HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 23Onsite File
Prospect
Heights #1
Block 2
Lot 23
#015-091-22
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211336 PID Number: 015-091-22
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade
Name
KENNETH & ANN CZAJKOWSKI ABSORPTION FIELD - EXISTING
Site Address '150 f SLALOM D ,1JNCH0lLf16E
�,I n ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
El Other
PhoneJNumber of Bedrooms Soil Rating Total depth from original grade
4 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Block Lot Ft. Ft.
ros ec� K 2 23 Fill added above original grade Gravel length
Township Range Section Ft. Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES Ft.
Ft.
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches
From
Tank Field �Lift:Station Tank Line Ft2
Ft,
Well 100+ -- 25' NK ®Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
Surface Water 100'+ __ GREER 1250 Gal.
Material Number of compartments
Lot Line 5'+ -- NA HDPE 2
Foundation 10'+ __ LIFT STATION
Manufacturer Capacity
Remarks Tank insulated. Gal.
Alarm location Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to
Installer A+ drainfield 3034
Drainfield CO/MT 3034
Inspector FWCS BENCH MARK (Assumed elevation) 100 ft
Inspection 1 st g/g/2021
2nd 10/11/2021 Location and description
dates:
3rd 4`h BOTTOM OF SIDING
ON-SITE WATER AND WASTEWATER SECTION APPROVALOF A
Conditional Approval: Date ' • •'' ���
... .. ....•:'
0
Septic System • • . • • • • • ....�..�.`...
Approved - Curtis Huffman �'
�� �Fc • CE 128991
Date 117 2� �sT4*. 1�6no2z .•ti�U0,�
F�pROFESSIO�P
Note: this approval does not include well permit requirements.
(Rev 05/02/18)
PID: 015-091-22
A—C=29 6'
B—C=14 8'
A—D=32 2'
B—D=19 4'
A—E=33 7'
B—E=21 6'
PERMIT: OSP211336
Co
INSTALLED NEW
1250 -GAL HDPE
SEPTIC TANK
WITH NEW DCO.
SEPTIC SECTION
SCALE1 NTS
X
I
X
PROSPECT HEIGHTS #1 B2, L23 SUPPORT, SERVICES:
' O� � 111111
PREPARED FOR: Idw F AZ4s
KENNTH & ANN CZ5
9501 ESLA OM DRIVE AJOWSKI Fo .' C.�� TH
c� * 9
ANCHORAGE, AK 99507
FIRST WATER CONSULTING DATE: 12/22/21 I` rtis Huffman /
SURVEY: JLS 1 CE 128991 w
13030 SUES WAY DRAWN: FWCS 'N 12/22/202le of
ANCHORAGE, AK 99516 SCALE: 1" = 30' \ p'�FEssIO��'ti i
907-350-9566 firstwaterAK®gmail. com \\_'�
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ANCHORAGE RECORLXl. tT L11J 1 lilt. 1 9 1'&Xj1'&LjX%_ i
AS -BUILT OF:
PROSPECT HEIGHTS SUBD ADD Nol
LOT 23 BLOCK 2 PLAT 67-23
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE. SCALE E—MAIL
JAN 7, 2022 1 "=50' schuller®ak.net
21-115-2 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAGE
JLS SW2441 220116
Alft~���•����I V
�..,.....,A,L y�p•L ANDS
jow
'0 49TH
�a6%.
IPA
. . . . . . . . . . . . . . . . . . . . ■ . . . . . . .
U Q
�?,A
•.J HN L. SCHULLER.• 0
• / d
1` LS -10408
1 c�,, • . , . �t / 1831 Talkeetna Street
1 �� • ..:�; . 1
6 Anchorage, Alaska 99508 Ar ot,
`\ O fes nab �' '�" (907) 227-1455 office
\\\ s;``��'� (907) 274-4992 fax
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
RQ Box 1966W 4700 Elrrz1rt Road
Anchorage, AlaEAa 99519 -Fid Phone= (997) 313-79M Face {W7) a43-7997
http:eA%w r.munl_4rgM%11e
On -Site Wastewater Disposal System Permit
Perm I E N umber, 0 SP211336
Work Type; Sop0cTank Upgrade
I ax Code N r, mbeit. 01509122000
SIte Legal Address: PROSPECT HEIGHTS #1 BLK 2 LT 2� C:2441
S I to MaIll ng Address= 8501 4,LALO M D R, Anchorage
Ownar: CZA.JKOWSKI KENNETH J & ANN 5
Dinslgln Engine ar: FIRST WATER CONSULTING
This perm it is for the constru etio n of:
Ef a c"o Date
Expiration Data:
yt#{rFfi
Y'
Yt n
"1'r
Lot Size in Sq Ft
Total Redroorrms=
811 8021
all V2022
104000
❑ Disposal Fie4d Q Sap& Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All coristructi" shall be Irl accordance with;
1, The attached approved desl9n.
2. All requirements specified in Anchorage Mktnicipal cc4e Chapters 15-55 and 1-5.&5 and me State of Alaska
Wastewater Diaposa I Reg ulalirons (1 BAAC 72) a nd Drin king 'mater Rego letions (1 SAAC80)
3. The wastewater code requires inspections du ring the I nstaalatlon. I h e engine@r shall notify the Uavoloprne nt
Servloes Department per AMC 15,65, Provide no9ication by Galling (907) 343.7904 (2417).
4, From October 15 to Aprll 15, a subsurface soil absorptlon 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
Recelveo B y,
Issued By:
811 W(121
Date: 11 1
Date; 1 0
4
MUNIMPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-790,4
On-Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-091-22
Property owner(s) KENNETH & ANN CZAJKOWSKI Day phone
Mailing address 9501 SLALOM DRIVE, ANCHORAGE, AK 99507
Site address 9501 SLALOM DRIVE, ANCHORAGE, AK 99507
Legal description (Sub'd., Block & Lot) PROPSPECT HTS. #1 132, L23
Legal description (Township, Range & Section)
Lot Size 104,000 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF)
0
(w/wo AD U)
Septic Tank
0
Upgrade El
(D)
El
Holding Tank
ElRenewal
ElDuplex
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A 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: 1P 22 5 Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: 1131y'1 Receipt Number:
Permit No. Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
July 30, 2021
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: PROSPECT HEIGHTS #1 BLOCK 2, LOT 23
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic
tank on the above referenced lot. We propose to install a 1250-gallon HDPE tank per the
attached design to serve the existing 3-bedroom residence (4-bedroom system). The lot and area
are served by private wells. The design will not impact any of the neighboring properties.
Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211336, Rebecca Carroll, 08/19/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211336, Rebecca Carroll, 08/19/21
ANCHORAGE RECORD,A -L . <J L11J i l\i\1 3 9 -C-X u17,Z1
AS -BUILT OF:
PROSPECT HEIGHTS SUBD ADD Nol
LOT 23 BLOCK 2 PLAT 67-23
SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE: SCALE: E-MAIL
AUG 1, 2021 1 "=50' schuller0ak.net
21-115 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAW-
JLS SW2441 210252
0
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rn ••.JgHN L. SCHULLER.• 0
` LS -10408
� • .a / •.«..., ..«sem"'
,, • . , , . • �� 1831 Talkeetna Street
�
pry ' • :. ,,r Anchorage, Alaska 99508
\,�%fessjbno\�°�(907) 227-1455 office
`�e• (907) 274--4992 fax
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
[] UPGRADE
LEGAL DESCRIPTION
LOCATION
Well
DISTANCE TO: I ~
Manufacturer
Li q.j,~.~;~i n gal [%[ o~nsns ~1 Fi F N'O M E MA D E:
DISTANCE TO: IWell
Well
I
Top of tile to finish grade
Length Width
Type of crib Crib diameter
DISTANCE TO:
Well
DISTANCE TO Building foundation
Absorption arga
DwellT~ !
Materi:a~J
W dth '-
Inside length
Dwelling
Material
Foundation i Nearest lot line
Total lengthier.of ilines Trench width~ ~. t inches
Material beneath tile
Depth
NO. OF BEDROOM~
PERMIT NO,
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO. ~)'~;~0 ¢ ~"/
Distance between~
Total effective absorption area
PERMIT NO.
Building foundation Nearest lot line
Driller Distance to lot line
Sewer line Septic tank Absorpt on area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTAELER
REMARKS
APPROVED
/J/
DATE LEGAL
· ,.
APPL. Z{;ANT ROtBERT' B,, CAI:Rt~ON PO. BOXlO,..-9(35
LOCA-FION BLOHAFI
LEGAL LO]" E~B BLK E~ PROSPECT H'FRS SUB LCTT'
TYl:)e c;.p ---~', ..... · .....
-. ~.o.,..,_ ~u=,ul p ~l, system :L~ ....
..... TR Ei]".iC:H
~,~...~.1 ra't:L'ng (S(:,) l"'t/J::.l.,~)= 100
The length .d:i. mensic, n ~.s the :!.eng'tl"~ (in ·FeEt) o-F tt",e ','::rench or'
The dep'th o.F. a 'tr"e'.qch or t:,J.'i: J.s 'tl'~e d~.s-~.ance be"b. deen 'the sur~.i'.ace o{- 'the
gru::,u, nd and 'the betton'i o¢ 'the ex,:::avat~.on (J.i't 'Fe,.-:.:,'t).
'T'hepe :is ¥'io set raj. al'th .FoP '(:Pencl"~e,:¢,
The gravel dei:,th :i.s 'the m:Ln:i, mLm-~ dep'th o~:. gr'evet be'tv.~een ",:he out{:all pi. pc
and ",:l"m be'item o'F 'the rexcavai:J, on <J.n Tee't:),,
· ' . .... '~'-~ ~"',~..~::.. . , ~.: ..... '~,...J ..~,.. E:~ EE E"-'.'~ ......................
l!:JacR'F:i.!!.{ng o.F any sys"l:eT.~ v,d.'tho_r': T.:i.i"~a! :i.'nspect:i.c,'ri ,.'arid al:,pr'c, val I::,y th:i.s
d e 1::' a r' tm e n t ~,,..~ :i. i 1 b e s u.b j e c t .i.. c p r' o s e c: u. t :i. o n ~
I~J:L f'i J.'mLm'., ;j :L ............ ¢ "' ,: ...............
].00 " ......
T'e~::~,:. 'For' a !}r'J.~/,,1'~*.., ........ v,¢e't.t of '1.~:.','' to EeO0 t."'__'t¢.,,.,, .F.r, ema p{~b'l j ............. r. v.,t¢,l '!. ',:tepeTi/,:tiTig'
t.q::,o?'., ...... ~. e +,1,_,'', ¢~ o¢. pub].&E .well,,
M :i. i"., :i. mu'rn ,,:.1 :L s i:an ~-,-"~ 'F. r em a 1::' r' .~. ~ ,~ :.~: we 11. i tn a p p J. va 're s ,evce r' 1.4. iq e :i. s :::'q.'
'ti::, ai com'im..~nj.i:y sewep ].J.',:"~e &s "75 ': ......
O',*.:he~ ~ ..... ; .... ~. -' · · -. ·
:!~v~:.~;i.].ab].e !:o J.f'isu. r,,F.:', ppopc, r'. f'
I certi.Fy that
:1...i I ami ~Fa'mJ.]..<ar. v.~.i:t": the I'e£iLl:i.r~emeTt!:s .F. or'. on'...-~:i.'te se~,,~eps a'nd wells as set
· F o r' 't: h b y t h e h'lu'n :i. c J. I:) a 1 :i. t y o ~:- .An ,:: h o r a g e.
~',: I ~/,hi.!l J. nstall i:he system :Ln accor'<:lanl::e v,JJ.i:h i:he codes,,
~: ]1 L!rider's'i:~a'nd i:l"~a't '(he on-s:i."~e sewer, sys"i:em mg~y regu:i, re (en].aPgeffiei'i-t J.~:. the
r'esJ..def'ice J.s r. emo<:Jeled tO J. Tti::].U.<Je TROPe 'iZi-~a/i A be-dr, oo-ms,,
V.q-, 0
LEGAL DESCRIPTION: ~'~ ~ ~
DEPARTME~'r--~F HEALTH AND ENVIRONMENTAL PROT.,~TION
/~ ~h 6.650, Anchorage, Alaska 99502 276-2221'
SOILS LOG- PERCOLATION TEST
,.: ( ?/ 7~ f/v~.'
PERCOLATION
TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
5LOPE SITE PLAN
.... ~----~ , - ~ .....: ....
I- 1-,;''"
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN ,r ~ FT AND ~ FT
COMMENTS
PERFORMED BY: (':;/'"/~';/ J~ (~'? ~:'' ': '-"~? CERTIFIED BY; ('~_/'"'~ ~'I */~t' '~'/'~d" DATE:
_-.- j~ J/
72-O08 (7/76)
Certified Well
Vor...._.K.~__.Q~&~__._Q!~_~.K..! ............................................ ~......~._~_Z.~ .......
Date completed ....... ._S..gp.~ ....... ~....~.9.7..~._.: ........................................... ....: ...........
Depth of well.......~. Q
Distance to water.__.._l;:'5..~.$.,.....'. . ' .'
Distance to water while pumping .~.0 -~t; ' ' ':; "~t :rate'
of .............. 2~0.0. ........ ~ ............ gallons per hour.
Description of Formation
Feat & Top. Soil
Hard Pan . · -'~.. 4
Bedrock - . , '" ~ 21 [ /30
~ ''
· - _. : , ,:~ :.-
' .. I,certify the above true and correct.. - ,
- _ - ' /'~ ' '.' :,i '5~-'· '.. ~ _:'-'.
........................ '~Si:iit~r':''.~' ' T" ........ :":~ ............ -
'DOTTEN DRILLING CO.
John's Road
SPENARD, ALASKA
We advise you to attach this certificate to your .deed.
PERMIT NO.
DEPRRTMEI'TI" O~HERL.'rFI RND EI'.,tV I RONHEI',IT~L ? -':)'TECT 101'.,!
825 '"L S]"REET., FII"~CHORFIGE., FIK. 5.~5,5... :L
g')S 4 - 4 ?;i:'.0
~...-~ ~:S': L_ II. .... ti=" EEL' IF~7 F"lt :~,~ 'T
( ?80E, G2:: )
FIPPL I C:SWI"
LOCRTI ON
LEGFIL
I<ENNETH CZRJKOP.ISKI SF.'R BOX ]::I.B F-INCH ~5~507
SLFtLOi'd DR
L2'Z.': DR PROSPECT HTS FIDE:, :f$± LOT SIZE
'_']:44 G255
0 SQUI::IRE F'EI!ET'
MINIMUM DISTRNC:E BETWEEN R HELL F-iND FINY ON'-SITE SEHFIGE DISPOSFIL SYSTEM IS
100 FEET FOR R PRIYRTE 14ELL; OR
:;L50 TO 288 FEET FROH FI F'UBLIC 1.4ELL DEPENDING UPON "['PIE TYPE OF PUSL. IC: WELl ....
HELL L. OGS F!RE REQUIRE[:, FIN[:, HLIST BE RETURNED TO THE r':,EPRRTHEhtT P.IITHIN :.-]:0 [:,W.?S
OF THE WELL COMPLE'FIOI'.L
OTHER REQUIREHENTS HFfY F~F"PLY. :SPECIFICRTIOhlS RN[:, CONSTRUC]'ION [:,IF:IGRFtMS F~RE
RYRILFIBL. E TO IN:SURE PROPER INSTRL. LRTION.
! CERTIFY THRT
:[.: I I~M FRMILIRR HI]"H ]"HE REQUIREMENTS FOR ON-SITE SEI.,.IEF.:5; RND HELLS I'.:~S SET
FFF:'TH BY THE HUNICIPALITY i~[::' FIIqC:HORFtGE.
· :2:I WILL it'4STF~LLiTI--~;~'ST~H IN RC:IZ:ORE:,RNCE WITH THE CClDES.
FIF'
'H CZFiJKOI,.ISK I
............ ....
; DATE RECEIVED
INSPECTION APPOI NTM ENTS E~,~~ff~
'i~lM~ TIME T
DATE DATE DATE
INSPECTOR
INSPECTOR
INSPECTOR( \~ . ~
DEPT. OF tJ~'.LT;I &
MUNI CI PA LI TY OF ANCHORAGE ENVIRON,~irJNTAL ;,.O F~CTION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
I ~ ~-. ~
E~VI RONMENYAL SANIYATIO~ DIVISION
Telephone 264-4720
~EOUE~T FOR APPROVAL OF INDIVIDUAL ~ATER AND SE~E~ FAglLITIES
DI~EgTIONS: Oomple~e all parts ou page ~. Incomplete raquests will no~ be pro~essed. Please allow ~en (~0) days for processing.
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAI LING ADDRESS
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
I
MAILING ADDRESS
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
[] SINGLE FAMILY
I--I Two [] Five
[] MULTIPLE FAMILY ~' Three [i~ Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
/
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2, WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: /~ ~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
INearest Lot Line
5. COMMENTS
DATE
BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
DISAPPROVED
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPAR 1-MENT OF t!EALTH AND ENVIRONMENI'AL PROTECTION
January 27, 1981
Robert D. Carleson
Post Office Box 10-905
Anchorage, Alaska 99511
Subject: Lot 23 Block 2 Prospect Heights Subdivision #1
Approval for your individual sewer and water faci].ities
cannot be granted until the following items have been
complted:
A well log submitted to this department for our review.
The water analysis report n~eds to be delivered to this
office from the Chem Lab, 5633 B Street~ for our review.
If there are any further questions~ please call this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC:
Alaska Statebank
Mortgage Loan Department
310 East Northern Lights Boulevard
99503