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Home My WebLink AboutBROWNS RESUB LT 15(PLAT P-472) LTS 8 & 9 T13N R3W SEC 13_3 1 F- F-- : W LTJ L� O 0 r- S89°59'00"E 65.00' S89059'00"E 65.00 'v U "L" ` c"V" 20' UTILITY ESMT 706 ,ri 30.3 n Ki 10' UTILITY ESMT STORAGE = 21 ' 7 • CO , 5.7' WELL GRAVEL O D/W 0.8' •CO CARPORT 0 40.0' 0.7' LO T 10.0' �w 22.0' 4.5' zV) 16.6' o N LOT 3 X o w 003 C 0' • co F-1 13.3' 10.5' 30.0' 0 0 N a O o LOT 9 0 0; CD zWC^ z 0 GRAVEL PARKING KEYBOX N90°00'00"E 65.00' LOT 8 10' UTILITY ESMT KEYB0X N90°00'00'E 65.00' PECK AVE LOT 7 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BROWNS RESUBDIVISION LOT 8 & LOT 9 PLAT P-472 ..�.��'��'�, SUR --F LAN SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a �! ,� 0• , , . T ` �, �, fl �1 physical survey of this property as shown on this drawing and that the � ;�� ' � improvements situated hereon are within the property lines and no / c� 0 enchroachments exist other than noted. Under no circumstance should/ .' 4 STH any information on this drawing be used for construction of fences, • • .. � ° structures, improvements, or for establishing boundary lines. R / a n FA EXCLUSION NOTES: It is the owners responsibility to determine ' : ' ' ' ' ' ' ' ' ' HN L. S • U R.• o " the existence of any easements, covenants, or restrictions which 4> do not appear on the recorded subdivision plat. LS -10408 � �'�.,,�..,.,,�,• 0. • �� / 1831 Talkeetna Street WORK ORDER NUMBER: DATE: SCALE:�� E-MAIL: ' @a • ' • .. • • . • . • • ' Anchorage, Alaska 99508 SEPT 23, 2025 1 =30 schullerak®gmail.com , Ar p(� ,,�. DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE: \\ O f eS •on0\ \' �► (907) 227-1455 office 25-116 JLS SW1240 250342 `�\� 5�� (907) 274-4992 fax O HOUSE CARPORT NI _� WELL® il 22.0' 4.5' 16.6' 003 C 0' • co F-1 13.3' 25.5' CD zWC^ � ,L 0 tn0 Ln zw Ln Cr)(7; w = o o F:: �o N L X w O 0 N z 30' 0 15.4' 8.5' Ln 0 34.0' 06 5.3' GRAVEL PARKING KEYBOX N90°00'00"E 65.00' LOT 8 10' UTILITY ESMT KEYB0X N90°00'00'E 65.00' PECK AVE LOT 7 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BROWNS RESUBDIVISION LOT 8 & LOT 9 PLAT P-472 ..�.��'��'�, SUR --F LAN SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a �! ,� 0• , , . T ` �, �, fl �1 physical survey of this property as shown on this drawing and that the � ;�� ' � improvements situated hereon are within the property lines and no / c� 0 enchroachments exist other than noted. Under no circumstance should/ .' 4 STH any information on this drawing be used for construction of fences, • • .. � ° structures, improvements, or for establishing boundary lines. R / a n FA EXCLUSION NOTES: It is the owners responsibility to determine ' : ' ' ' ' ' ' ' ' ' HN L. S • U R.• o " the existence of any easements, covenants, or restrictions which 4> do not appear on the recorded subdivision plat. LS -10408 � �'�.,,�..,.,,�,• 0. • �� / 1831 Talkeetna Street WORK ORDER NUMBER: DATE: SCALE:�� E-MAIL: ' @a • ' • .. • • . • . • • ' Anchorage, Alaska 99508 SEPT 23, 2025 1 =30 schullerak®gmail.com , Ar p(� ,,�. DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE: \\ O f eS •on0\ \' �► (907) 227-1455 office 25-116 JLS SW1240 250342 `�\� 5�� (907) 274-4992 fax COSA Checklist Legal Description: BROWNS RESUB LT 15(PLAT P-472) LTS 8 8,9 Parcel ID: 006-031-86 If more than 7 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled PRE1961 Total depth167 ft Cased to UN ft Q Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 10/3/25 Static water level at beginning of test 38 ft. Comments B. TANK DATA Measured operating fluid level in septic tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: AWWU SERVICE D. DISPOSAL FIELD DATA Which system tested (date installed) AWWU ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. / ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacs r field not used for more than 30 days prior t ate of test) Gallons introd gallons date Any rejuve Ion treatment (past 12 months) I s, enter date Comments/Deficiencies: COSA Cheddist_May2025.docx Well production at time of test 4+ gpm Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes FE No X Coliform bacteria is Negative Nitrate mg/L M Nitrate less than MRL (ND) Arsenic 15.8 ug/L ❑ Arsenic less than MRL (ND) Collected by SCOTT STRAND Date 4/21/25 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date Results E] Pass Fluid depth pri o test _ in water etl _ gal w fluid depth _ in Elapsed time _ min Final fluid depth _in Absorption rate _ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) _ in Effective depth used _ in Effective depth remaining _ in E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' r]Q Yes if No _ ft Neighboring Tank > 100' ❑Q Yes if No _ ft Disposal Field on Lot > 100' Q Yes if No _ ft Neighboring Disposal Fields > 100' ❑Q Yes if No _ ft Sewer Manhole/Cleanout > 100' ❑Q Yes if No _ ft Sewer Service/Septic Line > 260 Yes if No *10 ft Holding Tank > 100' Animal Containment > 50' Q❑Yes ifNo_ft ❑Q Yes if No _ ft Sewer Line/Main > 100' ✓❑Yes if No ft Manure/Animal Excreta Storage > 100' ❑✓ Yes if No _ _ ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less tha u resdd�� Tank to Foundation > 10' ❑ Yes if No _ ft Surface W _ Orr1 0' ❑ Yes if No _ ft Field to Foundation > 10' esf No ft Wells on Adjacent Lots: Tank to Property Line > 5' ❑Yes _ ft Wells > 100' ❑Yes if No ft Field to Property Line > IYes if No _ ft Community Wells > 200' ❑ Yes if No _ ft Water M ' ervice Line > 10' ❑ Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ALL BUILDINGS SERVICED BY AWWU SEWER LINES G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Finn MIKE ANDERSON PE. Engineer's Printed Name SAME COSA Checklist_May2025.d0cx Phone 727-8864 Date 12/5/25 Onsite File M m* z? s R t POST IN A CONSPICUOUS PLACE --SEWER CONNECTION APPLICATION & PERM -J, GREATER ANCHORAGE AREA BOROUGH 3500 TUDOR ROAD ANCHORAGE. ALASKA 99507 R NR DEAVICEPROVIDED BY iAGENCY, Pkat p -LA 7� NFEE. uFERAL�=MT n 71 TENEP� se- 1 .®oc6r�0 �ot �`-s �f-P �7.3R.T3�`WNC DA. coa. SIU-ING AGENT 1A E CODE AEST TO. DATE FWD CORRECTED BII-HNG ADDRESS COMMENTS FOPM PW023 fr-'� ®!' SEWER MAINTENANCE DEPT. �,�;_ ��,Zf- POST IN A CONSPICUOUS PLACE V�SEWER CONNECTION APPLICATION & PERMIT N GREATER ANCHORAGE AREA BOROUGH B YT 3500 TV DOR ROAD ANCHORAGE. ALASHA"5;U i l0yy GYA6 031 y3 ... AWK.W'✓ /Zf6f0 7 DGx •(/ GNNE 5TREET ( DRE or ISTATEIZIPCOOE T IMP DIET N. ..PEmr... ERNAM 1") 1 V BASIC L I.moluroR mEl Bu.uNGAGENT - IRATE CODE (ACCT NO. CYSTOMER BILLING NOTICE LLING OpTE CORRECTED BILLING ADDRE55 j -\ coMMENrs L TOR. SEWER MAINTENANCE DEPT. �s! P h r' c MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 00 Cu WASTEWATER S241067 CONNECT PERMIT DATE OF APPLICATION: 4/30/2024 SCHEDULED COMPLETION DATE: 12/31/2024 BLOCK/LOT/TRACT: LT S 8 & 9/ 6'_''r SINGLE FAMILY SUBDV: BROWNS RESUB LT 15(PLAT P-472) j DUPLEX —7 COMMERCIAL TAX CODE: 00603186000 I 11 GRID: SW1240 ❑ MULTI -DWELLING No. APTS 0 STREET ADDRESS: 7315 PECK AVE Anchorage, AK 99504 OWNER: PECK PARK LLC MAIL ADDRESS: 9001 SPRUCE RUN CIRCLE ANCHORAGE, AK 995070000 PHONE: CONTRACTOR: Mike N Anderson ASSESSMENTS aRepair Existing Service ❑ Main Line Extension ❑ On Property Only ❑ City Tap Have Been Levied ❑ Hydrant Only ❑ Main Tap - To Property Line Only cured in Place Pipe ❑ To Be Levied Comments: ❑ Main Tap & On Property Connect ❑ Disconnect Row No. ❑ R & R - Main Tap Only Owner I St CONNECT SIZE 4 in ISSUED WWPXL INSPECTION FEE $112.00 ❑ PAID ❑ CASH PERMIT FEE $77.00 ❑ CHECK RCC $1.30 _ OTHER C li 2. REIMBURSABLE DEPOSIT $0.00 INSPECTED BY NUMBER TOTAL $190.30 DATE REMARKS PERMITTEE (Please Print) Mike N Anderson MAIL ADDRESS 4661 Natrona Dr Anchorage, Alaska 99516 SIGNATURE PHONE (907)343-5229 EMAIL POST IN A CONSPICUOUS PLACE AT THE JOB SITE •�.� INSPECTOR COPY DATE 12/31/2024 TIME 12:00 AM INSPECTOR SCHEDULED SUBDIVISION BROWNS RESUB LT 15(PLAT P-472) BLOCK/LOT/TRACT LT S 8 & 9/ INDICATE NORTH F 1, SOL< Rv,A1+(i cod Pyer S Ckt-t<. Jel 7"3 i'1 ��Gk ave i i SIZE MAIN: TYPE MAIN: DEPTH AT MAIN: AT PROP. LINE: CONNECT LOCATION: COMMENTS: Ec 3; IV I/ C, p, �/<""vC `JI INSPECTED BY: DATE: i'1AG �'rF flv� bac eXp rorty b✓FI/cg L�,Jt� Gc.�AitoLl� rn -per izo-p-IR C fi F Z � w _ w w a w w F 2 d a ❑ ❑ ❑ ❑ ❑ ❑ a A C t W N MUNICIPALITY OFANCHORAGE WATER 82 2496 "TePC�` CONNECT PERMIT r_ DATE OF APPLICATION WATER a SEWER UTILITIES SCHEDULED COMPLETION DATE 3000 ARCTIC BOULEVARD SINGLE FAMILY PHONE -277-7622 ❑ MULTI -DWELLING No. APTS_ _ ❑COMMERCIAL LOT/TR f+CT BLOCK ❑INDUSTRIAL SUBDIVISION— /��T� TAX CODE 006-Q31 BUILDING ADDRESS— OWNER 24QL t( , MAILADDRESS /67 L!/O - ZYSO /✓r IJK LU CONTRACTOR= ✓/ ASSESSMENTS (License 6k bond reallratl ❑ Paid previously J* PROPERTY ONLY 0 Main extension agreement )SCIAINTAP-TO PROPERTY LINE ONLY 0 Subdivision agreement �MAINTAP 90N PROPERTY CONNECT El Extended connect agreement n El Pending -AMOUNTS P��-I �JD CONNECTION SIZE ".CHARGE # PER,T ISSUEB INSPECTION FEE • 00 ❑ CAH PERMIT FEE # S. DO [I PAID ❑CK.#A"o REIMBURSIBLE NSP CTED BY; NUMBER -DEPOSIT ��,�-j, DEPOSIT � �_ s IIIOA ply-766t TOTAL 3 00 ER0 DATES (PLEASE PRINT) 0..on �rGC �l I7G EYIGYS• ADDDR. PHONE: .278- 3773 1 HAVE READ THE CONDITIONS AND REGULTIONS ON THE REVERSE SIDE OF THIS PERMITAJC,� ARET�MPLYWITH THEM , POST IN A CONSPICUOUS PLACE AT THE JOB SITE 80-019 (1/82) AWSU INSPECTOR'S COPY WATER INSPECTION REPORT ❑ FIRE LINE X DOMESTIC LINE ❑ BOTH X OK TO TURN ON ❑ SERVICE LINE BLOWN OUT ❑ SERVICE LINE INSULATED ❑ RAISED KEY BOX ❑ RAISED THAW -WIRE ❑ LOCATED & MARKED KEY BOX ❑ UNION(S) IN SERVICE LINE- DISTANCES ❑ DO NOT TURN ON REASON: FIRE LINE ❑ OPEN BORE FLUSH ❑ 200# TEST ❑ MAIN CHLORINATED ❑ FLUSHED CHLORINE ❑ OTHER COMMENTS INSPECTED BY: /-,q.PRh C346i/ lE DATE D A Z 0 Oo z - ZD n� -a ti 0 z r D R 0 "o m yD � m n 0 MUNIGIPALITY OFANCHORAGE 3 s<T.os nH��o- WATER Lois] `I.CX4AN14 1 l DATE OF APPLICATION WATER 8 SEWER UTILITIES SCHEDULED 300D ARCTIC BOULEVARD PHONE -277-7622 82 2570 — 7- V ❑'SINGLE FAMILY 0 MULTIDWELLING No. AP7S_ p O CGMMERCIAL LOT/TRACT/ BLOCK ElINDUSTRIAL SUBDIVISION TAXCODE 006-831-4 .RIIDL/-L/o D/RQAWI`fUGgN�o.�� BUILDINGADRESS �^-k( &.c --k` _Azaj�"`"'-' OWNER °� PHONE 349 -71�8� MAILADDRESS 6060 72.06_MjsK20 CONTRACTOR: tlaAW,6� ASSESSMENTS (License &bond re9ui rad ❑ Paid previously DyO�N PROPERTY ONLY D Main extension agreement IQ4AAINTAP-TO PROPERTY LINE ONLY D Subdivision agreement PERMIT D Extended connect agreement ❑MAINTAP&ON PROPERLY CONNECT ❑ Pending -AMOUNTS Gl4-4 CONNECTION SIZE �µCHARGE ren �asucu n� INSPECTION FEE 3�'El CASH PERMIT FEE S'" O PAID O CK # t° m0A REIMBURSIBLE NUMBER -DEPOSIT iy, IN ECTED A10A rici.-�""' TOTAL 3 y0� DATE: /d - (PLAIL EASE PRINT) CA♦ /qC�t ✓! EngrS ADDDR. PHONE: a7F'3� I HAVE READ THE CONDITIONS ANDRE ULTIONS ON REVERSE SIDE OF THIS PERMITANII AGREE TO COMPI PERMITTEE SIGNATURE THE f WITHTHEM POST INA CONSPICUOUS PLACE AT THE JOB SITE 80-01911/821 AWSU INSPECTORS COPY WATER INSPECTION REPORT ❑ FIRE LINE X DOMESTIC LINE ❑ BOTH Xi OK TO TURN ON ❑ SERVICE LINE BLOWN OUT ❑ SERVICE LINE INSULATED ❑ RAISED KEY BOX ❑ RAISED THAW -WIRE ❑ LOCATED & MARKED KEY BOX ❑ UNION($) IN SERVICE LINE - DISTANCES_ ❑ DO NOT TURN ON REASON: FIRE LINE ❑ OPEN BORE FLUSH ❑ 200# TEST ❑ MAIN CHLORINATED ❑ FLUSHED CHLORINE ❑ OTHER INSPECTED BY: G4Tf� p ,6p E{/ L— DATE /o -i2 -gam Approval Request for Sew, Page T~o Facilities B, Seepage Pit 1. Size 2. Lining .~/~~ C ..... Disposal Field 1. Number o£ Lines 2. Total Length Required Measurements A. Nell to Septic Tank B...Nell to Seepage Pit C. Nell to Sewer Line D. Nell to Property Line E. Well to Other Possible Contamination F. Foundation to Septic Tank _5- ~ Foundation to Seepage Pit ~ Seepage Pit to Property Line 8. COMmeNTS: APPROVE~ DIS~. PROVRD: APPROVA~ VALID FOR ONE Y~AR FRO~..I DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT ~.Dl170 e SREATER ANCHOR,a. GE ,~REA BOROUGH HEALI~I DEPART~NT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 DATE RECEIVED INSPECT: 7-"- Tree .' REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES FOR Approval Requested By_ _,~:~d./~,,' ~~__.~ ,.,~,,~. Address__ '?-~'~ ~-~-/'f ~~ ~~,r ..... Phone . ~ ~ ~. ~// Property Owner .6~d./~' .~----~-~'~'~'~'~~ _ phone .~_ ..~ ~--,_.c-/..e'/./ ..... Legal Description~.~.~.~ ~-~ ..j~~/.~/..,'"/.-'a~', ....... "/1/// 77/...~37 ; ..~/~ f.~-.-'~.,~. Type of Facility to be Inspected -~ ~'~'~ STREET: Number of Bedrooms 5. Well Data: A. Type ~,~ B. Depth /,~..~ / C. Size ,~"// D. Construction - E. Bacterial Analys~s_~~. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 1. Si ze_ ~-~/~ 2. Age. -7 ,,---/: 3. Manufacturer 4. Installer Wate~.AualFsls: a. Bactem].a]. b. Detez. Eent Well data: Casing Size Distance from well to closest existing or proposed: 1. Eewer line . Septic tank 3, Seepage Area Cesspool' 5. Property Line 6. Other sources of Possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. a. ^ge of syste~ ..... . b. Septic tank capacity in Eallons c. Name of septic tank manufactu.~er 1. If "home made" show diagram on ~eve~se side of this foPm. d.' Disposal field or seepage pit size and type .= ........... 1. Distance to property line to house foandation . . e. Percolati~ Test '~esuits . f. Percolation Test performed by Use the reverse .side of this form to show diagram. Diagram should include -%he foilowing information: ~operty lines;.well location, house location, ~ptic tank location, disposal area location, location of percolation test, ~ direction of ground slope. The i~fo~ration on this form is true and correct t? the best of my knowledge, j Si[nature of ~pplicant ~ -D~'e ~i~ne~ TO BE FILLED OUT BY HEALTH DEPARTS.lENT PERSONNEL 'The above described sanitary facilities are hereby approved, ,subject to the ......... '~__'6'1 lowin ~ cond~o~.s_.~ - Condition8: The above described sanitary facilities are disapproved for the following reasons: Approval is valid fo~ one yea~ following the date of approval. CPJ: cw , (rill out in T~iplicate) ' - - . Name ,of person requesting approval ?CA/ ~ ~FF~ . ~ _J ~,~, ~, ~d~f, ~e of pPope~y~ owne~ ~0~ Number-o~ ~rooms in house~. ~: :.. ~ m~O~i//op~~ aten...Anal~s: a. Bactemial~ ../~, ~¢ ,. . b Detergent " Well data: , . b. Depth 7' c. Casing Size ~ '/ Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank __ 3, Seepage Area g, Cesspool~ 5. Property Line ,, . 6. Other sources of Possible contamination, i,e., creeks, lakes, houses, barn, drainage ditch, etc... _A/~A/~ · 7. Sewage disposal system. a. Age of system 7~ b. Septic tank capacity in gallons, ~Q, .3--0oo c. Name of septic tank~'manufactu~e.r..._UOe-Ra ~ ~ , .~. ~ ~:~ . 1. If "home made" show diagram on reverse side of this fo~m. d.' Disposal field or seepage pit size and t~e .Lpg. 1. Distance to property line to house foundation CMRO REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) ~.~ ~ama~..of person requesting approval _ Don 2. %~ma of proper~y, owner ~nn 3. ~'~3 de~Pti~Ol~ 101 ~. 301. 30~ P~ck Aye.,)_ Lot 8 & ~ Br~ Subd. Numb~x, o~ ~k.ooms in house 4 5. Water Anal~is: a, Bacteriai n,m · b. Detergent "-' ' 6. WeLl data: a. Type__ __drilled b. Depth 167' c. Casin~ Size 6' d. Distance from well to closest existing or proposed: 1. 8ewer line 38' 2. Septic tank 81' 3, Seepage Area 135' ~. Cesspool~.__ 5. Property Line . 6. Other sources of Possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. none Sewage disposal system· a. Age of system .... 7. ~ea~s b. Septic tank capacity in gallons_t~ 5~000.Bal. steel tanks c. Name of septic tank manufactu~.r~were~tanks..off .tankers ..... 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepage pit size and type_ log crt~ 8,xS'xp' 1. Distance to property line to house foundation e, Percolatio~ Test ~esults f. Percolation Test performed by Use the reverse side of this form to show diafram. Diagram should include · ~he foilowin~ information: p~operty lines;.well location, house location, ~eptic tank location, disposal area location, location of percolation test, and direction of ground slope. 9. The tnfo~mation on this form is true and correct to the best of my knowledge. ON FILE AT HEALTH CENTER Signature' 'of Applicant ......... 9-23-68 Date Signed TO BE FILLED OUT BY HEALTH DEPART~,~ENT PEPSONNEL IX--~X ~The~- above described sanitary facilities are hereby approved, subje¢~t to the ........... '~6~llowing cond,i~lons: Condit ions: NONE The above described sanitary facilities are disapproved for the following reasons: David B. Harkness, Sanitarian Approval is valid for one year following the date of approval. CPJ: cw Percolatlon~ Te~st '~emults f. Percolation Test performed by , Use the reverse .side of this form to show diagram, Diagram should include '~he foJ].o~ing information: ~operty lines~-well location, house location, ~s~c tank location, disposal area location, location of percolation test, a~d direction of ground slope. T.~O BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL ~'T~e above described sanitary facilities are hereby approved, s. ubje. c~ to the ........... ~611owing c0n~ons: ....... Condit ions: The above described sanitary facilities are disapproved for the following reasons: .... ' "' ". ~ate' ~.' 'i ~.!,'" ~ .... ---~' . , Approval is valid for one year following the date of approval. CPJ:cw