Loading...
HomeMy WebLinkAboutLAKE SHORE LT 1Lake Shore Lot 1 #011-111-20 GREA IIER ANCHORAGE AREA BOR,.,JGH °'l '�I'� Department of Environmental Quality �� ��.< ``"` "' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISyPOSAL SYSTEM NAME _V �-- r�I��-��1 MAILING ADDRESS v' /yam n I �� PHONE LOCATION /��-So ' `� LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /©0 / MANUFACTURER MATERIAL INSIDE LENGTH / INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY/ GALLONS. TILE 'ECD: PI.9tgJSec) S(f( ( 30 ! TOTAL LENGTH / DISTANCE FROM WELL 0'4- FOUNDATION NEAREST LOT LINE OF LINES /J � NUMBER OF LINES ( DISTANCE BETWEEN LINES TRENCH WIDTH- 61N. TOTAL EFFECTIVE ABSORPTION AREA 7 ?(e�, SQ. FT. LENGTH OF EACH LINE J ' / / DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ` IN. ABOVE TILE /vIN. WELL: ©t— vIv)(1-e d A�t- T(/ -4,4_r- ©"P -9,e w e v- Aptk00o--q_ TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL APPROVED DISTANCES: OTHER SOURCES DISAPPROVED INSTALLED BY: , SEWER LINE DEPTH: PIPE MATERIAL: p LOT SLOPE:] y �j REMARKS- ,6- EMARKS: �ieC�4�[?d/l�l NEAREST SEPTIC SEWER LINE , TANK_ REMARKS DIAGRA 4A i 14: PdoPosec) We ! f e�Gr+t DATE -S DEPTH DISTANCE FROM: SEEPAGE SYSTEM_ FSYSTEM su>>n P 61 1 flczl�' c A le-ariocit Ife cieawogT At Fi fkll �lAV t`a +filet IV 54Mp 14700 $fvl. iniuK (� - - APPROVED _ G.A.A.B. wPip;||slNT uF HEALTH HND ENVIRONMENTHL ;KO|11UP-1 2516 E�TUDOR RD, HNCHORHGE/ HK� ���07 /� 0~77 �, 276�2221 77� ` ���� ��� ��~���� ���� ���� PE�MIT NO ( 76942 ) �~ ������������ ���� � « '� / �~� HPPLICHNT P III BOX �w�`�°�'� ]44�5020 LOCHTION 80TH HVE LEGRL L1 LHKE SHORE SUBD LOT SIZE ]1]17 SQUHRE FEET TYPE OF OI SL HBSORBTION SYSTEM IS� TRENCH v "~ MHXIMUM NUMBER OF BEDROOM5 � 5 SOIL RHTING (SQ THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM ������ ::1-. ;2: ������� �� �W N �� [�F-` 11 � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHvHTION (IN FEET) �, 101 Q v< V`._-:: ���0..,Ill���ll�� y :1 sit BE -UD" ~ ', w \|`' EITHER H CLHSS I OR If NSF HPPROVED PLHNT MAY BE INSTHLLED`J H CONTINUOUS MHINTENHNCE HGREEMENT IS REQUIRED. IF H MHINTENHNCE HGREEMENT IS NOT KEPT CURRENT YOU MHY BE REQUIRED TO ENLHRGE THE SOIL ABSORPTION SYSTEM HND/OR YOU MHY BE SUBJECT TO PROSECUTION IF H CLASS I SYSTEM IS USED THE LENGTH IS 40.0 FEET. IF H CLHSS II SYSTEM IS USED THE LENOTH IS 0 FEET. ��.1 KiJi < �F.--,, L : u..:�11 ­ 1 [CiA T�4 Fv:,f �=E �? IC.,A IL .... 9 1, E:*,.-.� BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON~SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOG5 FARE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION. ` �EE: ���� "���E.:. �IliDI IF�;!! 0I V-4 EE: IF ���II "1 �N-JI lEi.-, � ^ I CERTIFY THAT 1: I HM.FHMILIHR WITH THE FOR ON�SITE SEWERS HND WELLS AS SET ` FORTH BY THE MUNICIPHLITY OF HNCHORHGE '2: I WILL INSTALL THE SYSTEM IN HCCORDHNCE WITH THE CODES `]: I UNDERSTHND THHT THE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE ` RESIDENCE IS ELED TO INCLUDE MORE THHN 5 BEDROOMS �� ~\ n ICHNT DAVID R �~,�^� � / ISSUED B ~~~-____� ANCHORAGE FAIRBANKS CONSULTANTS, INC. JUNEAU 249 EAST 51STAVENUEP.O. BOX 8087 • ANCHORAGE. ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090.35419 September 22, 1975 R & M No. 562124 3 Mr. David Ring P. 0. Box 1304 Anchorage Alaska 99501 RE: Test Hole and Soil Log Report for Sanitary System Lot 1, Lake Shore Subdivision Dear Mr. Ring: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was per- formed in accordance with your request of September 22, 1975 and those proce- dures`outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 1 area for:the purpose of de E fining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 16.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney Vice President JWR/WED/ja xc: GAAB MUNICIPALITY OF ANCHORAGE oft 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. 011-111-20-000 Expiration Date: Legal description LAKE SHORE LT 1 Site address 5111 W 80TH AVE Anchorage AK 99502 11/6/2024 Current property owner(s) NELSON JAMES MICHAEL &HANNA JULIE BROOKE X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 3/22/2024 'Phis Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory X Other COSA Approval_June 2022 R%A GE t �s4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 011-111-20 Complete legal description Lake Shore Lot 1 Location (site address) 5111 W 80th Ave, Anchorage, AK 99502 Current property owner(s) Jimmy & Julie Nelson Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank X Community Septic or Public Sewer TANK:5. SEPTIC Age N/A - See advisory if steel older than 20 years 6. ABSORPTION FIELD: E AVAWS E] Bed E Duep Tiench El Wide Tiench E] Seepayu flit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ ( SO I Date of Payment S r COSA# 0SC2i 107`-� Waiver Fee $ Date of Payment Waiver # COSA Application_ June 2022 Lake Shore Lot 1 011-111-20 41.9 Forge Engineering 11/6/23 N/A N/A N/A > Benjamin Schiller, P.E. Property is served by public sewer. (907) 522-7773 Received Date/Time 11/06/2023 14:36 11/06/2023 12:59Collected Date/Time 1236198001 Matrix SGS Ref.# Client Sample ID Lake Shore L1 w/o Filter Client Name Project Name/# Printed Date/Time 11/10/2023 15:36Forge Engineering Inc. Technical Director Stephen C. Ede Lake Shore L1 w/o Filter Drinking Water Sample Remarks: Parameter Results LOQ Units Method Allowable Limits Prep Date Analysis Date InitContainer ID Metals by ICP/MS HGS11/10/23EP200.8ug/LArsenic 11/07/2341.9 5.00 (<10)*B Waters Department EBH11/07/23SM21 4500NO3-Fmg/LTotal Nitrate/Nitrite-N ND 0.200 (<10)C Microbiology Laboratory M.A11/06/23SM21 9223B100mLE. Coli Negative 1 A M.A11/06/23SM21 9223B100mLTotal Coliform Negative 1 A 2 of 5 Arsenic Advisory Certificate of On -Site Systems Approval # OSC241074 Subdivision: Lake Shore, Block: , Lot: 1 A water sample revealed an arsenic concentration of 41.9 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904a 4 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 011-111-20 1. GENERAL INFORMATION Complete legal description Expiration Date: �2- 1-6—' / 3 Location (site address) 5111 W. 80TH AVENUE *ANCHORAGE, AK 99502 Current Property owner(s) DAVID RING Day phone C/O AGENT Mailing address 5111 W. 80TH AVENUE *ANCHORAGE. AK 99502 Real Estate Agent JIM STANDIFORD W/ DYNAMIC Day phone 244-3940 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer Received by. `�"_ 41L' -t`174 Date: i!/2- COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ � 9 d Date of Payment I O (3� 1 is Receipt Number ®G331 G� COSA# CSSO-9Z)15b1 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t 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. t further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for bedrooms. Disapproved. 337-6179 Date !o 131 -L Conditional approval for bedrooms, with the following stipulations: ON-SITE I WATER At4O W SVF-WA -R PROD AtA A The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other By: O (Rev. 11/05) Original Certificate Date: /1 -r)—'/2 If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: LAKE,HORE LOT 1 ParcellD: 011-111-20 A. WELL DATA *PER GEG INSPECTION **PER SURROUNDING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1977? Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth * 1 17+ ft. Cased to **40'+ ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test NO WELL LOG Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: AT INSPECTION 5/31/12 96 ft, 5.8 g.p.m. Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: 40.6 ug./L. Dateofsample: 10/l/12 B. SEPTIC/HOLDING TANK DATA PUBLIC SEWER Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping C. ABSORPTION FIELD DATA Pumper Date installed Cleanouts (Y/N) High water alarm Date installed Soil rating (g.p.d./ftlor ft'/bdr _ System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption a ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in abso n field before test _ in. Water added _gal. New depth _in. Elapsed T' _ min. Final fluid depth in. Absorption rate >_ - g.p.d. rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off level High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD T TO: Properly line Buildi ndation Water main Water service line Surface water Driveway, parldngivehicle storage Curia' n Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION 1 cerfrfy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 60412 (Rev. 11105) Municipality of Anchorage o p E Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 121501 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 1 of Lakeshore Subdivision. This inspection revealed an arsenic concentration of 40.6 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.inuni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ~� --- `- SAND LAKE 7578 !h 16.88 30 h Well i d SePtdc pent I� 24.7 b deck 8 ry p 20 a SCALE: 1'= 40' t 95 �seUse 9.p 27.7 to f Wood r� 2 -0 fence td7 (Yr^�. jtyp (Ti y O SLA/� p Ix v. ....� X51 I l OLot 1\ o +z.o a� o f PA,� Fred lWelatka j NO 3255-8 hed 7.0 Lot z Wood ret wall ed �� ( z }� 1 —storage , j ^ 20° Utility Easement y } AS -BUILT NO CORNERS SET THIS DATE _ I jQ L i hereby certify that I have performed a Mortgagee's inspection of the following describedproperty; ,fly 9 . LOT 9 W 11"Z-33LA EESHO.RE SUBDIVISION S82°17`49 0ce) 0 Anchorage Recording Precinct, Alaska, and that the jn( 80th Ave. improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises In question and 60' R. �. O that there are no roadways, transmission lines or other O co visible easements on said property except as indicated {� hereon. EASEMENTS OF RECORD, OTHER THAN - 'II Dated at Anchorage, Alaska dhis 17th THOSE SHOWN ON THE RECORDED t j dayofaWtWUr ,2092 PLAT ARE NOT SHOWN HEREON. Fb 77-6, pg 48 FRED WALATKA & ASSOCIATES Fb 92-5, pg 54 BE Engineers and Surveyors {907.248.9666) MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD, PHONE:(907)554-2752 BLOCKILOT/TRACT: LT 1 / SUBDIVISION: LAKE SHORE TAXCODE: 01111120000 GRID: SW2224 STREET ADDRESS: 5111 W 80TH AVE Anchorage, AK 99502 DATE OF APPLICATION: 09128/2012'; SCHEDULED COMPLETION DATE 12/31/2012 ® SINGLE FAMILY ❑ MULTI -DWELLING No. APTS ❑ COMMERCIAL OWNER: RIN6DAalI{3 T. E -D J & VAU H PHONE - 370 -5 tbf�.fiC ,a i3mr, t�t5o3 MAIL ADDRESS: 95114 CONTRACTOR Seeks Contracting ❑ Repair Existing Service Q On Property Only ❑ City Tap ❑ Hydrant Only ❑ Main Tap - To Property Line Onty ❑ Main Tap & On Property Connect Row No. Q Disconnect ❑ R & R - Main Tap Only CONNECT SIZE 4 in INSPECTION FEE $ 98.00 PERMIT FEE $ 63:00 $ 0.00 REIMBURSABLE DEPOSIT$ 000 NUMBER b-DOCCOD(F TOTAL $ 161.00 Private On Property Lift Station PERMI TEE (Please Print) MAIL ADDRESS SIGNATURE ASSESSMENTS ❑ Main Line Extension ❑ Have Been Levied 0 To Be Levied Comments. A c ISSUED WWSAP PAID ❑ CASH CHECK# +OTHER IK N't t INSPECTED BY 1S r'lP#C}Q! DATE It,_2sa:Z�» 2.V,_2o? . PHONE �aon t�` 0 POST €FIA CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATE SCHEDULED 42/31/2012 TIME 12:00 am INSPECTOR 4iLL-S r — SUBDIVISION LAKE SHORE BLOCKILOTITRACT LT 1 I INDICATE NORTH (Stt l `'3 SIC 6 rj w Dip Cn�a C .�.N tOt C1 �- Z �fS ,!� W,_4 t.tFs *ST'A7 is x 3° � rxza�� I SIZE MAIN: TYPE MAIN: DEPTH AT MAN: AT PROP. LINE: CONNECT LOCATION:9;4q Ic Vv ntiX ut COMMENTS 2 •, ttaP� � rnlp5 E o 1�' ' r Li`q•z' (Lea e€ra 'r U i t=I sTh. e o i5td Ca €NSEPECTED BY' /X-. 4 DATE' - i' 3 Its Tz- K t�. rx),SP f^2om 7 h�RP£ � naaeci i c I-iE T J37A. � { r, PVC -T-o, N S t Page 1 of 1 Sonja Blewett From: Dan Beek [danbeekl @gmail.com] Sent: Tuesday, October 30, 2012 8:03 PM To: Sonja Blewett Subject: Re: Regarding 5111 West 80th On Tue, Oct 30, 2012 at 6:48 AM, Dan Beek <danbeekli�Zbomail.com> wrote: Dear Sonja and Jim. The home is hooked up to the city is installed and the old tank and field is abandoned. Sonja is going to call AWWU to get info on install. Thanks Dan On Mon, Oct 29, 2012 at 10:02 AM, Sonja Blewett < wrote: Hello, do you have documentation that the old septic has been abandoned on 5111 West 80th? Thanks. Sonja Blewett Corporate Secretary/Treasurer Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Phone: (907j 337-6179 Fax: (907) 338-3246 10/31/2012