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HomeMy WebLinkAboutNORTH WOODS UNIT 3 BLK 13 LT 3North Woods Unit 3 B 1ock 13 Lot 3 #051-732-24 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 05P 1110'7 1 PID Number: C)51 --73Z— 2'1 Name. I)Al£ Fo&AL Wastewater System: ❑ New XUpgrade Address: PO goK 6 1ft Clnu r A k A K V50 ABSORPTION FIELD 19 Phone: Number of Bedrooms: J7 ❑ Deep Trench X Shallow Trench ❑ Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: �•(O Total Depth from original grade: GPD/Ft' Ft. Block: Lot: Subdivision: 13 3 N #3 Depth to pipe bottom from original grade: Gravel depth beneath pipe: rfA woo�y D. (o Ft. 3. y Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 2 Ft. X S Ft. Well: �u�liL ❑ New ❑ Upgrade Gravel width: 5 Number of lines: Distance between lines: Ft. Z 10 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: pp �p Pipe L� Material: SG� 0 Ft. Ft. Fe {' SID Driller: Date Drilled: Static Water Level: Installer: /1 1 ll Date Installed: Ft. %1ke lAr��rAciln — � /% 2011 Yield: Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding 'V(S.T.E.P. ❑ Other: To From Septic Tank Absorption Field Lift Station Holding Tank ublic/Private Sewer Line Manufacturer: AnChOr Capacity: 1250 e Ah Gal. Well I 200 + ZAot + I Zoo •4 / / ( 25 4 Material: l I Sfee Number of Compartments: Z Surface Water Ippt + loot IcI + /VIA LIFT STATION Lot Line} t 5 I I� t 5+ p N A Size:Manufacturer: 125D Gal. /) /`Ih QRa (, TA✓I Foundation rj 'i- `O 5 �- A/ e /, I A Pump on" level at: -Zin. Pump off' level at: Z'0 in. High water alarm at: 23 in. Curtain Drain �jDt+ 5� I+ 5D t� N A V�r2ENCa Pump Make & Model Electrical Inspections performed by: AA Li' f / - ` Remarks: ` L i5 in �atnk A 64nAon•ed p BENCH MARK ryIy,, nn n }} 11 140hY RQ u�f[.rytQ✓1T$, EX+ jin Gaud@ Location and Description: 1I1 1 (► S` 64 Cort)en o$o"1 i .SO(A IQVIL Abov, J I _ �,o�� &V)v,- Assumed Elevation: �O Ft. �cE. A/Df `661 c:k60(1- A - Inspections performed by: � q Dates: 1St 6 9 �l LARS S� �� n1 Engine tamp 2nd QF Development Services Department Approval CO. 4, Conditional Approval Date: � . 49 . r LAR 11 � �o MD°_ C, (��.• Reviewed and approved by: Zill --e' Date: (Rev. 04/06) A CONNECTED EXISTING DRAIN I VIA DIVERTER VALVE P C Da • /ITTM 111111 Lot 3 E Q / G INSTALLED 3-8EDROOM SEPTIC SYSTEM 1250 GALLON STEP TANK Lot 4 LENGTH 2 x 48 FEET WIDTH 5.0 FEET TOTAL DEPTH 4 FEET P k3 ROCK DEPTH 3.4 FEET INSULATION 2 INCHES COVER 2.0 FEET NLOT 5 NOTE. NORTHWOODS SUBDIVISION IS SERVED BY A CLASS A PUBLIC WATER SYSTEM. NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT, BENCH MARK 0 'A" Lot 2 SWING TIES OF I � 49-th n'- - �g� SPURKLAND (� NO. CE -11500 SNUKKLANU t NLiINt t h'IN(i NORTHH'OODS 13 BU 13 LOT 3 SEPTIC SYSTEM ASBUIL T 203 W 15TH. AVENUE DATE: JULY 19, 2011 ANCH. AK. 99501 DALE FOGAL SHEET: 1 3 GRID:NW1459 907 279-3916 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 PERMIT #CSP111071 PID # 051-732-24 Nor thwood#3B13L3Dl,dwg To Existing Trench 0 0 0 ° Trench #1 ° z 5' Wide 1250 GAL STEP TANK 48' L ong 4' Deep Q 3.4' Sewer Rock o 2' Insulation ' a 2' Cover � 3 PR/MARY TRENCH N. TS y U NO SCALE o Trench #2 5' Wide 48' Long 4' Deep a 3,4' Sewer Rock 2' Insulation M 2' Cover o ° M ni for Trench #1 2' CoverELEV=foo' TEST HOLE , G , ti iOZ.is ELEV.=104.5' 2' Insula tion E.G. ELEV.=101' ELEV.=95.3' ELEV.=95.3' ELEV.=1020' SIl t Barrer ELEV.=98.5' 3.4 Ft of Septic Rock 1250 GAL STEP TANK Effective .Wlgs"%��11, . OF..,q/ ��... B.O.H. ELEV=87.0' M nitor NO SCALE 2' Cover Trench #2 ELEV.=1025' •.4W.*, : C' % . •.... 49, h .... �% 2" Insulation i ,,... .... . r ' •R ELEV.=100.0' SPURKLAND I�Gf AV • �AV Silt Barrier No c -11500 •ti �1`��F'••. /i 2 •��': ,,� p •. ��....•.•P� :�� ssio �. ELEV.=96.5'�1� 3.4 Ft o f Septic Rock �����.►����� Effective Bench Mark Bottom Siding S House Corner Assumed Elevation of 100 feet SPURKLAND ENGINEERING NORTH WOODS #3 BLK 13 LOT 3 SEPTIC SYSTEM ASRUILT 203 W15th Ave Anchorage A k 99501 DALE FOGAL DATE: JULY 19, 2011 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 SHEET: 3/3 GRID: NW 1459 PERMIT # OSP 111071 PID 1 051-732-24 NW#3B13L3D3.DWG 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: OSP111071 Tax Code Number: 05173224000 Work Type: Septic Upgrade Permit Effective Dates: May 24, 2011 to May 23, 2012 Design Engineer: SPURKLAND ENGINEERING Subdivision: NORTH WOODS UNIT 3 Site Legal Address: NORTH WOODS UNIT 3 BLK 13 LT 3 G:1459 Owner/Address: FOGEL DALE R & KAROL A PO BOX 672190 CHUGIAK AK 995672190 Site Mailing Address: 23044 GREEN GARDEN DR, Chugiak Lot Size in Sq Ft: 26723 Total Bedrooms: 3 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. Received By: Issued By: Date: Date: f Q h plll TrE4tG�2 v� Site Mailing Address: 23044 GREEN GARDEN DR, Chugiak Lot Size in Sq Ft: 26723 Total Bedrooms: 3 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. Received By: Issued By: Date: Date: f On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. C)_51- 732 - Z V Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) J,al',�- F4< Day phoneC1A3 -- 3V ?I Mailing address Fl; BoX G-1700. Chyelt: ,k, Ak-4 Site address .230 9q Gree., Prue Legal description (Sub'd., Block & Lot) Ao,19 W',Js �3 l�jK 1� Lol 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms : THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (M all that apply) Initial ❑ Absorption Field 151 Septic Tank 15 Upgrade ) Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for ,� Single Family Dwelling and is in accordance with applicable Municipal Codes. property owner or authorized agent) fe'/Rush Fees: Date of Payment: Receipt Number: Permit No. c k GABuilding\On Site\Forms\Client Forms\Permit App_010411.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 1/11) v a lW:+J Environmental Consulting and Design SEPTIC SYSTEM DESIGN North Woods #3 Block 13 Lot 3 Municipality of Anchorage May 17, 2011 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 23044 Green Gardens Drive Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The existing system was installed in 1983 and did not meet COSA operational requirements. A soils log, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No Groundwater observed to a depth of 14 feet below ground surface (May 18, 2011) Soil Rating. From Testhole (5/5/2011) 16 min/in = 0.6 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 15010.6 =250 sq.ft. Total area required: 250 x 3 = 750 sgft System: The proposed system consists of a 1250 gallon STEP tank and a shallow trench absorption field. The absorption field will be 96 feet long and 5 feet wide and contain 2.5 feet (750 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on May 5, 2011. See the attached soil logs. Ground water was monitored for through May 17, 2011. Ground water was not observed. Surface Water: No surface waters were observed within one hundred feet of the proposed septic system upgrade. Topography: The lot slopes to the north at approximately 5-10%. Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net lWlAll �iwu Environmental Consulting and Design concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely 4 L rs Spur land, P.E. Spurkland Engineering 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Tract 1B / Lot 10 Lot 10 Lot 9 Lot 10 I I I Lot 8 Lot 7 \ 40, I I I to GP�p6 /J/��i C5 Lot 1 Lot 6Lot 3 TH Lot 2 / 1 / / I // Lot 4 1 LOT 5 I Lot 6 I Lot 7 I I / I - -- ------ ------ — — 15UTIL ESMT — — — — NOTE. • NORTHWOODS SUBDIVISION IS SERVED BY A CLASS A PUBLIC WATER SYSTEM NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE, 1' = 100 FT, 5I'URKLANU LNUINUMING NORTHUODS�3 BU 13 LOT 3 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DA TE.- MAY 16, 2011 NCH AK. 99501 DALE FOGAL 907 279-3916 1 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 SHEET. 1/3 GRID: NW 1459 PERMIT #0SP110XXX PID # 051-732-24 Nor thwood#3B13L3Dl.dwg Lot lY �i 25 JYUKKLANU LNUMtK/NG NORTHWOODS 13 BU 13 LOT 3 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DA TE., MAY 16, 2011 ANCH. AK. 99501 DALE FOGAL SHEET.- 1/3 GRID.NW1459 907 279-3916 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 PERMIT #17SP110XXX PID # 051-732-24 Northwood#3B13L3Dl,dwg TEST HOLE E.G. ELEV.= H2O ELEV.= B.O.H. ELEV.= To Existing Trench ° Trench #1 ° 5' Wide 48' Long 4' Deep 2,5' Sewer Rock 2' Insula tion 2' Co ver PRIMARY TRENCH N, TS TrE ELE S/l t ELEV. 1250 GAL STEP TANK C) 0 r a, ILK .o a I L 2, 5 Ft o F Septic Rock Effective NO SCALE Trench ELEV.= Sit t Ba rrie ELEV.= 1250 GAL STEP TANK OF •P,.•,••' ... %, ✓J, °. No. 0 2,5 Ft of Septic Rock Effective Bench Mark Assumed Elevation of 100 feet SPURKLAND ENGINEERING NORTH WOODS #3 BU 13 LOT 3 SEPTIC SYSTEM DESIGN 203 W15th Ave DALE FOGAL DATE; MAY 16, 2011 Anchorage A k 99501 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 SHEET: 3/3 GRID; NW 1459 PERMIT # OSPXXXXX PID # 051-732-24 NW#3B13L3D3.DWG y V a NO SCALE o Trench #2 5' Wide 48' Long 4' Deep 2,5' Sewer Rock 2' Insula tion M 2' Cover o ° TrE ELE S/l t ELEV. 1250 GAL STEP TANK C) 0 r a, ILK .o a I L 2, 5 Ft o F Septic Rock Effective NO SCALE Trench ELEV.= Sit t Ba rrie ELEV.= 1250 GAL STEP TANK OF •P,.•,••' ... %, ✓J, °. No. 0 2,5 Ft of Septic Rock Effective Bench Mark Assumed Elevation of 100 feet SPURKLAND ENGINEERING NORTH WOODS #3 BU 13 LOT 3 SEPTIC SYSTEM DESIGN 203 W15th Ave DALE FOGAL DATE; MAY 16, 2011 Anchorage A k 99501 23044 GREEN GARDEN DR., CHUGIAK, AK 99567 SHEET: 3/3 GRID; NW 1459 PERMIT # OSPXXXXX PID # 051-732-24 NW#3B13L3D3.DWG 01 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchorage.ak.us (907)343-7904 Soils Log - Percolation Test Performed For: 941C[0y"l Date Performed: Legal Description: &Pi gwc�75 #.3 $IK 13 Lc,t 3 Township, Range, Section: Depth �/ �11.: �JRfrAN itm5 3- L) 7 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- S li It W/ �JGiyk',JE1'�1� W' M FW WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? Date: Z5 L 0 P E Site Plan SPURKLAN'D r L_ Reading Date Gross Time Net Time Depth to Water Net Drop 4;00) C s TAit 3 1 1 ' , p� 30 3/_/ '/ Vq 00 17/6 m `1�n;:� i 3' PERCOLATION RATE (W (minutes/inch) PERC HOLE DIAMETER (� TEST RUN BETWEEN FT AND _ FT COMMENTS PfZ �OtkZ� PERFORMED BY: Logs `, C ;'2 n& I ���6M � ' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCIt WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5 f : • - 4 SPUTMand E [nee N , I 1_I O Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: North Woods #3 Block 13 Lot 3 Date: May 17, 2011 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project includes the procurement and installation of a 3 -bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work includes the installation of a 1250 gallon STEP tank tank, a drain field comprised of 2 trenches, 5 -feet wide x 48 feet long, with a maximum depth of 4 feet, with2 .5 feet of septic rock below the distribution piping. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank and a minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net a g g Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. S. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any class 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Drain field Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer immediately for clarification. 2. The drain field shall be installed parallel to slope contours. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net v� ll..atJJ LLII UU L.1W:1 Environmental Consulting and Design 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drain rock. 4. The drain field must be a minimum of 5 feet from the test hole excavation. S. Distribution pipe is to be installed level with perforations facing downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A silt barrier must be installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" in diameter, installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drain rock shall be solid. B. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be installed when the backfill depth is less than 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any class 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, cleanouts, and insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. S. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net 72.013 (Rev. 3!78) MUNICIPALITY OF ANCHORAGE J DEPARTr' \' T OF HEALTH & ENVIRONMENTAL PR07-�, TION IL VIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE I JKNEW ❑ UPGRADE MAI LIP ADDR LEGAL DESCRIPTION Walk)1 LOCATN NO. OF BEDROOMS J Well Absorptiaq?A / Dwe ling P IT U DISTANCE TO: rn n'a Y Manufacturer Mater No. of compartme,7 E2 Q N ~ Liq. a acit allons IF HOMEMADE: Inside length Width Liquid depth C Y DISTANCE TO: Well Dwelling PERMIT NO. JQ2 S?FQ- Manufacturer Material Liquid capacity in gallons O W.2 DISTANCE TO: II n�� F u ion - — Nearest I t inQ 1- P R IT 0 Y, � LL Z No. of lines length of each line T9taI le gt liges Trench width Distance betwee 'nes �?W y '//'�/O',` O ^" inches Top of tile to finish grade Material beneath file Total effectiv abs r 'on yea inches !'J Length TVidth Depth PERMIT NO. W Type of crib Crib diameter Crib depth Total effective absorption area aF Wa NWell Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT N0. J J . W 3 Building foundation Sewer line Septic tank Absorption area (s) DISTANCE TO: OTHER \ PIPE MATERIALS v / �.� SOIL TEST RATING 1 1l INSTALLER REMARKS lh b el, ELL APPROVED DATE LEGAL %%Yh, 13 L&3 72.013 (Rev. 3!78) 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME • PHONE NEW l UPGRADE MAI LI ADDR -- M Ick 107 LEGAL DESCRIPTION LOCAT N NO. OF BEDROOMS Well Absorption r / Dwelling P ITN U Y DISTANCE TO: m n F- zQ Manufacturer r Mater' _ . No. of compartmez wF rn Liq. a acit al1ons IF HOMEMADE: Inside length Width Liquid depth �— 6Y DISTANCE TO: Well Dwelling PERMIT NO. Jaz _ F Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: F u eijon ° Nearest I W Z z No. of lines Lengtrh of each line T9taI le gt iges Trench width Distance between 'n9s F. ? cc e 'y q'f1 * D inches -�— Top finish Material beneath the Total 'on F of tile to grade ' effectiv absrlr fa I� p s L inches Length TVidth Depth PERMIT NO. Lu 0 Qa F Type of crib Crib diameter Crib depth Total effective absorption area Lu WWell Building foundation Nearest lot line DISTANCE TO: _j Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER G- VV PIPE MATERIALS P.\j SOI L TEST RATINGmoon +,—1 / ✓ P INSTALLER REMARKS I a 3 W W0_4 61X3 it^n^ I X 40* APPROVED DATE LEGAL /rrr 1 72-013 (Rev. 3/78) ity of Anchorage PCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLFS, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION November 22, 1983 Alaska Environmental Control Services 1200 W. 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: On-site As-builts Dear Dr. Reid: This department needs the discrepancies cleared up on the following as-builts before they can be accepted: Lot 11 Block 5, Alpine Woods (Bolin Const.) The total depth of the system is listed as 14.5 feet. The soils test was done 8-2-83 with a total depth of 14 feet; so a new log is needed to show the new con- ditions, also the total effective absorption area appears to be wrong. Lot 16, Block F, Knik Heights (Jay's Exc.) The soils test was done to 9 feet and the permit called for 5 feet of trench depth; however, the total depth on the as -built is 6 feet. Lot 3, Block 13, Northwoods #3 (Skaggs) The bed should have been insulated in the areas where the top cover was 3 feet or less. Was this done? Lot 4, Block 2, Seaturn (ATC Ent.) The as -built shows 40 feet of gravel being installed and a total depth of 44 to 45 feet; this may have been a transposed figure. MUNICIPALITY OF ANCHORAGE Department,/' Health and Environmental^lrotection 325 L Street, Anchorage, AK _.j501 264-4720 Permit # # # # HANDWRITTEN PERMIT # # # "-'_-�/OR ON-SITE SEWER PERMIT Applicant: JA4t5z G c - Mailing Address: Location: //Pho e Number: Legal Description: A4%%�`i�'[��/ud1Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: 7Z;L— Soil Rating (sq. ft/br) 130 The Required Size of the Soil Absorption System Is:' DEPTH �1 LENGTH _ GRAVEL DEPTH . Sujd& WIDTHJY S The length dimension is the length(in feet) of 46t- rh 'or drainfield. 'The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(H&f:DM) TANK SIZE _ /000 GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. # # # TWO M INSPECTIONS ARE REQUIRED # # # Backfilling of any system without final inspection.and approval by this department. will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that L3.beZdrs. Signed: Issued by: Applicant Date: fS=/.S =�'3 SWP/024(1/81) r SOILS LOG . ` MUNICIPALITY OF ANCHORAGE gc DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Steve S K-11 5 DATE PERFORMED: A " 9 1 1193 LEGAL DESCRIPTION: Nae+ ood--jr 510cv 13 C.t3 MDA ST$3 oaf SLOPE SITE PLAN i MMOMENNEEM Date Gross Net Depth to 2 f,• 1 • 49 / 0[7"1) (:glt( 9 WAS GROUND WATER ENCOUNTERED? S ie s LO ■/,■.®N®®®® stlys.�ly J"""'I .. ..... a -i P 12 ♦ f" " ' "'•"•••' Q� IF YES, AT WHAT e , a 13 . 0. Wray ie .Reid, J►. � W � 2251•E DEPTH? ` 933 — r J MEMEMMMMON yy 20 2. i0 yo 9r`1 _ MMOMENNEEM Date Gross Net Depth to i 1 f,• 1 • 49 e's9% * WAS GROUND WATER ENCOUNTERED? S ie s LO ■/,■.®N®®®® �. :. .. ..... a -i P 12 ♦ f" " ' "'•"•••' Q� IF YES, AT WHAT e , a 13 . 0. Wray ie .Reid, J►. � W � 2251•E DEPTH? MMOMENNEEM Date Gross Net Depth to Net Time Time ■/,■.®N®®®® Drop a -i 923 - 3,00 NNEENEENNE io a.*] .zq 933 — 3.00 MEMEMMMMON 153 20 2. i0 yo 9r`1 _ .I■®■®®®®®® _ 100 y _ l0 216/ `9 ■I■■■■■■■■■ 3.03 i0Z3 11 1 �a. 3! 91MMMMe®■E® \ '■■■■■■.■■ MEMEMMM .IIM--E.E... ■,.®®R'®■®■® ■ENNNI®®®e® Reading Date Gross Net Depth to Net Time Time Water Drop a -i 923 - 3,00 133 io a.*] .zq 933 — 3.00 153 20 2. i0 yo 9r`1 _ 3.00 _ 100 y _ l0 216/ `9 Ip06 3.03 i0Z3 11 1 �a. 3! 20 'PERCOLATION RATE (minutes/inch) A TEST RUN BETWEEN FT AND z FT COMMENTS. 5.; I 'AteI & 131 17A B• PERFORMED BY: Darr CERTIFIED BY: DATE: 72-008 (6/79) PERFORMED SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 625 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: N•,}^„,,,:,a SEPT (FEET 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 (pm) 1:.+ SLOPE DATE PERFORMED: •OF'A`.q%1 1 �:� •••F,� WAS GROUND WATER S ,4 �[ �/ ENCOUNTERED? Ye `- L 000,00” see ✓_ P •' •• '•'• •"•:•'•� IF YES, AT WHAT , E Leroy C. Reid, r. �� DEPTH? %••• 225I..E •' �y�'/ 6 of . pE,< hie Fy •.•. ....• AV SITE PLAN i O 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND 2 FT COMMENTS 5 F f3 PERFORMED BY: D4,c'j CERTIFIED BY: DATE: 72-008 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop 29 7o 2' bo YO /oe-. l0 2-81 ,If 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND 2 FT COMMENTS 5 F f3 PERFORMED BY: D4,c'j CERTIFIED BY: DATE: 72-008 (6/79) Municipality of Anchorage Development Services Department Building Safety Division tt J On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I. D. 051-732-24 COSA# Expiration Date: (r. P l lc 1 1 1. GENERAL INFORMATION Complete legal description Lot 3, Block 13, North Woods Unit 3 Location (site address) 23044 Green Garden Drive Chugiak, AK 99567 Current Property owner(s) Jason and Francesca Longlet Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 23044 Green Garden Drive Chugiak, AK 99567 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑✓ Day phone Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site❑ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE !.�' Approved for 3 bedrooms. Disapproved. Phone 522-7773 Date 711 712 01 2 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Report Nitrate Advisory Other By. 0 I—C/( Original Certificate Date:'7 — � (Rev. VMS) Municipality of Anchorage • �` Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 3, Block 13, North Woods Subdivision Unit No. 3 A. WELL DATA Parcel ID: 051-732-24 Well type _ If A, B. or C provide PWSID # _ Well Log (YIN) Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: _ mg/I Date of sample: _ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/STEP Date installed 6/9/2011 Tank size 1,250 gal. Number of Compartments Three Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) Y Date of pumping 4/25/2012 Pumper Royal Flush C. ABSORPTION FIELD DATA Date installed 6/9-16/2011 Soil rating (g.p.d./ft2 or ft2lbdrm).6 GPo/SF System type 5' wide Trench Length ss ft. Width 5 ft. Gravel below pipe 3NA# ft. Total depth 6 ft. Eff. absorption area 673 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/11/12 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 1 in. Water added gal. New depth "' n. Elapsed Time: "" min. Final fluid depth ""' in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed 6/9/2012 "Pump on" level at 28 in. r)atnm Vault Rim Size in gallons 250 "Pump off" level at 28 in. Cycles tested "` E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Manhole/Access (Y/N) Y High water alarm level at 23 Meets alarm & circuit requirements? Y On adjacent lots On adjacent lots Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5 Absorption field >5' Water main >10' Water service line '10' Surface water >100' Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >19 Water main >10' Water Service line >to- Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >200' F. COMMENTS: Lot is Served by AW WU Water System. `"` Septic System Constructed Less Than 1 Year Ago. Absorption Trenches have 1" of Standinq Water. Adequacy Test Unnecessary to Verify System is Functioning as Originally Designed. G. ENGINEER'S CERTIFICATION " Cleo "' o,; 49m l certify that l 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. 0MICOAR g Engineer's Printed Name Michael E. Anderson, P.E. ,��Jcir •� ty ♦ �F� •� -1 f�r_PROrt Date 7117/2012 _ COSA Fee $ qqo Waiver Fee $ _ Date of Payment 71/u;a Date of Payment Receipt Number G S 2 6C� Receipt Number (Rev. 11/05) in. X6,1 Municipality of Anchorage ' *AE Development Services DepartmentBuilding Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0151,73Z- 24 COSA# Expiration Date: r %-- 1. GENERAL INFORMATION Complete legal description A&R—, "woops 43 r6iock x3 Lok 3 Location (site address) 2.3o Wy GaeeN -GTAR.0Eh Dr.. 044gi 4 k A k/ 99561 2. Current Property owner(s) _ DALE Fo4A.l Day phone 689-3V77 Mailing address Lending agency Mailing address PO got, 6-421901 Chu IAk , A K li5C7 Real Estbte Agent Mailing Address Unless otherivise.:rq.quesr"ed, COSA will be held by DSD for pickup. NUMBERQP BEDROOMS: Day phone Day phone 3. TYPE OF WATER.SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ -Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class _A Well ❑ Community On-site ❑ Public Water System V9 Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SP�Wi[XVID Snoin C-CU/V& Address 2o& W, 15tti A✓e., Te. Ze2, Ax4eeag /41< 9YS0/ Engineer's Printed Name L,42S PV 414 h ci 5. DSD SIGNATURE . _-Z Approved for bedrooms. Disapproved. Phone 271-391/6, Date S12-10 .��. �' A C.QS 1 �'' Ek :l.... / ...f �� �n'• LARURKLAND. e �r 11500 Conditional approval for bedrooms, with the following stipulations: �tttit��r(rrrr�' i-tV OF Aarff 5 ON-SITE WATER AND • WASTEWATER JJJ Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: ZV r Original Certificate Date: (Rev. 11/05) Mutticipklity of Anchorage v� p U • "° Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: /V01AW00d "3 BIK 13 L-1 3 Parcel ID: Of 732-2y A. 111ELL DATA Pu 61 c Well type Pu bl; L Date completed — Total depth -- ft. Date of test Static water level Well production If A, B, or C provide PWSID # Z 1300 t Well Log (Y/N) Sanitary seal (Y/N)= Cased to ft. FROM WELL LOG WATER SAMPLE RESULTS: Coliform — colonies/100 mL Nitrate — mg/L Arsenic: — ug/L date of sample: _ Wires properly protected (Y/N) Casing height (above ground) '— in. AT INSPECTION 9— p.m-Collected by: B. SEPTIC/HOLDINGTANKDATA-�- 1 Tank Type/Material Anc6orG 14„ k sled Tank size 1250 ' gal. Number of Compartments Foundation cleanout (Y/N) Y Depression over tank (Y/N) IV Date of pumping I'V2w Pumper C. ABSORPTION FIELD DATA Date installed I Soil rating (g.p.d./fe or if/bdrm) 0./O System type Stiatlow T64rL� Length 2 X qg . ft. Width S ft. Gravel below pipe 3.1 ft. Total depth (o ft. Eff. absorption area _IN ft2 Monitoring tube �` _ Depression over field Date of adequacy test Aty Results (Pass/Fail) — For — bedrooms Date installed 49/11 I Cleanouts (Y/N) Y High water alarm (Y/N) v Fluid depth in absorption field before test — in. Water added — gal. New depth — in. Elapsed Time: — min. Final fluid depth in. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date — D. LIFT STATIM Date installed to g I Size in gallons 1250 "Pump on" level at 28 in. "Pump off' level at _2 in. Datum Cycles tested Mew VRtiL7 RvA E. SEPARATION OISTANICES SEPARATION INSTANCES FRMA WELL ON LOT TO: Public. Septic tank/lift station on'lot Absorption field on lot Public sewer main Sewer /septic service Nine Animal containment areas Manhole/Access (Y/N) Y High water alarm level at Z3 in. Meets alarm & c ifuuit'requirernents? _ X Ware . On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Building foundation .5+ Property line 5 + Absorption field 5 + Water main 10 (+ Water service line 10 •t' Surface water 1001+ Wells on adjacent lots Zoa + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I Building foundation 101 Water main lo'+ Water Service line 1014- Surface water I Oo'+ Driveway, parking/vehicle storage Curtain drain 50 + Wells on adjacent lots ZOO �+ F. COMMENTS G.. �s CER CATIKKIMI A Cqs 1 t f I certify that 1 have determined #vough field inspections and 49 T review of Municipal,, records #hat the above systems are in :0 . conformance with, MOA COSA guidelines in effect on this date. / - .. .. LL I� PURKIAND; Engineer's Printed Name AILS SD4r' ►fin rr,".. y 5 ,i Date 8 121 l 1! �'FO' • • • p�,.'•" COSA Fee $_Z: 50 Date of Payment... , 1 11 Receipt Number 7 22 -- (Rev. 4/10) Waiver Fee $ Date of Payment Receipt Number Fm samw SEW= lzz�5-. / 1= 77.31. C.A.vrs �� ExlsTi�v a1 2y Z-3 Jl Ib° 2,5-,5- . 93 .I L- UNDER NO CIRCUMSTANCES SHOULD AN AS-SUILT BE USED FOR CONSTRUCTION OR FOR ESTABU9i1NG BOUNDARY 012 FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UAMUTY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE S LOT SUIMY -tun YL 1 1 I r F— FU MAIM AS-BIALT FlML SiRUC1URE AS -BMT PLOT PLAN ... AS.-BIRLT ... Ln�RWr • .. TOPDa"I'My IT 15 THE RESPONSIBILITY OF THE BUILOM OR OWNER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE THE COYMANTS OR RESTRICTIONS WHICH IDO NOT APPEAR O F ANY RECORDER SUBDIvI PLAT - SURVEY CERMFICAMN r, � P -LOT PLAN Ngo+. en Ur�� to M Old of� �� �•pa ��l Uod.dp. mA .1d FOUNDATION AS -BUILT 1 L ftb t 1: tonna o-_ em -by +Ub VAt I Aw. 11b,rE m AT-eull of m. - ..s M.m.u.n w Ws.s nlnw� � T _ Q• • Qo ,.na„d.n.nu o� QAF 021 MAL STRUCTURE AS-BUILT\� •eu.ty. m ra we s.n w �� e..en � pr=fssate++d V��ad� dYnnJ�+ond trdoin+atlan _ SYMBOL SET ROM DRAINS ASPHAL' o FOUND REBAR $"-•g-8- WOOD FENCE--° CONCRE ASSUMED ELEM *-4--* METAL FENCE ® SNOOD 0 ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL SHOWN. pENCEM WELL% SEPTIC CLEANOUTS, SIDEWALKS. DRIVEWA- ETC.. ARE SHOWN IN THEIR APPROMMATE LOCATION. ONLY. SN( MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATI ALL DISTANCES ARE RECORD UNLESS OTHERIMSE NOTE Prepared by Robert E. Johns, Jr. & Asso4 Professional Land Surveyors 842 E 12 AVE. ANCHORAGE. ALASKA "501 Rea Lot S F Rec. Plot File I t„ = 401 � hy.4am-]feddby.7-07-11 Drum 7-07-11 �'�`Nw 1099/ I1 - LOT 3, BLOCK 1.3i. NORTH.J60ODS SUBD . UNIT # 111 r 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. # C6N - --I sa''Q'l HAA # UA 03 \ L -L)9 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3; B2ockz 13; North Wood3 Subd.iv.i.6ion Phaze III Location (address or directions) 23044 Green Gan.den D)Live (b) Property owner Wayne 9 Tells Moane Telephone: (home) Business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent GREATLANa REALTY ATTN: Rae Hatt Address 11411 02d G.2enn Highway, Eag.2e R.iveA, A.2aska 99577 Telephone 694-9125 (e) Mail the HAA to the following address: (or check hereXX if hold for pick up.) List contact person and day phone number below: s & 5 ENGINEERING 17034 Eagle River Loop Road No. 204 I 2. TYPE OF RESIDENCE Single -Family CXX Number of bedrooms 3 3. WATER SUPPLY Individual Well ❑ Community CQX Public ❑ Note !f 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 0, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm5& 5 c Telephoner � , Address 17034 Eagle,River Loop Road No. 204 _I_- seep Date lti,yyjj '�L A�• i3' �9,,v'��iY. �9 cr;< in erx§ Seal r: tors ,t �rsfi$w , jw, 6. DHHS APPROVAL Approved for bedrooms b Date Approved Disapproved /h // Conditional Terms of Conditional Approval Xt4uU� CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 7/58) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 46 Legal Description: ,., wr.; > y�,«y3 A. WELL DATA Well Classification Well Log Present (Y/N) Date Completed Total Depth Cased to Depth of Grouting Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) If A, B, C, D.E.C. Approved Q/N) N_ Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot Zoo ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot "Loo "- ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by ; Date Water Sample Test Results , Comments 4'blD'k"'L17bcol►.�o2,rNvlan���� DEF�4nR.a1 i�atz tG S,�r� S?'//'.kA0&J B. SEPTIC/HOLDING TANK DATA Date Installed 11-J9 -93 Size 100 0 No. of Compartments 7. StandpipesO/N) 4_Air-tight Caps (p/N) \1 Foundation Cleanout O/N) \ Depression over Tank (YO kJ Date Last Pumped Pumping/Maintenance Contact on File (Y/N) A- ; for Holding Tank High -Water Alarm (Y/N) 4/1— Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well Z� o 1 � To Building Foundation S �} To Property Line l0' `" To Disposal Field 50 To Water Main/Service Line tD� To Stream, Pond, Lake or Major Drainage Course 10c) Comments �� `��SP�L 72-026 (Rev. 7/88) Front Page.1 of 2 C. ABSORPTION FIELD DATA Soils Rating in AbsorptionStrata 4-A, p�ga— Type of System Design UE.D Date Installed 11-14-93 Length of Field 'FD 1 Width of Field 1 L9 Depth of Field 2 - ar Gravel Bed Thickness taS Square Feet of Absortion Area Comet off' Statndpipes Present (.fir/N) Depression over Field (Yo Date of Last Adequacy Test '2-3-c� 1 Results of Last Adequacy Test SPe_r G��..r-\ Fr-d;P - SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well Zo o %k- To Property Line 4D 1 To Building Foundation la " To Existing or Abandoned System on Lot }'L]Dr; On Adjoining Lots `� To Water Main/Service Line 10 To Cutback (if present) ''���• To Stream, Pond, Lake, or Major Drainage Course 1077 "r To Driveway, Parking Area, or Vehicle Storage Areay>1,1-- Comments D. LIFT STATION Date Installed "Pump On" Level at High Water Alarm Level at - Tested for Meets MOA Electrical Codes Comments Dimensions Manhole/Access (Y/N) . — "Pump Off" Level at 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 inspection. Signed s ug FNGIN EERINIG Company 17034 Eagle River Loop Road No. 204 wage 'ver, Date MOA No. Receipt No. Date of Payment Amount: $ (__�o .— Receipt No. _ Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 date of this o a,. a -"a WALTER J. NICKEL, GOVERNOR Ll"',� «.` ill. C✓ a l., Lf is DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 March 11, 1991 FOR: Roger S & S Engineering PWSID #213001 Northwoods--Deerhorn Park S/D--ER/Chu My review of the records on file in this office reveals that the Northwoods--Deerhorn Park S/D Class A Public Water System is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. e Sincerely, Timoth A. Karnowski Environmental Engineer Time APPLIC^-1-1MT FILLS OUT UPPER HALp NLY Property Owner jameSHarkey OD11Stuctl.Otls inc... Phone " Mailing Address P. 0. BOX 410, Chugiak, Ak. Zip Code 99567 688-9603 Buyer Address Zip Code Lending Institution Inspector Phone Address Zip Code Field Notes: Realty Co. & Agent Gallery Of �r `.10 Marcia outealt Phone Address 603 W. Tudor W -y AnahO Ak. Zip Code 99503 563-3655 Legal Description Lot 3j, Blo k 131 NOithwoods #3 Street Location GreM Garden Dr. Type of Residence.. _ ❑kSingle Family F ❑ Multiple Family No. of Bedrooms—3 ❑ Other Water Supply ❑ Individual f ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. k Community. For wells drilled prior to that date, give well depth (attach log if available). - ❑ Public Utility Sewer Disposal 1983" Individual Year Individual Installed: - Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( APPROVED BEDROOMS (- ) DISAPPROVED ( ) CONDITIONAL A' PROVAL' DATEI BY: 'CONDITIONS OF APPROVAL - Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank - Well Log Received - Septic Tank Size . 72 023 Time APPLICANT FILLS OUT UPPER HAI! '\ ONLY Property Owner y - jj = S-f-yq-J�;�" �/ C.04 -,S - ��.Vtit;..� Address =PlonoMaiNng �` ZipCode ��' __ Buyer Address Zip Code Lending Institution Phone Address - Zip Code Date Realty Co. & Agents{f %��/�% L.. %- Phone Y1'" l' b ddress-�^ r )� Zip Code Legal Description 1 t) % K 1-3. Street Location Type of Residence nn nncc 0'-�) l E�SIngle Family ❑ Multiple Family No. of Bedrooms :z ❑ Other Water Supply ❑ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal []-Individual Year Individual Installed: El Public Utility When Connected to Public Utility: ❑ Holding Tank MUN "PION VP NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector nn nncc 0'-�) l Field Notes:1/ /' , C) MUNICIPAL DEPT. OF f;`A! Ti { <: L^.Nt,^` n NTAL PROTECTION CH RAGE. IP LI MUN "PION VP ENVIKOM-'v APPROVED BEDROOMS `CONDITIONS OF APPROVAL ( )DISAPPROVED p- I V � D ( ) CONDITIONAL APPRO L' � � E DATE G 2-M BY: Soils Rating Date Sewer Installed Well To Absorption Area_ © vim Well Log Received A/ /S i..E Z �1 ^ c�� Well to Tank C/ Septic Tank Size ¢ G�CD MAR -29,91 FRI 13,12 GREAT LAND REALTY FAX N0. 9076943093 P,01 WW to be Tax %TION ❑ Urban T UP © Over 7556 WTH RATE ❑ Rapid PERTY VALUES ❑ increasing AND(SUPPLY Shortage Ile Family yU Not Likely Family Likely ;!-family In process tmarciai To; istrial �0 ant e: Race or the racial composition of ih AMENTS: The subject Sul ell-inainr�ned sin=gle 3� i crn 'i riinrovem-e—n— s , 045-�1 PORT t ire rto.'111•-Q5G235t LENDER DISCRETIONARYI �J$- ,,, I,.I '; '• ? Salo Price Date 32='2 Mortgage Amount $ APPRAISED Mortgage Type C W18 ib e er paw— Fee Simple +halls Discount Points and Other oncossr HOA SIMO. n a Leasehold Size Paid by Seller S_ GUY Ftp ���• Srregti ar ❑Condominium (HUD/VA) Shape Drainage appears equa e ;e, , ® Suburban De M!nimis PUD Source [] Rural NEIGHBORHOOD ANALYSIS Good Avg. fair . Poor F1E] 11 2i 75% ED Under 25% Slow Employment Stability convenience to Employment ❑ : ®❑ 1 (—j FEMA Flood Hazard Yos`r• N x ® Stable Stobie [� Declining Convcnionoe to Shopping Schools El© 17` Livia L� ❑ ❑ ID ® in Balance ❑ Over Supply Over 6 Mos. Convenience to Adequacy of Public Transportation ❑ ( ❑ 0 3-6 Mos. PREDOMINANT SINGLE FAMILY HOUSING E Recreation Facilities OCCUPANCY $PRICE (000) (yrs) Adequacy of Utilities Property Compatibility a �. [j Q owner Tenant p ❑ $0 Low 4 -- -Ggh Protection from Detrimental Cond. t;R1 t❑�t tr❑�11 Vacant (0-5%) [� I Police & Fire Protection General Appearance at Properties LJ ❑ L..� . ;tom u :❑ Vacant (over 5%) ❑ Predominant 110 _ 7 Appeal to Market , , god are not considered reliable appraisal factors. on is located 3/4 mile west of Peters Creclt exit. It is 'a large, zany eleveConcnTiie bu0 up i averst;e qu'cilz Y, coitveiri �•_-�=--�— yrs rcnsionsx • x ' i Area s Corner ting Classifications szn—rest en a Zoning clricity s Mr nitary $ewer rrm Sewer MMEENTS (Al nd owne lim I orics pa (Det./Att) d (sign (Style) risting ?' oposed _ idcr Construction l p (Yrs.) area asphalt Curb/Gutter Sidewalk Street Lights none No r�i7 9verss easements, encroachments, special assessments, Slide areas, MO.):"- is above—greet gr a w�.tii a gees oT pe— Chugiak 63 ilities. Subject slightly verse 'Sans ao a apnrasser. +halls o .lax EXTERIOR DESCRIPTION Topography s 1? y, a ve ;. r Foundation CC bloClt Size ypzca : A - 'lrl�* Exterior Walla Crawl Space ���• Srregti ar s Shape Drainage appears equa e o Privato View ypioa7 ysAr-TJsnow coyer Is window Type w000�'csm Landscaping _ I— gravT� Storm Sash no Driveway Apparent Easements no Verse riO�eC� 1 (—j FEMA Flood Hazard Yos`r• N x No r�i7 9verss easements, encroachments, special assessments, Slide areas, MO.):"- is above—greet gr a w�.tii a gees oT pe— Chugiak 63 ilities. Subject slightly verse 'Sans ao a apnrasser. +halls o .lax EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION 640 Root ❑ Foundation CC bloClt Slab _ _ Arca Sq. Ft. % Finished 704�� Cci!ing� - 'lrl�* Exterior Walla Crawl Space TryiaulZ— walls �S tci :� a Root Surface asp h shin Basement Yes Ceiling none Wa!Is� Floor iis�— Gutters & Dwnspts, Sump Pump none z� Floor carp viny None Is window Type w000�'csm Dampness none n Outside Entry yes Adequacy. Storm Sash no Settlement nonenEd- Energy Efficient =tams: Screens n0 Infestation -- stgandard I'8 Manufactured House no Snsula Lon — _— *cedar accen s Dining Kitchen Den FamilyRm. Ree. Rm. Bedrooms #Baths Laundry Other Are _ Livia loors opt/vinyl +halls -r�a1= 'rim/finish Worm- Sn ath Floor v1� lath Wainscot ceroAl c loots House Entry Typo FA Fuel g:x Condition av; Adequacy s�, COOLING Central NA Other Condition ,AR STORAGE: Garage x Attached Vo. Cars 2 Carport ❑ Detached condition ave None Built•in MdRionai features: a tall, arge BI shelves, ecver entry; a. 7 rt General market conditions n_�1w O:aroan IM. Rangcloven Disposal Dishwasher None Stairs Drop Stair Scuttle Floor Heated Finished ,airs n0otlod, modsrnizatio— n, uto-0 floor covering in �F IMPROVEMENT ANALYSIS Good Avg, Fair Poor Quality of Construction Candifion of Improvements Room Sizes/Layout ) Closets and Storage Energy ENicieirey Plumbing -Adequacy & Condition it Electrical -Adequacy & Condition Kitchen Cabinets. Adequacy & Con Compatibility to Neighborhood Appeal & Markelability Estimated Remaining Econcmic Li._ YrS. Estimated Remaining Ph Sical Life 39, w© oVe, ac agana win aw, �_•:t..--� ��"�.'v r•or�flnnM! tJ'd'8�a� i i and impact in subject/market area regarding 10an discounts, interest ouyeowns aIt cu �ca�lu meet has improved with property values stable eif of Microwave _J Intercom ] Adequate X House Entry ] Inadequate ❑ Outside Entry Electric Door Basement EnI spo 1 , Scissor ,airs n0otlod, modsrnizatio— n, uto-0 floor covering in �F IMPROVEMENT ANALYSIS Good Avg, Fair Poor Quality of Construction Candifion of Improvements Room Sizes/Layout ) Closets and Storage Energy ENicieirey Plumbing -Adequacy & Condition it Electrical -Adequacy & Condition Kitchen Cabinets. Adequacy & Con Compatibility to Neighborhood Appeal & Markelability Estimated Remaining Econcmic Li._ YrS. Estimated Remaining Ph Sical Life 39, w© oVe, ac agana win aw, �_•:t..--� ��"�.'v r•or�flnnM! tJ'd'8�a� i i and impact in subject/market area regarding 10an discounts, interest ouyeowns aIt cu �ca�lu meet has improved with property values stable eif of MAR -29-91 FRI 13:14 GREAT LAND REALTY FAX N0, 9076943093 ,,,,y,;,,„ �•a„*:,,� UtillllR'lt,J1iM KC..`JrILiCPi i IAII. /�Mi•KAl�lif.. lt'iRt'VK 1 IuILOING SKfcfCH ($HOW GROSS UVING AREA ABOVE GRADE) $114.Z.0_RS amender for Freddie Mac or Fannfe Mae, show,on�y square !trot eaiculaaoml and coat approaO commonls in this Space. ' 28.'00 'X" 38.00 'X °', °1.00 •'.= ° 411064.00 11V/1'' ` 2:00 'X " "7:00 °X'• -1:00 `:. ° '-•14:00 'LIV/1 ' ' 26:00 'X` 26.00 "X" 1:00 '=' °676V'00 *BSM" `BSM " 6.00 'X' '6:00 °X' =1:00 -. '-36:00 Sales or Financing 20.00 X 26-00 'X'41.00 = "520.00 CAR 6.00 'X " 6.00 X • °1.00 '= 36.00 GA1Z Total Gross Living Area:•1050 I comments 'on Obsolescence: -10790- 4a functional or economic obsolescence Data of Salo/Time aas noted by the 'appraiser: jarlte•C •adjustment: $13/sf for '90%f in basement. See attached drawing'for floorplan . . . ,. Layout. w s milar i O L sup 4ite value "includes sieptie.' _ Not Required by Freddie Mac and Fannie Mae) loes property conform to applicable HUO/VA property standards? Yes Q No I No, explain: P. 02 File NO 11-0562351 ESTIMATED REP,•...iUCTION COST -NEW -OF IMPtiOUF((Vlj:jJ,TS;;,,Ct, s . Ft. ®� 48600 ;,":�i �, , il' So, 440, 1,0504 Dwellinr� 640 �i7smt5q. Fl. _ ' Extras fpl; wo(xls't:v, etc. see p, I_ -- -- Speclal Energy Ellicient Items Porches, Patios, etc. cov er, dealt- _ _ 7 37 Garage/Carport —Sq. _ . =� = 1r1r= Total Estimated Cost New m$ ' Physical Functional External Less 71500 m � 0 'Depreciation 50 Depreciated Value of Improvements .............. _ Site frtp. °•as is" (driveway, landscaping, etc.) _ $$__--__•_ J5_t 000— ESTIMATED SITE VALUE ................ . ..... . . _ (It leasehold, show only leasehold value.) --......... w,.,•w .nnnnnntl o A 122,672 IBUIGRICV VALLA[ 9, V.11I n.,••�•••+•• Construction warranty Yes [ No Name of Warranty Program Warranty Coverage Expires The Undersigned has rocltad three MCant sales of properties most similar and proximate to subject and ties Considered these In the market analysis. Trle aescrpuon nnuwuuo u vw a Adjustment, rallaetino market rOUCI)on t0 1h030 IlOtns of slgnlfioant verlation between the sublect and cornparablo properties. If a significant Item In the comparable property is $00riOr to, or mord lavorablo than, the aubjadt'property, a minus (-) adjustment is made, thus reducing the indicated velu0 of subi001; if a-Igni[ioant item In the comparable is Inferior to, or less favorable than, the subject property, a plus (+) adjustment is made, thus increasing the indicated value of the subject. CDMPARAnLE NO. 3 ITEM SUOJECT COMPARABLE NO. i COMPARAOLE N0.2 -�� igen en now ower p �`$91"� { '• - ampson D"r u ° Adaress 3/13 Northwotxis #3 16/3 5ampsan Est 18/16 Northwoods -1/5 ParXvper;,�'eFx•. r r- 5-rC11-e nor seas samesuw1visiors ml As o a e•, eraximity to Subject r $---'Y20-OdsS ; $-_=-51 000 II gM f Sales Price $ _ 4 , $ .89 C� 1 $ 5rice/Gross Liv, Area $114.Z.0_RS amender $ ! AM1) AMDS xnspe Ifion )ata Source VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION • t•) S adiuslmeat , , DESCRIP, ION + !-!s Auiu,lnwnt 'lam%A11TC I � (-t s aajuatmanl bESCRIPTION,� 7LT3%F'T; , Sales or Financing I ; ' Concessions I --- -10790- '� T'-- -'�I90='T0%90 , Data of Salo/Time / su erior Location average 2 /ave s milar i O L sup 227iZar -2275'0/sem -`5904"l.Inf +21 0D- Site/View f Sltnl sr ���� stmt ar Design and Appeal Quality cl Construction v 8 erage average s m air similar I ---_'I 'similar ;.-X00-$�a6-- 8T1� .�._ _; ""'-4'• —�---•- =' 0017' , Age 1983 , _JOU lnferlo]• +5; 000 Sim ar "similar ' Condition Above Grade go Total , edrms i Baths Total , edrrns Baths r Tatal , tdrnts 1 ealhs J -11000 Telal . BdrmS , Baths i Room Count -1 2 ' 3 0�0 4 2 -2,000 1 19 Sq. F_ -31400 , • _a,_ r q. Pt ; -21100 , 0$4 +300 `fin Gross Living Area _ 1, Sq, PL 5qu fin 93 O�rPin -2, - ln _ : 7Z0 Basement & Finished Rooms Below Grade 2-1•-1 3-2-0 +2,000 : _1•-1-1 —� --�" 2-1-1 --- slml ar �_ -�- Functional Utility average sim laic GFA simx.lsx• --- _"OiiW9 1CA 7 I"-- - - _Healing/Cooling GaragelCarport GFA _ G2 -BI — ± Cr -2 -BI _ — t��IY i- - 'clack ;� Parches, Patio, •--,—I qov entry cov entry cov entry deck I coo entry I Pools, etc. deck mrd deck —0.iar �siniflar slniiTrir ; Special Energy Ellicient items insulation Cpl +6,000 t "fpra- - 2 r p ; +2 s OT)�S Fireplace s) kitchen fp1 & woods TV—DG�� 19 bb RVQ'' l RVl?G, upgrad I� 500 5.�. ' •-200 ve ext gls Other (e.g, equip„ remodeling) scs truss v.c I h500 hdwd fir : -1, 2 1 ,wu +, r .,_. AA! r,w..u, 1 n + tai-'$ : Lj * f -'s - .n, Irl$ Indicated Value 1llllllllll�il1881111818111''llh I�� illll 8111 ii'l +1ill'I(', I 132. �o� �i�►���� i�i�i��ii�+�►�ii+i!��$ 125:404 of Subject I I i$ 119, 300 I , S Comments on Sales Comparison: #2 to th �n the su Oect su Lvision appe:zrs to �e a --u 1n a gator relative to the other data. I is indicative of sin improving tnar'ket. River Pro r . I' j a...0 -- condition. •#3 is located on a small site in �as1e 1� INDICATED VALUE BY SALE$ COMPARISON APPROACH ...................... • .. 1, 000 con 'etion cr lano/alid$ deifies ?' EI�"� 1111 INDICATED VALUE BY INCOME APPROACH (if Applicable) Estimated Market Rent $ 000 /Mo. x Gross Sent Mulli Per A .1 S na o This appraisal is made [] '°as Es° Q subject to the repairs, alterations, inspections or conditions listed below A A----• t Commonts and Conditions of Appraisal:_ #3 was utilized because of lack of other data in the immediate ntark_et area. See_vc sheet £or repairs. _ Final Reconciliation: rl'k>e SzLles Comparison Analysis is relies uPoT^aaci senatnaevest— Opduetacf` — is cross supported by the _ Cost Ap roach. Me Income App'___ i _ - ---7 ,;, , rte" 771;1 investor oriented �--tinge-- - - This appraisal is based upon the above requirements, the ccriitication, connt and limiting ecndiiiort5, and Market Value dclinilion That are stated ip Qx FmfJA, HUD &/or VA instructions. ,. � 18 Froddie Mac Form 439 (Rev. 7/86)/Fannie Mae Form 10040 (Rev. 7186] lO0d with cS O February 8 10-91- to be•$. 1 0;1400 I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE SUBJECT PROPERTY AS OF--- I (We) certify: that to the best of my (our) knowledge and belief the lads And data used herein are true and t:arrect; that I (wo) personally Inspected the subjecl proRy Inside and out, and have made an exterior inspection of all comparable sales cited in this report; and that I (we) have no undisclosed Interest, present or prospe0'iVe� /';� ��/ REVIEW APPRAISER Did APPRAISERS) Q Did,Not (if applicable g�nprure DrnhPrr°ii