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Home My WebLink AboutHANSEN SAND LAKE LT 6BLd I I Sll�l I mWr%4wp--jlAl4k I ire 0 #012�153�30 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Pogo 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW040137 PID Number: 012-153-30 Name: MARK ROY Wastewater System: 0 New 0 Upgrade Address: 1040 O'MALLEY ROAD * ANCHORAGE, AK 99515 ABSORPTION FIELD Phone: (907) 349 No. of Bedrooms: —3333 4 EDeep Trench ElShollow Trench DBed DIVIound 0 Other LEGAL DESCRIPTION SON Rau": 1.2 Total Depth Im. original groda., 11.0 MAX Ft. GPD/Sq. Ft. Block: Lot: Subdivision: Depth to pipe botim front original Grade: Gravel depth beneath p1pe; 6B HANSEN SAND LAKE SEE DWG. Ft 6.94 Ft. Township: Range: Section: "I added above original gmd.: Gravel length: 36.5 SEE DWG. ft. Ft Gravel wkM: Z.br of Unq*-. between llne.; WELL: 0 New [I Upgrade 2.5 Ft. 1 IDIrtanco Fto Classitcztion (Privots, A.8,C): Totol Depth: c'sW To� TCOAI 9b*QrNtWft MW Pipe noterld: D 3034/ F-810 PRIVATE 100 MI 100 Ft 500+ so. Fj Driller Dole Ddfied: Level: 1"06"; Installer ALASKA PRO—TRUCK Date Inatolled 1'1/19/2004 ALPINE DRILLING 9 17 0,, F, YWd: I Pmp Set ft A� Com ng Height Move Groutel: TANK 20 opm U NKN W n. 2 Ft SEPARATION DISTANCES 8 septic 0 Holding 0 S.T.E.P. 0 Other 0 Septic Absorption Uft Holding Public/prWate k6onufactww. GREER TANK Copoelly in go 1500 Tcnk Field Station Tank Sewer Unes Well 100,+ 100'+ — 25'+ motwwl; STEEL wniler of ocvnportnients: 2 SUrfCCe Water runew'Te 100'+ 100'+ - - LIFT STATION Sze in gallons; ManufactuW. at Une L Lot 5'+ *1'+ — 1 pup an' level al: 7=p off" r *Mrm at; Foundation 5 1+ 10'+ I _L at Inepections pedonned by. Curtain Drain I NONE KNOW[I -+— Remarks: *1' LOT LINE WAIVER. EXISTING 5' LOT LINE BENCH MARK �n =a ~HpUm: WAIVER AMENDED BY PHONE CALL w/ JEFF POET TOP OF GARAGE SLAB 0 MANDOOR ON 11/18/2004. Assumed Elevation: 1100 20 Ftf EN we nF ........... Inspections performed by: GEG, Ltd. —Dates: 1st 11/19/2004 9 .... ..... 2nd 11/19/2004 3rd - A. G ness.. t rtment Approval Developmen Aervices epa —7. e . ........ . Reviewed and approved by t,.L_!hMftQ-Q— Date: L?19LZ)r-fJ —7—T P ncA rofes 'a, (Rev. 12/01) PERMIT NUMBER: PARCEL ID NUMBER:l SW040137 AS -BUILT DRAWM 012-153-30 1 HOUSE TO TANK HAS 2 OF INSULATION ON IT. LOT 7E, 41� 1 WEST 73rd AVENUE — — — /— NEW DRAINFIELD sl�2 u NEW 4 BEDROOM HOUSE 10' UTILITY EASEMENT Nli)� WELL LOT 6C, ON PUBLIC SEWER 11 C i G. GARNESS ENGINEERING GROUP, Ltd. — - - ITS & GENERAL CONTRACTORS " SCALE; 3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE. AK 99507 - PHONE (907)337-6179 - FAX (907)338-324, 1 " = 30' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK ROY (907) 243-2003 1 OF I — 1, LOT LINE WAIVER GRANTED �—DBI_l \—ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANTEX SYSTEM NEW 1500 CALLON SEPTIC TANK LOT 6A, ON PUBLIC SEWER LOT 6D, ON PUBLIC SEWER A f A. Gorn ss.: .EGAL DESCRIPTION: —7953 :� HANSEN SAND LAKE SUBDIVISION; LOT 6B, ...... YPE OF WORK: J*rofesslor, AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM A B ST1 51.92 1 29.30 ST2 58.71 139.90 DBL1 61.52 42.41 DBL2 62.25 44.12 C01 45.16 48.36 MT1 44.72 49.43 CO2 73.03 51.34 MT2 73.73 50.82 HOUSE TO TANK HAS 2 OF INSULATION ON IT. LOT 7E, 41� 1 WEST 73rd AVENUE — — — /— NEW DRAINFIELD sl�2 u NEW 4 BEDROOM HOUSE 10' UTILITY EASEMENT Nli)� WELL LOT 6C, ON PUBLIC SEWER 11 C i G. GARNESS ENGINEERING GROUP, Ltd. — - - ITS & GENERAL CONTRACTORS " SCALE; 3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE. AK 99507 - PHONE (907)337-6179 - FAX (907)338-324, 1 " = 30' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK ROY (907) 243-2003 1 OF I — 1, LOT LINE WAIVER GRANTED �—DBI_l \—ALTERNATE SITE WILL REQUIRE THE USE OF AN ADVANTEX SYSTEM NEW 1500 CALLON SEPTIC TANK LOT 6A, ON PUBLIC SEWER LOT 6D, ON PUBLIC SEWER A f A. Gorn ss.: .EGAL DESCRIPTION: —7953 :� HANSEN SAND LAKE SUBDIVISION; LOT 6B, ...... YPE OF WORK: J*rofesslor, AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM PERMIT NUMBER: PARCEL ID NUMBER: SW040137 AS -BUILT DRAWING 012-153-30 -FINAL GRADE - 102.11-102.71 ST1 FINSULATION ST2 TOP OF TANK AT INLET - 97.55 - NEW 1500 GALLON INVERT OF BUNG SEPTIC TANK AT INLET - 97.19 -7 1 TOP OF TANK AT OUTLET - 97.61 BUNG AT 96.35 ORIGINAL GRADE ___"Flg� GRADE - OF WEST END OJF TH#I - 100.90 0 1 25-102.79 jT8RENCH INSULATED W HIGH POINT 2" OF n FILTER FABRIC I I ITEST HOLE DEEPEND TO 17.5 FEET ON 11/18/04. SAME SOILS AND NO GROUNDWATER ENCOUNTERED INVERT OF PIPE - 96.84 (AVG.) BOTTOM OF TRENCH - 89.90 (AVG.) LL -0— RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 83.40 (TEST HOLE DRY) DATE: 11/23/2004 DRAWN BY: C.J.G. GARNESS ENGINEERING GROUP, Ltd. SCALE: CONSULTANTS & GENERAL CONTRACTORS 3701 E, TUDOR ROAD. SUITE 101 - ANCHORAGE, AK 99507 - PHONE (907)557-6179 - FAX (9DIM38-3246 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK ROY (907) 243-2003 1 3 OF 3 LEGAL DESCRIPTION: HANSEN SAND LAKE SUBDIVISION; LOT 6B, TYPE OF WORK: PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM *:4 . . . ....... ar ss"' 953 From -Anchorage Sand/Gravol 100734428" T-638 P-002/002 F-066 Municipality of Anchorage bepartment Of Health and Human Services 825 OL' Strest 19-6650 P.o. Box 196650 Anchomge, Alaska 995 httP:1N1W-Cl.Qnchorage.ok.US Mayor ML Z -3 -40 - reel jaentification Number: 1 -15 OSW gAM7 Date of Issue [3 No perooltNumab d at approved Permit location? 9 yes Date. Completed'. _ _,Q- �7- Ts well locate en and ke U 68 Date Surtcd-' 2AZ':� Legal Description-- & Address: Mark & Edca Roy PropertY Owner Name 3111DracoOdve Well Intake opening T�Te: 0 open End 0 Open H010 0 Screened Start _ feet Stopped feet 0 Perforations Start fn&t StOOMA fiapt Grout Type: bentoniLC Volume, L DeptIr Staftgfeet Stopped.Zfeet pump: intake Depth feet size - R Well Disinfect8d Upon Completion? 0 Yes 11 No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises PO Sox 110496 Anchorage AW;ka 99511 provide &%�Olj logto the property Owncrwithin3O days of completion and the ProPealy Attention; The well drillerAall �'V. Depth (ft) -- Method of Dri air rot&Y E] cable tool. ]Borehole Data: soil Type, Thidmm & Water Sirna From To casing type. steel 2 7winches WaU Ibickaess: a-5-0 inches stick -Up 0 21 . g inches Depth: LQUO feel. Diaroemr- Of ality sand 2 21 52 Liner Type: Depth: _ feet Diameter: . 52 95 Casing stickup above ground: ?-feet cjay sitty water sand gravel 95 100 Static water level (from 9rOuW 1"11)* !V"7 pumping level..-LO-owt after 2, hours P=Ping 20 ZPM RecoverY lt2tc' AN gPm Method of Testing- " Well Intake opening T�Te: 0 open End 0 Open H010 0 Screened Start _ feet Stopped feet 0 Perforations Start fn&t StOOMA fiapt Grout Type: bentoniLC Volume, L DeptIr Staftgfeet Stopped.Zfeet pump: intake Depth feet size - R Well Disinfect8d Upon Completion? 0 Yes 11 No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises PO Sox 110496 Anchorage AW;ka 99511 provide &%�Olj logto the property Owncrwithin3O days of completion and the ProPealy Attention; The well drillerAall Mumelpality 6fAnehorage P.O. Box 196650 - Anchorage, Alas� 99519-6650 * Telephme (907) W-8301 - Fm (907) 343-8200 4700 Bragaw Street * Anchomge, Alasim 99507 �Zi.org Mayor Mark Begich Building Safety Division 12/9/2004 Garness Engineering Group, Ltd. 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507 Subject: Waiver Request for Hansen Sand Lake Subdivision, Lot 6B Waiver Request #WR040029 Parcel ID #012-153-30 Permit # SWO40137 Julie Makela, P.E. Civil Engineer On -Site Water & Wastewater Program separation fimn the separation distance is property line separation rystent will require all please call our office Community, Security, Prosperity MUNICIPALITY OFANCHORAGE IV19160 nCXD-(-) Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SWO40137 Date Issued: May 25, 2004 Expiration Date: May 25, 2005 Parcel ID: 012-153-30 Legal Description:L",M SANDtAKEtT---6Br Design Engineer: 0041 AK Water & Wastewater Consultani Site Address: 003524 73RD AVE W Owner Name: Bob Campbell Lot Size: 11214 SO. FT. Owner Address: 3524 W 73rd Ave Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage . A 99503 - This permit Is for the construction of: [_,71 Disposal Field Z Septic Tank Holding Tank 0 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 15.66 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. //-/?- Vy Received By: Date: 'AS6 ai� Issued By: Date: 4/22/2004 Munieipa]W of e Mark Begich, Mayor gSafety Division n P.O. Box 196650 * 4700 Bragaw Street Anchorage, Alaska 99519-6650 & (907) 343-8301* Fax (907) 343-8200 http://v�.muni.org Jeffery Gamess Gamess Engineering Group, Ltd. 3701 E. Tudor Road, Ste 101 Anchorage, Alaska 99507 Subject: Waiver Request for Hansen Sand Lake S/D Lot 6B Waiver Request #WRO40029 Parcel ID #012-153-30 Dear Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any finther concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, reGoodall Civil Engineer On -Site Water & Wastewater Program Municipality of Anchorage 4% k Development Services Department Building Safety Division On -Site Water and Wastewater Program S A CTY 4700 Bragaw Strect P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchomge.ak.us (907) 343-7904 Waiver Review Worksheet WR#: 40029 PID#: 012-153-30 HAM Permit#: Date Received: 5/25104 Legal Description: Hanson Sand Lake SID Lot 6B Engineer. Jeffery Garness Ganness Enalneering Group 3701 E. Tudor, Ste 101 Anchoraae, Alaska 99507 Applicant: Bob Carrivell Waiver Requested:_A��e W�atver Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver Is Granted: __Iz_ Waiver Is not Granted., List Conditions or Reasons for above: Date: 145 /V-1 By: F, ,00t L 4Nanie of Reviewer Rec#: Amount $jL0 Date Paid: V2512004 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERM ITAPPLI CAT ION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 IZ - 1573 -30 — Permit Number Property owner(s) BOB CAMPBELL Day phone 243-2000 Mailing address (1) 3111 "C" STRIFET * ANCHORAGE, AK. Mailing address (2) Legal description (Lot, Block & Sub'd.) LOT 613, HANSEN SAND LAKE SUBDIVISION Legal description (Section, Township & Range) Lot Size ) I., z 1 &1 —Acres/(O THIS APPLICATION IS FOR: Number of Bedrooms Sewer Only 1:1 Well Only 1:1 Sewer and Well 0 Water Storage E] Sewer Upgrade 17 THIS PROPERTY CONTAINS: Hot Tub El Jacuzzi 0 Swimming Pool El Water Softening Unit El Therapy Pool 1-1 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERIN6 GROUP, Ltd. (Signe ure ef IsFepeft eWMeF OF atithefired agent)- '�' 1-75-0�c' 6)eA p0zm4 Permit Fees: _41690f Waiver Fees, Date of Payment: 49 LA Date of Payment: �—'j 7'� L Receipt Number 9 69- Receipt Number: 7-S q3C .T GARNESS ENGINEERING GROUP, Ltd. ==wwmmwm==ww== CONSULTANTS & GENERAL CONTRACTORS nozommammmmmmmm May 13,2004 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System for Hansen Sand Lake Subdivision; Lot 6B, To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. One test hole was dug on the property. The drainfield will be designed around the 30 foot radius of the test hole. We are proposing to install a new 1500 gallon S.T.E.P. tank and a deep trench type drainfield. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 1.2 gallons/day/A2 should be used. The insitu sands will serve as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Proposed Application Rate: L 2 gallons/day/ft2 c. Allowable Application Rate: 1 . 2 gallons/day/ft2 d. Number of Bedrooms: 4 e. Design Flow: 600 gallons per day f. Minimum Absorption Area: 500 R2 g. Total Depth: 9 feet (max.) h. Effective Depth: 7 feet i. Width: 2.5 feet j. Reduction Factor: N/A k. Minimum Length: 36 feet long 1. Effective absorption area = 200 fe 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com 3. SURFACE WATERS: There are no surface waters within 100+ feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design plan, the average topography in the area of the proposed drainfield relatively flat. In short, there are no slope concerns. 5. LOT LINE WAIVER: We request a 5 feet lot line waiver to the north and east lot lines. We are unaware of any adverse impacts with the granting of this waiver. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. . /I P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soils log, and a 7 page constrziction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph-. (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com ------- - - - - - - - - - - - - - ; - - - - - - - - - - - - - - - I L ----------- i i W--4 HANSEN I SANDLAKE LOT 5 N 1/3 LOT 44 LOT 43 HANSEN SANDLAKE LOT 4 42 HANSEN t SANDLAKE LOT + LOT 5 5 2/3 PROPOSED 4 BEDROOM - - - - LOT 41 Li + HOUSE (APPROXIMATE PROPOSED SEPTIC - - - + I I LOCATION)-,,. SY51TEDA I I LOT 40 -----WEST— rcLAVFN Uf— — — — — — — �7 + I —1 PUB �,'WATER .1 I I I \,��ANSEN I \\�NPLAKE HANSEN LO 7E LOT 39 I I N SE SANDLAKE giLAKE I IPT 7A LOT 78 1 1 SE 14ANSEN SANDLAKE SAINLA LOT $A /I --ry + Li I I L� - - - - - - - - - HANSEN - - - - - - - - - tu- - Lu LOT 38 11 LT3a < I I I - - - - f / - - - - - - SANDLAKE < I PuBuc sp ER AND WATER LOT 37 LOT 37 I LOT 7C HANSEN 1SANDLAKE tr w + I I ILOT 7D HANSE? HANSEN HANSEN w I I I I -SANDLAKE I LOT ec SANDLAKE LOT OD SANDLAKE LOT BE M x Lar 36 —M+ DO I — - — - — - — - — - — - — - — - — - — - — - — - — - — - — - — - — - — - LOT 35 ------ al PUBLIC WATER, SEWER 1 LOT 34 1 DATE' 5/12/2004 DRAWN BY: R.A.L. GARNESS ENGINEERING GROUPt Ltd. SCkE:* S&CMNERALCO?ffPACTC--- 1 100' .. .. ... . ...... 3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE. AK 99507 - PHONE (907)537-6179 - FAX (907)338-3246 ... . . ..... ............ PREPARED FOR PHONE NUMBER: PAGE NUMBER: 809 CAMPBELL 243-2003 1 OF 2 1 G rnesS,,, . E .. LEGAL DESCRIPTION: HANSEN SAND LAKE SUBDIVISION; LOT 68 ................. kpopofessloTo\ - TYPE OF WORK: SITE PLAN FOR PROPOSED WELL AND SEPTIC SYSTEM WEST 73rd AVENUE PROPOSED 4 BEDROOM HOUSE PROPOSED WATER SERVICE LINE PROPOSED WELL O&D VERIFY SEPARATION WANCE TO ALL SEPTIC SYSTEMS PRIOR TO DRILLING GARNESS ENGINEERING GROUPP Ltd. CONSULTANTS& GENERAL CONTRACTORS� 3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE, AK 99507 - PHONE (907)337�6170 - FAX (007)338-3246 PREPARED FOR: PHONE NUMBER; EXCAVATE A TRENCH THAT /7,59 F!ET DE% MAXIMMUM. BY 2 5 FEET DE. BY 36 FEEr LONG, ADD 7 FEEr CLEAN WASHED SEWER /�5' LOT LINE ROCK. co I \ Li -T R.A.L. LE, I" = 30, E NUMBER: BOB CAMPBELL (907) 243-2003 1 2 OF 2 LEGAL DESCRIPTION: HANSEN SAND LAKE SUBDIVISION; LOT 68, rE OF WORK: DESIGN DRAWING FOR PROPOSED WELL AND SEPTIC SYSTEM lw��WiW VN In, - ELEVATION OF HOUSE A GRINDER PUMP MAY BE REQUIRED NOTE: THE CONTRACTOR SHALL HAVE THE 100' WELL RADIUS. AND LOT LINES FLAGGED BY A REGISTERED SURVEYOR PRIOR TO CONSTRUCTION I A ...... . . . .. .... .... .. .. . .. ...... mess. - 7953 - + INSTALL PROPOSED 4 BEDROOM HOUSE PROPOSED WATER SERVICE LINE PROPOSED WELL O&D VERIFY SEPARATION WANCE TO ALL SEPTIC SYSTEMS PRIOR TO DRILLING GARNESS ENGINEERING GROUPP Ltd. CONSULTANTS& GENERAL CONTRACTORS� 3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE, AK 99507 - PHONE (907)337�6170 - FAX (007)338-3246 PREPARED FOR: PHONE NUMBER; EXCAVATE A TRENCH THAT /7,59 F!ET DE% MAXIMMUM. BY 2 5 FEET DE. BY 36 FEEr LONG, ADD 7 FEEr CLEAN WASHED SEWER /�5' LOT LINE ROCK. co I \ Li -T R.A.L. LE, I" = 30, E NUMBER: BOB CAMPBELL (907) 243-2003 1 2 OF 2 LEGAL DESCRIPTION: HANSEN SAND LAKE SUBDIVISION; LOT 68, rE OF WORK: DESIGN DRAWING FOR PROPOSED WELL AND SEPTIC SYSTEM lw��WiW VN In, - ELEVATION OF HOUSE A GRINDER PUMP MAY BE REQUIRED NOTE: THE CONTRACTOR SHALL HAVE THE 100' WELL RADIUS. AND LOT LINES FLAGGED BY A REGISTERED SURVEYOR PRIOR TO CONSTRUCTION I A ...... . . . .. .... .... .. .. . .. ...... mess. - 7953 CwARNESS ENOINEERING GROUF� ]Ltd. CONSUL'r^NTS a OFNERAL CONTRACTORS — 101 - "WRAG& AL 941411 - N"L- (WIXW-fln - M' Wonmss-m# ' gumm a' * .: =I L TUM WWA WM [SOIL LOG — MCOLATION TE7S:Tl . . .. . ...... ......... LEGAL DESCRIPTION: HANSEN SAND LAKE SUBDIVISION; LOT 6B, f r y A. Gar ess.: PERFORMED FOR: BOB CAMPBIELL DATE: 5/07/04 —79 DEPTtl (feet) —Z:::-- - ORGANICS FTEST HO —LE #11 p rof 099100 SM/GM SLTY SANDS & GRAVELS SOIL CLASSIFICATIONS 2 006*04 6,0,0 GW ORG IRRV 1�4601 siis'* 0", GP ML 3 6,0,0 0"I GM CL 4 itooll TTM OL GC Ll -Ll. I — - — - — - — 6% %, SW MH goo % s SP CH 5 0000 v go SM OH 6 *is o" SC 7 O!e DEPTH TO SP DATE GROUNDWATER POORLY ------------- -------------------- 8 GRADED SANDS DRY 5/7/2004 ---- — ------------------ -- ------- & GRAVELY 179t ease SANDS 9 *000 SITE PLAN eple 10-100, a 0 10 a 0 CLOCK NET TIME WATER LEVEL NET DR OP 11 gg,* le DATE READING 1 TIME (MINUTES) READING (INCHES) 09,16 so#? goo* 5/11/20041 1 5:31 — 6- — 12 2 5:33 2 0. 6. 3 5:33 6. 13 4 5:35 2 0. 14 5 5:35 — 6- 00 6 5:36 2 Do 6- 15 B.O.H. 16 — 17 — 18— PERCOLATION RATE <1 (MINJINCH) PERC. HOLE DIA. 6 (INCHES) 19 — TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ENO SOILS LOGGED BY: KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY: NICK HEITSTIJMAN COMMENTS: PERFORMED BY GEG, Ltd, 1. JEFFREY A. GARNESS, CERTIFY THAT THIS WAS FERVORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: !-,114- Ok L I I I z z municipality of Anchorage March 13, 1987 Donald F. Cloyd 7400 Huckleberry Circle Anchorage, Alaska 99502 P.O. BuX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONYKNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Subject: Lot 6B Hansen-SandLake Subdivision On-site Sewer Permit #860055 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of February 26, 1987. Your permit expired on the date of issue basis by authority of Municipal Ordinance existing at that time. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. The new permit will come under the calendar expiration date as per the new Wastewater Ordinance (effective May 20, 1986). If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report (three part form) must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 343-4744. Sincerely, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit Municipatity of Anchorage June 23, 1986 P.0, L 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Donald F. Cloyd 7400 Huckleberry Circle Anchorage, Alaska 99502 Subj ect: Lot 6B Hansen Sandlake Subdivision On-site Sewer Permit #860055 - issued February 20, 1986 On May 20, 1986, The Anchorage Assembly approved a new ordinance regulating on-site wastewater disposal systems (septic systems). All septic systems constructed after the effective date of this ordinance are subject to the provisions of this ordinance. Our records show that you currently hold a permit for the installation of a septic system. We strongly urge that you contact this office prior to constructing your system. Any changes in the code that could impact the construction requirements of your septic system will be identified and brought to your attention. Please contact the Environmental Services Division at 264-4720. Thank you for your cooperation. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/SSM/ljw � | . �� NI 11 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECT 825 L STREET, ANCH[}RA8E, AK 264-4720 ELI �;q__��^��-��' _ PERMIT NO: 860O55 DATE ISSUED: 0�/20/86 AP�LICANT: DONALD F, CLOYD ADDRESS: 7400 HUCKLEBERDv ClRCLE ANCHORAGE, AK 99502 CONTACT PHONE: 243~2115 LESAL DESCRIP: SUBDIVISION:� HANSEN SAND LAKE LOT: 6B BLO�K: NA SECTION: 2 TOWNSHIP: 12N RANGE: 4W LOT SIZE: 11200 (SQ.FT. OR ACRES> MAX BEDROOMS:3 Listed below are the options available to you in designing your septic sysLem. Choose the option thaits your site. ... ..... �.... ..... ... ..... ... ..... ...... ... ..... ..... �� |�iE|�4 U� DEPTH TO PIPE BOTTOM (FT.) 10"0 GRAVEL DEPTH TOTAL DEPTH (FT.) 16"0 GRAVEL WIDTH (FT.}2.5 GRAVEL LENGTH (FT') 38.0 GRAVEL VOLUME (CU.YDS.} 22,9 TANK SIIE (GALS) SOIL RATING (SQ.FT./BR) 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ... .... ..... .. .....�� I certi�y that: 1. I am {amiliar with the requirements or on-site sewers i- v wells as set �urth by the Municipality o� Anchorage (MOA> and the State o� Alaska" 2, I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o{ this permit, 3` I will adhere to all MOA and State o� Alaska requirements or the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4, I understand that this permit is valid for a maximum o� 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE 8Y A LICENSED ELECTRICIAN" SIGNED DATE: Y_ � ... ... ..... �_... .... ..... ... ..... __~ APPLICANT DO ISSUED DATE: � .... .... `. `-�'- ---"~---- January 10, 1986 TO: Permit Applicant P.O. BUX ANCHORAGE, ALASKA 995-02-0!850 (907) 264-4111, T.,,),' JY K N'0',7L S. Alvr DEPARTMENT OF HEALTH & HUMAN SERVICES Subject: Permit # 850529 Lot 6B Hansen Sand Lake Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to,this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit ` 11,1 L-11 11,4 1 1E,, 1 4 W!:�h 11-- 1 -,T, Y, Cli F=" V%. U 11 .-1 L-A F-�Z ir2'b C3 E-_�i, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ^� 825 L STREET, ANCHORAGE, AK 99501 � 264-4720 , �� PERMIT NO: � 850529 DATE ISSUED: 08/22/85 APPLICANT: BARRY SILLS ADDRESS: 7408 HUCKLEBERRY ANCHORAGE, AK 99502 ' CONTACT PHONE: 248-7962. LEGAL DESCRIP: SUBDIVISION: HANGEN SAND LAKE LOT: 6B BLOCK: NA SECTION: 2 TOWNSHIP: 12N RANGE: 4W LOT SIZE: 11220 (SQ.FT. OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. ' FR E_ PA c-_ 11- n DEPTH TO PIPE BOTTOM (FT.) 10.0 GRAVEL DEPTH (FT.) 6.0 TOTAL DEPTH (FT.) 16"0 GRAVEL WIDTH (FT.) 2.5 GRAVEL LENGTH (FT.) 50"0 GRAVEL VOLUME (CU. YDS. 30"1 TANK SIZE (GALS) 1,250.0 ** SOIL RATING (SQ.FT. /BR) 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that- ` 1. I am familiar with the requirements [or on-site sewers and wells as set forth 1-.)y the Municipality of' Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere toall MOA and State of Alaska requirements �or the� set back distances from any existing well, wastewater disposal system or, public sewerage system cin this or any adjacent or nearby lot, 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require -an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELEcTR.TA' INSPECTION REPORT; AND (3) THE ELECTRICAL ELECTRICIAN. SIGNED DATE: APPLICANT. BARRY BARRY SILL ISSUED BY DATE: ` PERFORMED LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST DATEPERFORMED r Township, Range, Section: �qj -;ec . �2 SITE PLAN SLOPE 14 15 16 17 - 18- 191 11 0 11 Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETPEEN FT AND — FT COMMENTS k6i/V�Y'-'N I j !7 k2 do PERFORMEDBY: I 9=: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 041- 95W At( 3- 4- 5 vtj 6 - 7 - 8 - 9 - 10 t WAS GROUND WATER ENCOUNTERED? 11 s yo�7'-e(l F YES, AT WHAT L 12- <� DEPTH? P E 13 4 Depth to Water After Monitoring? Dale: 14 15 16 17 - 18- 191 11 0 11 Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETPEEN FT AND — FT COMMENTS k6i/V�Y'-'N I j !7 k2 do PERFORMEDBY: I 9=: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) r4 AVENUE ---7 rd __!2�N 9055'00"E 128.34 41._------------------- -�74-ih :)5.20 1 .4, -7 A 7B 7,709 d 7,709 0 10'.ide 0 Utilltv Eas.. 0-64.17 z 110, 12 I s! 7D 7C 7,708 7,7C 64.J7 64.17' .(1-- atr to C, w -- C, re 4e e.� 4- 74--1 !2 Oft/ oel 00 0 0 ,2.70 T—AVENUE V) '5.., IL I- L C- VVA-M-P, PROIf 10 E -P A UP 10 '.rP ol. ISO OLv. *r IOZ P W Leif 1 '47 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 �,pje5S www.ci.anchorage.ek.us 1 (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 012-153-30 HAA# CIL 1. GENERAL INFORMATION Expiration Date: - I G - C) -5- Complete legal description HANSEN SAND LAKE SUBDIVISION; LOT 6B. Community'Class —Well 11 Public Water System Location (site address or directions) 3524 W 73RD AVENUE * ANCHORAGE, AK. 99503 Current Property owner(s) MARK ROY Day phone (907) 349-33,33 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 1040 O'MALLEY ROAD * ANCHORAGE, AK. 99515 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage 11 Community'Class —Well 11 Public Water System 11 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank El Community On-site 13 Public Sewer 13 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 samples. (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. 4. STATEMENT OF INSPECTION BY ENGINEER As cerlified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined In the Health Authority Approval Guidelines for this application, shows that the on-site water supply andlor 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 riles and from my Investigation and Inspection, the on -silo watersupply andlor 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 GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. CARNESS. P.E. Engineees Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under Me conditions encountered at the time of Me test, and separation dista nces mea sured to rea dity Identifia ble features. The operational fife of aft wells and septic systems depend on the 1=1 soils condition, groundwater levels that may Vuctuate during the year, and Me water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the opera tional requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will If confer any legal tight whatsoever. 5. DSD SIGNATURE L,"*� Approved for LIL bedrooms. Disapproved. Date 337-6179 Conditional approval for — bedrooms, with the following stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Ell Original Certificate Date: (Rev. 12)01) OF PROGRAM Municipality of Anchorage Development Services Department Building Safety Division On -Sr& Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-W5O www.ci.anchorage.skus (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: HANSEN SikND LAKE SUBDIVISION: LOT 6B, Parcel ID: 012-153-30 . A. WELL DATA Well type PWATE If A, B, or C provide PWSID# N/A Date completed 9/17/2004 San" seal (Y/N) YES Total depth 100 ft. Cased to 100 ft. FROM WELL LOG Date of test 9/17/2004 Static water level 69 ft. Well production 20 9 -p -m - MIA 14;1-17�1 kTj W44 ZT:�41ilk&i Coliform 0 colonies/1 00 rid. Nitrate 0*1 rngA. Well Log (Y/N) YES Wires property protected (Y/N) YES Casing height (above ground) 24 in. AT INSPECTION 9 -p -m - Other bacteria 8 colonies/100 rrA. Arsenic: N/A mgA. Date of sample: 5/3/2005 Collected by: GEG, UD. B. SEPTICOHOLDING TANK DATA Tank Type/Material STEEL Data Installed 11/19/2004 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alaffn (YM) N/A Date of pumping NEW Pumper C. ABSORFrION FIELD DATA Date installed 11/19/2004 Soil rating 4I� ftjbdrm) 1.2 System type TRENCH - Length 36e5 ft. - Width 2.5 ft. Gravel below pipe 6s94 ft. Total depth -11-2-9ft. Eff. absorption area 500+ fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pas3ffiall) Fluid depth in absorption field before test — In. Water a Elapsed Tirne: — min. For depth —in. — in. Absorption rate >= g.p.d. (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump orto level at n. E. SEPARATION DISTANCES Size in gallons High water alarm level at —in. Cycles tested— Meats alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic lank/lift station on lot 100,+ Absorption field on lot low+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100,+ On adjacent lots 100,+ Public sewer manhole/deanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10,+ Surface water 1000+ Wells on adjacent lots too'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line oil Building foundation 10'+ Water main N/A Water service line 10,+ Surface water too'+ Driveway, parkingNehicle storage 1*+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WArVER JWRO40029 G. ENGINEER1 CERTIFICATION I car* that I have determined through field inspectlDns end z YP* review of Municipal records that the above systems are In ...... .. . ..... .......... conformance with MQA HAA guidelines In effect on fts date ..... ........ Go - moka 683' '.Go C Engineer's Printed Name JEFFREY A. GARNESS -79 Date 7.5L Qof 00101,6% - k-.Wwl HAA Fee S ::5-? - 15Z - Daft of Payment -VI416-f T— Receipt Number W1 ;71,4 (Rev. 12V01) Waiver Fee S Date of Payment Receipt Number 0 - 12-2005 08:3iA FROM: 0�)y 0 Is 0 so 01 sill TO:3383246 C! A WEST 73RD AVENUE N 89*58*15"E 93.45 - LOT 7 co r i S t unt-l-TJ eL%�- C�IAINUNK FENCE TWO STORY 1-2.00 P: I SEPTIC CLFANOLITS LOT SA 01 WOOD FRAME R RESIDENCE D -"ME 0' Woo "P ESIDENCE 8.01 DECK ',�JC(ODEN FENCE WELL %c) Un 1 161W Te S 8W58'15V 93.42' LOT 6C LOT 6D PLOT PLAN AS BUILT _L SuLE 1' = 30' GRID 2126 project No. 04-13a Long & Associates, inc. 11500 Daryl Avenue. Anchorage. Alaska 99515-3049 907) 522-6476 Phone Registered Land Surveyors �907) 322-4GZ5 Fox www.longxurveyors.com / lnfoolongsurvoyars.com (0) �FA t/ I hereby certify that I have surveyed the following described propertr. LOT So. KANSEN-SAND LALKE SUBDIVISION Anchorage Recording Dishlel, Alaska. and that the Improvements situated themn are Ar within the property Ones and do not encroach onto the property adjacent thervio. that ...... 4)-� .. . ........... no Improvements art the propwiy lying adjacent thereto encroach on the surveyed VA promises and that them are no roadways, transmission Ones or other visible *G=G on cold property except as I"calad hereon. ments .�KENKENNM ' :� Day of NOW this the LS -5202 �At� .—ZcOO>. at Anchorage. Alaska it Is the responsibility of the owner to delen, Ins the, existence of any easements. covenants. or rustrictlans which do not appear on the recorded subdIvislon Plot. 05-_l 0-05 12:36PM FROIA-CUE ESI. SGS ENV SERVICES —S&%— SGS Ref.0 1052337001 clientName Garness Engineering Group, Ltd. ProjectNamcl# Various ClientSamplell) Hansen Sand Lake S/D Lot 6B Matrix Drinking Water Sample Rcmuks: 9OT5615301 T-657 P.02/06 F-801 Ali Datesffimes are Alaska Standard Time Printed DateMme 05/09/2DO5 12:42 Collected DateflUe 05/03=05 12:47 Received Datc)TIMC 05103/2005 14:25 Technical Director Stephen C. Ede Allowable Prep Analysis paratnew RmIts POL units Method Container ID Limits Date Date Ut Waters Department Nitratc-N O.IDOU O.IOD mg/L EPA 300.0 a (�10) OMOS JIB Hicrobiology Laboratory Total Colifoun 8 OD. No Coti coVIO(hnL SM209222B A (�I) 05/03/05 TLF 05 -JO -05 12:36PU FROLKT&E ESI, SGS ENV SERVICES 9075615301 SGSICT&E ENVIRONMENTAL SERVICES Drinking Water Analysis Report for Total Coliform Bacteria MAD MWACTION to MEMN WX WFUM CM16=163 &UP" MusT BE COMPLETED BY WATER SUPPLIER -E 3 KWX WATEA 9YUM IV P PWATE WATOt SYMN n swAnawm . 13 &w4 R"u" E) T-657 P. 04/0 6 F-801 200 W. POTTER DRrVE ANCHORAGE, ALASKA 99518 Te. 907 -SM -2343 Fa)c 9137-5611-5301 165:2337 11101111111 SAMPLE COLLECTION" DOW !�n TrImmal"I" in Lob or 13 Sam as couctor SAMPLETYPE. U Routine Q Treated Water 13 Ftepast sm"Ie �9-Untmatmrd Water.. (mfc)f to Imb no 13 Special Purpo" TO BE COMPLETED BY LAACIRATORY Smp4m 30 tmM d4 1 [3 RUSH I&AMIPLE Date: PAW*& MW b* UfflWW" Tk�e: Towrmrvl,. t E34a h&X YM 04 Phone M . Elt C-4� m Derwary Me# Received r� W. C4"wrmw ............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................... ............ of water RakskEwit 11"0401A ONA) RWMTS: im A Towcomm An*116 §"-- - AftAret — L mEmapAw MnR REAMYS: � oved cff�t a 0,6 CA1~00ft to Comm nod Fued[3 mernhrane FOW vwftatlmr . L=:�� -- MMO-MUG (PIA) ym�� -C m- sat�factory 7 Uns4ptisfaCtorY ).7 1 e� fteported By: .Formi'F%V-0053 i2m7)03