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Home My WebLink AboutUS SURVEY 3042 LT 90 T10N R2E SEC 195 a Y A l c) t-,> 0 C) 0 cv > o a m m. ty ;o m m ro 0 Sco�O 0m o (D aq:�O Z 0, 0 C)- m 0. (D 0 o- C: :3 0 (D (D < (D C) zi; (D CL M m 00 0 :3 (D n , _n (D (D 0 (D - Lil n > - LO C) 0) 0� rD (D Z 11 4_1_ 70 0 n rn < < (D n (D (D CO 0 z 3 z (D (D CL 0 > WG) > L) < 0- > (D (D 0 n 0. m OD r- (D C: CD < Z7 l< m ul (D (D (D 70 0 2) 0 z I a :E co rD _ID I-) Z IM C) -0 a) (D CD 0) (D Z ID R :3 =or > > 0 (D Im" > 0 (D (D 0 z =r (D z -0O U, (D ID 3 ID a > -0 - - < 0 �m (�D o 0 (D w CL (D -0 < dl� ? > z < roz CD 0 Er (D - =3 0 Di -0 w U) —Z ni 0) 'a U) (D C 0 :2 no =3- < G) �:3 C: (D ro 0 MO 3 CL vt (D Z (D CnW , (D 0 7�- O 0-- I Z ol o - M 0-, =3 C M 1 3 0 gi (D 0- n 00 (D; m cv > ;o m m ro 0 3 0 z (D 5EP-27-21_11_7 !F::1: 13P, FRO1,J: 10: 7,4 3 (=4 "-A H, 1/i Permit Number: OSPI71151 DArte oflsstre: 6n!117 Date Started: 4 8f 17 to Completed- 9 Is well located at approved pernt locationLX' l 'Yes U No L LegaIDPAcription. US Save ey3042 Lot9O'ION R2E SEC 19G:5012 Property Owner Nayne & Addras;: Nathen Ellis 385 Indian Rd Indian, AK 49540 Borehole Data: Depth (fr) Soil Type, Thickness & Water Strata Front To stickup overbui-den 2 4 sandy gravel 4 120 _1 clay dry gravel 120 ~ 1.49 149 165 gravel & clay 165 l 192 water gravel 192 .197 Water Sample Results. Arsenic: Nitrates: Totat Coliforra Sacteiria: Other Bacturia: mgtL colonies!106ffiL coll/ I 00m.L Method of DriUlng Lx I air rotary 1 j cable tual Casing type: steel Wall Thiclmcsi: .250 inches Diameter 6 im-,has Depth: _19L feet UnerType: — DiaTrieter. — invhesDepth: _ feet Cas iagstickup above ground., feet -- ------ - -- Static wat-er level {from ground level): _54_Jcct Purnping level,"' foct after hours purnping- — gPM Recovery Rate: 26 Methed of Testing: airlift rx Opm.End 0 -pen Hole L - feet 1 Screened Start feet Stopped F1 Perforations Start feet Stopped feet : 20' Start - 0__ fee, Stapped 20 —feet Purap; Latake Depth feet Pump size _ hp Brand Name Well Disinfected Upon Completion? [7XI Yes F-1 ND Method of Disfrtfection.Chlorine tablets Comments: Weil Driller: Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AK 995I6 Attention: The well driller slhnl provi& a wcH log to DSD within 30 days of completion, bevelopmenif services Department Building Safety Division E i e VJa-d-er 6, Wastewater Program 4700 Elmore Road Uj d 2 . Z P.O. Box 196650 " Mark Begich Anchorage, Al: 99507 s n E T Y Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number:-S'�� M I S Date of Issue:Z3" �7 Parcel Identification Number: -- Legal Descriptionj . C sw (/�`j �� y r� Property Owner Name & Addresses LO- 9 v3 U I d l9 3 9�e ,�v�G(i aw ►2d endI r111 AK qq Sqo Pump Installation Date: 11 _ je _ 1-7 Pump Intake Depth Below Top of Well Casing: )-7() feet Pump Manufacturer's Name: G#r(A,&qCQ45 Pump Model:7— Pump Size -) j4 hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: lo Pitless Adapter Installer: 2 Well Disinfected Upon Completion? � Yes F No Method of Disinfection: �(, to i -T AX, Comments: Pump Installer Name: �e)�yDrill �Inc. P.O. BcXM130 Anchorage, AX99511 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Carroll, Rebecca M. From: Nathen Ellis Sent: Monday, July 2,201810:20AK4 To: Carroll, Rebecca K4. Subject: Re: NathenEllis/ Onsite Attachments: 1182563.pdf,1183111pdf,ATT00001.txt Hello again. Here are my final reports from SGS testing. There are two reports because our first sampling had levels or Arsenic. We installed an additional filtration system and then retested for arsenic(the second report). Hopefully this will close out myonsite for the well and then | can close nnyland use permit, Thanks for your work and your time. NathenEUis SGS Ref.9 1182563001 Client Name Residential Testing -Cash Account Project Name/# Nathen Ellis Client Sample ID Ellis Well Matrix Drinking Water Printed Date/Time 06/12/2018 14:17 Collected Date/Time 06/01/2018 11:35 Received Date/Time 06/01/2018 13:09 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results 1.,OQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 18.3 5.00 ug/L EP200.8 C i<10) 06/05.118 06/10/18 DS14 Microbiology Laboratory E. Coli Negative I 100nil- SM21 9223B A 06/01/18 K.W Total Coliform Negative I I 00niL SM21 9223E A 06/01/18 K.W 2 of 6 SGS Ref.# Printed Date/Time 06/12/2018 14:17 Collected Date/Time 06/08/2018 14:10 Received Dateffime 06/08/2018 15:41 Technical Director Stephen C. Ede 1182563002 Client Name Residential Testing -Cash Account Project Name/9 Nathen Ellis Client Sample ID Nitrate Matrix Drinking Water Sample Remarks: Allowable Prep Analysis Parameter Results I_OQ Units Method Container ID Limits Date Date Init Waters Department Total _Nitrate[Nitrite-N ND 0.100 nng/L SN121 4500',\'03-F A (<10) 06/11/18 AYC 3of6 SGS Ref.# Printed Date/Time 06L29/2018 7:55 Collected Date/Time 06/22/2018 10:30 Received Date/Time 06/22/2018 13:31 Technical Director Stephen C. Ede 1183119001 Client Name Residential Testino-Cash Account ProJect Name/4 Nathan Ellis Client Sample ID Ellis Well Matrix Drinking Water Sample Remarks: Allowable Prep Analysis Parameter Results t,OQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L FIT200.8 Iron ND 250 ug/L EP200.8 A (<10) 06/26/18 06/28/18 DSH A 06/26/18 06/28/18 DSH 2 of 4 L r MUNICIPALITY OF ANCHORAGE ��--� ment On-Site Water&Wastewater Program ,/ �f rPO Box 196650 4700 Elmore Road I Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 " http://www.muni.org/onsite gruititip tnn•ut 4�,CN OP p�E On-Site Water System Permit Permit Number: OSP171151 Effective Date: 6/23/2017 Work Type: Well Initial Expiration Date: 6/23/2018 Tax Code Number: 07513210000 Site Legal Address: US SURVEY 3042 LT 90 T1 ON R2E SEC 19 G:5012 Site Mailing Address: Owner: UNIFIED CREDIT EQUIVALENT Lot Size in Sq Ft: 55400 Design Engineer: Total Bedrooms: 2 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy C✓I Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please provide the following: 1. Well log 2. Pump install log 3. Water sample results for nitrates, arsenic, total coliform Received By: / Date: 6 7 2-34_0 0- Issued By: CC ,� Date: (9/2 3/2 01 MUNICIPALITY OF ANCHORAGE O Community Development Department ~ _ '- Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 07 5-In - (O 'OOC7 Property owner(s) l icl-}lit�A 15-1k5 Day phone 107 - 3S I - G‘3( Mailing address 38S 'J''iok . T„xd;ay. Alt `j'7 SIO Site address ?- k 9Q 6wvtPIsgek M',v.Q Legal description (Sub'd., Block & Lot) t-0-1 qO (.,vihvi jsgc).0 wine Legal description (Township, Range & Section) &,4 wv 04 i A k_ (AS survei 30( Lot Size 55)`400 Sq. Ft Number of Bedrooms 2 -q0 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (S all that apply) Absorption Field ❑ Initial ( Single Family (SF) " (w/wo ADU) Septic Tank ❑ Upgrade ❑ • Holding Tank ❑ Renewal CI Duplex (D) CI Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. LAIIIIIIP (Signat il&f property owner or authorized agent) Permit/Rush Fees: X1.5 Waiver Fees: Date of Payment: (o - 2/-/ 7 Date of Payment: Receipt Number: Co6`f"757 Receipt Number: O Permit No. De--,f I l I.tom, ( Waiver No. Cermit App_9-1-12.do 11111 -1 1 1 i I i 1 li I i f I IIIIW ,, t f iiIiiIi I- Ilit - II/ 0 TR.'EA StA zE, 150X Si;WE Roa,/ • NATREp Ellis N , , . too • 1A5 suiv vet 31Z ba-f! 90Sev,eAr E.01 noti 0 ScAu .1 ,%c•AN 7- So 4"4 3--- - , ..i..... l' --1-- t-----1----r--t t I I i t i --I— ! ! - 127' Pm pos4 well Ccr_A-fn",-, . .,1 %,,ec 1 I 4.. 41 ' l'All ME -.411/111111111111111ibb e_fa.-..rk•ovvs G•re...,‘ 1-1,145e. I I __ 1011111111111 .2111111111111111 - - -- , !--- g L II I 111111111111111WrAll Ilk 1 ir EN 1 iValaegft r ii 1 5 ' ,- illin ORME' 1 111111 .,..._ 1 L 1 I ' A " ai MEM EMI Zi Kiii Ai M ' Ill II 0 I ________\ . _.--- — 4 NM I, 1 atY ' 111111 , 1441111.11111.1111 .1 i t 4 NIIIIIIII i ! 1111111Ill j 1 . 11111111111 . 1 JIMA ------ . • III Pro I• lekii MI A _t ill _ri 111 1 1 II NM .111111111111PPr.. • F I IIIIII.r lirr III 1111, WAll Ar 1 AN Ir 41............lim , ME kb AMIN ______ 1111112 , .1 - -- – J-- . • . i - , — , lA5 5‘iv yel 30(12 44 90 d I , • aii -- - Iiii i I I I I I al , , i ii - - G to.iNY SAGe_ AVIV g P- 417, OPINION OF COMPLIANCE "• a ANCHORAGE GENERAL PERMIT 93-10-M4/11-M4/12-M4 File Number: POA-2017-326, California Creek [GP 93-10-MfResidential] Municipal Reference Number: California Creek 17-A Permittee (LANDOWNER): Nathan Ellis Expiration Date: October 31, 2020 Project Location: Lot 90, Gunnysack Mine Road, Girdwood Anchorage Wetland Management Plan Map #: Girdwood Valley, NW Wetland Unit #: 208 Wetlands Fill Amounts: 2275 sq ft; - 625 cyds gravel Work Description: Excavation and backfill for new home, driveway, well site and connection. All work will be performed in accordance with the attached plans submitted with application dated: June 13, 2017 The permittee will perform work in waters of the U.S. (wetlands) in accordance with the terms and conditions of the Anchorage General Permit, as specified below: Anchorage General Permit Conditions: GENERAL CONDITIONS OF THESE GENERAL PERMITS All activities identified and authorized by these GPs shall be consistent with the special conditions listed above, as well as the general conditions listed below.The Corps can also add site-specific special conditions to a GP verification, as applicable. Obtain GP verification prior to activity: No work shall be done under these GPs without first obtaining an Opinion of Compliance (OC)from the MOA Planning Division or General Permit Verification from the Corps.A copy of the Municipal building permit application and grade/fill permit application or Land Use permit application must be included with the GP application. Compensatory mitigation, if required, must be acquired before proceeding with authorized jurisdictional activities. Time limit: Verification under these GPs is valid until October 31,2020, unless the GPs are modified, reissued or revoked. It is incumbent upon the applicant to remain informed of changes to the GPs. Nathan Ellis 1 POA-2017-325; California Creek 17-A Mitigation: The activity must be designed and constructed to avoid and minimize adverse effects, both temporary and permanent, to waters of the U.S. to the maximum extent *"• practicable at the project site. Mitigation in all its forms (avoiding, minimizing, rectifying, reducing, or compensating for resource losses) will be required to the extent necessary to ensure that the adverse effects to the aquatic environment are minimal. Compensatory mitigation will be required for all wetland losses greater than 0.1-acre unless the District Commander determines in writing that either some other form of mitigation would be more environmentally appropriate or the adverse effects of the proposed activity are minimal, and provides a project specific waiver of this requirement. The applicant may seek this determination by written request to the Corps. The Corps'determination on compensatory mitigation will be returned, in writing,to the MOA Planning Division for inclusion into the OC. If applicable, compensatory mitigation must be completed prior to conducting work authorized under these GPs. Compensatory mitigation projects provided to offset losses of aquatic resources must comply with the applicable provisions of 33 CFR 332. NO MITIGATION REQUIRED—fill is less than the mitigation cut-off Setback:Where there are wetlands along or around a stream or water body, the project shall include and maintain a non-disturbance setback, measured horizontally from the ordinary high water mark, as specified in Attachment A. Applicants shall contact the MOA Planning Division or Corps to obtain or confirm delineation of the setback. The setback extends only as far as the outer edge of the adjacent wetland boundary. Setbacks greater than 25 feet wide do not extend into non-wetlands. NO SETBACKS Buffer:The project shall include and maintain a non-disturbance buffer area, as specified in Attachment A. Applicants shall contact the MOA Planning Division or Corps to obtain or confirm delineation of the buffer. NA Delineation of project boundary: Project boundaries shall be staked,flagged or otherwise clearly delineated prior to the commencement of the authorized activity to prevent inadvertent encroachment of adjacent wetlands. Staff verified wetland boundary Endangered Species: Activities authorized under these GPs must not adversely affect a federally listed threatened or endangered species,or destroy or adversely modify its designated critical habitat. Historic properties: No cultural resources shall be adversely affected by activities authorized by these GPs. If the permittee discovers any previously undiscovered archeological, paleontological, or historic resource, while conducting activities authorized by these GPs, the DC must be immediately notified by calling (800)478-2712. The Corps will notify the Alaska State Historic Preservation Office of what has been have found. The Corps or the appropriate federal land manager will initiate the Federal and State coordination required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. Inspection:The applicant shall allow the DE or their authorized representative(s)and/or a representative from the MOA Planning Division to inspect authorized work at any time deemed necessary to assure that on-going and completed work is in compliance with the terms and conditions of these GPs. Transfer of General Permit: If the applicant sells or wishes to transfers the property associated Nathan Ellis 2 POA-2017-325; California Creek 17-A with the authorized activity, the applicant must obtain the signature of the new property owner or lessee in the appropriate space on the verification/OC and submit a copy of that page to the MOA Planning Division and/or Corps, along with appropriate documentation of the ""` transaction. All information must be submitted within 30 days of the property transfer to validate the transfer of the GP authorization to the new party. Modification by other authorization: If the work proposed under these GPs is subsequently modified by any other Federal, State, or local governmental authorization, a modification of the GPs, MOA Planning Division's Opinion of Compliance, and any verification by the Corps to perform activities under these GPs may need to be obtained. Use of multiple general permits, including Nationwide Permits: The use of more than one GP or Nationwide Permit (NWP) for a single and complete project is prohibited, except when the acreage loss of waters of the United States authorized by the GPs and/or NWPs does not exceed the loss of more than one acre of wetlands. Project site restrictions and design criteria: 1, For residential developments,the aggregate total loss of waters of the United States authorized by GP-1993-10-M4 shall not exceed one acre. For residential subdivisions, the aggregate total loss of waters of United States authorized by this GP cannot exceed one acre. This includes any loss of waters of the United States associated with development of individual subdivision lots. 2. Erosion Control: Prior to the initiation of any fill discharge authorized in accordance with GP- 1993-10-M4,the Permittee shall install erosion control measures along the perimeter of all work areas to prevent the displacement or erosion of fill material outside the authorized work areas. The erosion control measures shall remain in place and be maintained until all authorized work is completed and the work areas are stabilized. Immediately after completion of the final grading of the land surface, all slopes, land surfaces, and filled areas shall be stabilized using sod, degradable mats, barriers, or a combination of similar stabilizing materials to prevent erosion. 3. Fill Material: Only clean fill material shal I be used for this project. The fill material shall be free from items such as trash, debris, automotive parts, asphalt, construction materials, concrete blocks with exposed reinforcement bars, and soils contaminated with any toxic substance, in toxic amounts in accordance with Section 307 of the Clean Water Act. 4 Within 60 days of completion of the work authorized by this permit, the Permittee shall complete EITHER the attached "Self-Certification Statement of Compliance"form (Attachment D),Qathe attached "As-Built Certification By Professional Engineer"form (Attachment E), and submit it to the Corps. These are further described below. Self-Certification Statement of Compliance: In the event that the completed work deviates in any manner from the authorized work, the Permittee shall describe the deviations between the work authorized by this permit and the work as constructed on the "Self-Certification Statement of Compliance"form. The description of any deviations on the"Self-Certification Statement of Compliance"form does not constitute approval of any deviations by the Corps. As-Built Certification: Within 60 days of completion of the work authorized by this permit, the Permittee shall submit as-built drawings of the authorized work and a completed "As-Built Certification By Professional Engineer"form to the Corps. The as- built drawings shall be signed and sealed by a registered professional engineer and include the following: a. A plan view drawing of the location of the authorized work footprint, as shown on the permit drawings, with transparent overlay of the work as constructed in the Nathan Ellis 3 POA-2017-325; California Creek 17-A same scale as the permit drawings on 81-inch by 11-inch sheets or PDF. The plan view drawing should show all "earth disturbance,"including wetland impacts and water management structures. ormAt b. A list of any deviations between the work authorized by this permit and the work as constructed. In the event that the completed work deviates, in any manner,from the authorized work,describe on the attached"As-Built Certification By Professional Engineer" form the deviations between the work authorized by this permit and the work as constructed. Clearly indicate on the as-built drawings any deviations that have been listed. Please note that the depiction and/or description of any deviations on the drawings and/or"As-Built Certification By Professional Engineer"form does not constitute approval of any deviations by the Corps. c. Include the Department of the Army permit number on all sheets submitted. Project-specific conditions: 1. Time Limit. GP authorization of this project expires on: October 31.2020. If you need more time to complete the authorized activity, submit a request for extension under these GPs to the Municipal Planning Department prior to the expiration date. You may not continue work beyond the expiration date until receiving notification to that effect from the Municipal Planning Department or the Corps Regulatory Branch. Note: Permitee should allow at least one month for processing of extension requests. 2. Setback Where there are wetlands along or around a stream or waterbody,the project shall include and maintain a non-disturbance setback, measured horizontally from the ordinary high water mark.The setback extends only as far as the outer edge of the adjacent wetland boundary. Setbacks greater than 25 feet wide do not extend into nonwetlands. For previously unplatted residential subdivisions,the setback area shall be tracted out, rather than being included in individual lots. 65'from streams that are neither anadromous nor headwaters,as defined above; and, 3. Other Approvals Required Before Starting Work. You must not disturb wetlands for this project until you have obtained all applicable Municipal and State approvals required for the work. These approvals may include, but are not limited to: Municipally of Anchorage: ® Land Use Permit ❑ Clearing Permit ® Grading&Fill Permit ❑ Building Permit ❑ Right-of-Way Permit ❑ Flood Hazard Permit ❑ Utility Agreement(s) ❑ Rezoning Approval ❑ Preliminary Plat Approval ❑ Subdivision Agreement ❑ Stormwater Treatment Plan ❑ Parks Right-of-Entry Permit ❑ Wastewater Disposal ❑ Urban Design Commission ❑ Geotechnical Commission Alaska Department of Environmental Conservation: ❑ Stormwater Treatment Plan ,mow, ❑ Wastewater Disposal ❑ Soil Remediation Plan Nathan Ellis 4 POA-2017-325; California Creek 17-A If any of these—or other—approvals result in a change to the attached plans, you must provide a description of the change and a revised plan(s)to either Municipal Planning Department Staff or the Corps Regulatory Branch, and may not proceed with the project until the change is authorized. 4. Offset Unavoidable Impacts. To offset the unavoidable adverse impacts of the project to the aquatic environment, the permitee: Mitigation not required; fill less than 0.1 acres. 5. Limits on Work Area. You must not conduct any of the following activities in wetlands or waterbodies beyond the approved project footprint(or in any other avoidance area identified above) during either construction or operation of the project/facility: D Discharge of fill material (even temporarily), including stockpiles; or, • Excavation and sidecasting/backfilling; or, • Mechanized landclearing; or, • Operation, parking/storage or servicing of equipment. 6. Construction Runoff. You must employ runoff control measures necessary to preclude or minimize both erosion and the transport of sediment, pollutants, and solid waste beyond the approved project footprint. These measures shall include, but are not limited to: ❑ Phasing of Site Preparation (to minimize the extent of exposed soil); Silt Fence; Place at lower edge of new fill ❑ Reroute Offsite Runoff around Disturbed Soils (e.g., dike/ditch) ❑ Mulching (e.g., wood chips, straw, grass clippings, gravel); ❑ Matting (e.g.,jute, straw, coir); ❑ Sheeting for Stockpiles, Temporarily Exposed Slopes (e.g., plastic, geotextile fabric); ❑ Check Dams in Ditches/Drainageways (e.g., hay bales, sand bags, gravel berms); ❑ Surface Roughening (to slow runoff down slope); ❑ Terracing of Slopes; weft., ❑ Sediment Trap(s); ❑ Temporary Sediment Basin; ❑ Storm Drain Inlet Protection (e.g., hay bales, sand bags, and gravel berm) ❑ Outlet Filtering/Stabilization for Construction Dewatering; ❑ Revegetation of Fills and Disturbed Soils—basic regrade and seeding ❑ Onsite petroleum spill/leak response equipment and supplies and provision for their proper disposal 7. Contaminated Soil. If contaminated soils are discovered during construction, you must immediately cease all work in the vicinity of the contamination, contact the Alaska Department of Environmental Conservation for instructions, and defer any further activity until you receive ADEC approval to continue. 8. Endangered Species. The activity must not jeopardize the continued existence of a threatened or endangered species, as identified under the Endangered Species Act, nor endanger the critical habitat of such species. Nathan Ellis 5 POA-2017-325; California Creek 17-A Special Conditions, as required by the Watershed Management Services (WMS) of the Municipality of Anchorage: Not reviewed by the MOA WMS section. Minor backfill only. Special Conditions, as required by the Planning Division of the Municipality of Anchorage: No special conditions are required by the MOA Planning Division. Special Conditions, as required by the Corps of Engineers: This project did not reach the threshold of a General Permit Agency Coordination (GPAC); therefore, the Corps did not comment on this application. Your signature below, as permittee, confirms that you accept and agree to comply with the terms and conditions of Anchorage General Permit 93-10-M4 as supplemented in this document. GN Owner DATE PRINT DATE Ownor Opinion of Compliance The signature below confirms the Municipality of Anchorage's opinion that the project described above meets the terms and conditions of Anchorage General Permit 93-10-M3. Ofeeii2, 97444 6/#11/ SIGN Thede Tobish, Senior Planner DATE t �{.ed 7-64 t fh 6 1 PRINT Thede Tobish, Senior Planner D TE Nathan Ellis 6 POA-2017-325; California Creek 17-A When the work authorized by the Anchorage General Permit is still in existence at the time the property is transferred the terms and conditions of the permit will continue to be binding on the new owner(s) of the property. To validate the transfer of the permit and the associated liabilities .w, associated with compliance with its terms and conditions have the transferee sign and date below. (TRANSFEREE) (DATE) Attachments: Final Project Plans (sheets , dated ) Nathan Ellis 7 POA-2017-325; California Creek 17-A � T or �slat. er � ,T r i. ,r ?nl rA ' -' •moi ,u 1 U 'M. ,rn r. rteT N � Y _ + .1 #, a M,. ill, ,, b. ?.A7 t r kr h 1._4' ...yyy• 1 I' 4411, _via • sk -.w,. t N.,.f. • r.- ,,....r'�U Jam- li.l ��. -lit r ! i F .. . t r„ 1„ _ l i °� tS. 1.. r a ! a ***4)I • +° 1 Z,, , I Vlit7' a .. 1 • 4 - r; „...rwy'}.. ` ., . .. .,,.., „„ I. -1,..', ) , : -••. .... , 4-.. 4'' ,A.:1.4... ,, i .!..,, ,, . . ..,f,._ , . . ,,.,, ,„,, ... .. .. .. .., ,,,,,,,, •..„ , 4 . , j,„,,...„,,, ...1.....w 4, 41 .I„ . h.' .. 4 .'"' — ' ,: . !'..d.ti,. -,. ' e I av'.''),..: . ,,,',f,,,,;.t. ,ln �:4M•• : j ' ` S ,i® g 11, S0 ,* ' •r ,4or .. I r.. ., .ydT'4 leo, , i. '� i! lilts" J' .1 i'' l }}I , r, ,.111' ',,MSR iti H i :,,..' ,�A t' J:,i' , •• JII cif 1,, 30, .4 . 'ir. +' # r _ " 'Ay a ��„ y7�, "'i,, { ilk ,.1 .4• ! " ! 151 .. i ....,„ /JAI H riq ril I. tiC)4- (70 6biliiij/lick oire? 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