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LAKE SPENARD PARK BLK 4 LT 1 OF RESUB (3)
APPLI(' NT FILLS OUT UPPER HAl '3NLY Address .) _~ O ~ ; Lending Institution -L~ (~- Zip Code Phone Type of Residence ~ Single Family Multiple Family No. of Bedroo~ Other Water Supply ~ Individual A~ACH WELL LOG. A well Icg. is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility ~ 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. Time ~ i - © .L,L - ,, Date Date Date Date ~-L~ _~U( -- ~ Inspegt,or// Inspector Inspector Inspector Field Notes: /'/7..-~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ~) ~.~. ENVIRONMENTAL pgOTECTION RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( '~__.>~XPPROVED ( ) GONDITIONAL APPROVAL' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size January John W. and Harriett 2803 Valley Woo(~ ?~nchor~(~je, AK 99503 Subject: Lot 2, ~iock 4~ Re~ub. oil Lake Spe~lard Park A[.~provai for the individual sewer and water flacilities cannot De graDte{~ until[ ti-~e following items have ~en com[}teted~ Expose the well tot our inspection to dete~-~mine proper construction], also to insure mi~imum distance re.~uire~ents are met ].~etween the w~)il and sewer system. You need to contact Department of E~vironmental Conservation, State of Alaska, 274-2533 about your }~unity well a~d {~et. a~-~ operatin,j permit. Pi~ase notify this Pe?artment ~or a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this Sincerely, cc~ Rainier Mortgage Seward ~ii~jhw~y Anchora%]e, AK 99503 Jim Roberts Associate Environment~l t~[)ecialist .,CHEMICAL & G~,' ~OGICAL LABORATORIES ~. ALASKA, INC.~ ~/'-~-;~-;~,,;-",~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water Sys~e~ ~a~e I.D. NO. Phone No. City State MO. Day Year Zip Code SAMPLE TYPE: ,~-Routlne [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION ! Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [~ Satisfactory [] Unsatisfactory [] Samoletoo ong in transit; sambeshould not be over~48 hours old .at examination ..... ~ indi'c~te',~eii~bie results. P~lease send new sample, Date Received / / '>" Time Received / ~'"~ '/'') ~ ' ! Analytical Method: [] Fermentation Tube ~.l~ Membrane Filter Lab Ref. No. Result* I J I Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source I~esumptlve Z0ml /0mi 10mi 10mi 1Omi 1,0mi 0.Zml ~4 Hours 48 Hours Confirmatory EMB Broth 24 hours: Multiple Tube Rsoort: Membrane Filter: Direct Count Verification: LTB Fin,I M,mbrane Filter Results Broth 48 hours: 10mi Tubes Positive/Total ~Oml Portions Collform/100ml BGB MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION :, Environmental Sanitation Division ; 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES Robert/Sally Mathews , MAI LING ADDRESS ~'~~ ~ ~~Resub of Lake Spenard Subdivision 3. ~PE DWELLING 2'~ MULTIPLfi FAMILY R~SIDENCE 4. WATER SUPPLY ..... ' ............. ~" ~'~,'~,,~..~ ..... · ..................... - ~ COMMUNITY/PUBLIC 5. SEWAGE DISP~AL - ~.~,-, ;~.~:..~ ..... .. . , '. . , .~ ., ,~ · . : ...................... ~: · ~.: .... , ,, ................. : --~ ...... ,. , ~ ,: .~,. .:, , ~ ,:.~ ., . ~ · ~.~. ~ .~,RO~ED,FO . ¥ ...... ,, .... · BEDRO0 , . ~,. · ~ MUNICIPALITY OF ANCHORAGE ' e DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROEERTY OWNER PHONE MAILING ADDRESS ~ ~/4~tt/~Z~ ~ . MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS ~~ J/ 4. REALTOR/AGENT ~ ~ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION / STREET LOCATION NUMBER OF BEDROOMS ~);~ One [Z~ Four Two [] Five ~ Three [] Six V 6. TYPE OF RESIDENCE /' SINGLE FAMILY [] Other 7. WATER SUPPLY -[~} COMMUNITY /~,'c 2--,Z~,~4~ [] PUBLIC UTILITY * ATTACH WELL LOG. A well 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** J~' PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME ']'IMF TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE F:AMI LY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED [~] PUBLIC UTILITY Connection Verified INSTALLER []Septic Tankor []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTIOn-AREA MATERIAL 4, DISTANCESwELL TO: Septic/Ho]ding Tank Absorption Area Sewer Line __ Nearest Lot Line ~-bsorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificat~/) [] DISAPPROVED~"-- LEGAL DESCRIPTION 72-010 (Rev, 3/78) 371 P,~C[ 0 3 0 0 WATER AND ~ELL USE EASEMENT reference; and, ~ property which joins the K]ILSGA\~O property; and, ~UNICIPALITY OF ~,x'.. ~rr~ '~'-Z'- . DEPT OF Hr;,L~H ~VIRONMiNTAL ~e K!ILSGA~ residence on Lot ~o (2): and, ' t T~ q ~ .gECEIV ~P~EAS, the parties desire ~o set forth their respec- tive rights and obligations to'the said water well; NOW ~{EREFORE, the consideration of the sum of TEN DOLLARS ($10.00) the receipt Of which is hereby acknowledged, ROBERT and SALLY b~TTHEWS ~f Anchorage, Alaska, do hereby grant, bargain, and convey.a water and water well easement to I.~ -- ~'~'~ KATHY A. KII~SG~RD, the' owner of the above-described MATTHEWS and KIILSCAARDproperty, their heirs, successors, and assigns, the following easement on that certain p~operty situated in the stare'of Alaska, Third Judicial District, Anchorage Recording District, which is m6re particularly described as follows: That certain property in which the pipe is in a direct line from the northwest (~d) corner of the house on Lot One (1) to the house on Lot ~o (2) and is situated not in a way to injure the residence and its outlying structures on Lot One (~), Block Four (4), Resubdivision of Lake Spenard Park. Said easement is 2. Conditions. That the owners of the b~'rTHEWS property and KllLSBAA[tDprop~ty may enter said easement at any time for the purpose of repairs.and maintenance of said well and connection of lines or for any other purpose concerning the water or said well. KIILSGAARowiI/ be responsible and liable for repairs and maintenance for the connecting~line to the MATTHEWS property. ~TTHEWS and KIILSG~D wll~ be responsible and liable for repairs and maintenance of the water well on the MATTHEWS' proper, ry. If damaged through no fault of either party, the expense of repair shall be one-third (1/3) to KIILSGAA~D~<~ ~ 'I~ t~e event that KII~c~Using said water well and disconnects .from the well, she shall not be responsible for any repairs or maintenance of said well. O302 NO other connecti6n shall be made to said water well without the written approval of the owners of record of the MATTHEWS property and the KIILSGAARD property. 3. Indemnity. The parties agree to indemnify and. hold harmless each other and their lenders against, and in respect of, any and all claims, losses, expenses, costs, obliga- tions, and liabilities they may incur by reason of either party's breach offer failure to perform any of the warranties, guaranties, co~itments, agreements, or covenants in this agreement. 4. Damag~.or Destruction. In the event of des- truction or damage to the water well and/or connecting line, the parties shall, within three (3) days of the destruction or damage, make such re~airs or reconstruction necessary to render the well and connecting line in t'he sa~e or better condition as it was inunediately prior to said damage or destruction as. set fqrth in Paragraph 2~;!6 f~v,c%u~{;,~( ~ KIILSGAARDagrees that she, her heirs, or assigns will pay for any damages done to the property during the repair of tile connecting line and will restore the surface of the ground in as good condition as when entered upon by KIILSGh%~D - or her agents. The ~TTHEWS agree that they, their heirs,.or 'assigns will pay for any damages done at any time hereafter to the surface of the ground in the event it shall become necessary to go upon t~e easement for the purposes'of repairing or maintain- ing the connecting line. 5. payment for Damages. It is expressly agreed that payment for any damages when so determined shall be made in cash, and if the parties by their mutual agreement cannot determine the amount of such damages, all questions then -3- 37 PA~ 0 3 0 3 existing as to the amount of damages shall be submitted to and an attorney o~ Hoqe, be determined by I~k[~h & [.lwrenco as the appointee Of the parties, and the decision ofLe.~iac) & Lawrence shall become final and binding on the parties. 6. A~I of Plans. Any alterations, repairs or construction on or near the easement and water well shall not commence without the prior written approval of all parties of all plans and specifications. Said approval shall not be unreasonably withheld. .7. ~ompli~nce with the Law. During the granting of the easement, all parties and their agents, heirs and assigns shall at all times comply with all applicable state, federal and municipal laws, whether statutory or com~aon, and regulations, and shall take all steps necessary to insure that no(liens or encurabrances of any kind arise against tile At~TTHEWS property. 8. Const~ructio~n. The parties agree that any con- struction on tile water well and connecting line shall be safe and ia a structurally sound manner. At any time upon request, the parties shall supply adequate proof of the soundness of construction, and compliance with all applicable laws and regulations. 9. Insurance. The parties shall maintain adequate blanket liability and homeowners insurance to provide full coverage for replacement costs and injuries. Each party shall pay all premiums before said premiums become delinquent, and shall otherwise insure that said policies do not lapse. 10. Qbllqati__.ons of Parties. The MATTHEWS shall have no obligations with regard to maintenance and related activities of the connecting line. -4- · ?~[ 030'~ 11. Entire Agreement. This agreement constitutes the entire agreement of the parties and there 'are no other agreements, oral or written, upon which the parties have relied. This agreement may not be modified or changed except by a writing signed by all the parties hereto. 12. Benefit. The burdens of this agreement shall be a covenant running with the land and shall be binding upon the :,~ 13. Applicable Law. The provisions of this agree- !i meet and all questions arising concerning this agreement shall ' ~ be determined and resolved in accordance with the laws of the ~ ii state of Alaska. J ii 14. Notices. All notices to a party required by ~ ii t~his agreement shall be given by mailing the same to the ,j party's address as set forth following the party's signature to ~', this agrecment or such other address as the party shall i~ writing direct. ~ 15. Waiver. The failure Of the parties to insist upon strict performance of the terms, conditions, warranties constitute .or be construed as a ~aiver or relinquishment by any i-~. of tile above parties of any right to thereafter enforce any ~ - such term, agreemel~t, warranty or condition, but the same shall :~!~ continue in full force and effect. . ~ ~: 16. No Implied Easements. Nothing contained in this - , agreement shall be construed so as to confer an implied easement ',~'-~ upon any of the property described herein· !ii'] 17. Severability. The unenforceability, illegality · or invalidity of any provision of this agreement shall not ~ ~ render the other provisions of the agreement invalid, illegal -.5- '~:. 'ii. 37 0305 equally at a{l tbm~s in ~he volume of water available fro~ subject Address -6- PAUl be the individuals described in and who executed the foregoing i}]strument; they ackno,alcdged to me that they signed the same freely and voluntarily for the uses and purposes therein set forth. STATE OF ALASKA ) TIt I RD DISTRICT ) g}=~'~{IS IS TO CERTIFY, that oil this llth day bf January 1979, before me the undersiqne~d%'N9, tary ~ic, pers~y appeared }~\T}Ff A. KIIL~d;~o~ me and to me known to be ~he individual described in and who executed the foregoing instrument; she a~knowledged to me that she signed the same freely and voluntarily for the uses and purposes therein set forth. WITNESS my hand and official seal. .' ~..<.~,.v", , / L)'" . -7-