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HomeMy WebLinkAboutMURRAY Block E Lot 13A Plat# 85-062 S-8007 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 0~-// Environmental Health Division -/ CASE REVIEW WORKSHEET ¢,, ?' CASE NUMBER: DATE RECEIVED: COMMENTS DUE BY: S-8007 February 4, 1985 February 22, 1985 SUBDIVISION OR PROJECT TITLE: Lot 13A Block E Murray Subdivision ( ) PUBLIC WATER AVAILABLE ( --~)'ISUBLIC SEWER AVAILABLE ( ) COMMUNITY WATER AVAILABLE 71-014 (Rev. 5183) STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION ANB OPERATION CERTIFICATE for PUBLIC WATI--R SYSTEMS A. APPROVAL TO CONSTRUCT Plans for the construction or modification of p~;. / .S ~oJk/ in ..~r~ ~ o ¢~17~_. , Alaska, submitted in accordance with 10 AAC 80.100 by_h~.~. ¢~ L3 <~ ~// '~/D~ have been reviewed and are [] approved. ~conditionally approved (see attached conditions). If construction has not started within two years of the approval date, this certificate is void and new plans and -, specifications must be submitted for review and approval before construction. Ch~.~ (COnlract older no. or descHDtiye reference) Approved by Date C. APPROVAL TO OPERATE The "APPROVAl_ TO OPERATE" section must be completed and signed by the Department before any water is made available to the public. The construction of the public water system was completed on (date). The system is hereby granted interim approval to operate for 90 days following the cornpletion date. DY TITLE DATE As-built plans submitted during the interim approval period, or an inspection by the Department, has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. BY TITLE DATE DISTRIBUTION: 1. WHITE · ENGINEER (Complele Seclion C) 2. YELLOW · WATER SYSTEM FILE (CornCele Se<;IlO~ C~ CURVE DATA ~.ool ~,.*t ,~o~1 ~B.~o I~°~'~'- I, t AVE ¢~ NOTARY ACKNOWLEDGEMENT oTlOO-i~5~ 34 L~GEND ACCEPTANCE OF DEDICATION . TAX CERTIFICA T/ON LOT IDA,BLOCKE, MURRAY SUBDIVISION BDIVISJON OF LOTS "D 8, t4'~ BLOCK .MURRAY SUBDIVISION WFFHIN SWI/4 NWl~4, SECTION 5, TI2N DOWLiNG AND ASSOCIATES