HomeMy WebLinkAboutT12N R3W SEC 33 LT 175BOnsite File TI 2N R3W Sec 33 Lot 1756 #018-292-72 Municipality of Anchorage Page of 15 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: �� ����-� PID Number: Name, o�iz7 C,/�M��� Wastewater System: 0 New Upgrade Address: ABSORPTION FIELD Phone: I No. of Bedrooms: D Deep Trench ❑ Shallow Trench D Bed D Mound D Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe I / is Ft. Ft. Township: Fargo: � �/ � -:5 Section: 3 Fill added above original grade: Gravel length: N t.C� Ft. Ft. WELL: 0 New 0 Upgrade Gravel width: Number of lines: Distance between lines: FL Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Fl. Ft. _ SD. Ft. Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. // 0S.T.E.P. SEPARATION DISTANCES DSeptic Ib Holding To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines (, fe t Material: Number of Com artments: Well'Surfac LIFT STATION Water 1\1uq'e- Lot / Size in gallons: Manufacturer: Line "Pump on" level at: "Pump off' level at: High water alarm at: Foundation '27 i9 Curtain NQ Pump MakeMoModel Electrical Inspections performed by: Drain Ie, BENCH MARK Remarks: Location and Description: Assumed Elevation: � /OU ENGINEER'S SEAL e / Inspections performed by: Dates: 1st nd 2nd- Department of Healto-4Rnd Human Services approval Department Reviewed and approved by: �L Date: 72-013 (Rev. 9/91) MOA 25 BENCH MARK REVERSE CLEAN OUT 2500 GAL HOLDING TANK 7' 707 CONC. DRIVE --39 _ I I Well GARAGE 1 RESIDENCE I ♦ 2 -BEDROOMS 1 ♦ / 1 ® I 15 0 15 30 45 60 75 90 SCALE : 1" = 30' TOBBEN SHURKLAND H.L. LOT 175E SL'C 33 T12N RXY HOLDING TANK AS BUILT 203 W 15TH. AVENUE DATE: MAY 12, 1996 ANCH. AK. 99501 JAMES GOARD ___ __-_ 11 15041 OLD SEWARD HIGHWAY SHEEL 1/2 GRID: 3134 RAIN CAP TYPICAL 4' PUMP AM J S IT CAU( 9FR COUPLING TYPICAL �O' MANHOL E Q HIGH WATER ALARM MERCURY SWITCH FI -17A l8" ORENCO ALARM I° X I0' CONDUIT 1 ° GAL VAN171 1) LB. IIIRFCI BURIAL WIRE 10 ALARM PANEL " PVC CON 6' 13' ID500 (AL, HOLDING TAVVI( `F 1 'i NO SCALL y I A REVISED MAY 5, 1.997 PUMPOUT CHANGF_D TO 4" iLJU[5r_IN �ru1CKLHNll r,e, SOT %7J� SEC, 3.3 II�N R W HOLDING TANK AS BUILT 2C3 W ISTH. AVE 4203 JIM GOARD DAIL� MAY Jr -,1996 ANCHORAGE, ALASKA 99501 /4�7, a,4_ -z4: 1.5041 OI D SFWARD HIGHWAY sNEa. LAc GRID: 3134 PERMIT NO: SW960065 P.I.N. 018-292-55 12333172. DWG dJ May 6, 1997 T. Spurkland, Y.E. 203 West 15th Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request for T12N R3W Section 33. Lot 175B Waiver Request i,'WR970018, PID 11018-292-55 Dear Mr. Spurkland: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is within 5 feet from the ].at line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval. from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Silncerely, J Daniel J. Roth Civil. Engineer On-siLe Services ljw #7 C J, ��1�1 i S,' :�_ =C1(. I_i( C' 1D �r�iz �aP a,n,,, of l-lv:al'tri and 'Hurnan 82� !. Stree� C,. �OX • c'C GJO AIH -t is (];', \1z$iCfl 995 1 343-4744 May 6, 1997 T. Spurkland, Y.E. 203 West 15th Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request for T12N R3W Section 33. Lot 175B Waiver Request i,'WR970018, PID 11018-292-55 Dear Mr. Spurkland: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is within 5 feet from the ].at line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval. from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Silncerely, J Daniel J. Roth Civil. Engineer On-siLe Services ljw #7 i MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# 970018 PID# 018-292-55 HA# ` Permit # SW960065 Date Received: May 5, 1997 Legal Description: T12N R3W Section 33 Lot 175B Engineer: T. Spurkland, P.E. Applicant: James Goard Waiver Requested: Lot line waiver to within 5 feet from the lot line. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption _ C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ^ Waiver is NOT Granted: _ List Conditions or Reasons for above: Date: May 6, 1997 _ By: Rec #: 02665 Amount $ 115.00 f Reviewer i Date Paid: 05/05/97 i i T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Enviromnental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: SW960065 PID 018-292-55 Gentlemen; RECEIVED MAY 20 199f MuniapalhY of Anchornge Dept. Health & Human Services May 15, 1996 Attached are the "As Builts" for this installation. As you are aware, the Contractor started, and completed the work before a permit was issued. The contractor was aware of the 5 feet separation to lot line, and he attempted to install the tank with this separation. Unfortunately, he did not succeed. One corner of the tank is less than 5 feet from the lot line. We request a lot line waiver. Leaving the tank in place will not imperil the environment or the public health. There are no surface or subsurface facilities that are in conflict with this installation Yours T. Spurr and P.E. EXHIBIT NO. C _ ADMITTED 11 PAGE 1 OF 1 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:SW960065 DATE ISSUED: 5/02/96 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 5/02/97 OWNER NAME:GOARD JAMES F OWNER ADDRESS:15041 OLD SEWARD HWY ANCHORAGE, ALASKA 99516 PARCEL ID:01829255 LEGAL DESCRIPTION: T12N R3W SEC 33 LT 175 NW PTN LOT SIZE: 9307 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONSTRUCTION OF: HOLDING TANK SYSTEM 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 DHHS AT LEAST 2 HOURS.. PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: RECEIVED BY ISSUED BY: � 7 DATE: I �� 2- �' DATE: -5— -- 2 - Qf(e/ - EXHIBIT NO. ADMITTED d y,rL-d3q,d0 (CASE NUMBER) T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99591 (907)279-3916 Fax (907)-276-6013 Dan Roth Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Holding Tank Permit Lot 175 Sec. 33'1712N R3W Gentlemen; RECEIVED APR 301996 Municipality of Anchorage Dept. Health & Human Servicas This holding tank installation is a result of DHSS review of Short Plat 5-962213. The residence is a 2 -bedroom house. Minimum size of holding tank is 2.000 gal. April 30, 1996 There are no wells within 75 feet of the proposed installation. The installation of this holding tank will not prevent development of the adjacent lots. There is a culvert installed under Wildien Drive approximately 30, feet from the holding tank. The road ditch on the north side of the street is covered with tall grass, indicating that any flow in the culvert is intermittent and caused by snowmelt and road drainage after rain storm.. There is not a continuous defined open ditch or drainage course to the south of the road. Yours T. Spit,land P.E. I./IE17 DRIVE REPLACE ) k UNDOCUMENTED HOLDING TANK WITH 2500 AL ST L TANK II��II MIN. 5 FL FROM L T LINf 40 O I -� YYCII GARAGE RESIDENCE 0 2-9EDROOMS 1 I 15 0 15 JO 45 6D 75 90 SCALE : 1' = 30' TOBBEN SPURKLAND P.E. LOT 175B SLC 33 TI%lV le31r HOLDING TANK INSTALLATION 203 W 15TH. AVENUE - DATE: APRIL 11, 1.996 ANCH. AK. 99501 JAMES GOARD ___ __._ 15041 OLD SEWARD HIGHWAY SHEET: 1/2 GRID: 3134 VACANT I 14y TOBBEN SPURKLAND P.E. /�i SEPTIC SYSTEM DESIGN - LOT 1 %5B SLC 33 T121 IZ3J1 �COARD � 203 W 15TH. AVENUE I I DATE: APRIL 24, 7996 ANCH. AK. 99501 OLDJAMES WARD 1504/ OLD SfWARO HIGHWAY SHEET: 1/3 GRID: 3134 T❑ EN SPURKL ANn•�� ��i No. CE -2225 tiAw ��0,o� �® • �--ver— ®®�� r��V �1 ��������",,�""""�� �\ 50 0 50 100 150 200 250 300 T- �♦ ��4��� SCALE: V = 100 Fl: �ESS��e�e♦ TOBBEN SPURKLAND P.E. /�i SEPTIC SYSTEM DESIGN - LOT 1 %5B SLC 33 T121 IZ3J1 �COARD � 203 W 15TH. AVENUE I I DATE: APRIL 24, 7996 ANCH. AK. 99501 OLDJAMES WARD 1504/ OLD SfWARO HIGHWAY SHEET: 1/3 GRID: 3134 r RAIN CAP 7 YPICAL 6" PUMP ACCESS CAULDER COUPLING T Y'PICAL 20' MANHOLL MIN. 4 EEEI BURY HIGH WATER ALARM MCRCURY SI✓ITCH ELOA 18" _ 'j A! N IG is L[F R'r 1 " A 10' CONDUIT I ` GAL VANI7ED 1.8 DIREC1 BURIAL WIRE TO Al ARM PANEL PVC CON8017 6' r 13' - S TANDARD 250O GAL, HOLDING 'TANK GO /-[\' TANK NO SCALE u tiv �r�KK�Hivu r,t� LNT 1758 SEL. 33 TPN R3V �H171_u1NL �AHu< [PISTALLATTaN ?03 W. 15 f 1 1. AVL 4203 J[Af GOARIJ DATE ANCHCIRALA, ALASKA 99501 'APRIL ll 1996 15041 OLD SCWARD IIIGIlb1AY SHFFT: 2/2 GRID 3134 Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: T/M ('-0`41) LEGAL DESCRIPTIO( DEPTH (FEET) 1 ZYity 2 3 4 6 /a 7 a on .� 9 10 it 12 13 14 15 16- 17 18- 19 20 COMMENTS Lar ML j1LJ` a-A5'- rn C.R4J kL w� S iL '7— f% 0 C j< I/ if%0Cj<y 6.0 -hi. y9i ROBERT C. COWAN a% CE -8801 DATE PERFORMED: w rq �.'y,_.3g1._ Township, Range, Section: T 1 A./, 23 L✓ S4 L- 3-3 SLOPE SITE PLAN WAS GROUNDWATER Yes ENCOUNTERED? _ IF YES, AT WHAT DEPTH? Depth to Water Aller I/ i Monitoring? �a Oale: S S Date Gross Time ON Depth to Water Net Drop L 0 r NE P p E ELM OMEN him WAS GROUNDWATER Yes ENCOUNTERED? _ IF YES, AT WHAT DEPTH? Depth to Water Aller I/ i Monitoring? �a Oale: S S Date Gross Time Net Time Depth to Water Net Drop L r P p E Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER _ TEST RUN BETWEEN FT AND FT S & S ENGINEERING PERFORMED BY:I _. ERTIFY THA THIS TEST WAS PERFORMED IN 770'.f4 -Eagle vor oop oa o—. 2W ACCORDANCE trxglo R]Wr4-AlW19IQ0fiMPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:--�'- 72-008 (Rev. 4,85( e Municipality of Anchorage; 6 t DEPARTMENT OF HEALTH & HUMAN SERVICES ! f 825 "L" Street, Anchorage, Alaska 99502-0650,,;'t.:'7, SOILS LOG — PERCOLATION TEST ROBERT C. COWAN leo �e PP �o CE - 8801 r PERFORMED FOR: I m Cr 0 h tQ ?) DATE PERFORMEDa� LEGAL DESCRIPTION: � 0 / ! S Township, Range, Section: 'r ? a N 1P 3 L,.), S c . 33 SLOPE SITE PLAN 14- 15 16 17 18 19 L �9 ReadingGross DEPTH �F EET)t O R(i-Anr C J' 4'1Lf_ At rte/•. t 2 Q" AK a � �l7/cps- .� "r ` Cl.bn.J GItAWE L �v0 GrtiEf 39."� eetey 6 6 7 8 9 WAS GROUND WA 10 ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 12 Depth to Water Aller 13 Monitoring 14- 15 16 17 18 19 L �9 ReadingGross Data Net Depth to Time Time Water Net Drop At rte/•. t NtW y i 20 - — PERCOLATION RATE (minutes/inch) PERO HOLE DIAMETER — TEST RUN BETWEEN FT AND FT COMMENTS S & S ENGINEERING yi _ _j7, -A _ CERT IFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY170IVd—r t 0-p f OZ• nd No. 204 1l/96 ACCORDANCE 6ogIa4iyairAAtWka)QR{1+7IZIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: N ?2-006 (Rev. 4,05) T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Dan Roth Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Well Code Compliance Lot 175 Sec. 33 T12N R3W Gentlemen; RECEIVED AUG 7 1996 Municipality of Anchorage Dept. Health & Human Services August 6, 1996 On August 5, 1996, Jim Sullivan of Arctic Pump and Well Service replaced the pump in this well, welded a two foot extension to the well casing, bringing the top of the well approximately 18 inches above the ground level, installed a sanitary seal and enclosed all!exposed wires in conduit. The depth of the well was found to be 100 feet, with static water level at 70 feet. The pump was set at 94 feet. The pump is a %2 HP. Dempster rated at l Ogpm. Please finalize the approval of this property. Yours 7 T. Spkland P.E. T . SPURKLl ND E. 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax(907)-276-6013 Mr. James Goard 15041 Old Seward Highway Anchorage, Alaska 99516 Subject: S -9622B Government Lot 175B Department Of Health and Human Services Comments. Dear Mr. Goard. RECEIVED MAY 1 1996 Municipality of Anchorage Dept. Health & Human Services April 30, 1996 I contacted Mr. James Cross at DHHS and was informed that the Health Department requested the following items were forwarded to them. A well log. 2. If a well log was not available, measurements showing the depth of the well and distance to water. (Static Level) 3. Insurance that the well was protected against flooding. Your well is located under the residence. There is no direct access to the well casing. A circuitous ditch has been excavated under the floor from a access hatch in the south east corner of the house. In general there is 15 inches of clearance between the floor joists and the ground. The top of the well casing is 25 inches below ground level. I understand that a well log has not been found for this well. Municipal property records shows that the lot was developed in 1959 and one must assume that the well would have been drilled at that time. It was common practice at that time to install the well in a well pit or under the house. This to protect the well and the water line from freezing. Pitless adapters were not used in these installations. The pump and pipestring was supported by the well seal. In order to satisfy the requirements of the Health Department the well seal must be removed so that the depth of the well and the distance to the water table can be measured. In order to remove the seal, the plumbing to the pressure tank must be broken and the hump and the pipestring must be supported by a wire or a rope attached to the floor joists. The well casing can be extended above the existing ground two ways. One way will be to install an access hatch in the floor directly above the well casing, requiring the removal of the carpet, possible cutting of floor joists, and strengthening of the floor. A clear space of minimum 12 inches must be provided all around the well. With the pump supported from the bedroom floor it will be relatively easy to extend the casing. The plumbing must be changed to allow for the additional casing height. The other possibility is to extend the excavation already done under the floor to obtain a 12 inch clearance around the well. A welder, assisted by a helper, for safety reasons, have to figure out a method to support the pump while an extension is welded to the casing. It will be a slow and awkward process due to the tight quarters. The extension, well seal and gasket must be treaded over the wire supporting the pump. You may consider abandoning the well and drill a new one. At some time in the future the present well pump will fail and there is no way it can be replaced, unless you cut a hole through the house. Yours Tobben Spurkland P.E. cc James Cross • '-� Municipality of Anchorage ` On -Site Water and Wastewater Program q 'F '- (907) 343-7904 " s + e T Y Certificate of On -Site Systems Approval Parcel I.D. 018-292-72 Expiration Date: 1. GENERAL INFORMATION: Complete legal description T12N, R3W, SECTION 33: LOT 175B Location (site address) 15041 Old Seward Highway *Anchorage 99516 Current Property owner(s) Dena Helton Day phone 250-2779 Mailing address __._ _ Real Estate Agent _ _. ,_.....---_........ __ Da hone Y p 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 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: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ l LI 5 Waiver Fee $ Date of Payment 2 q aD a Date of Payment q Receipt Number Receipt Number COSA # 0SG22- I tO'3 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: Gamess Engineerinq 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:2-3 22 I 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 indust p y industry practices. The reported results describe the condition of the s stems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or %= c'i; •.: ; ,� encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic sstems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may Fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and ;"""""" "" '"""""" ti:re•ouis �c 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 of the well or septic system. GEG makes no representation whether an alternative well or septic system =1 can be installed on the property in the event either of the current systems fall to perform adequately in V; 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 party (including subsequent property Purchasers) is not authorized, nor will it confer any legal right �•„�,, • � � -„�� �::::� P�\J y OF(An, CC884 6. DSD SIGNATURE ���� '/� System #1 Approved for Z bedrooms System #2 Approved for bedrooms `g ON-SITE Disapproved WATER AND Conditional approval for bedrooms, with the folio J� stlptTr-v'ATER Oz J� By: Original Certificate Date: 202 Z 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: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 54-e0_1 +a.,k' l�P 90(v -Sl or�/ A 4+",-4 IN Legal Description: T12N, R3W, SECTION 33; LOT 175E If more than 1 septic system on tot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled °N�iOVYN Total depth *71.2+ ft Cased to UNKNOWN ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COSA 6/2120 Parcel ID: 018-292-72 Structure served by this system 1 Well production at time of test 8.3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No Coliform bacteria is Negative Nitrate mg/L ]''Nitrate less than MRL (ND) q Arsenic I •0(' ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 3/14/22 Static water level at beginning of test 66.9 ft. Comments *PER GEG INSPECTION "12'+ ABOVE GROUND IN CRAWLSPACE. SEE ATTACHED PHOTOS SUBMITTED FOR 8/17/20 COSA. B. TANK DATA HOLDING TANK Age of tank(s) 26 years Tank type/material "°`n Measured operating fluid level in septic tank N/A ❑ Standpipes/foundation cleanout per record drawing Date of pumping SEE ATTACHED PUMPING HISTORY D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: ___ N/A HOLDING TANK Adequacy test date Results ❑Pass For Fluid depth prior to tes in Water adde gal epth in Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate and (Required if vacant fo ater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gal Introduced gallons If yes, enter date ments/DeflciencleS: 26 YEAR-OLD STEEL HOLDING TANK IS LIKELY APPROACHING THE END OF ITS USEFUL LIFE. SEE EMAIL FROM PROPERTY OWNER SUBMITTED WITH 8117120 COSA STATING NO UNDOCUMFNTM nRAwnrl n nm nanoco 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' NSA Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft M Yes if No ft Neighboring Tank > 100' [D Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No *N/A ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' ❑ Yes if No ***75'+ ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft Q Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft ❑✓ 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' ❑✓ Yes if No ft Property Line > 5' ❑ Yes if No **4 ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No NSA ft Private Wells > 100' ❑ Yes if No •"75'+ ft Water Main > 10' [� Yes if No ft Community Wells > 200' M Yes if No ft Water Service Line > 10' R 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' Property Line > 10' Water Main > 10' Water Service Line > 1 ' Sura ater > 100' ❑ Yes if No ft ❑ Yes if No ft ❑ Yes if No�—ft 0 Yes if No ft ❑ Yes if No ft If absorption field is under Wells ora.AA'$ca?ni L s Private Wells > 100' Community Wells > 200' nt below ❑ Yes if No ft ❑ Yes if No ft F. ENGINEER'S COMMENTS DETACHED GARAGE IS PLUMBED TO HOLDING TANK. WELL IS IN CRAWL SPACE WITHIN THE HOME `WELL AND SEWER SERVICE LINES BELIEVED TO BE PRE -1983 "PER 1996 INSPECTION REPORT. 26 YEAR-OLD STEEL HOLDING TANK IS IN THE DRIVEWAY (SEE PHOTOS SUBMITTED FOR 8/17/20 COSA) - GEG RECOMENDS PERMANENT BOLLARDS OR BARACADES AROUND THE HOLDING TANK TO PREVENT VEHICULAR TRAFFIC OVER THE TANK. ***MET CODE AT TIME OF INSTALL 006000 p4 G. ENGINEER'S CERTIFICATION o 6F I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with p MOA COSA guidelines in effect on this date. 4 �T -�... �O .J ffG y A. Hess; CE -79 3 �� COSA Checklist yellow sheet QQ a Pr o f e s sionoo� #AECC884 Lie www.muni.org/onsite Septic/Holding Tank Advisory Certificate of On -Site Systems Approval #OSC 221108 Subdivision: T12N R3W Sec 33 lot 175B Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this COSA / property is 26 years old. A leaking septic/holding tank may be a source of contamination to the aquifer. Typical replacement costs range from $12,000 to $18,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank. ; Ma�lmg Address P b Box x:96650 *Anchorage, Alaska 99519 6650 * wtivw muni org I$aacS Pumping Service 6218 Wnhagak Street Anchorage„ AK 99507 Phone # 907-563-3300 isaac,,pumpingqPgm Fax # 907-562-5473 Tb: Helton,Dena 15041 Old Seward Hwy Anchorage,Alaska 99516 Date' 02/28/2021 Balance forward 04/08/2021 INV #30748. Due 04/08/2021. - Holding Tank $190.00 04/26/2021 INV #30769. Due 0412612021. - Holding Tank $150.00 - Holding Tank $150.00 04/282021 PMT 05/04/2021 INV #30790. Due 05/04/2021. - Holding Tank $150.00 05/18/2021 INV #30934. Due 05/18/2021. -Holding Tank $150.00 05/282021 PMT #5134. 0528/2021 PMT 06/25/2021 INV #34257. Due 06/25/2021. - Holding Tank $190.00 - '-Emptied Tank 07/12/2021 PMT 09/20/2021 INV #34937. Due 09120/2021. - Holding Tank $190.00 10/04/2021 PMT #4358. 12/09/2021 INV #35212. Due 12(09/2021. - Holding Tank $198.00 01/14/2022 PI4fi' #4.327, 03/07/2022 INV #36217. Due 03/07/2022. - Holding Tank $198.00 Statement 3/24/2022 Amount Due. $198.00 Transaction Amount 1.90.00 300.00 -300.00 150.00 150.00 -1.50.00 -340.00 190.00 -190.00 190.00 -190.00 198.00 -198.00 198.00 Amount Enc. " Balance O.oO 190.00 490.00 CURRENT . 1-30 DAYS PAST DUE 31-60 DAYS, P DUE 61-40 DAYS PAST DUE OVER 90 DAYS PAST DUH Amount Due 0.00 198.00 0.00 0.00 0.00 $198.00 190.00 340.00 490.00 340.00 0.00 190.00 0.00 190.00 0.00 198.00 0.00 198.00 R�G� rjg L� • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 5 r E T Y Certificate of On -Site Systems Approval Parcel I.D. 018-292-72 Expiration Date: r� 20 1. GENERAL INFORMATION: Complete legal description T12N, R3W, SECTION 33; LOT 175B Location (site address) 15041 Old Seward Highway *Anchorage 99516 Current Property owner(s) Dena Helton Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 250-2779 Day phone 3. NUMBER OF BEDROOMS: 2 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 $ H I1z. 56 Waiver Fee $ Date of Payment Date of Payment Receipt Number ©y(v��y Receipt Number COSA # OSC?� I y 2C( 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 i Engineer's Printed Name: Jeffrey A. Garness Date: `�� 7° Z� 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 000��O industry practices. The reported results describe the condition of the system/s on the date/s of the o� CT �p4 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ��,.• �SQ 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, ( t � 1 groundwater levels that may fluctuate during the I�� g ( y g year), quality of construction (materials and P t44 workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and + '!J j " ...... are outside the control of GEG. Satisfactory test results do not guarantee future performance of the �A����_ system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of N (`� � ........... r the well or septic system. GEG makes no representation whether an alternative well or septic system 000"',% '• eye. Gayness; can be installed on the property in the event either of the current systems fail to perform adequately in Q49.•. CSE -7g 33 � the future. The content of this report is for the sole benefit of the person/party that retaine ,c;; (1(q� f� sf•. u `j "2-;P' pG perform the evaluation. Reliance upon the information provided in this report by any of Y qt)F �/e"' P�F` party (including subsequent property purchasers) is not authorized, nor will it confer` rig �/�00fessoo�� whatsoever. .` ON-SITE 6. DSD SIGNATURE ��v� #AEcc$s4 System #1 Approved for —2, bedrooms WATER AND WAST_- z System #2 Approved for bedrooms J,q_N PROGRAM Disapproved JO 'OL�F ASO Conditional approval for p bedrooms, with kwi c)tp-�lations: me Original Certificate Date: ��� 7- ZOZo 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: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Y Well Flow Advisory Other Legal Description: N04111: ,T - T12N, R3W, SECTION 33; LOT 175B If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA Parcel ID: 018-292-72 Structure served by this system 1 ❑ Well log is filed with Onsite (or attached) Well production at time of test 8.3+ gpm Date drilled UNKNOWN Water storage tank volume N/A gallons Total depth *71.2+ ft Well disinfected for coliform test? ❑ Yes RE No Cased to UNKNOWN ft 0 Coliform bacteria is Negative FW Sanitary seal is functioning correctly Nitrate mg/L FN Nitrate less than MRL (ND) W Wires are properly protected Arsenic 10.8 ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) ** in. Collected by GEG, LTD. Date of flow test for COSA 6/2/20 Date of Sample 6/2/20 Static water level at beginning of test 66.9 ft. Absorption rate gpd Comments *PER GEG INSPECTION **12"+ ABOVE GROUND IN CRAWLSPACE. SEE ATTACHED PHOTOS, Any rejuvenation treatment (past 12 months) B. TANK DATA V- —O'-o"�j U J.sk C. LIFT STATION Age of tank(s) 24 years ❑ Required maintenance completed Tank type/material "G`G'''G"" Age of lift station years Measured operating fluid level in septic tank N/A Lift station material 0 Standpipes/foundation cleanout per record drawing Comments: N/A Date of pumping SEE ATTACHED PUMPING HISTORY D. ABSORPTION FIELD DATA Which system tested (date installed) Adequacy test date ❑ ALL standpipes present per record drawing Results ❑ Pass For bedrooms Total measured depth from grade ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade ft (min) Water added gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time min depth into effective ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons if yes, enter date Comments/Deficiencies: 24 YEAR-OLD STEEL HOLDING TANK IS LIKELY APPROACHING THE END OF IT'S USEFUL LIFE No U, -q) o C.ur,�� ;�� F]l?� r i a^' PP -0 COSA Checklist yellow sheet a 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' NSA ft Community Sewer Manhole/Cleanout > 100' Property Line > 10' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No *NSA ft Absorption Field on Lot > 100' F] Yes if No N/A ft Holding Tank > 100' ❑ Yes if No 75'+ ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft ❑✓ Yes if NO ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75'✓❑ Yes if No ft ❑✓ Yes if No ft From St-ptit/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' ❑ Yes if No **4 ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No N/A ft Private Wells > 100' ❑ Yes if No 75'+ ft Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓❑ Yes if No ft 1-404DI,1 6— Water Service Line > 10' ❑✓ Yes if No ft If septte 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 e�iveway comment below Property Line > 10' F-1 Yes if No :;;ft ilei on Adjacen=ots: Water Main > 10' ❑ Yeses if-hd ft Private Wells > 100' ❑ Yes if No Water Service Line > ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ce Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS DETACHED GARAGE IS PLUMPED TO HOLDING TANK. WELL IS IN CRAWL. SPACE WITHIN THE HOME 'WELL AND SEWER SERVICE LINES BELIEVED TO BE PRE - 1983 **PER 1996 INSPECTION REPORT. 24 YEAR-OLD STEEL HOLDING TANK IS IN THE DRIVEWAY (SEE ATTACHED PHOTOS) - GEG RECOMENDS PERMANENT BOLLARDS OR BARACADES AROUND THE HOLDING TANK TO PREVENT VEHICULAR TRAFFIC OVER THE TANK. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet OF o�P•. � .S,�a�l 4 a H v* ... ........�.....:... r f r �y A-.-aar)ess,= Q 9• •. CE—f 953 ,•' e � 0fesSl0�3 c #AECC884 ft ft Jeff Garness From: Dena James <shajenmom@gmail.com> Sent: Thursday, July 9, 2020 10:37 AM To: Jeff Garness Cc: camcdonalc1907@gr a .com_��—~ Subject: Re: Septic system=1504101dd Highway Jeff, To my knowledge there is no other septic system in this property. Dena Helton Have a blessed day On Jul 9, 2020, at 10:31 AM, Jeff Garness <Jeff@garnessengineering.com> wrote: When I was initially contacted regarding this property it was conveyed to me that there may have been an undocumented septic system drainfield installed on the property without a. permit. It was later conveyed to me that there was not an undocumented drainfield. Prior to us completing the COSA paperwork, please confirm that (to the:bestof,yourknowledge) there is not an undocumented -septic system on the property and that it only served by a holding tank. Thank you.......................jeff Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Fax: (907) 338-3246 Website: www.garnessengineering.com <image001. jpg> <image002.jpg> <imoge003Jpg> MUNICIPALITY OF ANCHORAGE Development Services Department Y <« s Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owner 1 / U� (�G1 Street Address Septic Tank: -Sludge level inches -Pumping: requiredey s no Pumping completedey s no Lift station: -Pump basket cleanedev s no -Effluent filter cleanedey s no -Control floats cleanedeY s no }J�A -Proper float settings confirmedey s no -Operation satisfactory yes no Alarm System: -Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling es no -Alarm system operation atisfacto not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection yes no N'A -Ground water intrusion around pipe penetrations Yes o -Weep hole functionaley s no -Manhole lid: Functional ves no Insulated yes no Properly Securedey s no Other N7T AVIA ILII, -All manufacturer required inspections and maintenance completed es no Comments: I , Qualified Maintenance Provider: Technician C ` Company S E',�-V kU 5 Signature Date of maintenance �0 Date r �1 rn - v 0 N 0 N N i� v °D •U V > >} > GO � C = Q ti O m N a) O �m O: O M o U cu cf' Q Y O O O N W Z r U p U OUB Q co < J 06 ci o co 06 Cl) E9 Ef} m m O Q IF, Iry =00 p W W ` ZoUQ nrQ� 00 d =JOS L5 - U U) 00 C rn C N a) Q E6 O 0 000 o U� U� o Q ti N a) O o O: O M o U cu cf' rn ai ai o ��� O O O N W 0 r U p U o N Q co < } co 06 ci o co 06 Cl) E9 Ef} m m _ IF, Iry p W W ` 0 W 00 d =JOS e4 O J s � �• W Z U) W c0 0 4 O � - k CL W 0 000 o U� U� o o rn ai ai o ��� o00 00 0 W o N d 06 ci o co 06 Cl) E9 Ef} m m o 61).N Q p p W 09. 61) V> o O Z W F- X W 0 p O O r) W Q U W F z -,C�,W dW F-0 z o 00o O O O O w OQ Q I W m a) CT) IQ - E6 co Efl E CL W F - p > p Q J Q ¢ p Cl) W z W Q ZQ . F- C) U) Q Z W O U) J 0� U W C Z W __j U = WU�a'O CD 0 �WOzr U Z O} -0a -C t- c p O a_ Zuj�WO LL 0 0< O z w o 3 Q U W W Z f— 7 d W F- Co pmpOMO `m F- < - m— = O U) (DF U2:EFT p U) cn Q O -1O o�Q WCOO V U =a. N m U- O Q) W�ot= --gym a�U O N Lo O O U_ U_ O. 1 �-F 00��Z 7W Z rn Cf' O 0 o CO Z 0 ON y Z U)O 1)--z E W W ca 3 W< F- W 'u U Z o N d v c O W w W U -a OZ ca w Of U) LL U) (1)m �U.. Q O N EO U r }, co cll � d MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ; 907-343-7904 On -Site water and wastewater Section / Fax: 343-7997 www.MLini.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # OSC201429 Subdivision: T12N R3W Sec33 Lot 175B A water sample revealed an arsenic concentration of 10.8 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. jg.� "`y' ��,�� ` � ��r Mailing Address�P O Box 196650 ��dncfiorage,�Alaska 99519 6650'�ww�ir muni org ��; � �� �� Scptic/TIoldinf4Tank Advisory Certificate of On -Site Systems Approval #OSC 201429 Subdivision: T12N R3W Sec 33 Lot 175 B Starting at 20 years of age the MOA issues Advisory's for steel septic/ holding tanks. The Holding tank for this property is 24 years old. Typical replacement costs range from $12,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. �� � �� � Ma�6ng AddressO�Bax�196650 *Anchorage; Alaska 995196650 *�wwv`v mum org�`� ��� �k� .,.,r ,..��,.:� �.�,t+,.`;fy.�*x2^✓.tr�:�as.¥�.: c�_..xM,�.��„��„r.�.e� s;�,��a;��,...�.�ra>rs�:�3>.s�,h�:sr„.a..:;,�.�"....a,�.�„�xm-x�....<;;w”�:'.;,�r���,�.�;a:'„�„`�.y...�n,.`�,�.�s,f_"�,�.�-�5.,,,� 0�u p DJED l0 C O N n° ZrSD r Do co C/) ro. •N v m--icnrn C) ° �° O C, `..' Q �:off m m� o <0 z C a t a �T, � 3 'n-os(o OMzz X11 v c N OAw o� n F 0 cn -ML� 0 = o�_V o O—�- , it cN �m cn0�rn W m��p c� Ir a, zX fl t12. m M c 0 ��(Do O normo O �COD o QX�o CD °� n p0 -_S � CD � o o{ = 5 Q —. N (n z m D 5 a, = 101=1 o` O 1 Z m CD°o D o �n z C 7 [UJ j =@ N , ii? y I . Cf) m C D l N O 3 W N a)Ey otn r7 I S' o' O u c= cn G 1%0 22 go -ate IWC e o E; (; o n K.a m cn mo�� .(Dm c6 =o EE5 co zi O_ N co n r � N0 � N <ID p DJED l0 C O N n° N • C 2. O N ,4�T • N Cil j ° �° O C, `..' Q �:off m m� o <0 z C a t a �T, � 3 ° 0 Ale v c N OAw o� C O C W N O r � n e r o c � c f` DJED l0 C O N n° N in iA fD O o s J N CO S. m m� o <0 z D 0 co M - j rn omcuo� o� C 'Dcn os�° on U) ti=m Ir a, fl t12. r I (ngoZ)(DCL n C< 0• > 0itn m O y m n O o n 0 ( CD � o o{ _cn� Cn -4 5 a, � � o j W. m < Di �mmo� En = o D Co��� Z m { f �r A X03 mcn o tcr,T� C 7 [UJ j =@ N , ii? y I . Cf) m C D l °m n a)Ey otn r7 I rn u c= cn G 1%0 22 go -ate IWC ma (; o n K.a m cn J zi O_ N co n r � O i cS> 3 Wi 0� r- q5) ��� yp4���� y N/' 44g� ^� �� ° J S °s i N0003/2' /0"W ' 4.7.5 4 — Lot si {f 4 4 v Cl co CoCOD C.31 G a 0 Co ;o 110 '3 C(Y,> co