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HomeMy WebLinkAboutMCCREADY MEADOWS LT 5McCready Meadows Lot 5 #015-092-83 e Municipality of Anchorage';pq` Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Pagel of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:Q5,r 101098 PID Number: 015.092-83 Name: Wastewater System: ®New ❑Upgrade Address: 9980 Hampton Circle ABSORPTION FIELD Phone: Number of Bedrooms: ® Deep Trench ❑Shallow Trench D Bed D Mound D Other: Soil Rating Total Depth from original grade: LEGAL DESCRIPTION 0.8 GPDIFF 10.0 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 5 McCready Meadows 5.0 Ft. 5.0 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: O Ft. 50 Ft. Well: ❑ New ❑ Upgrade Gravel width: 2,5 Number of lines: Distance between lines: 2 Ft. Ft. classification (Private, A, B, C): Total Depth:Cased to: Total absorption area: Pipe Material. ExistingPrivate Ft. FI. 1000 Fta 3034 PVC Driller: Date Drilled: Static Water Level: Installer: Date Installed: FI. Cliff Grebil 1 7/13/2010 Yield: Pump Set at Casing Height Above Ground: TANK GPM FL Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private Manufacturer: capacity. From Tank Field Station Tank Sewer Line Anchorage Tank 1500 Gel. well 104.1 110.6 50+ Material: steel Number of Compartments: 2 Surface Water 100+ 100+ LIFT STATION 25.0 10.6 ¢e: an acture[ Lot Line Gal 23.7 14.9 "Pump on' level at: Pump ofr level at: High water alarm at : Foundation in. in. in. 50+ 50+ Pump Make & Model Electrical Inspections performed by Curtain Drain Remarks: BENCH MARK Location and Description: Door Jam Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1at 7113/2010 ������u���� PCE.OF q��S4�i 2nd 7114/2010 ••••••• �?.•° Development Services Department Approval % � Conditional Approval Date: 49TH �;,, ....................0 �♦t ;Steven R.• Pannone �i �j l3 ♦ e• No. CE 8149 •�1 9 Reviewed by:ate: D .�2 ��� and approved 04/06) ��� �♦1 (Rev. �t "^ L J- 1.�� P, TH9: \T H 1 0 w AREA UNDEVELOPED NO WELLS OR SEPTICS WAIN 200' DRAIN FIELD (E) ABANDONED "PER CODE 1,000g SEPTIC TANK (E) ABANDON €D PER CODE �z> wc`=a mom ro C5 10.6M4 CD C/),oC2 ,- TH1 06 rn " m' C1 TZ - Mr3 DRAIN FIELD (P) T1 -0.0 C4 2EA 5OLFx5'EDx2.5'W, IO'TD TEE � �" C1A _-- f NOTE: CONT06RS ARE FROM C�_ M2 2004, AREA HAS BEEN REGRADE 1n M nn 1 M 1 15.1 RELATIVELY FLAT. 110. 04.1 5 BR RE ERVE FIELD 110.6 BASED 0 CATIll PRIES SYSTEM 7 20LFx5D, 10TD ' 105.4 ' ' 5 BR HOU'. ELL E \ 10'T&B CO A B C1A WELL O � SEP C AREA (E) T1 WELL (E) 71.1 T2 28.6 61.2 NOTES: 29.9 PAMONE ENG SVC, LLC C2 30.9 RECORD DRAWING TEE P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 53.6 C3 28.4 58.6 McCREADY MEADOWS S/D LOT 5 Cliff Grebil 9980 Hampton Circle Anchorage, AK 99516 28.6 55.8 C4 66.4 16.3 M2 65.7 15.9 PLAN 42.2 (907) 227-7515 CO A B C1A 27.2 76.2 T1 26.5 71.1 T2 28.6 61.2 C1 29.9 58.3 C2 30.9 56.3 TEE 32.5 53.6 C3 28.4 58.6 M1 28.6 55.8 C4 66.4 16.3 M2 65.7 15.9 C5 42.2 59.6 M3 44.7 5-3 0 C6 76.9 28.0 M4 76.1 27.6 r 1 � Date OF A(gs�ll+ /10 ;�AP�� S8a119 • • •�)(�GV P.I.D. NO ., �'�.-• •••Steven R. Pannone• 15-092-83 I.•, CE 8149 PERMIT N0. 0SP101098 FFPROFESS' -Sheet ION OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW 1500 GALLON SEPTIC TANK AND NEW SOIL ABSORPTION SYSTEM 4. GROUNDWATER WAS NOT ENCOUNTERED DURING EXCAVATION ABOVE 16 FT. 5. CONTOURS ARE IN 2 FT INTERVALS. BASED OFF 2004 FIELD SURVEY. AREA NORTH OF HOUSE HAS BEEN GRADED RELATIVELY FLAT (2%+/-). TH 107.7 N 0.5' 107.7 N Filter Fabric °R 5 0' 107.8 (S) Drain rock 6" above pipe -1 nv 92'7(8) 92.8 (S) 4�_4" diam. drain pipe NEW 1500g 94.12 SEPTIC TANK DESIGN PARAMETERS NEW SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1,500 gallon PERC. RATE: 5-15 MPI (0.8 gpd/sf) Min AREA ROD: 937.5 SF SYS. TYPE: DEEP TRENCH, 5.0'ED, MIN LENGTH: 94 LF USE: 2 EA 50LFx2.5'WIDE,5.0'ED,10.0' TD TOTAL AREA: 1000 SF TWO EACH TRENCHES WK9721111110 IIIIIIIZ:3;�avr_\rreI=11 CU COPPER DIP DUCTILE IRON PIPE TH 87.7 (N)Drain rock below pipe inv. FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT N0, 87.8(S) MONITOR TUBE NO. R. 1. RIGID INSULATION DCO SF DV 2.5' 10' —14 min 6 —i6 91.7 RESERVE SYSTEM SIMILAR oN e3, No round water SECTION monitored z O? WMCI ¢O j O 7 O ? WO Dz cooW Oz I- �z zw z zQ z -1z mQ a O �W 0 K= �W M Ir= 0 O� J �Qz J O' � z 00 O0 z W0 0 0 00 W Q 2a O� 4" Dia Perf Pipe Z¢ W OF U n n n n n 0 �Q TF810 HDPE �< NEW 1500g 94.12 SEPTIC TANK DESIGN PARAMETERS NEW SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1,500 gallon PERC. RATE: 5-15 MPI (0.8 gpd/sf) Min AREA ROD: 937.5 SF SYS. TYPE: DEEP TRENCH, 5.0'ED, MIN LENGTH: 94 LF USE: 2 EA 50LFx2.5'WIDE,5.0'ED,10.0' TD TOTAL AREA: 1000 SF TWO EACH TRENCHES WK9721111110 IIIIIIIZ:3;�avr_\rreI=11 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT N0, M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE 107.6(S 92.7 (N) 92.8(S) 87.7 (N) 87.8(S) LEGEND WATER LINE/ WELL RADIUS EXIST'G SEPTIC NEW SEPTIC CHAINLINK FENCE NOTES: PAMONE ENG SVC U.0 ��`oF Qc,\il Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 S �� PHONE (907) 272-8218 FAX (907) 272-8211 rrr,�p.. �y+�` Scale NTS McCREADY MEADOWS S/D LOT 5 % ' ""' P.I.D. NO Cliff Grebil•• e -O'F6-092-83 Steve•n'F�)'�'annonPERMIT NO. 9980 Hampton Circle��+PF •, CE 8149 / OSR101098 Anchorage, AK 99516 acs'• �r DESIGN NOTES (907) 227-7515 ��l��ossisheet o�P ����"`O+ 3 OF 3 Jul -24, 2013 10:18AM 0 0 a 0 0 LOT 11 1V S 00°11'2S" I 72.2' - Bous y etery 4 ��_ad � I i i i 3:r i � 12Y I H�rO LOT 6 I ` aiw I Im Scale. 1" b ',t:'49R R ""* ,•,• BENJoSAMIN'O.HRON No. .o 13 ����ROffSSOHALLhi�' NOTES: 1) Hearing and Distances are Record as per Plat No. 2002-110 1o' ThE Eamll Xopsat(► _�' I r 20' ME ESMT--1 ,Jjjj& 5ENTEC Surveying d Engineering TC - 2525 Garnbell Street, Suite 200, Anchorage, Alaska 99503 Tele: (907) 563-3835 Fax: (907) 56338'17 AS 13UILT OF: Lot 5 - McCready Meadows Subdivision 7935 No 3375 P 1 N50.00' 102.20' "4 Acle I I i to atvr I I E Iw 1\ 168.84' LOT 3 1 to, ThE Eamt. �N" 1 LOT 4 R=50.00' 1.=32.18' a W scale, 1" = 100' 1 LEGEND o SEP11G °0., UTILITY POLE n H lb 'AI toscon uc 0 WELL cal smvoy orchis property as shown on dds gand that the improvements simated Ihorcon are SHE the property lines and no encreaehmenls esist OVERHEAD EL, LINE to determine the existence of a„y easements, covenants, or roshietlons which do not appear on the recorded subdivision plat. NOTE: Under no circumstances should any data hereon he used for the construction or On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101098 Tax Code Number: 01509283000 Work Type: Septic Upgrade Permit Effective Dates: July 02, 2010 to July 02, 2011 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: MCCREADY MEADOWS 7`D>/A14 60-r d-7.nAi h-oo To P Site Legal Address: MCCREADY MEADOWS LT 5 G:2440 Owner/Address: GREBIL CLIFFORD E & JOI M 9980 HAMPTON CIR ANCHORAGE AK 995076216 Site Mailing Address: 9980 HAMPTON CIR, Anchorage Lot Size in Sq Ft: 76665 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By Municipality of Anchorage Development Services Department =RpRt Building Safety Division = On -Site Water and Wastewater Program 4700 Bragaw, Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING OSP /01098 Parcel I.D. 015.092.83 Property owner(s) Cliff Grebil Day phone 227.7515 Mailing address9980 Hampton Circle, Anch AK Zip Code 99516 Site address 9980 Hampton Circle Zip Code 99516 Legal description (Sub'd., Block & Lot) McCready Meadows, Lot 5 Legal description (Township, Range & Section) Lot Size 76665 Sq. Ft. Number of Bedrooms 5 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ® Initial ❑ Septic Tank ® Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 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. Pannone Engineering Services, LLC (Signature of property owner or authorized agent) Permit/Rush Fees: S 3 0 Waiver Fees: Date of Payment: 6 — �2— / 0 Date of Payment: Receipt Number: 7 Y 3 Receipt Number: (Rev. 11/05) Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve0paneneak.com June 25, 2010 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: McCready Meadows S/D, Lot Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing five -bedroom house. Currently the lot is developed. The lot is served by a private water supply. The existing septic system shall be abandoned per code. A new drain field will be installed north of the existing house and will be sized to handle a five -bedroom waste stream. The surrounding developed lots are served by private water systems. The private wells are located over 100 feet from the proposed soil absorption system. 1. Soils. A single test hole was excavated by PES on June 12, 2010. See the attached soil log. Ground water was monitored for over seven days. No ground water was monitored to a depth of 16 feet below ground level after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used, using a conventional wastewater treatment system, and 5 gpd/sf for an advanced wastewater system that utilizes a pressure discharge (the reserve system.) 2. Soil Absorption System Design. See Design Drawings sheet 2 of 3 for the design calculations. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately 10 percent based on the survey information north of the area of the septic system. The area the sptic system will be installed is relatively flat, graded to approximately two percent. There are no steep slopes within 50 feet of the proposed septic system. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 615 East 8204 Ave, Cuite B6, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and there are no further comments received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, ••CE„........ �♦♦0 Colo` ♦i �.. ... ... .... ... i ♦♦� Stevon R. Pannone 0 ♦♦♦� .°�`.. CE 8149 e°��,♦� Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 615 East 820° Ave, Cuite B6, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 WELL O j --- --- - .......... .... SEP C AREA I EA (E) .. ........ rjw WELL (E) ate NNOTESPANNONE ING SVC, LLC ..t�o D7/1/10 ISSUED FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ....... PHONE (907) 272-8218 FAX (907) 272-8211 s..Ie McCREADY MEADOWS S/D LOT 5 ....... P.I.D. NO )15-092-81- Cliff Grebil3 annopne ......... 9980 Hampton Circle �P,, . -. CE 8149 0. Anchorage, AK 99516 00 .. ' — I PLAN lk '* Sheet (907) 227-7515 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL. CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW 1500 GALLON SEPTIC TANK AND NEW SOIL ABSORPTION SYSTEM 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 16 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. CONTOURS ARE IN 2 FT INTERVALS. BASED OFF 2004 FIELD SURVEY. AREA NORTH OF HOUSE HAS BEEN GRADED RELATIVELY FLAT (29+/-). TH M SP -14 cP/ P —16 eoH No groundwater monitored 2.5' 10' min SECTION rr Z W °0 QQO ¢O ZZQO WO —� =OJ J J 0J O LLU U U DU � LL DESIGN PARAMETERS NEW SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1,500 gallon PERC. RATE: 5-15 MPI (0.8 gpd/sf) Min AREA ROD: 937.5 SF SYS. TYPE: DEEP TRENCH, 5.0'ED, MIN LENGTH: 94 LF USE: 2 EA 50LFx2.5'WIDE,5.O'ED,10.D' TO TOTAL AREA: 1000 SF Fabric Drain rock 6" above pipe inv 4" diam. drain pipe rock below pipe inv. RESERVE SYSTEM SIMILAR TWO EACH TRENCHES PROFILE ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE NOTES: PANNONE ENG SVC, LLC ISSUED FOR CONSTRUCTION p.O. BOX 100217 ANCHORAGE, AK 99510 _--1 PHONE (907) 272-8218 FAX (907) 272-8211 McCREADY MEADOWS S/D LOT 5 Cliff Grelail 9980 Hampton Circle Anchorage, AK 99516 DESIGN NOTES (907) 227-7515 4" Dia Perf Pipe F810 HDPE W Mo 0W Q F -U Z O 2a U LEGEND WATER LINE/ WELL RADIUS EXIST'G SEPTIC NEW SEPTIC CHAINLINK FENCE 7/1/10 NTS '•'•"/ P.I.D. NO �tevenn�f2.'Pannorae� n'. CE 8149 ••;5�� •� � Sheet =' 2 OF 4 RESERVE SYSTEM DESIGN DESIGN PARAMETERS RESERVE SYSTEM ADVANTEX W/ PUMPVAULT NO. BEDROOM: 5 (750 gpd) TANK SIZE: 1,500 gallon PERC. RATE: 5-15 MPI SOIL RATING: 5 gpd/SF AREA ROD: 150 SF SYS. TYPE: DEEP TRENCH, 5.0'ED, MIN LENGTH: 15 LF USE: 1 EA 20LFx2.5'WIDE, 5.0'ED,10.0' TD TOTAL AREA: 200 SF 4 SLIDE OF OVER THIS CON,v�i,i lulu TO PROVIDE SHEER PROTECTION - EXTEND TO BRIDGE EXCAVATION 2EA. ADVANTEX IA„ AUXILIARY PUMP BASIP PASSIVE AIR CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER NOTES: I PANNONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 McCREADY MEADOWS S/D LOT 5 Cliff Grebil 9980 Hampton Circle Anchorage, AK 99516 DESIGN NOTES (907) 227-7515 LEGEND WATER LINE/ WELL RADIUS EXIST'G SEPTIC NEW SEPTIC CHAINLINK FENCE '*:•49TH rJQ ':* •Steven •f2.'•Pannone �-F,•, CE 8149 .•,�x; Date 7/1/10 Scale NTS P.I.D. NO 15-092-83 HERMIT NO. Sheet 4 O 4 SOILS LOG - PERCOLATION TEST TEST HOLE 1 SLOPE OR TOPSOIL K 7 2- 4- 6 4 - POORLY 7SP TEST -(90 GRADED SAND HOLE I W/PEA GRAVEL / 8 &COBBLES 10 12 I 13 WAS GROUND WATER SLOPE 14 �� GRAY POORLY ENCOUNTERED? N 15 GP/SP GRADEDGRAVEL IF YES, AT WHAT TH 1 16 � W/SAND DEPTH? -0' X BOH I DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 6/19/10 I I 1 1 3i d PEROLATION RATE 7.0 (min/inch) PERC HOLE DIAMETER 6 inches I j TEST RUN BETWEEN 7 FT AND 8 FT COMMENTS: Test hole excavated by Owner. Test Hole was presoaked before perc test. Test ran for one hour. last four reading reported. PERFORMED BY: Steven R Pannone P E I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE I WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ate NOTES: PANNONE ENG SVC, LLC .�` ! F2 A/- -kt 07/1/10 TISSUED FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 S �� q 1 s�l� Scale PHONE (907) 272-8218 fAX (907) 272-8211 �* .�� *f�/ NTS TH '. McCREADY MEADOWS S/D LOT 5 % P.I.D. NO 15-092-83 Cliff Grebil "Steven Panno. ' PERMIT NO. 9980 Hampton Circle �1�F CE 8149 Anchorage, AK 99516 �� s r Sheet SOILS LOG (907) 227-7515 ,k\F,PROFESS ONP�+ 3 OF 4 i lkv \\\ PERCOLATION TEST DATE TIME NET TIME WATER LEVEL NET DROP 6/12/2010 10:40 ---- 3.25 ---- 10:50 10 6.13 2.88 10:50 --- 3.25 --- 11:00 10 4.88 1.62 11:01 --- 3.25 --- 11:11 1D 4.75 1.50 11:11 --- 3.25 --- 11:21 10 4.70 1.45 EPtANS MUNICIPALITY OF ANCHORAGE iii- Development Services Department Phone: 907-343-7904 On-Site Water& Wastewater Section �=-- Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 015-092-83 Expiration Date: — 1. GENERAL INFORMATION Complete legal description McCREADY MEADOWS LOT 5 Location (site address) 9980 HAMPTON CIRCLE,ANCHORAGE,AK 99507 Current property owner(s) PAUL&BERVERLEY LEEMBKE Day phone Mailing address 1120 HUFFMAN ROAD#24-373,ANCHORAGE,AK 99515 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 55 ) Waiver Fee $ Date of Payment 5-/'1(19 Date of Payment Receipt Number 6.25-5-5-b Receipt Number COSA# O5Ligi i gg Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION &ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON,PE Date 5/22/2019 Comments:This investigation was completed in compliance with MOA guidelines,regulations, and best industry practices/methods. The assessment of the condition of the well and septic \ 11101k applies only to the conditions as of the day tested.The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface,changes in land use, '�jOF c\ local soil characteristics,groundwater levels that may fluctuate during the year,quality of 'b>. • .4v" construction(workmanship&materials),the water usage of the family being served by the �rr�.7 `�� � � system and maintenance. The operational life of all well and septic systems are subject to / �1.." these various and dynamic characteristics and are outside the control of the evaluator of the / * :49 I. * ., well and septic system. Therefore,any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments,deficiencies or discrepancies exist can be given by FNc.S and Anderson Construction&Engineering. 3QCEtAEL N. ANDERSON �1 No. CE 9489 5/22/19. 6. DSD SIGNATURE ',41„ sssto�N' Ayr System #1 Approved for 5 bedrooms \\\_.s.:41." System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: ,olll((((((( , � 4 O y ' W N.S1rF t _ No c).-z . GR ,11,11,)I►) y: ( - 1......, —L—DC(// ---..-----e Original Certificate Date: l0`'1 —lot The Municipality of Anchorage Development Services Division (DSD)issues Certificates of On-Site Systems Approval (COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: / COSA Checklist X Nitrate Advisory >C Septic System Advisory __- Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: McCREADY MEADOWS LOT 5 Parcel ID: 015-092-83 If more than 1 septic system on lot: COSA Checklist#_of Structure served by this system_ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date Well disinfected for coliform test? ❑ Yes ® No Total depth *290+ ft ® Coliform bacteria is Negative Cased to ft Nitrate 5.61 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ND ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected FWCS Casing height (above ground) 12+ in. Collected by - Date of flow test for COSA 5/13/2019 Static water level at beginning of test 271 ft. Date of Sample 5/14/2019 Well production at time of test 2.8 gpm Comments *Based on acoustic soundings at test. B. TANK DATA—7/13/2010 - 1500-gal C. LIFT STATION -NA Age of tank(s) 9 years ❑ Required maintenance completed Tank type/material SEPTIC /STEEL Age of lift station years Measured operating fluid level in septic tank 50 Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping 5/13/19 D. ABSORPTION FIELD DATA—2 X 50'L x 2.5'W x 5'ED—0.8 GPD/SF = 1000 SF Which system tested (date installed) 7/13/2010 Adequacy test date 5/13/2019 • *ALL standpipes present per record drawing Results 0 Pass For 5 bedrooms Total measured depth from grade 10.1 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 5_1 ft(min) Water added 750 gal ❑ N/A— pressurized field New depth 23 in ® Monitor tubes go to bottom of effective. If not, state Elapsed time 1020 min depth into effective Final fluid depth 0 in ® Code-required soil cover over field ❑ System presoaked Absorption rate 750 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) N date of test) If yes, enter date Gallons introduced gallons RCS Comments/Deficiencies: Tested trench closest to the house-other trench had 32"of fluid. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots: Property Line > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Absorption Field > 5' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Main > 10' ® Yes if No ft If septic tank is under driveway comment below Water Service Line > 10' ® Yes if No ft Surface Water> 100' ® Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS APP.c G. ENGINEER'S CERTIFICATION Ar � ,_ x,71, 1 certify that I have determined through field inspections and review /.*:'..49 TH%\ of Municipal records that the above systems are in conformance / 0 with MOA COSA guidelines in effect on this date. I 4 MICHAEL N. ANDERSON. 4 / No. CE 9489 N •.5;22r.tg 0 jay COSA Checklist.docx \ OFESSl0 ' MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • �� 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC191188 Subdivision: McCready Meadows Lot: 5 A water sample revealed a nitrate concentration of 5.61 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.0. Box 196650 * Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org Parcel I.D. 015-092-83 Municipality of Anchorage', On -Site Water and Wastewater Program (907) 343-7904 G P Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: �E % Complete legal description McCready Meadows, Lot 5 Location (site address) 9980 Hampton Cir Current Property owner(s) Cliff & JOI Grebll Mailing address Real Estate Agent 9980 Hampton Cir 2. TYPE OF DWELLING: FLI Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Pi�hliC 1A/afar _7e+ e.o... F-1. U -11C Sewer l❑ WaiverNariance request for: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number _ (519 COSA# 0512-13) 3L V Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE 1/� System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 272-8218 Date 8/22/13 Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: The unicipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f 0 If more than 1 septic system is on the lot: COSA Checklist # of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: McCready Meadows, Lot 5 Parcel ID: 015-092-83 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) No Date completed Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth ft. Cased to ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 7/16/13 Static water level ft. 260 ft. Well production g.p.m. 2.7 g.p.m. WATER S��AI1MPLE RESULTS: Coliform 'ye colonies/100 mL Nitrate 3� mg/L Arsenic A10 ug/L Date of sample: 2'/l 3 Collected by: P>95 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 7/13/2010 Tanksize 1,500 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alar (Y/N) N Date of pumping 7// o /1-5 Pumper O,^e Sfo r p Pi„ ; , C. ABSORPTION FIELD DATA Date installed 7/13/2010 Soil rating0.8 GPD/SF Deep Trench (g.p.d./ft2 or System type Length 50 ft. Width 2.5 ft. Gravel below pipe 5 ft. Total depth 10.0 ft. Eff. absorption area 11000 fe Monitoring tube Y Depression over field N Date of adequacy test 7116/13 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 0 in. Water added 764 gal. New depth 10 in. Elapsed Time: 380 min. Final fluid depth 0 in. Absorption rate , 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ in. Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 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. Engineer's Printed Name Steven R. Pannone Date 7/24/13 COSA brown sheet -1 0-10-1 2.doc Absorption Feld 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage11 0+ Ju 1.24. 2013 10:18AM ri e 1 Etta r�-ahwg Aa I tM ry a EtW to Scale. 1" - DENJAMINNJ.HRON • . h` No. S-1 10 ti•.air 13..' NOTES: 1) nearing and Mimes ara ltccord as per Plat No. 2002.170. 5ENTEC 2525 Gambell Street, Suite 200, Anchorage, Alaska 98503 Tele: (907) 563-3835 Fax: (907) 5033817 Lot 5 - McCready Meadows Subdivision 7935 LOT 11 tri st�a Elm . r S 00°11'27" E — I 62.22' 4 LOT 6 10' T&E Eam, '4{!/� I i I r 2a' T&E ESMT---� :V No. 3315 P. 1 y _ 1 R=102 8' \--�_ 3 07°48'21" W 0.52' R=50.00' L=32.19' I I LOT 8 I M IY O D I I 3 �q I ti -J1P41r I E bi v\ 166.54' LOT 3 I f0' T8E Eant. LOT 4 ` sealm 1" = 100' 1 LEOENO a SEPnc `O., UTILDY POLE BY E 1 as conduom 0 WELL ;cal survey of this property as shown on this g and that the improvements simated thereon are — OFIE— the property lines and no encroachments exist OVERHEAD EL, LINE inn noted. NSION NOTES: It is the owners responsibility amine the existence of any easements, covenants, icllons which do not appear on the rceorded ision plat. NOTE: Under no circumstances any data hereon be used for the construction or establishing orproperty tines. >� POWERING ALASKA'S FUTURE REQUEST FORM FOR ENCROACHMENT PERMIT OR LETTER OF NON -OBJECTION t tot {� Date: Requestor: %� !� r� L)N �= i-- w 6 ��� �' Property Ownerls: 01t-1 G(^ h Q �y ! Contact Phone Number/s: q 0-) - < ? Requestor/Owner Address: /j! 1 go J/ A 113 f�> Property Address: f��7nN� /� o iLA (rte A r Subdivision Name: e(//.,I`&JA0V /YL—V6W Lot S B1ocWfract - Type of Request: Encroachment Permit Letter of Non-objcction: (i.e. shed, garage, deck, an g permanent) (i.e. standard fenpng, tan capmg Describe: WEL-L 15 1-J T1i6 TfF F(acs EMe--NT An Encroachment Permit request requires a copy of the certified as -built or plot plan be submitted with this request. The as-built/plot plan must clearly show the encroachment, and include all dimensions of the encroachment within the easement area, to include distance from the property line or easement line. In accordance with Chugach Tariff TA252-8, a non-refundable processing fee must be submitted with this request, as follows: Encroachment Permit - $280.00 Letter of Non -objection - S 70.00 The Encroachment Permit will be recorded. State recording fees, typically $35.00, are additional and must be submitted after all owners have signed the Encroachment Permit. Submit Request Form, additional information and non-refundable fees to the Land Services Department located in the Chugach Electric Headquarters' Building `A' at 5601 Electron Drive. Call 7624781 with questions. ,stor (If not the owner, include relationship to ............a...................uu...u..................... uu......uv...... For Chugach Land Services Department — Form Modified 8/2/11 DATE AMOUNT PAID $ LS# GRID MAP BOOK PAGE PLAT# MOiFcR91C%# 5601 Elachos Dt.^.'.D.Bo:: 196300, Arh;:oj(e, Abska 99519a:3P: - ".7)563-7494 Fa; (9417)562M2i - (8r" 478-7494 .hn chugxhdKtdc.com • infcg'_h,�achzkdrrc.cum A 2 August , 0I3 +isi C I Cliff and Joi Grobii 9980Ilampton Circle Anchorage, ASC 59507 Hear Cliff ff anti Jai Grabil, Subject to your agrement to indemmity, the company as get forth be!-vb QCI Communication Corp has no objection to the veli encroaching into the telecommunications and electric easeineut at Lot 5, McCready Meadows, otherwise known as 9980 Hampton Circle, city grid 2440, This letter of non -objection in no way precludes GCI Communication Cotp from full use, and enjoyment of any rights it May have within any portion of the utility ea=uent and or the night -o£ way, including uni n ited access for servicing its facilities. Also any, additional and extraordinary costs ineurted during any future required' construction, repair or reconstruction of`CCi's facilities to acconunodate any or all of the encroachments shall be.paid by the properly owner; 13y signing below, you agree to indeinnify and hold GCI Communication Corp harmless; now, and ferever, for any 4 am age, costs, expense (in cl u ding reasonable attorneys, Jim), - liabilities and injury -to arty person or property occurring as a result ofthe encroachment. -Please indicate your acceptance by signing and returning this letter to rue at the address below... Sincerely; f. A, atr„ Date ENCROACHMENT PERMIT 1203-13B G-2440 EN13028 015-092-83 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 and Clifford E. and Joi M. Grebil, (herein "Permittee'), whose address is 9980 Hampton Circle, Anchorage, Alaska 99507. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as McCready Meadows Subdivision, according to Plat Number 2002-170, and re -filed as Plat Number 2006-66, recorded on the 26'h day of May 2006, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 27" day of September 1955, in Volume 123, at Page 110, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The South Forty-seven Feet (S 47') of Lot Five (5), McCready Meadows Subdivision, according to Plat Number 2006-66, recorded on the 26th day of May 2006, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Permittee acknowledges the validity of the Easement. Permittee wan -ants and represents 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 Five (5), McCready Meadows Subdivision, according to Plat Number 2006-66, recorded on the 26th day of May 2006, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 2. Encroachment. Permittee proposes to continue the existence of the following improvements on or within the real property subject to said Easement: A One Foot (1') diameter well that encroaches into said Easement approximately Twelve Feet (12') at a location approximately Thirty-two Feet (32') from the west property line, and a shed on a concrete foundation that encroaches approximately Seven Feet (7') into said Easement from the north boundary for a distance of approximately Nine Feet (9'); if the shed were required to be relocated, it is the owners' sole responsibility, (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not m any way expand or increase 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 such consent. 6. No Interest in Real Estate Acquired Permittee hereby acknowledges 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 or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes ofthe common law doctrine of adverse possession. Tbispennit creates no interest in the real properly subject to the easement. 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 written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall he covenants running with the land which shall burden the Parcel and the Permittee'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 thirty (30) days written notice of such termination if: Encroachment Permit - Page 2 of 4 a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by anymeans to an extent ofmore than thirtypercent (301/6) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. Tema. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. EntireAgreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations ofthe permit shall be effective unless in writing and signed by all of the parties hereto. CHI]GACH ELECTRIC ASSOCIATION, INC. PERMIT E By. _� By: �+ T Shelly Schhmitt, s is Manager Cliffi1 Distribution Engineering Q Date: al D-( 2---)13 Date:IL [3 al i3 r Date: &-- al• /> Encroachment Permit - Page 3 of 4 STA'L'E OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this IL day of &4tj 2013, by , 14r -d �7r&i l n17j J ©i Gi-4hi 1 d (PRINT NAME(S) OF PERSON(S) SIGNING DOCUMENT STATE OF ALASKA ss: TIIRD JUDICIAL DISTRICT Jtflny RSI - mmlrl4 � Notary Public in and for the S oikiaska My commission expires: ing instrument was acknowledged before me this day of The fe go r 2013, by . he/4 t5cAjwll y,' Senior Manages, Distribution Engineering ofChugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. A Q�,....'•.wy®.I JN'9�!y NoVtry Public in d for the State of Alaska *01—.,....nv 4 = My commission expires: AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 @Lan- 1 1ka- 1 WmmumicA-ICNS, al : k.a mmmomcm npxprn August8,2013 W 4 U.- I W 1 1 a!Offl lit-:�Egg,7WWW'r " Alaska Communications has no objection to the we# encroaching Into the 19 Telephone & Electric located along the eastern boundary of Lot 5, McCready Meadows Subdivision, WwAse known 9980 Hampton Circle as depicted on the drawings submitted by Pannone Engineering Services LLC, 1 Alaska Communications will be held harmless, now and forever, for any damages ork*iry to any person orproperty, ase resultof this encroachment. 2, Any Alaska Communications facility damaged or desbDired as�a result of this encroach. ment will be repaired at no cost to Alaska Communications. S. Any costs incuaed by Alaska Communications for special construction necessitated by this encroachment will be home, by the property owner. 51 This letter of non -objection *11 in noway preclude Alaska Communications from full use and enjoyment of its rights within any portion of this easement A ACCEPTAN74IGNATURE: DATF-- Grid" 2440