HomeMy WebLinkAboutHENKINS BLK 1 LT 13 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
'.i ~ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE [] NEW
NAME t-/ar X. []..GRADE
LEGAL DESCRIPTION
~ Manufacturer., ~ Materia¢.r~/ NO. of compartmentsz
Liq. capacity in gallons Inside length Width Liquid depth
]¢~ ¢ IF HOMEMADE:
~ ~ Well Dwelling PERMIT NO.
DISTANCE
TO:
~ Manufacturer Material Liquid capacity in gallons
Q Well Foundation ~ ~ Nearest lot line ~ PERMIT NO.
~ DISTANCE TO:
~ ~ ~ No. of lines.~ Length~ ~ Trench width.~ inches Distance between~ lines
-- ~ /'8.. ~ o~ea~h;ine Total length o}lines
~ Top of tile to finish grade~, Materia, o ,,~ h tile
e a Total effective absorption area
Length Width Depth PERMIT NO.
< ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
m DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
Building foundation Sewer I~ne Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
Cost
SOIL TEST RATING
INSTAELER
Permit
Applicant:
MUNICIPALITY OF ANCHORAGE
Department ~ Health and Environmental~rotection
825 . . Street, Anchorage, AK. ' ~501 ~
The Required Size of the Soil Absorption System Is:
DEPTH 9.o / LENGTH ~ ~ / GRAVEL DEPTH WIDTH'
Location:
Legal Description: ~o'T /~ ~/
Type of Soil Absorption System Is:
Trench: ~/ Drainfield:
Maximum Number of Bedrooms: -~
264-4720
* * * HANDWRITTEN PERMIT * * *
~W~ ON-SITE SEWER PERMIT
Mailing Address: ~. O.~D~ 7
Phone Number: ~- ~7'~
~/~//~Yx~/~ Lot. Size: ~ ~
Seepage Bed: __Holding Tank:
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall ~ipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /6~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection.and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet° Well logs are required
and must be returned to this department within 30 days of the well completion°
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 bedrooms.
S igne~: ~/~ ~ ~'~<~----~'~ < Issued by: ~.~o~<,.__.,,~, ~
Applicant
Date: ~ c/~ ~ ~ ~
O & E ENG.NEERING & DEVELO, MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
SOIL LOG
Mailing Address: /~' ~'~' ~:)6 )~ -~ ~/
Earl Ellis
688-2280
Legal Description:
Depth (feet)
0
Soil Characteristics
10__
11__
12__
13__
14__
15__
16__
PLOT PLAN
Ground Water Encountered: Yes.__ No ~ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments: A//~ /~r)/_~/~_ ,~I,~Od/~T/~-&-ZP _~
PERC. TEST
· ~% Earl P. Elhs · ~
Performed by:
January 4, 1978
Harry Mules
Box 197
Eagle River~ Alaska 99577
Subject: Lot~L2~Block 1 Henkins Subdivision
Pem~it ~770977
A permit issued by this department for well and/or sewer
system has expired°
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance°
If you have drilled the well, a well log should be sent
to this department to doc~uent the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Health and Environmental Protection
Sewer ~%d Water Section
M:i:NZMLIM D]:STF:INCE DE'T'WliEEI'q R WELL. FIND FtN"r' 1:3i",t'~"SiTE E;Ei.,.1FtGE Di:::'i;POSI:::tI.... :~;'-¢STEM .T.:E;
:LOO FEE'I" i=EIF.?. I=I PP.i',,,'F'ITE i-,.IELL. OR ;200 F=EET FOR I:'~ PLiE&..IC WELL.
WE:]...L LOGS FIRE F.:ELT.!LJ'.[rRE[> FIN[:, i"IU?T' BE RETURNE[:' TO "FHE DEPFIR"FMENT
OF THE WEL, L COMPL. ETZON,
OTHER RE(;'~U :1: RENENTE; MFI"r' FIF'PL"¢. SPEC I F' I CFIT I ON2'; FIN[:' CONSTRLiI::"F .I: ON [:' .1.' Flt]il:;;:FtFi::F; I=!RE
R',,"I=I t L..t:':IBL. E TO I i'4SUF.:E F'I:;;:EIPER :i: N:"!;i"I:::tLI_FFf' I EIN_
:i; ..:J: t 1.1- r 't"HR'T'
::L: t RI'"i i::'FIM]LZFiR I.,.l'J;]".i--I THE REQU;i:REf"IENTS FOF.: ON-SiTE :.:,;EI.,.IEI:;i::E; FIND .P4EL, I...tE; F'I:!!.:; :=-.';E"i~
F:'ORT.H E¢.¢ THE M. t'.l ,i: ': I PRL. :[ 't""r' OF FiN
;7: Z i.,.ItLL ]:N'."~;'~-I~....L. THE %"r'~i;"i"Ei'"i :i:N FICE:Ed:;.'.[:'RI",ICE 14ZTH THE
'=" '"' ': '" "~~x-':T-'-~.x;~.-:q:;:;.-;~"'v-:F~,.,_ ,,,.,,,:,.,.,, ,_.,...~.. =.
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588
OWNER OF LAND
ADDRESS
DATE-Started
Ended
/
PERMIT NUMBER '] 7 ~) c/~] 7
DEPTH OF WELL
STATIC LEVEL OF WATER
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From C) Ft. to ~
From ~ Ft. to.
From o Ft, to 74
From / '~ Ft, to ~'~)
From ~Z') Ft, to ~:/<~ Ft.
From '~'q' Ft, to Ft
From Ft, t~ Ft,
From Ft, to.__.Ft
From Et, to. Ft
From Ft, to.__.Ft
From Ft, to Et,
From Ft. to Ft,
From Ft, to Et,
From. Ft, to Ft,
From__Ft, to_ Ft.
From__Ft, to .Ft,
From Et. to Ft,
Ft. Oct~,~ ~0,4/3~ao From. Ft. to Ft.
__Ft ~6eq~' ~- ~r~ ~ From__Ft. to Ft.
. Ft.~O ~t ~ (~ From Ft. to Ft.
Ft. 3/}% 0 ~4~0~ ~O~7~'~From Ft to Ft,
~z~O~o< /~ From__.Ft. to Ft,
From Ft, to Ft,
Fromm. Ft. to Ft,
From__.Ft. to Ft
From Ft, to Ft
From-- Ft, to Ft
From Ft. to Ft
From Ft. to Ft
From__Ft, to Ft
From Ft, to__ Ft,
From~Ft, to__ Ft,
From Ft, to Ft
MISCL. INFORMATION:
0(7
"~ O0. O0 '
,:)
,9
EASEMENTS OF RECORD OTHER THAN
THOSE SHOWN ON THE RECORDED
PROPOSI~D CONSTRUCTION PLAN
I hereby certify that I have surveyed the following
described property: LOT- I~: i~_LJ~ II
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property
lines and do not overlap or encroach ¢": t~e property
lying adjacent thereto, that no improvements on prop-
erty lying adjacent thereto encroach on the premises in
question and that there are no roadwa>s transmission
lines or other visible easements on said ~operty except
as indicated hereon.
Dated at Anchorage, Alaska
FRED WALATKA & ASSOCIATES
Parcel I.D. #
1. GENERAL INFORMATION
Complete legal description
Henkins
'= DEPARTMENT OF HEALTH & HUM/
Division of Environmental
. .,. ,: ,;, On-Site Service,~
,.. . . ~- p,O, Box 196650 Anchorage
:" .. ~., , ~. . 343-4744
CERTIFICATE OF HEALTHAUTHORI!¥.:
' ': ~ APPROVAL FORASINGLE
· , . '~ :L~ '~ ~.'~
(~j~Z-~ ..~ ,.~Ot~ _ ;~),OI .~:, ~i.."HA'A'.
Lot 13, Block-1
Location (site add~ess or directions)
16038 Division Street, Chugiak
Property owner
Mailing address
Lending agency .~;/A
Mailing address
M~I],~ c/o Brad Mills ~ Day phone 694-5964
Eagle River; AK" 99577
Day phone
Agent
Address
N/A
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
NOTE:
Public water - --
If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
· Holding tank .:,..' _
Community on-site
Publi Sewer '"
NOTE: If community wastewater system, proWde!Wdden'confirmat on from
attesting to the 'legality and status
J
STATEMENT OF INSPECT, ION/BY,ENGINEER
As certified by my seal affix,,ed heretQ.and as of the validation date shown be ow verify that my
investigation of this Health~,A~th~,ii~!Approval app cat on shows that the on-s te water su
. .~' ' .' ,-:c' ~i' ~.,~;-~,'. . PP Y
and/or wastewater dlsposa! Syste/fi ~s safe, functional and adequate for the number of bedrooms
· and type of structu re indicb, te(
'the Munici a,ty of Anchi' ?G
h'.'
supply and/or wastewate~'dls
ordinances, and regulatlb~Sl'r
Name of Firm 'Rag'le R'iV~ ~
Address
er~'i'l~l;~ ~-t,~ I,,further. verify that based, on the information' obtmned' from
ues'.'¢~d from my invest gafion and nspect on the on-s te water
~:'~ :,~ ,.¢i~ '. r ' . ,
sa[system is in compliance with all Municipal and State codes,
ffect 'on the date of this inspection,,
'-..? ':.i~ ' [
~glneerJ_qg Services
. .... 'Phone 694-5195
Engineer's signature
Approved for :bedrooms.
,-,, ~,~ ur"'sa~rove'-'. ' · '"
Conditional approval ior
Date /./.:~ -,,-, / ~, ¢
bedrooms, with the following stipulations:
Additional Comments
'..-....~ ... ThC..MuCflol rage DePartment 0f Health and Human Services (DHHS) Issues Health Authority
:-' ./...."ApprovaI.O6rtifi'ba~[es based only upon"the:rePresentations given n ara ra h'5 above b a
~ / .... : ~, .: . . , ..... P g P y n independent
* ~, ~'/Pl'.0fflssu°P'~l'eng~neer registered ~n the State of Alaska The DHHS does th s as
'~,,_L'.,,~ ,', ~,; ....... ,,.:;~, .,...., : . acourtesytopurchasersofhomes
u~g.mcjr,~ena~ng msmuuons ~n orae(toi~,~,t~l,S~/,9~.e.,~ai ,rt federal and state requ rements. Emp oyees of DHHS do not
conduct Inspections or analYze:~;;!~f6r~!~':!~;~ f cate s ssued The Mun c a ty of A c g ' t
-. ..... ,. ~',i,,:~,~'~:,:,.,;,,.. P n hora e IS no
responmble rot errors or omissions-in the Professl0nal engineer's work
Legal Description:
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanita~ seal (Y~)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska 99501. (907) 343-4744
Health Authority Approval Checklist
If A, B. or C, attach ADEC letter. ADEC water system number
Date completed q, /'(2,/7 7
Cased to ~'~ Casing height (above ground)
/-/1~4
Wires properly protected (Y/N) /V~
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ~- Nitrate ~'~,3 ////&./Z-- Other bacteria
Date of sample: gg/,,~ ~'/~;/-F Collected by:
B. SEPTIC/It.O~iNG TANK DATA
Date installed 0~,/~?/'¢ Tank size /~0 0
Foundation cleanout (Y/N) Y~ Depression (Y/N)
Date of Pumping I/:a ,-/lq ¢ Pumper
Number of Compartments ~-~ Cleanouts (Y/N)
High water alarm (Y/N)
Fluid depth in absorption field before test (in.):4 dry
Fhfid depth (~) (ins.) Minutes later: / g6
Peroxide treatment (past 12 months) (Y/N) /.,///z)
hmnediately alter t/ifa gal. water added (in.):
Absorption rate = e q¢o .g.p.d.
If yes, give date
/?
C. ABSORPTION FIELD DATA
Date installed /'?~/3~ Soil rating (g.p.d./ft2 orTt~odrm) J ~7.~Z~ SysteIn ~e
LenVh ~ ~ Width ~ ~ n ~. / y/
Gravel thickness below pipe Total depth
Effective abso~tion area ~ ~ Mo~toring Tube present(Y~ ~ Depression over field (Y~) ~
Date of adequacy test ~/,//'3/p Z~ Results ¢ass~ail) ~ff~ For ~ bedrooms
D. LIIWF STATION /A////~
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size m gallons
"Pump on" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
/
Septic/lmldmg ta]~ on lot /-'
Absorption field on lot 7~-/t90 /
Public sewer lnain
Sewer/septic service line
; On adjacent lots -/-/oo/
· On adjacent lots ~/°"/
Public sewer manhole/cleanout
Lift station
"Pump off' level at*
Rev. 8/95 OSS: baa.wk.doc
F. ENGINEER'S CERTIFICATION
1 certifv that I have determined thrufield inspections and review of]v/unicipal recordg~Thdt [h~' abb:u~ sv~t&q~s are
in con/brntance with MOA H~ guidelines in effect on this date. r~; ,'q~" c4 ;. ¢% ',~::. 7 ,.
Slgll,lture~~
Eugmeer s Name
............................................................................................................. '5~ec _:C02=~& 2~: .........
HAAFee $ =~ t ~ Waiver Fees
Date of Paynlent /-- 2q--~{ Date of Paynlent
Receipt Nnmb~r / C/.~ ~ >7~ Receipt Number
Water maiWservice line ,~, o ~
Driveway, parking/vehicle storage area ___
Wells on adjacent lots ~- /o,, ' Property line
Baildirtg foundation '7~/~ '
Surface water 'P / OD /
Cartain drain /,,'/,4
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
SEPARATION DISTANCES FROM SEPTIC/H~-I~NG TANK ON LOT TO:
Building foundatiou ~ t ~
Property line 7L .~ 0 Absorption field
Water main/service line Y'/,; Snrface water/drainage ~/~) ~ Wells on adjacent lots
15:54 C-~.~.ERCIAL TESTING -*
m, CT&E Environmental Services inc.
Labor~tory Division
~T~ ~,f., ,~.o~59-~ Laboratory Analysis Report
Clien~ Sa~le ID L/~ BLK1 ~kNF~TNS
UA
woRK order 206~1
~eceivedDaC~ 01/1~/96 % 1~:45
Technical Director STEPHEN C- ~DE
sample Remarks: ~/~pLE COL~LEci~D BY: d.W,
~de~ed=~, Eepor~ed ~lue ie ~ D~ac~l~l ~ntlficatio~
1~ W. Po~er Or,e, A~e;~e. AK 99518-16~ -- Tel: (9~ 562-2343 F~: [~7} 561-~01
E~IRONMENT~ FACialS IH ALA~, ~U~RNIA, ~OR~A, I~IN~S, MARY~D, MIC~N. MISSO~I, NEW JE~Y. ~lO. W~ VIRGINIA
~ I I
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONI.[ENTAL HEALTH
APPLICATION FOR HEALTH ALrrHORITY APPROVAL CERTIFICATE
Application Date /O/~-/~zb
1.
General
Information
(a) Legal Description (include lot, block, st[bdivision, section, township, range)
Location (addres. s or directions)
(b) Applicants Name~//.i~?
Applicants Address /~L~ I.~.~,
(c) Applicant is (check one) Lending Institution
Buyer ~ ; Other ~ (explain);
(d) Lending Institution
Telephone - HomebC'','r'' 2f~u~Jsiness .5 ,'~'/0 ~-
~---~ ; Owner/builder~ ;
Telephone
(e) Real Estate Co. & Agent
Address
(f)
Telephone
Mail the IIAA to the following address:
f /:.
..~~7 o "5 '7 7"
2. T_~e of Residence
Single-Family.'
Number of Bedrooms
3. Water Supply
Multi-Family~
Other (describe)
co.: ? . .--',
Note: If community well system, must have written conzrrmat~on rrom~ne 8tane '
Department of Environmental Conservation attesting to the legality and status.
4. Sewage Disposal
Onsite ~ Public ~-~ Community ~--7 Holding Tank ~--~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
DHEP App{oval
Approved for ~5~bedrooms
Approved~__ Disapproved
5. Engineering Firm Providing Inspections, Tests, Fi_le Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval 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 regula-
tions in effect on the date of this inspection.
Name of Firm .A~-/~._~.;~_~O ~"~f_ Telephone ,~ z{~_ ~ 7/!
~.%.% c:-~ao9 .' O-~
By ~ ~2': ~ Date
Conditional
Terms of Conditional Approval
CAUTION
THE ~U~;ICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGIb~EER REGISTERED
iN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCI{%SERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
ae
Be
WELL DATA
Well Classification
Well Log t~esent (Y/N)
MUN$CIPAI.ITY O~: ANCHORAG~
DEPT, OF HEALTH &
ENVIRONME~NTAL P;IOTEC'EION
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description: ' ' ~/'~
If A, B, or C, D.E.C. Approved(Y/N)
Date Completed 10 '-1 ~- 7 7 Yield
Total Depth .~ Cased to
Static Water Level _6~'
Casing Height Above Ground ~
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
Pump Set At
Y
Depth of Grouting.
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots /~D ,~-
To k%arest Edge of Absorption Field on Lot /~/.i-~ ; On Adjoining Lots
To Nearest Public Sewer Line ~/ f~ To Nearest Public Sewer
Cleancut/Manhole /%7//~ To Nearest Sewer Service Line on Lot ;~
Date Installed ~//~_~/~/~ Size /0//0~.~ NO. of Compartments
Standpi~s (Y~) ~ Air-tight Caps (Y~) ~ Foundation Cleanout (Y~)
~pression ove~ Ta~ (Y~) ~ Date ~st P~d /~
P~ing~aintenan~ Con~act on File (Y~) ~./~ ; for
Holding Ta~ High-Water Ala~ (Y~) ~//~ Te~rary Holding Tank Permit (Y~)/~//~
Sep~ation Distan~s ~ ~ptic~otding Tank:
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course
;3o 4--
To Building Foundation
To DispoSal Field
To Stream, Pond, Lake, or Major Drainage
Con~ents
[Page 1 of 2]
Receipt ~
Date Paid:
Amount: L~f%~
2-15-84
C. ABSORFI'ION FIELD DATA
Soils t~ating in Absorption Strata
Date Installed /~ /~,~ /~-
Width of Field /-~;-~
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field ~'-3z
!
Depth of Field
Gravel Bed Thickness 3-
Standpipes P~esent (Y/N)
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well /~/~ ' ~'~' To P~operty Line //.
To Building Foundation 2m~ To Existing or Abandoned System
;
not /~.~ /~(.~ ~ ; On Adjoining Lots
To Water Main/Service Line .~3 .¢ To Cutbank( if present)
To Stream/Pond/Lake/or Major Drainage Course .A//~
To Driveway, Parking Area, or Vehicle Storaoe Area ~ .%
Comments
De
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
Meets MOA
Comnents
** Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verified, or conformed to all MOA HAA ~ideline. s in effect
on the date of this_ir~pection.
Signed Date /~/,~ ,~ ~ ~ ×
, J~..% ~ · ......
'~ 'c~.. % Cc. 436? ~ e,~,~? .~'~
2-15-84