HomeMy WebLinkAboutOUR MOUNTAIN BLK 2 LT 10
OWNER OF LAND
by
DOC Co. dba
SULLI VAN WATER WELLS
P.O, BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
LEGAL DESCRIPTION 0 L~ ~
PERMIT NUMBER ~>O~2L~Date of Issue
TAX INDENTIFICATION NUMBER O %/~ / /
Is well located at approved permit Iocation~ ~%
Method of Drilling: ~a¢~taw ~ cable tool
Depth of well: ~ ~ O
Casing Type .~'~g&~_Wall Thickness , ~.~*'~ inches
Diameter ~ // inches, depth ~ / feet
Liner Type: ~ 0¢4~
Casing Stickup Above Ground: ,~, feet
Static Water Level (from ground level): ~ feet
Pumping level: feet after hrs.pumping gpm
Recover Rate: I ~ gpm
Method of Testing:
Well Intake Opening Type: ~ Open End ~pbn Hole
~ Screened; Sta~ feet Stopped feet
~ Perforations StaA feet Stopped feet
Grout Type: ~¢;.,J74.~,T¢~. Volume /.%~
Depth: from ¢~) feet, to .......... feet
Pump Intake Depth: feet
Pump Size hp Brand Name
Well Disinfected Upon Completion? ¢~es ~ No
Method of Disinfection: Q'~/&~4 ,~¢2 .S~
Comments:
DEPTH
Driller's Name
'-NVIItONM, ENfAL SEI~VICE$ DIVISION
ATTENTION: It is the responsibility of the property owner to submit a copy of the welt log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER &WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE pLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
W,~S TEWAT ER
DISPOSAL SYSTEM
DESIGN
Date:
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
~nchorage, Alaska 99519-6650
RECEIVED
MA y 2 8 1999
Mu/dcipalit
Dept. He~,,~ r[.,y
"oerviee8
The septic inspections for the referenced property were
performed on ~"~~7-~9 and ~-R7-~9 · Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the ~-~//~ $~¢~ to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
ROBERT C. COWAN, P.E.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAO DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
June24,1998
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Depa~mentofHealthand Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 10, Block, Our Mountain Subdivision
Request you issue a permit to install a septic system and well to serve the proposed
three bedroom house on the referenced property.
Two test holes were excavated and percolation test performed. The approximate
location of the test holes are located on the attached site plan.
At the time of excavation 5/12/98 water was was encountered in the test holes. Al2er
seven days the ground water monitoring tube reflected that water was found at 7 ft.
We do not anticipate m~y adverse effects on neighboring wells, septic systems or
drainage patterns by the installation of the proposed septic system. The construction of
this system will not prevent m~y future development on any of the adjacent properites.
We request you expedite the isuance of this permit due to the unsanitary conditions.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/mg
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
1" = 60' SITE PLAN DESIGN
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~'"''' I I') ¢ 2-
~,,I) ,' f,\ ', '~ '~
1~:%~, ¢c ~
)..._:,, ,, ,,, .-o
DATE PERFORMED:~ -
Township, Range, Section:
10-
11
12
13-
14-
15-
16-
17
18
19
20
COMMENTS
WAS GROUND WATER d
ENCOUNTERED?
s
L
IF YES, AT WHAT ,
DEPTH? ~'~ o
P
SLOPE SITE PLAN
Depth to Waler ^her ~..,~ r
Monitoring? -- - , Dale:
Reading Date Gross Net Depth to Net
Time Time Water Drop
'~ '7 ,~,,.~ /~ ~ ' I'
3 ~ ,~ ,,4 I/7~. i.
¢- 3~,~ /o~- i~
PERCOLATION RATE.____~ (m~nutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN / FT AND ~2 FT
PERFORMED BY: 17034 Eagle River Loop Road No. 2~4. _ ~ . - ~: .... CERTIFY THAT THIS TEST WAS PERFORMED IN
Eagle River, Alaska 99577
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED FOR:
LEGAL DESCRIPTION:
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORME
Township, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED7
S
IF YES, ATWHAT '7 f L
O
DEPTH? p
E
DeCh tO Waler Al~er ~ I
~oniloring?.~ ~2b" Dale'. ~"~'~ 6 .-"~ J'
r- Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE '~'/, ~ (minutes/ich) PERC HOLE DIAMETER
TEST RUN BETWEEN ' "~ _ FT AND /'~'~ FT
PERFORMED BY: 17034 ~!:g!c River Loop ~oad Nh. :~04" X>J'I'/Y" 'g.~g~ CERTIFY 'FHAT THIS TEST WAS PERFORMED IN
ACOORDANOEW,TR " [ C %,DEL,NES,NEFFEO¥ONT..SDATE. DATE:
72-008 (Rev. 4/85)
ROBERT C. COWAN, P.E.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECNANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 10, Block 2, Our Mountain Subdivision
Jun~, 1998
GENERAL:
The scope of this project includes the nistallation of one pressurized trench, and at]
1250 gallon S.T.E.P. tank to setwe the proposed tt-u'ee bedroom residence located on thc
referenced property.
Construction shall be in accordance with the approved site plan and design drawings,
Municipal permit with any special provisions or conditions, and all applicable State and
Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary underground utility
locates.
Unless specifically agreed otherwise, the prope~ty owner shall be responsible for final
grading areas subsequently depressed fi'om soil settling.
Contractors installing wastewater disposal systems must be certified by the Municipal
Health Department for system installations. Owners installing their own systems must
also receive prior approval fi'om the Municipal Health Depmtment.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer. Construction
shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Page 2
Lot 10, Block 2, Our Mountain Subdivision
Jun 2, 1998
Final grading over the septic tank shall be such that a positive slope exists away fi'om
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock)
placement.
Once the gravel is installed, the distribution pipe is to be installed level with the holes
faced downward. The distribution piping is to be ofPVC (ASTM D3034 or equal). All
joints are to be solvent cemented. Gravel is then to be placed over the distribution pipe
to provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the trench to the invert of the distribution pipe. This is equivalent to
the effective depth of the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression after settling.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipally
approved septic tank manufacturer.
Page 3
Lot 10, Block 2, Our Mountain Subdivision
Jun 2, 1998
The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco,
or equal).
A permeable nontoxic silt ban'ier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever specifications applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Page 4
Lot 10, Block 2, Our Mountain Subdivision
Jun 2, 1998
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre-construction meeting will take place on-.site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to cmTy out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, tecN~iques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
c,6I89107i
,, ., .
•` Municipality of Anchorage {1
On-Site Water and Wastewater Program � a ,
ftvA
(907) 343-7904
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Certificate of On-Site Systems Approval 01 6 8 I.
Parcel I.D. 051-111-55 Expiration Date:1 V` 1 d
1. GENERAL INFORMATION
Complete legal description Our Mountain Block 2 Lot 10
Location (site address) 20808 Frosty Drive
Current Property owner(s) Christel Thompson Day phone
Mailing address PO Box 670094 Chugiak, AK 99567
Real Estate Agent Day phone
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual 0
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System El Public Sewer ❑
WaiverNariance request for: Distance:
Received by: � 1Y ' Date: 1/11 I ( T7
COSA to be released to the engineer,unless otherwi a requested by the engineer.
COSA Fee $ 52.Lo.DO Waiver Fee $
Date of Payment 7 l? 1 20l 5 Date of Payment
Receipt Number 05-000 Receipt Number
COSA# 05C/&13440 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.
In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 7/2/2018
=��of AL_4kk
6. DSD SIGNATURE
)16 System #1 Approved for bedroomst� Sleveri R. �orinone•
A Is
System#2 Approved for bedrooms ' CE-8149
• Age�
Disapproved kl OFESS
Conditional approval for bedrooms, with the following stipulations:
cpa 0 k 4 c.
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` Original Certificate Date: 7^(C) �w
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 r .
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Our Mountain Block 2 Lot 10 Parcel ID:051-111-55
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 7/21/1998 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 300 ft. Cased to 91 ft. Casing height(above ground) 25 in.
FROM WELL LOG AT INSPECTION
Date of test 7/21/1998 06/25/18
Static water level 83 ft. 83.7 ft.
Well production 1 5 g.p.m. ��'rJ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 1.81 mg/L
Arsenic 88.1 ug/L Date of sample: 06/25/18 Collected by: PES —
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/HDPE Date installed 05/27/99
Tank size 1300gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A
Date of pumping 06/6/18 Pumper JR's Pumping
C. ABSORPTION FIELD DATA
Date installed 05/27/99 Soil rating (g.p.d./ft2 or ftz/bdrm) 0.8 GPD/SF System type Shallow Trench
Length 90 ft. Width 5 ft. Gravel below pipe 1.5 ft.
Total depth 2.5 ft. Eff. absorption area 577 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 06/25/18 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 450 gal. New depth 0 in.
Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d.
N
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed.S f 2V°, Zf Size in gallons vb Manhole/Access (Y/N) Y
"Pump on" level at III i "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit re rements?
Si2L i ' iorl VltrE
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION 7� OF A kkk
I certify that I have determined through field inspections and /deco.- �1,- :v-#4
review of Municipal records that the above systems are in 0*. ! f /\
conformance with MOA COSA guidelines in effect on this date. %••• ,!.A.1
V' .. •••• 4
Steven Pannone ��
Engineer's Printed Name j .S even IR. Pannone
7/2/2018 10 CE-8149 \ r
Date
41N. .•4., m
Ik‘NNZSICe
COSA canary sheet_2-6-15.doc
MUNICIPALITY OF ANCHORAGE
•
DEVELOPMENT SERVICES DEPARTMENT I • F t�i 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Well Water Advisory
Certificate of On-Site Systems Approval # OSC181316
Subdivision: Our Mountain, Block: 2, Lot: 10
This well's productivity was determined to be .51 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 3-bedroom residence is .31
gallons per minute or 150 gallons per day per bedroom. Although the subject well
currently exceeds this minimum requirement, the production capacity can
fluctuate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.O. Box 196650*Anchorage,Alaska 99519-6650*www.muni.org
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT i• ff 907-343-7904
On-Site Water and Wastewater Section j Fax: 343-7997
www.muni.org/onsite
Arsenic Advisory-
Certificate of On-Site Systems Approval # OSC181316
Subdivision: Our Mountain ,Block 2, Lot 10
A water sample revealed an arsenic concentration of 88.1 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/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. information on arsenic is available from the On-Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.O. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org
\
2/1 1/03 AS BUILT 58-04
1 2 \ 5/7/98 PLOT PLAN 42-03 —
\ ....... FROSTY DRIVE 4/13/98 ' LOT STAKE 41-62
DATE FLD. BK.
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N 89°59'1 I'E 235.68' (M)
q.t.' A / �1 �OF A( *�
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O of NOTES: Easements not appeorinp on record subdivision
cv N/ i ,,,•••"<"�' '� �Q plat ore not shown unless description o! easement Is
3 1,•,'
b4,e O ` provided by diem. It Ia the responsibility of the owner
iv �ry or builder, prior to construction, to verity proposed •
TR. _ '� - +s.7 ,I,• bdldinggraderelativetotlntshgradeandutUnesr a connections, andtodeterminetheexistenceofany"a' p<13,W easements, covenants, or restrictions which do not
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EXfSTtNG J{OUSE S `y aappear on the recorded subdivision plot.
z67.2' °a^)
'� o-a Elevations bosed on assumed datum unless otherwise
am t 'a.r 2 ti Indicated,I Indicated, and beorings and distances are record data.
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c,,,i n• .ring EACU Rtrp1,ALASKA 19577
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"y LEGAL DESCRIPTION
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7 `; LOT 10,BLOCK 2,
—�. N 89°59'29'E 104.45'(M)
OUR MOUNTAIN SU80IVISION
/ I N 89°59'I l'E 104.56 (R) '
9 PLAT NO. SCALE GRID
77-17 i'-50' NW 1361