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HomeMy WebLinkAboutSCHROEDER LT 15c.,,h r ()e, aqe. r 511) p50 - 051-01 LZOL Qlocl: Material Type W11.*I IL/L / Top Bottom Y q- Ci�Z/1y�f I F M' i r t o 'yI�AVE' WATEi" !HELL RECORD ',aSTAR OF ALASKA �1�TBiliN�`,AF NATURAL RESOURES Iicl�1 of GeDlogi"iu,@i Geophysical Surveys r" permit No. A.D.L.. No. - pAnge E❑ I Meridian FJO/1 A A/ Addtbte L' 4. WELL DEPTH: (final) I S. DATE OF COMPLETION — 6. ❑ Cable fool ® Rotary ❑ Driven ❑ Dug ❑ Auger ❑ Jatted ❑ Bored ❑ Other 7. USE: ® Domestic ❑ Public Supply ❑ Industry ❑ Irrigation ❑ Recharge ❑ Commerical ❑ Test Well ❑ Other: D. CASING: 01 ,' hreaadeeL1 d Welded ^t diets.&ln. to_dyff. Depth Weight ( / Ibc./ff. dlam. In. to ft. Depth Stickup It. 9. FINISH OF WELL: PERFlJ2AV0 4e,- 44 r Heli gyre Vk'>rFG0^701'�— Type: Dlameter' Slot/Mesh Size: Length. Set between 'ft. and _ ft Backfilling Gravel Pock if i� :' 10. STATIC WATER LEVEL: � rff. 'LpsiL ❑ Above or E]Below land surface Dote Equipment used: f" 'If CI,I !i L. 11. PUMPING LEVEL below land surface and YIELD ft. after 'r hrs. pumping9-Pm ft, after hrs. pumping g.p m 12.GROUTING Well Grouted: O Yes ❑ No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (If available) HP, LenytbOf_DroP Pipes ft. capacity 9 P.M ❑ �Sbbm. C7 Jet ❑ Centrifical ❑ Other 14.1111EM'ARKS: 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15. Woter Temperature _ o ❑ F This well was dri ll7e�d�under my jurisdiction and this report Is true to the beet of my knowledge and:;belleY A&LhJ Registored Business Nome - _ Contract Li'citise Number t.dd,ess. j .1.�.�L» i A IllE— r eats:.._ .ath 4 Signed .. G.— - - A- Auth rIz6d-'R epr eentative nRlc�iH� trot- 0> wrfwR i)uer .,tar RouteJ,Box, p - Distribution: WHITE • Stote 0661111f PINC€,4iiioti r(tNA�tY^.'Cus10MIr. - ❑ C L 1�� DEPARTM�NT OF HEATH AND ENV IQONMENTAL ["AROTECTI (.)]\I 825 L SITQEET, ANCHOR%AGE, AK 99501 264-4720 PERMIT NO: 840608 DATE ISSUED: 07/23/84 APPLICANT: C&E ENTERPRISES INC" A�D�E�S: P"O.BOX 110961 ANCAORAGE, AK 99511 CONTAC,:T PHONE: 344�3494 LEGAL DESCRIP: SUBDIVISION: SCHROEDER LOT: 1 SECTION: 2 TOWNSHIP: 14N 2W LO? SIZE: 12400 (SQ"FT" OR ACRES) BLOCK, NA I certif'y that: it ��w�r� a�d wells as set 1, I am �amiliar with the 'equi'ements �or on�s ed th State �� Ala�ka forth by the Municipality o� Anchorage (MOA) an e l^ti s 2 I will install the s7stem in accordance with a1l MOA code� and regu a on � " iL the de5ign criteria U this pePmit^ and in compliance wl MOA and State of Alaska re>quirCmentS for the set back 3" I will adhere tonaIexisting ��ll wastewatEr di5posa1s�stem or p�blic distances �rom ay � sewerage system ^n Lhis or~any adja.ent op arby lot, � DATE: SIr1NED APPLICANC&E EFT -RISES INC DATE: ` ISSUED B �~~-..........^, 203 W. 1,rith "C" SUITE 203 40 0 0 �(M 8PUJAVaLAADO 00 0 ANCHTELEORAGE, AVE 907) K2 993916 cnNCln TING ENGINEER —� - WELL INSPECTION LEGAL: Lot 1, Schroeder Subdivision TYPE OF WELL: Private CASING ABOVE GROUND 24" WIRES IN CONDIUT Yes SEPARATION DISTANCES 45' conflict to improperly abandoned seepage pit SURFACE GRADING ]pr-e-�s-ienaexasttT areund.--.we].1 LAB TEST Satisfactory WELL STATIC LEVEL 33' B.C. WELL YIELD 0.5 GPM DEPTH OF WELL 90' INSPECTION RESULTS: The well was tested for a 4 hour recovery period and was found to produce 0.54 GPM. The well is recharged from a perforated well casing at the 45' level. A well yield of 0.54 GPM is satisfactory to meet the minimum Municipal requirements of 0.104 GPM per bedroom for a 3 bedroom residence. A perforated well is subject. to varying well yield with time as the flow rate is dependant on the condition of perforations. There is no guarantee that: this well will continue to produce at the tested flow rate. Well yield is dependant on ground water levels, conditions of perforation and local geological charges. H 1, 0F A6N K f.�."f •y VV �� r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date — 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Jot 1 Schr—Qeder Subdivision(T14N R2W Section 2) Location (address or directions) Marcus Road, Eagle River C & E Enterprises344-3494 (b) Applicant Name — _ Telephone: Home _ Business Applicant Address _Brox 110961 Anchorage, Alaska 99511_ — (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder McrBuyer C7 ; Other ® (explain); — (d) (e) Lending Institution — Address — Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-FarnilyG Multi -Family ❑ Other Number of Bedrooms three(!) Telephone 3. WATER SUPPLY Individual Well Ek Community D Public 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite 0 Public Ox Community ❑ Holding Tank 11 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/64) Pace 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 91 As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date Telephone Engineer's Seal This Department has received written confirmation from the engineer (Eagle River Engineering Services) that the conditional approval of May 1, 1985 and been completed. Therefore, this property now meets with MOA requirements and is fully approved. DHEP APPROVAL / r, 1 i ---k mak_ Approved for _three Approved __ xxx _ Disapproved — Conditional — Terms of Conditional Approval CAUTION _ Mav 30. 1985 _ The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Pane 2 of 2 MUNICIPALITY OF ANCHORAGE DIVISION OF PNVIRONNENTAL HEALTH DEPARTMENT OF Ii-L�ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HW,TH AUTHORITY APPROVAL CERTU ICATR 1. General Information Application Date (a) L,ep.,al Description (include lot, block, subdivision, section, township, range) I . � e;;r. �_ ._,�:/n� .��.i/.,1i�:.c icer. ✓� 0�J did /ti '� �.n� �'�'r= �::�-..s...�.. Location (address or directions) cr7&G.tc � (b) Applicants Name z' f' (rv7C°s Se'.� teleghone Home Business 3 /` Applicants Addressr-1 "ra.o,I� � /Jst �95Ts (c) Applicant is (check one) Lending Institution ; Owner/builder Buyer ; Other �v� (explain); r=�e� ®�__ z�' (d) Lending Institution T _ �F s Telephone Ada�,s s (e) Real Estate Co. & Agent Address Telephone (f) Mail tehe HAA to the following address: ti. Tie o£ Residence Single -Family 5 Multi -Family r Number of Bedrooms 3. Wager SuPP1Y Individual Well Community Other (describe) Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Public Community Holding Tank Onsite Note_: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] S. Engineering Firm Providing Inspections Tests Pile Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the onsite 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 onsite water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm �����c'r> 5 „_dr/»G i X? Telephone Address "3/ f .�'/� - �� �J a f� r.. �r�•,•«.�.' �� `�.s C3/ Date � �? (ENGINEER SEAL) 6. DHEP Approval Approved for �' `i- -bedrooms Approved a Disapproved By Candition��1� Terms of Conditional Approval l� CAUTION THE MUNICIPALITY OF ANCHORAGE. DEPARTMENT OF HEALTH AND ENVIRONME:NTAI, PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH S ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INS7:ITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OIt ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL. ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] im19 U4 TO FROM =– Cagle River Engineering Services � yy� P. 0. Box 773294 / ` ` `y'�i • Ale Eagle River, AK 99577 't_f 694-5195 SUBJECT DATE — MESSAGE Canoe i •./ %�L�l �si•71 _— _e•� 7/Pc yr J'2e -e io4 /�i ,IL ople 4r e _ saip T`L .1. , , r• U%. ;�j/.�7L1 `�1 _F MIJNICIPAL11Y OF ANCHORAOE --0fPT- O"EArrI# &'— ENVIRONMENTAL PROTECTION: MAY a 0 1985 SIGNED.""'� R Q:TF019M® 45468 NO REPLY NECESSARY REPLY REQUESTED - USE REVERSE SIDE POLY PAK (50 SETS) 4P468 El 19 1 suggest you contact the property ovnier and attempt to negotiate the proper abandonment of the system. We also now request a copy of the well log for Permit #840608 (Lot 1). Please contact- me if you have further questions. Sincerely, Susan Oswalt Engineering Technician, III SC). i/ka/dEI13 A. WELL DATA MUNICIPALITY OF HEALTH MUNTCIPALITY OF ANCHORAGE (MOA) fNVIRONM@NTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: rl 1J Aq-� /e? -A. w V e r: f E8 191985 � 10fle Well Classification /1-1'dctl-e- If A. B. or C. D.E.C. Approved(Y/N) 4/4__ Well Log Present (Y/N) >/ Date Completed 78y Yie1c+UYGa�m Total Depth f`© Cased to�! _7 Depth of Gro— ut g Static Water IPvel.3 Pump Set Casing Height Above Ground '_�q y " Sanitary Seal on Casing Electrical Wiring in Conduit (Y/N) y Depression Around Vbllhead ()/N) IV Separation Distances from Well: To Septic/'Holding Tank on Lot IV14 —�; On Adjoining Lots AV To Nearest Edge of Absorption Field on Lot 4/a On Adjoining Lots s _. To Nearest Public Sewer Line /tet) To Nearest Public Sewer Cleanout/Manhole -leo To Nearest Sewer Service Line on Lot 5�6) 7� Water Sample Collected By Erhy�„e �. �; Date Water Sample Test Results +ami A %S f4 `'�°r% _ Ccmments� c �nfAsehce Gt'l/ A'vrvn- bryr�lr+�FF-�, i�ei.er tvwye„r tk �e-�.vi, ��_ B. SEPTIC/HOLDING TANK DATA ./ Date Installed Size Yoe'v- No. of Compartments Standpipes (Y/N) Air -tight Caps (Y,� �)� Foundation Cleanout (Y/N) —_ Depression over Tank (Y/N) Date Last Pumped -- --- Pumping/Maintenanca Contract on File (Y/N) ; for --- Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply 'Abll To Property Line To Water Main/Service Line Course Comments To Building Foundation To Disposal Field To Stream, Pond, Lake, cx Major Drainage Receipt # Date Paid:=�(_kS= Amount: i o v (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design e�® Date Installed Length of Field _ ®® Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area — Standpipes Present (Y/N) Depression over Field (YM) Date of Last Adequacy Test _ ®® Results of Last Adequacy 'lest Separation Distance from Absorption Field: To Water -Supply Well To Property Line To Building Foundation To Existing or Abandoned System cn Lot �; On Adjoining Lots �® To Water Main/Service Line To Cutbank(i�resent) �® To Stream/Pond/Lake/cr Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION �v1 Date Installed Dimensions Size in Gallons Manhole/Access (YM) "Pump On" Level at "Pump Off" Level at — High Water Alarm Level at ®- Vent (YM) _ �® Tested for Pumping Cycles during Adequacy 'lest. Meets MOA Electrical Codes(YM) _ -- Coirnnents ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection J Signed -Date Company /CAf a-( IR MOA No. t STo// KBl/d5/s (Page 2 of 21 c at ENGINEERS S, ... 2-15-84 f(-" Lin,_ 3 F3.0 K A -,O GIQGIC N n 3 18.2' r''Y O Well l � o I - 1 r 0 cq 0 " €59" 50' 15 " E — X30, 19 MAeCtls 'STZEET i N'I F Y ENGINEERS, INC. P S JOB NO.: 40573 ZONED U C14 -m+ C �Y I SCALE: I II = 30' I PLOT PLAN: I AS -BUILT: X I GRID: 1,Jvl351 - SZ I DRAWN BY: fE!�F M I CHECKED BY: I FY.P5. ENGINEERS, INC. I HEREI3Y CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, LOT f , BLK. - ) ZCI-i120E0E2 SUB. ANCHORAGE RECORDING DISTRICT, AK., AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO IMPROVEMENTS ON PROPERTY LYING ADJACENT THERETO ENCROACH ON THE PREMISES IN QUESTION AND THAT THERE ARE NO ROADWAYS, TRANSMISSION LINES OR OTHER VISIBLE" EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON. DATED THIS ST- DAY OF SEPT., 1954, ANCHORAGE, ALASKA. IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUC"TION. TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISH GRADE ANC UTILITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. 7125 OLD SEWARD HWY. ANCHORAGE. ALASKA 99502 f �•yeev•• e F �M1 • ieenes•� `.• THOMA6 i R. SMITH• •4V b } 3167 e �I r n 3 18.2' l o I - 1 0 0 0 " €59" 50' 15 " E — X30, 19 MAeCtls 'STZEET i N'I F Y ENGINEERS, INC. P S JOB NO.: 40573 ZONED U C14 -m+ C �Y I SCALE: I II = 30' I PLOT PLAN: I AS -BUILT: X I GRID: 1,Jvl351 - SZ I DRAWN BY: fE!�F M I CHECKED BY: I FY.P5. ENGINEERS, INC. I HEREI3Y CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, LOT f , BLK. - ) ZCI-i120E0E2 SUB. ANCHORAGE RECORDING DISTRICT, AK., AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT ENCROACH ON THE PROPERTY LYING ADJACENT THERETO. THAT NO IMPROVEMENTS ON PROPERTY LYING ADJACENT THERETO ENCROACH ON THE PREMISES IN QUESTION AND THAT THERE ARE NO ROADWAYS, TRANSMISSION LINES OR OTHER VISIBLE" EASEMENTS ON SAID PROPERTY EXCEPT AS INDICATED HEREON. DATED THIS ST- DAY OF SEPT., 1954, ANCHORAGE, ALASKA. IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUC"TION. TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISH GRADE ANC UTILITY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. 7125 OLD SEWARD HWY. ANCHORAGE. ALASKA 99502 f �•yeev•• e F �M1 • ieenes•� `.• THOMA6 i R. SMITH• •4V b } 3167 e �I oso. ori- v/ tSOON C EATER ANCHORAGE AREA BOR' � GH HEALTH DEPARTMENT 662 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME_ZU% MAILING _ADDRE SZ'C'/(' /�'f�t�'' PFIONEIL`� LOCATION LEGAL DESCRIPTION.4O7/ SEPTIC TANK: DISTANCE FROM WELLMATERIAL S7 __-1- NUMBER OFCOMPARTMENTS '�" LIQUID CAPACITY 11-�lam' —GALLONS. INSIDE LENGTH INSIDE WIDTH LIQPTD Z_ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER `' OR WIDTH LENGTH �`' DEPTH LINING MATERIAL )[STANCE FROM WELL BUILDING FOUNDATION NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT, f" TILE DRAIN FIELD: /V�j' DISTANCE FROM WELL f �--,FOMNDATIO NEAREST LOT LINE_ NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ABSORPTI AREA SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE �f=//�/�i�l'l�C_'� Di�IJ'G'l/r� GLJ/ >-���T/O/✓ - "Gi'J/Nl — WELL: ` IS ANCE FROM WATER TYPE .�%t/�Cf=/ DEPTH 1��� • BUILDING FOUNDATION._ Zl-� /� SAMPLE_ NEAREST / NEAREST / SEPTIC / SEEPAGE / OTHER LOT LINE Z4112SEWER LINEIiIC% 7 TANK ��` SYSTEM � ' �5f , CESSPOOLL, SOURCES/�ljf DISTANCES: DIAGRAM OF SYSTEM DATEt 1�' - /z APPROVED / j HEALTH AUTHORITY AT- ✓l�U r & p�I 1V v it°ry t y.: .G: C/r/_- G o i'. /� �L 5! 'i C'/J3i/.!SUN Jam! �-/--7�' .</i✓�✓ ..1'L'EG 44--�/T ✓�1>nJLi_..f <'•/<- C��iGG/J�J/i'f/r yY/M1I,F .. 1 /' /-`�^rt. /�1=1:%J%oi✓ O� SGT -7%J!= DATEt 1�' - /z APPROVED / j HEALTH AUTHORITY AT- GAAB-11D-2 GREATE" ANCHORAGE AREA 'OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM • APPLICATION & PERMIT Case No. ,LSA NAME OF APPLICANT MAILING ADDRESS �+�- ^ _`�. PHONE N0. RESIDENCE ADDRESS ��. /-'` LOCATION OF INSTALLATION _�4 LEGAL DESCRIPTION_ APPLICATION TO INSTALL: SEPTIC TANK, SEEPAGE PIT— %) DRAIN FIELD__ , OTHER TO SERVE THE FOLLOWING FACILITY___ 0/j1i - FINANCED THROUGH 'r' TO BE INSTALLED PERCOLATION TEST RESULTS , fit_-� f l�AfJTIiCIPATED DATE OF COMPLETION -- THIS IS TO SERVE AS DISTANCES: BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE '' TYPE s ,;..,t+SEEPAGE AREA `�'� ('`%' TYPE DIAGRAM OF SYSTEM (P HEALTH AUTHORITY OR LICENSED DESIGNER I certify that 1 am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE e_ t `� �� _�_1 APPLICANTS SIGNATURE