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HomeMy WebLinkAboutALPINE WOODS BLK 3 LT 5Alpine Woods Block 3 Lot 5 #015-234-27 Municipality of Anchorage Onsite Water and Wastewater Program • (907) 343-7904 ONSITE WASTEWATER INSPECTION REPORT Su"BMIgTTA MAY 8 2013 Permit Number: OSQ PID Number: 121267 015-234-27 Dwelling: M Single Family (SF) M Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New M Upgrade Name: GARY GOODRICH ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 11732 MOOSE RD, ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot ALPINE WOOODS 3 5 Fill added above original gradeGravel Ft. length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ft' I FL Well >200' TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1250 Gal. Surface Water >100' Material Number of compartments Lot Line >10' STEEL 2 NA Foundation >51 LIFT STATION Manufacturer Capacity Curtain Drain N.O. Gal. Remarks EXISTING DRAIN FIELD CONNECTED Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank Tank to 3034 drainfield Installer A+ HOME SERVICES Drainfield CO/MT Inspector ANSON MOXNESS BENCH MARK (Assumed elevation)100 It Inspect1r 10/12/12 Location and description : 2nd 30 4m BOTTOM SIDING NE CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Conditional Approval: Date 'At GST' ti`II ri Lon e. u�LRKIND. L35 0 r�(J'F'�5 Approved Dat mf"W Inspection Report -9-1-1 ABANDONED EXISTRIG W Q SEPTIC TANK PER MDA COOf REO1/1RfMfNTS I IFUE EASE — — — N07£TRIS 15 NOT SURV Y ro SWING TIES A B rM S.T. C.O. C 29, 52' T. CO. S.D 31' 52' n LOT 5 / I A f £0 PLAT. WELL & S£P7/C LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER 25 0 25 50 75 100 125 150 DEPARTMENT DOCUMENTATION. All LOCATIONS SHOWN ARE APPROXIMATE. I SCALE., I' = 50 FT. DOUBLE CLEAN 4 FEET COVER CONNECT TO EXIST BRAINFIELB 1250 GALLON SEPTIC TANK FOUNDATION CLEANOUT 4t 49th .@ LARS BENCH MARK BOTTOM SIDING N£ CORNER -�Oo ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING I I ALPINE HOODS BLK 3 LT 5 SEPTIC SYSTEM ASBUILT 203 W 157H. AVENUE ANCH. AK 9950111 GARY GOODRICH DATE. OCT 12, 2012 7 279-3916 11732 M005E RD ANCHORAGE, AK 99.716 SHEET:V7 GRID: Z7J3 PERMIT # OSP 121267 PID # 015-234-27 ALPINEVD17DSB3L5-49BBVG On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121267 Tax Code Number: 01523427000 Work Type: Septic Upgrade Permit Effective Dates: September 14, 2012 to September 14, 2013 Design Engineer: SPURKLAND ENGINEERING Subdivision: ALPINE WOODS Site Legal Address: ALPINE WOODS BLK 3 LT 5 G:2738 Owner/Address: PHILLIPS SANDRA 11732 MOOSE RD ANCHORAGE AK 995162470 Site Mailing Address: 11732 MOOSE RD, Anchorage Lot Size in Sq Ft: 36000 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank . N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: /Y /� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1. D. 015- 234-21 Property owner(s) GARY G'oopta Day phone 7-30-1948 Mailing address I Site address — Legal description (Sub'd., Block & Lot) A1g1ne WooDS BlK 3 Lo} 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (0 all that apply) Initial ❑ Absorption Field ❑ Upgrade Septic Tank �. Renewal Holding Tank ❑ ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single (�Family , Dwelling and is in accordance with applicable Municipal Codes. �- P Mloml (Signature df property owner or Permit/Rush Fees: o�JO �`��Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Oy 34' l G\ Receipt Number: Permit No. 046e V;3t. 1a4-1 Waiver No. G.Muilding\On Site\FonnsUient FonnsTennd App_010411.doc (Rev. 1/11) SPLIT oeind Engolmc mang Environmental Consulting and Design August 22, 2012 Municipality of Anchorage Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SEPTIC TANK PERMIT APPLICATION Alpine Woods Block 3 Lot 5 Ladies and Gentlemen: We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving the above referenced property is 24 years old and appears to be leaking. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 279-3916. SLwsspi yA�Nu�nd/ kland, P.E. 203 West 15t" Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net ABANDON EXISTING SEPTIC TANK PER MOA ' CODE REOL!lREMfN7S .i r L,i>iing F o. I �✓ I tFuii EASE — OT 5 NOT£. THIS 10 NOT A SURVEYED PLAT. WILL a S£PTlC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER 25 0 25 50 75 100 I25 150 DEPARTMENT DOCUM£NTA710N. ALL LOCATIONS SHOWN ARE APPROXIMATE. I SCALE., P = 50 FT. DOUBLE CLEANC" 4 FEET COVER CONNECT TO EXIST BRAAF1£LD 1250 GALLON SEPTIC TANK FOUNDATIDN CLEANOUT WNW MARK ASSUMED ELEVATION 100 FEET SPURKLAND ENGINEERING ALPINE WOODS BLK 3 LT 5 SEPTIC SYSTEM 103 W 15TH. AVENUE ANKH. AK. 99501 GARY GOODRICH DATE: AUGUST 15, 2012 (907) 179-3916 111JY MDDSt' RD ANCHORAGE, AK 9991G 3HL•"En 117 GRID: 27Jd PERMIT # OSP 111XXXX PID # 015-234-27 ALPINEVDGTSB3L5.BVG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON—SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name t+ DISTANCES Address TO SEPTIC ABSORPTION FROM WELL y -_ _ t TANK FIELD i Phonefs) Permit No No. of Bedrooms WELL - LEGAL DESCRIPTION LOT LINE __.. Lot Block Subdivision FOUNDATION Township, Range. Section(t,. AS-BUILT DIAGRAM (Show Iocani of well, septic system_ property Ines, loundaticn, dri—way, water bodies, etc_) TANKS SEPTIC ] HOLDING t ManWacturer Capacity in gallons J Material No of Compartments .M TYPE OF SYSTEM F, TRENCH ; BED ❑ W. DRAIN OTHER Depth to pipe tortoni Irom Notal depth from original grade +` ongin- yrade - _ FT FT Fill added about ufiginal gr.,de I�-rvel tFIh beneath pipe ..� / •I t FT FT Grav tier -g J' Gravel width F FT lotalaosorptu r a�ea Distance between tines ✓ sQFT + � FT Nunibbr 'If , ac ratuig i Pipe matenal SQ FT- - j - Ins al r I [ Date Installed 7. WELLS n ,� CJ PRIVATE ❑ OTHER (Identifv) - — -- Gassih anon rA B.G1 iota) DePil1 Cased to --- --- -- -- - FT FT Ins;alle Date Insrahed. REMARKS: Scale: ENGINEERS SEAL Inspections FrerfrJnecl by. r- t Date. .7 \ - aii WI certify That this inspection was performed according to all Municipal and State guidelines in effect on this date: Z Z v/�cJ v Health Department Approval: Date. � �w 7'>-n1'l r'liR�l Day rhcom;; 25H - 1 ST) SL� s 1 1 i..V 01 Ia I idl 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS -�� WAS GROUND WATER k ENCOUNTERED? 1 IF YES, AT WHAT t DEPTH? E E Depth to Water After Monitoring? "a 1 111,71, i INEER'S SEAL) r = Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE 825 "L" Street, Anchorage, Alaska 99502-0650 q ,w,-_ v _ F, • 8r"JC 1 Corwin SOILS LOG - PERCOLATION TEST PERFORMED FOR: i ) DATE P11YkM R3'���� ' LEGAL DESCRIPTION: - "-: a" ! ,3�r.,'-A4nship, Range, Section. DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS -�� WAS GROUND WATER k ENCOUNTERED? 1 IF YES, AT WHAT t DEPTH? E E Depth to Water After Monitoring? "a 1 111,71, i W_ Readirycf� Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT LCERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: — % 1 -7 72-008 (Rev. 4/85) r = W_ Readirycf� Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT LCERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: — % 1 -7 72-008 (Rev. 4/85) i L / IIN , I 0.93 Ac.�c I - _ _SEWER. SYSTEM LOCATION PLAN EDT BLOCK SUBDIVISION SECTION/TOWNSHIP/RANGE �z i 0 I eiELL �,. f my `. ;f'• °• "t� - I SCALE, NOTE THE ACCURACY OF LOCATION OF EXISTING WELLS, AND SEPTIC PROPERTY CORNERS, DRAWN BY' SYSTEMS INDICATED 1S NOT EXACT. DIMENSIONS INDICATED HAVE BEEN AND r•�Q.f. "' t�yt� NORTH �pP E�-� DETERMINED BY USE OF CLOTH TAPE NOT BY SURVEYING TECHNIQUES. C.r in f !1`jr.�L'�2>33 s i'�PREPARED \�j A Vhf )Ljl FOR LJ iJ P �Q ae f QssoclQ es, inC P = !<16ESS��S Engineers " a;,; . ._ - 2 DATE'// SHEET J OF ` \ \ ` I S I I 'I I 0 i L / IIN , I 0.93 Ac.�c I - _ _SEWER. SYSTEM LOCATION PLAN EDT BLOCK SUBDIVISION SECTION/TOWNSHIP/RANGE �z i 0 I eiELL �,. f my `. ;f'• °• "t� - I SCALE, NOTE THE ACCURACY OF LOCATION OF EXISTING WELLS, AND SEPTIC PROPERTY CORNERS, DRAWN BY' SYSTEMS INDICATED 1S NOT EXACT. DIMENSIONS INDICATED HAVE BEEN AND r•�Q.f. "' t�yt� NORTH �pP E�-� DETERMINED BY USE OF CLOTH TAPE NOT BY SURVEYING TECHNIQUES. C.r in f !1`jr.�L'�2>33 s i'�PREPARED \�j A Vhf )Ljl FOR LJ iJ P �Q ae f QssoclQ es, inC P = !<16ESS��S Engineers " a;,; . ._ - 2 DATE'// SHEET J OF ` tkJ,� L L IL -ev 0 Z3' 401 t4 1y) PeOP056- D rA4 -P L 3 Qin ly LdELL SYSTEMLOCATION PLAN T LOT BLOCK -3 A SUBDIVISION L,F i r\j e tt)ooDc 0A, SECTION/TOWNSHIP/RANGE SCALE, NOTE - THE ACCURACY OF LOCATION OF EXISTING PROPERTY CORNERS, WELLS, AND SEPTIC DRAWN BY- SYSTEMS INDICATED IS NOT EXACT. J/DIMENSIONS INDICATED HAVE BEEN NORTH e- v/ p E,7 5, DETERMINED BY USE OF CLOTH TAPE AND NOT BY SURVEYING TECHNIQUES. Aw Sh PREPARED FOR, . . ....... . ...... . DATE: SHEET OF .. . ......... .... .... PLAN VIEW � Nk Oj o I SECTION VIEW LOT BLOCK / SUBDIVISION a e � Ar::, SECTION/TOWNSHIP/RANGE I SCALE, NOTE- 'c�'.x 'r / THE ACCURACY OF LOCATION OF EXISTING PROPERTY CORNERS, WELLS, AND SEPTIC J r !y �� DRA BY SYSTEMS INDICATED IS NOT EXACT. �ijL, NORTH �•/�� DIMENSIONS INDICATED HAVE BEEN DETERMINED BY USE OF CLOTH TAPE AND x +'.v "' >' ",' .•9 F -"` - -, i NOT BY SURVEYING TECHNIQUES. PREPARED FOR F F ussociafes Consvitlr Engineers DATE+ /i - , % - .9 _a SHEET / % ' -.4 Multiple Listing Service, Inc. © Rev. 6/85 EARNEST MONEY RECEIPT AND AGREEMENT TO PURCHASE This is a legally binding contract. Read both page 1 and 2 carefully before signing. LOPhone Listing Of ce Selling Office RECEIVED F�RPM — r! The sum of Iv /`e U1 PX(� Lc/ In the form of check for $ ��!10- —, cash fo $ , due no later than _ as earnest money on and part payment for the real pi Recording DisAict, State of A�ska, described as: I. -6 3 - Q SO Phone Agent m AgentAr SS# Dollars ($__�093 , �MA fnr and i other _ to be held in Tr nts situated in the and all fixtures and equipment attached to and a part of the above-described property. DOWN PAYMEE,N,T (includin earnest money shown above) ..............................$ BUYER sf�all-ap fora 6'n4_Lr '� �C�` �� loan in the Ie approximate amount of �'" • • �. / vr<. ..cc-4�'2....$ BUYER shall assume Sellers oan o pprox+mat ly.. • • • • . BUYER to execute a Deed of Trust and note in the approximate amount of ................$ / payable at $ , or more, per month including % interest per annum for years payable to tG/� TOTAL PURCHASE PRICE.......................................................$` Cn COSTS: The costs designated below shall be paid as indicated by Buyer (B) or Seller (S): ITEM B S ITEM B S ITEM B S ITEM B S Bank Service Fee Doc. Prep. Fee Assumption Fee Smoke Detectors ' Commitment Fee Recording Fee Ej I Assump. Transfer Fee HOA Transfer Fees Credit Report Owner Title Ins. Bank Set Up Fee Well Flow Test MIP/PMI ALTA Title Ins. Annual Escrow Fee VA Funding Fee Appraisal Warehouse Fee - Escrow Closing Fee rokerage Fee Survey Discount Points Assessments Other Est./Replace Reserves Tax Registration Well/Sep. Inspect. Fee Other Additional Terms and Conditions _ y — , .: . n . , . W 11W I 1. CLOSING/POSSESSION. This sale shall be closed on or before Y 30 19 r8. . Possessidri shall bb given to Buyer: '❑ On closing ❑ Before closing under attached occupancy agreement. 2. FINANCING. Buyer agrees to apply in good faith for any necessary loan or assumption within days of Seller's acceptance and provide all information, pay all fees and satisfy all conditions required by the lending institution for processing of loan and/or assumption application. Broker has made no representations as to availability of any loins or the interest rates. In the event Buyerfails to obtain aloan commitment, through no fault of his/herown, within a5 days from the date of this Agreement, the tamest m9poy will be refunded, except for direct cost incurred in prcces ing tha application..AIhcn a commitment is obtained, .; additional days are allowed for closing. If purchase is not completed within specified time, earnest money shall be forfeited by Buyer. 3. BROKER INFORMATION. Buyer and Seller authorize allio- +OiRAblUrOOR Vdgi "(BRFleffents with closing statements or other information upon request. Buyer and Seller authorize all lend epgw IRSAV14i a&q appraisers to furnish to the Listing and/or. Selling Agents on request any and all information and copL"pf #(9fV��op�j�gitatus, progress and final disposition of loans, credit, appraisal, closing, conveyance and any other matter re ate to f�hhis ��s��a"1I''e��. 4. DUE ON SALE. If any existing loan contains an acceleration or "pn le" the lender will demand full payment of the entire loan balance as a result of this transaction. '' 5. CLOSING DOCUMENTS. Buyer and Seller agree to sign all ne y nP o Is and perform the conditions the closing agent and/or any financing institution. 2a��J 7__"f_G"""� "G"� •P ,Q� .G"L'•"' C'`"" W�� NAME OF SELLI AGENT SIG T DATE I/We agree to urcha4 Agreement is hereby irrevocable right for returned. BUYER �Z Print names to beon / ADDRESS 10 TIME AGENT PHONE and pay for the above described property on the terms and conditions herein stated. Receipt of a copy of this oknowledged. I/We understand this is a legally binding contract. Said Agent is granted the exclusive and itllJ� days from date to obtain.an acceptance of this offer failing which earnest money deposit shall be ents: BUYER PHONE: Home Office 9sc SELLER ACCEPTANCE. I/We accept the foregoing offer and agree to sell and convey the property described on the terms and conditions herein stated. UWe understand this is a legally binding contract. If the sale is not completed, [Me agree to pay for preliminary title report. Seller's Disclosure: Seller certifies that there are no known problems with: the well, if applicable; the foundation or basement walls; the roof; the septic system or sewerage system; the heating or plumbing; drainage in the yard; the fireplace; water in the crawl space; or other except as noted herein. TAX ADVICE. Seller acknowledges he/she has been advised to seek counsel of a tax attorney or Certified Public Accountant for Income tax consequences of this transaction. - f COMMISSION. IIWe agree to pay forthwith at closing to the above named Broker a commission of $ 2�- _, �;Z for services in this transaction. In the event of a forfeiture of the deposit as above provided, the said deposit shall be raid to or retained by the real estate firm to the extent of the agreed upon commission with residue to the Seller. I/We authorize said real estate firm to payout of the cash proceeds of sale the expense of furnishing evidence of title, of recording fees, if any, as well as any encumbrances on said premises payable by me/us at/or before closing. I/We acknowledge receipt of a copy of this earnest money receipt bearing my/our signature(s) and that of the Buyer(s) named above. 141 e�.� CLOSING AGENT. I/We hereby appoint ��y �� rtrue and lawful attorney, to have prepared on my/our behalf all legal documents necessary to complete this transaction. DATE TIME SELLER SELLER Print sags to be on deed: ADDRESS PHONE: Home Office DELIVERY TO BUYER OF COPY OF ACCEPTED OFFER BUYER RECEIPT. The undersigned Buyer(s) acknowledges receipt of a fully signed copy of the foregoing Agreement. DATE !! —60 19 TI E �Z ' Z J P•M• BUYER BUYER Page 2 of 2 EARNEST MONEY RECEIPT AN&-AdREEMENT%TTOPURCHASE f Regarding property described as -5 8. EARNEST MONEY—DISPOSITION. If either Buyer or Seller fails to comply with paragraph 5, above, then the other party Buyer or Seller may forfeit the earnest money and/or proceed in any may terminate this agreement and, as applicable: other legal manner. In the event that the Broker is unable to determine to his/her satisfaction which party is responsible for tailing to perform the for release of earnest money to one or Buyer requirements of the contract, the Broker shall request the parties to execute an agreement the other or both parties. Broker need not disburse earnest money until an agreement is signed. Alternatively, Broker may: (a) with Resolution Center or other agreed arbitrator; or (b) Buyer's and Seller's consent, submit the matter to arbitration by the Conflict the courts for determination of who is entitled to the earnest money. The Broker shall be entitled eller interplead the earnest money with to an award, from the earnest'money, of reasonable attorney's fees and costs for interpleading the earnest money. 7. PROPERTY CONDITION. Buyer offers to purchase the property in its present condition, or on terms itemized and made a part of that Broker is unable to independently verify the condition of any aspect of Seller's property, gayer this Agreement. Buyer understands including well and/or sewage system. Any representatit.ons ltBuyer hold ion of eBrokerare bharmless from ased upon l�epr se nation s ller h Seout and tions an Se contained in this Agreement or leading to sale. the are destroyed or materially damaged prior to closing, this contract shall, at Buyer's In the event any improvements on property election, immediately become null and void and earnest money shall be returned to Buyer on demand. 8. TITLE. Seller shall convey title by statutory warranty deed, and will provide proof of marketable title at time of closing by a issue title insurance. Title shall be clear of encumbrances except conditions, restrictions, reservations j preliminary commitment to and rights-of-way, easements and covenants of record. 9. PRORATION. Taxes, interest, insurance and prepaid rents and Home Owner's Association fees, if applicable, will be pro -rated as of the date of closing. Security deposits shall be transferred to Buyer. e within s Agreement is based uponis B notrassignab eapparent e pressthis tothequalify without ability 10, Seller's ,rtten co sent of the agreed time and acco ding to the agreed terms. This Agreement r. Seller. 11. BROKER. it is mutually agreed by all parties that the Brokers shall not be held liable in any manner whatsoever for damages Buyer acknowledges that the Broker represents arising from defaults or acts by or upon the part of either party to this agreement. only the Seller, and not the Buyer. 12. SQUARE FOOTAGE. Broker makes no representations as to the square footage of the improvements or land. If this is important to the Buyer, the Buyer must independently verify or measure the square footage. 13. CODE SAFETY COMPLIANCE. Broker makes no representations that house or other improvements meet current building code for of any work necessary for Building Code requirements. safety or other requirements. Broker shall not be liable the cost ? 14. ENTIRE AGREEMENT. This document and the referenced attachments if any consisting of Pages contain the 9 entire Agreement between the parties. It may not be modified except in writing and signed by the parties. 15. PERIOD EXTE SION. Time is the essence of this contract but either Broker may, with written notice, extend for a period not to hereunder except the time for the acceptance hereof by exceed days the time for the performance of any act Seller. NAME OF SELLI AGENT SIG T DATE I/We agree to urcha4 Agreement is hereby irrevocable right for returned. BUYER �Z Print names to beon / ADDRESS 10 TIME AGENT PHONE and pay for the above described property on the terms and conditions herein stated. Receipt of a copy of this oknowledged. I/We understand this is a legally binding contract. Said Agent is granted the exclusive and itllJ� days from date to obtain.an acceptance of this offer failing which earnest money deposit shall be ents: BUYER PHONE: Home Office 9sc SELLER ACCEPTANCE. I/We accept the foregoing offer and agree to sell and convey the property described on the terms and conditions herein stated. UWe understand this is a legally binding contract. If the sale is not completed, [Me agree to pay for preliminary title report. Seller's Disclosure: Seller certifies that there are no known problems with: the well, if applicable; the foundation or basement walls; the roof; the septic system or sewerage system; the heating or plumbing; drainage in the yard; the fireplace; water in the crawl space; or other except as noted herein. TAX ADVICE. Seller acknowledges he/she has been advised to seek counsel of a tax attorney or Certified Public Accountant for Income tax consequences of this transaction. - f COMMISSION. IIWe agree to pay forthwith at closing to the above named Broker a commission of $ 2�- _, �;Z for services in this transaction. In the event of a forfeiture of the deposit as above provided, the said deposit shall be raid to or retained by the real estate firm to the extent of the agreed upon commission with residue to the Seller. I/We authorize said real estate firm to payout of the cash proceeds of sale the expense of furnishing evidence of title, of recording fees, if any, as well as any encumbrances on said premises payable by me/us at/or before closing. I/We acknowledge receipt of a copy of this earnest money receipt bearing my/our signature(s) and that of the Buyer(s) named above. 141 e�.� CLOSING AGENT. I/We hereby appoint ��y �� rtrue and lawful attorney, to have prepared on my/our behalf all legal documents necessary to complete this transaction. DATE TIME SELLER SELLER Print sags to be on deed: ADDRESS PHONE: Home Office DELIVERY TO BUYER OF COPY OF ACCEPTED OFFER BUYER RECEIPT. The undersigned Buyer(s) acknowledges receipt of a fully signed copy of the foregoing Agreement. DATE !! —60 19 TI E �Z ' Z J P•M• BUYER BUYER Page 2 of 2 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services M7 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 1. D. # C 1� -q - 1 1 HAA # �-I li�' 2�2t tib' 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, ran Location (address or directions) 9L'tL_j'( (b) Property owner t•t� ,�-- Telephone: (home) � Business Mailing Address tAAt\` (c) Lending Institution Telephone 0A, MailingAddress �9'6' �1d) Real Estate Company and Agent Address Telephone 5 4r., Z - - iv S (e) Mail the HAA to the following address: (or check here &'if hold for pick up.) List contact person and day phone number below: (t SZZ-t311 2. TYPE OF RESIDEN Single -Family Number of bedrooms 49 3. WATER SUPPLY Individual Well ❑ CommunityPublic ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAG!��PuSbAric L On-site ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty 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 regu}ations in effect on the date of this inspection. Name of Firm Address 1 nn n G- 0 l Date /ZZ Telephone S ZZ— ( 3 t• r' win -__5 S Engineer's Seal 6. DHHS APPROVAL �' Approved for � bedrooms by �L- 1 � tate Approved' Disapproved Conditional Terms of Condit onal Approval CAUTION, The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 G� PNCNGo �`c MUNICIPALITY OF ANCHORAGE (MOA) M�N\C1\1 r, s Health Authority Approval (HAA) �N CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: L— C>T 5. BU GlG A. WELL DATA �• 2- Well Classification If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting / Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Doression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: ,� 1 To Septic/Holding Tank on Lot / A ; On Adjoining Lots To Nearest Edge of Absorption Field Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Se ice Line on Lot Water Sample Collec by ; Date Water Sample T t Results Comment B. SEPTIC/HOLDING TANK DATA Date Instal led P 0& size I Z S n No. of Compartments 2 Standpipes (Y/N) Y Air -tight Caps (Y/N) V Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumpedi.L) SclS't Pumping/Maintenance Contact on File (Y/N) ��� ; for Holding Tank High -Water Alarm (Y/N) tJ/_/—Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well ' Z 30) To Building Foundation f To Property Line 8d To Disposal Field ct 1 To Water Main/Service Line _ > [ C� To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front 1 Page 1 of 2 C. ABSORPTION FIELD DATA i Soils Rating in Absorption Strata �O n"'� Type of System Design Date Installed Zl���� Length of Field tjGl t t Width of Field Depth of Field Gravel Bed Thickness (y Square Feet of Absortion Area d CD P f Statndpipes Present (Y/N) Depression over Field (Y/N) /V Date of Last Adequacy Test �eu ��9T�' j Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 7 2-��C� To Property Line To Building Foundation �� To Existing or Abandoned System on Lot On Adjoining Lots To Water Main/Service Line t To Cutback (if present) Q14 To Stream, Pond, Lake, or Major Drainage Course IJ / A To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrica des (Y/N) Comments ""Check PermXt ed Bedr I certify that ,I ave the inspection. Signed Compan Date MOA No. Dimensions Manhole/AQaes,'_(Y/N) ump Off" Level at Vent(Y/N) Rating Against HAA Request" vrified, or conformed to all MOA and S Receipt No. C 71f...,; ) Date of Payment —� 7 ll? Amount: $ L» -a U Receipt No. Pumping Cycles during Adequacy Test. `8 effect on the date of this Engineer's Seal Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 CORWIN & ASSOCIATES, INC. 1000 E. Dimond Blvd. Suite 205 ANCHORAGE, ALASKA 99518 (907) 522-1311 JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY crani F DATE PRODUCT 204 -1e -es Inc.. Groton. Mass 01471- DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR DATE: June 30,1989 1:114SID: 213598 563-6775 To Whom It May Concern: According to the records on file in this office, the Alpine Woods S/D Water System is in compliance with the State of Alaska Drinking Water Regulations. CT: gd Sincerely, CINDY THOMAS, Environmental Engineer "ICIPALITY OF ANCHOp EWRp PT_ OF HEALTH & NMENTAL pROTECTION gJ RECEIVED