HomeMy WebLinkAboutMOUNTAIN AIR ESTATES #1 BLK 6 LT 10
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231412 LV_4 P 701 yg:?. PID Number: 017-171-14
Dwelling: V Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade
Name
PRUVIS ABSORPTION FIELD
Site Address ❑� Deep Trench El Wide Trench El Bed ❑ Mound
15201 MESA PLACE ❑ Other
Phone Number of Bedrooms Sol] Rating Total depth from ;riginal grade
-
13 1.0 GPD/SF 9.0
Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 4.0 Ft 5
MOUNTAIN AIR ESTATES # 1 BLK 6 LT 10 Fill Ft.
added above original grade Gravel lengt
Township Range Section 1.0
Ft. 47 Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES 2.0 Ft. Ft
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches
From Tank Field Lift Station Tank Line 470 Ft2 1
Ft.
Well 100,+ 100,+ 50'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
Surface Water 1001+ 1001+ ANCH TANK 1000 Gal.
Material Number of compartments
Lot Line 10'+ 10'-1. NA PLASTIC 2
Foundation 10,+ 10,+ LIFT STATION
Manufacturer Capacity
Remarks TANK DEMO PER UPC, Gal.
TANK INSTALLED 10/23/20, FIELD 1/9/24 Alarm location Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to 3034
Installer drainfield
MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034
Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 10 1 ft
Ins dates 11 10/23/20 2"d 1/9/24 Location and description
3`d 41h TOP OF MANHOLE 101
ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp
nal Approval:
Septic Sy
Approved
(Rev 05/02/18)
Date
Date
is approval does not include well permit required
• �_
.,• MICHAEL N.
• RNDERSCN� 4@
�A j•'•• CE %- 94 9 r
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP231412
Work Type: Septic Upgrade
Tax Code Number: 01717114000
Site Legal Address: MOUNTAIN AIR ESTATES #1 BLK 6 LT 10 G:3139
Site Mailing Address: 15201 MESA PL, Anchorage
Owner: PURVIS MARIE A
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
t�t'.11211'tIII CRt
1 /4/2024
1 /3/2025
24317
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to
confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate.
Construction may proceed at your own risk prior to 7-day groundwater monitoring. If results require a design
change, construction shall stop pending approval of a change order. Please submit results with the inspection
report (or change order, if required).
Received By: S S ��� r—f23 0AJ Date:
Issued By: Date: 2a Z
Y OF " HCH®'v =1 GF=
Development Services Department _ =$ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-171-14
Property owner(s) PURVIS
Mailing address 15201 MESA PL, Anch AK
Site address same
Day phone
Legal description (Sub'd., Block & Lot) MOUNTAIN AIR ESTATES #1 BLK 6 LT 10
Legal description (Township, Range & Section)
Lot Size 24,317 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
F-xl
Initial ❑ Single Family (SF) El
(w/wo ADU)
Septic Tank
❑
Upgrade X
Duplex (D) El
Holding Tank
El
Renewal El
Multiple
Multiple Dwellings El
Privy
El
and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: A_Sq 5i
Date of Payment: 1 ZZ19r23
Receipt Number: 0/ 17700
Permit No. 0S 192�19 IZ
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Jan 2, 20204
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic permit
Legal: MOUNTAIN AIR ESTATES #1 BLK 6 LT 10
To Whom it may concern:
This is a request for a new septic permit on the above referenced lot the
home has been sold and will be seeking a COSA for the final submittal.
The final COSA will include the new tank inspection report. The design
requires the old trench be removed and a new trench installed in the same
location.
The application rate 1.2 GPD/SF was determined as follows,
the existing area is 386 SF, if we divide by 3 that equals 128 SF per
bedroom. Checking the new design requires 450/1.2 equals 375 SF/3
bedrooms equals 125 SF per bedroom. The system has lasted for over 50
years so it appears to be correct. The old test hole showed SW (sand) with
some gravel layers, see the MOA file. That is what was observed during
the tank excavation also. A new test hole will be excavated prior to
installation for verification and documentation. The existing slopes are
between 15 and 20 percent with no open water or cut-banks within 100
feet of the site.
This permit will not impact any of the surrounding neighbors, see the site
plan.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231412, Curtis Townsend, 01/04/24
SEPTIC FIELD SECTION
DESIGN CRITERIA:
6.0' EFFECTIVE
3 BDRM X 150 = 450 GPD
SOILS = 450/1.2 = 375 GPD
375 GA/12 = 32'
2.0' WIDE
32' LONG
(1) TRENCH
10' DEEP
1.
0
'
2.0'
-10.0
-4.0
MOUND
FILTER FABRIC
SEWER ROCK
3,3(
GRADE
1"=100'
PROPERTY LINE
EXISTING HOUSE
EXISITNG/NEW
DRAINAGE FIELD
-M
E
S
A
P
L
A
C
E
-
EXISTING WELL
SEPTIC
SEPTIC
SCALE:
DJRDRAWN:
DATE:
MOUNTAIN AIR ESTATES #1, BLOCK 6, LOT 10
Anchorage, Alaska
MARIE PURVIS
12/27/2023
16
(TH#1)
3.0
SW
GM
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231412, Curtis Townsend, 01/04/24
GR
A
V
E
L
D RIV E WAY
1"=50'
EXISTING
HOUSE
EXISTING WELL
DRI
V
E
W
A
Y
CO
MT&CO
REMOVE AND REPLACE
EXISTING TRENCH W/
NEW
NEW 1000 GALLON
PLASTIC TANK
INSTALLED IN 2020, FINAL
INSPECTION REPORT
FOR FINAL COSA
10' UTILITY EASEMENT 15
-
2
0
%
S
L
O
P
E
FCO
SCALE:
DJRDRAWN:
DATE:
MOUNTAIN AIR ESTATES #1, BLOCK 6, LOT 10
Anchorage, Alaska
MARIE PURVIS
12/27/2023
WEL
L
WEL
L
WEL
L
NEW TEST HOLE
REQUIRED PRIOR TO
EXCAVATION OF THE
SYSTEM
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231412, Curtis Townsend, 01/04/24
v
Q
SkQ4----FLAA-E
49 TH*O�D
AS BU/L T SURVEY PI = 301
sr SHANE A. HOLT DO
e LS-6914 0` O NO CORNERS SET THIS DATE
fOfessiona� Lo I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
�Op0000Oa OF THE FOLLOWING DESCRIBED PROPERTY
LOT IO BLOCK 6 MOUNTAIN - AIR ESTATES N0. 1
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR
FENCELINES.
THE PROPERTY LINES AND NO
VISIBLE ENCROACHMENTS
EASEMENTS OF RECORD ,OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON
THE RECORD
PLAT
%EXIST OTHER THAN NOTED.
ARE NOT SHOWN HEREON( UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO
DETERMNE
DATED AT ANCHORAGE,ALASKA
THIS 77 DAY OF
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
DECEMBER , 2023
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR
ICE.
ONLY VISIBLE IMPROVEMENTS ARE SHOWN HEREON
HOL TLAND SURVEYING
THESURVEYDATA ON THIS DRAWING /S PREPARED FOR THE OWNER OFRECORD ONL Y.
9309 GROVER DRIVE
ANYCOPYING, OR UTILIZING THE DATA HEREON IS PROHIBITED UNDER COPYRIGHT LAW
ANCHORAGE,AK 99507
15984 235-78
223-8615
Municipality of Anchorage
Ham.• ;:,.
ENCOUNTERED?
t�t"a
F ),
Development Services Department:''
, • , •
h.•
•
On -Site Water and Wastewater Section
.ate 4700 Elmore St.
'y-
*."49TH
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s
P.O. Box 196650 Anchorage, AK 99519-6650 0
www.muni.org/onsite 00
....... �•�• .°°°'
,_
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(907) 343-7904 /
•����
MICHAEL N.
ANDERSON
C -949
Soils Log - Percolation Test
14 ?F,; !�i2%z.f•C\��:r
Performed For:
Legal Description:
(fl
lar
V'C t? I UV�V•LS Date Performed:
/uV 4,h• i,W R %h. 1,C Township, Range, Section: _
SrTTii rTTT
6P
11-
12-
13-
14-
15-
16-
17.
(16�v M .
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
N 6)_
S
IF YES, AT WHAT DEPTH?
L
Depth to Water After
O
Monitoring?
—T E
D.t.:_1LL1dZ1t
Site Plan
0� r
PERCOLATION RATE -2 __ (r nuteatinch) PERC HOLE DIAMETER to //
TEST RUN BETWEEN 7j, FT AND E* fj FT
PERFORMED BY: &Ab(k • I CERTIFY THAT THIS TEST WA
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: w 7 q
Permit Number:OSP201457
Tax Code Number:01717114000
Work Type:SepticTank Upgrade
Effective Date:
Design Engineer:
Site Legal Address:MOUNTAIN AIR ESTATES #1 BLK 6 LT 10 G:3139
Owner:PURVIS MARIE
Site Mailing Address:15201 MESA PL, Anchorage
Lot Size in Sq Ft:24317
Total Bedrooms:3
This permit is for the construction of:
Disposal Field Septic Tank Holding Tank Privy Private Well Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
10/23/2020
10/23/2021
ANDERSON CONSTRUCTION & ENGINEERING
Special Provisions:
** Locate the beginning of the field to confirm thatthe 5' separation between the tank and field
will be met.
Expiration Date:
¨þ ¨¨¨¨
Received By:
Issued By:
Date:
Date:
MUNICIPALITY OF ANCHORAGE
On-Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On-Site Wastewater Disposal System Permit
10/23/20
MUNICIPALITY OF ANCHORAGEAUSH
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section 6 Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-171-14
Property owner(s) MARIE PURVIS
Mailing address 15201 MESA PL, Anch AK
Site address same
Day phone
Legal description (Sub'd., Block & Lot) MOUNTAIN AIR ESTATES #1 BLK 6 LT 10
Legal description (Township, Range & Section)
Lot Size 24,317 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) El
(w/wo ADU)
Septic Tank
0
Upgrade
Duplex (D) ElHolding
Tank
ElRenewal
ElMultiple
Dwellings El
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: .,Z70 CC000 Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. O S P2 C)I L4 57
Date of Payment:
Receipt Number:
Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Oct 20, 2020
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: New septic tank permit
Legal: MOUNTAIN AIR ESTATES #1 BLK 6 LT 10
To Whom it may concern:
This is a request for a emergency septic tank permit on the above referenced lot the tank has failed and
needs replacement fast. This tank replacement will not impact any of the neighbors or encroach on any
wells, septic or open water issues.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201457, Deb Wockenfuss, 10/23/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201457, Deb Wockenfuss, 10/23/20
GRE; !R ANCHORAGE AREA BOR ]GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPg. S.,AL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL JIO~
INSIDE LENGTH
MANUFACTURER._~
INSIDE WIDTH
_~ NUMBER OF
MATERIAL COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY /CK/'o GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL /O~'" FOUNDATION iq ~
NUMBER OF LINES il DISTANCE BETWEEN LINES
ABSORPTION AREA '~6 SQ. FT,
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE "~'~.~<~ ___OF LINES /
~'[ ~ TRENCH WIDTH "~ '~'~" TOTAL EFFECTIVE
LENGTH OF EACH LINE ~ _
DEPTH OF FILTER
MATERIAL BENEATH TILE ~ ~. ABOV[II~ff ~
WELL:. : 0
TYPE ~ ~"'~"~
BUILDING
FOUNDATION
CESSPOOL
APPROVED ......
CONSTRUCTION OK
NEAREST NEAREST
LOT LINE SEWER LINE
OTHER SOURCES
DISAPPROVED
SEPTIC
TANK
REMARKS
DEPTH _DISTANCE FROM:
SEEPAGE
SYSTEM .... !O'1
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH: ~ f
PIPE MATE RIAL:i~ ~
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE ~l ~5 APPROVED
G.A.A.B.
Form LQ-032
GREATER ANCHORAGe AREA BOROUgh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PErMit NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME Of APPLICANT
'NBTALLAT,ON LOCATION
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT'~TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ,~_~ i
FOUNDATION TO BEEPAGe-P~T , DRAin FIELD ~
SEPTIC TANK TO SEEPAGE F~T-~/ALL
SEPTIC TANK ~ ~ , SEEPAGE ~ . DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
SEEPAgE i=H-~,
ALSO CONSIDER AREA WELLS.
DRAIN FIELD / C/ .
SEPTIC TANK, / ~3~) ) ~)t~ '//~) )
, SEEPAGE P~7
TO RIVER, LAKE, STREAM.
· DRAIN FIELD ./' ~/~"~.,
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
DIAGRAM OF SYSTEM
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE t,--ZO-7£ AFPL'CANT'S S'GNATURE ,
GREATER ANCHORAGE AREA BOROI
iI Department of Environmental Qu_,ity
3330 "C" Street
Anchorage, Alaska 99503
/,~'/;-')' ,//SOILS LOG - PEROLATION TEST
Performed for (-~-C //d~2~.,:~.~~ Date Performed
Legal Descrip~i~n~-'~' ~'<,~ p~f ~ ~~~[
This form reports: Soils log ? Percolation 'test
Depth
Feet
6-
7-
8-
lO-
11 -
12-
/~-
Was ground water encountered?
If yes, at wl)at depth?
Reading Date Gross Time Net Time
Depth to Water Net Drop
I'~-~-r'-c o 1 a~3-o-n-'-r-a t~e ............ Sr~i-n-u ~-e-~
Proposed installa~-{~'n-:"~J'e~'p--a-ge Pit ................... Drain Field
',)L~pLh of Inlet Depth Lo boLtom o'f pit or Lrench
COI,1HENTS:
EQ 040 (($/74)
MUNICIPALITY NCH
1V
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. 017-171-14-000
Expiration Date: 12/13/2024
Legal description MOUNTAIN AIR ESTATES #1 BLK 6 LT 10
Site address 15201 MESA PL Anchorage AK 99516
Current property owner(s) PURVIS MARIE A & GREGORY G
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
a
Original Certificate Date: 1/17/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA ApprovaLiune 2022
COSA Checklist
Legal Description: MOUNTAIN AIR ESTATES # 1 BLK 6 LT 10
Parcel I D: 017-171-14
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled `9/75 Total depth '150 ft
Cased to 40'+ ft
H Sanitary seal is functioning correctly
FO -1 Wires are properly protected
Casing height (above ground) 12 in.
Date of flow test for COSA 1/8/24
Static water level at beginning of test 12 ft.
Comments 'MOA FILE
B. TANK DATA
Measured operating fluid level in septic tank 51_'
Date of pumping 1/9/24
❑ Required maintenance completed, if AWVVrS
Comments: NEW PLASTIC TANK 10/2/20
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW
❑0 ALL standpipes present per record drawing
Total measured depth from grade 10 ft (max)
Measured depth to pipe invert from grade 5 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
fi❑ Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
COSA Checklist—June 2022
Well production at time of test 4+ gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes No
H Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by MNA
Date 12/13/23
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
Lift station material
Comments:
Adequacy test date NEW
Results Q Pass
Fluid depth prior to test _ in
Water added _ gal
New fluid depth _ in
Elapsed time _ min
Final fluid depth _in
Absorption rate _ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 60 in
Effective depth used 0 in
Effective depth remaining 60 in
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
❑E
Yes
Community Sewer Manhole/Cleanout > 100'
7i Yes
if No
_ ft
❑� Yes
if No _ ft
Neighboring Tank > 100' ❑m Yes
if No
_ It
Private Sewer/Septic Line > 25' ❑� Yes
if No _ ft
Absorption Field on Lot > 100' E Yes
if No
_ ft
Holding Tank > 100'❑Yes
if No _ ft
Neighboring Absorption Fields > 100'
Yes if No ft
Water Main > 10'
Animal Containment > 50' ❑� Yes
if No ft
❑i Yes
if No
ft
Q Yes if No _ ft
_
❑�
Yes
_
Manure/Animal Excreta Storage > 100'
If tank or field is under driveway comment below
Community Sewer Main > 75' Q Yes
if No
_ ft
Q Yes
if No _ ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑E
Yes
if No
_ ft
Surface Water > 100'
Yes if No _ ft
Tank to Property Line > 5'
0
Yes
if No
_ ft
Wells on Adjacent Lots:
Field to Property Line > 10'
Md
Yes
if No
_ ft
Private Wells > 100'
Yes if No ft
Water Main > 10'
❑e
Yes
if No
_ ft
Community Wells > 200'
Q Yes if No _ ft
Water Service Line > 10'
❑�
Yes
if No
_ ft
If tank or field is under driveway comment below
F. ENGINEER'S COMMENTS
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm
Engineer's Printed Name
COSA Checklist June 2022
Phone 727-8864
Date
%* •4 TH ••�tr�d
.. ic�dGi *r. ...... .
• MICHAEL N. ANDERSON ..�
j�. CE 9 9
��/�UHUPAU TY OF AHC ORAGE
Development Services Department
On -Site Water & Wastewater Section
Phone: 907-343-7904
Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
3
f
1. GENERAL INFORMATION '
Parcel I. D. 017-171-14
Complete legal description MOUNTAIN AIR ESTATES # 1 BLK 6 LT 10
Location (site address) 15201 MESA PL, ANCH
Current property owner(s) PURVIS
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: NU Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass
Age 4 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑® Seepage Pit
Waiver request for:
Expedited review requested: 0
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ y Waiver Fee $
Date of Payment
COSA # Q S G Z `'% 10/ L/
Date of Payment
Waiver #
COSA Application—June 2022
v
Q
SkQ4----F4AA-E
49 TH*O�D
AS BU/L T SURVEY PI =301
sr SHANE A. HOLT DO
e LS -6914 0` O NO CORNERS SET THIS DATE
fOfessiona� Lo I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
�Op0000Oa OF THE FOLLOWING DESCRIBED PROPERTY
LOT IO BLOCK 6 MOUNTAIN - AIR ESTATES N0. 1
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR
FENCELINES.
THE PROPERTY LINES AND NO
VISIBLE ENCROACHMENTS
EASEMENTS OF RECORD ,OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON
THE RECORD
PLAT
%EXIST OTHER THAN NOTED.
ARE NOT SHOWN HEREON( UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO
DETERMNE
DATED AT ANCHORAGE,ALASKA
11 TH
THIS DAY OF
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
JANUARY , 2024
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR
ICE.
ONLY VISIBLE IMPROVEMENTS ARE SHOWN HEREON
HOL TLAND SURVEY/NG
THESURVEYDATA ON THIS DRAW/NG /S PREPARED FOR THE OWNER OFRECORD ONL Y.
9309 GRO VER DR/VE
ANYCOPYING, OR UTILIZING THE DATA HEREON IS PROHIBITED UNDER COPYRIGHT LAW
ANCHORAGE,AK 99507
15984 235-78, 102
223-8615
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmen/al Services ~)IRONMENTAL ~RVICES DiViSiON
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
' RECEIVED
OERTIFIOATE OF HEALTH AUTHORITY
APPROVAL.FOR A SINGLE FAMILY DWELLING
Parcel I.D. # O1'-/-I'7 I --I,) ~/ - ' ~,:~-HAA#
1.' GENERAL INFORMATION ~ '
Complete legal description Lot 10; Block 6; Mountain Air Estates
Lo. cat on (site address or directions)
~y owr,::~.r Ir,:2 ~ Leks-:
Mailing address. 152ali"Mesa Place
15201 Mesa Place
Anchorage, AK
Anchorage,
IDay pho~i: ........ ~.~-:~10
AK 99516
Day phone.
Agent
Address
John Blaine/ Coldwell Banker
Day phone 561-8686
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
RECEIVED
MAY 1 ;5 19 ?
Municipality of Anchorage
Oept Health & Human Services
NOTE:
lng to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Inr~ividual on-:rc;t~ XXX
If community well system, provide written confirmation from State ADEC attest-
,Holding tank
Commun ty on-site
Public sewer ' ',
NO~Ei If comm
attesting to the legality and
written confirmation from State ADEC'
tus of system.
72-025 [Rev, 1/91) Front MOA e21
Legal Description: ko C i1~
A. WELL DATA
Municipality of Anchorage MUNICIPALITY O~: ANCH(~
DEPARTMENT OF HEALTH & HUMAN SERVIC~I~IRONMENTALSERViCE$~
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~4~ 3 ~997
Health Authority Approval Checklist ~ E C E I V E D
Well type ~o f~ i v b T' [ If A, Bi or C, attach ADEC letter. ADEC water system number
Log present (Y/~ ,%r O Date completed /3~,~
Total depth } 5'0 / {/o~o~ ~,~¢, ~ ~.,~,~S)Cased to z/0
Sanitary seal ~)N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
FROM WELL LOG
Casing height (above ground)
Wires properly protected (~N)
AT INSPECTION
J 7
g.p.m.
Coliform O Nitrate 0. I
Date ofsample: ~//37]'~? ~ ,.P/3. / W7 Collected by:
B. ~HOLDING TANK DATA
Date installed ~/1~/'~' Tanksize }~o0
Foundation cleanout (~/N) ¥ ~ >c . Depression (Y~ tv 0
Date of Pump Dg~ ' ~/~ / ~/7 Pumper / ~' ,~ ,0 ~- J'
C. ABSORP~IONFIELD DA~A' ?'
Other bacteria
$ & $ ENGINEERING
17054 Ea,;le R;ver Loop Road No.
Eagle River, Alaska 99577.
Number of Compartments u/~ Cleanouts (~N) Y~J
High water alarm (Y~ ~, 0
Dateir{statled 'ct /~'/ ~.~ :;~ Soilrating (g.p.d./ff~o~ I~.? Systemtype
Length ~ ~ ~ ~ ,,/ '
~ Width"i' ' ~': Gravel thickness below pipe (; ' Total depth / o
EffectiVe absorption area -~ ~0, ~r z.
MonitOring Tube present ~0/N)'V $ Depression over field (Y/N). 4/
Date of adequacy test -g- )/o / q 7 Result~ail). ? ~ sj For '-~ bedrooms
Fluid depth in absorption field before test (in.); ~"
Immediately after¥7~, gal. water added (in.): -,z ~"
Fluid depth., ;3 (ins) Minutes later: "~ 7 Absorption rate = *-/~0 -P
g.p.d.
Peroxide treatment (past 12 months) (Y/N) ~~'~' ~<," ~ ~' ,~' If yes, give date --
72-026(Rev. 3/96)* o~ ~-'r4co6o b$Ou>~.r
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 20, 1976
Time of Inspection
Date of Inspection ~.~F~,~ ~/~. \~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
l. Approval requested by: Alaska State Bank % Rosie Parks
Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637 x 37
Property Owner:
Mailing Address:
Legal Description:
Carl Manning Phone: 277-7561 (w)
Anch Tele Utilities
NHN Snow Flake Drive
Lot 10 Block 6 Mountain Air Estates
Location: Off Rabbit creek Road
5. Type of facility to be inspected
6, Well Data: Individual
A. Type
Single Family
No. of bedrooms '~%%~
B. Depth 150'
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A, Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
On-site system.
1. Absorption Area
Total length of lines
O. Bacterial Analysis
B. Installer
2. Manufacturer
2. Material
~, Absorption area
, Other contamination
, Absorption area
, Sewer Lines ,
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re st for Approval of Individual ~er & Water Facilities
Leqal Description T,ot 10 ]Block 6 Mounta±n A±r l~.states
Comments
Approved
Disapproved
Appro~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
---"~"UNIClPALITY OF ANCHORAGE
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNicfi,ALiTy OF ANcHORAC~E
DEPA?MF:NT Of: HEALTH
ENVIP, QNMF~N I'AL PItOTECTION
RL"CI IVED
1. Type of Inspection: CMRO VA
2. Property Owner: Carl Manning
FHA CONV xxx
Mailing Address: NHN Snow Flake Dr L]OB6 Mt Air Estates
DayPhone 277 75¢,l.worK If for
either Fir.& Mrs.
3. Name of Buyer: C~rl H~nnln~n (Rol:.h employed by Anehg tele utilities)
Home tf
Mailing Address: ~m~ R~ ~hove ~)~l~Phone 34.9 i878
4. Name of Lending Institution: AI~I~R ~;tRf_RhRnl~ ATTN Rosie Parks
Mailing Address: ~]
Name of Realtor or Agent:
Mailing Address:
F' Nn~'t.h~vn I 10bLs Phone 279 7~37 ext 37
N/a
Phone
6. Legal Description:
Location:
Lot 10 Blk 6 Mt. Air Estates
off rabbitt creek rd.
sgl fami].y residence
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
No. Bdrms. 1
Public Utility
Individual xxx
If Individual, number of dwellings presently served }
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation within last 6 mobths
approx 15Oft
Individual (on-site) /~'~'
EQ-037 (1/74)
,,,, t0e LI?-f~2. ,
Lot t0 , B~ook ~
LOT SURVEY CERTIFICATION
I hereby certify that I have surveyed the property shown and described
nereo~,and that the improvements sit J~led thereon are within the prop
arty lines and do not overtop or encroach on adlace.ql' property und
improvements on adjacent property o?srlap or encroach on the premises
in question and thotthere are no roadways, uti;it., lines o¢ other wsible
easements on said propur1¥ except as ir}dicated hereon
Soole /":
Ret.
FB. No.
LEGEND
(~: Br(~SS copped monument re(:~vered
o Iron p~pe end/or rob<ir recovered
c] ~ ? x?' hub ~ t~cl~ rec~vered
~ - [~/R"x ~",ebor .set m~s ~urvey
Prepared by:
(.907127~-
Property of:
Parcel I.D. #
GENERAL INFORMATION
Complete legal description
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN $ERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
MUNICIPALITY OF ANCHORAGI~
IRONMENTAL SERVICES DIVISION
MAY '13 199]'
RECEIVED
Location (site address or directions)
I:'~. ~y.owh?.r
~lailing address .'.!520i' '~esa Place
~hding agency ',
Mailing address"'
Agent John Bla±ne/ Coldwell Banker
15201 Mesa Place
Anchorage, AK
Anchorage,
gay phor,:.
AK 99516
Day phone
Day phone
345-5910
56128686
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
RECEIVED
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
xx, x
Municipality of Anchorage
Oept. Health & Human Services
If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system.
xxx
TYPE OF WASTEWATER DISPOSAL:
Individual op
Holding tank
Community on:site
Public sewer ~ ·
NOTE:
attesting to the legality
}~ovide written confirmation ~rom State ADEC '
s~/stem.
72-025 (Rev, 1/91) Front MOA#21
Se
STATEMENT OF INSPECTION BY ENGINEER.
A~ Certifiedby my seal affixed hereto and as of the validation date shown below, I verify that my
investigat~ on 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 0f. structure indicated herein. I further verify that based on the information obtained from
the 'Mun'icipality 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 reg~J~,t~Lg~Cl~n the date of this inspection.
17034 Eagle R;ver Loop Road No.
Name of Firm
Eagle ~.iver~ Alaska
Address
Engineer's signature . . ~ ~ Date ~'//I ~ /~ 7
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the follow!ng stipulations:
Additional Comments
Date
The Municipality o~ A.~chorage Department of Health and Human Se~ices'(DHHS) i~ues Health Authori~
App[oval ce~ifi~tes:bas~ only upon the representations given in paragraph 5 above by an independent
pro~iqna engt~r r~gister~ in the State of Alaska. The DHHS does this as a cou~esyto pumha~m of hom~
and their lending institutions in order to ~tis~ ce~ain f~eml and state r~uirements, Emp oyes of DHHS do not
conduct insPections o~ anal~e data bef°m a ce~ific~te":i'~' i'~Oed. The UuniCipali~ 0f Anchorage is not
responsible for errom or omi~ions in the profe~ional engi'~s"Wo~.
72-025(Rev. 1/91) Back MOA~Z1
Legal Description'. L o ~F ii o
A. WELL DATA
Well type ~ RjV4T&
Log present (Y/~ /~/O
Total depth} ~'0 t ( p~0~ ~.~. F,~)Cased to
Sanitary seal ~(~N) Y ~ J'
Municipality of Anchorage MUNICIPALITY OF
DEPARTMENT OF HEALTH & HUMAN SERVICr~IRON/vtENTALSE~VICE$II~)
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~4~ ~ ~997
Health Authority Approval Checklist R E C E I V E
~57~T ~ 5 ~ I
If A, B, or C, attach ADEC letter. ADEC water sYstem number
Date completed /34,,~ ,~ ~r o ~1 / -/~
/~ O '-/~ Casing height (above ground)
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 63 , Nitrate
Date of sample:
I'S-EFfi'C3HO D NG TANK DATA
B.
g.p.m.
Date installed
Foundation cleanout {~/N)
Date of Pumpipg~: ~'/~./,.~ ~
C. ABSORPtION'FIELD DATA'
0.1
Wires properly protected (~N) Y~- ~
ColleCted by:
AT INSPECTION
7
g.p.m.
Tank size ) ¢ o 0
Depression (Y~)
Pumper I ~'44 c $
Other bacteria I
S & S ENGINEERING
17084 Ea.;Je R;ver Loop Read No. 21~
Eagle River~ Alaska 9957Z
Number of Compartments ut~ Cleanouts ~'N)
~ 0 High water alarm (Y~ /v o
Date ir~statled . cl / u / 7 ~ ' : Soil rating (g.p.d./ft~ o~
Length,- ],,~l ~
· Width 3: Gravel thickness below pipe
Effective absorpti°n area 3 ~6 ~ ~r z. MonitOring Tube present ~/N)~
Date of adequacy test ('- }/o / W 7 Result~ail) ?
System type T~*,' cH
Total depth t o '/~.
~'Depression over field (Y/N) 4/'
For "~ bedrooms
Fluid depth in absorption field before test (in.);
Fluid depth L~" (ins) Minutes later:· ~ 7 Absorption rate =
Peroxide treatment (past 12 months) (Y/N) ~vo ~¢' ~, ~ ~, ~ If yes, give date
72-026(Rev. 3/96)* o~ ~m~4co~O bsOu¢~r s~v~y,
Immediately affer¥7~ gal. water added (in.):.
W ~0 + .g.p.d.
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Size in gallons ./
"Pump on" level at* ~ ~evel at*
~atum RECEIVED
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
~/holding tank on lot ! o o
Absorption field on lot I ~ 0 ~ Y-
Public sewer main ~ ! 4
Sewer/septic service line
MAY 1 ~ 1997
Municipality of Anchorage
Dept. Health & Human Services
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM~HOLDING TANK ON LOT TO:
Foundation '1 E' /+ / '
Property line 30 -J-. Absorption field ,.C'
Water main/service line ~- ~' '+ Surface water/drainage ! ~ o ~- Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~) '-)" Building foundation
Surface water ) OO
Curtain drain
'F. ENGINEER'S CERTIFICATION
Water main/service line
Driveway, parking/vehicle storage area
Wells on adjacent lots I 0 (1 ~
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
I certify that I have determined thru field inspections and review of Municipal records th~ systems~are
in conformance w~th MOA H_~A gu~eiines in effect o. this ~a~e.
Signature ~~ ~. Z~
Engineer's Name__ ~ ~ ~ C. Co ~ ~ ~ ~,.,.~~,~
HAA Fee $ ~' ~ Waiver Fee $
/ /
~7/~/~ Date of Payment
~~ ~/ .) Receipt Number
v
Q
SkQ4----FLAA-E
49 TH*O�D
AS BU/L T SURVEY PI = 301
sr SHANE A. HOLT DO
e LS-6914 0` O NO CORNERS SET THIS DATE
fOfessiona� Lo I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
�Op0000Oa OF THE FOLLOWING DESCRIBED PROPERTY
LOT IO BLOCK 6 MOUNTAIN - AIR ESTATES N0. 1
THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR
FENCELINES.
THE PROPERTY LINES AND NO
VISIBLE ENCROACHMENTS
EASEMENTS OF RECORD ,OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON
THE RECORD
PLAT
%EXIST OTHER THAN NOTED.
ARE NOT SHOWN HEREON( UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO
DETERMNE
DATED AT ANCHORAGE,ALASKA
THIS 77 DAY OF
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
DECEMBER , 2023
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR
ICE.
ONLY VISIBLE IMPROVEMENTS ARE SHOWN HEREON
HOL TLAND SURVEYING
THESURVEYDATA ON THIS DRAWING /S PREPARED FOR THE OWNER OFRECORD ONL Y.
9309 GROVER DRIVE
ANYCOPYING, OR UTILIZING THE DATA HEREON IS PROHIBITED UNDER COPYRIGHT LAW
ANCHORAGE,AK 99507
15984 235-78
223-8615