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HomeMy WebLinkAboutLAKE HILL ACRES #1 LT 8A05] O52- Municipality of Anchorage Community Development Department Page 1 of 2 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171217 PID Number: 051-052-58 ❑✓ New ❑ Upgrade Name: MIDNIGHT SUN CONSTRUCTION ABSORPTION FIELD Address ❑✓ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 22528 OLD GLENN HIGHWAY, CHUGIAK AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0•6GPD/SF 13.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 5.0 Ft. 8.0 Ft. LAKE HILL ACRES#1 8A Fill added above original grade Gravel length Township Range Section 0.0 Ft. 50.0 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 2.5Ft. NA NA Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line 800 Ft2 1 N/A Ft. Well 114.1 121.3 NA N/A 25+ TANK El Septic ❑S.T.E.P. ❑Holding CI Other Manufacturer Capacity Surface Water 100+ 100+ NA N/A Anchorage Tank 1000Gal. Material Number of compartments Lot Line 29.8 10.0 NA N/A STEEL 3 NA Foundation 11.9 14.3 NA N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ NA N/A Gal. Pump on level at Pump off level at High water alarm at Remarks in. in. in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank t3034 IInstaller drainfield WHITTERS Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 95ft Inspection 5t Location and description 1 dates: 8/24/17 2 8/25/17 3d 41h Bottom Trim COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date I OF At'Q ik! .`' •s�17 i -,417.. •.... e t,• CE 8149 Approve V`n ( G 4 Date-1 - 5- e % i2cJ . li; Esgo><��4 Inspection Report_1-1-12.doc DESIGN PARAMETERS �/ li PRIMARY SEPTIC SYSTEM / / \ NO. BEDROOM: 3(450 gpd) / / / '�` 'TANK SIZE: 1000g // / / A'1', ,t PERC RATE: 19 MPI / / / �'*"#** / SOIL RATING: 0.6 GPD/SF /////WELL (E) 3 / wy� ** �'�i •�/ AREA ROD: 750 SF / \ / / / SYS. TYPE: DEEP TRENCH 8.0'ED / / ) / ` / ! / MIN LENGTH: 46.9 LF � / / TRUE NORTH SCALE :1"= 50' USED: / • 7 - / / \ l 50.OLFx2.5'Wx8.0' E.D., 13.0' TDA S.PTIC AREA (E) ' // NOTAL AREA: 800 SF _ \N / / RESERVE SEPTIC SYSTEM(NIC) / I NO. BEDROOM: 3(450 gpd) 4 TANK SIZE: 1250g ADVANTEX 121.3 APPROXIMATE LOCATION OF /PERC RATE: 19.0 MPI ! 1 14.1 . SEPTIC AREA (E) SOIL RATING: 4.0 GPD/SF / NOT ENCOUNTERED DURING SOILS INVESTIGATION AREA RQD: 112.5 SF if O ( O' IF ENCOUNTERED DURING INSTALLATION SYS. TYPE: DEEP TRENCH 0.5'ED ' .• TH-1 4 /6 REMOVE ANY PART WITHIN 10' OF DRAIN FIELD ( MIN LENGTH: 22.5 LF ` rI`�� AND REPLACE WITH CLEAN FILL N /USE: lW 41 �/� RESERVE ABSORPTION AREA (NIC) 22.5LFx5.0'Wx0.5' E.D., 5.5' TD 0� , 10.0 BASED ON AWWTS TOTAL AREA:.1 112.5 SF + 0 22.5LFx5.O'WxQ,�ll_E.D.,5.5'T.D. WELL E LOT 8A i °�wo, PRIMARY DRAIN FIELD (�P)N 150.6 �� /� / 5OLF x 2.5'W x 8.O'ED x 13.O'TO / / '_, // / INSTALLED MONITOR TUBE AND CLEAN OUT __7k, - 1 0 "%L ,'!� . / AT EACH END 1000g SEPTIC TANK ( / F�'qy / a AD INSTALLED FOUNDATION CLEAN OUT AND ( ( yam \ A B INSTALLED DOUBLE CLEAN OUT AFTER N / �-2' C--- FC 8.2 6.0 'L/ r r /, , Ti 15.5 13.8• J _ �2 \) 12 20.4 19.4 1 i c")--/ / / / DCO 22.4 21.4 • / / Cl 39.8 45.3 /1 3. / �/ 1 & / \ M1 40.4 45.8 7 / / SEPTIC AREA (E) C2 54.6 46.5 �\ / / DECOMMISSIONED PER CODE 08/03/17 M2 54.2 46.4 r / / I / 2 25 <.. 0O <ZO 0 , w ?g < mZ ? r D kRAIN :. K 2" Ll d Sd ° o ABOVE PIPE INV Cr _ O.C.EL.94.0 o 6 - 0 " 0 (RAIN PIP 0 0 4.0 I_ R FA:RI O.G.EL.92.0 OR 91.0 •• • 1000 g SEPTIC :•.4 TANK(N) :7.0 I I :7.I 8.0 CW/ PROFILE DRAIN ROCK SCALE 1"=10' I50.0 I NO GR TER 8 9 17 NOTES: PANNONE ENG SVC, LLC Date RECORD DRAWING P.O. BOX 102954 ANCHORAGE, A99510 ••• 02/20/18 PHONE (907) 272-8218 FAX (907) 272-8211 �.•• •, Scale *,49 1. i` •�* 1.. = 50' •• •••• P.I.D. NO - LAKE HILL ACRES #1 L8A 1•' ' . 1-052-58 DRAWN JRL MIDNIGHT SUN CONSTRUCTION LLC , •Haven 12. Pannone PERMIT NO. 22528 OLD GLENN HIGHWAY VE 8149 oSP171217 SITE PLAN CHUGIAK, AK 99567 •...•••• Sheet I 2 OF 2 ._0,....____ .F MUNICIPALITY OF ANCHORAGE n,enr On-Site Water &Wastewater Program moo' Ste" E • 1r PO Box 196650 4700 Elmore Road .1,` t Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 tK http://www.muni.org/onsite Q -- r I epartment 44,CH00.0.6t On-Site Wastewater Disposal System Permit Permit Number: OSP171217 Effective Date: 8/10/2017 Work Type: Septic Initial Expiration Date: 8/10/2018 Tax Code Number: 05105258000 Site Legal Address: LAKE HILL ACRES#1 LT 8A G:1561 Site Mailing Address: 22528 OLD GLENN HWY, Chugiak Owner: MIDNIGHT SUN CONSTRUCTION LLC Lot Size in Sq Ft: 25500 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: I 1 Disposal Field I1 Septic Tank ❑ Holding Tank ❑ Privy Cl Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing n Received By: 10a l/, a \. I i I , Date: I�/, • Issued By: 2QJJC4.A C Date: Fr 1D 0201 at s s MUNICIPALITY OF ANCHORAGE I • ,— ` -114`4„'7.-- t':. . Community Development Department ,: � ' Pho - sr :--' Development Services Division 'i" , tib' On-Site Water& Wastewater Program 1 i'. W i V\•l ala AA.LJ 09 2017 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-052-58 • _, :cii., . ''` Property owner(s) Midnight Sun Construction LLC Day phone Mailing address 22750 McManus Drive, Chugiak, AK 99567 Site address 22528 Old Glenn Highway Legal description (Sub'd., Block & Lot) Lake Hill AcreetLot 8A Legal description (Township, Range & Section) Lot Size 25,500 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field E Initial N Single Family (SF) ❑X (w/wo ADU) Septic Tank 0 Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 49704) Waiver Fees: Date of Payment: '/d1/i9' , I Date of Payment: Receipt Number: �� 6(p101 4 Receipt Number: //�� Permit No. i 7 P/11747 Waiver No. Permit App_:-:-:L.,:c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com August 10, 2017 Subject: Lake Hill Acres #1, Lot 8A Septic System Permit Request Design Narrative This is a design narrative for a permit to install a septic system to be issued for this property. The proposed system will serve a proposed three (3) bedroom house. Currently the lot has a decommissioned septic system and an existing well. The trailer that previously existed on the lot has been removed. The system will utilize a new 1000g septic tank and conventional drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system. 1. Soils. One test hole was performed in the vicinity of this system by PES in August 2017, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 19' below the surface in the test hole monitor tube in August of 2017. Bedrock was not encountered in the test hole to 19'. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.6 gallons/day/square was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. t3sJ 4. Topography: The existing topography on the lot generally slopes from northemet to southwest,� with a slope of approximately 10% in the area of the drain field. The road cut slop adjacent to the Old Glenn Highway is approximately 4' high and the top of the lateral pipe is lower than the toe , so there is no confilct. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 / \ �i . 7 WELL (E) \ , 7 , •1/ SEPTIC AREA (E) R ! ..,:li LS/ . .7 <c.�� \ •`\ A4 APPROXIMATE LOCATION OF �4,�J" SEPTIC AREA (E) TH-1 NOT ENCOUNTERED DURING SOILS INVESTIGATION /h �, Ir • IF ENCOUNTERED DURING INSTALLATION \ 76.0•�REMOVE ANY PART WITHIN 10' OF DRAIN FIELD (P) /./,/ W10 70d AND REPLACE WITH CLEAN FILL y L (E) , PRIMARY/ RESERVE DRAIN FIELD (P) LOT 8A� �S9` `, y 5OLF x 2.5'W x 8.0'ED x 13.0'TD 1(/ y INSTALL MONITOR TUBE AND CLEAN OUT •muir1' • AT EACH END �Ci 1000g SEPTIC TANK (P) ....) • \ _ N—INSTALL FOUNDATION CLEAN OUT AND 44/ INSTALL DOUBLE CLEAN OUT AFTER (:)v \// / -....,....4 . \// SEPTIC AREA (E) 1 /-- DECOMMISSIONED PER CODE 08/03/17 V SEPTIC AREA (E) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) LEGEND TANK SIZE: 1,000g w WATER LINE/ PERC RATE: 19 MPI WELL RADIUS ABBREVIATIONS SOIL RATING: 0.6 GPD/SF TH TEST HOLE AREA ROD: 750 SF SS NEW SEPTIC SYS. TYPE: DEEP TRENCH: 8.0'ED (P) PROPOSED MIN LENGTH: 46.9 LF — — _GB_ — — GRADE BREAK (E) EXISTING CO CLEAN OUT NO. USE: MT MONITOR TUBE NO. 5OLFx2.5'Wx8.0' E.D., 13.0' TD 0 0 RETAINING WALLTYp TYPICAL TOTAL AREA: 800 SF NOTES: r>�� �\ Date PANNONE ENG SVC, LLC 4 of.,��1� 8/10/2017 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, A99510 '�F'•'''.''•'46;4� PHONE (907) 272-8218 FAX (907) 272-8211 co.• �� ,,t Scale DRAWN BY: *; 4 • 1 1"=50' /••' 1� I P.I.D. NO DRM LAKE HILL ACRES V1, LOT 8A � *51-052-58 MIDNIGHT SUN CONSTRUCTION LLC j teveri 15o orae . PERMIT NO. r - . CE 8149 .•�?� 05P171217 22528 OLD GLENN HIGHWAY t♦� �s •• 4� PLAN CHUGIAK, AK 99567 Ik, �OFESSI•'.c.‘ '''� Sheet 1NNN"__,� 1 OF 3 SOILS LOG - PERCOLATION TEST TEST HOLE 1 v++ SLOPE - SITLAN OR ORGANICS \ y� 1 TH-1 I 2 IV 3 '''----.,_,.\______ W 4 5 LOT 8A; 6 x SILTY GRAVEL TH 7 GM/GW TO GRAVEL 063%q� 8 - 'Z'i 9 l mac' 11 , 4/ Ov O" 12 1 / /7 / 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IF YES,AT WHAT TH DEPTH? -DRY 16 x 17 DEPTH TO WATER AFTER MONITORING? -DRY 18 DATE: 8/9/17 WATER 19 BOH READING DATE CLOCK NET TIME LEVEL NET DROP READING 20 1 8/3/17 8:55 --- 5.30 --- 2 9:25 _ 30 MIN 6.95 1.65 DATE PERFORMED:813/17 3 9:25 5.30 --- 4 9:55 _ 30 MIN 6.90 1.60 5 9:55 --- 5.30 --- 6 10:25 30 MIN 6.88 1.58 PEROLATION RATE 19(min/inch)PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS:Test hole excavated by WHITTERS EXCAVATION PERFORMED BY: Dan Moran. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: _���«v\ Dote PANNONE ENG SVC, LLC q���� Date8/100, FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 't� •qS ik PHONE (907) 272-8218 FAX (907) 272-8211 Aoco.• �,�''�y+� Scale DRAWN BY: *; TH .3 N‘ •*00 NTS DRM il•• • ? P.I.D. NO LAKE HILL ACRES #1, LOT 8A • / 051-052-58 MIDNIGHT SUN CONSTRUCTION LLC i vee nnorae PERMIT NO. 22528 OLD GLENN HIGHWAY l�� qJ. CE 8149 �/ OSP171217 SOILS LOG CHUGIAK, AK 99567 �4`ipmr0''t 411' Sheet `�NNON. �� 2 OF 3 — SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL NEW TANK AND DRAIN FIELD. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 19.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 19.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTES: PANNONE ENG SVC, LLC �oF q NNl Dote FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 „''L 4si1 8/10/2017 PHONE (907) 272-8218 FAX (907) 272-8211 /o).P �G.';r00 Scale DRAWN BY: — ". �. �; •• • P.I.D.NTS DRM ` 051-052-58 LAKE HILL ACRES #1, LOT 8A � Ste 'R Pannone' MIDNIGHT SUN CONSTRUCTION LLC . / PERMIT NO. 0�T CE 8149 ��/ OSP171217 22528 OLD GLENN HIGHWAY � � •. DESIGN DETAILS CHUGIAK, AK 99567 ,1��o/ OFES510�P`= Sheet .3 ��\\N�2� NA~E MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT FHONE .~NEW LEGAL DESCRIPTION Well 1 DISTANCE TO: /~ Manufacturer IF HOMEMADE: Abs°rpti°~e~.~ F I'q nside length Well Dwelling DISTANCE TO: Manufacturer Foundation DISTANCE TO: No. of lines Length of Top of tile to finish grade Length Width Total length of lines j Material beneath tile Depth Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Depth Driller Buildin9 foundation Sewer line DISTANCE TO: Dwelling M at ~,~.~.~ W dth Material Nearest lot line._~ I Trench w~th~:2~ inches ,~_ ~../ II inches /O, OF BEDRO-(~MS.~ PERMITNO~'/~)3 ! ~ No, of compartments Liquid depth PERMIT NQ, Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area PERMIT NO, Total effective absorption area Nearest otline Distance to lot line Sept c tank PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL F'ERMI T NO. HF .- L I _.HNT LOCBTI ON LEGBL DEPBRTMENT/ ~HEBLTH BND ENVIRONMENTBL ]TECTION 825 '"L'" STREET, BNCHORBGE., BK. 264-4720 MR. FORD SRR BOX 9EIgO CHUGIRK CILD GLENN ] ~ LOT '9 LRKE N!LL SLIB l~¢l LOT T"r'PE OF SOIL RBSORF"rlON SYSTEM IS: TRENCH MB::-(IMLtM NJMBEF.' OF BEDROOMS SOIL RB] IN= (S]-! FT,."'BR)= 1._,=, THE REQUIF.:ED _,I,~.E OF THE '=,FilL flESRRPTION =,T=TEM IS: THE LENGTH DIMENSION I-~; THE L. ENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. ]'HE DEPTH OF F1 TRENCH OR PIT IS THE DISTBNCE 8ETHEEN THE SURFBCE OF THE GROUND RND THE BOTTOM OF THE E;:.:',CB',,,'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRFt'¢EL BETHEEN THE OUTFBL. L PIPE RND THE BOTTOM OF 'THE E',:.::CBVBTION (IN FEET). . EF. MIT BPPLIRBNT HRS THE F.E_,F_N_IE, ILIT~' TEl INFORM THIS [.',EF'BRTMENT [:,IJRING THE IN::,FEUTTLN_-, OF RN"r' HELLS H. E3HUENT TO THIS FF..UFEF..r'-r RND THE TNSTFtLLRTt]N ..... I ......... ' ' "" NI..IMBER CiE RESIDENCES THRT THE [,.IEEE [,JILL SER',,,'E. BRCI<FILLING OF BN'¢ S'.r'STEM I.,.IITHOLIT FINBL INSPECTION Bf.,ID BF'F'ROVBL BY THIS DEPRRTMENT [,JILL BE :,UE,._EL.T TO PROSECUTION. MINIMUM DISTRNCE BETHEEN B HEEL FIND RN'¢ ON-SITE ':;EHRGE DISPOSBL S'¢STEM IS ±E~C~ FEE]' FOR R PRI',,,'RTE .WELL OR :L5C~ TO 2F~R FEET FROM B PUBLIC HEEL DEPENDING UPON THE TYPE OF PUBLIC [,JELL. MINIMUM DISTFINE'.E FROM R PRI',/BTE HELL TO R PRIVRTE SEHER LINE IS 25 FEET RND TO ta COMMUNITY SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MB¥ BPPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS BRE R'¢FtILRBLE TO INSURE PROPER INSTFtLLBTION. F-. E =. [:, E C: E i"1 E: E R _.- t .,, :t 9 '=' 1 I C:ERTIFN' THRT '1: I BM FRMILIBR HITH THE F.:EC~t.IIF.:EMENTS FOR CN-SITE _,EHEF.'._, RN[:, LfELES RS SET FORTH B'¢ THE/MI_INICIF'RL IT'¢ OF RNC:HORRGE. , 2: I HILL IP~TRLL THE S'¢STEM IN RI]:IZ:OR[:,RNC:E HITH THE CODES. ]:: I I_IN[:,ERST~N[:, T~THE ON~IT~ SEHER. S'T'$TEM MR'T' REQLIIRE ENLRRGEMENT IF THE RESIDENCE I~REMCI~,EL~D TO ~NCLI~)E MCIRE THRN ~: BEDROCIMS. , I SSIJED .___C R TE~_L~ ..... 12- 13 14 15 16 187 1") 20 'l ;~ERFORM ED FOR: SLO ~E' r WA~ GROU ND WATER ENCOUNTERED? ., ,~,~{~_ IF YES, AT WHAT DEPTH? _ Gross ~ i Net ' , Del~th~o ', · Ne{ .;~;;:~ Reading Date Time-' I ;Time Water · . Drop ?!!' [! ' '~" ' ;- ~c': ': ' · ~:~'L' _ 'D; /xv , . i ' /,/a" ',""3"/,,, .' ; ~. · i ' ~.~' '. '.' ' ' - ' ¢~'J PER LATION RATE . , (minute~/inch) TEST RUN BETWEEN ~( · FT AND - ' :' ~ ~T ' , ;:-, ..t, - ' ., :7,'.,~:.:- COMMENTS ~.'~ ~/-r' (~ .-..,i./ ¢ ,~ , '',-1'" ..... '.' ' · . ' · .': ..',.. : /' '.-;,:~¢j PERF"RMEI BY _~. )]~:,,'~ C:RTtFIED BY: ~Z " ¢" DATE: ~;-:.Z-.{"'~ij. , .' <~::~;~/:':*~-=,:'~2~ ~:,-:~ 4 ,,: --~ --; ': V.O. BOX 272, CHUGIAK, ALASKA 99567 OWNER_OE LAND. ~/7 I:','~?;:-:~ ~ ~..:-~: :.- :: :~,'~- *~.-:.~ ~: :7: DEPTH OF WELL ADDRESS ,' .~O I :'" '~; .~ ~ ~ ~-?.:-~ ~:¢~:~':'~;:? ~ ~O~:~;~,?:g~AT1c''LEVE~''~''~b& LEGAL DESCRI~ION~~;~:: ......... c -:"- '? n~ z, ;~: DRAW DOWN PE~IT NUMBER ............ -- :::::. KIND OF CASING KIND OF FORMATION · .: ~-~<~,~; :,:: ~; ~ = ~ .::-~ :..c:?'~::::~,? .-.::?' '-'-~'::?:~ ..... t.t , . Ft._ . : . - ,-'.,~' ......- _ From .~; Ft to ~ ~ Ft "~/¢ ~ f = "0 ~ ' ~ ' ~':L~::.~. F~?: From · Ft. to -~ Ft.- ~ ~C~ ~- :.':' ' .- ': -?. From From ~- Ft. to ~ 7 Ft. ~P~M~ ~ ~.~c~r~ ~-"'Ft. to .... Ft. · :",.: ~,~.: .,. :. ::" ~'. ...'.~. ~ .... - ff~;.~' ~ .... From -' ' Ft. to ' - - Ft..' ~ :.:'~'~-'~:. ," :;~ .... *;:~:'-:~' ' From: > - Ft. to' - ' 'Ft. '~..:.:;z_~:-~ g. ': ~-~ ,; -:,-?::From.:::.",.:~.-Ft~tO From .... Ft tO ' ~ .... ~t: .. ~l I ~ .~ ~ ..... >: :~ ' '~.~-~.~."' ~.~.-:' ~ram ~-.* [[0~.~.7q Ft. to (~.Ft...:~t,~, .7::/..~ ~.:., ~:;.:From From - Ft. to ' -' Ft .... ~ <~ .... ~ ~ ........ "~.':;~ From'?:",:--.Ft't~ from et. to ~'t ............. .; From . . o r. ............. :..~_ From - · GAAB-HD-I GI~-'~TER ANCHORAGE AREA BOROI'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS ,_~.//~/-') ~'~.'"~=~'/// PHONE LEGAL DESCRIPTION ~ ~_~/Z~Z~- ~--~'~/ DISTANCE FROM WELL LIQUID CAPACITY GALLONS. NUMBER OF MATERIAL -.~'.-~'-'~'~='- COMPARTM. ENIS INSIDE LENGTH /~SIDE WIDTH. LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER OR / ' . , LENGTH ~.~.~' , DEPTH DISTANCE FROM WELL _/~/,~.,,~- , BUILDING FOUNDATION'~'~/)- w W ~ SQ. FT. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE NUMBER OF LINES //~CE BETWEEN LINES DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH , OF LINES IN. TOTAL E~:FECTIVE DEPTH OF FILTER MATERIAL BENEATH TIL~: IN. ABOVE TILE.-- WELL: TYPE/'2/~f'.~. ,~//-~-~-~J~)EPTH /'"'/ DISTANCE=ROM , BUILDING FOUNDATION. LOT LINE ~ NEAREST SEPTIC ,SEWER LINE ~, TANK ~, SEEPAGEsYsTEM WATER ~¢ AMPLE CESSPOOL NEARES1 OTHER SOURCES DISTANCES: DIAGRAM OF SYSTEM GREATEL ANCHORAGE AREA. ~)ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RES DENCE ADDR SS .,~"/t~ U~.n~"Jt~-~-J'' ~J~_,/~/'~) ATION ..... . --. -, - APPLICATION~O I~STALL: SEPTIC TANK ~ ,SEEPA"EPIT ~ ,DRAIN FIEL~ -,OTHER FINANCED THROUGH TO BE INSTALLEB BY 3nF~~ ZV~'~O ~ "~ . j PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT TH,SlSTDSERVEAB ''Lc ,PERM,TTO,NS ALLA AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED DISTANCES: Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No. 28-68 and that the above described system is in accordance with said code. Feet Soil Cha~,~cl;eP~S '-icg ~oo~ ~ok con~em~ u Water Encxount e~ed?~D~ Net Drop ! EPLAIJS • f 4 • t t Municipality of Anchorage ° On-Site Water and Wastewater Program (907)343-7904 s� , Certificate of On-Site Systems Approval ,p� Parcel I.D. 051-052-58 Expiration Date: ) 2-- I V `(. 1. GENERAL INFORMATION Complete legal description Lake Hill Acres #1 Lot 8A Location (site address) 22528 Old Glenn Hwy Current Property owner(s) Midnight Sun Construction, LLC Day phone Mailing address PO Box 210994 Anchorage, AK 99521 Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: 1 Received b 1 ' �` Date: g i1 2 J' COSA to be released to the engineer,unless otherwi e reque d by the en•meet. TT COSA Fee $ `tO Waiver Fee $ Date of Payment "G 11-1i/€, Date of Payment Receipt Number /� 69 -610-Q0� Receipt Number COSA# 06C IV/116e, Waiver# 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis 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 for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date 8/30/2018 6. DSD SIGNATURE ••` `. //////./^.y✓//��� / 3 1 l\ System #1 Approved for bedrooms "��j�• S3even k.'•annone • 1.• CE-8149 . System#2 Approved for bedrooms 4 4'•. ,.. Disapproved ���l\A�p�5g4N� ' Conditional approval for bedrooms, with the following stipulations: • l'3"PND \v O\1\1 1\-1E1 c: r—r By: —"\-- =/ Original Certificate Date: D �� 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 Slate 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 sneet r If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Lake Hill Acres #1 Lot 8A Parcel ID:051-052-58 A. WELL DATA Well type Private If A, B,or C provide PWSID# Well Log(Y/N) Y Date completed 5/1981 Sanitary seal (Y/N) Y Wires properly protected(Y/N) Y Total depth 188.6 ft. Cased to 188 ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 5/1981 2/20/2018 Static water level 162 ft 168.5 ft Well production 11 .7 gpm 4.6 g p m WATER SAMPLE RESULTS: Coliform t 2.C\ colonies/100 mL Nitrate A:\(a mg/L Arsenic N ) ug/L Date of sample: 8/24/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8/24/2017 Tank size 1000 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(YIN) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A Date of pumping NEW Pumper N/A C. ABSORPTION FIELD DATA Date installed 8/24/2017 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 GPD/SF System type Deep Trench Length 50 ft. Width 2.5 ft. Gravel below pipe 8 ft. Total depth 13 ft. Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N 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. N Any rejuvenation treatment(past 12 mo.)(Y/N& type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "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 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 1 00+ Driveway,parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS .'- 0..f lIcl-q ()11 1 I e G. ENGINEER'S CERTIFICATION QIP AC\\k ki I certify that I have determined through field inspections and ..,A''�'S. `4�•.1.;,fi review of Municipal records that the above systems are in O• .:'.• /\ *!♦O conformance with MOA COSA guidelines in effect on this date. /••• q• 7. Engineer's Printed Name Steven Pannone ":S}eier;W.'•anriorie:.d • Date 8/30/2018 4 1:,.... CE-8149 A kl Aoiissia�11/4 1" COSA canary sheet_2-6-15.doc 5<01a9 /0 77 , • b l ;^ , . A •, Municipality of Anchorage a i-U 1 1s `° On-Site Water and Wastewater Program < ii/%O (907) 343-7904 tea, fi .��4, Certificate of On-Site Systems Approval Parcel I.D. 051-052-58 Expiration Date: _1 CI 2 1. GENERAL INFORMATION Complete legal description Lake Hill Acres #1 Lot 8A Location (site address) 22528 Old Glenn Hwy Current Property owner(s) Midnight Sun Construction, LLC Day phone Mailing address PO Box 210994 Anchorage, AK 99521 Real Estate Agent Day phone 2. TYPE OF DWELLING: D Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage LI Holding Tank Cl Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received b • )_ _A k�,t..1s .: _ !rte. Date: 31.42,4)___ COSA to be released o the engineer,unless otherwise reque.ted by e engineer. COSA Fee $ a(I$ ,5.b Waiver Fee $ Date of Payment x.01 rS Date of Payment Receipt Number Di'513 6 Receipt Number COSA# (350?i()62- Waiver# 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis 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 for the sole 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 2/20/2018 Ak �*co•P � � � ' 490TH 6. DSD SIGNATURE .. System#1 Approved for 3 bedrooms �- .uno._•. Steven R. Pannone• System #2 Approved for bedrooms rr#tGj•• CE-8149 401 �r Disapproved �� ,q�q SS.01 Conditional approval for bedrooms, with the following stipulations: \•s\f OF ANL' \AQP y��9 - = ON-S11>_ WATER AND a WAoz• AP , l Original Certificate Date: 3 / S�'-� 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_f . If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Lake Hill Acres #1 Lot 8A Parcel ID:051-052-58 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 5/1981 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 188.6 ft. Cased to 188 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 5/1981 2/20/2018 Static water level 162 ft 168.5 ft. 4.6 Well production 11 .7 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 2.17 mg/L 2/19/2018 Collected b PES Arsenic ND ug/L Date of sample: Y: B. SEPTIC/HOLDING TANK DATA Septic/Steel Date installed 8/24/2017 Tank Type/Material Tank size 1000 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N N/A High water alarm (Y/N) NEW Pumper N/A Date of pumping C. ABSORPTION FIELD DATA 8/24/2017 Deep Trench Date installed Soil rating (g.p. ./ftzorz . D/SF S stem tYP e Length 50 ft. Width 2.5 ft. Gravel below pipe 8 ft. Total depth 13 ft. Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N 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. N Any rejuvenation treatment(past 12 mo.) (Y/N &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 1 00+ 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 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION '4„,-NNN Va I certify that I have determined through field inspections and r*. '� !+t review of Municipal records that the above systems are in 0* ' TH ,. *0? conformance with MOA COSA guidelines in effect on this date. /••• •• • ' •• ..... Engineer's Printed Name Steven Pannone - ....t even '.'Pannone Date 2/20/2018 4 fig., CE-8149 Ik‘‘,4,0et.... 1.- COSA canary sheet_2-6-15.doc / / / // / / / / /-7- , ,,, / / o WIRE & WOODEN FENCE QQ I ./ Lot 7 ; F / / 45' h� • \ X58, ��o po, // / / / .^�� \ , SEPTIC / ij PIPES / / (1,cV \ eco• . . • 2.0'x5.6' CANT 3 / • 2.0' CANT "� •�04,= ~�1° / -V WIRE FENCE / �� hti s� / / „ , 1 j� PORCH + / 15' MEA EASEMENT / / WELL 4gs cc' } O / / (o CQ �o. �Op I 4?� �iF ^ � Q ¢ // / / pRptFmoo,• CT,vF 3 �4Y0 / 4., / / HSB Rq04 j S I ryr\i ��. A7. / liS �� / Lot 8A ,o, ��' .0p, / / V Lot 10A / CI N / OO / / CHAIN—LINK FENCE / / / _- / / / / / / / PLOT PLAN AS BUILT X SCALE 1• = 40' GRID NW 1561 Project No. 17-262/85 11500 Daryl Avenue, Anchorage. Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone QoOOOp� (907) 522-4625 Fax '=77:70F A C°N Professional Land Surveyors kenOlangsurvey.com jonathanOlangsurvey.com G" . '. ' S Q o . ,+, ..1--op I hereby certify that I have surveyed the following described property: 0).'' 49TH I' 7D LOT 8A. LAKE HILL ACRES SUBDIVISION, FiRST ADDITION (PLAT 81-216) e' ' * DA Anchorage Recording District, Alaska, and that the improvements situated thereon are a VA within the property lines and do not encroach onto the property adjacent thereto, that Q _ / 1 Q no improvements on the property lying adjacent thereto encroach on the surveyed VO 134, •. KENN i ' G� o premises and that there are no roadways, transmission lines or other visible O� 1 `$ Q� easements on said property except as indicated hereon. J �)'' L• —5202.••• y oO Dated this the 'i';..,� Day of • • • at Anchorage, Alaska OQ pRo J�o QOSSIONAk o It is the responsibility of the owner to determine the existence of any easements, D4OO000� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963