HomeMy WebLinkAboutGLACIAL LT 1Gktcial
Lot 4
#075 -091 - 14
10/04/2014 00:33 907-345-0202
ALPINE DRILLING PAGE 02/02
Alpine Drilling & Enterprises
Well Log
Permit Number: 0SW090137 Date of Issue: 8-4-09
Date Started: 8-7-09 Date Completed: 8-7-09
Legal Description: Glacial Lot 4
Property Owner Name & Address:
Parcel Identification Number: 075-09144
Is well located at approved permit location? x Yes fl No
Kirk & GabrielleHoesskk
PO Box 917
Girdwood. Afaska 9958
_
BoreholeDepth (ft)
Soil Type, Thickness & Water Strata From To
Stick-up 0 3
Cn ai el fill 3 4
Silty gravel 4 27
silty gravel 27 49
water sand d gravel 49 50
Method of Drilling x air rotary 0 cable tool
Casing type: steel
Wall Thickness: .25 inches
Diameter: b inches Depth: ¢,Q feet
Liner Type:
Diameter: _ inches Depth:._. feet
Casing stickup above ground: 3 feet
Static water level (from ground level): 31 feet
Pumping level: 60 feet after
2 hours pumping 50 gpm
Recovery Rate: 50 gm
Method of Testing: air lif
Well
x
IN
Intake Opening
Open End
Screened
■
Start
Type:
Open Hole
feet Stopped feet
❑ Perforations Start fret Stopped feet
Groat Type: bentonite Volume: Ibg
Depth: Start t .eet t. u, ed ? feet
WATER QUALITY TESTING
Conform I e Co1/l0OrnL
Pump: Intake Depth feet
Pump size hp Brand Name
Nitrates 0 c mg/L
Well Disinfected Upon Completion? x Yes ❑ No
Method of Disinfection: chlorine tablets '
Arsenic iv VL
Comments:
Well Driller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
Mark Begich
Mayor
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orq/onsite
(907) 343-7904
Pump Installation Log
Well Drilling Permit Number: Oq'/ % "/ Date of Issue: 7 -'''
- D
Parcel Identification Number: 075- Of/ - /17
Legal Description
Block
Lot
Property Owner Name & Address:
P i mp Installation Date: - /S - 0
Pump Intake Depth Below Top of Well Casing: SS feet
Pump Manufacturer's Name NZ,—
Pump Model: • S J'1 o / (y CJ7610-!
Pump Size r' S hp
Pitless Adapter Burial Depth: / 0 feet
Pitless Adapter Manufacturer's Name: //be
Pitless Adapter Installer: Writ
Well Disinfected Upon Comple i n? 4, Yes ✓�
Method of Disinfection:
Comments:ntQ//
VV t C.JC/1aa.-14741-j_i--J,4% a -ce r,
Pump Installer Name:
Company:
Mailing Address:
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to DSD within 30 days of pump installation.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Upgrade
Permit Number: SW090137
Legal Description: GLACIAL LT 4
Design Engineer: 0000 ZZ - NONE NEEDED
Owner Name: Kirk & Gabrielle Hoessler
Owner Address: PO BOX 917
GIRDWOOD , AK 99587-0441
Date Issued: Aug 04, 2009
Expiration Date: Aug 04, 2010
Parcel ID: 075-091-14
Site Address:
Lot Size: 7953 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
EXISTING WELL MUST BE PERMANENTLY DECOMMISSIONED
Received By
Issued By:
Date:
Date: 8 - L% ` OC(
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
07C-/o�`il-lq I (� f�
Parcel I.D. J '#'-} C—(/C(C et- t7rt J C- Or 1 57 i`.V ctl�ocy:t Ci sok
Property owner(s) �Boy
Q�1� Q 6a- bre 1� �6etS3/eoay phone 2.2%- f pp 12%
Mailing address C) .t>r' t l % ( (`? Ir C.41, Zip Code 99 5U 7
Site address Lot 4- 6Iani er 1Jri15�' or 151 Zip Code 9S27 n
Legal description (Sub'd., Block & Lot) , V�'r\w� ` "Girc(e JS7auO S Ob11
Legal descriptionO
(Township, Range & Section) Cf -A-0-10
ri
Lot Size O (%06 Sq. Ft. Number of Bedrooms
2.
THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN:
❑ Initial
❑ Upgrade
❑ Renewal
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
0
I certify that the above information is correct. I further certify that this application is being made for a
Single ily_Dwelling and js in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: n� O
Waiver Fees:
Date of Payment: g y t l Date of Payment:
Receipt Number: 0343S1,4 Receipt Number:
(Rev. 11/05)
GLACIER DRIVE 0
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# 0 '7 S —09/ - II HAA #1I F 7 CIO c
1. GENERAL INFORMATION
Complete legal description Lot 4, Glacial Subdivision
w
l,I,s-/q
Location (site address or directions) NHN Glacier Circle
Girdwood AK
Property owner Eric Gray Day phone out of state
Mailing address
Lending agency Day phone
Mailing address
Agent Remax of Alyeska/Judy Bauer Day phone 783-2010
AddressPO Box 1079, Girdwood, AK 99587
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
XXX
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
XXX
NOTE: 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 421
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 all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Engineer's signature
S & 5 ENGINEERING
17034 Eagle River Loop Road No. 204
Eagle River, Alaska 99 77 ,
4:' />
Phone
CC)y —2-6)7`7
Date
'sa'+LdFi�ir
d`/
9
l,.Y a✓..!gip
ROBERT C. COWAN i 0-,
a/ �i,. °•,` G� -2501 +'S�iv
6. DHHS SIGNATURE
'. Approved for I t -u' bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
By
Additional Comments
/,, Viii', /�c'� {.
Date / f / CO/
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 engineers work.
12-025 (Rev. 1/91) Back MOA 1(21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICESAuNIuM^ury QF ANC
Environmental Services Division EN*104isitimAk.suvicE
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
KtttIVtL)
NOV 0 21999
// Health Authority Approval Checklist
L..
Legal Description: ®%'/ 61 /*C(47 S Parcel I.D.: 0 2 r — 09I — 1 h
A. WELL DATA
Well type howl- If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Ye PSI 0 Date completed i%04E A`%ti+)1°
/� l -I it
Total depth G(JJii0CiLJ�`7 C sed to %"! t. -'Casing height (above ground) '
Sanitary seal &l) �i Wires properly protected @N) xts
Date of test
Static water level
Well production
FROM WELL LOG
g.p.m.
AT INSPECTION
(b- -fl
21/
WATER SAMPLE RESULTS:
Coliform 0 Nitrate
0. r Other bacteria c7
Date of sample: Go }>(R `,
B. SEPTIC/HOLDING TANK DATA N
Date installed Tank size
Collected by:
Foundation cleanout (YIN)
Date of Pumpi
C. ' BSORPTION FIELD DATA
Date installed
Length Width
g.p.m.
S & S ENGINEERING
1/044 Eagle River Loots Road No, 204
Eagle River, Alaska 9957
ompartments Cleanouts (Y/N)
Depression (Y/N) High water alarm (Y/N)
Pumper
Soil rating (g.p.d./ft2 or ft2/bdrm)
Gravel thickness below
Effective absorption area Monitoring Tub
Date of adequacy test
Fluid depth in absorption f'- • •efore test (in.); Immediately after gal. water added (in.):
sent (Y/N)
esults (Pass/Fail)
Syste
Total depth
Depression over field (Y/N)
For
Fluid depth
bedrooms
(ins) Minutes later: Absorption rate = g.p.d.
de treatment (past 12 months) (Y/N) If yes, give date
72-026 (Rev. 3/96)*
D, LIFT STATION /0/A_
Date installed Size'
Manhole/Access (Y/N) ump on" level at* "Pump off" level at*
High water alarm level *Datum
Cycl ed
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON•LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
,3/4
NA
cro
Sewer /septic service line
On adjacent lots
)0/A
On adjacent lots A #
Public sewer manhole/cleanout /cotck
Lift station /U/A-
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 4/4
Absorption fie
Foundation
tie
Property line
Water main/service line Surface water/drainage Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPT
ELD ON LOT TO:
Property line :uilding foundation Water main/service line
Surface water
ain drain
F. ENGINEER'S CERTIFICATION
,t..".Ygc�`
I certify that I have determinbd thru field inspections and review of Municipal records teatfevAie ms are
in conformance with MOA fjl.94 guide!' es in effect on this date. 4;,P . ......0
Signature J'�i� . !/�%�`-� Pc/ iv ,,h
`T \ ROBERT C. COWAN int- i
44:61`�f•,� CE -8801 ,.l
� �., . • C� .-
ti`` /)"V.... ...' •,4.'b-
tyro ,
HAA Fee $(._.2,49, Waiver Fee $
Date of Payment // —0-1— / 77 ) Date of Payment
Receipt Number Af*//-/ 0 77Y Receipt Number
72-026 (Rev 3/96)* (((
Driveway, parking/vehicle storage area
Wells on adjacent lots
Engineer's Name
AAg'ty-C-
Date 1//7"/ 9%(
h CT&E Environmental Services Inc.
■ Laboratory Division r
200 W. Potter Drive
Drinking Water Analysis Report for Total Coliform Bacteria
Anchorage, AK 99518-1605
Tel: (907) 562-2343
READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561-5301
MUST BE COMPLETED BY WATER SUPPLIER TOB COMPLETED BY LABORATORY
An ysis shows this Water SAMPLE to be:
Satisfactory
❑ Unsatisfactory
❑ Sample over 30 hours old, results may
be unreliable
❑ Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample via special delivety mail.
Date Received
❑ PUBLIC WATER SYSTEM I.D. #
PRIVATE WATER SYSTEM
Sen
Wd Results
Wary- S En
ater System Name/Company
Phone Number
❑ Send Invoice I ; I,
JlIVCcermet name
bel p
Fax Number
Malme Addmss
�osc.
eny
sere
bp Code
Send Resulis Send Invoke ems.
v,W.ti- CIact -Vt 1 ✓AVI��i.tk
Company NatesCallannate
`17C3-2.0II
Mvlmg Address
¢try
Sou ZaPCode
SAMPLE DATE:
SAMPLE TYPE:
❑ Routine
O Repeat Sample (for routine sample 0 Untreated Water
with lab ref. no. )
)i,a Special Purpose
SAMPLE LOCATION
GjW tr,; �� r (3tr a L -t. X17
l Ib
Month
9
A
Year
0 Treated Water
Time Collected
Collected By
Please Prim
Time Received
Analysis Began
Urn
i77 )650
Analytical Method: Gi' Membrane Filter
0 MMO-MUG
* Number of colonies/100 ml.
-'esult* Analyst
995926 1
Fbks Jun ❑
Faxed
Date: Time:
Client notified of unsatisfactory results:
❑ 0
Phoned Spoke with Faxed
Date: Time:
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result: Total Coliform E. Coli
Membrane Filter: Direct Count l/ Colonies/100 ml
Verification: LTB BGB COLIFIRM
Fecal Coliform Confirmation
Final Membrane Filter Results 4 -ti/ -, -0/ Coliform/100 mi
Reported By / �...� Date iol2419 lGTime /575-0 hes
Comments:
TNTC - Toe Numerous To Count
OB - Other Bacteria
0 OB Member of the SGS Group (Societe Generale de Surveillance)
ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY" OHIO. WEST VIRGINIA
OCT -11-99 13:49
FROM -CTE ENVIRONMENTAL
CT&E Environmental Services Inc.
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
Ordered By
PWSTD
995457001
S & S Engineenng
Lot 4 Glacial
Lot 4 Glacial
Drinking Water
0
5615301 T-796 P.02/03 F-391
Sample Remarks:
Client PON
Printed Date/Time 10/11/99 10:34
Collected Date/Time 10/05/99 14:20
Received DateITtme 10/05/99 16:25
Technical Director; Stephen C. Ede
Parameter
Total Coliform
Nitrate -1i
Results
PGL
units
Method
Allawante Prep
Limits Date
gets thA/JL4-a
0.500 u 0.500 mg/L
Analysis
Date nit
Sm18 92220 10/05/99 KAP
EPA 300.0 10 max 10/05/99 10/05/99 SCL
OCT 01 '99 01:42PM REMRX OF ALYESKA ERL ESTATE
•
5
ot.•°
A
C .
CABIN N
74.3•
h•
S_
00,
CABIN
12.3'
N
03
GLACIER DRIVE by
LOT 4
3
4
• ``
_D•z:
N
M
N
P.1
Co he,
a.
24,2'
EXISTING
HOUSE iv
N
OREENHousE � %
•O `
24,2.
vA
D
Up a •;'�Cenneth L. "Dreyer: ff
(foo ^'•, LS -8202. ;' 2`O
00
4 oa fessiono'•V'�d�� •
4D00000#o
�4Qr
OROSRED BY:
JUDY WELCH
with VISTA REAL ESTATE
EXCI.UDON NOTES! It t3 the owners' responsibility to determine
the extslencc of any easements, covenants, or restrictions
which do not oppeor on the recorded subdivision plot. NOTE:
Under no a rcumstonoes Should any data hereon be used tor
construction or for establishing property linos,
LAND & CONSTRUCTION SUR VEYnRS-PI ANNCRc-reinimrrOR
SURVEY CERTIFICATION. LANTECH hos conducted o
physical survey of this property os shown on this
drawing and that the Improvements situoted there.
on arc• within the properly linos and no encroach-
ments exist other thon noted.
AS—BUILT •OF': LEGAL DESCRIPTION;
LEGEND: SET F
S/a•RE W/CAPD 5/e• RB 0
3.25' AL.MON. $ MONUMENT
MUS & TACK 0
x—
OvERNANG-
Wo00 DECKS- t- -- ------
CONCRETE- F •"'I
ASPNALT-
GRAVEL-
SEPOC STANOPIPES-
WATER WELL- S
errsse a
ENSTAR
atSIMI
October 27, 1999
S & S Engineers
17034 North Eagle River Loop
Eagle River, AK 99577
ENSTAR Natural Gas Company
A DIVISION OF SEAGULL ENERGY CORPORATION
Engineering Department
401 E. International Airport Road
P. 0. Box 190288
Anchorage, Alaska 99519-0288
(907) 264-3740
FAX (907) 563-4085
To whom it may concern:
ENSTAR Natural Gas Company has no objection to the encroachment of the well in the 10'
utility easement on the north side of Lot 4, Glacier Subdivision. See attached as -built survey.
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
.✓
"1""/L(
Drew Smith, Engineer
cc: File
•' ATU
•tir • • TELECOMMUNICATIONS 600 Telephone Avenue • Anchorage, Alaska • 99503-6091 • 907 564-1000
:r.
October 27, 1999
S & S Engineering
17034 North Eagle River Loop
Eagle River, Alaska 99577
ATU Telecommunications has no objection to the encroachment of a well
into a platted easement located on Lot 4, Glacial 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:
ATU 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 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. All 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.
Sinc- ely
eg Sc mid, or an
outside Plant Engineering
ACCEPT /CE•
AC&P if 863
GS\le\g:mswd\cor\nonob\Glacial.doc
DATE:
lo! }7(r'i1
OCT -27-99 THU 3:33. PM GCI CABLE
OCT -2? -1999 14:43 982 ENGINEERING
October 27, 1999
S do S Engineering
Collin Williams, P. E.
17034 North Eagle River Lp, Suite 204
Eagle River, Alaska 99577
Dear Mr. Williams,
FAX NO. 9077869380
907 694 1211
Lon {W. JuUUuudduu
P. 2
P. 02/02
r. 1
Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc.
of Alaska has no objection to the well encroaching into the 10' utility easement on the
northeasterly property line of Lot 4, Glacial Subdivision, located on Glacier Drive in
city grid 554813,
This leuer of non -objection in no way precludes OC1 Cable from full use and enjoyment
of any rights it may have within any portion of the utility easement and or the right-of-
way, including unlimited access for servicing its facilities. Also any additional and
extraordinary costs incurred during any future required construction, repair or
reconstruction of GCI's facilities to accommodate any or all of the encroachments shall
be paid by the property owner.
By signing below, you agree to indemnify end ho14 GC; Cable harmless, now and
forever, for any damage, costs, expense (including reasonable attorney's fees). liabilities
and injury to any person or property Occurring as a result of the encroachment.
Please indleate your acceptance by signing and returning this letter to myself at the
address below.
Sincerely,
istest,
OSP Design Engineer
Acceptance
/P-27- 97
Date
5151 Fairbanks Street • Anchorage, Nasktt 98503 • 807/786-9260
TOTAL P.02
NOV.-09'99(TUEI 08:14 AWWU - ENGINEERIN
Rick.Ilpatrom.
Thoth,.
TEL:562-0824 P. 001
ANCHORAGE WATER & WASTEWATER UTILITY
Engineering Division
3000 Arctic Boulevard
Anchorage. Alaska 99503-3898
Fax Number (907) 562-0824
November 8, 1999
Eric & Mary Lou Gay
PO Box 441
Girdwood, Alaska 99587
Re: Glacial, Lot 4 (Grid 4813)
Request for Letter of Non -objection to Encroachment
Imo
Owned hr the
1/unmdpalin' q/ Anchorage
The Anchorage Water & Wastewater Utility received a request, on November 1, 1999, from Robert
Cowan, for a letter of non -objection. The existing encroachments include a private well and a non-
permanent shed located within the utility easement on the northeast 10' or the referenced lot and
stairs and the southeast corner of a deck that encroach into the 95' sanitary easement located
southeast of the referenced lot. Submitted with the request was an as -built drawing indicating the
location of the encroachments.
The referenced area is outside the AWWU certificated water service area. An AWWU sanitary sewer
mainline is located within the 95' sanitary easement southeast of the referenced lot. AWWU issues
this letter of non -objection with stipulations, and by using it the 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 will be observed and maintained within the easements;
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 easements; and,
4. Additional and extraordinary costs incurred during any future required repair or reconstruction of
AWWU facilities to accommodate the encroachments shall be paid by the property owner.
Should you have any questions, you can reach Hallie Stewart at 564-2721.
Sincerely,
t•.__ i Bees: -
i
• Roberta Piper, P.E.
Planning Engineer
Cc: S & S Engineering, Fax 694-1271
\\aclamm\groups\Enginnering\pl anning\Plunnlnp\DIMS\nnrroaehntdrheutml•Cirdwnnd,doc
ENCROACHMENT PERMIT ION2E-18A
G-4813
EN99065
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 Matthew E. Gay, Eric H. Gay. and Mary Lou Gay
of Anchorage (herein "Permittee"), whose address is P.O. Box 441, Girdwood, Alaska
99587.
1. Easement. Chugach is the grantee or user of an easement for the
construction and maintenance of electrical facilities as follows:
Dedicated by the plat of the subdivision known as Glacial Subdivision,
according to Plat Number 66-28, recorded on the 28th day of March, 1966,
on file in the office of the District Recorder, Anchorage Recording District,
Seward Meridian, Alaska,
(herein "Easement") which pertains to the following described real property:
The Northeast Ten Feet (NE 10') of Lot Four (4), Glacial Subdivision,
according to Plat Number 66-28, 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 Pennittee 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 Four (4), Glacial Subdivision, according to Plat Number 66-28, on
file in the office of the District Recorder, Anchorage Recording District,
Seward Meridian, Alaska,
(herein "Parcel").
2. Encroachment. Permittee has constructed or purchased the following
improvements on or within the real property subject to the Easement:
A water well that encroaches approximately Four Feet (4') into the
Easement for a distance of approximately Four Feet (4'), a cabin that
encroaches approximately Four Feet (4') into the Easement for a distance
of approximately Eleven Feet (11'),
(herein "Encroachment").
Encroachment Permit - Page 1 of 4
3. Permit. Chugach hereby authorizes Permittee to continue the existence
of the Encroachment in its current location subject to the covenants set forth in this
permit.
4. Indemnification. Permittee shall indemnify and hold Chugach harmless
from any claims for personal injury, property damage or other loss arising in any way
from the construction or continuation of the Encroachment.
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.
9. Termination. Chugach may terminate this permit after the giving of
thirty (30) days written notice of such termination if:
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.
Encroachment Permit - Page 2 of 4
1.10U 12: 19 SgS EVIGI NEER INLi
9177 594 1711 P.174701.
11. Entire Agreement. 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 ELECTRIC PERMITTEE
ASSOCIATION, INC. Matthew E. Gay, Eric H. Gay, Mary Lou Gay
By:
Title: Eugene N. Bjornstad
General Manager
By:
Date: Date:
ia
STATE OF SRA. )
) ss:
THIRD JUDICIAL DISTRICT )
Matthew E. Gay
(,
Eric H. Gay
Date: %/
By:
Mary 14 u Gay
Date: // // />v
The foregoing instrument was acknowledged before me this / 5 day of
�t1 tw p �✓t�� , 1999, by Eugene N. Bjornstad, the General Manager of
Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation.
\A.t.v. -: ("��?
Notary Public in and for the State of -Alaska- cY u
My commission expires
Encroachment Permit -Page 3 of4
10I'I I Iaa1i 1..: 1_!
1:1 11_111 U_LI-.:I111i
STATE OF A ASKA__
THIRD JUDICIAL DISTRICT
)
) ss:
)
The foregoing instrument was acknowledged bbsfore me this/ 3 day
of , 1999, by (- t..
STATE OF ALASKA -
THIRD JUDICIAL DISTRICT
Notary Public in and for the State o
My commission expires
)
) ss:
)
0r
—�7
lafska–
The foregoing instrument was acknowledged before me this day
of ,1999,by
STATE OF ALASKA.
THIRD JUDICIAL DISTRICT
Notary Public in and for the State of Alaska --0
My commission expires_
)
) ss:
)
The foregoing instrument was acknowledged before me this ,— day
of 1999, by
Notary Public in and for the State of Alaska
My commission expires
AFTER RECORDING RETURN TO_
Chugach Electric Association, Inc.
Land Services Department
P.O. Box 196300
Anchorage, Alaska 99519-6300
Encroachment Permit - Page 4 of 4
ALASKA QUIT CLAIM DEED
After recording mail to:
C. Craig Covrett, Attorney at Law
2727 N. Holland -Sylvania Road, Suite E
Toledo, Ohio 43615-1800
KNOW ALL MEN BY THESE PRESENTS:
KNOW ALL MEN BY THESE PRESENTS, that on the /5) day of
I)Y((, 1998, for the sum of no consideration, ERIC H. GAY
and MARY LOU GAY, husband and wife, whose address is 5831 Winslow Road,
Whitehouse, Ohio 43571, CONVEY TO ERIC H. GAY, TRUSTEE of the ERIC H.
GAY LIVING REVOCABLE TRUST, dated October 9, 1991, and as amended on
December 3, 1993, and as amended on January 9, 1998, whose tax -mailing
address is 5831 Winslow Road, Whitehouse, Ohio 43571, the following
described premises situated in the Anchorage Recording District, Third
Judicial District, State of Alaska:
Lot Four (4), GLACIAL SUBDIVISION, according to the official
plat thereof, filed under Plat No. 66-28; records of the
Anchorage Recording District, Third Judicial District, State
of Alaska.
Prior instrument reference: Bk. 027701, Pg, 513;
Witness our hands this i- / day of 1998.
Signed, acknowledged and delivered
in the yrese e of:
(, < , c ; i.)c �(
STATE OF OHHIO, LUCAS COUNTY, ss:
The foregoing instrument was acknowledged before me this
day of 1 'rill I y , 1998, by ERIC H. GAY and MARY LOU GAY, husb)dlit
and wife.
004050
i;;; ;AGE
RECORDING DISTRICT
Notary Public
DEBBIE .Vki
Notary Public,
1999 JA 19 PH 3: 35 14 Commission bpi,
REQUESTED BY
c°(Qe11
THIS INSTRUMENT PREPARED BY:
C. Craig Covrett, Atty. at Law
2727 North Holland -Sylvania Road, Suite E
Toledo, Ohio 43615-1800
(419) 535-1840 ..nn.n•r�•�•ta.um