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HomeMy WebLinkAboutHUFFMAN #1 BLK 1 LT 1Huffman #1 Block 1 Lot 1 #018-161-02 • ,., Municipality of Anchorage Development Services Department o %" : �°'• Building Safety Division On -Site Water 8 Wastewater Program, 4700 South Bragaw St. ..... P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO60309 PID Number: 018-161-02 Name: LANNO SETTLES Wastewater System: ❑New ■Upgrade Address: 13800 LAKE OTIS PKY a ANCHORAGE. AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 244-6269 3 ■ Deep Trench CiShallow Trench Dead ClHound DOther LEGAL DESCRIPTION Sol Rath: 0.8 Total Depth frwn pfgMwl pane: MAX GM/Sq. R 11.0 R Block: Lot: Subdlvislon: 1 1 HUFFMAN #1 Dope, b pip. Bottom from adona grade: Gros depth Oen 'M pip.: 3.0 MAX R 8 pL Township: Range: Section: isl aga.e Beare oftgrade: Gravel length: — — SEE DWG. R 35.5 R WELL: ❑ New [IUpgrode Gar./ wieu: 2.5 Nvne.r of DMC 1 o.tome t t.wt btu: — pt R eN.wlrcgeen Pnrot., A.S.Q: TotaW..a T. (emaal:l Totalee.wptian Brea: Pp. nwrterla: (, n R 568 so.R D 3034/ F-810 statin Mats Lar./: eWa.r: GEG Ltd. Dote VadoN: 10/13/2006 �X\5` Dot. DM.e. R ywa:Pamp Set N: ca" "ht lean. Ground: K GTN R R SEPARATION DISTANCES ■Septic DHolding 0S.T.E.P. DOther To Fro, Septic Tank Absorption Field Lift Station Holding Tank bse/Pdrats sower Line• Narwloclarer. ANCHORAGE TANK Cpouty In 1000 Well 100'+ 100'+ — — 25'+ : STEEL Names 2 aompwtmrn.. Surface Water 100'+ too'+ — — — GRINDER PUMP Lot Line 5'+ 10'+ — — — 9l. M aaeon.: —60 Nanwfacty .. 1 FIBERGLASS BASIN Foundation 5'+ 10'+ — — — an N.wl al: 16" al Noel at: 11.75" Mgn waw Bann al: 20" Curtain Drain NONE KNOWN P" N.L. • N.aa. Osr wl lrp tions pawn ty: I /P—SE-13T MOA Remarks: BENCH MARK taaahon ww o.srwtwn: OLD SEPTIC TANKS WERE FILLED WITH CONCRETE. CORNER OF DECK AT 3RD STAIR. 100.00 n Inspections performed by: GEG Ltd. � Dates: 1st 10/10/loos ENGINEER'S SEAL ooaoo °�� 2nd 10/10/2006 0 OF 3rd 10/13/2006 Development Services Department Approval �•• p.......... ........ D Reviewed and approved by: Date: . • •••• ............ Q ' J ff yarness, QQ9 CE -7973 .•`��p Q � '•�l/20,C•'• Reviewed and approved by: Date: q 4 q4 �00�°proreesla(,a\ �40000�� PERMrrNUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: SW0 SW0603090309 — 018-161-02 EXISnNC DRAINFIELD TO BE USED AS A RESERVE SITE• f T rat STI 45.6 35.5 ST2 49.4 41.2 OBLI 30.7 43.0 DBL2 31.8 44.8 FD 52.1 44.5 GP 26.1 28.3 COI 51.0 27.6 MTI 52.4 29.7 CO2 79.6 58.7 MTZ 79.8 56.8 NEEyy/I GALLON LTi /SEPTICPTIC TANK � Q / NEW GRINDER / PUMP Y Fp Q EXISTING U% e 3 BEDROOM I�{��. I HOUSE O 7H# 1 NEW , GARNESS ENGINEERING GROUP, Ltd. �Vi CONSULTANTS b GENERAL CONTRACTORS • • •' 3"1 L 1{WR eOW. flea 101 • 111L1,GUGf. e0 error • n1o1[ (eef)55r-41T • rex (Y01)3.11 -33N • eOLlr: ew.p,weywYyaw 1 A PREPARED FOR: PHONE NUMBER: PACE NUMBER: `y7h%V1)•!/ LANNO SETTLES 244-6269 2 OF 3 Q p LEGAL DESCRIPTION: DRAWN BY: QO°Ov HUFFMAN #1; LOT 1. BLOCK 1 B.F.M. O�Te TYPE OF WORK: DATE: u� AS—BUILT FOR SEPTIC SYSTEM UPGRADE 1 10/19/2006 (Rev. 01105) I Krey-2"or" ness: 3 CE -79 'fn�zo.�o6•�oAov` PERMrrNUMBER: AS -BUILT DRAWING G PARCEL ID NUMBER: SWO SW060309 018-161-02 FINAL GRADE - 87.77 TOP OF TANK -•� f") / �_ /T TOP OF TANK OUTLET - 95.46 AT INLET NK 6 \ I I f-- NEW 1000 GALLON ) �� INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT INLET - 94.89 AT OUTLET - 94.68 FINAL GRADE - 97.86-98.20 ORIGINAL GRADE - 97.08 FILTER FABRIC INVERT OF PIPE - 94.08 BOTTOM OF TRENCH - 86.08 �-6?- RELATIVE ELEVATION OF BOTTOM OF TESTHOLE - 80.08 (NO H20) OF GARNESS ENGINEERING GROUP, Ltd. p ` 4 r CONSULTANTS B•GENERAL CONTRACTORS Q••••••• ••• •••••••• •••••••• )AI L 11UNR llp ISM 101 • M{14UGL MI MOl MCIL (pI),WJ 171 • NJI (/07)1 W" • �- �.p.wwywYpgw O PREPARED FOR: PHONE NUMBER: PACE NUMBER: •• •• ......• •••••••••• LANNO SETTLES 244-62693 OF 3 0 p '• e y arness: LEGAL DESCRIPTION: DRAWN BY: QO •• . CE -79 3 ; `Fo HUFFMAN #1t LOT 1. BLOCK 1 B.F.M. TYPE OF WORK: DATE. 44pO�Op0600 PROFILE DRAWING FOR SEPTIC SYSTEM UPGRADE 10/19/2006 5 t From ApP11edM1crosystems Wed 18 Oct 2006 07:43:23 PM AKDT Page 1 of 1 MUNICIPALITYOFANCHORAGE, BUILDING SAFETY 'OIVISION INSPECTION INFORMATION 6 HELP: 343-7062 N: FAX (907)249-7777 www.muni.org/BSD/Inspections.cfm INSPECTION: VOICE 343-8300 INSPECTIO PERMIT #: 06-9296 NAME: Bill INSPECT DATE: 10/19/2006 AM COMPANY: Brickwell; Inc. PHONE #: 440-9351 PHONE*: 345-2923 PHONE #: ADDRESS: 13600 LAKE OTIS PKWY GRID*: SW2933 LOT 1 BLOCK 1 SUBDIVISION: �HUFFMAN #1 COMMENTS or DIRECTIONS Underground Previously Inspected -Please Call- Thanks TYPE OF INSPECTION: Final Electrical COMMENTS: (FOR INSPECTOR USE ONLY) F DATE* PRINTED NAME RABBIT CREEK SCHOOL AS -BUILT NO CORNERS SET THIS DATE .s4Y ar Yep1'l4~r1 hereby certify that I have following 0 of the described property: LOT inspection LOT 1. BLOCK 1. HUFFMAN SUBDMSION No. 1 493h 6'V1 �� �j Anchorage Recording Precinct, Alaska, and that the o { Improvements situated thereon are within the property Ones d and do trot overlap or encroach on the property tying 1 ew w»e«we« �f' adjacent thereto, that no Improvements On the properly tying adjacent thereto encroach on the premises In question and that there are no roadways. transmission Anes or other �r-A'-~•...c ::: 1 C� `^j visible easements on said property except as Indicated SCALE: 1 w_ = 30 hereon. :' • :`ray• _`•�'� Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 27th day of October 2006 THOSE SHOWN ON THE RECORDED FRED WALATKA 8 ASSOCIATES PLAT ARE NOT SHOWN HEREON. Fb06.8, pg 58,545 BE (907-248-1668) Engineers and Surveyors N89°57'00"E 159.00 I 33 50 CLF on Conc. Ret. Wan 10' Utility Easement CLF _ _ _ _ r d __ ' �—Gravel 1 WF,.J driveway I J L ------- d NI00 Q m CoOR 26.0 3.4 C 21 Y> O 1 Story r- Q 4 2 Gdnder pump b ep^ce V Conn Block LOT 1 O 7f e:k '& WF House p H Ob a Sept fV with N Basement O 60 Vena e e \ Well O0� o W o Y 0 Z�SepU c Vend 26.0 C.raveldriveway Z g WF a 50 N89059'00"E 159.00 LOT 2 t I AS -BUILT NO CORNERS SET THIS DATE .s4Y ar Yep1'l4~r1 hereby certify that I have following 0 of the described property: LOT inspection LOT 1. BLOCK 1. HUFFMAN SUBDMSION No. 1 493h 6'V1 �� �j Anchorage Recording Precinct, Alaska, and that the o { Improvements situated thereon are within the property Ones d and do trot overlap or encroach on the property tying 1 ew w»e«we« �f' adjacent thereto, that no Improvements On the properly tying adjacent thereto encroach on the premises In question and that there are no roadways. transmission Anes or other �r-A'-~•...c ::: 1 C� `^j visible easements on said property except as Indicated SCALE: 1 w_ = 30 hereon. :' • :`ray• _`•�'� Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 27th day of October 2006 THOSE SHOWN ON THE RECORDED FRED WALATKA 8 ASSOCIATES PLAT ARE NOT SHOWN HEREON. Fb06.8, pg 58,545 BE (907-248-1668) Engineers and Surveyors MUNICIPALITY OF ANCHORAGE Development Services Department On-SiteWater& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO60309 Legal Description: HUFFMAN #1 BLK 1 LT 1 Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: LANNO SETTLES Owner Address: 13800 LAKE OTIS PKY ANCHORAGE. AK 99516-3413 Date Issued: Sep 25, 2006 Expiration Date: Sep 25, 2007 Parcel ID: 018-161-02 Site Address: 013800 LAKE OTIS PKWY Lot Size: 16201 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Q✓ Disposal Field 0 Septic Tank El Holding Tank E] Privy E] Private Well E] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. t Received By: �i`� '- � bf ! Date: /4-6 i Issued By: _ r- r/ .o r_'dl Date: 25 O Municipality of Anchorage s Development Services Department Building Safety Division On -Site Water& Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. Old" 1LkI'!) L Property owner(s) LANNO SETTLES Day phone 244-6269 Mailing address 13800 LAKE OTIS PARKWAY * ANCHORAGE, AK Site address Zip Code 99516 Legal description (Sub'd, Block & Lot ) HUFFMAN SUBDIVISION All, LOT 1. BLOCK 1. Legal description (Township, Section & Range) —N/A Lot Size __«(f 201 Sq.FL THIS APPLICATION IS FOR ( ®all that apply): Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and Is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: y6, 0 Date of Payment: p �O & Receipt Number. l G % 7 O (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS September 14, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Huffman Subdivision #1; Lot 1, Block 1, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. We are proposing to install a grinder pump, a 1000 gallons septic tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the area around the proposed drainfield is fairly flat. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessenginecring.com RABBIT CREEK ELEMENTARY SCHOOL (SERVED BY PUBLIC WATER @ SEWER) , \ , \ , \ PROPOS SEPTIC SYSTEM y (SEE DESIGN PACE 2 OF 2) , \ , \ , \ , SEPTIC SYSTEM \� HUFFMAN /1; LOT 2, BLOCK 1, I p 0 I HUFFMAN K1; BL 1, ' II 1 I ' I I HUFFMAN j1; II I 1 LOT 4, BLOCK 1. I I I GARNESS ENGINEERING GROUP, Ltd CONSULTANTS i GENERAL CONTRACTORS lMl [. T10011 POb, AIR 101 • II?110PACG W N]02 . P1101E Mr In • [YI b 124 11 mow. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: LANNO SETTLES 907-244-6269 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: HUFFMAN SUBDIVISION #11; LOT 1, BLOCK 1, 1 C.J.G OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE In[r.alM) 9/14/2006 RABBIT CREEK PARK 3 MNV!id&m G A. GOff1C33, ••• C 953 e P9v . NUMBER OF BEDROOMS:3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: 7.5 MIN./INCH PROPOSED APPLICATION RATE: 0.8 MINIMUM DRAINFIELD SO.FT.: 563 DRAINFIELD DESIGN: MAXIMUM DEPTH: 11 FEET WIDTH: 2.5 FEET LENCTH:36 FEET M.OA APPROVED SAND FILTER: N/A EFFECTIVE:8 FEET REDUCTION FACTOR: N/A ACTUAL SO.Fr.: 648 NOTE: THE CONTRACTOR SHALL HAVE ALL WELL RADII SHOWN, AND THE SOUTH AND WEST LOT LINES FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 4LU. 1.10. t A / YAliL DYLQtIUAIIUN LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONMTIONS Ol R11NFO 11 fE INGSEPTICTANKSTOUMPED•CRUSHED AND PLETELY ABANDONEDROPOSED GRINDER PUMP -i \ Nsl—PL EXISTING DRAINFIELD TO BE USED AS A RESERVE SITE )SED 1000 GALLON SEPTIC TANK DRAINFlELD. GARNESS ENGINEERING GROUP, Ltd. 4 y� CONSULTANTS& GENERAL CONTRACTORS �••••••••• ••••••••••••••• ]MI L 11D011 00.0. 0101[ 101 . N1001A.OL MI M:01 . FI\^II[ (W73M-0110 • FM (00n) -Mo gLR:.w.p�wOn..rF,wn PREPARED FOR: PHONE NUMBER: PACE NUMBER: • • .••••• ........ LANNO SETTLES 244-6269 2 OF 2 ���((( A Car ess: LEGAL DESCRIPTION: DRAWN BY:r CE -79 FG HUFFMAN SUBDIVISION #1: LOT 1, BLOCK 1, C.J.G. QQ�4re •Fj�)�{J>2(.''���o TYPE OF WORK: DATE: �� -Rro TeesiO�" DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 9/14/2006 �DOO000�� oo�Spp p� 4 GARNESS ENGINEERING - ____._ __ .y_.__.__ _.__oo��•�F' '�qs;�0 GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS A O DO 7701 L 810011 R .SUIS 101 • M CIOV FE M OW7 • MOM: •0) )—•1N • NL f0) —33M • •[851fL •enr•rq+rw`rp. • • • • • • SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: HUFFMAN 1; LOT 1, BLOCK 1 '•. f y A. rness.: a0 PERFORMED FOR: LANNO SETTLES DATE: 9 5 2006 r CE 793 \FOS .,qT�4. QL• oAo� (feet) q-,�t TEST HOLE 1 `opoo1 ORGANICS SOIL CLASSIFICATIONS 23 SP/GP '= GP ML •.••:; GM CL •: 1r�.` q •-�-�• GC OL 140 :: °. •°. o SW MH 5 :i •:3•.: SP CH ti� SM OH 6 • SC ow i i 7 ,i 1•: 8 •' .• .• 9—,6,0 .�• 10 ••• SP/SM 11 00 .00 12 .i i 13 •,i .�.� 14 ;�� ..• 15 .- os .. 16- 17 6 17 • B.O.11. 18 19 PERCOLATION RATE 7.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 8.0 FT. AND 8.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: BENNY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: "i��•F o6 DEPTH TO GROUNDWATER DATE DRY 9/5/2006 DRY 9/14/2006 N 1 p - DATE 15— READING CLOCK TIME NET TIME (MINUTES) I NET DROP (INCHES) N 1 p - v - j TM 2 4:55 30 1 � lol / I�I i I HUFFMAN /1; 3 LOT 2, BLOC` 1, 1 J/ � 6" 1 1 1 1 1 1 1 SCALE:® 1 i 1 • � 100' DATE 15— READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/6/2006 1 4:25 - 6' - 2 4:55 30 1' S" 3 4:55 - 6" - 4 5:25 30 2' 4' 5 5:25 - 6' - 6 5:55 30 2' 4- " 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 NAME IPHONE ❑ NEW UPGRADE MAILING ADDRESS y jo;�,q 7 LEGAL DESCRIPTION ` -,It LcA 1 ry- . 1 LOCATIO NO. OF BEID MS r nrM DISTANCE Well / Absorption area I Dwellingf P MIT NOW U TO: r 1 _Y i Q Manufacturer �� J Materia, l No. of compartments' WI_ I{ N Liq. capacity in lions IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. Jp�Y Z 2 Manufacturer Material Liquid capacity in gallons O DISTANCE TO: Well r Foundation I Nearest lot line / PERMIT NO. w= Z w No. of lines / Lenof ach e Total 412th of I' Trench width, Distance between liDK PwLL Z / 3h 0nches cc F Top of tile to finish grade Material oeneat tile (�i Tot ffective ab ptio eat ti O inches Length Width Depth PERMIT NO. U.1 44 F w °- Type of crib Crib diameter Crib depth Total effective absorption area ti DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO, J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERI,�LLS `rJ SOIL TEST RATTING Lto c - y- _ INSTALLE r REMARKS \ \ �p O 0 02 D Lt APPROVED DATE LEGAL MUNICIPALITY OF ANCHORAGE Departments" Health and Environmental" ;rotection 825 'L Street, Anchorage, AK. >j501 °+ 264-4720 Permit # # # # HANDWRITTEN PERMIT AOR ON-SITE SEWER PERMIT Applicant: -%11 Mailing Address: S,. �• `fix/�S' Location: C�(fl.L ii Phone Number : 3 Legal Description: 1.. r -pm # A/ Pk/ Lot Size: ri a , frlo 0 Type of Soil Absorption System Is: Trench: L- Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Zlz_ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: � r DEPTH �( LENGTH �r �_ GRAVEL DEPTH �0 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(HOLDING) TANK SIZE GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. # # # 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 feet 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. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 3 # # # I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I under and that th on-site sewer system may require enlargement if the res den ....i re od led to include more that 3 bedrooms. Signed: Issued by:��s-�( f pplicant q Date: - � ; SWP / 0 2 4 (1/ 81) !� SOILS LOG MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION IK PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Torn Llions (1 1 TQ� DATE PERFORMED: =41? -1183 LEGAL DESCRIPTION: Hu�mayik i i)i n GAAS-HD-I G1.1 'SR ANCHORAGE AREA BOROUS���; DLrARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM r i:. SEPTIC TANK: MAILING t - ADDRESS ,� IPTION l% / i NUMBER OF DISTANCE FROM WELL./004'' –MATERIAL «'� ����- �t- COMPARTMENTS l �_�i1 7 ':bia /Y i�"6'6't� i� LIQUID LIQUID CAPACITY —& (.''i'_GALLONS. INSIDE LENGTH INSIW4DTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_ / OUTSIDE DIAMETER 2 OR WIDTH / LENGTH ZZ DEPTH_ h Fr t 9 LINING MATERIAL �(' / ,/ A x �o DISTANCE FROM WELL 1,0r' f/id!? �/' �� ° BUILDING FOUNDATION NEAREST LOT LINE 2`/ 1 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA_ DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION , NEAREST LOT LI CE BETWEEN FT. LENGTH OF EACH TRENCH WIDTH H OF FILTER MATERIAL BENEATH TILE_ TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE ABOVE TILE WELL: DISTANCE FROM F- WATER TYPE �C ("i 60 DEPTH '"` BUILDING FOUNDATION. SAMPLE , NEAREST _ NEAREST _ SEPTIC ,__ . 1 SEEPAGE o OTHER LOT LINE SEWER LINE TANK `-?�� /r`e"x_ SYSTEMf_—tea �'� CESSPOOL - , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: r�^ 0/ /->/ '� /�� • /// ' • �-� Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 018-161-02 Expiration Date: hec [ �20o2 D 1. GENERAL INFORMATION: Complete legal description HUFFMAN #1; BLOCK 1 LOT 1 Location (site address) 13800 Lake Otis Parkway * Current Property owner(s) Jemal & Sara Krokos Day phone 907-632-3705 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment a,5�( GOVii�-i� ( X02 v Receipt Number 0� 12 `I U COSA# 05C)'01 q�5 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or o ��•. "V,j,,5��� encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, � � �y groundwater levels (that may fluctuate during the year), quality of construction (materials and ' (/ * ' 4Q i......:... workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and �• • .. • " "�� tf j' .t are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance ofi� " " t " the well or septic system. GEG makes no representation whether an alternative well or septic system �� '.J/off'ey-4 Gcrness• can be installed on the property in the event either of the current systems fail to perform adequately in Q 9. %/'fit/ C17 the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or ��'�� € �d party (including subsequent property purchasers) is not authorized, nor will it confer any legal right `� p ofess+o as whatsoever. #AECC884 6. DSC SIGNATURE System #1 Approved for -3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following ;i OF Ks: yIpr�i WATER A AM AIT By: Original Certificate Date: 9 / G The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: V COSA Checklist /\ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: COSA Checklist HUFFMAN #1; BLOCK 1, LOT 1 if more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1967 (?) Total depth *67.5+ ft Cased to UNKNOWN ft ❑ Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 8/3120 Static water level at beginning of test 61.2 ft Comments *PER GEG INSPECTION B. TANK DATA Parcel ID: 018-161-02 Structure served by this system Well production at time of test 5.3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes A No 0 Coliform bacteria is Negative Nitrate mg/L 0 Nitrate less than MRL (ND) Arsenic ug/L Collected by Date of Sample C. LIFT STATION 0 Arsenic less than MRL (ND) GEG, LTD. 8/3/20 Age of tank(s) 14 years X Required maintenance completed SEPTICI TEE Age of lift station 14 e �"'�tk2_. Tank type/material g �� 1 Measured operating fluid level in septic tank *32 Lift station material L � Standpipes/foundation cleanout per record drawing Comments: *OWNERS WERE WORKING IN THE Date of pumping 7/13/20 - 'HOME VACANT AFTER PUMPIN HOME (CLEANING) AFTER MOVING OUT D. ABSORPTION FIELD DATA DEEP TRENC Which system tested (date installe ° I ° b Adequacy test date 8/3/20 Al ALL standpipes present per record drawing Results Q Pass For 3 bedrooms Total measured depth from grade 11.83 ft (max) Fluid depth prior to test 10 in Measured depth to pipe invert from grade 3.66 ft (min) Water added 657 gal ❑ N/A - pressurized field New depth 22 in FE -1 Monitor tubes go to bottom of effective. If not, state depth into effective FE -1 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Elapsed time 120 min Final fluid depth 15 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) NONE Ifyes, enter date N/A Gallons introduced N/A gallons Comments/Deficiencies: RESERVE SITE WAS DRY UPON ARRIVAL AND STAYED DRY THROUGHTOUT TEST. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ * Community Sewer Manhole/Cleanout > 100' R7 Yes if No ft M Yes if No ft Neighboring Tank > 100' Q✓ Yes if No ft Private Sewer/Septic Line > 25' 1✓ Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' M✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10'✓Q Animal Containment > 50' E✓ Yes if No ft ✓Q Yes if No ft E Yes if No ft Water Service Line > 10' ✓/ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' M,/Yes if No ft E✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5'✓Q Yes Yes if No ft Wells on Adjacent Lots: Q Absorption Field > 5' if No Yes if No ft Private Wells > 100'✓/ Yes if No ft Water Main > 10'✓Q ft Yes if No ft Community Wells > 200' E Yes if No ft Water Service Line > 10' ✓/ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ** ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' [ZI Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *NO MOA REQURED SEPERATION TO PUMP VAULT AT TIME OF INSTALL - APROXIMATELY 85 FEET FROM WELL TO PUMP VAULT **BOTH DRAINFIELDS APPEAR TO BE UNDER 1 OF 3 SHEDS THAT ARE ONSITE G. ENGINEER'S CERTIFICATION o� I certify that l have determined through field inspections and review o L�S of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 0 �..... ..... ........... .................. 0 A. Go ness•* CE— 3 COSA Checklist yellow sheet Qa rofessior o0 #AECC884 RABBIT CREEK SCHOOL Chain link fence on Conc. Ret. Wall N89057'00"E 159.00 10' Utility Easement ami -C E _0 C/) (1) torage 00 cc 11— W Teck CD Co Manhol('\, C) deck O ---Septic vent (typ) 0 0 CD Z Wood fence (typ} 0 Gravel driveway 3,4- 26.0 .. ,..an It 1 Story Conc. LOT I Block House N with cli Basement deckWell ---0 26.0 tGravel driveway cc Co N89059'00"E 159.00 LOT 2 low _A4 AW A 4-9 th 00 00 00 00izabeth L. Walatka 00 s oAW 8036 - LS - AW ssloto'l- AMW SCALE: 1 "= 30' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED 0) OR .0 ME 50 33 8306X Revised 8-27-20 Added ti t .v I RECERTIFIED 8-08-20 u�/ ; RZ AS -BUILT NO 0 ERS SET THIS DATE VAN a 10 2- 11 (6-1 I hereby certify that I have performed a Mortgagee's inspection in accordance with ASKS Standards of the following described property: LOT 1, BLOCK 1, HUFFMAN SUBDIVISION No. I Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no Improvements on the 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 Anchorage, Alaska this 27th day of October, 2006. FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON FB 20-4, pg 30 BE 1 907-248-1666 Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 06-8, pg 5,6 & 45 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and Is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka Is a violation of Federal Copyright law. Unless gross negligence Is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Lift Station/Pump Vault OwnerZS'c-.,, vvlc,,) + . ore. kv-ok,c Street Address 1!a 00 Q+ �',s Phone Legal Desc. PID Septic Tank: -Sludge level L inches -Pumping: required CYE Lift station: -Pump basket cleanedVes no wA -Effluent filter,: -Control floats cleaned es no -Proper float -Operation satisfactory es no Alarm System: -Dedicated electrical alarm circuit es n6,,., -Audibl -Alarm system operation (-satisfaffh� hbt>Sati ........................ ............ . Manhole Riser -Ground water intrusion at riser;tf Jank conned -Ground water intrusion around pipe pg rietratio , -Manhole lid: Functional e no Insul Maintenance Provider: main Technician Lcj---,-i/ jr- Company e Signature completedyes no 6ed ':Y'e­&.,. no/,f igs confirmed es no d visual alarm inside dwelling es no '-Weep hole functional es no no Properly Secured es no ce completed (yes l no Date of maintenance-nPV16 V Municipality of Anchorage Development Services Department — % Building Safety Division Onsite Water & Wastewater Program ! �� 4700 Bragaw Street ') P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsfte V (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. dI`6' I(rI'D� COSA# e; 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HUFFMAN k1- LOT 1, BLOCK 1 13800 LAKE OTIS • ANCHORAGE. AK 99516 LANNO SETTLES Day phone 244-6269 P.O. BOX 2686 • SEWARD, AK 99664 Day phone CHARLIE LAWRENCE w/ REMAX Day phone 276-2761 110 W. 38TH SUITE 100, ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site N Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil . engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 . ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance ofthe system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lost results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any otherperson or party Is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. 337-6179 Date ZIZ73 / 0� Conditional approval for bedrooms, with the Mowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other r �l ON-SITE WATER AND WASTEWATER �.•• PROGRAM . J. 1. �/l�•.•.••�G7 By: Original Certificate Date: 3 - 2 - 0-7 fRwr 11 AS1 ' Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water b Wastewater Program 4700 Bregaw Street P.O. Box 196M Androrage, AK 99519-6850 www.mwd.org/oratte (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: HUFFMAN SUBDIVISION M1; LOT 1. BLOCK 1 Parcel ID: A. WELL DATA `PER 1975 APPROVAL Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed ^1967 Sanitary seal (Y/N) YES Total depth '86 ft. Cased to 77+ ft. FROM WELL LOG Date of test Static water levet N ft. N Well production g.p.m. WATER SAMPLE RESULTS: Conform colonies/100 ml. Nitrate mgA. Well Log (YM) NO Wires properly protected (YM) YES Casing height (above ground) 12+ in. AT INSPECTION 6/28/2006 69 ft. 3.5 g.p.m. Other bacteria colonies/100 mi. Arsenic: NO ug./L. Date of sample: 6/28/06 Collected by: GEG Ltd. 2/16/07 B. SEPTICIHOLDINO TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 10/13/2006 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES Data of pumping NEW Pumper — C. ABSORPTION FIELD DATA Data insWiled 10/13/2005 Soul rating .p.d. r ft'/bdnn) 0_8 System type DEEP TRENCH Length 35.5 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth *11 ft. Eff. absorption area 568 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Tine: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 8 type) NONE KNOWN If yes, give date D. GRINDER PUMP Date installed 10/10-13/06 Size in gallons —60 ManholelAccess (Y/N) YES "Pump on" level at 16 in. "Pump off" level at 1 1_?Nn. High water alarm level at 20 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lankilift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water service line Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent kits 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that I have detemrined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date Z 1 Zd /b} COSA Fee $ /-3c) . U O Waiver Fee $ _ Date of Payment 7 — :�L' 8 —d 7 Date of Payment Receipt Number 7oya Receipt Number, (Rev. 11/05) Mar. 1. 2001 11:41A11 Garness Engineerins Group. Ltd. No -7224 P. 1 w9f SGS RtCM 1070625001 Client Name Gumess Engineering Group, Ltd. Project Name/M HUlfman SD NI LOl 1 Illk I Client Sample ID Huffinan SO $1 Lot I B1k 1 111atrla Drialcins; Wmer PWSID 0 Samplc Remarks: NAR 012007 'ro Po -- An Dateall'ima art Ala.ha Standard Time Printed Daiefrime '02=007 11:29 Collected Daidrime 023162007 12:45 Received Datcrrime 02/162007 13:27 Technical Director Stephen C. Ede 1'erameta Awn MowaNe Prep Aa,l,js PQL Unite Meand ComakalD Limns Det* rhte Ink Waters Depart-ent Total NilrVICINliritc-N ND 0.100' mp31. LPA 337.2 b (<IO) 0211 &D7 JDS Ducrobiology 1,aboratory Taal Coliform 9 UD, No Coli 001/100m1 SM20 9222tl A (<l) 07!16+07 DPT SCS ReLM 1063508001 Client Name Gamess Engineering Group, Ltd. Project Name/# IluRman WI Lot I Block I Client Sample ID Iluffmanpl LI BI Matrix Drinking Water Sample Remarks: All Dates/Times are Alaska Standard Time Printed DateMme 07/07/2006 15:30 Collected Date/time 06!282006 10:30 Received Date/rline 06282006 14:35 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results POL Units Medwd Container ID Limits Date Date [nit Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 0629/06 06/30/06 hill Waters Department Nitratc•N 0.253 0.100 Microbiology Laboratory Total Colironn 0 mg/L EPA 353.2 B (<10) 0628/06 ALR col/100mL SM209222B A (<1) 0628/06 TLF 1 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION Complete legal description 4, F Z 6/c,c k i Hte4rnan S /D ' l 2. 3. 4. Location (site address or directions) 138ao flake a/* Park•woy Property owner 4-a'71111 Se ff 1�� Day phone . 3 YS- 23rD Mailing address 13 8"o 1`akQ CHs rarku ny r.o. Cox 23067,' AAch 99,, Z3 Lending agency Cif X !`tori G Day phone 563-OZO0 Mailingaddress "IGS W 36 i" hve AmcAyraye Ak 995' 3 Agent N A t` re riOCtA cc) Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water 3 P_� NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA n21 S. STATEMENT OF INSPECTION BY ENGINEER 6. 0 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 application 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. Name of Firm 71ech4rcaf Phone 31fs't3SS- Address �yS3CJ Ectio 5�.. i4n c harape. �4k 9 9S/� Engineer's signature �.��� �'�� Date DHHS X 1% 4I' THEODORE- F. MOORE CE - 3589 ; . A VAP SIGNATURE Approved fore>bedrooms. Disapproved. Conditional approval for Additional Comments 4ttTIC bedrooms, with the following stipulations: J Xt.G_cJ - Date &— / D 9� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Beck MOA #21 Te.cne S 1998, S u.tun OS u..0 f t D F>! H -S Deter Ms.Osw«f-�; w, ryaroC yfc> oma. C,� f�f f! f� ` � f(ca.lt&,) r Gv f 1/ a/k J� '-j-u.l�'�`R/1 Sly. S cZ(fJologClG � -lAe clntsSeaw o#4 CP�'r4crh wel/ it �prrrl« FiOr . l,!/� t/ere ✓✓42eQc.4� mat 76e lle ff a ccl2�4 '16 c� Me coley-exAen•el l6" ce(o„e goz, uno( (evt(ane,( )Ah� cc Vrfl'Per saalj'crj, Sea( a�conolua7�, Qr, smrrj. we /ems of c,"f o4 cvacr ore7inu! S�hnieh�l r .s�o (^e w rfA �A< pwloel17 c tv ler )"-c. Seffi efl c�.,�f �n :(O#"weae- A-er- fauf D 5 /I reutr� rerere «✓eec dor ynaJZBn 7� t -he Ao-ve a ever ee-ccn vee-l-e&� 1;1 -re cIr /o V 1ieO(r-0O,-'f� so ,SAe if ctware cp) �Aac/ nvW, y RECEIVED ,- JUN 81992 icipality of Anchorage ealth & Human Services ���-�'--�-- r Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Lor t ELK 1 Legal Description: 1 , N�FFMAN Parcel I.D. A. WELL DATA Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) f -A Date completed 4:ZL_ 1995* 7 Driller Total depth 8(.' PER s17s AfneovAL Cased to 7 77 Casing height l6 ` Sanitary seal (Y/N) Wires properly protected (Y/N) . nn FROM WELL LOG AT INSPECTION o Z /,Z AI Date of test c M y Static water level Z r o Well flow g,p,rn, 7 5.5 g,p.m'<c < z rt Pump level > 77 Q MD.o a < > to0 SEPARATION DISTANCES FROM WELL TO: t96 -i s.T. z m ?/: TV C.a. of Septic/holding tank on l0 101 To C.Q. of 1963 S.T.; On adjacent lots (02 Absorption field on lot 122 ; On adjacent lots IUo ` Public sewer main > 1o0 { Public sewer manhole/cleanout > /0° " Sewer service line ti 65 Petroleum tank NvNe 085ERVED * SeParabon aufaety were /emu/ a/ iv,*e o{ i�lial/af�G� WATER SAMPLE RESULTS: Coliform 0 c f /taam f . Nitrate .4 67. I?D/-� Other bacteriay co/ /rtw^ Date of sample: S�1i�92 Collected by: FlATToP Tgcfl SVCS B. SEPTIC/HOLDING TANK DATA Date installed 167 4 ('$3 Tank size 1000 z Soo Compartments I � 1 Cleanouts (Y/N) X. Foundation cleanout (Y/N) i Depression (Y/N) N High water alarm (Y/N)>A Alarm tested (Y/N) A Date of pumping ii'il I91 Pumper 1414cH. CCSSPooL PunPING SEPARATION DISTANCES. FROM SEPTIC/HOLDING TANK TO: Well(s) on Iot�L- ' f of Op -adjacent lots > 100 Foundation ;23' /32' FRom C,O. To property line y to Absorption field 221 FtR WSP Water main/service line--.--:!: 50� v (0 Surface water/drainage S !oo r ,g 91' SgAa.ra{zon from weN cti,w /tqa./ of /4me i� t�k woy �nffa!/ev/ sir l9�j 72-026 (Rev. list) Front V CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level Manufacturer Manhole/Access (Y/N) "Pump on" level at "Pump off' level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Cycles tested Surface water Date installed `)'2q 183 Soil rating P40 0'(82911 System type T RENL N Length S6� Width 30 Gravel thickness 60" Total depth it Total absorption area 560 d' Cleanouts present (Y/N) Y Depression over field (Y/N) N Date of adequacy test Results (pass/fail) Pac_r for 3 bedrooms,' Peroxide treatment (past 12 months) (Y/N) NONE . 9NW4 of If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots On adjacent lots 5 /oma Property line 13 1 PER 114sr. ReP To existing or abandoned system on lot Cutbank N.A. Water main/service line M1 rz Surface water > on t Driveway, parking/vehicle storage area 30 1 Curtain drain tNotlE OaSER✓E'D -* Propav'5'128/92 oc,"4er in poa« oJ- COnver{+U cylj C%zt�rJ btal/b,o.n �(e aJ;4ee_ i.e. E. ENGINEER'S CERTIFICATION rtmod�n' cfcuef dao« of �arnen f rzrclr d in!/ttlp� Shtiv� y, I certify that r have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature 1 o740, n _ '•."� "4�� 40 Engineer's Name TYic0 060.-9 F. "e,or-e ,� 4!`49TH 10 Date Tune- 1. 1992 ..«.." :T:: :�..T:...;... ' :THEODORE F. MOURE Q " CE -3589 + HAA Fee $ 1 770 `Cro Date of Payment G /"2 Z— Receipt Number a�3l.3/M` U Waiver Fee:-$'_ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. ��eowwroav 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVOICE # 53664 Chemlab Ref.# 92.2044 Sample # i Matrix: WATER Client Sample ID Li HUFFMAN EAST HOSE BIB Client Name :FLATTOP TECHNICAL SRV ?WSID UA Client Acct :FLATTOT Collected @ hr s, BPO# PO# :NONE RECEIVED Received MAY 12 92 @ 09:10 hrs. Req# Preserved with AS REQUIRED Ordered By Analysis Completed MAY 13 92 Send Reports to: Laboratory Supe visor STEPHEN C. EDE l)FLATTOP TECHNICAL SAV Released By C/ ✓ 2) .<.aF...........................<............................. . . Parameter Results Units Method Allowable Limits --------- ------------------------ --- ------ - NITRATE -•N ND(0.10) mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: UA. NO TAG FOR THIS SAMPLE. Remarks nI R.mWwp . . TestsPerformedSeo Special Instructions Above UA-Unayailable ND- None Detected `° See Sample Remarks Above NAA Not Analyzed LT -Less Than, GT -Greater Than 11001%SGS Member of the SGS Group (Societe Generale de Surveillance) Ngo 0 Pq I of Z FLATTOP TECHNICAL SERVICES 14530 Echo St., Anchorage, AK 99516 Ph. (907) 345-1355 ADEQUACY TEST DATA SHEET Legal Description: 1/1 I vF I M/I�l Street Address: 13800 (A�( ,AY Client Name: -r7t.fs _ Test Date: i �zi 9z Tested By:, C w1.5 Initial Conditions: s;7, u I(c,I,j I 48 )4/0.Float #1 ins, -T, X12, I-, r p set " b.t.o.2,1_" pipe w.�r " fluid iqz Float #2 in,.7.+Izr a^�rp set b.t.o.20" pipe w. 36 " fluid lyz Float #3 .ink, M.'. et " b.t.o.. Imo," pipe w.3o"tie ". fluid eta'* /62 Float #4 in s. M.I. set it b.t.o. 1 " pipe w. " Water added through: s.7,�'z 7-1<',-�. �'— p p '=e'Z fluid_.w�' 166 ACTION TIME H2O METER NET. GAL WELLELTY. LEVEL. TAKEN S,r4,g 0.ST I N, M, r, s, M.7 ST07 11,3 15260 q LEVEL li"40 2 S z Esq s5 76 N8 s� 2688y 7y2 3/y zy7 Iz'.oa 2.7137/7?3/ 12.15 2 92 218 73 yv 6i ' b/ iz.3s - 29.3. Iz:s5 3 o3q 4 35 108 1S �V 12 Z I.Y� 3175 571 2 LS lS 1'•30 228 1 3/v Iv �/v I y 3/y OP I'4o 3282 153335 %31 / 4 z.00 7�f I%a INYLI IK'a /y 14` 21.10 63 l/9 : � s 2.:2 !— 3✓v 13,134 3 ?�i �a 13 V4 133/4 2'4.S Too /2- 13 %2 1,3%z Y4 7jY 13/Y .SYO O Y li TART loxL 3.?3 -7.3Y33 ro.1a b 10.16 3 ;z 3/y 7 7'/y3 Y8 8 %f 10'18 33 yy 18:20 35`ou 8 /y — 3 4110 t'WIP opt-o..t S✓e 9'/" wel( yield > S S �M a. 133 Unit Absorption Capacity 15r/ 7,0911 Average Absorption Rate a37,1i�"(x�izS�r 2y0 mrn Adequate for y-/ Bdrms Surge Capacity = -�- SCiagr l l 2.75 Adequate for --3_.._ Bdrms pnly P20IrZ � + -.7 n"1'd .4ilo ov. �LacG� !:a avTN1 � i rm P( .._.. Nt r 5. T. "�"t Kae TN sL)v TIME" MEI ER 3335- p _ _G 7l/Y 7?�Y 96 Va 10 /H toy �.-- 10,26 3y47 I1z fL39uf 3/y los_ _ 103/N-H,J25-��.cit2. _1W. -V 10 !L4 vs No1`C; Trench it cornple%ly P11ee-t fo Ie 6elaw C-e�ohlc y4qnk o4hlef wl+cd monf4r +a6eloci& at O YS " A Cc fr,,fab,&Ar werL . eafone, ?GY i,4fer/iall when P/u;d %•cut it e.c e e lael&w fA;j �Oain f CIVQ, & ENVMONMENTAI. ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, PX. PH: (907) 345-1355 June 1, 1992 Lanno Settles P.O. Box 230676 Anchorage, AK 99523 Dear Ms. Settles: 1� ri 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Per your request on May 12 we conducted adequacy tests of the water supply and wastewater disposal systems serving your residence on Lot 1, Block 1, Huffman S/D, located at 13800 Lake Otis Parkway. I will enclose the 3 bedroom Health Authority Approval (HAA) certificate and other relevant backup documents along with this letter after the HAA has been signed by the Municipality. We were unable to locate a driller's log for the well serving your residence, however other documents on file at the Municipal Health Department indicate that it was probably installed in 1967 and has a total depth of 86 feet. On the date of our test the static water level stood at 61 feet below the top of the casing. During the course of our test we pumped a total of 731 gallons of water from the well at the maximum pump output of 5.5 gpm, which caused the water level inside the casing to be drawn down to 77 feet, but no further. Based on our test data we determined that the total yield of the well is slightly greater than 5.5 gpm, which exceeds the Municipal criteria for approval of a single family residence, and also meets the FHA criteria that a well be able to supply 720 gallons of water within a 4 hour period. Water samples collected on May 12 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and less than 0.1 mg/1 of nitrate -N. The well casing extension and new seal which you had installed now meet code. According to the as -built inspection reports on file at the Municipal Health Department, the wastewater disposal system consists of a 1000 gallon septic tank installed in 1967 followed by a 500 gallon tank installed in 1983. The effluent from these tanks flows into 5' wide x 56' long soil absorption drainfield containing 60" of sewer gravel, which was installed in 1983. To assess the adequacy of the system we ran a total of 724 gallons of water into the system over a two day period through the second cleanout of the second septic tank, while monitoring fluid levels in the septic tanks and in the soil absorption system standpipes, before, during and after the flow of water was stopped. The initial fluid depth in the northern trench monitor tube was 48", and the maximum depth achieved was 63". After the flow of water into the trench was stopped the fluid level receded at an adequate rate for -a 3 bedroom residence only. Since the system was originally designed and installed for a 4 bedroom residence, I understand you are in the process of converting the upstairs bedroom into an office so that the septic system certificate will match the # of bedrooms in the house. The depressions over the tank and drainfield have now been filled, per code. In conducting an adequacy test we attempt to provide a thorough, conscientious engineering analysis of the system. The reported results describe the performance of the system under the conditions encountered at the time of the test, and the separation distances are measured to readily identifiable features. Satisfactory test results do not guarantee future performance of the system under different conditions, nor do they guarantee that there are no hidden defects or encroachments. Please feel free to give me a call if you have any questions on this report. Sincerely, � Ted Moore, P.F,. POS K Time APPLG' "ANT FILLS OUT UPPER HAI ONLY Pro>-+erty OwneA MIIC v ( / r. ( %_ 0 Phone C f / fYIIJ �yS Mailing Address /t �'7 y (�� Zip Code ,S U / f� Buyer �t��.a�'�-(✓CiU�'"'_ ��r(+yG?�v,c� �6•� Q%'/y w. Address Zip Code •.. 1 Lending Inssti'tuttiiion! .,.}/- �,. L„ Phone Address Zip Code Inspector Realty Co. & Agent Phone Address Zip Code Legal Description �_ w Street Location DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Type f Residence Single Family ❑ Multiple Family No. of Bedrooms___ ❑ Other / RECE ��RECEIVED at Supply Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ .Community � ��'1 /^L.-� ��,�ai For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility S we isposal/� /�yb yG « r "f ..j & Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank Date Sewer Installed NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time -0 Y Time CN C. . Date Date Date /-1 & -,q d -'9a Date 1 -1 Inspector Inspector Inspector Inspect Field Notes: ' t �NTQ �lk, syr � �p { MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION APR 14 138 / RECE ��RECEIVED V/Lq� 3 ( ) APPROVED BEDROOMS - 'CONDITIONS OF APPR VAL y ( ) DISAPPROVED ��Jff /%'y trr-,LQ 0`" " ( k -j CONDITIONAL APPROVAL' � �,•! � 2• � ��'1 /^L.-� ��,�ai DATE /p Soils Rating Date Sewer Installed Well To Absorption Area ell Log Received Septic Tank Size Well to Tank ENGINEERING INNOVATION IN THE FAR NVtiTH ARCTIC ENGINEERS, INC. ENGINEERING STUDIES e DESIGN a CONSTRUCTION MANAGEMENT 9 SURVEYING April 18, 1983 Michael Aho 225A Rabbit Creek School Rd. Anchorage, Ak. 99507 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 1, Block 1, Huffman #1 OWNER: Michael Aho HOUSE: Ranch style w/basement, 4 -bedrooms, single family WATER: On site well WASTEWATER: From MOA records Tank: 1,000 gal. concrete -Espinosa, single compartment Absorption 8'x8'x6' deep log crib in 18'x22'x6' deep gravel field System: bottom of crib depth = 12'4" Absorption 480 sq_. ft. Area: Approval September 24, 1971 Date: DATE OF TEST: April 16, 1983 ARCTIC ENGINEERS, INC, 1506 W. 36TH AVENUE a ANCHORAGE, ALASKA 99503 a 907/277-8593 3901 PATRICIA LANE ® ANCHORAGE. ALASKA 99504 ® 907/333-9428 (ACCOUNTING) Michael Aho Adequacy Test April 18, 1983 -2- TEST PROCEDURE: House water use was kept at a minimum on April 16th. A.M., test was begun at 11:00 A.M. Water was added to the crib through a 4" c.o. in 100 gallon increments, at an approxi- mate rate of 20 gpm, with a 2 minute lapse between successive inputs. When 300 gallons of water had been added, the water began to back up into the septic tank and the basement bath tub. Total rise in liquid level in the crib was 1 foot. Addition of water was halted and the septic tank was pumped. When the level in the crib dropped so that water was no longer flowing from the crib to the tank, absorption monitor- ing was carried out. The resultant plot of absorption vs. time, with the extrapolated absorption capacity, is attached. RESULTS: The system backed -up with the addition of 300 gallons of water, and the theoretical absorption capacity was 440 gpd. The required absorption capacity for a 4 -bedroom house is 600 gpd. The system fails to meet Municipality of Anchorage requirements. COMMENTS: Upgrading of the system will be necessary to comply with MOA requirements. Both the septic tank and soil absorption unit are undersized for a 4 -bedroom house. Required upgrading will need to include the addition of a 500 gallon -septic tank and relocation of the soil absorption field, 0 �tiq P44N09AGR ARE • �' / (/// T"' X ! -/ 1 �-..GREATER ANCHORAGE AREA BOROUGH /pepartment of Environmental Quality 33 0 ' '/'street, Anchorage, Alaska 99503 274-4561 Date Received 5-- �- �5 !a Time of Inspection i Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mail ing Address:�i2,� © W /` .c Phone: -7 2. Property Owner: /�.� � Phone: 3 i - % 9 0 Mailing Address: 3. Legal Description: 4. Location: v / dk 5. Type of facility to be inspected 5�>r�%, (cr No. of bedrooms 6. Well Data: A. Type A1,0q,& B. Depth (n / C. Construction dp acterial Analysis 5-46-2 -,Jo" 7. Sewage Disposal System: i� �J ,was ``�!!i�� A. Installed B. Installer C. Septic Tank: 1. Size dr0e� ,,10. Manufacturer 4 _5'%i�a�G( D. Seepage Pit: 1. Absorption Area 2. Material w�-rc ri P 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 --Z- �Z / , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Paqe 1 of two Daaes �,dGMOfAOf A+` ., k i GREATER ANCHORAGE ARL1 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 xxx FHA CONV 2. Property Owner: Richard H. Miller Type of Supply: Public Utility Mailing Address: If Individual, Day Phone 349-2690 3. Name of Buyer: Michael Aho depth of well z Mailing Address: 2216 Culver Place Day Phone 277-0522 4. Name of Lending Institution: Public Utility Kassler & Co. If Individual, Mailing Address: 319 west 5th Avenue Phone 272-9501 5. Name of Rdal for or Agent: Marston Realty Sincerely yours, Mailing Address: : 2804 N.L. Blvd. Phone 277-3511 6. Legal Description: Location: Lot_1, Block 1, H uffman Subdivision #1 Lake Otis Road off of DeArmond Road 7. Type of Facility to be inspected: Home No. Bdrms. three 8. Water Supply Type of Supply: Public Utility Individual xxx If Individual, number of dwellings r presently served 1 If Individual, depth of well z 9. Sewage Disposal System Type,of System: Public Utility Individual (on-site)xx If Individual, date of installation (� ***PLEASE SEND REPORTS TO KASSLER & CO„ Sincerely yours, KOLER & CO. 319 5TH AVENUE -1) Paget of -two pages - Re( or Approval of Individual r b Water Facilities Ie fJ / 6V ,'-7 Legal, -Description Comments Approv ise` approved Dat/ —7' '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) .o / 1 +