HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 3 LT 3A1
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PAGE 1 OF 2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW930489 DATE ISSUED:11/22/93
DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE:11/22/94
OWNER NAME:BYERS HORACE M & EDNA L
OWNER ADDRESS:ROUTE 2, BOX 281 SPURTAN DRIVE
RUPERT, IDAHO 83350
PARCEL ID:05028169
LEGAL DESCRIPTION: EAGLE RIVER HEIGHTS BLK 3 LT
3A
LOT SIZE: 19700 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
1. LOT WILL BE CONNECTED TO PUBLIC SEWER.
2. OBSERVE SETBACKS: 75' TO SEWER MAIN, 100' TO SEWER
MANHOLE; 25' TO ON -LOT SEWER SERVICE LINE.
3. SUBMIT WELL LOG TO DHHS WITHIN 30 DAYS OF COMPLETION OF
WELL.
RECEIVED BY
ISSUED BY:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 2 OF 2
DATE •
DATE: //-,.Z 1- 93
From : KENNETH G. LANG, Land Surveyor (907) 345-6476
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PLOT PLAN Y_ AS BUILT SCALE "a So' GRID MV 55 Project No. '2j•262
Meametl (Go �y 1toRvo ILS 1731 George Bell Circle
Anchorage, Alaska 99515 (907) 345.6476
1 Hereby certify that 1 have surveyed the following described property:
Lot •a1;�,Block-'> ,_EAGLG V-4-4 L FlCllr=1IlS _
A1X1kO4-aG&1LRecording District, Alaska, and that the Improvements situated
thereon are within the property linea and do lot encroach onto the property
adjacent thereto, that no improvements on the property lying adjacent thereto
encroach on the surveyed premises mad that there are no roadways, transmission
tines or other visible easements on sold property except as indicated hereon.
Dated this the �� Day of__WoJRMr, rr. , 19.fa>, at Anchorage, Alaska
It Is the responsibllity'of the owner to determiad the exiitence of any essemcuta,
covenants, or restrictions which do not appear on the recorded subdlvisibn plat.
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T J HOMES INC.
Page 1 of 2
5636595
CONTRACT FOR SALE OF REAL ESTATE (VACANT PROPERTY)
The BUYER. whose name and address is T. 4. Homes Inc., P. O. Box
,
agrees to Anchorage,
ands Alaska08,
337-355
Phone (209) 436-6990, agrees ars whose address in Box 2to sell 81 tthe 2followingRuert�described,r*Idaho al
Property according to the following terms and conditions outlined
int his Contract.
LOT 3A Block 3 EAGLE RIVER NEIGBTS, Eagle River, Alaska
1. Total Purchase Prices 2.6,2So.o0
(to be paid as•followas)
a. Earnest Honey Deposited 50Q-00
b. Balance to close 25.750.00
2• Total purchase price includes all ass
record. essments of
3• The date of closing is within (45) days after both
parties sign this agreement and SELLER shall deliver
Possesaion of premises upon closing. The sales
proceeds shall be disbursed at closing.
4. There is no Real Estate Broker or Real Estate
commission due.
S. Closing costs to be paid as follows:
SELLER to pays Owners Title Insurance. All other
closing costs to be split equally.
6. Balance to Close shall be remitted to Closing Agent by
C.S. Cash, cashier's check, or wire transfer.
GENERAL CONDITIONS:
CONVEYANCE Title shall be conveyed by Statutory Warranty Deed
subject to taxes for current and subsequent years. Zoning and
other prohibitions and regulations imposed by government
authorities, easements, restrictions, and reservations of record.
PERSONS This contract is binding on and the benefits insure to
the heirs and personal BOUND representative of the parties.
Where required, the singular number includes the plural, the
masculine gender includes the feminine, and vice versa.
P.02
T J HOMES INC. 3636593 P.03,
CONTRACT FOR SALE OF REAL ESTATE - LOT 3A BLOCK 3 Eagle River Heights.
ATTORNEY'S If any litigation occurs between the parties as a
result of this Contract, each party shall be responsible for
their own attorney's fees incurred.
DEFAULT If the BUYER breaches this Contract, the SELLER shall'
receive the BUYER's deposit(s) as liquidated damages and -all
Obligations between the parties shall coax*. If the SELLER
breaches this Contract, the BUYERS recourse is to have all
deposits refunded.
CONTRACT The data of the contract is the later signature date.
Tim* is of the essence in this DATED contract.
CLOSING The "BALANCE TO CLOSE" shall be adjusted by the
proration of real property taxes and applicable homeowners
association dues.
SURVEY Before closing, the BUYER may at BUYER'S expense obtain a
survey of the property. If the survey discloses violation of
deed restrictions, Zoning regulations or covenants of this
Contract, or that any improvements are built within the property,
or any encroachments, the same shall be deemed a title defect.
LOT INSPECTION Before closing, the BUYER may at BUYER'S expens*.
check site, perform any test holes and/or consult with soils
engineer to determine lot suitability. Should Buyer determine
that the lot is unsuitable and gives Seller notice, then Seller
shall return Buyer's lot deposit and this agreement shall be
voided.
LOT Seller ,ori d the
work on ti�y!1,d,Y pr d
Seller
Seller
to perform the necessary ground
a-e�Nomea Inc, Chicles E. Jackson
I-C
Dat•
r*sidant
Date
Horace M. Byers
Edna L. Byers .Date -
Tn'tifirb 43riIIing [0g
I,,
DOC Co. tlba
SULLIVAN WATER WELLS
P.O. BOX 870272, CHUGIAK, ALASKA 99587 a TELEPHONE 0882759
OWNER OF LAND ,1 9.1 n1 X:-`' DEPTH OF WELL / b I S 77c -
ADDRESS y0 -b
C--ADDRESSynnb 6022 -A419 AljLy� 'STATICLEVELOFWATERFF. 13-1
LEGAL DESCRIPTION,/ .1 %f' 174K 3 %�DRAW'DOW'NFT.
DATE. • Started Ended _ l/`I.F GALS. PER HR -j^2 D
PERMIT NUMBER KIND OF CASING (� S D n
KIND OF FORMATION:
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MISCL. INFORMATION:
DRILLER'S NAME
{*-54-
• MUNICIPALITY OF ANCHORAGE. ARL
• DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services 99
On Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # C) _';ll- 99,1 - (en HAA # - �i (; °COA ml n I
1. GENERAL INFORMATION
Complete legal description Lot 3A; Bloch 3; Eag£e R.ivert HeigU6
Location (site address or directions) 10249 Chain o6 Rock
Property owner
Bud
]acheon
Day phone 337-5595
Mailing address
P.O.
Box 241488
Anchorage, AK 99524
Lending agency
Mailing address
Agent
Address
Unless otherwise requested, HAA will be held for pickup.'
2. NUMBER OF BEDROOMS: 4
3. 'TYPE OF WATER SUPPLY:
1 Individual well XXX
Community well.
Public water
Day phone
Day phone
NOTE: If community well system, provide written confirmation from State ADEC attest -
Ing to the legality and status of system.
4. '.TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer XXX
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
22-025(A".1/91( front MOARt
S.
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is 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 in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm / ! Phone 61��2y2 q
a a a G14VIWCCKIMI
Address 17034 Eagle River
Eagle River, Ala Z p,
Engineer's signature I I -/
6. DHHS SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
By, ' 1W a Date
2
•
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 a.,ove by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes
and their lending institutions in orderto satisfy certain federal and state requirements. Empioyees of DHHS do not
conduct Inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
7Z-025IPay. 7Nt7 Beck MOAe21
Municipality of Anchorage AL
`
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:) >-r 3K ?2L -J --J> arcel I.D.
A. Well Data %-f' ", XTS'
Well type If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Q)N) 4 Date completed 11—`1'i Driller
Total depth 11. �� SN Cased to " Casing height t 2ki
Sanitary seal ON) Wires properly protected (SIAN)
FROM WELL LOG
Date of test
Static water level 1�3
Well flow 12.o g.p.m.
Pump levell J1L
SEPARATION DISTANCES FROM WELL TO:
AT INSPECTION
I�sS rd��l
Z If,,;.
Septic/holding tank on lot '� l' ; On adjacent lots %
Absorption field on lot ►i a ; On adjacent lots 10 C)
Public sewer main 7S Public sewer manhole/cleanout 10 �}
}
Sewer service line 'ts Petroleum tank 243 t t
WATER SAMPLE RESULTS:
Coliform 6 Nitrate '%, D 9 Other bacteriay
Date of sample: /-3J- 9 f Collected by: S a S "LAI
B. SEPTIC/HOLDING TANK DATAVO'F�L-1 6—
Date
Date installed
Tank size Compartments
Cleanouts (Y/N) Foundation cleanout (Y/N)
High water alarm (Y/N) Alarm
Date of pumping
SEPARATION DISTANCES FROM SEETIC7HOLDING TANK TO:
Well(s) on lot / On adjacent lots Foundation
To propert cAkT < Absorption field
water/drainage
Water main/service line
72 -WO ("3)' Font CONTINUED ON BACK PAGE
C. LIFT STATION
Date Installed Manufacturer
Size In gallons Manhole/Access (Y
Vent (Y/N) 'Pump on' level at -Pump off' Level at _
High water alarm level Cycles tested
Meets MOA electrical codes (YIN)
SEPARATION DIST FROM LIFT STATION TO:
Well of On adjacent lots Surface water
D. ABSORPTION FIELD DATA
� y G
CO
Date Installed Soil rating (GPD/FF) System type
Length Width Gravel thickness Total de
Total absorption area Cleanout present (Y/N) De ion over field (Y/N)
Date of adequacy test Results (pass/fail) for Bedrooms
Water level In absorption field before test After test
Peroxide treatment (past 12 months) (Y/N) If yes, give date
SEPARATION DISTANCE FROM ABS O ION FIELD TO:
Well on lot On adjacent lots Property line
To building foundatio To existing or abandoned system on lot
On adjacent I Cutbank Water main/service line
7777
Surfa ater Driveway, parking/vehicle storage area
urtain drain
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified,
MOA and HAA guidelines in effect on the date of
A. Sne`a' Ar:
re•�.e . ty .•
HAA Fee $ OCOe Dto Waiver Fee $
Date of Payment Date of Payment
Receipt Number e2 S /+4 3 % ( U C16 ) Receipt Number
72-028 (897)' Back
_ U2/US/94 15:21 CTF:E ENVIROWENTRL LAB SERVICES NU. 571 DO
JAh
*--Cc -q
Commercial Testing & Engineering Co.
Environmental Laboratory Sorvices
CT&E Ref.4 :94.0499-1
Client Sample ID IL3A B3 E.R. NTS.
Matrix :NATER
Client Name :S & S ENGINEERING
Ordered By :R. SHAFER
Project Name :
Project# :
PWSID :UA
Sample RemarkS: ROUTIN
Parameter
-----------------------
Nitrate -N
REPORT of ANALYSIS 5633 8 Street
Anchorage, AK 99518-1 Goo
Tel: (907) 562.2343
Fax: (907) 661-5301
ROW. Order :95480
Printed Date :02/03/94 @ 13:21 hr
Collected Date :01/31/94 @ 14:30 hr
Received Date :02/01/94 @ 13:30 hr
Technical
Director :STEP
Released By a Zt�
QC Allowable Ext. Anal
Results Qual Units Method Limits Date Date Int
------ -------
1.08 mq/L EPA 353.2/300.0 10 02/02 LL
:a:aaesasrrirrrae`sa=irirraaaacsatariaarSx4i1:a3taerararacare:aiaesnsss2tatxaaa=a�x:as�arare:rrirri
* See Special Instructions Above UA = Unavailable
** See Sample Remarks Above NA r Not Analyzed
U = Undetected, Reported value is the practical quantification limit, LT c Less Than
D r Secondary dilution. GT = Greater Than
4
Q Q 1139 Membeiofthe SGS Group MocffYGeibraledo$,Irve0lanco)
ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO. FLORIDA, ILLINOIS. MARYLAND, NSW JERSEY, OHIO, UTAH. WEST VIRGINIA
02/03/94 15:22 ME ENVIR(]r`PIENTRL LRP SERVICES
COMMERCIAL TI=STING tic ENGINEERING
C'NVIRONMENTAL LAP-^AATORY SERVIcrzss G CO.
NO. 571 170:
Drinking Water Ar:alysis Report for Total Colifotr Bacteria $813 z S—;:.E:T
I' -0'r STRC%CT10'V;0'&:F'EVEpSF. SIDE B£FORF COLLfCTIYG SAMPLE ANy T-:M—)AK
3!2.23.;
AIT TCT Ax: rn,a,,. ,- _ __ r.�x: ;➢,�):el.3.a1
O PUBLIC TATER SYSTE.X LA.: E- I J
KPRrVATE RATER SYSTEM
�. '.e4 rtts..:.. C SenGlrteniu C �'j
M-r'� •.TAI __.
tJ SteCReraL•r
a warm„;,,
i0 Ec C0ti1PLE:T1] BYL.?EOIL=.TOgy
Ar^=.lpss s!:ous Cais V:y±c: SP��G'LE to be:
I � Saisractp�•
o L:va_ls`a:tc
C Sa.:.p!e C%-er 3C hears old, rer.•L, r..p.,•
be trsciiable
C S='M1c %3o Iong ?,-• trl,i:l, Sa.Tp!: SEOL':J
t:::
:J :::•jCC.� r::i�c.:•, res•: F'_as: se-�
cav SLnp •.-a s,:aoia! c;.;i�:;� rn2il.
Dar'
TimC Kecei�eJ _ _l ? 3 6/
Aalaiy.:s Begao
^_"+:—�
>✓ii�.,:....
i
� A:;.rrica: 1IC:i1uC: � fe:*.h!_s;e Fi'±:
alt -of! . e _r !.'Lls•':'i!� r;i,
ca•,� rr .._ffz jj qqr
tin. Rcsna• Aral st
LI
lI,
^cto ..
nay .•ca'
94.9499 I CI A
S.%mns p:
CH Routine
C /repeat Sa.'rple (for ret:tire
Sr..: ±c •.. s E.C. ( :4.cE , fsa :� [
sazple C
nith lab ref. no. i;a:rea:e" Wat:r
I
C Special Purpose
ei r
titre' :.-.-
I �--' —• � _ __
'Nu.e CellecteC
S.•LIItPLE�rLOCATION
; C!iea;!1•:TMeCcfC.•`S.t:ic!a;tCr result;:
Cc!lectcrl Ey
_C; a"G �i'
Faxce
=ire.
BACTERIOLOGICAL NVATrR ANALYSIS RECORD
JL%t0-MVC Result: Tota! Col: wnr.
F. CcR
.-fenbracc Flirer: 1):sect Coca ----
--�5-•�
_ Crbn;c1/l 00 MI
1 �'ar:^.utioc: LTB _ SG= �,�,,,�
r T-
COT,LFIR;\. .•rae S'.weaa Ta Carnt
Fecst Coliform Coo:Irca:l0c
D7 -o:Rv eaavit
Final Membrane Filter. e,utt
r- — Caiiformfl00 ril
Reported By Date 2-'-52.•54-/1 3'J
Tim, Err
PART ONE OF TWO:
REMAINDER TO FOLLOW
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