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HomeMy WebLinkAboutNULUKATAK LT 5Nulukatak Lot 5 #017-013-41 Jun3011 05:04p Beau Maxim 19073391985 Mark Beg/ch Mayor bevelopment Services bepartmen? Building Safety bfvision On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.rrtuni.orq/onsif¢ (cfi07] ,7,43-7904 Pump Installation Log Well Drilling Permit Number: SW Date of issue: Parcel Identification Number: £) Legal Description NULUKATAK LT $ ilProperty Owner Name & Address: CHRIS AND LISA LAWSON 7801 E, 130TH AVE ANCHORAGE, AK 99516 Pump Installation Date: 6/02/11 Pump Intake Depth Below Top of Well Casing: 448 feet Pump Manufacturer's Name: GOULBS Pump Model: 05sBIo42zc Pump Size 1 hp Pitless Adapter Burial Depth: 7 feet Pitless Adapter Manufacturer's Name: OAMBEL Pitless Adapter Installer: Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: RECIRCULATED USING CHLORINE PELLETS Comments: Pump Installer Name: BEAU MAXIM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. GAAB-HD I G, ~TER ANCHORAGE AREA BORO ;H DFPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: /~,~ " DISTANCE FROM WELL_ LIQUID CAPACITY_/'~) ~) GALLONS. COMPARTMENTS INSIDE LENGTH · '~NSI~,L wIDTH. LIQUID DEPTH __ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: / OUTSIDE DIAMETER OR WIDTH ..... W ff'~ ~- TOTAL EFFECIlVE ABSORPTION AREA (WALL AREA) ....... LENGTH__/~' ,DEPTH , BUILDING EOUNDATO~ ~'~'~ , TILE! DRAIN FIELD: DISTANCE FROM WELl TOTAL LENGTH FOUNDATION . NEAREST LOT LINE. OF LINES NUMBER OF LINES _ ABSORPTIO~'~ EAN A3E '"' ..... DISTANCE BETWEEN LINES .... '~'~'~,.. TRENCtl WIDTH ~ .~-~'"'"-.,~IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE! DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE___ ~/' DISTANCE FROM ~.j~,.,)" .-III WATER .... BUILDING FOUNDATION._/ ~'( ~_SAMPLE__ .C~L." NEAREST SEPTIC / " SEEPAGE /~ ~ ! , SEWER LINE ~ ., TANK__('J? '~ , SYSTEM_. /~';~'~., , CESSPOOL LOT LINE DIAGRAM OF: SYSfEM DISTANCES: , NEAREST OTHER ~ . , SOURCES___ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION LOCATION MAILING ADDRESS ~1~:?~ ~>4 .r/ z -. PHONE INSTALLATION OF: SEPTIC TANK SEEPAGE PIT · / FINANCED THROUGH , 4]] ~ '2"]/'~:{2¢/~( ('~ 22,¢ TO BE INSTALLED BY COMPLETION DATE ANTICIPATED .. DRAIN FIELD . OTHER ~: :://'-' NOTE= THIS PERM[T IS NOT VALID WITHOUT BOIL TEBT ',?,:-~ // FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING ¢;)F ANY BYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE, SUBJECT TO PROBECUTION. / MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIt SEPTIC TANK TO SEEPAge PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK , SEEPAGE PIt , DRAIN FIELD / ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS· ., SEEPAGE PIT SEPTIC TANK. , SEEPAGE PIT TO RIVER, LAKE, STREAM. .. DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH D AME?ER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FfTTED WITH A]RTIGHT REMOVABLE CAPS. GRAVEL BA{2KFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / '~,/~ : CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. :>:¢ ::' ,,.:? _ ....:._ .... .[)ALLY DRILLING. REPORT OATE FROM TO FORMATION ACCIDENT:'- SLOPE TEST {GIVE NAME) FT. WEIGHT NAME ON BIT DEG. OFF Sit AND COREMEAD ~ECORD MUD RECORD TIME RE SERIAL NO. DEPTH IN HOURS RUN WTR. LOSB-C.C, FILTER CAKE PH. MTL. ADDED {REMARKS) CORIN~ OTHER STEM RECORD SIZE COLL. FT. FT. TOTAL FT. FROM TO FORMATION SLOPE TEST ACCIDENT:-- DEG. OFF BIT AND COREMEAD RECORD MUD RECORD TIME RECORD DRILL STEM RECORD SIZE VISC. CORING SIZE COLL. MAKE WTR. LO.SS*C.C, OTHER JTS, D.P. FT. SERIAL NO. REPAIRS KELLY DOWN FT, PH. MTL. ADDED IREMARKS) TRIP DEPTH HOURS RUN COLLARS FT. TOTAL Fi, REMARKS: FROM TO ACCIDENT:-- SLOPE TEST IGIVE NAME) @ FY. DES. OFF FORMATION BIT AND COREHEAD RECORD MUD RECORD WEIGHT TIME RECORD DRILLING CORING OTHER NAME DRILL STEM RECORD SIZE D. P. SIZE COLL. JT5, D.P. FT. REPAIRS KELLY E~OWN FT. DEPTtl IN PH, TRIP COLLARS FT. HOURS RUN MTL, ADDED { REMARKS) TOTAL FT. PRI,",'~ ,, ,,.,.^. APPROVED c c ,~/- ,~ o~ ,g,~ ~ :' DAILY 'D'fllLLIN6 REPORT ~tMll ~ nos~.~.~, co. COMPANY LEASE OATE ":~' '': '" ': " " .... ' ''' " : ' ' ' ' · · ~ -,x [ bit AND COREHEAD RECORD MUD RECORD TIME RECORD ~RILL STEM RECORD HOURBRUN MTL. ADDED (REMARKS) TOTAL FT, ~:~' ~~ ~ ~~ e~' ~ ~ "'~ ~>~: '~' '- FROM TO FORMATION R~O~7~A~RnY ' WEIGHT PUMP 7 FROM TO ~ORMAT'ON ACCIDENT:- SLOPE TEST [GIVE NA~4E) @ vT. BIT AND COREHEAD RECORD MUD RECORD RUN NO, SIZE WEIGHT WTR. LOSS.C,C. FILTER CAKE TIME RECORD DRILLING CORINO OTHER TRIP Brr~Ct'LL STEM RECORD SIZE COLL. KELLY DOWN FT. FT. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wast~ater Pr~mm 4700 Bmgaw S~eet P.O. ~x 196650 ~.muni.o~/onsite (907} ~3-79~ ~ERTIFICATE 0F 0N-SITE SYSTEHS ~PPEOVAL FOR A SINGLE FAHILY DWELLING GENERAL INFORMATION cosA# ~? h ~ !C) Expiration Date: '-~ - '-~ - O ~, Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address NULUKATAK SUBDIVISION; LOT 5 7801 E. 130TH AVE. * ANCHORACE~ AK 99516 ENID HUNTER Day phone 345-9390 7801 E. 130TH AVE. *ANCHORAGE~ AK 99516 Day phone ED w/ REMAX PROPERTIES Dayphone. 257-0151 110 W. 38TH SUITE 100 * ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OFWATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ~ Individual On-site Individual Water Storage Individual Holding tank Community Class Well [] Community On-site Public Water System [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for prope~es served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems 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 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 GARNESS ENGINEERING CROUP. Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE, AK 99507 IJ Engineer's Printed Name JEFFREY A, CARNESS. P.E. Date ~-/~/0~ Engineer's Comments: In conducting this evaluation. GEG, LtD. attempted to provfdo a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results dosctfbed the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate d~ng the year, and the water usage of the family being served by the system. These conditions are autside the control of the evaluator of the system. Satisfactory lest 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 prevido any warranty or future estimate of how long the system will continue to meet the operational 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 pady is not authorized, nor will it confer any legal dght whatsoever. 5. DSD SIGNATURE · _ Approved for bedroor~s. ' Disapproved. Conditional approval for ~1 bedrooms, with the fllowing stipulations: Honey not to be released until this office ~[ives final approval. Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: J-~ - 7 '" ~) ~ Municipality of Anchorage Development Services Department Buitdlng Safety Dtvisio~ OmSite Water & Wastowater Program 4700 Bragaw Street P.O. Box 196650 Amfnomge, AK 99519.6650 (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEHS ~,PPROVAL CHECKLIST Legal Description: NULUKATAK SUBDIVISION; LOT 5 Parcel ID: *TO BE REPAIRED IN THE SPRING/SUMMER OF 2006 WELL DATA **UNABLE TO BE TAKEN. SEE ATTACHED LETTER. Well type ~VA~ If A, B, or C I:~ovide PWSID~ N/A Well Log (Y/N) YES Data completed 6/29/1971 Sanitary seal (Y/N) YES Wires properly protected (Y/N) *NO Total depth 475 ft. Cased to 84 ft. Casing height (above ground) *PiT in. 017-015-41 FROM WELL LOG AT INSPECTION Data of tast ~~ft 11/21/2005 Static water level . ** ft. Well production . g.p.m. 1.6 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: 5.0 ug./L. Nitrate 8.45 mg./L. Other bacteria __ 1Z,~Z20o$ Data of sample: 3/9/2006 Collected by: 5 SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Tank$ize I000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 11/21/2005 Pumper. colonies/100 mi. GEG, LtD. Ce Date installed 9/3/1971 Cleanouts (Y/N) YES High water alarm (y/N) N/A MCOONALDS PUMPING ABSORPTION FIELD DATA ~ Date installed 9/3/~971 Sallrsting~ff~odrm) 155 Lengbh 15 ft. Width 14 .ft. Totaldepth 10.66 ft. Eff. absorption ama 522 It= Monitoringtubo YES Data of adequacy test 11/21/2005 Results (Pass/Fall) PASS Fluid depth in absorption field bofom test 69 In. Water added 800 gal. Elapsed Time: 120 min. Final fluid depth 72 in. Absorption rata >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN System type CONCRETE CRIB Grovel below pipe 9 ft. Depression over field NO For .3 bedrooms Now depth 77 in. 450+ g.p.d. If yes, give data - D. UFT STATION Date installed Size in gallons ~ . in. "Pump on" level at .in. "Pump~..J~l~'--'-~ High water alarm level at ' ~ Meets alarm & circuit requirements?. cycles E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot '50'+ Absoq~Jon field on lot 100'+ Public sewer main N/A Sewer Isepflc service line . 2§'+ Animal containment ames 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholeJcieanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/^ Water sentice line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line . **2' Water sen~ice line 10'+ Curtain drain NONE KNOWN F. COMMENTS *SEPTIC TANK INSTALLED PRIOR TO 1975. Absorption field Surface water Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ 5'+ 100'+ Water main N/A Driveway, parking/vehicle storage **LOT LiNE WAIVER REQUESTED. 10'+ G. ENGINEER'S CERTIFICATION I cerSfy that I have detenwined through field inspec~on~ and review of Municipal records that the above systems em in conformance with MOA CO,SA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS cos, Receipt Number (~. 1~) Waiver Fee $ Date of Payment Receipt Number GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS April 5, 2006 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ret': Well repairs for Lot 5, Nulukatak Subdivision. To whom it may concem: The existing 3 bedroom house is served by a private well and septic system. The well is in the driveway and is in a concrete pit and repairs are to be made in the spring/summer of 2006 by Aarrow Pump and Well Services. Recent water sample results have shown fluctuating nitrate results. Although nitrate levels have fluctuated there is no indication that there has been coliform contamination, which would be the case if there was surface intrusion through the well head· The repairs will be performed in May of 2006· In the interim, it is my opinion that the well can be used safely until the repairs are made· If you have any questions, please contact me at 337-6179. Thank you for? ~ur assistance. · re: 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com Mayor Mark Begich Dcvdopmcnt Scrx~ccs Dclmrtmcnt April 6, 2006 Gamess 'Engineering representing Enid llunter 7801 East 130~ Avenue Anchorage, AK 99516 Dear Property Owner:. RE: Encroachment: Dralnfield 7801 East 130'~ Avenue, Lot 5, Grid 2840, Nulukatak Subdivision The Right of Way Division has reviewed a request for a letter of non-objection lo an existing drainfield, which encroaches nine feet (9') into the ten foot (10') utility easement. On the as-built survey dated June 18, 1996, submitted with the request, the petitioner has shown the drainfield. This letter of non.objection is issued With stipulations, and by using it the petitioner is agreeing to the following: Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. All applicable cedes and regulations will be'observed and maintained within the easement. This letter of non-objection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. Additional and extraordinary costs incurred'during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. Obtain letters of non-objection from the following utilities: [] Anchorage Water & Wastewater Utility [] Chugach Electric Association, Inc. [] Matanuska Electric Association, Inc. [] Municipal Light & Power I'-] Eyecom (Girdwood Cable TV) 2. 3. 4. [] Alaska Communications Systems [-] Matanuska Telephone Association [] Enstar Natural Gas Company [] GCI Cable of Alaska [-1 No letters required All letters of non-objection should be retained in your permanent files. If you have any questions, please call me at 343-8033. Sincerely, /~t~lack L. Frost, Jr. Right of Way Supervisor Concur l'ropert~er(s) ' Community, Security, Prosperity GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS December 27, 2005 Municipality of Anchorage Department of Development Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 5, Nulukatak Subdivision. To whom it may concern: Prior to the start ofthe well adequacy test the static water level was unable to be taken do to the fact that the well head could not be removed. A total of 789 gallons of water was pumped out of the well at which time the well was dry. The water was then shut-offand the well was allowed to recover for 16 minutes. The water was then turned on and stabalized at 1.6 gallons for 104 minutes (168 gallons). Based upon this data it was determined that the well will continuously produce about 1.6 gallons per minute, which exceeds Municipal requirements for a 3 bedroom house (.31 gallons per minute). The well is in a well pit in the driveway. The well pit is to be upgraded by Brian Wille w/Aarrow Pump and Well Services with a new monitoring well cap and a drain in the spring/summer of 2006. If you have any questions, please contact us at 337-6179. Jeffre Prei , P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: garnessengineefing.com · ! GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 29, 2006 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref.' Septic System for Nulukatak Subdivision; Lot 5. To whom it may concern: We request that your deparlment issue a 2 foot lot line waiver from the west property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic si, stems. If you have any questions, please contact us at 337-6179. Thank you for your assistanT/ Jeft~ ~7 .ramess, P.E., M.S. Pre [d~ 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com Mmficipality of And orage Mayor Mark Begich 4/7/2006 Gamess Engineering 3701 E. Tudor Road, Suite 101 Anchorage, Ak. 99507 Subject: Waiver Request for Nulukatak Lot 5 Waiver Request #WR060009 Parcel ID #017-013.-4 ! HAA# 0601 I0 Dear Engineer, Your request for a waiver of the required I0 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.0 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 further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastcwater Program 47(X1 Bragaw Str~ P.O. Box 196650 Anchorage, AK 99519-6650 vavw.¢i.anchoragc.ak.us (907) 343-79~4 Waiver Review Worksheet WR#: 060009 PID#: 0174)13-41 HA#: 0§0110 Permitg: Date Received: 3/30106 Legal Description: Nulukatak Lot 5 Engineer. Garness Enalneertno Grouo. Lt¢ 3701 Tudor Road. Suite 101 A~¢horaoe. Ak, 9~17 Applicant: Enid Hunter Waiver Requested: 2 feat eeoaratlon distance abaorotion flg]~ lq I~ropgrtY line, Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: J Waiver is not Granted: Llst Conditions or Reasons for above: N~ne z~ R'eviewer Rec#: 3/30106 Amount: $t75.00 Date Paid: 3/30106 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory, Certificate of On-Site Systems Approval # 060110 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 5 of Nulukatak subdivision. This inspection revealed a nitrate concentration of 8.45 milligrams per liter (rog/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. SGS Ref.# 1061165001 Client Name Gamcss Engineering Group, Ltd. Project Name/# Nuluka~k SD Lot 5 Client Sample ID Nulukatak SD Lot 5 Matrh Drinking Water ~ .All Dates/Times are Alaska Standard Time Printed Date/Time 03/15/2006 S:58 Collected Date?Time 03109/2006 12:05 Receh'ed Date/Time 03/09/2006 12:39 Technical Director ~ Stephen C. £de PWSID 0 Sample Remarks: Allo~sble Prep Analysis parametc~ Results PQL Units M¢~hod Conuincr ID L/mils D~te Dale Init Waters Department Nitratc-N 8.45 0.100 mg/L EPA 353.2 B (<=10) 03/09/06 JC Microbiolo~ Laborator~ Total Coliform 5OB. NoColi col/100mL SM209222B A (<=1) 03/09/06 TLF Page 2 of 4 SCS Rcf.# Client Name Project Namd# Client Sample ID ~4atriz 1060035001 Gamess Eng|nc'~rlng Group, Lid. Lot 5 Nulukatak SD Lot 5 Nulukatak SD . Drinking Water All Dates/Times are Alaska Standard Time Printed Dale,?fime 01/13/2006 8:04 Collected Date/Time 01/04/2006 13:30 Reeel* ed Dale,~Time 01/04/'2006 15:08 Technical Director Stephen C. Ede PWSID 0 Sample Remarks: AIIo.*abl¢ Prep Amdysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals b~, ICP/MS Arsenic 5.00U 5.00 ug/L EP200.8 A 01/09/06 01/11~)6 SCL S 89'55'45" W 125.07' 10' UTILITY EASEMENT '%/ LOT 5 38.3 4 S 89'56'10" W 125,00' 150~.h AV"~NUE LANO & CONSTRUCTION $U~YORS-F~NNERS-ENOINEER~ 440 ~$T E~N$ON ~L~, ~ 103 LOT 5, NULUKATAK SUBDIVISIC'r. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING [ ~ ~ ~ / HAA # ~'~:~..o-~L~, (~_Z~- ' ..i~)'-"1 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner qZ:Z~Ax,~.. %~-~ Mailing address C-o ~ '~-¢¢-¢-~, ~-'~'- Day phone Lending agency Mailing address Day phone Address Day phone ~.4.7- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDFIOOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA~21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~,Lz~I¢-~- ~J~-~¢_.~. ~ f,'d~ ~-'r6~.~ Phone Address ~ 4- '1 I Engineer's signature Approved for ,~' Disapproved. Conditional approval for bedrooms. DHHS SIGNATURE Date. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~25 (Re~. 1/91) Bsck MOA ~21 MUNICIPALITy OF ANCHORAGL'- Municipality of Anchorage ENVIRONMENTAL .SERVICES DIVi i~,~h, DEPARTMENT OF HEALTH & HUMAN SERVICESn.o 0 6 Environmental Services Division 8~S"L" street, Room ~02 ' Anchorage, Alaska 99S01' (g07) 3431~,~ [ j V E D Legal Description: Loq- ~' A. WELL DATA Well type ~'"~'q~[-" Log present (Y/N) ""/.~-.,~ I Total depth zg--/~' Sauitm7 seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Health Authority Approval Checklist Iq v, b ~.kc..~ Parcel I.D.: o(-'/- el 2 -4-1 IfA, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ z~ FROM WELL LOG CaSing Wires properly protected (Y/N) AT INSPECTION / .8 g.p.m. Nitrate Collected by: ~ t&/z,o ~.5 B. SEPTIC/HOLDING TANK DATA Date installed ~/3/'7) Tank size Foundation cleanout (Y/N) ABSORPTION FIELD DATA Date installed e~ J ~/._/I Length / ~' / Width Effective absorpfiou area Date of adequacy test __'7/6/5'{0 Pumper r2-o Soil rating ~or fl2~drm) /~ t ~ ~ Gravel tlfickness ~e. ~ 1 Monitoring Tube present(Y~) Results (Pass.ail) [ DO0 Nuniber of Compartments ~ Cleanouts (Y/N) "-/:~.g (~ Depression (Y/N) N 0 High water alarm (Y/N) ~ /O/,4 System type ~--,P---I Total depth 1 O/-' ~3" Depression over field (Y/N) For ~ bedrooms Fluid depth in absorption field before test (in.); _q'8,25' Immediately aftcrC~O0, gal. water added (in.): Fluid depth ~3 ~/~' (ins.) Minutes later: 2'. ~' Absorption rate = > q-~"O .g.pld. Peroxide treatment (past 12 mouths) (Y/N) No, G_ te~t-,,.,O . If yes, give date r,) /,4 ate installed '~ S' e iii gallons E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /,._/ t~ Absorption field on lot ~ OO Public server main tO/~ Sewer/septic service liue ~. '2~ t / ; On adjacent lots ~ t c~O ; On adjacent lots Public sewer manbole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ 1~ t_~ Property line ..~ '7 t± Absorption field ~-'~/ Water main/service line '~ Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water '> I oo/ too~ Curtain drain Water maitv'service line Driveway, parking/vehicle storage area Wells on adjacent lots >' I C t)' Property line F. ENGINEER'S CERTIFICATION lcertify that 1 have detey.,~ined th,'u ff~J[d inspectionsandreview ofMunicipalrecor~. ~.~~* a,'e . / ~ , o~o oe . ~ ~ ............................................................................................................... ~~ ........... HAA Fee $ ~OZ~. ~ Waiver Fee $ Date of Paymeut e/~/~¢ Date of Payment Receipt Number Rev. 8~95 OSS: haa.wk.doc 8471 Brookrid'ge Drive - Anchorage - Alaska 99504 Phone (907) 337-6179 ~, Fax (907) 338-3246 Consulting Engineers August 4, 1996 Municipality of Anchorage Dept. Health & Human Services Division of Environmental Services On-Site Services Section P.O Box 196650 Anchorage, Alaska 99519-6650 Ref: HAA foJ' Lot 5, Nulukatak S/D. To whom it may concern: The subject lot is served by a private well and septic system. I tested the well and the septic system on 7/6/96. The results are summarized as follows: WELL TEST: The static water level in the welt was determined to be 79 feet below ground elevation. Water was pumped at a rate of 4.64 gpm for a total of 194 minutes (900 gallons). Tile water level dropped to 365 feet. The well recovery was monitored 265 minutes later, and the level had rose to 220 feet, a rise of 145 feet. Given a casing volume of 1.47 gallons/foot, this corresponds to a recovery of 213 gallon in 265 minutes, or .8 gallons per minute. Based upon this data, it is was determined that the well is adequate for a 3 bedroom house (450 gpd). PIT WELL: The well is in a concrete pit in the middle of the driveway. The pit has a concrete bottom and sidewalls, and the top is a steel, diamond plate, lid. By placing a bead of silicon caulking on top of the concrete, prior to the setting the lid, a water tight seal is provided. The only viable alternative would be to extend the casing slightly above grade, and put a convex steel access lid over the top. Attached is a photograph of the current installation. Please provide direction from your department. SEPTIC SYSTEM TEST: The owners had moved out of the house several weeks prior to me doing the adequacy test. Consequently, the crib had some period of "rest". Prior to introducing water, the liquid level in the concrete crib was 53.25 inches. Water was introduced at a rate of 4.64 gpm for a total of 194 minutes (900 gallons). In the initial 64 minutes of the test (340 gallons), the water level rose 11.625 inches, or 29.2 gallons/inch. From t= 64 minutes, to t= 150 minutes an additional 385 gallons was introduced (725 gallons total), and the level rose an additional 6.125 inches, or 62.8 gallons per inch. From t=150 to t=194, 175 gallons was introduced, and the liquid level rose only 0.75 inches, or 233 gallons/inch. At the end of the test the liquid level had rose a total of 18.75 inches (48 gallons/inch) to 72 inches. The recovery of the system was monitored 285 minutes later, and the water level was 63.625 inches, a drop of 8.375 inches. This corresponds to an absorption of at least 402 gallons. Based upon this data, the septic system was deemed to be adequate for a 3 bedroom house (450 gallons per day). N077'i: 7he adequacy ora septic system is iqfluenced by numerotts factors, mchtding, but not limited to, seasonal stt(face water infiltration, groun~vater variations, septic system maintenance ~'ecluency qf septic tank pumping, usage of biological additive,s), condition qf drain pipe and pipe.joints (which can be damaged by seismic activi~ and &teriorate with age), type qf substances deposited in septic system &igarelte b~ll.s; sanitary napkins, misc. object, s), and the amount (~water being introduced on a continual basis. Consequently, the results (~ this adequacW test are only vafid.for the specific day of the test. P)o'thermore, because (~ the Dmited nalure of this investigation, it is possible that there are hidden d~fects which may tlO[ have been detected. No warrantee is made regarding the ~tture petformance of this well or septic ~ystem SEPTIC TANK: The existing 1000 gallon septic tank was installed in 1971, making it 25 years old. The condition of it is unknown, however, given the age, it is reasonable to assume that it is at the end of its useful life. Currently, there is no depression over the tank (indication of structural failure). The engineer makes no warrantee regarding the future life of the septic tank CRIB LOCATED IN UTILITY EASEMENT: The concrete crib was installed in 1971. According to the inspection report, the edge of the system was 9 feet from the property line. On the as-built survey done by Lantech (6/18/96), the clean-out to the crib is located on the utility easement line. Assuming the cleanout is in the center of the 14 t~. X 15 t~. footprint of the crib, the edge of the system is only about 2.9 feet from the west property line. Attached are letters of non-objection from the utilities companies which use this easement. If you have any questions, please contact ~ne at 337.-6179, or on my pager at 1-800-481-1162. Thank you for our assistance. Sincerely, ~ Own%r/Consultant c.c. Dave Sears Dave Searsl.wps ',0 U, ~1,: EASEMENT i 50U', 4 LAND ~ CONST~VCTION SU~VEYO~S-PLANNERS-ENOINEERS ~40 WEST 8ENSON BLVD, ~ 105 ' ANOHO~AOE, ALASKA 99505 (907) 562-5291 LOT 5, NULUKATAK SUEIDIVISIC'r' MUNICIPALITY OF ANCIIORAGE Department of Public Works Municipal Permit Office 3500 East Tudor Road Anchorage, Alaska 99507 (907) 786-8240 PLEASE PRINT Owner <-~ o, Right-of-Way Encroachment Permit Application Address ~ox- Telephone (work/home?) 73'g - 2bev Location/address of encroachment ~ V~0 ( ~ / 3 C) 4~ . Subdivision : b(/~ ,q/~/q q- h ~ Block Lot Existing or proposed encroachment? ~ 'r ;.r 4- ~ ~ ~ Grid _ Description of encroachment ?' Drawings furnished this office: As-built survey? Submitted by: ~plan? Other?/~Ipw ~nany sets? (please sign) Office use: Accepted by: Date: Reviewed by: Date: Fee received by: Date: Approved/denied by: Date: Reason denied: enperapp/93-1 HUGACH ELECTRIC ASSOCIATION, INC. July 23, 1996 David and Eunice Sears P.O. Box 318 Girdwood, Alaska 99587 Subject: Encroachment Permit for Septic System Lot 5, Nulukatak Subdivision NW¼ of Section 25, T12N,R3W,S.M., Alaska Grid 2840, EN96041 Dear Mr. and Mrs. Sears: Enclosed is the Encroachment Permit for the existing septic system within the platted Utility Easement on the west side of the above referenced property. Please review the Encroachment Permit. If the conditions are agreeable, the document must be signed, properly notarized, and returned to this office for full execution and recordation. Additionally, a check in the amount of $24.00 must be submitted for the State of Alaska recording fees. If you would like a conformed copy of the recorded document, please include an additional fee of $2.00, for a total of $26.00. The check should be made payable to Chugach Electric Association, Inc. A self-addressed, stamped envelope is enclosed for the return of the signed and notarized Encroachment Permit and the check for the recording fees. If you have any questions, do not hesitate to call me at 762-4738. Sincerely, Chuck Couts Right-of-Way Agent Enclosure 560] Minnesota Drive · P.O, Box ]96300 · Anchorage, Alaska 99519-6300 Phone 907-563-7494 · FAX 907-562-0027 ENCROACHMENT PERMIT 1203-25B G-2840 EN96041 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 196300, Anchorage, Alaska 99519-6300 and David and Eunice Sears (herein "Permittee") whose address is P.O. Box 318, Girdwood, Alaska 99587. 1. ~asement. Chugach is the grantee or user of an easement/s for the construction and maintenance of electrical facilities, described as follows: That certain written instrument recorded on the 20th day of January 1953, at Book 84, Page 301, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Dedicated by the plat of the subdivision known as Nulukatak, according to Plat Number 69-247, recorded on the 12th day of December 1969, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pertains to the following described real property: The West Ten Feet (W 10') of Lot 5, Nulukatak Subdivision, according to Plat Number 69-247, recorded on the 12th day of December 1969, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Permittee acknowledges the validity of the Easement° Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 5, Nulukatak Subdivision, according to Plat Number 69- 247, recorded on the 12th day of December ].969, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel"). 2. ~O_~ent. Permittee proposes to continue the existence of the following improvement(s) on or within the real property subject to the Easement: (herein "Encroachment") . Encroachment Permit - Page 1 of 4 A septic system that encroaches approximately Four Feet (4') into the above referenced Easement, 3. ~_~]~i%. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its current location subject to the covenants set forth in this permit. 4. /~em~L~i~. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the construction or continuation of the Encroachment. 5. ~D_~ansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. ~L~_~~_~__i~~ate A_~ired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to the easement. 7. ~_~ication of Utili~~. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. ~ovenants Running with thg~nd. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. ~ermi~ation. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. b. The Encroachment is damaged by any means to an extent of more than thirty percent (30%) of its replacement cost at the time of destruction. c. Permittee fails to make the payment described in paragraph 7, above. Encroachment Permit - Page 2 of 4 10. T~2~. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. ~t~=re Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. By: Eugene N. Bjornstad General Manager Date: PERMITTEE David Sears / Eu~Fice Sears Date: STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of , 1996, by Eugene N. Bjornstad, the General Manager of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Notary Public in and for the State of Alaska My commission expires Encroachment Permit - Page 3 of 4 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged day of J~i.~ ~.~' before me this , 1996, by Notary Public in ~n~-f~o~ the state of .Alaska My commission expires After Recording, Return To: Chugaoh Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Permit - Page 4 of 4 Faf-liMO, July 10, 1996 David Sears P.O. Box 318 Girdwood, Alaska 99587 Dear Mr. Sears: Subject to your agreement to indemnify the company as set forth below, Prime Cable of Alaska has no objection to the existing septic tank that encroaches into the 10 foot utility easement on Lot 5, Nulukatak Subdivision, City Grid 2840. This letter of non-objection in no way precludes Prime Cable fi'om full use and enjoyment of any rights it may have within any portion of the right-of-way, including unlimited access for servicing its facilities. By signing below, you agree to indemnify and hold Prime Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, Dale Greinke Design Department Acceptance Date DG:jb cc: Jim Topolski, CEA Greg Schnfidt, ATU 600 Telephone Avenue, Anchorage, Alaska · 99503-6091 · 907 564-1000 July 996 David Sears ~[~ ~l P.O. Box 318 ~ Girdwood, Alaska 99587 ~, ~-q~ ATU Telecommunication~has no objection to the encroachment of the existing septic -t~ into a platted easement located on Lot 5, Nulukatak Subdivision, as depicted on the as-built drawing submitted. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ATU will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. Any ATU facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ATU. Any costs incurred necessitated by this property owner. by ATU for special construction encroachment will be borne by the All applicable safety code regulations will be observed and maintained. This letter of non-objection will in no way preclude ATU from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, ATU~LECO~MUNICAT IONS Greg ~hmid, Foreman Outside Plant Engineering AC&P # 461 DATE: GS\ml \g: mswd\cor\ nonob\ nul ukat a .doc EN57'AR ENSTAR Natural Gas Company A DIVISION OF SEAGULL ENERGY CORPORATION 3000 Spenard Road P O Box 190288 Anchorage, Alaska 99519-0288 (907) 277%551 !2ea }' Hr. MUNICIPALITY OF ANCHORAGE MEMORANDUM Date: To: From: July 16, 1996 Ron Goughnour, P.E., Street Maintenance Counter Supervisor, DPW Roberta Piper, P.E., Planning Engineer, AWWU ~2../'~/¢¢¢6'~'~-~ Re: Nulukatak Lot 5 The Anchorage Water & Wastewater Utility has reviewed a request from Mr. David Sears for a letter of non-objection to the existing encroachments into the utility easement located on the western 10 feet of the subject lot. An asbuilt drawing, dated June 18, 1996, identifies a septic system vent pipe encroaching approximately 0.4 feet into the subject easement. The letter of request, dated July 9, 1996, also states that the underground septic tank encroaches into the same easement a distance of four feet. AWWU does not presently have water or sanitary sewer mainlines in the area. However, that does not preclude the possibility that we may provide service to the area in the future and may have an interest in the easement. AWWU issues this letter of non-objection with stipulations, and by using it the petitioner is agreeing to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments; 2. All applicable codes and regulations will be observed and maintained within the easement; 3. This letter of non-objection will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the easement; 4. Additional and extraordinary costs incurred during any future installation or subsequent repair or reconstruction of AWWU facilities to accommodate the encroachments shall be paid by the property owner; and, 5. AWWU will not support any future vacation of the same easement area. Should you have any questions, please call Hallie Stewart at 564o2721. CC: David Sears P.O. Box 318 Girdwood, AK 99587 Gdd 2840 wps515:: m:planning/bmm/encJsea rs.doc Municipality of Anchorage Department of Public Works Street Maintenance Division Encroachment Permit Checldist Please visit each utility company checked below with your plans/as-builts in order that the utility company may provide this office with a statement of non-objection to your encroaclunent(s). Anchorage Water & Wastewater Utility 3000 Arctic Boulevard Anchorage, AK 99503 See: Roberta Piper or Hallie Stewart Anchorage Telephone Utility 600 Telephone Avenue Anchorage, AK 99503 See: Greg Schmid Chugach Electric Association, Inc. 5601 Minnesota Drive 3a~chorage, AK 99503 See: Jim Topolski _~ Enstar Natural Gas Company 401 E. International Airport Road Anchorage, AK 99503 See: Dan Westervelt Matanuska Electric Association, Inc. P.O. Box 1148 Palmer, AK 99645-1148 See: Robert Ylvisaker Matanuska Telephone Association, Inc. P.O. Box 3550 Palmer, AK 99645-3550 See: P, ebecca Glenn __ Municipal Light and Power 1200 E. First Avenue Anchorage, AK 99501 See: Mio Johnson ,~_ Prime Cable of Alaska 5151 Fairbanks Street 3mchorage, AK 99503 See: Dale Greinke __ Eyecom 2121 Abbott Road gmchorage, AK 99507 See: Phil Clark PLAT APPROVAL PLAT OF 1970-82