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HomeMy WebLinkAboutT15N R1W SEC 16 LT 19 S440.6' LESS W2 OF S132Onsite File T15N R1W Section 16 Lot 19 S440.6' Less W2 of S132 #051-212-38 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211084 PID Number: 051-212-38 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ABSORPTION FIELD Heath Beesley ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 18408 Amonson Rd ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SFJ 10 FL LEGAL DESCRIPTION Depth to pipe invert from original grade 5.98 Ft, Gravel depth beneath pipe 4.02 Ft. Subdivision Block Lot 19 Fill added above original grade 0.29_0.87 FL Gravel length 38 Ft, Township Range Section T15 R1 W See 16 S440.6' Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES Less W2 of S132 To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank' Field I Lift Station Tank Line 375 Ft2 1 Ft. TANK Z Septic ❑ S.T.E.P. ❑ Holding ❑ Other Well 1001+ 1001+ Manufacturer Greer Capacity 1000 Gal, Surface Water 100'+ 1001+ Material Plastic Number of compartments 2 Lot Line 51+ 101+ NA ? LIFT STATION Foundation 101+ 101+ r urer Capacity Gal. Remarks Alarm location stalled by PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Installer JR'S Drainfield D3034 CO/MT D3034 Inspector Arcterra BENCH MARK (Assumed elevation) 100 ft Inspection 15, 5/24/21 5/26/21 Location and description dates: 2w 3m .5/27/21 4"1 6/4/21 North Gast Roof Corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 49Iti�� KENNE S U, CE :1 rd Ar �F, Septic System l� Approved Date_% .�CI."1 �zr does include E Note: this approval not well permit requirements. 4lks (Rev 05/02/18) AS—BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP211084 T15N R1W SEC 16 LOT 19 S440,6' LESS W2 OF S132 PID# 051-212-38 1D'x2D' SEPTIC EASEMENT DMK 021DG, PG 259 A -C=14.6' B -C=26.8' A -D=15.3' B -D=27.2' o A -E=17.9' m B -E=28.7' A -F=22.0' B -F=31.0' A-6=24.5' B-6=31.9' A -H=24.8' B -H=31.1 W A -I=56.9' a B -I=42.0' f A -J=99.0' B -J=82.0' A A -K=108.0' o B -K=99.0' y A -L=109.3' B -L=101.2' A -M=111.5' B -M=110.6' A -N=110.7' B -N=110.3' IM vi•ui w w ofs 49 5U f o�-17 FINAL 000 GAL SEPTIC SCALE; NTS ��� r f* : T *� RB N NEMs C 7 6 44 7 r L zI S5I0��� SEWER ROCK PREPARED FOR: HEATH BEESLEY 904 CLASSY CT. CLARKSVILLE, TN, 37042 FIELD BOOKS BOUNDARY- N /A STAKING NSTAKING N /A ASBuiu: FR ON 1 DWG. RM* ACAD "m' FILE 38' COMPUTED: DRAWN: KS❑ CHECKED: KMQ DATE:* GFdD: NW10` IIB Noy 21010 E Ln W 0 SCALE; 1' = 50' age T 4A2' 32.81 4/30/21 -DRY SCALD NTS '.C1Ej?j Off' � + F� ° � Yi N � x c> z �� •tir.a� .. 0.I ''C 41' d eR AK. 99577-6 az Scale 1" = 40' I I I I I I I I z� I to t Z F DRIVEWAY ESMT � 8K. 2106, PG. 258 G. to V� f ' I o 0 I � u•� y � I 1 Legend Electric Meters )-) Telephone Pole Gas Meter ��"� Over Head Utilities Fence - cC Septic Tank M.H. Water Well Septic 0 W2 OF THE S. 132' OF GOVT. LOT 19 c 0 ICO co 1OX20' SEPTIC ESMT BK. 2106, PG. 256 f � N00° O6' 56"W 132.001 1 wo SEE SEPTIC DETAIL U 3 c _ Is, p0 - 52.5 _ d3 5-4 N00° 07'00"W 309.40 BLM Lot 19 Sec. 16, T1 5N, R 1 W, S. M. Less Swanee Subd.,& W2 of the S. 132' 2.75 A C. +/- 18408 Amonson Road 2 Story Wood Frame House SEPTIC DETAIL SCALE. 1"= 10' tsx /\+ ISM J 1 + ��� 4o01a� C S00° 06' S2"E 441.40 MEAS. General Notes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys forthe purpose of a plot plan for Sabra Gilliland, only. 3. This document is based on BLM TWP accepted June 11, 1951. ZE OF AL f+, Disclaimer P s,�9,►, 1. This survey complies with the ASPLS Mortgage Location Standards The survey represents visible rI/ improvements and conditions at the time of the survey- This document does not constitute a boundary = 4 H '1 survey and is subject to any inaccuracies that a subsequent boundary survey may reveal It is the .. responsibility of the Owner to determine the existence of any easements, covenants. or restriction which do no appear on the record plaL Under no circumstances should this document be used far f , .. ... , ... • _ • , , • • _ • , , • , , construction or for establishing a boundary or fence line 'ry Fie W 51 &F4 /r N - L5- 12 Y 2D RFO 80 rr '`"A 6111j/202i Scale in Feet + t 1s'Otal LOT 13 LOT LOT 12 o � c � m o y co r LOT 11 O V) ul V coco Q IM LOT 10 LOT h�Nc+vn`rr`o� MUNICIPALITY OF ANCHORAGE �Zll IT( f On -Site Water &Wastewater Program 4 PO Box 196650 4700 Elmore Road f j Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 1 1 http:/Avww.muni.org/onsite n� '" L)clTarnTtetTt RNCH OR ��� On -Site Wastewater Disposal System Permit Permit Number: OSP211084 Effective Date: 3/26/2021 Work Type: Septic-ERii Upgrade Expiration Date: 3/26/2022 Tax Code Number: 05121238000 Site Legal Address: T15N R1 W SEC 16 LT 19 S440.6' LESS W2 OF S132 G:1058 Site Mailing Address: 18408 AMONSON RD, Chugiak Owner: BEESLEY HEATH Lot Size in Sq Ft 119790 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 3 This permit is for the construction of: 9 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage Ait uuiiu ruuiion Siic8i4 i3L Iii c�GS:CirEiciriC:#' ftti: 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 dav, or b. Covered, sealed, and treated to prevent freezing C,!ON 0 S J Va ir-te ll. 0_�Me_ rJ 0-c� ©, e lean o �,A_j SIAM\ be � M\J i ae j erorosed _�ie(d area of leas+ ohe -the rriC 5/6/ 2-02-1 'Received By: Issued By: _ J,I --o pe - rn 4 . Hate: Date: MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-212-38 Property owner(s) Heath Beesley Mailing address 904 Classy Ct. Clarksville, TN 37042 Site address 18408 Amonson Rd. Chugiak, AK Day phone Legal description (Sub'd., Block & Lot) lot 19 S440.6' Less W2 of S132 Legal description (Township, Range & Section) T1 5N R1 W sec 16 Lot Size 119,790 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field © Initial ❑ Single Family (SF) x❑ (w/wo AD U) Septic Tank x❑ Upgrade 0 Duplex (D) ElHolding Tank ❑ Renewal ❑ Multiple Multiple Dwellings El Privy El and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: Z "I" 3� Waiver Fees: Date of Payment: 3 � (o a0 0 1 Date of Payment: Receipt Number: M ' 0 6 Receipt Number: Permit No. 05 P 21 l0 S� Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 01 �FtCTE R,pq s aS 995T1 •h�. May 5, 2021 ARcTERIZA CONSULTING, INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Leachfield Upgrade — T15N R1W SEC 16 LOT 19 5440.6' LESS W2 OF S132 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed system on the subject lot. The tank replacement is permit # OSP 211084 and we will complete all construction at the same time. The proposed upgrade will serve the existing 3 -bedroom house. The property is scheduled to sale as soon as the entire system is replaced. A new testhole was dug on April 16 and is attached; no groundwater was observed during the dig or after the 7 -day monitoring. The field will be located on a bench in an area with slopes of 15-200. We propose one 5' wide trench, 38' long with 4' effective depth and total depth of 10 feet. The existing seepage pit is in failure and will be abandoned in place. The adjacent lots are developed and are served by private wells. There is no surface water within 100' of the proposed tank. The new system will be outside any protective well radii. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 696-6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P.E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211084, Rebecca Carroll, 03/26/21 WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN T15N R1W SEC 16 LOT 19 S440.6' LESS W2 OF S132 PID# 051-212-38 ltrxzo- sErrlc � EASEriENi' 8DC9C—"� 02106, PG 254 I o L— INSTALL NEW 1000 GAL TANG IX1AWSTING 1/11�OUSE r . -N E LA LTJ i-� A FLAG PROPERTY LINES Scate: 1'= ....__....„._.....- 50' WELL RADII & EASEMENTS DESIGN DETAILS 5' CONTOUR INTERVALS �PRIOR TO CONSTRUCTION 3 BDRM X 150 GPD = 450 GPD 450 GPD/1.2 GPD PER SQ. FT.= 375 SQ. FT (375 / 5')(0.50 RF) n _ = 37,5 FT. TRENCH USE 1 TRENCH: _38' (L) X 5' (W) X 4' CD5 m Total depth of system Is 10' max from orlglnat grade. Total depth of gravel below distribution is 4' m NOTES; pipe , NO PUBLIC WELLS WITHIN 200' OF PNO ROPOSED SYSTEH. L INSTALL 1000 GAL. TANK & INSULATE TANK IF <4' COVER, 2. INSULATE o PROPOSED TSYSTEM EXCEPTASNOTED. TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATI❑N, — NU SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED, >3' COVER NO INSUL REQ. 3. INSTALL 2 PRE TANK & POST TANK C❑'S PER CODE 4. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK, 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, F PROPERTY LINES, ETC,,, 4Z `6.� ••— 4 PR PAGE 1 OF 1 EPARED FOR; HEATH BEESLEY 904 CLASSY CT. CLARKSVILLE, TN, 370422 FIELD BOOKS BOUNDARY: N /A STMNG`. N/A ASSUILT: DNG. NU: ACAD "FILE COMPUTED: °RASK D CME------KMD DA— 5 /4/, w NW10` 'IDD No.: 21010 �FtCTERRq P OF : b s CONSULTING, INC '.!� `I'II . _ ¢ x 20441 Ptarmigan, Eagle River,AK 99577 t`v - Office (907) 696-6111, Fax (907) 868-3793 7571 ' ... f. KENNETH M. 1 FFl a 1 all�r SOILS PERCOLATION TEST Performed for: Heath Beeslev Date Performed: 04/16/2021 Project: T1.5NR1W_se.cl_6 T__Qt_19 5440.6' Less _W2.Of 5132 PERC#1 TEST HOLE# Depth (Feet) SEE ATTACHED SITE PLAN ORG/OL I - FOR HOLE LOCATION 17- 18- 19- 20- GM(1'6"-6') Sporatic layers of SP - PERC BENCH 91 (6') SP (6' -BOH) Cobbles to 2" - 12" B.O.H. 16'0" HOLE PRESOAKED PRIOR TO TESTING Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NO ' Date? 4/23/21 _TH_21- i___ Reading Date Gross Time Net Time Depth to Water Net Drop 1 4/23/21 10:00 - 8" - 2 10:10 10 min 17/16" 6 9/16" 3 * 10:10 - 9" - 4 10:20 10 min 2 7/I6" 6 9/16" 5 * I 10:20 - 9" - 6 10:30 10 min 2 7/16" 6 9/16" 7 * 10:30 - 9" - 8 10:40 10 min 2 7/16"- 6 9/16" 9 * 10:40 - 9" - 10 10:50 10 min 27/16" 69/16" 11 12 * Water Added Percolation Rate 1.5 (min/in) Perc Hole Diameter 6" Test Run Between 6.0 feet and —6,-.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. GP~ATER ANCHORAGE AREA BOROI"~H HEALTH DEPARTMENT N? 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 548 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING /'~'~ ~// NAME .~'"~7-.,.~-~-Z'/~--.~'''~' -.~-~"~',~.,/-~//~/ ADDRESS~/~/ ~ ~-' PHONE LOCATION ~ ~// ~ LEGAL DESCRIPTION ~:/~' ~ SEPTIC TANK: (~ ~- DISTANCE FROM WELl ~ ' ~-~, MATERIAL ~',~ COMPARTMENTsNUMBER OF LIQUID LIQUID CAPACITY /~ GALLONS. INSIDE LENGTH /.INSIDE WIDTH ~ DEP[H~ SEEPAGE SYSTEM: SEEPAGE PIT:/:~"~"~/-~ d"~'~'~'~"~'/~ NUMBER OF PITS~ OUTSIDE DIAMETER OR WIDTH LINING MATERIA~ ~ ~-- ~'~'~ / . DISTANCE FROM WELT /~ NEAREST LOT LINE / ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINE~ ABSORPT~N AREA , BUILDING FOUNDATION. ~C~., .SQ. FT, ~ DEPTH: TOP OF TILE TO FINISH GRADE ~ATION ~ , NEAREST LOT LINE DISTANCE BETWEEN LINES "~TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE ' - , DEPTH , ~.bIEAREST LOT LINE ~.-'~ SEWER LINE DISTANCE FROM / , BUILDING FOUNDATION. SEPTIC ~-~, T/~NK ~..~_ SEEPAGE , SYSTEM -WATER / SAMPLE ,c. -., NEAREST OTHER CESSPOOL ~ , SOURCES DISTANCES: DATE DIAGRAM OF SYSTEM H EAL~H AUIHOR~1Y GRE:Ai'E:R ANCHORAGE: ARE:A BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3800 TUDOR ROAD POUCH 6-080 ANCHORAGE, ALASKA 99~02 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT NAME OF APPLI( INSTALLAT{ON LOCATION LEGAL DESCRIPTION MAILING ADDRESS COMPLETION DATE ANTICIPATED SEEPAGE PIT ~":' DRAIN FIELD OTHEr NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION. DIAGRAM OF SEPTIC TANK SIZE MINIMUM DISTANCES, RE~UIREMENTB FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK -,SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRArN FIELD WATER MAIN TO SEPTIC TANK DRAIN PIELD SEPTIC TANK, SEEPAGE Pit TO RIVER, LAKE, STREAM. , DRAIN FIELD ., DRAIN FIELD , SEEPAGE PIT ALSO CONSIDER AREA WELLS. _, SEEPAGE PIT DRAIN FIELD CAST IRON iNTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DrAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit PITTED WITH AIRTigHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATION. HEALTH AUTHORITY or LICENSED DESIGNER I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGh ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAiD CODE. DATE -;y/~ ~.~/ -~.~/x APPLICANT'S SIGNATURe CAS}: 5 Brown silty sand Gray fine to coarse gravel (OW) Was Ground Watex' Encountered?r.~,ja9 ., ..~, . ,.,.: · ....... ,,~ ,:l '1'o ..4~: t '.:0~! Of Pit '-," 'rest: Perforwed By: ~ Carlisle rOot a Cert i fi ed By :.,[a..ti_~o~n.a~l ~T..~iting Serviee s, Inc. ' APPLI( .NT FILLS OUT, UPPER ONLY ~' Phone MadlngAddre~ [~ ~dA~ 3 ~ Zl~~O,~e Address C.'~ d~ ~ ~ ~ ~ ~C Zip Code Lending Institution ~ ~ '~ ~ - ~o1 ~ ~ ~ ~0~L~ Phone Address Zip Code Realty Co, & A~nt ~t~ ~(~ ~ ~'~ % L~ O Phone Address ~S ~N~~ ~J~ ~'~ ~ Zip Code Street Locatl~ ~60~50~ ~ ~ Type of Resl*nce ~ , ~/~ D Multiple Family No. of Bedrooms ~ ~ ~ Other Water Supply ~ Individual ATTACH WELL LOG. A w~l log Is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, glv~ well depth (attach log if available), Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OO~SSING CAN BE INITIATED. Inspector Inspector Inspector Inspector (~) APPROVED BEDROOM~ *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size (0 EXCAVATION ' ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 May 10, 1983 Syndicated Equities ATTENTION: John Holmgren 2605 Denali, Suite 102 Anchorage, Alaska 99503 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ~ FNvtRONM,SNTAL PRO yECTION 1 ? ' g$3 ECEIVED Dear Mr. Holmgren, Reference: Lot 19: Section 16: T15N: R1W A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity o~ 1000~allons. The seepage pit was charged with 1200 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percol~. 0ut. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may b~ of further service~please do not hesitate to contact us. Sin~// cc: Municipality of Anchorage Department of Health and Environmental Protection ~ SRB 196X EAGLE RIVER, ALASKA • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-212-38 Expiration Date: 0 j 3, 1. GENERAL INFORMATION Complete legal description T15N R1 W Sec 16 Lot 19 S440.6' Less W2 of S132 Location (site address) 18408 Amonson Rd . Current Property owner(s) Heath Beesley _ _ Day phone Mailing address 904 Classy_Ct. Clarksville, TN 37042 Real Estate Agent 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: Individual Well ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: .,___ Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: _ Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2gO Waiver Fee $ Date of Payment —Z/ 2 1 Date of Payment Receipt NumberX31 _921—G _ Receipt Number COSA # QSG21 13 75 Waiver # istance: 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 ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441. PTARMIGAN BLVD., EAGLE RIVER. AK 99577 Engineer's Printed Name KENNETH M..DUFFUS-____ Date 6/30/21 Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future Vm occupants or can ArcTerra guarantee that no unseen oh a encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE System #1 Approved for xEi erx N. _,r,; ,: bedrooms. � ��� � System #2 Approved for bedrooms. �.r . w All Disapproved. •�-+•`� Conditional approval for bedrooms, with the following stipulations: �NPS�pGF`P� 4 P 1�61_k'1By: Original Certificate Date; The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12 doc Legal Description: COSA Checklist T15NRl W See 16 Lot 19 S440.6' less W2 of S132 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNK Total depth 258+* ft Cased to UNK ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in Date of flow test for COSA 6/4/21 Static water level at beginning of test 78 ft Comments *Info from 10/18/90 COSA B. TANK DATA Age of tank(s) 5/24/21 years Tank type/material Se fic/Plastic Measured operating fluid level in septic tank New 0 Standpipes/foundation cleanout per record drawing Date of pumping New D. ABSORPTION FIELD DATA Which system tested (date installed) 5/27/21 ® ALL standpipes present per record drawing Total measured depth from grade 10.56 ft (max) Measured depth to pipe invert from grade 6.54 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies. 21010 COSA Checklist yellow sheet Parcel ID: 051-212-38 Structure served by this system Well production at time of test 0.86 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes No 0 Coliform bacteria is Negative Nitrate 0.28 mg/L ❑ Nitrate less than MRL (ND) Arsenic ND ug/L ❑ Arsenic less than MRL (ND) Collected by Areterra Consulting Date of Sample 6/4/21 IFT STATION ❑ Re qu ;aintenance completed Age of lift station years Lift station material Comments: Adequacy test date New Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ro Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' 2] Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 21010 COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT Y, On -Site Water and Wastewater Section www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC211375 Subdivision: T15N RIW, Section: 16, Lot: 19 S440.6' Less W2 of S132 OEM= This well's productivity was determined to be 0.86 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is 0.313 gallons per minute or 150 gallons per day per bedroom. Although the well production currently exceeds this requirement and additional water storage has been provided, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. --ga 2 / unlclpallty~oI Anchorage On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 051-212-38 Expiration Date: GENERAL INFORMATION Complete legal description T15N, R1W, Sec 16, Lot 19 Location (site address) 18408 Amonson Road Current Property owner(s) Thomas Lambed Mailing address Day phone PO Box 771201 Eagle River, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: [] Single Family (w/woADU) [] Duplex [] Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 APR ~ TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual [] Holding Tank [] Community [] Public Sewer [] WaiverNariance request fei': Received by: ~" COSA to be released to th~,engineer, unless otherwise requested by the engineer. Distance: Date: COSA Fee $ Date of Payment Receipt Number COSA # Waiver Fee $ Date of Payment Receipt Number 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 Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone __ bedrooms bedrooms DSD SIGNATURE System #1 Approved for -~ System #2 Approved for __ Disapproved Phone (907) 272-8218 Conditional approval for Date¢~l~3- bedrooms, with the following stipulations: ~,~ ~ ' ' ' Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only rVICSS upon the representations given in paragraph 5 by an independent professionat 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 Septic System Advisory Well Flow Advisory '~ Nitrate Advisory Arsenic Advisory Other If more than t septic system is on the lot: COSA Checklist # ~ of ~ Structure served by this system ~ Certificate of On-Site Systems Approval Checklist Legal Description: T15N, RIW, Sec 16, Lot 19 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed Sanitary seal (Y/N) Y Parcel ID: 051-212-38 Well Log (Y/N) N Wires properly protected (Y/N) Y Total depth ft. Cased to FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: /~ colonies/100 mL Coliform Arsenic /~ 1~ ug/L ft. g.p.m. Casing height (above ground) 21 in. AT INSPECTION 6/19/13 92 rt. 0.33 g.p.m. Nitrate O,~ 7(0 mgtL Date of sample: ~$/,~, Co,e ted B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tanksize 1,000 gal Number of Compartments Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping (O/A.~/~,o|'~ Pumper .~/r~'$ C. ABSORPTION FIELD DATA Date installed 7/20/71. Soil rating (g.p.d./ft2 or~/bdrm) 85 SF/BR Length 12 rt. Width 12 Total depth 10.2 ft. Eft. absorption area 288 ft2 Monitoring tube y Date of adequacy test 6/21/13 Results (Pass/Fail) Pass Fluid depth in absorption field before test 2 in. Water added 48 Elapsed Time: 70 min. Final fluid depth 2 in. Any rejuvenation treatment (past 12 mo.) (YIN & type) No Date installed 7/20/71 Cleanouts (Y/N) Y High water alarm (Y/N) N System type Crib Gravel below pipe 7 ft. __ Depression over field N For 3 bedrooms gal. New depth 2 Absorption rate >= 450+ g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at __ Datum in. Size in gallons "Pump off" level 'at in. Cycles tested Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tanldliff station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer/septic service line 25'1' Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10-t' Water service line 10+ Wells on adjacent lots 100+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manholetcleanout 100+ Holding tank 100+ Manure/animal excrete storage areas Absorption field 5+ Surface water 100+ 100+ ABSORPTION FIELD ON LOT TO: Property line 0* Building foundation 10+ Water Service Fine 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ Water main 10+ Driveway, parking/vehicle storage 10+ F, COMMENTS * Waiver approved 11/2/90 #WR 900050 on file G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven P,. Pannone Date 6/21/13 COSA brown sheet_10-10-12.doc Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage, ak.us (907) 343-7904 Water Well Advisory Certificate of On-Site Systems Approval (COSA)# OSC141152f During a recent COSA on-site inspection and test of the potable water supply well on T15N R1W Sec 16 Lot 19, the well's productivity was determined to be .33 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3-bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval.  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. # L'~'~-% / -- Jk / ;z. -..~ HAA ff '~'~' ~ ~ ~'¥ / 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivisioq, section, township, range) f,of 19: Sec 1.6, T15N.. ~.. S.M.. Ak. excepting therefrom that portion known as Swanee Slopes Subdv., and the west 1/2 of the south 132 feet of Location (add~esso~d~ect~ons) said lot 19. 18408 Amonson Rd~ Chuqiak, Ak (b) Property owner H.U.D. Mailing Address 222 W. 8th Ave. (c) Lending Institution N/A Mailing Address Telephone: (home) Anchorage, Ak 99513 Telephone Business 271-4 342 (d) Real Estate Company and Agent Address &4n w ~6fh Telephone (e) Mail the HAA to the following address: (or check here [] , if hold for pick up.) List contact person and day phone number below: Pick up by Engineer 2. TYPE OF RESIDENCE Single-Family [~: Number of bedrooms 2 3. WATER SUPPLY Individual Well [~ Community iq Public [] 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 ~ 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. 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 th is 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 ofFirmEaqle River Enqineerinq Svcs Telephone 694-5195 Address P.O. Box 773294. Eagle River. Ak 99577 Date 6. DHHS APPROVAL Approved for -2- Approved XXXX bedrooms by Disapproved Terms of Conditional Approval NOTE: Conditional Date November 2, 1990 It is strongly recommended that additional water storage be provided. This is due to the low production of the existing well. This well produces 0.27 GPM. 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 A. WELL DA~T~A MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: Well Classification Well Log Present (Y/N) ~ Date Completed Total Depth ¢ -~ ~¢' Cased to °' ~,f¢,,,r Depth of Grouting Static Water Level ¢'?/ /~¢1,..,,, ~,,,, 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 ~ IA To Nearest Sewer Service Line on Lot Water Sample Collected by zE-,5,,,*'¢¢ ~- Water Sample Test Results ("~//,'~,~¢,~, c- Comments If A, B, C, D.E.C. Approved (Y/N) L~,.;ro /~e3) Yield _~o ~/ro~~ ~e.-~,,.~ ~/,4 Pump Set At v..~r,¢ / Sanitary Seal on Casing (Y/N) /~/ Depression Around Wellhead (Y/N) /v ; On Adjoining Lots //.¢~_ r ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date /~ ~ B. SEPTIC/HOLDING TANK DATA Date Installed /~,?/ Size Standpipes (Y/N) /v Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: /cleo ?,,{ No. of Compartments / Air-tight Caps (Y/N) Y Foundation Cleanout (Y/N) ~ /¢ Date Last Pumped ~//~Lb-/~' ' ] To Water-Supply Well //? To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments T'~'~ ; for /¢ //~ Temporary Holding Tank Permit (Y/N) 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 /~ ' Type of System Design Length of Field /.z / Depth of Field /~' Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well -/'"/~ / To Building Foundation ~ ? / Lot ~ I"~ Gravel Bed Thickness ~ / ;,.~c ¢- Statndpipes Present (Y/N) A/ Date of Last Adequacy Test To Water Main/Service Line /¢ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments TO Property Line ~..; ~-..~' ~.....%/ '*'/~".,~,..-~,..,~' To Existing or Abandoned System on ; On Adjoining Lots '3~," To Cutback (if present) /" ~ '~ D. LIFT STATION /V I ~ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test, **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effeo['on,.t~h¢ date of this inspection. Signed ~~' Company r,, Date /~,///&.'//9~, Eagle River,........AK 99577 Seal MOA No, Receipt No. Date of Payment Amount: $ 72-026 (Rev, 7/88) Back Receipt No. ./ Waiver Fee: $ Date of Payment Page 2 of 2 NORTHERN TESTING LABORATORIES, INC. ~nn HE:VI:RRITY PI AZA WEST, SUITE A F~IRBANKS, ALASKA 99709 907-479-3115 TO EAGLE RIVER ENGINEERING SERVICES P.O, Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 Dan Bowles , DHHS LETTER Date October 25, 1990 Subject Lot 19 Dan - You probably misinterpreted our test sheet. The well was drawn to 259' in 46 min, then the recovery was timed to find an approximate rate of recovery. From 3:36:35P.M. to 4:17:08 = 41 min, The well recovered 28' X 1.4 = 39 Gal or 39/41 = 0.9 GPM. The well was allowed to rest with rate of recovery dropping as head increases. We then set the flow rate at 0.6 GPM using an orifice and timing the flow to a measured container. This flow rate was gradually reduced to 0.29 then 0.27 and allowed to flow for ~ days. The recovery was then monitored at 0.26 GPM. I don't think I could do a more thorough test on this well! The well will produce 0.27 at sustained rate and will require storage tanks to realize maximum potential. I~Please reply []No reply necessary SIGNED Lou Butera 8 9 10 Reported by "No. of Total Coliform Colonies per 100 mis. Time Tom Fink, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 November 2, 1990 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for T15N R1W Section 16 S½ NW¼ SW¼ PTN Lot Waiver Request ~WR900050, PID ~051-212-38 Dear Mr. Butera: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 0 feet. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Si~irely~ Daniel N. Bolles On-site Services p~hn Smith,' P.E. program Manager On-site Services 19 DNB/ljm RIVER ENGINEERING SERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 995?7 Telephone (907) 694-5195 October 30, 1990 Mr. Dar. Bowles D. N'. H. S. 825 L Street A~.c, ho_~ge, Ak 99502 RE: ~o'r'tlcn of Lot 19, T!SN R1W Sec.16 Dee]" Mr. ~ow!es, We are requesting a zero lot line waiver for the v , ~e-~ ...... - -~ .... U.D. ow~d property. The system was ~ ~ (,~ ~ seepage pit !eachfie!d. The lot ~ ~ - ~s adjacent te the seepage p~t ~ravel area, and we have requested an easemen~ be recorded allowing tb, e .,a~ntena..ce end existence of this leeohfie!d as ~ U.D. owns ~ ~" pr }pa ..... e~. This The ground slope is parallel to the lot line as shown or'~ the diagram, and effluent dispersion should be i~ this directio~. The closest septic system is 30' distance. The location of OUr eeptic system should not_~,..~ ~ neighboring Io~ replacement OF we]i siting. r~ you. have any questions or any further' concerns please '- ~' me at 694-5195, Sincerely, Louis Butera, o ~ OCT 30 ~90 14:35 HUD ANCHORAGE 221 P02 LIMITED USE EASEM~N~ ENOW ALL MEN BY THESE PRESENTS, that the undersi§ced SEC~TARY OF THE UNITED STATES D~PART~ENT OF HOUSINU AND URBAN DEVELOPMENT (hereinafter HUD) does hereby establish end Stint a limited use easemeut upon the lands of the undersigned, situated in the Anchorage Recording District. ~tate of Alaska, and more particularly described es follows: THE WEST ONE-HALF (W 1/2) OF THE SOUTH ONE HUNDRED THIRTY-TWO (132) FEET OF LOT NINETEEN (iD)j SECTION 16, TOWNSHIP 15 NORTH, RANGE 1 WEST, SEWARD MERIDIAN, IN THE ANCHORAOg RECORDING DISTRICT, THIRD JUDICIAL DISTRIOT, STATE OF ALASKA. Property Addresa: 18404 Amoneou Road~ ChuHiak, AK 99567 This easement is established end granted for the sole purpose of maintnininE and permitting to remain the presently existing aeptic leachfield located on the above described property. Said leachfield overlaps the property line into the above described property ae depicted on the July 10. 1990 As-Built Survey which ia attached hereto and made a pert hereof. Said leachfield emanatea from that presently e×istie8 septic system which is depicted on said Suly 20. 1990 As-Built Survey and Is located on the adjacent land of the undersigned, situated'in the Anchorage Recording Dtetrict. S~ate of Alaska, and more particularly described as follows: T~E EAST ONE-~ALF (E 1/2) OF T~E SOUTH ON~ ~UNDP~D THIRTY-TWO (13Z) FEET OF LOT NINETEEN (19)~ SECTION 16~ TOWNSHIP 15 NORTh, P~NGE 1 WEST~ SEWARD MERIDIAN, IN T~ ANCHORAGE MECORDING DISTRICT. THIRD JUDICIAL DISTRICT, STATE OF AI~SKA. Property Addresal 18408 Amoneou Road, Chngiak, A~ 99567 Thin limited use nescient shall operate aa a burden on the next above described property, for the benefit of the first above described property, only for es lan8 as the existing septic system remaina in plane aa ~t is presently situated. Secretary of the United States Department of Rousing and Urban Development By .* Paul O. Johnson. Chief ~roper~y Dlepoaitlon and Single Family Loan Management Branch Anchorage Office gTATE OF ALASKA ss. THIS IS TO CERTIFY that on this ~ day of 19~, before me the undersigned, a Notary Public tn and for ~he ' Et~-"~'~ of Alaska, peroonally appeared ~/ ~, .~/~,/~ , ~o me personally kno~ ~o be the individual described in and who execu6ed the foregoing inotr~ent of writing and who acknowledged to me that ha siin~4 and sealed ~ho same freely and voluntarily for ~he uses and purposes therein mmntioned. IN WIT~8S WHEREOF, I have hereunto se~ my hand and affixed my official ,eel the day and yea~ in this certification first above written. N~T~¥ PUBLIC in a~d for A~sk~ ~y co=nisnion expires: