HomeMy WebLinkAboutSHADY ACRES BLK 2 LT 9ASkAdy Acfe�LoS
S(ID
2,1�.-30-000
M W DRILLING, Inc.
P(.'`=sox 4.1224 • 1310C International Airport .f
(907) 274-4611
ANCHORAGE, ALASKA 99509
DRILLING LOG
Well Owner ' x c„ �., ; ; ,, , .
- Use of We1L-•��'
Location (address of: Township, Range, -Section, if known; or distance main road
s A4 T04 c es 2-
1
Size of casing depth .of Hole _meet Cased to--&r---feet
Static water leveL__?____ft. (al�ke) .:(below) land surface. Finish of well (check one) open end
Screen Perforated
Describe screen or perforation_
Navw, '
Well pumping test at -gallons per z ') (minute) for---L---hours with 1� ��' :ft•
of drawdown from static level moi;
r
Date of completion Jr Ocif
--
WELL LOG
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cations penetrated, size of material, color and hardness
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APPLE ',NT FILLS OUT UPPER HA'- ' ONLY
F,aperty Qwner ./1���/�. - ��f/0o l— ZDf �i �.. Cj('f �r�; c.</\)r 3N
Phone
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Mailing Address c (f'L S'7 r r•{•fV�1�o/c r4"[� z. t17<,Zip Code C79 o -j
z9a-'(1
Buyer +,�n P� r V < S ! (J C_ ,
r
Address S /� (S �� �"N C olf;('C.� =�yy Zip Code
Lending Institution �(„ /� - - S'Gr> o oL- �e A,;� < <�a, irk r� f 2 F b/ C4 N1 0/4
Phone
Cis
Address .?� )0 rDL- .S , ^—'IC- P, r'h-/� , _.. Zip Code 7J )b3
�-i;)f7`/yc
Realty Co. & Agent M -
Phone
Address Zip Code
;7
Legal Description / 0.-1 G 6'-ce--tF+� - - - -7-/f( 1JY �-L2 $ .S' > Z%fV)S/��
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Street Location ��O l`� S /3 (.<,,� Ci S`1 4 -
Type of Residence
❑ Single Family
❑ Multiple Family No. of Bedrooms
Si7a!' r �r/JG ��> �j/{77�/0Z) )
Other
Water Supply
-
,f�, Individual
ATTACH WELL LOG. A v4ell log is required for all wells drilled since June 1975.
❑ Community
For wells drilled prior to that date, give well depth (attach log if available).
❑ Public Utility
RECEIVED
Sewer Disposal
❑ Individual i Year Individual Installed:
��
W Public Utility When Connected to Public Utility: )
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
\ v- cyn
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
R-(,
Field Notes: / j
�AA- Q. Pj-�zl y� /V(A, �J� e _. G1X
MUNICIPALITY OF ANCHORAGE
DFPT
ENVIR� l i. f ,r.?... LU1. e( -TION
�) (y
:22 1982
r`
RECEIVED
(APPROVED BEDROOMS (I
( ) DISAPPROVED S(CIty1
'CONDITIONS OF APPROVAL -
( ) CONDITIONAL APPROVAL`
DATE _l ` Qs
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
Well to Tank
72023 INK)
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Municipality of Anchorage
MEMORANDUM
DATE: December 29, 1982
TO: Bob Pratt, Environmental Health
FROM: Dennis Saathoff, General Foreman, Operations & Maintenance, AWWU
SUBJECT: Shady Acres Tract 2A
Anchorage Water & Wastewater Utility records indicate a 4" sewer
connection was installed and inspected on 9/9/71 from the
sewer main to the property line only of Tract 2A, Shady Acres
Subdivision.
We have no record of inspecting the on property portion of the
sewer service, however, a dye test was conducted on May 7, 1974
and the results were positive, indicating the building on this
lot was connected to the sanitary sewer system.
If you have any further questions please contact me.
DENNIS SAA OFF
General Foreman
Operations & Maintenance
Anchorage Water & Wastewater Utility
DS/ks
91-010 (5/78)
CHEMICAL i GI LOGICAL LABORATORIES ALASKA, INC.
TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 B Street
^•roae8 Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIERTO BE COMPLETED BY LABORATORY
WATER SYSTEM: Analysis shows this Water SAMPLE to be:
q �I.^D-. NO % e RSatisfactory
❑Unsatisfactory
water System Name 1 Phone No. -
❑ Sample too long in transit; sample should
not be over 48 hours old at examination
Mailing Address - - - to indicate reliable results. Please send
-new sample.
City
State - Zip Code..
Date Received
C�
SAMPLE DATE:
Day
Year
Time Received
Mo.
Analytical Method:
SAMPLE TYPE:
❑ Routine
❑ Fermentation Tube
❑ Check Sample (for routine sample
with lab ref. no.
1 ❑Treated Water
d Membrane Filter
❑ Special Purpose
❑ Untreated Water
SAMPLE
Time Collected
Lab Ref. No. Results Analyst
NO. LOCATION
Collected By
3
4
I
I
U
5
-
-
�No. of colonies/ 100 ml. or No. of Positive portions.
0e-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
-
Rev. 1978 -
- -
Date Collected
source
READ INSTRUCTIONS
m.
Oate Received Time Received
P.M. -0.m. Lab. No.
Presumptive loml lomi
- lomi 1Oml loml 1.0ml 0.1ml
-
24 Hours -
BEFORE
4e Hpurs
Confirmatory
-
24 Hours -
- - -
- 48 Hours -
-
EMB .Broth 24 hours:
Broth 48 hours:
GOI.LLGTINQ SAMPLc
Murt+pra ruvc rrepur[:
is r r oe: Pmtsrw/Tcsar 240m1 Pira...
-
Membrane Filter: Direct Count
- Collform/10011,11
Verification: LTB
8GB
- -
Final Membrane Fllter_Resutts- ++
- Coliform/looml
Reported By
Date
-
-
Time. 'i`-' a.m.
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