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HomeMy WebLinkAboutTHUNDERBRUSH LT 3 THUNDERBRUSH LOT 3 #015-142-68 (Rev 05/0?18) Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251424 PID Number: 015-142-68 Dwelling: X Single Family (SF) El with ADU El Duplex (D) n Two Single Family Project: E] New no Upgrade Name Carl Vernon A ORPTION FIELD c E01 De Tr Trench El Wide Trench n Bed F1 Mound Site Address 5631 E 115th Ave Other Phone Number of Bedrooms Soil Rating� Total depth from original grade (907)346-3742 13 /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original a Gravel depth beneath pipe 1� Ft. Subdivision Block Lot Thunderbrush 3 Fill added above original grade Grl length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distae between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between 1ches From Tank Field Tank Line Ft2 Well >100' N/A N/A N/A >25 TANK 0 Septic [E S.T.E.P. E] Holding [] Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water >1 oo, N/A N/A N/A Material Epoxy coated steel Number of compartments 2 Lot Line >5, N/A N/A N/A NA Foundation >1o, N/A /A LIFT STATION Manufacturer Orenco Capacity Integrated Gal. I I I Remarks Tank rated for 10' burial Alarm location Electrical installed by Back wall of garage I Power, Lighting & Control PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector Jared Earls BENCH MARK (Assumed elevation) 100 ft Inspection1-t 1/6/26 Location and description dates: 2nd d Back door threshold 3 4th ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Conditional Approval: Date low ......... Septic Syst Approved Benjarro*8chiller CE 12592 D 2/10126 PROFESS� ote: this approval does not include well permit requiremen s. (Rev 05/0?18) Benjamin Schiller CE 12592 R E G ISTEREDPROFE S S I O N A L E N GINEER 1"=20' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND THUNDERBRUSH, LOT 3 FEET 0 20 40 PLAN AS-BUILT 2/10/26 E. 115th AVENUE 10 ' U T I L I T Y E A S E M E N T 10 ' U T I L I T Y E A S E M E N T EXISTING WELL 1250-GAL STEP TANK CO/MT (SUMP) 3-BDRM HOME ESTIMATED LOCATION OF LOT 4 WELL. LOCATION STAKED DURING INSTALL, NEW TANK CONFIRMED >100' DURING INSPECTIONS LOT 2 WELL BEYOND 100' 2CO MH1 MH2 A B 2CO 7.6 MH1 16.4 MH2 23.2 10.8 13.3 15.3 A B PERMIT # OSP251424 PID # 015-142-68 PROFILE AS-BUILT (NO SCALE) 91.8 86.9 92.3 99.8 PERMIT # OSP251424 PID # 015-142-68 THUNDERBRUSH, LOT 3 1500 GAL STEP TANK Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 2/10/26 2C O MH 1 MH 2 101.9 Permit Number:OSP251424 Tax Code Number:01514268000 Work Type:SepticTank Upgrade Effective Date: Design Engineer: Site Legal Address:THUNDERBRUSH LT 3 G:2637 Owner:VERNON FAMILY TRUST U/A/D Site Mailing Address:5631 E 115TH AVE, Anchorage Lot Size in Sq Ft:11114 Total Bedrooms:3 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public Water 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. Coodinate with On-Site staff regarding preferred method. 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 11/25/2025 11/25/2026 FORGE ENGINEERING Expiration Date: ¨þ ¨¨¨¨ Issued To: Issued By: Date: Date: 11/25/2025 11/25/2025 FORGE ENGINEERING Isatou B Njie 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 November 17, 2025 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Thunderbrush, Lot 3 – 5631 E 115th Ave Septic system design Dear On-Site Services Engineer: The owner of the above lot owns a 3-bedroom home on the property. They are planning on selling the home in the near future and the existing tank is 43 years old and steel, so we are submitting this permit application for the installation of a new tank. The attached site plan identifies the location of the home as well as the proposed tank location. No conflicts exist between this proposed tank and any other well or septic system, whether on this lot or adjacent lots. Wells on this and adjacent lots are shown. The new tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the existing trench. Please refer to the attached plan page for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251424, Isatou Njie, 11/25/25 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=20' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND THUNDERBRUSH, LOT 3 FEET 0 20 40 SEPTIC PLAN 11/17/25 E. 115th AVENUE 10 ' U T I L I T Y E A S EM E N T 10 ' UT I L I T Y E A S E M E N T EXISTING WELL EXISTING TANK AND PV TO BE REPLACED EXISTING TRENCH TO REMAIN IN SERVICE NEW 1250-GAL STEP TANK, ENSURE 5' FROM TRENCH LOCATE/INSTALL FCO OR INSTALL 2CO BEFORE TANK CO/MT (SUMP) 3-BDRM HOME ESTIMATED LOCATION OF LOT 4 WELL, ENSURE TANK IS 100' AWAY DURING INSTALL LOT 2 WELL BEYOND 100' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251424, Isatou Njie, 11/25/25 i"~ MUNICIPALITY OF ANCHORAGE  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 J~ NEW 5~t 5 Engir, eer;rLe ~4¢-6J~1 []"EGRADE MAILING ADDRESS 7/2: o/d ;e waM. ~,,'~or~ /N 79~02 LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS ~ ~, DISTANCE TO: Iwell ~' I Absor~tion area F' Dwelling //, PERMIT NOeZO~  Manufacturer . MateriaT/~/ No. of compartments2 Liq, capaci}~:~allons [F HOME.DE: Inside length.~ Width Liquid depth q ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ Manufacturer Material Liquid capacity in gallons ~} DISTANCE TO: Wel'/OO/ F°undati°nw~' Nearestlotline 7~2 _ ,o. o,,,n.,f Length of each line~sz Total length of ,inosTn, Trench wldth2~inches Distance between ~ M Total effective absorgtion area ~ Top of die to finish grade 40 Material beneath 'tile 72,.c... Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER INSTALLER ~ REMARKS / ---~%/~0~/.~'8 ~ //.ri' / I:0 ?tV~..,l~,,~,,,, s'r)/h' ~ ' -' ' ~ l IL:fl 5'i APPROVED DATE LEGAL 72-013 (Rev. 3/78) DEPP, RTHENT FIERLTH FIN[:, EN'¢:[F'.ONHENTRL. ~-f;.'.EiTECTION :325 '"L"' ~;TREE]"., FINCHOF?.FIGE., FII.(. 99581 LEGRL ':'~": E:htL3'rhlFEt~": iHE: L3: " '=,, c~ 't, ,LlhlE:EL.E d_ ff -,:~, ........ .. _,I¥ HL!HE]ER uF ......... F:EE,Pr'lr'd','l,--,_ = :'~: 'THE f<Ed!I_I~:Et:, :5.T_ZE 3F 'THE' E:O_TL RE~tF;~U3F~:F'T]:Cd',I THE LENGTH DZHEN:~;ZOh,I 1':5 THE LENGTH (Zi'.,l FEET::, OF T'HE TRENCH OR DF:FtZNFZELD. THE DEPTH OF F! TRENCH OR P:[T :[~; THE D:[_%TRNCE BE"FP.IEEN THE 5URFRCE OF THE ,EiREIUND FINE:, THE BOTTOH OF' THE E::-:',(::FI',,,'Fi"f'_TON ,::ZN FEET). THERE )7~ NO SET I.,.IZDTH FOR TRENCHES. TFLE GRR',,?_EL. DEPTH Z5 'THE HZNZP!UM. DEPTH OF' GRR',,,'EL BETHEEN THE OUTFFILL F'ZF'E FIND ]"PIE E:cFr"FOH OF THE E::.:',CFt',,,'FIT_TON (IN FEET). F,,m; - . !HI..., DEF'RR-FMENT B, URIIqC. i THE ~:. J'!1' FiPPL;£CRNT HR:5 'THE F~:E:SF'OF,irSIE:iLT_.T'¢ TO ZNF::F.'M "' ': ZN:STF!L.t..RT]:L3F~ ]:N:~,FEL., !'UN._ OF FIN'¢ [,]ELL.~ FID..TFIC:ENT 'Tr' "rHl'5 F'ROPEF'.T'?' FIN[::, THE NUHE:ER OF FtE£:;.f. DEF,fC:ES "['HFtT THE HELL !,.IILL 9ERVE. Eq:IC:k:FZL.L:[i"J.G {ELF' F:ff',{'¢..,':"""::'F~':'~", ...,. ,..,, .............. bITTNf:tUT F~i",!RL TN'~F'E'-TIOFJ RN[:' nr-.-m_ ~ r'~.. b r TIdZ:~ C, EF'FiRTHEI",F[' !4 Z LL~:,,.:."'~' .......... ':-; [: .TFT':T "FO F'F;:CESECI_IT Z ON. HZN_THUh! E>IE;TRNCE BETIqEEN FI HELL FIND FIN".," ON-SITE 5EI,.IF:iGE g, ISF'O%FtL L:;"r'E, TEM l'-:; :1..OO FEET FOR FI PRIVF:ITE HELL OR 158 TO 200 FEET FROi"i R PUBLIC HELL [:,EPEN[>ING UF'ON THE T'¢PE OF F'UE:LIC HELL. H:[i",!ZHUI'I D;[STFtI",!CE FF:Ohl Ft PI-:;:i',/F~TE HELL TO F~ F'F:.,T. VRTE SEHER LZI",IE ZE; 25 FEET FIND TO F:! COHHUN:[T"/ SE.t,.IER LINE :[E; 75 FEET. OTHER REQUIREHEN'T~ h'lFFr' FIF'F'L."/. ~;PECZFiE:R]"ION~; RND CONSTRUCTION [3, IROFtFIP'tS RF:E FIVFi:[LF!BLE TO ZNSURE F'ROF'EF~ !NSTFILLRT!ON. :[ CE:RTZF"¢ THFIT :L: :[ F~t'! F'RHIL;[FIR F.!ITH THE F:EQUZREHENTS FOR ON-'S;ITE SEHERS ~ND I.,!ELL~ RS E;ET FO~:TH I?'/ THE HUN;[CZP~LZT'¢ OF FINC!dORFIGE. 2: I HILL INE;TF!LL. ]"FIE S'¢:STEH IH RCCORDBNCE kI:[TH THE CO[:,Eg. 2: i UNDER:STRN[:, 'THFFr' THE OH-:SI-FE ~E;EHER S'~.'STEH ?'IR? REQUIRE ENLRF:GEHENT iF' TIdE RESZDENCE ]:~5 REHODEL. ED TO :[NC:LUDE i'qOF:E 'THRN 3: BEDROOHS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: 7 9- 10- 11 13- 14- 15- 16- 17 18 20- COMMENTS__ . PERFORMED BY: SLOPE WAS GROUND WATER ENCOUNTERED? ~C~ SE O P E JF YES, AT WHAT SITE PLAN lES '-' , jl ,.c~ r _ ,(Z~ ~. (4, .. Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATJON RATE TEST RUN BETWEEN 7 CERTIFIED BY: (minutes/inch} FT AND c~ FT DATE: 72-008 (6/79) f~-~ _~WELL LOG Gallons Per Minu%e , Draw Down £eet ~y~.~te~rlal Drilled: 0 feet to Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska 9950? F!F'F'L :il CFiNT LE!CFIT I ON LEGF!t_ L3: TNUhlE,E~'LZ I-:~'_ SN L_']T SIZE '999'_a. 99 FEET MINIMUM C'ISTRNCE BEi-kIEEh! FI NELL RNC, RHg' ON-SITE SENRGE DISPOSRL SYSTEM IS &eS FEEl' FOR R PRiVRTE HELL OR &Set TO 2C~9 FEET FROM F! PUBL. IC HELL DEPENDING UPON TNE T'?'PE OF PUBLIC HELL. idININLiM [:'!STRNCE FROM ~a PRtVRTE HELL. TO R F'RIVRTE SEHER LINE I5; 25 FEET FIND TO R C:OMMUiWIT'¢ SEHER LINE !S 75 FEET. HEL..t.. L. OGS RRE RE(;!UiRED RND MUST ¢E RETURNED TO THE DEF'F!RTMENT Hri"HIN 1:¢¢ DRYS OF THE kiELL COMPLETION. OTHER RE6:!(_IIREMENTS HR'¢ RF'PL'¢. SF'EC!FICRTIONS FIND CONSTRL!CTION D,!BGRF!IdS FIRE FiVRILRBLE 'TO INSURE PROPER ZN%TF~Lt..RTION. i C:ER]"iF'¢ THRT i: I R!',i FF!F'1!LIFdR Hi'TFI -F,'-.tE RE6!UiREMENTS F'OR ON-SiTE SEHERS RND HELLS RS SE-F FORTH BY' THE ~'!UNIC!F'Rt...ZT'T' OF RNCHORRGE. 2; I HILL INL:;]"RLL TI-IE SYSTEM iF,! FiC:COR[:,RNCE H!TH THE CODES. FIF'F'L I C:FtNT CF!RL f APPLIi -NT FILLS OUT uPpER HA:'%,ONLY Mailing Addre~ ~ ~ ~ ~-~ ~ Buyer ~. .. {~ Address .~- ~ .~ / ~. //~ , ': Zip Code Legal Description /~ ~ ~ [ ~ /!~ ) ~ ~ ~c/~r~.~5~ ~ ~ ~ Single Family/~'- Time I"~' (~ ~'~ ' Time~ ~.~ ~ Inspector Inspector Inspector Field Notes: ~APPROVEO BEDR6OMS .¢ 'cONDITIONS OF APPROVAL~ CONDiTiONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area ~ ~ Well Log Received 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 OSC261035 Parcel ID 015 -142-68 Legal description THUNDERBRUSH LT 3 Expiration Date: 10/14/2026 Site address 5631 E 115TH AVE Current property owner(s) VERNON FAMILY TRUST U/A/D X The On-site system(s) is/are approved for 3 bedrooms 0 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 2/18/2026 Thisrtificafe of On -Site Syst sem Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment 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 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. 015-142-68 Complete legal description Thunderbrush, Lot 3 Location (site address) 5631 E 11 5th Ave Current property owner(s) Vernon Family Trust 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone (801)225-2536 3. TYPE OF WATER SUPPLY: RN Private Well serving # dwelling units F-1 Other Non-public well as regulated by MOA ❑ Water Storage ❑ Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: W Private Septic F-1 Private Septic serving 2 dwelling units 0 Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: A Steel F -I Plastic ❑ Concrete F-1 Fiberglass Age NEW _ See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: Fj AWWTS E] Bed JE] Deep Trench ❑ Wide Trench 0 Seepage Pit Waiver request for: Expedited review requested: Fj 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 $ Date of Payment COSA # us- C C o Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025.doc COSA Checklist_May2025.docx COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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 Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to:(Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’Yes if No ft Disposal Field on Lot > 100’Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/Septic Line > 25’Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft 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’Yes if No ft 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’Yes if No ft Surface Water > 100’Yes if No ft Wells on Adjacent Lots: Wells > 100’Yes if No ft Community Wells > 200’Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 Phone Engineer’s Printed Name Date 2 Z M a) C N , J rn I 25.0' CHAIN-LINK FENCE I \ Lot 3 11,114 S.F. 8.2' ASPHALT .. 'O PAVEMENT `O M 35.8' 13.0' -WELL 5.7DECK ROrFOT� 10' UTILITY EASEMENTS Lot 4 I it 11.5' x 17.5' SHED -i SEPTIC PIPES - ROOFED OPEN STORAGE \ 15.0' o 27.0' 1 STORY LOG HOME 14.4' WITH WALKOUT Zo BASEMENT 4.2' N 42.4' 9.2' ASPHALT —jn .,.PAVEMENT d: N E. 115th AVENUE L! J SEPTIC' Lot 2 MANHOLES 38.2' 12.4' x 21.4' SHED LEAN-TO IWO ODEN FENCE I POST & RAIL\N.��— FENCE I x — NOTES: GROUND LEVEL IMPROVEMENTS SHOWN ARE APPROXIMATE. DATE OF SURVEY: 03 FEBRUARY 2026 PLOT PLAN AS BUILT X SCALE 1 " = 30' GRID SW 2637 Project No. _ J25-315 A2 Lang & Associates, inc P.O. urge, Alaska e Anchorage, Alaska 99521-0005 (907) 522-6476 0� p F q o0 Professional Land Surveyors surveyClangsurvey.com -, 517 �4 0 I hereby certify that I have surveyed the following described property: LOT 3, THUNDERBRUSH SUBDIVISION (Plat No. 70-304) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Day of r6- 15 1ZN414_Jk/ 2-9�a6 , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plot. NAT N C. LANG o QG Q4 .LS -9944.••• gJv �Q�OFZSSIONN- �'F D�O000p� State of Alaska AECC963