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Home My WebLink AboutSUNNY BLK 2 LT 6Sunny Block 2 Lot 6 #015-242-73 Aug 19 22 10:56p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Department- f Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: Parcel Identification Number: 01524273 Legal Description SUNNY Blo71[ roperty Owner Name & Address: ASTERS TARA M & WESLEY M 1600TRAILS END ROAD NCHORAGE, AL 99507 Pump Installation Date: os _ 18 _ 2D22 Pump Intake Depth Below Top of Well Casing: 100 feet Pump Manufacturer's Name: XYLEM 50C3118S12 Pump Model: Pump Size: •50 hp Pitless Adapter Burial Depth: 8 feet Pitless Adapter Manufacturer's Name: MARTINSEN Pitless Adapter Installer: Well Disinfected Upon Completion? Jal les ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: _ ANCHORAGE WELL &PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES O /�� A 2 7.7Environmental Health Division 4 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N.m. $ p l til E L L FI D m E SEPTIC ABSORPTION S DISTANCES AddressTO WELL FROM TANK FIELD q2 /0 VAnI((/A2D phorate) Person No. No. of ballrooms WELL /0 v / 120" 3Ny—s�78 qoo z 13 I S seou osacm.TroM LOT UNE (�QF 20/ L/5/ We lei«o 2 lwnawsan S y/uNy FOUNDATION / Township, flange, Sectors AS -BUILT DIAGRAM (Snow location of *or. sept•e system, properly ones, fourrpauon. S2V 7'12 N R 3 W drneway. water eoa es me) TANKS N SEPTIC ❑ HOLDING o ERADE Manutactwer caperny a paeans CiRE-EIZ ISOD Sr PIPE Material No. of Comparlm mos 0 57 -FF_ L TYPE OF SYSTEM D o //�� UTTID aA TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pope carom from Tow oepm from original creole ppnw prMe 4 FT ID FT Fill aoota active V.9." Bre« Gravel oepm commits ppe —/ I FT Co FT Glavw length Gressel worn CR cE K !a O FT Z FT Total aesorpuon user FT ones 7e? SO FT -- FT Numfxr of onesI Sal ,sung P'pe maternal / 12 j SO FT D 3 0 3 LJ mswier Date lnswiee I f/WrE.c/ R— 17 —90 / . Rf 7� WELLS � s�, .,seer• • ! zs• ' �� PRIVATE ❑OTHER (IdenUtvl /•} a' 1 c,q _ Gaeubcatan (A.B.G) Tow Depth Caaea leo I ��• /�/ t G! / /0/ FT /Q/ FT L / mawiar, Dale mnuisa. ` MT F REMARKS: L °• Scale: / •, = G O - r G�iNE�P'f $�efat Inspections Performed by: •.e •t- Date.9-17-10 c Si t4,:%Tl .'24 as ...... .: ..n.».»*to.. tl i:'�)'.�"�"� ::f14f...: M1� /✓j!(',(/�Q Ci• � L'f2sO a% t' r••�-.Micheef E. Anderson 1 certify that this Inspection less Wormed according to all 4. y�•,� 4381 • E . d Municipal and State guideline In effect on this dolt n/ZT 1 y0 �tQ �� °•o. .+' , V „v dF� ..........��'" FNa1M Daparlmant ApprorN: �/ Date: toll —905) 72-013 (3,185) From FLPINE DRILL 9e7 345 0202 I 711PPRE x WI LOT I SWCK SECTION QTM SVWX ISION Wive t , WT: J&top of caging round!llurf 800, other: Ground DATA: Depth iWX tyW and bolor From To 10 19 1. YS— XX 7 'I. rV Ai. 0^e- y Rt'CEIVEO) Municipality of Anchorage Dept. Health & Human Servlces :A 1 ;Y O.Vnatu" o -au or dy!�&presontative 71. - IDAte; 11.1997 03:52 AM pol .y.. ......... rs, or -alwWWW'. V' .[.-Ta"601P. RAMS WXY,Z, DXPTH- Davi ,'*r 0OW . 1A tog Depth of holit.M4 ft D6pth of casingri 4VTf t;47- A STATIC WATER: LEMYP-,r, ft. Datol&�l METHOD OF DRILLING:2oiher:air-roiAry Dc"Is tool 'U USE or WE JR*qmea'tic C3 ir'rigatiohlowv -'-4 it, . OpublicItupply other: CASINO: Stiok-!vp Lt. DiamivP WELL INTAKE, open.end perforated. to) 11. aft -1)6 Depth$ of 6peningal t scReRN Typs. Slot/Mesh Size: Lengtht I. Sat baiweeli and ft. GMV19L PACK TYPZf Volum used: 'Depth to -to GROUT TYPE: Depth: 'from ft, to ft. DEVELOPMENT METIOD: e!1,4 - Duratiorti 1--'-1014- PUMPING I'ML AND YIELD: pumping PUMP INTAKE.DEPTHS .1t - Xors$00srf Date." ln.atalled WATER CHEMISTRY SAMPLE TAKEN?. Neil di$infeoEq� upop CQ VIP klott PLEASE MAIL: -NHZTE'COPY OF ZOO. NZ-211irk DAYS 210t* V! DGGS- - - PO'BOX 77-2116 EAGLE:RIVER,-'AK.. :9957.7 N U N 1 C I P A L I T Y O F A N C H O R A G E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E S E W E R & W E L L P E R M I T Permit Number: 900213 A �01 cn�a Date Issued: 07/23/90 Engineer Designed A0,11m ryvoe7tstrt! Owner Name: SPINELL HOMES Owner Address: 9210 VANGUARD DRIVE 4102 ANCHORAGE, AK 99507 Parcel Id: 015-242-73 Lot Legal: Subdivision: SUNNY Lot: 6 Block:: 2 Section: 24 Township: 12N Range: 3W Lot Size 59302 (sq.ft. or acres) Max Bedrooms: This Permit: 5 Total Capacity: 5 Day Phone: 344-5678 SEPTIC TANK: Minimum total septic tank: capacity: 1,500 gallons. Each septic tank: must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. PERMIT EXPIRES DECEMBER 31, 1990. NOTIFY DHHS OF INSPECTIONS AT 343-4681 OR 343-4744. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MDA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 5 bedrooms. I also understand that the capacity of the total system is 5 bedrooms and any enlargement will require additional permit. '/ p Signed: �✓ dNf _/Z�? L.�-------- DATE: --- 7 ;2- =J (Owner) SPI..NELL 1OMESL Issued By: �� ------ DATE:—�3 0 `Y LOT (o l3L 2 suNNV P i+, ar V ,O v v sCD Ar sv • F/��L i, IOCATe•' l i I, G4 � * / S i+ !! , 5 D y ,NsrglG /soo�,oG :�Y"� 'd sr,or/C Tr+iuAd J 52^�� t. i. cs• o, , R SWE 6E THE RESPOWIE VZ �.� •y, .. c• TO DETERMINE THE EU PSOF q �q�� a +c ` COVENANTS. ZONING ORDINA E �,�'• `" 7HIS PROPERTY TMT ARE N 100 C;?ff'6K SETPACK , /�STq/-G. F4 Michael E Anderson �r ! �� . •Mr , )Plm /ELQ "116,10P ft: It; a ��O .43QN !E!•.'-a4� r jA' c.o. �OC OM y' /O • : 1�pRC1ESS;Otyv _ /I h•• 3,000 SF RrSCR vE- fz Ov •v0� Y�6!o�,VJjy. PROPOSED C0ITST=TI011 a I UM Municipality of Anchorage / ; 49TM i • DEPARTMENT OF HEALTH & HUMAN SERVICES % ee�� ••• �•$•�j�•�� 625 -L' Street. Anchorage. Alaska 99502.0650 � •%ry��t►K lM ::1 t.! SOILS LOG - PERCOLATION TEST it, �M:chaal ; An arson • \:p v 681 pROFESSION g PERFORMED FOR: 11"r'--Al !°n/J ST. DATE PERFORMED.a90 LEGAL DESCRIPTION: L er B2 <V q jAjj, SoAD, Township. Range. Section: OEPTH SLOPE SITE PLAN (FEET! 1- 2- N 3- GP 4- 5- 6- 7- 8- to- - 5-6-76- 10- WAS GROUND WATER ENCOUNTERED? it-IF YES. S IIIIIII DEPTH? WHAT 0 iz_ 13- MaeltanlptlJAfternu>e-1•w 14 N C w AT1Ek� Regio ng Dan Gross Net 1 D.aM to Net Twne Twne I Wa Dross 15- I 17- Is- 19- 20- PERCOLATION 7-i6- 19- 10- PERCOLATION RATE Imuwnvw�mj PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS /1S L7r/P Q2 5 PERFORMEO 8Y: 104 N t? r L F -A D b roL.1 1114'W4rL C 4fj L7U41EpTFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNIGPAL GUIOEUMES IN EFFECT ON THIS DATE OATS 72-008IRM. ua31 JUL— 17C3-90 Wan 1 eS S 37 SPINEL -1- HOMES. INC WHEN RECORDED M. TO National Bank of Alaska P.O. Box 100600 Anchorage, Alaska 99510-0600 Attn: Melanie Smith Commercial R.E, P - 0 SPACE ABOVE THIS LINE FOR RECORDER'S tP COMMERCIAL AND MULTIFAMILY DEED OF TRUST, ASSIGNMENT OF RENTS AND SECURITY AGREEMENT' (Security for Construction Loan Agreetneni) 71115 DEED OF TRUST herein "Instrument" is made th.......NO.......... da of .......Tune ................... 19...9.x., among the Trustor/Grantor, ........"Spinel „Homes. Ine. y ............................................................................................ whose address is (herein "Borrow. (herein "Trustee"). and the Beneficiary,............ PAXAAnei„rfanK,ox... Axes.ca.................................................................................................... a :nat 1„bnnkin,&_ aesoc ,,..... organized and existing under the laws of 5t8Cf'9.:O:f-AMtt!rYt whose address It ......P.II...Box..,100.GAA....Ahabarn8e....A1.atika....�9�.).Q-960Q , „,, ... .......... .. ... ....... (herein "Lender"), .. . ....... ................................................. ...................... oaaowttR, in consideration of the indebtedness herein recited and the trust herein created, irrevocably grants. onveys and assigns to Trustee, In trust, with power ofsalc,{d,eicxschohl estm Inasvantmaicrose{firrrar"grovnJ ----.--...---..............---rsand:r..a-r,...ar,.....r..-cr..--r..a�-.-.....-----.-- Jul_— 1 93-190 tJ E D 1 5: 3 9 S P I N E L L HOMES, I N C P. 04 Uoilurrn Covenants. Dorm and Lender covenant and agree as follot 1. PAYMENT OF PRINCIPAL AND INTEREST. Borrower shell promptly pay when due the principal of and interest on the Indebtedness evidenced by the Note, any prepayment and late charges provided in the Note and all other sums secured by this Instrument. L FUNDS FOR TAXES, INSURANCE AND 0111ER CHARGES. Subject to applicable law or to a written waiver by Lender. Borrower shall pay to Lender on the Jay monthly installments or principal or Interest are payable under the Note (or on another day designated in wtoing by Lender), until the Note Is paid in full, a sum (herein "Funds") equal to one•tweirih or (a) the yearly water and sewer rates and same• and assessments which may be levied on she Prupeny, (b) the yearly ground rents, irony, (e) the yearlypremium installments for Are and other hatard Insurance, rent loss insurance and such other insurance covering the Property as Lender may require pursuant to paragraph 3 hcreaf. (d) the ycaly premium Installments far mongsge insurance, if any, and (e) irthis Instrument Is on a lasehn)d, the yearly Mcd rents, irony, under she ground lease, all as reasonably estimated initially and from time to time by LcnJcr on the basis of assessments and bills and feu rtnable estimates thereof. Any waiver by Lender of a requirement that Borrower pay such Funds may be revoked by Lender, In Lender's sole discretion. at any time upon notice in writing to Borrower, Lender may require Borrower to pay to Lender, in advance, such other Funds for other taxes, charges. premiums, assessments and Impositions in connection with Borrower or the Property which LenJcr shall reasonably deem necessary to protect Leader's interests ( herein "Other Impositions"). Unless otherwise provided by applicable law, Lender may require Funds for Other Impositions to be paid by Borrower in a lump sum or in periodic Installments, at Lenders option. The Funds shall be held in an Institution(s) the deposits or accounts of which are insured or guaranteed by a Federal or cute agency (including Lender if Lender is such an Institution). Lender shill apply the Funds to pay said rates, rents, team assessments, insurance premiums and Other Impositions so long at Borrower is not in breach of any eovenxnt or agreement or Borrower in this Instrument. Lender shall make no charge for to holding and applying she Funds, analysing said account or for verifying and compiling said assessments and hills, unless Lender pays Borrower Interest, earnings or profits an the runds and applicable law permits Lender to make such a charge. Borrower and Lender may agree in wilting at the time of execution of this Instrument that interest on the Funds shalt be paid to Borrower, end unless such agreement Is made or applicable law requires Interest, earnings or profits to be paid. Lender shall not he required to pay Borrower any Interest, earnings or profits on the Funds. Lender :hull give to Borrower, without charge. an annuai accounting orthe Funds In LenJcr': normal formas showing credits and debits to the Funds and the purpose for which each debit Its the Funds was made. The Funds are pledged as additional security (or the sums secured by this Instrument. Irihe amount orthe Funds held by Lender at she time orlhe annual accounting thereorthall exceed the amount deemed necessary by Lender to provide for the payment of water and sewer rates, exact, assessments. Insurance premiums. rents and Other impositions, as they fall due, such excess shall be credited ea Borrower un the next manibly installment or Insialtmenis of Funds tithe. Ira, anytime she amount orthe Funds held by Lender shalt be less than the ammmt dcemcd necessary by Lender to pay water and sewer rafts, taxes, ■sutsments. Incurance premiums, rents and Other hupos;tions, as they Lill due, Borrower shall pay to Lender any amount necessary to make up the deficiency within thiny days eller notice from Lender In narrower rcquoting payment ehorcof. Upon Borrower's breach of any Covenant or agreement of Borrower in this Instrument. Lender may apply. in any amount and in any order as Lender shall determine in Lender's tole discretion, any Funds hell by Lender at The time orapptiession (1) ,n pay rates, rents, taxes, assessments. insurance premiums and Other Impos;tioos which are now or will bereaner become dam, or (i;) as a credit against sums secured by this InsimmenL Upon payment in full or all sums secured by this Instrument, Lender shall promptly refund to Borrower any Funds held by Lender. 3. APPLICATION Or PAYMENTS. Unless applicable luw provides otherwise, all payments received by Lender from Borrower under the Note or chic Instrument shall be applied by Lender in the following order of priority: (I) amounts payable to Lender by Borrower under paragraph I hercot (ii) interest payable on the Note: (5i) principal of the Note: (Iv) interest payable on advances made pursuant to paragraph 8 hercor; (v) principal of advances made pursuant to paragraph 8 hereof (vi) interest payable on any Future Advance, provided that if more than one Future Advance is outstanding, Lender may apply payments received among the atnnvass of interest payable on the Future Advances In such order its Lender, In Lenders sole discretion, may determine; (vii) principal of any Future Advance, provided that it more than one Future Advance it outnund;ng, Lender may apply oxyments received among It,$ ns"ri"d ►•t......r,t.- tc..... .. u....--- r_ ..._.._.... . . JUL,-10-90 WED 1 S: O O S P I N E L L HOMES, INC P. O S or any pan of she Property to the equivale.. Brits criGinal condition, or such oshCr eondidon a Lenver may approve In writing, in the event orany damage. Injury or toss thereto, whether or not insurance proceeds are available to cover in whole or in pan the Costs of such restoration or repair, (d) shall keep the Property, Including Improvements, fixtures, equipment, machinery and appliances thereon In good repair and shall replace lixturer, equipment, machinery and appliances on the Property when necessary to keep such Items in good repair, (a) shall comply with all laws, ordinances, regulations and requirements crony governmental body applicable to the Property, (r) shaft provide for professional management or the Property by a residential rental property manager satisfactory to Lender pursuant to a contract approved by Lender in writing, unless such requirement shall be waived by lender In writing, (t) shall generally operate and maintain the Property In a manner to ensure maximum rental$, and (h) shall give notice In writing to Lender of and, unless otherwise directed In writing by Lender, appear In and defend any salon or proceeding purporting to street the Property, the security of this Intlnmcrtt or the rights or powers or Lender. Neither Borrower not any tenant or other person shall remove, demolish or alter any Improvement now existing or hereafter erected on the Property or any fixture, equipment, machinery or appliance In or on the Property except when Incident to the repiscement of gxturet, egwpmtnt, machinery and appliances with Items of like kind. If this Instrument Is on a leatehotd, Borrower (1) shall comply with the provisions of the ground Rase, (1) shall jive Immediate written notice to Lender of any default by lessor under the ground lease or of any notice received by Borrower from such lessor orally default under the ground lease by Borrower, (iii) shall exercise any option to renew or extend the $round lesse and jive written confirmation thereof to Lender within thirty days alter such option becomes exercisable, (Iv) shall give Immedisie written notate to Lender or the commencement of any remedial proceedings under the ground Lease by any party thereto and. If required by Lender, shall permit Lender as Borrowers attorney-in-fact to control and act for Borrower in any such remedial proceedings and (v) shall within thirty days after request by Lender obtain from the lessor under the ground lease and deliver to Linder the lessors estoppel ceniflcate required thereunder, If any. Borrower hereby expressly transfers and assigns to Lender the benefit of all covenants contained in the ground lease, whether or not such covenants Nn with the land, but Lender shall have no liability with respect to such covenants nor any other covenants contained In the ground lease. Borrower shall not surrender the Itathold estate and Interests herein conveyed nor terminate or cancel the ground lease creating sold estate and Interests, and Borrower shall not, without the express written consent of Lender, alter or amend said ground lease. Borrower covenants and agrees that there shall not be a merger of the ground lease, or of the leasehold estate treated thereby, with the rce estate covered by the ground lease by reason of said leasehold estate or said fee estate, or soy part of either, coming Into common ownership, unless Lender shall consent In writing to such merger, If Borrower shall acquire such fee tit ait. then this instrument shall simultaneously and without Rather action be spread too is to become a Gen on such its estate. % U$E OF PROPERTY. Unless required by applicable law or unless Lender has otherwise agreed in writing, Borrower shall not allow changes in the use for which all or any pan of the Property was Intended at the time this Instrument was executed. Borrower shall not Initiate or acquiesce In R change In the zoning elastiacaiion of the Property without Lendet's prior written consent. IL PROTECTION OFIF.Nr)ER'SSECURITY. ir Borrower fails to perform the covenants and agreements contained In this Instrument. or It any action or proceeding is commenced which alfccis the Progeny or dile thereto or the Interest of Lender therein, Including, but not limited to, eminent domain. Insolvency, code enforcement, or arrangements or proceedings Involving a bankrupt or decedent. then Lender at Lender's option may make such spreanncet, disburse such soma and take such action as Lender deems necessary, in Its sole discretion, to protect Lender's interest, Including, but not limited to, (1) disbursement or attorney's fees, (G) entry upon the Property to make repairs, (lit) procurement orsat)sfactory, Insurance as provided In paragraph S hereof, and (iv) irthis Instrument Its on a leasehold, exercBe of any option to renew of extend the ground lease on behalf of Borrower and the curing orany default of Borrower In the terms and conditions orthe ground lease. Any amounts disbursed by Lender pursuant to this paragraph 1, with Interest thereon, shall become additional Indebtednets of Borrower secured by this Instnment Unless Borrower and Lender agree to other Berms of payment, such amounts shat be Immediately due and payable and shall beat Interest from the date of disbursement m the rote stated In the Note Inlets collection from Borrower of interest at such rate would be contrary to applicable law, in which event such amounts shall bear Intercet at the hijhest roto which may be collected from Borrower under applicable law, Borrower hereby covenants and street that Lender shall be subrotated to the lien of any mortgage or other Ilea discharged, In whole or In pan, by the Indebtedness secured hereby. Noth)nj contained in this paragraph 1 shall require Lender to Incur any expense or take say action hereunder. 9. INSPECTION. Lender may make or cause to be made reasonable entries upon and Inspections of the Property. 10. BOORS AND RECORDS. Borrower shall keep and maintain at all times at Borrower's address stated below, or such other place as Lender may approve in writing, complete and accurate books of accounts and records adequate to reflect correctly the results of the operation of the Pmpeny and Mpics Of all written contsacts. genua anA nrA•. t.,.,.,....•. �.ats -�--' •• - � - ' ' ' JUL.-18—'DO WED 16:02 SPINELL, HOMES, INC P.06 I1I I J J I 'tad� .,.., .,�,,,,�i,�ii r�q1 �� 1 hllll�ll ICy�CII If 0lnd�l I��h l��J► ' h ' J I Y ��I ''I.i' �iI it ivnllen slalemenl, a y i lit , il,hAp lilt i secured Icy this Instrument and any fight arsehoR, dcrclalm or other defense which exists against such sums and the abligatlons of this Imtrumcat. 13. UNIFORM COMMERCIAL CODE SECURITY AGREEMENT. Thil Instcumtni It Intended 10 be A setudly gpeemenl pilnuAAt 101hC unlroim Commode► Code los«cII for any of the i1eml I�,ifd INVt II pq 011k r(Opy VhkhI h P�Ol,t law� till �abjccl IQ I tN►9qu��la 1h� Ulm r it r4`,114 1611OW11614111111:Idder I tccur,y Inwrtst in said items. Borrower agrees that 'Lender may Ale Ibis instrument, or a reproduction thereof, in the teal estate records or other appropriate Index, as a Anancint statement for any of the items rpecificd above as pan of the Property. Any reproduction of this Inurement or orally other security slrecmcnt or Ansacing statement shall be sulAcknt as a Ansoclog statement. In addition, Borrower agrees to execute and deliver to Lender, upon Lenders request, any financing statements, as well as extensions, renewals and sfnendments Ihertor, and reproductlons of this Instrument In such form as Lender may require to perfect a security Interest with respect to aid hems. Borrower shall pay all costs of Alin` such Anaedng statements and any extensions, renewals, amendments and releases lbe(eof, and shall pay sn reasonable costs and expenses or any record searcher fa Anancing statements Lender may reasonably rcquirc. Without the prior written consent of Lender. Borrower shall not Create or softer to be created pursuant to the Uniform Commercial Code say other security interest In said items, Includint rcplacemonte and additions thereto. Upon Borrower's breach of any covenant ar agreement or Rotrower eonlalMd In this Instrument. Including the tovenanls to pay when Jut all sums secured by this Instrument. Lender shall have the remedies of a secured party under the Uniform Commercial Code and, at Lender's option, may also invoke the tcmedies provided In paragraph 27 or this Instrument ,s to such Items. In exercising any of said remedies, Lender may proceed against the Items arrest property and any Items or personal property spaci6ed above as pan of the Property separately or together and In any order whatsoever, without In any way offec0nit the svailability of Lender's remedies under Iho Uniform Commercial Code ascribe remedies provided in paragraph 27 orthis Instrument. I6. LEASES OF TILE PROPERTY. As used In Ibis paragraph 16, the word "lease" shall mean "sublease" if this Instrument is on a leasehold. Borrower shall comply wish and observe Borrower's obligations as landlord under all leases of the Property or any part thereof. Borrower will not lease say portion of the Property for non-residential use except with the prior written approval of Lender. Borrower, at Lendcr s request, shall furnish Lender with executed copies *fall leases now existing or hereafter made of aft or any pan of the Property, and all kegs now or hereafter entered Info will be in form and substance subject to the approval of Lender. All teases of the Property shall specifically provide that such leases are subord;amc to this instrument, that the tenant acorns to Lender, such sitornment to be effective upon Lender's acquisition of title to the Property; that the tenant agrees to execute such rusher evidences of anoroment as Lender may from time to time request; that the attomment of the icnsni shall not be terminated by foreclosure, and that Lender may, at Lenders option, accept or reject such altornments, Borrower shelf not, without Lender's written consent, execute, modify. surrender or terminate, tither wally or In writing, any lease now existing or hereancr made of all or any part of the Property providing for a term of three years or more, permit on assignment or sublease orsuch a lease without Lenders written consent, or request or consent to the subordination of Any lease of all or any part of the Property to any lien suWrdinoie to 14 ��`fllimsfb if earf.Wii MIM11 ng 14 Il) unill plop lj � ds, 61 D Eq. 16y Id 61 kht WMA mily live rise to any right of Iel.olr a/dal real. Borrower shall (i) take such steps as shall be reasonably calculated to prevent she accrual of any right to a setoff spirit rent, (11) entity Lender thereof and of the amount oruid setoffs. and (tai) within ten days after such accrual, rclmhurse the tenant who shall have acquired such right to set -oft or take such other steps as shall effectively discharte such set-oA'snd as shall assure that rents thercaner due shall tonsinue to be payable without set-off or dcJuctiun. Upon Likes request, Borrower shall suits to Lender, by written instrumtnt satisfactory to Lender, all leases now existing or hercaner mads of all or any poll of the Properly and all security deposits made by tenants in connection with such leases of the Property. Upon assignment by Borrower to Lender of any leases of the property, Lender shall have all of the righit and powers possessed by Borrower prior to such assignment and Lender shall have tilt right so modify, eateod or terminate such Wiling leases and b execute new leases, in Lender's sale discretion. 1% REMEDIES CUMULATIVE Each remedy provided in this Instrument u distinct and cumulative to all other rights or remedies under this Instrument or afforded by law of equity, and may be exercised concurrently, Independently, or successively. In any order whatsoever. IL ACCELERATION IN CASE OF BORROWER'S INSOLVENCY. If Borrower shall voluntarily Ale a petition under the rcdcral bankruptcy Act, as such Act may from time to time be amended, or under any similar or successor Federal statute reladnt to bankruptcy, Insolvency, arrangements or reartsaitations, or under any state bankruptcy of Insolvency act, or Ale in answer in an Involuntary proceeding admitting Insolvency or Inability to pay debts, or if Borrower shall fail to obtain a vacation or stay of invoiuntary proceedings brought for the reorganization, dissolution or liquidation or Burrower, or if Borrower shall be adjudged a bankrupt, or its trustee or receiver shall be appointed fur Dorrower or Bamswer's property, or if the Property shalt become subject to the jurmcano arm Federal bankruptcy Court or similar state court, of if Borrower shall make an assignment for the bencflt of Borrower's creditors, or if there is an attachment, execution or other iudicial seizure orally portion of iy �kt $y�� i .` �>'�aCf � ��•. � • ifs ,r a ) , r: a� fir• � r,-� _ �.•!� !J. • Municipality of Anchorage�'?t='F,`� On -Site Water and Wastewater Program K'^ (907)343-7904. Certificate of On -Site -Systems Approval Parcel I.D. 015-242-73 Expiration Date: 1. GENERAL INFORMATION Complete legal description Sunny, Block 2, Lot 6 Location (site address) 11600 Trail's End Rd. Current Property owner(s) Gina POths & Dan Reeder Day phone Mailing address 11600 Trail's End Rd Anchorage, AK 99507 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex DEC U l Z�iS 3 ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 WaiverNadance request for: Received by: _7 Date: f 160 t COSAtobe released to the engineer, unless otherwise requested by the engineer. - - - COSA Fee $ 115d_(151/ " Waiver Fee $ Date of Payment (owl ri ��J� Date of Payment Receipt Number 0: `)41 14 ReceiptNumber. _ COSA # 6�c�'Sd sa Waiver # 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: _ Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public. Water System ❑ Public Sewer El WaiverNadance request for: Received by: _7 Date: f 160 t COSAtobe released to the engineer, unless otherwise requested by the engineer. - - - COSA Fee $ 115d_(151/ " Waiver Fee $ Date of Payment (owl ri ��J� Date of Payment Receipt Number 0: `)41 14 ReceiptNumber. _ COSA # 6�c�'Sd sa Waiver # 5. STATEMENT OF INSPECTION..BY ENGINEER - Ascerfified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on. procedures outlined in the Certificate of Onsite Systems Approval Guidelines for this application,. shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that -._ Waged on the information obtained from the. Municipality of Anchorage files and from my investigation and inspection, the on-site water supply - aridfor wastewater disposal system is(are) in compliance with all applicable. Municipal and State codes, ordinances, and regulations in effect at the time of installation. Inconductingan adequacy test, I attempt to provide athorough, conscientious engineeringanalysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside -the control of the evaluator of this -system:.. All systems eventually fail and satisfactory test results do not guarantee future - performance of the system, nor do. they: guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is forthesole benefit of the owner listed above. - Name of Firm Pannone Engineering Services LLC Phone _(907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone - Date 12/1/2015 6. DSDD OGNATURE �✓ System #1 Approved for 5� bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: By.�G�^l{/%^ ® Original Certificate Date: The Municipality of. Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the `State of Alaska. The Municipality II of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7.. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory CDSAbluesheet f G c X Nitrate Advisory", Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # Lof Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Sunny, Block 2, Lot 6 Parcel ID: 015-242-73 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 8/26/1990 Sanitary seal (Y/N) Y - Wiresproperly protected (Y/N) Y Total depth io1 ft. Cased to 101 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/26/1990 11/23/2015 Ole>4� eSea.V %' Static water level" ft. 21 ft. . Well production 10 g.p.m. 2.0 g.p.m. WATER SAMPLE RESULTS: Coliform-/w---wcolonlesl1llt) mL Nitrate q S mg/L Arsenic ug/L Date of sample: 11/23/2015 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8/17/1990 Tank size 1,500 gal Number of Compartments 2_ Cleanouts (Y/N) Y Foundation cleanout (YIN,) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 11/27/2015 Pumper A+ Home Services C. ABSORPTION FIELD DATA - Date installed 8/1 711 99 0 Soil rating (g.p.d./ft2 orftz/bdrm) 125 SF/BR System type Deep Trench Length 60 ft. Width 2 ft. Gravel below pipe 6 ft. Total depth 0 ft. EfF. absorption area 720 ftz Monitoring tube Y Depression over field N Date of adequacy test.1+1/23/2015 Results (Pass/Fail) PASS For 5 bedrooms . Fluid depth in absorption field before test 0 in. Water added 764 gal. New depth 0 in. Elapsed Time: 340. " min. Final fluid depth 0 in. Absorption rate >= 750+ g;p,d. Any rejuvenation treatment (past. 12 mo.) (YIN &type) No If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO`. Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout '100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas -10.0+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 0+ Water service line 10+ Surface water 100+ 100+ a , Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 1 �+ Water Service line 10+ Surface water 100+" Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F, COMMENTS P<er �� cos>a s we,11 Icorr-ee4ab ,e i d2r a � � , . G. ENGINEER'S CERTIFICATION I certify that I 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. Engineer's Printed Name Steven R. Pannone Date 12/1/2015 COSA-canary sheet_2-6-15.doc Municipality of Anchorage o • Development Services Department / Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-242-73 HAA # /,,//I 653 Expiration Date: �L — / - 0 3 1. GENERAL INFORMATION Complete legal description Lot 6 Bk 2 Sunny SID Location (site address or directions) 11600 Trails End Rd., Anchoraqe, AK 99516 Current Property owner(s) John & Jodv Terwilliqer Day phone 346-4545 Mailing address 11600 Trails End Road, Anchoraqe, AK 99516 Lending agency Mailing address Day phone Real Estate Agent Mike MessIck/ReMax 257-0110 Day phone 244-6640 Mailing Address 2600 Cordova, Anchorage, AK Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by., 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class. Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an. Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on -she wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. S.. 17/m 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 based on procedures outlined In the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn Pannone Enq. Svc. Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Phone 272-8218 Date ';� 1 ��— Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The rcpornxl results describe the perfomtanco of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future perfornumcc of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. 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. DSD SIGNATURE V Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist. X Septic System Advisory Well Flow Advisory Byres /1�I �C/ • ��+ it Expiration Date: (nw.,,JM bedrooms, with the following stipulations: %V F 3", J • ON-SITE '! W„7ERANC) : m WASTEWATER Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: I t — I — d 2 Reissue Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 6 Block 2 Sunnv S/D A WELL DATA Well type P If A, B, or C provide PWSID 0 Date completed S/26/1990 Sanitary seal Y Total depth 101 ft Cased to 101 ft FROM WELLLOG Date of test 6/26/1990 Static water level Artesian it Well production 10 WATER SAMPLE RESULTS: Coliform � colonles/100 ml Date of sample: 10// �/O-> B. SEPTIC/HOLDING TANK DATA 9 -p.m Parcel I.D.: 016-242-73 Well Log Y Wires property protected Y Casing height (above ground) 24 In. AT INSPECTION 6/5/2002 Artesian ft 6+ . 9 -PIM Nitrate 1.27 mg/I Other bacteria --4�_ colonies/100 ml Collected by: Laura Pannone Tank Type/Material Greer Steel Date installed 8/17/1990 Tank size 1000 gat Number of Compartments I Cieanouts 2 Foundation cleanout Y Depression over tank jY High water alarm N Date of pumping 7/31/2002 Pumper Northland Pumuina C. ABSORPTION FIELD DATA Date installed 6/17/1990 Soil rating (g.p.dJfe or felbdrm)1, 5 System type Trench Length _ft Width J__ ft Gravel below pipe _J_ it Total depth M It Effective absorption area Z&ftz Monitoring tube Y Depression over field N Date of adequacy test/_6 512002 Results (Pass/Fail) Pass For.4 bedrooms Fluid depth in absorption field before test 13 in Water addedZ" gal. New depth;22 in. Elapsed Time: 1440 min Final fluid depth 11 In Absorption rate >= Z0+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) ,N If yes, give date (Rev.1IM) D. LIFT STATION Date installed Size in g ons Manhole/Access 'Pump on' level at _ in'Pump off" lev in High water alarm level at _ in Datum Cycl ested Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankRift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 25+ Public sewer manhole/cleanout 25+ Sewer /septic service line 25+ Holding tank 100+' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 15+ Property line _0+ . Absorption field 5+ Water main g5+ Water service line 25+ Surface water 104 Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 20 Water main 25+ Water Service line 100+ Surface water 100+ Driveway, parking/vehicle storage 50+ Curtain drain 100+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I car* that I have determined through field inspections and review o/ Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone. P.E. Date 8 17 IV -Z_ HAA Fee $ X3_7 Date of Payment Receipt Number .2 3 2 r (Rev. I IMD) Waiver Fee $ Date of Payment Receipt Number 0 ❑ ❑ N W ❑ N S 890521091IW 391.371 DRAINAGE EASEMENT DRAINAGE ESMT. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ — — _ _ — — _ _ I q ❑ IC TELE. 6 ELEC. EBMT. — — _ _ _ — _ I A ❑ I> — J ^ ❑ — — — — — — — — — — — — — — 1 r II n J I I m � f -all rrl II a B SATELLITE DISH % VO 4 SINGLE FAMILY FRAME HGYSC N WELL D AS DRIVCWAY AA OF A CAN 49 TH `fir ............................... S�....../-ar- r SHANE A. HOLT a LS -6914 ,1 I GRAVEL DRIVEWAY / AS -BUILT SURVEY NO CORNERS SET THIS DATE SGLE1' • IO I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 6. BLOCK 2. SVNNY SUB. Z W THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE STRUCTURES OR FENCELINES. WITHIN THE PROPERTY LINES AND NO VISIBLE EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON. ENCROACHMENTS EXIST OTHER THAN NOTED. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINE£ DATED AT ANCHORAGE, ALASKA THIS _24TH DAY L OCTOBER 2002 . ANYPAVING LOCATE STRUCTURES. TELT LAND SURVEYI 21 . F828-tA,2&$$.27-77.10 1 ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. TEL. 345-6517 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 Parcell.D.# 01524273 v HAA# biQ�'IiC1L11�1r` 1. GENERAL INFORMATION Complete legal description Lot 6, Block 2, Sunny Subdivision Location (site address or directions) 11600 Trails End Road Property owner Michael S. Mc Lauqhlin Dayphone 258-2000 Mailing address 11600 Trails End Road Anchorage. AK 99516 Lending agency, Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ri va (';)4 3. TYPE OF WATER SUPPLY: Individual well X 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: d Individual on-site X y Holding tank Community on-site Public sewer t NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-M(Rft.1N1) ham MOA121 f. 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 forthe number of bedroorns 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 Anderson Engineering Phone 563-7155 Address P.O. Box 24n0773 Anchorage, AK 99524 M4"Engineer's signature MDate 9/20/97 6. DHHS SIGNATURE ' N/ Approved for Disapproved. Conditional approval for Additional Comments bedrooms. bedrooms, with the following stipulations: Date 10-7-97 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 Irl 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. rzca m«. uvi) e.ok MCA m I I Municipality of Anchorage 6 DEPARTMENT OF HEALTH & HUMAN SERVICerlrlpwn` °F " Environmental Services Division �A *a- c 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 348Ej7f 1997 Health Authority Approval Checklist RECEIVED C C G C I V E D Legal Description: Lot 6, Block 2, Sunny Sub. Parcell.D.: 01524273 Y 1. A. WELL DATA Well type private If A, B, or C, attach ADEC letter. ADEC water system number Log present (YM) Y Data completed 8/26/90 Total depth 1 01 ' Cased to 1 01 ' Casing height (above ground) 2 ' Sanitary seal (Y/N) Y Wires property protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test 8/26/90 9/14/97 Static water level Artesian Art-amian Well production 10 g.p.m. 6.9 9 - p.m -WATER SAMPLE RESULTS: Coliform 0 Nitrate 1 .31 mp / L Other bacteria 0 Date of sample: 9/15/97 Collected by: J. N i codemu s S. SEPTIWHOLDING TANK DATA Date installed 8/17/90 Tank size 1.500 Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YM) Y Depression (YM) N High water alarm (YM) N DateofPumping 7/11/97 Pumper Roto Rooter C. ABSORPTION FIELD DATA Date installed 8/17/90 Soil rating (g.p.dJW or ft'/bdrm) 125 SF System" Trench Length 60' Width 2' Gravel thickness below pipe 6' Total depth 101 Effective absorption area 720 SF Monitoring Tube present (Y/N) Y Depression over field (YM) N Data of adequacy test 9/14/97 Results(Pass/Fail) Pass For Five (5) bedrooms Fluid depth in absorption field before test (in.); 3„ Immediately afterD21 gal. water added (in): 27" Fluid depth 3" (ins) Minutes later. 1 .440 Absorption rate = > 750 g.p.d. Permdde treatment (past 12 months) (YM) N If yes, give date N/A 72-026 (Rev. 3/96)' i D. LIFT STATION Date installed Manhola/Access (Y/N) High water alarm level at' Cycles tested E. SEPARATION DISTANCES None on Lot Size In gallons 'Pump ono level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot >100, On adjacent lots Absorption field on lot >100, On adjacent lots "Pump off" level at' >100, >100' Public sewer main Miles Public sewer manhole%leanout Miles Sewer /septic service line >501 Litt station None on Lot SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation >5' Property line >10, Absorption field >5' Water main/service line >20' Surface water/drainage >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation > 10 ' Water main/service line >20' Surface water >100' Driveway, parking/vehicle storage area >20' Curtain drain None on Lot Wells on adjacent lots >100, F. ENGINEER'S CERTIFICATION I cer* that I have determined thru Held inspections and review of Municipal re )Yi ems are in contomnancee wNhMOA ,HAA guidelines in effect on this date. : ; ': Signature y�'k�/t+�.+✓E C<s - y,i f��T''r�%%`ff�� .``. Engineer's Name Michael F. • Anderson, P _ F. • Date 9/Lb/97 HAA Fee $ Waiver Fee $ Date of Payment Q Date of Payment Receipt Number Receipt Number 72-026 (Rev. 3(913)• MUNICIPALITY OF ANCHORAGE Department of Health d Human Services y • DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcell.D.# '7 HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LG 62 Sum ii/ S Z TIZA/ 936,/ Location (address or directions) //Goa TPAU5 END (b) Property owner S p r M ELL No M ES Telephone: (home) Mailing Address 9Z /O 1/A At 4A OD (c) Lending Institution I Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here 2. if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family E Number of bedrooms 5 Business3'/N-SL76 3. WATER SUPPLY Individual Well Er/community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site B 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. 72-W5)R".71") Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Ani rzso� L-.�1GirJc�LVrn1(2 Address ain. BOx Date ///Z- 71V 6. DHHS APPROVAL Approved for bedrooms by Approved X Disapproved Terms of Conditional Approval ZVO 773 49 Telephone el E. Anderwn 4V81•E AJ U+02A GC- 397- 8,6 SS Am— 995z v ;• d Engineer's Seal 15 / 4"'"ate /Z — 3 r� Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer _ registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections 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(Rw. 2/88)Boot Page 2 of 2 E 10101 w\GESG�J MUNICIPALITY OF ANCHORAGE (MOA) r�p,`SER • -� Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 E�v�F" Za 343-4744 Legal Description: to g Z s u A r nl y A. WELL DATA Well Classification P2/NATE If A, B. C, D.E.C. Approved (Y/N) Well Log Present (Y/N) --)L_ Date Completed R-31-90 Yield 3. 5 -r- G F&7 Total Depth Z01 Cased to 10 1 Depth of Grouting AID 6ZO UT/NeS Static Water Level ACTESIAn1 Pump Set At NOT' DFTf!r_VAl"Eb Casing Height Above Ground 2 Electrical Wiring in Conduit (Y/N) Y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /0'/' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line h7d c's Sanitary Seal on Casing (Y/N) y Depression Around Wellhead (Y/N) N On Adjoining Lots /ZO :On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Inst ES To Nearest Sewer Service Line on Lot 800 Water Sample Collected by Mr FA D E 71 ; Date Water Sample Test Results SEE A�T�7/sR7 Comments WELL IS AAEQUAT-F B. SEPTIC/HOLDING TANK DATA Date Installed 8-/7-90Size 1500 No. of Compartments L Standpipes (Y/N) y Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) y Depression over Tank (Y/N) N Date Last Pumped A/EI•/ Can s7. Pumping/Maintenance Contact on File (Y/N) Al EW i ; for Con ST. Holding Tank High -Water Alarm (Y/N) N/// Temporary lHolding Tank Permit (Y/N) .Y�iO SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /041, To Building Foundation /fI To Property Line �%� To Disposal Field S To Water Main/Service Line G2 To Stream, Pond, Lake or Major Drainage Course �Z Comments SEP-Tfc T2ANV IS ADEQVArE 72-M(Rw. 7/88) Font Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design T Kb AI C N Date Installed 8-/7-940 Length of Field (00 Width of Field Z, Depth of Field Gravel Bed Thickness G Square Feet of Absortion Area 720 Statndpipes Present (Y/N) y Depression over Field (Y/N) N Date of Last Adequacy Test Al rlJ Con 5T• Results of Last Adequacy Test PASSED SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well I ZO To Property Line 10 To Building Foundation 2,5 To Existing or Abandoned System on Lot NONE O N (-o-r ; On Adjoining Lots 200, To Water Main/Service Line 196 To Cutback (if present) So To Stream, Pond, Lake, or Major Drainage Course 125 To Driveway, Parking Area, or Vehicle Storage Area -70 Comments ASSORp7"ici t SVSTEM 15 AA6QVATE STATION Date Ins rJ Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at \ "Pump Off" Level at High Water Alarm Level at \ Vent (Y/N) Tested for \ ` Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA -and ines in effect on the date of this inspection. �1 OF AI 1A Signed 7✓1w1'� Qr C. ab, �PC P y�.•.»..��.{{ .. S. Com an QNOd2soa 61,16.od=, U0J6 GJ%r�•• •••.r�a0, �' �` • �aTH ; �` P, Engineer's Seal Date 111 Z9/cj0 0;..�2..................».»...:� 9 r---------------------------- ' MOA No. ��3� 2) Receipt No. G, Date of Payment- //la- / a Amount: $ / 7 v- d 724M (R". 7M) Beck Michael E. Andenon � �tv c'•_ 4381-E ?-om Receipt No. 'y Waiver Fee: $ Date of Payment Page 2 of 2 0 ., +d.wor•r.orb CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. a t ..,.• ,-,.e 5633 B STREET - ANCHORAGE, ALASKA 99518 - TELEPHONE (907) 562-2343 a FEDERAL TAX I.D. #92.0040440 ANALISIS REPORT 17 PARAMETER Client PO1 : NONE RECEIVED Req 1: Work Order No. : 30369 Client Account : MCPAWC Date Report Printed: NOV 28 90 1 16:40 Sample Rec d NO 26 90 Released Ey 3 Ordered By REPORTS ADDRESS 12 REPCRIS ADDRESS 11 )MADDEN. WHINE 2900 RCNIEACE 1425 ANCHORAGE, Al. 99SO4 Spacial Instruct: Chemleb Ref 1: 904991 Analysis Completed: NOV 28 90 Lab Sample Client's Sample ID Identification --------------------------- 1 L6 SUNNI WELL WATER 2 L6 SDNNI WELL WAIER i Report Remarks: Y.atrix : WATER Parameter : N/TRAIE-N Limps 10 Method EPA 353.2 .----------------------------' 1.1 mq/l m IOIAL COLIFORM SEE ATTACHED col/100 ........................................................................................................................................ See Special Instructions Above NO- None Detected " Sea Sample Remarks Above NA- Not Analyzed LT -Lees Than, GI -Greater Than