HomeMy WebLinkAboutCROSS VIEW ESTATES BLK 2 LT 25 Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Poe 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSPI71010 PID Number: 015-221-83
Dwelling: 0 Single Family (SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑■ New ❑ Upgrade
Name:
Crown Pointe Inc ABSORPTION FIELD
Address ❑■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
5102 Heritage Heights Dr, Anchorage, AK 99516 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
5 0.45 GPD/SF 10 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 2.0 Ft. 8.0 Ft.
Cross View Estates 2 25 Fill added above original grade Gravel length
Township Range Section 1.5 Ft. 53 x 2 Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES 3.0 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 1696 Ft2 2 >16 Ft.
Well >100' >100' N/A N/A >25' TANK 0 Septic 0 S.T.E.P. ❑ Holding 0 Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1500 Gal.
Material Number of compartments
Lot Line >5' 10' N/A N/A Steel 2
NA
Foundation >5' >10' N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain , None . Noted Gal.
Remarks Pump on level at Pump off level at High water alarm at
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tankTank to
Installer D3034 grainfield D3034
Sanders & Sanders Drainfield D3934 CO/MT D3034
Inspector J. Millette BENCH MARK (Assumed elevation) 100.0 ft
Inspection 5, r Location and description
dates: 3b 4th_`IIS 17 41 I� Garage Slab
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Enelf- m
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Conditional Approval: Date r DAY:•• _;tr• '.-94,
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Inspection Report_9-1-12 doc
CROSS VIEW ESTATES, BLOCK 2 LOT 25
PERMIT # OSP171010 PID # 051-221-83
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT: 343-7904
4700 ELMORE RD, ANCHORAGE, AK 99519-6655
WASTEWATER DISPOSAL SYSTEM OR WELL INSPECTION REPORT
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S' CROSS VIEW ESTATES, BLOCK 2 LOT 25
PERMIT # OSP171010I
PID # 051-221-83
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Advantex Treatment System
w/25' Long x 3' Wide x 8'
Effective Depth Absorption
Trench. 2 GPD/SF
Absorption Rate.
/4. ,...•` TH -•* I LEGEND
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Benja Schiller
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r=50' FS-FLOW SPLITTER
ALPINE DRILLING & ENTERPRISES
rernnt Number: f+S v 050357 Date of Issue: 9-20-05 Parcel identification Number: 015-•221.40
Date Started: 10-6-05 Date Completed: 10-7-05 Is well located at approved permit location?® Yes ❑ No
Legal Description: Heritage Hills Lot 56
Property Owner Name&Address: CFM Hillside, LLC
10380 Nigh Road
Anchorage, Alaska 99515
Borehole Data: Depth (ft) Method of Drilling® air rotary El cable tool
Soil Type,Thickness&Water Strata From To
Casing type: steel
silt 0 4 Wall Thickness: .250 inches
silty gravel 4 16 Diameter: 6 inches Depth: 181 feet
silt 16 30 Liner Type:
Diameter: inches Depth: feet
gravelly silt 30 85 Casing stickup above ground: 2 feet
silty gravel 85 100 Static water level (from ground level): 150 feet
sandy silt 100 110 Pumping level: 178 feet after
gravelly silt 110 171 2 hours pumping 20 gpm
cobbly gravelly silt 171 176 Recovery Rate: 20 gpm
Water sand& gravel 176 181 Method of Testing: air lift see pump test
Well Intake Opening Type:
® Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑Perforations Start feet Stopped feet
Grout Type: bentonite granules Volume: 1 bg
Depth: Start 0 feet Stopped ? feet
Pump: Intake Depth feet
WATER QUALITY TESTING Pump size hp Brand Name
Coliform W, Col/100m- Well Disinfected Upon Completion? ® Yes ❑ No
Nitrates I ( 5 2- - I- Method of Disinfection: chlorine tablets
Arsenic N '9 ug/L
Comments:
Well Driller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage 99511 Zip
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
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e“4,13•'2017 22:12 907-345-090c' ALPINE IDRILLItIG PAGE 02/072
Development Services Department s
Building Safety Division
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• , f r "+a On-Site Water & Wastewater Program
4700 Elmore load
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Ru 196650
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Mark : ,f Anchorage, AK 99507
Mayor WM.muni.x'glonsite
(907;343-7904
Pump Installation Log , r
Well Drilling Permit Number: SWC��.T i i I ,f° Date of Issue: cq.1.21j I
iSX2_1463°M
Parcel identification Number:_��
Legal Description Property O ner Name& Address:
11[66e1 , LDT
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Pump installation Date: — )
Pump Intake Depth Below Top of Well Casing: \ -'teat
Pump Manufacturer's Name: e_ lA r a
Pump Model; 1.05 ft 1,0
IPump Size I hp
.Pitless Adapter BuriAl Depth: t fret
Pitless Adapter Manufacturer's Name: Si I A
Pitless Adapter Installer; U
Well Disinfected Upon Completion? Yes fl No
Method of Disinfection:
Comments: Q p,j f v0
Pump Installer Name; Mute Poop&
P.O. Roz 1104%
Ancivatilge.AK 99511-4496
Attention; The pump installer hall povide a pump installation log to the DSD within 30 days of puu:u installation.
Fetiattirmits
i 16191
On -Site Water & Wastewater System Permit
Permit Number: OSP171010
Tax Code Number: 01522183000
Work Type: WellSeptic Initial
Permit Effective Dates: February 13, 2017 to February 13, 2018
Design Engineer: ANDERSON ENGINEERING
Subdivision: CROSS VIEW ESTATES
Site Legal Address: CROSS VIEW ESTATES BLK 2 LT 25 G:2737
Owner/Address: CROWN POINTE INC
PO Box 112313 ANCHORAGE AK 99511
Site Mailing Address:
This permit is for the construction of:
Lot Size in Sq Ft:
Total Bedrooms:
r 11 b� C'A'A
60A (2a,d '1h10 Iia
49661
5
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
To close out this permit, submit the following:
1) Inspection report
2) Record drawings
3) Pump install log (well was drilled to serve as a test well under separate permit)
4) Water sample results
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MUNICIPALITY OF ANCHORAGE
a
Development Services Department
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On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Department
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP171010
Tax Code Number: 01522183000
Work Type: WellSeptic Initial
Permit Effective Dates: February 13, 2017 to February 13, 2018
Design Engineer: ANDERSON ENGINEERING
Subdivision: CROSS VIEW ESTATES
Site Legal Address: CROSS VIEW ESTATES BLK 2 LT 25 G:2737
Owner/Address: CROWN POINTE INC
PO Box 112313 ANCHORAGE AK 99511
Site Mailing Address:
This permit is for the construction of:
Lot Size in Sq Ft:
Total Bedrooms:
r 11 b� C'A'A
60A (2a,d '1h10 Iia
49661
5
Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
To close out this permit, submit the following:
1) Inspection report
2) Record drawings
3) Pump install log (well was drilled to serve as a test well under separate permit)
4) Water sample results
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MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Wafer & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Permit Number: SWO50357
Legal Description: HERITAGE HILLS #tom=D"r s(,
Design Engineer: 0000 None Required
Owner Name: CFM HILLSIDE, LLC
Owner Address: 10380 NIGH ROAD
ANCHORAGE. AK 99515-
Date Issued: Sep 20, 2005
Expiration Date: Sep 20, 2006
Parcel ID: 015-22140
Site Address: 012241 BAINBRIDGE RD
Lot Size: 2431955 SO. FT.
Total Bedrooms: 6 Permit Bedrooms: 6
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.
-WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN
DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND
NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL
SYSTEM HAS BEEN CONSTRUCTED.
-THIS PERMIT IS FOR THE PROPOSED HERITAGE HILLS LOT 56
Received By:
Issued
Date: (?_ O
Date: ?v o
Municipality of Anchorage
Development Services Department
Building Safety Division
` On -Site Water and Wastewater Program
4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
6'O
l i
Parcel I.D. _Q15 —,AI — 4p — 000 Permit Number SW
Propertyowner(s) r\e -t-ti Day phone .34+-q=
Mailing
Site adc
Legal di
Legal description (Section, Township & Range) '5S y4 -S c., 4qq r —(-'19 2'.�(cir S L✓j,
Lot Size A431, qSs Acre 1 q5 Number of Bedrooms Co
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only 0
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application is being made for a
ing�e Family Dwelling and is in accordance with applicable Municipal Codes.
Cot M-et'n
(Signature of property owner or authorized agent)
Permit/Rush Fees: _ Waiver Fees:
Date of Payment: Q11 t, /0 $ Date of Payment:
Receipt Number. q Uc % Receipt Number:
(Rev. 09.104)
.1. A. MUNTF,R CONSULTING INC.
September 15, 2005
Mr. Dan Roth
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
PO Box 196650
Anchorage, AK 99519-6650
Re: Aquifer Test Plan, Heritage Hills Subdivision, Anchorage, Alaska
Dear Mr. Roth:
I am providing you this plan on behalf of the owners of the proposed Heritage Hills Subdivision
to accompany well permit applications for the drilling and testing of four test wells at fleritage
hills Subdivision near the comer of Birch and Huffman Roads in Anchorage. Subsequent to the
testing and approval phase for this project we anticipate converting the wells to private domestic
wells and they will be located and constructed to meet municipal standards for residential wells.
Our plan is to drill one test well on lot 35 to determine whether a sand and gravel aquifer is
present in that area. Existing information indicates that the depth to bedrock in that area is more
than 150 ft. Assuming that a sand and gravel aquifer is present, we propose to drill three
additional test wells on lots 6, 55, and 56 in order to fully test the aquifer at Heritage Hills
Subdivision using the Municipality of Anchorage's "Aquifer Test Procedures" handout that you
provide to us at our meeting yesterday. If a sand and gravel aquifer is not present at the site of
the first well drilled, we will subsequently provide you with a plan and additional well permit
applications for testing and evaluating the bedrock aquifer at the site.
We have carefully selected the site of the proposed three -well test to be centrally located in the
largest portion of the development. The locations of the proposed test wells are shown on the
attached map of the subdivision.
Should you have any questions about this plan or the attached well permit applications, please
call me at 345-0165 or on my cell phone at 727-6310.
Sincerely,
J. A. Munter Consulting, Inc.
James A. Munter, CGWP, CPG
Principal Hydrogeologist
5701 PENNY CIRCLE, ANCI IORAGE, AK, 99516
iamunterra)arctic.net
PIIONE (907) 345.0165; FAX(907)348-8592
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" Municipality of Anchorage As -s r,
On-Site Water and Wastewater Program q,00AYE,
(907) 343-7904 O C T 06 2017 so FETV
Certificate of On-Site Systems Approv` Accu
Parcel I.D. 015-221 -83 Expiration Date: old 0^ I
1. GENERAL INFORMATION
Complete legal description Cross View Estates, Block 2 Lot 25
Location (site address) 5102 Heritage Heights Dr
Current Property owner(s) Crown Pointe Inc Day phone
Mailing address PO Box 112313, Anchorage, AK 99511
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Fl Single Family (w/wo ADU)
❑ Duplex
E Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well E Individual I
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
1
Received by: Date: (alio' l7
COSA to be released to tt—.- Igii- -1--e-er unless otherwise requested by the engineer.
COSA Fee $ /(/'( ' Waiver Fee $
Date of Payment l6/1a0 Date of Payment
Receipt Number ca.s 3t) Receipt Number
COSA# OSCh-it/79- Waiver#
: l. 4
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 Certificate of On-Site 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 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(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W 34th Ave, Suite 203, Anchorage, AK 99503
Engineer's Printed Name Benjamin Schiller, PE Date 10-4-2017
6. DSD SIGNATURE
ao System #1 Approved for bedrooms "" -
o
,� »1
System #2 Approved for bedrooms `+
Disapproved ��d� •
W•% (gin gT•sym
Conditional approval for bedrooms, with the following stipuln116W.=
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. o WATER AND m':
--J WAST
GWAM R o -
PROR
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By: ._, ..1... 1—____(01 -----1/ Original Certificate Date: ICS - 16-
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
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet r , c
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Cross View Estates, Block 2 Lot 25 parcel ID: 015-221 -83
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (YIN) Y
Date completed 1 0/07/05 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 181 ft. Cased to 81 ft. Casing height (above ground) 24 in.
FROM WELL LOG AT INSPECTION
Date of test 10/07/05 /0/4( 7
Static water level 150 ft. / SO ft.
Well production 20 g.p.m. i/, is' g.p.m.
WATER SAMPLE RESULTS:
Coliform ND colonies/100 mL Nitrate 1 .52 mg/L
Arsenic ND ug/L Date of sample: 9/29/17 Collected by: Forge Eng.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic / Steel Date installed 61130117
Tank size 1 500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) Y High water alarm (YIN) N
Date of pumping Pumper New construction
C. ABSORPTION FIELD DATA
Date installed 411el,1? Soil rating (g p.d.Ift2 or ft2/bdrm) 0.45 GPD/SF System type Trench
Length 53 x 2 ft. Width 3 ft Gravel below pipe 8 ft.
Total depth 10 ft. Eff. absorption area �696 ft2 Monitoring tube Y Depression over field Y
Date of adequacy test New Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (YIN & type) 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 '251 Holding tank >751
Animal containment areas >50 Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
' >
Building foundation >5 Property line >5 Absorption field
Water main
>10'10 Water service line 101 Surface water >100'
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
>10' >10
10' >10'
Property line Building foundation Water main
10' ' > '
Water Service line Surface water >100 Driveway, parking/vehicle storage 1
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION .•.•t ':'''f-w�1
•.7
/ certify that / have determined through field inspections and :i
review of Municipal records that the above systems are in o
conformance with MOA COSA guidelines in effect on this date.
Benjamin Schiller, PE �••.
Engineers Printed Name Ej . C12f .ht.
Date 10/412017 ti+�•o••• ••`•• N• 4:'
o 1a
COSA brown sheet 10-10-12.doc
PLAI NU. ZUUti-1/1
CROSS VIEW ESTATES SUBDIVISION
LOT 25, BLOCK 2
49,661 S.F.
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S 89'98448"E L 311.24'
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I SEP=MIEN 1
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1 ul'-' I I l -I — 16 s '—
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IT 30' F I I - EXISTING BUILDING I I o.3' e o
I ! 141 b'
W' }, i GRAVEL DR. i b i" 9.0'^
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I I I 42.6' n1 23.r. y_1
1 11=40' • I 1 99.0' I •
S 89.53'29"E 310.15'
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BUILDING DETAIL
SCALE: 1"=20'
AS—BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO �i��
GASTALD LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. �+� 4.
SURVEYING, LLC RIS THE RESPONSIBILITY OF THE OWNER TO •44c CF..A4w .
JEFF A. GASTALDI, R.L.S. • .. S`
DETERMINE THE EXISTENCE OF ANY EASEMENTS, � .4....** �- `
2000 E.DOWUNG RD.,SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT • 0).• 9 •
ANCHORAGE,ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. *: 49Iti •,.�; ,E
PHONE 248-5454 •
UNDER NO CIRCUMSTANCES SHOULD ANY DATA .1
HEREON BE USED FOR CONSTRUCTION OR FOR A. ,•
GRID DATE a JNhrr Oos�elal t
SW2737 9/20/2017 ESTABUSHING BOUNDARY OR FENCE ONES. •s q-C/' •J..i
ANCHORAGE RECORDING DISTRICT,ALASKA �+ .O'A' ••`I�,A �.
F.B. JOB NO. NOTE: NO CORNERS SET THIS DATE
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17-03 CVE252 + 11*fr