HomeMy WebLinkAboutT12N R3W SEC 33 LT 12 REM
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division QD Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 018-191-08
Property owner(s) James McDermott & Trina Brosnan
Mailing address 14041 Sabine St Anchorage, AK 99516
Site address 14041 Sabine St
Day phone
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section) T12N R3W SEC 33, Lot 12 Remainder
Lot Size 87,922 —Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
(N all that apply)
Absorption Field R
Septic Tank FX
Holding Tank F
Privy
Private Well
Water Storage
THIS APPLICATION INCL
APPLICATION IS AN: TYPE OF DWELLING:
Init. al'— ❑ Single Family (SF) RX
__VpgradeRX (w/wo ADLI)
Renewal Duplex (D)
❑
Multiple,\Dwellings ❑
(SF a' d/or D)
DES A VA21LE WA_ I ER REQUEST FOR.
I certify that the above information is correct. I
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No.
Permit App_-'- : -
Distance:
this is in accordance with
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
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Benjamin Schiller
CE 12592R
E
GISTEREDPROFES S I O N A L E N GINEER
1"=50'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
T12N R3W SEC33, LOT 12 REMAINDER
FEET
0 50 100
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
SA
B
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S
T
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4-BDRM HOME
9/25/22
DEARMOUN ROAD
RIGHT-OF-WAY EASEMENT
OVERHEAD UTILITY LINES
WOODEN FENCE
POLE BARN
33' PATENT ROADWAY RESERVATION
EXISTING SEPTIC BED
DECOMMISSION EXISTING
1250 GAL SEPTIC TANK
250
260
245
240
255
265
TH#1
PROPOSED ADDITIONAL TEST HOLE
1,500-GAL SEPTIC TANK
2COFS
CO
CO
CO
CO
MT
MT
MT
MT
≥10'
(2)x63' LONG x 5' WIDE, 4' EFFECTIVE
DEPTH ABSORPTION TRENCHES
MIN 8' SEPARATION BETWEEN AND
FROM EXISTING BED
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING START TIME NET TIME(minutes)
DEPTH toWATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
1.1
8/4 1
2
3
4
5
6GM (SILTY SANDY GRAVEL)
Professional Engineers Stamp:
No
T12N R3W SEC33, Lot 12 Remainder
8/4/2022 018-191-08
James McDermott
2:00 0
1' OB
1:54
Benjamin Schiller
CE 12592
R
E
GISTEREDPROFES S I O N A L E N GINEER
9/25/22
PERC TEST LOCATION
TECHNICIAN:L. Tidwell
6
-
10.5'
8/12
COMMENTS:
6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING
SITE PLAN
6"
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
2:03 03:46 6 6"
2:08 05:17 6 6"
2:13 06:32 6 6"
2:20 06:47 6 6"
2:28 06:32 6 6"
NOTE: UPDATED WATER MONITORING LEVELS ARE SCHEDULED FOR THE WEEK OF OCT 3
DEARMOUN ROAD
EDGE OF
S 89'58'05"E 330.10'
MORTGAGE SURVEY X SCALE —1" 330' GRID SW 3034 Project No. _21-139/R1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone ooppp000
(907) 522-4625 Fax
Professional Land Surveyors kenOlangsurvey.com c ,. F A„ q 0
jonathanOlangsurvey.com
1 hereby certify that I have surveyed the following described property:
Remainder BLM Section Lot 12, Section 33, T12N, R3W, SEWARD MERIDIAN, ALASKA
Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a
representation of the conditions that were found on the date the survey was performed.
This survey does not constitute a boundary survey and is subject to any inaccuracies
that a subsequent boundary survey may disclose. The Information contained hereon shall
not be used to establish any fence, structure, or other Improvements.
Dated this the �C' Day of Ti,,* at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
V
N -49TH*
...............F.1.............
KENNLETH, Gi LANC.
k-
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��'-•.LS-5202.•' gJOG
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44\NzorES3ION&
AECC963
L
RIGHT-OF-WAY EASEMENT
W
�
I�Remainder
WOODEN
M
I B.L.M.
Section Lot 12
87,922 s.f.
M
r Z
N
p r
o
GRAVEL DRIVEWAY .
SEPTIC PIPES I
q
_
OI
POLE BARN
W
M
PO
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I CONC.
o \yI
n (�
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<MM
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m
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0
m
191.7'
1iFOUND
5/8" REBAR
I
(TYPICAL)
WELL
N 89'47'11"W 330.61'
r
0
°
Lot 21
N
O
33' PATENT ROADWAY RESERVATION N
MORTGAGE SURVEY X SCALE —1" 330' GRID SW 3034 Project No. _21-139/R1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone ooppp000
(907) 522-4625 Fax
Professional Land Surveyors kenOlangsurvey.com c ,. F A„ q 0
jonathanOlangsurvey.com
1 hereby certify that I have surveyed the following described property:
Remainder BLM Section Lot 12, Section 33, T12N, R3W, SEWARD MERIDIAN, ALASKA
Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a
representation of the conditions that were found on the date the survey was performed.
This survey does not constitute a boundary survey and is subject to any inaccuracies
that a subsequent boundary survey may disclose. The Information contained hereon shall
not be used to establish any fence, structure, or other Improvements.
Dated this the �C' Day of Ti,,* at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
V
N -49TH*
...............F.1.............
KENNLETH, Gi LANC.
k-
'• Le i
��'-•.LS-5202.•' gJOG
p�o
44\NzorES3ION&
AECC963
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~ ~-V' 5'~ o ~.~ PID Number:
~: ~ O~V~ ~/~ Wastewater System: D New ~pgrade
Address:
~¢~ ~~ ~ ABSORPTION FIELD
jL/~GT~7'JNo. o~Bed~ooms: D Deep Trench ~ Shallow Trench ~d ~Mound ~Other
Phone:
Total Depth from original grade:
LEGAL DESCRIPTION so" Rabng: , ;~ GPD/Sq. [{,. __
SubOrn: )ep~h to pipe boaom/rom original grade; Graver depth beneath pipe
Township: /~/V R ,ge: ~ WISecti°n: B~ ~ Ft. ¢/ Ft.
~ Number of lines: [ 0islance belween lines:
WELL: Q New ~ Upgrade 6rave~ width: ~¢ Ft. ¢
~ Total absorption area:
Yield: t: Casin~eight Above Ground: ....
~,. ~,. TANK
~ SEPARATION DISTANCES ~Septic ~Hofding ~.T.E.P.
TO Septm Absorption Lib HoJding PublJ6/~ Manufacturer: Capacky in gallons:
Material' Number o¢ Compartments:
Surface
Water /~¢/ >/~' /" ~ ~/~¢~' LIFT STATION
Line ]]¢ ¢~/~ ~ ~¢1 Size in gallons: Manufaclurer:
· "Pump on" level at: [ "Pump off" level at: J High water alarm at:
CudainDrain /~/~ ~/~ g/~ ~/~ ~/~. Pump Make & Model~ ~1 ~¢¢" J Electric? Inspections performed by:~¢~,, ~/~
Remarks: ~' //' /~'/~¢ ¢~ ,~ ,~/~ _ BENCH MARK
Location and Description:
J Assumed ~'~
Elevation:
- E~EER'S SEAL ',
~/, ~_
Inspections performed by: ~,-- Dates: l st~~%
Reviewed and approved by Date: ,,,~...,~.,
Permit No. _<~J ¢./.~g)Z~, Page Z, of '~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well-Inspection Report
Legal Description:
o¢
9~
Permit No. ~'['~ q-~ O-?~cJ['~, Page ~:~ of '~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
PID No.: _ 01~1 c510 ~,
SHEET NO __
CALCULATED BY. ~
OF
OATE
DATE
/,5. ~7
o ~ b l S~'r~ r~oT'm ~
AURORA ELECTRIC, INC.
L ¢TR,CALCONTRACTOR$
OODST [%$UiT£A ANCHORAGg, ALASKA99518
(907) 349-2100 FAX (907) 349-1605
8\11\94
Donna DeChaine C\O
Rockford Corporation
101 East 92nd Ave
Anchorage, Alaska
99515
Attn: Allen Harla
· .~80:AJO~ UBbLtRH '9 '-ille(:'~H ']df)(]
Subject: Sewer lift station at DeChine residence.
Allen:
I have examined the wiring for the lift station at the
house in question. I found four items that did not meet national
electrical code standards~
#1 The control box was fed from a fifty amp breaker on #12 wire.
#2 There was a cover missing from the Junction box at the lift
station.
#3 The wiring run underground between the meter, the oontr~l box
and the lift station, is the type normally used in well ~asin~s.
#4 The pipes used to protect the wires as they come from the
ground into the meter, etc, appear to be pvc type plumbing pipe.
We have taken the following steps to correct these problems. A
20amp breaker was installed at the meter to feed the system. A
cover was installed on the junction box at the lift station. The
wiring was identified and marked for neutral and ground
connections.
Though this installation with the current changes does not
conform to NEC codes, the life safety issues have been addressed.
Well type wiring is normally rated for underground use, so the
use of the well wire in this system should not be a problem. The
piping used for protection as the wires leave the ground, should
be sunlight resistant. We found no identifying marking on the
pipes.
I hope this letter helps to resolve this issue. Please call if
you have any questions.
Sincerely
David A CaJneron
TOTAL P. 02
PAGE 1 OF 2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW930296
DESIGN ENGINEER:ANDERSON ENGINEERING
OWNER NAME:MORRIS DONNA J 50% &
OWNER ADDRESS:6656 ROXWOOD ST.
ANCHORAGE, AK 99518
DATE ISSUED: 8/13/93
EXPIRATION DATE: 8/13/94
PARCEL ID:01819108
LEGAL DESCRIPTION: T12N R3W SEC 33 LT 12
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. TNE 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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
TOTAL SYSTEM DEPTH SHALL BE 4 FT., WITH 2 FT. OF FILTER SAND
AND 1 FT. OF SEWER ROCK ABOVE SAND.
THE SAND USED IN THE FILTER LAYER MUST BE A COARSE CLEAN
SAND WITH 4% OR LESS PASSING A #100 SIEVE AND 2% OR LESS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PASSING A ~/200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED
TO THIS DEPARTMENT ON THE SAND USED.
RECEIVED BY: ~/~ ~ DATE:
ISSUED BY: _ DATE:
PAGE 2 OF 2
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
January 22, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject:
B.L.M. Lot 12, N1/2, NW I/4
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
Tile existing house on the subject lot is presently served by a cesspool which must
be replaced. Once the new septic system is installed the ()Id cesspool will be
abandoned in accordance with Municipal regulations. The topography of the lot is
relatively fiat with draiuage as indicated on the attached area map. An inspection
of tile lot and tile surrounding area indicate the following conclusions:
The system, if constructed as designed, will have no adverse impact on the
wells cm'rently in use or to be placed ill the future on lots in tile area.
2. The system, if coustructed as designed, will have no adverse impact on
existing septic systems ii1 the area or those to be constructed in the future.
The system, if coustructed as designed, will have no adverse impact ou
reserved space, either surface or subsurface, on any lots located iL1 the area.
4. The system, if coustructed as designed, will have no adverse impact on
drainage patterns ii1 the area.
Sincerely,
Michael E. Anderson, P.E.
ROCKFORD CORPORATION
P,O. Box 111706
ANCHORAGE, ALASKA 99511
(907) 344-45§1
FAX (907) 344.2130
SHEET NO OF_
CALCULATED BY DATE __
CHECKED BY_ DATE _
SCALE '
CALCULATED BY__
DATE
CHECKED
SCA~.E.
DATE
CHECEED Y
SC^LE.Yeq~/ ~' - I
DATE
'i
SHEET NO __ OF
CALCULATEO BY__
DATE
200,00
150,00
100,00
- 2 st&se*
o.oo
o,oo 5,oo 1o,oo 15,0o 20,00 25,00 30,00 $5.00 40,00 45,00 .~0,00
NIIT DISCHARGE, (;PM
PERFORMED EOR:
LEGAL DESCRIPTION:
d--.~,/
1
2
3
4
10
11
13
14
15.
16-
17
18
19
20
Munlclpallly of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
SLOPE SITE PLAN
WAS GROUND WATER
MonilorinD? ~ Dale:
PERCOLATION RATE
(mmutes/mchl PERC HOLE DIAMETER
TEST RUN BETWEEN --~' FT AND -_~l~ FT
Time
Net
Time
r r
Net
Drop
.IF
~-~,.~7~
_.
'~ "~'~E/q'TTF--~"~H~T TH~ TEST~'
ACCORDANCE WITH ALL STATE AND MUN~CIPAL GUIDELINES IN EFFECT ON THIS DATE DATE. _. ///Z~"' ..~.~_
72-008 (Rev. 4185)
,o ¼
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION:. ~;~[,/~[¢.~ I'~/. J~J~.,t~,~,'Township, Range, Section: TI?/~,
SLOPE SiTE PLAN
2
1
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Reading Date
S
5
7
8,
9
10
11
12
13-
17
18-
19~
2O
Time
Not
Time
Depth to
Water
Net
Drop
7
PERCOLATION RATE ~ (mJntJtesCmch) PERC HOLE DJAMETER
TEST RUN BETWEEN ,~ FTAND _~ FT
ACCORDANCE
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE ~
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650 ~::
SOILS LOG -- PERCOLATION TEST ~',.
SLOPE slZrE PLAN
3
7-
8
9
10
11
12
13-
14
15
18
17
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, ATWHAT
OEPTH~
Oeplh (o Waler Aller
M0nil0rin0?
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ,~) (minutes/tach) PERC HOLE DIAMETER
TEST RUN BETWEEN- ~ _ FT AND ~./ FT
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW910110
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:MORRIS ALBERT G
OWNER ADDRESS:14031 SABINE ST
ANCHORAGE, AK 99518
DATE ISSUED: 5/20/91
EXPIRATION DATE:
PARCEL ID:01819108
LEGAL DESCRIPTION: T12N R3W SEC 33 LT 12
1 OF
5/20/92
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
AL1. CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
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 (iSAACS0).
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THIS PERMIT HAS BEEN ISSUED TO REPLACE THE EXISTING DRY
WELL. OWNER MUST SUBMIT AN ENGINEERED DESIGN AND PERMIT
APPLICATION, FOR AN ON-SITE SEWER SYSTEM NO LATER THAN
JUNE 3, 1991.
DATE:
DATE:
I i
c~)
j[
ro
,,llLE 501/2 PARKS HWY
892-7950
JOE GIELAROWSKI
DRILLING CO,
LIFETIME ALASKAN SERVING ALASKA
P 0 BOX 772847, EAGLE RIVER, ALASKA 99577
,L - SITE .J2.Lj?.i2....['...12:~...~i.~;.'.:...ix~.!,i:i...~[.~'~ .......................................
?E- STARTED .............. ;.(;).2'~.~12;~ ........................................................
?E - ENDED ...................~.?.;.;.i).'.!.~ .........................................................
DEPTH OF WELL ...'..[i,..~.i.i; .................................................................
STATIC LEVEL OF WATER FT..'.i:.i.['..~:..[.;'....i.;~;..'..;:...;.;;.;i ...............
DRAW DOWN FT..2~:.d ......................................................................
GALS. PER ttR...~.!).!.',...:.;i.'.~!....ii:.L'i....12.'2.~.'.;':....~L'.!.[~..~ .......................
KIND OF CASING .:..'.i.~i.!~.'.....',,.5.'.L..~..'h~!...~,~h....-J.:.!; .......................
ID OF FORMATION:
FROM ....... ~.i ............. FT. TO .........i ............ FT. !.,.;L;;.C.'.~.J).;i.;!-i).. .......
FROM ....... '.} ............. FT. TO .......i?.:'.~ ......... FT. :_.:.;i.~L..ii....;~.,:,;:':.,;.I
FROM ....... '.(i.! .......... FT. TO ........ (.5 ......... Fr. ?.i;.iL'.i~;J.';lL ...............
FROM ....... ;l~ .'.:. ~.,. ....... FT. TO ........!~iL~: ....... Fr.
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... Fr. TO ...................... FT. ...................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
iCL. INFORMATION:
FROM ....................... FT. TO ....................... FT ............................
FROM ....................... FT. TO ........................ FT .......; ..................
FROM ....................... FT. TO ..........:. ............ FT ............... ; ..........
FROM ....................... FT. TO ........................ FT ..........................
FROM ....................... FT. TO ........................ FT ..........................
FROM ....................... FT. TO ........................ FT .................... ! .....
FROM ................... .... FT. TO ........................ FT: .: .......................
FROM ....................... FT. TO ........................ FT ..........................
FROM ..;..! ................. FT. TO .......................~ FT ..........................
FROM ....................... FT. TO ........................ FT ..........................
FROM ....................... FT. TO .......................FT ...........................
FROM ....................... FT. TO ........................ FT ..........................
~\L~,L I V
MAR 1 9 1992
Municipality of Anchorage
De. pt He~N4umaa
DRILLER'S NAME ................. ;... ........... i.....; ....................................................................
