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HomeMy WebLinkAboutALDER PARK LT 3 GAAB HD I r',~"'TER ANCHORAGE AREA Bopr~ur-,H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM p ~' $ ~ ADDRESS ~-.~ NAME 0'..',, Z.' ( ,':V,, Z.X MA L,NG LOCATION z'~r' ~:J'~' ~'/J -" LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM W~ LIQUID CAPACITYF,/i:?~'.') /.2 ) GALLONS, SEEPAGE SYST~E PIT. NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL NEAREST LOT LINE MATERIAL ~ ~. <.?.4,.~./u×/ NUMBER OF _ COMPARTMENTS INSIDE LENGTH ,.f INSIDE WIDTH ~ / DEPTH OR WIDTH LENG1-H DEPTH DISTANCE FROM WELL BUILDING FOUNDATION ~-~'? , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE TRENCH WIDTH DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE__ (__]~..~/t,{/~,{ Cl ~ I""~ DISTANCE FROM WATER WELL: TYPE DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE , TANK , SYSTEM CESSPOOL DIAGRAM OF SYSTEM DISTANCES: NEAREST OTHER , SOURCES ? ./ /" HEALTH AUTHORITY CREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Legal Description: Lot Block Subc~v]s~on ~ This Form Reports a: S~LoK --'---/ Percoia~tYo-n Tes~-=- .............. Depth Feet Soil Characteristics Was G?ound Water Encountered? I I I l Location Sketch '~..d. · .si. Readin ng ";~-,~..,,:. Gross Ti~.e Net Time Depth To H20 Net Drop Prop-,sed tnstallatio'h': Seepage Pit / Drain Field Depth Of inlet ...... ~/~-~/ Depth To Boit°m O"f ~it Or TPenc~~ Test Perfommed By:.__ ~¢~ ~ ........ Data CertifiedDateBY:~: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date '-~- GENERAL INFORMATION (a) Legal Descnpbon (mclu.de tot, block, su.hdivision, se(9~ion, township, range) Location (address or directions) (b) Applicant Name .... ..~.A.W,¢ ~"~-2~:) _ Telephone: Home -~_6'! -_/.g' ¢4.~' Business Appt,cant Address _._q¢{,% (c) Applicant is (check one): Lending Institution [] ' Owner/builder~; Buyer [] ' Other [] (explain); . (d) Lending Institution ,/Y/A. Telephone Address (e) Real Estate Company and Agent _ Telephone __ '~ '~ 6 -- ~0 (f) Mail the HAA to the following address: - 2. TYPE OF RESIDENCE Single-Family',. Multi-F~.~er Number of Bedrooms 3. WATER SUPPLY Individual Well [] Community~ Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ Public [] Community E] Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. / ,72025(11 Page 1 of 2 5. ENGINEERING FIRM PROVIDING iNSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Nameof Firm /A/(2C ?/C.'/~ ~J~Z2~ /~--~__~ Telephone ~/ _ ~,_~ L~.~ _ Date ~- ~ ~- ~ "~'~ ~. DHEP APPROVAL Approved for Approved bedrooms Dy[.../ ~'. ~.'z ,' "- Y.q . ._<.-_E ~(~ Date Disapproved C~dition Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 MUNICIPALITY OF ANCHORAG-: DEPT· OF HEALTH & ×l ~ , c'.,~z, PRCTECTIO~I MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) .,, ;5 1985 CHECKLIST - FEBRUARY 1984 Legal Description: r-%,- _ .. WELL DATA Well Classification C._ Well Log Present (Y/N) Total Depth ~ _P)¢ ' 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 If A, B, C, D.E.C. Approved (Y/N) ~,r.~ ! ~ 7 ~ Yield Date Completed .:¢ ~ o ' Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) · On Adjoining Lots · On Adjoining Lots To Nearest Public Sewer /"2 ~" Cleanout/Manhole .,~?,A. TO Nearest Sewer Service Line on Lot i.,~ Water Sample Collected by "r. I, ff.,R/~,,/LZ-_.~"I' ; Date Water Sample Test Results _ ~_.,,,~1 ?," ~-'~.,,,'~"~ "~44'~ '~ .., ~ ~'~ ~ ',~'"'t",~ ~,,V ~"~_ Comments _/',,~,ZL¢_ /~ ~ ~J=f ~ ~ ~ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ! To Property Line /'-~ To Water Main/Service Line ~/' t~) · Size /~-~-i~) No. of Compartments / Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N) /k/ /~ Date Last Pumped '~"' ~" g ~" /1~,,//~' 'for ~ Temporary Holding Tank Permit (Y/N) ,---'- Course Comments To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11,84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ,2f'~_ I~;~ ~ / Width of Field N ,/ ~ Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot ~.~//~:~. To Water Main/Service Line /_)_.~./~'/~/~t..,'t,~ Type of System Design Length of Field ,_~ Depth of Field ~ / Gravel Bed Thickness "'"" ,~,J~..J,.,J Standpipes Present (Y/N) Date of Last Adequacy Test -~""-- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line /~ ~ To Existing or Abandoned System on · On Adjoining Lots ~ ~-~ '~ To Cutbank (if present) t'~.~,~_ ~../A D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, v, er~fied, op4~jionformed to all MOA and HAA guidelines in effect on the Signed /~¢'//~ -/~~ Date ~- ~//~,~"-' <:~ date of this inspection. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11,84) BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 May 13, 1985 MUNICIPALIT't, OF ANCHORAG DEPT~ OF HEALTH & ENVIRON~k4E'~"~TAL PRC' TECTiO~ i..,..,,' 3' 1985 RECEIVED Mr.. Ted Hawley Arctic Engineer's 1506 West 36th Avenue Anchorage, Alaska 99503 SUBJECT: Class "C" Well, Alder' Park Subdivision, Lots 1-7, Anchorage 852FA-187 Dear' Sir': The Department has reviewed the Engineer' As-built plans for' the subject project. Final approval is hereby given for' the water- system. The Certificate to Operate is attached for' the water' system. Any future expansion of the subject project will require additional approval from this office. The separation distances fall under' the old semi-public water, system regulations. Si ncerely, SWE/dd ~En~g~'neef. Environmental E~ ENCLOSURE: STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & CONSTRUCTION AND OPERATION CERTIFICATEFNWRONMF,NT^L for PUBLIC WATER SYSTEMS RECEIVED A. APPROVAL TO CONSTRUCT Plans for the construction or modification of public water system located in , Alaska, submitted in accordance with 18 AAC 80.100 by. .have been reviewed and are [] approved. [] conditionally approved (see attached conditions). BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. B. APPROVED CHANGE ORDERS Change (contract order no. or descriptive reference) Approved by Date C. APPROVAL TO OPERATE The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water is made available to the public. The construction of the water system was completed on granted interim approval to operate for 90 days following the completion date. public (date). The system is hereby BY TITLE DATE As-built plans submitted during the interim approval period, or an inspection by the Department, has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. BY TITLE DATE 18-0407 (Rev. 11183) DISTRIBUTION: 1, WHITE - ENGINEER (Complete Section C) 2, YELLOW - WATER SYSTEM FILE (Complete Section C) 3. PINK - ENGINEER/MUNI-BOROUGH (Complete Section C) 4. GOLDENROD - MUNI-BOROUGH (Complete Section A) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property Owner: ~XJS~'~-'L Mailing Address: 3. Legal Description: 4. Location: 5. Type of facility to be inspected No. of bedrooms Well Data: A. Type C. Construction Sewage Disposal System:. A. Installed B. Depth D. Bacterial B. Installer Ana l ys is C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit' 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to' Septic tank , Absorption area , Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Pa§e 2 of two pages - Re~,_.~st for Approval of Individual ~_,~er & Water Facilities legal Description Comments Approved ~\ ~' &~ Disapproved' ~ ..... ~ Da .... Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE ARL/~ BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA x FHA CONV 2. Property Owner: Donald D. & Helen Mo Combs .. Mailing Address: c/o Totem Realty/¢y BarkerDaS Phone 272-6547 3. Name of Buyer: Elmer V. Johnson Mailing Address: 4601 Garfield 03 Da$ Phone.~77-~68 4. Name of Lending Institution: TI¢E LOMAS & lXTETTLETON COMP~ZX~Y Mailing Address: 3380 "C" Street Phone 274-7661 5. Name of Realtor or Agent: Totem Realt¥/C¥ Barker Mailing Address: 516 East Fireweed Phone 272-6547 Legal Description: Lot 3, Alder Park Subdivision Location: 4915 WeNt 84t~ Avenue ~, Type of Facility to be inspected: sinqle-family Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal' System Type ~of S~stem: Public Utility If Individual, date of installation unkno%rn No. Bdrms.3 X unknown Individual (on-site) x June 1~, 1274 located ¢~ your property ~tll nee~ to b~ ~raded to ~eet ~rement health cod~s. The upgrade ~e~n$ brtn~t~ the ~ell ca~lng mbove qround'level 12'~' and Pit that it it in ru~t hr filled with ~ t~r~¥tou~ ~oil. Tq~ septic t~.n~: is ,resentl¥ full ~nd ~ust he .u'~)~ea sc th,,t tt ,,~tll f'J~tton .A~oroYal.. o~ the ,~yst~ls can be ~Iven u~on -,.,~,ol~tlon, ~ ~f tf,~ a~¢w', require- ~nts. If you havo ~ ~u~ttonso please feel Cree to contact me at 274-4561, extension 177. Sincerely, 9otert C. P~tt, [nvtro~antal Control CC ': Lo~as & ~ettleton ()4aydel) 33~9 "~',~ Str~,~t Anchorage, ,Alaska ~,~ [ ~)3 First Federal Savings ~ Loa~ SUBJECT: Sewem system Lot 3, Alaer ?ark Subd. 'i'il~ Grea~er Anchomag~ Area gomough Health Department has i~spefted the modified sewemage system on the subject lot. With the addition of the septic ~ank on thia p~opePty the com.,~unity ~eil serving the seve~ 1o~$ in this 2ubdivision is now app~-oved~ 'fhe septic 'tank was installed and inspected on ~'lease refer to letters f~om :~:r..Javid Hark~iess dated Janua~ Slst and February 27, 1969, Sinc~rely~ DAVID R. h. DUI~CA~.i, >~, ~ ~,iedical .[;'irec~or ~y Sanitarian Gentlemen: Please consider thi s letter as escrow instructions regarding the installation of the septic tank in Alder Park Subdivision by Mr. Robert B. Combs. According to the findings of the Greater Anchorage Area Borough Health Department, the community water system in Alder Park Subdivision properly meets all. re~.~.~irements and would receive its approval save for one cesspool located on Re 3 2hich is too close to the community water supply source. It is hereby acknowledged by the Greater Anchorage Area Borough Health Department that when the cesspool is replaced with the proper septic tank that the entire system will be given its approval. To insure the septic tank is installed and complete approval by the Borough Health Department will be forthcoming, an escrow account will be maintained at Security Title Insurance and Trust Company in the amount of $1500. These funds will be released to Mr. Robert B. Combs when he has installed the septic tank to the satisfaction of the Greater Anchorage Area Borough Health ]Department and their approval of community water system of Alder Park Subdivision has be~n obtained. It is further agreed by the undersigned that such work must be completed by July 15, 1969. In the event such work is not completed by said date, the funds will be released to Greater Anchorage Area Borough Health Department so that the work can be completed under their guidance and to their satisfaction. Very truly yours, Greater Anchorage Area Borough ' ,.i/: Acknowledged by First Federal Signed By Robert B. Combs Accepted by Security Title Insurance & Trust Company February 27~ 1969 Mr. Jeff Hassler First Federal Savings and Loan Association 305 West Fifth Avenue Anchorage, Alaska 99501 Dear Mr. Hassler: Please consider this letter as escrow instructions reKarding the installation of the septic tank in Alder Park Subdivision by Mr. Robert B. Combs. AccordinK to the findings of this o~fice, the community water system in Alder Park Subdivision properly meets all requirements and would receive our approval save for one cesspool located on Lot 3 which is too close to the community water supply source. It is hereby acknowledged by the Greater Anchorage Aaea BorouKh Health Department that when the cesspool is replaced with the proper septic tank that the entire system will be given its approval. To insure the septic tank is installed and complete approval by the BorouKh Health Department will be forthcoming, an escrow account will be maintained at Security Title Insurance and Trust Company in the amount of $1,500. These funds will be released to Mr. Robert B. Combs when he has installed the septic tank to the satisfaction of the Greater AnchoraKe Area BorouKh Health Department and their approval of community water system of Alder Park Subdivision has been obtained. It is further agreed by the undersigned that such work must be completed by July 15, 1969. In the event such work is not completed by said date, the funds will be released to the Greater Anchorage A~ea Borough Health Department so that the work can be completed under their quidance and to their satisfaction. Sincdrely, DAVID R. L. DUNCAN, M. D. Medical Director First 'F~deral s~vih'gs & Loan BY: David B. Harkness Robert B. Combs ~%%~rit~ T'i'tle Ins. & Trust Co. January 31, 1969 Mr. Jeff Hassler First Federal Savings and Loan Association 305 West Fifth Avenue Anchorage, Alaska 99501 SUBJECT: Approval of Water Supply for Alder Park Subd. Dear Mr. Hassler: Mr. Robert Co~Ds has recently infor~d us that all of the required easements surrounding the subject subdivision well have been obtained and filed. Complete approval of the water supply will be granted when Mr. Con%bs installs a septic tank in con~unctlon with an existinK cesspool, which, at present, is located 132 feet from the well. Mr. Combs has previously aKreed to such an installation. Sincerely, DAVID R. L. DUNCAN, M. D. Medical Director BY: David B. Harkness Sanitarian DBH/srr EASEMENT This agreement, made and entered into this ~.2~day of ,~/~v'U.~AM ~chomage, Alaska, party of the first part, which expression shall include his, her, or their heirs, executors, administrators, agents, o~ a~f~ns where the context so requires or admits, and .{~,Z~w~,~ ~'.. ~ //~ I-A:,~* ,'-~ ~ ~../,~...~-~ ~ ~c. ~ e_ ~> )~ of ~chomage, Alaska, pam~ of the second pa~t, which expression includes his, her, or their heirs, executors, administratom, or agents wher~ the ~ontext so requires or admits, witnesseth: Whereas, the pamty of the first pa~t owns and has title to that real estate and ~eal property located nea~ Anchorage, Alaska, described as follows: And whereas, the party of the second par~ owns and has title to parcel of p~ope~ty which adjoins the for~goin~g and described as desires to g~ant a perpetual easement for the purpose of ,.0~ c~?zg z ~ ..... )o said well shall be located at (._ /~-/- '~ ~"~''~ ~V,~, ~..- ) and the easement shall be within the radius of ) feet fmom the well site. Now, therefore, it is hereby agreed as follows: The party of the second part does hereby g~ant, assign, and set over to the party of the first part a p~rl~t~al easement for Page 2 of the purpose of installing and operating a community water system, said well shall be located at ( ) as located on that certain amended plat approved by the gre~ter ^nchoPage Platting Board and filed for record, such easement shall be within the radius of ~ /._~c )feet from the well site. The party of the second part shall fully use and enjoy the ~id p~emises, except as to the ~ights herein granted. This agreement is subject to the following provisions: 1. Second Pa~ty shall: a) Restrict the use of that portion of (~ ~ ) which falls within the ( ~'~' )foot radius of the well from all sources of contamination, and that portion of said tract which falls within the ( .~' )foot radius shall have no sewer, septic tank, om disposal fields, except that sewer lines of cast i~on pipe with leaded and caulked joints shall be permitted, and that portion which falls within the ( /.3~ )foot radius shall have no seepage pits, and that portion which falls within the ( z~$~' )foot radius shall have no cesspools, as regulated by the Greatem Anchorage Area Borough Health Department. To have and to hold the said easement, right, and right of way unto the party of the first parT, successors, or assigns for a period of perpetuity and unde~ the conditions, restrictions and considerations as set forth above. ?.a.~e 3 of 3 It is expressly understood and agreed that this easement is a covenant running with the land. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed under seal as of the day and year first above written. STATE OF ALASKA ) ) s$, THIRD JUDICIAL DISTRICT ) 1969 This is to certify that on the (17th) day of ( January, ) before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared ( ROY M. HUI~hTDORF and CPIARLENE M. HUI~NDORF ) known to me and to me known to be the individuals named in and who executed the foregoing instrument, and acknowledged to me, each for himself and not for the other, that they signed and sealed the same as their voluntary act and deed for the uses and purposes therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above written. Notary Public in and My commission expires: STATE OF ALASKA) T~IRD DISTRICT ) -, %~{IS IS TO CERTIFY that on this day of ... ~.~:~-.4J , 1969, before me, the undersigned Notary Pub~ic~" pe~°nally appeared DONALD B. COMBS, known to me to be the person described in the foregoing document, and acknowledged that he executed the same. WITNESS my hand and official seal. STATE OF ALASKA) ) SS. THIRD DISTRICT ) Notary Public in and for My commission expires. THIS IS TO CERTIFY that on this 23rd day of January .......... , 1969, before me, the undersigned Notary Public, personally appeared HELEN N. COM~S, known to me to be the person described in the foregoing docu~ment and acknowledged that he executed the same. WITNES~._my hand and official seal. ).001940 REC. A~'~ ',cE;S. ~' --4-- Notary Public in and forAla~h~---.... ~. ., ,. -3., .( ; ~, , ,' ::-, A> '-.. P,a.~ge ! o?: a EASEMENT This agreement, made and entered into this ( ~'~ day of of Anchomage, Alaska, p~%y of the fiPst pamt, ~ich e~Pession shall include his, her ~ oP theiP heir, execu~ops, administpatoPs om assi~s where the conte~ so ~equires om admits, ~d ( ~oe~' C)~ ~2 ~ ) ~ of Anchoma~e, Alaska, pa~ty of ~he second pamt~ which e~mession includes his, hem. oP rheim heirs, exeeu%o~, ad~nistPatoPs, oP agents wheme the conte~ so mequiPes oP ad. ts, witnesseth: ~ePeas. the pa~y of the fimst pa~t owns ~d has title to that ~al estate and real pmope~y located neap ~choma~e, Alaska, descmibed as follows: L~ ~J~C~,~P~--,c~ o~ ~d whereas, the party of the second part owns and has title to a pa~eel of p~ope~ty which adjoins the foregoing ~d described as desires to g~t a pe~petu~ easemnt fo~ the purpose of ( O ~o,~LIC ~L~%}~ ~ ~AT~ -F~o'zt~cY )~ said well shall be located at ( ~ ~ ~a~ ~,~%~ ) and the ease~nt shall be within the madius of ( I'~O ) feet fmom the well site. Now, themefore~ it is hemeby ag~ed as follows: The pamty of the second pamt does hemeby gmant ~ assign, and set ovem to the paPty of the fimst pamt a pempe~ual ease~nt rom pa_ge 1 of:_3. This agreement, made and entered into this ( ~.Sw day of c~/.'.]A~,j,~..'yjby and between ( p~,V~J ,'! ~. C,:~,- ) of Anchorage, Alaska, pa~ty of the first part, which expression shall include his, hem, or their heirs, executors, administrators, agents, or assigns where the context so requires om admits, and ( ,3-, J ~- J' P' V~-~i'~ ), of Anchorage, Alaska, party of the second part, which expPession includes his, her, or their heirs, e~cuto~s, administrators, or agents where the context so requires admits, witnesseth: Whereas, the par~y of the first part owns and has title to that meal estate and real pPoper~y located neap Anchorage, Alaska, described as follows: ~ d '~-' 3 ~ ~[ ,y/r'~- /~j~ f/~ And whereas, the party of the second part owns and has title to a parcel of property which adjoins the foregoing and described as desiPes to grant a perpetual easement fop the puPpose of ( cC .f¢,~:._ /,,~/,'c [lp&$ W ~'.4~' ~//~' ' said well shall be and the ease~nt shall be within the ~adius of ( /~ ~ ) feet f~om the well site. Now, the~efo~e~ it is hereby ag~ed as follows: The p~ty of the second pa~t does hereby g~ant, assign, and set ove~ to the pa~ty of ~he first pa~ a perpetual ease~nt fo~ Page 2 of 3 the purpose of installing and operating a community water system, said well shall be located at ( ' ~- 3 ~/~f~ ~z~~ ) as located on that certain amended plat approved by the Greater Anchorage Platting Board and filed for record, such easement shall be within the radius of f /,2. O )feet from the well site. The party of the second part shall fully use and enjoy the afo~o-~a{d premises, except as to the rights herein granted. This agreement is subject to the following provisions: 1. Second Party shall: a) Restrict the use of that portion of ( /~d'~- 7 ~/~ )/~/~ which falls within the ( ~(7 )foot radius of the well from all sources of contamination, and that portion of said tract which falls within the ( ~0 )foot radius shall have no sewer, septic tank, or disposal fields, except that sewer lines of cast iron pipe with leaded and caulked joints shall be permitted, and that portion which falls within the ( /.2. ~ )foot radius shall have no seepage pits, and that portion which falls within the ( /5'~2 )foot radius shall have no cesspools, as regulated by the Greater Anchorage Area Borough Health Department. To have and to hold the said easement, right, and right of way unto the party of the first part, successors, or assigns for a period of perpetuity and under the conditions, restrictions and considerations as set forth above. P.age 3 of 3 It is expressly under~tood and agreed that this easement is a covenant running with the land. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed under seal as of the day and year first STATE OF ALASKA ) ) SS. THIRD JUDICIAL DISTRICT ) This is to certify that on the ( 9th) day of ( January, 1969 ) before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared ( J. J. VEZIIqA and J. P. VEZINA, ) known to me and to me known to be the individuals named in and who executed the foregoing instrument, and acknowledged to me, each for himself and not for the other, that they signed and sealed the same as their voluntary act and deed for the uses and purposes therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above written. My commission expires: ~-..~-- ~ . ~ ~:,-- ',, STATE OF AL~XSFJY) I~IRD DISTRICT ) :~ THIS IS TO CERTIFY that on this ':~: day of ~:~ g~, 1969, before hie, the under's.{gned Notary PU3~ic, 3e~lly appeared DO~ALD B. COMBS, known to me to be the person d[escribed in the foregoing document, and ackno',.zledged that he executed the same. STATE OF ALASKA) THIRD DISTRICT ) ~4ITi,TESS my hand and official seal. Notary Public in THIS IS TO CERTIFY that on this 23rd day of January , 1969, before me, the undersigned Notary Public, personally appeared HELEN N. COMBS, known to me to be the person described in the foregoing docusment and acknowledged that he executed the same. I';ITI'~ESS my hand an¢] official seal. Notary Public in and fomk~asKa~ ~ Z~ --~ ' My commission -,,%, the purpose of installing and operating a community water system, said well shall be located at ( Lot- .3 AL~-T~ FA~ ~o[~ ~iwlc:io~J ) as located on that certain amended plat approved by the Greater Anchorage Platting Board and filed for ~ecord, such easement shall be within the radius of ~ ['2~0 )feet from the well site. The party of the second part shall fully use and enjoy the afo~aid p~emises, except as to the rights herein granted. This agreement is subject to the following provisions: 1. Second Party shall: a) Restrict the use of that portion of ( L~'- ~ ) which falls within the ( boo )foot radius of the well from all sources of contamination, and that portion of said tract which falls within the ( ~o )foot radius shall have no sewer, septic tank, or disposal fields, except that sewer lines of cast iron pipe with leaded and caulked joints shall be permitted, and that portion which falls within the ( [Q-o )foot madius shall have no seepage pits, and that portion which falls within the ( IbRD )foot radius shall have no cesspools, as ~egulated by the Greater Anchorage Amea Borough Health Department. To have and to hold the said easement, might, and right of way unto the party of the first part, successors, or assigns for a period of~'Perpetuity and under the conditions, restrictions and considemations as set forth above. **"~erpetualEasmment" and "~eriod of i~erpetuity'' shall be modified, as follows: This agreement shall be in effect until such time as a public wa~er system is installed and in use. At that time the existing water supply lines shall be abandoned in place with no consideration due either party. P,,age 3 of ,3 It is expressly understood and agreed that this easement is a covenant running with the land. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed under seal as of the day and year first above written. STATE OF ALASKA ) ) SS. THIRD JUDICIAL DISTRICT ) This is to certify that on the ( 22nd ) day of ( January, 1969 ) before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared ( Richard T. Mayer and Jean M. Mayer ) known to me and to me known to be the individuals named in and who executed the foregoing instrument, and acknowledged to me, each for himself and not for the other, that they signed and sealed the same as their voluntary act and deed for the uses and purposes therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above written. '"' , 'i ~ /.{ ' Notary Publlcftn and foP,~lask~ My commission expimes:Au~s.t 8, 1972 ~?-00 EASEMENT This agreement, made and entered into this (~) day of /?~?f by and between ( PL? ~ /~ ~. ~ 0~5 ) of AnchoPage, Alaska, p~ty of the fiPst pa~ which e~Pession shall include his, heP~ o~ thei~ heiPs, executors, administPa~o~s oP assi~s where the context so ~equi~es oP admits, ~d ( ~ )~ of AnchoPage, Alaska, pa~ty of ~he second pa~, which e~ession includes his, he~ oP theiP heirs, e~cu~o~ administPatoPs, oP agents whePe the conte~ so requi~es oP admits, wi~esseth: ~e~as, the paPty of the fi~t pa~t owns ~d has title to that real estate and real pPope~y located near ~cho~a~e, Alaska, descPibed as follows: ,L ~37 7 $ C~ /+/~.)_ /~}~ ~d whePeas, the pa~y of the second paPt owns and has title to a pamcel of p~opem~ which adjoins the fo~egolng ~d described as desires to g~ant a perpetual easement for the purpose of (~c'~"o'7~/'~z~ located at ( ~ r3 ~y' ~ ~de)- ~c~K ,5'~.6d,'~,'o~W ) and the ease~nt shall be within the madius of ( /~ o ) feet fPom The well site. Now, themefo~ it is hePeby ag~ed as follows: The pa~ty of the second part does hePeby gm~t, assign, and set oveP to the paPty of the fiPst pa~ a pePpe~ual ease~nt fop Page 2 of 3 the purpose of installing and operating a community water system, said well shall be located at ( ~£ ~;75 c/ /% /~ ~ ~ /~-%'f .5~c ~ H,~ ;~V ) as located on that certain amended plat approved by the Greater Anchorage Platting Boamd and filed for record, such easement shall be within the radius of ~ / ~ ~ )feet from the well site. The party of the second part shall fully use and enjoy the afo~{d p~emises~ except as to the rights herein granted. This agreement is subject to the following provisions: Second Party shall: a) Restrict the use of that portion of ( which falls within the ( )foot radius of the well fmom all sources of contamination, and that portion of said tract which falls within the ( ~ ~ )foot radius shall have no seweP, septic tank, or disposal fields, except that sewer lines of cast iron pipe with leaded and caulked joints shall be permitted, and that portion which falls within the ( / ~ ~ )foot radius shall have no seepage pits, and that portion which falls within the ( / .5--i~ )foot madius shall have no cesspools, as megulated by the Greater Anchorage Area Borough Health Department. To have and to hold the said easement, right, and right of way unto the party of the first part, successors, or assigns rom a period of perpetuity and under the conditions, restrictions and considerations as set forth above, It is expressly understood and agreed that this easement is a covenant running with the land. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed under seal as of the day and year first above wl~itten. STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) This is to certify that on the ( ) day of ( ) before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared ( ) known to me and to me known to be the individuals named in and who executed the foregoing instrument, and acknowledged to me, each for himself and not for the other, that they signed and sealed the same as their voluntary act and deed for the uses and purposes therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above mitten. Notary PubLic in and for Alaska My commission expires: DISTRICT THIS IS TO CERTIFY that on this ~: ~ay of ~ii>/_~W.~.~, 1969, ~fore me, ~e ~r~ d~sCri~ in the for~i~ ~c~ent, ac~le~ed ~at he executed the ) SS. THXS L5 TO C~RTIFY that On this 23rd:,,.~ day of ...... : Janu~Y _: _ .... , 1969, ~fo~ me, ~e undersigned P~IXc, ~r~lly ap~red }~N N. ~, ~ to ~ ~e ~r~ descr~d in ~ fo~i~ ~cu~t and ac~le~ed that he ~cuted ~ ~. %lZ~ my hand and offic/~l s~al. 001938 ~ '~[.~ E REC.