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Home My WebLink AboutLAKE HILL ACRES #1 LT 27 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 261037 PID Number: 051-052-36 Dwelling: F01 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New *Upgrade Name MCCOMAS ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 24508 REESE RD, Chugiak ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPDISF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot LAKE HILL ACRES #1 LT 27 G: Ft. Ft. Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100 •1 50 TANK ® Septic ElS.T.E.P. [03Holding ❑ Other Manufacturer GREER/ANCH, DEEP BURIAL Capacity 1000 Gal. Surface water 100 Material Number of compartments Lot Line 5+ NA PLASTIC 2 Foundation 10 LIFT STATION Manufacturer Capacity Remarks OLD TANK REMOVED Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield 3034 MIKE ANDERSON Drainfield 3034 CO/MT 3034 Inspector MIKE ANDERSON BENCH MARK (Assumed elevation) 100 ft Inspection 1s 5/14/26 dates: Location and description r 3 d 44th h t TOP OF MH L I D ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: Date 477 i I _:... - 69 4: :�'•, Septic System/ Approved f`. Dafe�.'j Note: this ---- approval does not include well permit requirements. roe„ nc�no�• o� Permit No. OSP261059 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER AND WASTEWATER SECTION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-7904 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LAKE HILL ACRES #1 LT 27 PID No.: 051-052-36 a M REESE ROAD BENCH, TOP OF MH 0 N90'00'00•W NEW PLASTIC TANK 11 i' 188.3 TCC�i I CO21 CO2, \\ / _ SYSTEM ENCROACHES / EXIS NG CO \ INTO RIGHT OF WAY SEE I A / I \LETTERS OF NON OBJECTION B � ARK A B COI 62.8 69 TC01 67 71 TCO 70 72.7 CO2 72 74 CO3 72.7 74.4 I � / / I I / \ A UILT Sb E: 1 "=50' / / EXISTING FCO C01 TC01, BENCH T1302 CO2 CO3 DF q/� •♦♦ ., 0 ♦i SOLATION - •••... 0 J� j� yam' •. / SEPTI SECTION ;MICHAEL N. ANDERSON; W: No. CE 9469 ••'0.5-17-26 ?4'.i MUNICIPALITY OF ANCHORAGE On -Site Water& Wastewater Program PO Box 18665 4700Elmore Road Anchorage, Alaska 89519-6O5V Phone: -7804 Fax: (8O7)343'7887 On -Site Wastewater Disposal SystemPermit Permit Number: OSP261058 Work Type: SeotoTankUpgrade Tax Code Number: 05105238000 Site Legal Address: LAKE HILL ACRES #1LT 27 G:1561 Site Mailing Address: 24508REESERO.Chugiak Owner: K8CCOK8ASCL|FFORDK4&DEBRAA Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: [] Disposal Field 2 Septic Tank [] Ho|dingTmnk [] Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/4/2026 5/4/2027 Non -Public 1:1 Water Well El Water Storage All construction shall bein accordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal codChapters 1555 and1585 andth State ofAlaska Wastewater Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development 8en/ioea Department per AMC 15.65. Coodinmtevvith (]n-8ib* staff regarding preferred method. 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: u. Opened and Closed onthe same day, or b. Covered, sealed, and heated toprevent freezing Special Provisions: Prior bofuture COGA: ^ Verify field to well location on LAKE HILL ACRES #1 LT 25 ^ Seek ROW permit for field. Issued To: FIRST WATER CONSULTING 5/4/202 Issued By: Curtis Townsend 5/4/3026 3 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section 0* Parcel I.D. 051-052-36 ANCHORAGE ON -SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) DEBRA & CLIFFORD MCCOMAS Mailing address PO BOX 671506, CHUGIAK, AK 99567 Site address 24508 REESE ROAD, CHUGIAK, AK 99567 Legal description LAKE HILL ACRES #1 LOT 27 Number of Bedrooms 3 Engineering Firm FIRST WATER CONSULTING SERVICES Building Permit Number Day phone Not Applicable ❑■ APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Disposal Field ❑ Initial ❑ Septic Tank X❑ Upgrade X❑ Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees:' Date of Payment: Z " L Permit No. C Waiver Fees: Date of Payment: Waiver No. Phone: 907-343-7904 Distance: May 2025 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com ! !! April 29, 2026 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LAKE HILL ACRES #1 LOT 27 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon deep-burial HDPE tank per the attached design to serve the existing 3 -bedroom residence. We would recommend a 1500-gallon HDPE or epoxy steel septic tank be installed with 2 manholes for current functionality and future consideration or flexibility. Groundwater was noted in the MOA on-site file and if shallow groundwater is encountered during installation an epoxy coated steel septic tank or other action may be required. The lot and area are served by private water and any encroaching wells, property line, easements, … must be staked prior to construction. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261059, Curtis Townsend, 05/04/26 FIRST WATER CONSULTING NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK LAKE HILL ACRES #1 LOT 27 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261059, Curtis Townsend, 05/04/26 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT J Name Address Phone(s) Permit NO. LEGAL DESCRIPTION WELL LOT LINE ,,~'~J FOUNDATION Lot Township, Range, Section TANK'S · ,'~EPTIC [] HOLDING Material Capacity in gallons No. of Compadments TYPE OF SYSTEM [] TRENCH ..J~'~BED [] W. DRAIN [] OTHER Depth to pipe bottom from Total depth from original grade original grade ~)' ~ FT / ,~:~:~ ET Fill added above original grade Gravel depth beneath pipe ~ ,~"-FT ~ '~"~FT Gravel length ~ravel width Total absorption area [ c~\~ SO ET Distance between lines ~_.~tFT Pipe material Date Installed WELLS <~r~RIVATE [] OTHER ~ldenlifv) Classification (A,B,C) J Total Depth Cased to '~'/C, ~j~ h_~ (_~ FT FT Installer J Date Installed: REMARKS: DISTANCES SEPTIC ABSORPTION WELL TANK FIELD AS-BUILT DIAGRAM (Show location of well, septic system, property lines, Ioundation. driveway, water bodies, etc.) S & S ENGINEERING I 17034 Ea~Je Ri~er L~ Roa~ ~t~ ~,,. ca,fy that this inspection was perlormed according to Munici~ ~l~J gUld[llnes in e~ect on ~dat~ % H*alth D*padm~nt ~ppro~l iq tJ N I C Z I:::' A L I T ¥ 0 I;::' A iq ii:; H 0 R A G D~;,pa~'tmen'L c~-,"' I...leal{h & i...I ~m,'.~,c, Set-vi. ecs ii~;'..?.~:JJ; L I::;'ILp(~.:,,:~:~'I'... ~::tf'i~.::l'r'.,(::ii~(.i~,'.~.:~'~ A].ast-::.a 99.501 :3.4.;:5"'"4'720 F' E R M :[ 'T' r:::'ap c e ]. 11: cl:051'"~052-':36 Lo'L l....egal:: Subd:i. vi~i:i, cin: I....AK[:C HILL A[]RE:S :~:I. I....ot~ Sect :i. on ~ 3 ]"ob~nsl'iip: !5N Range: !....or Size ;;:*.3 :!.8:]; (sq,, t"l'..,, of act. es) ~l<~.)'( }};ei::Jl'~CJi:3ili~i',] 'l"h:J.S F'er'mit.~ 3 Total Capac:ity: 3 B loc k: () SEF'TIC 't',/..~lxif:::~ M:i. nimum ":.o'~ a'l septic: 'l:.ank :: al: ac :i.'Ly: t, ()()C~ gal ].ons~ Eac:l"i ~iept.:i.c tank must have '~ . .... s~,..4.~ ~. :i.c 'Lanl.:: (s) < Zl., 0 I .'.,; ~. {.. J. P [el[~ .I. TO BIE :[ IqSTAI....L. li~:C :I: N ACCOF;~'DANCE W I '['H ENG ]: t~]iEIER ' S MOI..IND ).)liES I GN ,, IxlI::IT :1: F:' Y DHH S P R ]: OR ]"0 AL.L I N S PE C T I ,".IN S ,, E: X :!: !Jill- :i: NG SIEE!:;:'A f':')[ii: P :I: T MI.,IS T ]!:',E F:'ROI::'ERL. Y AB(:'~N:t)Oi',IED,, ]'H]:S F:'IEFi'.MiT iS ]:SSUE:D FOR TIdE E:X]:STING 3 )i':di!i:DR!]OM S :I: NGL. Iiii: FAM :!: I....Y RES I D!iii:NCE ONL. Y z, AIqD E XI:::' I RES ON 1:~:."./:31/89 ~ ]: CERT:!:F'Y T'HAT~. _t~ :I: am l'am:i, il. iap ,.-~cit. h 'Lhe Pequir,):..h'nents i'(::)p on-.si, re sewer'~ arid ~.~el:l.s as fopth I:)y the Mun:i.c:i. pa].ity o{' Anchor. age (MOA) and the Sta'Le o{' A].aska,, ;[~,, ]] ~i:i.].]. :[.i"Hi~ita].:[ thE, system in accor'darice with all MOA codes and arid iri colnl::it:i~:tJ"lc~ l~it.l] the des:i.~ln cp~.'Lep~.a o{' this :~ ]: J~J.].]. aclhEm(.z.) t.c) al:L MCiA and State o{ A].aska peqLtir~ements {c:H'~ the set. l::)ac:k d :ist,:a. nc:~es [' pc:,m ai']y ~.)x ist :[ng ~:.)]. ]. ~, v~astewat, er' d J. sj::iosa], system c:)l'~ pub 1 sewerage s'ys't, em on this or any adjacer~'L of nearby :l.o'L,, 4, I under, stand Chat this peJ-mit, is valid f'or. a maximum c:~f' 3 bedPooms,, al. so under~sCand that the capac:ity (]~' 'Lhe total system :i.s 3 k)(.z.:,dr'c)c~ms anti ariy ~n].aPgemei'Y~.. w:i.].]. P[.)cjL(iP(,~:, ar'l acldJ.'~.iorta]. .... ....... .............. ~~~ .................................. SCALE ' * SCALE PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~'~'~"~'1 [~'t ~',¢'~. [")f'l [.,.*L.. Township, Range, Section: ~ "~1 SLOPE SITE PLAN 1 3- 4 5 7 8 WAS GROUND WATER ~.~ ENCOUNTERED? IF YES, AT WHAT DEPTH? ~ ,~ ~ ~eplh to Water A~f~ ~ ~ ' '~ / ~ ~ I I I I I I I I I I ~onilorino~ [ ~/~al.: ~-~o -~ I I I I I I I I I I 11 Gross Net Depth to Net Reading Date Time Time Water Drop ,~ ~ ~ ~ ~/~' ,/~" 14 15 16 17 18 19 20 PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~ FT PERFORMED B~: -~ ' - f / I /~~ __ _ CERTIFY THA~ T~ TEST W~S PERFORMED IN ANCHORAGE AREA Em ' 'UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELl. INSIDE LENGTH · MANUFACTURER ~'~"' '~'""t~ MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS ~.- LIQUID CAPACITY /OOO GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER tt'~I OR WlDTH'7.,If, LENGTH'7--Ir, DEPTH CRIB SIZE: DIAMETER <~ DEPTH c~l DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DEPTH ~-J~O' ' DISTANCE FROM: SEPTIC SEEPAGE /~,O ~ TANK ~'(,~) ' f' SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE; , DIAGRAM OF SYSTEM DATE ~7/i~'/"~ c/ APPROVEI~' ~j G.A,A.B. Russell 694-2774 Civil Engin~sfing Soiis ~ Foundations 0 ,9 E ~'fvGINEERING ,9 DEVELOYMENT CO. Performed for: Name: Legal Description: Depth (feet) 0 Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Mailing Address: Ear/Ellis 333-5240 Surveying Land Development Tel. No. ~c~_.-~ Soil Characteristics 6 7 8 9 10 11 Ground Water Encountered: Yes Proposed Installation: Seepage Pit__ Comments: ~ Performed by: __ No ~'If yes, what depth__ v/~Drain Field Date: MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC261153 Parcel ID 051 -052-36 Expiration Date: Legal description LAKE HILL ACRES #1 LT 27 Site address 24508 REESE RD 4/17/2027 Current property owner(s) MCCOMAS CLIFFORD M & DEBRA A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: �! Original Certificate Date: 5/27/2026 This certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syslem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, bevelopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department X Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-052-36 Complete legal description Lake HILL ACRES #1 LT 27 Location (site address) 24508 REESE RD CHUGIAK AK Current property owner(s) MCCOMAS 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: [W Private Well serving # 1 dwelling units ❑ Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment S Date of Payment COSA # (' S L3 Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: LAKE HILL ACRES #1 LOT 27 Parcel ID: 051-052-36 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UN Total depth >40 ft Cased to UN ft ❑ Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 4/17/26 Static water level at beginning of test 182 ft. Comments B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 7/27/89 0 ALL standpipes present per record drawing Total measured depth from grade 4 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field. ❑4 Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) _ If yes, enter date Comments/Deficiencies: COSA Checklist_May2025.docx Well production at time of test 3+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes K No N Coliform bacteria is Negative Nitrate 3.05 mg/L ❑ Nitrate less than MRL (ND) Arsenic Collected by Date 4/17/26 _ ug/L R Arsenic less than MRL (ND) MNA C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 4/17/26 Results [2]Pass Fluid depth prior to test 0 in Water added 450 gal New fluid depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' Z Yes if No _ ft Neighboring Tank > 100' M Yes if No _ ft Disposal Field on Lot > 100'✓Q Yes if No _ ft Neighboring Disposal Fields > 100' ✓Q Yes if No _ ft Sewer Line/Main > 100' 7 Yes if No _ ft Sewer Manhole/Cleanout > 100' Q✓ Yes if No _ ft Sewer Service/Septic Line > 25'Q✓ Yes if No _ ft Holding Tank > 100'✓Q Yes if No _ ft Animal Containment > 50' Q Yes if No _ ft Manure/Animal Excreta Storage> 100' M Yes if No _ ft Q N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10' Q✓ Yes if No _ ft Surface Water > 100' Q✓ Yes Field to Foundation > 10' ❑✓ Yes if No _ ft Tank to Property Line > 5' ❑✓ Yes if No _ ft Field to Property Line > 10' ❑Yes if No ft Water Main/Service Line > 10' Q Yes if No _ ft Wells on Adjacent Lots: Wells > 100' Community Wells > 200' ifNo_ft Yes if No _ ft ❑✓ Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS * FIELD ENCROACHES INTO THE EASEMENT, SEE LETTERS OF NOT OBJECTION G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm MIKE ANDERSON Engineer's Printed Name SAME COSA Checklist_May2025.docx Phone 727-8864 Date 5/19/26 -d �OF� �°irlQEI� S s Mtn r,a N. Akuif.SCt/ CE 9 cnt. MUNICIPALITY OF ANCHORAGE Development Services Department a. Right of Way Section L ciia u'tmcnr ENCROACHMENT PERMIT R261290 THIS AGREEMENT made this 24th day of April 2026, by and between Clifford M & Debra A McComas and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: LAKE HILL ACRES #1, LOT 27, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The 20 FOOT ALLEY RIGHT OF WAY, immediately on the east side of PERMITTEES property as shown on Plat No. 64-90, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a leach field & standpipe upon the referenced real property which encroaches 2' upon the PERMITTER'S Undeveloped Alley Right of Way. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Development Services Department, hereby grants to the PERMITTEE the privilege of allowing the leach field & standpipe to encroach 2' upon the PERMITTER'S 20'Undeveloped Alley Right of Way, as shown on "Attachment A," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching leach field & standpipe, as placed upon the PERMITTER'S 20' Undeveloped Alley Right of Way. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Development Services Department. Aulhenlisign 10:3045A38C-7C40-F 111-8EF2.00003A55CAFE This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the 20' Undeveloped Alley Right of Way in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore madc, the PERMITTEE has paid the PERMITTER a one-time permit application fee of $120.00. The PERMITTER hereby waives the annual fee of $315.00. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: 04/25/26 CClifford M McComas - Owner eh�a A Ikeeow 04/25/26 Debra A McComas - Owner GRANTOR: MUNICIPALITY OF ANCHORAGE "'4Lev .- John Snelson Right of Way Supervisor \ ENSTAR Natural Gas Company, LLC Engineering Department, Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907)277-5551 FAX (907) 334-7798 May 14, 2026 Sent by Email to: patriciaoneilak@pm.me, tomntrish@gmail.com CLIFFORD M & DEBRA A MCCOMAS 24508 REESE RD CHUGIAK, AK 99567 Re: Letter of Non-Objection – ROW Encroachment To whom it may concern: ENSTAR Natural Gas Company, LLC (ENSTAR) has no objection to the existing leach field and standpipe encroachments detailed in the attached as-built, dated April 20, 2026. Said encroachments are located within Right of Way known as ALLEY, adjacent to the north-easterly boundary of LOT 27, FIRST ADDITION LAKE HILL ACRES SUBDIVISION, Plat No. 64-90, filed in the records of the Anchorage Recording District, Third Judicial District, State of Alaska. *** Be Advised, there is a natural gas facility located in the area. *** Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: •Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. This service is free of charge. •ENSTAR will be held harmless, now, and forever for any damages or injury to any person or property as a result of this encroachment. •Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. •Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the landowner. •This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. •No further improvements, additions or changes to existing encroachments reviewed in said as-built are hereby implied or authorized by this letter. Any future modification of existing encroachments must be reviewed and approved by ENSTAR in advance. •ENSTAR is not further obligated to repair, replace, reconstruct or reimburse for any damages to said encroachment. If you have any questions, please feel free to contact me at (907) 334-7944 or by email at brandon.echols@enstarnaturalgas.com. Sincerely, Brandon Echols Right of Way & Permitting Agent ENSTAR Natural Gas Company, LLC Authentisign I D: 6EB7A6B4-0653-F 111-6FCA-002248359474 =01N aLaska COMMUNICATIONS. 5/1/2026 Re: LOT 27, LAKE HILLS ACRES 1sT ADDITION Alaska Communication has no objection to the encroachment of <leach field and standpipe> into a platted easement located at LOT 27, LAKE HILLS ACRES 1sT ADDITION, otherwise known as 24508 Reese Rd, Chugiak, as depicted on the as -built drawing submitted. Alaska Communications hereby issues this letter with stipulations to allow the encroachments of the above mentioned into the easement. Acceptance, (your signature below), and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: 1. Alaska Communications will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment will be borne by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude Alaska Communications from full use and enjoyment of its rights within any portion of this easement 6. Alaska Communications is under no obligation to restore any structure damaged as a result of Alaska Communications full use and enjoyment of its rights within any portion of easements or right-of-ways. Please print and sign 2 copies, retain one copy for your use and return the other to Alaska Communications. Sincerely, setifl Polve/'.S Network Engineer II 6110' 1'cicphonc :Avc AncIit)mue.:AK 99*�n; (d) 907-iO4-1870 1 (c) 'A )7-229-9607 scan. po%�ersir acsalaska.coin ACCEPTANCESIGNATURE: DATE: 05/18/26 600 Telephone Ave., Anchorage, Alaska 99503 tel 907.229.9607 - fax 907.297.3100 www.alaskacommunications,com April 27, 2026 CLIFFORD MCCOMAS PO BOX 671506 CHUGIAK, AK 99567 To whom it may concern, Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the leach field and standpipe encroachment into undeveloped alley located within Section 3, T15N, R1W in Seward Meridian LAKE HILL ACRES #1 LOT 27, also known as 24508 Reese Rd, city grid ERNW1561, GCI WO# 26-0002-11. This letter of non-objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of-way, including unlimited access for servicing its facilities. Also, any additional and extraordinary costs incurred during any future required construction, repair, or reconstruction of GCI’s facilities to accommodate any or all the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI C ommunication Corp harmless, now, and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to me at the address below. Sincerely, ______________________________ Signature ______________________________ Date ALEX SLAVENS GCI | OSP Design Data Management Delivery Engineering 907-868-1049 Alexander T Slavens Digitally signed by Alexander T Slavens DN: C=US, E=aslavens@gci.com, O=GCI, OU=TS- OSP Design, CN=Alexander T Slavens Date: 2026.04.27 12:38:35-08'00' Authentisign ID: 6EB7A6B4-0653-F111-8FCA-002248359474 AMEA MATANUSKA ELECTRIC ASSOCIATION MATANUSKA ELECTRIC ASSOCIATION, INC. LETTER OF NON -OBJECTION Date: May 181', 2026 Clifford M McComas Debbie A McComas 501 Terra Creek Ct Greenville, SC 29615 Re: Letter of Non -objection for a leach field and standpipe encroachment on Lot 27, Lake Hili Acres Subdivision, Plat No. 64-90, Section 3, Township 15 North, Range 1 West, S.M., Anchorage Recording District Dear Clifford & Debbie McComas, MEA has no objection to the existing leach field and standpipe encroaching the powerline that may be within the alley, in Township 15 North, Range 1 West, Section 3, as it pertains to the MEA facilities and subject to the underlying landowners approval, as shown in the drawing dated April 20, 2026, on page 2, subject to the following conditions: 1. The improvement will in no way restrict or limit the current or future ability of MEA to fully enjoy he benefits of the easement for any and all utility purposes that it presently enjoys under the easement. 2. MEA will be held harmless by the landowner from liability for any and all damages or injury to any person or property that may result from the existing and future use of the easement by MEA, its contractors, or assigns. 3. MEA will be held harmless by the landowner for any and all liability arising out of or relating to any use of the easement by others under a Letter of Non -Objection. 4. The landowner will be liable for any damages caused to MEA facilities by the improvement in the easement. 5. The landowner will be responsible for any special construction costs incurred by MEA due to the improvement in the easement. 6. The landowner will assure compliance with all applicable safety codes relating to the improvement in the easement. 7. Use of this letter by the landowner, their successors or assigns will constitute acceptance of these conditions. 8. Alteration of these conditions shall invalidate this letter. 9. This letter is not effective unless it is recorded in the Anchorage Recording District before ownership of the referenced property is changed from the above-named landowner. Sincerely, Sarah Brandt, Land Services Manager STATE OF ALASKA) SS - 7 P'V .11 THIS IS TO CERTIFY that on this N* day of ..x.111 2026, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned And sworn as such, personally appeared Sarah Brandt, Land Services_ Manager Known to me and to me known to be the individual(s) named in and who executed the foregoing instrument and acknowledged to me that he/she/they signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNES WHEREO , I have hereunto set my hand and official seal the day and year first above written otary Public in and of Alaska My commission expires ZJO MATANUSKA ELECTRIC ASSOCIATION; INC. • P.O. Box 2929 • Palmer, Alaska 99645 • t 907.745.9300 - f 907.761.9368 • www.mea.coop Mat-Su 907.5.3211 Eagle River 907.694.3211 Other Areas 800.478.3211 1740 S. Chugach Street Palmer, Alaska 99645 mtasolutions.com NON-OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT By this document Matanuska Telecom Association, Inc. (MTA) declares that it has no objection to the leach field and standpipe encroaching into the undeveloped alley near Lot 27 of Lake Hill Acres 1st Addition, filed as Plat No. 64-90, in the Anchorage Recording District, State of Alaska, as shown on the attached as-built dated 4/20/26. ************************************************************************************************************* Please be advised that MTA through the issuance of this document does not forfeit any of its rights to the use of the area cited. In the exercise of these rights MTA will, if needed, upgrade, maintain, repair, and/or replace buried or aerial telecommunications facilities within the easement. Any repairs that may be required to the encroachment as a result of utility construction will be borne by the property owner of record. This document does not authorize the placement of any additional encroachments within the easement area. Property owners are required to obtain utility locates before doing any kind of work in the utility easements and will be liable for any damages caused by their construction work in the easements. This document is in no way an agreement to vacate any portion of the utility easement and should not be interpreted as such. Issued for Matanuska Telecom Association, Inc. this 28th day of April 2026 by _________________________, Holly Sparrow, Sr. Right of Way Agent Matanuska Telecom, Association, Inc. ,02 1 ,02 0 Q 0 of w Li W co Cd co ' II 169. S�� ,oe 0S FA 0 OFco OLDU Um bo) M aj N L cl" t E � N 0 n� voaQrn m U W � i o N IT VIw c c(o a C bA O ❑ � O b v, O C ' t N Q 0R • ,� U cd 'O LY O Q M LO N 0-4 b�_ N m v a N O N bA Y 40 O p" w w a o y o o Zo N lMa�l Frl C4 y v C. U aUi id ZO z r N is > p yo c O Wpb 9 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 27 Lake Hill Acres #I Location (site address or directions) 24508 Reese Road EAGLE R~FER AK 99577 Property owner Mailing address Lending agencY Mailing address '~-~,-qg.- t"~/~-c'C~._,,,&% Day phone 278-2776 C/O l_~y Lu~.db.~-ERA PROFESSIONAL REAL ESTATE 2702 GambOl Anchorage, AK Day phone Agent Larry Luedke/ERA PROFESSIONAL R.,E., Address 2702 Gambx~l Anehoraqe! AK 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: NOTE: Day phone 278-2776 XXX Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. XXX TYPE OF WASTEWATER DISPOSAL: Individual on-site 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. 99503 72-025 (Rev. 1/91) Front MOA #21 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. S & S ENGINEERING - Name of Firm 17034 Eagle River L~p Road No. 204 Eagle River, Address : .-"/ / EngineeCs signature ,-~~ ./ Phone Date Approved. for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments ~ ~/~.~-oZ~ Date By: / 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. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type Log present (Y~ Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~-~- \~-I~- Driller Cased to ~_c~ k--- Casing height Wires properly protected ~/N) ~" Date of test Static water level Well flow Pump level1 FROM WELL LOG AT INSPECTION ~ g.p.m. ,~0¢ ,'Z.'~ g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot \ Absorption field on lot \ Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed ~] .. ~ ~'J'"7~' Tank size \ Cleanouts ~/N) -,[ Foundation cleanout~N) High water a arm (Y~L~. Date of pumping Pumper Collected by: Other bacteria ~'~ S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99~577 Compartments Depression ,(Y~) Alarm tested (WN) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~. ~ ~, t~c, To property line ~ c> \ ~ Surface wateddrainage On adjacent lots Absorption field Foundation L,,~-- { Water main/service line 72-026 (3/93)* Front CONTINUED' ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) ~ SEPARATION DIS~OM LIFT STATION TO: Walton lot On adjacent lots Manufacturer Manhole/Access (Y/N) / / "P~evel at Surface water D. ABSORPTION FIELD DATA Date installed Length ~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y~I-~ Soil rating (GPD/Ft2) Width ~ L,, ~ Gravel thickness Cleanout present~N) System type Total depth Depression over field (Y~ for After test ~ If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot \ ~ ~ t ~- On adjacent lots ~, c, c, \ '~- Property line To building foundation L~ "~ ~ To existing or abandoned system on lot On adjacent lots Surface water Curtain drain ~ ~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines in effect, Engineer's Nam~e~'~.~!N_b.bR I N? . 1703.~'~Eagle River Loop Road Date Eagle River, Alaska / / 'inspection. HAA Fee $ /7'¢ Date of Payment ~ --,,Z ~ ~<~ Receipt Number f,~L/Z~Z//~'("~.,'~L'-),~ ? 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE ~) DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES ~.,,~.~. ~j_,~ CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUB.MITTAL). (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 27; Block 1; Lake Hill Acres ~1 February 9, 1988 Location (address or directions) Property Owner Alaska ~ous±ncj Telephone: Home Business Mailing Address 1400 West Benson, Anchorage, ALaska (~33601) Lending Institution Gold Dome Rainier Telephone Mailing Address Real Estate Company and Agent JACK WHITE COMPANY/Lynda Banner Address 10928 Eagle River Road, Eagle River, Alaska 99577 Telephone 694-5500 (b) (c) (d) (e) Mailthe HAAtothefollowinaaddress:or:Checkhere [],ifholdforpickup. Listcontactpersonand day phonenumberbelow. S & S ENGINEERING/694-2979 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 ordered by Lynda Banner TYPE OF RESIDENCE Single-Family IX] Number of Bedrooms WATER SUPPLY Individual Well [~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite E~ Public I-1 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. Page 1 of 2 72-025 IRev 8/86~ Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance'with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm $ & $ E~,~,,~,;r.~R;~,~C, Telephone Address 17034 Eagle RiYer Loop Road Ne. 204 Eagle River, Alaska 9957~, ~_~ I c~ ~ ~ Date Approved for .'7"~/"%¢-'*/~'~).~ bedrooms by ~:///~/ ..-/'/- -'(~/¢'~¢×~'~ Approved c~ ../~ Disapproved Conditional Terms of Conditional Approval /.¢,¢/, CAUTION 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 th is 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. Page 2 of 2 72-025 fRev 8/86) Back MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAG/~EALTH AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH & CHECKLIST - FEBRUARY 1984 ENVIRONMENTAL PROTECTION FEB 2 2 1988 WE''.*TA RECEIVED Well Classification ~ i.--~ \ ~\ ~,.5 264-4744 Legal Description: If A, B. C, D.E.C. Approved (Y/N) rS/¢''- Well Log Present (Y/,~) Total Depth \ t~\ ~ -~ Cased to Static Water Level ~ ~1, / Casing Height Above Ground Electrical Wiring in ConduitS) Separation Distances from Well: Date Completed ( _')~--~, Yield /'3f'c~J¢ Depth of Grouting Pump Set At ~ I~5~ Sanitary Seal on Casing (:~,N) "~ y Depression Around Wellhead (Y~). ' To Septic/I-l'oNtm~ Tank on Lot ~,~ ; On Adjoining Lots To Nearest Edge of Absorption Field on ~_ot \~::::~ J"J¢' ' , On Adjoining Lots To Nearest Public Sewer Line t,~ F~//'/~' To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Water Sample Collected by~--~'~'~'r~ _~,r-~¢'~:::~i'-~; Date Water Sample Test Results ~//~.~ ~--~ ~- .//~--~.~...---~ fT~.*.-(~ ~ Comments 7~ ~ ~ ~'~' L.~4-.. ~ ~ ~ B. SEPTIC/I~ TANK DATA Date Installed Standpipes I~N) 7 Air-tight Caps Depression over Tank (Yd~J) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from SepticR'fe~g Tank: To Water-Supply Well ~, ~ ' To Property Line ~. ~ To Water Main/Service Line Course ~. ~I:~'P )~' Comments "~'~'~ ""/~'t~ '-7~["Size I O~;:)c:::) No. of Compartments 7 Foundation Cleanout ~N) i._.%//~ate Last Pumped ; for - Temporary Holding Tank Permit (Y/N) Y To Building Foundation '. ' ~'r)~=:~ !'~-'- To Dispd§~l Field To Stream, Pond, Lake, or Major Drainage Page I of 2 72-026 fRev 8/861 Front ABSORPTION FIELD DATA To Water-Supply Well To Building Foundation Lot '"~/,A, To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Soils Rating in Absorption Strata ~,~'~'~/-~ ~ "'z"~ype of System Design Date Installed ~ _ \~ _.../,¢¢ Length of Field ~ Width of Field "'~1 I t Depth of Field \ Gravel Bed Thickness kc, Square Feet of Absorption Area ~'~(_.~,¢r~. ¢~' Standpipes Preseni~) ~/" Depression over Field (Y¢~) ~ Date of Last Adequacy Test '~" - \~ ~:~-~ Results of Last Adequacy Test '~/¢~"¢~ ~-~¢'~-~ -- ~ Separation Distance from Absorption Field: ~, ¢::::-c:::, I &_ To Property Line ~, ~ I To Existing or Abandoned System on ; On Adjoining Lots "2-2<:2) I''~r To Cutbank (if present) "Pump On" Level at ~ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) cles during Adequacy Test. Meets MOA ** Checl~ Permitted Bedroom Rating Against HAA Request ** ~ I certify tha{ I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Si~ned S & S ENGINEERING ~ .... Date 17034 Eagle River Leep R~ad No. 204 Company .. ; . ~72' MOA No. Receipt No. ,,/ Date of Payment Amount: $ Page 2 of 2 72 026 (Rev 81861 Back CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 5215 Date Report Printed: FEE 18 88 @ 14:41 Client Sample ID:L27, E1 LAKE HILL ACRES PWSID :UA Collected FEE 15 88 @ 15:00 hrs. Received FEB 16 88 @ 12:30 hrs. Preserved with :HONE Client Hame : S ~ S ENGINEERING Client Acct : SNSENGP P.O.$ VERBAL Req # Ordered By : Analyeie Completed :FEB 17 88 Send Reports to: Laboxatozy Supervisor :STEPHEN C. EDE 1)S & S ENGINEERING Released By , -..~ O~ ~ 2) Special Instruct: Chemlab Ref #: 9119 Lab Smpl ID: 1 Matrix: Water Allowable Parameter Tested Result/Units Method Limits NITRATE-N 0.17 mg/1 EPA 353.2 lO MUNICtPALI'5' OF ANCHO~I~ DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION FEB 2 2 ~88 RECEIVED Sample ROUTINE SAMPLE Remarks: Tests Performed ' See Special Instructions Above UA=Unavailable None Detected "See Sample Remarks Above Not Analyzed LT=Less Than, GT=Gzeater Than .~ D*,; J2 RECEIVED INSPECTIQN APPOINTMENTS TIME TIME TIME INSPECTOR INSPECTOR I NSPECTOR~,,) ~, ~ ...... ~r ANCHO~A~ D~PT. OF HEALTH &. MUNICIPALITY OF ANCHORAGE ~NVIRONMENTAL P~OTECTION 825 L Street-Anchorage, Alaska 99501 [~'IOV 3 0 !98i ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E l V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Comptete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE I MAI LING ADDRESS .. ~O~UT ~ .HONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other~ ~, SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [~ Three [] Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY *ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ! q '~ L/ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79} --~ ~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] iNDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] I NDIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []HoldingTank Size: .If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES WELL TO: [] OTHER Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS DATE ~:~'~ APP ROV ED FOR ~.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED Fk.~/ BY/F( ALASKA e UlR0 menTAL CONTROL SeRUlCe$, Inc. 12/1/91 L~M~N KING 209 W DIMOND BLVD ANCHORAGE AK 99502 SELLER - RON ELIOT BUYER- SUBDIVISION-LAKE HILL ACRES #1 BLOCK- LOT-27 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 504 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 300 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 12/1/81 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. 1000 IS ADEQUATE FOR