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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 4 LT 6 -' ~., ' Municipality of Anchorage DEPA~TIVIENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL NAME--'~-----~ {J"~ ~"~.~('~¥ LOCATION ~'-~'~' ~ ~7 0~ / ADDRESS ~ ~i~-~ LEGAL DESCRIPTION L~ ~ ~&'~ PERMIT NUMBER PHONE{S) ~'~t ~ ~OF BEDROOMS SEPTIC TANK MANUFACTURER "~ ~¢ MATERIAL INSIDE DIMENSIONI LENGTH -- ]WIDTH CAPAC TY IN GALS. #OF CO'MP~'ARTMENTS DEPTH SEEPAGE SYSTEM [] TiLE DRAINFIELD NUMBER OF LINES LENGTH ~ACH DISTANCE BETWEEN LINES t ;)-Lc TOTAL LENGTH TRENCH. WIDTH DEPTHS: i I t~ TILE TO BRABE FILL BELOW TILE FILL ABOVE TILE ~j~SEEPAGETRENCH OR E]PIT WIDTH LENGTH DEPTH [] LOG CRIB [] RINGS- DIA, FILL MATERIAL DEPTH TOTAL EFFECTIVE ABSORPTION AREA; ~"~ '~ SQ. FT. ~"~ ["Z~ ~ ' WELL CLASSIFICATION . DEPTH I PIPE MATERIAL INSTALLER DATE ~'~//~?'~f"~"~ APPROV~:D BY ~ 72-012 (9/77)" DISTANCES  SEPTIC SEEPAGE SEWER TANK SYSTEM LINE CESSPOOL WELL WELL LOT LINE -~ ,OoUNN D A' SYSTEM DIAGRAM ',,/ z::' L.¢-3 , TF'ii"~: L. Ei'4G"H"I i:;' ~' P1Eiq:E; t ON I :F!; "['FIE LE:NGTH ':; i N i::'EET ::' OF' "FHE 'I"F..'ENCH OF.:: I:~:'i:;;:t:::l i ~",tF I EL.D. THE:: i::'EF'TH OF' Fi TF.:Ei",ICH Oi;~: F'IT I:E; THE t::'L'Ef'RNCE: BETNEEN THE '."2;URF'F'ICE CIF'" 'T'f"i[E; EiF;:OLii'40 Fl tq i) "i" H [E E:OTTOH OF' TI"'I[.:.' EE;:"-;CFIVRTZEIN ':: IN THEi:;?.iE I fi; i"40 '-:"i;E"f' i.,.I I [::"TI"I F'OR THEE G F;: ,q "t E1.. t:-"EF'TH ;IL;.:, THE l"l;t:i",i;[t"iUt'"t DEPTH FiND THE E~EI"f"f'OH (;If:' THE iEXCFI",,'R'I".'[ON ':.'IN F'"EE'2'F.':'. D1Ft"/ E~E i i"4:Jk;'i'RL.i,,,E:[;:' I::1"1' THE F'E~:J:f'iITTE:;E'"Ei; CIi'::"i"'J:OF4 :E;UEL)'EC:T 'TEl TI"IIE '1']. CIN:5: C:L. FI:i~;:F.; ]; Oi:::: .'!::[ NSF' FIPF:'[~:O',,,'ED F'L. RNT HFI"r' BE INSTFIL.L_ED. 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FII:;.:GE:HEiqT ].'F' THE: i:~:Ei::i~', :[ [::'[ii:i",lE:E~ :[ :~i; I;;:E:i"tCIDELED TO .'[ NE:[...LIt, I:2: f"iOi:;UE "i'HF~IN 4 ,, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2225 SOILS LOG -- PERCOLATION TEST .ERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: [~SOI LS LOG [] PERCOLATION TEST 1 2 3 4 5 6 7 8 9- 10- 11 SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop 12 13 14 15 16 17 18 19 2O COMMENTS PERFORMED BY: 72-008 (7/76) PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND ~ FT Post-It"' brand fax transmittal memo 7671 # of pages co. ~vo~C,, \¢~¢... co. Faxfl 5~~ ~ Fax~ ~2~ -.' Well~og Lot 6 ou~ ~ln Park Estates . ~ep}}i~tion:6,iw .... ' ~ ~ ~± cased to 160 ft. approx. 5I ft[' east of house -II gravel ~ I8 sand 2e 2e boulders 25 8~ sand 8e I25 brown clay 126 I55 brown clayesand I56 Iqg gravel(water bearing) Yield: ~gpm Static water level:. · Drilled by:Thomas Drillers P.O. box I0-SI6 Anchorage,Alaska 99511 License # WD 78020 ~'Completed June I2,I978 Parcel I.D. # 1, 017-023-06¼ GENERALINFORMATION Complete'legaldescription MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN 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 Lot 6; Block 4; Mountain Park Estates #2 Location (site address or directions) 12940 Foster Rd. Anchorage, AK Propsrtyowner Greg & Jeanette Wakefield Day phone 345-4566 Mailing address 14030 Venus Way Anchorage, AK 99515 'Lending agency '>Mailing address, Day phone Agent BeCky Br°cies/ Dynamic Real Estate Add~ess Day phone 261-76~ Unless otherwise requested, HAA ~vill be held for pickup. NUMBER OF BEDROOMS: ~,~-~ 3 TYPE OF WATER SUPPLY: Individual well Community well Public water xx NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site XX Holding tank =- Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and statUs of system. ' ' 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, regulatio, n. sjD_effect on the date q, tathis inspection. ordinances, and ,",L,~SF~ WATER & [~. AT~R Phone 3 3 7- 61 ? 9 Name of Firm ~'~B /~///~ Address ' Engineer's signature ' Date_~/ ' '~' Alaska Water & Wa~tewater Consultants, Inc. shall be paid ~5 at, or prior to closing for the engineering services provided. DHHS SIGNATURE Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: By: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaskal The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, . . 72-0~5 (Rev. 1/91) Back MOA #21 RECEIVED Municipality of Anchorage JAN 2. 6 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES · . /'~UNICIPALIT¥ OF A,NCHOP~(~,JJ~'~'--~ Environmental Services Diws~on .... ~w~T~, ~,, "-" ...." '--~' / . ......... . 825 LStreet, Room 502 Anchorage, ~asKa ~bu~ [~u/] Legal Description: A. WELL DATA Health Authority Approval Checklist Parcel I.D.: ol-/--o 7-3 Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC wa~er system number "~ ~--~ Date completed 2.,. j~ J -7~' Cased to J (o 0 Casing height (above ground) '~_-~ Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate B. SEPTIC/HOLDING TANK DATA Date installed tO/"'/-/ Tank size Foundation cleanout (Y/N) Date of Pumping /O/Z-'/~i'~ ~:~, 4' l /~,~ ./J~ Other bacteria Collected by: ~,~JVJ ¢-~ ~'rJ C.~ Number of Compartments ~- Cleanouts (Y/N) Y Depression (Y/N) Pumper Fluid depth I~. ~" (ins) Minutes ater: /4J-'z~rO Peroxide treatment (past 12 months) (Y/N) %J~J~ C. ABSORPTION FIELD DATA Date installed t [o/'7'7 : S~ting (g'p'd'/fF °r ff2/bdrm) I ~'~''-,4_ System type .-~r~ ~--~.,~T.-P~l Length I~ Width ~ Gravelthickness below pipe ~TIf ~ Total depth ~' ~ ~ Effective absOrption area ~ Monitoring Tube present (WN) ~ Depression over field (WN) NO o~ Date of adequacy test /'~/~/~ ~ Results(Pass/Fail) ~' For ~ bedrooms Fluid depth in absorption field before test (in.); /~- ~ Immediately after/~al, water added (in.): ~Z, ~ Absorption rate = ~ ~ .g.p.d. If yes, give date ~'~~ ~ 72-026 (Rev. 3/96)* D. LI~ Date installed ~~ ~, ~ "Pump off" level at* -~Cycles tested ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot [ CO/.~. Absorption field on ~ot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots /~)C~ ~'~' Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ Property line ~' [¥' Absorption field / Water main/service line 10 4- Surface water/drainage /(20/4- Wells on adjacent lots /oo & Property line Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain )V~,,,/¢~.. 1~-.~9 ~,¢'¢"/' Wells on adjacent lots /~)~ t'4L' ENGINEER'S CERTIFICATION U ,~._"~'~"~ "~ ,'A..~.J / /certify that/hau~"R~Jn./ned~/fie/e ,,pections and review of Municipal re,¢~ Signature Nam/¢.~. ~~ ~ ~ Engineer's , ~ A~ ~¢~ ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: O.~=,_?or~Building foundation [ 0 /o3 HAA Fee $. ~ Date of Payment Receipt Number , Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.cL anchorage.ak.us AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Garness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504-0000 February 10, 1999 Subject: Waiver Request for MOUNTAIN PARK ESTATES #2 BLK 4 LT Waiver # WR990010 Lot Line Request for Parcel ID 017-023-06 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 6 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Civil Engineer I On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ qq~OIO PID# 017-~)~-(~~ HA# 9~~ Permit # Date Received: 2' Legal DescriPtion: Engineer: ~ ~~ Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: Date: Nam% of Reviewer Rec #: C~-0~48~.,~ Amount: $ [1~ Date Paid: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers February 9, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED FEB 10 1999 Municipality ot Anchorage DepL Health & Human ~ervtce, Subject: Lot Line Waiver for Lot 6, Bk 4, Mountain Park Estates #2. To whom it may concern: When the septic system for this lot was installed on 10/27/77, it was noted that the trench was 6 feet fi:om the north lot line, which puts it 4 feet into the utility easement. Attached is letters of non-objection fi:om ATU, Chugach Electric, GCI, and Enstar. The septic system on the lot to the north (Lot 5, Bk 4) is supposedly 6 feet fi:om its south lot line, which places it about 12 feet away from the subject drainfield. Both drainfields only have an effective depth of 24 inches. In short, there does not appear to be any adverse impacts associated with the subject encroachment; therefore, we are requesting that you waive the required separation distance between the trench and the lot line to 6 feet./fyou have any questions, please contact me at 337-6179. /I Jeffrp ~. ~: xtess, l%F_~. JVi. S. President kJ ' ; ' :. .. --...: *'. . . ~ · ~ ' . .. . I ~ ', lI I ~ ~ ~ i ' il l,.,, , ~j-' ~.' o~ ,' ~ /~ " j THE INFORMATION HEREON IS FOR THE USE OF - LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BE~EEN EXISTING STRUCTURES EASEMENTS OF ~ECORD, OTHER THAN ~ AND P~ED LOT LINE8 OR EASEMENTS AND IS THOSE SHOWN ON THE RECORDEDL'E~ /,.~. NOT TO BE USED FOR POSITIONING ADDITIONAL P~T, ARE NOT SHOWN HEREON, ~A STRUCTURE8 OR FENOELINES. "A8BUILT" No corners set Book pg ~/z~ -- OFA~ I hereby ce~i~ that I have su~eyed the (ollowing described prope~, Lot ~ Block ~ ~/~/~ ~ E~T~An ho r ~ r I s d ha~ the ~ c rage reco~ing dstict Aa ka, an ~ improvements situated thereon are within the ro · lines and do not oveda or en~oach on t p p ~ ying a jacent ther~o ~at no Improvements on prope~y lying adjacent thereto encroach on the premises in question and that there are no roadways transmission hnes or other . ~, ~ ,,, ,,, ~s+ ~ ~ / ......... ~ O~5Sl~V ~ ~ .......... 'Andhdrage, A~ska .... /~ ~ ~' /~"~ ....... JAN-25-1999 09:45 CT~E ESI ANCHORAGE ~.~ CT&IE Enviro~lment. I Services Inc. CT&E Ref.# Client Name project Name/# Client Sample ID Matrix Ordered By PW$ID ~am~le Remake: Nitratc-N 990297001 AK Water & W~tewatei' Consultants Inc, 12940 Foster Road 1~940 Foster Raad Drinking Water 0 ? oB/ID0 ML, NO COLI 6.41 Client PO# Printed Date/Time 01/22/99 10:26 Collecte~l Date/Time 0t/19/99 lS:aJ Reeelvod Date/Time 01/19!99 16:10 Technical Director: ~tephen C. gdo Me[hod 0,100 mg/k Allowable Prep Analysis ~imit~ Dat?..~.~ Oare Init max 01/!9/99 01/q9/99 0i/19/99 RECEIVED JAil 26 lgS9 Municipalib/o .... Oept. Health & H~'; ~,~' ~rvices Alaska Water & WasteWater Consultants, Inc. 6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99504 Phone (907) 33%6179 ~ Fax (907) 338-3246 Consulting Engineers RECEIVED December 21, 1998 26 1999 Municipality ot Ancnora~o Oept. Health & Human Services Jeanette Wakefield 12940 Foster Road Anchorage, Alaska 99516 Subject: Testing of Septic System. Mountain Park Estates #2., Lot 6, Bk 4. Dear Ms. Wakefield: Per your request, we retested the subject septic system 30 days after it was chemically treated. The results of the adequacy test are summarized as follows: SEPTIC SYSTEM ADEQUACY TEST: The septic system was initially tested on 10/21/98 through 10/22/98 and determined to have an absorption capacity of approximately 250 gallons per day. The septic system was chemically treated (SeptiClear) on 10/30/98 by Old McDonald's Pumping Service. On 12/4/98 the liquid depth in the steel monitoring tube was roughly 18.5 inches deep. Based upon our field measurements, the bottom of the monitoring tube extends 2.1 feet below the drainpipe invert. Over a period of about 1.5 hours, 1600 gallons was introduced into the drainfield via a pump truck, causing the liquid level in the monitoring tube to rise 4 inches. Twenty-four hours later the liquid level had dropped 5 inches, indicating that all of the water had been absorbed. The validity of this data is based upon the assumption that the existing steel monitoring tube accurately reflects the liquid depth in the trench system. This is a reasonable assumption. · Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only yah'd for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this septic system. SEPTIC TANK: According to the MOA records, the septic tank was installed in October of 1977, it is made of steel, has two compartments, and a capacity of 1250 gallons. Steel septic tanks typically have a structural life of 20-25 years. No warrantee is made or implied regarding the structural integrity of the septic tank. If you have any questions,.~/~ase contact me at 337-6179. Sincerely, ~ /~/'[ Jeffxq~ 5/. ~ tess, P.E., M.S. President Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 October 26, 1998 Jeanette Wakefield 12940 Foster Rd. Anchorage, AK 99516 REFERENCE: Lot 6; Block 4; Mountain Park Estates #2 Dear Ms. Wakefield, Per your request a septic adequacy test and a well flow test was performed on the referenced property. Our findings are as follows: A. WELL: On the day of our test (10/20/98) the static water level in the well was 137 feet below the top of the casing (BTC). A meter was connected to the outside hose bib and the flow turned on full until the well was depleted (level dropped 35 feet in the casing). This took approximtely 27 minutes, and a total of 147 gallons was pumped. The well was allowed to recover for 30 minutes and the water turned on full again, resulting in a flow of 60 gallons. The elapsed time fi.om the flow off (initial pumping cycle) to flow off (second pumping cycle) was 41 minutes, during which time 60 gallons was pumped. This corresponds to a recovery of approximately 1.46 gallons per minute. Over the next 113 minutes this procedure was repeated through 3 more cycles. The recovery rates were 1.34 gpm, 1.28 gpm, and 1.3 gpm. In short, the recovery rate stabilized at about 1.3 gallons per minutes. Based upon this data, it was was concluded that the well production meets the Municipality of Anchorage (MOA) minimum flow requirements for a three bedroom dwelling, which is .31 gallons per minute. It should be noted that seasonal fluctuations in the well production can occur, and that future performance is not guaranteed. B. SEPTIC: Per Municipal records the on-site wastewater disposal system was installed in October, 1977 and consists ora 1250 gallon septic tank followed by a 126 foot trench that is 4.5 ft. deep, and has an effective depth of 24 inches. On the day of our inspection, we found the monitoring tube in the leach_field to have 18.5" of liquid in it prior to the test. Over a period of 40 minutes, 1000 gallons was introduced into the trench via a pump truck, causing the liquid level to rise 6.75 inches (148 gallons per inch). The recovery was monitored 23 hours later and the level had dropped 1.75 inches, indicating an absorption of 259 gallons. This correponds to an absorption of approximately 270 gallons per day. Page Two Lot 6; Block 4; Mountain Park Estates #2 October 26, 1998 This is less than the MOA absorption requirement, for a 3 bedroom house, of 450 gallons per day. Based on our findings, it was detemfined the septic system is in a state of failure. It is our understanding you may have your septic system chemically treated, with a adequacy retest 30 days later. The cost for the retest will be $400.00* plus a water haul. If the chemical treatment is unsuccessful, the following is a summarization of the engineering costs associated with an upgrade: C. UPGRADE COSTS: · Engineering services to perform the soils evaluation & percolation for two test holes: $400.00* for the first perk test and $200.00* for each additional hole. · Excavator to dig two test holes: $600.00 (approximately) We can provide you a list of recommended contractors. You should call them for costs and contract with them directly. · Engineering services to design the septic system: $500.00~. This is based upon a conventional gravity flow septic system with no waivers to surface water, or nearby wells. · M.O.A. sewer permit: $320.00~. Payable to the M.O.A. · Engineering services to inspect the installation of the septic system and prepare asbuilt drawings. Assuming a conventional gravity flow septic system with a single trench: $450.00 · If an innovative septic system is required, add $950.00 to the design and the inspection costs. We will know whether an innovative system is necessapy after test holes are completed. The items marked with an asterisk must be paid prior to submitting the design package to the M.O.A. The cost for the excavator to perform the installation is unknown at this time. After the soils testing and design is completed you should obtain bids from several reputable contractors. We can provide you a list of recommended contractors. Page Three Lot 6: Block 4; Mountain Park Estates #2 October 26, 1998 Prior to obtaining a M.O.A. Health Certificate, water samples will need to be taken and tested for coliform bacteria and nitrates. The costs for these services are summarized as follows: · Water sampling/analysis: $100.00 · MOA HAA processing fee: $300.00 If you have any questions, please contact us at 337-6179. We look forward to assisting you with your engineering needs. Sincerely President ~~-- ]arness, P.E., M.S. JAG/gk FEB-04-99 THU 01:54 PM Dynamic Properties ?, 02 RECEIVED February 4,1999 Becky Broeies Listing Agent 12940 Foster Road Anchorage, Alaska 99516 FEB .4 1999 D Municipality of Anchorage ept. Health & Human Services Dear Ms. Brocles, Subject to your agreement to indemnify tho company as set forth below, GCI Cable Inc. of Alaska has no objection to the septic system drain field encroaching into the utility easement on the north property line of l,ot 6, Block 4 Mountain Park Estates #2. Known as 12940 Foster Road, city grid 2839. Tiffs letter of non-objection in no ww precludes GCI Cable ¢rom full use and enjoyment o1' any rights it may have within any portion of the utility easement mad or the right-of- way, including unlimited access for servicing its facilities. Also may additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GC['s facilities to accommodate any or all ot'fl~e encroachments shall be paid by the property owner, By signing below, you agree to indemnit'y and hold OCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment, Please indicate your acceptm~ce by signing and returning this letter to myself at thc address below. Sincerely, nc, _ ~coecca ~olton OSP Design Engineer Acceptance 5151 Fairbanks Street · Anchorage, Alaska 99503 · 907 / 786-9260 Cable services provided by GCI Cable, Inc, 02/04/199B 15:87 90?5620053 PAGE 0i/03 A 01VI$[0N OF SEAGUI,[, ~NERG¥ CORPO~T[ON 401 E. I~emefio~al Ai~o~ R~ed P. O. Box ~ 90288 A~cho~go, ~a~ka ggB~ g-02~8 [~7) 26~3740 F~ (907) 56~085 02/04/99 Aaron Gray 609! Debarr Rcl A~chomge, AK 99504 To whom it may e, oncem: ENSTAR Natural Gas Company has no objection to the enexoaebxaent sewer drainfield in the 10' utility easemeat cia the ~ao~h side of Lot 6, Block 4, Momatain Park Estates #2. See attached as-built survey dated 1119/99. Acceptance and use of this letter of non-objection by yours, elf, your heirs, your assigns, or your sueeessoxs, w~ll eo~asfitute ag~eeme~at to ~e following stipulations: ENSTAR will be held h~emless, now and £ozever for any damages OX injury to any person or p~opexty as a ~esult oftlffs encroachment. Auy ENSTAR faci~.ity damaged or destroyed, as a ~esult of this encroachment will be repaired at no cost to ENSTAR. Any costs iactuxeet by ENSTAR for special construction necessitated by this encroacltment will be borne by the property owner. All applies, bio safety eofle regulations will be observed and maintained. This letter of non-objection will in no way preclude ENSTAR from gull use and enjoyment of its fights within any poxtio~ of its fight-of-way. Sincerely, ENSTAR Nat~al Gas Company Drew Smith Senior Engineer cc: File 600 Telephone Avenue · Anchorage, Alaska ° 99503-6091 · 907 564-1000 February 5, 1999 Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B Anchorage, Alaska 99504 ATU Telecommunications has no objection to the encroachment of the existing septic system into a platted easement located on Lot 6, Block 4, Mountain Park Estates # 2, as depicted on the as-built drawing submitted. 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: ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 4 o Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. Any costs incurred by ATU for special construction necessitated by this encroachment will be borne by the property owner. Ail applicable safety code regulations will be observed and maintained. from full use and enjoyment portion of its right-of-way. This letter of non-objection will in no way preclude ATU of its rights within any Sincerely, Outsid~ p~ad~tF~nr~Tnaenering GS\mi \g: mswd\ cor\ nonob\mt n_pk. doc ENCROACHMENT PERMIT - 1203-26A G-2839 EN99001 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519-6300 and Gregory A. and Jeanette Wakefield of Anchorage (herein "Permittee"), whose address is 12940 Foster Road, Anchorage, Alaska 99516. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities as follows: Described in that certain written instrument recorded on the 20th day of January, 1953, in Book 84, Page 298, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, State of Alaska, Dedicated by the plat of the subdivision known as Mountain Park Estates Subdivision No. 2, according to Plat Number P-561, recorded on the 31st day of October, 1960, 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 North Ten Feet (lq I0') of Lot Six (6), Block Four (4), Mountain Park Estates Subdivision No. 2, according to Plat Number P-561, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants 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 Six (6), Block Four (4), Mountain Park Estates Subdivision No. 2, according to Plat Number P-561, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). Encroachment Permit - Page I of 4 2. Encroachment. Permittee has constructed the following improvements on or within the real property subject to the Easement: A septic system that encroaches approximately Four Feet (4') into the Easement for a distance of approximately Five Feet (5'), (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroaclunent in its current location subject to the covenants set forth in this pemfit. 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 construction or continuation of the Encroachment. 5.. No Expansion or Increase. Permittee shall not in 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 of the common law doctrine of adverse possession. This permit creates no interest in the real property 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 be 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 iff 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 any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. T.erm. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. 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 of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC PERMITTEE ASSOCIATION, INC. Greeo.cv-A.. and Jeanette Wakefield ~*$0~;,t, ~.. Title: E(ugon~ N.B.~L~ad Jeanette~akefield, Attc~rney-I~ZFact for """*~-... ~,,,~"h~""~'~'"Z-~,~"; · o""t General Manager /Gregory A. Wakefield '-,,e.~:~::.,,i~ Date: ~~ k ~ ~ ~  eanette ~kefi~d Date: ~.~ STATE OF ALASKA ) ) SS: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this ~ay of C socia}i c ~ /~~ ' ~" ~ ~:~ .~ 0;. '"~(~,7.~-:, 0~a~ Pubhc In and for the State of Alaska My commissmn expires ~ ~~. s of 4 '%.? · STATE OF ALASKA ) ) SS: THIRD JUDICIAL DISTRICT ) The t~ ~ , foregoing instrument was acknowledged before me this da.y of [- ~b ~,A~,7 ,1999, by ~],~4j,'jY 2t'/~ STATE OF ALASKA THIRD JUDICIAL DISTRICT Notary Public in and for the ~a2e of Alaska My commission expires ,e~,-~..~ ~9 0 0 ) ) SS: ) of The foregoing instrument was acknowledged befOre me this ., 1999, by day Notary Public in and for the State of Alaska My commission expires AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. Land Services Department P.O. Box 196300 Anchorage, Alaska 99519-6300 009350 Ah'CHORAGE RECORDlt,IG DISTRICT 199MFE -9 PM 3:09 REOUESTED BYC ¢~ Encroachment Permit - Page 4 of 4 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D.# CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING O,:;L~ -- ~ (,~, HAA# ~ I~ c~-,-'n')('~'""),~)'.0) ''''~ GENERAL INFORMATION cOmplete legal description Location (site address or directions) /~ c~ ~L) ,....~os ~--¢~- ~,'~o0 Property owner Mailing address Lending agency Mailing address Agent Add ress Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm '/ (~/d/J~.~ ~'~,,-.~%~ ~ ~ Phone Address ¢¢,~O '~, Engineer's signature Date DHHS SIGNATURE ~X~ Approved for ¢ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does th is as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS do not conduct inspections or analyze data before a certificate is issued. The Munioipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724)25 (Rev, 1/91) Back MOAif21 (~ Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ~ Log present (Y/N) Total depth Sanitary seal (Y/N) ADEC water system number If A, B, or C, attach ADEC letter. % Date completed e'/l~/? ~ Driller /-~'~,'~,~- 17 ~ Cased to I '~ ~' Casing height '~' ~/' ~'/ Wires properly protected (Y/N) y FROM WELL LOG Date of test (~/~Z-/~ 0 Static water level Well flow Pump level ~ ~/"~'"'~ SEPARATION DISTANCES FROM WELL TO: Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Septic/holding tank on lot fO 7 Absorption field on lot I ,3_0 ~ Public sewer main I"I/A WATER SAMPLE RESULTS: Coliform ¢ Date of sample: 1/~, [ ~i, Nitrate ~'. ~9 Other bacteria Collected by: --~-r/u--~,'' 'IL B. SEPTIC/HOLDING TANK DATA Date installed ~°/;z7/7 '~ Tank size ,/,;~- ~ Compartments Cleanouts (Y/N) "/ Foundation cleanout'(Y/N) y DepressiOn (Y/N) High water alarm (Y/N) ~4///--~, Alarm tested (Y/N) Date of pumping 1/! .~l gl ~ Pumper To property line ~/~ Surface water/drainage SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I0 '7 On adjacent lots Absorption field / ~' ¢ Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION 1'¥X //--¥ Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" lev'el at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed IO/~?/? ~ / Length 1~{~ Width '~ Total absorption area ~'~ ~ Depression over field (Y/N) i,q Results (pass/fail) ~/'"~' Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness Cleanouts present (Y/N) Date of adequacy test for If yes, give date System type Total depth bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~' To building foundation On adjacent lots Surface water ~ /0 Curtain drain On adjacent lots > /~-- ~"- Property line To existing or abandoned system on lot Cutbank ~.~ ~f ~- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the .dateof this inspection. Signature Date Engineer's Name HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE ~. : '  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION . 825 L Street - Anchorage. Alaska 99501 ....... (~) ENVIRONMENTAL ENGINEERING DIVlSlONTelephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing. B~ILI~ A~OR[8~ P~OPERTM ~ESI~ENT (If different from above) ~ PHONE 2. B~R ' PHONE ~ILI~ A~BRE~ 3, LENDING INSTITUTIO~ ~ / PHONE 4. R~ALIOR/A~ENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCAT'I ON' 6. TYPE OF RESIDENCE ~/~ BER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER S__U~I:~LY ~ I NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date ~_~./~?~. If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE NlUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED [--IPUBLIC UTILITY / C.3 ""~ "7 Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: I~.~'0 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTU~.R.... TOTAL ABSORPTION AREA MATERIAL .'~,~_ J 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~ APPROVED FOR ~) BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~] DISAPPROVED DATE /B~~ LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~ , DAT~E~'R ECEiVED ........ ~. ~ INSPECTION APPOINTMENTS TIME TIME , '~ (,,~ TIME DATE, / DAT.E ~ ?/;~./' / / DATE MUNICIPALITY OF ANCHORAGE DEPT. OF I~;A. LT.I &  DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTIO~NV RONMENT~xL ; , ,..>TECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISIONJAN 2 ? I981 DI RE~ION~: Complete all parts on page 1, I~omplet~ ~qu~t~ will not b~ p~e~e~.~Plea~e allow ten (10) days for processing. 1. PROPERTY OWNER~ - PHONE PROPERTY RESIDENT (If different from above) PHONE MAI~JNG ADDRESS 4. REALTOR/AGENT I PHONE I MAIEING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION' ~ 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ~ One [] Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVI DUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL ~)EPTH OF WELL [] COMMUNITY -DATE DRILLED [] PUBLIC UTILITY Connection Verified ~.OG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] IN D IVI DUAL/ON -SITE [)ATE INSTALLED C] PUBLIC UTILITY 1 q'''~ ~' ~''~ ~'~ Connection Verified -~NSTALLER FHSeptic Tank or E~]Holding Tank Size: [ '.b.~--6~) If Tank is homemade -SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Ta~k IAbsorption Area Sewer Line Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS OVED FOB / BEDROOMS [~ CONDITIONAL APPROVAL (better m,,dst~ccompany certificate) [] DISAPPROVED~-~ (._~ ),/~ ,. C_'~ Y,~ BY DATE ~.~2~ [0-/'3 ( 72-010 (Rev, 6/79)