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HomeMy WebLinkAboutT15N R1W SEC 18 LTS 96A & 96BI n FROM Redi f rm e 4$471 SEND PARTS I AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY 49 Poly Pak (50 sets) 4P471 DETACH AND FILE FOR FOLLOW-UP 4ti.� °>5 �, � , N VI _T %� Q �"� <� R OF .................. . ... ...... ...... .. ADDRESS ........................................ WELL —SITE,.,... _ ........................ .................... DATE--STARTEID_._.... •, ........... DATE --EN DED._..----•--- s 1,� -----s va X vnirats'1jujN : `— FROM. .,,,, ,FT. TO_ ... " �°`� . .............. FRQM.._... -T.... FT. TO_� _ FROM ..........................FT. T4....--- •------• - FROM...._. ......FT. TO j -- FROM_ .... ............_..... FT. TO ........... FT............... FT...;. . FROM., ...... FT. TO. ...._. ... ..............FT............FT....._..._ .. FROM ........... . FT. TO_ ......... ........ FT—_ FT._.:., FROM ..... _ FT. TO...... ....... ............ FT. TO.... --.......... --•- FT ----- FT ........ , s . 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TO-•------....._......-•----FT.....-----•-•------•----.........._._... FROM....... ------------- ---- -FT. TO._ ........ ....... ......... FT ........ ................ FROM --------- ------------•---FT. Tn .,... DRILLER'S NA', k 1 sz.O Or ?k —$ IVA '+ COY -�•. r �•., ,fir QC a m o; N 3�D.L.M •.�sN{r; v Acit-i t.t Ai-F. ►• . h i • .s .liy.r. Ns... -.. •°a.. + Robert C. - �1 �'%n • No. 840-Sr % �sOe ;`,v� =r AS -BUILT I hereby certify that I have s rveyed the following described property: 6 -A Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the Property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this / 3 day of S -X19'7-1- ROSERT C. JOHNSON X ` ct, rr� SCALE: Registered Land Surveyor No.`B80-LS 1" _ 50 Box 77-0456, Eagle River, Alaska 99577 Phone (907) 694-2543 ����!� `��� �U��~���������� ����� ����r '�U���� xx�n� �s ^�o��ox'��^���� ^����� ��� uv^»oo / Department of Environmental Quality 3330 CStnaet Anchorage, Alaska 995O3 INSPECTION REPORT ON -SITE SEWAGE DISPOSAL SYSTEM NAME /ZIL-/,,�4 MAILING ADDRESS PHONE LOCATION _a.,-2VZ-L­ LEGAL DESCRIPTION, SEPTIC TANK: DISTANCE NUMBER OF FROM WELL �4m _-_____ uFACTUnEn M*TsR|* C0KoP8RTMENT3_-�^-__ INSIDE LENGTH INSIDE WIDTH ____—__ LIQUID DEPTH _��__L/QU|oCAPACITY GALLONS. NUMBER 0FPITS DIAMETER OR Vv|oT LEw ./ DEPTH -~ . _ LINING CRIB SIZE: D|^mETER_� /_DEPTH____DISTANCE FROM: WELL / �, � TOTAL EFFECTIVE BU ILDING NEAREST LOT LINE ABSORPTION AREA (WALL AREA) _______3Q.FT. ADDITIONAL ABSORPTION TYPE___ BUILDING FOUNDATION —CONSTRUCTION NEAREST LOT UmE— cESSPooL________, OTHER SOURCES NEAREST . 3EVvERUmE_______. ApPROVED________DISAPPROVED REMARKS DEPTH__ SEPTIC TANK- DISTANCES: DIAGRAM OFSYSTEM INSTALLED BY. PIPE MATERIAL: LOT SLOPE: fd REMARKS: __-___ DISTANCE FROM: ssEPxos SYSTEM -__-� s'^o',u°,"~�- �/� m Form No. EQ-031 G.A'A.E. GREATER ANCHORAGE AR -A BOROUGH - DEPARTMENT OF ENVTU)`IMENTAl- QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 9950:7 Performed For „- e V1, Dated Performed -/ - Legal Description: Lot PX Block_ Subdivision �� �, 1 This Form Reports Soils Log _ _ `Percolation Test - Soil Test Must Be Logged To 4` Below Proposed Soepage System - Depth Feet Soil Characteristics sa :�,. a (C--27) qG a del 5 ;7" 6 �_� Z. S /% g 9 10 1 2 -- 1 3 -- _-1= G 14— Was Ground Water Encountered? VF If Yes, At What J" n. Reading i Date I Gross Time I Nei: Time D inh to H20 � Net Drop Percolation Rate _ M n«i:r-2 Proposed Instll� aatTUr7: SrriaC! Pit Drain Field Depth of Inlet _—_—_ _.-- D'' t h o B o t t u is-oi' Pit or Trench - COMh'ENTS: Test Performed BY---- -- ----- -D to Co t' fled BY: Dat0. f0purtment of Health and, Uvirvamental Pro teetWO 2610 Ust Tudor Road Anaburago. Alaska 99507 276-2221 =NNIN March 4, 1176 30to of AlASk* Voterans Administration 907 Wat Northow Zights Boulevarvi. Anoboraget Alaska 99503 Subjeatt Lots 16A and 962 Nation It TISY IIN S.M. Dear sirs prod Seat, t3f Sanitarian rah MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO FHA CONV tt OVA 2. Property Owner: 7__ Mailing Address: , 7I c ", Day Phone .13W_ ' 3. Name of Buyer: Mailing Address: `,c', Day Phone 4. Name of Lending Institution: `` /i .• O / / /� P Mailing Address: Phone 5. Name of Realtor or Agent:Vl �A11 Mailing Address: Phone .v 6. L�gal Descrj.. tion: Location: 7. Type of Facility to be inspected: 5loR c ' No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual ?� If Individual, number of dwellings presently served If Individual, depth of well�� 9. Sewage Disposal System Type of System: Public Utility Individual (on --site) _711— If Individual, date of installation f , �{�f^�-�'S �� "�� y�t`�c� c,,�' cc +'�'4' 1 a'�2"'` ,`l �-'• J� r=ice e �-` =Y—°� .______. EQ-037 (1 /74) .. ..... i ,0 r (( 4 f. GREATER ANCHORAGE AREA BOROUGH. C� Department of Environmental / Quality " 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: C M R 0 VA FHA COiNV 2. Property Owner: Mailing Address: Day Phone 3. Name of Buyer: Mailing Address:;r.s-ovDay Phone z,11,2_a 4. Name of Lending Institution: Mailing Address: Phone 5. Name of Realtor or Agent: Mailing Address: Phone 6. Legal Description: Location: 7. 8. 0 oll C/ Type of Facility to be inspected: — No. Qdrms. Water Supply Type of SuPP1Y� Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on -site) If Individual ,, date of installation EQ-037 fl/74) ��N e� � sEc rg a MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONIVIEI\ITAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR VVELL INSPECTION REPORT NAME I ILL o4j PHONE EJ NEW PGRADE MAILING ADDRESS 7S, (Cc�- LEGAL DESCRIPTION 1,1 r LOCATION r _j NO. OF BEDROOMS DISTANCE 4 Well Absorption area Dwelling PERMIT NO. aZ < UJ I.- Manufacturer Material No. of compartments (n Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth -i (D z DISTANCE TO: Well Dwelling PERMIT NO. 02< Manufacturer Material Liquid capacity in gallons ❑ ui DISTANCE TO: Well Foundation IE�7'yU t-fa-3 Ile Nearest lot line PERMIT NO. U ui LL -j Z Z Uj No. of lines Lepff��Qf-,R*h line Total lerkWil�fiesl Trench width& Inches Distance bet lines �771 � 7- j,-cc cc 0 Top of the to finish grade Material beneath t�ile- enea inches Total effedive ,�.Ib­sorption area 57S Length Width Depth t- PERMIT NO. a. i-L Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line -j -i Class Depth Driller Distance to lot line PERMIT NO. LU 3: DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER 56 PIPE MATERIALS SO] L TEST RATING INSTALLER REMARKS \,ez DATE LEGAL MUNICIPALITY OF ANCHORAGE Department Health and Environmenta ?rotection 825 u Street, Anchorage, AK. j9501 264-4720 q HANDWRITTEN PERMIT Permit # 1""o 0 , — 2 /OR ON —SITE SEWER PERMIT Applicant: J.141 Mailing Addrez-s,--_­S!��k_ Location: C-.�Iwclfikl Phone Number: Legal Description -s- Alx Lot Size Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) gz__ 0--y P(_ 1AJJ t The'Aqui;E;d'S'i'ze of he Soil Absorption System Is: DEPTH —.LENGTH 49'31! GAVEL DEPTH WIDTH / the length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation (in feet). REQUIRED SEPTIC (+WL4A4;G-) TANK SIZE = 5700 GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number r of residences that the well will serve. J TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on -site sewage disposal system is 100 feel for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. tf * * * PERMIT EXPIRES DECEMBER 31., 1 9 00 2 * * * I certify that: (1) 1 am familiar with the requirements for on -site sewers and wells as set forth by the Municipality of Anchorage. (2) 1 will install the system in accordance with codes. (3) 1 understand that the on. -site sewer system may require enlargement if the.-r-ergidence is ampde'led to include more that 3 bedrooms. Signecl'.' Issued by: Xpplicant Date: r2- SWP/024 (1/81 ) J�\ a MUNIU1NAIL I I Y Ul- AINCHURAUF Department of Health and Environmental Protection 825 L Street, Anchorage, AK. 39501 264-4720 HANDWRITTEN PERMIT Permit AD /OR ON -SITE SEWER PERMIT Applicant: 541 Verm,111,0A,) Mailing Address Location: Phone Number: Legal Description: -r1'5-1V R /IV -5, 94A,' Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Holding Tank: Maximum Number of BedrooLs: ?C'�Jsoil Rating(sq.ft/br) 9s— The Required Size of the Soil Absorption System Is: DEPTH LENGTH 13 r I / Y_0,q&VEL DEPTH WIDTH - The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel death is the minimum depth of gravel between the outfall pipe and the bottom of the excavation('Cn feet). � REQUIRED SEPTIC4MI;�) TANK SIZE GALLONS iW v?' -4-1 Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the n of residences that the well will serve. ijmbmer'_ (, TWO(2) INSPECTIONS ARE REQUIRED 3ackfilling of any system without final inspection.and approval by this departmer rill be subject to prosecution. linimum distance between a well and any on -site sewage disposal system is 100 fee -o r a private well or 150 to 200 feet from a public well depending upon the type : )f public well. Minimum distance from a private well to a private sewer line Ls 25 feet and to a community sewer line is 75 feet. Well logs are required ind must be returned to this department within 30days of the well completion. )ther requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 I certify that: (1) 1 am familiar with the requirements for on -site sewers and wells as set forth by the Municipality of Anchorage. (2) 1 will install the system in accordance with codes. (3) 1 understand that the o -site sewer system may require enlargement if the idence is m ed to include more tha 3.bedrooms. Signe Issued by: aLl Xpplicant p I Date: r2 SWP/024(1/81) f ell- APPLIC AT FILLS OUT Utf ER,HAL ONLY Property Owne ii VC Phone ailing Mailing Address Zip Code92L 2 Z L s-c 2— 2 P 7 Buyer id Address Zip Code Lending Institutionis�31 Phone Address Zip Code 4'Z—,210 Realty Co. &-A%ent I'a 00 et, at(om Phone Address Zip Code a�7 Legal Description feet Location Type of Residence 0 Single Family Ptiple Family rooms No. of Bed Ou the r Water_$upply El Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. 0 Community For wells drilled prior to that date, give well depth (attach log if available). 11 Public Utility Sewer Disposal ,13' Individual Year Individual Installed: 0 Public Utility When Connected to Public Utility: El Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time D t Date Date Date Inspector Inspector Inspector Inspector Field Notes: —+4 T�l c- *TS Avj 'c— (3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL DISAPPROVED CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received b S-i-r � e7-,— 7— _7 3 Well to Tank Septic Tank Size 160 CD 72.023 (3182) August 11, 1982 Jim Vermillion ch Linda Ballard A ' Red Carpet Greatland P.O. Box 633 Eagle River, Alaska 99577 A Subject: Sec 18 Lot 96 A&B T15N RIW 01 Approval for the individual sewer and water facilities cannot be granted until the following items bave been completed: The water analysis report needs to be submitted to this office from the Chen Lab, 5633 R Street, for our review. The septic tank pumped with a receipt submitted to this N department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. Ja An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. 0 The application shows the nuwber of bedrooms exceeds the number the on -site sewer system was originally designer.''.1 for. An upgrade will be required. Prior to any upgrade, a perftiit needs to be issued from this department. The ground of the pit around the wall casing needs to be sealed with concrete. A registered engineer will need to verify wbether the trailer is served by a separate sewage system or if it is attached to the houses sewage system. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Cory Willis, R. S. EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 August 18, 1982, Red Carpet/Greatland Realty ATTENTION: Linda Ballard P.O. Box 633 Eagle River, Alaska 99577 Dear Mrs. Ballard, MUNICIPALITY OF ANCHORAGE f`7 Cr !7, ENW, it, 1_ A. C 10 E- ii Reference: Lot 96 A & B7 Section 181 T15N7 RlW I ;J ' 21 '982 RE CE I VED A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank for both the trailer house and for the four bedroom residence located on the property were pumped. The septic tank capacity for the �4--�4- was determined to be ap2K22������. house a- T e seepage pits serving both the trailer house and the four bedroom house were tested by charging the cribs with approximately 900 gallons of water and after a period of 24 hours approximately 51 gallons had percolated out of these cribs. It can be concluded from this test that neither the septic tank capacities nor the absorption system is adequate for either the three bedroom trailer house or for the four bedroom house connected to this system. It will be necessary for you to have the system upgraded. The minimum capacity septic tank for a three bedroom trailer would be 1000 gallons. This can be accomplished by adding a 500 gallon tank onto the end of the existing 750 gallon tank. The septic tank for the four bedroom house will have to be increased in gallon tank onto the end There is a question as t four bedroom residence. a cess pool or crib and tank installation. only can determine this. capacity also by adding a 500 of the existing 750 gallon tank. o the type of tank which is serving the It may be that this is actually could require a complete new septic excavating the existing structure SRB 196X EAGLE RIVER, ALASKA page two The absorption area will have to be upgraded for a seven bedroom residence if both properties are to remain connected to a single system. However, it is recommended that a separate absorption area be installed for each the trailer and the four bedroom residence. A permit to accomplish this work can be obtained from the Municipality. If we may be of further service, please do not hesitate to call. '. E. cc: Alaska Housing Finance Corporation Municipality of Anchorage Department of Health and Environmental Protection ^ � ` ^� ~ \ / ` § . . ��. / � = .< « < : . � f \ > ° ° � % 1 . , < � � < � f�� : \ ± < v . � / + m - ` t »: a x � ` y� : ���+ � : y �» \ � � \ \ t y « / : ° ± © � \ - \ }�\ � ; > � ©: £ z . ± }< < x � yy� � © {} .« » a» : :, § . � ��..1 5�: \��, i t� � 22 ��e � .: � y. .w } . . r . ® � � \ . \� f � � � \ \ � © °» : . ee , y J > : , � � <� }�i ` <�} MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Health Division CASE REVIEW T CASE NUMBER: Z-86-31 DATE RECEIVED: January 9, 1986 COMMENTS DUE BY: February;3, 1986 SUBDIVISION OR PROJECT TITLE: Lot` 96B Section 18 T15N.R1W Subdivision.. { j PUBLIC WATER AVAILABLE { ) PUBLIC SEWER AVAILABLE { ) COMMUNITY WATER AVAILABLE COMMENTS:" f - x > w k /_U1A I J,W buAkLj ut- L1JwillIZ-1,") MUNICIPALITY OF ANC110R.-%GE PUBLIC 1%,70RKS DEPARTIMPNT NOTICE Or, APPEAL TO AN ACTION 01- AN ADiM1j1JSTi1A1'-1Y-VEL_ 0ECIS10!1 12- -FOR USE BY CLF-RK, Acceptance dates:. Hearing date: C> Case numbar: Decision: A. General ldcntily of Action That is Being Appealed: 1. Zoning Department Case Number: 2. Legal Description of Property Involved: Lot Blo,k C> Subdivision: c- 3. Date of the Action: C e 41 B. 1-ppellant's Name and Address: 1. Name: AS1 %-:S 2. Mailing Address: 3. Telephone: Re)a'ionship to ?!cfion: L Petitioner (of matter acted upon) Agent of Petitioner. Give name and adcruz;z; of L olhcr I)cr-soll aclverscly i!ffectc.d _Govcrnmuntal agency a SPECIFICS OF APPEAL CERTIFICxnO The Zoning Board of Examiners and Appeals shall hear appeal-s _`--cm c1;-cisions of thy rnunicip-al staff regarding: -- A . Enforcement orders pertaining to the zoning regulations ' , floodp_ain regula- tions, or mobile home park regulations issued pursuant to Section 21.25. 02.,,; B. Denial of an application for a floor hazard permit; C. Denial of an application for a building or land use permit v,.-' n such Icnial is based on' the requirements of Title 21. D. Denial of an application for a sign permit when such Ce1:ial is b_sed on "')C requirements of Title 21. E . Denial of an application for a mobile home parl•: permit \:hen s�. c?; clenia' is based on the recluil- cmcnts of Title 21. 21 3:. 130 Notic`• of � al _Tine Li;.!it `io An ap`:)-z1 t0 the "Caning ,TJO rd Of Exi.mincrs and :�.1�1�''c 1S 1 1::3t 1);; A?li Cl 7�U latEc2' tC1�:n 30 Clc yS i ftr:,I. IlUtlflci.tion of the ciccislc,n b 1i?j E . �\'oticc of appeal must be filed \vit:, the MUnicipal CI C i1-. O': a s!i!';^ b1 the ;.iunicip;,lity and mu ;t cantain cictailed ar:d s17c:cific al: e 7,_t:o:Is o_` er_ c.- . 0 l (\:'E) ll rCtJj' CGY4Iiy ttI Cm 1L lificd to r: akc! tli_s Gi}') ',_1 t nY (our) $tC tCi71c i:t ar cause and reason 7S t.1-11 ZLI:Cl CC)_ _''GCi t0 t'C } G -�_�: G_ I:'7�' (our) l:nov.,l�:c]�-,e. ?.'t. O..l9i� iC, Si'i:CIS - 5 s. JAMES L VERMILLION SR 1 BOX 2425 CHUGIAK, ALASKA 99567 January S, 1986 Zoning Board of Examiners and Appeals Municipality of Anchorage Dear Sirs: I appeal the notification of zoning enforcement action against my property Lot 96B. I allege the following: Staff Error Misinterpretation of regulations by Zoning enforcement Professional error Misleading instructions by the Municipality of Anchorage on application forms, and misleading instructions regarding those forms by municipal staff Sincerely, JAMES L VERMILLION JAMES L VERMILLION SR 1 BOX 2425 CNUGIAK, ALASKA 99567 January 5, 1986 Zoning Board of Examiners and Appeals Municipality of Anchorage Dear Sirs: I request that my appeal to zoning enforcement action and my request for clarification and change of use be considered together, as both issues are interdependent. This request is endorsed by zoning enforcement / l .Z7` c., /� a� b'✓� 7b 'Ccn► d'4 G /"' t J e� 7`' � 'l , .�y� -+ / �j !0 P e� t, J y � T"jP/J /e T 4;v �1�i Q Y O co, Y. Sincerely, JAMES L VERMILLION ALASKAN KAYAKS SR 1. BOX 2425 276-8282 1052 CHUGIAK, AK 99567 P <0 1252 89-65 PAY TO THE ORDER OF_4e!L"_ f—cx 195 tie El $ DOLLARS The First National Bank CTII of Anchors ge EAGLE RIVER BRANCH, EAGLE RIVER, AK 99577 FOR 11-00 LOS 2116 1:125200060i: OSLO S?S Lo MUNICIPALITY OF ANCHORAGE • POUCH 6.650 *ANCHORAGE, AK 99502 0 PHONE 264-6400 FINANCE DEPARTMENT CASH RECEIPT No. 3 6 5 3 5 RECEIVED - FROM DATE ADDRESS A M 0 U N iz/'- REMARKS -Z DESCRIPTION 019/CC A.r,/Obj Task Option cost center, WA/WO 6 Amount '11-ld I I I I I I I I I I I I I I L I I I I I _FTTT I I I -[I I I Collecting Orgn- No. B 40-007 (Rev. 8/78) DISTRIBUTION: White — Treasury; Yellow /Customer; -Pink Book; Golderi'r_j Department ALASKAN KAYAKS SR 1, BOX 2425 276-8282 CHUGIAK AK 99567 ;17- 1052 89-65 1252 PAY TO THE ORDER OF C�L $ RD FOR DOLLARS The First National Bank of Anchorage EAGLE RIVER BRANCH, EAGLE RIVER, AK 99577 111100 LOS 20 1: L 2S 2000601: OSLO S?S ills MUNICIPALITY OF ANCHORAGE POUCH 6-650 • ANCHORAGE, AK 99502 * PHONE 264-6400 FINANCE DEPARTMENT CASH RECEIPT No. 3 6 5 3 5 5) RECEIVED FROM DATE ADDRESS .-,/ul I P A M 0 U N REMARKS $ T7 E RIP ION 019/CC Act/Obi Task Option Cost Center, WA/WO 6 Amount Collecting Orgn. No. 40-007 Rev. 8/78) Customer; Pi DISTRIBUTION: White— Treasury; Yellow Z Book; Goicler;�)— Department 9