HomeMy WebLinkAboutAUTUMN RIDGE LT 17Autumn kidge
Lot 17
#015-054-20
Municipality of Anchorage Page 1
of 3
Development Services Department
On -She Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci.anchorage.sk.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW040199
PID Number. 015-054-20
N.
Crown Pointe Inc.
Wastewater System: New
Adger
P.O. Box 112313 Anch. AK 99511
ABSORPTION FIELD
345.6277
cif
Five 5
Deep Trench
LEGAL DESCRIPTION
Sal R&L.aTo11Osp1h
°rWviiW d°
Bva c Lel Sub* on.
17
.5 GPDA'P
DOPY. b pp e . ham pow ate.
11 n.
Cx..+t drop e h ape.
Autumn Ride
3 Ft.
8
Tp nYOPv R«V.
s.ctpr
F A eYMC.ew. cr9mr qr d
FL
Gruel L.VM
1-3 FL
100 Ft.
Well: New
3
c4udra (Pr .. A, B. CF Tp"D&M
Private
cwdb
Ft.
73M.Dwgp «.a
2 >16 FL
"M«xw.
236
1412412001
235.5
1,600 Fe
ASTM 3034 PVC
Dr ,
M -W Dn Ing
Date Dw.d
sta W««L.w
197.2 FL
Sanders & Sanders
7/16/2004
rwa
Pero S.t w.
C.xq Ae 43 a
20 C"
Fr.
>2 Ft
TANK
SEPARATION DISTANCES
0 septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
bnop tvate
r
From
Tank
Field
Station
Tank
Sewer Leta
Anchorage Tank
1,500
wag
>100,
>100,
NIA
NIA
>25'Steel
Twa Lap�
o (2)
s.ee.w"«
>100'
>100'
WA
LIFT STATION — NONE ON LOT
Lot L.«
>5'
>10,
WA
>5'
>10'
WA
JNWA
h
In
h
c ro o.
None
Noted
""°''" ""°°"
Ei c "ir;5;Z m.p«jp by.
R«wlu:
BENCH MARK
Northwest Concrete Pile Cap Supporting Upper Deck
100.0 FL
Engineees Stamp
OF�A40
•
Inspections performed by: A. Harala
Dates: 1" 7/16/04
°! 49th 0
Department of Health
2nd 7116/04
and Human Services approval
%-r
�*,D�AEL E. ANDERSON f{ �
Reviewed and approved by
Date: 3 — e7 OS
tl ,r1 No CE -4381
#�#�`el
..
(R 1")
444 1U�Pi��
Permit Number. SWO40199Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
ZIEMLAK
CIRCLE
PLAN AS -BUILT
SCALE 1' - 40'
PID No. 015-054-20
AUTUMN
SUBDIVIS
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-0655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number. SWG40199
Page 3 of 3
PID No. 015-054-2u
t
NS
U y y UU a ;
ya
s>
0
1,500 Gallon \\\
v Septic Tank
= 93.6 9 .6
U f
s -
N
I
90.1
0
u
82.0
NORTH LEG
s 94.26
_ i U
Drainfleld Rock
50' (Trench Length)
SOUTH LEG
---._.................._........
PROFILE AS -BUILT % =""o.cmM39, '
No Scale �i �.A:''... ..••' C
M -W Drilling, Inc.
*P.O. Box 1103784Anchoroge, AK 99511•
•907-345-4000 ♦ 907-345-3287 Fax*
Groundwater Well As -Built & Loc
a Well Owner.- L.E. H
*Legal Descrlpt(un: Lot 17 Autue
Job No.: 01-141C
PermitNo.: Wp18li
Project No.: NIA
• Use ofWell: Monitor
oraee
•llo/eDepth: 236' • Casing Size. 6" •Cared To. 235.35' •Maverkt. A53Steel
0,0411 hleshod: Air Rotary
Perf.
• Well Campletlon• 07 en end X Screen Perforared Method.-
* Screenl Perforation desITH—Prion:
ethod:•Screen/PerforationdescrlptJOn: None
•Croat Notes: (I) Sack- No. 8 brntonite granules
♦ IYell Derdopment: hfethod: Air surge Notes:
a Static water level (SWI) 19721 kbov (below) top of casing (TOC).
4 Well yleld test at 20+ gallons per minwte (CPM)/RO!h Ow fOPH) Jor 1 hours
With 100% Of drawdown (DD) from static level (S W4
•hfethod: Airlift
• Date of eomplellan: 24 Apri12001 � Pump IAMB:
NIA
Depth In feet from
to oftesin .
Deli [Is of formations PcMdrsted,sircofmateria color and hardness.
0
TO
2
Casing stickup
2
_ TO
_ 7Silt
Ia ey_SmySl
7
TO
_23
Silty gravel
_ 23
TO
37
Sandy gravel ---�— ^- -
37
TO
_ 4_2
Sandy gavel: damp
42
TO
56
Silt cla a Pavel
56
TO
59
Silt avel: damp -
59
64
TO
TO
64
109
Sil , sank_gravel: brown damp
Siler gravel: gray
109
TO
118
Sandy gravel: -
Silt ravel: gray
Sandy gravel: brown n
Silty gravel & clay --
118
128
_ 135
140
143
157
TO _
•O
T
TO
TO
TO
TO
128
135
140
143-
157
178
Silty, gravelly clay
Silty, sandy gravel: brown
Job No.: 01-141C
Permit No.: N/A
Projec[No.: NIA
Well Loe Continued
Depth in feet from
too orcissing,
DNnasorformations penetrated,size ofmaterial, color and hardness.
► 178
TO
195
Clay_
195
TO
205
Sand gravelly clay: damp
205
TO
215
_Sandy gravel: dam
215
TO
236
Gravel: coarse, slightly Sandy,
water bearing
TO
-��—
TO
TO
f—_—`_
---
TO
TO
- TO
TO
TO
—
_
W1tfA't ardJiFd CtinZtac
rki{fSCtiL Nn'L$1lJ[->i7i—_—
TO
TO
TO
TO
TO
TO
_
TO
�'
TOTO
TO
_
TO
TO
_
TO
TO
TO
TO
TO
TO
–
TO
TO
TO
TO
TO
_
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water 6 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number. SW040199
Legal Description:-Augumn Ridge Lot 17
Design Engineer: 0014 Anderson Engineering
Owner Name: Crown Pointe, Inc.
Owner Address: P.O. Box 112313
Anchorage , AK 99511 -
'Al)t, j04 112 -LO NcO,J
lliuloy IOU
Date Issued: Jun 17, 2004
Expiration Date: Jun 17, 2005
Parcel ID: 015-054-20
Site Address: 9478 Autumn Ridge Circle #44
Lot Size: 49547 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit Is for the construction of:
0 Disposal Field E Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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.
Received By
e
Date:
Issued By. Date: (Z u
Municipality of Anchorage
• -- Development Services Department
Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 99519650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. n v � — O S -1— Z—c
Number SW
Property owner(s) Crown Pointe, Inc. Day phone 3456277
Mailing address (1) P.O. Box 112313 Anchorage, AK 99511
Mailing address (2) Zip Code
Legal description (Lot, Block 8 Sub'd.) Lot 17, Autumn Ridge Subdivision
Legal description (Section, Township & Range) 't 14—ist/, hro kAi fu1 V1
Lot Size 49.547 SF Acres q.Ft. Number of Bedrooms Five (5)
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.
m F_ mac,,
(Signature of property owner or authorized agent)
Permit Fees: 41, D a Waiver Fees:
Date of Payment L' / 4/ - D y Date of Payment
Receipt Number. 6 r -T� Receipt Number.
(Rev. 12!00)
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 FAX
June 14, 2004
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 17, Autumn Ridge Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer.
The owner of Lot 17, Autumn Ridge Subdivision intends to construct a five -bedroom
home on the property. We are therefore requesting a permit be issued for the
construction of a new septic system to serve the home. The Site Plan and backup
documentation identify the location and configuration of the proposed septic system
and alternate site and the existing well on the lot. Protective well radii of the wells
located on adjacent lots is also shown. Existing drainage arrows and the current
drainage pattern are also identified on the Site Plan. The drainage pattern will be
maintained after development of this lot is complete.
Test holes placed during the development of the subdivision indicated silty gravel with
some sand in the area of the absorption trenches. The accepting soils were tested and
found to have percolation rates of 26 to 34 minutes per inch. An average application
rate of .5 gallons per day per square foot was utilized in the design of the absorption
trenches. No groundwater was found during excavation and none was noted during the
monitoring period. Our design includes the placement of a new 1,500 -gallon septic
tank along with parallel 50' long by 3' wide by 8' effective depth absorption trenches to
collect and treat the sewage generated in the house. The bottom of the trenches will be
11' below the surface. The distribution pipe will be 3' below the surface. A flow splitter
valve will be placed to assure even flow to each trench. A minimum of 3' of cover will
be placed atop the trenches and a minimum of 4' of cover will be placed atop the new
septic tank.
The ground surface on the lot slopes at 13% grades from north to south. The
absorption trenches will be constructed parallel with the slope of the ground surface as
Lot 17, Autumn Ridge
June 14, 2004
Page Two
much as possible in conformance with Municipal requirements. The new septic system
will be constructed 100' from all wells and surface water. It will also be constructed a
minimum of 10' from any water service in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
49th 'kN*
MICHAEL E. ANDERSON
1< No. CE -4381
\fir. \ �� � .•�• ,�.�Q�r
\\' ew
THIS
PROJECT
CLASS 'B' WETLANDS
Troes
AREA MAF
SULE1'a1W
Trees
qv"
Brush
((T)
ZIEMLAKaa8'
CIRCLE
388' �i
NEL E ANDERSM
No. EE-42et 1
2001-143
AUTUMN RIDGE SUBDIVISION
LOT 17
49.547 S.F.
99.>,.
pROPON"O
OU�L
1 373'
x
28.9 u
ac * 3 Wde
V. soKtN x S [
SO*
tp
,ot �O of"i
1 W23 w
24
enat� Site
Nt
E 69 62 S \ \
's \' � E5�•
350' E` 20. �dL
SITE PLAN
SCALE 1' = 40'
350'
LOT 17, AUTUMN RIDGE SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Five Bedroom House Deep Trench System
Perc. Rate: 26 - 34 Min./Inch 1,500 Gallon Septic Tank
Application Rate: .5 GPD/SF 6' Drainfield Rock
5 Bedrooms X 150 GPD/.5 GPD/SF (Application Rate) = 1,500 SF Absorption Area
1,500 SF/16 SF/LF = 93.75 LF Trench Length
THEREFORE: Construct 2 - 50' Long x 3' Wide x 8' Effective Depth Absorption Trenches.
Flow Line Elevation in Trenches to be 3' Below Original Ground Surface. Total Depth to be
11' Below Existing Ground. Place Flow Splitter Valve to Insure Even Flow to Each Trench.
Provide 3' of Cover Over Trenches and 4' Over Septic Tank or Provide 2" Insulation and 2' of Cover.
Maintain 100' Separation Between Open Surface Water and Septic Tank and Absorption Trenches.
Natural
2'6" 1
Backfill
Geotextile
Fabric
6" 4" Perforated
PVC (Holes Down)
8'0"
3'
F—t
TRENCH
Drainfield Rock
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells In the Area.
Minimum 100' Separation From Surface Water or Streams.
Minimum 10' Separation From Water Service Line.
U
Municipality of Anchorage�•�,� -U.
Department of Health & Human Services 4'� *. ,weHAEL e. ANoOsow
825 L Street, Anchorage, AK 99502-0650 F s . a-4381
SOILS LOG - PERCOLATION TEST
6 �fq�••. .•' ��
•.....•
6i� re PROFESSI0�'�e
Performed For. Bob Klein Date Performed: 41%i2�%9�
Legal Description: Lot 17. At Ri a Subdivision
SLOPE SITE PLAN
■ 1I I OG/PT
8
Date Gross
Time
Net
Time
3
Net
Drop
TESTH.O NO. 23
4
If Yes, What Depth? L
5
.
Depth to Water O
6.
6.32"
After Monitoring None P
11
3:09
GM
7
Med. Dense
..
30
6.25"
8
Date Gross
Time
Net
Time
9
Net
Drop
Was Groundwater
Encountered? No S
14
If Yes, What Depth? L
10
2
Depth to Water O
16
6.32"
After Monitoring None P
11
3:09
Date: 1122/00 E
12
Date Gross
Time
Net
Time
13
Net
Drop
1
14
5.07"
15
2
3:08
16
6.32"
1.25"
17
3:09
18
Bottom of
Reading
Date Gross
Time
Net
Time
Depth To
Water
Net
Drop
1
6 -Dec 2:38
5.07"
2
3:08
30
6.32"
1.25"
3,
3:09
5.07"
4
3:39
30
6.25"
.1.18"
5
3:40.
5.07"
6
4:10
30
6.25"
1.18"
Hole
19 Pert. Rate: 26 MinAnch Perc. Hole Diameter: 6
. .Test Run Between 4 Ft. and 5 Ft.
Comments: Percolation Cavity Presoaked Prior to Testing. . .
Performed By: A- Harala. I, Michael F And mna . Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 1/20100
�At-lit
h
A,•- 491H it o
�.... w .o.. .. �.. `/
Municipality of Anchorage do1.•;�-_j
Department of Health & Human Services 0, o� AUCHAEL !. ANDERSON�+:���pb
825 L Street, Anchorage, AK 99502-0650 C6 `% . CE -4301
SOILS LOG - PERCOLATION TEST e���®® pROFESStO�� oo�
Performed For: Bob Klein Date Performed: 4i�t�oo
Legal Description: Lot 17. Autumn Ridne Subdivision
SLOPE
1
7
8
9
1
19
OG/PT
GP
15.
Boulders
Was Groundwater
Encountered? No
If Yes, What Depth?
Depth to Water
After Monitoring None
Date: 1/22/00
GM '
Tan
_J Bottom of
Hole
Perc. Rate: 34 Min./Inch . Perc. Hole Diameter: 6"
Test Run Between 5 Ft. and 6 Ft.
Comments: Percolation Cavity Presoaked Prior to Testing.
Performed By: A. Harala. I, Michael Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Dale: 1/20/00
Reading
Date Gross
Time
NetDepth
Time
To
Water
Net
Drop
1
12 -Dec 3:59
4.5".
2
4:29
30
5.44"
.94-
3
4:30
4.5"
4
5:00
30
.5.44"
.94-
5
5:01
4.5"
6
5:31
30
5.44" .
.94"
MUNICIPALITY OF ANCHORAGE
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 WATER SUPPLY PERMIT
Initial
Permit Number: SWO10139
Legal Description: T12N R3W SEC 15 NE4 PTN
Date Issued: May 29, 2001
Expiration Date: May 29, 2002
Parcel ID: 015-051-04
Design Engineer: 0014 Anderson Engineering Site Address: 005400 ABBOTT RD
Owner Name: LH CONSTRUCTION Lot Size: 2214155 SQ. FT.
Owner Address: 5400 ABBOTT ROAD Total Bedrooms: 0 Permit Bedrooms: 0
ANCHORAGE , AK 99507-4364
This permit is for the construction of:
E Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 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.
THIS PERMIT ISSUED FOR AN EXPLORATORY WATER WELL ONLY. UPON COMPLETION OF THE WELL
AND SATISFACTORY WATER IS ENCOUNTERED, THE WELL DRILLER SHALL PLACE AN APPROVED
SANITARY SEAL ON THE WELL CASING AND NO PITLESS ADAPTOR OR PUMP SHALL BE PLACED IN THE
WELL UNTIL A WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED.
THIS PERMIT ISSUED FOR PROPOSED LOT 17 AUTUMN RIDGE SUBD.
Received By:
Issued By:
Date: L—)' rI
c
Date: j- — _3o — ®/
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.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0 1 ~---' O-5~'] -- 0 ~r
Permit Number SW
Property owner(s) LH Construction
Mailing address (1) 12130 Regency Ddve, Suite 201 Eagle River~ AK 99654
· M'a~-~address (2) ~'~00 tqB~IT' ROtOr) Zip Code
Legal description (Lot, Block & Sub'd.) Proposed Lot 17t Autumn Ridge Subdivision
Legal description (Section, Township & Range) TI ZIv I{ 3 I,v $ E(...1~' ll/~' ~
Lot Size 45,704 SF Acres~
Day phone 522-1616
PTA/
Numbe. r of Bedrooms Test Well
2~214,15'5"
THIS APF LICA~rlON IS FOR:
Sewer Only I--] Well Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub I--] 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:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
· Date of Payment:
Receipt Number:
e\
t Irll~V
!
..)'19
~velopment Information:
Municipality of Anchorage -
• -� Development Services Department, = i
Building Safety Division 0501 „
On-Site Water & Wastewater Program
4700 Bregaw Street
P.O. Box 196650
Anchorage, AK 99519.6650 r
www.muni.org/onsite Cj
hl\
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE4FAMILY DWELLING
Parcel I.D. 015-054-20 COSA# 05G /O /D 87
1. GENERAL INFORMATION Expiration Date: C1 ` LL 10
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
AUTUMN RIDGE S/D: LOT 17
9478 AUTUMN RIDGE ' ANCHORAGE. AK ► 99507
EREC do LISA ISAACSON Day phone
9478 AUTUMN RIDGE • ANCHORAGE. AK ► 99507
Day phone
344-6117
JERI JEFFREY W/ PRUDENTIAL Day phone 762-3108
3801 CENTERPOINT DRIVE, #200 + ANCHORAGE, AK • 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
I
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems
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 samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are 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.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat ab9zed hereto and as of the validation date shown below, 1 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 13(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 6 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guaranteethat
there are no hidden defects or encroachments. GEG, LTD, can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner fisted above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for -Zbr� bedrooms.
Disapproved.
337-6179
Date
1
mail 0,19",
Conditional approval for bedrooms, with the Glowing stipulations:
Attachments: /
COSA Checklist l
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By:
(Rw. 11105)
J¢ff aA'-Gortfess:
/E-7953 ,• �o
ONSITE
WATER AND
WASTEWATER
�• • PROGRAM ;
Original Certificate Date: 6-17-0
\ Municipality of Anchorage
., Development Services Department
Building Safety Division °
_ On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: AUTUMN RIDGE S/D; LOT 17 Parcel ID: �J 1 = (9.5-q -ao
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# NIA
Date completed 4/24/2001 Sanitary seal (Y/N) YES
Total depth 236 ft. Cased to 235.5 ft,
FROM WELL LOG
Date of test 4/24/2001
Static water level 197.2 ft.
Well Log (YIN) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 24+ in.
AT INSPECTION
6/3/2010
199 ft.
Well production 20 - g.p.m. 6.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform d colonies/100 mi. Nitrate Q t/y&g./L. Other bacteria 0 colonies/100 ml.
Arsenic: A) o ug./L. Date of sample: 6/3/2010 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 7/16/2004
Tank size' 1500 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 7/13/2009 Pumper A+' HOME SERVICES
C. ABSORPTION FIELD DATA F-BELOWEXISTING CRAOE
Date installed 7/16/2004 Soil rating .p.d./f r ft'/bdrm) 0_5 System type DUAL TRENCH
(2 ® 50)
Length 100 TOTAL ft, Width 3 ft. Gravel below pipe "8 ft.
••11.4
Total depth **11.6 ft. Eff. absorption area 1600 ft' Monitoring tube YES Depression over field NO
Date of adequacy test '"6/3/2010 Results (Pass/Fail) PASS For 5 bedrooms
Fluid depth in absorption field before test 3 in. Water added 770 gal. New depth 9 In.
Elapsed Time: 120 min. Final fluid depth 2 in. Absorption rate >= 750+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
:*MONITORING TUBES ONLY EXTEND 48 INCHES BELOW INVERT. TOTAL. DEPTH ,IS CALCULATED,
•••TESTED NORTH TRENCH ONLY. SOUTH TRENCH WAS DRY.
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on' level at in. "Pump off" level High water alarm level at
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM 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 N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption
+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
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.
Engineers Printed// Name JEFFREY A. CARNESS
Date b 14 I O
�w00000
i
COSA Fee 5 / Waiver Fee S
Date of Payment%/ y
11/0 Date of Payment
Receipt Number D 7 of O % Receipt Number
(Rev. 11105)
Tft
r Aalrr "POONA! \� • �•v • 1
rrAr.lr aw.a
ti Zst Js- to x - •,
iCAR?
o {
� 11 IOC .At S' •1 ..r
.
rAYf
/G
to n \ N
b / l .a
r^
�r
ry
63.824
jA('
511 23. 578 00'
iwoW
SURVEY curnmA miatEll�y l -pored by
PWT PLAN OF "74 Robert E. johns, Jr-*. & Assoc..
f� r-mfinsstt'-lni i.ond Surveyors
�.............« ...MI
r..�-...........r.�.. t •Too o
M....n.
PA=PA. • 1`1 {( + ANCHORACE. ALA ALASI(A fA 119504
�'�"'•"'-'�"'•• / th SnrAc RK. I.Pt ,.r Nor:. Plol r10 Nn
fOtYMAIION AR�RIAL7 / N a P 1
( 4.1.r r ..,.....--.-•+1..1 note :nrveI*'r 6..V Ly~ a !%mr..a by
M4Yw Y M. M M M O M ERT JR. / MR
JR.
w...sw•.-+...w..•r+v... l� � Celt Crown �^ rA M• WC
INM tTRUfrRRK AS-PIrIT 4� 4 1-!' 1.'� _ 6 -Vo )0 2417 6:1481 11.63
t I.... r..r. w. A.-Y.-.er'IM 1 •�( L•SN U.nnIFVm:
A..•p..1 w.. In M l-' M rO /IIRI.11� ,-'� 10J 17
Autumn Ridge Subdivision
fm fRvLY SURVEY hn --- - _— — SYMBOLS
❑ f0~1UH AS -MAT -""" • 13 rYMt rm=we A:-!rI,.T 'irT Rr•AR r � ORNNAIX i;`
AW4ALT
n lM:Nr• Cly '
U f101 KAY... AS-Rll ... LO RRN,Y ... IrrYyTu..r ! 6YNAR
o u ••' TFTrr PENOr; u nOnORErS
MY j.n lyzm&r • yRC "Wo% Ut L (I AaS216MI ELT . •Y -•1w METAL fTNK [ wtfo0 DEtlt
PLOT PLANS •r LOT SURVEYS N, 'm! —
Il15 THE RLSPONSIEfluTr CY THE SIJII.OER Ok %:-fV IER PRKAR TC ONLY IYOpC IMPRC\SHrNT3 ARCVC. DAWND AMC, v1aRlLC M+LL et
CONSTRUCTION• 70 v!.KIRY 1•ROA'O!KU H'AWIN6 INtAOL. IirA.A'. Iw *PIC"- F►NOFM w J.tS. 3ACRTIS QCAIlCUT:L JCrYYAl.K=. r10'V9WAY:t
TO rlNIIHM ORADQ ANLI VPL1rY C(INN4C'"lWti AMI' W NATLI(MINC •1C-. A•A 'AW)WY IN THFIR A"NOXIMATE IU'.ATION. UPILY SNON
THC EIESICNC[ Of ANY CA]CMCNTt. CUW.NANry !Rr FY.L11RI1: TY)NR MAY RRLWtOT RAMC w+►R.IKMGNTw FROM 19EINO WY'N ANO t.00AYEU.
I!`M O NOT APPF Art O 7MC RFC. UFyOwuS,�N+1 I IAfALL Q19T) Arrlr RCQQ"!P 1fNI_L!1 Nr1TF, O
1 UNOCR ND CIROJMSTANCEO LHntrtl AN A'+••OIRI.T Or, 11[61' FOR rJ)NSRY)CTRM OR FOR r$TAtYJOHRIC LIomARY IRI FENrx LNI:S.
THE SURWYOR TA9E2 SESPONSiViLiv rOR TLE MATAI. TRANSACTION ONLY AND ASSIAAr1 rMANCIAL LIAZIILPTY ONLY FIM' THC LOFT OF 'RIE LiIRVEI'.
LISTED DISTANCES PREVAIL. -)VER V.NJNO RT1•RCOUI:T(N MAY CAI¢C CHINMS N Lr:AIC.
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Waterand Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsfte
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-054-20
1. GENERAL INFORMATION
Complete legal description Lot 17, Autumn Ridge Subdivision
COSA # n(p 0.313
Expiration Date: _ _ / O — Z. 0 — 0 Co
Location (site address) 9478 Autumn Ridge Circle
Current Property owner(s) Wesley W. and Barbara L Clubb Day phone 229-1886
Mailing address 9476 Autumn Ridge Circle
Anchorage, AK 99516
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: Five (5)
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
Individual Water Storage ❑
Individual Holding Tank
❑
Community Class Well ❑
Community On-site
❑
Public Water System ❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Onsite Systems 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. DSO also issues COSAs upon request to homeowners. Certificates of On-Sfte Systems 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.) Certificates are 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.
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 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 cn-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 Finn Anderson Engineering Phone 522-7T73
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Date 7/18/2006
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checidist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Z2,2�� Original Certificate Date:?— 02 0 ' 0 G
(RY. 11AS)
Municipality of Anchorage
• Development Services Department `
Building Safety Division
On -Site Water & Wastewater Program
47W Bragaw, Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.munLwg/wrsne
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Lagal Description: Lot 17, Autumn Ridge Subdlvision Parcel ID: 015-054-20
A. WELL DATA
Wen type PrMata If A, B. or C provide PWSID S _
Date co npieted 4/24/01 Sardtary seal (YIN) Y
Total depth 238 fL Cased to 22�5 ft.
FROM WELL LOG
Date of test 4/24/01
Static water level 197.2 It.
Well production 20 g.p.m.
WATER SAMPLE RESULTS:
Calftm 0 colonies1100 mL Nitrate •316 mg&
Arsenic: NID mgA Date of sample 7/5/06
B. SEPTIC/HOLDING TANK DATA
Tank TypelMaterial SeptlrJSteel
Tank sae 1.500 gal. Number of Compartments 2
Well Log (YM) Y
W res properly, protected (YM) Y
Casing height (above ground) 24 in.
AT INSPECTION
R
Other bacteria 0 coloniesH 00 mL
Collected by: J. Anderson
Date installed 7/1&04
Cleancuts (Y/N)
la
Foundation cleanout (YM) Y Depression over tank (YM) N High water alarm (Y/N) N
Date of pumping 715= Pumper A Plus Home Services
C. ABSORPTION FIELD DATA
Date installed 7/18/04 Soil rating (g.p.d.A1:2 or fl'/bdrm) •5 GPD/SF System type Deep Trench
Length 100 fl. Width 3 JL Gravel bekau pipe 8 it
Tabd depth 11 fl. E0. absorption areaL6 fe Monitoring tube Y Depression over field N
Date of adequacy test Results (Pass/Faiq For _ bedrooms
Fluid depth in absorption Geld before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth m.
Any rejuvenation treatment (past 12 mo.) (Y/N d type)
0
Absorption rate >= g.p.d.
If yes, give date
D. LIFT STATION
Date installed Size in go&=
'Pump an' level at _ in. 'Pump oft' level at _ in.
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanlM station on lot >1W
Absorption field an lot 3.100
Manhole/Access (Y"
High water alar level at in.
Meets alarm A chars imi merMs9
On adjacent lab ).1ar
On adjacent lots >100'
Public sewer main WA Public sewer nwholeldeanout WA
Sewer /septic service ilne >2' Holding tank WA
Animal containment areas Now Manumlanimal excrete storage areas None
SEPARATION DISTANCES FROM SEP7ICMOLDING TANK ON LOT TO:
Building foundation >S Property Iina>S Absorption tiel
Water main >11 Water service line �1a Surface water
Wells on adjacent lob >100'
>1tr
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property Una >10' Building foundation 3.10' Water main >10'
Water Service ane >IV Surface water 301W odyewar, perk owhide storage >2S
Curtain drain None NOW Wells an adjacent lots 3.100'
F. COMMENTS: Last Certificate of Heaeh Autirorlty Approval Issued March 9. 2001
O. ENGINEER'S CERTIFICATION
I cerfily that I have determined through field inspections and
review of Munk/pal mcoWs that the above systems are in
cadbrm= with MOA COSH guidelines a etled on M date.
Engineer's Printed Name Michael E. Anderson, P.E.
F _ .r,k
r_=t
Date of Payment
Receipt Number g3�1 t g Receipt Number
;r 4,cflc�W SM fr#
Municipality of Anchorage
.'a•a !� '
Development Services Department
Building Safety Division
Onsite Waterand Wastewater Program
4700 South Bragaw Sty •'
P.O. Box 196650 Anchorage, AK 99519650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015.054-20 HAA # nSlaoSt}
Expiration Date:
iWe1w,4Ct1013uL•ltt111J
Complete legal description
44
Location (site address or directions)
Current Property owner(s) Crown Pointe, Inc. Day phone 345.6277
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
P.O. Box 112313 Anchorane, AK 99511
Unless otherwise requested, HAA %771 be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
Five 5
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
®
Individual On-site
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
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 5 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 less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are 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.
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 Appro•.-J : f.-- 0,13 applicetion, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, :,,-A Oran and ad,squate 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 Finn Anderson Engineering Phone 522.7773
Address P 0 Box 240773 Anchorage AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 3/5/2005
5. DSD SIGNATURE
,_jL Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: �a / Original Certificate Date: 3 el — os—
QW. ,wm
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water 8 Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 9951986W
www.ci.enchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
AutumnLegal Description: Lot 17, : •as Subdlv* • i
A. WELL DATA
Well type E&& if A, B, or C provide PWSID S _
Date completed 4124M_ Sanitary seal (YIN) y
I
Total depth M ft. Cased to _2&4—ft.
FROM WELL LOG
Date of test 412/11001
Static water level 1972 fL
Well production 20 g.p.m.
WATER SAMPLE RESULTS:
Well Log (YAV) Y
Wires property protected (YIN) Y
Casing height (above ground) _ 4 in.
AT INSPECTION
fL
g.p.m.
Coliform _Q—colonies/100 ml. Nitrate 0. (78mg.A. Other bacteria __L oolonies/100 mi.
Date of sample: 214!2005 Collected by: MEA
B. SEPTIC HOLDING TANK DATA
Tank Type/Material SeoticMW Date Installed 711 5 11 0 0 4
Tank size x.500 gal. Number of Compartments j Cleanouts (YM) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) y High water alarm (YIN) N
Date of pumping Pumper New Construction
C. ABSORPTION FIELD DATA
Date installed YR511004 Soli rating (g.p.d.ifte or ft Abdrm) A GPDISF System type D"o Trach
Length 100 fL Width 3 fL Gravel below pipe 8 R
Total depth y It. Eft. absorption area Jhg0 ft Monitoring tube Y Depression over field N
Date of adequacy test Results (Pass/Fal) For _ bedrooms
Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in.
Elapsed Time: _ min. Final fluid depth _ In. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN E type) N If yes, give date
D. UFT STATION
Date installed
'Pump on' level at _ in.
Datum
Size in gallons
'Pump ofr level at _ in.
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot >IW
Absorption field on krt >/W
Public sewer main WA
Sewer /septic service line >2S
Manhole/Access (YIN)
High water alarm level
Meeh alarm b circuit requirements?
On adjacent lots >100'
On adjacent kris >1W
Public sewer manhole/cleanout WA
Holding tank WA
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation W Property line >�' Absorption field W
Water main WA Water service Ane NG Surface water >IW
Wells on adjacent lots >1 W
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >10' Water main >10'
Water Service line >10' Surface water >IW Driveway, parkingNeNde storage >25'
Curtain drain None Noted Web on adjacent lots MW
F. COMMENTS
G. ENGINEER'S CERTIFICATION arr�e.>�P,,:
I certify that I have determined through field inspections and �a �, 49th
review of Munkdpal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date. LA110122
Engineer's Printed Name Mlchaei E Anderson. P.E'' OE -4301'u
Date 3W
HAA Fee $ 57 s1 Waiver Fee $
Date of Payment 3— -1— O s Date of Payment
Receipt Number 6 V VV 9 Receipt Number
(Rev. 1M
in.
10' T. k E.
ZIEMLAK 49,547 S.F.
"= 40'
AS -BUILTI
HEREBY CERTIFY THAT I HAVE SURVEYE
THE
PROPERTY DEPICTED ABOVE AND THAT N
,4�
GASTALDI LAND
ENCROACHMENTS EXIST EXCEPT AS INDIC
ED. OF
SURVEYING, LLC
IT IS THE RESPONSIBILITY OF THE OWNER
TO ��A�
JEFF A. GASTALDI, R.L.�P;
88TH AVENS
ETERMINE THE EXISTENCE OF ANY EASE
........
• '•., sf /
ENTS, #
EOVENANTS OR RESTRICTIONS WHICH DO
OT : *�..49M........ ;*/
ANCHORAGE,4726WEST
ALASKA 99
PEAR ON THE RECORDED SUBDIVISION
LAT. • �,
PHONE 248-5454
UNDER NO CIRCUMSTANCES SHOULD ANY
HEREON BE USED FOR CONSTRUCTION 0
DATA /,. .... ....... .......r
FOR # 2, Jeffery A G°staldi: AV
GRID
DATE
2a37
3/3/2005
ESTABLISHING BOUNDARY OR FENCE LINE!.
ANCHORAGE RECORDING DISTRICT, ALAS
e,
#�'. *.•�LS-6091 ••; h���
Aa�D�o�......1�pOe
F.B.
JOB NO.
NOTE: NO CORNERS SET THIS DATE.
+��� '&
05-02
ARS17
.