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HomeMy WebLinkAboutTHE TABLELANDS BLK 4 LT 20The Tablelands Block El Lot 20 #051-741-51 17�YiY�Y� Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221124 PID Number: 051-741-51 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name DAN & SUSAN ERWIN C/O ANGELA GRABAR ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench FM Bed ❑ Mound Site Address 22301 OBERG ROAD, CHUGIAK, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 907-232-0107 4 0.5 GPDISF JTotal SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.57 Ft. Subdivision Block Lot THE TABLELAND 4 20 Fill added above original grade SEE DWG. Ft. Gravel length 70 Ft. Township Range Section - Gravel width 18 (AVG.) Ft. Beds: Number of Lines 3 Distance between lines 6 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1260 Ftz - -Ft. Well PUBLIC PUBLIC - _ 25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface water EXIST. 1 00'x- - Material EXISTING. TANK INTEGRITY Gal" FOUNDTO BE GOOQ.ON 6/117/2022 Lot Line EXIST. 1 O�+ - _ NA Foundation EXIST. 10'+ - _ L TION Manufacturer Capacity Remarks *MOA INSPECTOR, TIM EKLUND WAS PRESENT Gal. FOR BOTTOM OF BED INSPECTION :Jrnlocation Electn talled by Installer PIPE MATERIAL House to tank EXISTTank to ___ _ . drainfield EXIST. PRECISION GENERAL CONTRACTORS Drainfield D3034 CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS" BENCH MARK (Assumed elevation) 100.00 ft Inspdectio : 1-' 6/16/22 2�d 6/17/22 Location and description 3rd 6/17/22 4w 6/21/22 TOP OF GARAGE S LAB ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers s mp 060 Conditional Approval: Date OF a� o . �QO �+ o *� 4 C-1- . ..........I.........� J A. Gar ss:- Q Septic Syste r Approve ln. Date - Z2-z CE— 3 � 0 9• s o Note: this approval does not include well permit requirements. 10-1. nvnva o� aAECC884p000��o 17�YiY�Y� PERMIT NUMBER: WING / I PARCEL ID NUMBER: OSP221124 RECORD DRAY U IVIG 051-741-51 , PQ/ / 6�^^/ , �7 / / WATER LINE .� < / PROFESSIONALLY LOCATED. ! / . 12.5+ FEET SEPARATION DISTANCE DRIVEWAY / MEASURED TO DRAINFIELD. ;� :, WATER KEY BOX LOCATION PER AWWU RECORD DRAWING A B DBL1 23.1 60.8 DBL2 21.1 59.2 MT1 17.3 55.7 C01 16.9 56.1 CO2 22.0 58.1 CO3 26.4 59.9 MT2 24.7 58.6 MT3 55.5 17.2 C04 56.8 19.0 C05 58.5 23.9 C06 60.9 29.5 MT4 61.1 31.4 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. / V—,_,\ EXISTING 4 -BEDROOM ocHOUSE / , EXISTING FCO EXISTING EXISTING 67' BY 18' DRAINFIELD. `\\` \�—DBL CO'S APPROX. LOCATION `. DRAINFIELD EXCAVATED AND ALL \� OF AK TH#1 ,. CONTAMINATED MATERIAL REMOVED. NEW 70' LONG BY 18' WIDE (AVG.) DRAINFIELD BUILT OVER AREA DRAINFIELD HAS 1260 SO.FT. 17' EXISTING 1250 -GALLON STEEL SEPTIC (CALCULATED IN AUTOCAD) _ _ _ _ _ _ TANK. TANK INTEGRITY WAS VERIFIED AND FOUND TO BE GOOD ON 6/17/2022. / APPROX. LOCATION OF AK TH#2 NEW DBL CO'S (DBL1 & DBL2) APPROX. LOCATION OF TS THL1965 TEST HOLE N SCALE: 1"=40' AW.. ...................:..... 0 ENGINEERING -SALES -CONSULTING _.,--y--_-: 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE, ALASKA -PHONE (907) 337-6179 ' WEBSITE. r .gamessangineering.cam ...,.�.,y.. �. ........................ . PREPARED FOR: DAN & SUSAN ERWIN PHONE NUMBER: PAGE NUMBER: d" i� •; J. e . Garn SS 47ID C/O ANGELA GRABAR / TOP SHELF REALTY 907-232-0107 2 OF 3 ap J, �� CE -7 ,r' m PROJECT/LEGAL DESCRIPTION:DRAWN THE TABLELANDS S/D; BLOCK 4, LOT 20 J.L M. P 4p THE TYPE OF WORK: DATE: LICEN�E ®'ROF RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 6/24/2022 9,AECC884 1% ilk I PERMIT NUMBER: RECORD DRAWING V V I 1 tl G PARCEL ID NUMB OSP221124 051-741-51 ER: 70' LONG ----------------, MT • i I rn� i I ZOM SEPTIC TANK. CONNECTED 6' TO MIDPOINT OF DRAINFIELD CO MTo ---------------J 17 FEET WIDE 6' NOTE: OLD DRAINFIELD WAS FOUND TO HAVE CRUSHED DISTRIBUTION LINES. MAJORITY OF BIOMAT IN DRAINFIELD FOUND IN SOUTHEAST OF DRAINFIELD. ALL CONTAMINATED MATERIAL REMOVED. TIM EKLUND WITH MOA ONSITE DEPARTMENT PRESENT DURING BOTTOM OF EXCAVATION INSPECTION. TOBBEN SPURKLAND, P.E. 2002 TEST HOLE FINAL GRADE = 98.91-99.70 NOTE: BENCHMARK FOR PROJECT IS TOP F I OF GARAGE SLAB = 100.00 2' OF INSULATION PER CONTRACTOR LEXCAVATION LIMITED TO THE REMOVAL OF CONTAMINATED MATERIAL = 94.15-95.40 18 FEET WIDE (AVi FILTER FABRIC OF TEST HOLE = 85.55 FOR 2002 TOBBEN SPRUKLAND, P.E. TEST HOLE JNDWATER ON 4/1/200021 DRIGINAL GRADE PER 2004 RECORD DRAWING = 96.55 0.57 FEET OF EFFECTIVE 0.5 TO 1.75 OF MOA APPROVED SAND FILTER ADDED INVERT OF NEW DIST. LINES INVERT = 96.47 30TTOM OF NEW DRAINROCK = 95.90 OLD DRAINFIELD BED BOTTOM ELEVATION PER 2004 RECORD DRAWING = 95.55 GA IESS "RENGINE RING GRROUP9 Ltd -z ENGINEERING= SALES �r CONSULTING 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE, ALASKA. PHONE (907) 337.6179 • WEBSITE www.gamessenalneadna.mm PREPARED FOR: DAN & SUSAN ERWIN PHONE NUMBER: C/O ANGELA GRABAR / TOP SHELF REALTY 1 907-232-0107 PROJECT/LEGAL DESCRIPTION: THE TABLELANDS S/D; BLOCK 4, LOT 20 TYPE OF WORK: RECORD DRAWING OF DRAINFIELD REBUILD PAGE NUMBER: 3OF3 DRAWN BY: J.L.M. DATE: 6/30/2022 AV to : • rey A7darness.: �`c= 0 CE -7953 LICENSE ®,®14 W,Ilk S"� '®•®1 #AECC884 cn Ln Ln rqN N O N LA en eN r\ r, O O O N *' m O a M LA M N Z 4, u J � N vi b4 a LA m L LL 0 rn ti J F�RXNGSM�s gPS`s pbp� 2858 9 FtE 0 v II Q) u Ln p, ice\ �s E��� 4/ ��G• G + X39 _a 3^ 0 N F- 0 J C� U co 0 G j Q L N U -0 o < L C c c j ,° LL [1Ivp�71 r 1 ® ❑ 3 J m � T = nN O 0. E N m N ca LL of 110 0 N N U -o c o U C X• m O Q 10 O O C O rn d. A'> O D) N to c w ao N ca 2-1�o m - m o L > 7 o- moo. a c.Y O N r N d N O c N = Y N m R N doa)o U N 4o2d c w O O Co) O o ii a)oE= m 0 d = m O N Z oo is m a) •o m. d E w o E n oEX-- 5) wQQ 0 c tc6 'o N i< al U N o � N• J < N;o Z O • • iz o h N • `J J ~O tWW ` z �• LL d .� a =a=�; m E x O E• -i t °� 4 �. o T a� LO n/ t\ O \ N 11: v1 .O c = 3 0 j.+•I 0 m 0— N m o m O. A CCU a) ti O LU \\\ _ in w Ibbs 6Z` LLS` :'�¢ •...,.,.0. _ •n o m cm v a 0 v II Q) u Ln p, ice\ �s E��� 4/ ��G• G + X39 _a 3^ 0 N F- 0 J C� U co 0 G j Q L N U -0 o < L C c c j ,° LL [1Ivp�71 r 1 ® ❑ 3 J m � T = nN O 0. E N m N ca LL of 110 0 N N U -o c o U C X• m O Q 10 O O C O rn d. A'> O D) N to c w ao N ca 2-1�o m - m o L > 7 o- moo. a c.Y O N r N d N O c N = Y N m R N doa)o U N 4o2d c w O O Co) O o ii a)oE= m 0 d = m O N Z oo is m a) •o m. d E w o E n oEX-- 5) wQQ 0 c tc6 'o N i< al U N o � N• J < N;o Z O • • iz o h N • `J J ~O tWW ` z �• LL d .� a =a=�; m E O E• -i t °� 4 �. o T a� aa N v1 .O c = 3 0 j.+•I 0 m 0— N m o m O. A CCU a) :3o�C) O 0.0 Q w a) as v _ in w c o �w o CL a:� 'N •n o m cm v a vo c U= ns -C2 N c 0 c O �/ / 00t -1 C: ,tio > L 2a O a) N 3 N .o (/) N 0a N In 01 O O N t N O n3 0cE° E N E �:: o co ,n m O c Z E a c p < O �. O ` �e m %' GA CU i> a�o�o co Z `o o c ua) c +' aai N= o d i E-- u '0 v U w o E J o O s-• N'r N S'j J a)vL- u _w mac' tt a _' '@)v+ 3o�aEi.o o \� >.in2ayi �E �maci �. U ai CL EO y ai < CO L- U t ZEof O m Ln r- O V) ��o a)cmCD .. a) _ E •— v Ul = u'0' N V a) al "iS 0 Q U N O 0 N Ol �S LL W . �nn N o � N• J < N;o Z O • • iz o h N • `J J ~O tWW ` z �• LL d .� a MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www. muni. org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221124 Work Type: Septic Upgrade Tax Code Number: 05174151000 Site Legal Address: THE TABLELANDS BLK 4 LT 20 G:1559 Site Mailing Address: 22301 OBERG RD, Chugiak Owner: ERWIN FAMILY REVOC LVG TRUST Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: 0 Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Imcnt ot CN ;* ,z p ' V Department Lot Size in Sq Ft: Total Bedrooms: 5/17/2022 5/17/2023 40312 ❑ 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: • Locate the waterline to ensure that the field meets the required separation to the waterline. Show the location of the waterline on the Record Drawing. Received Bi Issued By: Date: ) / bd Date: -5�712--Z- 5/17/2022 Z 4 U CIPAU TY OF ANCHORAGE �tt 5Y Development Services Department W Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-741-51 Property owner(s) DAN & SUSAN ERWIN - C/O ANGELA GRABER Day phone 907-232-0107 Mailing address 22301 OBERG ROAD *CHUGIAK, AK 99567 Site address 22301 OBERG ROAD *CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) THE TABLELANDS; BLOCK 4, LOT 20 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field 0 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade 0 (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: 1 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 ages Permit/Rush Fees: /5 Waiver Fees: Date of Payment: _'�� q / 2 Z Date of Payment: Receipt Number: - ©�[ % 3 (_� Receipt Number: Permit No. _OS %�22� (2� ( Waiver No. GADevelopment Services\Building Safety\0n Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221124, Deb Wockenfuss, 05/17/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221124, Deb Wockenfuss, 05/17/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221124, Deb Wockenfuss, 05/17/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221124, Deb Wockenfuss, 05/17/22 t} �.,Development Services Department4;.r=Building Municipality of Anchorage ;10 Safety Division.,.r. On-Site Water and Wastewater Program, 4700 S. Bragaw 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: SW040060 PID Number: 051-80t-t& 74-1 Name: Troy Davis Homes Wastewater System: 0 New ❑ Upgrade Atltlress: 1451 E. Parks Hwy, Suite 207, Wasilla, AK 99654 ABSORPTION FIELD Phone: 357-9394 Number of Bedrooms: Q [3 Deep Trench 13 Shallow Trench l] Bed ❑Mound [:]Other. LEGAL DESCRIPTION Soil Rating: 0.5 Total Depth from original grede: . Block: Lot: 4 20 Subdivision: The Tablelands GPD/Ft' Depth M pipe bottomro fm original grade: 1.0 Ft. Gravel depth beneath pip.: To Township: Range: Section: 0.5 Ft. Fill added above original grade: 0.5 Ft. Gravel Length: 3.0+ Ft. 67 Ft. Well: [-I New ❑Upgrade Gavel width: 18 Numberoflines: Dlatance between lines: Classification (Private, A, r C): Total Depth: Cased to: community water Ft. TOW absorption area: 3 6 Ft. Pipe Material: Ft FI Driller. Date Drilled: Static Wets, Level: 1206 F Installer. pyC Data Installed: Ft Badger Excavating 5/27/04, 9/21/04 Yield- Pump Set at: Casing Haight Above Ground: GPM Ft. Ft, TANK EPARATION DISTANCES Aseptic ❑Holding ❑S.T.E,P. ❑Other: ublio(Pmate eptic AbsorptionInana Manufacturer: Capacity: ank Field Sewer Line Greer 1,250 Gel. a na na Material: Steel Number of Compartm.nta: 2 na gna na LIFT STATION 9.1' 18.5' Sin Man actarer: Gal, Foundation1' 11.5 "Pump on' level at: n. -Pump W level at: in. High water alarm at: in. a na ria ria Pump Make 8 Matlel Elecuical Inspections peAotmed by: Remarks: 2. insulation over all sewerline and tank. BENCH MARK 11' added to bed length on 9/21/04: . an.n aria Deaaripti.n: Garage slab. Assumed Elevabon: Ft 1f[00 rip E F 1fill Inspections performed by: <°"ts"°°'°.Marys"mve.AxRmE g"°°"ng. l"`•Dates: 1 at 5/27/04 *: 9TH :* i .2nd 9/21/04 t Developm t Services Department Approval 'P,'t Mar L. Shreves Reviewed and approved by: Date: /I/�sl'•.�• CE 9351 �,�e� •,: OFES �\\,`0 TRACT H / / =60'/ / /18'X67) B IL ABS9RPTIO YSTEM KTH 2 OC3 01 / TS THL / C01 1C( �,� MT2 C04 roa rofi A 29.8 A/11.5 A 21.1 A 24.3 A 28.2 A 27.9 A 20.3 6 9.7 g 57.7 B 54.1 B 48.1 -- -- -- C 66.6 C 64.5 C 60.3 C 52.3 -- -- -- / / LOT 21 / /^ R30' AK TH LOT 19 REPLACEMENT BED (18'X63') W/ ADVANTEX WW TREATMENT TANK SYSTEM NOTE: 2" INSULATIONs OVER SEWERLINE AND TANK. 40,312 S.F11 TRACT B- TO VERIFY PROPOSED EXISTENCE OF ANY PLAT. goaDODDDa� SITE PLAN Cv s P.O. BOX 2749 OF° A49sD�� AS BUILT ENC EEM ,INC. PALM ER, ALASKA (907)7459 0222 `�.° 7 ° dd FAX: (907)746-0222 °°.e ° 49TH, *�0 W.O. 0400125 DATE: 9/22/04 50' FlLE: 0400125_WW_1AS7 F Mar' L. Shreves d LOT 20, BLOCK 4, THE TABLELANDS SUBDIVISION, f•, CE 9351; vti�` d PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASK ...........0 d EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE QQ aQR1�� �PROfl S,s Ngd RECORDED PLAT ARE NOT SHOWN HEREON. �� o /18'X67 6 ABSC RPTI / FIXED 100.00 ft. EM TH #2 1,250—GAL SEPTIC TANK :01 U THL198 SEPTIC SYSTEM PLOT PLAN FINAL GRADE100.25ft. DATUM: GARAGE SLAB = 100.00' � , 49TH °•.9 //%L•9�fl��si.'j••• it •_- p . Mary L Shreves 'Q�n f'FA.. 9351' �aVtigd� TION 7. 6,, tx s � •A: / 12 0 GAL.ZR3 �S PTIC TA n\A. / NOTE: 2" INSULATION OVER SEWERLINE AND TANK. FINAL GRADE 100.05 ft. 55 ORIG. GRADE 96.55 ft. SEPTIC SYSTEM PROFILE AS BUILT S P.O. BOX 2749 SEPTICS PALMER, ALASKA 99645 ENG EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 V.O. 0400125 DATE: 9/22/04 SCALE: 1 " = 30' 1 FILE: 0400125_WY LOT 20, BLOCK 4, THE TABLELANDS SUBDIVISION, PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. 05 w...OF.AlA5Kq`�Z Municipality of Anchorage NGIN SEA ;. Development Services Department Building Safety Division Zj •'' • •'.� i! On -Site Water and Wastewater Program 4700 South Bragaw St. 9 * • . •' • Leek • x P.O. Box 196650 Anchorage, AK 99519-6650��hyt\eS (9ite ALO�g 07) 343-7904 + Itt1�FRfD 4860®54�4�`... Soils Log - Percolation Test Performed For: Troy Davis Homes Date Performed: 8/31/04 Legal Description: Lot 20, Block 4, The Tablelands Township, Range, Section.- Depth ection: Depth 1_ !LL I yi lk 2- 3 .. -3-, .. 5i 5 T2h� 4- [3 9- Date Gross Time=8-3/43-3/4 WAS GROUND WATER Net Drop 1 8/31/04 ENCOUNTERED? No 10- 3-3/4 inches 2 IF YES, AT WHAT DEPTH? S t 11- 3-3/4 Depth to Water After o 1549 Monitoring? 2 12 Date: 13- 15- 16- 17- 19- 20 - Reading Date Gross Time=8-3/43-3/4 Net Drop 1 8/31/04 1437 3-3/4 inches 2 -' 1518 3-3/4 3 1549 3-3/4 -------- -••- -- p,u..... cN rtKU HOLE DIAMETER 6lmhes TEST RUN BETWEEN 3.0 FT AND 4.0 FT COMMENTS Presoak 4 hours. Percolation test only. PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc. I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES INEFFEC HIS DATE. DATE: 9/14/04 tier Iq U4 le:Ubp IrcU Davis HM 9073579335 P.3 '4r,4,71a". i Municipality of Anchorage Development services Departmentlip evildna Safety owishall 0 On -Site water and WastwMer Program 4700 South SM90MV St P.O. Box IiissW Ar4horage, AK 99519-6650 (Sar) 343-7"4 Soils Log - Percolation Test Periormed For: ARC 17% e- Date Pedorrned:— ZS-rdaa- Legal Description: OLEW-AllaVV 1,,It)(�,N-i4Township, Range, Section: LO T 19 16 V, Sill Site I Plan Depth I A -1—L 0 Lff-eet SO -,,%*1N &,I V -1 - HL COMMENTS WAS GROUND WATER Date ENCOUNTERED? Net Time Depth to Water Nel Dron IFYES,ATVJHAT0EPnV 0 Depth 10 WOVITAfter Mwilarins? P E O'w Read4ig Date GrossTime Net Time Depth to Water Nel Dron MLL 13-8-02- 14'1?- to: 31D 5 3/L; TI, PO -60a+a1" Io t " SV -3V PERCOLATION RATE F h� PERC MOLE DIAMETER TEST RUN BETWEEN 0 Z 7�= Tl A- FT AND q I r.f PERFORMED By. I.S. I I . • ;', CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: z- 1110 M3 MUNICIPALITY OF ANCHORAGE � 1hp) Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM/ WATER SUPPLY PERMIT Initial Date Issued: Apr 16, 2004 Expiration Date: Apr 16, 2005 Permit Number: SW040060 77T1 �xi3i CrF�lp , gH L Zb Parcel ID: 051-801-08 Legal Description: Design Engineer: 0032 Alaska Rim Engineering Site Address: 23210 WHISPERING BIRCH DRIVE Owner Name: TROY DAVIS HOMES Lot Size: 40312 SQ. FT. Owner Address: NHN SAMBAR LOOP Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567 - This permit is for the construction of: ❑✓ Disposal Field Z Septic Tank Holding Tank [:] Privy Private Well F-1 Water Storage All construction must be in accordance with: 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. Received Date: z e o Issued By: Date: /c. o Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Parcel I. D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Number SW Property owner(s) Troy Davis Homes Mailing address (1) 1451 E. Parks Highway, Suite 207 Day phone 357-9394 Mailing address (2) Wasilla, AK Zip Code 99654 Legal description (Lot, Block & Sub'd.) Lot 20, Block 4, The Tablelands Subdivision Legal description (Section, Township & Range) Lot Size 40,312 sqft Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑� Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. (Signature of property owner or authorized agent) Permit Fees: $ 460 Waiver Fees: Date of Payment: T O 41 Date of Payment: Receipt Number: -5-(3,5-27 Receipt Number: (Rev. 12/00) v4l�aslea Tim enngiineehitng; glnc. Phone (907) 745-0222 P.O. Box 2749 Fax (907) 746-0222 " ` `� ` " ' akrim®rogeis'hsa.com .Palmer, Alaska 99645 April 7, 2004 - Mr. Dan Roth Municipality of Anchorage'" Development Service Department Building Safety Division On-Site WatdFand Wastewater Program PO Box 196650 Anchorage, AK 99519-6650 RE: Lot 20, Block 4, The Tablelands Subdivision On-Site Sewer Permit Application AK. Rim Engineering Ref. No. 04-00125 Dear Mr. Roth: The owner of the above referenced lot is proposing to construct a 4-bedroom single family dwelling (see attached Plot Plan). The proposed dwelling's to be served-by a community water system and a private septic system. With this letter we are requesting plan review and a permit to install an onsite septic system to serve the proposed development. DESIGN SUMMARY Soils A test hole was excavated on February 25, 2004, and the soils logged by our firm. A monitor tube was installed at that time. A percolation test was conducted in the same location on the property on February 26, 2004. The proposed drainfield will be designed around the 30-feet radius of the test"hole . ° The" aftached Soils `Log ----- Perco,c,.la_tio- nTest form shows the approximate location of the test hole, labeled AKTK 1: The soils were rated in the field as SM, silty sand. The percolation testindicafes-a soil.pe-rcofation rate of 26.3 minutes' per inch which translates to a wastewater application rate of 0.6 gpd/sgft. Also included with this submittal is a test hole to erc test fr g and p om`T66in`Spurkland for a test hole labeled TS THL1965. Groundwater was not encountered during the initial excavation of the test hole. On 411/04; the monitor tube was probed and groundwater was detected at 12"feetbelow grade. _ Trench Design The following is a summary of the proposed design of the trench SAS: Engineers Planners • Surveyors Mr. Dan Roth, MOA Page 2 April 7, 2004 Percolation rate: 26.3 minutes/inch Soil application rate: 0.6 gpd/sgft Number of bedrooms: 4 Daily wastewater flow: 600 gpd Drainfield. `5 -wide type drainfield Septic tank: 1,250 gallons Minimum absorptionarea: 1000'sgft Total depth (max):. , 7 Effective depth: , 4 ft Width: 5 ft Reduction_ factor: 0.50 Minimumlength: 100 ft Effective absorption area: 1000 sgft Topography The 'oogmphy of o down steeply on"the south half.atTherel sis lot is tadequatetfirbuu u usable area for anbns to se5tic1oping system and replacement system: Surface Water There are no surface waters within i00 feet of the proposed septic system. Surrounding Properties This property and the parent subdivision willbe served by community water system We are unaware of any adverse impacts this'installation would have on adjace'ritwells or septic systems. Development on this lot will not preclude developinenfof weds and'`""" " '' septic systems on neighboring lots in the future. If you have any questions regaedingthis report or ifs recommendations, please feel free to contact me. Sincerely, ALASKA RIM ENGINEERING, INC.' OF A, � y�4 ` V i * TH •.�Y ✓Q �... Mary L. Shreves i •• � � ••^ Professional Engineer Mary Shreves `4 CC: HomesTroy Davis AK Rirn'Enn e gng File No. 04-00125 ,���1lilFE e��a�����```� Attachments: _ • MOA On -Site Sewer/ Well Permit Application Form • MOA Soils Log — Percolation Test Form -re 17a- de 1!i �•J®�®® Municipality of Anchorage C ;tENGwE .'S SEALS e, Development Services Department 9TH Building Safety Division ......•� On -Site Water and Wastewater Program L-t�.reves 4700 South Bragaw St.P.O. Box 196650 Anchorage, AK 99519-6650 ary.h www.munl.org/onsite 2�.',� (907) 343-7904 J iu, CE 9351 53 Soils Log - Percolation Test �Ui1; °r_%: ��:��`` Performed For: Troy Davis Homes Date Performed: 2/25/04 & 2/26/04 Legal Description: Lot 20, Block 4, The Tablelands Subdivision Township, Range, Section: Plan Depth hil+y RwhvaVef) CSM) T' �'.' WAS GROUND WATER 9- ENCOUNTERED? 7 ES S 10- 4TI3 4I39rp vel W IF YES, AT WHAT DEPTH? L Ira �J.� Depth to Water After .l 0 11- SIR,) ocettti Monitoring? �/ / E 1 co►ow6l0li a q�N/ 12- A&W, hll At y W307h94- Date: 13- / it 69-97 Reading Date Gross Time Net Time Depth to Water Net Drop 1 2/26/04 1234 10 min 6 in. 8/16 in. 2 — 1245 10 714/16 6/16 3 1256 10 713/16 5/16 4 1307 10 714/16 6/16 5 1318 10 714/16 6/16 6 1329 10 714/16 6/16 PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc. I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3/11/04 PERCOLATION RATE 26.3 (m,nutes mh) PERC HOLE DIAMETER 6 h. TEST RUN BETWEEN 5.0 FT AND 6.0 FT COMMENTS pYe*Oa�r '1 `t h0U.Y,5 PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc. I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3/11/04 mug ea Uw 1-1:Y4a HLHSKtiKIM 18u"11'146 -U222 P,1 s 9Z - ff47-�- Ju g DATE: S 23 TIME: la -;5; FROM: Alaska Rim Engineering, Inc. PHONE: (907) 745-0222 P.O. Box 2749 FAX: (907) 746-0222 Palmer, AK 99645 E-MAIL: akrimfrogemhsaxom TO: l Iai f10 116!4 PHONE: 1 y3 - 7" V FAX: Zz'1 - 7G9 7 Total number of pages, including cover sheet 5 - COMMENTS: QZ : Oafs 16 a kd to , PJoc,- IA -To l,,%e!�z-eeA THANK YOU — 0/1. I �14,�s i -FC - MUC eJ u4 11 : '4ba HLHSKK KIM PERMIT NUMBER LLII wB BAST 15 v OSEO A5 I AB TION / I BEO 20' is n+us 5 /'I /1"=50' rET PK rvo 147 LOT 21 X est hole )RX149 142 X143 RECOVERED 5/8" REBAR w/Y.P.C. %...wrn Y 1 [907)746-0222 p.3 PID NUMBER Lor. BLOCK 4 hole LOT 19 46 W LOT 20 40012 S.F. s9 S� 5 �0 MAY 20. 2004 REV SFA DRAWN BY MLS DESIGN. TRACT B-2 PROPOSED OF ANY 0000DOpp� SITE PLAN ASK P.O. BOX 2749 oRIM PALMER, ALASKA 99645 P PCE...FA�q�D� • ENC EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 p{'= 49TH ;*DD W.O. 0400125 DATE: 5/20/04 SCALE: 1" = 50' 1 FILE: 0400125 ;-F p PQM ; Mor L. Shreves LOT 20, BLOCK 4, THE TABLELANDS SUBDIVISION, 4 s . CE 9351 PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA QQQl��f� •..•,,,..•P� ��qb EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE PkEASEMENTS RECORDED PLAT ARE NOT SHOWN HEREON. SHEET 1 OF 3 .. nus ca o•r .t.: -tan Kln. I3U'/J'/46-0222 _ p.5 3/4- b 1.a•—Yoatter lobe Imlened sewer rack tin li�alaaf�d�1 4" PVC i\ 18' y L ABSORPTION BED m`al`t PLAN VIEW °deal permeebla Imulaaon, Y used .eotaaWa remoreebla nand enface top Round surface m aarW PVC dealn plM:'./ 6alw down "mOr 1f wedgy' d4 g aoo-mrtoreled e 3/4• Wt-t/e ro k sorer o Gb 0 Od 0 0 BED DETAIL Ys °•'ad ° °ra ` PYC P. mrebn 0 � �oIn Nate : Place a minlaum htael M serW cover to s pdrelea!) oew .b.arpttoo wd. m. MONITOR TUBE lavh a waKeea 7a.vua.m a car wJ mar BED SECTION DETAIL be sukeututeiar one tact of eath corer oD b s'mn1mum of two Wetws of 1mulelloa. OFq����t� Conventional Single Family SPK ... Cq. SEPTIC SYSTEM DESIGN 9 1.4. tenol Lots 16 and 20, Block 4, The Tablelands *t . * neav ptbe •I', -RECORD DRAWING ' """ "" ^•••.'• This record drawing represents the as -constructed condition of the improvements documented f9rG•• M yL.Shrev¢5 above. Based on periodic visual observation and information obtained from the installer, this �j d/.'•, CE 9351 data appears reasonable and represents that the FESSiD�P���w` conformance with current 10 AAC 72 regulations and 1constructed in general ADEC policies, Alaska Rim Engineering, Inc. °ne�.e 5 20 04 a� No Scale J F 1 i� QL • Municipality of Anchorage . On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-741-51 1. GENERAL INFORMATION: ' qqp Expiration Date: Complete legal description THE TABLEL ANDS; BLOCK 4, LOT 20 Location (site address) 22301 OBERG ROAD CHUGIAK AK 99567 Current Property owner(s) DAN & SUSAN ERWIN Day phone CIO AGENT Mailing address 22301 OBERG ROAD CHUGIAK AK 99567 Real Estate Agent ANGELA GRABAR Day phone 232-0107 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 4 TYPE OF WASTEWATER DISPOSAL: ❑_ Individual z ❑ Holding Tank ❑ ❑ Community ❑ ® Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number �'� `� 30 G Receipt Number COSA# 0SC221 35 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: JeffrevA. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the datels of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE % System #1 Approved for Ll bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the fol #AECC884 KUTytpFq���������i O/V SIT ATE R i ul Uig D M AIV P _ v A -r ern_ ROGF 4----�Q B �-�-- (✓ Original Certificate Date: 22' 27 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc i Legal Description: THE TABLELANDS; BLOCK 4, LOT 20 If more than 1 septic system on lot: COSA Checklist # 1 of 1 rELL DATA ell to ed with On (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for CO Static water_I t beginning of test ft. B. TANK DATA Age of tank(s) *18 years Tank type/material STEEL Parcel ID: 051-741-51 Structure served by this system 1 Well production at time of Water storage tank a gallons Well disinf for coliform test? ❑ Yes On No LJ-Zoliforrn bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) x7sewc ug/L ❑ Arsenic less than MRL (ND) Collected b Date of Sample STATION ❑ Require i Age of lift station Measured operating fluid level in septic tank 50.5" Lift station materia ❑ Standpipes/foundation cleanout per record drawing Comment _ Date of pumping *PUMPED DURING 2022 CONSTRUCTION *EXISTING TANKINTEGRITY FOUND TO BE GOOD ON 6/17/2022 BY GEGGONSULTANT, JODY MAU8. D ABSORPTION FIELD DATA BED Which system tested (date installed) 6/,6-2,122 Adequacy test date NEW ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 3.8 ft (max) Fluid depth prior to test NEW in Measured depth to pipe invert from grade 2.44 ft (min) Water added NEW gal F-1 N/A — pressurized field New depth NEW in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time NEW min depth into effective ❑ Code -required soil cover over field Final fluid depth NEW in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N/A date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet I I E. SEPARATION DISTANCES PUBLIOWATER rftw-kivate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Sta Lot > 100' Community Sewer Manhole out > 100' es if No ft Neighboring Tank > 100' ❑ Yes if No _ ft Absorption Field on Lot > 100' ❑ Yes if No Neighboring Absorption Fiel Yes if No ft Sewer Main > 75' ❑ Yes if No ft �❑ Yes if No P ' ewerlSepfiicUine> 25' ❑ Yes if No nMdiRQ_Tank ?1100' ❑ Yes if No Animal Containmen _ ❑ Yes if No Manure/Animal Excreta Storage > 1 ft ❑ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) ft ft ft ft Building Foundations > 10' ❑ Yes if No *5 ft Surface Water > 100' 2✓ Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' M Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ✓Q Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' [j Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Q Yes if No ft _Surface Water> 100'- Q -Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALL. 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. COSA Checklist yellow sheet #AECC884 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ROC $$ s � Y fi q R SA GTY ERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel LD. 051 t=e6HAA# 0404gq r Expiration Date: q Im / 1. GENERA 'INFORMATION — -r-- - Complete .o jai descrip#ion Lot 20, Block 4, The Tablelands Subdivision, Plat No. 2004-25, Anch. Recording District Location (site address ordirections) 22301 Oberg Road, Chugiak, AK '-Current Property owners) Troy Davis Homes Day phone 357-9394 '*f ng address "" 1451 E. Parks Hwy, Ste. 207, Wasilla, AK 99654 Lending agency AK USA (Pamela Sloan) Day phone 694-7030 Mailing address 12155 Old Glenn Hwy, Ste. 101, Eagle River, AK 99577 Real Estate Agent ReMax of Eagle River (Audrey Mason) Day phone 696-3887 Mailing Address 16600 Centerfield Drive, Ste. 201, Eagle River, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well ❑✓ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificatesare valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. W ';g5 ->-UD gl'-ww- 4. 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 Health Authority Approval Guidelines for this application, shows that the on-site water supOiand/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 AK Rim Engineering, Inc. Phone 745-0222 Address PO Box 2749, Palmer, AK 99645 Engineer's Printed Name Mary L. Shreves Date 9n/04 5. DSD SIGNATURE Approved for �_ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Haacnmems: HAA, Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: L Original Certificate Date: -4. (Rev. 01102) LOT 18 / TRACT H a j A / � 'y / NATURAL LOT 19�ry� /g) \ ,�. GAS 3 FOUND tJcp2�� \\ / 2' ALUMINUCAPPED e a / �MONUMEN ASPHALT DRIVEWAY �,�� . ,d S9. ONE STORY q DWELLING U.C. DECK / UTILITIES (S7 TYPICAL SEPTIC_CLEAN UTILITY ® RISEROUT / PEDESTALS TYPICAL TYPICAL / / s ��. LOT 20 a1 40,312 S. F. / J BLCCK ® 5��,�° TRACT B-2 1 LOT 21 `URGE UNDERGROUND (C)=CALCU-ATED DATA (M)=MEASURED DATA BASIS OF BEARING DERIVED ! (R)=RECORD`DATA FROM THE CENTERLINE PT(2' AL—CAP)OBERG R'0AD TO THE $1(2 AL—CAP)INTERSECTION OBERG ROAD AND WHISPERING BIRCH DRIVE. 0354'45ftE 1 NOTESi. `1 THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS &,CONDITIONS ON THE DATE OF SURVEY._ 2, THIS DOCUMENT DDtS'NOT CONSTITUTE A BOUND' RY"SURVEY"&" fS"SUBJECT TQ ANY �;" `" t^ 550, INACCURACIES THAT A SUBSEQUENT BOUNDARY SUR_ "MAY DISCLOSE 3, THISLOT SERVED BY A COMMUNITYWATERSYSTEM." y -- EXCLUSION NOTE- IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS. OR RESTRICTIONS TWHICH NOT APPEAR ON THE RECORDED SUBDIVISION PLAT UNDER NO CIRCUMSTANCES SHOULD ANY USED, FOR, CONSTRUCTION OR FO,R ESTABLISHING BOUNDARY OR FENCE'LINES. rte. AS-BUILT ALAS P.O. BOX 2749 PAGE 1 of 1 t3F• q /t/y PALMER, ALASKA 99645 �� Cq ENC E INC. PHONE. (907)745-0222 FAX: (907)746-0222 F. B. 04-14 49TH * W.O. 0400125 DATE: 9/1/04-T-. _, 50' 1 FILE: 04-00125AS I HEREBY ,CERTIFY THAT i HAVE PERFORMED��A MORTGAGE 7 � � INSPECTION ON THE FOLLOWING' DESCRIBED PROPERTY :Robert J. Former : o LOT 20, BLOCK 4, THE TABLgMt) 8U8bM9l0N. c'+, •. 10615-s„ PLAT No. 2004-25, ANCHORAGE 'RECORDUIO'DISTRICT ANCHORAGE, AK d •••� '.W®� EASEMENTS OF RECORD D N O"N OTHER THAN THOSE SHOWN _ ON THE RECORDED PLAT ARENOT SHOW'___Z�DATED AT PALMtR ALASKA, THIS 8th - DAY OE "SEPTNOER, 2bC�4: i