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HomeMy WebLinkAboutUS SURVEY 3043 LT 68 B-1 T10N R2E SEC 18/19US Survey 3043 Lot68B 1 #075 - 091 - 08 Well Owner M -W DRILLING, Inc. P.O. Box 110378 • 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 88-1530 DRILLING LOG Tim TirElvov Use of Well Domestic Location (address of: Township, Range, Section, if known; or distance main road 1I5;GS 1041 017 TION 1121] S Tl) _L62. lit Size of casing 4" Depth of Hole 60' feet Cased to 60 feet Static water level 17' ft (above) (below) land surface. Finish of well (check one) open end ( Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at 1O gallons pet 9ip19{r) (minute) for 1 hours with_____ 100"i ft of drawdown from static level. Date of completion lit;^us3u 10Sn. WELL LOG Depth in feet from ground surface Give details of formations penetrated, siie of material, color and hardness n TO n 2 TO 5 TO 46 46 TO 52 (bitting nt-i ric tp flrgs fire ra iilty gravel Siitid `4 gravel silty 52 TO 60 Sand 't&grav&l water bearing TO TO TO TO TO TO TO TO TO TO V\ 1 kv MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & JAN 16 1989 RE-CEIV-ED_. wwMA C.erniied Contractor Dc1 ificate No's. 814 & 973 3 — CONTRACTOR ^ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343~4720 ON-SITE WELL PERMIT Permit Number: 880063 Date Issued: 05/27/88 Owner Name: JAMES / ADELE MCELROY Day Phone: Owner Address: 7110 BURLWOOD DR^ 561~2200 ANCHORAGE, AK 99507 Parcel Id: 075~061-87 Lot Legal: Subdivision: US SURVEY 3043 Lot: 62B-1 Block: Section: 17 Township: 10N Range: 2E Lot Size 9448 (sq.[t" or acres) Max Bedrooms: This Permit: 0 Total Capacity: 3 WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion, THIS PERMIT EXPIRES 12/31/88" T CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by 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 to all MOA and State of Alaska requirements for 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 of 0 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will .equire an additional permit" Signed: (Owner) Issued By: AMES /ADEE MCFiR DATE: j~" `^- Z n iv O 6 in P PC 01. r1U"d ri ;Id Ia zn r J !LI rill,0 124 in l0. r ImG rn r. ilk 4 0 rn ti 'ice •; I nib LA Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 075-091-08 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COSA# 3$eiat Ise Expiration Date: V - I U.S.S. 3043; LOT 68 B-1 I IOP Z.aE Gee 08/19 148 BEIRNE DRIVE * GIRDWOOD, AK. * 99587 CHARLES BATES Day phone 907-783-2318 P.O. 688 * GIRDWOOD, AK * 99587 Day phone SAM DANIELS W/ GLACIER CITY REALTY Day phone 907-783-1910 P.O. BOX 550 * GIRDWOOD, AK * 99587 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site 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 properties 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 GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's 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 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 during the year, and the 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 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 party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE By: V Date Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) ,/ Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other /O, /1C0 -e- Original Certificate Date: ' ( 1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST T/cN <22E SL -c- ig/17 Legal Description: U.S.S. 3043; LOT 68 B-1 Parcel ID: 075-091-08 A. WELL DATA *PER GEG INSPECTION. **PER AAROW PUMP AND WELL INSPECTION. SEE ATTACHED. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed PRE 1975 Sanitary seal (Y/N) YES Total depth **64 ft. Cased to "50+ ft, FROM WELL LOG Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION Date of test 5/7/2012 Static water level ft ft 35 ft. Well production g.p.m. 4.99+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.341 mg./L. Collected by' Arsenic: ND ug./L. Date of sample: 5/7/2012 B. SEPTIC/HOLDING TANK DATA 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 Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2or ft2/bdr System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorptio . a ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in abso • '•n field before test in. Water added _gal. New depth in Elapsed T -: min. Final fluid depth in. Absorption rate >= g.p.d. rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date PUBLIC SEWER GEG, Ltd. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level High water alarm level at in Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent Tots N/A Absorption field on lot N/A On adjacent lots N/A Public sewer main *50'+ Public sewer manhole/cleanout *50'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIE ' . ' LOT TO: Property line B'e • • undation Water main Water service lin Surface water Driveway, parking/vehicle storage in drain Wells on adjacent lots F. COMMENTS *WELL DRILLED PRIOR TO 1983 REGULATIONS. 50' SEPARATION DISTANCE AT TIME OF DRILLING. oo6�Op0Oh, 16 S'O 1 certify that I have determined through field inspections and i * g - ',;O�4 review of Municipal records that the above systems are in v conformance with MOA COSA guidelines in effect on this o, date. o ffr-y A. �vne.s; 0 Engineer's Printed e JEFFREY A. GARNESS BOOP •' CE -17953 •` "e`pi S /Z 04F�ea..yl15711. %coo II. o Professlono ��O`:op0o Date S/l Na G. ENGINEER'S CERTIFICATION T COSA Fee $ q Q D '_ Date of Payment Receipt Number (Rev. 11/05) sMoIta GgKt3ul7 Waiver Fee $ Date of Payment Receipt Number AAROW PUMP & WER SERVICE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 333-8976 Eagle River: (907) 622-9335 JOB SITE n. Re©L>s No. 9358 INVOICE DATE WELL (TENTH l SWT CHLORINATED PUMP DEPTH SALESPERSON . C';� r OUANTITY DESCRIPTI6N PRICE I AMOUNT if r7' x^ - j -:.� .% ! Wit— r/- _ �/ s / -• r ry -*-:.-;-. /...._e_.� 25,-- o % Cfs?L.../C' -}!Ccr7 5-./ /1 /K Y" /, .r i� r^.�.. :c"-,,,.--1,-; , ,!'-,r S _...... ' LABOR HOURS RATE AMOUNT // TOTAL MATERIAL 1 `^ J TOTAL LABOR WORK ORDERED BY DATE COMP TOTAL LABOR PAY THIS AMOUNT � Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Describgd Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. <0,, z GpOO�O00p OFAiI o F, .............-95,40 gr.)/ 49TH IT: vo Q $ ''. Mark E. Davis �JQ LS -7338 ems �44PrO yeseional 'oc„, 0_��OOp000 CHARLIEoNDEReo rn e BATES 89.06 IXCLUSION NOTES: It le the owners' responsibility to determine the existence of any easements, covenants, or restrictions which do n t appear on the recorded eubdivIelon plat. NOTE: Under no circumstances should any dato hereon be used for construction or for estabilehing property lines. SLANA SURVEYS INC. LAND, CONSTRUCTION & MINERAL SURVEYORS 1200 E. 76th AVE,M UNIT 1226 (fax) 929-3369 ANCHORAGE, ALASKA 99518 (907) 562-6103 MARK ORDER NUMBER: D.AIE SCALE PUT xuMeat MAY 9, 2012 1". 20 66-55 i-12-16 WA* m, IOW= r OO rexcu DMO. I t. 4913 BNR/PAse 999/99 LEGEND: SET END 5/B'RB W/CAP® 5/B' RB Q SL" ALMON. O MONUMENT • HUB E TAC( 0 FrNCE- —y— x — SURVEY CERTIFICATION: SLANA has conducted o OVERHANG- l� physical survey of thio property oe shown on this WOO DECKS - drawing and that the Improvements situated there -CONCRETE- F 1 an are within the property line and no encroach- ASPHALT- month exist other than noted. GRAYS.- 1.„• : AS—BUILT OF: LEGAL DESCRIpnON: sEPncsTANpPaKs- wA1ER WELL - LOT 68-8-1, U.S. SURVEY NO. 3043 MUNICIPALITY OF ANCHORAGE ENVIRONMI:NTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 LStreet-Anchorage, AlaskaB9501 0CT 8 1979. ENVIRONMENTAL ENGINEERING DIVISION Telephone 2644720 RECE.I~.ED_ DEPT.'"OF Itr'ALTH & r REQUEST FOR APPROVAL OF INDIVIDUAL WATER ~J(~J~ FACILITIES DIRECTIONS: Complete all parts on psge 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER Emily Rushworth PHONE MAILING ADDRESS 61 Trinity Dr., Novato, PROPERTY RESIDENT (if different from above) Vacant Ca.. 94.947 PHONE 2. BUYER PHONE Charles W. & Jean P. Bates 349-8671 MAILING ADDRESS SRA BOx 26, Anchoraget Ak. 99507 3. LENDING INSTITUTION Alaska State Bank (Mary Lee Hill/er) MAILING ADDRESS ~10 East Northern Lights Blvd., ~ Anchorage 99503 4. REALTOR/AGENT Jack ~;~nite Co. (Jack Vanden Berg) MAILING ADDRESS ~201 C St., Anchorage, ~d~. ~9~03.. ..... PHONE 279-7637 JPHONE 277-1553 5. LEGAL DESCRIPTION Lot 68-B1~ U.S.S. 3043, Gird'wood STREET LOCATION Miqe 1.2 A]ya,~k~ H~wy:East side 6. TYPE OF RESIDENCE E~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY gri±±e~ prmor ~o I~ iNDiVIDUAL* Unknown [] COMMUNITY Depth NUMBER OF BEDROOMS [] One [] Four [] Other__ [] Two [] Five [] Three [] Six * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well PUBLIC UTILITY ApprOXo 50£~depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON-SITE~* PUBLIC UtilITY If ~nd~vldual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE IVIUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ? THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME · DATE DATE DATE INSPECTOR INSPECTOR INSPEOTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE : [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL : [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~3 IN DIVI DUAL/ON -SITE DATE INSTALLED E]PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption_ Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line [] APeROVED FOR ~ BEDROOMS ~'~0'CONDITIONAL APPROVAL (letter must LZJ DISAPPROVED " certificate) accompany LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION J~,/~R ~ 5 i¥{LJ Telephone 264-4720 i~UNICIPALITY O~ ANCHORA l~ DIRECTIONS: Complete ali parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER PROPERTY RESIDENT (If different from above) 2. BUYER MAILING ADDRESS 3. LENDING INSTITUTION I PHONE I MAILING ADDRESS 4. REALTOR/AGENT MAILING ADDRESS PHONE PHONE PHONE ISTREET LOCATION C~ / - - f- ~MBEROFBEDROOMS 6. TYPE OFRESIDENCE One ~ Four ~ ~ Two ~ Five SINGLE FAMILY ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY  INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) ,/.~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~)INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~] Holding Tank Size: if Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY {Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) 4. 5. GREATER ANCHOP~G~ AREA BOROUGH Dapartmant of Environmental Quality 9500 Tudor Road, Anchorage, Alaska 9950? 279-8686 Date Received ~:_~ Time of Inspection Date of Inspectton__9_al.1._,~_~ REQUEST FOR APPROVAL' OF INDIVIDUAL SEWER & WATERFACILITIES FOR YA Approval Requested By: FJrS~ ~er&l Address: ~ ~0~ Prooerty ~ner: M~ ~mJ~ Legal Description: ,~ ~ ~t~ ~ Type of 'Facility to be Inspected: Number of Bedrooms: Well Data: A. Type C. Construction 7. Sewage Disnosal System: Phone: Ph one = B, Depth ff D. Bacterial Analysis· 8. Installer A. Installed ~ C. Septic Tank: 1, Size 2. ~anufacturer D. Seepage Pit: 1. Size 2. Material_ , Disposal Field: Total Length of Lines Distances: A, Well To: Septic Tank ,; Nearest Lot Line Foundation to Septic Tank Absorption Area to Nearest Lot Line , Absorption Area , Sewer Lines · other Contamination ,,. "> Ab'~orption Area ,,,. ~equest for Approval of ~,,divtdua] Sewer & Water Feotlitt~4 Page Two Approved Disapproved ~ L~)~-~'~x Date g~t Approval Va'lid for One Year From Da~S~gned Greater'Anchorage Area Borough, DeFartment of Environmental quality DTAGRA~ OF SYSTEM I certify that the 1nformation contained in this request for appreval to be a true and accurate representation of the subject ~ewer and water fact!tties located at: Signed Date' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchor_age, Alaska 99507 279-8686 Time of In,pection ~~ REQUEST FOR APPROVAL' OF I~IV%DUAL SEWER & WATER FOR Addres~ ~ , ~ Phone 5. Type of Facility.to be Inspected:_ Number of Bedrooms: ~ /~ ~ _, C. Construction ~ D. Bacterial AnalEsis' 7. Sewage Disposal System: A. Installed ~ C. Septic Tank:  <~il/ D. Seepage Pit: 1. E. Disposal Field: B. Installer 1. Size 2. Manufacturer Size 2. Material Total Length of Lines Distances: A. Well To: Septic Tank , Nearest Lot Line Foundation to Septic Tank Absorption Area to Nearest Lot Line , Absorption Area , Sewer Lines , Other Contamination % Ab'~orptlon Area ~t~'ques%. for Approval Of .ndivtduel Sewer & Waker Faofliti~s Page Two ~ ' ~ea[e~ A~cho~age A~ea Bo~ouqh, De~a~[me~ of ~o~en[a] ~e[[[y D~AGRAM OF SYSTEE I certify that the in~offmatfon contained in this request for approval to Be a true and accurate ~eor~sentation of the subject se~er and water facilities loca%ed at= Rec~eat' for Approval of I~-~vidua] Sewer & Water ~ac~lt~e / / '~'~ ~',.i 9. Comments: ~e]3 const'ructJon okaV ~--~14~.&c_~enc~es· 1! gnptic tank too ;gl0._se ,to .w.ell. 2) Drainfield _ 1.n,-~+'inn nn~ p~mriqmly known however not enough rn0mto have A ~'o"~rea'lO0' from the I~el~ -/fi//~q ' ' ooroved · , D1sapproved~~ Date 9-11 -72 Approval Valid los ~e Yea~ ~om D~t~St~ned/ G~eate~ Anchorage Area Borough, Department of~o~mental Quality a~ DIAGRAM OF SYSTIH~ I certify that the infomnatfon contained in this request for approval to--be a true and accura~:e re~rn~:eDtation of the aubiect sewer and water facilities located mt.- Signed Date