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HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 8 LT 1Lake Ridge Terrace Block 8 Lot 1 #051-322-29 GRE_ ANCHORAGE ANCHORAGE AREA B0f M Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ' NAME (,:lity II I'1 MAILING ADDRESS ell dciAGE > 5 rucl'i�y= PHONE LOCATION CaIK���DC-L �'- LEGAL DESCRIPTION �r� �/P. 3 G l• i,CC4letoi c ZhI�J. SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEEPAGE PIT: MANUFACTURER `�Oi L MATERIAL (L f" v"2A0 NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 10('o GALLONS. NUMBER OF PITS/�. DIAMETER Yt OR WIDTH �f LENGTH k� , DEPTH LINING MATERIAL 1U"X CRIB SIZE: DIAMETER � ` DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 6NI SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE `ZflrLCcl CONSTRUCTION 4�7fllilt(�+�� DEPTH DISTANCE FROM: BUILDING NEAREST FOUNDATION 2NEAREST SEPTIC - LOT LINE SEWERINE TANK 100 SEEPAGE go, SYSTEM ` CESSPOOL OTHERSOURCES APPROVED DISAPPROVED DISTANCES: IN/,STALLED BY: i it 0( PIPE MATERIAL: - 6 LOT SLOPE: REMARKS: REMARKS DIAGRAM OF SYSTEM `tweyW ti icv�Lhtec 1_ (uh�,�vtLetl' i �n=cLtzv �ud 1IGS r,}P_ev. DATE A.A.B. GAAB-"DI GRA!!jER ANCHORAGE AREA BOROUr--4, _-'.. HEALTH DEPARTMENT ; 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME 7? 6) U L ADDRESS f'%l1G-J0 %V PHON LOCATION- �✓��fr� �� 1 LEGAL DESCRIPTION SEPTIC TANK: NUMBER DISTANCE FROM WELL ' � — /—MATERIAL—+rh/h% /GjT COMPARTMENTS— LIQUID ` LIQUID LIQUID CAPACITY "' GALLONS. INSIDE LENGTH 6' 7� INSIDE WIDTH S �� DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMET R WIDTHLENGTH , DEPTH, Q LINING MATERIAL ` DISTANCE FROM WELL ��� / BUILDING FOUNDATION NEAREST LOT LINE < _ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM FOUNDATION , NEAREST LOT LIN NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA FT. LENGTH OF EACH LINE TRENCH WIDTH TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:2 DISTANCE FROM WATER ,�i LC6P TYPE, DEPTH i BUILDING FOUNDATION.- NEAREST NEAREST�, ` SEPTIC � , SEEPAGE l� �, CESSPOOL SOTHER - OURC LOT LINE SEWER LINE �� TANK SYSTEM - DISTANCES: DIAGRAM OF SYSTEM DATE e!./ f cd / 11�'lO APP Gn'AU:HD'2.-, GREATER NCHORAGE AREA I `ROUGH Case No. 34 HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 6 ... 1(of SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT /?Oka /c/ SM, MAILING ADDRESS3,AQ Nyla"A) PHONE NO. 9 RESIDENCE ADDRESS '310 K1)LI)e20AJ LOCATION OF INSTALLATION Lam ,e )C'i.r2Q Z_e2,eF LEGAL DESCRIPTION t0 dLE VN APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT , DRAIN FIELD �� , OTHER TO SERVE THE FOLLOWING FACILITY 4 �e d✓-eeA, 140 FINANCED THROUGH Se_ I F TO BE INSTALLED BY T«k *PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION NA y BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS tit �� SAdi 4A PERMIT TO INSTALL A "54 Su 5IV- et AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED n M SEPTIC TANK S i DISTANCES: N11V $ e P VG- 4-6-4 We.I( - sc� Lre-io r, W Iva ' reLe,v �" /� , e ! 4V I Ll sv' —Dro- e �v ro Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. nATG APPLICANTS SIGNATURE I 3 �klr }ace. Glsgk e IC �AEATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT CASE f€ 327 EAGLE STREET ANCHO I'RAGES ALASKA 9°501 Performed For .v, 1t :21aa `� � = nate Performed �Ni 11 1(00! Legal Description: Lot Block�Subdivision L.01. 8 This Form Reports a: Sols Loge - ercolatib n Test Depth r_..r Zn11 C`ha»artar..istiCs Location Sketch s Was Ground 'slater Encountered? �,/PS �°om If Yes, At y�?`at Depth 5 vn.1lore qq }e(?"L - 0vt- '11d a� QG iS L}YI A✓L �Ct Y'Y"tyGP Q.t E'�.� Nr�■ ■OR !110 1111111K..,...M,.=ME w A�x hM.vv: epi e, SLS colo es 4 i eWo�es ffill VLemil u+:zl poed l S 0CL c4. ■�i Nil' Cool, , V- eA 0. s Was Ground 'slater Encountered? �,/PS �°om If Yes, At y�?`at Depth Reading Date Gross Time Net Time Depth To H2O Net Drop terco 7aion "Me 3nu e Frop7)"ed Installation .Seepage Pit ,� Drain Field Depth Of Inlet ° Depth To Bottom Of Pit Or Trench COMMENTS:�i 40yj r7tr4 a Test Performed By:_Fer c Data Certified By:4yW�{�te Nr�■ ■OR !110 1111111K..,...M,.=ME ffill VLemil ■�i Nil' Reading Date Gross Time Net Time Depth To H2O Net Drop terco 7aion "Me 3nu e Frop7)"ed Installation .Seepage Pit ,� Drain Field Depth Of Inlet ° Depth To Bottom Of Pit Or Trench COMMENTS:�i 40yj r7tr4 a Test Performed By:_Fer c Data Certified By:4yW�{�te • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-322-29 1. GENERAL INFORMATION Complete legal description Expiration Date: ! t - 2 I - Location (site address) 14607 LAKE RIDGE DRIVE EAGLE RIVER AK 99577 Current Property owner(s) BIRCH A YUKNIS Day phone Mailing address Real Estate Agent 14607 LAKE RIDGE DRIVE EAGLE RIVER AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_ Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Received COSA to be re -le unless otherwise requested by the engineer. COSA Fee $ (� DateofPayment g�DSflI� 4J_ Receipt Number COSA# O`�i� l4a3 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING. INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 8/13/13 Engineer's Comments: This investigation was completed in compliance with ACEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future \ occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. A n T -v4��� 6. DSD SIGNATURE 11� System #1 Approved for-3—bedrooms. M The System #2 Approved for bedrooms. Disapproved. WfoLf, Conditional approval for bedrooms, with the following stipulations: Original Certificate upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12tlac If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist q I Legal Description: LAKE RIDGE TERRACE BLOCK 1�LOT J Parcel ID: 051.322.29 A. WELL DATA Well type PRVT p.m - If A, B, or C provide PWSID # Date completed <1969 Sanitary seal (Y/N) Y Total depth >40* ft. Cased to UNKNOWN ft. FROM WELL LOG Date of test Static water level ft. Well production 9 - WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate NO mg/L Arsenic: NO ug/L Date of sample: 711 212 01 3 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/CONCRETE /400 Tank size UW gal. Number of Compartments 2 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 711212013 ft. ..- Collected by: ARCTERRA Date installed 5/3011975 Cleanouts (Y/N) Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 3127113 Pumper JRS C. ABSORPTION FIELD DATA Date installed 513011975 Soil rating (g.p.d./ft2 or ft2/bdrm) 110 System type SEEPAGE PIT Length 61 ft. Width 12 ft. Gravel below pipe 7 ft. Total depth 9.25* ft. (Measured 8/2/13) Eff. absorption area 584 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8!212013 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 45* in. Elapsed Time: 1440 min. Final fluid depth 44 in. Water added 750 gal. New depth 54 in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off' level at _ in. Cycles tested Septic tank/lift station on lot 76'+1 - Absorption field on lot 85'+l - Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 501+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 1004 On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ Building foundation 5'+ Property line 51+ Absorption field 5'+ Water main 10'+ Water service line 101+ Surface water 100'+l - Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 1' +t- Building foundation 10'+ Water main 101+ Water Service line 101+ Surface water. 1004 Driveway, parking/vehicle storage 1'+1 - Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 1001+ F. COMMENTS M G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of determined through field inspections and review of Municipal records that inspections and review of Municipal records that the above systems are in Municipal records that the above systems are in conformance with MOA above systems are in conformance with MOA COSA guidelines in effect on conformance with MOA COSA guidelines in effect on this date. COSA guidelines in effect on this date. on this date. Engineer's Printed Name KENNETH M. DUFFUS Date OF AIS r, + 2 1P KENNE - D F ys� 116 ��.Of P/� F'F'SSIDp`a .i �4(1 O� N � cis\ moi\ S�2o D tea, c` C w 4c°O/ 00 Lot 2 \ \ \ \ 210.00 o Well (RJ 220 OS iC.\ Z-1 Story Frame House with daylight basement LOT 1 20 O NOTE: The record (R) bearings and dimensions for this lot do not achieve mathematical closure. The computed (C) distances shown hereon were computed by Bearing -Bearing intersection to reflect the intent of the original survey SCALE: V= 40' I AW ow 49th00 00 / %Fred Walatka,p�i ^rF • 3255 - S �1ga• 05� 1 �fESS10NA& EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 13-5, pg 48-49 d/oc/ Co shore 14 O O \ N AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 1. BLOCK 8. LAKE RIDGE TERRACE SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 9th day of AUGUST ,2013. FRED WALATKA & ASSOCIATES BE (907-248-1666) Engineers and Surveyors - Municipality of Anchorage rt:. P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 epartment httg:/lwww.mu ni.org/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP131279 COSA#:OSC131423 Permit#: PID#: 051-322-29 Legal Description: Lake Ridge Terrace, Block 8. Lot 1 Engineer: ArcTerra Applicant: Birch A. Yuknis Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to the private well has been approved. The approved separation distance is 85 feet to the absorption field and 75 feet to the septic tank. Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the surface water has been approved. The approved separation distance is 95 feet. This waiver approval applies to the existing absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ................................................•.............................1 Waiver is Granted: X Waiver is not Granted: Date: Approved bX. I, Name of Reviewer ................................................•.............................. Rec#: 005650 Amount: $1,060.00 Date Paid: 8/19/2013 **** VARIANCEIWAIVER REVIEW **** o tlRCTERgq ARCTI:xRA CONSULTING, INC o R 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 August 14, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: LAKERIDGE TERRACE BLOCK 8, LOT 1 - MULTIPLE WAIVERS We are requesting several waivers for this property. Based on MOA records and the recently completed survey by Fred Walatka, the following waivers are being requested: separation distance between the septic tank and absorption field to the well located on the referenced lot 75' & 85' respectively and absorption field to property line 1'. From the survey it shows the lake's surface water to be right at 100' to the septic tank, and therefore to account for water level variations, we are requesting a waiver of 95' from surface water and septic tank be granted at this time as well. We have requested letters of non -objection from the utilities and will submit them as soon as received. This septic and well are located on the opposite sides of the house and have been in operation for 38-44+ years with no known adverse effects. Recent water analysis submitted with the COSA had excellent results. We respectfully request that the waivers and the Certificate of On -Site Systems Approval be granted. If you have any questions or require additional information, please contact me at 868-3792 / FAX 868-3793. Respectfully, ArcTerra Consulting, Inc. Kenneth M.. uffus, �v L"ke os- 1^int 7— q4 From:4nstar Marketing August 20, 2013 Dea Duffus ArcTerra Consulting, Inc. 20441 Ptarmigan Blvd Eagle River. AK 99577-8736 Grid: NW553 Re: Letter of Non -Objection To whom it may concern: 9073347737 08i20/2013 11:49 #681 P.001/001 ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907)334-7753 FAX (907) 334-7798 ENSTAR Natural Gas Company has no objection to the on-site septic system, Nine Foot (+/_9 FT) encroachment into west Ten Foot (10 FT) utility easement situated adjacent to and coincident with the west boundary line of Lot 1 Block 8, Lake Ridge Terrace Subdivision, Section 36, Township 15 North, Range 2 West, Seward Meridian, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. 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. • 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 land owner. • All applicable safety code regulations will be observed and maintained. • 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. Sincerely, Jennifer Diederich Right of Way & Permitting Agent ENSTAR Natural Gas Company cc: File AUgLISt 14, 201 Birch A. Yuknis 14607 W. Lake Ridge Drive Eagle River, Alaska 99577 Dear Birch Yuknis: Sot jest to your agreement to indemnify the company as set forth below, GCI Conunur.ication Corp has no objection to the well and septic system encroaching into the utility easement a, Lot 1, Block 8, Lake Ridge Terrace subdivision, also known as 14607 W. Lake Ridge Drive; city grid NW0553. "Chis 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 GCYs facilities to accommodate any or all of the encroachments shad be paid by the property owner. By signing below, you agree m to indemnify and hold GCI Communication Corp harmless, now and forever, for anv 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 accep,ance by signing and returning this letter to me at the address below. Sincerely. Markus Kofoid OSP Design Engineer GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Oftice 907-868-8580 Fax Acceptance Date Cd b8£9898Z06 dZG90 0L t 5rV Aug 19 2013 6:40AM HP LASERJET FAX NON -OBJECTION TO EASEMENT ENCROACHMENT DOCUMENT p.I By this document Matanuska Telephone Association, Inc_ (_MTA) declares that it has no objection to the encroachment of a septic vent within the 10' utility easement located upon Lot 1, Block 8, Lake Ridge Terrace Subdivision, Anchorage Recording District, Third Judicial District, State of Alaska, situated in Section 36, Township 15 North, Range 2 West, S.M., Alaska. 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 aWeement to vacate any portion of the utility easement and should not be interpreted as such. Issued for Matanuska Telephone Association, Inc. this 14th day of August; 2013, by, _/ s O � , Manager, Outside Plant Engineering and Construction THIS 1S TO CERTIFY, that on this 14th day of August, 2013, before me the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Robbie Nash known to me and to me known to be the individual named in and who executed the foregoing instrument and acknowledged to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and official seal the day and year first above written. Notary Pu 1c 1n a for Alaska My commission expires: 11-20-14 Matanuska Tefophone Association Inc. Local PO Box 355 Long Distance Palmer A1a3ka 99015-3550 Wireless 800.746.9510 Business Solutions 907 70'• 25' 0 907.761.2E46 (fax) Internet Directory www.mtaso lutions. corn DN MATANUSKA ELECTRIC ASSOCIATION, INC. LETTER OF NON -OBJECTION August 21, 2013 Birch A. Yuknis 14607 W. Lake Ridge Drive Eagle River, AK 99577 Re: Lot 1, Block 8, Lake Ridge Terrace Subdivision (Plat P-549, Anchorage Recording District) Dear Birch Yuknis: MEA has no objection to the encroachment of a septic system located in the utility easement as depicted on the attached as -built survey drawing, 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 the 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, Keith Quintavell Right -of -Way Administrator STATE OF ALASKA)SS- THIS IS TO CERTIFY that on this 21 day of Aug. , 2013 before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared %e;t� Gu;�,fF•,�J// Known to me and to me known to be the individual(s) named in and and acknowledged to me that he/she/they signed and sealed the s4 uses and purposes therein mentioned. ez`.; IN WITNESS WHEREOF, I have hereunto set my hand and off? SEAL Notary Public in and of Alaska My commission expires Return to: MEA, PO Box 2929, Palmer, AK 99645 the foregoing instrument ary act and deed for the 1 seal the day and OF first above written