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MOUNTAIN TERRACE ESTATES #2 LT 3
Mountain Terrace Estates #2 Lot 3 #020- 121 - 17 Municipality of Anchorage Page l of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Numb r `t `t 0 f ( Ci PID Number: a 20— Cz 1 _/ �z Name: -ToNN tOAJ CCS Wastewater System: ❑ New ❑ Upgrade Address: S�tf i �'ct�N,l�vco 2 g%.So3 ABSORPTION FIELD Phone: No. of Bedrooms: ❑Deep Trench �kShallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Z Total Depth 3 m original grade: GPD/Sq. . Ft. Lot: Block: Subdivision: — Depth to pipe bottom from original grade: Gravel depth beneath pipe OJNTAi J T(2f:C(a /• Ft. Ft. Township: Range: Section: Fill added above original grade: 7 Gravel length: t Z. S Ft. 6 CC Ft. WELL: N.New ❑ Upgrade Gravel width: S c? Number of lines: ( Distance between lines: I I Ft Ft. Classification (Private, A,B,C): Total Depth: (®4 Cased Tp: /a Total absorption area: 3� Pipe material: / P51 3D3 4 2�UAT'G� Ft. Ft. SO. Ft. 0 ( DAejr: L't tA/a Date 4qrilleedd: W3/r a Static Water Level: /7-S Ft. -ISn�staller: JAtli &_AV_ Date ins {aIle C Yield:Pu GPM m//pp Set at: r,� Ft. Casing HHeeiight Above Ground: Z r Ft. TANK SEPARATION DISTANCES [Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: A •-r•AN V_ Capacity in gallons: le) O 0 From Tank Field Station Tank Sewer Lines ro C4 Welh IOQy ll/ cro ` Material: Number of Compartments: Surface Water (o(�¢ /�so'r LIFT STATION Lot Size in gallons: Manufacturer: Line /,6•S !i o Foundation zz C, "Pump on" level at: "Pu ev 1 at: High water alarm at: Curtain Pump Make del Electrical Insilections performed by: Drain �OD� Im-e BENCH MARK Remarks: Location and Description: SLtq of o-r-rb.ti �•C Assumed Elevation: OI s Pt EAL ••'f 41 �tZt Inspections performed by: S • VQ�tiNn4 tllr C;r Dates:1 st 6 1762 HWNifi, n r fAN+enarHsci. r. Steven R. Pannenar4 ' FwAc/l�q `��•y CE-81 Department of Health and Human Services approval .. �FA�C'N�'�- �pt GI 0i'ESS'peA . Reviewed and approved by: Date: z 72-013 (Rev. 9/91) MOA 25 PERMIT NO, SW 101011 14 AS -BUILT P.I,D. NO, 2�q WASTEWATER ABSORPTION SYSTEM LOTS 3 MOUNTAIN TERRACE S/D LOT UNDEVELOPED NO WELLS OR SEPTIC WITHIN 200' OF PROPOSED SYSTEM LllI,, UNDEVELOPED NEW PRIMARY L RESERVE ELS OR SEPTIC N13 �E 5 -WIDE SEPTIC SYSTEMS WIT N 200' OF PROPOSE 11 EFF x 69LFE SYST MAINTAIN 10' FROM PROP LINE. NEW 1,0008 f /c SEPTIC TANK A HT NEW 3 BR 1, N', " I , ; /—tqysElll___..__l . . 5d, FC Te lic A 15' CUT BANK A TYPICAL -1 A % 14, qt�z ti \\�NEW k WELL \, EXIST'G\ WELL C,\Work\3MTTER,DWG f gs' sib Ll L DESIGN, SWING TIES ♦ 4w 0 - n FERC RATE, 5 MIN; IN, 1125 SF/ RR co A B ♦K� ....• ...... FC 10.0 31.3 ♦375 SF REQUIRED -WIDE, 11 EFFECTIVE, RF= 0.87•Tl 18.1 29.1 ♦ 5 T2 22:8 26.9 AV % 0 SINGLE TRENCH 66 LF DC 31.6 27.0 379 SF TOTAL MT 60.9 62.9 ........... ......................... Cl 912 955 ............. .. ...... ..... PREPARED FOR1 PANNONE ENG. SVC �MSteven R. • Pannone -7 "Ar John LongLex P. 0, BOX 102954 ♦No. CE 8 149 8741 FLamingo DrIve 'ANCHORAGE, ALASKA 99510 Anchorage, AK 99503 % ...... (907) 243-0139 272�10218 Phone & Fax DATE, 7-17-99 —1 AS—BUILT '7 1'=50' PERMIT NO, swqctali AS -BUILT DETAILS P.I.D.oN fZ(_J� 3/y WASTEWATER ABSORPTI❑N SYSTEM LOTS 3 MOUNTAIN TERRACE S/D x z ' a a !::.,-..�:,...•`:� to v v v W l m 1nONV310 N ! ': �Y a 1_ i Ld [- a to \ u n. IL :I 0i d 03a. 1 :1 n. m V ! Cli 1 i z a g C U z } W H tl rz i O 301 801INOW - -� c L� ty a a c 3. m > U I i! Ld F_ H � a' N t _•I H LL ne a -m a 1.5' 1.5� e 1nONV3ln 1nONV3"13 1nONV3l3 i m a d � N d0 CI\Work\3MTTER.dwg 1nONV313 Loi ... ...,�„� Q n�1. a AV L19 w Aff c 49TM ; '} %..... .................... ....... ............................. �8 .Steven R. �A�- Pannone. :rmNo. CE 8149 . PREPARED FOR, John Longlex 9741 Ramingo Drlve Anchorage, AK 99503 (907) 243-0159 1nONV3l3 NOI1VQNn03 PANNONE ENG: SVC, P, 0, BOX 102954 ANCHORAGE, ALASKA 99510 274-0308, 272-8218 FAX �TEI 11-30-98 'AS—BUILT 3T TO SCALE. Municipality_ of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http.-1 w m.ci.anchorage.ak.us Mayor Permit Number: #SW 990114 Date of Issue: 5-28=99' Parcel Identification Number: 020-121-17 Date Started: 7-3,99 Date Completed:.? -3-99 Is well located at approvedpermit location? M Yes 0 No Legal Descriptiop1 Mtn Terrace Est#2 Lot3 Property Owner P ame & Address: John Longley P. O. Box 1102W 71/9 Anchorage. Ak 99511 Borehole Data: Depth (ft) Method of Drilling M air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing Type: steel stick-up 0 2 Wall Thickness:.025 inches fill 2 8 Diameter: 6 inches Depth: 18 feet organic and silt 6 41 Liner Type: Diameter: inches Depth: feet bedrock 11 187 Casing stickup above ground: 2 feet Static water level (from ground level): 125 feet H2O 155 19► Pumping level: 167 feet after 2 hours pumping 6 gpm Recovery Rate: 6 gpm Method of Testing_ air Well Intake Opening Type: E] Open End M Open Hole [j Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite Volume: II bag Depth: Start 0 feet Stopped ? feet Pump:_ Intake Depth _ .- feet EC'EI F Pump si?e hp Brand Name Well Disinfected Upon Completion? M Yes ❑ No �/,FD JAL 14 1999 Method of Disinfection: clorox hep uni Ni H h &ur Comments:e o, an s;,^� e Well Driller: Alpine Drilling 7 Enterprises 4CJ P.O. Box 110496 Anchorage AK 9951.1 Attention: Thewe lei de gavell leg a thee{�e yew erS�=f310days�-re�a� nd4heGlWtY munPr nr tllP wplI rlrltjPr Aail nYn(r;rfA 9 TilPjj inrt-tn til P-T)nnt of"P9jtil 'Rs FlTTTTl9n \PrtllnPC lijitjTin F() `19Try ni nmmn l Ptinn ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990114 Date Issued: May 28, 1999 Expiration Date: May 27, 2000 Parcel ID: 020-121-17 Legal Description: MOUNTAIN TERRACE ESTATES #2 LT 3 Design Engineer: 0062 Pannone Engineering Services Site Address: Owner Name: John Longley Lot Size: 52624 SQ. FT. Owner Address: PO Box 110748 Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99511-0748 This permit is for the construction of: 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: 5—P5_"c�17 Issued By: _ /r�n�'t-�— C ! ��i�C� Date: 9 9 i1 `rrr (1o(M MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 343-4744 Lo (907) u� ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW990114 Date Issued: May 28, 1999 Expiration Date: May 27, 2000 Parcel ID: 020-121-17 Legal Description: MOUNTAIN TERRACE ESTATES #2 LT 3 Design Engineer: 0062 Pannone Engineering Services Site Address: Owner Name: John Longley Lot Size: 52624 SQ. FT. Owner Address: PO Box 110748 Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99511-0748 This permit is for the construction of: 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: 5—P5_"c�17 Issued By: _ /r�n�'t-�— C ! ��i�C� Date: 9 9 Steven R. Pannone, P.E. P.O. sox 142025 Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 (907)272-8218 Fax November 26, 1998 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 3 Mountain Terrace Subdivision, Well & Septic System Permit Gentlemen: RECEIVED MAY 0 7 1999 MUNIUVALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION My firm was contacted to design and install a new septic system for the referenced lots. We conducted a field investigation to locate existing wells and septic system before excavating for a percolation test. A single test hole was excavated on August 15, 1998 for a the system design. The soils report and a percolation test result is attached. No ground water was encountered. Bedrock was encountered in the test hole at 12 feet. The lot is approximately 1.0 acres in size each. Lot 3 slopes to the south at a rate of approximately 12-15 percent. The north eastern portion of the lot is steeper (approximately 15-20%). The proposed installation will be located on the southern portion of the lot. Both the primary and reserve drain fields may be installed. A diverter valve will be installed after the tank to control the direction of the effluent flow. Double clean -outs will be installed after the tank and diverter valve. The proposed location is greater than 100 feet away from the proposed well serving this property and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. The new owner is an experienced operator and contractor. He is intending to install the system himself. Please contact me at 272-8218 or 227-3522 if you have any questions about the proposed installation. Sincerely, Steven R. Pannone, P.E. Attachments: C:\W0RK\3MtTerrace.001.vvTd Municipality of Anchorage.• t Qom, p•p,',x DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 °�: -^ .may R. Pan•o t, ;°••° . •. g� � Steven R. Pannone ��. SOILS LOG — PERCOLATION TEST `"J SCE -814 ; ...,. •• PERFORMED FOR:--d0W/L% e0A)GlCLf� DATE PERFORMED:' LEGAL DESCRIPTION: L3 B1tC i"Ci1Zla C CS Township, Range, Section: SLOPE SITE PLAN (FEET) 1 CXL Tc�PS©rL /t �k� U tGS 2 3 4 5 °-Izle--QL [M2P—A 6 �e�2L�CtiQATV AD 7 cc2lay! tS sAAjb 8 9 10 11 12 13 14 15 16 17 18 19 'R6{Ol2®GI< WAS GROUND WATER ENCOUNTERED? A-9 d L IF YES, AT WHAT O DEPTH? P E Depth to Water After, �t Monitoring? Date: ■■■II Net Time Depth tam'' Water ■■■11■■ ■■M ■■■■NI■ ■E09■■■■ ■ENSIME■■■■ qs- ■ tl-sa S 4 3/ �.. ■■NC■■ME ■■ ■■■■■'ONEE ■■■■■■■'ER ■■■■■■■■■■ Reading Date Gross Time Net Time Depth tam'' Water Net Drop it., 4 qs- tl-sa S 4 3/ �.. 20 I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER T�,EST RUN BETWEEN s FT AND FT /, COMMENTS - Lt� � �(' 6!2A ..L -1i PERFORMED BY: S, `c ��"�,r�lei 900& CERTIFY THAT THISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ?F e, s (%¢ ea - 72-008 (Rev. 4/85) PERMIT NOi SW DESIGN P.LD, NO, WASTEWATER ABSORPTION SYSTEM LOTS 3 MOUNTAIN TERRACE S/D 480' � sz.c �. ...... _..._..... LUT UNDEVELOPEDNO OR ". WITHINLLS 200 OF PROPOSED SYSTEMSYSTEM PROPOSED PRIM Y 8 RESERVE 1 5 -WIDE EPTIC SYSTEMS w LOT UNDEVELOPED 1' F x 66 LF EACHNO WELLS OR SEPTIC vo MAINTAIN FROM PROP LINE, WITHIN 200' OF PROPOSED SYSTEM ROPOSED 1,0 Og SEPTIC TANK:} f� PROPOSED �✓' •�` 3 BR HOUS a 15' C BANK •. T AL t s 9� PROPOSED r -m WELL r (`m as C� i �' w In <y ` d 9%VI.a o A-� 9 j w w EXWELL °�?e'�O� �F 1 o�o' 1 0 w La Hy r303>- LOT UNDEVELOPED NO WELLS OR SEPTIC [ WITHIN 200' OF PROPOSED I I CI\Wo All . .....: .............u................... j Steven R. Pannone ,. : !n'.. No. CE 8149 , SYSTEM DESIGNi PERC RATE] 5 MIN/INi 125 SF/BR 375 SF REQUIRED 5 -WIDE, 1' EFFECTIVE, RF= 0.87 SINGLE TRENCH 66 LF 379 SF TOTAL PREPARED FOR1 PANN❑NE ENG. SVC John Longlex P. ❑. BOX 102954 8741 Flamingo Drive ANCHORAGE, ALASKA 99510 Anchorage, AK 99503 (907) 243-0159 272-8218 Phone &Fax DA i 11- -9 DESIGN SCA '_ ' PERMIT N131 SW DESIGN DETAILS RLD, N0i WASTEWATER ABS❑RPTI❑N SYSTEM LOTS 3 MOUNTAIN TERRACE SOD x U CIS W inON In U fv ci= � a D ::, o41 L..,,.-.L3ren In y (U 4 (U I ti a U o Z d i c Y a 3 d O 3Hn1 M01INON S w a L a r a L ♦ N � Ld(� H of ¢ 1nON' ce a. 1.5' 1.5'—+ ll 1nONtl319 inONtl313 inONtl313 Ci\Work\3MTTER,dwg inONtl313 inONtl313 NoutlaNno-i 49— w .........." PREPARED FOR. R. Pannone: i .:a John Longlex CE 8149 �AV 8741 Flamingo Drive '©.�•' AV Anchorage, AK 99503 (907) 243-0159 PANN❑NE ENG. SVC, P• ❑. BOX 102954 ANCHORAGE, ALASKA 99510 274-03081 272-8218 FAX lITEi 11-30-98 E DESIGN ❑T T❑ SCAL N CD7 01 O fA 'r GN Q Go Cx • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 020-121-17 Expiration Date: 1. GENERAL INFORMATION Complete legal description Mountain Terrace Estates #2, Lot 3 Location (site address) 16900 Kenai Terrace Road Anchorage, AK 99511 Current Property owner(s) John & Nadine Longley Day phone Mailing address 16900 Kenai Terrace Road Anchorage, AK 99511 Real Estate Agent Chris SWIreS Day phone 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community - ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: n f Received by: _ - ° Date:'�� COSA to be released'to the engineer, unless otherwise requested by the engineer. COSA Fee $ -1 o J� Waiver Fee $ Date of Payment 41rl( f3 C& Date of Payment Receipt Number 051 M Receipt Number COSA# 0,5c,131pq 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 Anderson Engineering Phone Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 522-7773 49TH � 6. DSD SIGNATURE _ System #1 Approved for —3—bedrooms WAWACE" 1IIlorag,4. \41 System #2 Approved for _ bedrooms '•10#Disapproved(Firs Conditional approval for bedrooms, with the following stipulations: BY: Original Certificate Date: iJ I _� ,I 3 T4 un ality A orage 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 Adviso;y, f� Septic System Advisory Arsenic Advisbry ' Well Flow Advisory Other COSA bale sheet f If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Mountain Terrace Estates #2, Lotf 3 A. WELL DATA Well type Private Date completed 7/3/99 Total depth 187 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 18 ft. FROM WELL LOG 7/3/99 WATER SAMPLE RESULTS 125 ft. 6 9 - p.m - Parcel ID: 020-21-17 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION 4/2/13 133.4 ft 3.5 Coliform _±--colonies/100 mL Nitrate 3.19 mg/L Arsenic N/D ug/L Date of sample: 4/3/2013 Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 qal Number of Compartments 2 Foundation cleanout (Y/N) Date of pumping 6/25/12 _ g.p.m. A. Harala Date installed 6/7/99 Cleanouts(Y/N) Y Y Depression over tank (YIN) N High water alarm (Y/N) N Pumper McDonald's Pumping Service C. ABSORPTION FIELD DATA Date installed 6/7/99 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD System type 5' Wide Trench Length 69 ft. Width 5 ft. Gravel below pipe 1.0 ft Total depth 5-6 ft. Eff. absorption area 395 ffz Monitoring tube Y_ Depression over field N Date of adequacy test 4/2/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 519 gal. New depth 7 in. Elapsed Time: 1,304 min. Final fluid depth 0 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot _ Size in gallons Manhole/Access (YIN) "Pump off" level at in. High water alarm level at Cycles tested Meets alarm & circuit requirements? >100' On adjacent lots >100' Absorption field on lot > 100' On adjacent lots > 100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 Water main >10, Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line > Building foundation >10 Water Service line > Surfacewater >100' Curtain drain None Noted Wells on adjacent lots > 100' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I 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 Michael E. Anderson, P.E. Date 4/11/13 COSA brown sheet 10-10-12.doc Absorption field >5r Surface water >100' Water main >10' Driveway, parking/vehicle storage >10' in. a PLOT PLAN AS BUILT X SCALE 1" = 50' GRID 3342 Project No.13-023A1_jci Lang & /SSS o c i a fes 9 inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax � ken®iangsurvey.com j jonothanelangsurvey.com OF A *N �o�� ,........... q I hereby certify that l have surveyed the following described property: oG�`r•,•'• T LOT 3, MOUNTAIN TERRACE ESTATES #2 (PLAT # 80-106)F1 Anchorage Recording District, Alaska, and that the improvements situated thereon are !� * 4'9 a within the property lines and do not encroach onto the property adjacent thereto, that ®' r °° ••°°'•••'Q no improvements on the property lying adjacent thereto encroach on the surveyed 0 J premises and that there are no roadways, transmission lines or other visible (% 0 easements on sold property except as indicated hereon. - 0 KENNETH G LANGo c ° p LS -5202 Dated this the gvs4� _Day of at Anchorage, Alaska �� PSAa, It is the responsibility of the owner to determine the existence of any easements, ���QRO�ESStONaa covenants, or restrictions which do not appear on the recorded subdivision plat.