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HomeMy WebLinkAboutSAND LAKE #2 BLK 4 LT 46 ~tl~ MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF I-IEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPFCTION REPORT LEGAL DESCRIPTION ,o, o. ?ooMs DISTANCE TO: ~ I Absorption area ~l PE  Manufactur, r ~ 2~ r~,~,¢ Materi.l~ ~ ~o. o, comp.rtm.nt8 ~ DISTANCE TO: Well Dwelling PERMIT NO. O z ~ Manufacturer Material - Liquid capacity ~ Well Foundation ~c] ,o.o, lin0s Lengthofeac, ne~,..~ Total lengthoflines~,.~ Trenobwidth~nches~ Distance between lines __~ T°P °f tile t ° finish~a~e ~' M~teria' beneath tile ?O inches T°tal ef fectiv~°r~ea Length Width Depth PERMIT NO. ~ N Type of crib Crib diame[er Crib depth Total effective absorption area ~u Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT N~. ~ DISTANCE TO: Building foundation Sewer line ~ Septic tank Absorption area(s) OTHER ~PE MATERIALS I~S~ALLE~ KAePE REMARKS ~ ~ 72-013 (Rev. 3/78) [)E~I::'F:II'~:I'I'I[~:I'-,IT OF Fi[~]';:Ii..."FII FIi",E> EI',IV:[RONI'IENTlaI.. PI:~:O]"ECTZON 8;~:5 "L' Si'FUEE':T., FINCI-IOF;:RGI'~:., FII":; '.[~9'50:1.. ;;'bS ,q. ' '- d. 7' ;; :: ~;:!~ : ',~%i:::t. EQi:2 NFl [:;~FI[:'F'[E: IEXCF/',,"FIT]:I',IG PFiONE: :SFli",l[:! LFff::.'E [,lEi:' 2'. E~LEIC:I<:: d. LO'l": TOI.,.IN:i~;HII:::': ::t. 2i:l",l Fa:INGE:: d+.! 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UC, E I,IOF;~'.E: '['HI::iN 2 BE'C,I:~:I:~O['IS;. I::'EFU'I:[T F:ff:'F'I...:i:C.[:IhFT' 141::~:~; "I't..I[E RE:SPCdq:E;:I:EC[L.:[T'¢ "FO ZNF'O[;i:hi F:'E~:SI.';)['.,II',IE[... THE: :[t'4S'f'FfL. L. FFi"]:Oi',I ]:N':'il;F'EC:T]:ON:5 OF I::li',l'.~.' I,.IELL'='~; i::i[:,.]'F~CI[-::NT TO 'l"H]::5 PF'.OF'EF:."T'T' FIN[:' TI.E ['.,ILII'qB[ER OF: F;;:E'SI'DE:I'.,I[::EE; THF:IT TI.lIE 14E:I...L I.,1:1:[..I... :i:l::: F:l LIF'T ~5'['I=I'T'ION :IS ]:I',l',il;"rl=l[.I.r[i]~'., FIN ELE:CTP, ICFtE F'ERH]:T FIN[:, IN2;F'EE:TIOhi I,II..I:ST E;E i:)[i!FF'Fi :[ f-,lt:~:[::,. Fl:~!;--.t}:d..,I ): L.'T':5 I:.F:li'.,ihIOT E',[[ iai::'F'l:;;:O'v'EC, I.,.I :[ 'TI.iOUT Fff.,I EL, El:iTl4: I CI::IL I F,I::JF'ECT I O['.,I REI:::'OF;:T. THE EI...IZCTF;::[[::F:IL I.,.IO1::;:]<: I'll...l~ii;'l" E:[['; [;,OJ'.,IF:~ E:'T' I::1 L. ICE;N:;'::;E'.[) F:IPI:n'L]:IZ:FtlqT: I",IF) [;;:I:::I[:'F:'E '"q':; [::'f" E::'T" ~:;;:¢'~~ ~ [:'I:::I"FI~: ~L:L,.';T..Z::,.',~,::~: ~/' SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTFI AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchora~le, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERPORMED: ZZ Wo~e~ber 19~& SLOPE SITE PLAN 10 11 12 13 14 15- 16= 17 18 19- 20- ZS?'o _ WAS GROUND WATER ENCOUNTERED? O P E IF YES, ATWHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) ~ ,I TEST RUN BETWEEN FT AND PERPOR'"ED~¥:_L~.UR.A (~A~. CE.T,".ED~¥: 72-008 (6/79) CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT public water system located ,, Alaska, submitted in accordance with ].8 AAC 80.].00 have been reviewed and are approved. By [] conditionally approved (see attached conditions). TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. _APPROVED CHANG E ORDERS Change (contract order .o. Approved by Date or descriptive reference) Tile "APPROVAL TO OPI:RATE" section must be completed before any water is made available to the public. ~PPROVAL TO OPERATE Theconstructionofthe_J-(')T'q-~J~.~) ~. ~"' "]J~f.J/~ '~'~'~4¢'~ water system was completed on, 7~ -- /~ '-- ~ ~1 (date). The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. As-built plans submitted during the interim approval period, or an inspection by the Department has confi.~/med the system was constructed according to the approved plans. The system is hereby granted flni~r./approval to operate. Parce~ I,D. # 1. 011 135 07 000 GENERALINFORMATION Complete legal description ~4UNICIPALITY 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 CERTIF CATE OF HEALTH AUTHORITY APPROVAL FOR A ~INGLE FAMILY DWELLING . , ,....~,~:,!,,,,,. ,~,'/.,;..,, -,,, ; . . - Lot-.46;; Block 4;, Sand Lake Subdivision #2 Location (site address or directions) 8054 Seacliff Street Anchorage, AK' PrdPei-ty o~ner 'Rock & Johanna Reber Mailing address' 12211 :.Woodchase Circle Eend!ng agency MailiDg address ' - -;^gent,' Address _ · ' · Day'pho'ne£=2 ._.-7077.,'-':"' ..: :: A~chorage, .A~ 9~516. , ~,; .... Day phone· ' ' ": ' Day phone_ Unless othervFise requested, HAA will be held for pickup,.. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community.weii ' - .. . .... -.. ' ' ' ' Public water ' ' '-. ' ; ' NOTI=: ff community we, system, provide written confirmation from State ADEC attest- 'ing ~o the legalit~ ~nd Status of system. · 4. TYPE OF WASTEWATER DISPOSAl.: Individual on-site Holding tank: .... Community on-site Public sewer xx NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. S~rATEMENT 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-sits wamr 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 Munici ~ality of Anchorage files and from my investigation and inspection, the on-site wamr supply and/or wastewater disposal system is in compfiance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineers signature Wc~^,,,~t~ ~nnenltants. hl~ 690t DeB~rr Road, Suite. 2B Anchorage, AK 99504 Phone · Date ' ' Alaska Water ~ ~ Wastewater ConsultaPts, inc. ~.J2_~ ' Shall be PAlD. $ ~ "at~ or prior to, closing for th Engineering Serv ces Prowde , 6. DHH~/SIGNATURE "// Approved for~'''~O bedrooms. Disapproved: Conditional approval for bedrooms,' with the following stipulations: Additional Comments By: The Municipality of AnchorageLDepartment 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 r~g~istered 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 eng]neer's work, SEP u ~5 1999 Uunicipahty of Anchorage Environmental Services Division ' ' 825 L Street, Room 502 · Anchorage, Alaska !;)9501 · (907) $43-4744 Health Authority Approval Checklist Legal Description:_ SAND LAKE #2 S/D; A, WELL DATA Well type CLASS "C" Log present (Y/N) Total depth Sanitary seal (Y/N) 011-135-07 LOT 46, BLOCK 4. Parcel I.r).: Date of test Static water le.~...~ ~ W~on WATER SAMPLE RESULTS: Coliform 0 If A, B, or C, attach ADEC letter. ADEC water system number 84-21 -FA-053 Date completed ~ ~ Cased to .... Casing height (abov~9~und) . ~ ..... Wires~'otected (Y/N) . WELL L¢)G ~./~- AT INSPECTION FROM g,p.m, g,p.m. Nitrate 0,5 mg/L __ Other bacteria 0 Date of sample: _ 7/30/99 B. SEPTIC/HOLDING TANK DATA Date installed 12./83 _ Tank size Collected by: A.W.W.C.~ INC. 1000 Number of Cornpartments 2 Cleaneuts (Y/N). YES Foundation cleanout (Y/N) Date of Pumping _ 7/22/99 C, ABSORPTION FIELD DATA Date installed 12/8,7, _ Length 20' Width YES __ Depression (Y/N) NO · Pumper McDONALDS High water alarm (Y/N). N/A Soil rating (g.p.d./ft~ or fF/bdrm) 150 System type TRENCH 3' Gravel thickness below pipe 7.5' Total depth 11.5' 300 SQ FT Monitoring Tube present (Y/N) YES_ Depression over field (Y/N) NO 7/22/99 __ Results (Pass/Fail) PASS For 2 bedrooms 2,5" Immediately after, lO10gal, water added (in.): 12,5" 1220 Absorption rate = 300+ .g.p.d. NONE KNOWN If yes, give date N/A Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); __ Fluid depth DRY (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* D. LIFT STATION ~ High water alarm level at*__ / *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~ Septic/holding tank on lot O Absorption field on lot ....------'-'"'"~n adjacent lots Public sewer main ~ Public sewer manhole/cleanout  Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5% Property tine Water main/service line 10% Surface water/drainage 1NN'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0' Building foundation 10'+ (WAIVER REQUESTED) Surface water Curfain drain F. ENGINEER'S CERTIFIi I cerlifythatl/~e~ in conformance w~ Signature '~-~p ft Engineer's Narn, e , Date ~/~./~/?/ Absorption field Wells on adjacent lots Water main/service line 100% Driveway, parking/vehicle storage ares NONE KNOWN Wells on adjacent lots *WAiV!~D TO 80' PER 198,3 INSPECTION REPORT  :nes in effect on this date. JEFF GARNESS 5'+ 85' TO WELL* ON LOT 47, BK 10'+ 10% *96' TO WELL ON LOT 47, BK 4 HAA Fee $ Date of Payment Receipt Number Waiver FeeS Date of Payment 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section W~iver Review Worksheet WR~~/~ PID~ 011-135-07 HA#HA990445 Permit #_ Date Received: September 3, 1999 Leqal Description: Lot 46 Block 4 Sand Lake #2 Engineer: Jeff Garnes, PE, Alaska Water & Wastewater Consultants~ Inc. 6901 De Barr Road, Suite 2B, Anchorage~ Alaska 99504 Applicant: Rock & Johanna Reber Waiver Requested: Lot line waiver of 0 feet from the trench a lot line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver ls Granted: Waiver is List Conditions or Reasons for above: NOT Granted: Date: By: Name of Reviewer Rec ~: 05187/0004 Amount: $ 115.00 Date Paid: Sept 3~ 1999 R~ck A/lystrom. Mayor Municipality of Anchorag e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage. Alaska 99519-6650 htlp://www ti.anchorage.ak us December 6, 1999 Jeffrey A. Garness, PE Alaska Water & Wastewater Consultants, Inc. 6901 DeBan' Road, Suite 2B Anchorage, AK 99504 Subject: Waiver Request for Sand Lake #2 Lot 46, Block 4 Waiver Request #WR990066 Parcel ID #011-135-07 Health Authority #HA990445 Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line bas been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call out' office at 343-4744. Sincerely, Donna C. Mears, E.I.T. Civil Engineer On-Site Water Quality Program Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-.3246 Consulting Engineers September 2, 1999 Municipality of~chorage Department of Health & Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot Line Waiver Request for Lot 46; Block 4; Sand Lake Subdivision//2 To whom it may concern: When the septic system for this lot was installed in 12/83, it was documented that the trench was 5 feet from the east lot line, which would have put it 5 feet into the utility easement. However, after the homeowner located all the septic pipes for purposes of obtaining a Health Authority Approval, it was deternfined the leachfield is located in the utility easement as well as in the road right of way, approximately 8 feet (see attached asbuilt survey). Attached are letters of non-objection from ATU, Chugach Electric, GCI, and Enstar. We are also in the process of obtaining a Right-of-way Encroachment Permit fi'om MOA, Department of Public Works. We are requesting that you waive the required separation distance between the trench and the lot line to 0 feet. If you havq any questions, please contact me at 337-6179. JAG/gd ,~ ' -~ ~, ~' ,. I .~qfivEY TyPE ~Y~*'~ E~*:VATI O~ ~ ~S~BU. tLT I~ ~ PU)T P~AN ~ LU' SURVEY < ~ ~: ~ CHAIN ~INK FENCE ~ RE =ERTIFI~TION i . .. ~O'ffE, ~C~ ARE aHOWN IN TH;I~ A~.~q~IM~ LOCATIONS ONLY. if s~ Ihs ,eepoflsm~llly 0f f~e ~lldl? ct ow~lt, pti~ ~EGE~,D,,,. hub ~ fOCi-found ~ set which do~1 eppeo~ ~ f~ ridded lUb~Ivllioh p~ ilium, ~P doundv set EE Cd J. NC ~,v,~, -~~~e Bl~ck 4 SAND LAKE :SUBDIVISION ~2 600Telephone Avenue, Anchorage, Alaska. 99503-6091 · 907 564-1000 August 18, 1999 Alaska Water & Wastewater Consultants, 6901 Debarr Road, Suite 2B Anchorage, Alaska 99503 ATU Telecommunications has no objection to the encroachment of the septic system into a platted easement located on Lot 46, Block 4, Sand Lake Subdivision # 2, as depicted on the as-built drawing submitted. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. 3. Any costs incurred by ATU for special construction necessitated by this encroachment will be borne by the property owner. 4. Ail applicable safety code regulations will be observed and maintained. 5. This letter of non--objection will in no way preclude ATU from full use and enjoyment of its rights within any portion of its right-of-way. ely, DATE:// GS\ml \g: mswd\cor\nonob\sand_l k.doc ANCHORAGE WATER & WASTEWATER UTILITY Rick Mystrom, Mayor Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 Fax Number (907) 562-0824 August 23~ 1999 Owned by the Municipality of Anchorage Ernest & Monica Mathers 8054 Seacliff Street Anchorage, Alaska 99502 Re: Sand Lake Addition #2, Block 4, Lot 46 (Grid 2224) Dear Mr. & Mrs. Mathers: The Anchorage Water & Wastewater Utility received a written request on August 17, 1999, from Jeffrey Garness on your behalf for a letter of non-objection for the existing septic system that encroaches across the utility easement located on the east 10' of the referenced lot and into the Seacliff Street right-of-way. A recertification as-built drawing dated March 22, 1984, submitted with the request, has the location of the septic system sketched on it. AWW..U water and sanitary sewer mainlines are not available to the referenced lot. AWWU is not'using the referenced easement or right-of-way and issues this letter of non-objection to ,the existing septic system with stipulations, and by using it the property owner is agreeing to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments; 2. All applicable codes and regulations wilt be observed and maintained within the right-of-way and easement; 3. This letter of non-objection will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the right-of-way and easement; and, 4. The property owner shall pay any additional and extraordinary costs incurred to accommodate tt~e encroachments during any future AWWU facility installation and its subsequent repair or reconstruction. . Should you have any questions, please call Hallie Stewart at 564-2721. Sincerely, r, P.Fv Planning Engineer Cc: Jeff Garness, Alaska Water & Wastewaler Consultants, Inc \~adamnlXgroups\£ngin~ering\Pl,anning\Plannir, g\HMS\encroachmenlskgandLake2,doc Augu~ 17, Igg~ ~(r~y coal~ tn~ d~ ~ f~lu~ r~q~ ~OtlO~ ~r or $tn~ely, 0~,]~ D~IsA ~a~:i~r 0~ Poet. LC Fax Note 767'1 401 ~, International AJrpor~ P 0 Box 1902~8 An0hOrage, Ala~ 99519-028g ~nght~sr~g D~pt, ~x (907) Augustlg, 1999 ALASKA WATER & WASTEWATER CONSULTANTS, INC, Seffrey A. Coa.nxess, P,E., M.S. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Dear Mr. Garness: ENSTAR NatmM Gas Company has no objection to the version of the 10 foot Utility Easement or the encroachment of septic syatem that enoroaches into the 10 foot Utility Easement and into the street right of way of Seaeliff Street on the east boundary of Lot 46 Block 4 of Sand Lake Subdivision a2, as shown on the attached asbuilt, This easement is not being used by "ENSTAR', If you plan on any type of excavation please call thc Lo;kate Call Center Center at :278-3121 for a fr~ tmdergro~ud locate of tim gas facility. You may contact ,nc at 264.3743 if you have any farther questions c;onccming these aneroaclm~ents. Sincet~y, an westervelt Right-of-Way Agent 1204-10B G-2224 EN99053 ENCROACHMENT PERMIT This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519-6300 and Earnest and Monica Mathers, (herein "Permittee"), whose address is 8054 Seacliff Street, Anchorage, Alaska 99502. 1. .Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Described in that certain written instrument recorded on the 1 l~h day of March 1952, at Volume 69, Page 105, of the records of the Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 14t~' day of April 1952, at Volume 70, Page 325, of the records of the Anchorage Recording District, Seward Meridian, Alaska, Described in that certain written instrument recorded on the 3rd day of May 1985, at Book 1261, Page 484, of the records of the Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The East Ten Feet (E 10') of Lot 46, Block 4, Sand Lake Subdivision No. 2, according to Plat Number P-176 recorded on the 26th day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 46, Block 4, Sand Lake Subdivision No. 2, according to Plat Number P-176 recorded on the 26th day of April 1950, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). Encroachment Permit - Page I of 4 2. Encroachment. Permittee proposes to continue the existence of the following improvement(s) on or within the real property subject to said Easement: A septic system across said Easement at a point approximately 15 feet north of the south property line, (herein "Encroachment"). 3. Permit. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its proposed location subject to the covenants set forth in this pe~xnit. 4. Indemnification. Permittee shall indmnnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment, to include any damage to the septic drain field/pipes from vehicle traffic in the Easement area. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. Encroachment Permit - Page 2 of 4 9. .Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination iff a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire A_A_A_~eement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTi~IC ASSOCIATION, INC. PERMITTEE By: By:_ ---., Eugene N. Bjornstad Earnest Mathers General Manager Date: Date: Monica Mathers Date: STATE OF ALASKA ) ) SS: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of , 1999, by Engene N. Bjornstad, the General Manager of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Notary Public in and for the State of Alaska My commission expires Encroachment Permit - Page 3 of 4 STATE OF ALASKA ) ) SSi THIRD JUDICIAL DISTRICT ) instrument was acknowled ecl before me lifts cQ q The foregoin~i g .~.. m. ,/~ day of ~'~,~/.,/r'dZo~-.~ _, 1999, by Not~y Pub/l~c in and for the State of Alaska My commission expires ~/c9,~)--/Eg.C)_ AFTER RECORDING RETURN TO: Chagach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519..6300 Encroachment Permit - Page 4 of 4 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B ~ Anchorage ,~ Alaslm 99504 Phone (907) 33%6179 ~ Fax (907) 338-3246 September 3, 1999 MUNICIPALITY OF ANCHORAGE Department of Public Works 3500 E. Tudor Rd. Anchorage, AK Subject: Right-of-way Eucroachment Permit for Lot 46; Block 4; Sand Lake S/D #2 The septic system that serves the subject property was installed in 1983. During our recent septic evaluation for purposes of obtaining a Health Authority Approval (HAA), we found most of the septic pipes were buried. We advised the owner all the septic pipes would have to be located and extended above grade in order to meet MOA requirements for Health Authority Approval. It has been determined the septic system extends all the way through the 10 foot utility easement at the east property line, and approximately 8 feet into the road right-of way. Attached is a copy of the as-built survey. Although the 10' utility easement is not shown on the asbuilt survey, Chugach Electric has confirmed them is a documented 10' easement - Recording book 1144, page 215. We are unaware of any other potential conflicts associated with this encroachment. Attached are letters of non-objection from the utility companies shown on the distribution list. It would be appreciated flail correspondence is faxed to 338-3246. If you have any questiom, or require additional information, T ~hank you for your assistance and consideration in this matter. Sincerel Jeffr, Pres': please contact us at 337-6179. MUNICIPALITY OF ANCHORAGE Department of Public Works Street Maintenance Division ENCROACHMENT PERMIT 19991390 PubllcWorks THIS AGREEMENT, made this 19th day of October., 1999, by and between ROCK & JOHANNA REBER and their heirs, administrators, and assigns, hereinafter called "PERMITTEE', and the Municipality of Anchorage, a municipal corporation organized and existing under its Chattel' and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETIt: WHEREAS, PERMITTEE is the owner of the following described real property: LOT 46, BLOCK 4, SAND LAKE NO. 2 SUBDIVISION, according to the Official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: THE SiXTY FOOT (60') RIGHT OF WAY OF SEACLIFF STREET, immediately to the east of the PERMITTEE'S property, as shown on Plat # P-176, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a septic system upon the above-described real property which encroaches upon the PERMITTER'S Seacliff Street Right of Way. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Public Works, hereby grants to the PERMITTEE the privilege of allowing their septic system to encroach upon the PERMITTER'S Seacliff Street Right of Way, as shown on "Attachment A", included herewith. The PERMITTEE agrees forever to indenmify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought by any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, 90/'~0 39Vcl 099 S3DIAE3S alterationS, maintenance, repair, renewai, reconstruction, operation, use or removal of thc encroaching septic system, as placed upon the PERMITTER'S Seacliff Street Right of Way. The PERMITrEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Public Works. 4. This Agreement and Permit grants PERMITTEE no interest in PERM1TTER'S real property whatsoever, except only the encroachment rights described herein. The PERMITTER reserves the right to revoke this permit upon twenty days (20) written notice to the PERMITTBE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment from the Seacliff Street Right of Way, in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER, may without further notice to the PERMrI-TEE, remove or cause to be removed the encroachment, and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE hereby promises to pay the PERMITTER a one-time permit fee of one hundred dollars ($100.00). IN WITNESS WHEREOF, the parries hereto have hereunto set their hands and seals the day and year first hereinabove written. Grantee: Grantor: MLINICIPALITY OF ANCHORAGE Right of ~2'a~y~Permit Manager 19991390-Rcber-10/t 9109 2 STATE OF ALASKA ) THmV JUmC AL reSTRICT THIS IS TO CERTIFY that on this I~4x~ day of _~G~ left. __., 19~ q , before me, the undersigned, a Notgy Publig ~n and for the State of Alaska, duly commissioned ~d sworn as such, personMly appeared __ ~o'B ~¢ ~ G-o~h ~o~'.. , known to me to be the Right of Way Permit Manager for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, ~d he acknowledged to me that he executed said instrument as the free ~d voluntary act and deed of said co~0ration for the uses and pu~oses therein mentioned, and that he was authorized to execute said instrument, ..... , ....... ~rTN.,~8.S,.my hand and official seal on the day and year first above written. 1~ OFWC~^b~:e^L ~ NOTARY PUBLIC ~n~nd Zska [g State of Aiaska [i Expires:.C~xt L~.Zi~_~0 g SHIRLEY JOUUSg~ ~ My Commission STATE OF ALASKA~ ,' ) )SS, THIRD JUDICIAL DISTRICT ) THIS IS TO CERTiFY that on this ._ZZ.a4 day of (id ~u~zn,~ ~c , 19 c~(q , before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared _ "~ttol~'x f'L~b'~k- , known to me to be the individual(s) named herein who executed the foregoing instrument, and he/she/they acknowledged that he/she/they did so freely and volunt~ily for the uses and pu~oses therein mentioned, and on oath stated that he/she/they was authorized to execute said instrument. WITNESS my hand and official seal on the day and year in this certificate first above written. My Commission Expires: ?4h~. Z*c',,Zoa.° 19991390-Reber-lOIlg199 3 901£@ Bg~d O'~ SBDIAE-:IS '~so LB6BEg§L06 _qg:it 866t/£g/tI MUNICIPALITY OF ANCHORAGE Department of Publio Works '~, Street Maintenance Division ~HcWor~ (907) 3434240 f~ (907) ~43-8250 ,' Phone:0.1om~f~obdo)~' 7~7 7~ ~ '~,gG ~/_. F~csimile: Grid (s): ~:~z~ . ~ fieaion: .... Townshlp:~ _ Range: .... OFFICE USE: Comments/Tax iD #: __ Reviewed by: ____ Date: Date: Accepted by: ~ Cash: Check no,: __._ Fee received by: ---- Date: __ Reason denied: Approved/denied by: ~ Date: SB/PO 39~d D99 S30IAS3S 9~D LgBg£g§LOB ~:LI TYPE LOT ~UI'IVIE Y RI::~ERTI FI P.~TION A~I- BUI LI' NOTE, I~C$~ ARE 8tlOWN IN THEIR AImpRoxIMATI~ LOCATIONS ONLY, DRAINAGE WOOl)' r[Nc~ CHAIN LINK FENCE ~,o~ '" O~o~ ~', ~"~"~"' ~w~ OT 46, B18ck 4, SAND LAKK '~IJBD]V]S]ON ~2 90/§0 DISTRIBUTION LIST for letters of non-objection 9/3/99 Pmchorage Water & Wastewater Utility 3000 Arctic Blvd. Anchorage, Al( 99503 Attn: Hallie Stewart Chugach Electric Association, Inc. 5601 Minnesota Drive Anchorage, AK 99503 Attn: Susan Tmskett Anchorage Telephone Utility 600 Telephone Ave. Anchorage, AK Attn: Greg Sehmid Enstar Natural Gas Co. 401 E. International Airport Rd Anchorage, AK 99503 Attn: Dan Westervelt/Drew Smith GCI, Cable 5151 Fairbanks Street Anchorage, AK 99503 Attn: Rebecca Colton MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRON~']NTAL HEALTH DEPARI?4ENT OF HFlILTH AND E/gVIRONMENTAL PRC~ECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICA%E 1. General Information Application Date __~3_r~/, /______~._ (a) Legal Description (include lot, block, subdivision, section, t~vnsh'ip, range) Location (address or directions) (b)Applicants Name 7 Applicants Address (c) Applicant is (check__o_n~c Buye~ L~ ; Other ~l (explain); (d) Lending Institution Telei~hor~ Address (e) Real Estate Co. & Agent Address Multi-FamilyC: Other (describe) Note: If ccrmm~nity v~ll system, must have written confirmation frcm the State Depa~t~¥ant of 5~nvi'ror~rental Conservation attesting to the legality and status~ Is tJ%e well. adequate for the number of hedr'ccras specified in this HAA (Y/N) Se~mge Di sp0_s_a_l' the wastewater dis~sal system adequate fc~' the n~,~r of ~dr~ (Y~J .... .~ [Page 1 of 2] 2-15-84 5. ~n_~..r~__e~_ing Fima l~ovi.din9 ins[...mc~tions, Tests, ~ta and Info~tion I ~rtify that I have c~cked, verified, or c~nfo~d to all ~A ~ C~i~li~s in effect on the date of this ins~ction, .f~,¥,'t% I.r . Ad~ss /'~,~o ~L .7.~ . .~/~'~5~:~3 ':"'~'m ~',~,'~ ,'~ <~.~0,.~. (p Telep_hone_5"_(?J_- .t 0~/(> .%he Municipality of Anchorage Department of Health ar'.d Environ~3ntal P~otection do not guarantee the ccntinued satisfactory .performar]ce of ti:e water supply and/or th, wast~wate= disposal system. This approval indicates that, as of the validation (ia sh¢¢~n abo%m, based on the data and information furnished !H an e¢;gir~.er ~¢eg:[stered the State cf ~laska, the water supply and wastewater disposal system is safe and f tional for the nu~ber of hedr¢~s and type of structure indicated. ( L~iEP oEM.) 7. Mail the HAA to the follcwing adrkess: KB2/d5/s {Page 2 of 2] 2-15-84 ae WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEAL%~ AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 [_~t q 6 Well Classification ____~ Well Log P~esent (Y/N) ~ Total Dep~____~._~__.__ Cased to MUNICIPALITY OF DEPT. OF HEALTH & ENVIRONMENT^L P ROTEC~EIOI'~ RECEIV [D Date ~leted _ 9-/~ - 83 __ Yield ~m ~ , ~pth of G~outing Static Wate~ Level Casing Height Above G~ound / '* Electrical Wiring in Conduit JY/N) Sepa~.ation Distances f~om Well: To ~Jeptlc/}{G~:i-4~c3 TaDJ~ on Lot '~ To ~Nea~est Edge of ~)sorption Field on Lot To Nearest Public Se,~ Line Sanita~,y Seal on Casing Depression A~aund Wellhead (_Y/N)__~ _, On ~joini~g Lot~ -- ; (~ Adjoinip~ ~ts ~5 ~ To ~est ~blic Cle anout/Ma nho le %3 ~ Wate~ Sample Collected By ;~ Water Sample Test Results ~( C c~rns nCs~_~4~_ ~*~ .~la ~.~d To Nearest Se~ Service Li~e on Lot hJA ; Date .-~ Date Installed /~2~9% Size tooo No. of Cc~partnmnts ;Z Standpipes .{.Y/N) ~ Air-tight Caps (Y_~/N) Y Foundation Cleanout .(Y~) y ~p~ession o~ Ta~ (Y~) ~ ~te ~st P~d ~ me~ c~ ....... P~ing~intena~ ~n~a~ on File iY~) ; for Holding Tank High-Wate~ Ala~ (Y/N) ~ '~a~y Holdi~ Tank ~r~t .(Y~])~ Sep~atzon Distances f~ ~ptlc~old~ng Ta~: To Water-Supply Well l~-~ To P~operty Lir~ To Water Main/Service Line Ca~se N/~ To Building F~]ndation · ~0 To Disposal Field $" To Stream, Pond, L~e, cm Major D~ainage Conm~nts [page 1 of 2] ~ ~"~Ttg ~ t= & °"-'l 'bt:DC., 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed / 2 - ?~$ - ~3 Width of Field 3~" Square Feet of Absorption Amea 3DO Depression over Field (Y/N) /V Results of Lest Adequacy Test ~/~ S--O ~7'/~ Type of System Eesign Length of Field 2o Depth of Field //. ~ Gravel Bed Thickness ~. 5~ Standpipes P~esent (Y/N) Date of Lest Adequacy Test Separation Distance f~omAbsorption Field: To Water-Supply Well To Building Foundation Lot ~/~ To Water Main/Service Line To Stream/Pond/Lake/c= Major D~ainage Ccurse To D~iveway, Parking A~ea, o~ Vehicle Storage A~ea Comzents ! ~) To P~operty Line 3"9 To Existing or Abandoned System on ; On Adjoining Lots /~ /J/} To Cutbank(if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Comments ** Check Permitted Bedrocm Rating A~ainst HAA Request I certify that I have checked, verified, or confonmed to all MOA HAA Guidelines in effect on the date of this ir~peetion.~.~'~'~'~%~O~" ~%~ ] ....... MOA No.~-T ?~- oD~ KB1/d5/s [Page 2 of 2] 2-15-84 DEPT. OF ENVIRONMENTAL ¢~ONSERVATION March 20, 1984 To Whom It May Concern: / BILL SHEFFIELD,. GOVERNOR Telephone: (907) 274-2533 Address: 437 E. Street Suite 200 Anchorage, AK 9~9501 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECT/ON MAR 2 .RECEIVED According to records on file in this office Sand Lake Subdivision No. 2, Block 4, Lots 7, 8, 45, 46 are in compliance with State Drinking Water Regulations. Sincerely, ~riekson Environmental Engineer BEE/msm Attachment cc: Alaska Environmental Services