HomeMy WebLinkAboutKNIK HEIGHTS BLK J LT 4Knl*k Heights
Block J
Lot 4
#018-232-25
Municipality of Anchorage
Community Development Department Page 1 of 3
On -Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP141354 PID Number: 018-232-25 ❑ New Upgrade
Name:
Anita L. Williams Living Trust
ABSORPTION FIELD
❑ Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound
Address
13201 Ridgewood Circle Anchorage, AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
1.2 GPD/SF
8 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4 FL
Gravel depth beneath pipe
4Ft.
Subdivision Block Lot _
Knik Heights 4
Fill added above original grade
0-1 Ft
Gravel length
50 Ft.
Township Range Section
Gravel width
5Ft.
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
500 Pf
One
I Ft.
Well
>100'
>100'
N/A
N/A
>25'
TANK ,❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
capacity
1,2500,1.
Surface water
>100'
>100'
N/A
NIA
Material
Steel
Number of compartments
Two
Lot Line
>5'
>10'
N/A
NIA
NA
Foundation
>5'
>10'
N/A
NIA
LIFT STATION
Manufacturer
Capacity
Gal.
Curtain Drain
None
Noted
Pump on level at
Pump off level at
High water alamt at
Remarks Existing Septic Tank Decommissioned in
in.
in.
in.
Accordance with Municipal Code. Existing Absorption
Trench Connected with Flow Diverter Valve for
Pump make and model
Electrical Inspections performed by
Future Use.
PIPE MATERIAL Housetotank D3034 Tankto D3034
drainfield
Installer
G & R Excavation
Drainfeld F810 COIMT D3034
Inspector A. Harala
BENCHMARK (Assumed elevation) 100.0ft
InspectionLocation
1° 9/26/14 9/29/14
and description
2^a
dates:
a
Garage Slab.
s" 9/30/14
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
OF .44 111
Conditional Approval: Date
1
••••:�P
�P49TH
*t'qS
i*
...... ........
............. ... ...• .....
,.MlCHA.EL E. ANDE'RsON
. a=
�+!rte :•
Approved �ti. Date f�- ��
�1�1'BpFESS10N`�.�
Inspection ReoKt_1-1-12.doc a
Municipality of Anchorage Permit Number: OSPI41354
PID No.: 018-232-25 DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Page 2 of 3
RIDGEWOOD CIRCLE (LEYDEN ROAD)
I 1 M M
I I
N89058'00"E 90.00
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onitor F
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N89054'30"E 120.00
A l8
S1 19.0'129.1
S2
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C5
M 1 55.9' 61.8'
FDVI33.1'I41 .4'
0
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Di
LEGEND
Lot 5
PLAN
AS
BUILT
onitor F
Out
THO_
tunHdati
oleoneClean
C1 —
Clean Out
SCALE 1" = 30'
2CO
— Double Clean Out
FDV
— Flow Diverter Valve
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP141354
99.6 >
UU�U
J Finishe
aun
1,250 Gallon
Septic Tank
94.6
PID No. 018-232-25
i1#592 CI
PROFILE AS -BUILT
No Scale
93.3
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 4, BLOCK J, KNIK HEIGHTS
PERFORMED FOR: ANITA WILLIAMS
DATE: 9/25/14 PROJECT No.:
PARCEL ID#: TECHNICIAN: A. HARALA
DEPTH TEST HOLE 1
(feet)
1 PT/OL
2
3
4
5
6
GP/GM
7
8
9
11
12
13
14
15
16
17
18
SLOPE
L9
;. 49th
MICHAEL E. ANDERSON
SITE PLAN
SEE SITE PLAN 3k
Y
WAS GROUND WATER ENCOUNTERED?
NO
GROSS TIME
(MINUTES)
IF YES @ WHAT DEPTH?
DEPTH To
WATER
(INCHES)
S
DEPTH OF WATER AFTER MONITORING:
NONE
O
F
DATE OF MONITORING:
10/2/14
-
P
2
10:25
OF HOLE 15'
DATE
READING
GROSS TIME
(MINUTES)
NET TIME
(MINUTES)
DEPTH To
WATER
(INCHES)
NET DROP
(INCHES)
TEST HOLE PRESOAKED PRIOR TO TESTING:
9/25
1
9:55
2.25"
2
10:25
30
9.50"
7.25"
3
10:26
2.13"
4
10:56
30
9.38"
7.25"
5
10:57
2.00"
6
11:27
30
9.25"
7.25"
PERCOLATION RATE:4I4 (MIN/INCH) PERE. HOLE DIA.--6-_(INCHES)
TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 10/10/14
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: OSP141354
Tax Code Number: 01823225000
Work Type: Septic Upgrade
Permit Effective Dates: September 19, 2014 to September 19, 2015
Design Engineer: ANDERSON ENGINEERING
Subdivision: KNIK HEIGHTS
Site Legal Address: KNIK HEIGHTS BLK J LT 4 G:2936
Owner/Address: WILLIAMS ANITA L LIVING TRUST
13201 RIDGEWOOD CIRCLE ANCHORAGE AK 995162940
Site Mailing Address: 13201 RIDGEWOOD CIR, Anchorage Lot Size in Sq Ft: 22400
Total Bedrooms: 4
This permit is for the construction of:
Y 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.
Special Provisions: PRIOR TO CONSTRUCTION: The proposed test hole shall be completed prior
to construction. If design revisions are required, an approved change order shall be acquired prior
to construction. Test hole results shall be submitted with the final inspection report.
Received
Issued By.
MUNICIPALITY OF
MEN
Community Development Department
Development Services Division
Can -Site Water & Wastewater Program
4m NUTT
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 018-232-25
Property owner(s) Anita Williams Day phone
Mailing address 13201 Ridgewood Circle Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Knik Heights, Block J, Lot 4
Legal description (Township, Range & Section)
Lot Size 22,400 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
IN all that apply)
Absorption Field 0 Initial ❑ Single Family (SF)
❑X
(w/wo ADU)
Septic Tank N Upgrade 0 Duplex (D)
❑
Holding Tank F-1 Renewal F1 Dwellings
ElPrivy
❑
SuRmiTtAtand/orD)
Private Well El
AUG
Water Storage ❑ 2 2014
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
z' at- d1 Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: SCI Waiver Fees:
Date of Payment: 81 :Z57//y ( Date of Payment:
Receipt Number: QN.- A � Receipt Number:
Permit No. 0510141354' Waiver No.
Permit App__- :
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 FAX
August 24, 2014
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 Elmore Road
Anchorage, AK 99519-6650
Subject: Lot 4, Block J, Knik Heights Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The absorption system on the subject lot has failed and must be replaced prior to the
issuance of a COSA. We are therefore requesting a permit be issued for the upgrade
of the septic system to accommodate the four-bedroom home on the lot. The attached
Site Plan and backup documentation identify the location and configuration of the
existing and proposed septic system. The existing septic tank will be decommissioned
in accordance with Municipal Code and a new tank 1,250 gallon septic tank will be
placed. The existing absorption trench will be left intact and tied to the new system with
a flow diverter valve. Also identified on the plans are the locations of the existing well
on this and adjacent lots and adjacent septic systems. No conflicts exist between the
proposed septic system and the wells on this or adjacent lots. Drainage arrows are
shown indicating the current drainage patterns. The drainage patterns will be
maintained after construction.
The test hole placed on the lot when the initial system was constructed indicated
Gravelly Sand (SW) in the absorption zone of the trench. The percolation rate was
visually rated at less than 5 minutes per inch. We have designed the new trench with
an application rate of 1.2 gallons per date per square foot. We are proposing to place a
50' long trench by 5' wide with a 4' effective depth. The total depth of the system will be
8' with the distribution line at 4' below the existing surface. A test hole will be placed
prior to construction and the groundwater monitored for a minimum of 7 days. We do
not anticipate the presence of groundwater based on the test hole placed on this and
the adjacent lot. If conditions are found other than those anticipated work will stop and
a change order will be drafted and submitted for approval.
Lot 4, Block J, Knik Heights
August 24, 2014
Page Two
The ground surface on the lot slopes to the north in the area of the absorption trench.
The trench will be placed parallel to the contours of the ground as much as possible
and in conformance with design criteria. It will be parallel to the existing trench. A
minimum of 100' will be maintained between all components of the septic system and
the proposed well and from any surface water in the area.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
C a'z-,
Michael E. Anderson, P.E.
Attachments
MICHAEL E. ANDERSON
. No. CE -4381 .
LOT 4, BLOCK J \
o , KNIK HEIGHTS \\
LOT 10 22,400 S.F.
0
----�0 O
LEYDEN DRIVE �\ /
12
/ \
LOT 5 \\ LOT 1
---------------------------- ------�------"$-------- I --------- ---------------------------
f \ --------------------------------- -
--------}- ---- � --------------
- ------------------------------
LOT 2
LOT 3
/ O
G
GQ-
�\ c
\\ \\ 9 moo
13 \
\ � 8A
________________________________________________ ------------------ ---------------------------------------------------------- ------------- -_____________________
4�p*pq�,
� ......,, +♦
49th AREA MAP
i. .............. •
4 MICHAEL E. ANDERSON 3 N. No
t1 f'.• No. CE-4381 •'tip SCALE V = 100'
LOT 4, BLOCK J
KNIK HEIGHTS
22,400 S.F.
' LEYDEN DRIVE
SCOPE OF WORK
Decommission Existing Septic Tank in Accordance with
Municipal Code. Place New 1,250 Gallon Septic and Two
\ Post Tank Cleanouts. Place Flow Diverter Valve and Tie In
Existing Absorption Systems. Construct New 50' Long x 5'
1 Wide x 4' Effective Depth Absorption Trench.
90.00
*.
N
0
r
m
A
50' Long x 5' Wide x
liilA
4' Effective Depth
nMT Absorption Trench
' CO — -- — — — — Co
Y - -
Pro sed Existing Absor
�r c TN Trench
o Q1
0
i
/
DRIVEWAY
SV 1,2Gallon
Septi50 c Tank
Su
FCO \
Four
Bedroom
Home
Existing
---g.Well—_
10' UTILITY EASEMENT
T
O
O
O
W
O
m
S
89'54'30"W
120.00
LEGEND
SITE
PLAN
MT —
Monitor Tube
FCO
— Foundation Clean Out
TH —
Test Hole
SCALE
I' = 30'
CO —
Clean Out
2CO
— Double Clean Out
FDV
— Flow Diverter Valve
LOT 4, BLOCK J, KNIK HEIGHTS SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS
Four Bedroom Home 5' Wide Trench System
Perc. Rate: 1-5 MinAnch 1,250 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Drainfield Rock
4 Bedrooms * 150 GPD/Bedroom = 600 SF Absorption Area
600 SF/1.2 GPD/SF/5 SF (Width) *.5 (Red. Factor= 50 LF Trench Length
THEREFORE: Construct a 50' Long x 5' Wide x 4' Effective Depth Absorption Trench.
Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be
8' Below Existing Ground. Provide 3' Cover Over Absorption Trench and 4' Cover Over
Septic Tank. Place Flow Diverter Valve and Connect Existing Absorption Trench for
Use in the Future.
5'
TYPICAL 5' WIDE TRENCH SECTION ...,...•��
(NO SCALE) ��,
•�.�pCE.............
NOTE: Grade Area Over Trench to Drain Away. : u
Minimum 6' Separation From Bedrock. ........ 49tH
Minimum 4' Separation From Groundwater. i
Minimum 100' Separation From Private Wells in the Area.ilk EL E. D.E.nrvON
Minimum 100' Separation From Surface Water or Streams: �j % :, N0. E.,,a, .
Contri, .Ing Engineers & Associates
212 East International Airport Rd.
Suite 204
i ANCHORAGE, ALASKA 99502
(907) 278.3773
SOILS LOG — PERCOLATION TEST
yp SOILS LOG
❑ PERCOLATION
TEST
PERFORMED FOR: RID C0.O�-'t V—qiw d � A > DATE PERFORMED: Z
LEGAL DESCRIPTION:_ Lei i �„gk � c—AtAtk t�'q'T'S •-u .
e LFiN n SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS I -z-
S1L '
G��,v�►lJ GCLV'4
17-S S
{� w)
,;'S OF Al n�
�F-
Ralph g. Jokela
NO. 1995-E c
WAS GROUND WATER ` S
ENCOUNTERED? _ N ta L
D
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Net
Depth to
Net
Time
Time
Water
Drop
:I
.<n
PERCOLATION RATE iminutes/inch)
TEST RUN BETWEEN FT AND FT
� - .i... _ _ Q _ I r.
PERFORMED BY:\.TG/CO2 /Lb ,.CERTIFIED
TE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264.47AUNICIPALI'fY OF ANCHORAGE
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECT ���RpI-[CTIOt4
H 71
NAME "-y n l /- PON�E[� _ W
NE
UPGRADE
MAILING ADDRESS -
LEGAL DESCRIPTION
LOCATION f� _�., /� — NO. OF BEDROOMS
Well T
Absorption area
Dwelling
PERMIT NO.
DISTANCE TO:
rte,}"
r
f>
5,<i Ci (, ,4f
tZ
Manufacturer
Material
No, of compartments
LL1
//�
Liq. capacityy in gallons
riz�!9_ 5
IF HOMEMADE:
Inside length
Width -
Liquid depth
Y
DISTANCE TO:
Well
Dwelling
PERMIT NO. �
_j
iF
Manufacturer
Material
Liquid capacity in gallons
❑
w
-
DISTANCE TO:
Well
Foundation
�t//i
Nearest lot line
`.r
PERMITNO.
T
r{//�
„d
J a
No. of lines
Length of each line
Total length of lines
Trench width
Distance between lines
P Z w�7.-�
_�[J`
'Z".�/-I ` inches----
P
Top tile to finish
Material beneath tile
_
Total effective absorption area
�
of grade
❑
`"Y
`fes f11d�-r_ 1�., inches
Length
Width
Depth
PERMIT NO.
LL
0
a F-
Type of crib
Crib diameter �'
jVepth
Total effective absorption area
Al
DISTANCE TO:
Well .n,= ' ;
s^ t`� eFa`:
ig ID anon
y'°„°-���f�
Nearest lot line
J
Class
Depth s' � ,� ct.
;#lgr ^,��_a!�-t7
Distance to lot line
PERMIT NO.
w �
Buildin fF VP '-
$i9"°=°".aooa
ewes line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER d: i Ralph B. lekelo
`
PIPE VATERIALS cr.i NU. 1YY4)
SOIL TEST RATING� jZ;:;i+,?2.Ce•;,i: t,WA',�('v
r
INSTALLER
_
lei
r
REMA kSVaK
7
h/_
U
APPROVED DATE LEGAL ����
e
461- Y d/ k'T �/A, I /c-- y ti fs
WELL LOG
Date Drilled: /
Static Water Levelcrc� _ feet
Draw Down feet
TYDe Material Drilled:
0 feet to q �I!
j46�(K
Gallons Per l
Total Feet of Casing l? 1
?L' to_/y—uj l
l� o to .1 C) �� F jI, A9 Y e " 4%C' cl Omn? Oj
/ � s
t0
44 --Ir. ae i 111�
'; Cy
��P.., I I I'F:l L~T T, 0-r" C., F_- �A " C". F���
DEPHRTMENT MEHLTH AND ENV IRONMENTHL '/<OTECTION
825 'L' STREET/ HNCHORHGE, HK. 99501
264~4720
�0 E"*. 11_ L_ C�l r-4 [--A H -D Ir -4 I -F If 1-4 F" -n IE.� FRI., 11"l 1 -11-
PERMIT NO. ( 810026 )
HPPLICHNT RF CCD NTRACTORS SRH BOX D ]4��0679
LOCHTION RIDGEWOOD RD
LEGHL L4 BLOCK J HEIGHTS LUT SIZE 26000I FEET
TYPE OF SOIL HBSORPTION SYSTEM IS: TRENCH
MHXIMUM NUMBER OF BEDROOM.:-.", - 4 SOIL RATING (S8 FT/BR)= 125
THE REQUIRED SIZE OF THE SOIL ABS('JRPTION SYSTEM IS:
I- R2.8 ����J- 1-1 �����L_ #_-9 F_- --I� �
THE Ll`.'NGTH DIMENSION IS THE LEhIGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H TRENCH OR PIT I5 THE DISTANCE BETWEEN THE SURFHCE OF THE
GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE
AND THE BOTTOM OF THE EXCHVHTI8M (IN FEET).
��LE: ���1 r.;:" EE ����1- 3, --r- F1 Ir -4 IF �F.--' L , 2-,_" -�.. 50 �����P,US�
PERMIT APPLICANT HHS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTHLLHTION INSPECTIONS OF ANY WELLS HDJHCENT TO THIS PROPERTY HND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE,
��� ��� 1 E:_- K— -IF 1 Co r -.l n -7-i. ��V--" ����1 fF-�. F:� U --:,H
OF AN� _5YSTEM WITHOUT FINAL. I��PECTD-_lN AN[) APPROVAL BY THPI.:�,'
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
�IN�MU� DISTANCE BETWEEN A WELL AND ANY O!` -,I~'_ -.'ITE SE141(.3E IS
100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM Fi PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MIN�M�M �I�T�N�� F�O� H PR�;�TE W�LL TO H PR�VHT� ��y��� LINE IS 25 FEET AND
TO H Cf-MMUNITY SEKWER LINE IS 75 FEET.
WELL I. -OMS ARE REQUIRED FIND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE COMPLETION.
OTHER REQUIR�M�NTS MAY HPPLY� -PECIFI�HTIONS AN� CO��TR�CTION IH
DGRHMS FIFE"'
HVHILHBLE TO INSURE PROPER INSTALLATION.
��f��rl ED�F� ���� �
I CERTIPY THAT
1: I HM F8MILIHR WITH THE' REWUTREmEr-TS FOR ON-SITE SEI.-JERS HND WELLS HS SET
FORTH BY THE MUNICIPALITY OF HNCHORHGE.
2� I WILL IN�T�L� THE ���T�M I� ACCORDANCE WITH THE GODES.
]� I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MW? REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
SIGNED . ........
HPPL ICAt-IT RF NTRHCTORS
�� " /
171
V.
� 7f.
l ".e00
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}
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t-ugiT,l C.I€=lF-asItin I*- r -W LEN- iTei 4 IN F04D J:W THE QP DPA MFT€ --0.
T DEPTH OF fi OP P11- IS T bPz! `t;AAL-:E BETWEEN TWE OF n*
1re�U €#iit1 THS. TT')M I1F THE E5 <iti�t�I I��l`i r Its ���a.
T3 -ice E5 ria �;ET 14€0TIH FOR r J)CI,F--S.
P s+IE ._ N --pm I�s TI -E MINIt'P1t1 DEPTH 13` s:i H � 1�'l��P� T;F CI tTFFItI doff'
Mo TOE Goft'-gl LV HE EXCHYRT ION 4 Cts FEED,
-rs TW 5PORSI£_IUTY M IWORM Tiff±y I 1 iS :I( fffl DURIM T
g ii`,; TOILA I' I ON I W C T I Olt5 OF fm b 7 4, A IAO?ASN r Ti � THIS P a IPPR T'Y AND T#
ffI MSER OF THHT TW. t4[Q- R,.'€'
aF�I� f
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ANY S`e3TEI'1 t4IT's-H0.OT- F€P?ff. [m-rf-iciLivi Am Hpff*owi- w nils
PART'i'E r NILL EFE `==S..BJE-T' V1 i'Fi� c�i ►�T I+7tT
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• :,,, ,�R I]MI��D RNO P16T RET�1RMD 1") THE �>Et��=RFPP� Nl' t11THI 3, �;r�rt7.
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v y 11
X
Contra. .ing Engineers & Associates
212 East International Airport Rd.
Suite 204
ANCHORAGE, ALASKA 99502
(907) 278.3773
SOILS LOG — PERCOLATION TEST
yp SOILS LOG
❑ PERCOLATION
TEST
PERFORMED FOR:�t,�}(0. u C.I DATE PERFORMED:
LEGAL DESCRIPTION: �Oi_ "'C L& es Thi i\ i+R•� `S�
(� L t SLOPE SITE PLAN
11 EIrl U I-1—T—F-1 F-7--F-T- T-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
S \ L. -
c� w�
17,S
-6t�-T
� ;1 n•.eau.aao r,`�
�ee
a..e nnn •.ndn�
�'j Ralph B. )okelo
NO. 1995-e
�\o
WAS GROUND WATER S
ENCOUNTERED? O L
O
PW.
IF YES, AT WHAT E"
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
J
t;
A
PERCOLATION RATE
(minutes/inch)
d�e
AV
TEST RUI+_�_ N BETWEEN FT AND FT
COMMENTS I + �13AVCn.a�+. 4Lj4-¢-" 4` a4Ad 1b,
PERFORMED BY: e,0 ,76lC e /� „CERTIFIED BY:
Mrdm j�Liry
GF FI.R ANCHORAGL ARFA BORONG
DEPAkiMENT OF ENV iRONMFrITAL QUAL..."Y
3330 "C" Street
ANCHORAGE, ALASKA 99503
Calc l'i
Performed For Leo Sawyer (CartAdrain) Dated Performed May 31, 1974
Legal Description Lot 4—Blockj_Subdivision KnikHei lg�ts _
This Form Reports Soils Log__X _ _ Percolation Test___`
- Soil Test Must Be Loyged To 4' Below Proposed Seepage System -
Depth
Feet Soil Characteristics
1 —
Clay and silt
ML
2--
--4—
I Depth to H2O
Net Dron
3--
4—
Medium gravel, fine sand
GW -SP
--
5--
6--
6--
7--
7--
•8--
.8--
- - -
9-
9-
10
10 --
1 J.—
Fine sand and silt
ML
2 --
12 --
13 --
13 --
14 --
14 --
Was Ground Water Encountered?
Was
No
If Yes, At What Depth? —
S�
0AF
--1
Ej _.J
+1 - ]
Reading
Date
Gross Time
Net Time
I Depth to H2O
Net Dron
Percolation Pate tlinute
Proposed Installation: Seepage Pit X Drain Field
Depth of Inlet Depth to Bottom of Pit or Trencfi__�=_
COMMENTS: Based -on Borough requirements and regulations, we recommend 211 sg, ft___.
per bedroom.
Test Performed BY John_Zameson__ Date Certified BY:
0ate:
5. LEGAL DESCRIPTION
DATE RECEIVED --^
INSPECTION APPOINTMENTS
TIME TIME TIME
1
C.>l t`�C'_- I -�V O
DATE DATE DATE -
UMBEROF,ENROOM
INSPECTOR - INSPECTOR INSPECTOR
❑ One X Four ❑ Other
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO�!)EPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL
KOTECTION
ENVIRONMENTAL SANITATION DIVISION1`Jl/1y 11 a�
Telephone 264.4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SER6a!Vflo
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. -
1. PROPER OWNE - IP ONE -7
Z4� 6)6`
MAILING A(Q�DD/�RESS (� j,.
hid
PROPERTY RESIDENT (If different from above) PHONE
N( rtt �—
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
J � _YEAR ON-SITE SYSTEM WAS INSTALLED.
— --'HONE
MAILING ADDRESS
4. REALTOR/AGENT —
PHONE
MAILING ADDRESS �JI
5. LEGAL DESCRIPTION
STREET LOCATI
6. TYPEOFRESIDEN—
UMBEROF,ENROOM
SINGLE FAMILY
❑ One X Four ❑ Other
❑ Two ❑ Five
❑ MULTIPLE FAMILY
--�
❑ Three ❑ Six
7. WATER SUPPLY
—�
INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
J � _YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
INSTALLER
❑Septic Tank or ❑Holding Tank
Size: ( If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
Q �-
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
V-"'APPROVEDFOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
Parcel I.D. 018-232-25
G
Municipality of Anchorage
On -Site Water and Wastewater Program`
(907)343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date: 7- 3 — /
Complete legal description Knik Heights, Block J, Lot 4
Location (site address) 13201 Ridgewood Circle Anchorage, AK 99516
Current Propertyowner(s) Anita L. Williams Living Trust
13201 Ridgewood Circle Anchorage, AK 99516
Mailing address
Real Estate Agent
Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY:
Individual Well
FXI
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
WaiverAfariance request
Received
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual
0
Holding Tank
❑
Community
❑
Public Sewer
❑
COSA to be relea4d to 16 engineer, unless otherwise requested by the engineer.
COSA Fee $ Z60 50
Date of Payment /0z3z/'(
Receipt Number O y $ 2u rr
COSA#
Dater
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 Anderson Engineering
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
(/ System #1 Approved for �_ bedrooms
System #2 Approved for bedrooms
Disapproved
Phone 522-7773
Date 4/2/15
Conditional approval for bedrooms, with the following
of l q
-49H _°•
tAEL E. ANDERSON •:
CE -4381 _
APOFESSO 000
By: Original Certificate Date: h�-ZI -N
The Municipality of Anchorage evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon therepresentationsgiven 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
COSH blue sheet
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: Knik Heights, Block J, Lot 4 Parcel I0:018-232-25
A. WELL DATA
Well type Private If A, B, or C provide PWS ID # Well Log (Y/N) Y
Date completed 3/30/81 Sanitary seal (YIN) Y Wires properly protected (YIN) Y
Total depth 228 ft. Cased to 201 ft. Casing height (above ground) >18 in.
Date of test
Static water level
Well production
FROM WELL LOG
3/30/81
200 ft.
3
g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 coionies/100 mL Nitrate -sL mg/L
Arsenic 00%gIL Date of sample: 10/9/14
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,250 gal. Number of Compartments 2
Foundation cleanout (YIN) Y Depression over tank (Y/N) N
Date of pumping New Const. Pumper
AT INSPECTION
7/2/14
192:9 ft.
2.8 g.p.m.
�o"' f e.cer fi'�Ca f b n
Collected by: n erson Engrg.
Date installed 9/26/14
Cleanouts(YIN) Y
High water alarm (YIN) N
C. ABSORPTION FIELD DATA
Date installed 9/29/14 Soil rating (g.p.d./fh or f?lbdrm) 1.2 GPD/SF System type 5' Wide
Length 50 ft. Width 5 ft. Gravel below pipe 4.0 ft.
Total depth 8 ft. Eff, absorption area 500 flZ Monitoring tube Y Depression over field N -
Date of adequacy test NBW COnSt. Results (Pass/Fail)
For bedrooms
Fluid depth in absorption field before test in. Water added gal New depthin.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date
D. LIFT STATION No Add On Manhole - Gravity Flow to Absorption Trench.
Date Installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump ofr level at in. High water alarm level at In.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tankllift station on lot >1 00' 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 Iseptic service line >251 Holding tank N/A
Animal containment areas >50' Manurelanimal excrete storage areas >100'
SEPTIGMOLDING TANK ON LOT TO.:
Building foundation >51 Property line >51
Water main >10, Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10, Building foundation >10'
Water Service line >10' Surface water >100'
Curtain drain Nolle Noted Wells on adjacent lots >1W
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 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 Michael E. Anderson, P.E.
Date10/10/14
CASA brown sheet_1016-12.doc
Absorption frel
Surface water
d >51
>100,
Water main N/A
Driveway. parking/vehiclestorage >10'
Municipality of Anchorage
Community Development Department
Development Services Division s A r y
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC141540
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block J, Lot 4 of
Knik Heights subdivision. This inspection revealed a nitrate concentration of
9.21 milligrams per liter (mg/L) was reported for the property's well water
sample. The Environmental Protection Agency (EPA) has established a
maximum contaminant level (MCL) of 10.0 mg/L for public drinking water
systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
PP £ 1Q4�
• Municipality of Anchorage
On -Site Water and Wastewater Program ° n
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I.D. 018-232-25 Expiration Date: l — �)— l - d _�
1. GENERAL INFORMATION
Complete legal description Knik Heights, Block J, Lot 4
Location (site address) 13201 Ridgewood Circle Anchorage, AK 99516
Current Property owner(s) Anita L. Williams Living Trust Day phone
Mailing address 13201 Ridgewood Circle Anchorage, AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU) SU13MITTAL
❑ Duplex OCT
❑ Multiple Dwellings (Single Family and/or Duplex) 2014
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well(] Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for Distance:
Received by: ` Z Date: f o- Z Z-
COSA to be released to the engineer, unless otherwise requested by the engineer. -
COSA Fee $ 2W" -f)
Date of Payment 10) o)
Receipt Number oq
COSA# o5�-14 jj:�qD
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION SY 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
Engineer's Printed Name Michael E. Anderson, P.E.
6. DSD SIGNATURE
System #1 Approved for bedrooms
System 92 Approved for _ bedrooms
Disapproved
Conditional approval for bedrooms,
Phone 522-7773
Date 10/10/14
49T
�YYYY YB... ...• .•
r
jr::: �:...... `l
I�00:N�,:(i "FE. ANDERSON
•
�G%YY CE -4381 �Z®
with the following stipulations:
By: J !`/ W,/® Original Certificate Date: e 0
ThercipaLlit" of chorage 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 Slate 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
COSAbluesheO t - .+ c
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: Knik Heights, Block J, Lot 4
A. WELL DATA
Well type Private If A, B, or C provide PWSID # _
Date completed 3/30/81 Sanitary seal (YIN) Y
Total depth 228 ft. Cased to 201 ft.
FROM WELL LOG
Date of test 3/30/81
Static water level 200 ft.
Well production 3 g.p.m.
WATER SAMPLE RESULTS: A
Coliform 0 colonies/100 mL Nitrate mg/L
Arsenic tZ bg/L. Date of sample: 10/9/14
Parcel ID: 018-232-25
_ Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) >18 in.
AT INSPECTION
7/2/14
192.9 ft
2,8 g.p.m.
Collected by: Anderson Engrg.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 9/26/14
Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) _
Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N)
Date of pumping New Const. Pumper
C. ABSORPTION FIELD DATA
,l
m
Date installed 9/29/14 Soil rating (g.p.d./ff or ftZ/bdrm) 1.2 GPD/SF System type 5' Wide
Length 50 ft. Width 5 ft. Gravel below pipe 4.0 ft.
Total depth 8 ft. Eff. absorption area 500 fe Monitoring tube Y Depression over field N -
Date of adequacy test New Const. Results (Pass/Fail) For _ bedrooms
Fluid depth in absorption field before test in. Water added gal. New depthin.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
No Add On Manhole - Gravity Flow to Absorption Trench.
Date installed Size in gallons
"Pump on" level at in. "Pump off' level at
Datum Cycles tested _
E. SEPARATION DISTANCES
WELL ON LOT TO:
Manhole/Access(Y/N)
in. High water alarm level at
Meets alarm & circuit requirements?
>1 f)f),
Septic tank/lift station on lot On adjacent lots
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 N/A
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >51
Water main >10, Water service line >10'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10, Building foundation >10,
Water Service line >10' Surface water >100'
Curtain drain Nolle Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that / 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 Michael E. Anderson, P.E.
Date 10/10/14
COSA brown sheet_10-10-12.doc
Absorption field >51
Surface water >100'
Water main
N/A
Driveway, parking/vehicle storage >10,
.A
in.
icHAn & ANDERSON :W
CE -4381 v
Municipality of Anchorage
Community Development Department
Development Services Division 5A Ell
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # 141540
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block J, Lot 4 of
Knik Heights subdivision. This inspection revealed a nitrate concentration of
7.65 milligrams per liter (mg/L) was reported for the property's well water
sample. The Environmental Protection Agency (EPA) has established a
maximum contaminant level (MCL) of 10.0 mg/L for public drinking water
systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
0
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N89058'00"E 90.00
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overed storage
,CO
2.0 OH
26.0
2 Story
o Frame
v House Lot 4
a
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E] --greenhouse
10' Utility Easement
I N89054'30"E 120.00
Lot 3 \ 1
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AV
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9
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0074
.Fred Walatka. oo
�I "ate • 3255 - S Aff
��FFSSIONP<• `�
EASEMENTS OF RECORD, OTHER
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON. FB 14-9, pg 65
BE
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co
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O
N
Lot 5
SCALE: V= 30'
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
of the following described property: LOT 4. BLOCK J.
KNIK HEIGHTS SUBDIVISION
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no Improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as Indicated
hereon.
Dated at Anchorage, Alaska
this 6th day of October ,2014.
FRED WALATKA 8 ASSOCIATES
(907-248-1666) Engineers and Surveyors