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HomeMy WebLinkAboutSAND LAKE #1 LT 7LIVE i N —3� r Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: v�d'!� �?,5©r 3 9/e3 PID Number: /® Name: Wastewater System: JK New ❑ Upgrade �r� Address: U9U+®moi ABSORPTION FIELD O s Phone: No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound XOther LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. 14/ Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Avle Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: 83 Al 0 Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: !OA Ft. F FL SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: Date installed: /'7,87 2 Ft. TANK Yield: Pump Set at: Casing Height Above Ground:61,3 GPM Ft. Ft. SEPARATION DISTANCES 11 XSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lilt Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines /Z Well , /P"rte 429 1Y1,4 IV IYIA— Material: Number of Compartments: Surface Water Water / LIFT STATION Lot�� % Size in gallons: Manufacturer: Line Foundation (fir) z / / 'Pump on" level at: "Pump off' level at: High water alarm at: ✓G � /� �X 'il Curtain�f� /�� N� 1, J� Pump Make & Model Electrical Inspections performed by: Drain X Remarks: �C J� BENCH MARK Location and Description: Assumed Elevation: e49,1 00Ft ENGINEER'S SEAL 1 O,y hd Inspections performed bye ,./, F Dates: 1st/ -O -ZP —.q �+•� fi.f9�. �� ��` a =-•o• "� 2nc� y� . " aj.',r11�. Department of Heal 1 nd H ma - ervices approval es w ��':� Reviewed and approved b /�� Date:��Tf''�'ri�sc'�"`"'' 72-013 (Rev. 9/91) MOA 25 Permit Nd.,5A/ �i'3v39 3 Page 00 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: .Go7'�, � zw, ii/,P, / PID No.:_dif /// /,*9 72-013 A (1/93) - PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930393 DESIGN ENGINEER:BARNARD ENGINEERING OWNER NAME:PETERSON INA OWNER ADDRESS:4929 W 80TH AVE ANCHORAGE, AK 99502 PARCEL ID:01111110 LEGAL DESCRIPTION: SAND LAKE #1 LT 7 LOT SIZE: 18900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 9/22/93 EXPIRATION DATE: 9/22/94 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: y Z-} - 9 G` DATE: 4�2" BARNARD ENGINEERING ❑ Design ❑ Construction ❑ Resource Development 203 West 15th Avenue ANCHORAGE, ALASKA 99501' Telephone (907) 271-•5235 T JOB N� s . N� �F r -,—" -4' SHEET NO. / OF ��ff CALCULATED BYDATER 1Jr, - 7+7 , 19p 3 CHECKED BY DATE �■ ^=® �r 9 k1 I - QCT -O IVB( E Lys 0 'O3.YTF�Q I 0 pn V cI+Nr KACAN7' /2 �3 /* v� DESIGNED BY., SCALE 1 "- h' --- � ��A /�//�'/'� SHEET BARNARD ENGINEERING DATE . 9x50 CLARIDGE PLACE DRN BY, /�� F'/211P 6)5 O - ANCHORAGE. ALASKA 99507 349-9748 CXD. By / %`� �LsNF_/P I-,wKeAJl OF--tl?-- IN F1'S*3�a 00 4 Municipality of Anchorage d * • ¢� y�{ •�; lit t DEPARTMENT.OF HEALTH & HUMAN SERVICES r; ..•. •:` ,..«.« , 825 'V Street. Anchorage, A aska 99502-0650 r . SOILS LOG f PERCOLATION TEST fid. earl R. 1 arnard r 73" ; v PERFORMED FOR: DATE PERFORMED:�S'�9 LEGAL DESCRIPTION: L,OT• S/3/JI�Li4XLs A1% /Township, Range, Section: /Q — T/,Z,(/ DEPT) -1 I ,!t_ __. SLOPE SITE PLAN ._--, .� a112EEL)--moi 1 /O Y � 2 L1a 4 '(r 3- 4- A 4 r. 5 p . 6 O r,d r �f 7- 8- 9- '0 8 9 I r L` L� WAS GROUND WATER ENCOUNTERED? AV 11 S L 77 IF YES, AT WHAT O o 12 C fir• DEPTH? P _ t E 13 `"' gePth to Water After Monitoring? rYo W r fBatt - 14 <I �J `• _------- -- Reading Date Gross Net Depth to Net e.-LLj _ �.G:.oJVG.f:�-- - Time Time Water Drop 15- 16- 17- 18- 19- 5 16 17 18 19 Lr r L�• I � 20 :,CDz1 ti ,L _LYas 1J.eyl PERCOLATION RATE (mmutesimch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS — ,C' L A 7-1,01-,l 7—iE'!2 7- S /V�O T 1EI-W r'_ 4.v:� //VZZP-rTGP-T.,yi/VE/'/1,0L /1i�o�Er�rs PERFORMED BY: LC 42L /�,IT2 6L44a /0 /Z A-*OAA/ZLi t6 tlCERT IFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE -Y 0 -3 72-008 (Rev. 4/85) / e Municipality of Anchorage DEPARTMENT & HEALTH & HUMAN SERVICES 825 'V Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: M,07-6, /AIA Pd DATE PERFORM A we..fC� •--.: Earl R. auma.a 4``a P� :• 754E � � �\� �fj: pRnsrcCtG't`I��t► LEGAL DESCRIPTION:/ SAn;r7L,4il I Township, Range, Section: /D —"T/2N — /t?4- W SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 -} '="—} S Tr 0"w - 16 "w 16 17 18 19 20 2 PERCOLATION RATE (minutesrmch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS GAJ/t.,r4 /''�/�IV(s.tC �.T/lA/i r.`f �,f 7 0 ,4AIAJ 4, Y,rA, /,,•,-iV)Ai, 5x2/t//-=rnrt'=i�,4»o/1/ PERFORMED BY:�4��ii ./�/ 4l717J�� 41717 I r i A�ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE- 72-008 ATE72-008 (Rev. 4/85) _ j (D r• 0. / 0 I 0/4 - 'p v WAS GROUND WATER ENCOUNTERED? l 7. i --SAIVA2Y S % yEy G�C.A1FYES,ATWHAT i 0 �r �% DEPTH?.�v-- P Depth to Water Alter alp NjoT MDlttrTo R Monitoring? Data: 1 i^ 15 -} '="—} S Tr 0"w - 16 "w 16 17 18 19 20 2 PERCOLATION RATE (minutesrmch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS GAJ/t.,r4 /''�/�IV(s.tC �.T/lA/i r.`f �,f 7 0 ,4AIAJ 4, Y,rA, /,,•,-iV)Ai, 5x2/t//-=rnrt'=i�,4»o/1/ PERFORMED BY:�4��ii ./�/ 4l717J�� 41717 I r i A�ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE- 72-008 ATE72-008 (Rev. 4/85) _ ,Ip]j ��� I RECEIVED g� SEP 2 2 1993 ".zoaR7W� „.,il0 Ar o h h p Municipality of Anchorage tOt I? 1Tpt. Health & Human Servicesi�'aq �ar I1 I i I I I �i I fl 96 - - I g� � � •�v v A i Y N I h a zQ 04 C 4 11 q' a�Q w ' I m 11 h�Q r—� o _ I � I c�• I , y I I� I Ir • ^ _L jI stn i I iiI I II 1 I � •�v v A i N I � Q? C 4 11 q' a�Q Ij;l 1 0� I I 11 � m . r m , Win U N O, OL X m W - U Ga IXW z C'0 `—' Ox OU 0 0, G m■■ I 1 I � •�v v A i Q? fy a�Q I I I 1 0� I I 11 � m . r m , Win U N O, OL X m W - U Ga IXW z C'0 `—' Ox OU 0 0, G m■■ aoB ZAZo* %��Tr 4 N BARNARD ENGINEERING SHEET NO. OF o Design o Construction o Resource Development 203 West 15tH Avenue CALCULATED BY L „ DATE - g ANCHORAGE, ALASKA 99501 Telephone (907) 274.5235 % CHECKED BY DATE_ SCALE (=1-1 tri.GMA Mm 01411. rH A VE, Munt.Apality of Anc xorage Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 23, 1993 Earl R. Barnard, P.E. Barnard Engineering 9050 Claridge Place Anchorage, Alaska 99507 Subject: Waiver Request for Lot 7 Sand Lake Subdivision #1 Waiver Request #WR930060, PID #011-111-10, SW930393 Dear Mr. Barnard: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is the leachfield to 1 foot of the front property line and 5 feet from the side property line. This approval applies to the existing septic system separation only. Any future upgrade to the septic require all separations be met or another approval department. Sincerely, Robert W. Robinson Civil Engineer On-site Services ljw#7 lot line system will from this r ARNAR +EN1ERGY c +fAJ PLANMACHINE PRODUCT 6AgGW ER � ; TERIAL E] DESIGN 0 CONSTRUCTION 0 RESOURCE DEVELOPMENT 9050 Claridge Place Anchorage, Alaska 99507 Phone (907) 349-8748 Municipality of Anchorage Departmentof Health % Human ServicesL S ree; Anchorage, Alaska 99502-0650 ke: Lot 7, Sandlake Subdivision, No.l Mrs. Ina Peterson "giver �<equest: For location of seepage pits to be located within once 00 o�ne�ront (S glee=) properly line and within 5 f::. of 'he side lot line. Conditions: Lot slopes generally from Sour'h to rJW ;n. The residence ul. ing as a full basement which required filling between the building and the street. The driveway covers the westerly part of the front yard. There is a drastic soils change at or near the center of the loft Taus, the bes- and only location for absorbtion of effluent: favors the east side of the lot:. State of Alaska waiver Criteria puts the site at an evalua':ion total of 9.3 points. However, well water analysis shows U.IU mg/1 nitrate and zero coliform. The existing seepage pit has been in use for several years. The proposed seepage pits, which are 3.75 times larger than the existing seepage pit, will: provide additional protection_ because of the reduced likelyhood of hydraulic pressure. The well is 93 `,, deep (bottom elevation -3.5 ft.) with static level of elevation 47.3. A hour pump test. at 6.3 Glfli caused a net draw down of 4.0 ft. gull recovery took six minui;es. In the absence of a well log, it is reasonable to assume that the well penetrates impervious strata. There`ore, contamination from the proposed system is remote. The nearest edge of the system is 1— f-, from Sand Lake, From this distance, It is unkikely that Sand Lake water will be adversily affected. The lake bottom Seal would resist trati0n Of water in }(]e Salle Way that %he bot',:om resists exflitrdti0n. DY: earl R. Barnard, P.; - 4 i 0r 4 Haste: '4� y y •i — r. , �.� r ewl K. Earmar2 . Yi.a <f' as ^,;z` •�r3�[ �`ft ¢F yam°°,aa»+•°'4'.c,y A^N wHBY&NEERING RD ENERGY PLAN MACHINE _ PRODUCT MATERIAL CJ DESIGN i] CONSTRUCTION C] RESOURCE DEVELOPMENT 9050 Claridge Place Anchorage, Alaska 99507 Phone (907) 349-8748 September 10, 1593 t4unicipality of Anchorage RECEIVED Department of Health and Human Services 825 L Street S E P 13 1993 Anchorage, Alaska 99502-0650 Mun cipal+ry of Anchorage Re: On Site Sewer for Lot 7, Sandlake Subdivision 96p9•Health &HumanServiceg Mrs. Ina Peterson Att: "Robby" Robinson Dear Sirs: Perk Hole 3 was 'nand augered on September 8, 1993. Results are shown on the attached log sheet. Please note that elevations have been placed on the logs for test holes 1 and 2. The perk rate for T.H. 3 was found to be 7.13 minutes per inch. This is ata the bottom range of the 6-15 rate found in Table 1. It appears that it would be more rational to interpolate between trench applicat- �'�__ bion rates of 1.2 and 0.8 GPD. This is a spread of 0:4 GPD between minutes per inch and 15 minutes per inch. The restricted site cond- itions on this application makes strict conformance with Table I very impractical. The existing 8ft.x 8ft.log seepage pit has worked for several years in the same sand strata. Thus, assuming that the exist- ing pit is 5ft. deep, the allowable area is 160 S.F.. The proposed system provides 600 S.F. or 3.75 times the size of the existing pit. By interpolating the trench application rate, the proposed system would be adequate based based on a 1.0 Gpd application rate. This would permit the system as it is designed. To enlarge the seepage pits to 18.75 feet square could tap into the undesirable conditions found in T.H 2. If the proposed design is allowed, actual conditions will be verified at the start of construction to determine the location of the soil change. Its possible that the seepage pits may require some modifi- cation of size and/or plan shape. If so, please be assured that you will be contacted for approval. either way, construction will conform to the requirements of the Wastewater Disposal Regulations. Thank you. �� �j OF, ' , k Sincerely yours, e y 10 _ar arnar +. 00.. incl: Revised Plan and soils �': Eori R. ;urnard ,0 75" C ti MMI see im, W-- ST w HG i yy � N � o "ail[ 1 w j -j i �d 41 i yy � N � o "ail[ �iI w j -j i ��� i UU Ii III 9 I IIr I I j i I I i t �I S gill; 11 � ;I 41 = U ,�LL'•a1w � N � o w Mugiaipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street Mchorage, A aska 99502-0650 SOILS LOG — PERCOLATION TEST 4 `V••••H•••wi•�vn'7� ,r pr • 4JY' i ii'�?ri. •� Sit t" rrr larl R. Barnard 754.E PERFORMED FOR: IV,W7,5, /—A/,A ,oma%� /�.S_-0/\� DATE PERFORMED: Nat -w 9u$179 3 - a;ixs+r�+3 4V6, 3/ /,F 73 LEGAL DESCRIPTION: G,or y. .Si}N17L.4rVGt V� / Township, Range, Section: jQ T/,0,(/ kt/ �' D DEPT}+ SLOPE SITE PLAN - - :(FEET,) - i -, - - __-/ ___ -. ___. - ..___.___ fT I-- CEIVED P 13 1933 At oit 1 iunE ipuf:ly 7 kncnarage 0 Dept. Health & Humaw�rioeRD WATER No ENCOUNTERED 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 S IF YES, AT WHAT L O o DEPTH? P E Depth to Water Mar ManItar fng? /✓o yl r� Dita:57=9� &'V'o o �n '0)�/ �- L WAW'Ozy�"- PERCOLATION RATE (minutewinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Z- ',,"/'"/JL.AT,'QA/ 7 E-4 W,4 -4, T l�-JN f3F!-.aUSL ep /,,x -r p'�f. ,� V. 7 // /,-745 /7/AA4J-='T _ PERFORMED BY: o 6L(A /Z n /n)VA/97CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1411f-. e �/ 1 -7�- -7 12-008 (Rev. 4,851 /p L a� 7 /�nciovN z' R i' � b 0 9 f S IF YES, AT WHAT L O o DEPTH? P E Depth to Water Mar ManItar fng? /✓o yl r� Dita:57=9� &'V'o o �n '0)�/ �- L WAW'Ozy�"- PERCOLATION RATE (minutewinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Z- ',,"/'"/JL.AT,'QA/ 7 E-4 W,4 -4, T l�-JN f3F!-.aUSL ep /,,x -r p'�f. ,� V. 7 // /,-745 /7/AA4J-='T _ PERFORMED BY: o 6L(A /Z n /n)VA/97CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1411f-. e �/ 1 -7�- -7 12-008 (Rev. 4,851 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#(,N���1��'l : 1 PID# 011-111-10 HA# Permit # ��6✓ Date Received: September 17, 1993 Legal Description: Lot 7 Sand Lake #1 Engineer: Earl R. Barnard Barnard Engineering 9050 Claridge Placet Anchorage, Alaska 99507 Applicant: Ina Peterson Waiver Requested: Lot line waiver - leachfield to 1 foot of the front prop rty line and 5 feet of the side Property line Points: Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: List Conditions or ^ ReaasT,S , - / A -r3 1 Date: ZZ' Rec #: 25181/134 Waiver/is NOTr Granted: above: " ✓Nle L4J0� By: Name Amount: $ 115.00 r Date Paid: Sept 17, 1993 a e +.� ` Municipality of Anchorage t DEPARTMENT OF,,HEALTH & HUMAN SERVICES 825 " L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 1W A��,5 /n/A E5 DATE PER FORMED;%" NW 9 A LEGAL DESCRIPTION: �ATl' �A/Jr7.LAilLC (jo I Township, Range, Section: /D T/�N - SLOPE SITE PLAN 0/ (FEP EET) 2 b 3 / 4 r 0 771.= Z,.16 77/ e, -. 6 7 �DI.O, RECE1 Y �� 11 H $ � 6 7 SEP 13 1993 9- �^ iviwl c ;f :y ul .vr:chorac� v l ! r Dept. Health& i ILlman ServiCeg 10 -/" WAS GROUND WATER ENCOUNTERED? V�5 11 •/j"t / .`AN.v `% v-•4�"��r-�IFYES,ATWHAT 1 � i 0 ` , �/ ✓r/� i� DEPTH? P 12 �r E N4���DepthtoWaterAfter bir7IVc7 /y/0AV710R 13 >'� _"" Monitoring? Date 14 ri Gross Net Depth to Net . Reading DateTime Time Water Drop i 16 17 18 19 20 PERCOLATION RATE (mmutesimch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS S�lll �, nif_f-ah l - "E -E2" Yi'f J71 KI /"Jt1T/t11 `�� C - ^.r/AYMOp'^.^N c�-�', '' "a- ./ r1 -T ' ^ .c•� V1,e. v, r �� = niJ �n r- t d - 7-2 '21, , PERFORMED BY: % G� �/ �� I _ i 'y� Gia '}r'ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE- 72-008 ATE72-008 (Rev. 4/85) a (ENGIINEK,S SEAL) Municipality ot Anchorage w''4�.°' .^ " v¢�ry;. r Lj .' . S a DEPARTMENT OF HEALTH & HUMAN SERVICES r* r 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 4V6, 9) 993 V "'v;' -f TSkE PERFORMED FOR: LVA DATE PERFORME�Ze e• /' - LEGAL DESCRIPTION: 1v'5 C/ r X4.� Township, Range, Section:, SLOPE 2 0/r Net Time Depth to Water Net Drop 3 4 5 6°1►I:`I It , RECEIVED Qr�9" 9G,4- SEP 1 3 1993 s /10 /'' ip h71uni0ipal:ty of AnChora y Dept. Health &Human Seri r SITE t0 WAS GROUND WATER ENCOUNTERED? N® 11 S IF YES, AT WHAT OL i 12 DEPTH? P E 13 Depth to Water After Maniloring? /YDn/� Date 14-4 ! 15 16 17 18 19 , Reading Date Gross ime Net Time Depth to Water Net Drop /10 /'' ip / i h 114, f- 20 PERCOLATION RATE La1.L ImmutesimchlPERC HOLE DIAMETER ^rl TEST RUN BETWEEN �+ g FTAND _L::,LFT 14�kP/✓1 Su1��/SGE q COMMENTS ;C/O +/�-'X!/-�' �[P� !A/ LL5 -, /_ �- 2- '•�iJ-T1=R' I7.O a//1% .,1y%7 �4 �% '� ^ Mr=.s , .ter= / v:' t,,a/l �r� " 7— A,4 PERFORMED BY:C�ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: % 9 g i 72-008 (Rev. 4+85) December 28, 1971 Greater Anchorage Area Borough Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 Dear Sir: This letter is for confirm the agreement that I, Ralph Peterson will have installed a septic tank for each living unit in con- junction with existing cesspools that serve each living unit for the duplex on Lot 7, Sand Lake Subdivision #1, within the regulations of applicable State and Borough codes to obtain proper sewer systems for each living unit of the duplex on the above mentioned lot, no later than June 15, 1972. DATE: December 28, 1971 Sincerely, Mr. 'Ralph Peterson This is to certify that on the 28th day of December, 1971, before me, the undersigned Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared Mr. Ralph Peterson, known to me and to me known to be the individual named in and who executed the foregoing instrument, and acknowledged to me that he signed and sealed the same as his voluntary act and deed for the uses and purposes therein set forth. IN WITNESS WHEREOF, I have hereto set my hand and official seal the day and year first above written. !i'/jYS"4 Notary Poblic in aV for --Alai KZ My Commission Expires' my Commission bnlreg ---Voy-32- t974 r, 2 iQ 51Ras :uaunF-;:'3Ldt1 1. 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