HomeMy WebLinkAboutCOUNTRY PARK ESTATES Lots 1-5 S-8035 Expired 02-19-88
MUNICIPALITY OF ANCHORAGE ~-~l~v~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
Environmental Health Division
CASE REVIEW WORKSHEET
CASE NUMBER: DATE RECEIVED: COMMENTS DUE BY:
S-8035 February 27, 1985 March 18, 1985__
Lots 1 - 5 with Variance
~ I PUBU~SEW"~A~LA~_~.--''~'~
) PUBLIC WATER AVAILABLE
) COMMUNITY WATER AVAILABLE
71-014 (Rev. 5/83)
11 .
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CONSTRUCTION AND OPERATION CERTIFICATE
for
PUBLIC WATER SYSTEMS
A. APPROVAL TO CONSTRUCT
Plans for the construction or modification of
[] approved.
/~/~onditionally approved (see attached conditions).
water system located
, Alaska, submitted in accordance with 18 AAC 80.100
have been reviewed and are
DATE
If construction has not started within two years of the approval date, this certificate is void and new plans and
specifications must be submitted for review and approval before construction. ~
Bo APPROVED CHANGE ORDERS
Change (contract order no. or descriptive reference) ~'~0 ~-2.~ Approved by
b'
Date
APPROVAL TO OPERATE ~ ~ ~q~ ~S
'[he "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water
is made available to the public.
The construction of the
public
water system was completed on (date). The system is hereby
granted interim approval to operate for 90 days following the completion date.
BY TITLE DATE
As-built plans submitted during the interim approval period, or an inspection by the Department, has confirmed
the system was constructed according to the approved plans. The system is hereby granted final approval to
operate.
BY TITLE DATE
DISTRIBUTION: 1. WHITE - ENGINEER (Complele Section C)
MEMORANDUM~.r-,o ........ ,.at,on,~ <~--~ State of Alaska
TO:
FROM:
SUBJ.:
M~il Stop
Telephone
02-001 C(12/80)
STATE OF ALASKA
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
CONSTRUCTION AND OPERATION CERTIFICAoT c.o ,
for i~uNiCtPALiTY 0
PUBLIC WATER D£pT. oF H~AL"[H &
SYSTEMS ~vi~O~N~^~ ~o~cTIOt~
A. APPROVAL TO CONSTRUCT
Plans for the construction or modification of
[] approved.
nally approved (see attached conditions).
/
public water system located
, Alaska, submitted in accordance with 18 AAC 80.100
have been reviewed and are
DATE
if construction ha~ not started within two years of the approval date, this certificate is void and new plans and
specifications must 'be submitted for review and approval before construction. ~
APPROVED CHANGE ORDERS
Change (contract order r~o. or descrioRve reference) ~pproved
I. ,.,
by Date
APPROVAL TO OPERATE
The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water
is made available to the public.
The construction of the public
water system was completed on (date). The system is hereby
granted interim approval to operate for 90 days following the completion date.
BY TITLE DATE
As-built plans submitted during the interim approval period, or an inspection by the Department, has confirmed
the system was constructed according to the approved ptans. The system is hereby granted final approval to
operate.
DISTRIRUTION: 1. WHITE - ENGINEER (COmplete Section C)
2. YELLOW - WATER SYSTEM FILE {Complete Se;lion C}
3. PINK . ENGINEEPJMUNI,BOROUGH (Complete Section C)
.18~407 (Rev. 11,'83) 4. GOLDENROD - MUNI-BOROUGH (ComDIele Sectio~ A)