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HomeMy WebLinkAboutBLUEBERRY HILL BLK 1 LT 2Blueberry Hill
Block 1
Lot 2
#050-202-20
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241334
Work Type: SepticTank Upgrade
Tax Code Number: 05020220000
Site Legal Address: BLUEBERRY HILL BLK 1 LT 2 G:0058
Site Mailing Address: 21622 SHEPPARD DR, Eagle River
Owner: JANJUA KAMRAN & JENNY R
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
l>eh<irtntc•rtt
10/25/2024
10/25/2025
72310
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
-Received 6 - 5s t,te/c,� U lif/G
Issued By: l�
Date:
Date: 4LZ-42L
3
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-202-20
Property owner(s) KAMRAN & JENNY JANJUA Day phone
Mailing address 12110 BUSINESS BLVD STE 6-328, EAGLE RIVER, AK 99577
Site address 21622 SHEPPARD DRIVE, EAGLE RIVER, ALASKA 99577
Legal description (Sub'd., Block & Lot) BLUEBERRY HILL BLOCK 1 LOT 2
Legal description (Township, Range & Section)
Lot Size 72,310 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
F-1
Initial ❑
Single Family (SF)
(w/wo AD U)
Septic Tank
Upgrade ®
Duplex (D)
❑
Holding Tank
❑
Renewal
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Sig.naf.tjre-.'pf'propeHy owner or authorized agent)
Permit/Rush Fees: 2 ZZ -
Date of Payment: 'Zo z
Receipt Number:
Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. C� P 2 `_/ / 3 3 1 Waiver No.
GAIDevelopment Services\Building Safety\On Site Water and WastewaterTormsUient FormsTermit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / FirstWaterAK@gmail.com
!
!!
October 2, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: BLUEBERRY HILL BOCK 1, LOT 2
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 HDPE tank per the
attached design to serve the existing 3 -bedroom residence. We would recommend that a 1500-
gallon septic tank may be considered for current functionality and future consideration or
flexibility. This is a very shallow septic system and for proposed septic tank to maintain 100’ to
private well the minimum foundation separation is 7’ – see design page 2 of the proposed design.
Groundwater was not noted in the MOA on-site file and is not anticipated to affect the septic
tank installation. If groundwater is encountered during installation that may affect this septic tank
upgrade, an epoxy coated steel septic tank or other action may be required. The new septic tank
manhole and cleanout must be accessible for future maintenance.
The lot and area are served by private water and any encroaching wells, 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
OSP241334, Deb Wockenfuss, 10/25/24
24
.
1'
36.1'
24
.
1'
36.1'
GARAGE
32
.
3'
5 .6 '
48.
4'
40
.
2'
48.
4
'
5
.
6
'
RESIDENCE
3 BEDROOM
FIRST WATER CONSULTING
BLUEBERRY HILL BLOCK 1, LOT 2
DESIGN DETAILS:
NO WELLS WITHIN
100' OF PROPOSED
SEPTIC TANK
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241334, Deb Wockenfuss, 10/25/24
FIRST WATER CONSULTING
BLUEBERRY HILL BLOCK 1, LOT 2
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241334, Deb Wockenfuss, 10/25/24
MUNICIPALITY OF ANCHORAGE
0 : ,d DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
JKkEW
��
6 ! 7
❑ UPGRADE
MAILING B ESS E/V4 / �(7 ,� 1
LEGAL DESCRIPTION
Z EL
LOCATION —r /
NO. OF BEDROOMS
II
Absorption ar
Dwelling
PERM N
V Y
DISTANCE TO:
N I NJ
�
N ©� „ %S /.
_
n~ Q
Manufacturer
Ma 'I
No. of compartments
W F
��
y
Liq)p city in_ gallons
�j
IF HOMEMADE:
Inside length —
Width
Liquid depth
0 Y
DISTANCE TO:
Well n {
�V
Dwelling
PERMIT NO.
JoZ
= z FQ-
Manufacturer
Material
Liquid capacity in gallons
D
w=
DISTANCE TO:
—^
Wel Foundation x s
Nearest lot inel�
PERMI
w LL Z
w
No. of lines
Length of li a Total lengt o inps
g
Trench wi
Distance between lines
�j
F Z
WJ1 r
inches
,e
1
Q
Top of the to finish grade / Material beneath the
Total effective absor ion are
ejr:_
3{� inches
Length Width Depth
PERMIT NO.
W
0
a Ir
LU
Type of crib Crib diameter Crib depth
Total effective absorption area
LU
DISTANCE TO: Well Building foundation
Nearest lot line
J
Class Depth Driller
Distance to lot line
PERMIT NO.
J
Buil fun ati n (Sewdr line —
DISTANCE TO:
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING ff
INSTLLER
)�i4 Ex 1_;3_L3
REMARKS
L U tJ
4/6
w
OF 4
07P
r A
9 • >6.b.r� A. >>yh.Mr .
�
: �'
+!` •. �, 14'1-�
4tlF,,••,,M• 4•'�ek
APPROVED ;.,.•� .v.%ITATE LEGA
72-013 (Rev.3778)
" sas�3
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
�: ... Division o1 Geological 9 Geophysical Surveys
y .
D,llling Perwll Ne.
LOCATION OF WELL (Please go -P1610 sites., to. Ie At Is.] A. n I ..
Lai Date. En
hNtN
Sabdiuiolea
131✓rbltrr
! UL
Lel'
Slee
l
Ia. 1/v give.
—af_n_er—
Session No.
To.nabiP„p
Ep
Reap Ep OOT,
Wp
E,DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
Aloof Add,.., she A,oe of Well Location
S. OWNER Or WELL: '
a 1 M C 205 5I,
1 Pee v1d IP DC
1 211 G
1. WELL LOG Feel O.Io.
S. rte.*
10616/101 Tyre Teo setts.
d, WELL DEPTH: (floel1
2 6 6 it.
S. DATE OF COMPLETION
1� �— ..2s
EI L 10ik'
S. ❑cable bel _�Jlelary 0Od.en . OD01
❑A.2*t ❑Je11.d ❑991*d 001h.,1
?.Use; IS.oawsslle ❑ ►.blle Npply 0 angary
❑ IselSalbn ❑ mothers* comps—les,
[IT-sowel' ❑ other:
MASf I VE &J
2
S. CASINO,. O Tqhlood.e ❑ Woltee
die.. fel.. toft. Depth 111 166.111.
die..�M. to ft. Depth stickup ft.
WATCR161 I -pr
' ..
S. FINISH OF WELL:
Typo: Diameter,
_ GIe1/Me6N Step: Lovett:
Sol both's it. ane fl.
Seab1l11105 Grevel pet
'
'
10. STATIC WATER LEVEL: IPO •ff. I I AViV
❑ &be.* ar B Nle. IoM sorfeae Date
90.11.0.1 Need•
11. PUMPING LEVEL Nle. lend ourfae* oaf YIELDy
�vs11. after �N.e. P.mIIM �{.L S.p. w.
_If. alto _Nto. Amply �2,,,.I.
IE.GROUTING Well Grouted: ❑ Yee 0 No
Mstobll ❑ Neat Coastal ❑ Other:
• 13.►UMPI fit available) He
Lonph of Crop Pit" ft. sga.11y 6. p...
0 Sa►w. ❑ Je1 0 Centrifleal 0 other
N. REMARKS:
16. WATER WELL CONTRACTOR'S CERTIFICATION:
16. Water Dmpralun —• ❑ F ❑ C
This bull .os 1111161 valor my )erbdl.11an and this resort IS trae to the best 6f my tee.l.dp sad better
(r1Ll1,Sn1a ITE 101111 D21,ale 1076n
noe awas* Co.1,oct Llte. s Number
111e24.1.1.4 Gea�It
'
El21.61: Dal.: T
Autnerl..a bereeenlelb*
Ferro 02-WWR (11/61) Cely 01*1rDNien: WHITE -pet. DGGS. ►INN -Drilla. CAHANY-C.,,,.,,
.W
DEPARTMENT OP HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET.- ANCHORAGE.- AK 99501
264-4720
L_"3N—'_Sl-re "_=5eWeFt: 8a WeL-L- F=eRMl-r
PERMIT NO: e.40345
DATE ISSUED: 05/15/84
APPLICANT: C/O S & 5 ENG'G HARRY WHITMAN
ADDRESS: SRS 196X
EAGLE RIVER.- AK 99577
CONTACT PHONE: 694-2979
LEGAL DESCRIP:SUBDIVISION:
BLUEBERRY HILL
-LOT: 2
BLOCK: I
SECTION: _�
TOWNSHIP: 14N
RANGE: IW
LOT SIZE: 1.66A CSC!. FT. OR ACRES)
MAX BEDROOMS: 3
LISTED BELOW ARE THE OPTIONS
AVAILABLE TO YOU
IN DESIGNING
YOUR SEPTIC
SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR
SITE.
- - - - - - - - - - - - - -
- - - - - - - - -
-rFZl-=N0"
- - - - - - -
E3: FE C -m
- - - - - - - - - -
L4. L> F;Z F4 I r4
DEPTH TO PIPE BOTTOM (,FT.,,
3,0
4.0
3.0
GRAVEL DEPTH (FT.)
3.0
0.5
2.0
TOTAL DEPTH (FT.)
6.0
4.5
5.0
GRAVEL WIDTH (FT.
.2.5
17. 0
5.0
GRAVEL LENGTH (FT.)
63.0
34.0
53.0
GRAVEL VOLUME (CU. YDS.)
20.4
21.4
24.5
TANK SIZE (GALS)
l...000.0
1.-000.0
1.-000.0
SOIL RATING ( SQ. FT. /BR)
125
125
125
**,DEPTH TO PIPE BOTTOM < 3.5 FT. REQUIRES INSULATION
DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
TANK MUST HAVE AT LEAST TWO COMPARTMENTS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I CERTIFY THAT:
i. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA.
2. 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS. -
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
3. 1 WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT.
4. 1 UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 3 BEDROOMS AND
ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOR BUILDING CODES. -
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE,OBTAINED; (2) RS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNEDDATE:
APPLICANT: c 0 +58�� C3_HARRY 4aH7lrAN
ISSUED BY DATE:
---------------
i SOILS LOG
MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
\\\ 825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: ! � DATE PERFORMED:// !/
LEGAL DESCRIPTION: Z '2 iJ I /3 4 1-3xF '/26/ /7/Fg—L G /f
EPTH SLOPE/9'SITE PLPO
� d le ( --14 N tc I 1 7 Imo- 1 T--T-T-7
2 K
A (/
3 C
4-
5
5 v
6
7
8
9-
10-
11 1011
12
13 �<
/14 0
k
15-
16-
17
5r.
1617
18
19
20
COMMENTS
f
�r-7 5 7
1"'re 4le,
4-'/
y.,r�slll�pg� �
Of At
r" •
R no as.
•pew .� 'ow O wa
o amb.6 A. 5hdfmw 1
Fr�'w°s Na. i.l67-6 6a
��� �cc��w'••K,..,�w•w� ��as
WAS GROUND WATER J S
ENCOUNTERED? L
0
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
I AA
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
A -/Z ql E L'-0 z ( d% til
72-008 (6/79)
Municipality of Anchorage
Development Services Department Z
i Building Safety Division
On -Site Water & Wastewater Program '
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650 At n
w (907) 3i 3-79 nsite p
`-.''��' (907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. (950-Ao--go COSA# at,C"_g-8
1. GENERAL INFORMATION Expiration Date: ] ,;� - 2-'l - P
Complete legal description BLUEBERRY HILL SUBDMSION% LOT 2. BLOCK 1
Location (site address) 21622 SHEPPARD DRIVE • EAGLE RIVER, AK 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
JIM CROSS Day phone 694-8422
PO BOX 773181 • EAGLE RIVER, AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
Day phone
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
------The Municipality of Anchorage Development.$entices_Department (DSD) Issues Certificates of Onsite Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional crw
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 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 riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system Is(are) in compliance with aft applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 4j/ZZ/o-L
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysts of the system in accordance with ADEC and MOA
DSD Guidelines B Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wefts and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of Me system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the solo benotit of the owner listed above. Any reliance upon or use of this report by any
other person orparty Is not authorized, nor will It confer any legal right whatsoever.
S. DSD SIGNATURE
V Approved for 3 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
P -c
• O
WATER AND •;
; WASTEWATER ;
PROGRAM
Attachments:
I /
COSA Checklist ArsenicAdvisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory
Nitrate Advisory
Supplemental Engineer's Reort
Other
By: `41 Original Certificate Date: 2 -
op.
-Ip. 11.151
Municipality of Anchorage
' Development Services Department
Building Safety Division
On -Ste Water & Wastewater Program
47W Bragaw Sovet
P.O. Boa 196850
Anchorage, AK 995198850
www.murd.org/onsm
(907) 3437904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Desatption: BLUEBERRY HILL SUBDIVISION: LOT 2. BLOCK 1 Parcel ID:
A. WELL DATA *CASED TO BEDROCK
Well type PRIVATE If A, B, or C provide PWSID# N A
Date completed 8/10/1984 Sanitary seal (YM) YES
Totai depth 266 ft. Cased to '37 ft.
FROM WELL LOG
Date of test 8/10/1984
Static water level 180 ft.
Well production 20 g.p.m.
WATER SAMPLE RESULTS:
Conform ID colonies/100 ml. Nitrate _dD-mg./L.
Well Log (YM) YES
Wires property protected (YIN) YES
Casing height (above ground) 18+ in.
AT INSPECTION
9/8/2006
4.0+ g.p.m.
Other bacteria 6_ oolonies/100 ml.
Arsenic:-fi&ugA. Date of sample: 9/8/2006 Collected by: GEG, Ltd.
13. SEPTICIHOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Data installed 6/9/1984
Tank sae 1000 gat. Number of Compartments 3 Cleanouts (Y/N) YES
Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (YM) N/A
Date of pumping 8/7/2006 Pumper SANITARY PUMPERS
C. ABSORPTION FIELD DATA
Date installed e/9/19a4 Soil rating (g.p.d./ %rtj§j�425 System type TRENCH
Length 63 ft. Width 2.5 ft. Gravel below pipe 3 ft.
Total depth —1-3-31t. Eft. absorption area 378 ft' Monitoring tube "YES Depression over field NO
Date of adequacy test 9/8/2006 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth in absorption field before test DRY in. Water added 508 gal. New depth DR' in.
Elapsed Time: 0 min. Final fluid depth DRY In. Absorption rate >- 450+ g,p.d,
Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date -
••MONITORING TUBE EXTENDS 2.2' INTO DRAINROCK
D. LIFT STATION
Date installed
"Pump on" level at _in.
Sae in gallons
"Pump ofr
water alarm level at
Datum — Cycles tested Meets alarm 8 circuit requirements?
E. SEPARATION DISTANCES CSTj)
SEPARATION DISTANCES FROM WELL ON LOT TO: 'EDGE OF WELL TO EDGE OF PIPE.
Septic tankfllft station on lot 0100.13'
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line ' 25+
Animal containment areas 50'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 50+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parkinglvehicie storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
SEVERAL PIPES ARE F-810, SUMP HAS 5-6 TEETH MARK BITES IN PIPE.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through /laid inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guideBnes in effect on this
date.
Engineer's Printed Nme JEFFREY A. GARNESS
Date `% I2 x ZZ
COSA Fee S G/.C)o
Date of Payment (C, JA c
Receipt Number RqW 7 1
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number
r r A/ ,^ I r n I 1 i r n r— n
V yv v / v C_ V
M
106.9'
M. 4'
GAC 006-06
Y.}
r,Pf' Q
� r
lY�i 2�.J• 61?'
12 °42'45' E
86.00'
I
1
AS—BUILT
I hereby certify that I, or someone under my supervision, have
performed a llorlogee's Inspection of the properly described as:
LOT 2, BLOCK 14 BLUEBERRY HILL SUBDIVISION
Anchorage Recording District, Alaska
TheImprovements situated thereon are within the properly lines
and do not encroach or overlap onto adjacent properties nor do
any Improvements__from adjacent properties encroach or_over_lap _
onto this properly except at Indicated hereon.
We b-ulll Is only ler the ate of finding Institutions to show any con/11419
between gliding visible struclaraa and plaited lot 1111 or 4054sanls. It 19 no'
o4equal4 for. Air should It be aced for petitioning oddlllenal leprovemnis Of for
establishing boundary or fence lines. Drilling one IepredactIOn my produce
graphic Inconsistencies: lhenlare scaling should not be ettenpiad to determine
unehoun disensdons. he cornus were sal this date.
unlwes specifically noted otherwls4 Only eesannts Iron IM marded aubdlvtslon
plat are *no" hereon. It Is the responsibility of the ovnlr to delermlrm If any
other msemsnls. covenants, or restrictions *list.
Yr
Jo•
JOB # 95-108 DATE: 12/4/95 1 SCALE 1" = 50'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
A
EAGLE RIVER, AK. 99577
A
(907) 694-5195 FAX.' (907) 694-3297
69 = SEPTIC VENT
0 50 •
SCALE IN FEET
v ,
is
..... .. .....
1.S-7937