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Home My WebLink AboutHERITAGE HEIGHTS LT 24 DF RTMENT OF HEALTH AND HUMAN SER ES ~'--~ Environmental Health Division ~- ~' ~ / ~' ] ''~ ~'~ 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~m~ DISTANCES ~ o~ ~ ~15 ~ SEPTIC ABSORPTION Address TANK FIELD WELL Phone(s} Permit No. No. or, Bedrooms WELL ~ ~o o ~ ~O OG ~DO~~ LOTLINE +~o +to Lot L ¢ Block Subd~v,sion ¢ IJ 75 FOUNDATION ~ % + t ~ ~ ~o o % / ~ ~ ~ ~ ~ ~ [ ~ ~'vewa~AS~"~LTD~AGRAM~Sh~w~c~h~n~fw~septicsystem~perty~'nes~undat'~n~waterbodies,etc.) TANKS ~ i Material No of Compadments O' ~ '/ TYPE OF SYSTEM ~ ¢ ).0 or,ginaL grade ~ ~ FT /0 FT ~ ~ ~ ~ / FT ~ FT ~ ~ ~ Gravel Total ab;~rption area Distance bet .... lines ~( ''' / Number o, hnes Soil rating Pipe material ~ ~EX87-03~ WELLS ~ PRIVATE ~ OTHER (Identify} F~ ET ~ Inspections Pedormed by: ,>* I /~ // ~//5,~ codify that Ibis inspection was pedormed according lo all Health Depadment ~ppro~al: Date: ~ . _ . 72-013 (3/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: J o 6A:~..Drc~-I3 'PR LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18- 19- 20- I_Z~- ~_~ ~c..O "~'1.,) ~'~ 0 ~ DATE PERFORMED:. A~cP, 4-1~3-07 ' /~I-T.S Township, Range, Section: T'lZ~kJ SLOPE SITE PLAN IF YES, AT WHAT 0 DEPTH? p~ Depth to Water Alte~/ MonitorinD7 '"~ [? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND __ FT IO t ~,c7' ~oT 05r~3 I' 5tc~ ~yE~. l a~ Vt~3 m /o 5~ ~ou ~4 PERFORMED BY:L~~ ..... ~/~ I ~ [~ O~r CERTIFY~/THAT~r~THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: . ~-oo~ (~v. 4~) ~ D~ ~ ~ ~ ~2 - o ~ GREM }ANCHORAGE, AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska gus03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM · MAILING ADD/~ES$ EG^L DESC.,PT,ON LOCATION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER (-'- .MATERIAL i~, INSIDE WIDTH ,,----- LIQUID DEPTH DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA I TOTAL LENGTH FOUNDATION-~-- ~ ! '~ ~ NEAREST LOT LINE } J2 OF LINES J DISTANCE BETWEEN LINES ~ TRENCH WIDTH'_'~) IN. TOTAL EFFECTIVE ! /"~lr~" -- SQ. FT. LENGTH OF EACFt LINE '~" ~' DEPTH: TOP OF TILE TO FINISH GRADEI,~I~, tDEPTH OF FILTER )"_ MATERIAL BENEATH TILE ICL ABOVE TILE TYPE CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION_ , LOT LINE __ SEWER LINE ., TANK lO*'f', CESSPOOL ~ OTHER SOURCES -- APPROVED . DISAPPROVED REMARKS DEPTH DISTANCE FROM SEEPAGE SYSTEM___L0 ' ¢' DISTANCES: INSTALLED BY: .DIAGRAM OF SYSTEM SEWER LINE DEPTH: PiPE MATERIAL: F'ERM IT NO. If'-lILli"-JJ l" C: :[ ? '=~L_ ][ -iF'"-.-" C,F F~I"-.~C:I-~ F-.'.!FI,~F ' - (: c' / DEF'RRTMENT. rl)~ HERLTH RND EN',/I RIDNMENTFt~, Fg,,::OTECT I ON ·825 ' L'" '.STREET, RNCHORRGE, RK. ,:: 8006;69 ) RPPL I CRNT LOCRT 1 ON LEGFIL JRN HRMF'TON L24 HERITRGE HEIGHTS 5800 C. HI:.NH WRY LAT :, I ~.E ]:44-9480 L::'::s30E SQLIRRE FEET TYF'E OF SrJllL FtE:SORPTION SYSTEM IS: DRRINFIELD ' tl F: MR,slM_M NI.JM_,EF-: OF E:EDROOMc; = 4 '- P (SQ SOIL F..HT I N .~ FT.."BR) = 16:0 THE REg_IRE[, =,I~-E OF THE SOIL HB=,UF..FTIUN SYSTEM IS: [:.EF'TH= ~ LE[-~i3TH= ~3 GRIF~",,-"EL [;.EPTH= ~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E~CRVRTION (IN FEET). 'THE T~:E~-~C:H 14 I ECTH IS ~1~. E~Z~E~ FEE'T. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F.:E L:-.,IJ I F:E[:-, :.EP 1- ! k--: TFtI'-~I-::: 2_; I ZE= t25E-~ F'ERMIT RPPLIC:RNT HI=IS THE RESPONSIE:ILITY TO INFORM THIS DEPRRTMENT DLIRtNG THE . .. rH..~ PROPEF.:TY FIND THE INSTFtLLRTION INSF'EF:TIONS OF RNY WELLS RD.fFIRENT TO ' NLtMBER I_'lF F..E:,I[:,ENCES THR'f' THE WELL WILL SERVE. T I..-! i.-j ,:: -:,.: ::, I I'-.! S P E C: 'T' ~ C~ I'-~ S R R E F.' E g.~ L! I F-: E [:, 8RCKFILLING OF FtNY .:,~_,TEH I.,.IITHOUT FINRL IN'-SPECTION RND RF'PROVFIL BY THIS DEPRRTMENT WILL BE SUBJECT TEl PRESECLITION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR t58 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM 8 PRIVRTE WELL TO 8 PR!VRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEHER LINE I$ 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'EF-: f'l T T E.'4F" I F:ES [:,EL-~-E~-IBEI~-: -------:±.. I CERTIFY THRT t: I RM FRMIt_IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN 8CCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. S I GNE[:,: RFPL I _.HNT JRN HFIMPTON iSSUED BY ..... _ ..... /_, V4. 0 GREAL, ANCHORAGE AREA BORe_ ,J Depsrtment of EnvironmentsI Quslity 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER 5 g[~-~ e ~ INSIDE WIDTH MATERIAL NUMBER OF LIQUID DEPTH ~ LIQUID CAPACITY /'~.-4~"'~GALLONS. DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA '-"" FOUNDATION ~ I I NEAREST LOT LINE TOTAL LENGTH OF LINES TOTAL EFFECTIVE j DISTANCE BETWEEN LINES TRENCH WIDTH? IN. /"~J~J~J'"' SQ. FT. LENGTH OF EACH LINE .'.'.'~", 5' DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADEI~5 -~)" MATERIAL BENEATH TILE ~OI Il:ti. ABOVE TILE TYPE _ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC i ../.. SEEPAGE LOT LINE__ SEWER LINE__ TANK J~) , SYSTEM , OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: /0'~- DISTANCES: INSTALLED BY: SEWER LINE DEPTH: 1,5- PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 'E DIAGRAM OF SYSTEM G.A.A.B. ~ GreaTEr ANCHOrAgE AreA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY~ 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMit NO. INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK L~ SEEPAGE PIT TYPE AND SIZE OF FACILITY TO SE SERVED FINANCED THROUGH SOle TEST RESULTS COMPLETION DATE ANTICIPATED DRAIN FIELD , OTHER TO SE iNSTALLED bY ~J~'~ ,~. ~{~/~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOiL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. TYPE SEPTIC TANK SIZE l~) MINIMUM DISTANCES, RE~/UIREMENTS FOUNDATION TO SEEPAGE PIT. ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL . WELL TO SEPtiC TANK DRAIN FIELD DRAIN FIELD EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST I~ON ~IPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT SEEPAGE AREA SIZE -~ ~V'J'~'PI ~ ~ TYPE , DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATERAI~I~::~R~GE AREA BORI:)~t ORDINANCE,NO. ~8-65 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAl QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Performed For Legal Description: Lot~ Block This Form Reports Soils Log~ Percolation Test__ - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristic~ cw' ?S Was Ground Water Encountered?_]~k~O If Yes, At What Depth? Dated Performed Subdi vis i on_ 14BE t~A~E L_LLL_L _t T Reading Date Gross Time I Net Time Depth to H2D I .i j Net Drop Percolation Rate Minute Proposed Ins~all~-~'i-~i~: Seepage Pit Drain Field Depth of Inlet ....................... Depth to Bottom of Pit Or Trench- ' COM~ENTS: / T;si: Per formed BY .... _~_.~2~~ Date Certified BY: Date: 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 1. GENERAL INFORMATION L_~ Complete'legal description ~' Lot 24; Her±taqe Heights Location (site address or directions) 5800 Chisana Way Anchorage, AK Prope~yowner Rick & Margarita Payne Dayphone 346-9899 Mailing address 5800 Chisana Way Anchorage, AK 99516 Lending agency Day p'hone Maiiin_g address Sun Properties Richard Jordan Agent . . Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: 3%' Individual well Community well xx Public water If community wei-I system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-~25 (Rev. 1/91) Front MOA f/21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect/~/l~$~ll 4At~Et~f Dis inspection. Name of Firm Address Engineer's signature Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B Phone Alaska Water & Wastewater Consultants, Inc_ Shall be PAID $, ~40 or prior to, closing for the Engineer[ne Services Provided. DHHS SIGNATURE ~ Approved for Disapproved. T/~//~ ~ ~'bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of 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-(~5(Rev. 1/91) ~ack MOA~21 dUL. 2 ? 1999 Municipality of Anchorage 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: HERITAGE HEIGHTS, LOT 24 Parcel I.D.: 051-561-36 A. WELL DATA Well type PUBLIC Log present (Y/N) ._.._--f Total depth ~ ..__--/ FROM WELL LOG If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~ Date of test Static water level Well production WATER SAMPLE RESULTS: g.p.m. Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Coliform - Nitrate Other bacteria g.p.m. Date of sample: - B. SEPTIC_.,~I~I TANK DATA Date installed 11/80 Tank size Foundation cleanout (Y/N) ' Date of Pumping. 7/9/99 C. ABSORPTION FIELD DATA Date installed 8/26/87 Length 46' Width Effective absorption area Date of adequacy test Collected by: 1250 Number of Compartments 2 Cieanouts (Y/N) Y YES Depression (Y/N) NO High water alarm (Y/N) NO PER NOTE ON Bo'FrOM OF 1975 INSPECTION Pumper OLD McDONALD REPORT, FIBERGLASS TANK INSTALLED IN 1975 I WAS REPLACED IN 1980. NO OTHER DOCUMENTATON FOR THIS UPGRADE WAS FOUND. Soil rating (g.p.d./ft~ o~. 150 System type Gravel thickness below pipe 6 FT. Total depth 552 SQ. FT. Monitodng Tube present (Y/N). YES Depression over field (Y/N) __ 7/7/99 Results (Pass/Fail) PASS For 3 NONE 41 Immediately after 577 gal. water added (in.): 90 Absorption rate = 450 + .g.p.d. KNOWN If yes, give date N/A Fluid depth in absorption field before test (in.); Fluid depth 52.25 (ins) Minutes later: Peroxide treatment (past 12 months) (y/N) TRENCH 11 FT. NO bedrooms 59.5 72-026 (Rev. 3/96)* D. LIFT STATION . ~ Date installed Size in gallons Manhole/Access (Y/N) "Pu~ "Pump off" level at* High water alarm level at* /~~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main .,.--/ Public sewer manhole/cleanout ~ptic service line Lift station SEPARATION DISTANCES FROM SEPTIC/aI~JTANK ON LOTTO: 5'+ 5'+ 5' Foundation Property line Absorption field 10% 100'+ 200'+ Water main/service line Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain 8' +/- Building foundation 10'+ Water main/service line 10'+ 100'+ Driveway, parking/vehicle storage area 10'+ NONE KNOWN 200'+ Wells on adjacent lots F. ENGINEER'S CERTIFICATION.A Icertifythat, ~ l~i~ru/fieldinspectionsandreview Signature L ..... ~ ~~ Engineer s Name ( JEFF GARNESS ar~ HAA Fee $ Date of Payment ~2/(,,~)~ /~y (' Waiver Fee $ //'~ , Date of Payment ~h~/~'~ Receipt Number~'~-c~ ~ Y~ '~' ~'~I 72-026 (Rev. 3/96)* Rick Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 625 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anch orage,ak.us AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey ~ess, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504-0000 July 27, 1999 Subject: Waiver Request forHERITAGE HEIGHTS LT 24 Waiver # WR990046 Lot Line Request for Parcel ID 015-361-36 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 8 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any fUrther concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Engineering Technician 1II On-Site Water Quality Program Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B - Anchorage ~ Alaska 99504 Phone (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers July 26, 1999 Municipality of Anchorage Department of Health & Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 , . - O'l/~rtcr~orage Mumc~pah~ .... men Services Dept. Heetth ~ n~ Subject: Lot Line Waiver for Lot 24; Heritage Heights To whom it may concern: While testing the septic system on the referenced property, we found the trench to be only 8 feet from the north lot line, which puts it 2 feet into the utility easement, (see attached asbuilt survey). Attached are letters of non-objection from ATU, Chugach Electric, GCI, and Enstar. There does not appear to be any adverse impacts associated with the subject encroachment. This subdivision is served by public water. We are requesting you waive the required separation distance between the trench and the lot line to~ ? feet. If you have any questions, please contact us at 337-6179. ~ ~p~~ ~~Sincer ~ S. Presi/teflt ~ JAG/gd MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Wa'iver Review Worksheet R ' D~ ~- 74~ \- ?~ HA # ,~/'~qq/,~-%,~ Permit Date Received: ~f,:QIA ~_~ kekek% Legal Description: ~ ~.~ ~$~~ ~%,~t~ Engineer: ~{-~ ~?~.~~ (~ ~ ~~% Applicant: 0,~,0 /'~. ~ 9n~'~.~*% 0~ Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or' Reasons for above: Date: 7- 2 7' ~ ~ N~/~f Reviewer Amount: 25' 25' 17 $ 89'57'20" E 145,00' ~ 10' UHDERGROUND I UTILITY EASEMENT 55,4 , ~~ LOT 24 ~0 lQ' SLOPE CONSTRUCTION AND MAINTENANCE EASEMENT N 89'57'20" W ~20,00' YUKON ROAD 18 2.3 7/15/99 -- ADDED ~E:I~T'IC STANDPIPES ~ .~ ' , -, ~ - ' con~tructlon or for e~tobli~hfng property liae~, ._ JFE~tCE~ ~'x < -- 603 Telephone Avenue, Anchorage, Alaska ,, g950~.8091, gOZ 564-1000 July 16, 1999 Rick & ~argarita Payne 5800 Chisana Way Anchorage, Alaska 99516 ATU Telecommunications has no objection to the encroaohment of the exi$=i~g septic standpipes into a platted easement located on Lot 24, Heritage Heights Subdivision, as depicted on the as-built drawing submitted. Acceptance and use of this letter of non-object/on by yourself, your heirs, your assig~s~ or your successors~ will constitute agreement to ~he following stipulations: ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. Any ATU facility damaged or destroyed as a reault of this encroac~ent will be repaired at no cost to ATU. Any costs inourred by ATU for special construction necessitated by this enoroachment will be borne by the proper=y owner. Ail applicable safety code regulations will be ~bserved an~ maintained. from full use and enjoyment of its rights within portion of its right-of-way. Sincerely, Outside Plant Engineering This letter of non-objection will in no way preclude ATU any DATE: ~S\Ie\9: m~.'d \ oor\no~ob\He~l_Ht, do~ 07/15/$9 ENSTAR Natural Gaa Compmly Engineering Del~arb~ent 401 E, InternatiOnal Ai~o~ Road P. O. ~o~ ~288 Anchorage. Al~ka ~95t9~286 Rick Payne 5800 Chieana Way Anchorage, AK 99516 To whom it may concern: ENSTAR Natural Gas C~muany has no objection to the encroachment of the septic and standpipes in the 10 fc~ot underground utility easement on the north side of Lot 24, Heritage Heights Subdivision, See attached as-built survey dated 07/15/99. Sincerely, EN~AR Natural~Gas Company Dave Titus, Engineer cc: File Jt~ly 15, 1999 Rick Payne 5800 Chisana Way Anchorage, Alaska 99516 Dear Mr. Payne, Subject to your agreement to inderani~, the company as set forth below, GCI Cable lac. of Alaska has no objection to the septic and standpipes encroaching into the lO'utility easement on the north property line of Lot 24, Heritage Heights Subdivision. Known as 5800 Chisana Way in city grid 2438. ' This letter of non-objection in no way Precludes OCl Cable l}om full use and enjoyment ofany rights it raay have within any portion of the utility easement and or the right.of- way, including unlimited access for servicing its facilities. Also any additional and extraontinary costs incurred during any fature required eonstraction, repair or reconstruction of OCI's facilities to accommodate any or all of the encroachments shall be paid by the property, owner By signing below, you agree to indemnify and hold GCI Cable harmless, now and £orevet, far any damage, costs, expense (including re.enable attorney's fees), liabilities and injury to any person or property occurring as a result oft.he encroachment. Sincerely, Rebecca Colton OSP Design Engineer Please indicate your acceptance by signing and returning this letter to myself at the address below. A~ceptance ~ Date 5151 Feirbanks Street · Ancl~orage, Ataaka 99503 · 907/786-9260 Ca~fe service# provided by GCl Cab/e,/nc, ENCROACHMENT PERMIT 1203-14B G-2438 EN99043 This permit is between Chugach Electric Association, thc,, an Al~ka non-profit electric cooperative, (her~in "Chugach"), who~ ~I&ess is P, O. Box 196300, Anchorage, Alaska 99519-6300 and Rick E. and Margarita Payne of Anchorage (herein "Pcrmittee"), whose address is 5800 Chicano WOT, Anchorage, Alazka'99516. i. Ea--.a~t. Chugach is the grantee or user of an easement for the construction and maintenance ofeleclrical facilities as follows: Dedicated by the plat of the subdivision known as Heritage Heights Subdivision, according to Pict Number 71-43, recorded on the 12th day of March, 1971, on fro in the office of the District Recorder, Anchorage Recording Di~tricl, Seward Meridian, Alaska, (herein "Easemenf') which pertains to the following &scribed real property: The North Ten Feet (N I0') of Lot Twenty-four (24), Heritage Heights Subdivision, according to Plat Number 71413, on file in the office of the Diatrict Recorder, Anchorage Recording District, Seward Meridian~ Al~ka. Permit~ee aolmowIedges the validity of the Eageme~:t. Permit'tee warrants and represents tho! Permittee is the owner of [he fee simple interest in the land subject to [he E~ement and the following daseribed real property to wl,fich the Easement is adjacent: Lot Twenty-four (24), Heritage Heights Subdivision, according to Plat Number 71-43, on file in ~he office of the District Recorder, Anchorage Recording District, Seward Meridiau, Alaska, (herein "Parcel"). 2. E~. Permit~¢e h~s constructed the followin¢ improvements on or within the read property subject to the Easement: A septic system that encroaches approximately Two Feet (2') into the Easement for a distance of approximately .Sixty Feet (60'), (herein "Encroachment,'). 3, Permi_._~t, Chugach hereby authorizes Permittee to continue the existence of the Encroacl'wnent in its current location subject tO the covenants set forth in this permit, 4. ~. Perminee shall indemniby and hold Chugach harmle}s from any claims for personal injury, property damage or other loss arising in any wa5 fi.om the construction or continuation of the Encroachment. 5. No E~pansion or tncre,~.m. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such con:ont. 6. No est i Real Estate Ac uir , Permiaee hereby a¢lmowledges that the l~ncroac}xment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permirtee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctr/ne of adverse possession This permit creates no interest in the real property subject to the easement, 7. Modification of U~Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugaeh's total costs for such modification which is reasonably attributable to accommodating or presetwing the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8, ~nts Runnin with the Land. The obligations of the PerrniUee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9, Termination. Chuga~h may terminate this permit a~er the giving of thirty (30) days written notice of such ~ermination if', £ncroa~hment Permit. Page 2 of 4 a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Pennittee fails to make the payment described in paragraph 7, above. 10. e]~.~, l'Ns permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 1 I. Entire Agre~emen_!, This written permit constitutes the entire agreement between the parties with respect to the subject mat~er hereof and supersedes all other prior or contemporaneous agreements, ora/or written, between the parties. No modifications, amendments, deletions, additions er alteraficns of the permit shall be effective un/ess in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC, General Manager ..... , ~ ...~ D ate :~ %,..,, .... STATS O~ ALAS~ PERMITTER Rick E. and Margarita Payne "Rick F. Payh"e Date:~7 ),7 "/ Mf,~garita Payne / Date: Ea*roachmen! Permit. Page 3 of 4 ~qotary Public in and for the S~ate of.alaska My commisgion expires ~-7-,,,~5 ~ cD ) ,) THIRD J'UDICIAL DISTRICT ) The foregoin8 instrument was acknowledged before me this ~'¢g~'~ of ~ _, 1999, by Eugene N. Bjornstad. the General Manager of Chugaeh Electric Association, Inc., an Alaska corporation, on behalf of the corporation. STATE OF ALASKA ) TI..IIRI~ J*UDICIAL DISTRICT ) Thc foregoing instrument was acknowledged before me thisc:~d.?dav Notary Pba_~ in-and fo~ the State of'Ala~k~ My commission expires O-]:z.r[o~ STATE OF ALASKA THIRD SUDICIAL D]SYRICT o~' \ fhe foregoing instrument was acknowledged before me this ~ I~av ~-~ct~ , 1999, by , ~ '-'~ Notary Pul:~id in and for The State &Alaska My commission expires AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. Land Services Department ?_O. Box 196300 Anchorage, Alaska 99519-6300 199~JL22 pH 2:57 ~ncroachment Per~il - Pag~ 4. Of 4 Membership Fee (Non-Refunclable) $ Connect Fee Reconnect Fee Chugach Electric Assoeiation~ inc. . P,O, Box 196300, Anchorage, Alaska 9cJ~19-6300 Phone: 563-7494 Meter Deposit (Refundable) Contact Fee A=eou~ Balance GL Account NO~,..~ .~_~ '~0_~-~' GL Ao¢ou~t No: ..... . ..... . .... . .... Work OrderlF~io No: "°' 18136 ~,,te../7-~/"? ? k~J.-.~?-D v sion of Envl.nmental Se.ices ~%%:~..::~.~ On-Site Se~c~ Section ~.: :~ ~.-Anch~~ e~Al~ka 9951~0'~?:~ 196650 . g , STATEMENT: OF INSPECTION BY ENGINEER .:-,:'~,~' :' '~" ~:i:'-~:}!."::..' ':: ' ! .':.'~ '''~' " '-"--.AS certified'by ~"~'e~ '~ Xed hereto anS:'~'of the va idatiSfi'~i~'~h~O'n'beloW~ I veri~ tnvest~gat[on of.this Health Authon~.Apprgval application shows that the on-s~te water anO/or wa~towator di~¢%al ,y~t~m is ~afo~-~'nctional and ad~'~t~ ~o; t.o num~°r of b~room~ and ~o of ~tructuro indicatod Bomin. I ~u~hor vori~ that ~a~ on tho information ogtainod from . the Municipali~ ofrA~Sr,~ge files and f?~,.my inv~s~a~'~n :~pd inspection, the on-site supply and/or wastewate[dispo~l syste~? in compliance with all Municipal and State code~''. ~: ordinancos, and ro~ulafions in off~t on th~dato of thi~ in~p~tiOfi.~:~ .~. :~ ": ..... :<i". ' .:' ~ag[~ River; A~.ka ~S~. ;::/ · -.. : -. ,-~:~?-.: .,:{-, ,~! :~.-.~-.~,;~ ..... --,: ......... ' Addre~ , · ' ' ..... ~ ":~/ .................. ' ............... , ' ........ · ,-.; . . :., '. -.¢%.; ¢ ',?;,;" . .... .... ,.. - Engin~fssignatUre '"~/~. ,. , , ~ '";',~;~;';=" 'Dat~¢','~/'~;/~, .,- -. .?; :.'~v=,', ; ....... :--. :.::_,. "'-"':.'~':::,.¢F:'9"".. "· :; : :;¢' ' ......... Date , : *;:.;;;,~ ~e Depa[bi~ent Of Health and Human 8e~!ces-(DBHS) msues Health Municipality of Anchorage Department of Health and Human Services ~'~i~"A'UTHoRITY APPROVAL CHECKLIST Legal Description: ~r,~T A. Well~.a Well type Log present Total depth Sanitary seal (Y/N) o~/~r, ///,¢~/7/}~ ,~ParcelI.D. Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water syStem number Date completed Driller Cased to Cas Wires properly (Y/N) LOG I.p.m. SEPARATION DISTANCES :LL TO: Septic/holding tank o Absorption riel Public ~ervice line WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ; On ad lots ; On adjacent "~ Public sewer manhole/clea"~'on % Petroleum tank /~//,//)~ Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed .~' ~.":~'['~1~/~ Tank size Cleanouts~,N'}~ :' .... .: : ?/~ Foundation cleanout ~N) High water alarm (Y/~_ . ~"~/"~ Date of'~umping ~. I ~'o. ~ ~' Pumper SEPARATION DISTANCES FPOM SEPTIC/~ TANK TO: I~')--~ (_.,-~ Compartments ~ Depression (WI~ Alarm tested (Y/N) /,'J/.~ To property line Surface water/drainage On adjacent lots Absorption field ~.~ ! Foundation Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Length ¢.?r( ! Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) ~~ Manufacturer Size in gallons % Manhole/Access (Y/N) Vent(Y/N) ~' level at ~evel at High water alarm level ' ~~ted __ _ Meets MOA electrical codes (Y/N) ~ ~ SEPARA~STATION TO: We]berrTot On--adjacent lots Surface water D. ABSORPTION FIELD DATA ~/~/~ ~ Soil rating (GPD/FF) Width ~ / Gravel thickness ~0 ~-- Cleanout present (Y(Y(Y~) ~ / ~-~ !'~ .~ Results (pass/fail) System type '~,~,,~JC/-J Total depth /d · Depression over field (Y~I,) for After test ~(~' If yes, give date ,~,~-'~ Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /"J//¢~ On adjacent lots ~, Co ~ Property line To building foundation /0/.r To existing or abandoned system on lot On adjacent lots ¢q-~/'¢: Cutbank r,.u/~. Water main/service line Surface water I OO',A Driveway, parking/vehicle storage area Curtain drain /~ 0r4~.~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, Signature Engineler's Name Date HAAFee$ ~ Date of Payment Receipt Number t~..~.'% ROBERT C. COWAN J Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 ,~TIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-~TE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D #. 1. GENE~fAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) Property owner ~~ (b) Mailing Address (c) Lendinglnstitutio~~~~~/~~hone ~~~ Mailing Address ~ ~ Address Telephone (e) Mail the HAA to the following address: (or check here ,[~ hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms. 3. WATER SUPPLY Individual Well [] Community [] Public Et/' 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 ~ 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. 72-025 (Rev. 7/88) 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, funct[ona .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address .~/~ Date 6, DHHS APPROVAL Approved for -~ bedrooms by Approved /~"..._ Disapproved Terms of Conditional Approval Conditional Date '~-4,'JI I ['J~ The MunicipalityofAnchorage 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 DHHSdonotconduct inspections or analyze data beforeacertificateisissued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 72-025 {Rev. 7/88)Back Page 2 of 2 Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ' SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: 3 t Date Completed Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining LotS ' Adj ini , On o ng Lots To NeareSt Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ; Date B. SEPTIC/HOLDING TANK DATA Date Installed / t-/~-~ize [ 25D Standpipes (Y/N) ~/ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~'//'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well -f- 2.oO To Property Line. To Water Main/Service Line Y- To Stream, Pond, Lake or Major Drainage Course No. of Compartments '~- Y Foundation Cleanout (Y/N) X Date Last Pumped ,,J¢~ 7! ! ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~" ~-~' ' ~7 Width of Field ~ i Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field ~'/&' ' Depth of Field /~ ' Gravel Bed Thickness ~ / Statndpipes Present (Y/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ¢~ Z.(~o To Property Line '/"/¢ + To Building Foundation To Existing or Abandoned System on Lot .¢- ~ o ; On Adjoining Lots ¢- .~ o To Water Main/Service Line ¢ ..~ o To Cutback (if present) -h/,~ o To Stream, Pond, Lake, or Major Drainage Course 4. /oO To Driveway, Parking Area, or Vehicle Storage Area ¢-,~ O Comments ~'/¢,,.:/t~(..~ ~,/~/7/¢'/¢.0~--,,~ ~' ~'/~ ' ~7 D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments f,) O "T' t/ ,¢ ~, Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff~ inspection. Signed ~~-~'~ Company ~O ~ $1', Date MOA No. Receipt No. ~ ~ ¢//~ ~/'~'¢'/7'''/~ ~O ¢ 5 Date of Payment ~/,/~ ¢//~ / Amount: $ / 7~) O'g 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 DATE RECEIVED INSPECTION APPOINTMENTS ~-'~ s .z~-~ .... ~ TIME TIME TIME · DATE DATE DATE ~NSPECTOR INSPECTOR I NSPECTO~ ~UNICIPALI~ OF ANCHORAG~ ~UNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~NMENTAL P~OTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION ~.J0V 5 1980 Telephone 264-4720 ~g~ ~ ~S REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S I I ~ DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, 1, PROPERTYOWNER J PHQNE I ~ MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE ~AILINO ADDRESS 4. REALTOR/AGENT ~ PHONE MAI LING ADDRESS 5, LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE S INGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~B EDR~OMS [] One ~ Four [] Two LJ' Five [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ IN DIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev. 6/79} ' ~ ~/~ ~ - THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE · .' NUMBER OF BEDROOMS [~ SINGLE FAMILY I-~ ONE ~ THREE I~ FiVE [~] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~INDIVIDUAL/ON -SITE DATE INSTALLED [Z~ PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~APPR OV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~] DISAPPROVED ~-' DATE BY /~ 72-010 (Rev, 6/79) ALASKA enul onmenTAL CONTROL S RUIC S, lilC. I~nclineeMn~ 6 ~nuironmental $1udi¢$ JAN HAMPTON SRA E:OX 62Q ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF IqF_ALffH & ENVIRONMENTAL pRoTECTION. t'.lOV ~ 5 I980 RECEIVED AK 99507 NOVIr. ME, EF~ 24 1980 SEI_L. ER - dAN HAMPTON SUE.:D:[ Vi[S:ZON-HE R][TAGE HEIGHTS BLOCK'-O L. OT'-Z4 THE TYPE OF"' AE:SORF'TZON SYSTEM ~S A TRENCH N~'fH AN AREA OF 462 SQFT, THE SYSTEM IS CAPAE:L.E OF ACCEPTZNG 608 GALLONS OF WATER PER DAY~ THE SO:[L.S RATIN(~ OF THE SYSTEM AT CONSTRUCTZON NAS 114 AND NON IS 116 SQFT/ E:E:DROOM, E:ASED UPON THI~ TEST DATA THE SYSTEM ~S ACCERTABLE FOR A ~ E:EDROOM HOME, THE SEPTZC TANK NAS PUMPED ON NOV :L980 · 1220 ~est 25th Auenue · Anchorage, Alaska 99503 e, (907) 276-1361 i V J (]VO~I HO~II8 il'Se/, I -< F :* r OVO~ HOMI8 ~ og ~ 8°88 ~3IRCH ROAD I '--~ ' o~CHISANA WAY I m ~ I~L__~S I~I I ; I~1 ~ I