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Home My WebLink AboutSOUTHPARK #2 BLK 3 LT 40 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 NAME MAI LING ADD R ESS LEGAL DESCRIPTION LOCATION ~$~U~ DISTANCE TO: ManufaetuFer Liq. capacity in gall( DISTANCE TO: I F HOMEMADE: DwellinglnSide length Well Well Foundation DISTANCE TO: C~(.)/TM) ~ No, of lines Length of each line Total length of li~es Top of tile to nish Material beneath tile Length Depth Dwelling Material Width Material Nearest lot line / ¢ ~S(~ inches inches NO. OF BEDROOMS PERMITNO,~ L/~) /'/~0 No. of compartments~=..~_ Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO.~ L[ ~) &t.~O Distance between ~. PERMIT NO. Type of crib rib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth DISTANCE TO: Building foundation Total effective absorption area Nearest lot line Driller Distance to lot llne PERMIT NO. Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ?¥-c C~ SOl L T EST RATING INSTALLER C REMARKS APPROVED~~J/ DATE LEGAL ~/' 72-013 (Rev, 3/78) MUN I C ! P~L I TY OF flNCHr~¢GE ~, DEPARTMENT O~ HEALTH 8ND ENVIRONMENTAL F..JTECTION 825 L STREET, 8NCHORBGE¢ 8K 99501 · ~ 264-4720 61~l--S I TE ~Eb~ER F'ER~'1 I T PERMIT NO: DATE ISSUED: 8404~0 06,...'07,¢84 APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRtP: LOT SIZE: MAX BEDROOMS: BILL BACON ANCHORAGE, RE 9950~ " -- SUBDIVISION: ~ LOT: 40 SECTION~ ~ TOWNSHIP~ liN' R8NGE~ ~W .5A (SQ. FT. OR 8CRES> BLOCK: ~' LISTED BELOW4 ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THRT BE_T FIT_. YOUR SITE. TREe-.lC H BE[:' W. [}~RR DEPTH TO PIPE BOTTOM (FT.) 4. 0 4. 0 _ 4. 0 GRAVEL DEPTH (FT.) 7. 0 0. 5 ..=..-" 5 TOTAL DEPTH ,.'FT. ) il. 0 4. 5 7. 5. GRAVEL WIDTH (FT.) 2. 5 24. 0 5...0 GRAVEL LENGTH-(FT. ::' 62:0 47. 0 9_?.. 0 *~: GRAVEL '¢OLUME (CU. YDS. ) 4-~. 0 _ 41. 7 68. 8 TANK SIZE (GALS) i., 000. 0 :+,.t-: l, 000. 0 ~.:m l., 000. 0 mm SOIL RRT'ING (SQ. FT. ,-"BR) 207 258 287 · ~..a GRAVEL LENGTH } ,.~ ]FT. REQUIRES MULTIPLE RUNS <NOT EXCEEDINA 75 FT. ~--'~ TANK MUST HAVE RT LEAST TWO COMPARTMENTS EACH) I CERTIFY THAT: i. I 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE ~UNICIP8LITY OF ANCHORAGE (MCR) AND THE STRTE OF 8L8SKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULBTIONS¢ AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL ~08 AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, WRSTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF ~ BEDROOMS AND 8N¥ ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT =TMTIuN IS INSTALLED IN RN 8REA COVERED BY MOA BUILDING CODES.. ' - ',' (2) %HEN (±) AN ELECTRICAL PERMIT 8ND INSPECTION MUST BE OBTHINE[:, RS-BUILTS WILL NOT BE 8F'PROVED WITHOUT RN ELECTRICAL INSPECTION REPORT; AND (~) THE ELECTRICAL WORK MUST BE DONE BY R LICENSED ELEL. TRI_.IRN. - .. ..... ......... ( MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ,?-,,,~ . LS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3- 4- 7 8 9 10 tl 12 13 14- 15 16- 17- 18- 19- 20 7//~,'~ ~? SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? NO SL IF YES, AT WHAT DEPTH? (,',//~' L l,¢ U,! Gross Net Depth to Net Reading Date Time Time Water Drop ~0 p 'o~ /, ~ ~ p.' ~ ~o -., ,/,~ PERCOLATION RATE ,~) (minutes/inch) c. ~,~, Z Yo~ PERFORMED BY: ~ ~/~ CERTIFIED BY~ 72-008 (6/79) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.a nchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-052-35 1. GENERAL INFORMATION Complete legal description Expiration Date: c'-/_ /../. 0 ~, Lot 40 Block 3 Southpark S/D #2 Location (site address or directions) 4820 Southoark Bluff Drive, Anchora,3e, AK Current Property owner(s) Lois Chanslor/Rena Mulcahev Day phone 345-8099 Mailing address 4820 Southpark Bluff Drive, Anchora(ie, AK 99516 Lending agency Day phone Mailing address Real Estate Agent MailingAddress Susan Peacock/Dynamic Prod Day phone 261-7600 3tlt C Street, Anchoraqe, AK 99503 Unless otherwfse requested, HAA will be held by DHHS for pickup. HAA picked up by:. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System TYPE OF WASTEWATER DISPOSAL: [~ Individual On-site [] Individual Holding tank [~ ~E] Community On-site Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation based on procedures outlined in the Health Authority Approval Guidelines for 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 vedfy 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 applicable Municipal and State codes, on:linances, and regulations in .effect at the time of installation. Name of Firm Pannone Enq. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Pdnted Name Steven R. Pannone, P.E. Date ~-o~/:.~z//~,7__.. outsidc the conlrol of lhe c"va.luator ot"l~is s3~tc'rm /t. ll ~ evmtm~ll¥ ~ail and satis£acto~ lest rcsalla do not guarantee future ix:rformance of the system, nor do 0~ guoa',mtc~ that there are no hiddcn &creels or encroachments. P'-~ c;m Ihm'eforc not provide any,,t-armnl7 for ful~rc Ixxformance ADEC or MO^ DSD. Thc contem of ~s rel~ is for t~c sole Ixmefit or t~e owner lis~ed above. ~y relianc~ upon or t~.e of this rel:x~rt by any otl~ pe~on or t~7 is not autlmfized nor will it ~= ~y 6. DSD SIGNATURE ['""~ Approved for Disapproved, Conditional approval for __ bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Expiration Date: X ,4.'.- -. ~'~: WATERAND : rn~ ~ : WASTEWATER : _-: '~ O.-, -. .' /','.'~ ...... Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: Legal Desc~pfion: A. WELL DATA Well type A Date completed Total depth Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) HEALTH AUTHORITY APPROVAL CHECKLIST Lot 40 Block 3 Southpatk Add, If A, B. or C provide PWStD # 21~475 Sanitan/seal It Cased to .It g.p.m FROM WELL LOG Nitrate , mg/I Collected by: Date of lest Static water level Well production WATER SAMPLE RESULTS: Coliform colonies/100 mi Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed {11~/1984 Tank size 12~0 Cleanouts 2 Foundation deanout Y Date of pumping 12/t$12001 Pumper Isaac's Pumvin{3 C. ABSORPTION FIELD DATA Date installed 8/2/1984 Soil rating (g.p.d./It Length {4 fl - WKlth ql fl gal De_lxe~J__'on overtank ~ Parcel I.D.: 020052-35 Well Log N Wires propedy p~otecteq Casing height (above ground) AT INSPECTION [13. It g.p.m Other bacteda colonies/100 mi Number of Compartments .~ High water alarm N__ system type Trench Gravel below pipe/_._ It New depth34 in. Absorption rate >= 450 g.p.d. If yes, give date Fluid depth in absorption field before test 26 in Water added450 gal. Elapsed Time: 1440 min Final fluid depth 26 in Any rejuvenation treatment (past 12 mo.) (Y/N & type) N (Rev. 11~) Total depth 9.7 It Effective abe°q~°n area ~96 ft= Monitoring tube Y Depression over fie~d N__ Date of .adequacy test 8/712002 Results (Pass/Fail) Pass For 3 bedrooms Date installed Size inga~ / ' 'Pump on' level at in'Pump o~//level at / Datum ,~es tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lank/lift station on lot Manhole/Access High water alarm level at ~ Meets almTn & circuit requirements? On adjacent lots Absorption field on lot On adjacent lots in Public sewer main Public sewer manhole/deanout Sewer/septic service line Holding lank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation t4 Property line 13 Absorption field 12 Water main 100+ Watersen/ice line t00+ Surface water 100+ Drainage 100+ Wells on adjacent lots: 200+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 14' Water Sewice line 35+ Building foundation 24' Surface water 100+ Water main 35+ Driveway. parking/vehicle storage ~5+ Curtain drain 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION Wells on adjacent lots 200+ I certify that l have determined through fleld inspections and review of Municipal records that I~e above systems are in conformance w~h MOA HAA guidelines in effect on this date. Engineer's Pdnted Name Steven R, Pannone. P.E. Date Waiver Fee $ ~e of Payme~ R~iH Numar .j , It is the responsibility of the owner to determine the existence of &~ easements, coven~nts;~6r re- strictions which ~o ~ot appear on'the're~o~ed sub-' division plmt..Under no ctrc~nstances should any . ~ ".. .data hereon be used for COnstruction or for estab- TS m~ llshtn.q boundmr~ or fence lines. The surveyor tak~ s~o~ m TH~' ~T, ~ MOT' rer~ol)stbtlltv for the lnttt&l trmnsm¢tt~on only. I~M ~Eo.N.. . · ..... ' LE~E#D ' ' i COT,-~ "".COCK ~ '.: . , ~ ,.. .o ....,.": .................. · ANCHORAGE RECORDING DISTRICT ' ,', ~. ~rA~ . -~. -- · m~mJ~, m. IY:IX)WI.lNG 8 ASSOCIATES ' -I ,_ '14~6 HYD£R STR££T -...: ' .. I I I '~ " ANCHORAGE. ALASKA : 99501 I ,[¥jsfow ~ oA~ I'.m, 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 HAA # ~ ~::lc~ ~/,~AcQ),~ GENERAL INFORMATION Complete legal description Location (site address or directions) 4~2o 5o [JTH ?,°i,~l< I~LU ~'F DR Property owner Mailing address Lending agency Mailing address ~TEV'E 4- ANNE Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~J25(Rev, 1/91) Front MOA#21 5. 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 flies 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. F'L,~t~°P 'TECH, ~[/C 5 Phone Address Iq ~3, o EcHo $'f- Engineer's signature ,'~'~ ,~. Date DHHS SIGNATURE Approved for .~ Disapproved. __ Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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-O25 [Rev, 1/91) Bsck MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LoT 4o~ B£K 3., ,Sou'r/{ P/J~K ~?- Parcel I.D.. A. WELL DATA Well type"~i'Co~t4u~l'~'f if A, B, or C, attach ADEC letter. Log present (Y/N) Date completed Totaldepth Sanitary seal (Y/N) ADEC water system number Driller Cased to Casing height Wires properly protected (Y/N) Date of test FROM WELL LOG AT INSPECTION MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Static water level Well flow Pump level g.p.m. U~.~ 0 9 l~ga J "E EJVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Nitrate Other bacteria Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed ~[2[8q Cleanouts (Y/N) ~' High water alarm (Y/N) Date of pumping Collected by: N Tank size 12-5o 6,'}L Compartments Foundation cleanout (Y/N) ~/ Depression (Y/N) ^. Alarm tested (Y/N) N,~J · Pumper ~¢,/o - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N To property line J 3 Surface water/drainage On adjacent lots N, A, Foundation Absorption field I:Z t Water main/service line > Ioo 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed 8[z/~q Length ~ ~' ¢ Width Total absorption area ~ffG Depression over field (Y/N) Results (pass/fail) F0¢¢ Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Soil rating 2,8'7 Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N, ~, To building foundation On adjacent lots >. 2o' Surface water "~ /ce Curtain drain No~iz Surface water System type TCe'~OH Gravel thickness 7 Total depth Cleanouts present (Y/N) Date of adequacy test for If yes, give date N,/~, On adjacent lots t~. ,~, Property line To existing or abandoned system on lot bedrooms .Cutbank N,A, Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature '~~ Engineer's Name HAA Fee $ /~/-] Date of Payment Receipt Number 72 026 (Rev. 3/91) Baok MOA Waiver Fee: $ Date of Payment · Receipt Number STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL OONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION ~t, Block & Subdivision or U.S. Su~ey Lot 15, Block 3 (16221 Baugh Circle) SouthPark Subdivision #1 PWSID no. 213475 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. T"'eEnvironmental Da'~ay25, ' 93 Eng. A=~L. II WASTEWATER DISPOSAL The do~wastewater system was: [] inspected"~ the Department of Environmental Conservation' and found to be in compliance with applicable re'~ments of 18 AAC 72; ~ [] inspected by a Pro"f'~s,,sional Engineer who certifies tha~8,~ system complies with applicable re- quirements of 18 AAC'?~ / .. [] ins~he system complies with applicable requirements of 18 AAC'72; or ~ . . [] te~~f_or~m.._a~c_e_~o~f the system is satisfactory an~e ap ration distances specified in 18 AAC 72, T~validfora [] singlefamily [] ~ilyunitwithatotalof bedrooms. Name Title D~te 18-O404 (Rev. 8185) DISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ~')..'~r~'/-('")~'~ -.¢--,_.~ HAA# ~'~/~)~(~-~ 1. GENERAL INFORMATION Complete legal description Lot 40~ Block 3~ South Park Subdivision Add. 92 Location: (si;~e address or. directions) 4820 South Park Bluff Driv6 Property owner ~ Mailing address Lending agency Mailin~'add,ress' Att~: ~ick Dolman Agent St6ph~n ~. Freeman Day phon~K 345-4681 #265~161~ 4820 So'uth Park Bluff Dr. Anchora~6~ Ak. 99516 S~a~£~ M~g~g~ Company Day phone Day phone Address · Unless otherwise, requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 %t TYPE OF WATER SUPPLY: Individual well Community well Public water XX NOTE: ing to the legality and status of system. If community well system, provide written confirmation from State ADEC attest- 4. TYPE OF WASTEWATER DISPOSAL: Individual on-sit~ '* Holding tank Community on-site · Public sewer NOTE: 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 #21 5. 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 S & S ENGINEERING Add ress 17034 Eagle River Loop Road No. 213~ Eagle River, Alaska 99577 Engineer's signature Phone Date SIGNATURE , Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments / 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 court~syto 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. 72q)25 [Rev. 1/91) Back MOA fY21 If A, B, or C, attach ADEC letter. ADEC water syst(~m number Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L-c3- L~O ! '~L~¢~; ~O~.'('~'~i~ii~ P,q~¢ Parcel I.D, s/~ A. WELL DATA Well type Log present (Y/N) /t.)/~ Date completed '/[J~ Driller /~./~ Totaldepth ~)/'~ Cased to /~).~ Casing height /~,/~ / Sanitary seal (Y/N) FROM WELL LOG Date of test ~)/~ Static water level Well flow l/ g.p.m. Pump level AT INSPECTION g,p.m. / SEPARATION DISTANCES FROM WELL TO: /~/~. Absorption h~ld on Io~t~-. ; On adjacent lots Public sewer main ~ Public sewer manhole/o~ut Sewer service line WATER SAMPLE RESULTS~ Nitrate Coliform ~ , Othe~teria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~' I~l~ct Cleanouts (~'N) High water alarm (Y/N) Date of pumping ~/\\':t \ Tank size I~-~ G/u.. Compartments Foundation cleanout ~N) ~/E5 Depression (Y/I~ Alarm tested (Y/N) /~//~ SEPARATION DISTANCES FROM SEPTIC/~G TANK TO: Well(s) on lot /L///~ To property line ~'~ Surface water/drainage On adjacent lots Absorption field Fou r~dation I~'t Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION ~,~/,,~_ Date i n st al---~Ed~ Manufacturer Size in gallons ~ Manhole/Acce~~ Vent (Y/N) "Pump o~CqLevel at ' ' ~ "Pump off" level at High water alarm level ~ .--~Cycles tested Meets MOA electrical codes (Y/N) Well oil Iot._..~"- On adjacent lots Surface wate'Gr-~ D. ABSORPTION FIELD DATA Soil rating ?,~-~ s~. System type Gravel thickness ~ ¢ Cleanouts present ,~N) Date of adequacy test for ..'~ '¢-f~uJ ~ If yes, give date Date installed Length ~/ r Width_ Total absorption area Depression over field (Y/~_~ Results (a~/fail) Peroxide treatment (past 12 months) Total depth // / bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ~OO / ~- Property line To existing or abandoned system on lot Cutbank /1d0~vF- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date $ & $ ENGINEEEING Eafjle River, Alaska 9957? HAA Fee $ _ !~ (~, 0£~ Date of Payment Receipt Number 72-026 (Rev. 3/91) B~ck MOA 2i Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 3601 "C" STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 Janua~ 21,1992 FOR: S & S Engineering PWSID 213475 My review of the records on file in this office reveals that the South Park Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria samples requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC 80.200. Sincerely, Lead Engineer 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 S NGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Property owner Mailing Address (c) Lending Institution Mailing Address (d) Location (address or directions) / · Telephone: (home) ~ ~/~-- 5-b?,~-Business 'Telephone Real Estate Company and Agent Address (e) Telephone ~¢"7(0 - l ~3 Mail the HAA to the following address: (or check here/l~if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE Single-Familyt~ Number of bedrooms -~ WATER SUPPLY Individual Well [] Community']~ Public [] Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site~ Public [] Community [] Holding Tank [] Note:/If/'community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PRO~'JDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION A.s certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is 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. NameofFirm "~¢~¢.~ ~'uoe'~.C[~.~ "¢.[~ Telephone Address ¢~-0 ~ ~-' / ~'- ~ Approved for~ bedrooms by _ Approved ~ Disapproved Conditional Terms of Conditional Approval Engineer's Seal 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. 72-025 (Rev. 7/88) Back Page 2 of 2 ~ MUNICIPALITY OF ANCHORAGE (MOA) j',e~JJ~,-,.~,~ Health Authority Approval (HAA) MUI,,~.,/OF ANcHo~51;Ij~cKLIST - FEBRUARY 1984 ENVIRON'J~('AL SERVICES DIVISION 343-4744 A. WELL DATA Well Classification 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 SEP 1 6 1988 RECEIVED Date Completed Depth of Grouting Legal Description: If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) DepressJon Around Wellhead (Y/N) Y ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~/~ ~ Size 1~--5o No. of Compartments ~"!X,/(~ . · Standpipes (Y/N) 7-¢,,.2 Air-tight Caps (Y/N) ,~' Foundation C[eanout (Y/N) ~__ ~_~-~' Depression over Tank (Y/N) h-J -- Date Last Pumped tt/l{l~l'? Pumping/Maintenance Contact on File (Y/N) N/~. ; for Holding Tank High-Water Alarm (Y/N) 1',¢/~, Temporary Holding Tank Permit (Y/N) SEPARATION DISTANOES FROM SEPTIC/HOLDING TANK: To Building Foundation I ~1 ~ To Disposal Field 1 2~ To Water-Supply Well ,~' To Property Line To Water Main/Servide Line To Stream, Pond, Lake or Major Drainage Course Comme.~/,~i, 1~o 72-026 (Rev. 7/86) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed A~ j, Width of Field Square Feet of Absortion Area ~o~ t2 Depression over Field (Y/N) I\l Results of Last Adequacy Test Type of System Design ~'/-~£= ¢4 cig Length of Field I¢ ~ Depth of Field ~ O - I ¢2 Gravel Bed Thickness ,-~ ~ Statndpipes Present (Y/N) Date of Last Adequacy Test To Building Foundation Lot ~J//A To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ ~-O ¢ To Property Line I To Existing or Abandoned System on ; On Adjoining Lots ~ ;~/(P To Cutback (if present) Comments D. LIFT STATION ~X,~O /,,,~ ~' 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 (Y/N) 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 I o[[.~. Date MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev 7/88) Back Receipt No. "; ' '"' Waiver Fee: $ Date of Payment Page 2 of 2 Engineer's Seal DEPT. OF EN~VIRONMENTAL CONSERVATION/ ANCHORAGE/tJE:)TERN DISTRICT OFFICE 360] C STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 5~3-~775 BATE: 8i~emben 16, ~988 PUSIB: 213475 To b.lhom It May Concern: Accnrding to the recoPds on ¢ile in this office, the EF-IiATF~ ~L.IB~_~O~ Yaten Svste~ ~s ~n compliance u~th o¢ Alaska Dnink~n9 ~atep Requlat~onso the State MPL ,' pkk S~cere~y, M~chael Po Le~is, PE Env~Ponmental Engineep MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES D WS O. dP E.WRO.MENTAL SERWCES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~j~l(~-"~ OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description.j(i.nclude lot, block, subdivision, section, township, range) Location (,.adCress or directions) (b) : Property Owner (c) (d) (e) Telephone: Home 34'$''~ ~I19! Eendin¢ Institution , Telephone Real Estate C~n~ and Agent /~/~/~ ~~ - ~/~ Address ~/ ~ ~' ~/~/~ ~~ Mail the HAA to the followina address: or: Check here~ if hold for piok up. List contact person and day phone number below. Business Z-?~' 7~'11 TYPE OF RESIDENCE Single-Family"~ - - '. Number of Bedrooms ,3 WATER SUPPLY Individual Well [] Community~g Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~i~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 trey 8/861 Front ~ ~o ~ eO~d '>pOM S,jaau!l~ua leuo!ss@JoJd aq~. u! SUO!SSILUO JO 9JOJJ9 JOJ ~lq!suodggJ ].OU S! 9b~Joqou¥ Jo ,qlled!o!unv~ aq..L 'panss! s! a:mo!JCJao e aJoJ.~q elep az~ieu8 Jo suopoadsu! ~.onpuoo lou op SHHQ Jo saa~oldUJ3 's].uauJaJ!nb~J 918].s pu8 leJap~J, u!epao ,~JsR. es o~. JgpJo u! suoi.ln~.R, su! bu!pual J!@q) pu~ s~uoq jo sJas~qoJnd 01~sa~noo ~ se s!q~. saop SHHQ aq.L 'e~SelV to e~.~lS aql u! p~Jelsj~eJ le^oJdd¥ ,~l!Joq)nv q~.leaH sonss) ($HHQ) seoJ^JeS ueLunH pue q~.i~eH J.o ~ueuJpedaQ e~l~JOqOU,,¢ jo ~:uled!ojunl~ aq.L NoImn¥o I~^oJddv I~UO!)!puoD ;o SLU~a I p@^oJddes!Q /~' pg^oJdd¥ Aq smoo]poq ~ Jot po^oJdd~ 'lVAO~ddV SHHQ '9 · uo!]oodsu! s!ql Jo e3ep uo ~oej~e u! suo!~elnSe~ puc 'seoueufpJo 'sepoo e3e~S puc led!munp~ I1~ ql!M eOu~!fdLuoo U! S! uJeis~s I~sods!p Jo/pue ~lddns ~eieM el!s-uo eq~ 'uo!loedsu! pue uofi~8!lsa^u! ~Lu LUOJ~ pue selu aSeJoqou¥ jo X~!led!o!un~ eq~ LuoJj pau!e~qo uof~euJ~ojuf eq~ uo peseq ~q3 ~JpeA ~eqpn¢ I 'u!aJeq pe3eoipui eJn~on~is Jo ed~) pue su~ooJpeq Jo ~@quunu eq] Jo~ e~enbape pue I~UOgOunj 'ejes s! ~ue39~s I~sods!p ~e~eMeise~ Jo/pue ~lddns ~e3~ e~!s-uo eq3 ieq~ s~oqs le^o~ddv ~lpoqln¥ qlleeH s!q) Jo uo!le§l)se^u! ~Lu leq) ~IJOA I 'Molaq uMoq9 ei~p uo!leP!l~^ eql ~o se pu~ oieJoq pax!lie leos XuJ ~q PoUIMeo s¥ .§ MUNICIPALITY OF ANCHORAGE (MO~/' HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF A T FEBRUARY ENvI ~ ..... NC ,~,,CHECKLIS - 1984 R"~'v~NTAL S, ERVic~''''''x'~GE 264-4720 NOV 2 0 1987 Legal Description: WELL DATA Well Classification RECEIVED. If~.A~B, C, D.E.C. ApprovedL~N) "~Present (Y/N) Date Completed Yield Total Dep~t'h. Cased to Depth of Grouting Static Water Levite Pump Set At Above Gro-~81~.~ Sanitary Seal on Casing (Y/N) Casing Height Electrical Wiring in Conduit (Y/N) % /Oj~..~_ ~ ¢// Depression Around Wellhead (Y/N) S~paration Distances from Well: T° Septic/Holding Tank on LOt ' * '~. .; On Adjoining Lots To Nearest Edge of Absotptidn ¢:ield on Lot c[ ets _ To Nearest Public Sewer Line To Nearest Public'Se~ Cleanout/Manhole To Nearest Sewer Service L~e.~Lot Water Sample Collected by Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes(C)'N) Depression over Tank (Y~) Size Air-iight Caps~N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ,~,//¢f Separation Distances from Septic/Holding Tank: No. Of Compartments ~ Foundation Cleanout~N) Date Last Pumped //'/~'~'~ 1~"~¢¢g~ W/~ ;for ~/"~- Temporary Holding Tank Permit (Y/N) ,,4]/.~ __ To Water-Supply Well To Prope[ty Line To Water Main/Servic~ Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~"--~.. ¢,¢1' / Width of Field Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Type of System Design Length of Field ~'~: Depth of Field 9, :~' Gravel Bed Thickness Standpipes Present{~N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well · To Building Foundation ,~' Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line /~'" To Existing or Abandoned System on ; On Adjoining Lots '~"~" / To Cutbank (if present) /o ¢- Comments D. LIFT STATION Size in Ga~ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments ~//~ Dimensions Manhole/Access (Y/N) ~'~'"'~ "Pump Off" Level at ~~ Vent (Y/N) ~es during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify t hat, ~.)v~h.~e~, vier?ed, or conformed ,o all Signed ~-"/"'-~( - ,~'"'/~"'~ Date Company ,'~¢"~ ~ MOA No, Receipt NO. ~ Date of Payment Amount: $ /'~) Page 2 of 2 MOA and HAA guidelines in effect on the date of this inspection. 72-026 (11/84) DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE / 3601 "C" STREET. SUITE 1334 ANCHORAGE. ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 DATE: PWSID #: __!!!!!~ .......... To Whom It May Concern: According to the records on ?ile in this o??ice, -__T~&~_~U~!~Z6Z~ ..... Water System is in State o? Alaska Drinking Water Regulations, t h · _S_O_U_T_H_ _P_A_R_K_ _ _ compliance with the Sincerely, Environmental Field O?Ficer MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal Description (include lot, block, LOT Application Date subdivision, section, township, range) (c) (d) Location (address or directions) Applicants Name Fi~ii,~¢ Applicants Address Telephone - Home Business_gE 2- ~, Applicant is (check one) Lending Institution ~--~ ; Owner/builder ~ ; Buyer ~-~ ; 0ther ~ (explain); Lending Institution Telephone Address (e) (f) Real Estate Co. & Agent Address Telephone Mail the HAA to the following address: 2. Type of Residence single-Family ~ Number of Bedrooms 3. Nater Supply Individual Well~-~ Multi-Family~--~ Other (describe) Community ~ Public Note: If community well system, must have written cotffimnation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite ~ Public ~--~ Community [ I Holding Tank 5-] 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] ~ngineering 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 ~stewater 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 f~/?(...2 L,.~, I.,~'C __ Telephone Address /gc)O ~3 _.~-c~ DHEP Approval App=oved for Approved ~ bedrooms Disapproved __ (ENGINEER SEAL) By C. Reid;' .Ir. No. 22.5 .~ Date Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H~ALTH ~ND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY ~N INDEPENDENT PROFES%IONAL ENGINEER REGISTERED IN THE STATE OF ALASka. THE DHEP DOES THIS AS A COURTESY TO pURCHASERS OF HObIES THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. 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. (DHEP SEJ.L ) RK4/ej/D18 [Page Z of Z] 7-19-84 ae MUNICIPALI~ OF ANCHORAGE DEPT. OF HEALTH & ~CIP~I~ OF ~C~GE (MOA) [NVIRONMENTAL PROTECTION HEALTM AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification CC:I/W/WI. IA; Well Log P~esent (Y/N) Total Depth ~/jq Cased to static water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~om Well: To Septic/Holding Tank on Lot AU'G ,S 0 RECEIVED If A, B, Or C, D.E.C. Approved~/N) Date Completed .,., .,~//~- Yield Depth Crouting Pump ~t At Sanitary Seal on Casing (Y/N)Fu/m Dap~ession A~ound Wellhead (Y/N)gu~ ; On Adjoining Lots ~00' ; On Adjoining Lots To Nearest Edge of Absoz~ption Field on Lot To Nearest ~Public Sewer Line M3//4 To Nearest Public Sewer Cleanout/Manhole ~%)/~ ' To Nearest Sewer Service Line on Lot Wate~ Sample Collected ByAYo gA/~i~z~ ~/~M£al ; Date ,Aj//~F Wate~ Sample Test Results -~r;~ F/~c,t~ ~( Cc~tm~nts B. SEPTIC/HOLDING TANK DATA Date Installed ~/~ Size ~Z,~O No. of Cc~paz?tments Standpipes ~/N) Air-tight Caps ~N) Foundation Cleanout ~N) Depression ove~ Tank (Y~ Date Last Pumped Pumping/Maintenance Contract (~n File (Y/N)~//F~ ; for Holding Tank High-Water Alarm (Y/N) ~//~ ~%mpora~y Holding Tank Permit (Y/N) Separation Distances f~om Septic/Holding .Tank: To Water-Supply Well ~ /, , >,,tOO/"~;~'To Building Foundation To P~operty Line J3I To Disposal Field To Water Main/Service Line ~6~ To Stream, Pond~ Lake, a~ Major D~ainage Course Comments [Page 1 of 2] 2-15~84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/~/~ ~ Width of Field .~ ! Squaee Feet of Absorption A~ea Depression over Field (Y~) Results of Last Adequacy Test Type of System Design Length of Field ~ ~ ' Gravel Bed Thickness Standpipes P~esent Date of Last Adequacy Test Separation Distanc~ f~om Absorption Field: To Water-Supply W~ll A3/~ To P~operty Line To Building Foundation ~; To Existing or Abandoned System cn Lot ~//~% ; On Adjoining Lots > 30 I TO Water Main/Service Line ~q~'~'o~a¥ r~o% To Cutbank(if present) To Stream/Pond/Lake/o~ Major D~ainage Course To Driveway, Parking A~ea, o~ Vehicle Storag~ Pazea ~-~ ~ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High ~te~ Alarm Level at Tested for Electrical Codes(Y/N) Con~n~nts Dimensions Manhole/Access (Y/N) /~//~ "Pump Off" Level at .43///4 Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Raquest I certify that I have checked, v~rified, o~ conformed to all MOA HAA Guidelines in effect on the date of this inspection. Sig~ed ~ ~A~ Date [Pa~ 2 of 2] DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTRAL REGIONAL OFFICE 437 ~E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL 5~IEFFIELD, ~)T/ER~)R Telephone: (~07) Addres=: 274-2533 To Whom It May Concern: Water Regulations. '-