HomeMy WebLinkAboutHAMANN LT 1BHamann
Lot 1 B
#050-611-36
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650 Page 1 of 2
www.cl.anchorage.ek.us (907) 343-7904
ON—SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO50172
PID Number: 051.611-36
7
Wastewater System: ❑ New ® Upgrade
Ad",PENGLOW DRIVE
ABSORPTION FIELD
Ph"
Nu of eeapppu
O Deep Tnrch ® Shallot Tnrah O SW O Mond O otJW
LEGAL DESCRIPTION
soot Am"
Taet oepm"M aarrl orad.
0.8 GPOff?
7.3 Ft.
al c La Sul .ori:
Depen a ppe lxaom from araaal paM
GrM depth heneeth ppr
18
HMANN
2.2 Ft.
5.1 FI
Tmrww R«pe
swan:
FdW same olprul Vecle
GlM LftVh
14N 1W
15
0.5 Ft.
56 Ft.
Well: ❑New rade
❑ Upgrade
G M want
5
Nunn« a It ea
1
otNanpe eNreM h ea
0
FI.
FI.
Claa� (P *. A 9. C)
Tar Dean:Ceded
b'
TOW eow txxxi "a
P" wtanr
EXISTING PRIVATE
FI. FL
563F0
ASTM 3034
DM«
Doe DNNd
StNa wN«LM
"&W'.
Data YWaeW.
FL
CCC CONSTRUCTION
9/2912005
mea
Pump sow
C.eaa H.yn Aoo.. Grand
TANK
GPM
FL
FL
SEPARATION DISTANCES
0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
ubllWrivate
'w`«
ly
From
Tank
Field
Station
Tank
Sewer Una
ANCHORAGE TANK
1500 Gr.
V014
+100'
+100'
—
—
+25'
MH«ul
STEEL
Nvmp« a Go ve tmwna
2
s,ar«ewn«
+100'
+100'
—
—
LIFT STATION
La L"
+5'
+10'
—
—
�e NO LIFT Gr
w,.«
+5'
+10'
—
—
'Pump Orl' IMM
'Pure pit I at
Hrph ". al. N.
FOundMgn
H
N
k
+50'
+JV'
—
—
Pump Make a Moat
Elwnul oewpeam P«romW by
Dutein C.
3
BENCH MARK
U 4.
Lmm« «a 09scroal.
TOP OF HOUSE FOUNDATION
Santa Nv84
',. 100 FL
P'),
E '
Inspections performed by: E.R.E.S
Dates: 1N 9/2012005
QFwq
2"d 912912005
.
Development Services Department Approval
Conditional Approval
Date:
CHRIS
MRS.
N„d'1°•
Reviewed and approved by:
r
rN• Date: � O
(Rev 0406)
Permit No. SW050172
Page 2 of 2
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
ON—SITE WATER & WASTEWATER PROGRAM
4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: HAMANN LOT IS 050-611-36
CAT III.
RESERVE
2
VEW 1500 GAL.
SEP/TIC TANK
1NEW 5'X56'
„�c-, LEACHFIELD
T® 1
G FIELD
�- O - CLEANOUT
ELEVATIONS + - WELL
(NOT TO SCALE)P F N A N _ MONITOR TUBE
ASSUMED ELEVATION • tOO' 6/20/
ORIGINAL GROUND ENGINEER'S SEAL
LEVEL AT, 98.7 0000Opp�
/ \ o OF A�
0.5' FILL MT -2 J 1. TH-1 ' 'C` ........ .....'9
ISULN91,
962M1.91SULATIOYPA-96.5
o ° o • �•86.4 o 5L• e96.0e 9 o ° o. 91.4 84.7
91 BOTTOM OF T.H.
91.4
A'•. CHRISTOPHER R. WOOD.-'
cf'• CE -10387
044 "D0000���
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 14, 2005
Expiration Date: Jun 14, 2006
Permit Number: SWO50172 Parcel ID: 050-611-36
Legal Description: HAMANN LT 1 B
Design Engineer: 0848 Eagle River Engineering Services Site Address: 024023 ALPENGLOW DR
Owner Name: J. ALAN GOODWIN Lot Size: 53061 SO. FT.
Owner Address: 24023 ALPENGLOW DRIVE Total Bedrooms: 5 Permit Bedrooms: 5
EAGLE RIVER. AK 99577-2008
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 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.
5. The following special provisions.
a.) At the time of construction, additional lest hole(s), percolation test(s) and 7 -day groundwater monitoring will be
completed for the 5 -bedroom reserve absorption field.
Received By:
Issued By.
Date:
6/105
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us.
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Permit Number SW
Property owner(s) % rey�Day phone
Mailing address (1) -2 10A
Mailing address (2) 6ce .ir zA A Zip Code 917S77- 17&M
Legal description (Lot, Block & Sub'd.) f{GtmGt nr) s'1.B
Legal description (Section, Township & Range) 5r_ . /5 Ti yA1 e -/G✓
Lot Size 63, 06/ Acres Number of Bedrooms 15-
THIS
5
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application Is being made for a
Single Fam}Fy Dwellin"nd is iP accordpce with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Dale of Payment: &
Receipt Number: b tY153
(Rev. 12100) P"1�{--
Waiver Fees:
Date of Payment:
Receipt Number:
Eagle River Engineering Services
Christopher P. Wood, P.E.
10421 VFW RD. Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
June 7, 2005
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Hamann Lot 1B
Narrative & Permit Application
Dear Mr. Roth:
Eagle River Engineering Services (ERES) was contracted to design a septic system upgrade at
the above referenced property. The homeowner wishes to upgrade from 2 bedrooms, to 5
bedrooms. The septic tank will be upgraded from 1,000 gallon to 1,500 gallon. The existing
leachfield is dry, and in GM material. A test hole and soils percolation test has yielded a
percolation rate of 9 minutes per inch, and a water table depth of 12.3' after 7 days of
monitoring. The soil type appears adequate to support a new 3 bedroom leachfield.
Additionally, a Health Authority Approval Certificate was issued in 2004 for this property.
The proposed 5 bedroom septic system upgrade will have very limited impact on adjacent
properties for the following reasons:
1. The surrounding lots are large, so there is room for wells, septic systems and
alternate sites.
2. Immediate neighboring septic systems are all +20' distance, and no private (or
community) wells within 100' of the proposed septic system.
4. Drainage will not be affected and is not a major consideration in our design.
Installation of this 3 bedroom upgrade, from 2 to 5 bedrooms total, will not adversely affect the
wells or septic systems or reserve areas on adjacent lots.
If you have any questions please call our office at 694-5195.
Sincerely,
EAGLE RJY6R E G GS RVIC
Christopher �RlWeood, P.E.
Principal
\2003\05.04 BSEMCNARRATI V E
+ 30' TO SEPTIC
LOT to
+ 2DO' TO WELL
0
I
+ 200' TO WELL
/ CONDUCT PERC TEST
IN VICINITY OF NEW IEACHFlELD
DURING SEPTIC UPGRADE
m
w
� � n
\ ` TWO 3'x38'
RESERVE SITES
qL
/ EXISTING/
/ TANK
\ \ 90•
\
\
\ CpF'1'ClOy, \ \ \ \
WELL/SEPTIC
LEGAL: LOT 1B, HAMANN SUED.
OWNER: J. ALAN GOODWIN
CONTRACTOR: UNKNOWN
JOBA 05-048 1 DATE: 06/1
EXISTING FIELD
TO REMAIN
I
INSTALL
NEW 3X36
— —
LEACHFIELD.
LOT 2
�
a'brs
I
WELL
3
0
EASEMENT
"QI\
— — —
— PROPOSED LEACH FIELD
\ �•
— EXISTING LEACH FIELD
DRIVEWAY
•
— MONITOR TUBE
o
— SEWER CLEAN OUT
— WELL
®
— TEST HOLE
1. NO KNOWN CURTAIN DRAINS
SITE PLAN `.��.OF�q
51 SCALE 1"= 60
EAGLE RIVER ENGINEERING
P.O. box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907)
�.:..-.I....... r.........
An %CHRISTOPHER R. WOOD
SERVICES ♦� •, CE -10387 \;
694-329
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW Rd. Suite 201
Eagle River, AK 99577
(907) 694-5195 tel
(907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Ilamann Lot III
Aiay 2, 2005
A. GENERAL
1. The well and septic plan is for a 3 bedroom upgrade to a 5 bedroom total single family residence only.
2. The drawing and or site plan shall be apart of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed.
B. SEPTIC TANK
1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum
and insulated with 2" of burial foam if shallower than 3 ft., with 2 R. minimum.
2. Septic Tank shall be a minimum of 1,500 gallon tank of MOA approved construction, insulated, or
place with 4' of soil cover, min.
C. DRAWFIELD
1. The drainfield is to be placed as shown on the site plan. Contractor shall take extreme care ensure that
10'scpartation distance is maintained between trenches, from the lot line, and from the house
foundation. It is recommended that a licensed surveyor be utilized to locate all immediately
adjacent lot lines and easements.
2. The bottom of the drainfield excavation shall be level, plus or minus 1.5", prior to placing gravel.
3. The total depth of the drainfield excavation shall not exceed $ ft. at any point in relation to natural
ground surface.
4. The drainfield gravel shall be covered with typar fabric material.
5. Soil or a combination of soil and extruded board insulation to at depth of 3' or equivalent is to be
placed over the leachficld.
6. The area over the drainfield is to be finish graded or mounded to prevent ponding of surface water
runoff.
7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
\\Eres\docs\W PDOCS\2005\05-048.3brdminficid- spmdoc
Eagle River Engineering Services
Christopher R. Wood, P.E.
RECOMMENDED LEACIIFIELD DIMENSIONS:
TOTAL DEPT I I = 4' GRAVEL DEPTII = 4' under pipe, 2" over pipe (4.5' total)
DRAINFIELD LENGTII = 56 DRAINFIELD WIDTII - 5'
SOIL RATING= 0.8 GPD/112 BEDROOM CAPACITY= 3 total
SEPTIC TANK = 1500 gallons min.
Twenty-four (24) hours notice required for all inspections.
\\Em\dacs\W PDOCS\2005\05-048-3brdminfield- spec.doc
EAGLE RIVER
ENGINEERING SERVICES
10421 VFW RD Suite 201
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 05-048
Calculated By: CW
Date: e/7/2005
Legal: Hamann Lot 1B
Single Family 3 Bedroom Dwelling
TEST HOLE 1
Shallow Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom -
Percolation rate =
Wastewater application rate =
Required absorption area =
Trench width (W) =
Gravel depth (D) =
450 gallons
9 minutes per inch
0.8 gallons per day per square fool
583 square feet
5 feet
4 feet
Required length - Shallow trench factor • Required absorption area / W
Shallow trench factor = (W + 2) / (W + 1 +2 D)
Shallow trench factor - 0.50 Q7.0
Total Excavation Depth = 13-5,188t
Required length = 5e feet
05-048 2brdrainfieldCalc 12:50 PMe/7/2005
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519E6SO
www.cf.anchoraqe.8k.us
(907) 343.7904
Soils Log - Percolation Test
Performed For. ALAAJ G c;obt,J1 Al Date Perfa
Legal Description: 9.-m4A/A/ La % 113 Township, Range, Section: r I LIAJ 21 W Stl 5
Depth
Iv`�I FTLL
0 r.
v V
a• �M - TAA/
5 SAA)b+ CLRdvFL
10-
11-
12-
13-_,
1 12-
13 _
'o
14-
15-
1s (,LAYER .
'°
6OITOW1
17-
rlan
WAS GROUND WATER
ENCOUNTERED?
? / a
IF YES. AT WHAT DEPTH? L
Depth to WetarAner / O
Monitodng? IZ•3 E
Date: 511310
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
Z
9:00
30
6r- io %t
"
3
1-.o ►
6= 6"
q
°l.' 31
30
= e/i6
114 ,r
6
Io: DZ
-30
6 -Cl
PRFs
LI
-H25
PERCOLATION RATE I (MI M -Ifth) PERO HOLE DIAMETER 61,
TEST RUN BETWEEN J�,_FT AND FT
COMMENTS ' 1
PERFORMED BY: ('�21 S WC C) 1-> ( ERTIFY THAT THIS TES WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL INES IN EFFECT O THIS DATE. GATE: 510y/dr
MUNICIPALITY OF ANCHORAGE j
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
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❑UPGRADE
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LEGAL D
SCRIPTION -
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LOCATION
NO. OF B O S
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Absorgt,lor�aree
Dwelling L
PE�jy11T�120.�
Y�
Uy
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a. z
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M i
No. of compartm
IT IS
rn
Liq. pa�itY,i ngallons
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IF HOMEMADE:
Inside length
.,-.
Width
Liquid depth
Well
Dwelling
PERMIT NO.
DISTANCE TO:
z G
Manufacturer Material
Liquid capacity in gallons
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p
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Found�� -4- Nearest et line
PE9IT,,NO
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DISTANCE TO:
C.�
LJ
w
J LL
No. of lines /
Length a Ilne
Total th of Ines Trench wi 8+"
Distance be Me'nem
A
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- - -
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<
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erigl en� h �Ie `-" j Lrt
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�Y, CD, F---' 9 IC-`- H -i fc) F--' H=1 53�
DEPHRTMENT OF HEHLTH HND EPTVIRO�MENTHL 1 CTuN
B25 L STREET, RNCHORHGE, HK 99501
' 264-4720
Q phi --- ��-1- E�i�:
PERMIT NO: 84008]
DHTE ISSUED� 0]/28/84
.HPPLICHNTMHRK WOJTHLIK
HDDRESS: C/O S & S ENG'GSRB 196X
EHGLE RIVER/ HK 99577
CONTHCT PHONE694�2979
LEGHL DESCRIF" LOT: 1B BLOCK: NH
SECTION: 15 TOWNSHIP: 15N R8NGE1W
LOT SIZE� 0 (SQ�FT� OR HCRES)
MHX BEDROOMS� +�� �/
`
LISTED BELOW ARE THE., OPTIONS HVHILHBLE TO YOU IN DESIGNING YOUR SEPTIC
SYSTEMCHOOSE THE OPTION THHT BEST FIT� YOUR SITE
.... �... ..... .... ... ..... ������^�����������������
������ ������ ��^ �������9�
DEPTH TO PIPE BOTTOM (FY ) ].0 ** 4.0 40
GRHVEL DEPTH 6.0 0.5 ]5
TOM. DEPTH (FT. 4.5 7.5
GRHYEL WIDTH (FR ) 2.5 25.0 5.0
GRHVEL LENGTH 0 ** 48. 0r�����-�*
GRHVEL VOLUME (CU- 9 44.4 74. 8
THNK SIZE MALS) 000. 0 ** 1'000. 0 **
SOIL RHTING (SQ�FT�/BR) ]12 264 ]12
** DEPTH TO FT. REQUIRES INSULHTION
** DEPTH TO PIPE BOTTOM { 4.0 FT. MHY REQUIRE H LIFT STATION
** GRAVEL LENGTH } 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EHCH)
** T MUST HHVE HT LEHST TWO COMMITMENTS
^
I CETHFT:
1- I RM FHMILIHR WITH THE REQUIREMENTS FOR ON�SITE SEWERS HND WELLS HS SET
FORTH BY THE MUNICIPHLITYOF ANCHORAGE (MOH) HND THE STATE OF HLHSKH
it. I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH FILL MOH CODES AND REGULATIONS;,
`HND IN COMPLIHNCE WITH THE DESIGN CRITERIA OF' THIS PERMIT.
�I WILL HDHERE TO R.A.MOH HND STATE OF HLHSKH RDQUIREMENTS FOR THE SET BACK
DISTANCES FROM HNY EXISTING WELL/ WHSTEWHTER DISPOSAL SYSTEll OR PUBLIC
SEWERHGE SYSTEM ON THIS OR HNY ADJACENT OR NEHRBY LOT.
A I UNDERSTHND THAT THIS PERMIT IS VALID FOR H MAXIMUM OF ] BEDROOMS AND
MY ENLARGEMENT WILL REQUIRE HN ADDITIONAL PERMIT.
1F H LIFT STATION IS INSTHLLED IN HN fl --,.'EB COVERED BY MOH GUILDING CODES/
THEN (1) AN ELECTRICHL PERMIT HND INSP�CTION MUST BE OBTAINED/ (2) HS�BUILTS
WILL NOT^BE APPROVED WITHOUT HN ELECTRICHL INSPECTION REPORT/ HND (]) THE
ELECTRIC -HL WORK H LICENSED ELECTRICIAN.
SIGNED DHTE:
HPPLICHNTRKW�iJTHL�k
ISSUED BY 8/A'/
a ❑ SOILS LOG
i'
MUNICIPALITY OF ANCHORAGE
ae DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
/SOILS
e�LOG — PERCOLATION TEST /j At/
PERFORMED FOR: V v 7- 14 LDATE PERFORMED:7`�"-v
LEGAL DESCRIPTION:
PEPTH
SET)
.r
2
3 � 4
4
5
6-j
7-
/
8. r ��
10
11
12
13
14
15
16
17
18
19
20
COMM
L L'J✓//l�K
3 2 XIX�r f
WAS GROUND WATER 7J J� S
ENCOUNTERED? L
O
P
E
IF YES, AT WHAT
DEPTH?
Reading
,PERCOLATION
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
le
/Bj
02
-719
ry
h c OS -
,
,PERCOLATION RATE
TEST RUN BETWEEN F
inutes/inch)
_ FT
AN4 V, E-:1GI r:5Rpjft
PERFORMED BY: r _;�`� ej s u0m - CERTIFIED DATEOU
72-008 (6/79)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program `
4700 South J B 9951 St. s ^ E P.O. Box 196650 Anchorage, AK 99519-6650 _
www.ci.enchorage'ak.us 343-79 .ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O SD/aiHAA 11 a 3R
1. GENERAL INFORMATION Expiration Date:
Complete legal description 4AAIw ,e4V;l
Location (site address or directions)
�n
Current Property owners).teoA,y !& EakiDay phone l�9_ y x^i
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Day phone
p RAE o �nF� Day phone /e2-og- i80
/6 le 2rd— Ir" riez .imp
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: le
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual On-site
Individual Water Storage ❑ Individual Holding tank []
Community Class Well ❑ Community On-site ❑
Public Water System ❑ 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 4 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) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. 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. (Certificates may be reissued for a period of up to one year with valid water samples.)
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.
STATEMENT OF INSPECTION BY ENGINEER
seal affixed hereto and as of the validation date shown below, I verify t my investigation,
As certified by my Approval Guidelines for this applicati e numbehat the r
based on procedurre, outlined in the Health Authority App d from the
site water supply= or wastewater disposal system is(are) safe, functional and adequat
bedrooms �{tid tip tructure indicated herein. I further verify that based on the information and/or
Mu ipalfty anchorage files and from my investigation and inspection, the on water . PP nces,
n Compliance with all applicable Municipal and State codes, 4 .
titer' disposal system is(are) 'r
an ;~regulations in effect at the time of installation.
�Sv`?hone
Name of Firm f��„—rte vS —
Address 0619
Engineer's Printed
Date '17131 10q
5. DSD SIGNATURE
i/ Approved for bedrooms.
Disapproved.
bedrooms, with the following stipulations:
Conditional approval for
Additional Comments
WASTEWATER
Attachments: Maintenance Agreements _— —
HAA Checklist X
Supplemental Engineer's Report
Septic System Advisory other
Well Flow Advisory
By: ��ZZA
(Rev. 01/02)
f
original Certificate Date: —�
"_ -HEALTH AUTHO'PTtY%APP}-R"C�A� CHECKLIST
M I y
+ kj
r
w S
4.
7d47-4= If A B or C prove e�
MIR11101-y1lity of Anchorage
DevelopmeT'i Services Department,
Building Safety Division
=P`'
On Sde Water &Wastewater
A
", t # 4700""South ragaty St.
e
,
P
Casing height (above
d )in.
Ff�IiV LL
rage ak
AT INSPE�TC)N "
w N`
"_ -HEALTH AUTHO'PTtY%APP}-R"C�A� CHECKLIST
M I y
Parcel ID e --j"
4.
7d47-4= If A B or C prove e�
Welll Log yam, g
d �!� B'Y Semtary seal)S
W
u
res properly protecte
W. �)- �.Z_
Cased tom ft
Casing height (above
d )in.
Ff�IiV LL
r 1 0
AT INSPE�TC)N "
w N`
t � .
y?I
ft.
g.p.m.
_colonies/100 mI Nitrated Img�I
Other baeYer(a
_ colon[es/100 rid.
Date of saml7le S` id/e y
Collected by: fir_
,.,,� �' s
'�`+• pk^°�'iMa"Y' A N �i JM4`W "+"v^3 N N.- '.'.t MrF . M N'+S ..5 '.?c
�
p.--_ gal Number of Compartments Z�
i
Cleanouts N
Depressionovefitank
_
High water alarm
a utm ianng (g p a m or ft`/bdrm) 312 System type eII s
. ,=
t. . -
t Width cT ft Gravel below pipe '3,S ft
601q
Eff absorption area
ft2 Monitoring tube x Depression over field &",p
5L3t log Results Pas Fail) 45.5 For
bedrooms ,
fieldb f roe a test in �Dgal.
z Water added
New depth�in.
Final fluid depth" in. Absorption rate >= pp
---- 9. p. d.
nt (past 12 mo) (Y(1Q & type)'
If ves nivA rint. i`. Ztea ..
D. LIFT STATION
ze in gallonso e/Access (Y/N)
Si
Date installed w ,.,. a
in.
Pump on" level at in. u evel at _ in. High water alarm level at
Cycles tested Meets alarm & circuit requirements?
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:o
'
Septic tank/lift station on lot /2g
On adjacent lots Se
On adjacent lots
Absorption field on lot /D m
Public sewer main
't-100
` cleanout
Public sewer manhole/fi/�
Holding tank 71 i nn
j;
Sewer /septic service line y—
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO. 4-
,p �' Property line �' Absorption field t/!9
Building foundation,
/4
t /to ' water service line Surface water t 4
i
Water main
Wells on adjacent lots tl00
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
i
3
Water ma
Building foundation t/main/4
Property line---
Water Service line i'/d ' Surface watert /_ 4�_ Driveway, parking/vehicle storage
---- Wells on adjacent lots f/Oo
Curtain drain 7 3�
F. COMMENTS 0R
T6✓�v tLhcHr^iELD G•S'DEeP uN�bR bpX,)
M 1 LL "�/S?FJti'I RE"'i�A1e. t.JC) D0 -Al -00Y 10 Y-lK flAwi/}G�
Fi2dvY1 Gh/uDSc PIS
ION ybKNvbRlrrtlA� t2owt v(4cwnliL see s P��r�...4F....A,<A
G. ENGINEER'S CERTIFICAT
I certify that i have determined through field inspections and
review of Municipal records that the above systems are in s
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name �isirll'h1/L '� A. CHRISTOPHE R WOOD
m:
' CE:10�1
Date
�d
HAA Fee $ mer Fee $
®® J Date of Payment ° Ti 0
Date of Payment
Receipt Number
'Receipt Number
(Rev. 12101)
Eagle River Engineering Services
10421 VFW Rd. Snit, 201 Christopher R. Wood, P.E.
Eagle River, AK 99577-3294 (907) 694-5195 tel
(907) 694-3297 6
September 2, 2004
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Hamann Lot 1B
Septic System to Lot line Separation Distance Waiver Request.
Dear Mr. Roth:
This letter is to request a separation distance waiver from the referenced property's on-site septic
System to Lot Line. All adjacent lots are large, allowing room for on-site septic systems and
replacement sites.
We are requesting a waiver to allow a separation distance of 3' from the on-site leachfield to lot
line. This system was installed in 1984. A recent as -built survey and repair work has revealed
that the end of the leachfield is only 3 feet from the lot line.
ERES believes that granting of this waiver will not affect or encroach on the neighboring lot's
septic system, on-site well, or replacement leachfield sites.
Thank you for your consideration of this matter. Please call if you have any questions regarding
this waiver request. I can be reached at 694-5195
Sincerely,
EAGLE RIVER ENGINEERING SERVICES
Christopher R. Wood, P.E.
Principal
\2003\04-067 WAivaRREQuesT.noc
4 08:07AM FROM -CUE ESL- SCS ENV SERVICES
SGS
SGS Reu
Client Name
Project Namd#
Client Sample ID
Matrix
1044912001
Eagle River Engineering
Hamann Lot 1B
Hamann Lot IB
Drinking Water
9075615301 i-653 P.02/03 F-066
All Dates/Times are Alaska Standard Time
Printed Date/Time 08/17/2004
Collected Date/Time 08/10/2004 16:00
Received Date/Time 08/10/2004 17:05
Technical Director S
top Ede
Released �++TV
Sample Remarks:
EP 300.0 -Sample was rem past bold time for nitrate to cottfutn
will be repotted, the original result of 0.188 mg/L„ Original result has been posted and
Parameter
Results PQL Units nM.k.
Waters Department
Nitrate.N 0.188
Microbiology Laboratory
Total Coufonn 0
0.100 mg/L EPA 300.0
coU1001111- SM20 92228
Contained) Allowable
13 (<=10)
A (<=1)
Init
08/10/04 LIB
08/10/04 DKC
SEP-01-2004(WED) 15:43 EAGLE RIVER ENGINEERING (FAX)907 694 3297
09/01/04 WED 11:34 FAX 6890499
VISTA REAL
ESTATE ER
I I. -
P. 001/001
Booz
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DR
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AS -BUILT
I
that.1 have gmveye.d ;hejoWw-
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and that the
•'.', - - .. �
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tra a" no
."ImI34M lines Or visible qamities",on P9
fteept af, WraW hereon.
Datid at Ee9k Riva. -Alaaka
of
'SCALE: Registered
Land Surv"
Wir 77-04%,'Faglit River, Alaska 995577
_AqC
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650 L� y/q cl:
343-4744 l
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. ft r r —c - 1 \ HAA # `r � OCL 1 ) `,'
1. GENERAL INFORMATION
Complete legal description Lot 1B, Hamann S/D -
Location (site address or directions) 24023 Alpenglow Drive
Property owner Estate of Mark
Mailing address
Lending agency
Mailing address
Agent Target Realty/Dick Brown
Address PO Box 774627,
ik
le River, AK 99577
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
Day phone
Day phone
Day phone 694-2388
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site XXX _
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. 1/81) 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 ENGINEr7R?VG
Phone
17034 Eagle i': :. !and No. 204
Address Eagle Rive r,Ala%ii:a ;77
Engineer's signature
6. DSIGNATURE
Approved for
Disapproved.
By:
Conditional approval for
Additional Comments
bedrooms.
Date � Z a / e7 i
bedrooms, with the following stipulations:
M
%tITlrl
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 orderto 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. 1/81) Back MOA #21
.:�F�;� •'"
1 ttQ�
AR ROBERT C. COYNN f•
CE -8801
ra I
bedrooms, with the following stipulations:
M
%tITlrl
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 orderto 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. 1/81) 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 a.;'
Lj
Health Authority Approval Checklist APR 0 b 1999
Legal Description: L -a 1 B 1-14 M
A. WELL DATA
Parcel I.D.: MUNICIPALITY OF ANCHORAGE
NVIRONMENTAL SERVICES DIVISION
Well type P A 1,4 >4 T 'z If A, B, or C, attach ADEC letter. ADEC water system number
Log present (V)N) `y r` 5 Date completed S-/ /f/ `y %
Total depth -. `�- S r Cased to 73 /
Sanitary seal (VN) Y#_ S
Date of test
Static water level
Well production
FROM WELL LOG
S //,/�5y
WATER SAMPLE RESULTS:
Coliform
I ")- s
/0 g.p.m.
0 Nitrate
Casing height (above ground)
Wires properly protected &N) _ y'- S
0,6 -7 )
AT INSPECTION
Other bacteria O
g.p.m.
3 /) 6 / c� o S ENCINELIZING
Date of sample: / Collected by: 3 .age ffiver Loop Road o. 204
B. SEPTIC/HOLDING TANK DATA
a Fiver, /Alaska 99577
Date installed / 1 I 5 V Tank size o o Number of Compartments 2-- Cleanoutso/N) Y�J`
Foundation cleanout &)N) Yi- J Depression (YLA) �" 0 High water alarm (Y/� D
Date of Pumping Pumper J_A s
C. ABSORPTION FIELD DATA
Date installed S l s-1 'dJ
Length
s` Width
Soil rating (g.p.d./ft2 or ft2/bdrm 2 System type
i
S Gravel thickness below pipe 3 �� ' _ Total depth
Effective absorption area `I 3 6 i %Z Monitoring Tube present V/N) Yl�J Depression over field (Y& N o
Date of adequacy test 2'1 / 04 611 Results (Past ail) Pd 91 For _ 3 bedrooms
Fluid depth in absorption field before test (in.); M4,Y Immediately afteM 11 gal. water added (in.): t�
Fluid depth W (ins) Minutes later: 3 <l Absorption rate = z/ S'U -) g.p.d.
Peroxide treatment (past 12 months) (Y/N) """rO AG Ij0 &V IV
72-026 (Rev. 3/96)"
If yes, give date
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
E. SEPARATION DISTANCES
"Pump on"
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot Jac
Absorption field on lot
Public sewer main
Size in gallons
On adjacent lots
On adjacent lots
"Pump off" level at*
N / q Public sewer manhole/cleanout
Sewer /septic service line a S f Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation / U f Property line /b -,�- Absorption
Water main/service line I o 'L Surface water/drainage J c f Wells on adjacent lots _
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
/
Property line 10 Building foundation )o 4- Water main/service line
Surface water /00
I t
Curtain drain N G /' At- "N o V w
F. ENGINEER'S CERTIFICATION
Driveway, parking/vehicle storage area
Wells on adjacent lots
Io �
>o -f
I certify that I have determined thru field inspections and review of Municipal records .thattl
in conformance with�is�/ � guidelines in effect on this date:
Signature
Engineer's Name
xoa
Tf
Date ci4t
HAA Fee$ �'D Waiver Fee $
Date of Payment Date of Payment
Receipt Number 4-7S__9 (2Z -Y,) Receipt Number
72-026 (Rev. 3/96)*
are
WAR
q L CT&E Environmental Services Inc
CT&E Ref -9
990985001
Client PON
Client Nasse
S & S Engineering
Printed Date/Time 03/23/99 11:46
Praject Name/0
Lot 1B Hamann
Collected Date/Time 03/16/99 17.15
Client Sample ID
I.ot lB Hamann
Received Date/Time 03/17/99 09:30
Matrix
Drinking Water
Technical Director: Stephen C. Ede
Ordered By
PWSID
0
Released sy
9AJ
Sample Remarks:
Allocable Prep Analysis
ParAmeter
Results POL
units Method Limits Date Date [nit
Total Coliform
0
c0l/10DmL SM7$ 92228 03/17/99 KAP
waters Department Analyses
Mirrate-N 0.072 0.100 m9rL EPA 300.0 03/17/99 03/17/99 SCL
RECEIVED
APR 5 1999
n/U1 1C.
UQ,ot. Mea th Humans, e
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENt OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date ht'
(a) Legal Description (inc ude lot, block�Q division, section, township, range)
LST / 13 HA�i-i,4A1�1/ --- - -
Location (address or directions)
�Aet I.✓ &�� y� y/
(b) Applicants Name U T'�i4Ll/� Telephone - H me _Business
Applicants Address
(c) Applicant is (check one) Lending Institution ; owner/builder;
Buyer F::] ; Other F�__j (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. Type of Residence
Single -Family
Number of Bedrooms
3. Water Supply"
Individual Well
Multi
NMI
Other (describe)
Public El
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 Public E Community [=I 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 21
v
5. Engineering Firm Providing _Inspections, Tests, File Search, Data and Information
N-1
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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address E"GIWteS '1140
1RIVEH, ALASKAtrS37:7
Date PH. 19 t.,i"70 c
Icy (ENGINEER
DHEP Approval 5 �i �i'
Approved for bedrooms By
Approved Disapproved �"`�
Terms of C3pditional Approval
17•
CAUTION
Telephone
Ac:
.n R. Sbakf Or
®ii'ee• - �o. 1857-E
«o'er Date CJ %c c7 l
Conditional
THE 14UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS 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 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 SEAL)
RR4/ej/D18
(Page 2 of 2] 7-19-84
MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION,
CHECKLIST - FEBRUARY 1984 %A U G R 1Q 4
A. WELL DATA 4-, 1,13 ! f\ItIt
Well Classification 51 If A, B. or C, D.E.C. proved(Y/N)
Well Log Present (. /N) Date Completed Yield2-
Total Depth 2-eS71 Cased to % Depth of Grouting
/
Static Water Level //Z Pump Set At 6141
Casing Height Above Ground 3611 Sanitary Seal on Casing )
Electrical Wiring in Conduits_%/N) Depression Around Wellhead (yg!__
Separation Distances from Well:
To Septic/H�i�ig Tank on Lot 142,2 - ; On Adjoining Lots 2G70
r
To Nearest Edge of Absorption Field on Lot 1& ; On Adjoining Lots 1/9-o
To Nearest Public Se%sr Line y A To Nearest Public Sewer
Cleanout/Manhole / To Nearest Sewer Service Line on Lot Z12—z-?
Water Sample Collected By ; Date
Water Sample/I Test Results
Comments sy t,✓�Z� T�t�v 7�5i 5{l�i,�e ��z ��z�
B. SEPrIC/H9G TANK DATA
Date Installed S S Size 119ergeV No. of Compartments
StandpipesC YY�/N) Air -tight Caps ( /N) Foundation Cleanout (I' N)
Depression over Tank (� Date Last Punped
2/
Pumping/Maintenance Contract on File (Y/N) for
Holding Tank High -Water Alarm (Y/N) /a Temporary Holding Tank Permit (YIN)
Separation Distances from Septic/4444i-;gg Tanks
i
To Water -Supply Wb11 To Building Foundation (Q
To Property Line
�� �� To Disposal Field 2-01
To Water Main/Service Line � To Stream, Pond, Lake, cr Major Drainage
Course �/A -
Comments
rf'�S. Pie C,
[Page 1 of 21 2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 322 4/a- Type of System Design
Date Installed !5;��� Length of Field 7S
Width of Field lLo q Depth of Field 7 /
Gravel Bed Thickness /V�2
Square Feet of Absorption Area 23 10 Standpipes Present 0/N)
Depression over Field (Y[ - Pate of Last Adequacy Test �J
Results of Last Adequacy 'lest
Separation Distance from Absorption Field:
To Water -Supply Well /Q O To Property Line /e `
i
To Building Foundation 25 To Existing or Abandoned System on
Lot On Adjoining Lots So
U
To Water Main/Service Line 'u/ To Cutbank(if resent) � /J
To Stream/Pond/Lake/or Major Drainage Course 'AJIA
To Driveway, Parking Area, or Vehicle Storage Area %�i-
/. f.
.• w�ii" '��#L.'�
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes(YM)
Con¢nents
Pumping
Dimensions
le Access (Y/10
Off" Level at
Vent (YM)
s during Adequacy Test. Meets MOA
** 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.
45 4(1 v'L ;J IIt+E L'.
Signed S : B�Nt Date Ahz'z
+ ,, Ei1, Al�(l2 '7�d/� MOA No.
Compan �'�i. ��n..
KB1/d5/s
(Page 2 of 21
2-15-84
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