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THE VILLAGES TIDE VIEW LT 1
~".~UNICIPALITY OF ANCHORAGE _...- IIea.~ %. and Environmental Prote~ -~n Fourth Floor West ~ I 825 L Street : Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ONiSITE SEWAGE D~SPOSAI. SYSTE/'A SEPTIC TANK: ~ DISTANCE¥,,~.:LL I-~ ~r.lb.~ · ~~. ~_ (~? ~ /9 NUMBER OF FROM MANUFACTURER MATE RIAL~~ ~ ,~ COMPARTMENTS ~ INSIDE LEt,If;TH iNSIDE WIDTH ! % of Lines / DISTANCE BETWEEN LIt~ES LIQUID DEPTH ~ LIQUID CAPACITY/.70'--~ALLON5. NEAREST LOT LINE 4~/~ _ OF LINE '~'~/4 TRENCH WIDTH~ IN. TOT ABSORPTION AREA -/~__~_(~ SQ. FT. LENGTH OF EACH LII'IE DEPTIh TOP OI' TILE TO FINISH GRADE.~_ /f OEPTII OF FILTER .f~ MATERIAL DENEATH TILE IN. ABOVE TILE SEEPAGE PiT: ...... IN. Log Crib BUILDING FOUNDATION DIAMETER OR WIDTH LENGTH~, DEPTH Rings, , Crib Size: DIAMETER__DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE , NEAREST LOT LINE ~ ABSORPTION AREA {WALL AREA) Class: Depth: Well Distance To: Lot Line Bldg: Sew~r~Line:_ Pipe Materials: ~ ~ t~ # of Bedrooms: Installer: bbwu~~' I ; I PERMll I'lUl'-.I I C I .P--~IL ! l"-t' OF RNI2-HIi, R..FI~E . Q-/.t -~7 DEP~RlHENT ( 'EHLTH AND ENVIRONP1ENTAL ~'"~',TEC'I-ION 825 'L' STREET,27~-251'IANCHORFtGE' AK. 99t_.,_..,. HELL Hr4D Or~--S I ( 77827 ) -- AF"HL I CAN I' LOC. RI 1 LEGflL G ~-~LIKI,~ F~ Fl,'r~ NZEL ULD SEWHRD HIWRY LOT -1 IIDEVIEW SUB ~20i E 41ST APT R LOT SIZE 272 0855 5535? SQUARE FEET IYPE OF 5U)L HBSORBTION SYSTEM IS: TRENCH NRXI~IUM NUMBER OF BEDROOrIS = 6 SOIL RHTING (SQ FT/BR)= 85 1HE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEP'I'H= 6 L F---- I",lO l" H = 64 13RFIVEL DEPI-H= 4 IRE LENGTH DIMENSION IS THE LEN~]TH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPIH OF A TRENCH OR PI]' IS THE DISTANCE BETWEEN THE SURFACE OF ]HE GROUND AND 1HE BOTTO~I OF THE EXCRVRTION (IN FEET). ]HERE lb NO SET W1DI'H FOR TRENCHES. IHE GRHVEL DEPIH IS THE MINIHUM DEPTH OF GRRVEL BETWEEN THE OUTFALL PIPE AND ]HE BOI]OM OF THE EXCAVATION (1N FEET). R~Z£4L! I RP£D SF--PI' I C 1-h~}( S I ZE= ~L7~0 m-~HLLOf4$ PR¢~(RGE PLAN1- OPl' I ON A PHCKHGE PLHNI MR~ BE INSTALLED Al' THE PERMIITEE'S OPTION SUBJECT TO THE FOLLOWING COND1]'IONS: I. Ell'HER 8 CLASS I OR II HSF 8PPROVED PLANT MAY BE INSTALLED. ~. H CONIINUOUS MAINTENANCE RGREE~IENT IS REQUIRED. IF 8 MAINTENANCE 8GREE~IENT IS NOT KEPT CURRENT ~OU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION S~STE~I AND/OR ~OU MR~ BE SUBJECT TO PROSECUTION. ]'L~O < 2 ) I NSPEC]- I 0£~--'-5 ARE REQIJ I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEWAI~II'IEIql WILL BE SUBJECT TO PROSECUTION. MINIF1UM DISIANCE BEIWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL'SYSTEM IS 10~ FEEl' FOR 8 PRIVH[E WELL OR 20~ FEET FOR '8 PUBLIC WELL WELL LOGS 8RE REQUIRE[) AND ~IUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS OF ~HE WELL CO~IPLETION. O"IHE~ REQUI~EHEN'FS MRY RPPL~. SPECIFICATIONS AND CONS~RUCT10N DIAGRAMS ARE HVHILHRLE 10 INSURE PROPER INSTALLATION. PEF~P11 -l" E×P I RES DECEMBER 3'1.. '15277 CERI IFY 1HAT Afl FAMILIAR WI1H THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FQ~[H 8Y 1HE ~IUNICIPALII¥ OF ANCHORAGE WILL 1NS]ALL THE SYSTEM IN ACCORDANCE WITH THE CODES. UrOERSIRND THAT THE ON-SIIE SEWER S~STEM HR~ REQUIRE ENLRRGEF1ENT IF THE ~E~IDEf.4CE~EHODELE~ ~ TO eNCORE THAN 6 BEDROOMS. ....... ............. HPPLI~HN r GEORGE FRENZEL ..................... V3. 0 T.H. No. 1 9-8-77 0.0t ~Gvly Sd 'W sm. St, sl moist; brown. _ 0.2' Sandy Gravel,. moist, gray. T.H. No. 2 9-8-77 0.0' 'F-~'~""'" Fill Mat ' 1 , ...... ~".~.1% Gravelly· Sand with ::.~"'.%~. ' some Silt, sl .~.~.'~.'..' ~ mo is t, brown. '.;0:. ~: f% .~.. -- 1.0' ,~..:- ::: ~3" :o; : '~:~ Sandy. Gravel, si" '. .~%:~Q:'-~-'"' '- moist, gray. x: :..:¥, 6.0f -- 6.0' .:~.~' Gravelly Sand, with D~ '~' · ~.~ low trace Silt, sl ~ a, __g~ ~.. Gravelly 'low trace Sand, Silt, withsl 7.0' ~o.'~&.--.'.. moist to wet, '.'_~ ~J ~{, moist to wet, ~ ~ brown. (SV-SN) -- ,/ / ~ brown. (SW-SM) · ~/ \~ see note ~* see note. ~ ~ ---- 7.0' -- 7.0' Clayey Silt, si moist, Clayey Silt, el' ./ ~.~r..kcLg~ray. ' ' moist, dark gray. 12.O' 12.O' TD TD NOTE: Small amount of water trickling into test holes from base of sand. ' Test hole logs represent soils " encountered on Lot 1, The Villages, '"" Tide View. ' '~' George Frenzel Property ' ' **NOTE: Finished grade of property at drainfield location will be approximately 8 f~et above top of testholes. Michael B. Bergmann Consulting. Geologist Anchorage, Alaska Beptember 10, 19~''~ Nr. George Frenzel 801 Airport Heights Anchorage, Alaska 5F..P ', $19-/? :' E C.., r-, V [! P Subject: Soils investiga{ion for sanitary sewer system, Lot l, The Villages, Tideview, Anchorage, Alaska. Dear I, Ir. Frenzel At your request of September 7, 1977, I conducted a soils investigation~at the proposed location of a ~ani{ary system on the subject lot. This investigation, which was accomplished September 8,.1977, consisted of the inspection of 2 test pits, that were dug by a backhoe.to the depth of 12 feet. The original topography of the site had been altered in the past by removal of gravel from portions of the subject lot and the surrounding area. Prior to the usage as a borrow pit the lot sloped moderately to the west. The test pits were dug in an area of the lot'which is below the original ground surface and according to your statements will be backfilled after installation of .the proposed septic system to a level approximately 8 feet above the top of the test pits. The soils ~n'co~ntered in the test pits are '~h'owrt'on the accompanying test hole logs. A small amount of water was observed tri'ckling into the test pits at the base of the sand layer. Bedrock was observed approximately 150 feet to the east of the east boundary of the lot. An accompanying sketch shows the subject lot with the approximate locations of the test pits and other pertinent information on it. I appreciate the opportunity to be of service to you. Please contact me if you have any questions regarding this soils investigation. Very truly yours, Box 191, Star Route A Anchorage, AK 99502 (907)344-9150 Attachments: (1) Drawing of test logs, (2) Location sketch xc: Dept. of Health & Environmental Protection Z George Fren~el Property Lot 1, The Villages, Tideview. T.H. No.I - '. ·" ' ]T'.H. No. 2. e WELL COHSTRUCTtON LOG Drilling Co. VP..rnt~ ~t].l~.TJ~ ~ ~. Driller ~ ~T~t'~ Type of ~lg ~ ~00~ Well location: (8ddress ~ legal descfiptlo~) ~ ~ ~0~10~ ~ ~e Villages Sub. gepth of well· ~8t ft. Casing: depth 29 ft. diem, 6 In. Static water I.vel ~ ft. (above, hflfl.) land surface. Date ~0--~ Finish of well: (open-end, screen, perlorated, open-hole, other) USGS no. Oate well completed Nearest community Locetlon sketch of remarks Describe intervals and size: Well-yield tested by (pumping, boiling, air) et ~]~ for ~/~) hours with ~ ft. of drawdown from static level. Gal/min. DRILLER'S NATERI&L LOG Depth below land surface in feet Give description of strate penetrated (size of material, color, hardness of drilling, and water content) 0 to17 1"/ to2~. 2~* to26 26 to gravel & ctlty till blue silty clay - little gravel hard blue clay with little gravel bcd rocE-buff colored-Ii=ca,one to to A20 co=tnB in through fra~t~res in rocE / to to --to to ~tO to to to ~to to to A1UNiC. JPALITY OF ANOd, L;t~,G.~ DEPT, OF £NVIkONMENTAL OFn 8 1977 to RE(:EIVED to MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~..~ ~,. 825 L Stnmt. Anc:~ ~1 99501 ENVIRONMENTAL ENGINEERING DIVISION: ~- - - ' Tdephene 264.4720 I' '":. ;' ? REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES PROPERTY RESIDENT (If different from above) 2. B4~ER MAILING AODRE~S PHONE PHONE ?p -/y£/ ~. LEaL DE~C~iFTJON STREET LOCATION S. TYPE OF R'"r-~IDENCE [] SINGLE FAMILY [~ MULTIPLE FAMILY 7. WATER ~. INDIVIDUAL* I-'1 COMMUNITY I--1 PUBLIC UTI LITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY [] One [] Four [] Two [] Five [] Three ~. Six Other · ATTACH WELL LOG. A well log is required for all wells drilled since June 1976. For wells drilled prioT to that date, give well depth (attach log if available.) individual/on-site, give installation date /O/"~ '~ . *·If If system is over two (2) years old an adequacy test-- is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3F/8) THIS SIDE FOR OFFICIAL USE ONLY .~ * DATE RECEIVED INSPECTION APPOINTMENTS 'TIME TIME TIME DATE DATE DATE ~NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I-'i SINGLE FAMILY [] ONE [] THREE I--i FIVE [] MULTIPLE FAMILY · [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED I--'1PU BLIC UTI LITY Connect[on Verified INSTALLER [~SepticTenk or [--IHoldingTank Size: L'~-~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTUR ~J~__ TOTAL ABSORPT'ON AREA MATERIAL Sef)tic/Holcling Tank IAbsorption Are~ 4. DISTANCES WELLTO: Absorption Are~ to n®ere~t Lot Line Line 5. COMMENTS [] OTHER INeer~tL~ Line ~"~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany c~rtificete) [] DISAPPROVED ('~-~ DATE BY {Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPAUTY OF ANCHORA Development Services Department On-Site Water & Wastewater Section Certificate of On -Site Systems Approval Parcel I.D. 020-091-45 Expiration Date: 1. GENERAL INFORMATION Complete legal description THE VILLAGES TIDE VIEW LT 1 Location (site address) 16800 TIDEVIEW DR, ANCH AK Current property owner(s) WILMA JACQULINE FRENZEL Day phone Mailing address SAME Real estate agent Day phone _ 2. TYPE OF DWELLING: [� Single Family (wlwo ADU) Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER Private. Well 0 Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer F Waiver request for. - Distance Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 280 Date of Payment G -� G Receipt Number O0'2_Y0% COSA # OSC211033 Waiver Fee $ Date of Payment Receipt Number Waiver # C one: 907-3437904 Fax: 907-343-7997 -ZI POSAL: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify tl at my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, on-site water supply and/or wastewater disposal system is (are) safe, functional and a equate for the number of bedrooms and type of structure indicated herein. I further verify that based on the inf mation obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site wate supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ord ances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify t ie information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 72 -$864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E.pate 1-29-21 6. DSD SIGNATURE System #1 Approved for 6 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulate �tttiti�� Original Certificate Date: a - i 1- 2 - The The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approv (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. 7 e Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist K Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet X 9 L ..... • ... . ........... 1CNAEL N. ANDLPSCi� "',7 'r C� - 9419 ..:, . bedrooms, with the following stipulate �tttiti�� Original Certificate Date: a - i 1- 2 - The The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approv (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. 7 e Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist K Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: THE VILLAGES TIDE VIEW LT 1 Parcel I D- 020-091-45 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test, Date drilled 1014/77 Water storage tank volume 0 Total depth 78 ft Well disinfected for coliform te: Cased to *29 ft ❑ Coliform bacteria is Negati% ❑ Sanitary seal is functioning correctly Nitrate 3.02 mg/L ❑ Nitr ❑ Wires are properly protected Arsenic ug/L ❑ Arse Casing height (above ground) 30"+y in. Collected b MNA Date of flow test for COSA 12/4120 Date of Sample 12/4/20 Static water level at beginning of test 22 ft. Comments * well casing is < 40' but it was drilled prior to regulations B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping AWWU SEWER SERVICE D. ABSORPTION FIELD DATA AWWU SEWER SERVICE Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet _.gpm gallons ❑ Yes ❑ No less than MRL (ND) is less than MRL (ND) C. LIFT STATION ❑ Required maintenance com' feted Age of lift station years Lift station material Comments: Adequacy test date Results ❑ Pass For _ Fluid depth prior to test Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment If yes, enter date _ bedrooms in 12 months) E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes * Community Sewer Manhole/Cie ❑ Yes if No ft if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No ft ft if septic tank is under driveway **56 Manure/Animal Excreta Storage Community Sewer Main > 75' F-1Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' Water Main > 10' ❑ Yes if No ft Community Wells > 200' Water Service Line > 10' ❑ Yes if No ft if septic tank is under driveway From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No ft If absorption field is under d Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS * I nt hac A1NtNl I cQwPr waiver rPnttPStPd G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet nout > 100' Yes if No Yes if No ZI Yes if No 23 Yes if No > 100' 71 Yes if No Yes if No ft ft ft ft ft ft Yes if No ft Yes if No ft ment below comment below Yes if No ft Yes if No ft IN • '10491 / y • Td ICH" L N. ANDIUC"4 ,t®� Ct Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 8 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program �0- ^ f Department * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV211011 PID#:020-091-45 COSA#:OSC211033 Permit#: Legal Description: The Villages Tide View Lot 1 Engineer: Mike Anderson Applicant: Wilma Jacguline Frenzel Your request for a waiver of the required 75 feet horizontal separation from well to the sewer main line has been approved. The approved separation distance is 56 feet. This waiver approval applies to the well only. Any future upgrade to the on-site water system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ......................................*.................. 0 N N E 0 0 ...... 0 0 0 N B 0 0 Z E E 1 Waiver is Granted: X Waiver is not Granted: Date: A Approved by: Name of eviewe Feb. 8, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Zero Cost Well Waiver Legal: THE VILLAGES TIDE VIEW LT 1 To whom it may concern: This is a request for a 56 foot waiver for the distance between the existing well (1977) and the AWWU sewer line (1996), at no cost to the current owner. The well was installed before the 12 inch DIP sewer line was installed and the AWWU drawings clearly show a "well protective radius" design which required shrink wrapping the pipe twice plus double bagging the pipe for better protection of the private well. The water test is attached showing a nitrate level of 3.02 which is well below the MOA limits of five percent. The granting of this waiver will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Attachments: Water test results C� l coo' n m u0i a 01 °, M N q cg ;'— -- CY \ its r \ ,l6'S9l-H3I3153479Y61N303srJN3 f376f�O!3 S1NXX' XN'IHIVNQn'3 Hs IY3N O \ eN,sw» Liu \ro o.7, cv o J `\ sSa�� NO pC I—� oda+ g l LIua y� l UNT {-ffi---— --- 4� ni `€ _ l !' 5 NJ`>YH tNarv35rJN3 3 8 OOlr➢ ~ N \ Sl NXX' JlN.'drls 1Y3N N036_ \ L "2,3 i �C14K DY:=Mi = ANf "w \ �. +twc+sl-ts-sust ns `\ 4 0 Y 3dL1 sat Hnss lonwsNoo FLI'OZ+61 rls \ N i .668t! Z9'H/1 ; �BSiL = ANI 'N � © 6H'BZ! m i13731Y1d' ¢sa.n®tS 61ka1m'J 'ot s 5`1918 / 77.341 31RO310Ld lonXl5No.7 06+LI Ylsz s3��r8 1vjrv3Sr.7N3 316�HY `' - ItxOtd lOx I.... .Imor XN(L+/51Y3H &0 •i'LL+LI OIU+z' SIJ Y15 s 0.1VU 1N31135Y, NW 378 .. 5lN,Ol• XYIb'Hs 1v2H O O O O O' LO V: �...----N— OTO 21 d,. 3SI t r:.{ ! 'JH550 a i1 NI 'z ANI ;N A373 M xLl vl mri k5j 2 ` { 1 01'Z - ANI 5 4L Allr --- - ----'- ®- s W, £� AttLlSs:f&YY AW A373 VI Y151 .. `dad7jS � Y 3d41 ifDA NWss� ONfls/X3 Ol lo3NNT3o, 0 0' 0 O 03 O O IN O. Ml OD' h WATER & WASTEWATER UTILITY 401 W. INT'L AIRPORT RD. PHONE: 564-2762 LOT/-RAX6fi 1 55 51 CONNECT PERMIT -ur loa ' g DATE OF APPLICATION 9- 2-94 SCHEDULED COMPLETION DATE 12-94 1:9 SINGLE FAMILY Ik MULTI -DWELLING No. APTS 2 BLOCK O COMMERCIAL _ SUBDIVISION The Vi Ila s Tide View TAX CODE �20-091-45 GRID -3330- ----_ AS -BUILT No. STREET ADDRESS . 16800 Villages Scenic pk: vv OWNER Frenzel George B & Uacqueline PHONE MAIL ADDRESS 16800) Villaoes Scenic Pk1<t CONTRACTOR: C11uCk' S 0 REPAIR EXISTING SERVICE O ON PROPERTY ONLY O MAIN TAP- TO PROPERTY LINE ONLY '}}MOA or AIN TAP t& ON�PROPERTY CONNECT (MOA Or State Rc.r Permit required) O R -O -W NO. CONNECTION SIZE INSPECTION PERMIT REIMBURSIBLE NUMBER APUC Charge REMARKq- PERMITTEE (Please Print) 4T' ASSESSMENTS t C j. CA To be levied upon connection ❑ Main extension agreement O Improvement District ❑ Extend connect agreement Q Pending ❑ Paid Owners Request CHARGE $ FEE $104.00 J FEE $35. 00 I DEPOSIT .55 TOTAL $-1.39-.55 --- PHONE 1IT ISSUED BY: Sandy SID O CASH DATE: /0-,30-7 MAIL ADDRESS I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM. r"l-po I AN A CONS CU 31.122 /Ray. 11/a91 PEAMITTEE SIGNATURE UU PLACE A I THE JOB SATE --------------- MUNICIPALITY OF ANCHORAGE W A: rqje�4,b� `- _-S CONNECT PERMIT e — d ur a9 DATE OF APPLICATION 9- ! 2-94 (� SCHEDULED COMPLETION DATE 7?_ -94 WATER & WASTEWATER UTILITY C SINGLE FAMILY 401 W. INTI AIRPORT RD. PHONE: 564-2762 C MULTI DWELLING No. APTS z LOT/Ff47► I BLOCK 0 COMMERCIAL ^ SUBDIVISION The Villa TAX CODE X20-091-45 Tide Vi GRID 33'u ------_— AS -BUILT No. STREET ADDRESS 15800 Villages Scenis OWNER Frenzel George B A �C Ueline -- PHONE MAIL ADDRESS 16800 Villa O REPAIR EXISTING SERVICE O ON PROPERTY ONLY 0 MAIN TAP- TO PROPERTY LINE ONLY MAIN TAP t& ON PROPEll Permi; RUTY CONNECT 000A Or State Rc:v Permit required) O R -O -W NO. CONNECTION SIZE 411 INSPECTION PERMIT REIMBURSIBLE NUMBER APUC Charge REMARKS. ASSESSMENTS 1_ q(To be levied upon connection 0 Main extension agreement 0 Improvement District _ 0 Extend connect agreement 0 Pending 0 Paid owners Request -CHARGE $ FEE $ �_ ` •0 FEE $ 35.0o DEPOSIT .55 TOTAL $ 139055 ' ur141 L7JUCu tjis Si nd,y -IF-P-AID 0 CASH -LQ CK!/ _ MECY:��� DATE: 10',30-7V i PERMITTEE (Please Print) PHONE MAIL ADDRESS 1 HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM. Fl (I IN A CONSp CCU 31-122 rRev. i t/A91 �� � tf 8.F'�C� (��t 8 HIAy�RE OB SUT[E [�;" HiHON 31VOIGNI v o � o C-\ {� i 20 �y Z � m � �1 ° Z ;: m W IL U o � W a iz' �- 5 E °� Q1� S6Wa>z� I U - - _ . — I > 106 i 1-4 HiHON 31VOIGNI H1HON 31VOIGN1 v. o a � -,O O M t Cil w Z O O CL ��- i ^� zZ W IL !1- a" th ao W ) z� 0 ti U Ql Oi _ 0) 4 S 6WA �j I J j m -- 1 uj w o — -- -- 1a6' -- — --- --- — --- ! 1.0. H1HON 31VOIGN1 78 11 SAT DISH 0 SEINER c0 0547 DISH ®SEMIER CO. LIGHT POLE G LIGHT POLE m DECK >2 v� M1 - TWO STORY DUPLEX ve ry�9 coviceED DECK DECK COVESED i+ oLIGHTPOLE DECK 1^ 85M'T ENTP� 6 a �40p0 0610 D6� E SHED THE SURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORDAS OF THEDATE OF THIS SURVEY. ANYUSE OF MIS DRAWING BY THIRD PART/ES IS PROHIBITED UNLESS WRITTEN PERMISSION ISPROVIDED. FysFMFNT THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN F-XISTIN6 STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. TH jSHANE A. HOLT 4 4 e LS -6914 O OQoa d , fessiona\ AS-BU/LT SURVEY I" =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT1, THE VILLAGES TIDE VIEWSUR ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS 11 TH DAY OF JANUARY , 2021 14913, FB 210-61 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513