HomeMy WebLinkAboutMELINDA VIEW ESTATES LT 1/ elinda View
Lot
#017-092-38
(~ ~ '~ 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 I Jr~r~,EW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
Well Dwelling PERMIT NO.
~ DISTANCE TO: t S~ IAbs°rpti°narea ~ ~ %
~ <Z Manufacturer~ Material~'1~¢~6 ~ No. of compartments
Liq.
capacity
in/&l~ IF .OME~ABE' ,n,ide length Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
0 ~ ~ ~anufacturer ~ateri~l Liquid c~p~c~ty
~tl~:: DISTANCE TO: Well / ?O Foundation ~¢~ Nearostlotline ~¢/ PERMITNO.
~" '°'°flines, ~ kenoth°feachline "~ T°tallen~th°flin"s Trench~idt~ ~chos Distancebet~e"nl'nes
: rop of tile to finish grade q Matorial beneath tile ~ Total effective absorptio~xa
ches
Length Width Depth PERMIT NO.
< ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
¢ DISTANCE TO:
~ CI~_. ~__ Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line /70 ~ Septic tank [~ ~ ~ Absorption area(s)
OTHEfl ~ ~ ~1 b~A
PIPE
MATERIAL8
SOIL TEST ~ATING
iNSTAELER
72-013 (Rev. 3/78)
E-.~ ~'ql .... '.S ir,.: -,r-, ll:z.'r='- El; Efl, dl EE FC
PERMIT NO:
DATE ISSUED,",
8 4 0 8 0 '7
· .~,/,:: 11134.
AF'PL I CAN'I":
ADDRESS:
CONTACT F'HONE:
I--EJES DEVEI_OPMENT
F' 0 BOX '11-2009
ANCHORAGE, AK 995:L1
349-80 t 1
LEGAL DES[:RIF':
LOT .SI :E:
L[]T L.OCATZGN:
MAX B, EDROOMS:
SL!BDIVISION.. I'IEI_It'qDA VIEW ESTATES LJ,. t
SECTION: 35, T(]WNSFIIF': 12N RANG,:..' '~' 3W
-'.1- 7¢7 ....,~,_.. FT. OR ACRES)
JOANNIE C. IF?.CI_E/.144TFt
:3
BLOC-:': NA
4.0
-3,, 5
5.0
66.0
275
~"~ bR.~VE,_ I_EI'4GTI-~ :::. 75 FT,, ,,EQU].,,E:,~ MULTIF'LE RUNS (NOT I-/,.C~:E:.D.[t~,G 75
~ TANK MUST HAVE Al' LEAST TWO COIdPARTMENTG
I ~er'~iCy that:
1. I am Familiar wit. h ~he r'equirements For on--sJ.t.e ~e~.~er's and w~l].,s ars,-
Forth by. tine Municipality oF Anclnorac~e. (MOA) and 'Lhe .~,.at=C'* .~ of' ~' '.-l..=,~ka. .....
:R. I will inst. all the syst. em iFI accordance wit. h all IdGA codes and
and in compliance with the design critenia Of this pepmit,,
:3,, I-will adhePe 'Lo all IdOA ar]cI State o~' A].ask~at r'equiPements {'of Che set ~ ...... :
dis'Lances From ar]y exist, ling twel].~ wastewatep disposal sYs'Lera or
sewerage system on this or any a:.jac:ent or nearby lot.
4, I 'undeps'Land {ha'~ '~his pepmit is vaiid ¢Qn a maximum o{ 3 bedr'ooms and
any enlargement, will require an additic}rial permit..
' IF A LIE]] STATIGN tS INSTALL. ED IN AN AREA COVERED BY MOA BIJILDING
:THEN (1) AN ELE(]TRICAL. I='ERMIT AND ',',,jqD,=r,?~'r,,, MUST BE OBTAINED: (2) AS-BUI,...].,
~WILL NOT BE AF'F'RGVLED WITHOUT Atq EL..EC]'RICA!~ IlqSPECTION REPOF(T; AND (3) I-HE
!ELE:CTRICAL WORK MUST BE DGNE BY A I_ICENSED E~_E~]RI,_.IAN.~ n"" n.
., I GN~..D DATE:
ISSUED BY DATE:
DEPTH 'TO F:'IPE BO'TTOId (F:]".) 4.0 4,, 0
GRAVEl_ DEPTH (FT.) 7.0 0,,5
TOTAL DEPTH (FT.) 11:(} 4.5
GRAVEL.. WIDTH (FT.) 2.5 24,,0
GRAVEL LENGTH (F:'I"~) 46.0 46.0
GRAVEL VOI_UME (CUL ~DS, ) 32.0 40,, 9
]'ANK SI ZE (GALS) 1,000. 0 .~.~. I, 000,, 0 .~..~.
SOIL. RATING (SD,F]'. /BR) 2~ 242
Listed below are t. he op'Lic~ns available 'Lo you in des:[,'.~ning your mep'L:i.c
system,,. Choose the opt. iort t. lna'L k~¢~-'L Fit. s your site,,
PERMIT NO:
DATE ISSUED:
DEt='AI:~,'TMENT OF HEAL..TH AND E:NV!RONMENTAI_ I:::'RGTECTI. ON
8,=:~. L S]"REET~ A, tL, Ifdl~4Gc,~ AK 9950 1
C~J ihql .... ,<~ ][ '-IF' F_= ~.E=}; EEC IL~t lEE IF;;: ;~.~.. IpJ! E~Z L.. L_. IF~" EFq: ~,-~ % 'T'
0(:-~/? 1/$4
APPL. I (]AN]": '
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIF':
LOT SIZE:
LOT .L.OCA?IGN:
MAX BEDROOMS:
FESES DEVELOPMENT
P 0 BCl¥ 11 ~- .....
ANCHORAGE.~ AK 99511
349-801 I
SUBr)IVtSION: MELINDA VIEW E-'STA"FES LOT: 1
SECTION: 35 TOWNSHIF': 12N RANGE: 3W
'49572 (SQ.FT,, OR ACRES)
~GANNE CIRCLE/144TH
3
BLOCK: NA
Listed below are the opi:.iens available 'Lo yott in designing your' septic
system. Choose the option that best ¢its your site,.
-F F=4 BE[: P,.~ E3:
DEPTH TO PIP~ BG]'TOM (FT.) 4,,0
GRAVEL DEPTH (FT.) 2.0
TOTAL DEPTH (F'T'.) 6.0
GRAVEl.... WIDTH (FT.) 2.5
GRAVEL LENGTH (FT.) 94.,0 '~'~
GRAVEL. VOLUME (CU~YDS.) 2:[.8
TANK SIZE (GAl._S) 1,000.0 .~..~
SOIL RATING (SQ.FT. /BR) 125
~, E; ~}
4.0
0.5
4,,5
.1.7.0
34 ,, 0
21.5
1,000 ,, 0
:L25
5 ,,. 0 -)~..~
5 0
44.0
1,000.0 ~-.~
125
~-'~ DEF:'TH TO F'IF'E BOT'TOM < 3.5 F'I', REG!UIRES INSULATIOIq
~.'-~ DEF'TH TO F'IF'E BOTTOM '::: 4 0 FT. M, AY ~'r_-~ ~toc' T~:'
. .~ .......... '~: A 1 .....'T' STA"FION
~ GRAVEL. LENGTH > 7'.5 I=T. IREQtJIRES IdULTIF'LE RUNS (NO]" EXCEEDING '~ F
~¢,'... TANK HUST ,,,-,,.~..J/~]~' -PiT LEAST' TWO COMPARTMENTS
I certify that:
i. t am familiar with the r'equirements for on-site sewers and
forth by the Municipality o¢ AHcho~'age (MOA) and the State of Alaska~
I will install the system in accopdance with all MOA codes and regulat:i, one,
and in compliance with the design cnitepia o¢ this per'mit.
3. I will adhere to all MOA and Sta{e of Alaska Pequirements ¢or' 'Lhe set back
distances ¢nom ~any existing well, wastewater disposal system op public
sewepage system on this,or any adjacent el" nearby lot.
4. I undepstand that this penmit is valid ¢~p a maximum of 3 bedrooms and
any enlargement Nill r'equire an addit, ion~l per'm:i.t.
IF A LIFT STATION IS INS'T'AI_LED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1). AN ELESTRICAL PERMIT AND II'qSF'EC, TION MUST 'BE OBTAINED; (2) AS-BU!LTS
WILL NOT BE APF'ROVED .WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORI<~UST BE DONE' BY A L~CENSED ELECTRICIAN.
SIGNED .~~~ ~ '-- . DATE, ....
APPLICANT
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG'":
[] PERCOLATION
' TEST.
PERFORMED FOR: r".--~
LEG.AL DESCRIPTION:
)EI~T ~
I
3
7
~ ,
8
~
13
14
~7
18
20-
COMMENTS
Lo'i-
SLOPE
WAS GROUND WATER S
ENCOUNTERED? ~) ~
SITE PLAN
P
IF YES, AT WHAT E
DEPTH? ~'--'"'"
Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN ~' FT AND ~ FT
~2~ CERTIFIED BY:~
DATE PERFORMED:
MUNICIPALI'TY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2 ~m
3
4
7
8
~0
13 FI,[- ~--~'- ,=~'*'F-
14
15
PALITY OF ANCHORAGE
16- DEPT. O~ HEALTH &
PROTECTIOI~
17
4
REcEIV Q
19'
20
DATE PERFORMED:
SITE PLAN
SLOPE
WAS GROUND WATER {~,]' O S
ENCOUNTERED? OL
P
IF YES, AT WHAT E
DEPTH?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~3 ' (minutes/in~ O~
TEST RUN BETWEEN ~'- FT AND ~._ (r~,.~ FT
COMMENTS ~o,'1 C-~m 1~'5 '~ ~' ~d~ Z3~D'/~ ~"A~]+~' ~'~,'~'~'~
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysical Surveys
Drilling
Permit
No,
LOCATION OF WELL (Please complete either la~ lb or lc.)
A.D.L. No.
~o'~lB .... gh Subcih/ie~on Lot Block I~.I '/,~qtr$. Section No. TownshiPNE] Range EEl Meridian
DISTANCE A"O O["E~%IO" FRO~ Ed~D I"TE"[EC,TIO"S ~. OWNER OF WELL:
~urf~ ~, WELL DEPTH: {final} ~. DATE OF OOMPLETION
,~ ~Ab°ve or ~'Below land surface
~ , ~:-.-.~...~
7' / , after ~':' hrs. pumping ~/ g.p.m,
Material: ~Neat Cement ~Other:
S
15. W~ter Temperoture ~.o ~ F ~ C
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
017-092-38
HAA # /'eM-."-- - ~
1. GENERAL INFORMATION
Complete legal description MELLINDA VIEW ESTATES SUBDIVISION: LOT 1
Location (site address or directions) 14400 JOANN CIRCLE ANCHORAGE. AK 99516
Property owner
Mailing address
Lending agency
Mailing address
JEANNE ROSCHE Day phone
14400 JOANN CIRCLE ANCHORAGE. AK 99516
Day phone
(907/ 545-1976
Agent.
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual well xxx
Community well
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
Holding Tank
Community on-site
Public sewer
NOTE:
XXX
ff community wastewater system, provide written confirmation from State ADEC
lng to the legality and status of system.
72-025 (Rev. 1/91 ) Front MOA #21 Computer Version
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,000.00 at!
or prior to, closing for the engineering services provided.
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 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
on the date of this inspection.
Name of Firm ALASKA V~A'~'~R &
Address 6901 DEBARR/ROAI¢,
Engineer's Signature I..___~
In
conducting this evaluation, AWWC,
system in accordance with ADEC and MOA D
all Municipal and State codes, ordinances, and regulations in effect
AS'~FEWATER CONSULTANTS, INC. Phone (907) 337-6.179_.
~2B-...~NC HO RAG E, ALAS KA 99504 ,. .
~ted to provide a thorough, conscientious engineerin~ analysis of the
'-tS Guidelines & Regulations. The reported results described the
performance of the system under the conditions encountered at the time of the test, and separation d/stances
measured to readily identifiable features. The operational life of all wells and septic systems depend
on the local soils 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 the system. Satisfacto~ test results do not guarantee future performance
of the system, nor do they guarantee that there are no hidden defects or encroachments.
AWWC, Inc. can therefore not provide any warranty for future estimate of how long the
system will continue to meet the operational requirements of the ADEC or MOA DHHS.
The content of this report is for the sole benefit of the owner listed 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.
6. DHHS SIGNATURE
//'" Approved for -~
Disapproved
Conditional approval for
bedrooms
:/-7955
bedrooms, with the following stipulations:
Additional Comments
The 3 p~L§e er~c~o~tchme[tt pe~:m±t: 20000968 sh~[[ De
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 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 (Rev. 1791) Back MOA fY21 Computer Version
I:CEIVED
,JUL O7 ~000
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICE~NlaP^u~ O~^~E
Environmental Services Division "q~r3NMENTAL SERV(I~I~,~J~'
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744
Legal Description: MELLINDA VIEW ESTATES SUBDIVISION; LOT 1,
Health Authority Approval Checklist
Parcel I.D.:
96'
If A, B, or C, attach ADEC letter. ADEC water system number
YES Date completed
Cased to 91'
YES
FROM WELL LOG
~ ~/24/54
017-092-38
11/21/84
Casing height (above ground)
wires propedy protected (Y/N)
A, WELL DATA
Well Type PRIVATE
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
AT INSPECTION
7/3/00
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0
Date of sample:
N/A
18"+
YES
50' 57
4- g.p.m. 5.2 g.p.m.
Other bacteria.
A.W.W.C., INC.
0.500 mq/L
Collected by:
Nitrate
7/3/00
B, SEPTIC/HOLDINO TANK DATA
Date installed 10/26/84 Tank size
Foundation cleanout (Y/N)
Date of Pumping 7/3/00
C, ABSORPTION FIELD DATA
0
9" Immediately after 1061
322 Absorption rate =
NONE KNOWN If yes, give date
Fluid depth in absorption field before test (in.);
Fluid dePth 9" (ins) Minutes later:
Peroxide treatment (past '12 months) (Y/N)
72-026 (Rev, 3196)* Computer Version
Date installed 10/26/84 Soil rating (g.p.d./ff2 o~g~) 275 System type WII~E DRAIN
Length 98' Width_ 5' Gravel thickness below pipe 5.5' Total depth 6.5' - 7.5'
Effective absorption area 907 SQ. FT. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO
Date of adequacy test 7/3/00 Results (Pass/Fail) PASSED For Bedrooms
12"
gal. water added (in.):
450+
1000 Number of Compartments 2 Cleanouts (Y/N) YES
YES Depression (Y/N) NO High water alarm (y/N) N/A
Pumper A+ HOME SERVICES
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Size in gallons
~' level at*__.
Septic/holding tank on lot
Absorption field on lot
Public sewer main _
Sewer/septic service line
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
100'+
N/A
25'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property line 5'+
Water main/service line 10% Surface water/drainage, 100%
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
10% Building foundation 10%
Property line
Surface water
Curtain drain
F. ENGINEER'S
I certify that I ~ava
of Municipal ~ecor~
with MOA H~A gu~
Signature
Engineer's Nam/
Date 7/l
On adjacent lots_ 10o'+
On adjacent lots__ 100'+
Public sewer manhole/cleanout N/A ........
Lift station N/A
Absorption field
Wells on adjacent lots
5'+
100'~: ....
100'+
hKNOWN
Id Inspections and review
terns are in conformance
is date.
JEFFREY A, GARNESS
Water main/service line__. 1
Driveway, parking/vehicle storage area__'10'+
Wells on adjacent lots 100'+ __
HAA Fee $ '~ ~ -Z~'~)
Date of Payment '~' /
Receipt Number
72-026 (Rev. 3/96)* Computer
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE
Department of Public Works
Street Maintenance Division
ENCROACHMENT PERMIT 20000968
PublicWorks
THIS AGREEMENT, made this 15th day of August, 2000, by and between Jeanne R. Roche
and her heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of
Anchorage, a municipal corporation organized and existing under its Charter and the laws of the
State of Alaska, hereinafter called the "PERMITTER".
WITNESSETH:
WHEREAS, PERMITTEE is the owner of the following described real property:
LOT 1, BLOCK 1, MELINDA VIEW ESTATES, 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:
THIRTY FOOT (30') PUBLIC USE EASEMENT immediately to the south
of the north boundary of the PERMITTEE'S property, as shown on
Plat # 84-293, on file in the office of the District Recorder, Anchorage
Recording District, Alaska,
and;
WHEREAS, PERMITTEE has placed a septic drain field pipe upon the above-described real
property which encroaches upon the PERMITTER'S Public Use Easement.
NOW, THEREFORE, it is mutually agreed between the parties hereto that:
The PERMITTER, acting through the Director of Public Works, hereby grants to
the PERMITTEE the privilege of allowing her septic drain field pipe to encroach
upon the PERMITTER'S Public Use Easement, as shown on "Attachment A" and
"B", included herewith.
The PERMITTEE agrees forever to indemnify, defend, save and hold harmless,
the 'Municipality, its officers and employees, from any and ali 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,
alterations, maintenance, repair, renewal, reconstruction, operation, use or
removal of the encroaching septic drain field pipe, as placed upon the
PERMITTER'S Public Use Easement.
The PERMITTEE 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.
This Agreement and Permit grants PERMITTEE no interest in PERMITTER'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 PERMITTEE. The PERMITTEE agrees upon such notice of
revocation, to move said encroachment from the Public Use Easement 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 PERMITTEE, 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).
1N WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals the day
and year first hereinabove written.
Grantee:
Grantor: MUNICIPALITY OF ANCHORAGE
Kur~es.
Administrative Superintendent
Jeanne R. Roche
2
STATE OF ALASKA )
)SS.
THIRD JUDICIAL DISTRICT )
/
THIS IS TO CERTIFY that on this day of , 2000, before
me, the undersigned, a Notary Public.in and ~b,-~ the 8tare of Alaska/duly commissioned and sworn
as such, personally appeared ~/j~ '~~ , known to me
to be the Right of Way Permit Manager for the Municipality of Anchorage, Alaska, who executed
the foregoing instrument, and he acknowledged to me that he executed said instrument as the free
and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that
he was authorized to execute said instrument.
STATE OF ALASKA )
)SS.
THIRD JUDICIAL DISTRICT )
WITNESS my hand and official sp,,~l on the day anl~y~ear first abov~e written.
NOTARY PUBLIC ~n and for AlJska ~ ~.,':--". O %
. . . t ~ ~. '.~
My Comm~ssmn Expires: //-~ ~ ~ ~i'~O~A~'-~om
THIS IS TO CERTIFY that on this 1~9 day of ~ ~,~1%-iL , 2000, before
me, the undersigned, a Notar.~public in and for the State of Alaska~fu~y~commissioned and sworn
as such, personally appear~/~- JR ¢t ~-~,~_0~ t' I~c~x~ C ~ , known to me
to be the individual(s) na~dJ herein who e~ecuted the foregoing instrument, and he/she/they
acknowledged that he/she/they did so freely and voluntarily for the uses and purposes 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.
NOTAR~ ~Si.J~LIc in and f~fgAfaska
My Commission Expires: ,~//~ /?JI)
Jeanne R, Roche
3
o
AUG- 4-00 FRI 8:35 AM TWEED EXCAVATING FAX NO. 694 1250 P. i
ALASKA WATER & WASTEWATER CONSULTANTS' INC' ~ ~].~.~ ~.~..~ ~x_~~
6901 DEBARR ROAD, SUITE 20 * ANCHORAGE, AK. 99504
PHONE (907) 337-6179 * FAX (907) 338-5246
[SOIL LOG - PERCOLATION TEs*I
PERFORMED FOR: ROBERT PAULUS ..........................
^ '~d( fre~, A. Oarness..'
DATE PERFORMED: 5/15/00 /O~t'". 4:.-7953
FILL/ORGANICS [TEST HOLE #1] q~(~*; ............
[~EPIH ~
fee~
i ORGANICS SOIL CLASSIFICATIONS
GM CL
i GC OL
~2%°~-°~o o ~ SW [~J~ MH
~ SP~ CH
Shl OH
ISC SEE ATTACHED DRAWING
DEPTH 10 DATE
GROUNDWATER
GM/SM DRY 5/15/00
15.5' 5/18/00
DENSER DRY 5/24/00
W/ DEPTH
10
11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
12 __ ---.-
16
18
19 PERCOLATION RATE - (HIN./INCH) PERC, HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN - FT. AND - FT.
COMMENTS:
PERFORMED BY ALASKA WATER & WASTEWATER, I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERFOJ~MCD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE: 8/11
DEPTH TO DATE
;ROUNDWATER
DRY 5/15/00
15.5' 5/18/00
DRY 5/24/00
S~BY:PACIFIC ~ T{~~~ ; 8-15- 0 ;10:fll~ ; P~ ~$~ -~111~ ~ O4fl 808~;# 2/ 2
'{llll~ I 0 0 9
RIGHT-OF-WAY EASEMENT
FOR DISTRICT RECOROER$ IJSE
CHUG C , -- ....
POWERING ALASKA~S FUTURE
July 25, 2000
Jeanne Roche
14400 Joanne Circle
Anchorage, Alaska 99516
Subject:
Letter of Non-Objection for Existing Septic System
Lot 1, Melinda View Subdivision
Grid 3038, 1203-35B, 0B00048
Dear Ms. Roche:
Chugach Electric Association, Inc. '(Chugach) does not object to the existing septic
system constructed into the Thirty foot wide Public Use Easement on the northeast
side of the above referenced property, as shown on the attached As-Built by
Lantech, dated June 20, 1995.
It must be your understanding that the installation of the septic system within the
Public Use Easement is at your risk.
All work within the easement area must be in compliance with the enclosed copy of
Chugach's Electrical Facility Clearance Requirements. Also enclosed for your use is
a Locate Cell Center Card.
This non-objection is given without prejudice to Chugach's full enjoyment of any
and all rights it' may have in and to such easement.
Sincerely,
Jim K. Topolski
Manager, Land Services
Enclosure
Chugach Electric Association, Inc.
5601 Minnesota Drive, P.O Box 196300, Anchorage, Alaska 995196300" 1907] 563-7494
www chugad~eleclric cam · info@chugacheleclric.com
Fax (907) 562-0027 ' (800] 478-7494
ACS
Alaska Communications Systems
July 26, 2000
Jeanne Roche
14400 Joanne Circle
Anchorage, Alaska 99516
Alaska Conm~unications Systems has no objection to the encroachment of a
sewer outfall pipe into a platted public use easement located on Lot 1,
Block 1, Melinda View Subdivision, 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:
1. ACS will be held harmless, now and forever, for any damages
or injury to any person or property as a result of this
encroachment.
2. Any ACS facility damaged or destroyed as a result of this
encroachment will be repaired at no cost to ATU.
3. Any cosns incurred by ACS 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 ACS from
full use and enjoyment of its rights within any portion of
its right-of-way.
~,~de! Plant Encinee~i~g
ACCEPTANCE:
AC&P ~ 498
DATE:
GS\LS\le\9 :mswd\cor \nonob\Melinda. doc
600 Telephone Avenue Anchorage, Alaska 99503 6091 tel 907.564.1000 www. acsalaska.corn
08~09~00
ENSTAR Natural Gas Company
A DIVISION OF SEMCO ENERGY
Engineering Department
401 E, International Airport Road
P. O. Box 190288
Anchorage, Alaska 99519-0288
(907) 264-3740
FAX (907) 5634085
Jeanne Roche
14400 Joanne Circle
Anchorage, AK 99516
To whom it may concern:
ENSTAR Natural Gas Company has no objection to the encroachment of the sewer
outfall pipe in the 30 foot public use easement on the north side of Lot 1, Block 1,
Melinda View Subdivision. See attached as-built survey dated 06/20/95.
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:
ENSTAR will be held harmless, now and forever for any damages or injury to
any person or property as a result of this encroachment. ·
Any ENSTAR facility damaged or destroyed, as a result of this encroachment
will be repaired at no cost to ENSTAR.
Any costs incurred by ENSTAR for special construction necessitated by this
encroachment will be borne by the property owner.
All applicable safety code regulations will be observed and maintained.
This letter of non-objection will in no way preclude ENSTAR from full use and
enjoyment of its rights within any portion of its right-of-way.
Sincerely,
ENSTAR Natural Gas Company
Dave Titus, Engineer
cc: File
George P. Wuerch,
Mayor
ANCHORAGE WATER & WASTEWATER UTILITY
3000 Arctic Boulevard
Anchorage, Alaska 99503-3898
http://www, awwu.ci, anchorage.ak, us
Engineering Division ~
Owned by the
MunicipaliO, of Anchorage
July 28, 2000
Jeanne Roche
14400 Joanne Circle
Anchorage, AK 99516
Re: Melinda View, Block 1, Lot 1 (PID 017-092-38, Grid 3038)
Request for Letter of Non-objection to Encroachment
Dear Ms. Roche,
The Anchorage Water & Wastewater Utility received your written request on July 21, 2000, for a
letter of non-objection for the existing sewer outfall pipe that extends into the public use
easement located on the north 30' of the referenced lot. Submitted with the request was a
property as-built drawing, dated June 20, 1995, showing the subject public use easement.
The referenced lot is outside the AWWU's certificated water service area. Wastewater facilities
are to be in accordance with the Hillside Wastewater Management Plan. AWWU issues this
letter of non-objection for the existing encroachment 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 encroachment;
2. All applicable codes and regulations will be observed and maintained within the easement;
3. This letter of non-objection will in no way precludeAWWU from full use and enjoyment of
its rights within any portion of the easement; and,
4. Additional and extraordinary costs incurred during any future required construction, repair
or reconstruction of AWWU facilities to accommodate the encroachment shall be paid by
the property owner.
Should you have any questions, please call the AWWU Planning Seciion at 564-2739..
Sincerely,
\\aw'wufile\Grou ps\Engineering~Pla n ning\Plan ningtH MS\encroachme nts~public-use-easernent.doc
Augu$~ g, 2000
lca~mg Roghe . .
1,~400 Jeanne
Andmrage, Alaska 9~51 fi .. -...
Dear Ms. Roche~
FIX NO. 9077869380 P. 1
~ll NO. 9077869380 ilO. 1221 P. 2.2.~.~,~.
· ubject to your agrceme.llt to'mhdemaffy ~h~ ~0 n'?(V a,s.~"fdi'~ll ~I~W~ OCl Cable l~c
city gridS038, ' ". ':".' .' :. .':.. ":-..~ - ......* . · . . .. ..
lh~s lctt¢~ o~non-objeeoo~ nl n0 way plcglT~fle~ GCI~ableTr6m'Tull~ ana'~al~aa; ' : '
BY'signing below, yoq agr6et6 ihd~n)'~i~ a~d ~0ld ~1 ~a~ldh~i~is;'aOW'and : '. '.. : ..
a,~ Jnjuty tn any ~rson or pro~y o6~fi.al!)~'a~ a ?dial/6~JiM~h~Oa~ht' .:. ' - .['. .': :
I'l~se indtcate you/ae~ptan~by'~i~ifig:aM:¢ctuming.lM~.l~ti, r t6.'mysclf~; thc ' :" '
~ddre~s below ...... ·
SinccrclL ' .
Clint l!~usley ~:"
14~/~s¥~sI(1 91NO~H9 _~YZ.~:ILO00~ '1 '"!~~::
390WIO 3NNVOP
,o0'g9 [ HInOS
I ~0' TELECOMM ~ ELECT EASEMENT
20' R.O.W. EASEMENT
S 00'02'47" E 1.65.00'
: O-~(£6Z-t~8)
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------L33B.L~
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. # (217-C~ z - 7¢ .~ .
1. GENERAL INFORMATION
· ComPlete legal description Lot 1; McC_~nda Vi6~ Est~¢.~
Location (site address or directions)
Property owner
· M.hiling address
~" Tom & Carol Daniel
14400 Joann Court'-,
Anchorage, AK
Day phone
263-6950
(w) Tom
Lending agency
Mailing address
Day phone
Ager~t" ' ..Ju~.~e H~tes/ Dynamic Properties Day phone 261-7671
Address 3111 "C" Street Suite 100 Anchorage, AK 99503
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3 ",
TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
XXX
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 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.
$ & S ENGINEERING
17034 Eagle River Loop Road No. 204
Eagle Riyer~,Alaska.99577 ~
Phone
Name of Firm
Address
Engineer's signature
bedrooms.
DHHS SIGNATURE
/~ Approved for ~'
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
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 courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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 engineeCs work.
72.O25(Rev. 1/91) Back MOAW21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Well type
Log present (~N) ~'~'S
If A, B, or C, attach ADEC letter. ADEC/~ater system number Date completed /./-2.1-~/z'~-°~-~ Driller
Total depth
Sanitary seal {~N)
Date of test
Static water level
Well flow
Pump level1
~07' Cased to ~'/' Casing height /,2'/-/-
~'~,5' Wires properly protected ~/N) ~
FROM WELL LOG AT INSPECTION
z7/ g.p.m.
g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic,/.l'~_~.~g tank on lot
Absorption field on lot
Public sewer main
Sewer service line
/Or3 ~ ; On adjacent lots
/OO ~- ; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~
Date of sample:
Nitrate O,/0 ~//~
Collected by:
B. SEPTIC/I.I~L--BiN~ TANK DATA
Date installed; '~ ~ ~/~-~'~)~g~ Tank size [050 ~
C eanouts (Y/N) ;" ~-~' ... ~Foundat on cleanout ~N) ~/£5
High water alarm (Y/N)" '~ i!,i. o Alarm tested (Y/~)
Date of pumping .... i:,~.~.~ ~/c~ ~ Pumper /~ +-
SEPARAT ON DISTANCES FR01~ SEPTIC/H~LcE)IN~ TANK TO:
Well(s) on lot.. ·, .. /('~ 'f ' On adjacent lots IO6 ¥
To property line (0' (- Absorption field ~ '+
Sudace water/drainage [o~' 4
Compartments ~
Depression (Y/I~ ~J~
Foundation 10 / ~
Water main/service line /~ ~'
72_026 (3~3)OFro,.lt CONTINUED ON BACK PAGE
~TATION
Date installed __
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes
"Puml at
Manufacturer.
Manhole/Acce,'
"Pump off" Level at
SEPARATION D
FROM LIFT STATION TO:
D. ABSORPTION FIELD DATA
On adjacent lots
Date installed
Length
Total absorption area ~O~r SP
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/~)
/(~-~(~-~H Soil rating (GPD/Ft2)
__Width ~ Gravel thickness
Cleanout present ~__~lq) Results (pass/fail)
Su
System type ~/¢&-
Total depth ~,~
Depression over field (Y/~
for
1,1'
After test
If yes, give date
Bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ~/CO ~
To building foundation
On adjacent lots __ ~-~; ''~
Surface water [oo '¢
Curtain drain ~_~
On adjacent lots [c.~o '¢ Property line
/o ~¢ To existing or abandoned system on lot
Cutbank ~//~ Water main/service line
Driveway, parking/vehicle storage area
/O ¢
E. ENGINEER'S CERTIFICATION
I cerb'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in ~his inspection.
Signature __
. .-.~ ~'.~:~:!, .'~
Engineer's Name /~O/¢ E ,c ~ (~' .. ~;, ~,,.,/,,~, r-,-'w-,,-~~,~,;; ......
Date
'i~ <D,,; ............. ,,., ~' ~"
HAA Fee $ ~' / ¢/~ Waiver Fee $
Date of Payment ~, -' / J~' :' 2 ~'--- Date of Payment
Receipt Number ¢~; ...... ~ ,_5-/¢(//~ Receipt Number
72-026 (3~93)* Back
MUNiCIPALiTY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date 7--/¢~''~)'~'-
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name ~3~% ~t~{ Telephone: Home
Applicant Addross
Business
(c) Applicant is (check one): Lending Institution []; Owner/builder'S[.; Buyer E] Other [] (explain);
(d) Lending Institution
Address
Telephone
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the I-IAA to the following address:
TYPE OF RESIDE,~CE
Single-Family [~ Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual Well ~ Community D Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4, SEWAGE DISPOSAL
Onsite~. Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page I of 2 72-025
ENGINEERING FIRIVI PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown b~ro'~. I ver~ ~a~ ~y [~ ~'e'~:jgatiOn of this Health
Authority Approval shows that the on-site water supply and/or wastewater d spos.a: s:,'stern Js see, funotional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that Ca.$ed om the information obtained
from the Municipality of Anchorage files and from my investigation and ir:spect~on, the o~.--~;te water supply and/or
wastewater disposal system is in compliance with all Municipal and State eccles, ordinances, and r~gu!ations in effect on
the date of this inspection.
Name of Firm ,~. E(~S
Address I¢~
Date
DHEP APPROVAl..
Approved for ;'¢"/~'""¢"¢'" bedroomsby ~ ~' ~"~--~
Approved' ~ ''Disapproved_ Conu,,,~,
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Envir(~nmen~a~ P~otec~o~ {DH~Fj issues HeaJth Authority
Approval certificates based solely upon the representations given in para~ra~ 5 ~bove by ar~ ~dep, eacr~nt prof6s,sio~al
engineer registered in the State of Alaska. The DHEP does this as a courtesy' to puck'=cs o'~ J'~me~ and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do r~o! conduct inspections or
analyze data before a certificate is issued. The Mu nicipality of Anchorage is not r~Fo~sib~e fo; e~rrors or omissions in the
professional engineer's work.
Page 2 of 2
72-o25 (11/84)
,. MUI~I(~IPAUT~ OF ANCHORAG~
. DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
RECEIVED
MUNICIPALITy OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
I, ega[ Description:
A. WELL DATA
Well Classification
IfA, B, C, D.E.C. Approved(Y/N) ~V~
Well Log Present (~)
Total Depth C~ 6f ~..~atsed to ~,/I
Static Water Level
Casing Height Above Ground f /
Electrical Wiring in Conduiti~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot I ~""'7 ~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line N~V~
Cleanout/Manhole .J~ ¢~
Water Sample Collected by ~__.~V~-O
water Sample Test Results
Date Completed I I-~ ~--8 V Yield
Comments
Depth of Grouting ~k./~)~'~ ¢~..~
Pump Set At 4~/
Sanitary Seal on Casingi~N)
Depression Around Wellhead (YIl~
; On Adjoining Lots /O(-~. '~
/~ .~"1 ; On Adjoining Lots l~O''~
To Nearest Public Sewer
To NeareSt Sewer Service Line on Lot
B. SEPTIC/HOLDING TANK DATA
Date Installed ~-8~Size
Standpipes ; l Air-tight Capst:: l
Depression over Tank (Y~
Pu mping/Maintenance Contract on File (Y~./~/
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well I,_~'7 I ,
To Property Line
To Water Main/Service Line ~)'/~
Course
No. of Compartments
Foundation Cleanout
Date Last Pumped /~'/'~
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposa! Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/~4)
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Type of System Design
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (~.)~
Results of Last Adequacy Test ~ ~r'
Separation Distance from Absorptior~ Field:
To Water-Supply Well [
To Building Foundation "~
Lot
TO Water Main/Service Line
Length of Field ~_~
Depth of Field '7' ~1
Gravel Bed Thickness L/~ II
Standpipes Present (~N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~ J~
To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Installed Dimensions
~i~teein Gallons ~ .^ ' I/~_ Manhole/Access (Y/N)
-rested for p' g y es during Adequacy Test. Meets MOA
Electncal Codes (Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify t h .~ave..~?eoc.ke¢, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed /'/~¢~/-~/~"/'~_ Date '"7--/J'-c~~-
Company ~ MOA No,
Pate of Payment _
Amount: $ /'~--~ ·
Page 2 of 2
72-026 (I 1/84)