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HomeMy WebLinkAboutREED LT 14 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION · 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT IPHONE i ,~r,,l EW NAME MAI LING ADDRESS/,? LEGAL DESCRIPqION DISTANCE TO: /~) ~ f ~. Absorptioe~area/ I ,~ I Manufacturer ..'1 , Dwelling : ~ jM.~.fa~t.~or ' ' ~ ~'~ ............ Well Fouedation J ~z DISTANCE TO: L~ ~ ~ No. of Idles Lengd~ of each line To[al tength of lines ~--~:[ ~,~:. Top of tile to finish grade NO. OF BEDROOMS.~ Width PERMIT NO, No. of compartments Liquid depth PERMIT NO. Material Liquid capacity in gallons Nearest lot line PERMIT NO. Trench width Distance between lines inches Material beneath tile Total effective absorption area Crib depth Lenoth~.~/-/ ¥idth / ~' ./  Type of crib /t~)/,,~ Crib diameter DISTANCE TO: /~O / Clas~o~~ Depth DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS b3o3 ¢ SOl L TEST RATING INSTALLER REMARKS Buil¢~g foundation Driller / Total effective absorption area Nearest et ne ../O./ /I~APPROVED DATE LEGAL ~¢,' , PERMIT NO, Distance to lot line Septic ta?~} ~ / PERMIT NO, Absorption area(s) /CO / [~"~SOI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST SLOPE 10 WAS GROUND WATER 11 ENCOUNTERED? 12 I IF YES, AT WHAT DEPTH? 13 14- 15 16 17 18 19 2O DATE PERFORMED: LITE PL/AN COM,ENTS 2 q TEST RUN BETWEEN FT AND FT (minutes/inch) PERCOLATION RATE Gross Net Depth to Net Readin9 Date Time Time Water Drop EAS !;tdt!',NTS FOR WEDL AND WATER LINES Ti~e Grantol:, Finis Shelden, d/b/a Finis Construction Company, whose mailing add~ess is P~O~ Box 67~1087, Chugiak~ Alaska 99567~ fou valuable consideration the receipt of which is hereby acknowledged, being the owner 'of certain adjacent ~eal properties hereinafte~ ~efer~ed to as Parcels A~ B~ and C~ Pete~s Creek~ Alaska, more situated in Reed Subdivision~ particularly described as follows~ t ARCLb A. Lot Fourteen (14) Reed Subdivision, ~{i!r~'S]r~T~i~ to the official plat thereof~ filed under Plat No. P--390 records of the Anchorage Recording ' State of Alaska; D~str~cL~ Third Judicial Djshrict~ ~5 'P ~ -' Lot Thirteen (].3) ~ Reed subdivision~ l. ARC},I~ I3, chef eox filed under ......... ' Pla[ No, P--390~ records of the Anchorage Recording District, Third Judicial Districht State of Alaska; a n d i? ARC F,L ~._~ ~ Lot [~welve (12) Reed subdivision~ i[i'~'~5'~i[~i~9 ko the official ]platt thereof~ ~i].ed under Plat No. p--.390 records of the Anchorage Recording " ' orate of Alaska~ District, Third Judicial Dl. st~_~ct~ .... / ~' hereby grants from said Parcel A to said Parcels b and lt'~ the use and maintenance of two wells and two waterl 1~[ easement for those existing wells and water lines ~:~3~}articula~ly shown on the as-.buil% survey athaohed hereto as ~ "A" ~ . be lO feet in width~ {~ Exh.kbih ~ oald Easeraent shall '. thy ~ commencing at a point 30 feet West of the Southeast prope cerner of Parcel A, wi~h the southern property boundary of ~ parcel A as the Easement's sounherly boundary~ and shall extend ~ to the common lot line between Parcels A and B Further, the Grantor hereby grants~ from Parcel' B~ a 10 foot easement for the existing water line to _azcel C~ said ~ easement is ho be located along the South 10 feet of Parcel ], drawing attached hereto as Exhibit A, and by this reference made a part hereof° The easement hereby created and granted shall be binding upon and inure to the benefit of parties S successors and hereto, their heirs~ legal representat.Lve ~ assigns¢ and shall exist and run with the land¢ During the existance of the herein-granted easemen't-~ the owners of Parcel A and B sha].l not utilize the easement areas in any manner which will prevent the owners of Parcels B and/or C from having fu].l~ free~ exclusive an~ uninterrupted use of the two respective water wells to which the respective water lines from each lot are connected, :including maintenance purposes of the said well. and water line~ Nothing herein contained shall be construed to imply any warranty by the owner(s) of Parcel A as to the quantihy or quality of water to be obtained from said wells¢ liability for any damages caused by non-del: very of water ~ no~ Ii. ability :Ln any way r~or upkeep and maintenance of the wel].~ serving Parcels B and C,~ no~ shall the owne~(s) of pa~ *~ A in any way be esponmib].e i for Zhe upkeep of the wells o~ water;Lines and, ifurther, the owner(s) of Parcel A shall not be liable for any damages injury ho persons or pnoperty occurring within the easement. area. DATED this /-~''5~? day of STATE OF ALASKA .... Chugiak ~ · ~ - ,< ' 1985 ~t ' THIRD jUDICIAL DISTRICT ) tel [' ,. (~ ?~r~ ,,, ,' ,' that on the .I ....... day of ...~ ....... THIS :[S TO CERtifY - 1985~ before me, a notary publ:i.s :Ln anti for the '~=~['[e oE Alaska, duly commissioned and sworn as such~ personal, l)? , ~ =. 5, known b.o me to be the :i. nd iv' dual narnefl appeared r, INIS SHI~LDLN, ~ , herein, who acknowledged to me that he executed the ~:,,~oqoS. ucj ,~.~t-n~'JlV for the uses an, [][j[][~ 1200 Wast 33rd Aw ,, Sultu B ANCHORAGE, ALASKA 99503. (907) 561,5040 MUNICIPALITY OF ANCHORAGE DEPT. OF IJEtd. I'H & [:N\/IROI'%/~EIqT/'~.L PROTECTION WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol 6 GeophysicoISurveys An,.q hdr Reed 1 ~ _of_of_of- s~ Ic.J~DISTAHCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Finis Realt~~ Co~t~ Sand Gravel Boulders 25 S(} 7. US~: ~ Dom,,)ic Boulders Sand O~svel 63 140 ~ I,,,W,II OOther: ~r~ter ~ O~ve~ 180 q~h ~,p,: Open ~oZe Bock filling Date ~ Above or ~ Belo~ land lurfoce Equipment us*d; ti. PUMPING LEVEL be)ow lend $urfoce end YIELD ~ .... 12.GROUTING Wet[ Grouted: ~ Ye~ ~No Moleriol: ~ Neot Cement Lenglh of Drop Pipe ~ft. copocity g.p.m. 14.REMARKS: STATE OF ALASKA DEPA,,,MENT OF NATURAL RESOURES Division of Geological 8~ Geophysical Surveys 0rHlin~ PermH No. LOCATION OF WELL {Pteale complete either ia, Ih or lc.) ..u.~-. i~.lBorough'' Subdivieion Lot 81ack ~.[ I/4qt,` Section No. ,ownlhiPN~ Renge E~ ~DISTANCE AND DIRECTION FROM ROAO INTERSECTIONS 5. OW"~" OF w~c:Finls 3. eait~' ~onst,. Cu;i~k~ Ak. Street Address and Area of Well Location Feet Below 4. WiLL DEPTH: { final) 5 DATE OF COMPLETtON 2 WELL LOG Surface Sand Grave~ H20 Se,p~';'e Gr. c~j ~_iO 16: ..c~sm~= ~Threoded ~ Welded ~ ~¢ ~ 7~% diam. in fO ft. Depth Stickup~ :~c~, r ' ~' ~ ~d ~,' H20 ~ Or.~vel 3SOl ~;j~ l~C) Water & Gravel 150 154 T~,,: O~en Eo!e o~o~,,,~: D~PT ~F H~ T~ ~. Equipment USed: ~-J~O ~HVIRONMENTAL P II.PU~PING LEVEL below land lutfoce and ~ ~' M~teriol: ~ Ne~t Cement ~ Other: I~, PUMP: (if ovoiloble} HP t6, WATER WELL CONTRACTOR'S GERTIFICATION: 15, Water Temperoture o ~ F ~ C -~egist~r~ Business ~ome Conlracl License Number Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ,~EA LIT Y OF NTAL SERVICES DIVISION OCT 2 9 1997 RECEIVED 1. GENERAL INFORMATION Complete legal description Lot 14; Reed Subdivision Location (site address or directions) Property owner Mailing address Lending agency Mailing address 23139 Rosebud Row Chuqiak, AK Linnia & Raldo Estridqe C/o Remax of Eagle River Day phone 16600 Centerfield Dr, Day phone ~ag].e R'i vt_r, AK Agent Bob Wambolt/ Remax of Eagle River Address · Day phone 694-4200 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 '~ TYPE OF WATER SUPPLY: Individual well Community well NOTE: xxx Public water If community well system, provide written confirmation from State AD£C attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site xxx Holding tank community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 {Rev. 1/91) Front MOAiI21 STATEMENT OF INSPECTION BY ENGINEER As certified bymY seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S &S ENGINEERING Name of Firm 17C34 =&9~u ~;¥ur Loop r-:¢,ad i~O. , Phone C ¢"~/- ~- 9 '7 ~ Address Eagle River, Alaska 99577 Engineer's signature ' , -- , -J'""~--- Date /o/~¢//q ? Sm DHHS SIGNATURE Approved for 3 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments ! T,h~e MUrlicip~!ity of An~b?rage Department of Health and Human Serv ces (DHHS) issues Health Authority 'APproval Ce~ificates b'aSed only upon the representations given in paragraph 5 above by an independent professional engineer'reg stered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending in§Ututions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a 6ertificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724~25 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage :NVlRONMENTAL,SFRUi~jli~N DEPARTMENT OF HEALTH & HUMAN SEFWIC;ES Environmental Services Division "OCT 2 9 1~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-~744 ECEIV[D Health Authority Approval Checklist LegalDescription: )-.o 7- ~5/ /~¢-g,~ .~'//_) ParcelI.D.: O£'/ - )o A. WELLDATA ~o_~.~.~.-- ' ~,~,.)-,,/u_,~y, Well type ~ ,o./~ ,-- ,%,~-,~ IfA, B, or C, attach ADEC letter. ADEC water system number Casing height (a~~ Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Dat~'. Date completed Cased to W~ rlye~protected (Y/N) FROM WELL LOG ~,~"' AT INSPECTION ~ g.p.m. Nitrate Other bacteria B. SEPTIC/HOLDiNG TANK DATA Collected by: Date installed / o J ~ ~J / ~-.F'- Tank size Foundation cleanout (Y/~_~ Date of Pumping /o/~.z-/e 7 g,p,m, Number of Compartments '~ Cleanouts C/N)__ 0 Depression (Y/I~)) ,,~ 0 High water alarm (Y/~) .,~ o Pumper 3-' ~ ,¢~,,~/%~C- C. ABSORPTION FIELD DATA Date installed io //3/~j'- Length 3 ~y / Width Effective absorption area ,~'- 7~' ,~ Date of adequacy test /o/~ 3/~ 7 Soil rating (g.p.d./ft2 o~ )DS'- System type /-~ '~- / 7 / Gravel thickness below pipe ¢, 5~ Total depth Monitoring Tube present ~/N). Y'CJ'Depression over field (Y/~I'~ /v Results (Pass/Fail). /%¢-~'J' For Fluid depth in absorption field before test (in.); D ~y Immediately after ~"~-~'gal. water added (in.): Fluid depth 0A.¥ (ins) Minutes later: 6) Absorption rate = Peroxide treatment (past 12 months) (Y/N) ¢''~,''¢ k:~,o ~,,,,./ If yes, give date z/-~'° ¥- g.p.d. bedrooms ,~,,~ y 72-026 (Rev. 3/96)* D, LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycl~~~'~ Size in gallons "Pump on'~mp off" level at* ~~*Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ,, Foundation t o '¢-- Property line Water main/service line /~ ~h- Surface wateddrainage /oa SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ! Property line / o ¢- Building foundation / O Absorption field Wells on adjacent lots Water main/service line ? o ".-.,z Surface water t 0 o ~-' ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots ?Oo I certify that I have determined thru field inspections and review of Municipal records t~a'~Tc¢ ~vc{$~'~aems are in conformance with M ~/,~idelines in effect on this date. ~4, ,~','....'* ~"....~o,~...'~A Signature Engineer's Name Date )O HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiyer Fee $ Date of Payment Receipt Number HEALTH AUTHORITY APPROVALS SEWER&WATER MA~N EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SiTE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, P.E. November 13, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municpality of Anchorage Attn: Dan Roth D.H.H.S. P.O. Box 196650 Anchorage, AK 00519 REFERENCE: Lot 14; Reed Subdivision RECEI'VED NOV '7 'i997 Municipality of Ancho~ age Servk, e,~ Dept. Health &Human ..... ~" Dear Mr. Roth, This letter is to inform you the two private wells located on the referenced property have been properly o e,~,,,,u.a,,~in accordance with the Municpality of Anchorage Well Ordinance. Thc well abandomnent was performed by Tweed Excavating on November 6, 1997. If you require additional information, please contact us. Sincerely, Robert C. C , · · RCC/gk 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 ° EAGLE RIVER, ALASKA99577 OCT ~8 '97 1073 ~E,-'MAX OF EAGLE ~VR~ ,'"".-CS .... d ASBUILT ,, . ............ · ...... HEP, EBY CE TIF .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY; ~ND THAT NO ENCROACHMENTS EXIST EXCEPT AS NDICATED, IT I$ THE RESPONSIBILITY OF THE OWNE~ TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OE RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI' VISION pLAT. UNDER NO CIRCUMSTANCES SHOUtJ ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHIN~ BOUND- ARY LINES. OCT E8 '9? 09:04 RE/MAX OF EAGLE RIVR P.1 [ herebx certif~ that LOT .,~'~.~ ~ ~ ~ IS/o/,./ ~nchoraQ¢ Recordln~' ]istrict, Alaska, has been surv~ed by me and that' no encroachments e~iSt except as ~houn hereon, It is the 'esponsibiltty or the ouner to determine the existence nf ~ny ~se~ents, covenants, or restrictions uhich do not appe.w on the '.¢cor~ed subdivision pla~. Listed distances prevail and ihould not be attempted to determine unshown dimensions. This :urvey [~ not ad¢quate foe~ nor should It be used Foe ~t~bll~hing boundary o~ ~ence ~.' . . ~ LAND SURV.EY COblPANY P,O. Box 671089 Chugiak, Alaska 99567 Fhone (907) 688-4.499 0 ~ 1o General Infoznnation (a) Legal~ De~cription Location (address or directions) MUNICIPALITY OF ANCIt0tLAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONI.~NTAL PROTECTION APPLICATION FOR IiEALTH AUTHORITY APPROVAL CERTIFICATE Application Date /~'~ '>~ '~' (include lot~ blocl% subdJvision~ section~ to~,mship~ range) · ' Pi ~.J '<'~'; (b) Applicants Name /?,¥,;'- - Applicants Address /~.0- "TM ~ (C) Applicant is (check one) Lending institution ~-~[ ; Owner/builder "~"' Telephone (d) Lending Institution Address (e) Real Estate Co. & Agent (f) Address Telephone Mail the IL~A to the following address: %Zp~_of Restdesc~ Single-Family'~ Number of Bedrooms Multi-Family~ Other (describe) 3o Water Sup_pl.yj Individual Well ~I Community . Note: If community well system, must have vrcitten eonfizmmtion from the State Department of Environmental Conservation attesting to the legality and status° 4o S__ew~.~e Onsite ~1 Public ~-1 Community .~i1 ltolding Tank Note: If community wail system, must have written cor~irmation from the State Department of Environmental Conse~ation attesting to the legality and status. [Page 1 of 2] Engineering Firm Providing I~__?j)ections~ Tests, File Search, Data and Informatiou As certified by my seal affixed hereto and as of the validation date sho~,ra below~ ! verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastawater disposal system is safe, function~-I and adequate fo~ the number of bedrooms and type of structure indicated herein° I further verify that~ based on the information obtained from the Municipality of ~,~chorage files and from my investigation and inspection~ the om-site water supply and/or wastewater disposal s ,qram is in compliance ~.rith aJ. 1 Municipal and State codas~ o'~-~dinanc-es~ and regula-- ~Y tfons in effect on the date of this inspection~ Telephone e (ENGINEER SEAL) DH~P Approval App- -oved for Approved Tea_mis of Conditional Approval , CAU- ION T'ftE 14UNICIPALITY OF ANCHORAGE DEPAR2>fENT OF IN~ALTH AND ENViROh~iENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TIlE tLEPRESEi~'- ATIONS GIVEN IN PARAGRAPIt 5 ABOVE BY AN j.~DEPENDEN% PROFESSIO¢~kL ENGII~ER ~J~GISTERED IN TILE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PUl{CHASERS OF HOMES AND THEIR I~]NDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN.FEDERAL AND STAT. E REQUIRE- MENTSo EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ~AIJYZE DATA BEFORE A CERTIFICATE IS ISSUED° TIlE MUNICIPALITY OF ~CHORASE IS NOT RESPONSIBLE FOR ERRORS OR OHISSIONS iN THE PROFESSIONAL ENGI~fEER'S WORK° (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7=19--84 MUNICIPALITY OF ANCHORAGE (MO~,~ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: i MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROT[CTION 1985 WELL DATA Well Classification Well Log Present ~ / Total Depth /~'~ Cased to Static Water Level . Casing Height Above Ground /' Electrical Wiring in Conduit (~'"N) Separation Distances from Well: / To Septic/Holding Tank on Lot .,/O To Nearest Edge of Absorption Field on Lot _ //¢"~ / To Nearest Public Sewer Line /~/~ Cleanout/Manhole Water Sample Collected by Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) - Date Completed ~" '~/--¢ %~'"" Yield ; On Adjoining Lots ; On Adjoining Lots Depth of Grouting -- Pump Set At . ' '~/t¢ Sanitary Seal on Casing(~N) Depression Around Wellhead (YI~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot /¢'- /4~E~/ ;Date Comments B, SEPTIC/HOLDING TANK DATA Date Installed ~"/~"'~"" Standpipes~N) Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) - /J'/)~ Separation Distances from Septic/Holding Tank: To Water-Supply Well /~ To Property Line To Water Main/Service Line Size ./¢/U',~ Air-tight Caps~)N) Course No. of Compartments Foundation Cleanout (~N) Date Last Pumped ////~ ,,for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field ~' ~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11t84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field /7 / Square Feet of Absorption Area Depression over Field (Y(~) Results of Last Adequacy Test Type of System Design Length of Field ~" / Depth of Field ,Z-'~''''/ .~:'?~' ¢,/ L~ravel Bed Thickness (--)o ~' 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 Standpipes Presentl~N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION /? ~i'e¢.. Dimensions Size in Gailons-"~'~---~._,...~ Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Vent (Y/N) ~m4C~during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that ~¢che~ked, vitrified or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed /'¢/'~- ({ '/F4~ ' Date Company ~¢:~' MOA NO. DEPT. OF EN%'IRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Addre~s: 274-25S3 October. it, i985 Mr.. Finus Sheldon P.O. Bo,.,, ' 67-i087 Chugiak, Alaska 995,57 SUBJECT: Lbts 13 & 14, Reed Subdivision, Chugiak, Alaska (8621 -[IS-024) [lear. Mr.. Sheldon: The Department has received current water analyses for- the subject lots and her. eby issues the Certificates to Oper-ate for the water systems. Any future expansion of the subject project will require additional approval fr. om this office. Sin,:erel y~ Mi,:hael P. Lewis Environmental Er, gineer MPL/ms~, MUNICIPALI'EY OF ANCHORAGE DEPT. Oi: HEALTH 8. ENVIRONN'~ENT/,L pi~QT£CTiON "! ', 1985