HomeMy WebLinkAboutLAKE HILL ACRES LT 11MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251264
Work Type: SepticTank Upgrade
Tax Code Number: 05105240000
Site Legal Address: LAKE HILL ACRES LT 11 G:1561
Site Mailing Address: 24307 RAMBLER RD, Chugiak
Owner: SCHULTZE MICHAEL ASHLEY
Design Engineer: Northern Lights Construction and Engineering
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
8/5/2025
8/5/2026
32030
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Issu
Date: 8/5/2025
Date:
3
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 05105240000
Property owner(s) MICHAEL SCHULTZE
Day phone 907-301-7246
Mailing address 24307 RAMBLER ROAD, CHUGIAK AK 99567
Site address 24307 RAMBLER ROAD, CHUGIAK AK 99567
Legal description
LAKE HILL ACRES LOT 11
Number of Bedrooms 3
Engineering Firm NORTHERN LIGHTS CONSTRUCTION AND ENGINEERING
Building Permit Number
Not Applicable X
APPLICATION IS FOR: APPLICATION IS AN:
(E all that apply)
Disposal Field
❑ Initial ❑
Septic Tank
El Upgrade ED
Holding Tank
EJ Renewal El
Privy
❑
Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees: 22Y
Date of Payment: 7124117S
Permit No. 0jP2112(ff
Z -
May 2025
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
Northern Lights Construction & Engineering
Ph: 907-854-5244
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for Lake Hill Acres Lot 11
Dear Reviewer,
The above referenced property is currently served by an older septic system with a failing tank.
Our review of available documentation and field investigation show that this project will not adversely
impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing
onto and off of the subject property.
As shown on the plan, the tank and field will be greater than 10’ from the house foundation.
The tank will be of MOA approved construction.
The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover or a minimum of
4’ of cover without insulation.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5244 or by email mpbalzarini@gmail.com with any questions or concerns.
Sincerely,
Matthew Balzarini, PE
7/28/25
7/28/2025
7/28/2025
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
NAME
MA'L N6^?'DRESS D
B,STANCETO: IW"" ~
Abs°rpti°~ '~7
~ ~ Manufacturer
Liq. ~
I F HOMEMADE: Insid~ length
PHONE
Dwelling ~'/,~
Material
Widt h~=~._.__
Manufacturer Material
DISTANCE TO: WeU ./~'/~ Foundation /~/~ INearestlot~ /~
No. oflines '/, Length of e~.G~lSe / Totalleng~f~ees/ .Trenchw~
Top of tile to finish grade ~ /~ IMaterialbeneathtne ~S inches
Width ~ Depth
Crib dapth
Crib diameter
Well
De pt.~h ~, .
Building foundation
[] UPGRADE
DISTANCE TO:
NO. OF BEDROOMS
No, of compartment~L¢'
Liquid d ept h..~
PERMIT NO.
Liquid capacity in gallons
Distance between lines
Total effe. ctivR,..absorp_4C~?n area
PERMIT NO.
Total effective absorption area
Building foundation Nearest lot line
Sewer line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area(s)
OTHER
PIPE MATERIALS
I Fi~AE LER
REMARKS
DATE
LEGAL
PERMIT NO.
RF'F'L I F':RNT ~.~t~t~;--~..~_'~t~.tE-
LOC:RT 1 ON
LEGRL Lti LAKE HILL RE:RES
DEPRRTblENT C 'HEALTH AND ENVIRONMENTAL . .OTECTION 825 "L'" STREET, BNCHORAGE, BK. 9L~50±
S'FRR RT ~2 E ELE
LOT SIZE 9999?9 SQUBF.:E FEET
T'-,"F'E F~F SRIL RBSORF'TION SYSTEM IS: TRENCH
I IFt;.',Ii'IUM NUMBER OF BEDROOMS = 3: SAIL RATING ,:.'SQ FT,/BR)= ~10
THE REQLIIRED SIZE OF THE SOIL RBSORPTiON SYSTEM IS:
[>EF"TH= ~: LEi'-4GTFt= ,7":~- r:- . - . ,
-- _ _z F-.H -.- EL [:.EPTH= 4
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF B TRENCH OR PIT iS THE DISTBNCE BETWEEN THE SURFBCE OF THE
GROUND BND THE BOTTOM OF THE EXCBVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFBLL PIPE
BND THE BOTTOM OF THE EXCRVATION (IN FEET).
~:E,g!Li l- F4E[:. SEF'T I C: TR~-.~k~' :='-i l- ZE= t ,.----,£-,i.-'-r--t ,.]RI LC,~'-4S
F'ERMIT RPPLICRNT HRS THE RESF'ONSIBILITY TA INFORM THIS DEPRRTMENT DURING THE
INSTBLLATION INSPECTIONS OF BN'.r' WELLS R[:,JBCENT TO THIS PF.:OPEF.:TY AND THE
NUMBEF.: OF RESIDENCES THAT THE WELL WILL =,EF..,,E.
T ~.l Ci .:: ':- ;:.
BRCKFILLING OF RN'¢ '"]YSTEM WITHOUT FINRL INSF'ECTION RN[:, RF'PRCI'v'RL BY THIS
[:,EF'RRTMENT WILL BE SLIE:JEC:T TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND ANY ON-SITE SEWAGE DISPOSBL SYSTEM IS
±00 FEET FOR B PRIVBTE HELL OR ±50 TO 200 FEET FROM B PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTBNCE FROM B PRIVATE HELL TO A PRIVBTE SEWER LINE tS 25 FEET BND
TO B COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS BRE REQUIRED BND MUST BE RETURNED TO THE DEPBRTMENT WITHIN ~0 DBYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MBY BPPLY. SPECtFICBTIONS BND CONSTRUCTION DIBGRBMS BRE
AVAILABLE TO INSURE PROPER INSTALLBTION.
I CERTIFY THRT
l: I RM FBMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS fiND WELLS AS SE]'
FORTH BY THE MLINICIPBLtTY OF BNCHORAGE.
2: I WILL INSTBLL THE SYSTEM IN ACCORDBNCE WITH THE CODES.
~: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THBN S BEDROOMS.
S I GNE[:,:
RF'PLICRNT OTTO. & M.J. LOWE
ISSUE[:' BY__ _DRTE__
V4. 0
:';";*'~)~¢~N' THE T'~E OF PU8LIC ~ELL.
~; I H~LL ~N~F~Lk THE 5YSTEH
~' " MU~IblPALITY OF AI~CHOR~,GE --
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
SLOPE
2
3
'SOILS LOG
PERCOLATION
TEST
SITE PLAN ..
10
11
12
13
14
15
16
17
18
19
20
No. 1457~E
COMMENTS
PERFORMED BY:
WAS GROUND WATER ~ O I~_
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ 0 (minutes/inch)
TEST RUN BETWEEN FT AND--~ FT
CERTIFIED B
erAfle rfll g Eog
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started - ' ~
PERMIT NUMBER
Ended
: ' · ~'~ , ; :.: .: ,-, ~ DEPTH OF WELL ' '
, ~ .--, ~,: ..... %~'c'~/:STATiC LEVEL OF WATER FT,
DRAW DOWN FT.
GALS. PER HR ' ' ' ' :
KIND OF CASING ; ' ' -
KIND OF FORMATION:
From
From
From
From
Ft. to · Ft.
Ft. to ~'-~,,. Ft.
Ft. to ] %--Ft. -
From ;-' Ft. to '? ;~ Ft.
From , Ft. to .: ,:.' ,Ft.
From__Ft. to C' 'Ft.
From' , Ft. to , · ; , Ft.
From__Ft. to___Ft
From__Ft. to Ft
From Ft. to Ft
From Ft. to Ft.
From Ft. to Ft
From Ft. to Ft
From Ft. to Ft.
From__Ft. to__Ft.
From Ft. to Ft
From
From
From
From
From
' ,' ": ~' From
From
From
From
From
From
From
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
__.Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft. to
Ft.
Ft.
Ft
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
MUNI~IiPALITY OF ANCHORAGE:
DEPT. OF HEALTtl 8:
ENVII~.NM,':NTAL PROTECTION
ECF. i: ED
Ft.
MISCL. INFORMATION:
September 22, 1983
Municipality of Anchorage
Department of Health &
Environmental Protection
Pouch 6-650
Anchorage, Alaska 99502-0650
ATTN: Laura Ward
MUNICIPALITY OF ANCHORAGE
DEPT. OF HR/",LiiJ C:
ENViRONP./I:N~ AL
RECEIVED
RE:
Inspection Report for On-Site Sewer Disposal
System
Permit No. 830093
Dear Ms. Ward:
In August of this year, we had an on-site septic system installed
on our property in North Peters Creek. Attached you will find an
inspection report on said septic system, completed by S&S Engi-
neering of Eagle River. You will note that the report, as well
as the permit are in the names of Otto & M.J. Lowe. We purchased
the property from Mr. & Mrs. Lowe in July of this year. I've
spoken with Mr. Lou Buckholdt of your Eagle River office and he
said he would change the name on the permit to Roseann Mourtsen.
Since we will be drilling a well within the next month, I con-
tacted your Anchorage office to determine the placement of a
septic system (if any) across the road from our lot. In talking
to Terry, of your Anchorage office, I found out that there is
some confusion as to Lot numbers in the subdivision. In order to
help you record our septic system and our well on the proper lot,
the following is all of the information I have available regard-
ing the property location:
Lot 11 Lake Hill Acres Subdivision
SE 1/4 Lot 2
BLM Lot 2, Plat P-374
One of the questions Terry asked me was in regard to which
addition we were in. There is no mention of this being part of
the Original or Addition 1 to the subdivision. If you require
further information, please contact me by mail at:
Roseann Mourtsen
P.O. Box 4-18
Anchorage, Alaska
99509
If you need to talk to me, please feel free to telephone 277-4651
(home), 279-8491 (work). We will be submitting the well log as
soon as the well drilling is completed.
Thank you for your help.
Very truly yours,
Roseann Mourtsen
'~ E~llq rC'ii~ALiTY 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
NAME / PHONE ~ ~NEW
MAILIN~ ADDRESS ~
LEGAL
LOCATION NO. OF BEDROOMS ~
Well ~J~ I Absorptio~ ~ Dwelling ~/~ PERMI~ C~ ~
~ ~ DISTANCE TO: ,
~N ~ Manufacturarf_~ ~ - Ma~e~ _- No, of compartment~ ~
Liq.,/C? ~ ~P~i~ ikqalJons IF HOME.DE: Inside !ength .~ ~idt~ Liquid d~
Well '~//, Dwellina PE~ITNO.
~ ~ , D STANCE TO:
O Z ~ M~nufacturer ...... ."-:: ~" ~aferial ' ~ '4 .- . :.
[ -- k liquid c~pacity in gallons
.~_S DISTANCE TO, Well ~:~ 5~ Foundation: ~J>~ inches/~' ~O'
~ ~ ~ No. of lines Length /
Distance between lines
-- ' . / of Total ,eng~fCe, Trench w~ ~
Total eff~ti~abso~on, area
~ ~ ~ Top of tile to finish grade ~ I ~ Material beneath tile
~ Length Width ~// Depth PERMIT NO.
~[~ ~ Type of crib Crib diameter ~ Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ~. ,D Distance to lot line PERMIT NO.
~ ~ISTA~CE TO: Buildin~ foundation Se~er Iin~ Septic tank ABsorption
OTHE~
SOIL TE ~TING ..~ /
I~STALLER
REMARKS
~ . ;,.K~t~~/,~, ~- I'~ 7~ ~-~ ~
/--C /
APPROV~' t~ //. 1' DATE LEGAL : ~'~:~ ~ E~INEERING
PiUFI · r__- 1' PFIL ]; T'¢ L'IF' FINCI IORIR~--iE °
WELL f-~NO ,..'~N--~'~ Z TE SEWER pERI'~ I l'
TFiENCH
' i
~C~ R~ ~E ~3TTOI-I OF THE
~ ~HE ~TTOM OF THE EXC~VRT(ON (IN FEET).
F'~IT RppLIci~-tT ~ ~E R~SPON~[SILITY TO
t~Ut48~ OF RESID~2ES TH~T THE NELL 14ELL ~ERVE.
~,~:FILLINO OF ~Y ~¢~TE~t ~4ITH~J~ F/N~L
E, EPRRTN~T MILL BE '~JB./ECg TO
UPON THE T'¢PE OF PUBLIC NELL
TO R C0l~f'¢ S~14~ L~N~ [S 7~ FEET.
'OF FH~ M~LL C~3~LETIF~].
I CERTIF'S¢ T,,F~.'T n~,¢-,-- ¢'. ~-'~,~-~,'~
¢~m~d ~'? Tm~ P~--~T:~LI
,~,L~ LiE ..........
'2: ! '" ' .,~,.~_~t~,'~¢' ' ~
Parcel I.D. # /~.~-/'- (")~- ~
1, GENERAL INFORMATION
Complete legal description
MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section MUNiciPALiTY OF ANCHoP, AGE
P.O. Box 196650 Anchorage, Alaska 99519-6650ENVl--.
343-4744 ~UN~ENTAL SERVICEs DIVISION
CERTIFICATE OF HEALTH AUTHORITY S 'P 72 1997
APPROVAL FOR A SINGLE FAMILY DWELLING
Location (site address or directions) ~ ~y/~C~ 7 ~ ~'~ /~ 1 ~ ~. '-~'/
Property owner /~X~'~/~'(-~rl~_ /~/oF~'~,'--- Dayphone &Tpzl
Mailing address
Lending agency
Mailing address
Day phone
Agent
Address
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-Site
NOTE:
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 MOA#21
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 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.
Name of Firm
Address
Engineer's signature
KND Engineering
20441 Ptarmigan Bvd.
Phone
Date
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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.
72-025 (Rev, 1/91) Back MOA f¢21
MUNiCiPALITY Oi: ANCHORAGE
Municipality of Anchorage ENW~O~NTAL
DEPARTMENT OF HEALTH & HUMAN SERVICES $£p 1 2
Environmental Services Division
825 L Street, Room 502. Anchorage, Alaska 99501. (907) 34~E IV E D
Health Authority Approval Checklist
Parcel I.D.:
A. WELL DATA
W~ll type ~
Log present (Y/N) Y
Total depth ~ .~. / /
Sanitary seal (Y/N) ~
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to .~-..~ /
FROM WELL LOG
Casing height (above ground) z.//~
Wires properly protected (Y/N)
Date of test
Static water level
Well production
AT INSPECTION
g.p.m.
/72.
g.p.m.
WATER SAMPLE RESULTS:
Coliform ¢ Nitrate
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed ~-2~,~ Tank size ,,/~)
Foundation cleanout (Y/N)
Date of Pumping
C. ABSORPTION FIELD DATA
Date installed ¢/~
Length ~ ~/ Width
D./D
Collected by:
Effective absorption area
Depression (Y/N) ~
Pumper ._//¢¢~. ~.~r~
Other bacteria
Number of Compartments ,~ Cleanouts (Y/N).__
High water alarm (Y/N) '""----
Soil rating (g.p.d./fF or ft2/bdrm)
Gravel thickness below pipe
~ ~,~.~ Monitoring Tube present (Y/N) /
2-,~ ~ ¢ 7 Results (Pass/Fail) ~
Date of adequacy test
Fluid depth in absorption field before test (in.);
Fluid depth 7~ (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
~,/Z:~ System type /~,~/~-~',~ .~
Total depth
· Depression over field (Y/N)
For ~.~ bedrooms
Immediately after ¢?¢) gal. water added (in.):
Absorption rate = y/70 '/' g.p.d.
If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested /
Size in gallons
"Pump on" Level at*
*Datum
"Pump off" level at*
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on Lot
Absorption field on lot
/0~ ~
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/eleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ,/~:¢) 4-- Property line / ~ .,c Absorption field
/
Water main/service line .~ ~ Surface wateddrainage /DD + Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
/ /
Property line /~) -h Building foundation /E~) -/-- Water main/service line
/
Surface water //f.'~ ~ ¢' Driveway, parking/vehicle storage area
Curtain drain /~ ~'¢'
Wells on adjacent lots
ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal records
in conformanjc1 with~AA guidelines ineffect on this date.
Signature ~-~. ~
Engineer's Name ,~m,,~.~,'~ v,,.*, , _
Date ~' / ~7.. \c17
Waiver Fee $
Date of Payment
Receipt Number
HAAFee $
Date of Payment
Receipt Number
72-026 (Rev, 3/96)*
K
D
AS-BUILT SYSTEH DETAILS
LAKE HILL ACRES SUBDIVIS[ON, LET
11
A-C=80,4'
B-C=54,1'
A-D=43,3'
E-D=64.8'
A-E=70,5'
B-E=106.5'
A-F=66,0'
B-F=102.6'
co E
TING TANK
BDR/
SFR
SCALE: 1' = 50'
THIS IS AN AS-BUILT OF WORK PERFORMED BY OWNER TO BRING SYSTEM INTO COMPLIANCE WITH CODE.
NOTES:
1. FOUNDATION CLEANBOT HAD BEEN BURIEB ANB WAS UNCOVERED,
2, OWNER INSTALLED CLEANOUTS AT BOTH ENDS OF TRENCH,
3, POST TANK CLEANOUTS ALSO INSTALLER AT THIS TINE,
4, OWNER INSULATE~TRENCH & TANK WITH 2' HD BURIAL FOAM,
5. OWNER INSTALLED FABRIC OVER TRENCH.
PREPARED FOR:
MARK & RAMONA NORMAN
24307 RAMBLER ROAR
CHUGIAK, AK 99567
KND ENGINEERING
20441 PTARMIGAN BLVD
EAGLE RIVER, AK, 99577
(907)696-6111/Fax (907)696-8111
DATE: 9/11/97 ]DRAWING N
SCALE: AS NOTED[ 97065-Sl