.R. Loop LEGAL DESCRIPTION Lot 1 Block 4 Seidler Sul) SEPTIC TANK: DISTANCE NUMBER OF FROM WELL 64' MANUFACTURER Stack Steel _MATERIAL Steel COMPARTMENTS 2 INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 1000 GALLONS. SEEPAGE PIT` Drainfield with total lenth of 110' of 3'. trence. NUMBER OF PITS DIAMETER OR WIDTH__, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION__, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 33— 0 SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE DriIIed CONSTRUCTION standard DEPTH BUILDING NEAREST NEAREST SEPTIC 54' FOUNDATION 211 LOT LINE -,SEWER LINE_ TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: Bob Hamann PIPE MATERIAL: Cast Iron LOT SLOPE: REMARKS: Good pea gravel hit in lower third o; system." Form No, EQ -031 DIAGRAPR OF S 14au se DATE" wly-�—yyAPPROVED DISTANCE FROM: SEEPAGE 100' SYSTEM _. dew Glx?IE--ALL CAC r' <–lo' Usr 'LOG OF DR11' ING by A & L DRILLW13 COMPANY 444J 'r 14 e, OWNEROF LAND .. ........................................................... ................ DEPTH OF WELL .................................................................. ADDRESS .... jot.1ja .. STATIC LEVEL OF WATER FT. -.19 ......... .......... WELL SITE.!r.A.ro......C.�v.4......400.a/DRAW DOWN FT. ....... .i.. -'n .................................................. --rl 4/v, nj DATE—STARTED ........ 7./�..! 4 .. �.o HR. 3000 ....... ju-6 -72 .7 ... ... GALS. PER ..............................................----•-............. 3--13 DATE—ENDED ....... -7/3.9 . . ................................................ KIND OF CASING ......W..------............................................... ...................................................... KIND OF FORMATION. FROM ...... 9 .............FT. TO ...... I ............. ...................... ... FROM ........................ FT. To ......................... FT ............................... FROM---I................FT. TO.---. I ....... l.FT...Y#oV.0 ... * ...... FROM ........................ FT.TO ........................ FT .......... .................... FROM.........A.............FT. TO .... J.A ........... FT- VAA ....... rnom ........................ r"r. TO ........................ TV ................ . .............. 571 o? 0 OAC x FROM..m� ................F3. TO ... .......... FT.,80.ltff.T*4 ... FROM ........................ FT, TO ............. .......... FT ............... ......... ... �..� 00 C........... ". 4 FROM..........'..FT. TO... .........FT.. . FROM .......:................FT. TO ........................ FT ............................... FROM..................._...Ft. TO ........................ F7 .............. .............. - FROM ........................ FT. TO ....................... YT ............ .................. FROM........................M4 TO........._...' . -.=FT.............. ................ FROM ........................ FT. TO ........................ FT ............................... FROM, ......................... FT. TO ...... .... . ............ FT ............. ................. FROM ........................ FT. TO .... ................... FT ............................... MISCL. INFORMATION: i. DRILLER'S NAME ...... ...... ................................ KAININPALITY OF ANCHORAQ.- GREATER ANCHORAGFAREA BOROUGH VA � of Q DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. Y 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 °°°rrireo uh'.,ll✓��o SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME_ OF APPLICANT 'VYI•V""T'1i/`_ MAILING ADDRESS �„•'^''r �C�ic(l PHnNF INSTALLATION LOCAT LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK ✓ _T SEEPAGE PIT—_. DRAIN FIELD.—_—_ OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ���' _%Ii'" •��I✓WL�iL IL-'LL`C�{ jrl,y FINANCED THROUGH V""""''''''''�� — TO BE INSTALLED BY _�I ��'�✓LFL�G�/Ck(!_Iu� SOIL TEST RESULTS I I _ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE. REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. INSPECTION BY THE SEPTIC TANK 517_E loTYPE �61w-- _ SEEPAGE AREA SIZE 'r' L Cefn(,K k- TYPEl�y�14 MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK a 7 a FOUNDATION 'i0 SEEPAGE PIT DRAIN FIE SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAI TO NEAREST 1_07 LINE.. ' WELL TO SEPTIC TANK . /00 SEEPAGE PIT _ DRAIN FIELD __ WATER MAIN TO SEPTIC TANK ALSO CONSIDE SEEPAGE F DRAIN FIELD SEPTIC TANK, - i." SEEPAGE PIT _! D�� DRAT TO RIVER, LAKE, STREAM. IRON INTO AND OUT OF SEPTIC TANK AND INTO CRI EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TA FITTED WITH AIRTIGHT REMOVABLE CAPS, GRAVEL ISACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALL/ G.A.A.B• OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMEN'T'S OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 2 "(� IN APPLICANT'S SIGNATURE FORM NO. EQ -01 6 DIAGRAM OF SYSTEM DiRpiro OF ENVIRONMENTAL CONSERVATION SOUTHCENTRAL REGIONAL OFFICE June 14, 1974. Mr. John Lee Department of Environmental Quality Greater Anchorage Area Borough Eagle River, Alaska 99577 WILLIAMA EGAN, GOVERNOR 3380ENALISTREET MACKAYRUILOING- ROOM 850 ANCHORAGE 99501 SUBJECT: Lot I, Blk 4 -Seidler Subdivision, Addition No. I Dear Mr. Lee: We have reviewed the application by Col. Anthony for a waiver of the 100 Ft. requirement from the well to the septic tank. In view of the topographical restraints and the presence of a creek, we have no objection to the placement of the septic tank less than 100 feet from the well. This distance in no case is to be less than 50 feet. We would prefer that only enough latitude be given to allow him to place a disposal system on the southwest corner of his property as he has indicated that he wants to do on the drawing which he furnished us. If you have any question regarding the above, please do not hesitate to contact us. Yours truly, Kyle J�Ch ry, P.E. Regional Environment��Engineer cc: Col. R. D. Anthony 78 Halibut Fort Richardson, Alaska 99505 Russell Oyster 694-2774 Civil Engineering Soils Et Foundations 0 & E ENGINEERING & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Earl Ellis 333-5240 Surveying Land Development Performed for: Name: A-/-//il`.n '/. /lnr-r,�, � Tel No. Mailing Address: %(E)) Legal Description: .Gnr / j=,i-nwz �/ r,�r_c �; /`u:. /�./.✓ �// Depth (feet) Soil Characteristics 0 ` 2 3 4 5 6 7 9 10 / 1 1 ,oy/ 12 Ground Water Encountered: Yes i No- If yes, what depth int Proposed Installation: Seepage Pith' Drain Field_ Comments: G'i%L i' l!i/%�r`_"k'�:�,is �nkV17 Performed by:_ AV _ " �.- (�. Date: -.� Der r' tI' In t o F Env 1`_ -. \\ / 333.% �:�p S11 - �, nt�ril,^r1('A� / �.:3 tl" /, i 27 nJJI C°ate ce vd 1114174 _-- Time of Inspection Da to of. Inspection _ 11/4/74-______ REQUEST �- �� ll In r:7C YI I'. r FAC_'. lr- II,DI ,IDI;.=,L Sc,��R 8 „��TcF'. � ,:��,: � T • �S FOR Conventional l: Approval requested by: First National Bank of A-chor W. Mailing Address: 646 West 4th Avenue Anchorage Phone: 2. Property Ovm er: _ Richard Anthony Phone: h1ailing Address: SR Box 252 Eagle River AK 3. Legal Description: Lot 1, Block 4, Seidler # 1 4. Location: 5. Type of facility to be inspected 6, Well Data: A. Type Drilled C. Construction Standard 7. Selr.age Disposal System: Single B. Depth Plo. of bedrooms 3 H 55' D. Bacterial Analysis Satisfactory A. Installed 1974 B. Installer _Bob Hlnn C. Septic Tank: 1. Size 1000 gals 2. Mianuacturer Stack Steel D. Seepage Pit: E. Disposal Field: 8. Distances: Drainfield with total lentil of 10' A.f 1. Absorption Area ). ilo f is rence. Total length of lines Fl. Wn-11 to: Septic tank X14X 54' , Absorptii-n a, ea 100' S&,,,er Lines , Nearest lot line Otl r conta:: i, a i_M B. Foundation to septic tan'•: C. Absorption area -to neresi. lot line Ell -.=,34 i 1 i7Gl n Page 2 of two pages •- Rek et for Approval of Individual ; x & Water Facilities Legal Description Lot 1, Block 4, Seidler Subdivision Comments Approved LtV (. i�L Disapproved Date 11/8/74 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 8 0 70 • --. 3 t a� •; -�-° Municipality of Anchora " - On-Site Water and Wastewater Program a �, (907) 343-7904 tea. `►� c Cu CERTIFICATE OF ON-SITE SYSTEMS APP- Parcel PP "Parcel I.D. 050-131-47 Expiration Date: Li " 7-1 7 1. GENERAL INFORMATION Complete legal description SEIDLER#1 BLOCK 4, LOT 1 Location (site address) 11641 HEBRON DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) RICHARD&BETTY LOU ANTHONY REV.TRUST Day phone Mailing address 11641 HEBRON DRIVE, EAGLE RIVER,AK 99577 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 ❑ WaiverNariance request for: Distance: Received by: Date:/ `/i Date: I COSA to be released to the engineer, unless o :mg'_: requested by the engineer. COSA Fee $ 00 Waiver Fee $ Date of Payment O 2p(j(S Date of Payment Receipt Number 64D12-0 Receipt Number COSA# ogcJ`O 16c1 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 12/18/2018 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 OF encroachments,deficiencies or discrepancies exist. < / 5, 1 f �i *1 ,9 TI I /\ �� 6. DSD SIGNATURE / A1���1I infa System #1 Approved for 3 bedrooms. `+ N"ET7`l6 �j System #2 Approved for bedrooms. ,r'\Fo /215< <$ e`i �' Fs�slo ��• i Disapproved. Conditional approval for bedrooms, with the following stipulations: (Rs e$ (-9 cn� L°vt- ��� 4-- ( 0 .�cC i� ��\v ON-SITF Not -.224A ���.� • S WATER AND rn Uvt C is eocs WASTEWATER n PROGRAM__ BI I Ic Original Certificate Date: — 9 ^1 9 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more Our, I septic system is on the lot: COSA Checklist# of _ Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: SEIDLER#1 BLOCK 4, LOT 1Parcel ID: 050-13147 A. WELL DATA Well type PRVT If A, B, or C provide PWSID#_. .. Well Log (Y/N) Date completed 1974. Sanitary seal� (YIN) Wires properly protected (YIN)Y Total depth 55 ft. Cased to,5)k.67161-- Casing height(above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 1974 11!2912018 Static water level 10 ft. 11 ft. Well production - 50 g.p.m. 4.7+ g.p.m. WATER SAMPLE RESULTS: Coliform n! colonies/100 mL Nitrate 3,/Qmg/L Arsenic: ___A ____ug/L Date of sample: 12/19/2018 Collected by: ARCTERRA. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL ..- Date installed S5 u.u4 ed WA Tank size 1250 gal. Number of Compartments 2 Cleanouts(Y/N) Foundation cleanout(Y/N)Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping _ _. _ .._� Pumper C. ABSORPTION FIELD ATA Date installed _ / 08 Soil rating (g.p.d./ft2 or ft2/bdrm)0.7System type.BED__. Length 30___ -_ft. Width.15_ ft. Gravel below pipe 0.5______ _ ft. Total depth 3 ft. (Measured 11/29/18) Eff. absorption area 450 ft2 Monitoring tube Y Depression over field N Date of adequacy test 11129!2018 Results (Pass/Fail)_PASS _ For bedrooms 3 Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth_._ 4__ in. Elapsed Time: 5 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 1250 Manhole/Access (YIN) Y. "Pump on" level at 44 -in. "Pump off' level at 42 in. High water alarm level at 4$_ in. Datum BOTTOM OF TANK 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 10'+ 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'+49NE KNOWN}- Wells on adjacent lots__100'+ F. COMMENTS SYSTEM PRESOAKED PER CODE PRIOR TO TEST. G. ENGINEER'S CERTIFICATION t 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. OF /1I; Engineer's Printed Name KENNETH M.DUFFUS C` w Date 12/18/2018. * ,► COSA canary sheet_2-6-15.doc ` � KEN_E��Q�D� 8329E LOT 5 LEGEND ,. (R) Record per Plat No. 71-124 (R1 ) Record per Plat No. 71-63 ,,o R=21.66 e, (RC) Record computed by rotating 6-1`761 S 6036 L=18.17• 2566°2' RCN yi �/'�//6� `, sso''40�F ch s CO35� doe A, 633 F 866°0°° Fccs F counter-clockwiselat tobearings ma 00°06'20" °3Q2 F 'r�i� ,� 25'°„ DR/� -56 1 ine ° 0.43 8-130.00 L=109 44 ntt z Z 27F 9 6 Plat No. 71-124 bearings. 303•8 30I w w Grave/ W W oCO an�eway (3` < < .1`) }} LU} Er Z. Trash bin J J C [F 6.0 shops 0Well a o l' w 95,E Q g.2 �� ��� 5d�r (COO N o '!G chi 20.ey U Q chimney O O 01 LOT 1(0 �5� �6 ‘34 5. - N LOT 1 ��� c9 r...1<" *. 25 .(6.b 44.1 LIJ 1�(i „ o in 4o .0(‘'1. N /iib i tiO 2p•• 19� 2. O o 2/ 0 � 4.it Trv cri { , V' SeptrC�e��s `ri 1 Septic tank 2 N89°31'20"W 264.27 (R) —35.5 Ft11 co reenhouse 2p5 83 RGl 0 �3.2g,�o,� 265 83 30 30 o S13°223 BLOCK 2 z BLOCK 4 ^ LOT 2 AS-BUILT NO CORNERS SET THIS DATE 0 I hereby certify that I have performed a Mortgagee's inspection LOT 2 `� of the following described property: LOT 1,BLOCK 4, SF(DI ER SUBDIVISION.ADDITION No 1 and LOT 1 BLOCK 2 of Tract D,BROADWATER HEIGHTS SUBD. OAnchorage Recording Precinct,Alaska,and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying 1-0 Nadjacent thereto,that no improvements on the properly lying O adjacent thereto encroach on the premises in question and that there are no roadways,transmission lines or other visible easements on said property except as indicated CO hereon. SCALE: 1"= 50' O Dated at Anchorage,Alaska EASEMENTS OF RECORD,OTHER THAN Z this 5th day of October .2009 THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES PLATARE NOT SHOWN HEREON. FB 09-5, pg 55-57Engineers and Surveyors BE (907-248-1666) MUNICIPALITY OF ANCHORAGE (C. Development Services Department Phone: 907-3437904 On-Site Water & Wastewater Section Fax: 907-3437997 Lift Station/Pump Vault Maintenance Log Owner 4c. clan/ 74 441 Street Address /IL 1 Yet b rCA\ 1 Phone Legal Desc.Se./i/ 7/' l 11 y )o f f PIDd50 - 131 - / Septic Tank: -Sludge level 3 inches Pumping: required yes •Pumping completed yes _no Lift station: Pump basket cleaned -- a e -Effluent filter cleaned e no -Control floats cleaned ,- a . -Proper float settings confirmed ye n9 -Operation satisfactory ye no Alarm System: -Dedicated electrical alarm circuit Q, -Audible and visual alarm inside dwelling r°i.. 3,W -Alarm system operation satisfacto a not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection y s ....6) -Ground water intrusion around pipe penetrations yes nce -Weep hole functional Gr . no -Manhole lid: Functional Insulated yes no Properly Secured _no Other -All manufacturer required inspections and maintenance completed Comments; PereAPSL 0-14—t --} -4.11 (19.,-1-0.Atuk.„..... ot.mcje- Maintenance Provider: .rte Technician L CA r f 1 t3E? --S Date of maintenanceSIZa 11 I C, Company L. .,r.S S e- ''VlC Signature Date �6 '41\- Mailing '1Mailing Address: P. 0. Box 196650 Anchoracie,Alaska 99519-6650 ` www.muni.orq h,:RCTERR'1 4 I \ ARC ER RA C'ONSUL'1'IN(;<. INC mb 20441 Ptarmigan, Eagle River,AK 99577 ,1 Office(907) 868-3791, Fax(907) 868-3793 bf�F SU(TI NG•\ January 8,2019 Municipality of Anchorage Development Services Department On-Site Water& Wastewater Program P.O. Box 196650 Anchorage,AK 99519-6650 SUBJECT: SEIDLER #1 Blk.4 Lot 1- COSA Inspection In our efforts to test,inspect,and receive COSA approval of the on-site well and wastewater systems on this property we encountered the uncompleted construction inspection report for permit SW080250. As a background,this septic upgrade was designed and permitted by Lars Spruckland, P.E. in October 2008. Bob Dean of Dean's Construction did construction of the project and per Bob the first inspection on the field was done by Lars in the morning of December 12,2008 with a second inspection scheduled for that afternoon. Unfortunately, Lars went into the hospital that day and passed away and no further inspections were done. Dean's Construction completed the installation and the property has not had any problems with the system. We tested and inspected the septic system on November 29,2018,and found the layout of the system to be substantially laid out as the original permit design shows (we found one monitoring tube not two as shown on the design). We have obtained an as-built survey from Fred Walatka and Associates dated October 5,2009 that also shows only one monitoring tube.The field measurements show the monitoring tube to be 64" with a 28" stickup thus 36" to the top of sand filter per design. We have attached the 2009 asbuilt survey,the MOA utility easement encroachment approval,and the lift station inspection report from Larry Betts as requested.Our inspection report,water sampling and the recorded Ingress/Egress Easement between the two properties affected have been submitted with our request for COSA approval. We are requesting your attention and final approval of the COSA to allow the final transfer of title of this property. Respectfully, /6-dr =i e Dea L Duffus ArcTerra Consulting, Inc. Attachments as noted A 2014-036167-0 L A S Recording District 301 Anchorage A 09/09/2014 11:07 AM Page 1 of 4 1 111111 liii IhilUl III liii 1111111 11111 IIIIIIIlIIIflIIIII liii liii liii INGRESS✓EGRESS EASEMENT The Grantors,Anthony Richard D&Betty Loud Revocable Trust,and Anthony RD&B U Cotn.stees convey and warrant to the Grantees,Anthony Richard D&Betty Lou/Revocable Trust,and Anthony R D&B U Cotrusrees of Lot 1,Block 4,Seidler Subdivision Addition No. 1 and their Heirs,their successors and assignees,a perpetual,full, and unrestricted septic system access, maintenance and operation easement over that portion of Lot 1, Block 2, Broadwater Heights Subdivision, located in the State of Alaska, and described as follows: Beginning at the Southwesterly most corner of Lot 1, Block 2, Broadwater Heights Subdivision, identical with the Northwesterly corner of Lot 2, Block 2, both, Broadwater Heights Subdivision, as depicted on Plat No. 71-279, Anchorage Recording District (ARD.), Thence along the Westerly boundary of Lot 1, Block 2, Broadwater Heights Subdivision, identical with the Fasrerly boundary of Lots 2 and 1, Block 4,Seidler Subdivision, Addition No. 1,as depicted on Plat No.71-124, ARD., N.00 03'30"E., 68.94 f1., to a point,Thence East,46.40 ft., to a point, thence South,54.77 ft., to a point on the southerly boundary of Lot 1,Block 2,identical with the Northerly boundary of Lot 2, Block 2,both, Broadwater Heights Subdivision,Thence S. 73 29' 00" W.,48.47 Ft.,to the Southwesterly most corner of Lot 1, Block 2, identical with the Northwesterly comer of Lot 2, Block 2, both Broadwater Heights Subdivision,and point of beginning,containing 2,863 Sq.Ft.,More or Less,as shown on"EXHIBIT A",dated July 7, 2014. For the purpose of Access,maintenance,and operation of a septic system servicing Lot 1,Block 1,Seidler Subdivision,Addition No. 1., As depicted on Plat No.71-124,ARD. And the Grantors hereby covenants with the Grantees of Lot 1,Block 4, Seidler Subdivision and their Heirs,their successors and assignees, that the Grantor has good title to the aforedescribed tract of land,and covenants that Grantees o Lot 1,Block 4,Seidler Subdivision and their Heirs,their successors and assignees shall have quiet and peaceable possession thereofand shall have a free and unrestricted right to maintain said facilities. Dated this C 'oday of - 0 ,2014 Tvpcd Nan 7 i horn Tpcd Nam: &ity Lou Anthony Sis ttuL:{� ktrin,9Sl ut: . ( AKNOWLEDGMENT OF GRANTOR STATE OF ALASKA ) :ss JUDICAL DISTRICT ) ON THIS 9 day of . v t- beton:me.the ruxkasigred a Notary Public in and for the State of Alaska. pesonally appuinxi ;er.a + . �� t\N^tY�c7�� (tji\l �-: �; t� ivll.�i,: the Grantor 6:,c.r.�,,,<.c; �:�. r1�v l', �L� 4 }1ti�u�c�� laimn to me to be the identical person Nth()cx xii W tlx:foregoing u>Sinuxalt and who acknowledged to me that he signed the sine fitr.ly and vohuluih.with frill la owicdge of its contents.for the uses and imposes tiurin nxlntionexl. IN WITNESS WHEREOF.I have Ix:mimo sa my hand and affixed n'official wail the by and year above writtan. Ase. 0 Notar. P b t is in and forth,Stare;ofAlaska 4 /Nor .Y MvConunission '' Expires: i L deo a-01 ) ?;>b 20,E ciet /!01100110\\\\ ' I11 IIiIUB1I1lI1II1GII !IIIM1 II.1lilll Page 2of 4 2014-036167-0 / AKNOWLEDGMENT OF GRANTOR STATE OF ALASKA ) :ss 3 .1 JUDICAL DISTRICT ) ON THIS clay of _t . Li, before me.tlx:cuidasiu od.a Notanv Public in and for the Stoic of Abska pcsoudy appeaiud t S thO 7 Grantor i< d c�LAr.�: -/ 1s;A4 ftivtknown to rex; to be the identical pcuson who excautcd the foregoing instrtunalt and wlto aclmon%lodgcd to me that she signed the gm fitelv and voluntuily.with fill knowledge of its contents,for tlx;u.us;s and Imposts the n in Malti011KX1. IN WITNESS WHEREOF.I hays lxxcxuto sc um•l><uxl and affixed my official scil the ckzv and year above written. 011INIH111//// ctary Pu lis in and for the State ofAlaska My Commission v0 `•.cn= EWins: 10 c e) 6042', 4 7 ti 0,�:•'?bre .a�r it Nti IAt11111h���� ! UQTo . cc Cga gicotzp D 7-NTpok2`( t { to 4 t 1-{.K iZp EA'L.E '1 vim. M< qq 77 -7907 ' 11111 I,11111WI1811111111 i��l���illlll Page 3of 4 2014-036167-0