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RIVER VIEW ESTATES BLK 4 LT 10A
MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION L /4I LOCATION ~ Well ' Absorption area DISTANCE TO: I I ~ I ~ ~ ~iq. cap ]ciW~ons Inside length DISTANCE TO: IF HOMEMADE: I'"'' II ~ " DISTANCE TO: No. of line1 I Length of e~ch line oft leto finish~le/ Length Width Dwelling j Foundation Material Nearest lot ]i~ne I.~ Material beneath tile Depth Type of crib Crib diameter Crib depth Well Building foundation NO. OF BEDROOMS Liquid capacity in'gallons PERMIT NO. Distance between lines inches PERMIT NO. Total effective absorpBon ar0a Nearest lot line Total effeC~e~4~tion area DISTANCE TO: Depth Driller Distance to lot line [ PERMIT NO. / Building foundation Sewer line Septic tank JAbsorption alee(s) DISTANCE TO: / OTHER PiPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL OOC Co. doa '' -- ...... SULLIVAN WATER WELLS ~:.z,, ~}.;.,¢~-~:;: >2~- '"'"'~' ~ P.O. BOXBT0272, CHUGIAK, ALASKAO9567 · TELEPHONE888,2759 ¢;OWNER OF LAND' 'Tt'S % ,Lt,],4· ~': ').U ..$ ~ t.~.4 ,u ,¢... I)EPTH OF ',',ELL Ended ':.: ;.'.,,... ," ~ ' From~Ft. to--Ft.. i: T~~'`.¢ ".. :;~:.," From _.. Ft. :. ,': i~. . 'd"- :,-3:.,.- From Ft. to ' "'"' From Ft. m~Ft, ~"" From ';' Ft. to, ~ . ,:' ,F~. . ~"'" From.. Ft. to ~ ...... Et.._ '~?::..' ... - , . .... ¢, · ":, From .... Ft. to Ft. ,:-,:; ,. . .... ",,'*, From Ft. to. ~:? From ,Ft. to : '(,:- t, >:~ From ,.Ft. to ~Ft. ~'? From~Ft. to ,, ' .Ft. , ~?h'FY :-';'... ~i. From% . ,Ft. to,~Ft. ¢4L From 7~:, From_' ,. J2 _Ft. to ~ :" Ft. .' · ~ · . -'k: From Front , · From , From .... From From ~ . From From From From From STAHC LEVEL OF W&TER FT. ~"4,~,,~'~ ~'?:;; ' ,~ L;:: - .' ~:47~~ DRAW DOWN FI, :'*~"" ..... '~' "~i ~ ' . KIND OF C.&SING ~ O /,] ~'"~"' :'5/'i5': , ~-,~.~:.:., ~'<~:'~.; ..,;~. ,,~,. ,¢',,.~ Ft. ~o FL Io~Ff. · Ft. ~o . Ft.. ': = Ft. Ii) Ft - -:., Ft. to Ft .... . ...... Fi, ~o .... Ft. - .L.~, Ft. to~. ,Fl. ." Ft. m__ .Ft ...... ' From Fi:. ~o Ft, '':'''',: ~'' . ~,-..... ~ ......v,,r.~' From .... Ft. to,~Ft .... ...". From~Ft. to__Ft, PO. ,-3,,,,,,, ',~6.50 ,~NCI.ORAGE. ~,LASKA ~ ' .... ;9071 264-41!i DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850626 Lot 10 BLock 4 River View Estates Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on=site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit lP"il tj,.....li jj',,,.~ Z]; Il ]]: ][: I1::::: ¢ t1._... Ir: "if" % .... iE]~ IF:=' r¢::',~ll II",,ll C::: IF'Ii ~IZ] :OE]::'AR"I"Hli:]',I'I" OF: I,IIEALTH AND ENViFd]NlvlE]qTAL. F:'RO'tE[CTIC)N i'F" :'~ <'~ .................. '"' ..... I .... :: 11.,~:F: 1 , AK 9950 ;I. 264.,~4720 I.,.~ ~ ~.~ .., .=:;~ ][; 'T' lEE; :E~!i; lEE: 6,,,,~ EE; IF;i:: F:" E: IF::;i;: I1',,'~ ]1:: "]1 F:'IEF;fl'"I I T I',10 ~ t:)A I]ii: I,SStJIEI:): D]:[.;K II-'It)MAS ';4,'. SRB 196X EAL'TiL, E R I Vlii~:R., Al< 694-2979 ........ """ :1,0 l :L W ' L. ist(:,>x:l I:.)e].ciw ar'~.:,,~ 'i:.he (:LL:rL:i. ons ava:i.],al:~].6: 'Lo yc)Lt :i.l"l designing ycJt,,H' ::iel::rk:i.c ,,~,/~i,-;'t',,(¢,~)l'li,, []lioos,~,~ thE.;, opt:Loll that DEPTH "I'0 F':[F:'E': I?O'I~'I'OM (1='"1'.) 4., 5 4,, () I:)F:,'(,~Vlii!:l,. DI!i:F'TI'I (F'T.,) 0 ,. ',5 i. () TOTAl.. DEF:"H"] (F"T.) 5~ 0 5.0 [',;Fb':~VI,:L. W]:DTT-I (F"T',,) 15. () 5,, 0 GRAVIE[.. I.,,IENGTH (I:;:'T ,. ) 3(),, 0 5:];., 0 GF;~AVI::I,. VCII...t, IMIE ([:;U,. YDS. ) :1.6, '7 ;l, 4, TANK SI] ]: I,.. I:?AT ]: NG (SQ. 1:::'"1'. /BR ) C:5() :1, 5() ¢or't:.h by the MurJic:i. pal:i, ty ot ~r~chor'age (MOA) arid the State of Alaska. 2. ]: wJ.],], ills'La:l.], tl"l~:) syst,(:.~,m in accor'dance wi'(,,h Et],l M[]A (;:;odes and s(.::.>Nepa(,'.:je sys'l:.(em or'~ t.h:i.s or al"iy adja(::;ent of r'leart]y :t. ot,. ]: I::: A I..., :1:I="1 S'I'A'f 'I"IIEIxI (t) AN I':LI~:C'II"(IC;AI,,., I:::'ERM:I:T AND :I:i'qSF'EC"t':I:OIq MUST I(tE (.~ IA1NED~ (2) AEk,<EdJILTS WII,,J,,. NO'I BE: At='I:::'ROVED N;I:'IH[]tJT AN IEI,,..IECTR]:CAL INSF'I~;:C"f'):ON RI~:I:::'(:)I::("I-~ AND (3) 'THIE EL, E[:TTR'ICAL W[]RK MUST BE DONE BY A [,, AI:::'I::'L, ]: CANT ~ D ............... ........................................ ,_ ,........,/ .................. ...... FIN[) T'HE E3TTEff"I OF' T'!...IE !E Y:: E: FI ',:,i FI T I 'Z H :::IN FEE:T) i'"!Z!",iI?iL.!["I [:, ]: '_:J'T'I::It'-,!(::[~ !(~:[~:"l'l.,.!l:Eii~:[',! F:I !,.I~5[i..L. F:ltq[:, F:fI",f'¢ O!",I-':'~;[TE :ii!;[EHF:i(.!ilE t')]:':!i;Fu:3'.ii;Ffl.._ E;'.:."5;Ti::i'i"i ]:'_:ii: :]..Ei(iJ i:::'E:E:'f' F(]I:~: I::t t:;:'!:,~iI',/F:!TE: I,.!Ei_L OR -]..sr/j 'TO ;2(iX::.i f.::i!i!;E"!' FF:OM FI F'L.I[:.,'!...IC 14EL..L. UF'Oi'.,! THE: T'.?F:!E OF F'UE',L. I C !,.!EI.J .... H.!:N]:ML.iH [:, ]: :STf:!NCE i::'t'~:EIH FI F'!:;ii:['v'F!'I"E: HE]...L !"0 (:! F'F:i',:,:R'f'E SiL:.t,.i[::¢;: L.!NE ]::!::; ;'::'.5 ?:'!!EETt' F:It'.,!D TO F! COi',IHL.t!'.,!:(T'¢ :!~;iii:[,.![El:~: l...II'.,IE ]:S 7'5 (]'['!-!IEI::;: !:,?.!EI:;:!U 1 !:;?.Ei'"IE:I'.,Ff'E; HFI"r' !:::IF'I:::'L."¢. :f:';PE!!:::: ! F ]: CF:IT ~ ()!",!E; I':t!",iD I:::1',,/I:::! ]: i..t:::I?,I...E: T() ]: I",I:!gJF:E F'I:~'.OF'F!!:F: ]: !"4;i!i;TRL.L.F:I"f' I ON. ]~ CiE F: !" ]: I:::' "? T H l::l"f' 'L' J: F:II"! !::'F!M;t:Li[Ft}~'. I.,.!:I:"!"i..'! Y'F. Fi: I:;i'.!i.~):;!!.J:[H.:?tE?TT!::; FO!:;?. ;:'f"!l:;YT'i...l r', , . . . . , , THE I',!1..1~.,[ [ IZ: :[ 2...T P.!IL% ]:rq:~"!"F:l~!.. "i'..41~( .:, .:,1t:.f! ":~; - T I.IN[:,E]!:;~:'.~;T: h E:, THF!"!' THE; EI!'.,F.-.E; ;[ '['E ,;:; ~l,l[:'~i;, -" '" ........ ~' . ~'Es ]: [:,ENCE ]; S I:;:I~E!'"I(]!],Et_.E!) ~) :!: N(:::L..LJE:,E; l'"tOl:k~; f'HFH'.,! ]?:: !?,E:[:,F:EK]!"iE;. F!f::'F:'L i ¢:)hl"l" J' ~ H i..!El[:,Ei :[ N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street. Anchorage. Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ySOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 L o"'C L/t SLOPE S TEPLAN 10 11 12 13 '14 15 16 17 18 19 20- WAS GROUND WATER %/ S ENCOUNTERED? ~"~ L 0 P DEPTH?IF YES, AT WHAT ~ [ E Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) . A t ~ TEST R. kdN BETWEEN . -~L~'?,~ ~ AN D --.~-~.~.~ FT~[~ PERFORMED BY: /. ~r,)~¢~~ ~. ~ CERTIFIED BY: ~,~4~¢DA 72-008 (6/79) · -';; -;~;;~ · ".'/,~;';~:-;;;{~lj~}~:' DEPARTMENT. OF HEALTH & HUMAN SERVICES ..:~: '~ :, ~?:, h.~;:-_~ ~.};,?-_ ?~ ."~ '.?. ~_-.: :~ :'~: .-~ ~:- ? p. 0 ;' B 0'X~ 196650"'A n ch~ ra g e, A la S'k a .].- 9951 ~ ~ 0 :'': ........... .... : CERTIFICATE OF H~LTH AUTHORI~ ..... '~:-~ '~" ': "' -: .... ~ ApPROVAE FOR A SINGLE FAMILY DWELLING ~ncy ' ;'i:.':.~ ....... In'd ' ~ .' ':¢~t~-;:;~::'~ ~.:~.:57~-~q~'.::~'~':~-':;2~t :;: .,::~: Public '-..~:: ~:?~%~7~j~ N~TE~;~fc~mun~w~syst~m;:pr~de~wri~nc~n~rmat~n fr~m $tat , ~: ,~4~.;.~:.t~;;:~:~ ~:-ing to the legali~and Status :..~ ~::~-;: :~'4:~':~PE OF WASTEWATER DISPOSAL: 5. STATEMENT.OF INSPECTION BY ENGINEER, r:-- ..~ r I - -' ~ . . ~ ,.- As certified by my seal"affixed heretoand as of the validat~ondate shown belo ,/?eli.hr that my :~ investigation of this Health Auth°ri~'XPP;o~al~aPplicati°n shows that the'~n-site water supplg:~¢~ and/or wastewater disposal system is safe, functionatand adequate for the number of bedrooms:{~): and ~p~ of ~tructuro indi~atod homin. I.~u ~B~r vor[~ t~at ~asod on t~o information oBtai nod from supply and/or wastowa{or:disP°~l ~yst~m i~ in c0mpl~ance,with all Munici ~al and 8tara ordinances, an0 mou~ati°n~ in o.~i'ont~0 ~ato 6f t"i~'ih~tl0n. ' · Address .... "Eagle Rl~.. ~. ~.w / , · , . - ,.... . ~ ........ , -_ ~::' : · . :. : . · ..~ .~ '~?~2~ '~,~..~ .......... .--~.,~,-.,.~_:. . .... ~._ ..,: /_- ...~ '._ .-;. ~ , :~te~S, bas~ ~bfil~: fip0n'the-mp~es~ntatio'n~given in'~pa~graph 5 ab0Ve'bY an~indep~'ndent ~',~','.~,,;, ng nst tutio~s ~'o'~de~to'~tis~ce~ain*~emi and state r~u rements; Employes of DHHS,do no. ~ .... ~ ' ~ ' '~t 0'ns 0~ aha ::~ d~ta'r~e{~r~' a ~ifi~a{~ ~i~fi~e' Muhifiip'ali~(°f~hc'fi0~g:e' i~ :~6t ~ -.:~ ::~:;: .~. ,'fo~ ~0m 6'~i~iO'hd"i~'ih~Prof~?h~l eng!p~.~;, Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type Log present ~N) Total depth Sanitary seal(~N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~o .~'7 Driller ~' ,, Cased to ,¢¢ ' ¢~," ~. 7-. Casing height /~- Wires properly protected f~) FROM WELL LOG Date of test Static water level . Well flow Pump level1 ~',~- SEPARATION DISTANCES FROM WELL TO: Septic/hekfing tank on lot ¢'~¢' ¢ Absorption field on lot /,¢,~ ' ~ Public sewer main '¢/,4- Sewer service line Z,?' -k g.p.m. AT INSPECTION ~, ¢ ,~' g.p.m. ; On adjacent lots /~ '/- .; On adjacent lots /,~¢//- Public sewer manhole/cleanout ,0~¢._ Petroleum tank Z-J- '¢- WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate 0 ,lc:, Other bacteria Collected by: B. SEPTIC/~ TANK DATA · , ,:.~¢~' ¢¢ .... Date ~nstalle.d/'¢".5.:~e~/''~r~, - Tank s~ze /_COO CleanoutS(C~N)" ~ ~Foundationcleanout~N) High w~ter alarm (5'(~ '. ~ ~ Alarm tested (Y~ Date ~} pumping .~-~-~' ~ ¢' .~7-. Pumper SEPARATION DISTANCES FFIi(~.M SEPTIC/HOL-DtN6 TANK TO: Well(s) on lot ,.[(x3'~p On adiacent lots /~, /~ Foundation To property line /..¢ ~-F Absorption field '¢ Sudace water/drainage /¢o /--' Compartments 2_ Depression Water main/service line CONTINUED ON BACK PAGE 72°026 (3/93)* Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level ~ Meets MOA electrical codes (~ ~ SEPARATION DISTA~vE~ROM LIFT STATION TO: Well on lot. / On adjacent lots D. ABSORPTION FIELD DATA Date installed Length L/¢ / Width Total absorption area Manufacturer ~ M an.l.l.~s (Y/N) ~ "Pump off" Level at Cycles tested Surface water ,~/ Soil rating (GPD/Ft2) ~F¢- ~/ ~2..__ System type Gravel thickness /. S" · Total depth _. ~/, Cleanout present ¢~N) ,y Depression over field (Y/~ Results (pass/fail) ~ sc-- for ,Z Bedrooms ~" After test ~" /Po,¢~- ~:,~o ~/J If yes, give date Date of adequacy test ~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Sudace water Curtain drain On adjacent lots ~/¢- Property line /,c, / ../- To existing or abandoned system on lot .,u,,/,~-- Cutbank ~ 2'~ ' Water main/service line /,~ ' Driveway, parking/vehicle storage area 25' E. ENGINEER'S CERTIFICATION I cerb'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect o~ of this inspection. Signature 0 ' ~~ ~'"'"~' '::" '!~! ..... .'~ ~2/¢~-' ...... Date ~ / '~ 0 / ~' ~ ~,~j~,, CE- 88-(~]" ,.,...~,, ,,~ ........... HAA Fee $ ~ OD, ~-r2-) Waiver Fee $ Date of Payment '~ ~ ~,/~ ~ ~- Date of Payment Receipt Number 7'~2..~ .5-/~/) Receipt Number 72-026 (3/93)' Back ~t~_., CT&E Environmental ServJoe8 Inc. WATER c]$,ent Salllpl~ ID L10A BLK4 RIVERvIEw EST Client Name S & $ ~UGIN~ERING Ordered Dy RAY S~[AFER Project Pro~eot~ ~WDID UA WORK Order 13485 PrinTed Date 03/30/95 ~ 15:40 Collected Date, 03/~7/95 ~ 10~30 Received Date 03/28/~5 ~ 08:45 Tech~ical Director STEPH~N C. EDE Dample Re~ark~: ROUTINE SAMPLE COLLECTED ~y~ RAY. QC ParamsCer Result~ Qual Unit~ Me~hod Nitrate~N 0.10 U m~/L EPA 353.2 Allowable Ex~. Anal Llm~.~ DaSe Da~e Init 10, 03/2D/9S CMR See ~pecial Inetruc~ion~ Above UA - U~available s..e Sampl8 RemarXs Abc~e NA - No~ ~]alyz~d Undetected, Reported va~u~ is the p~'ac~l~al quantification li~l~. LY = Less Secondary dllutio~, GT = Graa=e~ Th~n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Sen/ices .. On-Site Sen/IcesSection P,O. Box 196650, .Anchorage, Alaska 99519-6650 343-4744 · · 'CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ?:'"."Parcell.D.# (~-"'1~'~1~0~' i HAA#' :GENERAL INFORMA ~' complete legal description'' Lo,t_ I-¢3,.B£p~,E 4, Location' (site address or directions) W~erf~¢-~ DM. ye ...: r~,' ' ' Eag£e River, AK Pro perty owner Mailing address Lending agency ...Jeff and Maureen Gibson Day phone P.O. BOX 771334 'Eag£e River, AK 99577 694-6304 Day phone Hal Jac~on/ FORTUNE PROPERTIES Address 10928 Ea~le River, Road Su, Cte 115 = Day phone Eagl~ Riu~r, 696-9312 AK 99577 Unless otl3erwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 · (3.; TYPE OF WATER SUPPLY: Individual well XXX Community well Pub ic water If community well system, provide written cc nfirmation from State ADEC attest- ing to the legality and status of system. T¥PE OF WASTEWATER DISPOSAL: Individ ual on-site XXX ' NOTE: Holding tank Community on-site ~ ' Public sewer-, . ' ' ,. · : ,. '. ,. :' ~"~.i~! '::' ' ~:..':': If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 .Rev. 1/911 Front MOA ,921 Name of Firm $ & S ENGINEEEING/~,, Address 170:34 Ea~le 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 th is Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the hum bar 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 an d inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Mu nicipal and State codes, ordinances, and regulations in effect on t~ this inspection. / ,/ Phone _/_~¢'¢,"~2"~ ¢' Approved 'for ,-~ Disapproved. Conditional approva for 6. ' DHHS SIGNATURE bedrooms. Date_./ ~ ,// , bedrooms, with the foll0wing stipulations: Additional Comments . ': 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 nstitut ons n order to sat sfy certain federal and state requ rements. Employees of DHHS do not i'=~ ~ ·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. -L~ ...... 72-025 (Rev. 1/91) Back MOA 1/21 Municipality of Anchorage Department of Health and Human Services HEALTH AuTHORiTY APPROVAL CHECKLIST Legal Description: ~ A. Well Data Well type Log present CN) Total depth Sanitary seal (~)N) ,. '-/ Date ct test Static water level Parcel I.D. __If A, B, or C, attach ADEC letter. ADEC water system number Date completed ,~,-- ,3,1 Casedto "~¢'x '¢t.~ FROM WELL LOG Casing height Wires properly protected ~/N) AT INSPECTION g.p.m. ~'.fl~' ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Well flow L~., ~ Pump level1 .3 ¢---- SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot \ Absorption field on lot Public sewer main Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform D Nitrate Date of sample: Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed \ ~ ~ I Cleanouts ~0N) "-/ High water alarm (Y(~i.~ ~ Date of pumping Tank size ~ ~'c~ ¢:, Compartments Foundation cleanout ¢~N) ~/ Depression (Y/[~I) Alarm tested (Y/r~) '~/~ Pumper ~J'~.--¢" ~ (--~E¢¢~ f~* o ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot % o ~ On adjacent lots To property line t ~ ' ~'' Absorption field Surface water/drainage '¢¢P Foundation Water main/service line ,/Lo CONTINUED ON BACK PAGE 72-026 (3/93)' Front 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) ~ D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) " ump-ofr"-L ;el at ~C-'~ycle s tested Surface water Date?stalled \'~ '~ ~ Soil rating (GPD/Ft2) ~:;'~' 4~ System type Length ,z/~ / Width .5'-: · Gravel thickness /, ~'- / Total depth. .¢z~ ~-~ Total absorption area '~ ~'~ / Cleanout present. N) ?' Depression over field (Y/~ Date of adequacy test '~ ~'~ / ~ ~ ~ Result~;]~;)'fail) ,~,,~--~ for ~ Bedrooms Water level in absorption field before test ,~:~" After test ~ Peroxide treatment (past 12 months) (Y~ f./',~///~ /,z,~/~ ~ ~,,./ if yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /~c~ To building foundation On adjacent lots Sudace water Curtain drain On adjacent lots / o ,~ / ~' Property line To existing or abandoned system on lot Cutbank .~ ~-.'~.: Water main/service line Driveway, parking/vehicle storage area ~'~ E. ENGINEER'S CERTIFICATION Engineer's Na~,~~, ....... ,~'~:/ H~ FeeS ~. ¢~ Waiver Fee $ Dateof Payme~ ~/ / / ~ ~¢ Dateof Payment ReceiptNum~r ~ ~ ~_..5~-~/ ~ Receipt Number 72-026 (~)' ~ck CT&E Ref. tl Client Smnple ID Matrix Client Name Ordered By Proj act Name Project# PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services LZ'2.~;~Z/Z//-/Z/~'/Z/~/~/z;/z/'~/~/z~~'~/-~/~/~/'~7~ LABORATORY ANALYSIS REPORT 94.1230-1 L10 B4 RIVERVIEWEST. WATER S & S ENGINEERING WORK Order 76844 R. SHAFER PrintedDate 03/25/94 ~ 15:42 tu's. Collected Date 03/22/94 ~ 13:00 hrs. Received Date 03/23/94 (~ 13:00 hrs. UA Technical Director STEPIIEN C. EDE Samp I e Rc~narks: Paral/leter ROLrFINE SAMPLE COLLECTED BY: RAY. QC Results Qual Alloxvable Ext, Anal Units Method Limits Date Date hilt Nih'ate-N 0.10 U mgFL ]gPA 353.2/300.0 10 03/25/94 LLII * See Special InstFactions Above ** See Sample Remarks Above lJ = Undetected, Reportedvalue is the practical qmntification limit. D = Secondary dilution. UA = Unavailable NA = Not Analyzed IfF= Less 7hen GT= Ch'eater 'lhan 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA PROTECTION~U' -J4'~ 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL j-~ OF ON-SITE SEWER AND WATER ~:AOILITY 264-4720 Application Date AUGUST GENERAL INFORMATION Legal Description (include lot, block, subdivision, section, township, range) 1,0m lO, RTDCK il: RIVU~RVTEW ESTATES T14N, R1W, Section 20 Location (address or directions) WATERPAf,f, DRTVE EAC, I,E RTVER. AK (b) Applicant Name _LF;.E ~Af,kq~,R Telephone: Home NA Business Applicant Address .P~O. ROM 7_72~-19~ RAGi,R RT~FR, R~ AI,ARKA 99577 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other ~2( (explain); (d) Lending Institution __[~OM~ ,qAV~ ]~J~N' Telephone 27 -Z:~.13JS.l A~, Address 1001 E. BENSON~ ANCHORAGE AK 99510 (e) Real Estate Company and Agent RE/tYIAX OF EAGLE P, ZVER Address P,O, BOX 772849 EAGLE RIVER, AK 99577 Telephone 694-4200 HOLD (f) -ffvlaihthe HAA to the following address: F~E RIVER ENGINEERING SERVICES 694-4200 A~TN: ~,EE WALKER TYPE OF RESIDENCE Single-Family [~X MultFFamily Number of Bedrooms Other WATER SUPPLY Individual Weli~ Community[] Public[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~_ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DA'FA AND h, FOf.iMA'I'ION 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 Firm FAGf,F, RIVER ENGINBERING SERVICES Telephone 694-5195 Address P.O. BOM 773294~ EAGLE RTVER ALASKA ~9577 Date __ATlOfl'Sm 1R~ 1987 DHEP APPROVAL Approved for _ ,-~ Approved bedrooms by ~/~/~J / ,~~ate Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72~025 (I 1/84) MUNICIPALITY OF ANCHORAGE ENVIRONMENTAl. SERVICES DIVISION /-\UG 1 9 1987 RECEIVED WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ,,,~,,a /~ Well Classification /~'"~ / /./'/~ T~~ If A, B, C, D.E.C. Approved (Y/N) ,/"M'/~, Well Log Present (Y/N).....1/ Date Completed .~.'//~ ? Yield /"~"~'"-~'" Total Depth '/ge / Casedto 3~5/"N~'"~/CDepthofGrouting .'.'.'.'~/~ Static Water Level -fO" .//,/~,~,,,¢ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ,,v/~ Cleanout/Manhole Water Sample Collected by ~,~.~5 Water Sample Test Results Comments ..~ ~..-~'.¢,:~,,~/ /%.~ Pump Set At .~ / Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPTIC/HOLDING TANK DATA ; On Adjoining Lots -/-//-~ / ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ; Date / Date Installed ~/~;°~ / Standpipes (Y/N) _ /v Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) _ Separation Distances from Septic/Holding Tank: To Water-Supply Well /I.5~/ To Property Line 4/1: / To Water Main/Service Line ¢-7¢ Course Size }~-0 ~ No, of Compartments Air-tight Caps (Y/N) ...~" Foundation Cleanout (Y/N) Date Last Pumped /;],.,_~..~ ,/" Temporary Holding Tank Permit (Y/N) ~' To Building Foundation ? / To Disposal Field .~" To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(1]t84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed / 5',=¢'¥ Width of Field .-% Square Feet of Absorption Area ,--~ Depression over Field (Y/N) '/~.~' Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ¢//~5- / To Building Foundation ,/¢ Lot To Water Main/Service Line ~'-/~" To Stream/Pond/Lake/or Major Drainage Course Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ¢~ ,,~ / To Cutbank (if present) -~-/'/ ¢"/~t.~ / To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed' Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha~c.~h_ecked, verified, or conformed to_~t~,MOA and HAA guidelines in effect on the date of this inspection. Signed ' ~------~--~-~- Date ~//.-~/~¢ ~ Company ~",'~' ~-' Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) A,S_-BUiLT= ___ Gordon Sheret & Associates 301 E Ftreweed L~,ne Anchorage A~ka 99~3 GAL DESCRIPTION', LQ~ ~0, ~LK ~ MAI'ANUSKA ELEC' RIC: ,/r s$OCIA'I'ION, P.O. BOX 1148 PALMER, ALASKA 99645 iNC. TELEPHONE {907) 745-3231 April ~2, 1983 Hr. Jim H~dgin S.R. Box 9412 Eagle River, Alaska 99577 Re: Encroachments, Lot 10, Block 4, Riverview Estates Dear Hr. Hodgin: Matanuska Electric Association has no objection to the existing encroachments in the platted [0 foot utility easement on the easterly boundary of your lot [0, block 4 of Riverview Estates as indicated by the as-built dated October 9, 198~. We also do not object to the sewe~' ~ser within the outer five feet of the 20 foot utility easement along the rear of lot ~0. Since MEA will be utilizing the west [~' feet of this easement for a three-phase power line, the existence or damage to these encroachments will not be the responsibility of MEA. Please do not add to the existing enccoachments without MEA's express approval. Sincerely, David Ingalls Real Estate & Properties Officer jk ~:.j.A~...A'S FIRST REC-INCORPORA1LJ~ ]9.~ ~:NENGIZEO I!!,.,,.. ephone Association, In PO BOX 1388 PALMER, ALASKA 99645 PHONE 745.3211 [907) ...... .............................................. MAX CLEMENTS June 20, 1983 Ms. Eva Loken Commonwealth Area Realtors Eagle River, Alaska RE: Letter of Non-Objection TO WHOM IT MAY CONCERN: Matanuska Telephone Association, Inc., has no objection to t'he encroachment onto. the utility easement in Lot 10, Block 4, River View Estates Subdivision in Eagle River, Alaska. Other means of cable distribution for telephone facilities have already been employed. If you have any further questions, please do not hesitate to call. T~h a nk yo,u. Sincerely, MATANUSKA TELEPHONE ASSOCIATION, INC. Albert "Sandy" Munroe, Jr, Real Estate and Properties Supervisor clk cc: File AS-BUILT 801 E ~ewe~ ~ A~horage A~ka 99~3 t 1~ .... ~"=~o' I %'~' [ ;~.C. A UE~AL OESC~IP TION~ LOI ~0, ~LK · MUNICIPALrrY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONEqENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264~4720 Application Date __~L~ ~: ~ 1. :GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, tOwnship, range) Location (address or directions) (b) Applicant Name ~z_ -~.~%~ Telephone: Home ~¢--I '~' ' ~q~._._ Business _ Applicant Address ~.(2. i'~)4 ~j-.~,~_~L~L~o ~, ~' ~ z ~ c- (c) Applicant is (check one): Lending Institution ~; Owner/builder~&~Buyer ~; Other ~ (explain); (d) Lending Institution 'lelephone Address (e) Real Estate Company and Agent Address Telephone (f) -!,~ai~ the IqAA to tine following address: TYPE OF RESIDENCE Single-FarnilyJ~J- Multi-Family E] Number of Bedrooms Other WATER SUPPLY Individual Well ~ Community [] Public I~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~¢- PublicD Community[] Holding Tank[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 [I 1,84) [:age t of 2 ENGINEERING FIRM PROVIDING ,,~ISPECTIONS, TESTS, FILE SEARCH, DAT*~ AND INFORMATION As certified by my seal affixed hereto and as of lt~e validatioe date shown below, I verify that rny 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 tho 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 Address Date Telephone DH[P APPROYAL ( ~ Approved ~,~ Disapproved Conditional Terms of Conditional Approval · ,'6'" CAUTION The MuncJpality of Anchorage Departrnent of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State et Alaska. ~ he DI IEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain [ederat and state requirements. Employees of DHEP do not conduct inspections or analyze deta before a certificate Js issued. The Municipalily of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOAi HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal ~Description: L-.~-r- MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & I~NVIRONMENTAL PROTECTION .!;i: P 16 1985' .. 4j iVED WELL DATA Well Classification Well Log Presentd~N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit ¢~'N) Separation Distances from Well: To Septic/~'rg Tank on Lot t To Nearest Edge of Absorption Field on Lot To Nearest PubLic Sewer Line Cleanout/Man hole ¢'~ Cased to 8'~;~" Wu ~ If A, B, C, D.E.C. Approved (Y/N) Date Completed L~ ~ ¢¢' I Yield Depth of Grouting Pump Set At ~, ~ ,~4~ Sanitary Seal on Casing CN) Depression Around Wellhead (Y/J~ ; On Adjoining Lots ~,~_~ ~ 4.- ~ tq:~ ; On Adjoining Lots L~=~4' To Nearest Public Sewer To Nearest Sewer Service Line on Lot PS 4~ Water Sample Collected by Water Sample Test Results Comments /~, k~ B. SEPTIC/FcSrEDll~G TANK DATA Date Installed. ~,-%~-(E, I Standpipes ~;?N) Air-tight Caps Depression over Tank Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Hcl6,m~J Tank: To Water-Supply Well I /~ To Property Line t ~ f+ To Water Main/Service Line Course Size l ~ No. of Compartments Foundation Cleanout Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation L c~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ ¢-~-'- ~ Width of Field I~:~:~~ Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundati n Lot ~J~P~ Type of System Design ~ ,.---~'~ Length of Field Depth of Field Gravel Bed Thickness ~. ~ '~ Standpipes Present ~;:~¢N) Date of Last Adequacy Test To Property Line To Water Main/Service Line ~- ~- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Existing or Abandoned System on ; On Adjoining Lots "~ ~ To Cutbank (if present) ~ !.~. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have che?,ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signe~ : "~R~.~ *i9~)( Date ~-/~ -~ uompany ~1-], ~'~94-2fl~ MOA No. ~ ~O O ~ Receipt No. ~ Date of Payment Amount: $ Page 2 of 2 72-026 (1 ~/84) " APPLI¢ NT FILLS OUT UPPER HAl ONLY Property Owner James Robert tlor. lgin r-'f Lorie ttodgin Phone SR 9412 Eagle River, Alaska 694.-4717 Mailir-9 Address Zip Code O 9 S ,'7 7 Buyer Richard A. Thomas & Janice M. Thomas Address 2940 Carnaby ~xxBx~xx Way, Anchorage ZipCode 99504 Lending tnstitution F~DALASKA Federal Credit Union Phone Address Zip Code Realty Co. & Agent Colltmonwealt]l Area., Inc. (Listing Agellt: Eva Loken Phone .Selling Agent: ~¢~;¢a~fl ~nney 694-9555 Address P.O. Box 249, Eagle River, aiasl(a Zi ~p5 LegalDescription LO~ 10,~Biock 4 Riverview Es~a~es, ~mhorage Recording Dis~ric~ street eooat~ (~a~erf~11 Drive, Riverview Estates) Type of Residence ~ Single Family ~ Multiple Family No. of Bedrooms ~ ~ 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 (atlach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Date Date Date / Insp~tor Insp~tor Inspirer Inspirer ¢ ~', k~ n mpalily of Anchorage,, , "Dept. of Health & ( }'~ ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CON DITIONAL APPROVAL' S°'ls Rati'' ..t. Well T° Abs°rpti°' Area Well L°g Received /SO Well to Tank Septic T~k Size 0 C F- 0 fn -< INSPECTION APPOINTMENTS TIME T~ME TIME DATE 3ATE DATE iNSPECTOR INSPECTOR INSPECTO~ MU[xlI(~IVALII ~ ~r mun~cmau~voe anchorage ~e~. oe ~e~:~ · E~VI BONMENTAL 8ANITATIO~ DIVISION BEQUEST FOH APPBOVAL OF INDIVIDUAL ~ATEB AND 8E~EB FACILITIES DI~TIOfiS: Complete all par~s on page 1. I~oomplete rofluests ~Jll ~ot be processed. Please allo~ ten (10) davs for processing, PHONE ' PHONE PROPERTY RESIDENT (If different from abov ) ~ , '~ -' PHON~ 2. BUYER MAILING ADDRESS 3, LENDING INSTITUTION '" , - · ~ PHONE 4,~~ ~ . · ~ ~H~NE MAI LIN~ ADDRESS 1~. LEG, AL DESCRIPTIO~ STREET LOCATION 6, TYPE OF REsIbENCE - NUMBER OF,BEDROOMS ~ ~ ~ SINGLE FAMILY ~ Two ~ Five ~ Three ~ Six [] MULTIPLE FAMILY 7. WATER ~UPPLY ~-~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since .June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM L'~ INDIVIDUAL/ON'SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. L~,~'/ ~-al-o -~/ _ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFIL:IAL USE ONLY 1. TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY ' INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM ~J N DIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified J~Septic Tank or ~] Holding Tank Size:/~'L-~c~ If Tank is homemade give dimensions: [TOT,~L ABSORPTION AREA ~'4. DISTANCES WELL TO: NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE '~ TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tank Absorption Area to nearest Lot Line 5, COMMENTS [] OTHER IAbsorption Area ISewer Line JNearest Lot Line DATE [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (Petter must accompany certificate) ~,.' DISAPPROVED 72-010 (Rev. 6/79) Case No. 92-073 RETURN COMMENTS TO: DEPARTMENT OF ECONOMIC DEVELOPMENT AND PLANNING Planning Division P.O. Box 196650 Anchorage, Alaska 99519-6650 Phone 343-4215 A request for variance: A variance to allow an existing structure to encroach 45' into the required 50' front yard setback (AMC 21.40.080.G) and 6' into a 10' public utility easement (AMC 21.45.270). Riverview Estates Subdivision, Block 4, Lot 10, generally located southwest of Waterfall Drive and to the west end of Barbara Falls Drive. CURRENT ZONE: R-6 Suburban residential district COMMENTS AND MEETING SCHEDULE: Zoning Board of Examiners & Appeals Public hearing Meeting Date: July 9, 1992 Agency Comments Due: Jun 11, 92 Council Comments Due: Jun 29, 92 DISTRIBUTION: STANDARD DISTRIBUTION South Fork Eagle River Community Council * ZONING BOARD OF EXAMINERS & APPEALS * Assembly Hall, Z. J. Loussac Library * 3600 Denali Street, Anchorage, Alaska July 9, 1992 7:30 p.m. R-lO (SL)~ A.O. 84-143 R-IO(SL)~ A.O. 84-143 W~,'rE~ A B W BA~ Municipality of Anchorage Department of Economic Development and Planning P.O. Box 196650 Anchorage. Alaska 99519-6650 ZONING VARIANCE OFFICE USE REc'[~ By: Verify Own: Poster and Affadavit: A. Please fill in the information requested below. Print one letter or number per block. Please use black ink pen. 1. Case Number (IF KNOWN) 2. Petitioning for I-'71,~l--L.d'xl~l ILk]I*1/1: I',1-<i. ~1 I ~/, y~. 0~0.~~. 3. Abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34). Full legal on back page. lr,-l~ld~'Ft d'' I¢:1~'1 I~1¢ I~-HxlX?'l'i I'-P IX. I, I'~1 I~'t~ I'~1 I~'1 ° / 4. Petitioner's Name (Last-- First) I~l/l¢izJoi~ 1~4xlxl/~i,~l~ I i I I i J I I I I I , / Address: P,. O..~O. City: z~,xt .~/--~- /&IV~/¢~. State: Phone No.: ~ 9~--~-- A ~O~' Zip: 5. Petitioner's Representative or Contact Person' Address: City: State: Phone No ' Zip: 6. Current Zoning 7. Petition Area Acreage 9. Hearing Date 10. Principal Tax Number 11. No. Parcels I"'1 I ~ i I: I:1~!~1~/bid YYMMDD 13. Fees ~ ¢ 14. OommunityOouncil 8. Grid Number Is'l~t I~1~1~1 8. I herby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire a variance in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic variance fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the variance. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff or the Zoning 8oard of Examiners and Appeals due to administrative reasons..,. .~,.~1'.· ,,, ~.1.~,,. 0.4 '-' "~ ' ;:i'?'~'' "- Date: '~- 2, ~ - ? ~ Signature ,~,~ ~,]~ ', '. ,,'.. ~.:~. * A(~ents mus~/pr~e ~llten proof or aufhorlzaflOlt~ '.::![.~ 20-032 (Rev. 12190) MOA 25 PAGE I '~ ~O~ ¢ '2~' C. Additional documentation submitted: ;( 1. As-built or proposed site plan to scale 2. Building floor plans to scale 3. Building elevations 4. Photographs 5. Topography map of site 6. Building Permit 7. Other items D. Date discovered variance needed © ~ / :z2 E. Code citations involved: AMC 21 AMC 21, AMC 21. AMC 21. __ AMC 21. __ AMC 21. __ F. The existing situation is 7"#,~- ._$' ,~ /~ 7'/ C, '7-/9,t//4 k-es TS G. Granting this variance would permit 7~'/¢¢,/~p~ho,¢ ¢;,fl' 7-//4E ~O~<¢ H. Pleaseindioate belowtothe best of your knowledge if any of these events have occurred in the last three years on the property. Rezoning ~M Oase Number Subdivision Conditional Use Zoning Variance Enforcement Action for Building/Land Use permit for Case Number Case Number Case Number Full legal description for legal advertisement (use separate sheet if necessary). 20~032 fRev 12/90~ MOA 14 PAGE 2 The Zoning Board of Examiners and AppeaLs may onlygrantavarianceiftheBoard findsallofthefollowing six (6) conditions are met. Each condition must have a response in as much detail as it takes to meet the condition. Please use additional paper if there is not enough room here for your response. The applicant hereby alleges that: Special conditions exist which are peculiar to this land, structure, or building involved arewhich are not applicable to other land, buildings or structure in the same district. These special conditions are: Strict interpretation of the provisions of the Zoning Ordinance would deprive the applicant of rights commonly enjoyed by other properties in the same district under the terms of the ordinance. These rightsare: -/-//~- r,~tl~ ~7-'//~- t) ,¢~,,&/ Z-v 7.0 The listed special conditions and circumstancesdo not result from the actions of the applicant and such conditions and circumstan, ces do not merely constitute apecuniary (monetary) hardship or inconvenience in that: '%-"~,~ ¢,,v,,~ B,-~ 7'o ~-.~'-./7~' ,-~/ ~ r~ /~¢~ ~ 4. Granting the variance would be in harmony with objectives of the Zoning Ordinance and not injurious to the neighborhood or otherwise detrimental to public welfare for the following reasons: 5. ~ranting the variance will not permit a use that is not otherwise permitted in the district in which the property lies in that: ~t~ /~ ~ ~ ~_~/~/~ . ~C~~/' /~ / / / The variance granted is the minimum, variance that _will make possible a reasonable use of the land,_~_ ildin or structure in that' o/eLy T/-/'~'~ /o~,~ 7./r'2,,~-'_¢ o/=' T/-/~F'- bu g ' / ,, . . / --,,- 20-032 (Rev. 12/90J MOA ~4 PAGE 3/ ? ~ .'~ /'.4,, $ ?HOS£ S.-~o~ ON 7HE ~zCOF~DED ~.~£ ~0_ ~.~0¥/~ /.' fdd 'Driveway'-i / 14/9 2 '. AS.BUtLT'"No Corners set this date The information ,hereon is. for the use of 1 !endinq institutions showinq the relation- ship o~ existinq structures and platted easements and lot lines. It is not to be used for ..~ositioninq additional .struc- tures or fence!ines. el hereby certify that ! have performed a Mo~agee's Ln- ~pection ol the toLlowing desaribed property: Lot lO; Elk 4~ Piver Yiew Estates Subd, /u~chor~ge Recording Precinct, ;Jn~k , . ' toc that no improvement~ on proper~y lying adjacent thereto encroach on the premises in question ~nd that thare are no roadways, trs. nszn~ion lines or other visible easemenLs on ~nld property ezcept a~ indicatad hereon. Dated at Anchorage, Alaska thk 25 dab, of ~.ugust ~ 87 688-~566 SEWARD & ASSOCIATES LAND SURVEYING ~cphone Association, Inc.~ J P O BOX 1388 PALMER. ALASKA 99645 PHONE {907) 745-321 / ~.,.,,. :o.,~.o.. .. . :?,.o.,. ......... ?.,:.. ............................................ L0~ 10, BLOCK 4, RIVERV1EtJ ESTA1ES SIJ~DIV~SI01,J, TOWNSHIP I,ItIRIH, RANbE I WEST. SEEI'ION 20. SEwA~D MERIDIAN, ANCIlORAGE RECORD!I,JG D!STR]C F To Whom ! L Play' Concern: I'~;tTA~JSI.]A TELEFIlONE ASSO~,1ATION. INC. ENS"rAR ENSTAR Nelulal Gal Company A DIVISION OF SEAGULL ENERGY CORPOnATION 3000 Spena~d Road P O, Oo, t90288 Anchorage, Alaska 9951§0588 (907) '~ ??.5551 November 12, 1987 Re-Max of Eagle River 16600 Centerfield Dr., Suite 201 Eag)e River, AK 99577 Dear Mr. Walker: E)ISTAR Natural Gas Company has no objection to the encroachment into the utility easement on Lot l0 Block 4 Riverview Estates Subdi- vision. If you need any more information, please call me at 264-3743. Very truly yours, Oaniel V. Westervelt Right-of-Way Engineer DVW/j kk ACKNOt~LEDGEMEIlT STATE OF ALASKA ) ) SS. THIRD JUDICIAL DISTRICT) This certifies that on this _Z~ ~'day of ~L~-~u~,., 19~'), before me, the undersigned, a r~otary Public in and for the State of Alaska, personally appeared Dan Westerve)t to me known and known to me to be the person named ' ' in the foregoing letter and //ZE~ acknowledged to me that ~ executed the same freel~ and voluRCarily for the uses and purposes therein mentioned. WITNESS my hand and official seal the day and year in this certificate first above written. tlotary Puhlic~ State or ~'~v Co~issio.~ [~oi~: IJ/~/~/O STATEMENT OF NON~OB.]ECTION FOR ENCROACIIMENT AND NON-USE OF EASEMENT Matanuska Electric Association, Inc. (MBA) has no obiection with the location o~' a house within the outer (southwesterly) q fto o! the 10 ft. utility easement along lhe northeasterly boundary of [he [ollowing property; Lot 10~ Block 4, Riverview Estates Subdivision located in Section 20, TIqN, Rl~/~ S.M., AK In addition, MBA has no present or [uture intention o! issuing this outer ~ ft. o! the easement where the house encroachment is located. This is more clearly shown on the attached as-built o! the property marked "Exhibit A". Matanuska Electric Association, Inc. enera[ Manager or hi~/Representative Date MEA ACKNOWLEDGEMENT STATE OF ALASKA ) ) SS. THIRD 3UDICIAL DISTRICT ) .~~ng agreement was acknowledged before me this ~otary ~rub}(c/for fife State o! Alaska My commis(s~[on expires: 333,1/1111,1 Attachment !