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HomeMy WebLinkAboutWORLD TOP ACRES LT 2World Top Acres Lot 2 #015=w163-51 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141213 PID Number: 015-163-51 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Keith & Amy Mallard ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 11261 Hill Dr., Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 -- GPD/SF — Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -- Ft. Gravel depth beneath pipe -- Ft. Subdivision Block Lot World Top Acres 2 Fill added above original grade -- Ft. Gravel length -- Ft. Township Range Section Gravel width -- Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line -- Ftp -- Ft. Well 100'+ — -- __ 25'+ TANK M Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1250 Gal. Surface water 100'+ — -- __ Material STEEL Number of compartments 2 Lot Line 5'+ __ __ __ NA Foundation 5'+ -- __ __ LIFT STATION Manufacturer Capacity Curtain Drain NA — NA -- ----------------- Gal. Remarks Existing septic tank decommissioned Pump on level at in. Pump off level at in. High water alarm at in- per code. New tank insulated & reconnected to existing System w/ new FCO & COS. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to D3034 Installer Northern Excavation drainfield Dminfield -- CO/MT D3034 Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 R Inspeection 1" 7/2/14 7/3/14 Bottom of Window Sill ction 2nd Bottom of Window Sill COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Oil A4 *4 Conditional Approval: Date �9TB**+/ KENNETH V, ce T/ire�/ �, / Alli Nt� p�� JOL (/ AW Approve Date CJpy Jpz' JU�L b� Inspection Report ST.doc A -C=14' B -C=7.5' A -D=20.5' B -D=11' AS -BUILT SYSTEM DETAILS/SITE PLAN PerMItOSP141213 WORLD TOP ACRES LOT 2 PID#015-163-51 H /v SEPTIC * 9TH* Z 3 CE- "b'E3310t��'AV SCALEi V = 50' nn n FINAL GRADE 00 ew — 00 SCALE, NTS PREPARED FOR1 KEITH & AMY MALLARD 11261 HILL DRIVE ANCHORAGE, AK 99516 FIELD BOOKS B01ND""w BOUN[ STf"k STAKIP AMILT REJ O"S. mm ADHD `nE FILE OOUPUTM D"A": BMA CHEcK0: KMD OAh: 7/5 CWP. JOB Na: SGS 0 SGS Ref.# 1142322001 Client Name ArcTerra Engineering and Surveying Project Name/# World Top Acres Lot 2 Client Sample ID Spigot Matrix Drinking Water Sample Remarks: 0 Printed Date/Time 06/17/2014 11:21 Collected Date/Time 06/06/2014 15:15 Received Date/Time 06/06/2014 15:35 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.5 C f<10) 06/09/14 06/09/14 EAB Waters Department Total Nitrate/Nitrite-N 6.39 0.100 mg/L SM21 4500NO3-F B (<10) 06/16/14 CDE Microbiology Laboratory E. Coli Negative 1 IOOmL SM21 9223B A 06/06/14 SDP Total Coliform Negative I IOOmL SM21 9223B A 06/06/14 SDP :a« awNsal 300.41' N89* 56' WE .......... .............. ............... II- w .. ............... ......... ... ................ ILU C .U) ........ J 1 0 ... ID P (0 4 LL! z > EXISTING HOUSE w Cn 39 --- — — — — — — — — — — — ----- ---------------_j 10'UTIL ESMT 8890 55'45"W 300.63' 2B 2A UNDER No CIRCUMSTANCES; SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE ONES. THE SURVEYOR TAKES RESPONSIBUTY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. LOT SURVEY SURVEY TYPE SYMBOLS FOUNOA10N AS-GULT SET REBAR ASPHALT r= :w OR FINAL STRUCTUM AS-GULT ❑ PLM 0 FOUND REBAR 9 S 8 WOM FENCE CONCRETE PLOT ... AS-IlMt ... LOT RIM . . . TUVMAFWY ASfQUILT ... NO 00AMM SET R RMViCAIM AS-041ILT. . . Na OMM 93 4§�� ASSUMED BEV. X X X METAL FENCE WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION. TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES. WELLS, SEPTIC CLEANOUTS. SIDEWALKS. DRIVEWAYS, TO FINISHED GRADE AND UnUTY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH 00 NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERIFICATION114 Prepred b Jr. L**IbF%%VA 4 Robert E. Johns, & Assoc. PLOT PLAN ♦........ .... Professional Land Surveyors 1700 Brisk Drina AV ANCHORAGE ALASKA 99504 Scali If 50' R� Lot S.F. Plot File Na AF : F. FOUNDATION AS-SUILT A ...... .. .... ... .. Date Surveyed: 06/13/14 Dram b)' REJ Checked b JMK A�" 11W 0 U meffl"Oft ...... .•. ... ...... III- Imf off . ~ f4heelff, ROSE H t Date DM": 06/16/14 OA&' 2640 jw'O' 14-307 FINAL SIRUCIURE AS-OWLT � C � &. be"..* " I 2t _ .$ a 70 •-•••••... #j" ". % Legal Desalptim! k the .0** ............. Lot 2 �e,db dome Ifefie I . f'salon WORLD TOP ACRES On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141213 Tax Code Number: 01516351000 Work Type: SepticTank Upgrade Permit Effective Dates: June 26, 2014 to June 26, 2015 Design Engineer: ARC TERRA CONSULTING INC Subdivision: WORLD TOP ACRES Site Legal Address: WORLD TOP ACRES LT 2 G:2640 Owner/Address: MALLARD KEITH L & AMY D 11261 HILL DRIVE ANCHORAGE AK 995166145 Site Mailing Address: 11261 HILL DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 49561 Total Bedrooms: 4 N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Date: ( J-7-1fl Date: Z � MUNICIPALITY OF ANCHORAGE n�ekj Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I. D. 015-163-51 Property owner(s) KEITH & AMY MALLARD Day phone Mailing address 11261 HILL DRIVE, ANCHORAGE, AK 99516 Site address 11261 HILL DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block &Lot) WORLD OP ACRES LOT 2 Legal description (Township, Range & Section) Lot Size 49561 Scl. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) [� (w/wo ADU) Septic Tank [ Upgrade Pq Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ J THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: JUN 18 2014 Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or autnonzea agent) Pe lt/Rush Fees: ZI S Date of Payment: 1 Receipt Number: blS Vp 3 Permit No. ©5?114 M13 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. Q► cTERR TING June 17, 2014 ARC 1 EP.RA CONSULTING, INC 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit — World Top Acres Lot 2 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank on the subject lot. The proposed upgrade will serve the existing 4 -bedroom house. The adjacent lots are served by private water as noted on the design. There is no known surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P. . Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WASTEWATER DISP❑SAL SYSTEM DETAILS WORLD TOP ACRES LOT Z LOT 2 10' UTIL ESMT A F: kA/ 7(Nn (-` 7' LZ � I ( •I y I KENNETH M. / al ` CE -711 �/ •••,�� gin_\�� MT / ' %-'W' v `- v -0, htx >�O- EXISTING �x 4-13R HOUSE ; ST {\ o Decommission existing septic tank and install new 1250—gallon ST wiU � �ICOand post tank cy,ts. N a FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTI❑N PREPARED FORT KEITH & AMY MALLARD 11261 HILL DRIVE ANCHORAGE, AK 99516 FIELD BOOKS Dowruhm ea mm"' BOUNDARy DNAxW: O 5T'm STAKING aeum KMD 0-)J DATE: W DWQ FILE am 2640 "a'°Rr:FILE "N- 14-149 � F O.s D Decommission existing septic tank and install new 1250—gallon ST wiU � �ICOand post tank cy,ts. N a FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTI❑N PREPARED FORT KEITH & AMY MALLARD 11261 HILL DRIVE ANCHORAGE, AK 99516 FIELD BOOKS Dowruhm ea mm"' BOUNDARy DNAxW: BMW 5T'm STAKING aeum KMD Awxr REJ DATE: 6/17/14 DWQ FILE am 2640 "a'°Rr:FILE "N- 14-149 W L(i Scale: 1'= 30' PAGE 2 OF 2 D � L n x � 4 Z \ m fQ ` Rid NSULTING , b l fR, K. 99577- WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA :,. rar• WORLD TOP ACRES LOT 2 FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTION NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRNATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. lk OF AL4 TH� *,0 I ` CE -71 wansS1oo, AV SCQ(e; 1'= 100' PAGE 1 OF 2 DESIGN DETAILS DECOMMISSION EXISTING SEPTIC TANK PER CODE INSTALL NEW 1250 -GALLON SEPTIC TANK REPLACE EXISTING FCO & INSTALL NEW POST TANK CLEANOUTS INSULATE TANK IF C4' COVER CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PREPARED FOR; KEITH & AMY MALLARD 11261 HILL DRIVE ANCHORAGE, AK 99516 FIELD BOOKS COMPUTED: OaNDARr. BOUNDARY 0f1Aft: BMW STAIDNc: STAKING CHECKED: KMD ASBUILT: REJ DATE 6/17/14 Dwc. FlLE: caro: 2640 ACRD nLE FILE 'ADB NO' 14-149 IZAF mm 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 ❑NEW 4 'a4F MAILING ADDRESS--R�rr'' JJ�� ^^ _/ _11 o��a( r71 brfll`cAj4C -e �I�J� 1K2 LEGAL D SCRIPT 10 J n�f Lot 2 World Top Acres S nm -3 . a' LOCATIOJN--��� —�� �� NO. OF BEDROOMS 41 U 1 DISTANCE TO: Well / Absorption area I Dwelling PERMIT O. 1-2 ui I_ Manufacturer &I, CN/ ul - Material / 'a Cil No. of com artments 15 m Liq. capacity in gallons IF HOM ADE: Inside length WidtFj J Liquid de th O 2 DISTANCE TO: Well Dwelling PERMIT NO. D 0 z F Manufacturer Mater Liquid capacity in gallons O DISTANCE TO: Well Foundation crest lot line PERMIT NO. w= J r1 Z No. of lines Length of each line Total length lines Trench width Distance between lines inches ¢ Top tile to finish Mater I net a Total effective absorption area cc of grade p inches Length Width A Depth PERMIT N0. ��® w QH Type of crib Crib diameter Crib •pth Total effective absorption area W� Via DISTANCE TO: Well Ifuildirig foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W � DISTANCE TO: Building foun ion Sewer line Septic tank Absorption a.(s) OTHER W. r' PIPE MATERIALS �' rQL/ — V/e-+ SOIL TEST TING INSTA ER REMARKS 1� O� e . C — r / t O �/ /`- DATE LEGAL a C. [7—p_ROVED is Ask Sine A riaAr roes 72013 (Rev. 3/78) /+ 8ICANE13 DATE: 7 / " ---'F\-'-----`-----T-T--`,----------- --------------- APPLICANT: JOHGHT ISSUED BY - IATE�: -~ DFPARTMENT OF HEAiTH AND Em;IRnNMENTAL PROTECTICN n25 i STPEFT, ANrHDRARE, AK 99001 264-472O E111%11---10 X -T-EE 63 U po 022 FT �11 1', 11 E. 11 PERMIT NO: 85016O UPGRADE D0TE ISqUED: 05/07/85 APPLICANT: JOHN A KNIGHT At nRESS: 11261 HILL DRIVE ANCHDRAGE, AT;:: 99516 CCINTACT PHgNE: 279-66�1 LERAL nEX::oTP: SUBDTVIGION: WORLD TOP ACRES LOT: 2 NA SECTION: 24 TOWNSHIP: 121\1 RANGE: �W LOT SIZE: 1,25A (SQ.FT, DR ACRES> I certify that: !. I am Familiar with the requi,ements Fop on-site sowers and wells as set forth by the Municipality of Anchorage (MOA) and the o� �las�a 2` I will install the sysLem in accordance with all MOA co�es and regulations, and in compliance with tho design criteria of this permit` 3. I will adhare to all MOA and 3tatz oF Alaska requirements [or the set back distances from any existing well, wastewater dispusal system or public se*eroge system nn this or any adjacent nr nparby lot` TF A LlFT STATION IS INSTALLED IN AN AREA COVERED )�Y MO� COOLS!. THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BU1Lm; WILL NOT BE APPR0VED WITHDUT AN ELE10TR1CAL INSPECTION REPORT; 01qD (3) THE ELECTRI�AL W0R11 1-ICZNSED ELECTRICIAN. /+ 8ICANE13 DATE: 7 / " ---'F\-'-----`-----T-T--`,----------- --------------- APPLICANT: JOHGHT ISSUED BY - IATE�: -~ �s ®' 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 _ PHO1 ,NyE NEW �C3111IU `��sz��l—_—�—�—�- �(•t'T'•�I�J CJ UPGRADE MAILING ADDRESS [µ� LEGAL DESCRIPTION LOCATION � �--(^ � (t Dtwelling � NO. OF BEDROOMS Uy Well , DISTANCE TO: A— Absorption area 1 PERMIT NO. F• Z 4 - Manufacturer S u <� IVex,G)_ft Material R�ber� No. of compartments `�— Liq. cap�adty in gallons {_ a IF HOMEMADE: Inside length Width-- Liquid depth -- z _ DISTANCE TO: Well Dwelling PERMIT NO. Liquid in = N Manufacturer Material capacity gallons O �= w DISTANCE TO: Well\ O� Foundation \ Q Nearest lot line h� PERMIT NO. u. Z Z w No. of lines Length of each� lin(e� �o �• Total length of lines 0 Trench w,�Ill (cj inches Distance between lines Top of tile t fj-n ish rade } 1 Material beneath the F Total effective absorin tp ree Ft .-fir yA inches AT )� Length Width Depth PERMIT NO. L (7 af- Type of crib A,,, Total effectiveabsorption area tow rn Building foundation Nearest lot line DISTANCE TO: Class Depth 4'3 Driller Distance to lot I' e % PERMIT NO. .,� dei®,per 8 Oi y� w �+ DISTANCE TO: Building foundation Sewer line ��Q Septic tank l •T kdc) Absorption area (s,),.(� OTHER G TO PIPE MATERIALS SOIL TEST RATING 0 — — INSTALLER AQItN lc'o . REMARKS`,\ —---- 6 Kiwi N 1{. LEGAL APV D��[�1DATE 72-013 (Rev. 3/78) VIP v K A4 11 L � 3� 11 1U_3: C A 10- 1:144COFIC���� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 /L' STREET, ANCHORAGE. HK. 99501 264-472@ 44�0 .. R.. 50PAK, Clot _0; 1 1 Ev so K v H K FK F" EF F;�!! 1 - I A::� PERMIT NO. ( 780087 ) THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: KA EF F" -0 11 �f4Z Phi K0 1- 11 1501 C3 FT F I %I EE L. 01>01EIn Ir "P.. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD, THE DEPTH OF H TRENCH DR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND HND THE BOTTOM OF THE EXCAVATION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS T �MINIMUM DEPTH OF GRAVEL BETWEEN THE OxTFHLL PIPE: THE BDTTOE M OF THEXcHVRTION (IN FEET) Fs Inn pit 1.1 X 10 FE 1> ���- 0- 1: 17 - F_ 1: 10102 ����� :�::P 12 13 AD ������jm,�: PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE. ���Cj < �� ���������������� KKK FR�����Z�EN ___ BHCKFILLING'OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. wommorwir wmcsEEV1E3EFFR nTAL, ���E_� I CERTIFY TMHT 1: I HM FHMILI FORTH BY THE M 2- I WILLIINST ] I UNDERESIDENCE� �T (�R- Al WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET U IPHLITY OF ANCHORAGE. H THE SYSTEM IN ACCORDANCE WITH THE CODES. D HT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE E111ELED TO INCLUDE MORE THAN 4 BEDROOMS. (U SIGNED�-_ __ HPPLICHNT' J ISSUED GREATER AMuIURAGL Ai(LA L'OROOGO '1 )epartment of Environmental Qua :y 3330 "C" Street Anchorage, Alaska 99SO3 SOILS LOG - PrROLATION TIiST Performed for Legal Description: 40-'Z'.2,._.— This form reports: Soils loge__ —_ Depth �� Feet I ,�l2eLZ 2- 4 7. ri 5 6 7 S DAi'I'1/ It 11 - Date Perforin on tes s/'Ope Was ground water encountered? If yes, at what depth? Z Percolation rate minutie. —*— ' -- - Drairi Field -Proposed installation^. Seepage Pit — _v _ ----------� Depth of Inlet —_—,_____ Deptfit.o Tt_Cm of pit or trench COMMENTS: Date Gross Time Net Time Depth to Water Net Orop _ Reading Percolation rate minutie. —*— ' -- - Drairi Field -Proposed installation^. Seepage Pit — _v _ ----------� Depth of Inlet —_—,_____ Deptfit.o Tt_Cm of pit or trench COMMENTS: Size.. of Distance to— Distance to water while pumping _—.�r�` "�`at rate of_Q__�.�._gallons per hour. - - Descriptio•a of Formation ^from II to 7 11 II It 25 40 ... r v I1 t� • l Jp' I Date Completed— Cl/1 zL/-2 _.__..�.�....—.__ 11 Dl'pttl Of VJell�. Size.. of Distance to— Distance to water while pumping _—.�r�` "�`at rate of_Q__�.�._gallons per hour. - - Descriptio•a of Formation ^from II to 7 11 25 40 ... r I certify the above true and correct. Driller .r mb 11\1 l" pil.23 9 EUVC1:10RAG , .ALASi )' Ol we advise you to attach this certificate to your decd. ... r v I1 t� • l Jp' I WELL LOCAT WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 USE OF WELL_LLQJ �Q 4 .) 3I7,E OF CASING "DEPTH OF HALE FT. CASED TO �Z��FT. � STATIC WATER LEVE al�oVeFT. YIELD.-A6GAL.PER.MIN. WITH f2� FEET OF DRAWDOWN. REMARKS DATE COMPLETED_ 1� PUMP TO BE SET AT�� �- -e'e' I����� /� to c���� rd —to— __..to..— —.to_— ®. to-- — to_—�.— -to__ ___. - -.to—. cz LP � c),. Acs e cs 1 w— C (D,-Y,s1. (n,A �l �11 lR nn ll0 1.,gST 1 b ('�b INSu�anV 'l1Ufl��E�UA� 6 �Lpp�,o Cou�ef � ;SLP ) �k r� ^r6 -VQ,GtJN.tl 0 (MILMON AGA al a -S21 � i9?J hL, J 1O,T;� N`aPC-'CXX N Ott TIONK i"R NCt� 0 0 l 1i' el SC, 41P (' • Municipality of Anchorage n > G On -Site Water and Wastewater Program M (907) 343-7904 = r, CERTIFICATE OF ON-SITE qY¢ TEMS APPROVAL fi Parcel I.D. 015-163-51 214 Expiration Date: ZO -L7---L4- 1. L7—L1. GENERAL INFORMATION Complete legal description WORLD TOP ACRES LOT 2 Location (site address) 11261 HILL DRIVE ANCHORAGE AK 99516 Current Property owner(s) KEITH & AMY MALLARD Day phone Mailing address 11261 HILL DRIVE, ANCHORAGE, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 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 ❑ WaiverNariance request for: Received by:E:(` f f l' J %l (cru /1i v� -r. Date: Z—` e COSA to be released to the engineer, unless othe is y quested by the engineer. COSA Fee $ rjua — Waiver Fee $ Date of Payment -71J tl t q c4, Receipt Number ()55-70-J COSA# 0�0413-21 Date of Payment Receipt Number Waiver # S. 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 6/20/14 Engineer's Comments: This investigation was completed in compliance with ADEC 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 ordiscrepancies exist. �F �L�ft\, �*Aq Til� 6. DSD SIGNATURE . P _ Kun�cru ;1. DUFF System #1 Approved for _ bedrooms. �, r 16 , 16104 System #2 Approved for bedrooms. ' o 1 f E° i /p f6S3I��'y Disapproved. Conditional approval for bedrooms, with the following stipulations: `S rnTC42 AN =� WASTEWAX PROGRAI SEFN1, By: Zw, Original Certificate Date: 7 The unipally o Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the Slate of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesh et 10-10-12.doc 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 Legal Description: WORLD TOP ACRES LOT 2 Parcel ID: 015.163.51 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed 4119/1979 Sanitary seal (YIN) Y Total depth 43 ft. Cased to 43 ft. FROM WELL LOG Date of test 4/19/1979 Static water level 0 ft. Well production 20 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 6.39 mg/L Arsenic: ND ug/L Date of sample: 61612014 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (YIN) Y Depression over tank (YIN) N Date of pumping NA- NEW TANK Pumper C. ABSORPTION FIELD DATA Well Log (YIN) Wires properly protected (YIN) Y Casing height (above ground) 24+ in. AT INSPECTION 616114 ft. Collected by: ARCTERRA Date installed Cleanouts (YIN) Y High water alarm (YIN) N Date installed 511111978 Soil rating (g.p.d./ft2 or ft2/bdrm) 125 System type TRENCH Length 66 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth 6_4` ft. (Measured 616/14) Eff. absorption area 528 ft Monitoring tube Y Depression over field N Date of adequacy test 61612014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 740 gal. New depth 11 in. Elapsed Time: 10 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off" level at _ in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1004 Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 254 Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 1004 Building foundation 5'+ Property line 54 Absorption field 54 Water main 104 Water service line 101+ Surface water 100'+ Wells on adjacent lots 1004 ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 104 Water main 104 Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 54 Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS *Artesian plug in well casing. Per inspection and previous MOA record documents regarding septic field - no known issues with freezing & north portion of field insulated. G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. OF AL i Engineer's Printed Name KENNETH M. DUFFUS / ��1f' 1 Date 6120114 49TH !1*, COSA brown sheet-10-10-12.doc '� Sa KENE1'H M. DU F'6S5IDN��• � in. Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 141312 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2 of World Top Acres subdivision. This inspection revealed a nitrate concentration of 6.39 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Ir • ^� Development Services Department Building Safety Division • • .. On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99onsite 0 RUSH www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015- I(c3-5j COSA# 0gW1q 1. GENERAL INFORMATION Expiration Date: 5`1 — d 7 Complete legal description WORLD TOP ACRES SUBDMSION: LOT 2, Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address 11261 HILL DRIVE " ANCHORAGE AK 495" q 507 ING HIEKEL Day phone c/o AGENT c/o JOHN BLAINE w/ PRUDENTIAL JACK WHITE Day phone JOHN BLAINE w/ PRUDENTIAL J.W. Day phone 229-8050 3801 CENTERPOINT DRIVE • ANCHORAGE AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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 Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil 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 engineers 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 lnves4 altoq.a dPn� cedures outlined !n the Certificate olOn-Site Systems Approval Guidelines for this application, shows hat the bits i functional and adequate forthe humbtoat based on the Informtionotained frothe Municipality of Anchorage files and from my fnvesUgatfon and inspection, the on_sfte water supply and/or wastewater disposal system !s(are) !n compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of Installation. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. 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 d 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 wells and septic systems depend on the Coca/ 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 ofthe evaluator of the 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 sole benefit of the owner fisted above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. 337-6179 Date f I 1.00 :P Conditional approval for bedrooms, with the flowing stipulations: Attachments: COSA Checklist (/ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Other By: (It". lift( Original Certificate Date: .2 — /' 0 7 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water 6 Wastewater Program 4700 Bragew Street P.O. Box 196650 Anchorage, AK 995196650 www.muM.org/onske (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: WORLD TOP ACRES SUBDIVISION: LOT 2, Parcel ID: 01f'l (3 —rl A. WELL DATA Well type PWAN If A, B, or C provide PWSIDN N A Date completed 4/19/1979 Sanitary seal (YIN) YES Total depth 43 ft. Cased to 43 ft. FROM WELL LOG Date of test 4/19/1979 Static water level D —ft. Well production 20 g.p.m. WATER SAMPLE RESULTS: Coliform _0 colonles/100 M. Nitrate 6.73 mgAL. Well Log (YIN) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 1/10/2007 0 ft. 5.0 g.p.m. Other bacteria _0 oolonies/100 ml. Arsenic: _ND ug./L. Date of sample: 1/11/2007 Collected by: GEG. Ltd B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date Installed 5/9/1985 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation clearrout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 1/20/2007 Pumper MCDONALDS PUMPING *BELOW EXISTING GRADE. NORTHERN 22 FEET INSULATED C. ABSORPTION FIELD DATA PER INSPECTION REPORT. NO INDICATIONS OF FREEZING. Date installed 5/1 r/iva Soil rating (g.p•d.lft'br4j!� 125 System type TRENCH Length 66 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth 06.0 ft. Eff. absorption area 528 fe Monitoring tube YES Depression over field NO Date of adequacy test 1/11/2007 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 792 gal. New depth 40 in. Elapsed Tune: 14 min. Final fluid depth DRY In. Absorption rate >- 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date SYSTEM PRE-SOAKED WITH 1039 GALLONS ON 1/10/2007 CO AT BEGINNING OF TRENCH NOT LOCATED. POST TANK CO CAN BE SNAKED TO DRAINFIELD D. UFT STATION Date installed "Pump on" level at _in. Datum-------- E. E. SEPARATION DISTANCES Size In gallons Manhole/Access (Y/N "Pump off" leve High water alarm level at Cycles tested Meets alar & circuit requirements?, SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent kits 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manuretanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption Heid 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 100+ Surface water 100'+ Driveway, parking/vehide storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date I /15A� COSA Fee s_1- in . h C-) Date of Payment C 31107 Receipt Number ri a. C) (Rev. 11105) Waiver Fee E Date of Payment Receipt Number �VFAAW.W= 'my A ..... ese.. 79 3 ; ' ,r, i rP. a£ Municipality of Anchorage • Development Services Department Building Safety Division - On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 070019 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2 of World Top Acres subdivision. This inspection revealed a nitrate concentration of 6.73 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Jan -31. 2001 3:04PM Garness Engineering GrouP, Ltd. No.6951 P. 2/3 �1 SGS Rcf.N 1070194001 Client Name Gamess Engineering Croup, Ltd. Project Name/# World Top Acres SD Lot 2 Cticnt Sample ID World Top Aacs; SD Lot 2 Matrix Drinking Water All Dates/rimes are ALnka Stasdad Time Printed Daterrime 01232007 11:11 Collected Date/1'Ime 01/112007 12:10 Received Datcrrime 01/11200713:25 Technical Director Stephen C. Ede Sample Remurks: 353.2 - The MS for Total Nitrate/Nltritc recovered below the QC criteria. 'Me butch LCS Is wiNin QC limits. Allowohle Prep Aulysis Petunctcr Results PQL Units Method Container lD Limiu 11we Date snit Motals by ICP/Ms Arsenic NU 5.00 ug/L EP200.8 Waters Department Total Nitrwe/Nivite-N 6.73 0.100 m8/L EPA 353.2 Microbiology Laboratory Toed Colirorm 0 C (<10) 01/15/07 01/18/07 TIC g (e10) col/100mL SM2092221i A (<1) 01/12/07 1DS 01/11/07 PPT 88/11/1996 15:4tl '1/'Ltl/:!tl H1Uxt" h•A(*- tll srr .. .. r .1:: .. . • • . �% t' X60' t . �.. . � .. . .. .. t.:. ;' j 1 lJ�Ct"3!o'!5'..E .3elo:4r .... ... _ •- :i ria. ifSf7T.•. �' 1 f' °:1. •.. (•„• - ... i ,� •, .: .� :. .. • S . •...' :3o'J!t/,�no7• ;9F1Z"3Cy/�i :. .. r FASEMENTS'Of RECORD,:•OTHER.7NM1. ; , THOSE •SHOt1N ON THE;RECORDEO -:"T,, ARE NOT SHOWS 'ItFON. µ•: sTIIL Ow : fait, Jr. 1 • �aq . ;•;y`�, D�TdP .�cREs sua� : i�.ee.n..-wwe�: � � � ' �'V +/� •. r,a=1 ro�Mu..•a w„ •n agMn • Ww /lwolri _..., .'veal, on }u: i�'•4+rK1.UluMO� slrt "°*^' #9Z:lM _ - .r• _ wNa11M'ilMlw�wwA 1MViWAIM.M*#MIM 4W �,.tt�r.t�lr�n�y��N�{1•• -`�-� ,.: ._ ..-.•��ptt..MIR'Of1'OW'M!4M �11�111�10:IR'!M'ROf�Y�'^_.'. •`-•. ��.'". ., ....-." Mba..rw�w _ �rrrFr,.......cK::ao�:.': [00 'd Pd OZ IO gni LOOZ-OE-NId MUNICIPALITY OF ANCHORAGE 'w DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section GLITy -665ENNMENiSANC OrysP.O. Box 196650 Anchorage, Alaska 995190 ERVICF343-4744 s �N CERTIFICATE OF HEALTH AUTHORITY MAY (77.1997 APPROVAL FOR A SINGLE FAMILY DWELLING RC F Parcel I.D. # 0 HAA # D 1. GENERAL INFORMATION Complete legal description WorldT,,o k_Pes _Le'T 2 Location (site; address or directions)v. _ —Ah 356 ' —nertowner •77 I7?Pr Da/phone 6 Mailing address e'���6/ '/� �AN�tior�G �� 'I9s/6___ Lending'agency._.414 ---_ Day phone Mai' ling_address' " — Agent Address Day phone— _ -- Unless otherwise requested, HAA will be for- pickup. 2. NUMBER OF BEDROOMS: —� RECEIVED 3, TYPE OF WATER SUPPLY: Individual well —� MAY 0 7 1997 Community well --- ty of Anchorageman JD pp Health Seices Public water _ NOTE: If community well system, provide written confirmation from State ADEC attest. - Ing to the legality and status of system. , 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site I ulding L, Ilk Community on-site - Public sewer NOTE: If community wastewater"system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(RBV.1/51) Front MOA#21 S. 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 furtherverify that based on the information obtained from the Municipality of Anchorage files and from my invest!gation 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 EQ', p �e f l eve"- E�'g/O ceriHry St/cS Phone �'9 y Address P a, hex 773 9 L/ -agle Ak 995'? Engineer's signature "�— Date 5 5-97 AA Frl s LUVi) A, DUMN k7,rF - n.�. CEG7J6 fes; ��1 6. DHHS SIGNATURE��4� Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date L 20 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 courtesyto 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. 72.025(RW.1/91) Back MOAM11 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVOffi Environmental Services Division i�oNcr 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 39T7N Health Authority Approval ChecklistR 44 0,>199?F 11110/V Legal Dt3scription:L,T Parcel LD.:_ A. WELL DATA Well type F" Va7�_ '! If A, S, or C, attach ADEC letter. ADEC water system number Log present (Y/N) 7 e -s _ Date completed q- J q- /,5 Total depth 1131 _ Cased to 4*16 "'"- '14 1W �Casi height (above ground) Sanitary seal (Y/N) Wires properly protected (Y/N) i�LS FROM WELL LOG AT INSPECTION Date of test 4/—/9-78' T_1, el F _ %�( eve reoerNGi J O va�oem !�+ �el Si ✓1 Static water level 1heve Well production g.p.In. 5' 3 __g.p.m. WATER SAMPLE RESULTS: Coliform _ Nitrate.. 3 9 V Other bacteria Date of sample: s'r 'y Collected by: _ � S' B. SEPTIC/HOLDING TANK DATA Date installed^ ^ `� Tank size J%s Number of Compartments, ? Cleanouts (Y/N) yes Foundation cleanout (Y/N) %5 Depression (Y/N) W/ High water alarm (Y/N) Date of Pumping 6'- e/ `/6 Pumper C. ABSORPTION FIELD DATA Date installed _ Soil rating (g.p.d./ft? or ft2/bdrm) S _ System type —77 _ Length 6 6' "--Width _ 3 �__ Gravel thickness below pipe 419'1 Total depth _S=S' 10 8 s' Effective absorption area S �P Monitoring Tube present (Y/N)y''s Depression over field (Y/N) /o Date of adequacy test 5 %-`/ % Results(Si�/Fail) 13s3 For /"u" _bedrooms Fluid depth in absorption field before test (in.); _ C2 Immediately after"o-al. water added (in.): G Fluid depth + (ins) Minutes later:' y%� Absorption rate Peroxide treatment (past 12 months) (Y/N) 72.026 (Rev. 3/96)" 69 . If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) tr "Pump on" level at* High water alarm I of at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Se�a/holding tank on lot f 3 Absorption field on lot l(o i Public sewer main — ItI-4 gallons "Pump off" level at* RECEIVEDI MAY 0 7 1997 Municipality of Anchorage Dept, Health & Human Services On adjacent lots ><!oo On adjacent lots 4- Public sewer manhole/cleanout —'✓'4 Sewer /septic service line '(- 25 Lift station —y 4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 6 Property line d (o Absorption field Water main/service line + 2s Surface water/drainage *teo r Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line �1-0 Building foundation Water main/service line r 25 - Surface water Curtain drain -F I0CS F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area °NE K"'I Wells on adjacent lots +PC' / certify that i have determined thru field inspections and review of Municipal rec9l in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name fo Date HAA Fee $�U - �� Waiver Fee $ _ Date of Payment /��/—. Date of Payment Receipt Number �rP_�` Receipt Number 72 026 (Rev. 3/96)* lowt`A, RWWO c@F,73G , eA are MAY -07-1997 1051 ME ESI ANCHORAGE 4&6� 1 22M Environmentalwanr taeees Ino. reS [no. r-T&E Ref.# 972157001 Client Nanic Eagle River Engineering project NameM L2 World Top Acres Client Sample lD L2 World Top Acres ivlalrix Drinking Water ordered By PWSID 0 907 561 5301 P. 03/03 Client Po7# printed Date/nine 05/07/97 10:18 Collected Dateinme 05101197 11:20 Received Date'dime 05101/97 13:20 Tectmieal Director: Stephen C. Ede Released By Savrple 12tmarks: �—�-- CT&Ei Microbiology Drinking Water PrOgm rgcertification status is Prov" 1 as of 418/97. Nitrate data posted as Nitrate + Nitrite. Sample preserved at the lab. Altowahle Prep Analysis Paramst¢r Rasutts �, PaL Units _ Methad Limits_ Date Data Init Nitrate -W 3.94 0.500 ma/L MID 4500-ND3F 10 max 05/01/97 JUL Total conform 0 col/100mL SM18 92220 05/01/97 RAN TOTAL P.03 J 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # DL; L- -- HAA# 1. GENERAL INFORMATION Complete legal description 40= wor-(-D "Tvp Acp_ s Location (site address or directions)—Li Win'? 411-L E)'- -- Property owner—�O�iy"� K^'��Tr n Day phone Mailing address Lending agency Day phone Mailing address_ Agentr1%rrvN — �2�n/� 2i3_—Da phone ,2 Spy -�� Address _� ' w, Lra 17 _---- Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: —¢ 3. TYPE OF WATER SUPPLY: Individual well A Community well --- Public water — NOTE: If community well system, provide written confirmation from State ADE.0 attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Y, Holding tank — Community on-site --- Public sewer --- �5A NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72025 (Rev. 1/911 Front MOA 1121 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 furtherverify 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. David R. Dayton P.E. Name of Firm io?in nenalar St Phone T C'hugiak, Alaska 99567 Address Engineer's signature yr Date 13 LwV'ury{} T"• tA'&I 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with ,the following stipulations: Additional Comments Note • The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that a peri odi r te-, i nq be performed to -insure the well s continued suitability. Nitrate concentration is 5.05 mg/1. EPA By: - p"j" 4 —zy --x( Date Z' 16 — / 3 11ITIr 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 indepu dent 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. 72-025(Rw.1191) Back MOAN21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L01_2 W02c0 TOP &-[ZaS _Parcel I.D. A. Well Data Well type Pei 0 -rC If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y o,., ¢/cC Date completed Driller 1=oss D )'LLAJG. Total depth 4-3 _Cased to 4?, / Casing height �t Sanitary seal (Y/N) Date of test Static water level Well flow Pump levell Wires properly protected (Y/N) FROM WELL LOG �;2 © —9-p M. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot AT INSPECTION 4 G 3 m 2 /%y5vyV 6;e�,-J n � _ ii 6 g.p.m. 7 _ cn M L cp n i I`r t CCN y < On adjacent lots On adjacent lots Public sewer main AVIAI Public sewer manhole/cleanout Sewer service line t o b� Petroleum tank WATER SAMPLE RESULTS: Coliform O Nitrate _4706, Date of sample: (/rl/ 93 _Collected by: B. SEPTIC/HOLDING TANK DATA Al, 3 - Other bacteria Date installed S 7 1 10Sr _Tank size IZ50 Compartments Cleanouts (Y/N) _Foundation cleanout (Y/N) 4 Depression (Y/N) High water alarm (Y/N) Alarm tested (Y/N) Date of pumping 011 / S 9 1 Pumper 5AAC_S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wells) on lot —/5-6 On adjacent lots 1 nco •r- __Foundation To property line O ^ Absorption field cJ Water main/service line Surface water/drainage 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Nva Manufacturer Size in gallons Manhole/Access (Y/N) Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA "Pump off" Level at Cycles tested Surface water Date installed _A6/ a Soil rating (GPD/Ft') Z5 , a� System type %/zL-Ax./ Length Width r Gravel thickness ¢ Total depth 51 Ab 63 Total absorption area _t5_Ze, -,.0 Cleanout present (Y/N) y Depression over field (Y/N) Date of adequacy test �Z/I/93 Results (pass/fail) for <q— Bedrooms Water level in absorption field before test 0 jora� After test Peroxide treatment (past 12 months) (Y/N) IV If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I I On adjacent lots 1 UV t— Property line Z� To building foundation Lo I To existing or abandoned system on lot On adjacent lots (001- Cutbank AJJWater main/service line 0 .r Surface water O o Driveway, parking/vehicle storage area Curtain drain Alu�r= 4)0-J11J E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. David R. Dayton P.E. 6:1210 Donalar St. Signature Engineer's Name Date HAA Fee $ _/ 70 , Date of Payment Receipt Number A 4� 7 7 -2, C '�r4 0(� 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number int D. R. DAYTON, P.E., R.L.S. WvxxVNNMMM Chugiak, Alaska 99567 (907) 91WORN 20210 Donalar 696-2417 June 14, 1993 WELL FLOW TEST Legal Description: Lot 2, World Top Acres Subdivision Date of Test: June 11, 1993 Well Depth: 43' Casing Depth: 43' Static Water Level: 2' above ground Driller: Foss Drilling Test: Water was pumped from the well through an outside hose tap, using the exiating pump. The volume and time were recorded. Drawdown was not measured as the static water level was above the well cap. Results: The well produced 605 gallons in 93 minutes for an average rate of 6.5 gallons per minute. At 6.5 gpm for 93 min., the static level was still at the top o5 the well. Conclusion: The well is currently producing adequately for a 4 bedroom home. COMM ERCIA►L'rESTING & ENGINEERING CO. r, ENVIRONMENTAL LABORATORY SERVICES srvce ,soa K 10! PORlh of AIIAI ; SI,.S a1 r�fAetar Resu1 c:1 gu"1 UIAc:'; tlel-.hod C.imi : Data Dr to 5633 B STREET (l.IJ'e1TI: •`_i[1111C?1,F? 1.D : L,Z {*jI)liL�i) �LY)11 %11;i2i•.) ANCHORAGE AK 99518 TEL: (907) 562-2343 1'30 r b : l'1HY: L,Ii FAX: (907) 561-5301 ClAent Narne :DAVID DAYTON, WORK 0)Cie) :67015 Ordo.rcd Fly :D.R. DAYTObIEIeE'n,a"i; Cornpinted ;0G/14/`.:' P--wject Name CaII.,',Cter_1 :OE/11/93 (1 1):09 in.s. P7:oj cl-iF R0uDi.Vcd :06/11/9) h+ 12x130 1w::;, Ptd51:D :11A TeCktnf,c�t1. Di.rc;C'1-91:fi'L'1i:['HI�;11/C. 1-:U1�: R('Leaged By 74 mp.1., Remark..-: R0111 '11,11;' IWIPLE COGIfiXT D Bl. D.R.). Sets SK,n(TEtl l.n tzl.1cLj,oms Abnve UA - 131 -town' atj l(; Soo Remark:' Ahove: INA - moil Analym;r) U Undatertrcj, R§zported wWw t.s the ork'10.t.eo,,l. quuIIJ, i,r,�l,ion Ulyd.t. GT kcs(; Than D :. ;3r=conc3+.-arY di hft.11.on. GT Th'In rZON SG S Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA K A-11J.owah I_e ryx ' Anal a1 r�fAetar Resu1 c:1 gu"1 UIAc:'; tlel-.hod C.imi : Data Dr to 5.05 Ing/f. GPA 35:1.2/'300,0 9.0 Sets SK,n(TEtl l.n tzl.1cLj,oms Abnve UA - 131 -town' atj l(; Soo Remark:' Ahove: INA - moil Analym;r) U Undatertrcj, R§zported wWw t.s the ork'10.t.eo,,l. quuIIJ, i,r,�l,ion Ulyd.t. GT kcs(; Than D :. ;3r=conc3+.-arY di hft.11.on. GT Th'In rZON SG S Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA R07. 1;!'fl7 lG:Sd tv�'fl07.,770005a CITY MORTGAGE @3002 Aaamm M.Y35-- 1 R) 1000 _mtn of G_,w eilm L'611'¢JSSb(1Y Paid by sayer S Taxz95 }��€�f. 2,7.00— Tpa Year , 5417L AoNiAEasm. F0 Mu 5 VIL _ a@ �V.. TC9ctmst,5 at! ?�.�-.-.� ¢� �- IJarnrH els'A;Ijenr,,Nnnv LISE _tato AIC Tip Coda 99516--'_'�_ tlr)o Pda $._---' Gato _ Map Rot._ _015--163. orl_ IviVagapo Nnount S. -- PROP NGHT, APPRNSl7) ModgV0 Typo Ixj rea Simply Giswunt pvplh am 0917,' QG pa Gili L] LoanWW Paid by rater [_i Cpndarminlmm (HUGNA) •rjU.3 nn MH'auu PUO I Svunca LOCMION"Urban 49 56) §, .0 -re feel. Clamor Lnl No 1J 5Uburmn 2anln9 CJAssll'rnlkln R,--6 Single "_"J iU21 N EIGHODR1,1000 ANALYVG O LILT UP DQ,.jr 75% HIC11FSr_6. 096T Uf1F_' 1 X-1 2Sob% _ Other 1190 _Rune -Typo -__._ •_• El VW r 257. r;m0Dymoat SOWIty GROYMi W1 E�I_ Flapld 6frC91MPRQVF.MENTS [� SWbb PR.nr F;lacrlMly %:r ConwNarlo b Empbymont PROPERTY VALUC6 L_klbyoa9np C_%CI 1X-�IJ Slabq x I(�-'111 J micronp Ctlm mor m to St>nppin(I CEMAIUISUPPLY_ISMmam waver IJ In Baarnre Sldal•,aa Uwr EuVny C;c:mvnan.-n b SctrolY MARK6.NG 111,1E jVfbor 5 Mases^ L. 'Itis D.Ts, Ij .� a 5 Mag_ P4 None------- _ I O,vr p 1,167, A(13,10,y of Pubrk,'rViv),tation PRESWT LANG USE % I None `pl LANG USE CHANGE May PHI.IIOfdINAW SINGLE FAMILY HOUCI1`10 Raaamrnn R"A'ams Sngla F=ry 60 Not Il WilyILY OCCUPANCY '111012 AGC N1o;Wrcy of UUT60 12-1, Fgmay -- Lhnty PIMF r Y 5 ((XIr) Orta) Piopolty Cem,;db'Aty 1. Mual•Itirnry _ --- In pracnsf •rotwnt V (� 1,_3_0 LTv FNIIKiYJn from GOINItt Irdal CnMIWn} 4 rn, mmordol T°' vfl nt to 5%) x _ _ _ 50U ugpi 30_ Paha, a r'lm P,uhm+un -: Ir,',tralel -� _-- '------ - .--.-- Vaunt (owr 5%) �' _ _ predomin.ml G,mmul npr> , ,a of Proporl'oa 0 Avera e 200 t 5 Annorl to tAndnt Roar: kern et tiro'dal cpmpo iwn of a tar nbbdj vu rot wn4d71vd'umbra Appm Rt Ractora. 00MtmxrS This i_; an eltabl i.st>Q4 T-esideniial rzxea on the C."Ityc�ntc:x Sho inti serv�ces._and_ea�70vm_nt, Ce, oter' ;'Irl iw) ir• P,in(-r)fn farnity T�rona.M-,,cs' of averacxe to a0a G1.y Ame 49 56) §, .0 -re feel. Clamor Lnl No Unl9 l roundaGan Crane blit 2anln9 CJAssll'rnlkln R,--6 Single fa Ri-ly Tonrt9 f;on,pll[Mep Y•e_r not uurfaca Cedar -k' k HIC11FSr_6. 096T Uf1F_' pAYsnt Lim Ye$ _ _ Other 1190 _Rune -Typo -__._ •_• m , Or11.MES PUBU OUt, _ea Storm Sash None "-- 6frC91MPRQVF.MENTS Vmar Conaalro5on -----� — Publlle PR.nr F;lacrlMly yI -----•— Cel:'s'a.lo_/AVcL.. COouNG s„eot Grravel C_%CI Control Gan x cawGulmr waver L] WeJ.1 Sldal•,aa 3mp5,ryFrwr L. 'Itis D.Ts, %""tl4hta None------- Storm Eavmr I None May None _ CC'MM€Pfr$ (AGParom aNvrv„o o, tontonta, onrloarJvmon6, upouai 25aesmmnts, s'J90 arena, Ito.): There GFNF•RAL GF$CRII TION F=RIOR BESCRIPTIQN FCUNGAIIOI Unl9 l roundaGan Crane blit Tab SAYge _ V•�_ --_—_ • earm, Wou Tlll _W_� ("ravA Spam Typo poem) aC_hed _ not uurfaca Cedar -k' k Basamom _Det mfzn (SryAo) 2 si:q�cy-- Gttram & ria. _ c7ver_kuia RarnP Pump Fesf.•p 1978 _ Wlld°w'rypo WGt C:^atY_[t Oampaas9 pnynmd Storm Sash None "-- 63mmont Vmar Conaalro5on -----� — SCINAS _MP.f:3), Wostakra A99 (Yr9) Snot WaInsmal Cel:'s'a.lo_/AVcL.. COouNG Ran I nen. Rm. LAwl2 Fr,Wvd area aBa•9Y,pydq Contain: ®9 Owns: 4 fJ oDram; yTT_ ti SUAMOFf,,� Matcaiaw Condition kEA'fING�r KITCHEN EQUIP ATHC Fpm Typo I+ Air Ratrtaorabr r_] Nona vlaf,3LWPLAY9 Furl GeS RaXanOwn f Y7 uric Tnm(Fatirf, Wocci fi�verage Gnwlpn AvcL— f]LPma XJ IAop Stair HTm rhor Ccl>r ,>F.' AVe;CaC e A&,uavy AVry. Ulshvrranrr EX , runW Snot WaInsmal Cel:'s'a.lo_/AVcL.. COouNG Pa Mcud rk Floor Doom Control CompyrAor L—K, Nyotud Rulalb(s) �1`l WI d Adanuacy Inlaro>m_ ) AR VORAGF Gsrago� TRAtpcl+oar ®_e �. f Adaq to 1 rainy f.M y - No. Cara ) Cztpon UaV:tYwd ( Irmd quat9 L N%idu Entry CarrAuon L1VC N°M Budl.41 Luc+rr Goor�Bosnmot t En ndsfiotvl fer0.uem: ;a @C1C4� :�LeB.tn�eu 1nClllClf','. VaL1lt,E;d C:C::LL].Ylr c _ —_. .,—_—�. rock fact?, ear_ llga or.9, slate- entjr3r f_l:oo_ r.:i_ngs lye. d! knsni[3iL5ez __ _kC>611uc a7owi a?ci- o -J- the_4cx4 iF, lizl'I_ U>Wudao,n (Pltyygal, furcudonal a,vJ rxtamal InaOrquatios, repairs noadod, moftn]7s5w, ulc.): ov_r rEdl. _ No reT�-Dirs or rep]_acenFnt: _ were nor -ext ar3 nc or 120 nl E.tmmunVr ^: Ibad Hazard Yoa' FlnLShoa My a Ratio Cnatl Av,f_ 17o1, PWr (1-M) Smuaro royl of r,1Pn0vEmmr ANALYSES, tis Quality at Conaalwix, (_ Sclwon of (mploVarranl9 �- Room Rloa9.eyuut L- ut)sub and Slorag° C Rnwvy EIf;Cb,1v.Y C Plumbing , Adpquecy & Condtiwn r ElaG4Y.al - Adoquacy C, Cata)Von L IGftl+an Cub1rro0 - moquavy & Canadian GampaubRy to Nnklift'I"'A �. Appeal A MaaR W T C aftmtod Rom Imp F'canomic Lllo Fs!imalar nornalNnu Phrkal Lao "ad'ul 0,1> .km ar'A provabn o ono Impact in mr,jyvtlnmrkcl iron mgardVyj ban dumun4, (ntaro'_I hv7wvxy and vomiz!ar,s: .1ric s have teen stable over the last tvx) edrs with new construe oral aeea33, This, is n?Vn;ct-eco tr conC.inue. c"Lt CA No x --� IRS I FIfi*rt Kumar: S:F 07i1' -A3 113;55 fa00727701 r}OS, CITY M(rR'I'Gd(-;T✓' rm003 Vahmtmn -Rr QJRe9IP61M REMENTIAL APPRAISAL L D -'X -PORT r-rrr & i Kls al Moot valva ou dafl. od trt the ni6'ptgn a Stela, ant of UmlW�, Canoltbno.�a�_�•.--9�Jul�"�=•�,y^�•�'µ_�FI•��¢•. �•� _ Ltultl)ING, sxM- 11 (pSHOW GaDR'i I -MNG AREA A370VE II IUr Redddo Mae w amllo Mae, lkwa only squem fuel cod bw and cost appmoch comment, LSTIMATN) HPPRODUG110N OUSP-.NI_Y! , UrnPJPTIOVFMW78�� 4xolAnO 2 4Ei6 I-1,-1 00 129,272 fin, F1, ®2"— 3J -' _ 1 S.qO X 1a.00 Y `1.00 ; 112.00 LIV/1 -__-j —_, Aonus lm. Ft 0r..-e1_n_00-" _ 26.00 X 25.00 X :1,00 _- .. 650.00 LIV/1 _336 Ywa 26.00 X 4'7.00 X 1.. 00 - ' ;t,, 222.00 I,7V/2 __).pirypla,aU�.tc_,T`—iw Fi€:l-L - --.I!c stent._ __E3,OD0 14.60 X 24.00 X 1.00 = 1, 336.00 LIV/2 Spatial Foe,gy FNWant llemU 16.00 x 1-4.00 X 1.00-- 140.00 Y CV/2 Pofehos, path,, con. _ )?�:e1.4.S ��. _ - —4' 000 2.60 X 13.00 X 7,.00 26.00 T�1V/2 Gnmijo,carport _.._'Cq.Fty$ _22.00. 7-� no 2.j.00 X 7.6.00 X 1.00 6J0. 00 Mil Tocol e9tima ed <am Npv7 g J 15j 63G� 14.0 )T 4, 00A B? . 00 O"dh'I FP ySvl r..lnhon..... d G lemon C IVYA24,00 (round�'0 $6. Sr,Leas I - oeproaawA 1(� 3 OJ_—.. ---- $ 1.9 r 332j 0 .I Deprr•<iatad VNuo 01 Irnprowmon[U 1 �_ S 1a6 6 . . SW Imp. "in 13" Wwvmy, 0w'A*VIv' oN,) . .� 13-1 MXTFG SITE VALur:....... $��45, 000 (If Ioosol oM, Sh011 only besanp!d velum) IN'DICA1'LO VAJ.UE VY (XX' )T APPFIOAC41..... . s 203,316 (W)t Rountree Uy Ro"a Mac and F -e," Mau) _ Conswcuon Waranty `� Y.; No [Dwa property cvnfarn to appSaWD HUONA pmp" ataMard5? _ ] you l No Homo of Warmnly 11ro5ms,n If No, espla ; .-.. Werru,ly cuwm93 Irc, ultdalN.birod hp.: im3Y9d come rownl oiloe 01 pfppsrlip7 m05 mllsu" iapA,t mv.en in UV.A in no of eJ�Nnww va mtkm W i; thud 6Cnpe( wxl probmala b IIU :ubjeq oM Ila9 0]r4vd'Jlod aha eA 'vi dtd IPOIItBI met TW TIrJ fbxfp;tgn imludap a d'iAtf ed7Peenbnl, vn the wbk�cl e J eumParable pfopyr3oa, If a Ogmlie4ot itum In Ills Mmpambb propony Is asponAo! 10, Ol mem IalOreylp than, eq:h 6'm aUOrBCt wCparty n mbfls (•) adjualnonl mods, mein L`bd9 (A) af�ul4ngnl 1, made, otos vgpaslnp IR9 Ndrafgd wbe teato value of subject; it ;� upnAcanl I Iiw .N6jeCL Ilam In the mmparoo)a ie interior to, of b35 )aromhh v3an, p+7 slbjacl prapody, a ��'= SlIf3,1EGt,_N,- -_ _f����_COMPAfiAnLP. MPAFlPiI6� N0. t NO. = �TN ,1,1261 I3i11 Drive ER _ 17Viffgbt Lan@ 56, Gild xlrinq Spr _-COMPA(lAti1F 1.0020 Lone TCGC 1h' Mchola _, Alaska tat 1j- `I'homas _ 0/4_ Sky Ranch IR --- 3/4 Valu true Est --- f 3 1TL11 P..6J SC)U1..11VYES'k. .� 1112.1 E';� '1rPN �1. 1 Pill.b�� I]OL`i: 1'3WE".S'G 77.4z71 000_/% j�/6 7fi9,00a I>hVON� 1�Z��lf% 1=75 h00 69 tte/// 77=soon%/i" 70.39 �t:vrc�v_� u nraa - ff 37 _a Dam Swrr» _ Plarlf3J JeC.b' .A ,C'i _ _ AMS VALUE An,JU,STMEN[S c'9kiE of Rnvra y BU 3GHI N i j /� j DE"Up Cony PTION 1 () s nQu5Vnp_I_ U.S,IIIPPIQN _h-Ad(ustmant_. Carie - tlCSC:_R_11?floN ` r (1 u Ad)tlSVnan1 C onv iiG�ll� /lu C1o), 1/93__:__ Closecl4/f)3_: 4/9:3_ _ — -- -mal---- �;x,ry{gm__lEi9:•)/:Ca1S Ec{1a� _ -- _ +5x000_ 20449/Su-, -_.;1000 jar mmA�ar,, 7,.-St:lluc� 2 SWE 2 Sty/lcllal -A-let o��broIca op- AvBi' �je Equal Ec�uttl 7' yrs - 5/.3 -6,600 12J8 1'ft 3500 11/10 PEf ,-2,500 1).ver�a Equral'_ Petal I3 7a1 -- sAbov,)(B3do Tow Bdnn.. tle ne Tgta1 l3dtnte (salla 1 W0m Count 9 4.2.5 9 ? ` To4I kms ndg £31_ Al_) 1,500 oa' brns dnLYs- 8 4 =S 7., 500 _ _ _ . _ . 1 Pi__ —?j 183 n.1-_-- +� 100 i_3.aa L wee __ 2j 413n6M1 =� 2 373 f,,. ;,2,y 300 - ?,f S30_ 29 -900 ,s�n,�. Oascmenl a �-an�»d Bonus A�/r-4l` — _— d '-- -- L°a1 — --+5, 400 9 f}ubw Grn o _, Naale-----... -51400 Nome _ _ +5 AN - - — nvo2a --- -- — 67A (2%! i Heat4TV-"fmg _— ._ _—_.. _ L - - --- -- CxFA GYM--- --- .- 2 2 Atil _42.L000 2 13--7:n _ +2_L000 2 n-In+2, 000 �or,wb, Na" ShkRf, Deck C<1t--ad ,T?acic7 CovEnt,Decic G'ovI�nLTy �._ Fence LY,,ck SPaa'al Pnefgy ' y !�ndace_-- _E.i�ila_3' _,.. 1 I^9 re lace - _-...,-.__-..._— 2 Fire�7 lce 3,000 s�(2-"um VC,Ms,Gdo VC,Ja ,?ium _ Vac,, Jac, ma) VC,Gi<2 v1n,ho �amadedrq) _.�, AirCl, HUM Ildwd i Hclrr l F<'u•1 : _ 7, 000 +4 000 Nat M-1- Ibw�_ �;I%� ' , ' �X I g _ _'1 X500_ �X .J� 8 700 �T X� 1 x,00 _ r _L W%tad Wing VE 1.17 100' 1'14� _,.,� / �� $. ,000 COmllonts on Saba:fwlwa ,n E;aC CCJI( a7' P'S 6 7.n $ 1t,( 'lC-G^' Lit.'c2't:L0n, �i.zlcE: L (: .> �sinu.latr in overall. a. and u� li.. ffe�l see )a acidexdum fol: Eurt,kler '(0n1gxMts. RJDMTE7D VALUE; 6Y .SALES COAIPARL, N APPR ACH ...._ _.... ....... .__... ........ .....1E , 190 IMOK A� VALUE BY INCOME APP1RDACEI (II AplI'kjb;e) :ef lwbd Marvpt Dent S_— Tidy ap[xa tel H made L "aa H" CJ .� .._ vo a cvo 7 Dent MUIGlp or $$--1. y�.r _ subject b Uro mpo!ll a VMIcn„ I�4octlona Or cnndllhns fnletl Inhw CJ Mmp'aLOn Poe plan; oncl upoc WW"7 co mnontl raid caralfons: Sub e&to a 11U.,gi:Lion of eac;(Wen9% `x:07,' (( _ive-Wa Sec, a(3.denUkLID for •- f-laz; kher camnents . -_ j RDW RawrA!ilfun ':['i_xe-ulcan� a�7rr�cli .,s riot=. tlsed due, to i-.ti� 1�0i_6 &rLa E.Le 6iTaglcTau. �r�rrtal ds�ia. 7ha res ?roach is k> s on Limitc l loc l d } a Incl :4:, not. weigia'cccl Faxc�nifi.ccntl� 1 Doc k market cors son rov.Lde3 tko best su' rt: — _. v fol:`hhe f n ,l e til t�.e 4 u£ nar.'kek v�%bue, y — T1_7 opwaba) n ba79d upon Cho abuw rowfenlent'. ep weir awn, mneiv ont and G ''ing wn(flWns, and — Moncol Vahie da&WLv) that are =' oecd b - - _- --� 1 RbHA, HUD, 816f VA hyWc9pns. Ruth 9 MOV FOnn'430 (Rev ]180)/P"le Mau rronn ignd13 (Ravi7=) Mad vr13h wnl - .-_-_-_- 10 — mbchad 1(WLI G.sT4nATE ffIr_ ?,MR KU r VaJ.(J,, AS DCIFNIFT), 0P 7Ts SUR,Iet T I=ROPERTY Ac op _ _ 'yune 2.8--.2V93 to [)n g _7 76, 000 I (We) owiy: than to the host of my Icor) I Mn dpo 611x1 N)Vef he IGOD and data used ht-ruh ye Roo end COaCCT, Stat I n.0) NLSemny InapeeW the subject propory, hops U3.c<3o mad out. and tVnv made eel O+Wrl r InrNctipn of ell 1l1PAfA6.7 ;aloe gleed 1 Ifvu 11P010. MI 11111 I txa) hate M WdIvIlu Jd DWOM, Pronon( of mry 'cuvo IhVuIA. i `r'I 'i.MPitpisnfil£) f'�� �%f J a� HfVILW APPRAISL'H lJytt&wro•'Kivci "Lti li l/ill'. s �� !If appbahb) C"J cu L] Old Not Nm lr>F:i?Ji .LfF7.xT4• �C'c,Y}— ,..l1 Yv»n---._ .- - 07%12.07 10:50 IV9072770805. CITY J101Z GAG'. Addendum to rile #5417L Lot 2, World Top Acres Limiting conditions: All limiting conditions are contained in the same place. Please see attached. The appraiser has completed this appraisal to conform to the Uniform Standards of Professional Appraisal Practice (USPAP) adopted by the Appraisal Foundation and to minimum requirements for, appraisals established by the Financial Institutions Reform, Recovery and Enforcement Act of 1989 (F IRREA) . This appraisal assignment was not based on a requested- minimum valuation, a specific valuation or the approval of a loan. The appraisers current or future employment on compensation is noir contingent upon the ve:pbrting of a. predetermined value, the amount of the value estimate, the attainment or a stipulated result or the occu.rence of a Subsequent event, Purpose of Appraisal.:', The appraisal is prepared at the request Of City Mortgage. The estimate Of market value for the subject propext.y is for federally related mortgage loan purposes. Scope of the Appraisal: The scope of the appraisal :is to properly identify the property being appraised for mortgage loan purposes, gather pertinent data concerning the subject proporty, analyze the data and form a value conclusion based on this data,. Effective Date: The appraisal is based on an analysis of the subject: property as of the date of inspection on ane 28, 1993, Valuation in based on current market conditions an of the date of inspection. The effective date of the appraisal and -the date the apraisal_ report; was prepared are the same. Date and conclusions are based on the assumption that there have been no detrimental_ Physical, functional, or external factors transpiring between the date of inspection and date of completion of this report. Sales History: The property has not sold over the last twelve months. Market conditions: The entire Anchorage area saw declining market values from 1985 to 1988 die to declining oil revenues and subsequent decreases in population. These conditions led to value declines in all areas of the real estate market. over the .last two to three years market: value, of single family and multi --family properties within Anchorage have st:.ahilKed. An increase in population has strengthened demand for both single family and multi -family properties and new construction .is taking Place in many areas. This is expected to continue. Highest and Hest- Use: Implicit in the definition of highest and best use is that the reasonable and probable use or the p oper_ty is also one which will support the highest present- value as of thc. date of appraisal-. The residential improvement on the site is legally allowable on the property. All surrounding build up is single family and future trends are to single family use. The improvements are proper Lor the site and will provide the highest return on the property . The,r,efore, the existing use of the subject: is considered to be its highest: and best use. 000:1 07;12/93 to:5r 'a9072770805 CITY MORTGAGE Zoning. The subject:' R-6 zoning district is intended as suburban single famili area with larger lots and low population densities. The subject site conforms to this zoning, Basements and Encroachments: The gravel, drive to the property encroaches :into the adjacent lot (Lot 2S) per the as -built survey by P. Hildsman dated May 25, 1993. It is reported that the seller and the owner of the adjacent property are in the process of drawing up an agreement to resolve this conflict. It is a condition of this report that this be complete. Cost Approach: This derives a value indi_c:ation by estimating the current cost to reproduce or replace the existing structure, deducting for all accrued depreciation in the property and adding the estimated land value. Croats are based on the Marshall and Swift residential cost. handbook, si.mewhat: modified by actual. costs to .local. builders. Following is a discussion of comparable adjustments: Site/view; Adjustments for differences in site values are made strictly for the difference between the subject's site value and that of the comparable site. Size is considered but: .is not the sole basis for adjustment.. Comparable 12 is a smaller €,;et.e and is in an area where site, have commanded lower prices than those in the subject's area. Comparable 13 is in a subdivision of paved streets and superior access. Sites in this area have commanded higher prices than those in the subject's area. The adjustments to these two sales are made to reflect- the value differences. Age: This .relates to the., the age difference between the subject. and that of the comparables. Chronological age is normally used but whore remodeling or substantial additions are involved or unusually good or bad maintenance has been in Kfect, it may be appropriate to use effective age. Adjustments for age are made at $500 per year. Above Grade Room Countt.and Gross Living Area: The square foot adjustment considers only the size di.ifferential between the subject and the Comparables and the markets willingness to pay for incremental square footage. Room count typically adjusts for bathroom differences only and not For bedroom differences which we have not been able to quantify :from market evidence. Factors affecting the: amount of square foot adjustment are price range, size, design, quality and age range. Adjustments in our, report for differences in square footage are made at. $20 per square foot Of difference. Differences an bathroom areas are adjusted at $1,500 per half bath of difference. The bonus room area of the oubjec,t is not. .included in gross living area due to its location off', the garage and quality inferior to the remainder of the residence; but it is given value separately in the market approach at; $16 per square foot.. M005 07%12%08 16:`i8 °.30072770805 CI'rY MORTGAGE wJ006 Porches, Patios, Etc.: Adjustments for o4terior amenities are based on 111ar_ket extraction and t:ne appraisers judgement of value to the typical buyez for this type oJ: i_l-op - rt.y, Otb.cr (e.q. Xit:c.hen equipment, interior camnni_ties): These adistment.s reflect: ai.i in.tOr.i.or. antezait.ies that', have not been included or considered above. The adjttotment amoucal ;;, like abovo items, are based on market extractions. and the. appraisers judgealent-, It does not .include appliances unlc5s theya- bui].%. in Nn.d does not consider other personal property. No personal. property or intangible items aze valued in this apprai„a1. MUNICIPALITY OF.ANCHORAGE iI't -DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION' t -0L �",/ �'A-,0,( 825 L Street - Anchbrage; Alaska 995.81 ENVIRONMENTAL ENGINEERING DIVISION viz int Telephone 264-4720 c 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, PROPERTYOWNBR MAILING ADDRESS — PROPERTY RESIDENT(If different from above) PHO N E. `- -3--Ee4—Lr 2. BUYER—II'�+++((( ---� P O E'/ MAILING -ADDRESS - �j� I --7a �r��. 3. LEN I IN,�' INSTITUTION - �Ir��•�"- VL Lt^O�P C_��' (C r_�DPHONE -- MAILING ADDRESS - 4, REALTOR/AGENT- -- ------ PHONE MAILINGADDRESS-- 5. LEGAL DE CRIPT - - - - V) 0 4, STREET - OCATION - 4 0� — 8.. TYPE`JFIRESI DEN CE NUMBER OF BEDROOMS � SINGLE FAMILY ❑ One L, Four ❑ Other__ /EJ ❑ Two ❑` Five MULTIPLE' FAMILY ❑ Three ❑ Six 7. -WATER SUPPLY -- ----------- INDIVIDUAL* * ATTACH WELL LOG_A well log is required for all wells drilled 0 COMMUNI-fY since June 1975. For wells drilled prior to that hate, give well ❑ PUBLIC UTILITY depth (attach log if available.)— _ 8. SEWAGE DISPOSAL SYSTEM - - - — —�--- **If individual/on-site, Installation daia,_- 7 -? f" INDIVIDUAL/ON-SITE** give -over If system is two (2) years oldanade�7uaC— ut is required E:1 PUBLIC UTILITY _ by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY " INSPECTION APPOINTMENTS DATE RECEIVED - TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED Y 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER - DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: /,QSa If Tank is homemade give dimensions: SOILS RATING t a TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL T 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ria-- APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) [DISAPPROVED DATE)� q—( v- -) BY (Title) c LEGAL DESCRIPTION 72-010 (Rev. 3/78)