No preview available
HomeMy WebLinkAboutNORTH WOODS BLK 5 LT 4Northwoods Block 5 Lot 4 #051-731-04 Municipality of Anchorage Page of -3 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 Number: :5W g5*007 S 7 PID Number: 05173104- L� Wastewater System: Aew ❑ Upgrade Address: - d \ ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench 11 Shallow Trench NKed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: I Total Depth from original grade: j•5-S� •3 GPD/Sq. Ft. Lot: i�- Block, ^ / Subdivision: " ? m S Depth to pipe bottom from original grade: 3—``- Gravel depth beneath pipe / !V Ft. -S Ft. Township: Range: Section: Fill added above original grade: Gravel length: O Ft. .SD Ft. WELL: pyVC❑ New ❑Upgrade Gravel width: 30 Number of lines: S .Distance between lines: L-7' Ft. Ft. Classification (Private ,B,C): Total Depth: Cased To: Total absorption area: Pipe material: -STM - 30 VIA /i Ft. Ft. 0 SC. Ft. '0/0' Driller: Date Drilled: Static Water Level: Installer: Date installed: /n Ft. IY�/Yl{i/i (� z3 2/0 27 Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft, Ft. SEPARATION DISTANCES ®'Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines �%j1'1L, 7Z_"4/( , OD O Well1 zSp >23o N / 4t_ > Z3D� Material: Number of Compartments: Surfac > (y6/ /,4— LIFT STATION./%� Watere >15-o' hl�p r4 ,�' Lot/ ZS' > l5 Size in gallons: Manufacturer: Line Foundation ��I' r `�„('X I N /� f "Pump on" level at: ump off' level at: High water alarm at: Curtain ,L ,„ / ' �f _ / /tom O f S Pump M Model Electrical Inspections performed by: Drain 7 D 7ra l�''i;' ry Remarks r/��fi. ���SF �a%r - h �.� ri BENCH MARK Location and Description: 4, D✓L�/�t.r .'v. Vv(/f%.. at/ttC�/�Z //Tlr'". v)/ -¢i S ��rr C - Assumed Elevation: a /v a. Ft NS SEAL ".0 10 e°°°®°�°� ® o � ®60 ®�• c a� o Inspections performed by:�•���% Dates: 1s 2ndm��� Aoa ©..o®m•ooeeeoe�e /J;khael E. /'enderson U=:vim Department of Health Hum rvices approval�f©��e4��� Reviewed and approved by: Date:�� 72-013 (Rev. 9/91) MOA 25 110 Permit No. ' s iJ Q 5-00 T7 Page 71 of S Municipality of Anchorage 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 No. s W 4 5 oa 57 Page 3 of 3 Municipality of Anchorage 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 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950057 DATE ISSUED: 4/26/95 DESIGN ENGINEER:ANDERSON ENGINEERING EXPIRATION DATE: 4/26/96 OWNER NAME:NORTHWOODS INC OWNER ADDRESS:709 WEST INTERNATIONAL AIRPORT RD. ANCHORAGE, ALASKA 99518-1123 PARCEL ID:05173104 LEGAL DESCRIPTION: NORTH WOODS BLK 5 LT 4 LOT SIZE: 31335 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: /'' "t,+c E ad, ISSUED BY: DATE: c/ Q S- DATE : -2 6 - (,3- ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 April 25, 1995 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Dan Roth RECEIVED APR 2 51995 Municipality of Anchorage Dept. Health & Human Services Subject: Lot 4, Block 5, Northwoods Subdivision Revised Septic System Site Plan Dear Dan: Attached is the revised site plan for Lot 4, Block 5, Northwoods Subdivision which takes into account an adjusted water table elevation of -8'. Readings taken within the last week indicate no water in the monitor tubes, but the readings may change as we get further into spring breakup. This lot may drain more efficiently than others in Northwoods Subdivision due to the steep slope near its midsection. Based on soil conditions found on the lot and the adjusted water level of -8' it appears a shallow bed system can be installed as the primary system. The alternate system will have to be a shallow wide trench system with insulation and mounding to maintain the 50' separation distance from the slope. Insufficient area is available to design a bed system for the alternate site. Hopefully this information will lead to issuance of a septic system permit for this lot. Please call me if you have any questions. Sincerely, Michael E. Anderson, P.E. 1 7, low .... h..........r r....... .. ., r. iit I •I ' lJ jib' SIi �,14. ail (1 .. 1 ' l` i.' ais� ill •,i �. d 7, 'r° <M�hA I"', ar, h}a�{l .6 ati Vii" A �L,4iJyti f f4,`�f b . I,M . n +,� �1 ; d t t ��yl all \�l /'. •� + • s/Y ri�r ' .�' ��'t T 1is'�"� tr ��, :'Kfj. �'t�y �rq�';f'+y�tllf ."4 , •! ... 1� . } 1 J{ •I Ifl irf f �4I vhf , 4•�f � �l r."�f f ' � t .'I : r... •1- !.__ .:,:.:�. 60.00. E KZI 41 4 Vi v ly V Al Y- 1 • j..., ' ;:. � may, � , 52 ' � � . fob.. �,. •• • +''.-y'�..cy'_. , I •ell 641* 250.27 • I r � 1 , Iq 7 f r C a Lot 4, Block 5, Northwoods Subdivision DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Shallow Bed System Pere. Rate: 42 Min./Inch 1,000 Gal. Septic Tank Application Rate: .3 GPD/SF Min. 2' Accepting Soils 3 Bdrms. X 150 GPD / .3 GPD/SF = 1,500 SF of Absorption Area 1,500 SF / 30 LF Width = 50 LF Length Therefore: Construct a Shallow Bed System 30' Wide X 50' Long at the Location Shown on the Site Plan. Distribution Pipe Placed at 3.5' Below Original Ground Surface. TYPICAL SHALLOW BED SYSTEM (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Table. Grade Area Over Trenches to Drain Away. To !1-iovSC /l% C.T U RA L 13 A Cl 4-r-! iA. 3ED� 1 6 ..6 0 t.1.[Orl G►C-�crr� rAt�ltic,---� EW MOw�TCO2 C -- — "— Tvt�c. . i7 o q . C - a � Fid 3 '�� A. so TYPICAL SHALLOW BED SYSTEM (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Table. Grade Area Over Trenches to Drain Away. Lot 4, Block 5, Northwoods Subdivision (Alternate Site) DESIGN FACTORS: Three Bedroom Home Perc. Rate: 42 Min./Inch Application Rate: .45 GPD/SF Reduction Factor: .7 SYSTEM REQUIREMENTS: Wide Trench System 1,000 Gal. Septic Tank 3' Drain Rock Beneath Pipe 3 Bdrms. X 150 GPD / .45 GPD/SF = 1,000 SF of Absorption Area 1,000 SF / 5' Wide = 200' LF X .7 (Red. Factor) = 140 LF Trench Therefore: Construct a Wide Trench System With Three Laterals Totalling 140' in Length. Place 3' of Drainfield Rock Beneath the Lateral. Place Distribution Pipe at V-0" Below Ground Surface. Place 2" of High Intensity Direct Burial Insulation Above Distribution Pipe. Mound Over System At Least 1' Above Original Ground. .. _. M '1'YFIUAL WII)h "1'KE1Vl:rl bUIUVl (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Table. Grade Area Around Drainfield to Drain Away From the Trench. Minimum 1' Above Original Ground. Trench Must Be 50' From 25% Break in Grade. cy ... ,. �r�oc D c_ t .... � , r „ � 0 , .. _. i i.. ..... .. M '1'YFIUAL WII)h "1'KE1Vl:rl bUIUVl (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Table. Grade Area Around Drainfield to Drain Away From the Trench. Minimum 1' Above Original Ground. Trench Must Be 50' From 25% Break in Grade. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 April 5, 1995 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 4, Block 5, Northwoods Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: We are hereby applying for an onsite septic system permit for Lot 4, Block 5, Northwoods Subdivision. The location of the system and the alternate site are shown on the attached site plan. Please note both sites are based on the same testhole. If necessary, additional testholes will be placed and the information forwarded to you prior to the construction of the system. The permit is needed now, however, so the the Land Use Permit may be obtained and the foundation work begun. In our opinion the subsurface soils in the area are uniform and will not change substantially from the 41 minute per inch percolation rate shown. The ground surface on the lot slopes from south to north and approaches 30 to 40% near the northern lot line. The drainfield trenches will be placed a minimum 50' upslope from any break in grade greater than 25%. In addition, the subdivision is served by a community water system so well setbacks are not a consideration. 1. The system, if constructed as designed, will have no adverse impact on the wells in the area as the lot is served by a community water system. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current draj�j� `tpq will be maintained. Sincerely,Mal" 4 ft ]FtC a 0( O(1"OO't1C 8F hN�har I L Michael E. Anderson, P.E. "° \J_ ti At; IV CT 7w .. 25Os2T rl N • Ull 0 MrA Lot 4, Block 5, Northwoods Subdivision DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Wide Trench System Perc. Rate: 42 Min./Inch 1,000 Gal. Septic Tank Application Rate: .45 GPD/SF 4' Drain Rock Beneath Pipe Reduction Factor: .5 3 Bdrms. X 150 GPD / .45 GPD/SF = 1,000 SF of Absorption Area 1,000 SF / 5' Wide = 200' LF X .5 (Red. Factor) = 100 LF Trench Therefore: Construct a Wide Trench System With Two Laterals Each 50' in Length. Place 4' of Drainfield Rock Beneath the Lateral. Place Distribution Pipe at 1'-6" Below Ground Surface. Place 2" of High Intensity Direct Burial Insulation Above Distribution Pipe. Place 4" of Insulation Under Driveway. TYPICAL WIDE TRENCH S Y SILAI (NO SCALE) NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Table. Grade Area Around Drainfield to Drain Away From the Trench. Trench Must Be 50' From 25% Break in Grade. e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �Iir 10Wld7� _. DATE PERF LEGAL DESCRIPTION: �b$ ToWnship,Range, Section' _. COMMENTS OH s $10%/ *W4 6bwleb pootioo°i�`A' JO J A'� poi^moo°�®�8r"; �y VF rCgy�.�y�©gnu c+a c�a �„�r .ear CL�jr,i rrcQ'1`7��cSv 431a 1 0o ,�., Ifvrc•l� WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P t E 4epth to Witer Pitt Y Ar SITE PLAN Brading •Y• Date -E2� Grass Time Net Depth t0 Time Wow -- Net DroP PERGOLATION RA1L ' (minutes incn) PERG HOLE DIAMETER— TEST RUN BE1'MYN FT AND I;2�— Fl G j A CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ACCORDANCE WITH ALL STATE ANA MUNICIPAL GUIDELINES IN EFFF.OT ONTHIS DATE. DATE: --- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0680 SOILS LOG — PERCOLATION TEST PERFORMED FOR: MMM ✓'� Wr'( 1N(7 DATE LEGAL DESCRIPTION: L`) Vr I'1Mfl em* Township, Range, Section: 000. SLOPE V NEAR; REAL) n e.: 4 c� C� Q� 7 G n .e SITE PLAN i0 I 2 Y/ 3 w l ENCOUNTERED? 11 �T 4- S 5 5 zoM IF YES, AT WHAT / p s ems' _ s P 12 6 y � $ ° c cL e Depth to Water Atter 5 13 9-" Monitoring? Date: .Ll . SLOPE V NEAR; REAL) n e.: 4 c� C� Q� 7 G n .e SITE PLAN i0 WAS GROUND WATER Y/ ENCOUNTERED? 11 a S IF YES, AT WHAT / p DEPTH? P 12 6 E ° Depth to Water Atter 5 13 iJ�' Monitoring? Date: I% 14- 15 4 15 16- 17— QST 18- 19 20 PERCOLATION RATE (minutes/inch) P�ERC HOLE DIAMETER TEST RUN BETWEEN /y FT AND 1—FT COMMENTS t *ry (iJocJ,.n •.ten i , - ,-, PERFORMED BY: 'r I IYJAXAA4� ERTI TH�A%TJHIS JEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: —/' 91 s � 72-008 (Rev. 4/85) y/0 <!�-� ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: Lot 4, Block 5, Northwoods Subdivision GENERAL: 1. The scope of this project includes the procurement and installation of a 1,000 gallon septic tank and the construction of a shallow bed drainfield to serve the proposed three bedroom home. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall also be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Lot 4, Block 5, Northwoods Subdivision April 5, 1995 Page Two 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts shall be installed between the tank and the drainfield. The first cleanout shall be located on undisturbed soil not more than 10' from the tank. The first cleanout shall be to clean toward the drainfield. The second cleanout shall be to clean toward the tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. The bed shall not be installed on a slope greater than 10%. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any water wells in the area. Lot 4, Block 5, Northwoods Subdivision April 5, 1995 Page Three 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trenches must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 seive. e Lot 4, Block 5, Northwoods Subdivision April 5, 1995 Page Four INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. -I w "'1 h1117 I NJVI! ONF I 1,1 l P „71 EC1-Ir)N January 4, 1982 Dale Greiner Lugene Lane Eagle River, AK 99577 Permit tt 811139 Subject: L4 B5 Northwood A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz R. Program Manager Sewer and Water Program Enclosure: Copy of Permit i 82!S „L.„ STfiF E T v ANCHORAGE, ALASKA 99501 s 'I (90/) 764411 "I k y 11 t M Oncf All SUI /VAN, MAYOR -I w "'1 h1117 I NJVI! ONF I 1,1 l P „71 EC1-Ir)N January 4, 1982 Dale Greiner Lugene Lane Eagle River, AK 99577 Permit tt 811139 Subject: L4 B5 Northwood A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz R. Program Manager Sewer and Water Program Enclosure: Copy of Permit TYPE. Cif S. 011_ E=IBSCIF::PT I ON SYSTEM TEM IS : TRE'NCH H MAI IMUM P•dI.JMBE.E: OF BEDECir'SOIL. EsATI(',#E7 (SO f-T/E.RwW:: 23--e"'31 THE' REQUIRED SIZE OF 'T'HE SOIL. FIEISr:€F:,F.T• T ON `E,YSTI.ri IS: W p ._ E �...;5' hW m �'..," ....�.... V-9 :�:.:: =::::g L_ d''a5 g_:.d —'�' �'""� �:u.:: "" �r..�_ ;`:�",_.R �"� �'� ""J ° F� 0...._S_. A E;:'.. Fw= "Ir- R..,A THE: LE:P+IGTH DIr'1EN'S-1 IP•,I IS 'THE. LEr C'ITH lIN E=E:E:T) OF 'THE TRENCH OR )RINF"IEL.D. -C FIE DEPTH OF' FI TRENCH OR PIT IS 'THE E;:ISTANC:E: BETWEEN THE SI..RF-ACE OF "!HE.' I..2F.:1_lUr'aD FIND THE eo-rT'E:.,im OF THE Ei:FVATC.N (.IN C=EE T':>. 'THERE IS P•40 SET' W I E:,T"E-I FOR TRENCHES. THE C RFIVE_. DEPTH IE.". THE MINIMUM DEPTH OF I:aF::AVEL E,E:T14EEN THE. OUTF F• L.L. PIPE F? -4D 'THE BOTTOM OF 'THE:: EXCAVATION e:IN FEET). 1 4---7,F-"F-`T' I C—. '1"" Cl P-4 Pr,T: 2: FE_ .,:a. Jn;:- l C.".0 C u R'w.� I._.- R..». Cp""_,, F'EE=:r'1117 1=1F'F'#».:ECANT HAS THE: RESF'ClNSIE:TL.IT`r' TO INF"CIRr'1 'THIS DEFT#F:TE''1EN'T DUF:'1'#'•,#G 'THE: I ra'w:"rAL.L.AT" I r._ N I r+1SPEC:T" I t:€r,#' OF ANY WELL -S ADJACENT TO THIS PROPERTY Y FIND THE P•dLPMBER' CIF' RESIDENCES I DEr, CES TE"HAT" 'THE WEL.L WILL.. SERVE, E -,'A KF IL.LIr•4Ei €::€F' FlNY�SYSTEM WITHOUT FINAL INSPECTION N FiND FIF'F'RCl+,<`AL BY THIS DF-PAF.:TMEr•,!T !.MILL BE E;#..IBJEC �'T' TO PROSECUTION. r'ITr•,IIML. M DISTANCE. BETWEEN A WELL, AND FtN.Y Mrd==IEtITE SEC AIDE E: yTSF'IkISAt... 'SY.' TEM 15 FEET FOR A F'CT:T' NTE WE:L»L OR 150 •TCI' 20 -lo FEET FROM A F'UBL.II� WEL.L. C::�E:F'END:Cr•.#':s UPON THE TYPE OF F'i.»IE.L. T €:.: I.JELL_. MINIMUM DISTANCE FROM A PRIVATE C,.#ELL. TO Fi PRIVATE SEb.1ER UNE 'IS 22,5 FEET FIND TO FI ImClr?hiL_trdIT'-,` SEkIEF:: L.INE IS" � FEET'. OTHER REQUIREMENTS MAY APPL._'r'. S F'EC I FI CAT I CIP•,I.`; : FIND CONSTRUCTION DIAGRAMS FIFE. F3'':*AI'LABLE To INSL.IF::E F'IrOPE:R INSTALLFITT(.Ir•,#. F: " E " Fc!. M T: 7- @ : w,.. n 1F " :T Ems_ E:. - CA E=." CE-=- M E?- Jam" FR ,1_ _" T CERTIFY THAT :1.: T Aro E=FIr'i I L.I AR kl I TH THE REQUIREMENTS FOR ON. ... SITE SEWERS AND WEE...L S AS SET' F OR'TH BY THE MUNICIPAL I T4' OF ANCHORAGE. 2 T WILL I NSTAL_.L.. THE SYSTEM IN AC:C:CIEr:DAr,#C E WITH THE: CODES. I IIC,IC: EF: _:l"FtrdC? TE-IFiT THE: CIP+-=:I TE SEWER:�-'R:_,'TEP'I MAY REC!LJ I RE ENL.-FIEt:I] Eh1Er•,IT IF' 'THE RESIDENCE IS F::Er'iODEL.E D TO INCILUDE h1CIRE THAN T: BEDROOMS. FIF'F'L_:C C:i ird GRE I r•,IEF: ISSUED E.,Y.— /s %14. 0 L:jEPAF':Tt'IErlT HEAL.»T'I•-1 F#raL= 'ra',':EE:Clr r1E:::r,IFFiL_ :.C)TEC...I. r.Or.,1 825 .:L_:. STREET, FIN,C:EIaiRAGEaF AK'. 264-4720 F-.DG� Q Gi C1 SLC.�J F:#I:::.F'I_ I Ca=lm-" DALE GF E* T NE: R L.UGENE (....FINE ;_,94 3,:j.; 5 L OC AT l Clyd r'dORTHbfI: CID LEGAL. L4 E5 rd€ RTNW+ nOD LOT SIZE 22.,- ail: 0 :-;(.'!UARE.' FEET TYPE. Cif S. 011_ E=IBSCIF::PT I ON SYSTEM TEM IS : TRE'NCH H MAI IMUM P•dI.JMBE.E: OF BEDECir'SOIL. EsATI(',#E7 (SO f-T/E.RwW:: 23--e"'31 THE' REQUIRED SIZE OF 'T'HE SOIL. FIEISr:€F:,F.T• T ON `E,YSTI.ri IS: W p ._ E �...;5' hW m �'..," ....�.... V-9 :�:.:: =::::g L_ d''a5 g_:.d —'�' �'""� �:u.:: "" �r..�_ ;`:�",_.R �"� �'� ""J ° F� 0...._S_. A E;:'.. Fw= "Ir- R..,A THE: LE:P+IGTH DIr'1EN'S-1 IP•,I IS 'THE. LEr C'ITH lIN E=E:E:T) OF 'THE TRENCH OR )RINF"IEL.D. -C FIE DEPTH OF' FI TRENCH OR PIT IS 'THE E;:ISTANC:E: BETWEEN THE SI..RF-ACE OF "!HE.' I..2F.:1_lUr'aD FIND THE eo-rT'E:.,im OF THE Ei:FVATC.N (.IN C=EE T':>. 'THERE IS P•40 SET' W I E:,T"E-I FOR TRENCHES. THE C RFIVE_. DEPTH IE.". THE MINIMUM DEPTH OF I:aF::AVEL E,E:T14EEN THE. OUTF F• L.L. PIPE F? -4D 'THE BOTTOM OF 'THE:: EXCAVATION e:IN FEET). 1 4---7,F-"F-`T' I C—. '1"" Cl P-4 Pr,T: 2: FE_ .,:a. Jn;:- l C.".0 C u R'w.� I._.- R..». Cp""_,, F'EE=:r'1117 1=1F'F'#».:ECANT HAS THE: RESF'ClNSIE:TL.IT`r' TO INF"CIRr'1 'THIS DEFT#F:TE''1EN'T DUF:'1'#'•,#G 'THE: I ra'w:"rAL.L.AT" I r._ N I r+1SPEC:T" I t:€r,#' OF ANY WELL -S ADJACENT TO THIS PROPERTY Y FIND THE P•dLPMBER' CIF' RESIDENCES I DEr, CES TE"HAT" 'THE WEL.L WILL.. SERVE, E -,'A KF IL.LIr•4Ei €::€F' FlNY�SYSTEM WITHOUT FINAL INSPECTION N FiND FIF'F'RCl+,<`AL BY THIS DF-PAF.:TMEr•,!T !.MILL BE E;#..IBJEC �'T' TO PROSECUTION. r'ITr•,IIML. M DISTANCE. BETWEEN A WELL, AND FtN.Y Mrd==IEtITE SEC AIDE E: yTSF'IkISAt... 'SY.' TEM 15 FEET FOR A F'CT:T' NTE WE:L»L OR 150 •TCI' 20 -lo FEET FROM A F'UBL.II� WEL.L. C::�E:F'END:Cr•.#':s UPON THE TYPE OF F'i.»IE.L. T €:.: I.JELL_. MINIMUM DISTANCE FROM A PRIVATE C,.#ELL. TO Fi PRIVATE SEb.1ER UNE 'IS 22,5 FEET FIND TO FI ImClr?hiL_trdIT'-,` SEkIEF:: L.INE IS" � FEET'. OTHER REQUIREMENTS MAY APPL._'r'. S F'EC I FI CAT I CIP•,I.`; : FIND CONSTRUCTION DIAGRAMS FIFE. F3'':*AI'LABLE To INSL.IF::E F'IrOPE:R INSTALLFITT(.Ir•,#. F: " E " Fc!. M T: 7- @ : w,.. n 1F " :T Ems_ E:. - CA E=." CE-=- M E?- Jam" FR ,1_ _" T CERTIFY THAT :1.: T Aro E=FIr'i I L.I AR kl I TH THE REQUIREMENTS FOR ON. ... SITE SEWERS AND WEE...L S AS SET' F OR'TH BY THE MUNICIPAL I T4' OF ANCHORAGE. 2 T WILL I NSTAL_.L.. THE SYSTEM IN AC:C:CIEr:DAr,#C E WITH THE: CODES. I IIC,IC: EF: _:l"FtrdC? TE-IFiT THE: CIP+-=:I TE SEWER:�-'R:_,'TEP'I MAY REC!LJ I RE ENL.-FIEt:I] Eh1Er•,IT IF' 'THE RESIDENCE IS F::Er'iODEL.E D TO INCILUDE h1CIRE THAN T: BEDROOMS. FIF'F'L_:C C:i ird GRE I r•,IEF: ISSUED E.,Y.— /s %14. 0 l • PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST ❑ SOILS LOG PERCOLATION TEST DATE PERFORM EDZ�<:�e--r-V LEGAL DESCRIPTION: / ' V b r /'% t'v o-�-q jo ` SLOPE SITE PLAN DEPTH �FF�ET) 67 -%TC/ 57/ Z- 7;X S 9 /x40 2 1 3 y�W 4 5 1-0 all 7 /w j � 8 - dZ-3 10- 11 WAS GROUND WATER *j J 0 S ENCOUNTERED? OL p P 12 - IF YES, AT WHAT E / DEPTH? 13 14- 41516 Date Gross Time Net Time 15- Net Drop �n 16- ►r ; S o I � t� /� �� ti 17 17 18 RR•R IRC AP<aw n �- Rr �• 19 Roiart A. Sh„ p „ " •t': 20- COMMENTS 0 COMMENTS PERFORMED BY 72-008 (6/79). Reading Date Gross Time Net Time Depth to Water Net Drop ►r ; S o I � t� /� �� ti 3 � tr 17 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT ks ' 7'u CERTIFIED DATE: W ue-7- 1. Municipality of Anchorage -� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-731-041 HAA # 0500,IC74 Expiration Date: 1. GENERAL INFORMATIOjq Complete legal description' A or':' -- s LI 6 S L,'pcation (site address or directions) ,2252 I /1/or}on Gou rl , pefeft Creek Current Property owners) d ��- =- Ferre l�rez Day phone 688-6010 M-iiling address Lending agency • L. Mailing address ANV3M1I&;� Day phone Real Estate Agent G'ndV W'1Lr Dayphone a.4(q-Ig3o Mailing Address 65 Cen4efr 17 orlue Egyle 1Zt,Iee Ay- 49577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank •❑ Community Class Well ❑ Community On-site 0 Public Water System ® Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Eagle River Engineering Services 10421 VPN Rd., Suite 201 Phone, 6 9y- 5195 Address Eagle River, AK 99577 Engineer's Printed Name�/,_ _ "O ef- Q. Wm Date _ 6/;Z?/c6- 5. /29/06 5. DSD SIGNATURE t GiRfSTOPHERR CEIP7 ✓ Approved for _3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: - n�A �+ Original Certificate Date: % — / 3 - o. - (Rev 01102) Municipality of Anchorage a• • Development Services Department �" y Building Safety Division _44 s • � << On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:VarA1 i J< Ly0 65 Parcel 10:0!F/-731 -01f A. WELL DATA Well type jpj1i 6. Date completed _ Total depth ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (YIN) Cased to ft. FROM WELL LOG WATER SAMPLE -RESULTS: colonies/100 ml. Arsenic: _ mg./I. B.EPT IHOLDING TANK DATA Nitrate mg -A. Well Log (Y/N) Wires properly prdtected_ 414f) Casing heigh j4et5—ove ground) in. ft. Other bacteria colonies/100 ml. Date of sample: _ Collected by: Tank Type/Material SeO±,'C.Afee I Date installed 6I� 3 �4zs Tank size /. 000 gal. Number of Compartments Cleanouts (9N) YCS Foundation cleanout &N)'Y(e.3 Depression over tank (Y& no- High water alarm (Yo h C Date of pumping � Jo$ Pumper S_. vo#*4c � Oi-n;0;&ef5 C. ABSORPTION FIELD DATA Date installed 6/91�4is . Soil rating EEHDor ft2/bdrm).3 System type Qed Length 50 ft. Width 30 ft. Gravel below pipe 0. S ft. Total depth 9 S YR' EH. absorption area jf fLW Monitoring tube .)6C.I_ Depression over field 12& - Date of adequacy test 4 O Results(ss ail) amass For 3 bedrooms Fluid depth in absorption field before test Y in. Water added WO gal. New depth b in. Elapsed Time:ffla min. Final fluid depth 'I 5in. Absorption rate >= q SrQ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y& type) n6n a AMj5k .tIf yes, give date.✓/A _ D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons Manhole/Access tn. High water alarm level at in. Cycles tested Meets alarm 8 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main line On adjacent to i n adjacent lots Public sewer manholelcleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/11118lIPIM6 TANK ON LOT TO: Building foundation +5 Property line 45' Absorption field +S Water main +10, Water service line + 10' Surface water +100, Wells on adjacent lots 'x100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line +10' Building foundation +I U Water main -4r l0' Water Service line +IU' Surface water +100' Driveway, parking/vehicle storage 7' Curtain drain +SU' Wells on adjacent lots +1006 F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date 9/0S HAA Fee $ q J0 Date of Payment Ulm I°i Receipt Number 7onv- Air (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number LOT 3 SEPTIC CLEANOLRS 15' LMUTY EASEMENT -N N U 8 RW -7Y CREEIYBE r rz NORTON COURT PACT A 5.0' X 10.0' BALCONY PLOT PLAN _ AS BUILT X SCALE -IL—"40* 40' GRID NW1459 Project No. 05-133 Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone �cop�Op� Registered Land Surveyors (907) 522-4625 Fax eGo OF A �k kglongis0alasko.nef / Jclangle0ciasko.net �,``'•,•••••••••�•9s4�n' 1 hereby certify that I have surveyed the following described properly: `pY LOT 4, BLOCK 5, NORTHWOODS SUBDIVISION (PLAT No. 79-195) 0 �:' 4 9� Q Anchorage Recording District. Alaska, and that a Improvements situated thereon are ............0 within the property party Iines and do not encroach onto the property adjacent thereto, the �•• no Improvement* on the property lying adjacent thereto encroach on the surveyed � �=�,. promises and that then are no roadways, transmission nnes or other visible Q.. ' '• ,• easement* on sold property except as Indicated hereon. QOa KENNETH . Dated this the of Jog Zbo Q LS 5202 Day�, of Anchorage, Alaska Poly It 1s the responsibility of the owner to determine the existence of any easements, �40"O FftwoNAL covenants, or restrictions which do not appear an the recorded subdivision plat. Alunicipahty of Anchorage 3 Y \ �'• ++ L'O. Itis 1%4iill•,lnchuml;c,.\I;Iska99751949:ill•471N114rnl;.nc tivral Illliec: (!M17):13a-1i:N11 • 15m: 0N171 :408-t:Y1N1 Llge//x���c.numi.m7( Mayor Mark Begich De-velopmcnt Seniecs Department July 13, 2005 Pierre and Andrea Perez 22521 Norton Cour Chugiak, AK 99567 RE: Encroachment: Chain Link Fence and Septic Inspection Pipes Block 5, Lot 4, Northwoods Subdivision, Grid NW 1459 Dear Mr. and Mrs Perez: men[ i yr 6 Department The Right -of -Way Division has reviewed a request for a letter of nonobjection to existing septic inspection pipes and a 4' chain link fence, which encroaches from I' to 7', respectively, into the 15' Utility Easement on the south property line. On the as -built survey dated July I, 2005, submitted with the request, the petitioner has shown the encroachments. This letter of nonobjection is issued with stipulations, and by using it the petitioner is agreeing to the following: 1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3.. This letter of nonobjection will in no way preclude MOA from full use and enjoyment of its rights within any porion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Obtain letters of nonobjection from the following utilities: ®Anchorage Water & Wastewater Utility ❑Alaska Communications Systems ❑Chugach Electric Association, Inc. ®Matanuska Telephone Association ®Matanuska Electric Association, Inc. 0Enstar Natural Gas Company ❑Municipal Light and Power ®GCI Cable of Alaska ❑Eyecom (Girdwood cable TV) All letters of nonobjection should be retained in your permanent files. Should you have any questions, please call me at 343-8033. Sincerely, ( Concur, Jack L. Frost, Jr. Right of Way Supervisor Properly Owner( Community, Security, Prosperity LOT 3 SEPTIC CLEANOUTS 15' UTILITY EASEMENT I RAA/7r GREENBELT N 90'00'00'E 126.50' LOT 4 31,335 s.f. TRACT A CHAINUNK FENCE—N,,. x _I 5.0' % 10.0' BALCONY x'Irl CANT 2.0' X13.1' CAN. 0.00. OGi4 76.28. XY 24.39j - S Ts G N 90.0O'00'W S. N EOJcfCoAcrr r'!� � i NORTON COURT STkN1'i'r?� 'I PLOT PLAN AS BUILT X SCALE 1' - 40' GRID NW1459 Pr0Ject No. 05-133 Lan &Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 9 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 rax kglangla0alasko.net / Jclangl000laeko.net op� 1 hereby certify that I have surveyed the following described property: LOT 4, BLOCK 5, NORTHWOODS SUBDIVISION (PLAT No. 79-195) Anchorage Recording DWcf. Alaska, and that the Improvements situated thereon are 9. within the properly lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed Promises and that then are no roadways, transmission lines or other visible easementson said property except as Indicated hereon. O0 Dated this the 1oo'o Day of �• Sbr.6• at Anchorage, Alaska �e N Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdMsion Plat. 99515-3049 49m.,�a`............ Ti.i.Y•• •q. KENNETH L LS -5202 l 7F SSKINA-. Jul 06 2005 4:38PM July 1, 2005 EHSTRR Eneineerin6 Eagle River Engineering Services Ms. Sarah Martin 10421 VFW Rd. Suite 201 Eagle River, Alaska 99577 Re: Letter of Non -Objection Grid: NW 1459 To whom it may concern: Sn7-562-0053 XNSTAR Nmurat Cal C,,pa•y A DIVISION OF SEMCO ENEROy Engiac�6 Depuftnm 401 E. (nsemaamalAhyost Road F. O. Dox 190266 Anebora6e,Alasks 99519-02U (907)334.7743 FAX (907) 562-0053 ENSTAR Natural Gas Company has no objection to a septic encroachment into the utility easement situated on the South Fifteen Feet (15 ft) of Lot 4, Block 5, North Woods Subdivision, Plat 79-195, located within the Section 4, Township 15 North, Range 1 West,Seward Meridian, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, oryour successors, will constitute agreement to the following stipulations: • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this cacroachmeat will be repaired at no cost to ENSTAR • Any costs incurred by ENSTAR for special coasmctioa necessitated by this encroachment will be borne by the property owner. • All applicable safety code regulations will be observed and maintained. • This Letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its righto6w2y. Sincerely, dz�-104� Andrew Fraiser Right -of -Way Assistant ENSTAR Natural Gas Company cc: File P.2 MTA,OSP ENG my I T?, 9::O� CALL ON 907 761 2646 YOUR COMPANY NON -OBJECTION TO EASEMENT By this document Matanuska Telephone Association. Inc. encroachment of a Septic System within the platted 151,yti Subdivision, flat No. 79-195, Anchorage Recording.VliAet; 07/06 '05 14:26 NO.914 01/01 ,TtMl3ies that it has no objection to the isement upon Lot 4, Block 5, Northwoods Judicial District, State of Alaska. .;r! L ####tt►!!flRtlR►►f#flf►►►R#Rte,i�#�#R###!##!#R!#;t►►#;########!;!!!R###R##t#;;t##fR#;i!!#! ..t' • Please be advised that MTA through the issuance of this document does not forfeit any of its rights to the use of the area cited. In the exercise of these rights MTA will, if needed, upgrade, maintain, repair, and/or replace buried or aerial telecommunications facilities within the casement. Any repairs that may be required to the encroachment as a result of utility construction will be borne by the property owner of record. This document does not authorize the placement of any additional encroachments within the easement area. Property owners are required to obtain utility locates before doing any kind of work in the utility easements and will be liable for any damages caused by their construction work in the easements. This document is in no way, an agreement to vacate any portion of the utility easement and should not be interpreted as such, Issued for Matanuska Telephone Association, Inc. this 6th day of July, 2005, by, w _ Real Estate & Properties Supervisor 16th day of July, 2005, before me the undersigned, a Not Public in arid for the State of Alaska, duly commissioned and sworn. as such, personally appeared Bonnie Bailey known to me and to me known to be the individual named in and who executed the foregoing instrument and acknowledged to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above writtett'`� aaA,tpafN�! Yggyy, .... � '. �>.'•.R.,ryr -aQaw ara•�-�•`2a�'4 I / / Aw / ��,/ � •• �:,• +VL1�/ Notary ubl in an for '- r'fz- __..._ My commission expires: •' �� f'.....ra A _.rte: Matarru$ka Telepbone Association, Inc ".01 >;:F'Box335A ' ,gar. ,atts s IL AIt-- ' ��jii,►�44 �t.`:�t,-;w� t�«.\�}a�f�t!-l�iiy1y\4a'sa7'4!� rsa�. t,ti�7ii14±li ti�r!\iS11'is^•;•!i%• Matanuska Telephone Association, Inc. Jul Ob 05 01:20p July 8, 2005 Eagle River Engineering Services Home Owners Representatives 10421 VFW Rd. Eagle River, Alaska 99567 Dear Eagle River Engineering Services, P.1 Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc. of Alaska has no objection to the septic system cleanouts encroaching 6' into the15' utility easement on the South property line of Lot 4, and Block 5, Northwoods Subdivision. Known as (22521 Traverse Way Eagle River, Alaska 99567), in city grid I/ NW1459. This letter ofnon-objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI 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 acceptance by signing and returning 's letter to self a he address below. Sincerely, ,%`� Acceptance Rob Iiansen OSP Design 7 Date 5151 Fairbanks Street • Anchorage, Alaska 99503 9 907 / 868-5600 7-082005 4:26PM FROM ENCROACHMENT NON -OBJECTION AND AGRFEMENT THIS AGREEMENT, made and entered into this _J=day of Jk 2005, by and between MATANUSKA ELECTRIC ASSOCIATION, INC., an Atatdkan non-profit member owned electric cooperative, whose post office address Is Box 2929, Palmer, Alaska, 99545, hereinafter called'First Parry', and ANDREA L. PEREZ b_ PIERRE A. PEREZ whose address Is 22521 Norton Court, Chuniak, Alaska_ 99567 hereinafter caned •Second Party', WITNESSETH THAT: A septic system encroachment located in the 15' platted utility easement within Lot 4, Block 5, NORTH WOODS SUBDIVISION, according to Plat No. 79-195 T15 N.R 1w SE DISTRICT, Third Judicial RECORDING NOW, THEREFORE. for and in consideration of their mutual agreements and other good and valuable consideration, the receipt of which is hereby acknowledged, First Parry, for Itself. Its successors and assigns, waives its objections to Second Party's encroachment on the said easement for the purpose mentioned, subject to the following conditions: 1. Second Party will hold First Party harmless from liability for any injury or damage to any person or property which may result from such encroachment 2. This nonobjection Is granted with the full understanding and agreement by all parties having an Interest In the above property that this encroachment will in no way restrict or limit the current or future ability of MFA to fully enjoy the benefits of the easement for any and all utility purposes that it presently enjoys under the easement. This non -objection Is further conditioned by the stipulation that MEA will be held harmless from liability for any and all damages to the encroachment that may result from the existing and future use of said easement by MEA, its contractors, successors, agents, licensees, or assigns. 3. Any facilities or property of First Party which are damaged or destroyed as a result of such encroachment will be repaired or replaced. The cost of repair or replacement will be paid entirely by Second Party. 4. Second Party will comply with all applicable safety codes and regulations. 6. Any expenses which First Parry may incur In the relocation or modification of its facilities to accommodate the said encroachment will be paid entirely by Second Party. By its execution of this Agreement, Second Party agrees, for itself, Its successors and assigns, that is encroachment upon the named easement as hereinabove mentioned will be subject to the foregoing conditions. P. 2 7-08=2005 4:26PM FROM Encroachment Non -Objection and Agreement Page 2 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives and agents as of the day and year first above mentioned. -I MATANUSKA ELECTRIC ASSOCIATION. Wt. 8Y�-��..��(First Party) —A l,-) J General Manager his Representative STATE OF ALASKA :SS THIRD JUDICIAL DISTRICT The fore oing cement was acknowledged before me this 7 . , day of �LuN .20�by,�y?t�-rC._�, �� EL A. t Notary Public for the State o a a My commission expires: 3 SECOND PARTY Pierre A. Perez STATE OF ALASKA SS. THIRD JUDICIAL DISTRICT � The foregoing agreement was acknowledged before me this day of JL4 Z03ar—.bY�1t�tLn C f:�✓L Q p(yrL'IaRE"L, RETURI t �--'— Notary PublIE for the State qJ Alaska My commission expires: 2929, PALMER. ALASKA 99645 ii P. 3 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Ak On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051 _7S1 _04 HAA # UVQ\S-(!�()Q'SD 1. GENERAL INFORMATION Complete legal description Lot 4; dock 5 Northwoods Location (site address or directions) 22521 Norton Court Property owner non P. carri P Ste hens Day phone _688-1555 Mailing address 29921 Nnrtnn C niirt 0hrl q i a_ k AK 9Q t; 67 - Lending agency Day phone Mailing Agent _ Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ThrE 1 3. TYPE OF WATER SUPPLY: Individual well Community well xxx Public water Day phone 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: Individual on-site xxx 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 MOAD21 A 14 By: 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. Name of Firm Andprsnn Engineerin^ Phone 522-7773 Address Engineer's signature DHHS SIGNATURE THD C Approved for L[ ~ E bedrooms. Disapproved. Conditional approval for Additional Comments Date 6/7/99 bedrooms, with the following stipulations: Date �� q 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 this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 72-025 (Ret. 1/91) Beck MOA 021 Municipality of Anchorage JUN 0 7 I 00* DEPARTMENT OF HEALTH & HUMAN SERVICES ,riUNiGPALITYOFA Environmental Services Division ENVIRONMENTAL SER I N 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744. Health Authority Approval Checklist Legal Description: Lot 4, Block 5, Northwoods Parcel I.D.: 051-731-04 A. WELL DATA - Community Water System Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG g.p.m. Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION WATER SAMPLE RESULTS: - Community Water System Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate Collected by: Other bacteria g.p.m. Date installed 6/91195 Tank size 1 , 0 0 0 Number of Compartments 9. Cleanouts (Y/N)_Y Foundation cleanout (Y/N) v Depression (Y/N) N High water alarm (Y/N) Date of Pumping A/1R/9A Pumper San;tary n„mrarc C. ABSORPTION FIELD DATA Date installed 6 / 27 / 9 5 Soil rating (g.p.d./ft2 or ftz/bdrm) -3 System type nPd Length 50' Width 30' Gravel thickness below pipe 5' Total depth 3 , 5' - 4 .5' Effective absorption area 1 , 500 SF Monitoring Tube present (Y/N) Y Depression over field (Y/N) N Date of adequacy test 9 / 16 / q R Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test (in.); 0 Immediately after a R opal. water added (in.): 1 " Fluid depth 0 (ins) Minutes later: 10 Absorption rate = > 450 g.p.d. Peroxide treatment (past 12 months) (Y/N) N If yes, give date 72-026 (Rev. 3/96)* CD CD N N CL a' c �A vy Svc � O � CD CA 0 c a c N C7 n N D'd J C�D w foil _ CD v 3 .0. (D J •J N CA N ❑ ❑■ Z z Z O O O ❑ no z zZ D D D 1!11111111111. m m r • 3 3. r � Z o A v I CD 100 COD Z Iloilo O R o n N N 3 Z D m m D (D a N O ❑ O O o o A (.n N T O a CO N O ff r K Q CD r CD OD D r 0 6 n C/) w x w - =O << z C CP CD u A =r 0 O cn� CO O 0 a � fn 1 O 11111111 D to � 3 3 p � N CD CD N N CL a' c �A vy Svc � O � CD CA 0 c a c N C7 n N D'd J C�D w foil _ CD v 3 .0. (D J •J N CA N ❑ ❑■ Z z Z O O O ❑ no z zZ D D D 1!11111111111. m m r • 3 3. r � Z o A v I CD 100 COD Z Iloilo O R o n Z D m m D a N O ❑ -I o o °� T O a O D) ff r K Q CD r -� OD r 0 6 n w x w - =O << IN C CP CD u A =r O CO O 0 v � fn u 11111111 dinNINE v IN101111101Ii u nmH 1 111 11110111 DCOI Dcu M .ZOI O m m r • 3 3. r � Z o A v I CD 100 COD Z D O R o n Z D m m D a N O ❑ -I o o °� T O a O D) ff r K Q 79 -� GS D O m m N O 0CD -I o o °� O O r CD r -� OD r 0 6 w x w - =O << to C CP CD u A =r O CO O 0 v � fn 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # D5 i 7 3 i Lt HAA # 1. GENERAL INFORMATION Complete legal description tvr 4FLO L" �^ �° 12s1k iso 065 r Location (site address or directions) Property owner m M(� r r - k. �� • -� Day phone n � n� Mailing address �'� �� L '��'"� C 41' �' o c� Lending agency Day phone Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: I ltk-c= 3. TYPE OF WATER SUPPLY: Individual well Community well XX X Public water 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: Individual on-site XXIX 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 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 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. Name of Firm ANDi:-:RS'0rj EJG/J IZ f tj6 Phone ELLL `f5 S1 Address —P Engineer's signature 6. DHHS SIGNATURE By: 2-40773 "— Approved for '--dIA-L bedrooms. Disapproved. Conditional approval for Additional Comments a11TIC n_4 6if- g9 s z'q- Date 7/z i Q bedrooms, with the following stipulations: Date '7/2 )-lo-- The l1 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 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. 72425 (Rev.1/91) Back MOA #21 I Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: i- 1' 4 L?>Wgl.j�: A)PA I}WONS Parcel I.D. A. Well Data 45'1731©4 Well type l.44SS If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Driller Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump levell Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Casing height Wires properly protected (Y/N) AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout g.p.m. Sewer service line—Petroleum tank WATER SAMPLE RESULTS: &N,A SUiT­� (JAT- M' Sy% i1-L�l✓� Coliform Date of sample: B. SEPTIC/TANK DATA Nitrate Collected by: Other bacteria Date installed � f Z3/ 95 Tank size f ODb At-+' � Compartments m Cleanouts (Y/N) y Foundation cleanout (Y/N) ( Depression (Y/N) High water alarm (Y/N) -AJ G Alarm tested (Y/N) q A Date of pumping iV C'VJ C w >"nW cx'1O ") Pumper #41A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: t Well(s) on lot /J D On adjacent lots Zb D Foundation To property line 72:9 Absorption field i1 Water main/service line Surface water/drainage ;W D 6/ '> 10 1 72.026(3/93)'Front CONTINUED ON BACK PAGE C v O rM m �z ,eoo, v+ 1 o ® N Om Z Date installed � f Z3/ 95 Tank size f ODb At-+' � Compartments m Cleanouts (Y/N) y Foundation cleanout (Y/N) ( Depression (Y/N) High water alarm (Y/N) -AJ G Alarm tested (Y/N) q A Date of pumping iV C'VJ C w >"nW cx'1O ") Pumper #41A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: t Well(s) on lot /J D On adjacent lots Zb D Foundation To property line 72:9 Absorption field i1 Water main/service line Surface water/drainage ;W D 6/ '> 10 1 72.026(3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date; installed Size in gallons Vent(Y/N) High water alarm level Meets MOA electrical codes SEPARATION J, Ff nn lot D. ABSORPTION FIELD DATA "Pump on" level at LIFT STATION TO: On adjacent lots Manufacturer Manhole/Access tested off" Level at Surface water Date installed � Z L,%/ 9S Soil rating (GPD/Ft2) 0 3 System type g f r � r � Length S%, Width 30 Gravel thickness • S Total depth 3,51 -M Total absorption area M3 00 F , z Cleanout present (Y/N) Y Depression over field (Y/N) e�! Date of adequacy test ^JLVJ at -J 5'7. Results (pass/fail) f ASS for T � Bedrooms Water level in absorption field before test O Peroxide treatment (past 12 months) (Y/N) AV SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot Al o Aj c To building foundation On adjacent lots 1 S D Surface water >/o D _On adjacent lots �I To -existing or abandoned system on lot Cutbank A D A) G: Water main/service line test O If yes, give date MA i Property line Driveway, parking/vehicle storage area Curtain drain > S'6 i E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on 1bq, date of this inspection. Q� Signature Engineer's Name 1A cq4c-L E / N oL-�2Spti 0 Date1Zp / I / Q� 4 �—r J r HAA Fee d2) Waiver Fee $ Date of Payment/n (7 _� J_ g�� Date of Payment Receipt Number `G %�0Ch X� Receipt Number. 72-026 (3/93)" Back