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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 2 LT 6Riverview Estates Block 2 Lot 6 #050-721-17 SULLIVAN WATER, WELLS a�-t:Mer W-41-*th l Pb~ 9e71aF2759 w1��.Mae�MWt�nI�aKM Well Log Permit Number: IlSW xW162 Date of Issue 111121r2009 Date Started: W2812009 Date Completed: 8/3112009 Property Description RIVER VIEW ESTATES Lot 6 Block 2 Parcel Identification Number: 056.72147 Is well located at approved permit location? (X]Yes [:]No Sedan: Town: Range: Property Owner Name & Address: SCOTT & KATHERINE SIZELOVE 6943 WATERFALL DR. EAGLE RIVER, AK 99577 Borehole Data: Soil Type, Thickness & Water Strata Casing Stickup Overburden Hardpan WBoulders Sand W/Gravel Hardpan WBouldern Yellow Bedrock Broken Gray Bedrock Gray a White Bedrock Gray Bedrock Water Sample Results: Arsenic: Nitrates Total Coliform Bacteria Other bacteria: nenth I Methntiof r1rillinp Iv I air rotary 1 I cable tool Comments: DRILLED AS PER MOA STANDARDS Well Driller: Coke Sullivan From To Casing type: P.O. Box 670272 0 2 Wall thickness 0.25 inches (907) 688-2759 coVl00mL Diameter 6 inches Total: 44 feet 2 6 Liner type: 6 1t Diameter inches Depth: feet It 13 Casing stick-up above ground: 2 feet Static Water Level (from top of casing) 46 13 21 21 31 Pumping Level: feet after 31 211 __1 hours pumping gpm Recovery Rale 2 gpm 211 218 Method of Testing: Air 218 220 Well Intake Opening Type I I Open End IX I Open Ilole rI Screened Start feet Stopped F] Perforations Start feet Stopped Grout Type: Bentonite dry granular Volume Depth M Start o feet stopped Pump Intake Depth: feet Pump size: IIP brand name _ Well disinfected upon Completion? LxJ Yes Method of disinfection CHLORINE 50 PPM Comments: DRILLED AS PER MOA STANDARDS Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion. feet _feet feet 20 Pou 44 feet 69 Well Driller: Coke Sullivan Sullivan Water Wells ngA P.O. Box 670272 mg/I Chuglak, AK 99567 colonies/100mL (907) 688-2759 coVl00mL Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion. feet _feet feet 20 Pou 44 feet 69 ARCTIC PUMP Sc WELL INC. Jim Sullivan, CPI rDox 770197 I 1 Eaglc Rivtt, AK 99577 ' taus mm - (907) 688-2510 11�ti (907)258-2510 (907)745-2510 www gdnct Pump Installation Log Well Drilling Permit Number: SSV 090162 Parcel Identification Number: 050-721-17 Date of Issue: 8/21/09 Legal Description:River View Est Property Owner Name & Address: Lot:6 Scott&Katherine Sizelove Block2: 6943 Waterfall Dr Paolo River 4K 00477 Pump Installation Date: 09/09/09 Pump Intake Depth Below Top of Well Casing:200 Feet Pump Manufacturer's Name: Franklin Pump Model: 7js07/s4-2302w Pump Size:3/4 hp Pitless Adapter Burial Depth: 15 feet Pitless Adapter Manufacturer's Name: Baker Pitless Adapter Installer: U/K. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Arclic Pump & Well, Inc. Page I of I MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WATER SUPPLY PERMIT Initial Date Issued: Aug 21, 2009 Expiration Date: Aug 21, 2010 Permit Number: SW090162 Parcel ID: 050-721-17 Legal Description: RIVER VIEW ESTATES BLK 2 LT 6 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 006943 WATERFALL DR Owner Name: SCOTT & KATHERINE SIZELOVE Lot Size: 49845 SO. FT. Owner Address: 6943 WATERALL DRIVE Total Bedrooms: 0 Permit Bedrooms: 3 EAGLE RIVER, AK 99577 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. THE EXISTING WELL SHALL BE DECOMMISSIONED IN ACCORDANCE WITH AMC 15.55.0601-1a OR AMC 15.55.0601-1 b AND NOT AMC 15.55.060Lc. Received Issued By. 11�Nop Date: 16� B : Date: I Municipality of Anchorage l6 !� Development Services Department �•, ' ` Building Safety Division -� On -Site Water and Wastewater Program s 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050 0 7oi?11-7 �)n Properly owner(s) aaC) 1LL! ��iie6y Y_ ZPAh\iP Day phonelyffj-97a-9177 Mailing address\(rt �(r Xl1t r (L ►� i Q Zip Code QQ577 Site address Legal description (Sub'd., Block & Lot) Code 6IQ511 Legal description (Township, Range & Section) l `1 V, _ Ili o 0 Lot Size -1 7 qrp Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well [y� Water Storage ❑ THIS APPLICATION IS AN: Initial q Upgrade ❑ Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Date of Payment: Date of Payment: Receipt Number: 1.23 SrV d Receipt Number: (Rev. 11/05) r� PaePC, se/) RY OwN15Q SGOTr r. S,zrcovC EASUIMMS OF RECORD, OTHER THAN THOSE SHCf*N ON RECORDED PIAT ARE h`OT SHOWN HEREON. •4� The information hereon is for the use of lending Institutions shoving the relationship of existing structures and platted easements and lot lines. It is not to be used for positioning additionil istructures or fencellnes. DRAIN: ....- I I DATE: •ri_ni_ao . A3 -BUILT srlf ;:fY �P jo •.r lea u'�ccs aoo wIT*.4 , , NOAr rl a-,5 t at rl this date J I hereby Certify that I have perforated a btortatee's spection of the foL`owing described property: River View Estates Subd.,Lot 6,Blk. 2 Anchorage Recording rrecincLAlaske. and that the Impn stents situated thereon ere within the property Hees an! tot overlap or encroach on the propcM tying adjacent th to. that no tmpTovements on property lyinr adjacent the encroach on tha pnnUses to Question and that these an roadways. trananlssion tines or other alslbte easements DWaoias�ted hveon t chraAs tRte 31 say or Oct. 12 89 688-6566 1"•5pt I to. 9-61 1 LAKIU; SW 357 1 SEWARD 6 ASSOCIATES LAND SURVEYIN Page of Municipality of Anchorage __J_ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Dox 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report /�� j�Z PID Number. 5V- -721 -- �7 —000 Permit Number: Name: Wastewater System: ElNew Upgrade Address: ABSORPTION FIELD Phone: ( 0 — S70 S No. of Bedrooms: 0 Deep Trench [P'Shallow Trench ❑ Bed ❑ Mound C]Other DESCRIPTION Soil I' Rating: . Z_ Total Depth from original grade:9 LEGAL GPD/Sq. Ft. Lot: Block: ` Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade:`v 5 Gravel length: �/ n .0 Ft. Ft. WELL: ❑ New ❑ Upgrade- Gravel width: Ft. Number of lines: I Distance between lines: � 2 Ft. Classification Private, A,B,C): Tota Depth:' Cased To: ( ; %- Total absorption area: ' Pipe���p7aterial: 4c, � p Cl q `'' Ft. YV "/7 Com", lei 9L 3q Ft. Ft. Driller: Date Drilled: Static Water Level: SQ. Installer. n ^'j`C 1 _ Date installed: (� ,1J1P ?S 1 I ✓U I © c Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septit; ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: /j I�� ov- Capacity in gallons O n� +V From Well- eltSurface Tank Field Station Tank Sewer Lines I l_� ,yJf•t�", Material: �� ,I Number of Compartments: Surface i,Uo (� 1 LIFT STATION pZA Water Lot Line // y Size in gallons: Manufacturer: I �! •.� x �'` "Pump on" level at: "Pump off" level at: High water alarm at: Foundation /1 Curtain • Pump Make &Model Electrical Inspections performed by: Drain BENCH MARK Remarks: Location and Description: /i ��r l c F L 10 Or O 0 Assumed Elevation: ` C)C)^ 00 Ft ENGINEER'S SEAL �ic�ct� f ���y(����f Dates: 1S aj l�Y6f} .I d.°(17 u�:,..• Inspections performed by: ��� - ® ✓ ®•o a e ••.• ... 1,,@ e 2nd 0 u SANDOR MANYOKY ,o'e Department of Health and Human Services approval �� •• CE -8467 I�r,��.,° ®AV G C l✓�c�� Z �' � ° ° ° • �, e�® Pnn��ss�o������ - �, Date: Reviewed and approved by: ���rrSs0k 72-013 (Rev. 9/91) MOA 25 Permit No. SkI ON10 � 3 Page z Of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: zv� r 1-44--2 vl'v"v''eblee�J-- PID No.: D� 7621 7 00() 72-013 A (Rev. 9/91) MOA 25 . .na � U i (re ! ! t/ —''t A c' ae r 5a�o A c' Y1 I T 30. GCl ��a��L F Li g �-1 X1'`1 (D 8• � h Z? 67 ;' r ,� � ; , � � �.. �` 72-013 A (Rev. 9/91) MOA 25 Permit No. /yi �q 0 z2 Page of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: /o-1- 6 1,-2l1L), A iyeV V ) 'ew G� I - PID No.: (9 V %e I (70ou 72-013 A (Rev. 9/91) MOA 25 P JA J� �J 0A CAI, w c, y qY6'7 R-/(0! q A a OV 671C le" e..�e�� er�#e ��'$ n y G A, .(may.. B a •8' nno°ee p io<3 SANob1? h4An1YgKYPRO 72-013 A (Rev. 9/91) MOA 25 P Permit Number: SW980332 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Legal Description: RIVER VIEW ESTATES BLK 2 LT 6 ,rl - � / I. V-Y,C 1 -- Date Issued: Sep 03, 1998 Expiration Date: Sep 03, 1999 Parcel ID: 050-721-17 Design Engineer: 0073 Haas & Associates Site Address: Owner Name: Robert Talbot Lot Size: 49845 SQ. FT. Owner Address: PO Box 216 Total Bedrooms: 3 Permit Bedrooms: 3 Elmendorf AFB , AK 99506-0216 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: ! I❑�� ���� Date: 2-3 Date: / �% HAAS & ASSOCIATES, INC. CIVIL ENGINEERING CONSULTANTS • MATERIALS TESTING • ENVIRONMENTAL SERVICES August 24, 1998 Municipality of Anchorage On Site Services 825 L Street Anchorage, AK 99502 Attention: James Cross, P.E. Re: Lot 6, Block 2, River View Estates Dear Mr. Cross: The proposed septic upgrade will have little or no impact on adjacent lots in this subdivision for the following reasons, 1. Lot sizes are over 30,000 square feet. 2. The old system will be utilized if needed in the future. This system served the residence for over twenty years. 3. Adjacent systems are all over fifty feet away. 4. The new system will be mounded, topsoiled, and seeded. Surface water will be drained away from the septic system as shown on the plans. 5. 'The system will not affect surface drainage of the adjacent systems. If you have any questions, please call me at 344-4108. SM/slun Sincerely, Haas & Associates, Inc. Sandor Manyoky,P.E. Civil Engineer c , v o ° SANDOR MANYO ��i aQP,r6V C.I. �Ii4J� a ,. 3900 E 112TH AVENUE • ANCHORAGE, ALASKA 99516 • TEIJFAX (907) 349-8791 JOB 101-6 ,2 Iler ✓i'2 w esf HAAS & ASSOCIATES SHEET NO. I OF 3900 E. 112th Ave. S1% ANCHORAGE, AK 99516 CALCULATED BV onrE (907) 349.8791 CHECKED BY DATE HAAS & ASSOCIATES 3900 E. 112th Ave. ANCHORAGE, AK 99516 (907) 349.8791 JOB �f� �Jlc 2 �'✓er ✓i�-Cum es:� SHEETNO. S� OF CALCULATED BY ✓ DATE �- _ ` CHECKED BY Pe Y(, M ' Hm i /2 /ly G 4, S tV l ci e h -e +i G k tv LJ '°� 9 Ya p c' / )�>c/a 141 -e d. 5. U Yl Vja� moo"` °D vL` Q tp\,Yo, n SAV: (-/ O ��- ®-Y- 1,2 r^(,t, f s 2 02 �w �,� soy ► � s� 3 �v�Y HAAS & ASSOCIATES 3900 E. 112th Ave. ANCHORAGE, AK 99516 (907) 349.8791 JOB k1 Uer T. ���o L✓l�C Z SHEET NO. OF 9 CALCULATED BY / DATE CHECKED BY DATE OAR 4 �teyY�� • Municipality of Anchorage j � YtI [4 DEPARTMENT OF HEALTH & HUMAN SERVICES �v e v e e e o e o e o o e e ad v e 825 "L" Street, Anchorage, Alaska 99502-0650 �° ° , e a 6 ° e , , ° „/ , v , SOILS LOG PERCOLATION TEST B SANb012 MANpI(y a ���.v CE - 8467 PERFORMED FOR: DATE PERFORMED: k® LEGAL DESCRIPTION:vOf Z (?- tV2Y Vi-ew Cj+' Township, Range, Section: S DEPTH -6W 50'11 0L_ SLOPE SITE PLAN 1 7d __F_ 2 ,,°k 0L, Cgrac 6YoozI 0 7 ] P 0v 8 0 n 9 10 �l 11 ' 12 13 14 15 16 17 18 19 �u , �� �C�i •• • . 1911 0 FWS151AMEMMAMB t , • 4 ■■■■■■■■■■ IF YES, AT WHAT DEPTH? C1 Depth to Water Atter Monitoring? �__II �v 5 Reading Date Gross Time Net Depth to Time Water Net Drop Nk ! ? Z: zQ - .S /G Z: 34 3,p 'a Z' 2 : 44 t( i z 5'0- s3 3 t 2 : S"( 1t g'° Z I2 n 3 •,ay ,, � Z S` J__�20 PERCOLATION RATE i (minutes/inch) PERC HOLE DIAMETER / TEST RUN BETWEEN =1 • ' _ FT AND ✓ ' C> FT COMMENTS I5iAJI S W/ Ie'l 4 V i- rj-CVV1,[41,1.2.��podi5,�l"% G�1cit w1 P/" Xt )RN1y 1'L= vlw✓ (/// (aC�)lr' ok'7ero[or2 SAeo/9.e cvli-q'/11'-,e E PERFORMED BY: n' `�% NG/OP r 'a1'i)/0 y CERTIFY AT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS nAT//. DATE: 72-008 (Rev. 4/85) TC) t, rt. _ ... - `. l Y . _ Y 1� -I---,- 11 1V 1U111-t,L J_.LL,y OL 1�1L.11VLayC n„ _ s; Y well a a[ V11 JLLC ^l e'1J_ a11LL JC�11.11. ULVLJIull L LU1LL RU 1JCr L l aIUU L .ICU L V DLr, G RUs111i11J River 1.11 icl.. �-rl e RlzrVr 71 QG Y___nnn i Je(J LC1LLLUeL 1770 L11_U• i1C.Ui J, 11116 lel.ter .l.s LU LiiLUL1LL yeU 01 11LY LntentL ori tU Ili-,] :.>i u ii I1✓ of t1C v -t�i,i vii }" i^"r "fi rr. Y Yea ',' Nrvt.ci �.y — v4 iF i Lill- LmLlCU me L.11aL 1LLy �1eL1LL1L was approved as VL L IDep t elm1lb CL 1990. T l l L „l_ _ I,,, Y1_ l l L „1 ., ._ L1 _ Y 1 VJ111 fJe UV 111V Llle N!(JLK 11Lyse1L r-IJC1 L11C supeLV151V11 VL a cense e11q� neCL, Haas a11U assoClates , i 11uV Biu^c quC Xpc L 1 Com:.^.. 0. ^v'i'i �.hV c Ni f-'`. ✓. �... J-1., .. 4.r. 1, Tif.. 1. A -L. ,. T4... Force Y- perform L11C task llY JUL 111 L1LC ri1L Force requires 1LLe LV operate various JSinds V1 Heavy equipment a11U the eX �avaLliiy eq lL 1�J1Lle1m L. lI L1 Ue Le11 t1Lng 1j not a prVlJlelll for mile. iii aUU1L1U11 LO IILY e i iiy' iiciyiiwhivi v'iiii u" r�cci tlr� c^r^rj hn o . n c•o�l l mils Ul^(n system last year. I. Ve UUlle Ltl e j -l.11 Vit liOw LO lllStaii Lhe Syste111 and i plait on atter dli ng the SeMulnar yOU1 llos' 111Q on J Sept -elm e 19990. i iiv Nom: t::i:i le �tUr iv uu�:quute for `1'vui i.vcU:J uv T Niue vii start- 4 MU L11C WUrI U11 O JCrJLC1lIUCt . 111 n y0ii� G Robert Talbot I MUNi.U11'A.1,1'.L'Y. U1Y ANCIIUIZAGE He, `h and Environmental Protc ion Fourth Floor West 825 L Street Anchorage, Alaska 99501 279--251.1, x 224, 225 INSPECTION REPON'T ON -`HIT SMACE; 01Sl'OSAL 5YSUM 1\1AA,9L MAII.ING ADDRU �p� �i._ (J _-I( � _.__'f�flON����"'✓/�. , LUCAFION _ j �L I 4-1. �_. 1 YG iL UE SCRIM MN -_ 6 6,2_- %L�/iLJL�CL! j S:-ri-ric TANK: MSIANCF. r NUMBER OF I IJIM WELL.- _ mArMf ACIURLE+-�G�- Y � r frHIM. INSIDE L.ENGIH_ _- INSIDE. WIDTII _ L_IQ1,1I1) 1)LP111 _���� LIQUID CAPACITY/4W GALLON''. _ ) TOTAL LENGTH MS'IANCL 1 ROM ''VVLLI. -Odl -'_ If OUNDA1IOPJ L • NLARL`.,1 1_GI L INE__ Q( �_ - -or LINE UET'JV/LLN L_INL.l __ �j�. -_-_ REIvc11 WIDIII3IN. TOTnI_ LI=1 EC11`/f AE350RPIIOiV AREA..._ SO. f I. l_(_NGTII Or f.ACll LrJE.._–_-- UrP111 Of f ILfER DEP111: TOP OF TILL lO FINISH GRAD[ MALI PIAL 01-NEADi I ILE.. _IN_ ABOVE TILE SEI I'Ach III r: DIAW-1LIZ ._. OR WIDTH LF NG I-II_._, DEPTH LOg-^ Crib__R1rigS�:Rif4 IZF: DIAMI1L 1 R.--_ULPIH____- DISTANCE FROM: WELL____ TOTAL EFFECTIVE BUILDING FOUNDA I I0I,,J ___.. , F4EAREST L_O F l INE __—___ A.PSGRPTION AREA (WALL AREA) _-_...... SQ. 1 1 ' . '__' --- ...._ We ].1 _ 1 ___ i Class. Ii ��j� Depth:, f ;lel l DIstance TO: Lot Line _ I Bldg: Sower Line: —� Pi- e Materials` p LNC.- dk of Bedrooms: Installer Remark . ♦ I t At -iI ; ;. 00 Pbj idd i 1-!i.. 1 k I'i.'i' I1 f -! F , T.I ! L.' it i Will Ak ! GO ::'.:i 1 poi .. _; I _ I ' 1 J i PH_ i ' :,i.11, id i..Fri I 11 1 ANI ' .. _.... II II':' I I .. ' � i .�i'i i I L,..., ; I L. I': i._ I! I'I ii I(, 11 . .I.1 !I !1_.. .I. WANK: 1 1 k nos MO hd'4 Al i !L..Y 1 1 ij.:.'<. 1 I'C'I.. 'I ? I I:_ Ic'I I I`i l.' i I!.! Mr, N I II' I'KAY" K.! i P" on '-'' I ! RL.' I I .i! Arkloods FAM TO O I . OKI ;! ,..i ! 1_: ING M v,. �' �� r � ��` f \�� 1F'Y � i�. � �•�/ I wrva •�.w. ��y ,1 uaw r.�� r 1!+M rt l� �� .w�'.' .q � �u+r {\ (./er.n 1�'� . ` // nom\ � •1 Y � {` � ��vA+ 4 \I l iI 11v11+� u µv� � nNLil AnN✓ �Ui.v-� d \ � LL i .r i..a.l.V .1 1 �.+'�r✓1 iii CONSULTING GP-OLOGIST BOX 476-M, STAIR ROUTE A • ANC1-1012AGE, ALASKA 90507 • PHONE 344-7071 Date -1/2f -?6 SOILS LOG 0cV Performed .f'or- i e - 01 Description Depth (:£ Soil Desc.ri tion - -- _ S M e 0�el\A -20- Total. Depth �� feet in � W ',las Croundwater- encounl:ered' y`o ? What depth_ ? Depth to bedrock Z O How determined(Ow we ? Respectfully submitted, Gary F'. . ayer Consultinr,r GeQloC;ist Tatifirb Brittingfwg by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 s TELEPHONE 694-2588 Koc. G (z, OWNER OF LAND /' l ' DEPTH OF WELL ADDRESS STATIC LEVEL OF WATER FT. c LEGAL DESCRIPTION j' ` i 'r DRAW DOWN FT. DATE - Started '/ Ir Ended _�_ "` GALS. PER HR PERMIT NUMBER KIND OF CASING '- KIND OF FORMATION: From - —Ft. to Ft. Ft. 1'ii"L/[- Fronr_ Ft. to—Ft­ o Ft..` From __ Ft. to Ft (, t r r r „=', % hi Ft — fir: ,.:. From Ft. to Ft. From Ft. to Ft. i ` ; ".` r ; 0 4 : �' From_ Ft. to �. 7,_'I % - FL � �-e%i ,� t- .:, i� -=-. -- -- From._ Ft. to --Ft. From _Ft. to From -Ft. to `I Ft i .: % _ From— Ft. to _Ft,- Ft. From - `i Ft it%/-t7i ,c. l� /r I,c F t,;.�l _ From. Ft. to Ft_ From Ft. to From—Ft. to Ft. From Ft. to Ft. From Ft to ' Ft 3r. i t.:'. i/ r�<''� From �_ to Ft. _Rt. From Ft. to t . i Ft. '- it 4'� c::'" —_ From Ft. to Ft. From Ft to ; i_Pt :' / /':-1<< k (,f From- Ft. to --Ft. -- From Ft. to %.1 Ft �r=�''-��' From Ft. to Ft. From Ft. to ['rom Ft. to Ft. From Ft. to %' Ft. ���'=�r` From Ft. to Ft. From Ft. to Ft "' ,J ` ; r Froin—Ft. to Ft. From Ft. to Ft. i ` ; ".` r ; 0 4 : �' From Ft. to Ft. From '% ' Ft. to) ,-' Ft. From _Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to—Ft. From Ft. to Ft. MISCL. INFORMATION: DRILLER'S NAME ,r 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.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0-56 - q.21 --Ll l COSA # 686530 1. GENERAL INFORMATION Expiration Date: / ..Z — a 3 - d$ Complete legal description Lot 6; Block 2; Riverview Estates Location (site address) 6943 Waterfall Dr. Eagle River, AK 99577 Current Property owner(S) Donna Sanzi / Kelly Suitor Mailing address same Lending agency Day phone 694-9679 Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site❑ Individual Water Storage ❑. Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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, 1 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 S a s Engineering Address 15861 S. Birchwood Loop Chu 'ek, A#9561 Engineer's Printed Name 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 6942979 Conditional approval for bedrooms, with the following stipulations: k%" O F qrV' J . ON-SITE W9ER ALD r. rA eTrW eTFR Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By; Original Certificate Date: (eW IM) \ Municipality of Anchorage .•, R,. (• Development Services Department \ Building Safety Division " -- : On-Site Water & 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 CHECKLIST Legal Description: LT (o;'6;1 ✓L g rtc) ET, Parcel ID: 0..50 - %A I - / 7 A. WELL DATA Well type rpt ✓ If A. 8, or C provide PWSID # = Well Logt) Date completed 7/o Sanitary sea(RlN) Wires properly protecte<R/N) _ I to n Total depth S2 ft. Cased to 0?1.5 ft. Casing height (above ground) Z * ln. FROM WE L LOG AT INSPECTION Date of test 3 '6 Static water level Well production g.p.m. �` 771C g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate ,,), mglL Other bacteria O colonies/100 mL Arsenic: ' N A ug/L date of sample: Collected by: Sas rAYZ'u0i5're1&6 B. SEPTICIHOLDING TANK DATA q a Tank Type/Material -EfTIC S-ffC Date installed Tank size /OGt7 gal. Number of Compartments Cleanoutsa) T LL Foundation cleanout©N) 65 Depression over tank (0 t� High water'alarm (Yd / 0 Date of pumping c1ho as Pumper C. ABSORPTION FIELD DATA Date installed Soil rating g.p.d./ r ft2/bdrm)1_ System type J lt✓f LWC0 1 DKK q Length ft. Width 5 / ft. Gravel below pipe 5• S ft. Total depth ft. E absorption area %y�ft2 Monitoring tube Depression over field r7 Date of adequacy test q I5 Result Pas FaigS For -3— bedrooms Fluid depthlin absorption field before lest` in. Water added gal. New depth in. n Elapsed Time: /Zmin. Final fluid depth /to In. ^ 1 Absorption rate >= SO + g.p.d. Any rejuvenation treatment (Past 12 mo.) type) If yes, give date ^ D. LIFT STATION Date installed Size in gallons "Pump on" level at _in. "Pum Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot /00 fi i Absorption field on lot 1b0 '- Public sewer main ti Sewer /septic service line o?S 14 Animal containment areas i901 -L in. High water alarm level at Meets alarm & circuit requirements? in. r On adjacent lots On adjacent lots Public sewer manhole/cleanout N Lq Holding tank N LI, i Manure/animal excrete storage areas /Co 4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 "f Property line S '� Absorption field S Water main /v hq Water service line /O Surface water /00 "4- 1 Wells on adjacent lots /00 it SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 1 r Property line /D f Building foundation f0 Water main /y f% Water Service line /O r Surface water /L50 Driveway, parking/vehicle storage r Curtain drain f"15 KXVwWells on adjacent lots /00 'f' F. COMMENTS 4 ),U_ Frau fZVZ-.TIZ1C G. ENGINEER'S CERTIFICATION I certify that I have determined review of Municipal records h, conformance with MOA COS gt Engineer's Pri ted Name Date At COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) field inspections and ioversxalems-are in Waiver Fee $ Date of Payment Receipt Number j.. lox fit' ✓ r�i •fr �%L� _ • 9��B�pEt'�fi�Jlt's}i AS -BUILT No corneris set this date EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON RECORDED PLAT ARE NOT SHOWN HEREON. The information hereon is for the use of lending institutions showing the relationship of existing structures and platted easements and lot linea. It is not to be used for positioning additional structures or fencelines. I hereby ceelfy that I have performed a >lortagee s h spection of the following described property: River View Estates Subd.,Lot 6,Blk. 2 Anchorage Recording Precinct, Alaska, and that the Improv menta situated thereon are within the property Unes and c not overlap or encroach on the property lying adjacent then W that no Improvements an property lying adjacent there encroach on the premises in Question and that there are s roadways, transmission lines or other visible easements c Dated at Anchorage. Alaskas a hereon. the, 31 nay,,, Oct. Ig 89 688-4566 1"=5nl Ito' 9-61 I LAID: SW 357 1 SEWARD 6 ASSOCIATES LAND SURVEYING - PIZELIMINARY - SGS ReLN 1084682001 Client Name S a& S Engineering Project Namelfl L6,112, River View Est. Client Sample ID 1.6.112, River View Est. Matrix Drinking NVater P%% SID 0 Printed Date/Time 09/182008 10:20 Collected Date/time 09/032008 14:15 Received Datelrime 09/032008 15:50 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results P01. Units hicthod COntaina ID Limits Date Rate [nit Metals by SCP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/08/08 09/17/08 NRB Waters Department Total Nitrate/Nitritc-N 4.01 0.100 mg(L SM204500NO3-F B (<10) 09/11/08 JD7 Microbiology Laboratory Colony Count 1 col/100mL SM2092228 A (<200) 09/03/08 KAR Total Coliform 0 col/100ml- SM2092226 A (<1) 09/03/08 KAR Fecal Coliform 0 col/100ml. SM209222B A (<I) 09/03/08 KAR MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services ik On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. It 020 :ZZ I ^ I HAA it 'r) �� It , 1 ., 1. GENERAL INFORMATION �o r (, Complete legal description f Location (site address or directions) �,)L 1 2 1v Q v U1 Cu- e S �—. Property owner Day phone Mailing address Lending agency Day phone Mailing address 2, Vv� lvi Y ��'� (� Da hone :YS Zo Agent �� -t `� y P Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Ci Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOAt21 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 of this Health Authority Approval application 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 Firm — Phone Address Engineer's signature _- 6. 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Date e �~ T:-! a` ��.aen�a'a�• ia. .a °n.g rra �. -8467 Conditional approval for bedrooms, with the following stipulations: Additional Comments By - /V Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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. 1/91) Back MOA n21 Municipality of Anchorage SEP DEPARTMENT OF HEALTH & HUMAN SERVf©E6rALj-1 Environmental Services Division 11V'RONM6NIAL SEevi,,ts L)IM 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: `�Z d� Vel_ 1/I ec'(j Parcel I. D.: A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC watersystem number Log present (Y/N) Date completed % 3-76 Total depth A AC) Cased to � � S Casing height (above ground) / 6 Sanitary seal (Y/N) Y e S Wires properly protected (Y/N)� S FROM WELL LOG AT INSPECTION c� Date of test Static water level 7 Well production J g.p.m. C) g.p.m. WATER SAMPLE RESULTS: // ? Coliform n Nitrate U > G1?`� �e Other bacteria Date of sample: ^� / _ q Collected by: 54A o oy r l of m y o4 � B. SEPTIC/HOLDING TANK DATA Date installed C(— �' 8 Tank size 10'0 0 Number of Compartments 2 Cleanout�s ((Y/�N) Ye Foundation cleanout (Y/N) Depression (Y/N) N'0 High water alarm (Y/N) Date of Pumping R c 1 Lc Pumper PZ& C. ABSORPTION FIELD DATA Date installed 9 ) 0 —1 � Soil rating (g.p.d./ft2 or ft2/bdrm) 1' 2- System type �-Q V\ C �^— Length L 0 Width _ Gravel thickness below pipe S _'�- Total depth Effective absorption area 4 Monitoring Tube present (Y/N)�_ Depression over field (Y/N) PO Date of adequacy test CW C Results (Pass/Fail) For bedroo Fluid depth in absorption field before test (in.); Fluid depth Peroxide 72-026 (Rev. 3/96)* (ins) Minutes later: months) (YM) Absorption rate = If yes, give date water added (in.): D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES S level at* *Datum SEPARATION DISTANCES FROMWELL ON LOT TO: / l Septic/holding tank on lot _ / r _�, Absorption field on lot 11Q LQ On adjacent lots "Pump off" level at* ( D o�_ On adjacent lots / Coo Public sewer main 1v� Public sewer manhole/cleanout U Sewer /septic service line �f Lift station P/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation I I Property line 0 Absorption field ro Water main/service line _ `�Surface water/drainage Q Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 2 Building foundation z Water main/service line I l� Surface water 10 �D i— Driveway, parking/vehicle storage area ) 0 -�— Curtain drain W Wells on adjacent lots` F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with /OA7,) delin n effect on this date. Signature O Engineer's Name �a �Y 1 JqM yob y Date _ 2, ,2 - 2,P HAA Fee $ Date of Payment < d Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ _ Date of Payment Receipt Number 0 0�\ 01 �d� sasses use Aeq ^ 4� rs That t e Vay�e�ri]s are 49�►t • /il •/Y sa eA aA6�.e. dl�1�o '� NORTHERN TESTING LABORATORIES, INC. 330 3 INDUSTRIAL AVENUE 8005 SCHOoN STRE:IET FAIRBANKS, ALASKA 99701 (907) 450.3116 - FAX 456-3125 ANCHORAGE, ALASKA 99618 POUCH 340043 (907) 349.1000 - FAX 349-1016 PRUDHOE BAY, ALASKA 99734 (907) 659-2145 • FAX 659.2146 Itabcrt Talbot P.O. Box 216 MmGadOd AM AK 995060216 Attu: Clint Ili: Riverview Esntes Client PMjcct #: - NTL Lab#: A,116620 Sample Matrix: Water Cotemente; Mood Parameter Units SM 4500 NO3 E Nitrate -N m91 Jorma K. Kuusisto C 7•-1 PgrIN11 RMart bate, 8/6/98 Date ArriveeL 7127/98 Sample t)ate: 7/26/98 Sumpld tlmc; 13:30 Collocte6 $y: 84udor Mauyolcy ** Legna �%* NML Mdh1a Ropwt tcvd s bhvwd mrtgLhoaPlahx > a VAII V" M m Mfiialntat@tmm kI � ALaUe Mei. D Loa To Widen Date Date Rcsult MRL, pryer Analyzed 1,63 0,25 8/5/98 S3I1 DdOJd 3Nni1 ]()d WHtiS:OT 866T'E2'd3S 3330 INDUSTRIAL TE -STING LABORATORIES, INC, v 8005 INDUSTSCHOOSTREET UE FAIRBANKS, ALASKA ss701 (907) 4563116 • FAX 4.56.3126 POUCH 340043 ANChIopAGE, ALASKA 99518 (907) 349-1000, PAX 349 1016 PRUDHOE BAY, ALASKA 99734 (907) 659.2146 • FAX 660.2146 DRINKIN® WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Robert Talbot P.U. Sox 216 Date Reoelved; 7/27/98 Tlme Received: 12:30 Date Analyzed: 7/28/98 Time Analyzed: 07:30 Blmendorf AFb, AK 99506-0216 bate Reported; 7/29/98 Time Reported: 09:41 Next Sample Due; comments Phone Number; ( )522-8061 S _ Satisfactory Fax Number: U = Unsatisfactory Collected by: SANDOfi POS = Positive Test Result ND = None Detected Sample Type; Private water Systems TNTC Too Numerous To Count (200 Colonies) CG = confluent Growth Method of Analysis; Membrane Filtration (SM 9222 HSM _ Heavy Sediment Masking, Results May Not Be Reliable B) SA = Sample Age >30 Hours But <48 Hours, results May Not Be Reliable Comments: Old = Sample Age -s48 Hours, Too Old For Analysis R = Resample Required NT = No Test "* Colonles/100 ml "# Colonies/ml sample Sample Totals Fecal Other HPC** Date Time Coliform Coliform Bacteria Result Lab# Location Comments 7/26/88 13:30 0 ND 0 NT AC9494 k1ver view Cstales 1.6 02 Satisfactory oe Sherri L. Trask EhAranmental Analyst 7129/98 Northern Testing Laboratories, Inc Anchorage, AK I" - I �=-n�I ��T IM-:WONd 3Wf11J03 WHTS:OT 866T'62'd3S MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES}, Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650_ 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel L D. # C -'1G(, � 1- � �l 1. GENERAL INFORMATION HAA # W A() 2Li()� Complete legal description Lot 6; Block 2; R.Lvenview Esta.teJ Location (site address or directions) NHN au&h ng_Riven� Property owner A. H..E. C. # 26422 Day phone 561-1900 Mailing address 520 East 34th Avenue Anchorage, Alaska 99503 Lending agency Mailing addres Day phone Agent Sha 1 Ric a JACK OlH7TE COMPANY Day phone 694-5500 10928 age .even as Address Eagle Riven A2a.6ka 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 R 9 In 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 of this Health Authority Approval application 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 furtherverify 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 Firm 5 & 5 ENGINEERING Phone 17;'34 Eagle River Loop Road No. 204 Address E ••L 11yvr AlagicA 99577 Engineer's signature DHHS SIGNATURE 74- Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Date lam— 14-` -2- � _ OF �A A J. H No. S 15 7 ���•°.••.••°' �. pROFESSI4��' bedrooms, with the following stipulations: Mir The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) BaCk MOA #21 o Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L- _ T (v Parcel I.D. A. WELL DATA Well type' \�/ C, If A, B, or C, attach ADEC letter. ADEC water system number Log present (VNP Date completed��� ���r 1 Driller Total depth L) IJ V__ Cased to g )C�' Casing height �2- --_ Sanitary s'ea/(ff?N) Y FROM WELL LOG Date of test Static water level Well flow Pump level _ Wires properly protected47N) i AT INSPECTION N" 1661 5 l 130 '1 NOISIAIo S3�IANIS WiNINNOTAN3 g p m ! @E)Vd } V JO d111WIDINnw SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ---A—�t-I- Absorption field on lot Public sewer main Sewer service line tJ WATER SAMPLE RESULTS: Coliform T�11 Date of sample: ej(4— Nitrate tell —I�-q_Z_ B. SEPTIC/HOLDING TANK DATA Date installed 0-'4--7-7 Tank size CleanoutSO/N) On adjacent lots ; On adjacent lots Public sewer manhole/cleanout A Petroleum tank F—z:: ax) q / P Other bacteria Collected by: t ` Compartments Foundation cleanout (Y/,W i � Depression (Y/M &,.1 High water alarm (Y/N) Alarm tested (Y/N) Date of pumping Vbrras--tT��pumper J SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot_ �t On adjacent lots C_ ,Z t Foundation To property line `-c>I`t Absorption field `In Water main/service line /TIMI Surface water/drainage A -L_-- )-lx)Li-l- NZrrT V6T--A f i✓D, 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed 0—kJ-1 i Length -Width "J� "Pump off' level at Cycles tested Surface water Soil rating_ 19-4—System type ���� Gravel thickness 45 Total depth Total absorption area 210 Cleanouts present017V) Depression over field (YO)7' Date of adequacy test Results/fail) _Fd�5 for Peroxide treatment (Past 12 months) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: I ��' k line ert On adjacent lots Pro p Y To existing or abandoned system on lot 1' pFs &9 Cutbank Water main/serviceline I f NO -7 - Wel I O -7 - Well on lot To building foundation On adjacent lots If yes, give date bedrooms Surface water Driveway, parking/vehicle storage area i± Curtain drain E. ENGINEER'S CERTIFICATION U 6,*1-2 S' -1�> 9--y 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date `y & 5 ENGINEERING 17031 Eajle River Loop Road No. 204 Eagle River, Alaska 99577 HAA Fee &10 ` �—' L-::)— `Dt`_ 9 `Z__ Date of Payment 1` Receipt Number -7 elnQo Waiver Fee: $ Date of Payment Receipt Number 9`��'�e a60®aQ3Jp Y�4� � Cs� •°" x,34 °� 'Yi' FIOaVti J. ;, ArLR °,fit No. 82 �l4h'!'OOFErSV,,@P' CHEMICAL & GEOLOGICAL IaARORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Client Sample ID L6 B2 RIVERVIEW EST. PWSID : UA Collected SEP 28 92 8 18:00 hrs. Received SEP 29 92 B 15:45 hrs. Preserved with AS REQUIRED Analysis Completed SEP 30 92 Laboratory Supe s x 'TEPHEN C. EDE Released By 7V V/ ANALYSIS RESULTS for INVOICE # 58960 Chemlab Ref.# 92.5338 Sample # 3 Matrix: WATER Client Name :S & S ENGINEERING Client Acct +SNSENGP BPO# Req# Ordered By :R. SHAEER Send Reports to: 1)S & S ENGINEERING 2) PO# :NONE RECEIVED ..........................................................>............................_ Parameter Results Units Method Allowable Limits -------------------------------------------------------------------------- ---- NITRATE-N 2.4 mg/l EPA 353.2/300.0 10 Sample ROUTINE SAMPLE COLLECTED BY: R.J.S. Remarks: =--- 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA. Not Analyzed LT -Less Than, GT -Greater Than ONSGs Member of the SGS Group (Societe GAnArale de Surveillance) SEP 28 192 15:44 9076941251 ?ACK HHITUER P.1 MEMO-lotforlIM26JACK �AC%iffE COMPANY Eagle nivet R wd Sue 100 - Cade Rivor Ah tom, /7 Office (907) W4.6Yj0 FAX (907) 894-1251 TO - F• � � ><rd:��4'�.,T�.+ /�L.�; .C�I..tf jEl .L..G C'-�4✓%t`'Z..__ _ F �' ' r �✓-�J r% r —�.-..... t7.c- %��r�_ G�.•a�iti-�.*Y.-,`: Y�..�.�.�?7t. . <.. q � /�.��L r r 1 s � ?�7.,, �� // .f �a'_r'. .c�..S:r -.'tom �,GC•j �:.s..K'. _i,v. e.. t. fP-'�Y� { x 5�—.'� G'S�[... ' ci'..^ _-.-_...-.._.._.__/��+��'��/ �f.l..�..�?'w'!L� �a'�_ ���/.c�� `!."�...�.�� _CP_ � ....tl..'.✓�c-_` /lr*y,[ c t.r�!•tlY...i�Gy?t' Post-tt' brand fax transmittal morno 7671 w of pagA v � .......-.__............. �._...... ... ..._ _.. _.. .. ....... ......._...�..._.�-.... __...mom. FAX M —a.7�^.'�� ..m•u�np rMhrgioru W+w. r.... >zeer+zc iii�di ti1'( (0 �!T 0PAN"Z2,%SOA70 hNVE4QPE•EWI( 1 WNgW (aFR �ti, �G41 BEYER ENGINEERING RECEIVED .00i 1 4 October 14, 1991 AHP Alaskan Home Properties 701 E. Tudor Road, #100 Anchorage, AK 99503 Attn: Bob Monson RE: Lot 6, Block 2, Riverview Estates Subd. AHFC #26422, WA #USU q 710q Dear Bob: Lori Crowder requested that we do the work necessary to have the 10' utility easement vacated that is along the Rushing River Circle side of the referenced lot. The water well is only 1.1' inside the property line and is within the utility easement, on the outer edge of the easement. Telephone and power service to this property is underground from the south, on the opposite side of the lot from water well location. They installed a gas main this summer on Rushing River Circle and it is located on the opposite side of the street from Lot 6. It does not appear that the utility easement on this side of the lot will ever be used for public utilities so we thought that it would be no problem replatting the lot with the easement vacated. We met with Jerry Weaver, Platting Director, and was informed that all utilities would need to approve the vacation before the Platting Dept. would agree to the vacation and the replat. We then met with MTA, MEA, and Enstar. MEA and Enstar will agree to the vacation of the easement but MTA has a policy of NOT approving an easement vacation. They are firm in their position and will not reconsider, even though there is little chance that they will ever need the easement. We then requested and obtained notarized statements from the 3 utilities that they have no objection to the water well use of the utility easement. Enclosed are the original documents which may be recorded. K Alaskan Nome Properties Bob Monson October 14, 1991 Page Two RECEIVE® OCT 14 1991 ANP The utility easement along the front of this Lot 6 property is a part of Lot 6 and is under the ownership of Lot 6. The property owner is allowed to use that easement for ANY purpose unless that use unduly restricts or prohibits the normal installation and maintenance of a public utility. This water well does NOT prohibit or unduly restrict the use of the easement for utility purposes. Please call if there are any questions. Very Truly Yours: BEYER ENGINEERING r `.ice^-►�- M�rvin Enclosures BEYER ENGINEERING EC E IV ED 'It OCT 1 A 1991 Matanuska Telephone Association, Inc. P.O. BOX 3550 PALMER, ALASKA 99645.3550 PHONE (907) 745.9510 ..........1011.0.0000,..........................4444.............................4......0..0.60..........' Thomas R. Minnich P►esident/C.F,.O. NON—OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT By this document, Matanuska Telephone Association, Inc., declares that it has no objection to the placement of the following encroachment within the platted utility easement located on property described as Lot Six, Block Two Rive view Fstates Snhdiviainn , Township1, 4N , Range)W, Section 20 , Seward Meridian, Third Judicial District, Anchoraee , Recording District, Alaska: a. X Well and Underground Water System, b. Under or Above Ground Septic System, c. �„ Fence, d. Structure, f. Other Please be advised that should Matanuska Telephone Association, Inc.. need to upgrade, maintain, and or replace buried or aerial telecommunications facilities within the platted utility easement, it will be allowed to do so. Any repairs that may be required to the encroachment described above, as a result of utility construction will be borne by the property owner of record. PLEASE NATE: This document is, in no way, an agreement to vacate any portion of the platted utility easement, and should not be interpreted as such by buyers, governmental agencies, lenders, owners, Realtors, title companies, and or underwriters. SPECIAL CONDITIONS: This document must be recorded. Matanuska Telephone Association, Inc., will record the original document. Upon the return of the recorded document copies will be sent to the Grantee(s). An As -Built is retained with the original document, at Matanuska Telephone Association, Inc.'s Plant Services Building, Palmer, Alaska. Page One of Two Easement Encroachment Document/MTA Page 2 Bernadette Zimmerman Real Estate and Properties Supervisor Date: September 30, 1991 THIS IS TO CERTIFY, that on this 30th . day of September 19 ®Q,•(,, before me the undersigned, a Notary Public in and for the State of Alaska, personally appeared BERNADETTE ZIMMERMAN, to me personally known and to me known to be the individual described in and who executed the foregoing and acknowledged to me that she signed and sealed the same freely and voluilCarily for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this ce tificate first above written. / NOT4RY PUBLIC for Alaska Please Return To: Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc. Post Office Box 3550 Palmer, Alaska 99645-3550 BZ/EEDNOFOR.NO2 My Commission Expires: GRANTOR(S) ADDRESS Matanuska Telephone Association Inc _Past Office �lmer,_Alaska Bax 3550 99645-3550 GRANTEE (S) ADDRESS t9''e'+ %•.�,f OF.t��. d-' ar ..fir. F.w,~,.:;f':: ��•w""`,•...>..!'.f:, _Alaska H_onsina Finance Corporation Yost Office Box--1J)l�T Please Return To: Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc. Post Office Box 3550 Palmer, Alaska 99645-3550 BZ/EEDNOFOR.NO2 RE C E IV STATEMENT OF NON -OBJECTION FOR ENCROACHMENT WITHIN UTILITY EASEMENT OCT 1 4 W1 AHED Matanuska Electric Association, Inc. (MEA) has no objection with the location of a Well within the utility easement along the Northerly boundary of the following property; Lot 6, Block 2 of RIVER VIEW ESTATES SUBDIVISION located in Section 20, T14N, R1W, Seward Meridian, Alaska. This non -objection is conditioned by the stipulation that MEA will be held harmless from any and all damages to the encroachment that may result from the existing and future use of said easement. a Matanuska Electric Association, Inc. by: eneral Manager or Representative David E. ing is 9-23-91 to MEA ACKNOWLEDGEMENT STATE OF ALASKA ) ) S.S. THIRD JUDICIAL DISTRICT ) The foregoing agreement was acknowledged before me this 23rd day of September , 1991 , by David E. Ingalls A R E C E I V E Statement of Non -Objection For Encroachment OCT 1 4 1991 Within Utility Easement AHP ENSTAR Natural Gas Company has no objection with the location of a Well within the utility easement legally described as follows: Lot 6 Block 2 River View Estates Subdivision This non -objection is conditioned by the stipulation that ENSTAR will be held harmless from any and all damages that may result from the existing and future use of said easement. ENSTAR Natural Gas Co. P.O. Box 190288 Anchorage, AK 99519-0288 By Daniel V. Westerveltig -o -Way FgenT 4 -a -te CORPORATE ACKNOWLEDGEMENT STATE OF ALASKA ss. THIRD JUDICIAL DISTRICT j THIS IS TO CERTIFY that on this /%- day of 6— 19AL, _, before me, person- ally appeared p 11f� v. wL-mac known to me and tome known to be the -o- w s.v hof ENSTAR Natural Gas Company, a Division of Seagull Energy Corpo- ration and acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute said instrument. IN 14ITNESS WHEREOF, I have hereunto set my hand an official seal the day and year first above written. 11 17034 Eagle River Loop Road Eagle River, Alaska 99571 " WELL FLOW TEST DATA SHEET " RODERT A. SHAFER CIVIL ENGINEER 694 2319 94� PROJECT: G' DATE OF TEST: LOCATION OF WELL(Legal Descrlption): �, �r�> P7l�IL 12`—��=�� WELLDEPTH:yN-.�FT. CASING: FT. SGftEEN: �� A0 kfu- G GPpr,�C rJ DATE DRILLING COMPLETED: A-C?;),:�46 DRILLER: L� — STATIC WATER LEVEL (Top of Casing): FT. DATE: -- CLOCK TIME ELAPSED TIME SINCE PUMPING STARTED/ STOPPED,MIN. DEPTH TO -WATER, FT. DRAWDOWNI RECOVERY PUMPING flATE,OPM REMARKS yj 0 i 27'=7 (sxl) 0 0 Start 10 15 (,;-7-- 20 2' O3 25 30 2' l 35 40 45 60 2; TJ 3'•ID 60(1 hour) 90 Ito I•�i 120 (2 hours) — 150 1800hours) D I 210 _. (o ; 07- 240 (4 hours) - RECOVERY t D 0 5 - 10 - -- 15 20 - - - - -- — 25 -- --- - - - 35 Comments: `N(�� ���7JG�h /Pl�o� , Subsequent Variations S C, Pn�l r Can Ocour. 9 2/ EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON RECORDED PLAT ARE NOT SHOWN HEREON. W 39 oQs N �s The information hereon is for the use of lending institutions showing the relationship of existing structures and platted easements and lot lines. It is not to be used for positioning additional structures or feRcelines. DRAGiN: I DATE: 10-31-89 DMS SCALE: IFB: GRID. SW 157 / y7 ZOF A4 / �} T H 49 + e a to 40 A' •.• Duane Mark Seward ;• t o :a •. LS . 6918 J 4lk%Vk A.BUILT Na corners set this date _ I hereby certify that I have performed a Nlortagee's in- spection of the following described property: ----- River View Estates Subd. Lot 6 Blk. 2 Anchorage Recording Precinct, Alaska, and that theimprrove- ments situated thereon are within the poperty jinesecentand do not overlap or encroach on the proper y lying to, that no improvements on 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 rAlaska kdiicated hereon. Dated at Anchorage thio 31 day of Oct. la 89 688-4566 SEWARD & ASSOCIATES LAND SURVEYING - DATE RECEIVED INSPECTION APPOINTMENTS TIME - TIME TIME DATE DATE DATE ❑ One ❑ Four ❑ Other L — _ INSPECTOR INSPECTOR INSPECTOR 7. WATER SUPPLY X INDIVIDUAL* MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENT;IL ';IUMICTION DEPARTMENT OF HEALTH &ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 0* [[ ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E D V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (1 01 days for processing. 1. PROPERTY OWj�ER//�� �/�uYtQ II NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE 06cl MAILING ADDRESS lap PROPERTY RESIDENT (If different from above) - PHONE 6VjV'e 2. BUYER her PHONE MAILING ADDRES 6 4�6y 3613. 3. LEND INGNSTIT TION - PHONE �-- I MAILING ADDRE S - 4. REALTOR/ GENT - - PHONE .MAILING ADDRESS S Jz 5. LEGAL DESCRI TION S/7 STREET LOCATION - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY X 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.) B. SEWAGE DISPOSAL SYSTEM Z / INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) _ % �rE'(Y� (�,(�QI Y`�%���'�' /J� l\\ _ /L� 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ 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 DATE INSTALLED —� INSTALLER ❑Septi�c/T"1a�nnkk or ❑ Holding Tank Size. C� If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER 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 APPROVED FOR ��, BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) Ino A p1 - , 1 21, 1.9a1 S i C, r e I y r 1 '71 L cc: Peoples 1hL111'. Pouch '7- 007 9 111.5 1 0 Ev Poute Bo;. 82-11 99 _11;.10c i La L -F ew t -o CC v 151 on rov a oi- 1), C, c o F.; n o 1: items et i;?7_etect The cq) 0' i=he FiC-- 1_`''as i n(IJ -ficed, s to t'(' i� o w 1) s L iqh x po s Cc] C, "l -es LO wol L hend aL-e n v i. o I ion c i he A D. I I -) �Iim icipai L�y Of Al'lcljal-,,(jl_, codc;.S ��:Ici - 1, 11R18('_ I)C-' I -,L-," Il 'i(j . There was 11c) L an 1 t s i (-i a u c C, "I a v a I e c of F i cLrl ('d')ILa in a 11�i `_cr F-,ampl_(.-- a:,; e ca t n o L 1) no J. r, Lin e n L Tto sept-ic: to i -his cc C! j- e a r e an, I � - , - u ( � s '( i . C) n s pi a c, c, cl Or e a t 2 1-,4 -.;1'/ 0 � S i C, r e I y r 1 '71 L cc: Peoples 1hL111'. Pouch '7- 007 9 111.5 1 0 Ev Poute Bo;. 82-11 99 ie ��-,u� Iyer #1 Time Imo: Date Insp MUNICIPALITY OF ANCHORAGE �OL�L' iP� ) DEPARTMEN-i jF HEALTH AND ENVIRONMENTA PROTECTION 825 L Street, AnchoracrP. Alaska 99501 264-4720 Date Received: November 2, 1977 #2 Time _9L,,Snon-1 #3: Time _ Date _l�-� jg%P r Date �- Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511/242 2. Property Owner: Terry Kocher Phone: -2Z9-=-3-3-3-3-- Mailing Address: Sagwon Drive 694-9983 3. Legal Description: 'Lot 6 Block 2 Riverview Estates Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Five Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( ) Permit # 76714 Depth of Well Well Log on File () Construction Bacterial Analysis 6. Sewage Disposal System: on-site System (x) Public Utility ( ) Permit # 76714 Installed Installer Septic Tank Size Manufacturer Absorption Area _� Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line �Att MUNICII'AI.17v OF ANC14011AGIF MUN,_ �. Ff 7 Dtrl. Ur hLnLirl l?EPA!i"fMt:Ni (J�� Ni�l�t, rii MVD FrJVtf?ufVP✓ft,NT�^�C F^G?Ui t M fUN �IRONMENTAL PROTECTION fl��� 7a �1.1 t?E{ Anchorage, 1�I1�i �Lca ��a�0i t•�' 279--251-1, ect.. 2.1.4, 22.5 r��IU �9%� 11FOUs S'I FOP APV110VAL O INDIVIDUAL Sk:MJi and WATE11 1'ACILI'TIF:S 72 003(3!16) ECEI U E® I. Type of Inspection: 2. Property Owner:.. TERRY KOCHER 2 279 3333 9 7 (ti/aJing Addres __„_SAGWON DRIVE Day 6 hurt.:.__9983 ._ :>. Narno of TERRY KOCHER Pfi, ilirtg SAGWON DRIVE —_----- __._ Day l'hutta:_...... 5 2. ?siltation:.._PEOPLES BANK & NarnE of Lending L ”. __..._....._.._.._---- TRUST Mailing Address:__ POUCH 7007 f'horlc 279-7511 EXT 242 5. Name of I-lealtor or Agent: N/A Mailing Address:____-, __ __- N/A (. t_i;r.Ial Description: ------ -__w____._LOT,_6,,__BLK_,__2.,.__UVERVLEW-ESTATES .._.---.-_-- EAGLE _RLyE.P,--ALASKA___995.77-._.,____..._..______._ .. 7. Type of Facility to be Inspetrted:_.SINGLE_._FAMILY_I�E.$T.1)ENO.E..___._ No. SuI'q.>ly SEWER & WATER INSPECTION Type of Supply: Public: Utili t -..__..._-._._-......"__ If Individual, riurnbm of dwellings presently served If individual, depth of E3. y ie�Y17=1: F)i-po-ill 5ysten) SEWER AND WATER INSPECTION Typo of Systern: PLIbliC Utility _..Intiividual (on .i4c).._...."- If Individual, date of installation --------._.___.._._._..._ 72 003(3!16) Page -Two - Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 6 Block 2 Riverview Estates Subdivision comments: Affadavit Attached: ( ) - Letter Attached: ( ) Pt - Approved: Date: V � Disapproved: Date: Department Worksheet: Jo-3j �LC�o �C-) SFJ- `Q tf)c ( Ci to--�s � b2 L14 06 L - C-�� oQaa--n,� Csz bc) Ct- i � UC7 Z-iUc) l \FSS - +)s 5 � C2 C l - 11 II j i '� �x