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HomeMy WebLinkAboutALYESKA #3 BLK 21 LT 16Alyeska 3 Block 21 Lot 16 #076�022�29 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. tko ct� 444V3TOta Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program A 9 T I C 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsfte (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAmiLy DWELLING Parcel I.D. 076-022-29 1. GENERAL INFORMATION Complete legal description Alyeska #3, Blk 21, Lot 16 HAA # 0503gy Expiration Date: I / – // — o -y- Location (site address or direct onS) Higher Terrace Rd.. Girdwood Current Property owner(s) Anthony & Carol Smith Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Scott Kirk / Girdwood Realty Day phone 783-2231 Mailing Address Unless otherwise requested, HAA Wit be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 11 Individual Water Storage Individual Holding tank 0 Community Class Well 0 Community On-site 13 Public Water System 11 Public Sewer [a The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) 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 Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511-0443 Phone 349-1851 Engineer's Printed Name Cindy W. Ellis Date = 5. DSD SIGNATURE __J,�� Approved for �?, bedrooms. Disapproved. Conditional approval for bedrooms, with the follovVing Idy W. Ellis CE - io577 _.o Z.E-7: WATERAND :111: Additional Comments ; __- PROGRAM Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: L,11 4 ,,/ W, Odginal Certificate Date* 0 (Rft 011M Municipality of Anchorage Development Services Department Building Safety Division On -SRO Water & Wastewater Program 4700 South Bragaw St. P.O. Box 198650 Anchorage. AK 9951 9-W50 www.muni.org/onsfte (907) 343-7904 HEALTH AuTHORiTY APPROVAL CHECKLIST Legal Description: Alyeska #3, Blk 21, Lot 16 Parcel ID: 076-M-29 A. WELL DATA Wall type Pri If A, B, or C provide PWSID # – Well Log (Y" Y Date completed Sanitary seal (YIN) Wires property protected (Y/N) Y Total depth 90 ft. eased to 40.5 ft. Casing height (above ground) 14 n. FROM WELL LOG AT INSPECTION Date of test 8/10179 6/30105 Static water level +2 4 ft. Well production 0.5 9 -P.M. 0.6 9 -p -m - WATER SAMPLE RESULTS: Coliform _2­colonies/l 00 ml. Nitrate 40-1 mg.A. Other bacteria 0 colonies/100 ml. Arsenic: NA rng.A. Date of sample: Gram Collected by: Rorky Trainod Waddrm EM B. SEPTICIHOLDING TANK DATA Tank Type/Material NA - AWWU Public Wwar Date installed Tank size _ gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) _ Depression over tank (Y/N) _ High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date Installed NA Soil rating (g.p.dJe or fe/bdrm) _ Swern type Length ft. Width -ft. Gravel below pipe ft. Total depth _ ft. Eff. absorption area Mankoringtube_ Depression over field Date of adequacy test Results (Pass/Fa[Q _ 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.) (Y/N & type) If yes, give date D. LIFT STATION Date Installed NA OPump on* level at _ In. Datum E. SEPARATION DISTANCES Size in gallons _ oPump ofr level at — In. Cycles tested ManholetAocess (Y/N) _ High water alarm level at Meeft alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankMft station an lot NA On adjacent lots NA Absorption field on lot NA On adjacent lots NA Public sewer main 46 Public sewer manhole/cleanout 100+ Sewer /septic service line 50* Holding tank NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building fbundaflon NA Property line _ Absorption #aid Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line NA Building foundation _ Water main Water Service line Surface water Driveway, parldrigVehicle sWrage Curtain drain Wells on adjacent lots F. COMMENTS Well In easement. Lefters of non-objectlon applied for. Waiver for well to sewer main 40 ft. G. ENGINEER'S CERTIFICATION I certify that I have deferadned Mrough field bspecdons and review of Munidlial records that the above systems are in conformance ma MOA HAA guidelines in effect on fts date Engineer's Printed Name _ indy W. Ellis Date 7/20/05 HAA Fee $ L/-30 - eD WalverFee$— Date of Payment '*0 i4g-t'j 0-1- Date of Payment Receipt Number Receipt Number (Rev. 12/01) W. Ellis in. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 %v%vw.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval N 050348 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 21, Lot 16 of Alyeska #3 subdivision, the well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 2 -bedroom residence is 0.2 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. LOT THIS DRAVANG IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN. X E CLUSION NOTES. It Is the ownsm* responsibility to deterinine LEGEND: SET FND S; (= C) -F _F I-< I FR 1-< the existence of any wasernents. covenants. or restrictions 5/6 -RB W/CAP@ 5/8* R8 0 with GIRDWOOD REALTY which do not appear on the recorded subdivision plat. NOTE- 3.25" ALMON. 0 MONUMENT 40 Under no circumstances should any data herson be used for COnstnuctim Or for *stoblishing property lines. HUB & TACK 0 FENCE- _X— X — SURVEY CERTIFICATION: LANTECH has cw7,-,7td , OVERHANG - Physical *uFVOY Of this PCOPerty as shown an this WOOD DECKS- F�_� L& drawing and that the Impro,nvnents situated thers- CONCRETE- E�_ on are within the property lines and no encroach- ASPHALT- ments exist other than noted. GRAVEL -L_ LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGIWE—ERS AS—BUILT OF: LEGAL DESCRIPTION: JSEPMC STANDPIKS_ _�s 1WA?ER WEU. - 440 WEST BENSON BLVD. # 200 (fox) 561-6626 ANCHORAGE. ALASKA 99503 (907) 562-5291 LOT 16, BLOCK 21 WORK ORDER NUMBE ,�R DAM JULY 5. 2005 1. 05--L-217 ALYESKA SUBDIVISION M.sn10,KCxmsv= RS MLJ 4916 I RAQ 1A1 SGS ReEN 105372DO01 Client Name Watkins Engineering Project Name/# Alveska #3 BIk2l Lot 16 Client Sample ID Alycska #3 Blk2I Lot 16 Matrix Drinking Water PWSID 0 Sample Remarks All Dates/Times are Alaska Standard Time Printed DatcMme 06/29/2005 18:58 Collected Daterrime 06/23/2005 14:30 Received Datefrime 06/23/2005 15:39 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQIL Units Method Container ID Limits Date Date Init Waters Department Nimic-N 0.100 u 0.100 mg/l. EPA 3DO.0 B 10) 06/24105 JJB Microbiology Laboratory Total Colifonn 0 colV100ml. SM209222B A (<-I) 06/23/05 TLIF SGSICT&E 'ENVIRONMENTAL SERVICES -------Drinking-Water Analysis, Report -for -Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM ID* f4RA'ATE WATER SYSTEM Send Irrvoloa Send Rewfts Er Send Rewlts ar 4C weir) SAMPLE COLACTION: Date: F�20 0 13" Y. Tlm:— 'Z Location: /a I" 200 W. POTTER DRIVE . ANCHORAGE. ALASKA 99518 Tel: 907-562-2343 Fax: 907-561-5301 I ah Raf Na 1053720-44�- 0- 111111111111111 [] Sand invoice SAMPLE TYPE: 11 Routine 13 Treated Water 0 Repeat Sample 13 UntreatedWater (refer to lab no 0 Special Purpose Transported to Lab Sr. U'Same as collector Other TO BE COMPLETED BY LABORATORY Sample Recelvino: Date: C -2-1-t55 0 Sample oeer 30 hDum old; 0 RUSH SAMPLE a Time: Temp: Delivery Method: Received Bv: Comments: 43 Results my be urvallable Phone#:' Fax M .............. 0 ................................................ 0 ......................... 0 ............. Bacteriological Water Analysis Record: Analysis Began: Mz .5/,Ps— Analyst: Analyd"I Method: E��-�brane Fifter MM MUG (P/A) MMO-MUG(PIA)RESULT3: Total Collform: E. Coll: MEMBRANE FILTER RESULTS; Dirac Ctxlrt Colnl,,IIOOmL Veflkatlon: -CLTS BGa�-74-- { I. c_ _ .................................... SenttoADEC: ANC FSK Datefrlmw Sent to Client Phoned Faxed Daternme: SDoke wfth: Fekatisfactory 0 Unsatisfactory a I'A Tlflrc-Tw�wc� Reported By:_ _,..e DateMme: �L-o e� cc S,gwbw 4v– Fom#FW-0053 12/17/03 %\usesinasOlIANK—GroupData\Pubflc\DOCUMENTTORMS\approved\ColI Form 121703.)ds C Mayor Mark Begich August 10, 2005 Alunieipc4ity of Anchorage P0. I k,x VX6N) -Am-hontgc,Aht.,U - 47M 11nigaw St reel 011ice: (!X)7)3V3-K301 - Fax: (!X)7):"3 -K -'(X) ImIdNimmumi.org 1)cvcIoI)nicrit SLr%ices 1)epartiiietit Anthony and Carol Smith P.O. Box 110443 Girdwood, AK 99511 RE: Encroachment: Private Water Wel I and Deck Block 21, Lot 16, Alyeska #3 Subdivision, Grid 4916 Dear Anthony and Carol: Dc pa r t ni c tit The Right -of -Way Division has reviewed a request for a letter of non -objection to an existing private water well and deck, which encroach 5.2'and 2.0', respectively, into the I O'utility casement. On the as -built survey dated July 5, 2005, submitted with the request, the petitioner has shown the private water well and deck. This letter of non -objection is issued with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of non -objection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the casement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Obtain letters of non -objection from the following utilities: ZAnchorage Water & Wastewater Utility OAlaska Communications Systems NChugach Electric Association, Inc. []Matanuska Telephone Association E]Matanuska Electric Association, Inc. NEnstar Natural Gas Company ElMunicipal Light and Power DGCI Cable of Alaska EEyecom (Girdwood cable TV) All letters of non -objection should be retained in your permanent files. Should you have any questions, please call me at 343-8033. Sincerely, Concur, 11�11t— Jack L. Frost, Jr. Right of Way Supervisor Pror Y w er(I C0111111unity, Security, Prospe * ty ENSTAR July 26,2005 Anthony and Carol Smith C/O Watkins Engineering, Inc. Ms. Cindy Ellis P.O. Box 110443 Anchorage, Alaska 99519-0288 Re: Letter of Non -Objection Grid: 4916 To whom it may concern: ENSTAIR Natuml Gm Company A DIVISION OF SENICO ENERGY Engincering Deparirncrit 401 E. Intervatiorml Airport Road P.O. Box 190288 Arwhorage. Alwka 99519-0-88 (907) 334-7743 FAX (907) 562-M3 ENSTAR Natural Gas Company has no objection to a well encroachment into the Ten Feet (10 ft) wide utility casement lying adjacent to Higher Terrace, situated on Lot 16, Block 2 1, Alyeska Subdivision Third Addition, Plat 66-167, located within Section 16, Township 10 North, Range 2 East, Seward Meridian, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of non -objection by yourself. your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 0 ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be rcpaired at no cost to ENSTAR. 9 Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the property owner. 0 All applicable safety code regulations will be observed and maintained. This letter of non-objcction will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Andrew Fraiser Right -of -Way Assistant ENSTAR Natural Gas Company cc: File ANCHORAGE WATER & WASTEWATER UTILITY "A New Standard of Excellence" Owned by t1w Mu micipalify of A nchorage Engineering Division Anchorage 3000 Arctic Boulevard All-Amedca City Anchorage, Alaska 99503-3898 fax 907.562.0824 http://www.awwu.biz 2002 Mark Begich, Mayor July 18, 2005 Anthoy & Carol Smith C/o Watkins Engineering, Inc. P 0 Box 110443 Anchorage, AK 99511 Re: Alyeska Basin #3, Block 21, Lot 16 (Grid SE4916) Encroachment into easement Dear Property Owner: The Anchorage Water & Wastewater Utility received your request for a letter addressing AWWU's position regarding the existing well that encroaches into the utility easement located on the east 10' of the referenced lot. Also noted on the as -built drawing are wood decks that encroach into the utility easement located on the south 10' of the lot. AWWU water is not available to the referenced lot. AWWU sanitary sewer mains are located within the Higher Terrace right-of-way and within the utility easement located on the north 10' of the lot. AWWU issues this letter with stipulations to allow the encroachments and by using it, property owners are agreeing to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments; 2. All applicable codes and regulations will be observed and maintained within the easements; 3. This letter will in no way preclude AWWU from full use and enjoyment of its rights Within any portion of the easements; and, 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of AWWU facilities to accommodate the encroachment shall be paid by the property owner. If you have any questions, please call me at 343-8009. Sincerely, Hallie Stewart Engineering Technician Voted Best Tasting Water in America - 1998 U.S. Conference of Mayors nue 05 05 04:40p Scott L Nicole Kirk 907-783-2031 p 04�JOS/05 FRI 13:09 FAI 9073491934 watming tmcr M�WL ACSOAla -Am Ccffwftw�M� SYzt� July 28. 2DO5 AnUMY & Canol Srnkh do V4uftw Engineedng. Inc. po Box 110443 Anchorage, Alaska 9%11 ACS tm no objecbm 10 the encroactvr"j of Vle Well kft a plgtied easement located on lot 16. bk)ck 21. Ahv3ka SubcjvWon, an depkied on the as-hA drawing subff"VB& Acceptance and use of Um WW Of by ymseff, your hms, yow "sigm, or your successm, WiN comotge agmernert to the fbIlavving s4wlabons: 1. ACS wd be hold harmless. now and forever. for any darnager. or witry bo any person or prop" as a Ims of dfre encroachrnent 2. Arty ACS facifity dwrokpd or dedwyed as a restft of " encroachment will be repaired at no cost to ACS. .3. Any cogs Inuirred by ACS for special construchon flecsssft3led bY #= w=whry%sM wil be bon by the property a^Tw. 4. Al appgcmme salety code requIshons vA be observed and nmwtmvxi 5. Thm WW of non.� wA in no way preclude ACS fiom M use end eqoyment of its rights wkhh OnY POFWn Of Its right-&-vVey- ACCEPTANCE* DATE: Zcq porf Grid X 4916 60OTekph�A� AwJwwaqe.A1as�99W3-6091 W907-5"101)0 �acsafaska.� p4C 05 05 04:40p Scott L Micole Kirk 907-703-2031 AFTER REWRIX"G, MML TO: Name (Grantee): Power of Attorney (Special — Alaska) KNOW ALL PERSONS By THESE PRESENTS. ThaUolin &�tb MI th ESM.M�� and appoint has made, constituted and appointed, and by these presents does make, conettule. Scott Virk hisme: true and lalsful attorney fcr use and benefit regarding the followim- 11 w1her and in fitsiner name, place and slea.j, Ord for his/her described 1-031 Property: GIVING and GRANTING un'.o hkml*r sa�d attorney full povier and authority to to and perform a!l and every 2c% and twng whatsoever reqjlslte and ne^.essary tc; be done in and at%A lhe premises, as fully to aq ;ntsrts and purposes as nalshe might or ccd.cl do if personally rresent, Including but not limited tc, c,:ntm,ct. agree for, purchase, recel,;e and corvey lands, tenerient. he,edit2ment. convey, fficrigage hl,pottiecate. bargain. Sell or sign any docliment for, remi3e. and release. Also for hw.ther andin hisiher ria-ne. and as Wher W and deed. to sign, seal, execule, deliver and ackrowledge such deeds, jeases and assignment Of leases. covenantsk. agreenen1s. moraages. hyPOtheclitiOrs, bills, bonds. notes. recelpts. evidences of debt, re4eases; and sasisfactons of mortgage, iudgment and other debts. and suct' cth--r instruments in wdtkV of whatsoever k;nd or nalure, as may bt necessary or procer in the prerrisss. Hereby ralffying and confirming all th;ithiOwr"d attorney Scott 11(irk to be done tby virtlie of these presents. ThisPowercof kittomey shall expire gtil shall tawfully do or cause b Sale o! above mftnzt US& ro 6=r.. terminate on ; —art Situated in the THIS fS TO CER11I tin:fersigned Kolary known to rie and to in&trument and — Y that or this a Public. personal rre known to be , my �ailhiii.�=-rd!Ycl 7-12D— Powerotj (Gran or Power of Atturrtsif) P. 2 Aicial Districtof ftSt3teOfA;"i(a 20 0-1-. Wave me the ;.� Walne, A RCU,� W�, in --and v% -ho execLftd the Icrego"9 acknowledged tic Fne that -j3me freely and voluntarily lor the Wffwj�is rr'y-�gnd "Official seat uses and purposes Inerell" set ;171�- L.JQ&-L-U- o4 VA :�aA'r fo'�a Notary public in and 'or Ala iil�a v, My cornmissic.1 e)rplr"-S: CHUGAMO: POWIJUNS ALASKAS FUMRE August 3, 2005 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511 Attention: Cindy Ellis, P.E., President Subject: Encroachment Permit Request for Existing Well Lot 16, Block 21, Alyeska Subdivision Third Addition SWV4of Section 16, TI ON, R2E, S.M., Alaska Grid 4916, EN05059, PID #076-022-29 Dear Ms. Ellis: Enclosed is the Encroachment Permit for the well within the easement area in Lot 16, 1 Ilock 21, Alyeska Subdivision Third Addition. Please review the Encroachment Permit. If the conditions are agreeable, have the -jr-operty owners, Anthony Smith and Carol Bechtel -Smith, sign the document where indicated, havethe signature/s properly notarized, and return the document in the enclosed envelope for full execution and recordation. Chugach will record the document. Please submit $35.00 for the Alaska State Re. -orders, Office recording fees. If you would like a conformed copy of the recorded document, please include an additional $2.00. The check should be made payable to Chugach Electric Association, Inc. A self-addressed, stamped envelope is enclosed for the return of th-. signed and notarized Encroachment Permit and the check for the recording fees. Enclosed for the property owner's information are Chugach's Electrical Facility Cl?arance Requirements and K%at is an Easement? handouts and a Locate Call Center card. If you have any questions, do not hesitate to call me at 762-4735. Sincerely, C Susan Truskett, SRAVA Right -of -Way Agent M Enclosure Chugoch Electric Association, Inc. 5601 Mi�.esolo Dr,ve, P0. Box 196300. Anchoroge, Afa,ka 99519-6300 1907) 563-7,04 F,, 19071 562�0027 - (8001478-7494 1002-16C G-4)16 EN(15059 076-022-29 ENCROACHMIENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. 0. Box 196300, Anchorage, Alaska 99519-6300 and Anthony Smith and Carol Bechtel -Smith (herein "Permittee"), whose address is 9289 lv) TreeLane, Great Fallsi Virginia 22066. I . Easern . Chugach is the grantee or user of an easement for the constuction and maintenance of electrical facilities, as follows: I Dedicated by the plat of the subdivision known as Alyeska Subdivision Third Ad lition, according to Plat Number 66-167, recorded on the 70'day of December 1966, on filc in the office of the District Recorder, Anchorage Recording District, Seward Meridian,1daska, (herein "Easement") which pertains to the following described real property: Ile Northeast Ten Feet (NE 10') of Lot 16, Block 21, Alyeska Subdivision Third Addition, according to Plat Number 66-167, recorded on the 7h day of December 1966, on Bic in the office of the District Recorder, Anchorage Recording District, Seward Meridian, �laska, Permittee acknowledges the validity of the Easement Permittee warrants and repr.-seiits that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 16, Block 2 1, Alyeska Subdivision Third Addition, according to Plat Number 6 5-167, recorded on the 7'h day of December 1966, on file in the office of the District Raorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). Encroachment Permit - Page I of 4 2. Encroachment Permittee proposes to continue the existence of the following improvement(s) on or within the real property subject to said Easement A well within said Easement, subject to a Carsonite warning post, installiA 51 southeast (toward the property corner) of the wellhead, with the flat surface f: icing HigherTerrace. (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Pcrmittee to continue the existcrice of the Encroachment in its proposed location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemaify and bold Chugach barmless from any claims for personal injury, property damage or other lossarising in anyway from the coninuation of the Encroachment. 5. No ExMion or Increase. Permittee shall not in any way expand or iicrease the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide suh consent 6. No Interest in Real Estate Acirtuired. Pennittee hereby acknorwIedgirs that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement c r any other real property. Without in any way limiting the foregoing, Permittee acknowledg,-s that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common Iawdoctrine of adverse possession. Ibispermit creates no interest in the real property subject to the emement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment If such payment is not made within thirty (30) days of writ:cn demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Runniniz with the Land. The obligations of the Permittee arisbig from this permit shall be covenants running with the land which shall burden the Parcel and the -,"ermittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirly (30) days written notice of such termination if - a. The Encroachment is enlarged, increased or extended within the real p-operty affected by the Easement Encroachment Permit - Page 2 of 4 b. The Encroachment is damaged by any means to an extent of more than th irty percent (301/o) of its replacement cost at the time of destruction. C. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire fort y (40) years from the date hereof 11. Entire Ajzreement. This written permit constitutes the entire agreement I etween the parties with respect to the subject matter hereof and supersedes all other prior or conten iporancous agreements, oral or written, between the parties. No moddications, amendments, deletion s, additions or alterations ofthe permit shall be effective unless in writing and signed by all of the pai ties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PERNMEE By: B, 'W� Edward M. Jenkin, P.E., Director Anthony Smith 'ZWAIPOA Engineering Services Division Date: 0 9 LOS IA6— Date: 02�—&j4Q5 I / By: ejC-01 Lee 4 <? —_ A C4 r )40 Carol Bechtel -Smith �tWIQM Date:_09-05-os Encroachment Permit - Page 3 of 4 STATE OF ALASKA ) ss: THIRD RJDICIAL DISTRICT The foregoing instrument was acknowledged before me this-S4k dayof Avc^PJT' 2005, by is �,- %,r k I CLF�C;'�ne-�j -1 "N A;X.C.1- 4&^ An+ (PRINT NAMEIS t(tititi(ij, W, re TAiR? STATE OF ALASKA ) ss: THIRD RMICIAL DISTRICT PERMITTEEIS) "m-4 C:,p-ol W-MYM Notary Public in and for the State of Alasm My commission expires: S�'i k �e—c 1,N+e I - S-,N1+k The foregoing instrument was acknowledged before me this.:E�day of Awpv5r 2005 by Edward M. Jenkin. P.E., Director, Engineering Services Division of Chugach Electric Ass;�ati In, Inc., an Alaska corporation, on behalf of the corporation. f>A-�7,p ai*t-c� j,A1 " �q Notary Public in and for the State of Alaska . -eqHFjU.fz- .0 t1074 'A� Ina ftauc z AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 My commission expires: 2 /' 1 6 / 0 1 Encroachment Permit - Page 4 of 4 d!3,:.*LU$ 4:1, N FT -11: (A7) 73�--'L-�j 70: �4.A 1T,4 rA';E3 - U-' CF Lll� JUL-25— - 2003 03:41 PM JA&CA smrTH 703 757 7746 Jul 22 as 0113ap Scott L Micole Kirk ----910020/41 VC 11124 VA% W84SLAU watkIRS bw ;mI 20 05 02iffla MY20,200 AWHMV WA CIMI Smt& BOM Owm 2"1 %allym Dr. Ambntm AIN&A 99sol 207-793-2031 vew Ckwfy W. Wis. - q - d &AAAW=dCmmI2md44 P. 03 P.2 ONI pol & In yaw peftftwow.0cs Caw h". of A WAS W PO Obie� 10 f6m INU ='jnbdWWUtWWeww=Wcn twNwtbmmpupcny time ofIA IC wdWw*21.A4wft*3 3,"vidmxn*%mv* Tug ktftrQ(oOQ-oWmd= imm wwpvx&wa Ga CAW Own boa" Omf efgaymew 9f mW fle= ft way bon wVbim *W pwtkm of@* UdftY ASSIOU" Rd Ord* 60"f- wwy, joeAffog mhmivmd now" for oemking ft fidlitwo. Moo =y addiGow aod mmovdirmy Coqu bwmnd dmbq any &fwC mlima womractiom mw or rmwunxtinn orCKTA ficMdex to n=omnmxbft Any or 20 of dw enavadweem SW be pula by the p opaty ownw. I By signIA9 bdaw, YQU mgm to ffm� md ImAd OM Ohhk %"Wtu, DOw AM tDm%vr. *r any 6nwqm cogm agenge Omk&n mmaiAm 9mc=Wf, &MI dAddm moi jktwy to aqF pwwn ric pMeirty oomnUg " a remh Qfdw ancromcbment PL� WASOW yow mcepbmmm b7 dpbg bd2IwI*vmyftVAdQ4 — I- V— - 0 n� v-qz—tg 6181 Fabbenla 0' - I w Arwhorege. Ahmft BOSOM a 90719064"W 9075501630 TELALASKA OrERATIO TELALASKA OPERATIONS 09.34.36 a rn. 07-26-2005 213 TdAlaska Inc. Oper2dons Dept Outside Haar Lvineennj .?01' F 56th Am Phom: 4907) $63-2003 Aiwhomge, AK F". 1907) 550-1630 TeWaska Ine.. "SIN July 26, 2005 RE: Encroachment Permit Lot:16, Block 21 Alyeska #3 S/D Girdwood, Alaska AttrL: Anthony& Carol Smith c/o Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax: (907) 349-1934 To Whom It May Concern: TeLAlaska, Inc. cl.b.a. Eyecom Cable in Girdwood does have facilities located in easement at eastern comer of property near Right -of -Way tine of Alyeska #3 S/D, Block 2 1, Lot 16, Girdwood, Alaska. Based on TeL4daska Inc.'s current facilities locations, future requirements, and actual location of private well located on attached As -built Survey, TeL41aska Inc. does not have any objections to an encroachment for the private wen on the above mentioned property owned by Anthony and Carol Smith. If you have any questions of me or require any additional information, please contact me at 550-8682. Sincerely, lobgb/ieVN��� Outside Plant Engineer