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HomeMy WebLinkAboutANGELA HEIGHTS LT 7Angela Heights Lot 7 #050 - 283 - 43 MILIFAII1"-0 FiNCIACRIFICIE: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 E. TUDOR RD., ANCHORAGE, AK. 99507 276-2221 114 EZ I IF PERMIT NO. ( 7A298 ) APPLICANT DAVE DEANS LOCATION CHICKALOON ST LEGAL L7 ANGELA HGTS BOX 80 E. R. 694-9387 LOT SIZE 11439 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. NeflF1LICA Or4E-1- VE.F.F4FZ F-71RIDM I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED' APPLIL 4T DAVE DEANS ISSUED BY DATE 4'1/ 2-Z (Jrrtifirb drilling {Lug A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694-2588 OWNER OF LAND (lam D1± 4,v ADDRESS LEGAL DESCRIPTION / 0 t 1 7 et.t1 117/6 -TS DATE - Started 67i/17 Ended C-1///74 PERMIT NUMBER 7 6 7 8 E DEPTH OF WELL /1_/ STATIC LEVEL OF WATER FT DRAW DOWN FT GALS. PER HR /0)00 KIND OF CASING b 0 L5 KIND OF FORMATION: From 0 Ft. to c) F From Ft toA F From Ft. to :5)5- F FromFt. to I -r Ft. From 4-r Ft. to SS Ft t d rJ c=,604e4.--m) t. S f% 0 4- 1 ',1c> L t. L P 51ruf _ C4 viz From . 2 Ft. to 7 3 F From 7 iFt. to Tri F From_ _Ft. to Y8 F t. 7/6 T 563,-.Q4 From Ft to Ft From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft to Ft From Ft. to Ft. Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. Ft to Ft Ft to Ft From Ft to Ft From Ft to Ft From Ft. to Ft. From Ft. to Ft. From Ft to Ft t. f4' r /i01i.x54: If' 60,wf,14$ From { ff Ft. to ) )0 Ft. From From From From From From From From /ft° 130 Ft toF Ft to ) () Ft. Ft to Ft to Ft Ft to Ft Ft. to Ft. Ft. to Ft. Ft to Ft C'L ri '"- 6 k'fiurG t. j �' 1°10 4A) 74:CA1/ !F % Ft. From MISCL. INFORMATION: 0,r -TI -9 ifiq ;;tet DRILLER'S NAME 4. APPLIC AI FULLS OUT UPPER HAL ONLY 4. Prcaorty Owner Michael P. Alexander Mailing Addrt.>s 200 W. 34th Ave., Apt. 246 Anchorage, AK Zip Code 99503 - Phone 340-7868 Buyer Pedro J. & Cristna A. Torres Address 21-753 Apt.G Fig St. Elmendorf AFB Zip Code 99506 Lending Institution First Federal Savings & Loan Attn: Barbara Baker Address P.O. Box 4-2200 Anchorage, AK Zip Code 99509 Phone 274-6565 Realty Co. & Agent Marston Real Estate - Barbara Mercer Address 2804 W. Northern Lights Blvd. Anchorage, AK Zip Code 99503 Phone 248-2804 Legal Description Lot 7 Angela Heights Sub. Street Location 114 Chi ckal oon Street Type of Residence XI Single Family ❑ Multiple Family No. of Bedrooms 3. Inspector ❑ Other Water Supply 1 Individual ❑ Community ❑ Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal ❑ Individual" X Public Utility -^ 95 J 5— r}3: • ❑ Holding Tank 5•• Year Individual Installed: When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING? CAN BE INITIATED. kot(C-c.,2-)\ Time. Time Time •` p6 t Date Date Date Date -1- k J- 433 ` c_c eo _ Inspector Inspector Inspector Inspec \^ Field Notes: ` 61��_ re Q� . MUNICIPALITY OF ANCPCkket `^tEPT. OF HEALTH lA 2 V / LC) ENVIRONMENTAL PROTECTION C .-11 S¢4.. 41-, tA ()lc.' SEP k 1Y RECEIVED (3) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE i "` 1 Y —4 3 'CONDITIONS OF APPROVAL BY. C 1101-4 Ncl.CZ% Solis Rating Date Sewer Installed Well To Absorption Area Well to Tank Well Log Received ,/ Septic Tank Size 72.023 (3182) (4..., --- -", ---------------_,_,.. , 14 7),C2c 9 c r- 114-1- GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 9, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Area Realtors, % Myrna Johnston 3:30 p.m. 9-8-76 Wd/ Pratt Mailing Address: Post Office Box 249, Eagle River Phone: 694-9555 2. Property Owner: Dave Deans Construction Phone: Mailing Address: % of Area Realtors 3. Legal Description: Lot 7 Angela Heights Subdivison 4. Location: Chickaloon Street 5. Type of facility to be inspected Single Family 6. Well Data: Individual No. of bedrooms A. Type B. Depth 141' 2 C. Construction D. Bacterial Analysis 7. Sewage Disposal System: Public Utility A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Municipality of Anchorage Environmental Protection 2516 Tudor Road Anchorage, AK 99507 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: •CMRO VA r FHA CONV XX 2. Property Owner: Dave Deans Construction. P. 0. Box .249 , Mailing Address: Eagle River, AK 99577 Day Phone None Tame of Buyer: N/A Mailing Address: Day Phone 4. Name of Lending Institution: N/A Mailing Address: Phone 5. Name of Realtor or Agent: .Myrna Johnston, AREA, 'Inc., Realtors P. 0. Box. 249. Mailing Address: Eagle River, AK 9577 Phone 694-9555 6 Legal Description Lot 7, Angela Heights Subdivision Location: Chickaloon Street, Eagle River 7. .Type of Facility to be inspected: 8. Water Supply • Type bf Supply: Public Utility Individual XX If Individual , number of dwel l ing-s. presently -served 1 If Individual, depth of well 141 9. Sewage Disposal. System Type .of System: Public Utility XX Individual (on-site) If .Individual, date of installation CHEMICAL & GE.. ,.,OGICAL LABORATORIES G.' ALASKA, INC. TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street rvi 0 A st. I t a< I Drinking Water Analysis Report for Total Colifort Bacteria TO BE COMPLETED BY WATER SUPPLIER. ,. WATER SYSTEM: I.D NO. A /eyA1d Water System Name Mailing Address Phot$ No. TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: LSatiactpry • Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. City SAMPLE DATE: C3 7 j I I Mo. Day State Zip Code SAMPLE TYPE: ❑ Routine • Check Sample (for routine sample, with lab ref. no ix;if O Special Purpose Date Received 9 ' / - Time Received /5-e) Analytical Method: O'Fermentation Tube Membrane Filter ❑ Treated Water ❑ Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 2 3 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE =1220 fb1 Rev. 1978 t Lab Ref. No. Result* Analyst 13397 - Ito I . m Cil *No `a colonies/100 m1 orsN ' of Positive portions. ACT'ER`IOLOGICAL WATER ANALYSIS RECORD Date Collected Source Time Received a.m. P m Lab. No Presumptive 10m1 10m1 10m1 1Ortil lOml 1.Omi 0.1mI 24 Hours I 48 Hours Confirmatory 24 Hours 48 Hours a EMB Broth 48 hours. Multiple Tube Report. 10m1 Tubes Positive/Total 10m1 Portions Membrane Filter: Direct Count Coliform/100m1 Broth 24 hours: Verification: LT8 BOB Final Membrane Fliter,R,t7f7 Reported BY Date Time: Coilfoorm/100mI f/ [1f 5 am p.m. Page 2 of twb pages - Re( st for Approval of Individual $ er & Water Facilities Legal Description Lot 7 Angela Heights Subdivision Comments (2 c /2., Approved q/ 3 (? �- Disapproved Date I i.)(2-te Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 06-1220(a) -Rev 1973 DATE ALA EPARTMENT OF HEALTH AND SOCIAL SEL ,S DIVISION OF VBBLICHEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL _WATER ANALYSIS INDIVIDUAL ❑ NAME ADDRESS CITY ADDRESS OF SOURCE SEMI-PUBLIC 0 CHLORINE RESIDUAL PPM REPORT RESULTS TO j ZIP. CODE COMPLETE THIS SECTION ONLY IF WATER IS ANINDIVID,JAL SUPPLY :SAMPLE COLLECTED BY DATE COLLECTED - TIME COLLECTED t ` Sample Collected Fromitchen Tap 0 BathroomTap 0 Basement Tap 0 Other (List) Well — ❑ Dug g Driven Drilled 0 Bored SOURCE: ❑ Spring Cistern a Other Dug� - Well or Cistern Construction: Walls Wood Concrete ❑ Metal Tile Top. ❑ Wood- Concrete ❑ Metal ®Brick or Open Top 0 Concrete IX/CATION 0 in Basement ❑ Basement Offset 0 Under House"' - ❑in Yard 0 Other -- Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet Tank Feet. Tile Seepage Cess- Feet Field Feet. Pit Feet. Pool Feet. Privy Other Possible Sources of Contamination MATERIAL: Building Sewer - 0 Cast Iron 0 Wood 0 Tile 0 Fibre 0 Asbestos Cement Lab No. OFFICE Analysis shows this Water SAMPLE to be: fr Satisfactory" ❑ Unsatisfactory ❑ Questionable ❑.Sample too long in transit; sample should not be over 48 hpurs old' at examination to indicate reliable results. Please send new sample. ❑ Bottle broken in transit, please send new sample. SANITARIANS' REMARKS. ❑ Plastic Joint Materit Type GENERAL: Does Water Bac P Muddy or Discolored? ❑ Yes 0 No When? Diameter of Well �.'' ' Depth .l ' Feer, Well Casing Material Diameter- Depth Length of Water Depth Feet. DropPie From Bottom p Offset in In Utility PUMP LOCATION: 0 In Well ❑ Basement 0 In Basement 0 Room On Top 0 Of Well 0 Other PURPOSE OF EXAMINATION: Illness Suspected? 0 Yes 0 No New Source of Supply? 0 Yes 0 No Repairs to System? 0 Yes 0 No Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06.1220 (b) Rev. 1973 Dat• Received BACTERIOLOGICAL WATER ANALYSIS RECORD c- ce mab No. Time Received 6 __ f Lactose Broth lOcc lOcc lOcc lOcc 10cc 1.0cc 1.Occ 24 Hours 48 Hours ....-� "-" Brilliant Green 24 Hours 48 Hours EMB lactose lilth, 24 hrs. Coliform Density MF Results 48 hrs AGAR Gram's stain (Most probable No. per 100cc) This analysis indicates Coliform Organisms to be: Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-283-43 1. GENERAL INFORMATION Complete legal description ANGELA HEIGHTS LOT 7 Expiration Date: S 1 ' / 4 Location (site address) 10137 CHICKALOON STREET, EAGLE RIVER, AK 99577 Current Property owner(s) CRISTINA TORRES Day phone Mailing address 10137 CHICKALOON STREET, EAGLE RIVER, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _ Well Public Water System n_ MAY 1 6 2914 TYM,98SASTEWATEZ DISPOSAL: Holding Tank Community ruur: newer 177 WaiverNariance request for: Distance: Received by;. COSA to be release¢tpt3e engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 624 Date of Payment Receipt Number 0551 3(1 COSA# osciq 1102 Waiver Fee $ Date of Payment Receipt Number Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Phone 868-3791 Date 5/16/14 Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for bedrooms. 1, ' 3 / ,t "i' ` rkOr stO i Disapproved. �� Conditional approval for bedrooms, with the following stipulations: �t( �OF �rrC<-,0.- r` 0 Te—D uci '1/4 r .`. WATFR AN . 0 WASTEWATER oE-: pROGRAM Jli%,rEN T)SE}ff� \<\c By: Original Certificate Date: - /- /7 T u J horage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4 AH1H N. DOFF/ 6 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: ANGELA HEIGHTS LOT 7 Parcel ID: 050-283-43 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 6/11/1976 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 141.75 ft. Cased to 141.75 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6/1111976 5/7/2014 Static water level 100 ft. 93 ft. Well production 20 g.p.m. 5.6+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 4.25 mg/L Arsenic: ND ug/L Date of sample: 5/7/2014 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA — PUBLIC SEWER Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) _ System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main 75'+ On adjacent lots NA On adjacent lots NA Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank NA Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: PUBLIC SEWER Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: PUBLIC SEWER Property line Building foundation Water main Water Service line Surface water Driveway, parkingNehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 05/16/2014 COSA brown sheet_10-10-12.doc KENNETH M. D 7116 674/, nlaOSED MSHIED PAM art. til PROPOSED AI 8 WANG os1WT 33' PO. eatnpa�wAI SIN EMS SUBACX R'•e'•°M0 ¢1,µY x Y 123.00' S89° 57' 55"E UJ x x IN_LW x G1H, u w � 24.0' . b 9A EXISTING WELL 0 o Z o a: a/ HOUSE r z x Oo J x Z n. L 0 T4,1119110 ll- r' r' _i 1— o _ . b 3.. xnoon. 0 0 F"cn x. noon _..x. 24.0' o 01 a 29.T x U ZD Cidx I SHED Y Y I 0 123.00' S89° 57' 55nE x 6 UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY CR FENCE USES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABIIJTY ONLY FOR 1116 C05T OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN SCALE. U or SURREY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS -BUILT • SET REBAR a1° DRAINAGE 0 FINAL STRUCTURE AS-BULT o FOUND REBAR 4':'a:A1 CONCRETE OAS .8_0,3. WOOD FENCE Qo0¢! ASSUMED ELEV. FANO -BU ... NB CORXR$ SET RECERTNCATIOR BUILT ... N0 CORNERS SET X X X METAL FENCE WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT I5 THE RESPONSIBILITY OF THE BUILDER OR OWNER. PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE SHOWN. FENCES, WELLS SEPTIC CLEANOUTS, SIDEWALKS, ORIVEWAYS, TO FINISHED GRADE AND UTIUTY CONNECTIONS AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT, ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION Prepared by PLOT PLAN IM»ph�• �t.d Mix, Int 1 .,,�y��ttr,, �.*.*� oFngC4p ** Robert E. Johns, Jr. & Assoc. Professional Land Surveyors ,h-a>va«T lot — one pfd has ive r M. e++iw r N w toil a,.., m w pa NI a w No d Try a Anoxia. no.. ea. ���P,:•** t % GJ•. i. 1700 BH k Drlw, ANCHORAGE. ALASKA 99504 „woody. ca <ewa.. . • ° FOUNDATION AS -BUILT �.. 49th _ i •• ' .n• + . noon Scala: I 1'. = 30 Rea Lot S.F.Rec.Plat File No. 1, bateda A Jr.. r artily oxo i %•• - { Dote Surveyed: " Drawn by: r Chocked br loMNbnaaNM«t.tt tt . taw.. aw intmada .. ao.. 6..°0 . ..non.. • ► ROGER • 05/07/14 REJ J AK JfVI(\ - but en4.e p'�•^^e a+ou• • r . JOHN JR. •• Date Drown: Grid: W.O. y•••• 4121—S .'•aa� 05!09114 NW053 14-173 Fl— STRUCTURE AS-9UILT i. Newt E — at, konlay .+..'Y as 1 • /a ••..• .•O .01 Legal Description:He �/ .ewieton pon as to ad a dhil i 1. ana wen �� aaw. noon .-"00,ti p••••••,•••••••✓ c,6 r• 1 °resalonol tee, M.......... Lot 1 on true and then, ,„,+;, ANGELA HEIGHTS