HomeMy WebLinkAboutDEER HORN BLK 2 LT 1
-' ~'* MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE /.*~ NEW
MAILING ADDRESS 8 & ~ E~GINEERIN(t '
LOCATION NO. OF
~ ~ DISTANCE TO: ]~
~ ~ Menuf~turer C~ ~ -- M~ / No. of comp~ment~
~ ~ ~ DISTANCE TO: Wet, pwe~ PERMIT NO.
O ~ Manufacturer ~/~ Material Liquid ca.city in
~ Well Foundation Nearer lot Imp PERMIT
No. of lin~ Length of e~lin ~otal length of lines Trench width Distance ~t~en lines
~ inches
~ ~ ~ Top of tile to finish grade Material ~neath tile Torsi eff~tive absorption area
Q inches
~.~ Type of ~,b :rib diameter Crib depth :--_ Total ,"~ti~r.~/J
" DISTANCE TO: '~ Nearest lot Fine ~
Oriller istance lo lot line PERMIT NO.
~ DISTANCE TO: Building foundatio~ Se~r line Septic tank Absorption area(s)
OTHER
" r.
REM~KS
I.,
,-~ .: . ~,.~_ H~II,_.! ,,1~
72~t3 (Rev. 3/78)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L ,STREET, ANCHORAGE, AK 99501
264-4720
ON--SITE SEWER PERMIT
PERMIT NO:
DATE ISSUED:
840950
11/01/84
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
C/O S & S ENG'G LIFESTYLE INDUSTRIES
SRB 196X
EAGLE RIVER~ AK 99577
694-2979
SUBDIVISION: DEERHORN LOT: 1
SECTION: 4 TOWNSHIP: 15N RANGE: 1W
28142 (GQ.FT. OR ACRES)
4
BLOCK:
2
Listed below are toe options available to you in designing your septic
system. Choosethe option that best fits your site.
BED
DEPTH TO PIPE BOTTOM (ft.) 2.5'**
GRAVEL DEPTH (FT.) 0.5
TOTAL DEPTH (FT.) 5.0
GRAVEL WIDTH (fT.) 18.0
GRAVEL LENGTH (FT.) 29;0 ·
GRAVEL VOLUME (CU.YDS.) 19.4
TANK SIZE (GALS) 1,250.0 **
SOIL RATING (SQ.FT./BR) 85
** DEPTH TO PIPE BOTTOM < 5.5 FT. REQUIRES INSULATION
** DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
** TANK MUST HAV~ AT LEAST TWO COMPARTMENTS
I certify that:
1. I am familiar
2.
with the requirements for on-site sewers and wells as set
~orth by the Municipality o~ Anchorage (MOA) and the State of Alaska.
I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria o~ this permit.
I will adhere to all MOA and State of Alaska' requirements ~or the set back
distance~ from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
I understand that thi~ permit is valid for a maximum o~ 4 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
EWLIEL~T~iO~ALBE APPRDV~IIT~twORK~M~ST/BE D~NU~ BAyN '~LLEICcTERNIsCEADL EILN~TERCITcI~ANN.REPORT; AND (5) THE'
SIGNED ~ DATE: -/L_~_~_I~__ _~_-
APPLICANTC~C~ S & S ENG'O LIFESTYLE INDUSTRIES
' ................ .
iSSUED
BY DATE. ~,~' ~ '
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street. Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
~ SOILS LOG
r-I PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
SLOPE
DATE PERFORMED: /~0 ~' "ZI-~' ~
SITE PLAN
\
10
13-
14-
15-
16-
17-
18-
19-
2O
COMMENTS
PERFORMED. ;.
Pti.
72-008 (6r/9)
WASGROUNDW^TER .,~..../0 ~
ENCOUNTERED? ~
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/ !
PERCOLATION RATE ~"~' /t~' {minutes/inch)
TEST RUN BETWEEN FT AND FT
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
~5' / d~ D.---~- NAA# /*''~''~ ~°~'~ ~
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 1, Block 2 Deer Born Subdivision
Location (address or directions)
NIIN D~er Park Drive
(b) Property owner
Mailing Address
Telephone: (home)
Business
(c) Lending Institution
Mailing Address
Telephone
(d) RealEstate Company and Agent Associated Brokers. Inc, (Sandra tlfelmstad)
Address 640 W. 36th~ Suite #l Anchorage! Alaska 99503 --
Telephone 563-3333 :
(e) Mail the HAA to the following address: (or check here l-I, if hold for pick up.)
List contact person and day phone number below: ..
ERDHAN & ASSOCIATES Consulting Engineers
151 East Ilernin§ Avenue
~asilla, Alaska 99687
Contact: Hike Erdman 376-6989
2. TYPE OF RESIDENCE
Number of bedrooms
Single-Family rx
3. WATER SUPPLY
Individual Well n
Community [] Public ~
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site · Public [] Community r-1 Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
Page I of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE 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 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 ERDH/d~ & ASSOC'[ATES Telephone 376-6989 .' *
Address 151 East llern{n~[ Avenue
Wasilla~ Alaska 99687
Date August 10, 1989
6. DHHS APPROVAL
Approved for ~7' . bedrooms by
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
'fiT',Iii'Ii
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated 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.
Page 2 of 2
· ,,o ~ MUNICIPALITY OF ANCHORAGE (MOA) ~ -
' ~ ' ~,~'[*~[{l~,~ Health Authority Approval (HAA)
~. ' .~,..,~// CHECKLIST - FEBRUARY 1984
· ~ _C" .c~o~ 343-4744
~"~':~.~; ~ \~V~'/ Legal Description: Lot 1, Block 2 Oeerhorn Subd.
WELL DATA C~%~x'~ Served by Public I/ater System ~ . .... '', ....
Well Classificati~o~ ~-~ ~/, ~
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground ·
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
'To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments.
Date Completed
Depth of Grouting
If A, B, C. D.E.C. Approved (Y/N) Y
Yield
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
· , On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer CleanoutJManhole
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed 11/21/8~. *Size
Standpipes (Y/N) Y
Depression over Tank (Y/N)
· PumPing/Maintenanc. e Contact on File (Y/N)
Holding Tank High-Water Alarm (WN) N/A
1,250 * No. of Compartments 2 *
Air-tight Caps (Y/N) ¥ Foundation Cleanout (WN)
N Date Last Pumped 7/27/89
~I/A ; for
Temporary Holding Tank Permit (Y/N)
Y
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well 2OO' +
To Property Line
To Water Main/Service Line 10~+
To Stream, Pond, Lake or Major Drainage Course
Comments * Information from NOA
To Building Foundation 15'+
To Disposal Field 9~ *
lOOt+
xr,,,,,
/ / /
~-~(.~. 7/~) ~ Page I of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 85 ft2/BR
Date Installed 11/21/84. *
Width of Field 18' *
Square Feet of Absortion Area 522
Depression over Field (Y/N)
Results of Last Adequacy Test Passed
* . Type of System Design
Length of Field 29' *
Depth of Field 3' *
Gravel Bed Thickness 6" *
Statndpipes Present (Y/N)
Date of Last Adequacy Test
Seepage Bed *
¥
7/25/89
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well 200' +
To Building Foundation 20'+
Lot 30, +
To Water Main/Service Line IO, +
To Stream, Pond, Lake. or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments *[nformatton from HOA file,
To Property Line 10'+
To Existing or Abandoned System on
; On Adjoining Lots 30'+
To Cutback (if present) N/A
100~+
D. LIFT STATION N/A
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (WN)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, Verified, or conformed to all MOA and HAA guidelines in effect on the date of this
inspection.
Signed ~
Company Erdman & Associates Consulting Engineers
Data August 10, 1989
MOA No.
ReceiPt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
ERDMAN & ASSOCIATES
CONSULTING ENGINEERS
August 10, 1989
MOA Dept. of Health & Iluman Services
Division of Environmental Services
825 L Street
Anchorage, Alaska
Subject: Lot I, Block 2 Deer Horn Subdivision
Septic System Adequacy Test
Project #89133
Dear Sirs:
On July 25, 1989, our firm performed an adequacy test of the onsite septic
system serving the four bedroom home at the referenced property.
A total of 1,323 gallons of fresh water was discharged into the system over
a period of 160 minutes, all of which was absorbed by the seepage bed. Our
test showed the system to be adequate for the four bedroom residence.
Please call if you have any questions.
Sincerely,
Michael R. Erdman, P.E.
t5t East Hernlng Avenue Wasllla, Alaska 99687 907-376-6989
ANCHORAGE/WESTERN DISTRICT OFFICE
3601 C STREET, SUITE 1334
ANCHORAGE, ALASKA 99503
563-6775
DATE: August 10, 1989
PWSID: 213001
TO Whom It May Concern:
According to the records on file in this office, the ~ies
Northwoods/Deer Horn $/D Water System is in compliance With the
State of Alaska Drinking Water Regulations.
Sincerely,
Cindy Thomas
Environmental Engineer
~ M~JNICIPALITY OF'ANCHORAGE f~
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264~4720
Application Date
GENERAL INFORMATION
(a) Legal D~scription (include lot block subdivision,'section, township, range)
f
Location (address or directions)
(b) Applicant Name ['/7~ ~"~$,,~t~-.,e..e.,¢) Telephone: .ome~'~'~' ..m~,~' Business
App cant Address ~"..~-~"-.' ~
(c) Applicant !s..(check one): Lending Institution ri; Owner/builder J~; Buyer []; Other [] (explain);
(d) Lending Institution - Telephone
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) ~'~-aTl'the HAA to the following address:
2. 'TYPE OF RESIDENCE
* Single-Family ~ Multi-Family ri
' ' Number of Bedrooms
Other
3. WATER SUPPLY ,/y,~ ~g'~..4.,*~ /
Individual Well [] Community [] Public [~
Note: If community well system, must have written confirmation from the State Department o! Environmental Conservation
attesting to the legality and status·
4: SEWAGE DISPOSAL
· Onsite~ P~Jblic [] Community [] Holding Tank []
· Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
.......... 'r attesting to the legality and status.
Page I of 2
ENGINEERING FIRM PROVIDIh~ INSPECTIONS, TESTS, FILE SEARCH, ~)A ~ A 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 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 ; .~; ;'n~tn~rln~ Telephone
SRB 196x
Address Eagie .'.iver, :.;;$L-,~ ?)577 / /
Date ~/~.7/ ~' {~
DHEP APPROVAL ~ &... /z~
Approved '~ Disapproved Conditiona~
Terms of Conditional Approval
Date
CAUTION
The'Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues HeaIth Authority
App"oval 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
.... instituti'ons 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 !!~e..
professional engineer's work.
Page 2 of 2
72-025 (11/84)
WELL DATA
MUNICIPALITY OF ANCHORAGE (MO~,,i
MUNI~;;~rt~FC~HEAA~AUTHORITY APPROVAL (HAA)
p~CKLIST - FEBRUARY 19M
8 ~9~6 Legal D~ription: ~ ~ ~
RECEi .ED.
Well Classification
Well Log Present (Y/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Jde~fr~ Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
A If A, B, C, D.F-C. Approved(~N)
Date Completed Yield
Cased to De~l~h tf Grouting
! "~' ~/.Pump Set At
,~;~ttary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/J;~-DTI~TANK DATA
Date Installed (~, "' '~-~ -~'Size
Standpipes (~)N) Air-tight Caps (~N)
Depression over Tank (Y~)
Pumping/Maintenance Contract on File (Y/N)t,,
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic.~;te~ank:
To Water-Supply Well ,~ I,,~..
To Property Line J ~ ~-,I.--
To Water Main/Service Line
Course
Comments ,~
No. of Compartments
Foundation Cleanou~N) .
Date Last Pumped I~ ~u,,-~
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed [ [ - "Z.-~
Width of Field I. ~
Square Feet of Absorption Area
Depression over Field (Y/J~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation '~"~"~
Lot
Type of System Design "~
Length of Field
Depth of Field '~ t c3~-...~-,,-i. ~ % t ~ ~::::tt,...~.-
Gravel ~ Thickn~ [~ ~ I
Standpi~s Pr~nt~N)
Date of Last Ad~uacy Test ~
To Water Main/Service Line ~ ~ ! ~
To Stream/Pond/Lake/or' Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Property Line ~ c::::'t ~
To Existing or Abandoned System on
; On Adjoining Lots ~ t~... ~
TO Cutbank (if present) IJ/~
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
//i Ma n h ole/A c c,e.,ss (Y/N)
"Pump Off' Level at
· ' Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
*' Check Permitted Bedroom Rating Agelnsl HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed S & $ Engineer|nil Date / /7/~ ~
Company =--~-_..~__ ~....., ..... _~,,[, ;~ MOA No. ~7
Receipt No. ~~,,iI
Date of Payment ~-'~,,%:~j
Amount: $ r~ ~_ ~
Page2of 2 ~5 ~. I~ .~.~:
~ '-.. .~ -?;'~
DEPT. OF ENVIRONMENTAL CONSER%~TION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA q950!
BILL .~IEFFIELD, GOVERNOR
~ddres~:
274-~533
To Whom it May Concern:
According to records on file in this office the /~ 4~-'~/~oc/.f
~-~/./~ Water System is in compliance with the State Orlnkin'g
Water Regulations
Sincerely,
~ HUNICIPALITY OF ~NCHORAGE ~,
DIVISION OF ENVIRO~MENTAL HEALk~
DEPAR~HENT OF HEALTH AND F2flriRONH~NTAL PROTECTION
APPLICATION FOR H~LTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date
(a) Legal Description (include lo~, block, subdivision, sec=ion, township, range)
Location (address or directions)
Applicants Address ' - "~ T,.~z~. ~.L ...... · £?~..
(c) Applicant is (check one) Le~d'in~-'i~-[i~u=ion ~-~ I Owner/builder ~
Buyer ~-~; Other r-~ (explain)i '
(d) Lending Institution
Ad~_e.s s
Telephone
(e) Real Estate Co. & Agent
Address
(f)
Telephone
"~:/~e HA.A ~o the following address:
2. T~pe of Residence
Single-Family~.
Number of Bedrooms
3. Water Suppl7
Individual Well~
Multi-Family
Community
Ocher (describe)
Public .~'
Note: If community well system, must have ~itten confirmation from the State
Department of Environmental Co~servation attesting to the legality and status.
Sewage Disposal
Onsite~ Public~--~ Ccmmunityr--~ Holding Tankr~
Note: If community well system, mus~ have vrit~en confirma~ion from the State
Department of Environmental Conservation attesting to the legality ami status.
[Page 1 of 2]
3. En~ineerin~ Firm Providin~ :rnspectio~s~ Teets~ File Search~ Data and Infor~ation
As certified by my seal affixed hereto and as of the validation date shown below, Z
verify that my investigation of this Health Authority Approval sho~m that: the on-site
vat:er supply and/or waste~ater disposal system ia safe, funct:ional and adequate [or
the number of bedrooms and type of structure indicated herein.. I further verify that:,
based on the information obtained from the l~unicipality of Anchorage files and from my
investigation and iuspection, the on-site ~rater supply and/or wastevater disposal
system is in cc~pliance urlth all ~nicipal and State codes, ordinances, and regula-
tion~ in effect on the date of this inspection.
Name of Finn Telephone
Address
Approved
CAUTION
TH~ ~IUNXCIPALITY OF A~CHOP. ACE DEPAR~fE~ OF ~TH ~ E}~O~ ~OTECTION
(D~P) ISS~S ~TH ~HO~I~ ~PROV~ ~RT~ICA~S B~ SO~LY U~N ~ ~SE~-
ATIONS GI~N ~ P~ 5 ~0~ BY ~ ~EPE~E~ ~OFESSIO~L ENGI~ER ~GIS~
IN ~ S~ OF ~S~%. ~ ~P ~ES ~ ~ A ~SY T0 P~SEKS OF H0~S ~
~IR ~XNG ~TX~IO~ ~ O~E~ TO SATISFY ~R~XN ~DE~ ~D S~ ~QU~E-
~S. ~O~ES OF ~EP ~ NOT ~UCT ~SPECTIOL~ OR ~E ~ ~FORE A
CERTIFICA~ ~ ISS~D. ~ ~ICIP~I~ OF ~CH0~ ~ NOT ~SPONSIB~ ~ ~0RS
0~ ~ISSIO~ ~ ~ ~0FESSI0~ ENGInEerS ~0~.
(DHEP SEAL)
l~4/el/D18
[Page 2 of 2]
7-19-84
Separati~ Distances fxcm Septi~ttml~kW~Tank:
To Nates-Supply I~11 /~ ~/C.- To ~uil~ir~ Fct~ndaticn,. /8 /
To Property Line /~ 7~ To Dis~mal Field ~ /
To Wa~er Main/Set. ce Line ~ To Stze~. Porxl. I~ke. = Majc= Drainage
B~ceipt ~
Date Paid:
Amount:
[Page 1 of 21 2-15-84
Ce
Soils Rating ~n ~tic~ S=a~a
~t~ ~,~ued //- 2- ~ -~
Wid~ ~ Field /~ '
squa~ ~L~et c~ ~sccptic~ A~ea
Date Xram'*1 led
2-15-84
DEPT. OF ENVIRONMENTAL CONSERVATION /
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, C, OVERNOR
T~lel~hone: (907)
Address:
274-~533
fi~_ru~. ~t, Iq~b~
DATE:
t/
~s I.,~.,~
To Whom it May Concern:
According to records on file in this office the~~ ~U~
~lt.~ Water System is in compliance.with the State Drinking
Water Regulations
Sincerely,