HomeMy WebLinkAboutGREENLAND BLK 5 LT 1�C)IS-►11-31a
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name ¢�
/vz ' "' '1 N.2r�
DISTANCES
Tp
FffOM
rfF SEPTIC
TANK
ABSORPTION
FIELD
WELL
Address
/�
y 7 y0 //.J—Tr( /�, >
WELL
S"3
/ob!
Phone(s)
3YG - 3l� 9
Permit No. I
qd
No. of Bedrooms
LOT LINE
!
LEGAL DESCRIPTION
Lot Block Sub vision /
FOUNDATION
'
Township, Flange, Section
_
AS -BUILT DIAGRAM (Show location of well, septic system, property lines, loundabon,
driveway, water bodies, etc)
TANKS
SEPTICf Li jrl ❑ HOLDING
Manufac[tu,/((�er�
XtC_korilt e-%,
Capacity in gallons
3 -Do
Material 1 ^ _ /
No. of Compartments
TYPE OF SYSTEM
❑ TRENCH ❑ SED W. DRAIN ❑ OTHER
Depth to pipe bottom from
original grade/, f- FT
Total depth from original grade
�/ FT
Y
d
—"'-'
f
e
--
ar
�filf
Fill added above original grade
/•3-• FT
Gravel depth beneath pipe A /
35 FT
Gravel length
FT
Gravel width ('"�'
V /
FT
Total absorption area
6,2D SQ FT
Distance between lines
A614 FT
�a
r Q
Number of lines
I
Soil rating
�Dl SQ FT
Pipe material
I�$/D SDr�3r SCQ y4we
Installer X
�0 —//0
Dale Instal etl
WELLS
PRIVATE ❑ OTHER (Identity)
Classification (A,B,C) I Total Depth I Cased to
FT
Installed:
REMARKS: '
/ /nSu�efio., ove.^�l'/e%Cil, unjc C 03
-/ '/ Scale:
e/d//. 19/f_6A, -57 S Ale -1 bui� C&KC4`tk Inspections Ped rmedbyer(7a-Vl
ate:
�nl�s dem > / z/ti,Weyrs y 12^� �� 1r0
I Port Ihat I 'nsf clion was perlorined according to all
Municipal and Stale guidelines in ellecl on this ddaaW D
Health Department Approval: Date:
70 ma rgraar
G
B
ENGINEER'S,SEAL
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
3500 EAST TUDOR ROAD
INSPECTIONS (907) 563-3464 INFORMATION (907) 786-8211
NAME—L_-�I,,'_ �S_ ��.. (_.�-_At'i;'�1
STREET ADDRESS
LOT/ -i— BLOCK/ SUBDIV. �'"`- ` -
/PERMIT NO. C,`..., f-�'"jt`rC%a
/ PHONE
" `-� / DATE.
FOOTING —a ❑ ELEC. TEMP.
❑ PLBG. UNDGR ❑
FOUNDATION ❑ ELEC. SERVICE
❑ PLBG. ROUGH — ❑
BOND BEAM ❑ ELEC. ROUGH _
❑ GAS TEMP. _ ❑
FRAMING ❑ ELEC. FINAL _
❑ GAS ❑
INSULATION _ ❑ OTHER l _
MECHANICAL ❑
SHEETROCK ❑
MECH. FINAL _ ❑
STRUCT. FINAL ❑ FIRE FINAL
❑ PLBG. FINAL _ ❑
OTHER ❑ ZONING
❑ OTHER _ ❑
'E]60 NO NONCOMPLIANCE OBSERVED El CORRECTIONS ESSENTIAL AS
'" EXPLAINED
BELOW
❑ WILL REEXAMINE AT NEXT INSPECTION 0 DO NOT CONCEAL UNTIL REINSPECTED
COMMENTS
i�
INSPECTOR
DATE
WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION—
DO NOT REMOVE THIS NOTICE
MUNlClPAL� |/ U� oN�.Hok*b�
Uepartment o�Heai�h & Human Services
825 L Street, Anchorage, Alaska 99501 343~4720
UN~SI1E SEWEK PEHp!iT
|'ermzL Number: 90022':' Upgrade
�atc lssueda 08/0i/'f; king! ineer ;esigned
�h j:er Name: J. NATHAN HARTIOG Day 1 hone:
�wner Address: 4740 [. 115>H AVENUE A6-3569
ANCHORAGE, AK 9�51b
Parcel Id: 015-171-36
Lot
1. ision: GREENL8ND Lot: 1 Block: 5
Section: 22 [owoship:
ON Range: 3W
Lot 8ize 16660 (sq.[t, or acres>
Max Bedrooms: This Permit: 3 Total Capacity: 3
S�P|IC TANK: Minimua, toia1 septic tank capacity: 1,0O0 ga1lons. Each septic
tank must have at least 2 compartmentsDepth to top of septic Lank(s) < 4.0
�eut requires insulaLion over tank (w
P�R�IT EXPIRES UECEMBER 31, 1990"
EXlST]NG SEPTlC [ANK IMF 8E EXPUSED AND INlEGRlTY VERlFIED.
�IZE MUS! 8E MiNlMUM 1000 8ALLONS.
!�RUFERL1 N E"1ING C1:'18 (r)NO TANK |F NO( AU
� i�ER|iFY [HAi:
famjliar with the requiremcnts for on~szte sewers and we]ls as set
iorth by the Municipality of Anchorage (MOA) and the State oi A1aska.
2. i wiij ins1al] the system in accordance with Ml MOA codes and regulatzo:hi,
and in comp1^ance with the design criteria o[ Lhis permzt.
�. | wil) adhere to a1 MOA and SLin, e n; Alaska requzrements for the set back
dzstances I- (Dal any existing lot; lL, wastewater disposal s;/stem to; jaw, 11c
se�erage system on thzs or an; adjacent or nearby lot.
4. � understand that Lhis permii is valid [or a maximum o( 3 bedlooms. l
also undersLand that the capacity o/ the tota1 system is 3 bedrooms and
any snlargement til illcrMRCPA zre an additional permzt.
Lit we'd
(Owner) J. NATHAHARTZ01
|ssued By: DATE:
rAxeii�'
MunicipalitMunicipality of Anchorage
,
/ Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
August 1, 1990
Leroy C. Reid, P.E.
Alaska Environmental
PO Box 240668
Control Services, Inc.
Anchorage, Alaska 99524-0668
Subject: Waiver Request for Lot I Block 5 Greenland Subdivision
Waiver Request #WR900025, PID #015-171-36, SW900229
Dear Mr. Reid:
Your request for waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 1 foot.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely,
Susan Oswalt
On-site Services
SO/ljm
Cc ur:
1
ohn Smi h, P.E.
Program Manager
On-site Services
A
° E°s ALASKA VUIROWWAL COWROL SHUIUS, InC.
a 6ngineerinq & Enuironmental Studies
SPECIFICATIONS POR A FIVE -WIDE WASTEWA'T'ER TREATMENT SYSTEM
LEGAL DESCRIPTION: LOT /, BLOCK Z, GREENLAND SUBDIVISION,
1.0 GENERAL
1.1. The Drawings, sheets 1 t h r a 4, s h a 1 1 be a part of
this specification.
1.2 All materials and worl<nlansh.ip shall meet the
requirements of the Municipality of Anchorage,
Department: of Health & Human Services (DIIIIS), the
conditions of the permit, and all. applicable rules
and regulations currently .in effect.
1.3 All elevations and depths are advisory and are to
be verified or modified .in the field by a DIIIIS
approved inspector.
1.4 It is the responsibility of the property owner or
installer to adhere to approved designs for
installation, to maintain the specified separation
distances, and to have the appropriate
inspections.
1.5 It is the responsibility of the property owner or
installer to report to the engineer any observed
conditions which would put the system in violation
of state or Municipal regulations.
I.fi If the installation is not inspected by an AECS
engineer, AECS will not be responsible for the
installed system. An engineer at AECS should be
consulted prior to construction, to determine the
number of .inspect.ions that will be required and to
explain what these inspections will involve.
2.0 SEPTIC SYSTEM
2.1 The existing septic tank may be used, if it meets
the capacity requirements for the residence and
the approval of DIIHS. Older systems may need tank
integrity verified. If not, then specifications
2.2 through 2.6 apply.
2.2 The septic tank shall be a UPC -approved
t.wo-compartment tank, constructed of 12 gauge
steel with bitumastic coating, set level on
undisturbed soil and insulated with overlying
layer of 2 inch burial type polystyrene.
2.3 The septic tank shall be a min.imnm of 5 feet from
1412 WCSt 33120 avenue 8 AnchoRACC, AIASkA 99503 0 (907) 279-5553
the douse foundation, and a in:iniinuill of 5 feet from
the absorption area.
2.4 The septic tank and drainfield shall be a ininiinuin
of 1.00 feet from any private well or body of
water, 150 feet from Class "C" [,tells, and 2.00 feet
from Class "A" or "B" wells, unless otherwise
specified. Less than the required separation
distance must have prior approval or waiver by
Alaska Department of Environmental Conservation
(ADEC).
2.5 Piping shall be fitted with a mechanical
watertight Calder coupling of the inlet and outlet
of the septic tank. Piping shall be 4 inch ASTM
D-3034 or cast iron, sloped a minimum of 1/4 inch
POP foot from the house to the tank and 1/8 inch
per foot from the tank to the trench.
2.6 Cleanouts shall be installed as designated, capped
with air -tight rain caps (Jim Caps or equivalent),
and extend n minimum of 2 feet above ground level.
2.7 If a lift station is required, it shall be a
combination lift station septic tank per Anchorage
Tank and welding, Inc. using an ORENCO lift
station design. Specifications and design
drawings are on file with the Municipality and
with the engineer.
3.0 DRAINFIELD
3.1 The gravel for the drainfield shall be 0.5 to 2.5
inch, screened rock with less than 3 percent
passing the No, 200 :sieve. All substitutes must
have prior DIIHS approval..
3.2 The bottom and side of the excavation shall. be
raked with the backhoe blade to ensure that it liar,
not been compacted during excavation. The bottom
elevation shall be level.
3.3 Monitor standpipes(s) shall be placed as shown in
the drawings, and shall be rigid PVC ASTM D-3034,
or 4 inch cast iron. The section shown with holes
may be drilled 0.5 inch holes on the 6 inch
centers on opposite sides of the pipe, or a
regular section of perforated sewer pipe, clamped
to a solid section, with either a no -hub coupling
or a solvent joint. The perforated section of the
monitor tube shall be located in gravel only. A
rubber rain cap (Jim Cap or equivalent) shall be
placed over the top of the pipe.
3.4 The distribution pipe shall be 4 inch rigid PVC
with a minimum crush strength of 1500 pounds or
equal. If the system is a pressure d.istribation
system see Section 5.0. All distribution pipes
shall be laid level.
3.5 If the final grade of the dr.ainfield is less than
4 feet from the gravel, insulation is required
using burial type polystyrene rigid board
insulation. There shall be 1 inch of insulation
for every foot of soil less than the required 4
feet of cover, but there must be at least 18
inches of soil cover even though insulation is
used. The solid pipe extending from the septic
tank or lift station to the drainfield shall also
have a minimum of 4 feet of cover or an equivalent
layer of insulation to prevent freezing of the
line.
3.6 Filter fabric is required on top of rock.
3.7 It is recommended that the area excavated and the
area in the vicinity of the dra.infield shall be
planted with a white clover, red fescue mix, or
with Kentucky bluegrass.
4.0 INSPECTIONS
4.1 A minimum of three inspections are required for
installation of the trench. The first inspection
will be of the excavation to verify that the
installation will be in the proper soil.
4.2 The second inspection will be after placement of
the gravel, monitor standpipe(s) and distribution
pipe to verify proper installation before
backfill.
4.3 The third inspection will be after final backfill,
grading and seeding to ensure that adequate soil
cover has been proved over the drainfield.
4.4 The inspection of the septic tank can be
incorporated with any one of the above listed
inspections.
1.5 The lift station will require either an MOA
electrical inspection or certification by a
licensed electrician depending on whether the
building code applies to this part of the city
5.0 PRIISSURE DISTRTBIPPION SYSTEM
5.1 The lateral and header pipes are to be Schedule 40
PVC or ABS .in the sizes indicated on the drawings.
5.2 The laterals are to be level within plus or minus
1 inch.
5.3 All joints are to be solvent welded.
5.4 There shall be 2 inches of rock over the top of
the headers and laterals.
5.5 The holes in the pipe are to be properly sized and
spaced.
5.6 The holes shall. be clean with no cuttings still
attached to the pipe or left free inside the pipe.
5.7 Holes may be reverse beveled if it. does not
increase the outside hole size.
ALASKA ENVIRONMENTAL JOB �o� Q�5 CSA�e.� /a.4C/ 5�6f b
CONTROL SERVICES, INC. SHEET NO. OF
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503 CALCULATED BY - /2e i d DATE / �ry
/24 /fo
(907) 561-5040
CHECKED BY DATE
SCALE
FFOgI 2xl IM- Glom, Mm 01471.
ALASKA ENVIRONMENTAL JOB ,Su4
CONTROL SERVICES, INC. SHEET NO. Z, OF
1200 es . „ 1
r�nrnn �, 1zU
CALCULATED BY d DATE
!115t -5040 -
CHECKED BY DATE
SCALE //'= 3D
PROOIO 29t nEns 1m. klm. Me¢ 01411.
5'7IPe-e7L
/100 /
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PROOIO 29t nEns 1m. klm. Me¢ 01411.
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561.5040
JOB
L / CSI- Gree,l to icl S, -,i
SHEET NO. OF
CALCULATED BY �' !C� DATE
CHECKED BY — DATE
SCALE / Pi_
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PROC1, Nf I mitis Irc, GIVv. Mau 01111.
Oieet- q efY
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SE=RVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION PEST
yA
NGtVSU@jSEAL)
E
117
r>uOeJe®�-2ps o2.tac @9 V9000 oG.'i
,V OB OO@0�1
C. REID, JR. Cf
/_1 Jt��" 11f 1_, t - - . .l ,eon@,�i kyi •rd
PERFORMED FOR: Vr N2 ! n 2^ !7.$ r�-Z_6 DATE PERFuC7�14t p�Opi�%ld�'e@ V'4
rl
LEGAL DESCRIPTION: L -S (3/ GeRen/a„ d Township, Range, Section:TJa/'o ?2yL.,J s'Zz
YEVI[l SLOPE SITE PLAN
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
rSM�
11
/rne
5'2n� Gran/
<<M)
WAS GROUND WATER
i. ENCOUNTERED? �eS
S
IF YES, AT WHATL
DEPTH? IZ ' O
P
E
Depth to Water After p�
Monitoring? ! Dale: Zf o
201 1
PERCOLATION RATE ),2 (minutes/inch) PERC HOLE DIAMETER
/ / �/� /TEST RUN BETWEEN FT AND FT
COMMENTS cSha�lOGJ S9S�c.N /ndl e -a Ecr fid/ t7'�l6+C
Reading Date Gross Net
Time Time
Depth to Net
Water Drop
7 z a 11L �
ro
06�
,T3
17
ro
Q.6
o. 6 9
6 0
D
/0
O b
7
PERFORMED BY: L ' IE -e t 6/ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
• '� Municipality of Anchorag MAY 2 9 2015
On -Site Water and Wastewater Program
(907)343-7904 �
Certificate of On -Site Systems Approval
Parcel I.D. 015-171-36
1. GENERAL INFORMATION
Expiration Date:
Complete legal description Greenland, Block 5, Lot 1
Location (site address)
4740 E 115th Ave.
Current Property owner(s) Jerome & Stephanie Eubank Day phone
Mailing address 4740 E 115th Ave. Anchorage, AK 99516
Real Estate Agent
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual
7
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance
Received by: / Date: 03/20-S
COSA to be released to the e4/neer, unless otherwise requested by the engineer.
COSA Fee $ 52-6—
— /
Date of Payment Sl2R 1(s
Receipt Number 06�-HG
COSA# Or) - 512 `ql
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my s to and as of the validation date shown below, I verify that my investigation, based on procedures outlined
in the Certificate offjFWWISrtems 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 fles 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.
.in conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe 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 local soil
condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
System #2 Approved for bedrooms
Disapproved
Date 4/28/2015
t A.,-
TH
.... ..
sPonnone."
Conditional approval for bedrooms, with the following stipulations:
Ry: /L110< Original Certificate Date: 1n - _-2 r:� ` 6
The ni a' of chorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represen ations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAbluesheet t L, c
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: Greenland, Block 5, Lot 1 Parcel ID:015-171-36
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed Pre 1960 Sanitary seal (Y/N) Y
Total depth 80+ ft. Cased to 50+ ft:
FROM WELL LOG
Date of test Unknown
Well Log (Y/N) N
Wires properly protected (YIN) Y
Casing height (above ground) 12+ in.
AT INSPECTION
4/16/2015
Static water level Unknown ft 46 ft
Well production Unknown g p m 5.4+ g.p:m.
WATER SAMPLE RESULTS:
Coliform tI w� F, colonies/1 00 mL Nitrate �� mg/L
Arsenic .W 6 ug/L Date of sample: S/1$1 -\0 IS
Collected by: PP"
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Unknown Date installed 1960S
Tank size 1,000 gal. Number of Compartments Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
��)I
Date of pumping /�1 L/ Pumper A+ /Yo.-:�.� Sff itr t.CA
(PJ g f 2 o f S r /-/�1h2Prvr`c oo
C. ABSORPTION FIELD BATA
8/23/1990 z 261 SFBR ' ' Shallo'wT re
Date installed Soil rating (g.p.d./ft oriflbdrm) System type
Length 67 ft. Width 5 ft. Gravel below pipe 3 5 ft.
Total depth 6 5 ft. Eff. absorption area 620 ftz Monitoring tube Y_ Depression over field N
Date of adequacy test 4/24/2015 Results (Pass/Fail) PaSS For 3 bedrooms
Fluid depth in absorption field before test 29 in. Water added 975 gal. New depth 40 in.
Elapsed Time: 1315 min. Final fluid depth 29 - in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date
D. LIFT STATION
Date installed 8/23/1990 Size in gallons 50.0
"Pump on" level at 42 in. "Pump off' level at 40 in.
Datum Bottom of Tank Cycles tested 4
'-E. 'SEPARATION DISTANCES
WELL ON LOT TO:,
Septic tank/lift station on lot 56*
Absorption field on lot 100+
Public sewer main 75+
Sewer /septic service line 25+
Animal containment areas 50+
Manhole/Access (Y/N) Y
High water alarm level at 45
Meets alarm, & circuit requirements? Y
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 100+ -
Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+
Water main 10+ Water service line 10+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
�i
Property line ' ' t + Building foundation 10+
Water Service line 10+ Surface water 100+
Curtain drain 50+ Wells on adjacent lots 100+
Absorption field 5+
Surface water 100+
Water main 10+
Driveway, parking/vehicle storage 10+
F. COMMENTS
Well info taken from 1990 HAA
*Per field measurments, tank installed when minimum
A* W41vStL00 FrLif LOP *R00025
G. ENGINEER'S CERTIFICATION
I certify that / have determined :through field inspections and
review of Municippl records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Steven R. Pannone
Date
COSA canary sheet -2-6-1 6.doc
was 50 feet.
in.
As Built
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I hereby certify that I have surveyed the following described Property. Lot Block 5 OF ea yA
LR"t^NL ANAnchorage recording Precinct. Alaska, and that ti
the improvementseituand thereon are within the .property lines and do not owdeP or - pGjjl '
encroach on the Property lying adjacent thereto, that no lmprowrcents on proPertY �0* i /449la
lying adjacent thereto encroach on the premiss in Question and that there are no roadways, $a» eNN•aw•»•»••«
O..fA�,�.� ��►.
transmission lingo or other risible ments on ptd ,pfopertY excepts indicated herwn.
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ASEME I TS OF RECORD, OTHER 'WAN
THOSE' SHC AIN ON THE RECOPM0.
PLATr ARE NOT SHOWN HERLON.
jO,O. I
late ! Book No. Page No.
W-Ak SO,"
I hereby certify that I have surveyed the following described Property. Lot Block 5 OF ea yA
LR"t^NL ANAnchorage recording Precinct. Alaska, and that ti
the improvementseituand thereon are within the .property lines and do not owdeP or - pGjjl '
encroach on the Property lying adjacent thereto, that no lmprowrcents on proPertY �0* i /449la
lying adjacent thereto encroach on the premiss in Question and that there are no roadways, $a» eNN•aw•»•»••«
O..fA�,�.� ��►.
transmission lingo or other risible ments on ptd ,pfopertY excepts indicated herwn.
I .. ,�����»rJeN•.•N»••i
Frcnta Mgdonee
f 0 see. No. 130"
Anchorage, Alaska 16 A it C . !090 'Ps"o ~'••.»•»''*+
Uniform Residential Appraisal Report
Main File No. B24031 Page #2
he # 62403
There are 0 comparable properties currently offered for safe in the subject neighborhood ranging in price from $ o to $ 0
There are 21 comparable sales in the subject neighborhood within the past twelve months ranging in salerice from $ 395,000 to $ 455,000
FEATURE SUBJECT COMPARABLE SALE # 1 COMPARABLE SALE # 2 COMPARABLE SALE # 3
Address 47401E 41',$k4ve-.... 4410 Omalley Rd 4341 Trephine Dr 10901 Rockridge Dr
Anchora e, AK 99516 Anchorage, AK 99507 Anchorage, AK 99516 Anchorage, AK 99516
Proximi to Subject 0.42 miles NW 0.27 miles NW 0.99 miles E
Sale Price $$
$
Sale Price/Gross Liv. Area $ $ �s .H. $ANIIIIIIIIIi $
Data Sources AMDS,AK MLS# 15-5133;DOM 7 AK MLS# 15-5022;DOM 0 AK MLS# 14-15470;DOM 96
Verification Source(s) MOA MOA MOA
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION +(-) $ Adjustment DESCRIPTION + - $ Adjustment DESCRIPTION + - $ Ad'ustmer
Sales or Financing Arml-th 0 Arm Lth 0 Arml-th
Concessions Conv;O 0 Conv;O 0 VA;13500
Date of Sale rime sO5/15ro04/15 0 s05/15;cO4/15 0 s03/15;cO1115
Location N;Res; N;Res N;Res;N;Res-
Leaseholdl/Fee Simple Fee Simple Fee Simple Fee Simple Fee Simple
Site 18000 sf 28555 sf - -5,000 21404 sf -10 O(
'0 35200200 sf
sf
View N;Woods; N:Woods; N;Woods' M
Design (Style) DT1;S lit Ent DT1;S lit Ent DT2;Multi-Level 0 DT1;S lit Ent
QualityOf Construction Q4 Qq Qq Q4
Actual Age 48 50 +13,200 42 -4,50041 +4,5(
Condition C3 C3 +5,000 C3 C3
Above Grade Total
8tlrrq;..
Baths Total
Bdrms.
Baths Total
113drms,
Baths Total
I Bdrms.
Baths
Room Count 4
2.0 4
1 1
1 1.0 +6,000=4
2
1.0 +6,000 4
1 2
1 1.0 +6,0
Gross Living Area 1,088 sq -1. 1,184 sq.ft. -4,800 1,304 scift. -10,800 1,028 scift. +3,0r
Basement & Finished 1008sf1008sfin 1064sf1064sfwo -2,200 820sf820sfin +7,500 960sf960sfin +1,9(
Rooms Below Grade 1 re2br1.ObaOo 1rr2br1.ObaOo 1rf2bfl.Oba00 1fr2brl.ObaOo
Functional UtiF Average Avera a Average Average
- Heating/Cooling GHWBB GHWBB GHWBB GHWBB
Energy Efficient Items Upgraded Upgraded Standard +2,500 4 Star+ -2,5
Garage/Carport 2 a3dw 2 a3dw 1 ai bi4dw 0 2 a4dw
- Porch/Patio/Deck CE 2TrxDks CE Deck Fnc +2,500 CEL Dk Shd Fr0 Ce LDk,ExFnc,Bai -10,0
' Interior Amenities 1 FP 1WdSty 1 Fire Iace,VC 0 1 Fire lace VC 0 1 Fireplace +1,5C
Kitchen and Interior upgrading RVDGM/Remod RVDGM/Similar 0 RVDGM/Similar 0 RVDGM/Inferior +5OC
• Net Adjustment(Total)®K ❑ - $ 14,700 ®+ El - $ 700 ❑ + ®- $ -6(
Adjusted Sale Price Net Adj. 3.3% Net Adj. 0.2% Net Adj. 0.1 %
of Comparables Gross Adl. 8.8% $ 454 700 Gross Ad'. 70% $ 450.700 Gross Ad': 9.9% $
I N did U did not research the sale or transfer history of the subject property and comparable sales. If not, a Iain
My research did ® did not reveal any prior sales or transfers of the subject propeq for the three years prior to the effective date of this appraisal.
Data Sources AK MLS,MOA
My research E did ® did not reveal any p6or sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale.
Data Sources AK MLS,MOA
Report the results of the research and anal sis of the pnor sale or transfer histo of the subjectproperty and cam arable sales (report additional pnor sales on page 3).
ITEM SUBJECT COMPARABLE SALE #1 COMPARABLE SALE #2 COMPARABLE SALE #3
Date of Prior Sale/rransfer
Price of Prior Sale/Transfer
Data Source(s) AK MLS MOA AK MLS MOA AK MLS MOA AK MLS MOA
Effective Date of Data Sources 06/04/2015 06/04/2015 06/04/2015 06/04/2015
Analysis ofrior sale or transfer history of the subject property and comparable sales No sales of the subject in the prior 36 months. No other sales of the
comparables in the prior 12 months.
Summary of Sales Comparison Approach 3 sales of similar quality homes that have been remodeled recently are used for comparison. They bracket the
subject well in most aspects and would all be directly competitive in the subject's market. The comparables are all located in similar neighborhoods
and site adjustments are for site size.
Age adjustments are based on effective age, NOT actual age. Comp 1 is older than the subject and has had less remodelintherefore it is inferior
in effective age and condition despite similar condition ratings. Comp 2 has had slightly less remodeling but is newer. Comp has had far less
remodeling than the subject and therefore has an effective age which is older than the subject.
Other typical adjustments are made for size decking,enerq.Y and other amenities. Net and gross adjustments are low overall and a very narrow
range of adjusted values are derived from the data. A median range is reconciled for the subject. The pending sales price is slightly below market
Indicated Value by Sales Comparison Approach $ AMMS
Indicated Value by: Sales Comparison Approach $ Cost Approach (if developed) $ Income Approach if developed) $
The cost approach is developed but not weighted as it is less reliable & typically not relied u on by buyers &sellers in establishing rice but is lower
• than the market approach in this. case. The income approach is not developed due both to the lack of rental data, but mainly due to the fact that thil
_ market does not relate value to a properties income potential. The direct sales comparison approach is most reliable and is given the most weight
This appraisal is made ® "as is", ❑ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been
completed, ❑ subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed, or ❑ subject to the
• foRowing required inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair: As is.
on a
Ill 450,000 as of
Freddie Mac Form 70 March 2005
I the interior and exterior areas
my (our) opinion of the market
2015 , which is the da
UAD Version 9/2011
as defined, of the real
spection and the effec
Page 2 of 6
Form 1004UAD—"WinTOTAL" appraisal software by a la mode, Inc. —1-800-ALAMODE
itement of assumptions and limiting.
subject of this report is
Fannie Mae Form 1004 March 20(
Main File No. 62403 Pae #8
Building Sketch
Borrower/Client
Sean Smith & Arron O'Callaghan
Properly Address
4740 E 115th Ave
city
Anchorage County Municipality of Anchorage State AK Zip Code 99516
Client
Alaska USA Mortgage Com an
Deck
Ce
I
T—~ CI �CL
up C�
KiOahen
Deck Living Room m
Dining
39'
Bedmorh
Q
CL Babb moa
e b� CL
e �
Rec Room
1a'
Skaloo byAysv Seal Y5 Sleni
Comments:
Net LIVABLE Area (rounded) I 1088
Double Garage I v
First .Floor
Basement
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floor
AREA CALCULATIONS SUMMARY
Code
Description Net Size
Net Tofals
GLA1
First Floor 1088.00
1088.00
BSMT
Baserrent 1008.00
1008.00
GAR
Garage 592.00
592.00
Net LIVABLE Area (rounded) I 1088
Double Garage I v
First .Floor
Basement
LIVING AREA BREAKDOWN
Breakdown Subtotals
First Floor
14.0 x
24.0
336.00
18.0 x
24.0
432.00
10.0 x
32.0
320.00
3 Items (rounded) 1 1088
Farm SKT.BIdSid—"WinTOTAL" appraisal software by a la mode, !no. —1-800-ALAMODE
MUNICIPALITY OF ANCHORAGE `fid
Department of Health &Human Services h
DIVISION OF ENVIRONMENTAL SERVICES p}�
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. # �_/ 7/ — , iE HAA
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
I✓i'R.
Location (address.or' rkti,onpy
11`7/G� L;nr'�Yl.$���`_ �•E-. �%S%6
(b) Property owner .:J' �:A* Telephone : (home) ' 31 9 Business
Mailing Address --�y2 r 4
(c) Lending Institution Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone
(e) Mail the HAA to the following address: (or check here,9, if hold for pick up.)
List contact person and day phone number below:
C
2. TYPE OF RESIDENCE
Single -Family Number of bedrooms -3
3. WATER SUPPLY
Individual Well W Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-siteg( Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status.
72-ers(Rev -7/88) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
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 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 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 in compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm Ct�C S T Telephone
Address!)?mssYr'
Date j /Z y(--
r
OF A4
,4
••.•• gIR82fSSi ••�•.y
I „ : ROY C. RHD, JR'
it
1 •"•, CE .2251 : 41 t
g0
0
0
S*4{0
t ���0 If
6. DHHS APPROVAL e
zt�,�zApproved for bedroomsDate
Approved /—Disapproved Conditional ----
Terms of Conditional Approval
'CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated 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 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
oranalyze 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 (Rev. 7/88) Back Page 2 of 2
'od'0
�
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
• u Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
343-4744
Legal Description
Well Classification /V/', V" yr If A, B, C, D.E.C. Approved (Y/N) `t%
Well Lo Present Y/61 Date Completed ' %Cos' z > > o
Log ( f P _ Yield � %%sem`/ �/s
p �zCd t>5_0L:� oi: •r
Total De th S' aseo Depth of Grouting
Static Water Level 5E' — Pump Set Ate ,eaJI7.
Casing Height Above Ground � f Sanitary Seal on Casing `,/N)
Electrical Wiring in Conduit/N)
Depression Around Wellhead (YO
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot 573';On Adjoining Lots /001
To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots
To Nearest Public Sewer Line &Z/1 To Nearest Public Sewer Cleanout/Manholo`_�`
To Nearest Sewer Service Line on Lot >ZE1
Water Sample Collected by — l7f cd ; Date 'L6�%o _5Z/ZZg'
Water Sample Test Results 0 lyo; O'I z
Comments N' k f -s : C"1Z_
B. SEPTIC/HOLDING TANK DATA
Date Installed -Size Z000 No. of Compartments
Standpipes el
Air -tight Caps&N)
Foundation Cleanout OO X1
Depression over Tank (Y�1CIC� _ Date Last Pumped J'ce,i2lc/
Pumping/Maintenanpe Contact on File (Y/N) A) zw ; for /V
Holding Tank High Water Alarm (Y/N) &�ZA Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANOES FROM'SEPTIC/HOLDING TANK:
To Water -Supply Well ✓ 3j To Building Foundation _6�' /
/,
To Property Line To Disposal Field 41 Z
To Water Main/Service Line i LS
> �C�i
To Stream, Pond; Lake or Major Drainage Course c'
Comments s r
72-026 (Rev. 7/88) Fronl Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 2Z' / Type of System Design
Date Installed of Field
Width of Field
Square Feet of Absortion Area
Depression over Field (Y/FY _
Results of Last Adequacy Test
Depth of Field
5'
Gravel Bed Thickness •3. S'
,;� E, Statndpipes Present MN)
/!
SEPARATION DISTANCE FROM ABSORPTION FIELD:
/
To Water -Supply Well
To Building Foundation
Lot
YT-/
Date of Last Adequacy Test 42!It-- IV F2'
To Property Line
On Adjoining Lots
Y- /C7 /
To Existing or Abandoned System on
201
To Water Main/Service Line > Z } i To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course ? / e-' e, /
To Driveway, Parking Area, or Vehicle Storage Area 5 ZS /
Comments ` �/d <'� X41 t,) /ccrl4ecl /y Y0&j91��E>��
if%/4
D. LIFT STATION /
Date Installed � 01 Dimensions
Size in Gallons �-Z" Manhole/AccessgYPN)
"Pump On" Level at ' "Pump Off' Level at
High Water Alarm Level at ' Vent
Tested for A �� Pumping Cycles during Adequacy Test.
Meets MOA Electrical Codes((qN) `J�//SAVgJf/�����
Comments
"Check Permitted Bedroom Rating Against HAA Request"
I certify that I have checked, verified, or conformed to all MOA and HAA g
inspection.
Signed
Company
Date
MOA No N `T[) _ p
Receipt No. C:;, / yC2
Date of Payment
Amount: $ / /
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
on the date of this
�r
t � �1 d a;
• Leroy C. Rel , Jr. w`
J"•,• No. 2251•@ •b ����
ineer's Seal
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREET • ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562.-2343
FEDERAL TAX I.D. #92-0040440
ANALYSIS REPORT BY SAMPLE for Work Order # 26430
Date Report Printed: AUG 20 90 @ 08:29
Client Sample ID:L1 B5 GREENLAND WELL WATER
PWSID :UA
Collected AUG 14 90 @ 15:30 his.
Received AUG 15 90 @ 11:00 hrs.
Preserved with :AS REQUIRED
Analysis Completed :AUG 17 90
Laboratory Supervisor TEPHEN C. EDE
Released ByAlfc-11,G jl-�
................ ............e ...................
Special
Instruct:
Chemlab Ref 1: 903048 Lab Smpl ID: 3
Matrix: WATER
Client Name A E C S
Client Acct AKECSRP
P.O.# NONE RECEIVED
Req #
Ordered By : L. REID
Send Reports to:
1)A ECS
2)
Parameter Tested Result Unite Method
----------------------------------------------------------------------------------------
NITRATE-N 0.13 mg/l EPA 353.2
Sample ROUTINE SAMPLE. SAMPLE COLLECTED BY L. REID.
Remarks:
Allowable
Limits
----------------------
10
............................................
1
Tests Performed
........................................
See
..........................
Special Instructions Above UA -Unavailable
ND-
None Detected
See
Sample Remarks Above
NA-
Not Analyzed
LT -Less
Than, GT -Greater Than
