HomeMy WebLinkAboutPARADISE VALLEY BLK 4 LT 6
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211178 PID Number: 020-411-14
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
CRAIG MEDRED & ROBERTA GRAHAM
ABSORPTION FIELD
M Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
18130 NORWAY DRIVE, ANCHORAGE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
0.8 GPD/SF
10 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
6.5 Ft.
Subdivision Block Lot
PARADISE VALLEY 4 6
Fill added above original grade
VARIES 4.5 Ft.
Gravel length
2 X 30' 60 Ft.
Township Range Section
Gravel width
3 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
780 Ft2
2
13 Ft.
Well
100'+
100'+
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1250 Gal.
Surface Water
100'+
100'+
Material
HDPE
Number of compartments
2
Lot Line
5'+
10'+
NA
Foundation
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks
Alarm location
Electrical installed by
Tank to
PIPE MATERIAL House to tank 3034 dra nfield 3034
Installer NORTHERN EXCAVATION
Drainfield 3034 CO/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspection151 7/19/21 7/20/21
Location and description
2�d
dates:
3`d 7/21/21 4" 7/22/21
IDOOR SEAL PLATE
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
4�2n\\
\�
,.� OF A.
Conditional Approval: Date
co •:9 ��
. 49 TM ......:'.k. �r
• •
rr �.. Curtis Huffman
r�� j
Septic System
Approved
pp
►w- Date 7 r2 -2
•:�
c�G, •. CE 128991
�} �'�l�•. 7/24/202i.•�c���
�kk-
OPROFESSI*
Note: this approval does not include well permit requirements.
li
(Rev 05/02/18)
PERMIT: OSP211178 PID: 020-411-14
/
REMOVE & REPLACE
0�
EXISTING FIELDS
FOR 4BR RESERVE
";Zl" /
Ret, wa
Lr)
L,
deck
2
A B
LOT 39A
/
COG MT
cQo�
cN
WICO
0G0
Qj
MT H
STAKED 100'
I
WELL RADII
5
/
PRIOR TO
��
CONST.
j
1�
CO D C
/
MT
FS F E
I
D C
MT
0 CO MH
I
L O IT 6
STAKED
CO K
TH1
ESMT.
PRIOR ST. TO
(1997
/
SrOp N
et. WaU Chp\Y\CON
\ink
�e c
94
A -C=44.06'
Co MT
Co MT
rFCO
B -C=37.7' DFCO
MH 105.00 CO DCO
103.98 FINAL
GRADE 103.98
A -D=43.0'
97.00
ORIGINAL GRADE 9948
FILTER FABRIC
T.S.'97 TH
B -D=37.7'
ORG/OL
A - E = 4 2.7' 96.4g/1250
-GAL 6.25
SPUTTER 59895.9
2
B -E=38.4'
HDPE TANK
SEWER ROCK
A -F=36.6'
89.48
89.48
SM
B -F-33.7' 101.30 CO MT FINAL GRADE CO MT 101.30 96.80 NO GRND.
A-6-11.3' ORIGINAL GRADE WATER; 97
B -G=4.9' FILTER FABRIC
16'
A -H=20.4' 3.30 93.30 BOH
SEWER ROCK 80.80
B -H=28.0' SEPTIC SECTION 86.80 86.80 RELATIVE ELEV. TO
A -I=22.9' SCALE, NTS LOWER TRENCH
B -I=30.3' PARADISE VALLEY B4, LOT 6 SUPPORT SERVICES:
F AZ N
A -J=46.5 PREPARED FOR: �`�� O 41' '
B -J=48.5' ROBERTA GRAHAM & CRAIG MEDREDF.4, L1. 5
A -K=49.8' 18130 NORWAY DRIVE 9 T)q
B-K=51.9' JANCHORAGE, AK 99516
FIRST WATER CONSULTING
DATE: 7/27/21 '& rtis Huffman
13030 Sues Way SURVEY: WALATKA r� CE 128991
Anchorage, Alaska 99516 DRAWN: FWCS 7/27/2021'
(907)350-9566 SCALE: 1" = 20'ssto��'
FirstWaterAK@gmail.com
MllNKIPALITY OF ANCHORAGE
Ori-Sft WatAr a WaMnwatm Pragram
PO Bax 19W50 4700 Elmore Rued
AMI IM , Alaska 9951$66;54 Phoft; (%7) 34:3-7,W4 Feil {$07) $4$- 97
hit p Jivfww_ muni . a rg 1 o n s N e
On -Site Wastewater Disposal System Permit
Rerrrlit Number. OSP211178
Work Type= Septic Upgrade
Tan Code Number, 02041114000
Bite Legal Address: PARADI S E VALLEY BLI4 4 LT $ G:353$
,Bite Mailing Andress; 181�O NORWAY DR, Anchorage
Owner. GRAHAM ROBERTA L �
Design Engineer: PiR T WATER CON ULTING
This permit Is for the construct) -an of:
Efifeotive Date:
E xpiration Date
Lot Size in 5q Ft:
Total 6edroums;
�titi1 C rt r
n
e"
in
L PiL3't Fn C Llt
WM21
Wd 2022
18551
Q Disposal Field 0 Septic Tank 0 Holding Tank ❑ Pricy ❑ Private Wei I ❑ dater Storage
All construction shall be in aec o rda n ce with:
1_ The attached approved design.
2. All requirements speciried in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Dlspasat Regulations (18AAQ,72� and prinking Water Regulailions (1$AAC80)
0. The wastewater oade requires inspaclbns during the insio14 -on. Tho snglnoer shall notify the Development
Services Department per AMC 15.65. Provide notification by cal ling (gal} 343-7904 (24R).
4. From 0Gtober 16 to April IS. a subsurFace soil absorption system un dernonstruction during h-eeaing weaier
shall be e6er
a. Opened and Closed on the same day, or
b. Covered, sealed, and hwited to prevent froszing
Received By:
Issued By.
6)31202 1
Date:
Dale.. 6��F- �
4
MUNICIPALITY OF
(U ' 4
Development Services Department 17
On -Site Water & Wastewater Section
Parcel I.D. 020-411-14
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Property owner(s) ROBERTA GRAHAM & CRAIG MEDRED Day phone
Mailinq address 18130 NORWAY DRIVE, ANCHORAGE, AK 99516
Site address 18130 NORWAY DRIVE, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) PARADISE VALLEY B4, L6
Legal description (Township, Range & Section)
Lot Size 18,551 Sq. Ft. Number of Bedrooms 4
Phone: 907-343-7904
Fax: 907-343-7997
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
F-1
Initial ❑
Single Family (SF) 0
(w/wo ADU)
Septic Tank
0
Upgrade Q
Duplex ❑
(D)
Holding Tank
ElRenewal
ElMultiple
Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 15 9 5
Date of Payment: ::�5Z
j
Receipt Number: x'72 8 -S
Permit No. O S 1 1 'i a
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
May 26, 2021
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: PARADISE VALLEY BLOCK 4, LOT 6
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to remove and rebuild a portion of the existing field and
install one new deep trench and 1250-gallon tank to serve the existing 4-bedroom residence. The
design is based on the test hole from MOA records conducted in 1997. No groundwater was
observed at test hole excavation or monitoring per those records.
The slopes are moderate at 7-15% at the proposed upgrade location. The lot and area are served
by private water. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211178, Deb Wockenfuss, 06/03/21
Wockenfuss, Deborah M.
Subject: FW: Paradise Valley B4, L6 - SEPTIC
01
ROW agrees that the portion of the field in the 10 foot Utility Easement on the western property
boundary which will never be reactivated is not required to have a MOA ROW Encroachment Permit
action. In the case of a temporary deactivation to allow refreshing would leave a potentially active
system, we would require an Encroachment Permit.
Regards,
Lynn McGee
Senior Plan Reviewer
Right of Way Section
lynn.mcgee(c anchorageak.gov
Office: 343-8226
Fax: 249-7340
From: Brent Western <firstwaterak@gmail.com>
Sent: Thursday, June 3, 20216:39 AM
To: McGee, Lynn M. <Iynn.mcgee@anchorageak.gov>; Wockenfuss, Deborah M.
<debora h.wockenfuss@a nchoragea I<.gov>
Subject: Paradise Valley B4, L6 - SEPTIC
[EXTERNAL EMAIL]
Lynn,
During the septic upgrade permitting process it was discovered that a portion of the existing field was in the 10' utility
easement. Per the attached design, that encroaching portion will be decommissioned and a silt / sand plug installed
outside the easement to mitigate interaction. We do not believe decommissioning that encroaching portion warrants
any need for a ROW permit or action. Please advise. Thank you,
Brent M Western
Office: 907-350-9566
1
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211178, Deb Wockenfuss, 06/03/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211178, Deb Wockenfuss, 06/03/21
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Municipality of Anchorage Page I of
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: "~::'t~970~13 PID Number: O0¢"~ -/~/]/- lq
N.m.:~ ~H~M~ ~o~T/~ Wastew~terSystem: D New ~Upgrade
Address: ~ ~ No~A'/. ~. ABSORPTION FIELD
,,o,.: of 8~ooms: ~Deep Tre¢ ch ~ Shallow Trench ~ Bed ~ Mound ~ Other
Lot:
Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe
Township: Range: Section: Fill added abow, original grade: Gravel length:
Number of lines: Dwtance en lines:
WELL: E New ~ Upgrade Gravel width: ~ Ft. l ~ Ft
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: Date Drilled: Static Water Level:Ft. Installer: ~ Date installed:.~/
GPM~ Ft. Ft.
SEPARATION DISTANCES n Se~ti~ a Ho~ing ~ S.T.a.P.
TO [ Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ ~
Material: Number of Compartments:
Surface
Water ~ O ~ ~ LIFT STATION
~Ot Size in gaHons: IManufacturer:
Uno &O
I
"Pump on" level at: "Pump off" revel at: High wafer alarm at:
Curtain ~ Pump Make & M~el ~ Electrical Inspections performed by:
O~n N o N ~
Remarks: BENCH MARK
Assumed Elevation:
Inspections performed by: %~ Dates: 1sL.-~-- ~.,J,~,,~,.,.:
Department of Health and Human Services approval ' ~;~/;7% .......
72-013 (Rev 9/91) MOA 25
UTIL. PEDESTAL JJJ~ // $ = 10'
/ I /
/ I /
/
//
/ / /
\\
\
\
\ \
\
\ \
\ \
SCALG ]" = $0 FT,
/// // i/ /
/ !
ELEC ~
£
SWING TIES'
·
AF 108
BENCH MARK: POST FNDA.
ASSUMED ELEK I00.00
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
(907) 279-39~6
J J Paradize Valle/ Bk 4 Lot 6
1815~0 Nor, w, ay, Drive
croi~l MeClt'ecI
J J SEPTIC SYSTEM AS BUILT
DATE: AUG, 5, 1997
SHEEF: 2/3 GRID: 5538
PE£MIT # SW970215 PIP # 020-411-14 PDV$406Z~2~/G
CO
O~MT Stondard Trench:
~ 2', Wide
~ 56 Long
~ 10' Deep
~ 5' Sewer rock
5' Cover
ABANDON EXlSll TRENCH
Non/for
/ 5' Cover
SILT BARRIER
NO SCALE
77,6
7_2, 4
1~00 GAL £.~,
£ENCH MARK, POST FOUNDATION
ASSUMED ELEV, ]O0, O0
TDSBEN SPURKLAND P,E,
a03 WlSth Ave
Anchorage Ak 99501
PARADISE VALLEY, BLOCK 4, LOT 6
18150 NORWAY DRIVE
CRAIG MEDRED
SEPTIC SYSTEM SCHEMATIC
gATB AUG, ~ 1997
SHEET, GRI3, 3538
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUPLAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970213
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:GRAHAM ROBERTA L &
OWNER ADDRESS:18130 NORWAY DRIVE
ANCHORAGE, AK 99516
DATE ISSUED: 7/25/97
EXPIRATION DATE: 7/25/98
PARCEL ID:02041114
LEGAL DESCRIPTION:
PARADISE VALLEY BLK 4 LT
LOT SIZE: 18551 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD 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 (18A_AC80).
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
8. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
DATE:
DATE:
ToSPU]i; KLAND
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
PARADISE VALLEY, BLOCK 4 LOT 6
CRAIG MEDRED
Municipality of Anchorage
Department of Health and Social Services
820 I Street
Anchorage, Alaska 99501
July 6, 1997
We are submitting an application for the upgrade of a septic system for this lot. The existing drainfield is partly on
lot 6 and partly on lot 7 and must be . This submittal consists of three (3) drawings showing the present improvements
on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic
system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and
percolation tests of applicable testholes are also enclosed. The septic system design is based on the following:
No groundwater or impervious soil to 16 feet.
Use Standard Trench
Soil Rating. 7 min/in = 0.8 gal per sq.ft/day
No. of Bedrooms 3
Required Area per Bedroom: 150/0.8 = 187.5 sq.ft.
Total area required: 3 x 187.5 = 562.5 sq.ft
Testhole depth 16 feet Bedrock
Bottom Rock At 10 feet
Top Rock At 3 feet
Rock Depth 7 feet
Total Trench Length 562.5 / 14 = 40 ft.
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 40 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK DEPTH 7 FT
COVER 3 FT
CHECK INTEGRITY OF EXISTING TANK
ABANDON EXISTING DRAINFIELD
The installation of this septic system will not prevent wells from being installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff
will not result from this installation.
I (~ ~e
I Lo~: zj~
VACANT
UTiL. PEDESTAL
I
I
I
I
I
I
11I
Iit
ell
! ~)~ell ) ///'~ .Lot
/
/
TOBBEN SPURIfLAND P.E.
203 W 151'H. AVENUE
ANCH. AK. 99501
279-$916
Paraclize Valley Blt ~1 LoL 6
18150 NorwoK Drive
Cro/g Me,ired
SEPTIC SYSTEtW DES/ON
DATE: JULY 6, 1997
SHEET: 1/3 GRID: 5558
PERMIT # PIZ9 # 020-41 '1-14 PzOVO4061_,.D~:
~9~h
85 ~
SPURKLAND
I0, CE-2225
~5
ELEC k
\
\
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 9950!
(907) 279-5916
Paradize Valley Bk 4 Lo~ 6
18150 NorwaX Drive
Craig tdeOred
SEPTIC SYSTEM DESIGN
DATE: JULY 6, 1997
SHEET: 2/5 GRID: 5558
PERMIT It PI£ # 020-411-14 PDVO406LD~6
CO
A£ANDON EX~ST.
Sfandord french:
2' Wide
40' Long
10' Deep
7' Sewer rock
3' Cover
~lon#or
$' Cover
SIL? £ARRIER
7 ff of Sopfic Rock --
NO SCALE
EXIST, ~000 GAL S.L
ASSUkI£9 £L£V, lOO, OO
TOBBEN SPURKLAND P,E,
203 W15th Ave
Anchommge Ak 99501
PARADISE VALLEY, BLOCK 4, LOT 6
18150 NORWAY DR/VE
CRAIG MEDRED
SEPTIC SYSTEM SCHEMATIC
DATE, JULY ~ i997
SHEE% GRID, 3S38
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~J--~J~A~[.~ J~ ~/'~.--L.'k./ Township, Range, S3ction: SLOPE
1
2
3
4
5
6
7
8
9
lO
11
12
13
14
15
16
17
18
19-
20-
WASGROUNDWATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water Alter / 7//?/¢
Monitoring? ('/'r"q. Date:,r,
SITE PLAN
"from =nese
PERFORMED BY:
~ TTv
H L~
DISCLAIMFR: GrniJndwater
Past and future presence
observations.
Gross Net Depth to Net
R_..eading Date
F"I l-,,~ Time Time Water Drop
PERCOLATION RATE 7 (minutes/inch) PERC HOLE DIAMETER ~ ~1
!
TEST RUN BETWEEN ~Y~ FT~.f.D '7' FT
cnnd~ons ~nd~c~[~'~ ~efo~ ~he da~es shown on~5,
and/or depth of gro~,ndwater can not be predicted
I , i-~- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-00~ (Rev, 4/85}
MUNICIPALITY OF ANCHORAGE =
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT-ECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAM P.ONE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION ' ~ NO. OF B~DROOMS
Well , __- ' Absorp(ioi~ Dwelling PERM:~
DISTANCE TO: ~O ~
~ Z Msnufsc~urer MBteri~ No. of compar~men~
~O ~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ ~ ~ Manufacturer Material Liquid capacity in gallons
G Well Foundation Neares~gn~ PER ~T~O
~= DIST~NC~ TO: J~ NO~ I~1 /7
~ .~ No. of lines / Length Of eaglig Total 1ongth~f s Trench
~ inches
~ Top of tile to finish grade g~ Material beneath tile /~ inches T°taleffectivTb~°narea
Length Width Depth PERMIT NO.
~ N Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
m DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO,
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOI~ TEST ~AT~G
INSTALLER ~j / --N~
REMARKS
-/
APPROVED D~TE LEGAL
72-013 (Rev, 3/78)
PERHI T NO.
DEPBRTMENTi ~HEBLTH 8ND EN~IRONMENTBL ~OTECTION
825 ~L**~ STREET~ 8NCHORSGE, BK. DgbOl
264-4720
( 8~05~Z )
2059. STONEGF~TE CIR.
RF'F'L I CRNT GFiRY BL I SS
L. OCFITtOI'-~ FHF..H[. I_,E YP, LLEY
LEGRL ~lm~6~,~,B: 4' PRRRDISE VRLLEY
TYPE OF SOIL FIBSORF'TION SYSTEM IS: DRBINFIELD
LOT SIZE
MR::<It"IUM NLIMBER OF BEDROOMS
~:44-9915
4¢IFIFII.."'I '=OIIF. IF.'F FEET
SOIL RRTtNG (SQ FI',-"E:R)= .
THE REQUIRED _t~_E OF THE SOIL RBSOF.:PT!ON _-,~=TErt 15;:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND BND THE BOTTOM OF THE EXCRVBTION <IN FEET).
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF' THE EXCRVRTION (IN FEET).
F-: EL---..~ L~ I F-:E[:. SEZP ]- 1. C: ]FR~--~:C z-'~; 1. ZE= ::L E~ ¢-_Z', ~_:.~
F'ERMIT RF'F'LiE:RNT HFtS THE REz, FUNz, IE, iLIT'r TO INF']RM_ THI'-=, [:,EF'RRTMENT [:,IiRIN3. THE
iNSTRLLRTION INz, FEL.~ tON=, OF FfNY WELLS Ft[:,JRCENT TO THIS PROF'ERTY RND THE
F..E::,I[.ENE. E.':, THFtT THE [,JELL WILL SERVE.
NUMBER OF '"- - '-
...... . ~t_.F E _-] 1-
BRCKFtLLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RN[:, RPPROVRL BY THIS
[:,EF'RRTHENT WILL BE SUE:JEL-:T TG F'RCL:E]:UTI.]N
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSRL. SYSTEM IS
±00 FEET FOR R PRIVRTE WELL OR $50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTRNCE FROM R F'RIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F~EF-:IPl I T E.=-:.F 1. E.'E_. [:,EE:E]I'-lBEF-." 2::1.. - '-
t CERTIF'T: TFIFIT
-I: i f:t1"I FFfl"IILIRR 14ITH THE REQUIREMENTS FOR UN-.:,ITE SEWERS FIN[:, WELLS H_- SET
FORTH B'T' THE MUNICIPFILITY OF FINC:HORFIGE.
;2' I klILL INSTFILL THE SYSTEM IN FICCGRDFiNC:E WITR THE
L.U[:
-- ' l.':I F.'
_.',:I UN[:,ERSTRND THaT THE ON-SiTE SEWER SYSTEM HRY RE..,_I ..E ENLRRGEMENT IF' THE
RESI[:,ENCE IS RI~MCI[:,E:LED TL-I tNF:LU[:,E MORE THFIN 2: BE[:,ROOMS.
"SiGNED:~RPF, Lii]:RNTr,' ~RRT BLISS ................
,,, , ,, 0.. 0..4- .(, '- r -¢Z
ISS_EE' B'r__~..~ .................... : --- .
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
LS LOG
[] PERCOLATION
TEST
SLOPE
1
2
3
4
5
6
7
8
9
SITE PLAN
10
11
12
13
14
15
16
17,
18~
19-
WASGROUNDWATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross
Reading Date Time
i
Net Depth to Net
Time Water Drop
COMMENTS
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT/
72;o08 (6/79)
AUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[~' SOIL9 LOG'
[] PERCOLATION
PERFORMED FOR:
LEGAL DESCRIPTION:
2,-
3
4
5
6
7
8
9
10
11
12
13-
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED: ~ "
SITE PLAN
14- ~
20
COMMENTS
/
PERFORMED BY:
Gross Net Depth to Net
Reading Date Time Time Water Drop
72-008 (6179)
PERCOLATION RATE
TEST RUN BETWEEN
~' ~' (minutes/inch)
,' 1,1~?1' 'AND ~ F'T
.:i.'.
F'ERMiT lqO:
,.~A, [... .i: ,S,~i~UED:
ROBERTA GRAHAM
'723 WEST' FIFTH AVE!: :l:~Zl.
ANCHORAGE~ AK 9950:t.
2'77-'06;.?:9
St. BD'[V't'!~IZN: F'ARADISE VALL. EY
~.2i. !!!'C"" I 0.~ -" :1. I T OWNSH I P: t 1N
:l.[i:l~ i (SQ, F'T, OR ACRES)
BLf..IL, I'...,~ 4
I_OT: 6 ..... '
RANGE: :3W
1. I am ~'am:i.].iaP ~,~ith the r'equiPemer~t.s ,~'or c)n-sit, e sewer's and wells as set.
~c:,r~'Lh by the Municipal:i. ty oF AnchoPage d*E)A) and the State c,¢ Alaska,,
2. I will inst. a/'.1, the syst. em in ac:cc~Pdanc::e wit. h all MOA c:odes and r, egulat:i.c)ns,
and :i.n compliar'~ce twit. h the design cr':i.t, ePia c)[' this pePm:i.t.,,
3,, I will adher'e to al:L MOA E~I"i(::I ~'l:..ate c)~' A:Laska Pe)ql.lipemei"lt~ f'of the set back
d:i. st. ar'tces f'r'om arly E~xis'I:.iFJ~TJ ~e)].l~ wasCewat, eP d:J.~posa], sy~'l:.e:,rF~ of pub.1, ic
C)P at"ly a(:l.jac:6~,r"rl: oP n(.~aPl:)¥ lc)t,,
~46.05
0 u3
,/ /
N CERTIFICATE:
I hereby certify that I have surveyed the following described
property: L~i- ~ ~LOC~ ~ ~/~,%~i&~% V~L.L~L'{
and that the proposed improvements and drainage patterns
as shown hereon.
EXCLUSION NOTE:
It is the responsibility of the owner or builder, prior to
construction, to verify proposed building grade relative to
finished grade and utilities connections, and to determine
the existence of any easements, covenants, or restrictions
which do not appear on the recorded subdivision plat.
L~- ~
AGUA FRIA SURVEYORS
]417 West Northern Lights Boulevard
Anchorage, Alaska 99.503
276- 6151
WoLoc.v.. '4- P~,~,D%~'- ~,L_L~¥ .SU~.
~- 79-70
;cole
v�►
S
r74,
lam
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 020-411-14
1. GENERAL INFORMATION
Expiration Date: /0 —,2 T— ZI
Complete legal description PARADISE VALLEY BLOCK 4, LOT 6
Location (site address) 18130 NORWAY DRIVE, ANCHORAGE, AK
Current property owner(s) ROBERTA GRAHAM & CRAIG MEDRED Day phone
Mailing address
Real estate agent
18130 NORWAY DRIVE, ANCHORAGE, AK 99516
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ o � ie, Waiver Fee $
Date of Payment 7 a 3 go21 Date of Payment
Receipt Number y 13 2 N 3 Receipt Number
COSA # 0GG 2_1 19 l 6 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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/21/2021
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory ���•
for current or future occupants or guarantee that no unseen encroachments, deficiencies or fig•49 TH
•. •9 �rJ
discrepancies exist can be given by First Water Consulting & FWCS - *• . ...t
, ,•;* r�
6. DSD SIGNATURE �'
Curtis Huffman
System #1 Approved for bedrooms %��F���•, CE 128991 .0���
System #2 Approved for bedrooms PROFESSION
Disapproved
Conditional approval for bedrooms, with the following stliROMr
.� ITV n„�rii,_
Original Certificate Date: 7-2 2/
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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Legal Description: PARADISE VALLEY BLOCK 4 LOT 6 Parcel ID: 020-411-14
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system
A. WELL DATA
® Well log is filed with Onsite (or attached) Water storage tank volume NA gallons
Date drilled 9/19/1986 Well disinfected for coliform test? ❑ Yes ® Nc
Total depth 81 ft ® Coliform bacteria is Negative
Cased to 81 ft Nitrate 5.25 mg/L ❑ Nitrate less than MRL (ND)
® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND)
® Wires are properly protected
Casing height (above grade in *well pit) 12 in. Collected by F �> S
Date of flow test for COSA 4/28/2021
Static water level at beginning of test 51 ft. Date of Sample 7/8/21
Well production at time of test 4 gpm
Comments *IT APPEARS THAT MOA APPROVED THE WELL PIT WITH BUILDING PERMIT SUBMITTAL. WELL
IS IN DRIVE IN FRONT OF GARAGE &_IS PROTECTED IN MANHOLE WITH NEW SANITARY SEAL.
PER OWNER: THERE IS A SMALL DRAIN HOLE PIPED THAT DAYLIGHTS TO THE SW
B. TANK DATA
Age of tank(s) *NEW TANK years
Tank type/material HDPE / SEPTIC
Measured operating fluid level in septic tank
® Standpipes/foundation cleanout per record drawing
Date of pumping *
D. ABSORPTION FIELD DATA
Which system tested (date installed) NEW SYSTEM
® ALL standpipes present per record drawing
Total measured depth from grade 14.5 ft (max)
Measured depth to pipe invert from grade 8 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:
Adequacy test date NEW SYSTEM
Results ❑ Pass For _ bedrooms
Fluid depth prior to test _ in
Water added gal
New depth in
Elapsed time min
®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) N
date of test) If yes, enter date
Gallons introduced gallons n
Comments/Deficiencies: FWN
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'
® Yes
if No
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
® Yes
if No
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25' ® Yes
if No
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No
Neighboring Absorption Fields > 100'
Water Service Line > 10'
® Yes
Animal Containment > 50' ® Yes
if No
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ® Yes
if No
ft
® Yes
if No
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
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100' ® Yes if No
Water Main > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No _
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'
® Yes
if No
ft
Private Wells > 100' ® Yes if No ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that l 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.
02F
Aw
TH
.... ....t..
.... . 1,.. Curtis Huffman
�� • CE 128991
Fo
.7J23/21. •�F���
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MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On -Site water and wastewater Section Fax: 343-7997
www.muni.org/onsite
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC 211416
Subdivision: Paradise Valley Blk 4 lot 6
A water sample revealed a nitrate concentration of 5.25 milligrams per liter (mg/Q.
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/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. Please see the attached "Nitrate Fact Sheet" for important
information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
���� � � � Mailing Address �P O�,BoX 196650 *Anchorage �Alaska�99519 6650 *,www muni org � �t�
s �•
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby' disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
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MU.,CIPAL,TY OF A.CHORA E q
DEPARTMENT OF HEALTH & HUMAN SERVICES ~)~2. v
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264.4744
Application Date
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lo c atl(~,n:~(ad'd res~,4p r d~rect~ons)
(b)~:~,PrdpeR~: O'~her..~ ~/ Telephone: Home mi~
(~ ~nqmg tnstitction,, ' r Telephone
'. ',:Madmg,~ddress
(d) ~eal,.[stm*~om~anyand ~ent
Business ,Z-~'"?- ~"o<~'''
(e)
Telephone ~- ~
Mail the HAA to the followin(~ address: or; Check here for pick up.
List contact person and day phone numbej~elow., ~-~ ~
TYPE OF RESIDENCE
Singte-Family'~
Number of Bedrooms
WATER SUPPLY
Welling. Community [] Public []
Individual
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~. Public [] Community [] Holding Tank []
Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page I of 2 72-025 (Rev 8/86~ Front
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MUNICIPALITY OF ANCHORAGE (MO~,~
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
(] ] A ! ] 3 ]
Legal Description: /..gTcO, ~v-~g,~' ~ ~/3~
L86~ L ~ lfl~ ~/~ ~ ~-//
WELL DATA NOI.L3:~LO~d 'I¥-LN~WNO~IIAN3
· HI1V:~N JO 'J.d:lG
Well Classification If A. B, C, D.E.C. Approved (Y/N)
t~ Date Completed ~ "/~'--O~ Yield
Well Log Presen N) I
Total Depth ~/ Cased to ~ r Depth of Grouting
Static Water Level ~ Pump Set At
Casing Height Above Ground /'~
Electrical Wiring in Conduit~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~ /~ On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ~ /G ~ ' ; On Adjoining Lots
To Nearest Public Sewer Line W/~ To Nearest Public Sewer
Cleanout/Manhole /~/~. To Nearest Sewer Service Line on Lot
Water Sample Collectea by ~ ,~- ~/~ : Date
Water Sam ~le Test Results
Comments ~ W~~ ~
Sanitary Seal on CasJn~kl)
Depression Around Wellhead (Y(~
B. SEPTIC/HOLDING TANK DATA
Date Installed
Stand pipes~l) Air-tight .Caps.)
Depression over Tank (Yb
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well -'YF /,~'~' ·
TO Prc perty Line
TO .Water M~.l'n/Service Line
Course ~'
Comments ~J~.~E~'~
Size /0~ No. of Compartments
Foundation Cleanout~. )
Date Last Pumped (~ ,X//,~
,g/A- ;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
/
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page I of 2
72-026111/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~, -Z~/-z¢..~
Width of Field
Square Feet of Absorption Area
Depression over Field (YN~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present ~N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On' Adjoining Lots ?d
To Cutbank (if present)
!
IO ~
LIFT STATION
Da~ ,/~/ Dir~ensions
Size in Gallons"'"'""'"'~ /A Manhole/Access (Y/N)
"Pump On" Level at ~"~-.,.~ "Pump Off" Level at
High Water Alarm Level at '"~'~_ Vent (Y/N) .
Tested for ~mping Cycles during Adequacy Test. Meets MOA
CommentsElectrical Codes (Y/N)
Check
Permitted
Bedroom
Rating Against HAA Request ** ~_.. .....
I certify that I hav~ec.~l,,,veri~led, or conformed to all MOA a~d HAA guidelines in effect on the date of this inspection.
Signed ~------~'~' ~ .... Date
Company
Receipt No. ~C)
z-/7
Date of Payment_
Amount: $ /~' O0
Page 2 of 2
72-026 (11/84)