The URL can be used to link to this page

Home My WebLink AboutDEBORA #2 BLK E LT 31ck 000000000 if J Oso 04k 449 000 S. LWPAL DESCRIFT N 31 /k `,E" 4- 'Z STaUT LOCATION / e e 61 V E. TYPE OF ff"IDINGE NUMBER OF I51zUHOOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATEy SUPPLY 111 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) & SEWAGE DISPOSAL SYSTEM (N! INDIVIDUAL/ON-SITE" I" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. DA_.'SkCC_EtVEDp - 11a INSPECTION APPOINTMENT t TIME TIME TIME DATE DATE OA E -- t _ I _ INSPECTOR INSPECTOR INSPECTOF� MUNICIPALITY OF ANCHORAGE MJNICIPAIITY OF ANC%ORACIIE DEPARTMENT OF HEALTH O ENVIRONMENTAL PROTECTW CF HEALTH -$ SIS L Stmt • Asdsaapa. Aladta ESSB/ ENVIRONl,AfiNTAL KOTE&ION ENVIRONMENTAL SANITATION DIVISION ALIS 18 1981 Telephone 2844720 pp REQUEST FOR APPROVAL OF INDIVIDUAL WATER AN DIT WED, ES DIRECTIONS: Complete all parts on pale 1. Inconwhr s ragaaats will not be procard. Please allow ten 110) days for processing. PERTYO ER PHONEG 0 ESSr�efstcCer /t �1 / PHONE r FTY N 1DENT III ddfer t from above) -lliwe Iy%G 6vW,0A/ PHONE 2.8 MAILING ADDRESS J. LIE �� T1,T_1jTI �� PHONE RA� MAI ING ADDRESS kotlille K 1. RE A TOR/AGENT /l A MAI ING A. DRESS K f s S. LWPAL DESCRIFT N 31 /k `,E" 4- 'Z STaUT LOCATION / e e 61 V E. TYPE OF ff"IDINGE NUMBER OF I51zUHOOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATEy SUPPLY 111 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) & SEWAGE DISPOSAL SYSTEM (N! INDIVIDUAL/ON-SITE" I" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. J 72010 (Ray. 6/79) THIS SIDE FOR OFFICIAL USE ONLY t. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ six 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ED Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sevver Lina Neermt Lot Line Absorption Area to nearest Lot Line 5. COMMENTS�� t Alf MENEM APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE ry BY J 72010 (Ray. 6/79) ("N ALASKA CnuffiI1WTAL COIITROL SERUIRS, InC. Enqinterinq S Environmental Studies MUNICIPALITY OF ANCHORAGE DEPT. OF E ENYIRONMENTnL P:-OTECTION 8/18/81 BILLY E MCGOWEN P.O. BOX 433 EAGLE RIVER AK 99577-0433 SELLER — BILLY E MCGOWEN SUBDIVISION—DEBORAH BLOCK—E LOT -31 ADEQUACY TEST FOR SEWER SYSTEM AUG 2 0 1981 RECEIVED THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 8/18/81 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. CRNd.Jr.�� 223141 <.' s f-90 SSI�NA.: 1220 West 25th Avenue • Anchoragt, Alaska 99503 • (907) 276-1361 CHEMICAL & GL LOGICAL LABORATORIES F ALASKA, INC. • TELEPHONE(907)-279+1014 ANCHORAGEINDUSTRIAL BUSTRI LCENTER 4. 274.3364 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER II TO BE COMPLETED BY LABORATORY WATER SYSTEM: ,/ I.D. NO. 11 Water System Name Phone No. Mailing Address i. : C city State- ' Zip Code SAMPLE DATE: LTJ = r Mo. Day Year SAMPLE TYPE: O Routine O Check Sample (for routine sample with tab ret. no. - 0 o. O Special Purpose SAMPLE NO. LOCATION `J Z 1 �: 't r'/: r .�/• 3 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE i O Treated Water ❑ Untreated Water Time Collected Collected �By Analysis shows this Water SAMPLE to be: ❑ Satisfactory 0, ❑ Unsatisfactory ❑ Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received x / Time Received Analytical Method: O Fermentation Tube JO/ Membrane Filter Lab Ret. No. Result* Analyst n V(I Y' I I m I I m m • No W coon,#$/ 100 ml. W No M Pornrve PDMM- 06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1979 Oats Cdlected Source a.m. EMB v.�... s.......... _. _. Mut tloW Tube Report, 10ml Tubes P0149"/TOW 10ml P>tlom Membrane rotor. obect count Colltorm/106m1 Verification. LTB BGB Final Membrane F9ter Results Cdllorm/300m1 r I 1 rl Dale —� Reppled BY Time A.M. I.J "A`) P.M.