HomeMy WebLinkAboutCHANDELLE ACRES LT 9Chandelle
Acres
Lot 9
#051-063-73
�.,N`"° MUNICIPALITY OF ANCHORAGE mens
'� On-Site Water 8 Wastewater Program �o SPr
c PO Box 196650 4700 Elmore Road •
i . • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 c
S 7"R http://www.muni.orglonsite l ,
�. elmrtni, nt
On-Site Wastewater Disposal System Permit
Permit Number: OSP181182 Effective Date: 7/16/2018
Work Type: Septic Upgrade Expiration Date: 7/16/2019
Tax Code Number: 05106373000
Site Legal Address: CHANDELLE ACRES LT 9 G:1460
Site Mailing Address: 23819 IMMELMAN CIR, Chugiak
Owner: SEPT ROBERT J Lot Size in Sq Ft: 43550
Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
El Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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
Received By: o Date: 7 r 7/0
Issued By: tee-4 6./u-t+ Date: '7 16 1?
Municipality lily of Anchorage_
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Development. Swvices Department
On -Site Water and Wastewater Section
1 h
Lhep:u• nn c n r
44-
**** 'VAXIIVIA"ANCE/WAI'VER REVIEW * * * *
Waiver#: OSV181042 COSA#: Permit#:OSP181182
PID#: 051-063-73
Legal Description: Chandelle Acres Lot 9
Engineer: North Rim Engineering
Applicant: Robert Sept
Your request for a waiver of the requited 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 1.0 feet. Adjacent
lots septic system is more than 10 feet from the shared property line.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
■ .. ■ ■ ......... v ............ ■ ......... ■ ■ . ■ ■ ..... ■ ■ .......... ■ v . , ..... ■ ...... ■ ■ . r
Waiver is Granted: X Waiver is not Granted:
1
Date: 1 1 $ Approved by:
Name of Reviewer
■ ■ ... ■ ... ■ ... ■ v . ■ ....... ■ . v .... ■ .. ■ .. v v ........ v ....... ■ ■ ■ ....... v ■ ■ .. ■ ■ .. v ... r
**** VARIAN C EM YIVE R REVIEW ****
MUNMPAUTY OF ANCHORAGE
fD
Development Services Department p p Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D.651 o 637.E
Property owner(s) SDay phone 741 J�'' f-1 61`/2
Mailing address 3 �'� % —jLtNi j�:4_L /j�J�}-
Site address
Legal description (Sub'd., Block & Lot) 0,664AZA 1:!�Z Lf 4a'R6F__f 7-- 7
Legal description (Township, Range & Section)
Lot Size.R 556 Sq. Ft. Number of Bedrooms F—
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field Initial ❑ Single Family (SF)
Septic Tank ❑ Upgrade ° (w/wo ADU)
,
Holding Tank ❑ Renewal
Itiple Dwellings ❑
Privy ❑ SF and/or D)
Private Well Elj�
JUL a �u�i;
Water Storage ❑
1101 6 8 L g G,�
THIS APPLICATION INCLUDES A WAIVER REQUEST
TDistance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
<7 v
(Signature of pro erty owner or 76horized agent)
Permit/Rush Fees: ';(A
Date of Payment: -7-01-10
Receipt Number: e355—)8 b
Permit No. 06PE 119 Z
Waiver Fees: CR 1
Date of Payment:
Receipt Number:
Waiver No. 06V $ 1jN2
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt Forms\Permit Application.doc
TI- JM
ENGINEERING SteveEng.com
Steve Eng, PE, PH
907-694-7028
SteveEngPEgmail.com
Date: 7/5/18 Number of Pages:
To: MOA On-Site Services
Subject: Chandelle Acres Lot 9
Trench Upgrade W/Existing Biocycle
An existing trench is functioning surcharged-the cause may be hair from a business. A Category II
Biocycle serves the residence, 1600 gallons. A previous soil test is being used for design;
groundwater depth as indicated.The design calls for a new deep trench and 3'extension of existing
trench to allow diverter valve. The old trench has same design profile as new trench. The entire
subdivision is on private water wells and septic systems. The terrain is generally flat, sloping.
slightly down to the road. The system size is a single family at 4 bedrooms. 1.0 r �-/Nv
w.4}gyve.fl RE-at-Jed T /'•
Please review the wastewater system design for the existing 3 bedroom home, designed at
4-bedrooms. I have included design plans & specs, design guidelines, & soil tests. If there is need
for additional information or clarification please give me a call.
Thanks-Ste
NbTFIN
ENGINEERING SteveEng.com Chandelle Acres Lot 9
SPECIFICATIONS& DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 3-bedroom, single family home, listed as
4-bedroom by MOA. The existing Biocycle absorption trench is currently surcharged. A
design is submitted for a new trench,using existing Biocycle. The neighboring lots are
developed as indicated in the drawing. Previous test hole being used- notes indicate
groundwater @ 12'. A 6' deep trench will be excavated. The easements are located on the
drawing and are not encroached upon. An additional test hole will be completed during
construction, if required. A Category II application rate of 2 GPD/FT2. Trench Length=
300 FT2/4'x 2 = 37.5'; 1 line @ 38'.No bedrock was encountered. A perk rate of 22
min/inch was used from previous soil test. A 1-foot lot line waiver is required. Extend the
existing trench from 35'to 38'-this will allow a diverter valve to utilize either trench in the
future.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications(AMC)& State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• Connect New Trench To Biocycle. Watertight couplings on inlet&outlet
• 5' minimum between the tank and trench.
• 2' of cover is required for trench+ 1 inch insulation board.
• Solid pipe must be set on well compacted, stable soil
• All cleanouts must extend to at least ground level
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from
drain-rock
• Drain rock to be 1/2 inch to 2 inch screened.Drain rock to be distributed uniformly
throughout the trench.
• Distribution pipe shall be 1.25" Schedule 40 PVC w/ 1/8"orifices @ 30"on center.
• Force main shall be 1.25" Schedule 40 PVC, Force main burial to be 4' minimum.
• Silt barrier(filter fabric)to be installed above the drain rock
• Smeared trench sides must be raked or scarified before drain rock placement
• Approved pipe materials include cast iron,PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661, PVC Schedule 40.
• Sewer Service Line is minimum 2% slope
• Septic Tank to be pumped every two years or when required
• Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or
equal)
• Maintain minimum 10' separation between water line& wastewater system.
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DESIGN NOTES:
1 . Total Depth of Trench is 6'.
2. • Sewer Service Line minimum 2% slope.
3. Private Water Wells.
4. Check Well/Septic Separation Prior To Construction.
5. Place Trench Parallel To Contours.
6. Extend Existing Trench to 38' Length-3' Exten in.
Insulation Board Above Pipe.
7. Install Diverter Valve— Connect To New & Flat Slope
Old Trench— "ON" To New Trench.
pe ptic
e�'. n SAO x, Area
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co- cow w S>°•
1 �Py '0 Fro
9J� / Flat Slope
/
Flat Slope /
/ '100
° Well
Flat Slope
Flat Slope 4 Bdrn 3% Sl pe
Hangar /
Pk•
Existing aY
,,,/
/ /Trench
/ \ Existing d /
\\ T .
Biocycle /
\ / Q Al' IV
Flat Slope
3% Slope
\/ nstall Diverter Valve
Septi To Both Trenches
Area /
xtend Existing
/ Trench To 38'
\e
G
Ofew
3% Slop/, S Trench
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NOR TI-/RIM _•• %%%%%%%%%%
� ''14 CHANDELLE ACRES 1" = 50'
ENGINEERING ��"•.. DESIGN
SteveEng.com * :49m '. LOT 9
Po Box 770724 4 LAYOUT
Eagle River. Alaska 99577 a- di WASTEWATER UPGRADE
907. 694. 7028 � ( REPLACE TRENCH °at7/5/18 ITEETif 3
liverter Valve
i Valve & 1.25' PVC Discharge Line To Old Trench
I/ 1.25' PVC Discharge Line To New Trench
Influent 1
LEXISTING
BIOCYCLE
@ 1600 GALLONS Mounded Cover To Match Terrain
Ii Monitor Tube
DESIGN NOTES: Original
Original Ground
1. Depth of New Trench is 6'.
2. Extend Existing Trench From 35' To 38'.
3. Insulation Board + 2' Cover. 2' Insulation ---_,_
4. Water-Tight Couplings.
5. See Specification Sheet. =' -...,,,..---.-.:-.,.,..r.
6. All Work To Conform to Municipality of Anchorage (AMC) '_= '-='=:='='''=
Requirements & Specifications. !'!'!`
7. Measure Well Separations Prior To Construction. '_ ':!:411-11-11:
8. Private Water Wells. Drain Rock ! V1110'11-•-•-111'
9. Install Diverter Valve To Old & New Trench. .; .;.::::: :.
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NOR THRI M ;�P-�'oF� "i4,R� --
ENGINEERING 411 TRENCH END VIEW CHANDELLE ACRES
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SteveEng. com $ EXISTING BIOCYCLE LOT 9
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PO Box 770724 .. g se. t :4
Eagle River, Alaska 99577 +;s� ' 1. SEPTIC SYSTEM
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907.694.7028 ' 7 � ` UPGRADE TRENCH Dote7/5/18 'DrcSE Scale' 1' = 5 s► T3 o f 3
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�, Munlcirallty of Anchorage 0.•.i - ••••• ••:•r j
-!f DEPARTMENT OF IEALTH & HUMAN SERVICES to '� IA �n Spurkl.ind : ,V!r
825"L"Street,Anchorage,Alaska 99502-0650 �4 sem••• CL.2223 �•.��.
par
SOILS LOG - PERCOLATION TEST `�,�q.o•••......--... <,,;' '
• �'tcz..ti ss�er"
PERFORMED FOR: ! (.3b1r.4 S r4 DATE PERFORMED: •-7'5l (dU
LEGAL DESCRIPTION: Lo °l CHAN.°C- LI,- Township. Range, Section:
DEPTH ALIZS SLOPE SITE PLAN
(FEET) T r -
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2 -,^ ` N
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ENCOUNTERED?
11 -- c s
IF YES.AT WHAT I L~ ~\
12 - r� _2. &l DEPTH? ( `� p . lD 41° �j �
_ r-
f�4./0-0 E
Depth to Wilt:Alter 1
13 ---r _ _ `� _ Monitoring? I Bite.
�!•!
14 - kik," 1-4-- Gross Net Depth to Net
'I!_ -D 31•U Ly Tim. Time Water Drop
15 I. " pCIMSoAc1L
16 - 9 Z/`I I A f 1-! -- —
97/e 61 3),•4/;•-, , /? j44 t a/4
17 - ,moo c' 1 ; a1 30 6yI, i 3/e,
I 3v 8 •/,. 1 3/6
18-
19 -
20 - n y
PERCOLATION RATE •rny�o•�- (m.nutesnnch)PERC HOLE DIAMETER e9
TEST RUN BETWEEN h .FT AND 15,2-_FT
DISCLAI : • ' f • . . - so ' ' so • • a • • • • • • • a • . l • i . nly .
Past and future presence and/or depth of groundwater can not be predicted
from these obser. fl Dns .
PERFORMED BY: I. — I 7- s CERTIFY THAT THISITEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIC ELINES IN EFFECT ON THIS DATE. DATE: 54/ALC,
12-008(Rev.4/85)
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.... Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL'SERVICES DIVISION
P.O. Box 196650 · Anchorage. Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~ ~0~0 ~ PID Number:
"'~': ~ O~ ~T ~ ~ ~ Wastewater System: D New ~Upgrade
A,,.,,,: ~lq 1 H~LHA~ ~I~CLE ABSORPTION FIELD
P~one: ~No. ofSe~ms: ~eepTrench ~ Shallow Trench ~Bed ~Mound D Other
LEGAL DESCRIPTION s°""'""":
LOt:
Township: [ Range: I Section: Fill IddN I~ve original grade: Grlvel length:
WELL: D New D Upgrade Grlvefwidth:
SEPARATION DISTANCES a septic a Holding ~S.T.E.P.
SuHaCewater~[0 UIO U ~O LIFT STATION
Cu~ain
Remarks: BENCH MARK
' ENGINEER'S SEAL
Inspechons pedormed by: Dates. 1st
Of
Health
and
Human
N
BII1CYCLE
$ TANDA£D TRENCH
TOTAL SEPTH 6 FT
I'£[AL LENGI'H 30 FT
BOCK DEPTH 4 FT
Ci1VE£ 3 FT
J
-~ Ifell
J
mee£N SPURKLAND ~£
£05 W ISTH. AVENUE
ANCH. 4~ 99501
PERMIf # SW0000322
II
CtlANDELLE ACRES LOT g
ROBERT AND WENDY SEP[
25819 I&fMELI~AN CIRCLE
PID # 051-063-73
SEPDC SYSTEM AS B~L[
DATE: AUG. $I, 2000
SHEED 2/$GR~: NW 146~
CDAOODg£.DWG
4-INCH INSULATION
STANDARD DRAIN FIELD
I-I/4 PVC Illth 1/8' HOLES AT ,.tO' ~/'01
I
TOTAL LENGTH $5 FT
TOTAL DEPTH 6 Fl'
TOTAL ROCK DEPTH 52 INCHES
EFFECTIVE ROCK DEPTH 48 INCHES
9z6~- ,~mCOU~R£SSOR 100 TOTAL COVER 2 FT.
+ , ;) 0 0 0 0 .,.,
. ' 0 0 0 0 0 0 ~ .L SILt'BARRIER
V * ~ 0 0 0 0 0 0 0 '.J
. . . )000000000000000_0_0_0_0_ O_ ~
BIOCYCLE 6000 ~ INSU~TION TESTHOLE
I~ ~ DEER
LEGEND:
I. PRIMARY TREATMENT, SEPTIC TANK
2. AERATION TANK
~. CLARIFICATION TANK
4. DISCHARGE TANK
5. SOIL ABSORPTION
BENCH MARK: CONCRETE SLAB
ASSUMED ELEV. 100.00 FT
I'OBBEN SPURKI_AND P.E.
20,5 Wl5th Ave
Anchoraqe Ak 99501
27~-.TgTF;
PERMIT /t Sh/OO03~
CtlANDELLE ACRES LOT 9
WASTEWATE£ SYSTEM SCHEMATIC
ROBERT SEPT
p~o NO 051-063-73
SEPTIC SrSTEM SCHEMATIC
DATE: AUG. $I, 2000
SHEEr,. j/$ CR/O:
COAOOO $.0,,C
ON.St~,
Permit Number: $W000322
Legal Description: CHANDELLE ACRE
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Robert Sept
Owner Address: 23819 Immelman cir.
Chugiak, AK 99567-
Date Issued: Aug 23, 2000
Expiration Date: Aug 23, 2001
Site Address: 023819 IMMELMAN CIR
Lot Size: 43550 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] [ isposa Fie d [] Sept cTank [] Holding Tank []
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 9 CIlANDELLE ACRES
ROBERT SEPT
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
August 11, 2000
We are submitting an application for the upgrade of the waste water disposal system for this lot.
The submittal consists of three (3) drawings showing the present improvements on the lot and the
adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the waste
disposal systems is subject to this permit application, (sheet 2/3), and a schematic of the waste
disposal system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also
enclosed. The septic system design is based on the following:
Ground Water at 10 Ft. Spring Breakup
Use Standard Trench with BioCycle
Soil Rating. From Testhole July 3 I, 2000
22 rain/in = 2.0 gal per sq.fi/day
No. of Bedrooms 3
Required Area per Bedroom: 150/2 = 75 sq.ft.
Total area required: 75 x 3 -- 225 sqft
Bottom Rock At 6 feet
Top Rock At 2 feet
Rock Depth 4 feet
Total Trench Length 225/8 = 28 fit]
SYSTEM CONFIGURATION
BIOCYCLE
STANDARD TRENCtl
TOTAL LENGTII 30 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 6 FT
ROCK DEPTil 4 FY
COVER 3 FY
The installation ofthis waste water disposal system system will not prevent wells from being installed on the
adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoffwill not result from this installation.
IOBBEN S£URKLAND P.E.
205 W ISTN. AVENUE
ANCH. AK. £950!
%
4
Il
PID # 051-0~3-73
50 100 150 ,~00 ~50 300
CIIANDELLE ACRES LOT
ROBERT AND WENDY SEPT
25819 IMMEL~IAN CIRCLE
J J S£P~'IC SYSTEbl DES/ON
DALE: AUG. $, 2000
SHEET: 1/5 GRID: NW
CDAOOOgl. DVG
J
N
~5 "0 ,~§ §0 7.5 ~' 100 I~
\ SCALD 1' =~ Fr. o~
PROPD~ED~
BIOCYCLE
STANDARD TRENCH
TOTAL DEPTH 6 FT
TOTAL LENGTH 30 FT
ROCK BEPTH 4 FT
COVER 3 FT
ABANDON£ £XlSt.
%
TOBBEN 5PURKLAND P.E.
203 P/ 15TH. AVENUE
ANCH. AK. 99501
PERMIT # SWOOOXXX
CtlANDI',ZLE' ACRe'S' LOT ~J
ROBERT AND P/ENDY SEPT
23819 IMMEL~IAN CIRCLE
P1D # 051-062-73
SEPnC srsrEu DEMON
DATE: AUG. 3, 2000
SHEET: 2/3 GRID: NY/ 145
CDAOOOg£.DWG
S,~ND BJCKt'ILL .~
./~ 4-INCH INSULATION
~ ~- STANDARD DRAIN FIELD
- TOTAL LENGTH JO FT
TOTAL DEPTH ~ FT
TOTAL ROCK DEPTH 52 INCHES
EFFECTIVE ROCK DEPTH 48 INCHES
t-- ~mcou~R£sso~ TOTAL COVER $ FT.
._.___.,. ,,,:,, ....
) 0 0 0 0 ~
'** 0 0 0 0 0 0 ~ .~ SILT BA,~QIER
) 0 0 0 0 0 0 0 ~ ~
'** 0 0 0 0 0 0 0 0 0 0 ~
) 0 0 0 0 0 0 0 0 0 0 0 ~
· - 0 0 0 0 0 0 0 0 0 0 0 0 0 ~
ND SCALE
TESTHOLE
13 FT. DEEP
LEGEND:
I. PRIMARY TREATMENT, SEPTIC TANK
2. AERATION TANK
J. CLARIFICATION TANK
4. DISCHARGE TANK
5. SOIL ABSORPTION
I'OBBEN 5PURKLAND P.E. I [
203 P/15fh Ave
Anchoracle Ak 99501
27q-.Tq~'6
PERMIT ii. SVOOOXXX
CIIANDELLE ACRES LOT 9
WASTEWATER SYSTE~I SCHEMATIC
ROBERT SEPT
PID NO B~I-063-73
Munlcll:allty of Anchorage
DEPARTMENT OF ~EALTH & HUMAN SERVICES
825 "L" Street, Am:horage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: ~' ~1. Cl;.'{/~.l,,t.~)~. I..~ ~=~
t
2 ~1.~.,.~
3
5
6
7
8
Township. Range, Section:
10-
12-
13-
14-
15-
16
17
18-
19-
20-
SLOPE
WAS GROUND WATER
ENCOUNTERED? ~'~
~F ~S.A~W.^T 1:5 1 ~.
DEPTH? pO
E
Oeplh lo Waler Aller _ I
.o.,,o,,.o. o.,.:
SITE PLAN
,,i I
~eadlng .D~e~ Gross Net DePth to Nel
J ~_ L., '"J Gel i..~ Time Time Water Drop
PERCOLATION RATE =,~,~-- (m,nuleS/,nch) PERC HOLE DIAMETER ,
TEST RUN BETWEEN ~--2 FT AND ~yz..
DISCLAIMFR~ Arol)ndwaf. er condttion~ ind(catp~ are for the dates shown only.
Past and future presence and/or depth of groundwater can not be predicted
trom these oDser~lons.
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUll ELINES IN EFFECT ON THIS DATE. DATE:
PROPERTY OI~'NER AGREf_J~II~NI'
FOR TI:IE MA~-N~FENANCE OF ~N
ON-SI~ }~WA~R DISPOSAL
SYS~M
Anchorage Depa.,"ame=t of Hcal~ and llnm~q Services (DItFI5) nod ~c proffe~
o~er(s)
TI:ds &greemen~ i', made for the [.,urpose of rta. L~taining an on-site wastewater disposal
system on fl:e subjec~ propen3r.
The property o~s~ers ngree *.o ~e rollow~g:
SubmL to t~- MuaJcipali~- of .~Oorage. on ~ ~u~ b~is, ~ insFecdoe ~d
operation statemen; ~om a teg~tere~ prof,~sio~ eng~eer. ~s ~Fecrion ~d
operauon *mt~ea: ~ veri~ ~a~ ~ cagNeer ~s ~p~d all e~ue=/~d ~
P~Fs, t~ers, ~d ~. ~d ~ac ~y deficiencies ~ve been re~e~ ~d ~a: ~e
sys:em is ~nctio~ng ~ desired
(Signature)
(Primed N~me)
($ignatar¢) /-'
(Pr'~ed Naxne)
STATE'OF ALASIC~
NOTARY PUBLIC
AI. ANA C. WOOTEN
Co..m..,,s,~r.,,
!~~ 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
--~ [] UPGRADE
LEGAL DESCRIPTION
LOCATION NO. O~..~ E DR OOMS
- Well ~ , IAbsorptionarea DweHing · PERMIT~
DISTANCE TO:
~ ~~ 7 /7 0 7Y
~b Z Manufacturer ~~ Materia~ No. of~compartments
~Liq. cap~i~lons IF HOMEMADE: Inside length~ Width~ Liquid,depth
-- Liquid capam w
~Z DISTANCE TO: ~ ~ ~/~ ~ ~
~ ~e Distance betw~n lines
~ ~ ~ N~, of lines Length of each line Total length I s Trench width
~ ~ ~ ~ ~ inches
~ Top of tile to finish grade Material beneath tile ~or~
~ Length ~ ~idth Depth ~RMIT NO.
~ r Tot eff due absor on a ea
~ (~ Depth Driller Distance ,o lot line PERMIT NO. ~
~ -
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS ~ [~
!';]
72-013 (Rev.
-0
PERMIT NO.
M U !'4 I "-: I E' H L I T '-r' n F F~ f-t C k-~ R ~q ~a E
[,EF'FiF.'TMEI'..IT HEALTH FiND EN¥' I RONMENTAL ;.:F~TEr:T I nlq
825 '"L'" STREET., ANCHORAGE., AK. 9950!
';.' G 4 - 4 ? ';.' 0 ~'7' ~_¥~C;; /'
1...! E L L t3 r-J [:. F-i r-J -- S I T E '---~ E l-J E F-: F' E F-.' t'l I T
· . ,~,4 k-~.'~.4~, ')
RF'PL I F:RNT
LOF:RT I ON
LEGRL
KENNETH R. BEST
I t'IMELLMEN [:,R.
L9 CHANE:,ELLE ACRES SZD
SF.:A 78-B., 99507
LOT SIZE
Z.':44-56;'-~4
4].':En3E~ SQUARE FEET
TYPE OF SF;IL FIE:SFIRF'TIOI'-4 SYSTEM IS' TRENC:H
MAXIMUM .NUMBEF.: ~]F E:EE:,ROOMS = 2:
SO I L RAT I NG ,' SC., FT,..-'BR ) = 220
' '--1 ' I-I
THE REQUIRED SIZE OF THE SOIL ~Bz, LF..PTI_N S'¢STEM IS'
E.~EF-TH= ~L--'--- LEr-~STH= 42
C, EPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET::, OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE 80TTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRR~?EL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
F-:E,_]!I_I I E:E[:, SEPT I C: TRI"-.II<' S I ZE= :1_~-':'-'~0~-2'~ f-~RLLC~I'--IS--;
F'EF.'.MIT HFPLI_.ANT HAS THE RESF'CINSIE:ILIT"r' TFI II",IFORM THIS [:,EPRRTMENT DURING THE
INSTFiLLATION II",ISF'ECTIONS nF FIN"," WELLS ADJFu_-:ENT TA THIS F'F._PEF..TY AI',tD THE
I'..IUMBER OF RESI[:,ENCES THAT THE WELL WILL SERVE.
T I---ICl ,:] 2 ::' I r-.ISPEC:T I IDr-.IS FIRE REI_-n_.I_I I I~:E[:,
E:RCKFILLING ~]F RN'¢ =,Y.:,TEM WITHOUT FINAL INSPEC:TION AND APPROVAL B'¢ THI'=
DEF'RRTMENT P.IILL BE SUBJEC:T TO F'R. OSECLITION
MINIMUM DISTFINCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR 8 PRIVATE WELL. OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TgPE OF PUBLIC: WELL.
MINIblLIM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNIT9 SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DA9S
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MA~ APPL~. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
RVRILRBLE TO INSURE PROPER INSTALLATION.
F'EI~:P11 T E>-::P I F-:E"-=. [:,EC:EI"IE:EF-: '~.-:-1 ..
I _.EF. TIFY THAT
t. I RM FRMILIRF.: WITH THE REI2~.UIREMENTS FOR ON-SITE SEWERS AN[:, WELLS AS SET
FORTH E:'Y' THE MUNICIPALITY OF ANCHOR. AGE.
2' I WILL INSTALL THE SYSTEM IN ACC:OR[)ANCE WITH THE CODES.
S~;~' S ~ [:']~f:I~KE-E:~;~~LT~~i'-L-]I'II GNE[~ RE ENLARGEMENT
IF THE
O & E EN£-,NEERING & DEVELC. MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Ruuell Oyster
694-2774
Performed for:
SOIL LOG
Mailing Address: ~--'~, C'O.
,
Legal Description: ~ ~ ~'~
Earl Ellis
688-2280
Depth (feet)
Soil Characteristics
6
7~
8__
9~
10__
PLOT PLAN
11__
J?
13__
14__
15~
16
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
No ~ If yes, what depth
Drain Field ~
Comments:
PERC. TEST
Performed by:~~
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
Parcel I.D.
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Lot 9; Chandell~. Acres
Location (site address or directions)
Property owner
Mailing address
23819 Imme~man
Chuqiakt AK
Ken Best
22238 Shadowy Spruce
Day phone 688-9300
Chu~iak, AK 99567
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:
XXX
Individual well
Community well
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:
NOTE:
XXX
Individual on-site
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 MOA II21
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
S & S ENGINEERING
17034 Eagle River Loop Road No. 2u4
Eagle River, Alaska 99577
Phone
Date
o
DHHS SIC' "TURE
,ed for
Dis:..:.proved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By:
Date
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 DHHS 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-O2~ fRev, 1/91) Back MOA #21
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
Legal Description: ~ C:~ (~/~O~ ~ParcelI.D.' O~-/ O6'$ ?,~ ,~O~
A. WELL DATA
Well Lype ¢ g-, q ~If A. B, or C, attach ADEC letter. ADEC water system number
Log present (~ji;tl) ~ Date completed
Total depth % t::>q~-- Cased to
Casing height (above ground)
Sanitau seal~) V
Wires properly protected4~q)
FROM WELL LOG
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Bo
Coliform ~ Nitrate D, ( ~
Date of sample: .j: ~ I g -- ~]/_o Collected by:
SEPTIC/HOLDING TANK DATA
Other bacteria
$ & S ENGINEERING
Eagle River .Alaska 99577
Date installed V:i q~ I Tank size (
Foundation cleanout (Y4~j) b~ Depression (Y~j)
Date of Pumping ~ "t¥,-':}b Pumper
Co
ABSORPTION FIELD DATA
Date installed \~1 ~
Length *""7 ' Width
Effective absorption area {., ~ "/
Date of adequacy test J -~ I 5
Soil rating (g.p.d./fl
· Gravel thickness below pipe
Monitoring Tube prese~)_~ Depression over field (Y(~)
Results~--~. ail) '~O,O3~; For ~ bedrooms
Fluid depth in absorption field before test (in.): '3 4" Immediately ,'flier l$'Z gal. water added (in.):
Fluid depth ~ ~' v~ (ins.) Minutes later: qo Absorption rate
= g.p.d.
Peroxide treatment (past 12 months)(Y~]) ,,.) 0 ~ ~,~ t/~,O,~ ~o,A~f yes, give date
D. LIlT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Size in gallons _~-
"Pump on" level at* ~' level at*
E. SEPARATION DISTANCES
Septic/holding tank on lot
Absorption field on lot
Pnblic sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
.h~ O}~ ~;~ 6 ~- ' On adjacent lots
· On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~- ~ 4- Propert~ line /~ rd' Absorption field
If.
Water main/service line 1 b Surface water/drainage / 0C> Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation ~ ' ~c~ Water main/service line [ o t
Surface water I O o Driveway, parking/vehicle storage area /
Curtain drain ~/~ __ Wells on adjacent lots l DO ~?' Property. line
F. ENGINEER'S CERTIFICATION ~t'~ s*/r'/gt ~,,~r,,~t ¢~,~ R)t,~o,e
recor
I certify that I have determined thru field inspections and review of Municipal
in conformance ~HAA~~effect on this date.signature.
. .
Date ~
HAA Fee $ ~~ k - ~r Fee $
Date of Payment 3 ~ Date of Payment
Receipt Number ~ ~[ I~ ~ Receipt Number
Rev. 8/95 OSS: haa.wk.doc
: neee nq
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAIN 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
WELL RECOVERY TEST DATA
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
WELL LOCATION (legal): [-~,-r' ct
TEST DATE: ?~ --Iq -4 [~
WELL DEPTH: ~<>7~ ~
CASING DEPTH: >{~ t4-
TESTED BY:
WELL DRILLER:
DATE DRILLED:
TEST PROCEDURE: MISC DATA:
1) Draw water down to pump. Casing Height:
2) Shut pump off 15-60 min. Sanitary Seal?
-record time Wires in Conduit?
-record meter reading Grading O.K.?
3) Turn pump on. Drawdown. Pump Depth:
4) Shut pump off. Samples Taken?
-record time Date:
-record meter reading
5) Calculate gal./min, recovery.
TEST DATA: START TIME: \\ ','7..<> STATIC WATER LEVEL:
TR,AL II PUMP II TIME II METER II GAL./hI~Wk~(--.
OFF ~\ ', ~"~ /"[ ~'0. O
OFF
2 ON
OFF
3 ON
OFF
OFF
4 ON
OFF
OFF
5 ON
RESULTS: WELL CURRENTLY PRODUCES: '~"') ~1[7~'~
FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Rick Mystr°m,
Mayor
Mun cipali of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
April 1 l, 1996
Robert C. Cowan, P.E.
S & S Engineering
17034 Eagle River Loop Road
Suite 204
Eagle River, Alaska 99577
Subject:
Waiver Request for Lot 9 Chandelle Acres Subdivision
Waiver Request #WR960004, PID #051-063-73, HA960096
Dear Mr. Cowan:
Your request for a waiver of the required 100 foot horizontal separation of the private
well serving the referenced property to the septic tank located on the referenced property
has been approved. The approved separation is 93 feet.
This waiver approval applies to the existing septic tank to well separation only. Any
future upgrade to either will require all separation distances be met or another approval
from this department.
If there are any questions, please call our office at 343-4744.
mcerely' ~
es P. Williams
~Civil Engineer
On-site Services Program
JPW/ljm
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR#~,Q~c'\I~.C~C,L\ PID# .~.~?~\-~Jnc~-~, HA# ~cl~r~Z%e%L~ Permit #
Date Received:
Legal Description:
Engineer: ~,~
Applicant: .
Waiver Requested:
Criteria:
1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
Special Conditions: /~
Points:
1,5
13
2.9
16, .
3. Other: /~,,/~
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above:.f- ~-~ ~7~/~7~
Date:
N of Reviewer
Rec #: ~2%n~[ Amount: $ ~,C__X~ Date Paid:
3,1
:C
67°
~( klillT? ~,1#1 I~rve)l
yATJ.II rILL IllCOnS
U.S.S.S. LeMI
Itllll#l Pefltl Iit.
dB If ~_~_ Pllele ca, lite elll, r Ii. Il. ,f It. A.I.L. III. :
II I al I l il '" :
/:l I i I Ill Iddlvlelll Let Illik lk. Frl(tle~
~ '.~A.Oh Chatldo~le 1~
Small bcul,S~rs . ~ ' .-.~ ". ,
,.er.. ~irnvex ,.~t,.l' :~c'[ .-I~. '"'- , , i.. to ft. ~k ' -
Slot/MI JIM: ~lkl ,,,
~. STATIC ~T~ t~: ft.
,, ,
, , , ft.
..~~ ~ ~__. ~---_ , ft. oft~ , ~.. ~1~ , ,,. I.l~
" ' ' '
...t. ,,. . Mtb of Om PIN- : ": fl. wlU .... l. Pa
" " ' "' ' '
,i ........ 0 ~t 0~ s ,
, Vater T~r~ture ~
;.-, :.--,:iS I0:00 RCVD
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAiN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
April 5, 1996
96-04-08 10:00 RCVD
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
Attn: Jim Williams
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 9; Chandelle Acres
Dear Mr. Williams,
In response to your transmittal sheet (pink sheet) regarding the
septic system located on the referenced property, the following
corrections have been made:
1. The monitoring tube/clean out riser pipe has been repaired.
2. Corrections were made to the site plan and show the correct septic
system location.
3. We verified the 100 ft well separation to septic system on Lot 10.
4. We were unable to confirm the 10 ft. separation between the septic
system and the garage foundation. (Please see the attached check
sheet)
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/gk
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
:tneee nq
ROBERT C. COWAN, RE.
ROBERT A. SHAFER, RE.
April 3, 1996
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN 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
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Lot 9 Chandelle Acres
Request you issue a Health Authority Approval on the
referenced property and grant a waiver for the horizontal
separation distance between the well and the septic tank
serving this property at 93 feet.
The mitigating factors involved which support the issuance of
the waivers are as follows:
Reference the site plan/topo, surface effluent
would not flow toward the well.
Generally speaking, septic tanks should not be
considered a "continuous" source of contamination as
would a leachfield.
Nitrate sample taken from the well located on the
referenced property indicated 0.10 mg/1.
4. The house is located between the well and the septic
tank.
In our opinion, the separation distance requirement
prescribed by ISAAC.021 is not necessary in this case.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
1"--.50'
r-
DRIVEWAY
r-
SITE PLAN
~C~z ~ ~
mm~Zmm m
~g
ZO ~
APPL! - .NT FILLS OUT UPPER HA-'ONLY
Phone
Pro ertyOwner ~-- /~j~// ~'~..~
Buyer
Address ~ Zip
Code
Phone
Lending Institution ~) ~ ~, ~ ~
~es~ ~2 ~ ~ ~/ ' z,. co~.
Realty Co. & A~nt / Phone
Address ~ Zip Code
Legal Descript~n ~ ~ ~~-- ~ C ~
Street Locati~ ~.~~.~,~ ~ ~/
Type of Resi~nce
~ingle Family
~ Multiple Family No. of Bedroo~
~ Other
Water Su~ly
~vidual A~ACH ~LL LOG. A w~l log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach I~ if available).
~ Public Utility
Se~ o~osa~
~dividual Year Indiv~ual Installed:
~ Public ~ility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
D~ ./'~~ ~.~ '~""~J Date Date Date
Ins;actor / Inspector Inspector Inspector
Field Notes: [,~i1~ -- ~~
( __~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE
BY:
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
~"~' t Well to Tank Septic Tank Size
72-023 (3/82)
June ~= 1~~
~en ~est
Anc~or~.ge, AK
995O7
Subject: Lot 0 Chandel!e ,n~cres
An¥~rova! for the individual sewer and water facilities cannot
~ zt~.~n..~ have been como!eted:
be qranted until the followinq ' =~"
Fxposed electrical wires to tl~e well bead are in violation
of the l'{unicipality of Anchorage co~es and must be encased
in conduit.
?qe water analysis rencrt needs to be submitte-] to t]~i.~
office from t~e C~em LAID, g633 ~3 Street, for our review.
Please notify this Oep,~rtment for a reinsDection when the
noter~ ,~,i,:~-~ ~,,! _pan,~.l.~- ~'.~ have been corrected. If there ~e._ any
further ~uestions, ~lease call this office et 264-4720.
S i ncere t5,,
Robert C. nratt
A. ssociate Environmental S~ecinl;~