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Home My WebLink AboutSCHROEDER LT 58i 0 GRE, "ER ANCHORAGE AREA BOG JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Q MAILING ADDR � ei% � �(/ 70 "�P f(%1IONE LOCATION LEGAL DESCRIPTION SEPTIC TA n: � DISTANCE1 ✓ PC,'c, rrP� FROM WELL MANUFACTURER/RCk Ae /S' ��/ NUMBER OF MATERIAL COMPARTMENTS INSIDE LENGTH _ INSIDE WIDTH LIQUID DEPTH /� ��) LIQUID CAPACITY C/C�(,/ GALLONS. SEEPAGE PIT: �N�JUM�B/ER OF PITS / DIAMETER OR WIDTH?-, LENGTH �2' DEPTH _ L" q LINING ERIAI! )'"Ol LINING MATERIAL CRIB SIZE: DIAMETER DISTANCE FROM: WELL _ BUILDING FOUNDATION_, NEAREST LOT LINE 2 t7r TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)SQ. FT. ADDITIONAL ABSORPTION WELL: ,1/0Cil i n TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST F=OUNDATION LOT LINE SEPTIC SEWER LINE_ TANK_ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMAR DISTANCES: INSTALLED BY: PIPE MATERIAL: I Ca r,/ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM Siltf1P �3 1 /o .t �- —�J � Gf -I Ip DATE �_ � -7q-APPROVED Form No, EQ -037 C°'ffA.B• GREATER ANCHORAGE AREA E30ROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM --. APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED MAILING ADDRESS PERMIT NO. HONE —lf DRAIN FIELD OTHER TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANYS STEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENT^ FOUNDATION TO SEPTIC TANK -� FOUNDATION TO SEEPAGE PIT �7 DRAIN FIELD — SEPTIC TANK TO SEEPAGE PIT WALL Z 7 SEPTIC TANK SEEPAGE PIT �O� DRAIN FIELD TO NEAREST LOT LINE. �j p WELL TO SEPTIC TANK �Cr z:� SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS, WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD/�__ SEPTIC TANK, ( SEEPAGE PIT /J `J TO RIVER, LAKE, STREAM. DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. i G.A.A.B. a/ OR LICENSED DESIGNER EA SIZE ��-- TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.66 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE —� / % APPLICANT'S SIGNATURE FORM NO, EQ-016-- I_ I i l I I i I I 1 i I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.66 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE —� / % APPLICANT'S SIGNATURE FORM NO, EQ-016-- MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND (ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE I. General Information Application Date �J��Al (a) Legal iDescription � (include lot, block, subdivision, section, township, range) Location (addr,§s or directions (b) Applicants Name Applicants Address I/ 64(18.. 3 Telephone — Rome V6 — r r" (c) Applicant is (check one) Lending Institution 0FTner/bui.ld Buyer �a�.;,Other t (explain); - .(d) Lendi.n Institution TelephoneM� Address (e) Real EsLate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. TZe O Residence Single—Family I Multi—Family F_ Other (describe Number of Bedrooms 3. Water Supply Individual Well 4? Community EV Public EIT Note: If community well system, must have written confirmation-f-ro+ .'the tate Department of Environmental Conservation attesting to the legali.t;y_'and ;tutus. 4. Sewage Disposal Onsite Public q Community Ilolding ;ank. Note: If community s.zl' system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. V� [Page 1 of 21 5. Engineeri Firm Providing Inspections, Tests, File Search, Data and Information �. e _ _.._._.-_.. _ 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 `(I water supply and/or wastewater disposal system is safe, functional and adequate for r' 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 regula-• tions in effect on the date of this inspection. Name of Firm Address 6. DHEP Approval Approved for Approved Telephone rin- `zk) (ENGINEER SEAL) bedrooms By 4' Disapproved j Conditional Terms of Conditional Approyal _Gl`- c._i-�_, CAUTION THE 14UNICIPALIT_Y OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAI, ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTIT.UT.IONS IN ORDER TO SA'T'ISFY CERTAIN FEDERAL ARID STATE REQUIRE- MENTS. EMPLOYEES 6F DHEP DO NOT CONDUCT INSPEC'T'IONS 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. (DHEP SEAL) RR4/ej/DlB (Page 2 of 21 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) OMAN HEALTH AUTHORITY APPROVAL (HAA) b861, G; Igo CHECKLIST - FEBRUARY 1984 N011331021d 1V1N3WNOaIAN3 V H11VJI- 30- . 3Q A. WELL DATA Legal Description: BO 1VNV &RA Well Classification }9I UCt�Y. If A, B. or C, D.E.C. Approved(Y/N) tJ4 Well Log Present_ (y Date Completed 01&.0A Yield Total Depth Cased Cased to��", Depth of Grouting��,_,��— Static Water Lever _ 4O,1 Sf� Pump Set At Casing Height Above Ground _ /,0 Sanitary Seal on Casing ((Y)� k Electrical Wiring in Conduit Y ) _ Depression Around Vb llhead Separation Distances from Vb 11: To Septic/Holding Tank on Lot On Adjoining Lots N h To Nearest Edge of Absorption Field on Lot_ NJ&. `; On Adjoining Lots Nit To Nearest Public Sewer Line v �6�% .`" To Nearest Public Sewer Cleanout/Manhole 4449.0 To Nearest Sewer Service Line on Lot Water Sample Collected By pir Date_ Water Sample Test Re -sults fi�r�A b y Ccmmnts U A dna 1o�1"v`Y,�1 �1�rcuadotim LI 04� P c[ jie� tc1/tuKa v _ r <2 haws , 6vgi. (oOJ �I� v B. SEPTIC/HOLDING TANK DATA ?kkzU `_ CGE OE� Date Installed Size Standpipes (Y/NLAir-tight Caps Depression over Tank (YIN) Date Pumping/Maintenance Contract on Fi (YIN Holding Tank High -Water Alarm /N) Separation Distances from To Water -Supply 4b ll To Property Line 'Cc Water Main/vice Line Course Comments /Epage 1 of 2] Compartments Foundation Cleanout (YIN) f_or Temporary Holding Tank Permit (Y/N) _ ic/Holding Tank: 710 Building Foundation_ To Disposal Fie].d To Stream, Pond, Lake, or Major Drainage Receipt # Date Paid:_cam c -f Amount: 7_-15-84 C. ABSORPTION FIELD DATA r P03Ua Soils Rating in Absorption Strata Date Installed width of Field Square Feet of: Absorption Area Depression over Field (Y/N) Da Results of Last Adequacy Test Separation Distance from Absorptio iel.d: To water -Supply 40 11 _ To Property Line To Building Foundation To Existing or Abandoned System on Lot On Adjoining Lots Type of System Design Length of Field Depth of Field Gravel Bed Tla•ckness �dn ipes Present Last Adequacy Test To Water Mair./Ser 'ce Line To Cutbank(if present) _ __�--- To Stream/Ponc ke/or Major Drainage Course .— To Drivewa , Parking Area, or Vehicle Storage Area me —_ _ ----- Comn — D. LIFT STATION Date Installed Size in Gallons "Pump on" Level at _ High Water Alarm Level at Tested for Electrical Codes(Y/N Conmients Dimensions I I f° Level at Vent (YM) Pumping Cycles during Adequacy 'fest. Meets MOA * Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or, conforued to all 140A HAAS inneeffect Ft'— on the date of this inspection. #��: s�,000"4o�.Q� �� Date-t-�-F - App �® Signed ✓+�+ � -�- * �� % Company �C y�� MOA No. r' -U1 �os�o�:.n� 0 "Also 00 u'� w C. Roid, KB1/d5/s o. 2251•C �09.940n00o'��yp�rt� R0FESS�o��P„„.' [Page 2 of 21 — — 2-1.5-84 ALASKA 61 01ROMMAL COnTROL S66US, InC. engineering & Cnuironmenlal Studies October 22, 1984 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Legal: Lot 58 Block 0 Schroeder Subdivision Well Flow Test- on Single Family Residence A flow test was performed on the well at the above property on October 15, 1984. The static water level was at —40.151. Over 600 gallons of water was pumped at a rate of 3.0 gpm with a drawdown of 11.00'. The recovery time was 180 minutes. I consider this well adequate for domestic useage in this 4 bedroom house. Please contact me if you have any questions. Approved: Sincerely, iI n Turner ironmental Scientist 1200 West 33rd Auenue, Suite 6 • Anchorage. Alaska 99503 • (907) 561-5040 ° 0 eVQ f� o Le G. Reid, Jr.; °o 2251•E Sincerely, iI n Turner ironmental Scientist 1200 West 33rd Auenue, Suite 6 • Anchorage. Alaska 99503 • (907) 561-5040 0 October 4, 1982 PLs. Linda Kross Grants ,administrator Anchorage tater & Wastewater utilities 3000 Arctic Boulevard Anchorage, Alaska 99503 r• P.H: Approval to waive well radius regulations Fire Lake Interceptor, Phase II S81-1 Dear "r. Pros: Your request for waiver to construct, maintain and operate a portion of Fire Lake Interceptor, Phase II closer to drinking water sources than specified in the State Drinking Mater Re ulations has been reviewed for matters of concern to this Department. The request for waiver is hereb• granted, Sincerely, Greg i 'agee Construction grants Wincer CH/djf ANCHC GE WATER & SEWER (] 3000 Arctic Boulevard Anchorage, Alaska 99503 (907)277-7622 June 16, 1982 Tony Knowles Mavor Mr. Reford G. Reid Construction Grants Project Alaska Dept. of Environmental Conservation 437 "E" Street, Suite 200 Anchorage, Alaska 99501 REFERENCE: Fire Lake Interceptor, Phase II Dear Mr. Reid: I -IES Owned by (he Munc;oa!;fv of Anchorage The Anchorage Water and Sewer Utilities (Ai'SU) seek ADEC approval to construct, maintain and operate a portion of the Fire Lake Interceptor Sewer, Phase II closer to drinking water sources than established separa- tion distances specified in State Drinking Water Regulations. In request of a regulation waiver and in accordance with Title 18 of the Alaska Administrative Code Chapter 80 (18 AAC 80.020.d.), Anchorage Water and Sewer Utilities submits the following report for your review and con- sideration. The subject wells are located in the Regional Park subdivision in Eagle River, Alaska. A listing of well locations within a 100 -foot proximity of proposed manholes is given in Table 1. A listing of well locations within a 75 -foot proximity of the proposed mainline sewer is given in Table 2. All wells are private systems serving individual dwelling units. Within the subject well radius "waiver" area, the sewer pipe will be 24 - through 36 -inch Ductile Iron Pipe, Class 52. The subject pipe has a working pressure of 350 psi plus a surge allowance of 100 psi. This particular sewer trunk is a gravity system which will be 0.0 psi working pressure, making it ideal for construction within well radius. On a Mr. Reford G. Reid Page 2 gravity system there is more static pressure on the outside of the pipe than on the inside, thus giving more concern to infiltration than exfiltration. Ductile iron pipe has a .life expectancy greater than other conduit materials because of its structural strength, resistance to abuse, abrasive elements and corrosion. All manholes construvted within 100 feet of a private well shall be spe- cially constructed to watertight standards using a water containment P membrane. All pipe penetrations in and out of the manholes shall be sealed with reinforced flashing to prevent leakage, and the membrane will be covered by protection boards to prevent damage. Details of construction are described in the attached drawings and specifications. A review of the soils report for this project shows that Davis Street and Iris Way to Marcus Drive is generally a uniform, dense, sandy gravel material. The remainder of Iris Way and Mercy Drive are a very dense, sandy silt in the lower trench zones. Well logs for two wells along Davis Street show the following information: Lot 60: 52' well, cased to 40' Gravel and sand (no apparent impervious layers) Lot 79: 60' well Silty with cobbles, silty sand and silty gravels; shale at 60' The above situation represents the "worst case" for wells closer than 7S' to the proposed sewer. The soils profiles along upper Iris and Mercy Drive appear to be more impervious at lower levels. C i Mr. Reford G. Reid Pab 2 In recognition of the frequency and degree of sanitary sewer en- croach7i--nt inside well protection radii, ATNU sought an opinion and advice from the Municipal Departnont of Health and Envirommntal Protection. Their conTrents and supportive statement are attached. Respectfully, AI= E, S�ST , P , E , Engineering Design Supervisor 9nchorage Water 3 Wastewater Utilitv DCI:: deb Attachments: DHEP Stateuent Plans F- Specifications Nlr. Reford G. Reid Page 3 Table 1 Distances Between Existing Private Wells and Proposed Special Manholes (within 100 -foot proximity) Proposed Special Well Location Distance Manhole No. 1. Lot 57, Davis St. from Iris Way to end 94' FL -11 !. 2. Lot 61, Davis St. from 75' FL -10 Iris Way to end 3. Lot 62, Davis St. from Iris Way to end 77' FL 10 Y 4. Lot 69, Davis St. from Iris Way to end 78' FL -9 SV Lot --0, Iris Way between Marcus_ Dr. and Davis St. 45' FL -14 ' 4:L Z 3 5 K 6. Lot at SE Corner of Mercy FL -17 and Elenora 68' ✓7. Lot 1, NW Corner of Mercy and Iris 72' FL -18 C Mr. Reford G. Reid Page 4 Table 2 Distances Between Existing Private Wells and Proposed Mainline Sewer (within 75 -foot proximity) Distance to Proposed Well Location Mainline Sewer 1. Lot 57, Davis St. from Iris Way to end 2. Lot 58, Davis St. from Iris Way to end 3. Lot 59, Davis St. from Iris Way to end 4. Lot 60, Davis St. from Iris Way to end 5. Lot 61, Davis St. from Iris Way to end 6. Lots 62/63, Davis St. from Iris Way to end '-7. Lots 64/65, Davis St. from Iris Way to end "-8. Lot 66, Davis St. from Iris Way to end 9. Lot 68, Davis St. from Iris Way to end —r- --� 10. Lot 69, Davis St. from Iris Way to end 11. Lot 69, Davis St. from Iris Way to end 12. Lot 70, Davis St. from Iris Way to end 13. Lot 71, Davis St. from Iris Way to end 14. Lot 72, Davis St. from Iris Play to end 43' 38' 45' 40' 47' 60' 60' 38' 40' 35' 35' 35' 43' 48' -'S77DTE RECEIVED INSPECTION APPOINTMENTS •� TIME TIME MDATE Lam' SINGLE= FAMILY DATE TE ❑ Six 7. WATER SUPPLY - INSPECTOR INSPECTOR INSPECTOIj.t1 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF i.:''.Ci' I " DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONNVIRONi F JI, .- ...'i XTION 625 L Street - Anchorage, Alaska 99501 • 1?NVIRONMENTAL SANITATION DIVISION Telephone 264.4720 f �k &CTC YS iD_ REQUEST FOR APPROVAL OF INDIVIDUALWATER AND SEWER 1 S DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER-' � 4V D f 240 �N PHONE < l MAILINGADDRESS PROPERTY RESIDENT (If different from above) V PHONE 2. BUYER � ( ^� � %� PHONE MAILING ADDRESS110 3. LENIN INSTITUTION � v� PHONE MAILING ADDRESS /4{�=1t-('�-'dam _ 4. REALTOR/AGENT �. PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION / C1- 0 7 a 6. TYPE OFF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other Lam' SINGLE= FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILYThree ❑ Six 7. WATER SUPPLY - CE INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) _ B. SEWAGE DI POSAL SYSTEM INDIVIDUAL/ON-SITE** _YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE P .ES iVG CAN BES N1 TSF C 4pl PL 72-010 (Rev. 6/79) �n /% S �__� _TT I I ;� �lnvQ,-y��_7[��a�Jll e� THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER --'� DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER - DATE INSTALLED INSTALLER -_ ❑Septic Tank or ❑Holding Tank Size: t00d If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER (fin TOTAL ABSORPTION AREA -_ MATERIAL I 4� h� 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area IlSevver Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS — --- Z! APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompan certificate) ❑ DISAPPROVED DATE — -5-- / --p BY 72-010 (Rev. 6/79) A / David W. Brown Davis Street Box 44 Eagle River, Alaska 99577 Dear T•ir. Brown, DAVID A. SLENKAMP MECHANICAL ENGINEER 694-9055 May 1, 1980 Reference: Lot 58:- Schroeder Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-297q MUNICIPALITY CF ANCHORAGC DEPT. C- ENVIROr :: --TION i9C.30 RECEIVED A A sewer system adequacy test was performed on the system located on the referenced property, per your request. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with 1000 gallons of water and at the end of a 24 hour period all the water which had been added to the crib had percolated out of the system. It can be concluded from the above test that the sewage system located on the referenced property is adequate for the three bedroom residence. If we can be of further assistance, please do not hesitate to call - Sincerely, ROBERT A. SHAFER, P.E. RAS/ss cc: Nell Gibbs Lomas and Nettleton Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA PIP q r.f. Of .. _S jl'f_.3e' zinc it �� .0 1r•S�<a _3 �(), Dai Rec2ived 9/23/74 Time of Inspection Date of Inspection, 9/2.3/74 REQUEST FOR APP ['0'i.Al. OF iiyDP1IDUAL SE''/IER & ',IAiER FACILITIES FOR VA 1, Approval rrquest:pd by: JOhn Adams "Mailing Address: e-- Box 337 Eagle River AK Phone: r. Property Owner: Same A Phone: Mailing Address: 3, Legal Description: Lot 58, Schroeder Subdivision 4, Location: 5, i'yne of faci'li4y to be inspected 6. !Ml Data: A. Type Drilled C. Construction Standard 7. Sewage !;ispos%i i Sy.sten: A. Installed 1974 C. Septic Tank: 1, Size Single No, of bedrooms 3 B. Depth 53' D. Bacterial :Analysis Satisfactory B, Installer R.B. flood 1000 gal 2, Manufacturer Stack Steel D. Seepage Pii;, 1, Absorption Area 12xl2x13' 2, Material Rings F. Disposal Field: 8. DiSY.anCeS: Total length of lines A. 41ei 1 In: ;ep[ic i,r.nk 102' Absorpt ion area. 122' � Sewer I_ i ryes Nearest loi iioe Other contail:inaticn B. oundaT;ion :c septic tan �2333' Absorption area C. Absorption arni t0 ner:rest lot lisle 20' a Paga 2 of two pages - Regi -t for Approval of Individual Se ?r & Water, Facilities Legal Description Lot 58,, Schroeder Subdivision Comments Approv Disapproved Daten/_^ _/7a_.� 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. SIGil ED EQ -034 (1/74) Da to