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Home My WebLink AboutBIRCH TREE ESTATES BLK 2 LT 6Birch Tree Estates Block 2 Lot 6 #017-141-30 •'' Municipality of Anchorage _ Y•• Development Services Department Building Safety Division ' On-Site Water and Wastewater Program, 4700 S. Bragaw St P.O. Box 196650 Anchorage. AK 99519-6650 Page / of 't— www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5 fu O, 0 23 PID Number: Name S�1 Ii OnP'it� a Wastewater System: New ❑ Upgrade "d1m'/H� S pi E ABSORPTION FIELD Pno.r. Z LI H —'Z e O N~ a 11.aoate: 0 Deep Tmm 0 SoHo. TI«rA Cl as 0 MWW d V.A 1 LEGAL DESCRIPTION sod Rawq /e Z Taal D"M can wit nal Palls: -� cPaFr Ft. eixa: La: $upOwYPri: 'a DBPIIIWPOe DataneaaaW PW • 43 dWh De JM` Z far.r •cE1.1r 5/ 4A0 Ft. O. Ft. TD."RvP: R«'7a: 5LCDon: ,^..� F a06 aeon WIF a pa0e: 3 D GnM L«Wm: yO. O , , , ^ . • 1 .' Ft. Ft. Well: New ❑Upgrade' Gm rw ran: S. v Ft. Nunn« a aner ( Pawrce araaen roar A 065*11caaan (Pnnie. A. 9. Cy Prlrll t Taal Dem: /2/ Ft. Cams W: I .12/ FL Taal a0a0aoa0n aria: 7-Vo Fl I Pm Maianai' 1 `;5v5y orvlr. Dau suet Water Le : tt*M - MLt iH r/ /l(. Oats btaWlea: 1't�14 D A V110 D (o/ FL A n d .a r Yra. '-Q PP SataL C NMegntaoo..('wwna: t TANK GPM //3 .1r. 14t. 2,D FL be'/ SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. goiter. To Septic Absorption lift Holding -WWPrmle ,,{{�e< L wotr /SOO Gal. From Tank FwId Station Tank sewer Line ,Q! r e n to weA Jjn a,. /0e a/-/otrj�` mat". Nanoar a A;O oV .enla: Z wen /00 Sunxe wai« /up1 (001.x. LIFT STATION Laurie z0 t¢ /0 14. /Smo cai .aawr. oe+ Ppo i(ea-h ten/Cr 'Pu.V ai MM AL 'PYnp ar I at. @B ropn� ow. ai. et. Fawaatwn /0 ,E ZO'F• !n, N C~Dtsn tr(4, N�i4, Poo Yake a al0Pe1 51YM l..d. EiaNioIi haPKaane P«tPnroa DY Cis BfrrLKa le'iv.�. Gn.ari t� "•�" 0e 110a i = 2q a, v5 -S ZZO BENCH MARK 7 Lwow aria D P` }} Ctwmea G �ea 7\ 7)," Ar �maaon. /Vo / Ft. �ra•te4tl..1 fr.�r NI.4 t Engineer's Stamp OF A(4Si) `i S--�cl, fj f9c SI-2 06 To set r.� ••� +1� Ncvn ,t Inspections performed by: Dates: 161 1 tqkg z^° I (4/ F .ih~� 9 ow *: 491-H ::t If � .. Development Services Department ApprovaF-lam ��>r MICHAEL N. ANDERSON r�l'ri/'., Reviewed and approved by: 11Z111. Date: 5--2 - 2 6-0% 5 /91069 �` t, 1�9�\\ (Re I:ODI Permit No. SW050236 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 6, BLK 2 BIRCH TREE ESTATES S/D PID No.: 017-141-30 WELb WELL$ PIPE I 1 1 i 1 I A B ELEV. ELEV. CO1 35 1 i 99.95 97.9 CO2 35 20 100.3 GRAVEL TCOI 35 21 100.6 MT DRIVEWAY 22 102.2 / 00 0.7 C % / 00 \` / CK / �1.30 SI WL JAHOUS ME ` — — — V-— 'O — — — — — — DOOR, ENCH MARK P G Z CO2 01 \ a \ —TES HOLE RADIUS P� y C01�C ADVANTEx POD \\ 19d CFV�� ADVANTED TANK L 'EZ(TERNQL PUMP BAIN I w�'--:;;_•--R SERVE SYSTEM 1 _ \J // 10-30, 4.13'—I�TfLITY EASEMENT SCALE: Y wvA.nw m. rov..rt. npp nrt.u,a ru+s•f.. „n 1,, .�``��\\•�� OF r.wc � raur ..• •, W4 0 T" •�0 „ 49 '[0° [w i.• nro v n [" ... [ . ......... 0 , 10 ♦ •. MICHAEL N. AN DERSON;= cr[an , N 69 0. too SEIMC SECTION GRND PIPE MARK A B ELEV. ELEV. CO1 35 19.0' 99.95 97.9 CO2 35 20 100.3 97.9 TCOI 35 21 100.6 MT 34 22 102.2 Permit No. SW050236 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 6 BLK 2 BIRCH TREE ESTATES S/D PID No.: 92=111=39— GRAVEL / DRIVEWAY / / C'1 00 // O 00 a' 00CK A Z II SINGLE, FAMILY FRAME HOUS- ----_�-A� DOOR, ENCH MARK O Z CO2 01 i a TEST HOLE RADIUS C01 B ADVANTEX POD �\ / ADVANTED TANK \ . / EXTERNAL PUMP BASIN 1 I ad I 4-Q:_J_-YfGTY EASEMENT ASBUILT SCALE: 1'=30• Y ryA.nw m. .ovu,rta .ao f[art�n,aOF w s•vx „n ',,,,QQ 44/9LH ': NM1M1a fvO -10 �••.•,%' .uu..% \;MICHAEL N•ANDERSON�%7� 441OM IYN • 22'' -loo �� ' No. E 469 .:,o, SECIIon X114%; tss�'::.• -- X.T.S. GRNO PIPE MARK A B ELEV. ELEV. CO1 35 19.0 99.95 97.9 CD2 35 20 100.3 97.9 TCO1 35 21 100.6 MT 34 22 102.2 ALPINE DRILLING & ENTERPRISES Permit Number: #SW050236 Date of Issue: 7-19-05 Parcel Identification Number: 017-141-30 Date Started: 6-1-05 Date Completed: 6-2-05 Is well located at approved permit location? ® Yes ❑ No Legal Description: Birch Tree Estates Blk 2 Lt 6 Property Owner Name & Address: Jonathan Ru( 5014 E. 145m Ave. dnrhnrann dlaeka 9G.51R Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick-up 0 2.5 Wall Thickness: .250 inches gravelly silt silty grael gravelly silt 2.5 19 Y8 19 28 75 Diameter: 6 inches Depth: 121 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet sift gravelly silt 75 104 104 110 Static water level (from ground level): 61 feet Pumping level: 120 feet after silty water sand & gravel 110 116 2 hours pumping 20 gpm water sand & gravel 116 121 Recovery Rate: 20 gpm Method of Testing: -airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite granules Volume: 1 br Depth: Start 0 feet Stopped.Z feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property RPR -18-2006 02:46A FROM: 12/19/2885 16:43 3491994 - -- �- WAIKUb lMff _ Well DrUng Permit Number. Parcel IdentFlteadon Number. bawiopme#4 Sarvlcas tmpartRmtt Sulldlny Musty bMalon On-8atu Water 8 Wastewater Progrom 4700 6ragow Str"t P.O. ltox 196600 Ancharoga, AK 99519-6650 WWW MMlAMtMdtG 1967)]19.7901 Pump Installation Log Legal Description Mae& I Lot Bird k'f7et r5'ta'�-c5 Pump Installation Datel `/ -. Pump Intake Depth Below Top of Well Catfogi I l 3 feet Pump Maouheturees New. &U tTn Pomp Madel:15-0 7 1 W (565 Pump sha.[— Pump Sits 3/-q hp Pales Adapter Burial Depth: / D feet T0: 3437997 Date of Issue: P.1�1 rAbL n'L ZD y Owner Name A Address: ctl%ow Rµ:FF- COV&S7/'ucj-/s1n Pitless Adaptor Mannfeeturar's Name:4�e/I 1 8—/0 PitinsAdaptor lostalkrtif%I'Vr AK dvor,5ok--POor Won Disinfected Upon ComWON? 9Yet 0 No Method of Disinfection: �raei rc. Commeab: Pump 2ustalldr Nsm•: Br Tal" !y r I e Co+npsAr..1L2fJ2 /lima 9- // rrUl?e- Mailing Address: -aa ROv //O 1174 �CrG K r Stats: Attendant no pmt Installer *hall provide a pump Watallation log to DSD widda 30 days of pump installation. • .J •a� +i .Viii• ZD y Owner Name A Address: ctl%ow Rµ:FF- COV&S7/'ucj-/s1n Pitless Adaptor Mannfeeturar's Name:4�e/I 1 8—/0 PitinsAdaptor lostalkrtif%I'Vr AK dvor,5ok--POor Won Disinfected Upon ComWON? 9Yet 0 No Method of Disinfection: �raei rc. Commeab: Pump 2ustalldr Nsm•: Br Tal" !y r I e Co+npsAr..1L2fJ2 /lima 9- // rrUl?e- Mailing Address: -aa ROv //O 1174 �CrG K r Stats: Attendant no pmt Installer *hall provide a pump Watallation log to DSD widda 30 days of pump installation. From +19078308507 Tu• 0ac 13 05:38:49 2005 Page 1 of 1 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 313-7982 INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 www.munl.org/BSD/inspections.cfm NAME: DUANE PERMIT#,. 05-3526 COMPANY: EDS ELECTRIC INSPECT DATE: 17J13/2005 PHONE M: 272-4591 PHONE M PHONE N: ADDRESS: 5014 E 145TH AVE LOT 8 BLOCK 2 SUBDIVISION: BIRCH TREE ESTATES GRID K: SW3037 COMMENTS or DIRECTIONS AM CALL B4 FOR ONSITE MTG TYPE OF INSPECTION: Rotro Electrical COMMENTS: (FOR INSPECTOR USE ONLY) 6'L � PRINTED NAME `" �'�`�'—" DATE: IZ �l From +19078308507 Thu Dec 29 05:57:42 2005 page 1 of 1 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 343-7982 INSPECTION: VOICE 343-8300 INSPECTION. FAX (907)249-7777 www.muni.org/BSD/Inspecgons.cfm NAME: ng PERMIT #: 05-3526 COMPANY: ads electric INSPECT DATE: 12/29/2005 PHONE #: 272-4591 PHONE C PHONE #: ADDRESS: 5014 E 145TH AVE LOT a BLOCK 2 SUBDIVISION: BIRCH TREE ESTATES GRID #: SW3037 COMMENTS or DIRECTIONS am call b4 for onsite mfg TYPE OF INSPECTION: Retro Electrical COMMENTS: (FOR INSPECTOR USE ONLY) LI� cjTz'i'ltqA-) CLzT-Ty?CGAl, I%(AJAI , PRINTED NAME 6/, DATE: J MUNICIPALITY OFANCHORAGE Development Services Department Onsite Water 8 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 Permit Number: SWO50236 Legal Description: BIRCH TREE ESTATES BLOCK 2 LOT 6 Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: JONATHAN RUF Owner Address: 5014 E 145TH AVE ANCHORAGE. A 99523 - Date Issued: Jul 19, 2005 Expiration Date: Jul 19, 2006 Parcel ID: 017-141-30 Site Address: 5014 E 145TH AVE Lot Size: 28482 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. -CONSTRUCTION TECHNIQUES NEED TO BE USED TO GIVE SAND AND GRAVEL ABOVE GRADE STRUCTURE AND SUBMITTED WITH AS -BUILT INSPECTION REPORT. Received By: J2 Date: Date: I 1 ° 1 6�VIL ft Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. b 12 - /1-/ /- 32 Permit Number SW Property Mailing address- Sort r +6 A VE phone H'-!/ -'Sq-'i n Code Site address Zip Code Legal description (Lot, Block & Sub'd.) _ L Cqf (o g/l& Z t,, �-r ra Vt f. Legal description (Section, Township & Range) Lot Size -Z8 4 -($L Acres/Sq.Ft. Number of Bedrooms Yi:IC3T--jawRIA fiIl,193367;1 Sewer Only ❑ Well Only ❑ Sewer and Well Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) 0 Permit/Rush Fees: /';IS //7-S ` t o "Y�Waiver Fees: Date of Payment: 7150 5'_ Date of Payment: Receipt Number. 995 _N21S_ Receipt Number. (Rev. 09/04) y.O n z sz crr Parcel I.D. b 12 - /1-/ /- 32 Permit Number SW Property Mailing address- Sort r +6 A VE phone H'-!/ -'Sq-'i n Code Site address Zip Code Legal description (Lot, Block & Sub'd.) _ L Cqf (o g/l& Z t,, �-r ra Vt f. Legal description (Section, Township & Range) Lot Size -Z8 4 -($L Acres/Sq.Ft. Number of Bedrooms Yi:IC3T--jawRIA fiIl,193367;1 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) 0 Permit/Rush Fees: /';IS //7-S ` t o "Y�Waiver Fees: Date of Payment: 7150 5'_ Date of Payment: Receipt Number. 995 _N21S_ Receipt Number. (Rev. 09/04) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4640 Shoshone Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 July 19, 2005 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Birch Tree Estates S/D Lot 6, Blk 2 To Whom it may concern: This is a request for a new house septic and well permit. Two test holes were excavated in the back of the lot with the soils log showing clean gravel for the top 6 feet then silty sand below. Water was observed at the -5 foot elevation during the spring high water run-off, April thm June 2005. Currently the monitoring tubes are dry. The perc rate was 2 minutes per inch. An Advantex system has been designed with an application rate 3.0 gallday/sq-ft. Two inches of rigid insulation and additional soil will be used to cover the 5 wide trench. An external lift station has also been specified for even distribution of the effluent in the trench. The surrounding properties have existing systems already and will not be impacted by this new expansion as the plan shows. A reserve system has been shown to the east of the primary system per the requirements. A curtain drain has been added to the east property line, with 25' and 50' offset to the various septic systems as the plan shows. The slope is 1 to 3 percent starting at the southeast comer and sloping down toward the northwest corner. No pounding of water has been observed near the site or in the surrounding area. If you have any question please call me at 345-3377 Sincerely S'K'r✓ Michael N. Anderson, P.E. Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4640 Shoshone Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 July 7, 2005 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Birch Tree Estates S/D Lot 6, Blk 2 To Whom it may concern: This is a request for a new house septic and well permit. Two test holes were excavated in the back of the lot with the soils log showing clean gravel for the top 6 feet then silty sand below. Water was observed at the -5 foot elevation during the spring high water run-off, April thm June 2005. Currently the monitoring tubes are dry. The perc rate was 2 minutes per inch. A bed system has been designed with an application rate 1.0 gaVday/sq-ft. Two rigid insulation and additional soil will be used to cover the bed. A lift station has also been specified for even distribution of the effluent in the bed. The surrounding properties have existing systems already and will not be impacted by this new expansion as the plan shows. A reserve system has been shown to the cast of the primary system per the requirements. The slope is 1 to 3 percent starting at the southeast comer and sloping down toward the northwest comer. No pounding of water has been observed near the site or in the surrounding area. If you have any question please call me at 345-3377 Sincerely Michael N. Anderson, P.E. DESIGN CRITERIA: MONITORING TUBE CRADE NSU 4 BDRM X 150 = 600 GPD MOUND OVER SYSTEM SOILS = 600/3.0 = 200 GPD FLTER FABRIC W/ 200 GA/5.0 = 40 � INSULATION - 40/1.0 = 40.0 ml k 2) � j 0(1) 5' WIDE 0.5 ORG —1.0 1/4'0 PIPE 1.0' DEEP GW 5' MAX EWER ROCK 0.5' EFFECTIVE 5.0 HIGH WATER FILTER SAND 5.0' WIDE -6 40' LONG SM ASSUMED WATER IS AT -3.0' BELOW -10 GRADE. v 77 LOT 10 --- — LOT 11 i LOT 12 EXISTING 100' `y VA S T 1 4 5 1'jH10, y" u i EXISTING 100 WELL RADIU �� to Q taw � EX STING 100' _\ \� ' EXISTING 100 '` LL RADIUS -/i'} 7i WELL RADIUS In LOT 5 1� 1 100 LOT 7 EXI TING 100' / W L RADIUS EXISTING 100' WELL RADIUS i �XISTING 100' J DELL RADIUS Septic Design Prepared For JONATHON RUF 44 LOT 6, BLOCK 2 BIRCH TREE ESTATES ? 49TM lam: ::4I Prepared By .....i... .... ... .......... ..� MICHAEL N. ANDERSON, P.E.%F•/"/";•••...i 4640 SHOSHONI DRIVE /';MICHAEL N. ANDERSON (907) 345-3377 / FAX (907) 345-1391 �� ' No.. EE 46s SCALE: 1"=100' JULY 17, 2005 4�41.�� I 1 N 89'43'44" E 150.10' 28,482 S.F. 1 WELL X0.65 Ac. 1 �; 1 PROPOSED 1 1 DRIVEWAY i i LOT 7 \ LOT 5 00 DO co / / \ (0 /' i m r / Q ------ --------'�� $ 00 Z \`;� PROPOSED 2—STORY 00 JBll1LDLNG NEW 1.5,00\Vz . EXISTING W LL. / ADVANTEX TAAK 00- �\ 100' RADIOc / POD ;H /1 �\ / TANK C.O.`\ 5' X 40'\ n \ `\ EXTERNAL PUMP BASIN c TRENCH-\\ TH J2 A \ \ 40.0' 0 —10' u(vlity esmt. S 8 3444 W 150.00''1' PRO PRIMARY SITE �SlEsqomfiy SITE ERTY LINE LOT 19---� LOT 20 Septic Design Prepared ForOF JONATHON RUF P(E, N444 ''�# LOT 6, BLOCK 2 Gj: BIRCII TREE ESTATES TM ?f 49— 00.....r.. .. .. ........ 0 Prepared By MICHAEL N. ANDERSON P.E. 4640 SIIOSIIONI DRIVE ....:..../ • `MICHAEL N. ANDERSON:. i �� ` No. E 469 (907) 345-3377 / FAX (907) 345-1391 •♦ ••• SCALE: 1"=20' JULY 17, 2005 '/Q: NOTE: 1. ADVANTEX AX -20 BY ANCHORACE TANK. INC. Septic Design Prepared For JONATHON RUF LOT 6, BLOCK 2 BIRCH TREE ESTATES Prepared By MICHAEL N. ANDERSON, P.E. 4640 SHOSHONI DRIVE (907) 345-3377 / FAX (907) 345-1391 NOT TO SCALE JULY 17, 2005 49 LH ... ...... ...... ................ � �.MICHAEL N. ANDERSON; No. 9469 ��1 II�I��II�llI�9SIMON . 1 1 i 1 •11 1 1 ' • • I - :7' • 1 it -.. •i i� UN s� l i�� ►N • • � a :�i�/ ylq 1 i 1.1 hl• NOTE: 1. ADVANTEX AX -20 BY ANCHORACE TANK. INC. Septic Design Prepared For JONATHON RUF LOT 6, BLOCK 2 BIRCH TREE ESTATES Prepared By MICHAEL N. ANDERSON, P.E. 4640 SHOSHONI DRIVE (907) 345-3377 / FAX (907) 345-1391 NOT TO SCALE JULY 17, 2005 49 LH ... ...... ...... ................ � �.MICHAEL N. ANDERSON; No. 9469 ��1 Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 12/l e'I'INU✓n Cu. � DATE LEGAL DESCRIPTION: L (,, B Z DEPTH �TiEh 'M'CL Et IFEE V7An 1 2 3 I (alt Y ✓1 C7 YwK l 4 5 7� �i1 8 fi%q v 9 10 11 12 13 14 15 16 17 18 19 Township. Range, Section: SLUPE WAS GROUND WATER ENCOUNTERED? S IF YES. AT WHAT /O L O DEPTH? � p E Depth to Water Alter Monitorin 7 �� Date ? D ^- RJEA 1GD[C1�Wi.`5Qy 49TN ;* / . 6�' •- GF.oeao v: SITE PLAN 20 -� I /" II JI PERCOLATION RATE ?^ 0 (mmutevmchhl PERC HOLE DIAMETER 1 TEST RUN BETWEEN 3 FT AND V FT COMMENTS 1112E N/04An d. CIL I�e'4 S&I A 4-�M PERFORMED BY: Nett ke.P lid ., J !r ' M I CERTIFY THAT TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE y//L/O-z- 72-008 (Rev. 4185) �L7L%[S�� 20 -� I /" II JI PERCOLATION RATE ?^ 0 (mmutevmchhl PERC HOLE DIAMETER 1 TEST RUN BETWEEN 3 FT AND V FT COMMENTS 1112E N/04An d. CIL I�e'4 S&I A 4-�M PERFORMED BY: Nett ke.P lid ., J !r ' M I CERTIFY THAT TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE y//L/O-z- 72-008 (Rev. 4185) PERFORMED LEGAL DESCRIE DEPTH (FEET) 1 2 3 4 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 7-/7/ -#t Z' Municipality of Anchorage . DEPARTMENT OF HEALTH 6 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ILI t3r�e � +r�c.Es{-•%r5� all I C-(YEn f3roven 4'^ j G ratl DATE PER Township. Range. Section: IF YES, AT WHAT DEPTH? Depth b wuu Aller Monilcrin0? Sn Bile :49T►+� :,,� MICHAEL N. ANDERSON ; eke i •. Lki ■■.■■■■■■■ ■■■■■■■■■■ PERCOLATION RATE L/(mmutevmch) PERC HOLE DIAMETER SL TEST RUN BETWEEN ; FT AND FT PERFORMED BY: r " I t eA ' r ` A—�ft "I I Aw I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE Z�/tz z, 57' 72-008 (Rev. 018.5) 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/WELL SUBMITTAL COMMENT SHEET To: MIKE ANDERSON Legal description: BIRCH TREE ESTATES The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. ❑ Incomplete; missing _ ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. _ ❑ Proposed system too deep for soils information submitted. ❑ Well log required. _ ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. MIKE ANDERSON IS GOING TO SUBMIT AN ADVANTEX WITH CURTAIN DRAIN AND LEACHFIELD WILL BE A MOUND 1 FOOT ABOVE ORIGINAL GRADE Name of reviewer: JOE GOODALL Date: 7/18/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND R17PAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND nJR Jbid 1?vf TI IIS MEMORANDUM OF UNDERSTANDING made and entered into as of this day of cy1� of20!s,byandbetween��on1R{her,/ RyF , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ad ✓A j4Ey located at 13i 2c H 7 -KE E 'ES 4.44Es BL 2 1-7' L Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing pans, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of R220 ($ b .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the A W WTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: .1 y£Ae- C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. O%vner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. G Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWNI'TS. 7. romvaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a I.tiTiting, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding %vas executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Q. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: ,lo/U,41hiri PuF Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OR'NF.R: By: STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ) ss. The foregoi� instrumep wa knAN' edged before me this Z day of UST, 20 0 , by _ �� a�S I�(( 1T, the of on behalf of the Municipality of Anchorage. NOTTAR PP[ BLIC FOR LASKA My Commission expires: CF 1 INN MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251295 Parcel ID 017 -141-30 Expiration Date: Legal description BIRCH TREEESTATES BLK 2 LT 6 Site address 5014 E 145TH AVE Current property owner(s) GILIAM CARYN L X The On-site system(s) is/are approved for 4 bedrooms By: 2/12/2026 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 7/23/2025 This ificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE ..... ............... . Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 01714130000 Complete legal description BIRCH TREE ESTATES BLOCK 2 LOT 6 Location (site address) 5014 E 145TH Current property owner(s) GILIAM Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: X Private Well E] Private Well serving 2 dwelling units El Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: RE Private Septic E] Private Septic serving 2 dwelling units El Holding Tank r_1 Community Septic or Public Sewer 5. SEPTIC TANK: X Steel E] Plastic n Concrete n Fiberglass Age 20 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: Al AWWTS El Bed F1 Deep Trench F0 Wide Trench E] Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee$ Date of Payment COSA # 0113C PJ �2 q S_ Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS G.CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Phone Engineer’s Printed Name Date C&M ENGINEERING CHARLES BALZARINI, PE 3/20/25 MUNICIPAIJrY OF.JLNCHORAGE ADV ;.110ED wxsrEWATER TREATMENT SYSTEM '.%L4N'TE\ANCE OD RE FAIR AGREEMENT THIS DLIII TE .ALNCE AND REPA]R AGREE-tifEVT, herein the _AGREE\ ENT" made and entered into as of this 22"`t Day of J o t j of 3025 , b4 and bet -gen M t UVIOs ty" . herein the "OWNTR." and the Municipality of Anchorage. hereto the "WNICIPALITY , in accordance with Anchorage Municipal Code (ANTC) 15.65.365. In consideration of the mutual covenants contained herem. the parties to this Agreement agree as follows ` 1. Advanced Wastewater Treatment Systems.. The Municipality grants permission to the Ov.uer to utilize and operate an Advanced Wastewater rreatmettt System (AIVIVTS), described as ADV .�—NrE3i located at (:egal description) BIRCH TREE ESTATES BLOCK 3 LOT 6 3. Maintenance, Repairs and Alterations. (Onner is reltured to read. understand and imdal each section) n Throughout the term of this Agreement. the Owner shall enter into a service agreement nith an AA77S service and maintenance provider approved be the Municipality or the manufacturer's representative. The A1177S shall be maintained in a satisfactory condition capable of performing as designed and producing treated s eptic effluent in accordance pith the equipment's approval for operation in the Municipality Wrt A It shall be the responsibility- of the Chimer during the tertn of this Agreement to pay for all repair(s), maintenance. adjustment(s). replacement costs. and inspection costs. Thus includes an annual maintenance fee (typically 5400 to 5600). NVh Owner agrees that only maintenance and repair personnel approved by the `lumcipality or the manufacturer's representative will inspect and make any necessary maintenance. repairs or permitted alterations to the system. " Owner acimowledges that regular maintenance of an A117 -TS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement (rev. 05,1S 2018) Page 1 of 3 V(M Onner ack-nowledees that the Municipality nay request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fate for failing to maintain and repair an NVIITS maybe assessed in accordance pith AAiC 15.60.030. —kir t O•.vuer agrees to -grant the Municipality reasonable access to test and inspect the AVIM. The DitmicipalityaillLiveatleast '_5-hotuuotice. Owner agrees that any sale or transfer of title of the property still not occur without a nen Certificate of On -Sire Systems Approval. Onner agrees that the AW%Vf S installation and maintenance requirements as provided by the AWN17S vendor installer and approved by the Municipality are the governing guidelines for the construction. maintenance and repair of the Onner s ANkM TS Onner agrees to maintain remote niomtoring of the ANMTS as required by the AW TS approval. 3. Term The term of this Agreement shall begirt on the date of approval by the Municipality to operate the installed system. or upon transfer of title. and shall continue while the ANVIA"IS is operational or until title is transferred. 5. \onwaiver. The faihue of the Municipality at any time to enforce a provision of this Agreement shall in no nay constitute a waiver of the provisions, nor in any Ray affect the validity of the Agreement or any part hereof. or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This agreement shall only be amended b•: authorized representatives of the Owner and Municipality. any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdirdon: Choice of Law. Any civil action arising from this Agreement shall be brought m the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The lams of the State of Alaska shall govern the rights and obligations of the parties tinder this agreement. 7. Severability. Any provisions of this Agreement decreed invalid b -v a court of competent Jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. D5118. 2018) Page 2 of 3 OWNER: B v. 1"ma-lue, lJ 41kke,_� (prun: narre) STATE OF.-'.LASK4, TES Tk:DIC'IA'L DISTRIC7 641 Nol-:!t KV PI I LIC FOR ALASKA MN- C'onim-ssior. expires: 1-2,q, u2,1� Date,`"7/1%/201-5 I'sumn-lue) Date, prin.: imn) T-.tle: of Suite (#Alaska NOTARY PUBLIC Cwfo Baluyut My Commission Expires Feb 24, 2021 (rev. 03 Is _"V: S) Paso 3 v MLMCIP LIT1 OF ANCHORAGE .03 ANCED WASTEWATER TREATMENT SYSTEM 'ALAI\TE\A_\CE A_\� REPAMAGREE3fE's THIS KAIh7E\.-i CE AND REPAIR AGREEMENT. herein the -AGREEMENT" made and ente`red into as of this Ll` Das' of of _'0_11. by and between 6w"n Floc- kaA cx-\ . herein the "OWNTR." and the Mmucipality of Anchorage. herein the "1�IUNIC AI.ITi in accordance with Anchorage Municipal Code (.ANIC) 15.65.365. In consideration of the mutual covenants contained herein. the parties to this Agreement asree as foilours ` 1. Ads-anced Wastewater Treatment Systems. The Mumcipalitt grants permission to the Ov.uer to unlize and operate an Advanced Wastes•'a-er Treatment System (AtNI TS). described as ADVANTES located at (legs: description) BIRCH TREE ESTATES BLOCK _' LOT 6 2. _-Maintenance. Repairs and Alterations. (Omer is required to read. understand and initial each section) \ Throughout the term of this .agreement. the Omer shall enter into a sen -ice agreement, pith an 111775 service and maintenance prosider approved by the Municipality or the manufacturer's representative. The A111M shall be maintained in a satisfactory condition capable of performing as desigre� and producing treated septi: effluent in accordance nith the equipment's approval for operat:on in the Mm cipality Uv` It shall be the responsibility of the Ormer during the -ern of flus Agreement to pay for all repair(s). maintenance. adjustment(s). replacement costs, and inspection costs. This includes an annual maintenance fee (typicalit $400 to 5600). .VM Ossuer agrees that ouiy maintenance and repair personnel approved by the Municipality or the manufacturer's representative rill inspect and make any necessan maintenance. repairs or permitted alterations to the system. Omuer acknowledges that regular maintenance of an A1177S reduces the potential failure of the system, which could include sen age bacLrgt and costly repairs or drainfield replacement (rev. 05'IS'2018) Page 1 of Orner aclmoniedges that the Municipality may request records of i :atmenance and repairs from the manufacturer's representative or nainteuance provider y Or.ner acknowledges that the fine for failing to matntam and repair an AUMM Wray be assessed in accordance inth AXIC 14.60.030. Onuer aerees to gram the Municipality reasonable access to test and inspect the AVINTS. the Nfumicipality will give at least 2 -1 -hour notice. LOntuer aerees that any We or transfer of title of the property will not occur without a nevi Certificate of Ou-Site Systems Approval. IC- 0 Ovner aerees that die: VIVI'S installation and maintenance requirements as provided by the A AIM vendor installer and approved In- the Muninpality are the governing guidelines for the construction- maintenance and repair of the Ormer's AVM -TS 4Z Owner agrees to maintain remote monitoring of the AW TS as required b}' the AV'%N-rS approval. 3. Term. The term of this Agreement shall begirt on the date of approval by the Nlumic ipahty to operate the instated system. or upon transfer of title. and shall continue while the AR117S is operational or until title is transferred. 1. \onsvaiver. The failure of the Municipality at any titne to enforce a provision of this Agreement shall in no n-av constitute a Waiver of the p.mn ion-, norm any nav affect the validity of the .agreement or any part hereof. or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. Ihis Agreement shall only be amended by authorized representa-tves of the Omer and Nlurucipality. Any attempt to amend this agreement by etcher an unauthorized representative or unauthorized means shall be void 6. Jurisdiction! Choice of Law. Ant- civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the Sate of Alaska shall govern the rights and obligations of the parties under this Agreement. ?. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05 1& 2018) Page 2 of 3 OWNER: 3v(rtsunu*e', Dzite OA 11,111-e'l S r T. k TE 01F 1 53 TH= J-,-DIC'I.-'LL ITIS TRIC The ,t 4h :.'I'Mulier cad=,,*Jedpd me tt,., of State of Alaska NOTARY PUBLIC Carlo Baluytit MUNICIP-sx,ff Y: NAy Commission Fxpiies Feb 24, 2027 Da 11,113-e , j T-.-Je: (r�I I-- I - 0 -� 1 S IS', Pace- 3 c--'3