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FIRE LAKE BLK 1 LT 4A
f1 � 8 c�o Lo"'Oef — 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 PHONE ❑NEW v l 12-Q .L GIL1 �Cr N Al 4,ep- 3�_1<7 Z UPGRADE MAILING ADDRESS 4111 �K [02 )(L k) I- 2 �4e,cx hl✓�2 �7 %�77 LEGAL DESCRIPTION LC-- n . LOCATION NO. OF BEDROOMS L(PP� 12 i t-- LAccs 3 DISTANCE TO: Well I / Q(O Absorption area I.� d Dwelling 'j PERMIT NO. 79cj&1 V Y 4AIY7[t)f/ _ a 2a Manufacturer Material _ No. of compartments LU H IZrG /Oc e_ &b, LV - y Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth • c..T* O Y DISTANCE' O: Well Dwelling PERMIT NO. Buz _O < Manufacturer Material Liquid capacity in gallons O DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. w= J LL Z No. of lines Length of each line Total length of lines Trench width Distance between lines F ? w inches - H Top to finish Material beneath tile Total ¢ of tile grade effYF,ifOe afajorptyo p inches �.. LU Length Width Depth v °° r U I ,- N V Q F a Type of crib Crib diameter Crib depth Total effective absorption ar , cr W LU DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line T �R. i iq i t u:soll L. Oystrr LU DISTANCE TO: Building foundation Sewer line Septic tank A rfi'�i017 a daps �. (.•, •�c ..o �1A® ts Q n r QP 'y OTHER PIPE MATERIALS SOIL TEST RATING ; _A INSTALLER v £ ��-1 L REMARKS l'Jlz Gl A1K TZ��F9(cA. r A N 0 Cw -TA/63 OCSOt,Ic> !L. C tj le- APPROV DATE LEGAL 72-013 (Rev. 3/78) 5d 1 0 »�K-�:� ���� :::1' 1!, 1! i� r It it �8�vRT�EHT 0F HEHLTH HN0 ENYlR/)�MENTn| PRUlFC�T0N �TREET, HNCHi/RHCF, 9K Q95�1 2 0 j( it ��if I UItx`�� �[RMIT NO ( /906i6 > HPN-MAY T CLfDE BEN�ON 62 KN�k HlLL �88 ]092 �0CHT[ON MCC0RTHY `J LEG0' /'4H B1 FlR|� LH!�F L0T SlZ� ��4�� `�Qi�HRE FEE[ TYPE OF SUTL HGSOR8TI0N SYSTEM IS TRENC|| 1 - � I � � v I I.K'I � Q K 4 v !�� F E 111 1 1. 13 1 - low W41 I?( �T T ��7 K Z� " 1 p A �f :ii I lt It^11`nf! 1"' , 11 1 �: [ERMlT HPPiICHNT HRS T||E RESPONSlB7LITY TO INFORM Th 15 D[PHRT|1FN[ �UR'N� l/�[ lNSTHLLHTION INSPE[TIONS OF RNY NELL'::�' HDJHCENT l0 lHIS PKOPE�l9 HU� lHF NUMBER OF RESlDENCE, 1 THHT THE NELL WILL SERVE --� I AT AD { I W, 41 "..' :�' T':- K� : if � 1 1 v: A K I Y� p I W m 0- � I ja���U���� -~—`- D�[KFILLINS OF RNY SYSTEM HITHOUT F[NHL INSPECT/0N HND HPP�OYHi 8Y THl� I&PHRTMEHT W[LL 8E Slb, JED TO PROSECUTION. MII'd IMUri DISTKAY CF KETPIT EN H NE||, Ar -IR IN'!, ON~SlTE SEWH/A nlSPUSH} SyTEM /� i00 FEET FOR H PRlVHTE WELL� OR i5G TO 200 FEET FROM R 1:'1 10IC WBL DEPENDING UPUN [HE TYPE OF IUp! |'!FLL OTHER REQUIREMEHTS MHY RPPLY SPECIFICRTI0NS |�N� COMSTRUCTl0� DlRCkHMS �RE HVHlLRRLE TO INSURE PROPER IN�THLLHTION �W to, 0 A :A -0 F17 Y 1 Q v R? p m� ! -� I > K w 7 lf�7 TV 0 0 & K F 11 ��, �'! m � :11 l CERTIFY [HHT 1� I HM FI'M ILIHR Mf Fir Ti|E REQ||IREMFNTS FUR 10"�11E SENERS HND NF|L� 9S �ET FORTH BY [HE MUNICIPHLlTY OF HNCHORHGE 2 I N|LL [NST8LL THF SYSTEM IN HCCORDHNCE NTTH THE CODE� [ UNDERSTRND THHT THE ON~STTE �ENER SYS1FIll MHY REQi/lRE 1N|RGEMENT |F THE RFS[ANCF IS 1 -!EM0DF!-F� 10 INC1 1/1 :,E MORE 11AN :; 8E0R01 11 - 15 - --A a �fr�a E r ' DEPARTMENT i HEALTH AND E:N'JIRCNMENTAL OTEC:TION 8,25 `l STREET, ANCHARAGE, Ak;. 99. ,,:.r.L 1-: F•F=e�r•1 I -r- PERMIT NO. } APPLICANT LOCAT ION .�� LEGAL L I LOT SIZE IZE '3 J /6 OSQUARE FEET - TYPE OF SOIL_ ABSORBTION S,YC;TEM MAXIMUM NUMBER OF BEDROOMS SOIL RATIFJG "SI). FT/BR?= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I S : LD- EF"T F-1= LFr-4t; T"w-= CyP-F %-*E:I_ U':- EE FFN-FV1-= THE LENGTH DIMENSION I THE LENGTH IN FEET? OF THE TRENCH OR DF:AINFIFL-D. THE DEPTH OF A TRENCH OF' PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE I`=, NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL- BETWEEN THE OUTFALL. PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET?, C�h 3 -Dc) c'09L -- E F=* _T.. I C T-' F7I r-4 V:.- :L E: PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPAR'ftlEN 7 THE: INSTALLATION INSPECTION!:-,' OF ANY WELLS ADJACENT" TO THIS PROPERTY ANC- THE NUMBER OF RESIDENCES THAT THE WEL.L_. WILL SERVE. r -J = F" F. C- -V I 17-1 r --I _� Fa V,-' E_: E BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL. BY "IHI:=> DEPARTMENT !•JILL BE SUBJECT' TO PROSEC:UI'ION. MINIMUM DISTANCE BETWEEN A WELL At -Jr) ANY ON-SITE SEWAGE DISPOSAL_ SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL.. DEPENDING UPON THE TYPE OF PUBLIC DIEL!_. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 3.0 DAY'_ OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F' E FY r•-1 z T- E : F' :E F' E E EE C-: I= r-1 E': E F :1.- .• ;1_ r ' I CERTIFY THAT 1: I AM FAMILIAR W 1 TH THE REGI I I REMFN S FOR ON-SITE SEWER'S AND WELLS AS SFT" FORTH BY THE MUNICIPALITY OF ANCHORAGE. ' 2: I WILL_ INSTALL THE SYSTEM IN ACCC?RDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REC,I_IIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE. MORE THAN 3 BEDROOMS., SIGNED: APPL I CAN- T -- - - ---- ---- --- - -- - -- - � _ /0 ISSUED B'r--- - -✓1�� (�� ---- - DHTF:_! �(-=6/� V'. e January 4, 1978 Chris Despain 2211 Minerva Way #3 Anchorage, Alaska 99502 Subject: Lot 4A Block 1 FirelSake Subdivision Permit #77576 A permit issued by this department for well and/or sewer system has expired. 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 there are any further questions, please contact this office at 264-4720. Sincerely, Health and Environmental Protection Sewer and Water Section I.. j'. 11 0 Et E GEC _CHNI CAL Et DEVEL 'MENT CO. Russell Oyster 694-2774 Soils Et Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Earl Ellis 688-2280 Land Development Performed for: Name: e1-t4r , /71i IV Tel. No. Mailing Address:_2 I l /l Af Legal Description: LorA.��.c�^ e /��ak� G';rr, n� LAN9t:�•. �/�r< /rx�`._j �e� Death (feet) Soil Characteristics 0 1 �rNf 11-7 y i?�c/a r% �k'<l OF f7c� c- 3 3 U 5 7 9 11 12 13 • �t- �%r f .�r9 -'x-� 4 15 16 Ground Water Encountered: Yes- No c,"" If -yes* what depth Proposed Installation: Seepage Pit Drain Field Comments: 1.4x�li5' Performed by:, `��' /� Date: %/ %�%`� Time APPLI NT FILLS OUT UPPER HA )NLY Property Owner C— L *1 r �i R, li 'j s "'-i Phone' Mailing Address h a 1'�v-j ` Zip Code '' r 25 j act? Date Date Buyer Date Address Zip Code Lending Institution I.Y ra ..\K r, U `�. 1\ C rZ. ; c� , --1 t (� ` -• - Phone Address Zip Code Realty Co. & Agent �S Phone Address Zip Code Legal Description L.0 A 4 � y"` 1 u Street Location (<, 1 \_�,.�„�, V", Type of Residence ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL P�tlngle Family ( ) DISAPPROVED ❑ Multiple Family No. of Bedrooms ❑ Other 3 Water Supply DATE C�Yrdividual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ElCommunity Soils Rating ,. For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Well Log Received 7 ,5"9 D - // / Sewer Disposal R'I'ridlvidual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector �S Field Notes: f ' ( APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' 3 DATE B: L Soils Rating ,. Date Sewer Installed Well To Absorption Area Well Log Received 7 ,5"9 D - // / Well to Tank e) Septic Tank Size 72023 (3182) / / { / \ o / / / gBill \ , \ �2/ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION A S V' OCT 19 1979 I RECEIVED 1011 Orca Street chorage, Alaska 99501 (907) 278-1915 October 18, 1979 Mr. Clyde Bensen 62 Nob Hill Eagle River, Alaska 99577 Re: Adequacy Test for Existing Septic System on Lot 4A, Block 1, Firelake Subdivision Dear Mr. Bensen: ASI No. 03779 At your request our office conducted a percolation adequacy test on your existing septic system at the above -referenced location during the period October 15 to 17 1979. You reported that your septic system consists of septic tank and seepage trench. The septic tank had not been pumped prior to the percolation test. Since the 3 -bedroom house had been occupied up to the time of the test, a normal degree of saturation within the leach field is assumed. The system was tested for a 4 -bedroom capacity. In accordance with the Anchorage Municipal Code, Chapter 15.65, Waste Water Disposal Regualtions, any on-site sewage disposal system "shall have adequate capacity to properly dispose of the maximum daily sewage flow." The maximum daily flow is computed at 75 gallons per capita -day (gcpd). Since "the population of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage flow for your4 -bedroom house is 600 gallons per day (gpd). To test the soil absorption capacity as well as the surge capability of your system, 110 percent of the maximum daily flow or 650 gallons of clear water was added in 50 -gallon increments to the septic tank. The water was obtained from your on-site private well at its maximum sustained rate of about 4 gallons per minute (gpm). The liquid levels were monitored closely to detect any backup in the septic system. Mr. Clyde Bensen October 18, 1979 Page 2 The attached Table of Test Data represents the depths of liquid in the septic tank and seepage pit, and the quantities of water added. The septic tank was determined to be 7.7 feet deep (bottom of tank to ground surface) with an initial depth of 3.8 feet in the tank. The seepage trench was measured to be 5.5 feet deep with an initial depth of 0.4 feet. The attached Summary of Test level in the seepage trench testing on Day 2 fell to its during a recovery period of fallen to 0.1 feet below its recovery period of 25 hours. Results indicates that the liquid and standpipe at the beginning of initial static level on Day 1, 24 hours. On Day 3, the level had static level on Day 2, during a The level in the seepage trench at its highest level during the test (1.1 feet) was approximately 2.4 feet below the liquid level in the septic tank. Based on two days of testing, a percolation rate for your existing septic system of approximately 650 gpd is indicated. Since an on-site sewage disposal system for a 4 -bedroom dwelling must be capable of disposing of 600 gallons of sewage per day, your septic system appears to be functioning satisfactorily at this time. Many factors affect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to model actual soil absorption capabilities of your septic system under normal usage by considering the degree of saturation of the leach field and surge loads that might be imposed on the system. This test can only evaluate apparent performance at a given point in time, and cannot determine either the condition of the leach field, seepage pit or other components of the septic system, or the depth of the water table. We appreciate the opportunity given to perform this adequacy test. If you have any questions regarding this test, please contact this office. Very truly yours, ALASKA SOILS INVESTIGATIONS Stephen D. Shrader, P.E. Project Manager SDS/st Enclosures .;,'.�.. -r D ........• %U, ROFESSO . "kir. Clyde Bensen October 18, 1979 Page 3 SUMMARY OF TEST RESULTS Day 3 Day 1 Day 2 Water Added, Septic Tank 650 gal 650 gal Rise in Seepage Trench 0.6' 0.7' Rise in Septic Tank 0.0' 0.0' Gallons Water Added per Ft of Rise (gal/ft) 1080 930 Recovery Time between Test (hours) 24 25 Drop in Trench during Recovery 0.6' 0.8' Average Rate of Fall (ft/hr) 0.03 0.03 Average Absorption Rate (gal/day) 650 740 Day 3 A.M. Adequacy Test for Existing Septic System Owner: Clyde Be Project No. 03779 Address: 62 Nob Hill, Eagle River, Alaska 99577 Legal Description: Lot 4A, Block 1, Firelake Subdivision Components of Septic System: Se tic Tank and Seepage Trench (test for 4 Number of Bedrooms: 3 Occupied prior to test: Yes X No How long vacant: NA Last pumped: Never Test performed by: Shrader, Cooper Water meter/S.N. 22812186 Initial Static Levels: Septic Tank 3.9' ; Seepage Pit 0.9' TEST DATA Time Liquid Depth ft Water Added, gal Meter Reading, gal Remarks ept c Tank Seepage 8:55 6.1' 6.4 Ck Init. Lvl 9:05 -0- -0- 169227 Start Test 9:17 6.15 6.0' 50 169277 9:29 6.15' 6.0' 100 167327 9:42 6.15' 6.0' 150 169377 9:54 6.15' 6.0' 200 16,427 10:05 6.15' 5.95' 250 169477 10:17 6.15' 5.95' 300 167527 10:28 6.15' 5.95' 350 169577 10:40 6.15' 5.90' 400 169627 10:52 6.15' 5.90' 450 162677 11:03 6.15' 5.85' 500 169727 11:14 6.15' 5.80' 550 169777 11:26 6.15' 5.80' 600 169827 11:37 6.15' 5.80' 650 167877 End Test 11:45 (3.9) (.9) Ck Final Lvl *Measured from top standpipe (3.9) Actual Liquid Depth I A.M. A. M. Owner: Clyde Bensen Project No. 03779 Legal Description: Lot 4A, Block 1, Firelake Subdivision TEST DATA (Cont'd) Time Liquid Depth, t Water Added, gal Meter Reading, gal Remarks Septic Tank Seepage Pit 8:30 Preparation 10/16/79 8:45 Initial Leve (3.81) (0.41) -0- 16,885 Start Test 8:50 6.2' 6.4' -0- 16,885 Take initia Readin 9:02 6.2' 6.2' 50 16,935 use hand le 9:14 6.2' S.9' 100 16,985 9:25 6.2' 5.9' 150 179035 9:37 6.2' 5.9' 200 17,085 9:47 6.2' 5.9' 250 17,1.35 9:59 6.2' 5.9' 300 17,185 10:12 6.2' 5.85' 350 17,235 10:25 6.2' 5.8' 400 179285 10:37 6.2' 5.75' 450 17,335 10:49 6.2' 5.7' 500 172385 11:00 6.2' 5.7' 550 179435 11:12 6.2' 5.7' 600 17,485 11:24 6.2' 5.7'* 650 17,535 End Test 11:25 (3.81) (1.1') Final Level 11:35 (3.81) (0.9') 11:45 Leave Site 9:57 Preparation 10/17/79 10:00 (3.81) (0.251) 10:05 6.2' 6.55' *Measured from top of standpipe el Municipality of Anchorage • 41:T.?' On-Site Water and Wastewater Program o P`t Li (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-361-05 Expiration Date: g- t P-7 1. GENERAL INFORMATION Complete legal description Fire Lake Block 1 Lot 4A Location (site address) 13840 Knob Hill Drive Current Property owner(s) Kimmel Day phone 206-735-9776 Mailing address Same Real Estate Agent Owner Day phone 206-735-9776 r 70ri _.,.. ., 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex E MAY 1 0 ?_017 ❑ Multiple Dwellings (Single Family and/or Duplex) ti w 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage El Holding Tank ❑ Community Class C Well El Community ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: s//i7/7 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ G Date: Date of Payment 5 1 i o /11 Date of Payment Receipt Number 0 (0.3i,co t ) Receipt Number COSA# 05 L I -1 t I VI Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 5/10/2017 OF n 6. DSD SIGNATURE fri �"'vc. System #1 Approved for bedrooms. o. -. - I 44 S:cven Eng r`''Ot System #2 Approved for bedrooms. ,`•� � ,_\ ,Q PE 256 �Jr Disapproved. 4` 5/fait ... �$ �pROFES51�'•1. Conditional approval for bedrooms, with the following stipulatio Wa4-`' " ,\(N( OF AAic• • tiv I • WATER AND :7,6) WASTEVVA1ER FON-SROGRAMTE /�-Sr-n\I\{•r :y: —� �� / Original Certificate Date: 2 -1 7 The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doc 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: F/irE iLock L. 6 T 4 Parcel ID: OS! 367 67S A. WELL DATA Well type r If A, B, or C provide PWSID# Well Log (Y/N) A Date completed 7777 Sanitary seal (YIN) 7 Wires properly protected (YIN) ti/ Total depth //a ft. Cased to >44Oft. 211r Casing height (above ground) / d1 t'in. FROM WELL LOG AT INSPECTION Date of test f/A1(4 c f o7/7 Static water level t)41(4 ft. /0 ft. Well production (AAA' g.p.m. a'f g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate L{ 7/ mg/L Arsenic /V1) ug/L Date of sample: 507 Collected by: A/14-eft B. SEPTIC/HOLDING TANK DATA Tank Type/Material - ./7'/C7///4'{L)pX Date installed i'�V// 9 Tank size /300 gal. Number of Compartments Z Cleanouts (YIN) Foundation cleanout(Y/N) Depression over tank(Y/N) ./ High water alarm (Y/N) A/ r � Date of pumping 6 ZZ//e� Pumper �( fe s C. ABSORPTION FIELD DATA Date installed 9' PO'? Soil rating (g.p�d.lft2 or ft2lbdrm) System type yte nre tr— Length .a ft. Width 3 ft. Gravel below pipe ft. Total depth /c2 ft. Eff. absorption area 50 7 ft2 Monitoring tube Depression over field Ai Date of adequacy test 5/3/17 Results (Pass/Fail) P For Li bedrooms Fluid depth in absorption field before test 57 in. Water added 6-00 gal. New depth g"5 in. Elapsed Time: min. Final fluid depth .5 g in. Absorption rate >= 6G a g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) /\ If yes, give date D. LIFT STATION AA Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm& circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot /O/e:;) On adjacent lots /O0 t Absorption field on lot /d d 't On adjacent lots / O G 7- Public sewer main / 0 6 (f Public sewer manhole/cleanout boa '* Sewer/septic service line 2 S Holding tank /ob r Animal containment areas 50 fi Manure/animal excrete storage areas /60 SEPTIC/HOLDING TANK ON LOT TO: Building foundation Ct4 Property line /6 ' Absorption field 'f' Water main /65- ('t- Water service line /Q Surface water /6:7011"- Wells 7011"'Wells on adjacent lots /00 /14- ABSORPTION FIELD ON LOT TO: Property line / d- Building foundation /as 1- Water main / O 11- Water Service line l O '7- Surface water /00 (7- Driveway, parking/vehicle storage /a r Curtain drain [Jit./ Wells on adjacent lots /00 t F. COMMENTS G. ENGINEER'S CERTIFICATION -���. .;:• I certify that 1 have determined through field inspections and �'<<,.••••• ••" review of Municipal records that the above systems are in G,? G� r .r • V4 conformance with MOA COSA guidelines in effect on this date. • Engineer's Printed Name -�%Vic/f Lf.- • ��• i Date ,./f d// 7 � stcvcrt •i,. Lng , //GC7 r_ . COSA yellow sheet_2-6-15.doc Municipality of Anchorage B • Development Services Department x, o Building Safety Division K C. On -Site Water and Wastewater Program s E 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Parcel I.D. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 0 A� 1. GENERAL INFORMATION Complete legal description Lot 4A, Block 1, Fire Lake Subdivision Location (site address) COSA # 0 S C i A 112 a Expiration Date: 9-30-.42— 13840 Knob Hill Drive Eagle River, AK 99577 Current Property owner(s) William N. Vickery Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 13840 Knob Hill Drive Eagle River, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four (4) 3.TYPE OF WATER SUPPLY: Individual Well ✓❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone 952-2077 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑✓ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineeet Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE JZ Approved for If bedrooms. Disapproved. Phone 522-7773 Date 5/22/2012 Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (Rev. 11105) Municipality of Anchorage a4 • '�` Development Services Department = T Building Safety Division < .. On -Site Water & Wastewater Program s 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 4A, Block 1, Fire Lake Subdivision Parcel ID: 051-361-05 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Well Log (Y/N) N Date completed 7/77 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth Unk ft. Cased to >40 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 6/19/09 5/1/2012 Static water level 169 ft. 203 ft. Well production 30 g.p.m. 6.3 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 4.62 mg/L Arsenic: N/D mg/I Date of sample: 4125/12 Collected by: MEA B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Polyethylene Date installed 9/10/99 Tank size 1,300 gal. Number of Compartments Two Cleanouts (Y/N) Y Foundation cleanout (YM) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 5/1/2012 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 9/10/99 Soil rating (g.p.d.e or ft2/bdrm)12 GPD/SF System type Beep Trench Length 42 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 10 ft. Eff. absorption area 504 ftz Monitoring tube Y Depression over field N Date of adequacy test 5/1/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 45 in. Water added 758 gal. New depth 60 in. Elapsed Time: 1,440 min. Final fluid depth 45 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at _ in. "Pump off" level at _ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank NIA Animal containment areas >50' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5 Absorption field Water main N/A Water service line >10' Surface water Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main Water Service line >to- Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: well Casing Inspected and No Perforations Found <40' Below the Surface. House is Described as Single Family Home with an Accessory Unit. >5' >100' >10' • r v G. ENGINEER'S CERTIFICATION au'�jd'•r' �'•;�� 0, • I certify that I have determined through field inspections and *• 4� ..... ....:* 0 review of Municipal records that the above systems are in ••••••••.. conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. ���s,'•3 t381` Date 5/22/2012 COSA Fee $ Ao . GV Date of Payment aJ ! ZgJi?— Receipt Number G !0 33 (Rev. 11/05) Waiver Fee $ _ Date of Payment Receipt Number, SGS. SGS Ref.# 1121350001 Client Name Anderson Engineering Project Name/# Lot4A Block/ Fire Lake Client Sample ID Lot4A Block/ Fire Lake Matrix Drinking Water Printed Date/Time 05/04/2012 15:03 Collected Date/Time 04/25/2012 11:59 Received Date/Time 04/25/2012 13:37 Technical Director Stephen C. Ede Sample Remarks: 450ONO3-F - Nitrate/Nitrite - MS recovery is outside of QC criteria. Refer to the LCS for accuracy information. Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 04/26/12 04/26/12 ACF Waters Department Total Nitrate/Nitrite-N 4.62 0.100 mg/l, SM21 450ONO3-F B (<10) 05/01/12 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 04/25/12 DLC Total Coliform Negative I 100mL SM21 9223B A 04/25/12 DLC Page 2 of 4 I p o 0 SEWARD 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE` FOLLOWING DESCRIBED PROPERTY: y�,rafl"% DATE: �'e:W alm vc R -OT At • D -am. Mirk S -,-,d ASBUlLT SEWARD 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE` FOLLOWING DESCRIBED PROPERTY: y�,rafl"% DATE: AND THAT NO ENCROACHMENTS EXIST EXCEPT AS � INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID. EASEMENTS, COVENANTS, OR RESTRICTIONS y� WHICH DO NOT APPEAR ON THE RECORDED SUBDI_ VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DRAWN. �'e:W alm vc R -OT At • D -am. Mirk S -,-,d Received ECEIVE SEP 15 1999 STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL (.GENERAL INFORMATION Signature Legal Description of the Location Lo•f `941 Block I, �ireLa k� s Treatment of Water (Chock all that Apply) XWell (Drilled or Driven) ❑ Surface (Identify) Applicant Name ` y • / s6one Ap )'cant is: (Check one) Bank ❑Cartifietl Installer No. L/ 40 C 's (i l�f N (Serves more than one KPuntity) Owner/Builder Address (Street or P. O. Box) 3P-0 �/ In « , C] Other (Ide Type of Residence �sf ❑Single Family )d Multi Family Total No. of Bedrooms City, State and Zip Code ❑ Holding Tank Telephone p Send Approval to: ❑ Applicant ❑ Other (Give Name & Address) II. WATER SUPPLY SYSTEM Signature Source of Water and Containment (Check all that Apply) Type of Water Supply System Treatment of Water (Chock all that Apply) XWell (Drilled or Driven) ❑ Surface (Identify) El Private s6one ❑Chlorination ❑ Roof CatchmentIblic (Serves more than one KPuntity) ❑Filtration ❑Mineral Removal C] Other (Ide ❑ Holding Tank family) ❑Other: Well Data Is the Height of the Well Casing mare than 12" above the Grou ntlP Yea ❑ NO Is a sanitary seal imtalled an the well casing? IY yes ❑ No Is drainage directed away from or around the casing within a radius of 10 feet of the well casing? Yes ❑ No Date Drilled Depth of Well (Feet) Static Water Level (Feet) Field (If Available) Fump Rate (If Available) 7 L--7 Gal/Min Gal/Min Separation Oist nces froth the Well Casing to each of the Following Sources of Contamination: Septic/Holding Tank on Lot Sewer Lines on Lot f I Absorption Area on Lot / 50 A - / SD' t SO / Closest Septic/Holding Tank on Adjacent Lot Closest Sawer Lines ori .spent Lot Closest Edge of an Absorptlnm Area on Adjacent Lot If toxic materials are stored on rheproperty, including fuel tanks. paints, lubricants and other petroleum On Lot On AOlecent Lot based materials, pesticides, fungicides or herbicides, indicate distance from Contaminants to well casing: N d Water Sample Taken by: Name Sampler Is:,�i ��// ❑ Buyer I,g Engineer ❑ canker ❑ Govvnmant OH(cial Address Water Sample Results: �Satisfsetory Data: yr (� C] Unsatisfactory Date: Attach Copy qq V/ 1 Comments/ Recommendations: I ce"ity Vt e fte information is correct: Signature Ty /Printed Name /b ., C. C,)w9.,. Title Dan NOTE: Must be signed by aCanitied Installer, P/O/eaaic"I Engineer, DeQlrtlllent o1 E"ironmeam/ Conservadon or the Owne1/81ilder 111, WASTEWATER DISPOSAL I Date Installed Daxa Installed Septic Tank/Absor tion System P V rt ❑ (SpeciBrand Treatment: (SpoolPacker Treatment Name or Process) C1 Certified Installer E] Owner/Builder Holding Tank - Capacity of TankWhere Waste is Disposed Frequency of Pumping ❑ Septic Tank Size (Gallons) Number of Compartment Soil Type or Rating a G P D 3 Adequacy Test Results: Specify: Date Septic Tank Pumped (Attach Copy of Receipt) Type Soil Absorption System - ❑ Septic Tank Outfall Minimum Ground Cover over Septic Other (SpaeifyC ❑ 3- 4z'L- Olscharged To: Percolation Tess Resultr I �%,�niln• (Outhouv, Incinerator, etc.) K New System Name of lretail leT we I Date Installed Daxa Installed e` rt C1 Certified Installer E] Owner/Builder ❑ Other: Type/Manufacturer No. Type Soil Absorption System pfcyt�Nritwt Septic Tank Size (Gallons) Number of Compartment Soil Type or Rating a G P D 3 Adequacy Test Results: Adequacy Test Performed SW Attach Copyof Report) Date Septic Tank Pumped (Attach Copy of Receipt) Type Soil Absorption System Dimensions/Size Soil Absorption S stem /' /t /w loco /� Type/Quantity Backfill Material used for Soil on / Minimum Ground Cover over Septic Cleanout Pipes/Capf Installed on 3- 4z'L- ykItpti 5ez�1&7-1 .�cOGK Percolation Tess Resultr I �%,�niln• Septic Tank I Percolation Teri by: (Name) S & S ENGINEERING /.�c Feet Yet No Minimum Groyyy no Cover over Absorp- tion alae A I Minimum Tank Ground Cover over Septic /� Cleanout e a a Im allpd o Septip iwr`A Svs fks%% leanoux Plpes/Caps Installed on bsor�otion System IY Feet Lot Lina � Feat lSCK ❑ o Yes No ❑ Seca tion Water Supply Source on Lot / N earest Water Supply Source on Adjacent Lot Nearest Body of Water // Water Table/Bedrock ,, Lot Line // Distance to: 7 -Feet Feet �OV Feet Feat 16'�Feet Comments/ Recommendations Title, RagJCert. No., Inst. No. Date I certify thata above inform ion is correct: Signature T ed/Printed Name Title, Reg. /Cert. No., Inert. No. Date NOTE: Must be signed by a professional engineer. r t I NOTE: Must be signed by a certified installer, professional engineer or DEC Staff. ❑ Existing System Name of Installer I Date Installed []Certified Installer ❑ Other: Type/Manufacturer ❑ Owner/Builtlar No. Septic Tank Size IGallonsl Number of Compartments Sail Type or Rating Type Soil Absorption System Olmensiona/Size Soil Absorption System Type/Quantity Backfill Material used for Soil Absorption System Adequacy Test Results: Adequacy Test Performed SW Attach Copyof Report) Date Septic Tank Pumped (Attach Copy of Receipt) Cl Pass ❑ Fail Minimum Ground Cover over Absorp- Minimum Ground Cover over Septic Cleanout Pipes/Capf Installed on Cleanout Pipes/Caps Installed on tion Area Tank Septic Tank I Absorption System Feet Feet Yet No nY"❑ No Water Supply Source on Lot Nearest Water Supply Source on Adjacent Nearest Body of Water Watr Tabl ei Bad rock Lot Lina Separation Lot Distance xo: Feet Feat Feet Feet Feet Comments/ Recommendatigin I certify that the above information is correct: Signarure Typed/PHnmd Name Title, RagJCert. No., Inst. No. Date NOTE: Must be signed by a professional engineer. r t I g- N. T I OE:lE �z I|� /00 j2`§ e ■ �noceGee00) - aooc=wao . ©-o « / \\\9090/\\> oz b%baoeco ° § w �0 ) A \/\N\/c P/ » 2y«2«� \ ,± :r 00 00 \R 9090 o bo2 \ @ * . 3 2 , � 5 / 3 m Q !M \ / r / \ » ® % II � / @ % % ± / k 0�/ ywpop. g2 �a ƒc ++ S.S c c c C,; d \ 00 \ o- 0:) CC co Cc } co� ! �9 . � cc L-7 STATE OF ALASKA Ljh� DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE FOR DOMESTIC WASTEWATER DISPOSAL SYSTEMS ADEC # 002l -WW -2++ -66s - A. 021 -WW -244-655 A. APPROVAL TO CONSTRUCT Plans for the Gonsttastien or modification of \A/ A S TE WA ri- R 5 Y S'T' EM, RZ PGACEM F -N T til l TN A I,ZTOGALLOIJ TAuk 42t LONG 6'p1EP ?'BENCH au L aT4A OLKI domestic wastewater disposal system located in FlrtE LAIcE 5/D NEAR AGLE RIVER Alaska, submitted in accordance with 18 AAC 72.210 by ROOEgT Ccit.JAN F.E. oc 5� 5 ENGINEERING have been reviewed and are approved. EJ conditionally approved (see attached conditions). BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference) Approved by PIZ> MILA P/,ASTIC 1 300 Ed DEs161J 2 Oc- r 12,1 996 1 C. APPROVAL TO OPERATE Date The "APPROVAL TO OPERATE" section must be completed and signed by the Department before this system is made available for use. The construction of the 1300 6ALWM SFP1'IC Tyloc � F!JI�5 L,D domestic wastewater disposal system was completed on 9 -r O -99 (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY TITLE DATE As-built/record drawings, submitted to the Department, or an inspection by the Department, has confirmed that the domestic wastewater disposal system was constructed insubstantial conformance with the approved plans. The system is hereby granted final approval to operate. BY TITLE DATE Distribution: 1. Retain original for project file 2. Make copies for distribution Anchorage Appraisal Service FHAIVA Case No 63-636-0350567 Page #2 63-63-6-0350567 Uniform Residential Appraisal Report He# 9676 The purpose of this summary aggi report is to provide the lendedcllenl with in accurate, and adequately supported, o Inion of the market value of the subject property, ert Address 13840 Knob Hill Dr Cil Eagle River Slate AK Zi Code 99577 wer Kimmel Matthew & Rashele Dornan of Public Record Vickery,William N County Anchorage Legal Detaining Lot 4A Block 1 Fire Lake PAs1i'ssor'sParceI# 051-361-05-000 Tax Year 2011 R.E. Taxes 5 4,559 Neighborhood Name Fire Lake Map Reference NW0453 Census Tract 0001.02 Occupant ❑ Owner ❑ Tenant M Vacant Special Assessments S 0 ❑ PUD HOA $ 0 ❑per year ❑ Per month " Poperry Rights Aroused M Fee Simple L Leasehold Other (describe) Assignment Type M Purchase Ransuctton ❑ Refinance Transaction ❑ Other (tlescrihe) Lender/Client Residential Mortgage LLCNA Address 11901 Business Blvd. Suite 203 Eagle River AK 99577 Is the subject properly currently offered for sate or has it been offered for sale 10 the twelve months prior 10 the effective dale Of this appraisal? M Yes ❑ NO Report cola sources) used, offering riceds), and date(5). DOM 17'Tha Su beet was listed in MLS on 04/03/2012 at $355,900, and is currently peand in after 17 days on market. I ®did ❑ did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analyss was not performed. Arms length sale; Pages 1 through 11 of an 11 page contract signed by the buyer and the seller on 04/30/2012 were reviewed and it appears to be an arms length transaction. Contract Price S 370,000 Date of Comract 04/30/2012 Is the property seller the owner of public record? ❑ Yes M No Dem Sources) Anchorage Muni Is there any financial assistance(loan charges, sale concessions, gill or downpaymenl assistance,etc.) to be paid by any patty on behalf of the hemi ®Yes [I No If Yes, roan the total dollar amount and describe the items to be paid. $10000;'Seller to pay ir P to $10,000 of buyers closing costs re -aid s an d reserves. Note: Race and the racial composition of the neighborhood are not appraisal factors. Nei hboritoodtharacteristics One -Unit Homing Trends Onilosing Present Land Use% Laation ❑ Urban M Suburban ❑ Rural I Puri Values ❑ Increasing M Stable ❑ Declaring PRICE AGE One Unit 75 % Built -0 Over 15% ❑ 25-75% ❑ Under 25% 1 DemandlSu ❑ Shona e M In Balance ❑ Over Su $ (000) (rs) 2 4 Unit 5% Growth ❑ Rapid M Stable ❑ Slow I marketing Time M Under 3 highs ❑ 3 6 mars ❑ Over 6 arms 175 Low 0 Multi family 0 % Neighborhood Boundaries Bounded on the north by Eagle River Road, the east by Eagle River Lane the 500 Hi h 50 Commercial 0 % south by Eagle River, and the west by Lee Street 250 Pmtl. 20 Other 20 % Neighborhood Deseret an Buildup consists primarily of detached single family homes. Access and proximity to schools, shopping and em Io meet centers are adequate. No adverse influences were noted in this area. Marketability is above averache for the area. Market Conditions (including support for the above conclusions) Market values in the Su b'ect neighborhood and price ren e a ppear to have stabilized at the present. Marketing time is estimated to be under 3 months. The typical sale in this neighborhood is not influenced by sales or financing concessions. Average isfinho price to to sale price ratio in this market area is approximately 100% Dimensions 198X181X198X181 Area 36806 at Shape Rectangular View N'Res S ecific Zielling Classification R-2ASL Zoning Description Two -Family Residential District (Large Lot Zoning Compliance M Legal ❑ Le I Nommuiformin (Grandfathered Use) ❑ No Zoning ❑ III¢ al (describe) Is the highest and best use of subject property as imroved(or as proposed per plans andseciflcallons) the present use? Yes 0 N If No, describe Utilities Public Other(describe) Public Olher(describe) Off-site Improvements - TPublic Private Electric ® ❑ Water On-site Well Street Paved ❑ Gas ® ❑ Sanitary Sewer ❑ M On-site Septic Alley None ❑ ❑ FEMA Spatial Flood Hazard Area E Yes No FEMA Flood Zone X FEMA Map # 0200050385D FEMA Map Date 09/25/2009 Are the uNilles and off-site Improvements typical for the market area? ®Yes [:]No hNo,describe Are there any adverse she conditions or external factors (easements, encroachments, environmental condllons, land uses, etc.)? ❑ Yes M No If Yes, descrUe None apparent or disclosed to appraiser at time of inspection. No legal, environmental or title documents were provided to appraiser. Typical utility easements exist. On -she wells and saddles are common and typical. Public sewer and water are not available for hookup. No si ns of leaks or seepage were observed at the SigotiCs stem. General Oescn GQn Foundation Exterior Description matefials/condition Interior materials/condiUon. Units On nit, ❑Concrete Slab ® Crawl Space mun radon Walls CCBlocklA Floors CPT/Oak/A #of Stories ""Z"-- "— ❑Full Basement ❑ Partial Basement &tenor Walls TI-11/OdrShk/A Walls TextSR/A Type CR Det. Lj Att. S Det./End Unit Basement Area 0 s .R Roof Surface Cedar Shake/A Trin inieh Painted Wood/A Existing ❑ Proposed ❑ Under Const Basement Finish 0 % Cullers & Downs outs Vin IIA Bath Floor Vin I!A Design (Style) Two Story ❑ Outside Ent /Exit ❑ Sump Pump Window Type Wood Casement/A Bath Wainscot Vin IIA Year Built 1992 Evidence of El Infestation Storm Satainsumted Insulated Car Stora¢ Ellearno Effective A e (Yrs) 20 ❑ Dampness Seulemenl Screens Yes Driveway# of Cars 4 Allic ❑None Hearin FWA 'W"❑ Radiant Amenities ❑ Woodslove(s) # 0 Omewa solace Gravel DropStair E]Stairs ❑ Other Fuel Gas M Hre lace(s) # 1 Z Feae Chain -Link M Gem e # of Cars 2 ❑ Floor M Scutr Cooli ❑Central Air Conditianin M PatiolDeck Lame Porch 2 Cov. ❑ Car on # of Cars 0 ❑ Finished ❑ Heated ❑Individual M Other None ❑ Pool None M Other See Below ❑ Art. ❑ Del. M Built-in Appliances ❑ Refrigerator M Range/Oven M Dishwasher M Disposal M Microwave ❑ Washer/Dryer ❑ Other (describe) Finished area above rade contains 1t Rooms 4 Bedrooms 3.0 Baths) 2,702 Square Feet of Gross Livid Area Above Grade . Additional features (special energyefficient items, etc). Two Storyhome with two covered entryorches large deck fireplace, scissor truss ceiling,sauna, hat tub large shed chain-link fence ravel driveway,and two car built-in aro a with an accesso unit above. Deonne the condition of the progeny (including needed repairs, tlpterioradon, renovations, remodeling,etc). C3;No updates in the prior 75 ears'The im rovements are well maintained and feature fimitetl physical depreciation due to normal wear and tear. Some components, but not ever motor buildin component, may be updated or recent) rehabilitated. The structure has been well maintained. Functional utilityis average with good room Ia out and ample closets ace. See LimitingCondition #5. Aretherean physical AeflGencles or adverse canditionsthat affect the livability, soundness. or structural intent of the reed? El Yes No If Yes. describe None a anent or disclosed to appraiser. I have not been provided with an documentation revealingan physical deficiencies and have reported an apparent adverse conditions. See LimitingCondition 45. Does the property generallyconform to the neighborhood functional utilit , style, condition, use, construction. etc.)? M Yes ❑ No If No, describe Freddie Mac Form 70 March 2005 VAD Version 9/2011 Page 1 of 6 Fannie Mae Form 1004 March 2005 Farm 1004UAD — WinTOTAL" appraisal software by a la mode, Inc. — 1 800-ALAMODE FHANA Case No. 63-63-6-0350567 Page #3'. 63,63-6-0350567 Uniform Residential Appraisal Report File# 9678 There are 41 comparable properties cul offered for sale in the subject neighborhood ranging in price fmm 5 306,000 to $ 399,000 There are 151 com arable sales in the subject net hhahoad within the past twelve months ending in sale rice from S 300.0 to $ 459,720 FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3 Address 13840 Knob Hill Dr 17824 Kamkoff Ave 10803 Neal Cir 12308 E Prince of Peace Dr Estate River AK 99577 Eagle River AK 99577 Eagle River, AK 99577 Eagle River AK 99577 proximity t0 Sabect 1.46 miles NW 1.91 miles S 1.13 miles SW Sale Price $ 370,000 $ 379,000 $ 363.000 b 373,500 Sale PficelGioss Li¢ Area $ 136.94 Sq -B. S 155.39 If .h. $ 199.89 5 !t. $ 300.48 s H.. Data Sources) MLS #11-14979;DOM 24 MLS #11-13075�DOM 44 MLS #12-62�DOM 24 Verification Scarcely) Alaska Market Data S stem Anchors a Muni Alaska Market Data Sansterm VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION +(-) $ Adjustment DESCRIPTION +(-) $ Adjustment DESCRIPTION +(-) $ Adjustment Sales or Financing ArmLih AnaLth Arm Lth Concessions FHA:10000 Conv;O 0 VA'3000 0 Dale of$aleRime s02/12'c01/12 s01112;e11171 s03/12'c01/12 Location N'Res' N'Res' N'Res' N'Res' LeaseholNFee Simple Fee Simple Fee Simple Fee Simple Fee Simple Site 36806 at 1.25 ac -5,00 13371 sf +5,00 35304 sf 0 View IS Res: N'Res' N'Res' N'Res' Design (Style) Two Story Two Story Two Story Split Entry 0 Quality of Conslrucdon 02 Q2 Q2 Q2 Actual Ago 20 28 +8,00 19 -1,000 34 14,000 Condition C3 C3 C3 C3 Above Grade Local I Irchas I al Total Bdurrsd Baths Total Bunni Baths 01 Total Bdans.1 Balks 0 Roam Count 11 1 4 13,0 8 1 4 111 +1,000 6 1 3 12,0 +3000 4 1 2 1 1.1 +4000 Gross Living Area 2,702 s Jt. ,439 tiff. +9,5001 1,816 Ad +31.90 1,243 soft +52,500 .2 Basement & Finished Cliff EST 836sf836sfwo-25,100708sf708sfin -21,200 Rooms Below Gads IrrObf7.Obalo -30001 rr2brl.ObaDo -3000 Functional Utility Average Average Average Average HeatimilCoolinct GHWBB GHWBB GFWA 0 GHVVBB Entergy Efficient Items Standard Standard Standard Standard Gars a/Car ort 2 B.InGar/624sf 2 B.InGar/602sf 0 2 B.InGar1506sf 0 2 BAnGar/592sf 1 0 ' Parch/Pada/0eck 2CE LDK Cdr CE DK Cdr +1 000 LCE 2LDK +500 CE LDK LCDK +500 • Amenities FP VC Sna HT FP J-8,000 2FP VC JT E-1,000 FP VO,Sna HT Fences,0umuildinenc. Fencet-Shed Fence,GH,LShd +500 Pv Fne LShtl -2000 Pavin WkSh -2500 Appliances 2RVDG+IM RVDGM +1,000 RVDGM +1,000 RVDGM +1,000 • Net Adjustment (Total) M + ❑ - $ 24,000 Z + ❑ - S 11,300 M + ❑ - $ 45,300 Adjusted Sale Price Net Adj. 6.3% Net Adj, 3.1 % NO Adj. 121% of Comparables Gross Ad. 90 aS$ 403,000 Gross Ad. 20.2 % $ 374,300 Gross Adj. 26.4% $ 418,800 _ did did not research the sale or transfer hisoury of the subject property and comparable salesif not, explain My research ❑ did M did not reveal any prior sales or transfers of the subtest Property for the three years prIa to the effecuve dale of this appraisal. Data Sourcels) MLS Municipality of Anch. M research E] did M did net reveal any prior sales or transfers of the comparable sales for the year prior to the date of sale of the computable sale. Data Snurce(s) MLS Municiparity of Anch. Japan the results of the research and analysis ofthe prior sale a hanser history of the supped purpeffy and comparable sales Impact additional prior sales on page3). ITEM SUBJECT COMPARABLE SALE #1 1 COMPARABLE SALE #2 COMPARABLE SALE #3 Ron, Prior SaleHransfa Price of Prior SalelTransfer Data Sources) MLS Municipality of Anch. MLS, Mu mpalfity of Anch. MLS Municipaely of Anch. Effective Date of Data Source(s) 105/17/2012 05117!2012 05117!2012 05/17/2012 Anasls of or or sale or transfer history of the subject property and comande Mies The Subect was listed in MLS on 0 4/0 312 01 2 at $355,900, and is currently pendingafter 17 days on market. No prior sates or listings of the Sub ect in the past 3 years were discovered. No prior sales of the comparables were found within 12 months. The Sub act's sales Agreement was reviewed. Seller paid closing costs have no impact on appraised value. Summary of Sales Comparison Approach These sales are the most comparable found. Sale #1 is weighted. Sale #1 is so notion in site size, but Inferior in age, bath count GLA and amenities. Sale #2 is superior in age, and below grade, but inferior in site size GLA and amenities. Sale #3 is below grade, and amenities but inferior in age, bath count and GLA. The sales are some distance away which is typical in this market area where homes are v4dely scattered on large lots. No other sales were found in closer proximity that are as comparable. They are similar in locational a squeal. See further sales comments on Page 3. Indicated Value by Sales Comparison Approach $ 390,000 Indicated Value by: Sales Comparison Aroach$ 390000 Cost Approach (if developed) Income Approach (if developed) $ The Cost Approach was omitted as if does not render a reliable estimate of market value for sing le family properties. The Income Approach was omitted due to a scarcity of sin le family rental data. Sales Comparison Analysis best reflects the interaction between buyers and seller in the market and is weighted. This appraisal is made M as ist ❑ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed ❑ subject to the following repairs or alterations on die basis of a hypothetical condition that the repairs or alterations have been Completed, Or ❑ subject m the • following required inspection based on the earaw-Triary assumption that the condition or defichency does not come allerati0n or repair: Based on a complete visual inspection of the interior and exterior areas of the subject prapeM, defined scope of work, statement of assumptions and landing conditions, and appraiser's certification, my (our) opinion of the market value, as defined, ofIL real property that Is the subject of this report is $ 390,000 ,as of 05107/2012 , which is the date of inspection and the effective date of this appraisal. Freddie Mac Form 70 March 2005 UAD Version 9/2011 Page 2 of 6 Fannie Mae Form 1004 March 2005 Farm 1004UAD — "WinTOTAL" appraisal Scru e by ala mode, Inc. — 1-800-AIAMODE