The URL can be used to link to this page

Home My WebLink AboutPREUSS #3 BLK 11 LT 5 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181397 PID Number: 050-572-30 LI New ■Upgrade Name: ABSORPTION FIELD TITANIUM INVESTMENTS OF ALASKA Address: ❑ Deep Trench ❑ Shallow Trench ❑ Bed P ound 777 MAIN STREET, SUITE 600, FOR WORTH,TX 76102 ❑Other Phone: No.of Bedrooms: Soil Rating: Total Depth from origins ..de: (907)854-8404 4 GPO/Sq.FL Ft. Depth to pipe invert from original grade: Grave -:pth beneath pipe. LEGAL DESCRIPTION N_ ``� F Ft. Subdivision: Block: Lot: Fill added above original grade: ♦ - Gravel length PREUSS S/D#3; BLOCK 11, LOT 5 11 5 � �\` Ft. Township: Range: Section: - Gravel width ' .......1 � Bods Number of linos. Distance be ween lines: Ft. Ft. Ft. SEPARATION DISTANCES Total abso pY• area Number of trenches Dist.between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines So.Ft. Ft. Well I 25'+ TANK • Manufacturer. ■ Septic I=1S.T.E.P. ❑Holding CI Other Capacity: Surface Water 100'+ O - Z ANCHORAGE TANK 125017- Gal CO Material: Number of compartments: Lot Line 5'+ W - - N/A STEEL 2 Foundation 10'+ - - LIFT STATION Curtain Drain NONE KNOWN - Manufacturer C I ii Gal Remarks: 'Pump on'level at 'Pump oft level at. High water alarm at: Pump Make&Mode' Electrical Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer ARM SEPTIC SERVICES, LLC Drainfield EXISTING CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 102.45 F,. Dates: 1st 11/8/2018 2nd - Location and Description. 3rd - 4th - TOP OF DECK PORCH FOR FRONT ENTRY ENGINEER'S SEAL Community Development Department Approval �•. ` `'II4t�� .•4 144 /E Conditional approval: Date: •lr 1� •1 y I. * 4°4i� \,* •.i. i • I r • ..�cAIlr • •�rA .rey A. Garn• ess c ♦ .s1•, CE-7953 it �. � I ) z Approved: �'�^- ^ Date: j I -6 ��4hPROFESS\��4. LICENSE ��1'""%. #AECC884 Inspection Report_1-1-12.doc i PERMIT NUMBER: PARCEL ID NUMBER: OSP181397 RECORD DRAWING 050-572-30 I (HERITAGE ESTATES S/D#2;BLK 2,LOT 41 I 'HERITAGE ESTATES S/D#2;BLK 2,LOT 51 I (HERITAGE ESTATES SID#2;BLK 2,LOT 61 I I 10'UTILITY EASEMENT -------------------------------------------------- -- ------------------ 7 GREEN IPREUSS S/D#3:BLOCK 11,LOT 41 HOUSE IPREUSS S/D#3;BLOCK 11,LOT 61 APPROXIMATE WATER LINE LOCATION A B C PER ONE STOP SERVICES PROFESSIONAL +^,-___ DBL1 52.1 53.5 50.1 LOCATES PERFORMED ON 10/16!2018 Z DBL2 52.8 54.0 50.2 ST1 54.2 54.9 50.7 ALL NEW SEWER LINE JOINTSit I ,////// �� ST2 61.5 60.0 52.9 / WITHIN 10 FEET OF THE WATER-SEWER LINE CROSSING FX7 DBL3 62.9 61.0 53.5 WERE ENCASED IN BENTONITE / TOUjF T/NO3e DBL4 64.1 61.9 53.9 _ PER THE CONTRACTOR Dq O@ EpR CO1 78.4 68.6 53.0 INSTALLED DOUBLE ; FCo48�pROOm,i 4'10Sip SUMP 79.9 76.4 65.9 CLEANOUTS(DBL1&DBL2) 'le •-•.,% NEW 1250 GALLON ; STEEL SEPTIC TANK 0, \ C 1 .• T7 INSTALLED DOUBLE 1Sr2 I •'•;�' CLEANOUTS(DBL3&DBL4) )1(\i • EXISTING DRAINFIELD. �Mn ' "•:',: PASSED SEPTIC ADEQUACY • TEST FOR 4 BEDROOM ON ' 4 SCALE: 9/27/2018.DRAINFIELD HAS .... . I 600 SQ.FT.WHICH MEETS A .'_• •. 1"=40' 4 BEDROOM REQUIREMENT. APPROXIMATE KEY NOTE:THE OLD SEPTIC TANK BOX LOCATION.NOT WAS DECOMMISSIONED PER FOUND IN FIELD. UPC PER THE CONTRACTOR. NOTE:THE RESERVE SITE FOR THE 4 BEDROOM LU CAS AVENUE DRAINFIELD WILL REQUIRE THE REBUILDING OF THE EXISTING DRAINFIELD AND/OR REQUIRE THE USE OF A MOA APPROVED ADVANCED WASTEWATER TREATMENT SYSTEM. I PREUSS S/D#4;BLOCK 8,LOT 1 I i I i I PREUSS S/D#4;BLOCK 8,LOT 6 I I I I I .4.40%*1111‘`I, .44(q : __ "--,51141. . —A si••• ''.." --,-, 4 ,,.- ,, 9f... y, 4,.,,,,......... , .... A :• A SS ENGINEERING GROUP,Ltd 4' '� •�* ENGINEERING SALES CONSULTING Ei+®� 0 / �� • 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE,AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:www.gamessengineenng.com :,2:2i--r4 • f, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • •, ; A>Ga ness iTITANIUM INVESTMENTS 854-8404 2 OF 3 �jA�'i••lir CE-795 'j PROJECT/LEGAL DESCRIPTION: •DRAWN BY: �. •, 1 12'�y `�<` : PRUESS S/D#3; BLOCK 11, LOT 5 J.L.M. •�FO•ppp'�� (`� �, �• TYPE OF WORK: DATE: LICENSE 4li'„S`�l,.. RECORD DRAWING OF SEPTIC TANK UPGRADE 11/26/2018 #AECC884 i PERMIT NUMBER: PARCEL ID NUMBER: ` OSPi81397 RECORD DRAWING 050-572-30 FINAL GRADE = 95.90-96.55 ST1 ST2 TOP OF TANK TOP OF TANK AT INLET=90.57 AT OUTLET=90.57 El t 1_1/ IT 1 J NEW 1250 GALLON INVERT OF BUNG STEEL SEPTIC TANK AT INLET=89.93 (RATED FOR 10' BURIAL) INVERT OF BUNG AT OUTLET=89.79 GARNESS ENGINEERING GROUP, Ltd , .:........ • -+ommomin ENGINEERING SALES CONSULTING ii.-, =g .7c 0 0 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AX 99507'PHONE(907)337-6179'FAX(907)338-3248'WEBSITE:www.gamessengmeedng.00m 0 " '-..a . . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 •; , •,• e .Gam S : w si TITANIUM INVESTMENTS 854-8404 3 OF 3 ••jC '..;;' E-795'3 (a:�� PROJECT/LEGAL DESCRIPTION: •DRAWN BY: �♦(�� • ^L/-,1..W� PRUESS S/D#3; BLOCK 11, LOT 5 J.L.M. •��D•pR•••'....... .,•�• TYPE OF WORK: DATE: 1k ESS ..4 RECORD DRAWING OF SEPTIC TANK UPGRADE 11/19/2018 LICENSE 1�� tr / 7//sr Ta. tooPA`_,Ty MUNICIPALITY OF ANCHORAGE oent On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http://www.muni.org/onsite '.� -: 1>cTartincnr 4 C ORP'E On-Site Wastewater Disposal System Permit Permit Number: OSP181397 Effective Date: 11/2/2018 Work Type: SepticTank Upgrade Expiration Date: 11/2/2019 Tax Code Number: 05057230000 Site Legal Address: PREUSS#3 BLK 11 LT 5 G:0056 Site Mailing Address: 20533 LUCAS AVE, Eagle River Owner: TITANIUM INVESTMENTS OF Lot Size in Sq Ft: 22579 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ET Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: ' " X2f4,4 Date: // L / f Issued By: _ O ,C_k_ QouyU Date: IC b z ,20 g MUNICIPALITY OF A 'S A GE Community Development Department LI-t. i_ ; 0 1 Ph. - :: 907-343-7904 1,i131Development Services ° ' , : 907- 343-7997 On-Site Water & Wastewater Program 4 Mayor Dan Sullivan t! II OI 68t' On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 05O -5712 -30 Property owner(s) TITANIUM INVESTMENTS Day phone (907)854-8404 Mailing address 777 MAIN STREET, SUITE 600, FORT WORTH,TX 76102 Site address 20533 LUCAS ROAD, EAGLE RIVER,AK 99577 Legal description (Sub'd, Block& Lot ) PREUSS S/D#3; BLOCK 11,LOT 5 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family(SF) Absorption Field ❑ (w/wo ADU) Septic Tank ® Upgrade Z Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP,Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: A15- Waiver Fees: Date of Payment: 11( L'3 Date of Payment: _ Receipt Number: 0(IVA Receipt Number: Permit No. Os Pa rag/ Waiver No. (Rev.01/11) Ar t vas 4 GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING October 30, 2018 Municipality of Anchorage Development Services On-Site Water&Wastewater Program 4700 Elmore Roade • Anchorage, Alaska 99507 Phone: (907) 343-7904 Reference: Septic Tank Upgrade for Preuss S/D #3; Block 11, Lot 5 To whom it may concern: The existing 3 bedroom house on the referenced property is served by public water and a private septic system. Per the MOA record drawings, the septic system serving the subject property was installed in 1985 and consists of a 1000 gallon septic tank and a deep type drainfield (25 feet long by 2.5 feet wide with 12 feet of effective) which has 600 sq.ft. Per the inspection report, the soil rating was found to be 150 sq.ft./bedroom at the time of installation. This means the drainfield is adequately sized for 4 bedrooms (150 sg.ft. x 4 bedrooms = 600 sq.ft.). The drainfield has recently passed a septic adequacy test and absorbed more than 600 gpd in a 24-hour period. In short, the drainfield is adequate for a 4 bedroom house. The property has recently been purchased and is proposed to be remodeled and converted into a 4 bedroom residence. The tank is at the end of its useful life and is to close to the water service line. A recent COSA has been issued by your department with a condition that the septic tank be replaced by November 30, 2018. We are proposing that a 1250 gallon steel septic tank be installed. Due to the burial depth, a plastic tank is not able to be installed and the steel tank may need to be rate for deep burial (10 feet burial rating). Please do not hesit-te to call us at 337-6179 if you require further information. Thank you for you Stance. Sincerely,� Jeffrey • . =;fess, P.. ., M.S. Preside t 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com I GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN.BY PROCEEDING NOTE:ALL PROPERTIES SHOWN FORWARD WITH THIS INSTALLATION,THE ON THIS DRAWING ARE SERVED ENGINEER,WELL DRILLER,CONTRACTOR AND BY AWWU PUBLIC WATER. PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. [HERITAGE ESTATES S/D#2;BLK 2,LOT 4j 'HERITAGE ESTATES S/D#2;BLK 2,LOT 51 [HERITAGE ESTATES S/D#2;BLK 2,LOT 61 --—-----—--—-----— i 10'UTILITY EASEMENT GREEN IPREUSS S/D#3;BLOCK 11,LOT 41 ® HOUSE IPREUSS S/D#3;BLOCK 11,LOT 6] ��JJJ NOTE:THE CONTRACTOR SHALL HAVE THE WATER LINE PROFESSIONALLY LOCATED PRIOR TO CONSTRUCTION TO INSURE 10'+ APPROXIMATE WATER LINE LOCATION SEPARATION TO NEW SEPTIC TANK. PER ONE STOP SERVICES PROFESSIONAL w--._ LOCATES PERFORMED ON 10/16/2018 ALL NEW SEWER LINE JOINTS 4 / ,//////, � NOTE:AN UPDATED AS-BUILT SURVEY WITHIN 10 FEET OF THE WATER-SEWER LINE CROSSING ; 6'A-is g/ G SHALL BE ENCASED IN BENTONITE I //OV ST/N PERFORMED BY A REGISTERED LAND SURVEYOR IS AFTER THE TO INSURE WATER TIGHT JOINTS rDq 4 BEOBFRF�RooM INSTALLATION IS COMPILETDE ANDS TO BE INSTALL DOUBLE 1 p�0 ROO ii sip SUBMITTED WITH THE RECORD DRAWINGS. CLEA TS PROPOSED 1250 GALLON '1 STEEL SEPTIC TANK.MAY REQUIRE DEEP BURIAL TANK. ; 14, �• . INSTALL DOUBLE I ,.:• •:. : .: \*O CLEANOUTSC� '' lik) EXISTING DRAINFIELD. SW4 p PASSED SEPTIC ADEQUACY TEST FOR 4 BEDROOM ON I;' .;: • :•:.:". SCALE: 9/27/2018.DRAINFIELD HAS • 600 SQ.FT.WHICH MEETS A '.•• 1"=40' 4 BEDROOM REQUIREMENT. EXISTING 1000 GALLON APPROXIMATE KEY SEPTIC TANK TO BE BOX LOCATION.NOT DECOMMISSIONED PER UPC FOUND IN FIELD. LUCAS AVENUE 7 T T PREUSS S/D#4;BLOCK 8,LOT 1 I 1 I i 1 PREUSS S/D#4;BLOCK 8,LOT 6 I I 1 1 I �......rii_ GARNESS ENGINEERING GROUP, Ltd ;T...• NM ENGINEERING SALES CONSULTING d �� 0 ww 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AX 99507•PHONE(907)337-6179•FAX(907)336-3246'WEBSITE:w .gamessengineenng.com ••••• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: (�9• J t y A. Gam•ss :•W. TITANIUM INVESTMENTS 854-8404 1 OF 1 �# .•• / CE-79 ••� air PROJECT/LEGAL DESCRIPTION: DRAWN BY: •v♦ I 0/3 1 /a.•••V•-� PRUESS S/D#3; BLOCK 11, LOT 5 J.L.M. 1.. ••'•••••• •••• (�'`�P�, .. TYPE OF WORK: DATE: /1[t ;SS\ .444 DESIGN OF SEPTIC TANK UPGRADE 10/30/2018 #AECC884 1� W i1/ 89 ° y9 �W /29. TI�rrfl P° UIQ ei A21-37;31-74,7 y ES/19 T. 'ns- �/l� �g. 9 s pll� �, k • M r�' a M, s�z �� /4,e,‘"_5-2--- /Z— r 1'. • -• -......_..? ' \ 1i \'.1 1 1' IO-• �, l A a� •1'`' DO U° I D G k 'J At ••�•• -�-� K1 fl ,fro :• ••alp • °•• •11 • v , • ti • P 6 A/c5",9° .;i9 •Y // %; c C . / -'� . 1 ��'�7/�/c � /, 6' ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 688-4566 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE` �� m%vi FOLLOWING DESCRIBED PROPERTY: 1"=30' `' OF A� 4 Preuss Subd. ,Unit No. 3,Lot 5,Blk. 11 DATE: 1,::!?-..-. •. 5,c-4 AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 8-30-90 r .� INDICATED. IT IS THE RESPONSIBILITY OF THE •* H1 . OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: / ••$ EASEMENTS, COVENANTS, OR RESTRICTIONS NW 56 0 ,..e( .2 WHICH DO NOT APPEAR ON THE RECORDED SUBDI- 0 '.. Duane Mark Sward ;A" VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD Fil If LS,o9-$ `�� ANY DATA HEREON BE USED FOR CONSTRUCTION 14-16 4'`°, •.y:(1ei OF FENCE LINES, OR FOR ESTABLISHING BOUND- ;i� ,k'+4 ARY LINES. DRAWN: �iaii.v.+s DMS L..j/ MUNICIPALITY OF ANCHORAGE ~'~' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS /~o z~r ~*-~/! £~.?/~. z'¢, ~.~ LEGAL DESCRIPTION Absorption area LOCATION Well DISTANCE TO: Manufacturer Well D STANCE TO' ' I Manufacturer DISTANCE TO: I NO of lines IL.,gthor .~h / I I Top of tile to finish gr~ de ~ Inside length Dwelling Foundation [ Length / fcrib DISTANCE TO: .j |Class ~ .a I /::::~ r'e .r/.~ ~',e.. ~ / DIST' ANCE TO: Width PHONE J [] NEW .~UPGRADE Dwelling ~,_,~ MateS! Width ~"~'~b NO. OF BEDROOMS PERMIT NO, Liquid depth PERMIT NO. Material Liquid capacity in gallons Nearest Iot !~n e ~r/o Total length ~ lines Trench width ~ inches Material beneath tile Depth PERMIT Dista~,~een lines Total effective absorption area 6'oo P PERMIT NO. Crib diameter crib depth Total effective absorption area Well Building foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO. Absorption area(s) Building foundation Sewer line ,;~_,~_ 2~ Septic tank ¢~'~2 2~ ~,,"m_3~ P- OTHER PiPE MATERIALS SOIL TEST RATING iNSTALLER REMARKS APPROVED DATE LEGAL Z,~ 7- .5- 72-013 (Rev. 3/7B) DEPARTMENT OF: HEALTH AND ENVIRONIIEN~AL PROTECTION I.-~,~:.~ L STREET, Al ff..,HORAG~ AK 99501 264.,-.4.72() F'ERMIT NO: DATE 85 () 4. 9 () - 8 / .I. ,~:. AF:'PL I CANT: ADDRESE;: CONTACT F'HOI',IE: CHIJCK BARR F::'.O,, BOX 541 IEZAGLE RIVER. AP:: 694-2767 995T7 LEGAL OEc~I..R.I.F, SLIBDIVISION." F'RUESS LOT: ~ LL[.)CI... 11 SIECTIOI',I: 8 'I"OWNSHIF': :[4N RANGE: :t.W LOT SIZE: 22575 (SQ,.FT. OR ACRES) MAX L E, DI~OOIdo. 3 Listed beJ. ek~ are the op'Lierls available ±.o yet..t ir] designing youP septic system. C. hoose t. he opt,ion that best. ¢i'Ls youp si. re. DEF'TH TI) PIPE BOTTOM' (FTC') GRAVEL DEPTH (F'T.) TO't'AL DEPTH (F::]".) GRAVEL WIDTH (FT.) GRAVEL:I._ENBTH (FT,) GRAVEL VOLLJME (CLJ, YDS. ) TANK SIZE (GALS) SOIl..: RA]"ING (SQ,FT. /BR) TANK MUST HAVE AT LEAST TWO COMPARTMENTS I oep{iCy that..: 1. I am Cami].iar' with 'Lhe PequiPements l'er- on-site sewe~-s and wells as set ¢er't.l'] by the Municipalit. y o¢ Anchopage (MOA) and the State of AIaska. 2. I. will install the system in accor, dance wi'M-~ all MOA codes and ~"egu].at':i. ons, and in compliance with the 'design cr. it. epia of this per'mit., - 3. I will adhepe to a].l MOA and Sta{e o¢ A.[a=..a ~-equiPements for' the set back dist. ances ¢pom any existing t,¢el]., ~astewatel- disposal system of pLd]].ic sewer'age system on this eP any ad.jacen{ u~ near'by 4. I undepstand {hat 'Lhis per'mit is valid ~'el* a maximum er 3 bed~'ooms and any en].ar'gement will. pequir'e an additional, pepmit. IF A LIFT STATION IS INSTALLED IN AN ARIEA COVERED BY MOA BUILDING CODES, ]"HEN (1) AN I:.L.E.C]I'~II,,,AL PERMIT AND INSPE:CTION MUST BE OBTAINED; (2) AS'-'BLI]:I,,,.TS WILL. NOT BE ~PPROVED WITHOUT AN EI...ECTRIC~L ZNSF'EOTZ[)N REF'QRT~ ~ND (3) 'THE ELECTRZCAI.,. WORK MUST BE DONE BY A [..~(..,EII~Eg AF'PL I CANT ¢ P~BA~R , , ~ SOILS LOG / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST I 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17 18 19 2O SLOPE ' JI SITE PLAN WAS GROUND WATER ~O SL ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? ~0'"~*~~ Gross Net Depth to Net Readi~..~ ~ ~ime 'rime Water Drop ~:~' ~ ...~.~ ~ p .~ ~-~- ,~, ~. ,,~ , .~ pF~nnl A~N RATE TEST RUN BETWEEN COMMENTS ~)~-, ~_ co ~, 2~o ~ ~--~ ./~ ¢ e 24¢ ¢~/ FT AND -- FT PERFORMED BY: 72-008 (6/79) eagle River Englnl~in~I Services P. 0. ~OX 7~2g~ Eagle Riv~r, '~K 99577 694-5185 CERTIFIED BY: ~ ~¢-~----~ DATE: ENGINEERING SERVICES ~C. .~ '~ P.O. Box 773294 '~4~ ...... · EAGLE RIVER, ALASKA 99577 . '~/~ LI://I:I-~ Phone 694-5195 ~,~/~,~ ~/~ ~ ~/~ ~,/~ To Municipal Health Department ~ ~ ~ect~Ot 5, B~ock 11 -~ ~ ~ Preuss Subdv. Please re£erence .the enclosed letter dated April 4,1985 · The septic system on the above re£erenced lot has. been.comp&etely upgraded and the well wires have been enclosed in a protective ·conduit, This should sat&s£y, the terms o£ the conditional DHEP approval an we ask that .a new HAA report be &ssued so that escrowed monies may be released, Please reply [] No reply necessary ANN CARTER R.N. SCHOOL NURSE 894-5554 MUNICIPALITY OF ~1~ DEPT. OF HEALTH & ENVIRONMENTAL PROTE'CTIO~ MAR 6 1,,~ RECEIVED ( oz) DEPAR%~EN% OF HEALTH AND ENvIRONmeNTAL PROTECTION April 4, 1985 To: Whom It ~Y Concern Subject: Lot 5 Block 11 PreUss Subdivision Escrow funds to accomplish one of' the two remedial actions below by July 15, In the event 1985: absorption field and replace it. 1. Properly 'abandon the existing holding ta~¢ must be installed and Septic tank Joints must be inspected replacement site cannot be found, a that a . talc properly aband°ned'extending above ground must be placed in the septic_._~.ness and well wires for water-u~,~ . conduit, on distance to 94 feet between 2. Permanently rear°ute the driveway so that it does not pass over the existing absorption field. Obtain a waiver of separati _~ ^~ Environmental the Alaska Departmen~ ~- depart- the well and absorption field from , obtain a permit from this Conservati . . .... 5 ~he existing absorption field to obtain adequate on. If a waiver is obtained according to ment to upgrade ka~-~-~ --- 'service for 3 bedrooms. If a waiver is not obtained, proceed option #1 above. Septic' tank joints must be inspected for water-tightness add well v~res extending abo~e ground must be placed in conduit. In the event that adequate space is not available to upgrade, or add-onto, the existing system, a holding tank must be inst~led and all components of the wastewater disposal system must be properly abandoned. Sincerely, Keith E~' Bandt Manager Envir onment al 'Engineer ing Ke*EV IA a&A • • unicipality of Anchorage On-Site Water&Wastewater Program 1 ' —/ (907)343-7904 nD�5 ti ! OCT172018 CERTIFICATE OF ON-SITE SYSTEMS APPROVA z Q Parcel I.D. 050-572-30 Expiration Date: i 1. GENERAL INFORMATION Complete legal description PREUSS S/D#3; BLOCK 11,LOT 5 Location (site address) 20533 LUCAS ROAD, EAGLE RIVER,AK 99577 Current Property owner(s) DAVID&BERNADINE BERSON Day phone CIO AGENT Mailing address 20533 LUCAS ROAD, EAGLE RIVER,AK 99577 Real Estate Agent REBECCA BROWN-NORTHERN TRUST Day phone 406-8300 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. 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 ❑ Public Water System I Public Sewer ❑ WaiverNarlance request for N/A Distance: - Received by: �Z� �! Date: ( 0 / I ?/ / COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee$ 'O5 Waiver Fee$ Date of Payment 1011'211T Date of Payment Receipt Number d?I C4a� Receipt Number COSA# dSC 1' leo 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. 1 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality ofAnchorage and industry practices. The reported results describe the condition of the systemis on the datels of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the a valuation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systews. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event eltherof the current systems fail. The content of this report is for the sole benefit of the personlparty who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the personyparty who paid for this report. 6. DSS SIGNATURE System #1 Approved for _bedrooms. System #2 Approved for bedrooms. Phone 337-6179 Date � 0 1 L ( 6 ............ ..... +. •♦# LICENSE #AECC884 ; OF /Ilk* Disapproved. o WASTEWATER C) PROGRAM �`�'' -rte-for Conditional approval f �r s. Q� � bedrooms., with the following stipulatio'n.s:Q,C>C, \1;S . ....... .... . ....................jA. s: �=i C -79 3 _ AV L 1 ' ;:•••'� 4V ON-SITE "G, WATER ANO The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist _ C Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12/12) Disapproved. o WASTEWATER C) PROGRAM �`�'' -rte-for Conditional approval f �r s. Q� � bedrooms., with the following stipulatio'n.s:Q,C>C, \1;S �E Ta '& OLc_i 'yn 1 2-1 18 ( Original Certificate Date: -1 q ^((p The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist _ C Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12/12) 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: PREUSS SID#3; BLOCK 11, LOT 5 Parcel ID: 050-572-30 CONNECTED TO PUBLIC WATER-RECORD OF THE DECOMMISSIONING OF THE OLD WELL COULD A. WELL DATA NOT BE FOUND. OLD WELL WAS NOT FOUND IN FIELD BY GEG, LTD. EMPLOYEE,JODY MAUS OR BY MARK SEWARD, RLS DURING RECENT AS-BUILT RECERTIFICATION. 4 ell type If A, B, or C provide PWSID# Well Log (Y/N) Date corn. c -d Sanitary seal (Y/N) Wires properly protected (Y Total depth '. Cased to ft. Casing height .:.ve ground) in. FROM v . LOG AT PECTION Date of test Static water level ft. ql Well production g.p.m. g.p.m. WATER SAMPLE RES : o Coliform colonies/100 ml. Nitrate mg./L. Collected by: -Z : enic: ug./L. Date of sample: A `NOTE:THE SEPTIC TANK IS AT THE END OF ITS USEFUL LIFE."THE SEWER LINE EXITING THE 4 B. SEPTIC/HOLDING TANK DATA FOUNDATION HAS A FERNCO ON THE SEWER LINE THAT COULD BE REMOVED,PIPE SEPARATED, 1 AND USED TO JET/CLEAN LINE TO TANK-SEE PHOTO.PRE-APPROVED THIS WITH TIM EKLUND. Tank Type/Material SEPTIC TANK/STEEL Date installed `8/14/1985 l2 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Y(. S Foundation cleanout(Y/N) "D Depression over tank(Y/N) NO High water alarm (Y/N) NO Date of pumping 9/25/2018 Pumper JR'S PUMPING 'BELOW EXISTING GRADE AT SUMP.SUMP ONLY EXTENDS 10.3 FEET BELOW INVERT.THE INVERT C. ABSORPTION FIELD DATA OF THE DISTRIBUTION LINE IS 38 INCHES BELOW GRADE AT THE SUMP.DRAINFIELD MAY BE SHY OF COVER.NO FREEZING ISSUE PER STATEMENT FROM OWNER (SEE ATTACHED) Date installed 8/14/1985 Soil rating (g.p.d./ft2o /bdrm 150 System type DEEP TRENCH Length 25 ft. Width 2.5 ft. Gravel below pipe 12 ft. Total depth *13.5 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **9/27/2018 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test"94.75 in. Water added"836 gal. New depth "130 in. 335/ **112/ Elapsed Time: 1.205 min. Final fluid depth 98 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) ***NO If yes, give date - "HOUSE VACANT SINCE 5/7/2018.1,927 GALLON PRESOAK PERFORMED ON 9/26/2018.FILLED SYSTEM TO TOP OF DISTRIBUTION LINE IN SUMP DURING PRESOAK.DURING SEPTIC ADEQUACY TEST,FILLED TO 2"OVER THE TOP OF DISTRIBUTION LINE IN SUMP AND STOPPED WATER WHEN 4 INCHES WAS IN CLEANOUT AT BEGINNING OF TRENCH.TANK PUMPED PRIOR TO TESTS AND DID NOT BACK INTO TANK DURING PRESOAK OR SEPTIC ADEQUACY TEST. ***SEE HOMEOWNER QUESTIONAIRRE D. LIFT STATION Date in Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' leve .1....— High water alarm level at in. Datu Cycles tested Meets alarm & circuit requi - - E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER es '- :. lift station on lot On adjacent lots Absorption field on lot- On adjacent lots Public sewer main -11.lic sewer manhole/cleanout Sewer/septic service line Holding tank • •'s-. .ntainment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation '10'+ Property line 5+ Absorption field 5'+ Water main 10'+ Water service line MIR Surface water 100'+ Wells on adjacent lots 100'+ flVoY, 1 1 s; SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *5'SEPARATION DISTANCE AT TIME OF INSTALLATION. pc.-____(.4A),17-...... n --w' A)-) tT' 1c'-k2— ..•.7 __ OF X 4444. G. ENGINEER'S CERTIFICATION 4�,`P,..••• .. it.. • I cern that I have determined through field inspections and n.... 4' It �' ..'.* �0 certify 9' p review of Municipal records that the above systems are in :i I / • • conformance with MOA COSA guidelines in effect on this •• l •• ,0 date. ♦�^: J: 'rey A. -•rness : i/ Engineer's Printe Name JEFFREY A. GARNESS �• ,'o C –79 3 '_�� Date '` 14 v w.►kpROFESS\-"�4 LICENSE IIr%"`s** #AECC884 (Rev. 10/12/12) Ecklund, Timothy J From: Jeff Garness <Jeff@garnessengineering.com> Sent: Friday, October 19, 2018 1:33 PM To: Ecklund, Timothy J Subject: FW: Pruess#3, B11, L5 - Reason for Conditional COSA Mr. Ecklund, the property is served by AWWU water, so the water service line should be under continual pressure (no vacuum created by low pressure). This encroachment has existing for roughly 32 years, so it is reasonable to believe that public health will not be compromised if a conditional COSA is issued and the new septic tank is installed (10 feet from the water service line) shortly after the sale of the house. Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Fax: (907) 338-3246 Website: www.garnessengineerinq.com GARNESS ENGINEERING GROUP, Ltd ENGINEERING-SALES^CONSULTING Rbwptzss 5laapr Tats .�.w+c+ed I:.vr..xvrt SystemX ERX ES' CORPORATION Dealer` Autlkxvrd ALt. t DoMbtAcst From:Jeff Garness Sent: Friday, October 19, 2018 1:24 PM To: Ecklund,Timothy J <timothy.ecklund@anchorageak.gov> Cc:Jody Maus<Jody@garnessengineering.com> Subject: Pruess#3, B11, LS - Reason for Conditional COSA Mr. Ecklund, We are requesting a conditional COSA for the subject property because the water service line (professionally located) is very close (perhaps 1 foot )from the edge of the septic tank and the septic tank (steel) is 32 years old. Jeffrey A. Garness, P.E., M.S. President ARM Septic Services, LLC 24738 Chugiak DR ,4"0„ Chugiak, AK 99567 (907) 688-9433 ARMServicesAK@outlook.com www.ARMServicesAK.com SERVICES , LLC PROPOSAL ADDRESS PROPOSAL# 1406 Titanium Investments DATE 10/16/2018 20533 Lucas Ave Chugiak, AK 99567 ACTIVITY QTY RATE AMOUNT Excavation 1 8,195.00 8,195.00 Installation of a new septic tank rated for up to 10' burial depth. Per engineer, hillside adjacent to tank may need to be re-graded by contractor at the time of excavation. Installation to be completed before wintertime conditions (excessive frozen ground). Please read and sign the"Residential Addendum A" provided as it applies to this contract. 60%down required, Remaining balance due upon completion of work. 20533 Lucas Ave By signing below,the client agrees to the proposed work,terms, TOTAL $8,195.00 and price.The client has also read and signed the"Residential Addendum A"and agrees to the terms.The client acknowledges that ARM Services,LLC has the right to lien this property. Accepted By Accepted Date ARM Services,LLC MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~'~ ~/-~('~- ~r~ ~ '~ HAA# F~°l 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 5; Block 11; Preuss Subdivision ~ ~ (b) Location (address or directions) 20533 Lucas, Eaqle River, Alaska Property owner Goldome Realty Mailing Address Telephone: (home) Business (c) Lending Institution Goldome Realty Mailing Address Telephone (d) RealEstate Company and Agent RE/MAX OF EAGLE RIVER - A1Romazewski Address 16600 Centerfield Drive, Suite 201, Eagle River, Alaska Telephone 694-4200 '(e) Mailthe HAAtothefollowing address:(orcheckhere [],ifholdforpickup.) Listcontactperson and day phone numberbelow: S & S ENGINEERING/694-2979 99577 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family [] Number of bedrooms . 3. WATER SUPPLY Individual Well [] Community [] Public i~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site E~ Public [] Community [] Holding Tank [] Note: Jf community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 .5 & $ h..t.~GINEF_~iNG Telephone Address 17034 Eagle River Loop Road No. 204 Eagle l~iver~ Date 6. DHHS APPROVAL Approved for /~/-4¢-~-~-~edrooms by /4~.,~,_..~ ~'¢--~,~/~':~ Approved )(r Disapproved Conditional Terms of Conditional Approval Date The MunicipalityofAnchorage Department of Health and Human Services (DHHS) issues Health AuthorityApproval cerificated based only upon the representations given in paragraph 5abovebyan 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 DHHSdo not conduct inspections or analyze data before a certificate is issued. The MunicipalityofAnchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE Development Services Department a Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-572-30 Legal description Preuss #3 Block 11 Lot 5 Site address 20533 Lucas Ave Current property owner(s) Expiration Date: 2 ( ZO 2 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: -A Original Certificate Date: 11/18/2022 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 K MUHMI1r"AUT l! OF LSUHC HORG"` GE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section t Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050 572 30 Complete legal description PREUSS #3 BLOCK 11 LOT 5 Location (site address) 20533 LUCAS AVE Current property owner(s) 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑■ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 6. SEPTIC TANK: ❑■ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 4 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: NONE Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $J 5-5-0 Waiver Fee $ Date of Payment l// Date of Payment COSA # 0 SC a 2 /5�,3 Waiver # # au"054) COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS G.CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Phone Engineer’s Printed Name Date C&M ENGINEERING CHARLES BALZARINI, PE 11/10/22 Health Authority Approval (HAA} t/.~,~,[~ CHECKLIST- FEBRUARY 1984 ~_.~-~ Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot .To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~,-..~', ~'C'~ ~-- Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~-c,o ~¥ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) B. SEPTIC/HOLDING TANK DATA Date Installed ~-~"~"~ize ~r_~(..~ No. of Compartments Z Standpipes~N) y Air-tight Caps~N) y Foundation'Cleanout(~N) y Depression over Tank (Y~) /'~ Date Last pumped ~ '~ ~ z~ _~ O r"~ (A-- ;for ~ Temporary Holding Tank Permit (Y/N) ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well 7~::pe. ~ *- To Property Line t ~ ~'~- To Water Main/Service Line ~, c~ ~4- To Stream, Pond, Lake or Major Drainage Course Comments '~k.~P~ '~ ~'-i~, To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y/~) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness StatndpipesPresent Y(~.~) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~-.00 ¢' To Property Line \ O To Building Foundation \O~+ To Existing or Abandoned System on Lot ~,~ ; On Adjoining Lots To Water Main/Service Line \9~ ~ To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course I ~ ~ + To Driveway, Parking Area, or Vehicle Storage Area '~'~ ~.br,A~e.~..~ Comments ~' '~'TC-.-~f~l A:::~:: ~ ¢ ~-n. ~_~..- ~ D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) High Water Alarm Level a~ ~ Vent (Y/N) Tested for .--'~'""~ ~ Pumping Cycles during Adequacy Test. Meets MOA ElocON) Com m,~,.~ **Check Permitted Bedroom Rating Against HAA Request**~ ...... I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in eff~t;~.~"~~~ inspection. '%'~,~,- ~ ..,? '~- Signed % & S ENGINEERING 'i 7034 Eagle River Loop Road No, 204 Company bagle I~lwr,~/~/~Ala~k~ZZ Date // ,/-,o MOAN0. ~ ¢o~Z *':"; '" '":' ' Receipt No. ~),O ./'2 ;7 ~':~ / Receipt No. Date of Payment (~- /~-) ~' ~ ~' Waiver Fee: $ Amount: $ / ? ~-) ~ ~) ~ Date of Payment 72-026 (Rev 7/88)Back Page 2 of 2 ~!~/I~UNICIPALIT¥ OF ANCHORAGE ',1~,~ DEPARTEqENT OF HEALTH AND ENVIRONI~ENTAL PROTECTIOt~I DIVISION OF ENVIRONtVtENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORI'ClATION (a) Legar Description (include lot, block, subdivision, section, township, range) Lot 5 Block 11 Preuss Subdivision Location (address or directions) 5620 Lucas, Eagle River~ Alaska 99577 Applicant Name Willard Wo Carter, JrFelephone: Home 694-9021 Business 264-4155 Applicant Address 1375 Eagle River Road, Eagle River, Alaska 99577 (b) (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [2}×(explain); Seller of home at that location (d) Lending Institution Home Savings and Loan Telephone 272-1451__ Address 1001 East Benson, Anchorage, Alaska 99508 (e) Real Estate Company and Agent Address Telephone (f) Mailthe HAAtothefollowingaddress: Home Savings and Loan 1001 East Benson Anchorag~ Alaska 99508 TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms three(3) Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [~ Public E] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING~$PECTIONS, TESTS, FILE SEARCH, DAT~JND INFORt~,SATION 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 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 Telephone Address Date Engineer's Sear Approved for '~¢t-.~...e...,,~edrooms byk~~l ~ Approved ~ Disapprove~ Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (1 ~/84) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264°4720 Application Date February 2, ].985 GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Lot 5, Block 11, Preuss Subdivision, Unit #3, SW1/4 Section *8. T14N/RIW. 3M Location (address or directions) ' 5620 Lucas~ Eagle River 99577 (go to Mi. 21/2 E.R. Rd.~ Lf. on Wren to Lucas, turn Rt., 3rd house on Lfo) Applicant Name Willard Wo Carter Jr .Telephone: Home 694-9021 Business 264-4155 Applicant Address 1476 E.R. Rd. _. ga~le River: AY. 99577 Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Othe~[] (explain); ~. Seller of home at that location (d) Lending Institution H~me Carings and Loan Address 1001 E. Benson_~ Anchorage.. (e) Real Estate Company and Agent N/A Address Telephone 272-1451 (Ancho) 99508 Telephone Mailthe HAAtothefollowing address: Home Savings & Loan 1001Eo Benson Anchorage~ AK 99508 (f) TYPE OF RESIDENCE Single-FamilYf~ Multi-Family [] Number of Bedrooms 3 Other WATER SUPPLY Individual We~;l~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsit~] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 Telephone Address Date Engineer's Seal Approved¢or V~'~ bedrooms by,, ~' See att X~'e~etter. Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. P~om 9 r~f 9 POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION April 4, 1985 To: Whom It May Concern Subject: Lot 5 Block 11 Preuss Subdivision Escrow funds to accomplish one of the two remedial actions below by July 15, 1985: me Properly abandon the existing absorption field and replace ito In the event that a replacement site cannot be found, a holding tank must be installed and the septic tank properly abandoned. Septic tank joints must be inspected for water-tightness and well wires extending above ground must be placed in conduit. Permanently re-route the driveway so that it does not pass over the existing absorption field. Obtain a waiver of separation distance to 94 feet between the well and absorption field from the Alaska Department of Environmental Conservation. If a waiver is obtained, obtain a permit from this depart- ment to upgrade (add-on) the existing absorption field to obtain adequate service for 3 bedrooms. If a waiver is not obtained, proceed according to option #1 above. Septic tank joints must be inspected for water-tightness and well wires extending above ground must be placed in conduit° In the event that adequate space is not available to upgrade, or add-onto, the existing system, a holding tank must be installed and all components of the wastewater disposal system must be properly abandoned. Sincerely, Keith E. Bandt Environmental Engineering Manager KBl/p/dl2 MTONICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF ~EALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date February 2, 1985 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5~ Block lit Prenss Subdivision. Unit ~ ~W 1/A ~r~nn ~8, T14N/RIW. 3M Location (address or directions) 5620 Lucas~ Eagle River 99577 (~o to Mi. 2-1/2 E.R. Rd., Lf. on Wren to Lucas, turn Rt., 3rd house o~ Lf.) (b) Applicants Name Willard W. Carter Jr. Telephone - Home694-902~usiness 264-4155 Applicants Address 1476 E.R. Rd., Eagle River, AK 99577 (c) Applicant is (check one) Lending Institution ~--~ ; ~ner/builder i Buyer ~--~ ; Other~ (explain); Seller of home at that location. (d) Lending Institution Home Savings & Loan Telephone Address 1001E. J3enson, Anchorage~ AK 99508 (e) Real Estate Co. & Agent n/a Address me Telephone (f) Mail the HAA to the following address: Home Savings & Loan 1001E. Benson Anchorage, AK 99508 Type of Residence Single-Family'S, Number of Bedrooms Multi-Family~-~ 3 Other (describe) '3. Wate~ Supply Individual Well~ Community~-~ Public l Note: If community well system, must have written copffirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage. Disposal Onsite ~ Public I i C°mmunity i I ~olding Tank t Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providin~ Inspections, ~ests, File Search, Data and Infol~ation As certified by my seal affixed hereto and as of the validation date shown below, I verify that ray investigation of this Heal.th Authority Approval 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 thai:, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wasuewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection, Name of Firm Ocean Technology_, Ltd. Telephone 248-3888 Address 2~02 ~',. Northern L~ghts Date 2/19/85 ~ We recommend aondJ, tional approval only. See (ENGI~ER SEAL) a L Lathed letter. 6. DHEP Approval . / / Approved .... Disapproved _ ~ . Condition~ Terms of Conditional Approwt] .Due to,,_t.1}~.]~QcaL2:,orA_~:~ .Lqo absO%pti'on area (~nder no,ath the driveway,)the e~'~-L{ing crib ~st be upg~%ded ba~'O~'~ ~iorova]. can be qj2an'heQ. [}~ hhis Do~-hment. A ~~_J the even~_~gf~te ~0~c:e i~_D~ a_~hl~ Of th(~ presenh system. CAUTION 'file MUNICIPALITY OF ~NCHORAGE DEPARTMENT OF [~ALTH AND ENVIRO~NTA[ PROTECTION (DHEP) ISSUES }~ALTH ~ITHORITY APPROVAL CERTIFICATES ~ASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN TI~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES THEIR I~NDING iNSTITUTIONS IN ORDER TO SATISF{ CERTAIN FEDERP~L AND STATE REQUIRE~ MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A tCERTIFICATE IS iSSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS iN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] ?-19-84 ae MUNICIPALITY OF ANCHORAGE (MOA) ~{EALT~ AUR~ORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: L-5~B-11 Preuss S/D #3 Well Classification Private Well Log P=esent (Y/N) No Total D~pth 85' Cased to Static Water Level 55' Casing Height Above Ground 15" Electrical Wiring in Conduit (Y/N) No Separation Distances f~on Well: i',,,~UNICI?/d.iTY OF /,;",CHO~,~'AGE DEPT. 0[: iLT,',i',I & - < ,~,,m-. i Cf!ON 'i985 If A, B, o~ C, D.E.C. Approved(Y/N) Date Completed 1972 Yield 40' Depth of Grouting Pump Set At Unknown 0.35' 8pm Sanitary Seal on Casing (Y/N) 1/cs Depression Around Wellhead (Y/N) No To Septic/Holding Tank on Lot 59' ; On Adjoining Lots 100'+ To Nea~estEdge of Absorption Field on Lot~--~')i!;/. ; On Adjoining Lots 100'+ n/a To Nearest Public Sewer To Ne~a~est Sewer Service Line on Lot ; Date 2-5-85 M. Hagan To Nearest Public Sewer Line Cleancut/Manhole n/a Water Sample Collected By Water Sample Test t~sults C~at~nts 30'+ B. SEPTIC/HOLDING TANK DATA Date Installed 1972 Size 1250 gal. No. of C~a~tments 1 Standpipes (Y/N) Yes Air-tight Caps (Y/N) Yes Foundation Cleanout (Y/N) No Depression over Tank (Y/N) No Date Last Pumped 2-2-85 Pumping/Maintenance Contract on File (Y/N) n/a ; for n/a Holding Tank High-Water Alarm (Y/N) n/a Temporary Holding Tank Permit (Y/N) n~a Separation Distances f~omSeptic/Holding Tank: \ To Water-SupplyWell 59' To Property Line 10'+ To Water Main/Service Line Course n/a 30'+ To Building Foundation 10' To Disposal Field 38' To Stream, Pond, Lake, c~ Major Drainage Comments [Page 1 of 2] Co ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 1972 Width of Field Unknown Square Feet of Absorption A~ea 672 Depression over Field (Y/N) No Unknown Date of Last Adequacy Test Type of System Design Crib Length of Field Unknown Depth of Field 5 ' Gravel Bed Thickness n/a Standpipes PEesent (Y/N) Yes 2-7-85 Results of Last Adequacy Separation Distance f/rom~.A~bso~p['l~orr-~'le~.· To Water-Supply To Li~ 15'+ To Building Foun~tion 50' To Existing or ~ndo~d S~stem Lot None located ~ ~ ~joining ~ts 100'+ To Wate~ Main/~vi~ Line 30'+ To ~t~(if pre~nt) n/a TO Stre~ond~ke/~ Majo~ ~aina~ C~se n/a To ~ivewa~ ~a~king ~ea~ ~ Vehicle Sto~a~ ~ea / 0' Co~ts Driveway crosses directly over log crib D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ Electrical Codes(Y/N) Din~nsions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. M~ets MOA Co~nents ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or confc~n~d to all MOA HAA Guidelines on the dat~e~.f this £nso~ction. Signed Date 2/19/85 Company Ocean Technology, L~. "~ No. ST-85-034 KB1/d5/s [Pa~e 2 of 2] in effect 2-15-84 March 18, 1985 Municipality of Anchorage Department of Health and Environmental Protection 825 "L" Street Anchorage, Alaska 99501 OceanTech ATTN: Ms. Susan Oswald RE: Conditional HAA, Lot 5, Bll, Preuss Subdivision #3 Ms. Oswald: As we discussed on the telephone on February 13, we are applying for a conditional Health Approval Authorization on behalf of our client, Willard Carter Jr. This approval should be contingent upon the following items: u--" . Excavate septic tank joints to inspect and ensure they are tight. * Approval of a separation distance waiver from the State of Alaska DEC (see attached). * Funds in escrow.for additional absorption area to be installed after ground thaws. Place wires from well pump head, in metal conduit. If you have any All other supporting documents are attached. questions, please contact me at 248-3888. Sincerely, OCEAN TECHNOLOGY, LTD. Engineering Manager PAB:ma Enclosures 2502 West Northern Lights Blvd./Anchorage, Alaska 99503/Telephone 907/248-3888/248-19~9 March 18, 1985 Department of Environmental Conservation 437 "E" Street, #200 Anchorage, Alaska 99500 ATTN: Mr. Robbie Robinson RE: OceanTeci Separation Distance Waiver for Health Authority Approval Mr. Robinson: We performed an Health Authority Approval test, required by the Municipality of Anchorage, for Lot 5, Block 1.~1, Preuss Sub- division #3. The separation distance between t~e well and the septic tank is 59 feet; the separation distance between the well and the absorption field is 94 feet. This system was installed prior to 1973 (see attachment). Prior to this time, the Municipality approved a separation distance of 50 feet between the well and the septic tank. Since the DEC is the only agency that can grant waivers, we wish to apply for a separation distance waiver on behalf of our client, Willa~d W. Carter Jr. The lot slopes approximately 20% downward from the well to the septic tank. The well is cased to a depth in excess of 40 feet. Separation distances from the well to systems on adjoining lots' is greater than 100 feet. Our recent lab test (attached) indicates no contamination of the ~ell water. It was indicated in discussion with personnel in your department that the septic tank to drain pipe connection be excavated and checked for tightness.' We indicated in our HAA approval paperwork that this wduld be a condition for approval. Based on the above information, we anticipate no health problems associated with the lesser separation distance. We have enclosed documents to verify the above information. If you have any questions, please contact me at 248-3888. Sincerely, OCEAN TECHNOLOGY, LTD. Patrick A. Beaugard, P.E. Engineering Manager Enclosures 2502 West Northern Lights Blvd. I Anchorage, Alaska 995031 Telephone 907/248-3888/24811919 k-~REATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 2/28/75 4. 5. 6. Approval 'requested b Mailing Address: Property Owner: Mailing Address: Legal Description Location: ~a Type of facili~ Well Data: Time of Inspection Date of Inspection 3/3/7S REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR A. Type Drilled C. Construction $~andard Sewage Disposal System: A. Installed 1972 C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank B. Depth -- D. Bacterial Analysis Satz~=~ctory B. Installer 1250 gal 2. Manufacturer Stack Steel 1. Absorption Area 672 sq/ft 2. Material Log Total length of lines $8' 10" 100' , Absorption area , Sewer Lines , 38' , Other contamination 29' 48' , Absorption area C. Absorption area to nearest lot line £Q-O34 (1/74) Page 1 of two pages _ N99�✓9 �.✓/ /o AUT/</TJX E r� ti ya-JSF N ASBUILT—NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 48$7566 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY: 1"=30' �t\ OF At %4 Preuss Subd.,Uuit No. 3,Lot 5,131k. 11 - DATES iQ� •:95�� AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 8-30-90 INDICATED. IT IS THE RESPONSIBILITY OF THE is in OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS NW 56 % O sr/,• WHICH DO NOT APPEAR ON THE RECORDED SUBOI- s. ,d % VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& #f ' ;i ANY DATA HEREON BE USED FOR CONSTRUCTION 14-16 c •' OF FENCE LINES, OR FOR ESTABLISHING BOUND- a sA✓,, `'�`° f ARY LINES. DRAWN` \ a•'�v` • A C��•• DMS • • r(1 lop' N 82 ° z:'2 '�/ /22 oa U4��pEQ P,P io 'uriL/TY Y7 ,-; '7-• — .„, "4/ g-t:J 1 4i I �P r M/ "/z /�Ol/.fes • /Z 3 r r: ci.T • , O a t' o 0 o I I• lx \ , • , / \ 4 ' V 0° D � ) ` 4I �• z ,( •`:. �.� ' 6Ro y I TTc: : 1.. A/6::),9° ;7 '. .� �v ? -- ,pee-457:2",--"".47 -177,41e./,,e'.7/Z:47) ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 688-4566 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' -�iva FOLLOWING DESCRIBED PROPERTY: 1"=30' p%QF ALS p' Preuss Subd. ,Unit No. 3,Lot 5,Blk. 11 DATE: r Q- • 5�� AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 8-30-90 . THs .* INDICATED. IT IS THE RESPONSIBILITY OF THE s . -` OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: I / /' EASEMENTS, COVENANTS, OR RESTRICTIONS NW 56 0 is _ , . .. �� WHICH DO NOT APPEAR ON THE RECORDED SUBDI- # ! . Duane Mark Seward :. VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' t.•; ,, .., t5, , 8 a' ANY DATA HEREON BE USED FOR CONSTRUCTION 14-16 44, ;(o/�� y�• � OF FENCE LINES, OR FOR ESTABLISHING BOUND- 4� siocat�!.. ARY LINES. DRAWN' ��aia•+• DMS j