HomeMy WebLinkAboutNORTON PARK #2 BLK 4 LT 1Norton Park
#i
Block 4
Lot 1
#016-211-63
02/20/2015 22:05 907--345-3262 ALPINE DRILLING
(Municipality of Anchorage
Community Development Departnr
Or�Prograli
4700 Elmore St. • P,p. Bax 196650 nclhorage, te AIC 9and 519-665oerhttc:pww
Well Decommissioning
PAGE 01,101
.tnuni.orgfo!tsie • (507} 343-7904
Subdi+iision&lahi"�' Block
T _ _ R _Section_.,__ Wt-
-On -ode Woter 8. Wastewater Program oeitaed Contractor performing the veil &commissioning:
Na � 0
. •S 6 _ 1f,0lYb^
company. —"4—"
�18.4.�r►wS Wl�j�9�f ••old,$ (�f,((�
WON deconuhissionlr+g date •�—/I f.,
Signature; w
61('0aIi �3
Mef!wd of dacommissioning:AMC 1J.5S,osQi.i i3. b, 0 c,N
Locatlon: Use the spat* nelmvto provlda
Nonh aaow a draw!ng of the p.•ooerty showing she firllowing items,
•
• Decammiasionad,veil•
• Oftr oratorx lls nn the proparly,
• Two separaie swing tla distances (or each Well sho .. on the drawing,
Note; Tha swing.tle distances snail ne mesaured from either permanent structures or tna pmpany oornam.
F.9• P D
!r.
Time
e
Date ---��lL
Date Date
In pector — - 3) - oZ AA '
Inspector Inspect
Comments ----
Conditional Approval
Date Sewer Installed Permit No.
Septic Tank Size
Holding 'rank Size
Soils Rating—����` Weil To Absorption Area
Well Log Receive
Well to Tank
APPLICANT FILLS
OUT LOWER HALF ONLY �--
Property
Mailing Address
3�31
uric(� ([`ir(�Z� X37
Etu—ye r
Address
Lending Institutlon__NDT
EPhone
Address � � / tn� ! ,yt / � %_
Realty Co. &Agent
Address
Legal Description __ t
Street Location���
T Residence -( �-
�ngle Family
❑ Multiple Family
El Other No. of Bedrooms
_
Wats upply
�iIndividual
F1 ATTACH WELL LOG. A well log is required for all wells drilled since June
Community 1975. For wells drilled prior to that date, p g
f7 Public Utiles - available.)
Segive well depth attach to if
wage Disposal �--`—'-"-"��
Individual ublic Utility Year Individual Installed: 11 Fielding rankC�. Utdtiili.t When
NOTl�'TI3E INSPECTION FEE MUST A( t,OMPANY EACH REQUEST BEFORE PROCESSING CAN 13E INITIATE11[[U`:�
DIRECTIONS TO PRO _.ATY TO BE INSPECTL.
Sewer and Water Program
Note: be sure to put colour of house or other
landmarks that will make it easy for the
inspector to find. Accurate directions
will save time and not cause delays in
scheduling.
SWP/025
IT' r I-
c� i'j- ri iloof! f-, Lo I)o
I.vlav
yl (I
The 1 -v"it 1. nood- to bo I li-- f'. i I
CCCC
'Ji- co Vrcwl F.h n ("`-l(;va 1,n.1), 3 i f3f 7-(,�ot[ 'loj--- om'
'Coy kiliell -11
'scr", I it ric iavc, cio rZ (:'L -r.7.
I Ira t F.
nerclal if;t
73TI Vox--ridrw Oij'cic�,
4 llo)-to)i
Park
Vtdvi 'L2
I nf, lintU the "'ol-Inwirici
lino ;
I)ov(, lvoyl
col--Irdot-,Clcl
0 Tlw Lcj) 0, (-�,nc)
1 --lin t -�IU ,,.77�tur
IT' r I-
c� i'j- ri iloof! f-, Lo I)o
I.vlav
yl (I
The 1 -v"it 1. nood- to bo I li-- f'. i I
CCCC
'Ji- co Vrcwl F.h n ("`-l(;va 1,n.1), 3 i f3f 7-(,�ot[ 'loj--- om'
'Coy kiliell -11
'scr", I it ric iavc, cio rZ (:'L -r.7.
I Ira t F.
nerclal if;t
l.�y 10, 1979
(.74 -Ary 1i%rollquo.ijt
l:ar Route- A llo:x .1.61
nchora Jr , Alaska 99502
,ttrlajec t: lot l Bloch '! Nortaolz 'Pa.rk. Subdiv:isio n
Rile Well :aeVVi"U the suDjec:t refiiClen(.e war3 saripled Jointly
by nl,raoka D,c'Tartlmont c):% Lnvir4nrlfxntal Consorvatinn and tiro
i:�r-!part�te�nt of xtealt.h and i-Invironrnental Protection on 'lay 1,
19700
Tho res4alt s arc-, indic at;.incr arsenic in oxcrefls of allowable
l iialt ,3 for driir.1G?:ng water.
Nei4hboring wolo:l:a wore also sampled and found to have traces
of arsenic`" far I z,lo"s'J it11i1�r:1L:r71`.3.
bly inquiry to this r'lopartmont' s medical. officorp Dr. A. Burst,
M.D. r-gardinc7' your pater contaarni.nat;ion raHulteci in a
r acormt end ation that you awl fartlly sook {:ledic;al counsel.
4yiYrGu your prob:lc at is lrlol ai:cd to a privato wato wc.:ll uneler
your control, corrective action is recommonded as goon as
L.)oasi.lA.c`.
If t:horo are. any furUie�r questions, plcrnso contact this
office at 264 -4720.
Sbic(1wa ly,
I:te:o W. isustrhol.z, t;.n.
e-nior 1;;nviroll amts itJ(JC'ira7 3 U
LNI.'3//1Jw
Nlunll A01
1
fY
May 1, 1979
Poucf 1 6 650
AINICHORAGE, ALASKA 99502
(907) 279 2511
rsur_ rvah,
VAtiOR
T`,'
Sandy Kronquest
Star Route A Boli 161
Anchorage, Alaska 99502
Subject: Pater Sample from Norton Park
Residential Lot 1 Block 4
From analysis information submitted, your well exceeds drinking
water standards for arsenic and is excessively high in iron.
The matter of providing an approved water supply to your new
residence remains between you and your builder. This department
will provide or refer you to expertise as requested, however,
the civil matter between you and your builder remains to be
resolved. Incidential.ly, the well was drilled prior to the
Municipal well ordinance.
This department was lead to believe that a second sample to
confirm the excessive contamination limits would be taken.
As of this date, arrangements have been made,by this department,
to sample the neighboring area.
The department can document problems for individuals or community
groups and offer expertise in finding alternatives, however.,
construction and cost o` alternatives remains with each residence.
Additionally, the use of treating for arsenic on a residential
household basis is not recommended by this department or the
Alaska Department of Environmental. Conservation. Costs of
maintenance cont -ince to increase and the homeowner can not be
guaranteed of continual satisfactory operti.on to insure no health
problems occur at a later date.
Sandy Kronquest
May 1, 1979
Page Two
If you feel, as evidenced through your
certain contracL-ual descrepanc.i.es exist
satisfactorially resolve the matter, I
Consumer Protection for advice on legal
Sincerely,
Les N. Buchholz,I-:'S. -�
Senior Environmental Specialist
I,NB/I j
phone conversation, that
and you can not
suggest you contact
rights.
cc: Thimsen Construction
Jerry D. Thimsen
Pioneer Realty, Inc.
206 Northern Lights Boulevard 99503
Kyle Cherry
Department of Environmental Conservation
State of Alaska
338 Denali Street - :Mackay Building 99501
Drinking Water Analysis Report for
Inorganic, Organic, and Radiochemical Contaminants
_ p _
PUBLIC WATER SYSTEM:
FTT
I.D. NO.
L i'R x r t
Publ c Water System Name
ddress
TO BE COMPLETED BY PUBLIC WATER SUPPLIER
State Ip o e
Note: Check box to left of contaminants listed below for the
analyses desired.
JUN 6
SAMPLE DESCRIPTION:
tet- r•
Collected By J1 �n^ 4 -Ai -r `� r
OA-rc1c
Sample Location
Source Type ❑ Surface Water FL -Ground Water
Sample Date 1:015
Mo.
❑ Routine Sample
[ 4 -Special Purpose Sample
TO BE COMPLETED BY CERTIFIED LABORATORY
Laboratory Name ` 11 F 0 -fiV fllal COpSOrV2110f1
C'c 1!;-s L ioralcry Failily
Address D6eglas, Alaska 99224
City State Zip Code
INORGANICS
Mg/I
(� 7 f7 -F-,)]
Day Year
K Untreated Water
❑ Treated Water
010 2kD 5 7 `I _
Limit
G'a Arsenic
(0.05)
❑ Barium
(1.)
A Cadmium
(0.010)
❑ Chromium
(0.05)
❑ Fluoride
(2.4)
,io4 Iron
(0.3)
❑ Lead
(0.05)
k�- Manganese
(0.05)
❑ Mercury
(0.002)
-- 4 -Nit -rate
(10.)
1�+Selenium
(0.01)
❑ Silver
(0.05)
❑ Sodium
(250)
❑
❑_
Mg/I
(� 7 f7 -F-,)]
Day Year
K Untreated Water
❑ Treated Water
010 2kD 5 7 `I _
(0.0002)
Sample No. Station No.
(0.004)
—q 0L —
;Laborato Analysis No.,
(0.1)
eived by
Date
ORGANICS
Limit
❑ Endrin
(0.0002)
❑ Lindane
(0.004)
❑ Methoxychlor
(0.1)
❑ Toxaphene
(0.005)
❑ 2, 4-D
(0.1)
❑ 2,4,5 - TP Silvex
(0.01)
171
SA Mtout$
El
att? L, TA Kl=ai ft -S
RADIOACTIVITY
ND Indicates Not Detected
Limit
❑ Gross Alpha
(15)
❑ Radium 226 & 228
(5)
❑ Gross Beta
(50)
❑ Strontium - 90
(8)
❑ Tritium
(20,000)
171
SA Mtout$
k(- E
att? L, TA Kl=ai ft -S
El
)u
ND Indicates Not Detected
_
/��
Date Analysis Completed
Form No. 18-316(Rev. 9/78) No.? e"
Signature of Laboratory
Supervisor
P LIFA 5 C- P._-ui iA — 74�5t=
SA Mtout$
k(- E
att? L, TA Kl=ai ft -S
CHicw vN tl(r)q M"tGA;r(4L=vr=ts,
)u
7At-e
yknxA GRudt'D)VV r'rEYI..
Mg/I
pCi/I
7r
Date repor ed/
/1c-
USTOMER Gary 1:. Kronquest
ATE COLLECTED 4-11-79
AMPLED BY Gar
Ell AR KS
ANALYTICAL REPORT
_ SAh1PL[ LOCATIOI•!: Norton Park, Lot 1 , Block 4
FOR LAB USE OilLY
TIME COLLECTED: _V- IRECVD.3Y -SJK LAB #i 0
SOURCE Mater We,II
]Ag,Silver
]Al ,Al U,l1i11um
]As,Arsenic
]Au,Gold
]B, Boron
DATE RECEIVED 4-11
DATE COMPLETED 4 -13 -
DATE REPORTED 4-13-
SIGi'!ED(, c_r / �_
[]P,Phosphorous
0.3
[]Cyanide
0:05-------
[]Pb,Lead------ --
` OIAL 1 ����irINI'V.r?r �r,
G� ALAry //�� oo,QQyyO TELEPHONE
05-_-----
[]Pt,Platinunr---0^05—
]Ca,Calcium------
(007) 278-4014
- []Sr,Strontiu:a__--
_=505 -_
[]Sb,Antimcny_
=-0.05
[]Total Dissolved___
P.O. BOX 4.1276
___
CaCO3
[]Alkalinity as
[]
Solids
ANCHORAGE, ALASKA�0
- - []Se,Seleniu,n----
0.05
[]dotal Volatile_____
5633 "B" STREET
USTOMER Gary 1:. Kronquest
ATE COLLECTED 4-11-79
AMPLED BY Gar
Ell AR KS
ANALYTICAL REPORT
_ SAh1PL[ LOCATIOI•!: Norton Park, Lot 1 , Block 4
FOR LAB USE OilLY
TIME COLLECTED: _V- IRECVD.3Y -SJK LAB #i 0
SOURCE Mater We,II
]Ag,Silver
]Al ,Al U,l1i11um
]As,Arsenic
]Au,Gold
]B, Boron
DATE RECEIVED 4-11
DATE COMPLETED 4 -13 -
DATE REPORTED 4-13-
SIGi'!ED(, c_r / �_
]Da,Bari unl----
[]P,Phosphorous
0.3
[]Cyanide
0:05-------
[]Pb,Lead------ --
- =055 —
- []Sulfate ------
05-_-----
[]Pt,Platinunr---0^05—
]Ca,Calcium------
-- []Phenol—T---
- []Sr,Strontiu:a__--
_=505 -_
[]Sb,Antimcny_
=-0.05
[]Total Dissolved___
- []Ti,TitatliLIM
r]'I,-i'urgsten
___
CaCO3
[]Alkalinity as
[]
Solids
_-.0_05 -
- - []Se,Seleniu,n----
0.05
[]dotal Volatile_____
--_0.1 _
_
Solids
]Da,Bari unl----
---- 0.07 --
[]Si ,Sil icon --------12
---
[]Suspended
1B1,B1SrnUi:11 — -----C0-1---
-- []Sn,Tlr-- -----
0_1-----
Sol ids
[]Volatile. Sus------
]Ca,Calcium------
_ 51 ---
- []Sr,Strontiu:a__--
pencled Solids
[]Hardness as 223
]Cd,Cadmiunl
]Co,Cobaii;
-' 0.05
< 0.05
- []Ti,TitatliLIM
r]'I,-i'urgsten
_0.3
_=-0.05
0.
CaCO3
[]Alkalinity as
[]
[IV Vanadium
0.05
ICu,Copper
]Fe,Ircn--- - --
I Ig ,NercurY
]K,Potasslum
0.1 []Zn,inc_0.05 []
22 (-]Lr',Zirconivar
------- -..0.05
ia----------- []mrnhos Conductivity
IJ trocen-ll
1 []Kjedahl11 units___
--- -------- []P
1,litrogen-!'
...... - --- []Turbidity NTU
_]Mn 11anganese 0_9 []nitrite -P! []Color Units
_]Mo,Molybdenum
p[]P I ospilorus_ [] f.Col iform/1Dom 1
Na,SOdium -- --- 6 `-- []Chloride []
[]Ni Nickol 0.05 rluoride
M
054
JAYS. HAMMOND, GOVERNOR
OF SAI BR9)N 11NTAL C9)N SERVATI0N 338DENALI SREET
MACKAY BUILDING, ROOM 1206
SOU771CMTRAL REGIONAL OFFICE ANCHORAGE, ALASKA 99501
April 25, 1979
Ms. Sandi L. Kronquest
SRA Box 161
Anchorage, Alaska 99502
Dear Ms. Kronquest:
I am writing in response to your letter of April 19, 1979,
regarding a chemical analysis of well water from Lot 1,
Block 4, Norton Park Subdivision. This analysis was
assigned lab # 0054.
The level of arsenic is indicated to be 0.1 mg/1. This
is twice the level for this toxic chemical as allowed by
Chapter 80, Title 18, Alaska Administrative Code (18 AAC 080).
The level of iron is indicated to be 22 mg/l. The amount
allowed by 1.8 AAC 080 is 0.3 mg/l. Manganese is indicated
to be 0.9 mg/l. The amount allowed by 18 AAC 080 is
0.05 mg/1. The level of cadmium is indicated to be less
than 0.05 mg/1, while. the amount allowed by 18 AAC 080 is
.010 mg/l. Selenium is indicated to be less than 0.1 mg/1,
while the amount allowed by 18 AAC 080 is 0.01 mg/1. The
water is also excessively hard, as indicated by the value
of 223 mg/1 reported.
While 18 AAC 080 is used to regulate public water supplies,
the .limits placed on chemical parameters are directly
applicable to the quality of private water supplies.
Using these parameters, it is my belie` that this water
is totally unacceptable for potable water use. The excess-
ive level of arsenic should be of great concern to any-
one who would consider consuming this water, due to its
toxic effects.
If you have any further questions, please contact me at.
274-552.7.
S/ incer.ely,
KylV J.ierry
Regional Environmental Supervisor
KJC/mm
.IRACLE WATER REFINING CO.
3003 E. MCCAIN ST.
ANCHORAGE, ALASKA 99503
PHONE: (907) 279.1125
9z lt�
�/' ,��a-_ t�l'�..�"� �i4t� /YYI�" Gc� G�GL� G �%7 SGC •� J " -C �' > �/ � `/, (/"
�� �c����C�• u�✓U<� ��N� �c.�d-.�=•:� �-t.— C.'- Ilif
�t-C �.-C�• c�G�r+'�--�6'
13 PPA
1 �, %�c�-,/ti oo
/(�.�,.2�•l �aG�- /iyyu�LaL�"iJ-2�'i'�-d�-c���. ,-G6ZL= �-
�f LL,'I G%.�I"-�'""t-!i''c/Gj-- .-f>J GLv--L�'c�>'• �It-�, c2-✓�C/'Ei/n'�--G�'�L % � r �(6
�%-c.���rn /1-�1 ��'", c�;/ �,GLGL,� � �f�'JZfn�--�, y //•' f�/�"-��' ✓ ��LL,'' J �-C�
/�i �/ �i.c-c=v � c_-v�-- ��-r�L.-..>-Yt� i✓7'!�' V�' � ..C- C pCe� U't-L��
j L MIRACLE WATER REFINING CO.
/ 03 E. McCAIN ST.
/! ANCHORAGE, ALASKA 99503
PHONE: (907) 279-1125
Get
�
17
� • G� �-,� � ^ �� i ,� � ,., ✓may �l%�-,ad
u
,.�'�L-�G.L'-fL�'/! fi /„� /� � � �� �•�r �L.�,,z-{:F�.G�-1_ .-y7t.�,2_�C ZCC-L'1t.x�
J / -u y GALL l All
C2�' ` _ y�
Q�!"!�'""_"`�✓ �I/ C1 vi%t'`'t.��, .�Gti-�-K 1..-.�1� �/�J<-i•L iG� C��/ ���
,
����iJ'-'Cl=_��K2" /'!/ C! ' 12���.Gj� / �.'L%U�✓ V�� i L � vL
A1_
_� vA�C �iz6'7��'`� /��irELGPH0IJE
leol► 270-4014
P.O. BOX 4-1276 464 9 EUSItJf SS PARS BLVD.
�tFlALY]ANCHORP'GF, ALASKA
-ICA[_ REPORT
-
JSTC!�L.R lhi;. 5en Construction SAIiPLE LOCATION: Oceanview, Alaska
FOR LAB USF ONLY -
TF COFLLCI ED 11 1-78 LIME COLLECTED. - - RFCVD.BY GY -IA8 11 9088
SPLFD 8Y--- SOURCE Old ',;ell ''lot used 4 yrs.) DATE RECEIVED 11-7-78
!',ARKS Hardnk,ss ctwivalent to 13.8 grains per -gallon. DATE COMPLETED 11-1-78
_ Vgr__high-ir_on content DATE REPORTED 11-8-78
-
IS IG 1ED
gig/l nu)/1 --mg�l------ --
]Ag,Silver - - -
- []P,Plosphorous -
[]Cyanide
]A1 ,Aluminum
[]Ph,Lead
- -
- []Sulfate <_1
]AS,,,rsonic
[]Pt,Platinum
[]Phenol
]Au,Gold -
[]Sb,Antimony
[]Total Dissolved 202
Sol ids - ----
JB, Boron --
[]Se,Selenium
[]Total Volatile
Sol ids
;3a,f3arium
--- --
-- []Si,Silicon
[]Suspended
-
Sol ids
Bi,!siss;uth
[]Sn,Tin
[]Volatile Sus -
Ca ,Calr_ium 5/
---- []Sr,Strontium
[]Hardness as 2.42
Cd,Ccdmium
[]Ti Titanium
CaCO33
[]Alkalinit as- 210
]Co,Cobalt -
- []bl,TungsLen
HCaCO3
;G ,Chromium - []V,Vanadium []
1Cu,Cupper - - - []Zn,Z_inc
JFe, Iron - - -25 ---- []Zr,Zirconium []
,1Hg,iercury - -- []Ammonia []mnihos Conductivity 350
--- -- ------------
-------------------- -----
Nitrogen -N
]Y.,Potassium el [IKjedahI []pH Units 6.8
Nitrogen -N
JMg,Magncsium 8.0 []Nitrate -N []Turbidity NTU
]Mn,Flanganese -- []Nitrite -N []Color Units
]Moj1olybdenum_ - - []Phosphorus []T.Col iform/100m1
( Ortho ) -P
(Na,Sod iLill] - 4•5 []Chloride 6 r1
]Ni,Nickel - - []Fluoride
i
_ � .1 `.I � �,l'i`.I1 ori l_� •'t)i �i'J t i i �.�,.. i � 'i ( :: •i n-'+� �i... i
v zv
ISI S„II:1.0I (i I �.I:`.1. U 0”
!
•SN C 101y1
Fv11POIN,f •;( ;
I I
I
F',f,ill_Y
C •,E l'I iiFF
FIVF r 1 01 HER
roux
six
!
I
Gl,PPLY
:di)IVIDO AL
DEP YH Of V._I -
o,alr.AI
.Ef)
_f(, U1li_!ll''
i
&D- vo"FNI,__
03,1. l S IT
GSI.
L,'.;.IT SAM
f
I
I
_1 ''
i
I` dfl',< i.5 If 0! "1711CICSOHA
RAI w,
lw.uf 'C i' A.i_i:
i
i
TY
i
i
i
.. i it l,Ilo
i
f
f
I
f
i
I /I
NP.?OVFn FOR __--
r l f)ROC)n.iS
I
:CIi=C)ITIONAL iAPP;'1(',-Al_
i
I
It L the reonotrowner RD A,\/F—.builder, hri, cnstuctioverity
roposed building ggiirade relative to fin -
to determineatheuexiiity eton a ofcalnygouoand 4"k
covenants, or restrictions which
not appear on the recorded 3ubdivi-
6on plat.
2-
IO/Zo/78 _
OF 41,1
49M '
1•fq/.0 .. ...... ..�
ALLAN W.LAHNUM !
No. 1108•S ;-
\�?�fSSIOHAI``I��- hiUFFMAN RfDAp
LO -7- I
i3LCCK 4
-- 319
�X15TI1.ICa ; ,i
HOUSE N
N1
I
WELL
3'
ion uT1�iN
EASEME K T S
I
MAMMUZ-011
I
0
I0M
I�
J
I
LOT SURVEY CERTIFICATION --LEGEND:
_
®�' • Brass Cap Monument
Lot Block 2�— Area Sq. Ft. i Iron P pe
StePin
7. o Survey Hub a Tack
Plat File No. Zoning District [—
Anchorage Recording District, Alaska
VIS Kli i�L111n" WtiL ' WHL� H' Lr�,l Residence of:=�—
_n �( J 4040 B STREET
RaOCNGIN-CiCANCHORAGE. ALASKA
A7B'= 11572 i Y:/ro - 4 5
POUCH 6650
°1zE�R'LJOF;-��{ iiJ ANCHORAGE, ALASKA 99502
(907) 279 2511
q �f y, ,a�', ` :� �L �_ �� GEAR 6!-,h 1. SUIL/VAN,
rf � wa': SV' 'tf � i} i� .� �� AIA VOR
UE=P 1R T^�1-NTO( ViFt'li_tHi,ND E�1V If-IONA9FNTAL PR
D1
1875 "t."' Sireeti
November 2.1, 1978
Thimson Construction
206 West Northern Lights Boulevard
Anchorage, Alaska 99503
Subject: Lot 1 Block 4 Norton Park Subdivision ##2
Approval for your individual sewer and water facilities
will. not be granted until the following items have been completed:
A well. log is submitted to this department.
if there are any further questions, please contact this office
at 264--4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC: Security Pacific Mortgage
1101 East Tudor Road, Suite 190 99507
Pioneer Realty
206 West Northern Lights Boulevard 99503
APPRAISALS
REAL ESTATE SALES
INVESTMENTS
9 07-277 -454 1
piamm
206 NORTHERN LIGHTS BOULEVARD
ANCHORAGE, ALASKA 99503
�haarb • g�II�b, jprEB.
D.E.Q.
A 90 foot well with 6" casing was drilled to service Lot 1 Block 4
Norton Park N0. 2 June 14 1974. No well drillers log is available.
Thimsen Co truction.
HOME PHONE
907 277-7656
AV C )
� GREATER ANC ORALE AREA BOROUGH
Department of Environmental Quality
d 30 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received March 22, 1976
Time of Inspection 3:30 p.m.
Date of Inspection 3-22-76 Les
REQUEST FOR APPROVAL OF Monday
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by: Alaska Bank of Commerce
Mailing Address: Fudor Branch
2. Property Owner: Jeffery Thimsen
Mailing Address: 206 Northern Lights Boulevard
3. Legal Description: Lot 1 Block 4 Norton Park #2
Phone:
Phone: 2746073
4. Location: Ellen Drive
5. Type of facility to be inspected ow 0f.1 ms
6. Well Data: Well -• Individual
A. Type B. Depth 90,
C. Construction D. Bacterial Analysis .. 2 (,e
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
B. Installer
2. Manufacturer
1. Absorption Area 2. Material
Total length of lines
A. Well to: Septic tank Absorption area
Nearest lot line Other contamination
B. Foundation to septic tank e , Absorption area
C. Absorption area to nearest lot line
, Sewer Lines ,
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Re( t for Approval of Individual ` r & Water Facilities
Legal Description Lot 1. Block 4 Norton Park #2.
Comments
Approved ` Disapproved _ Date
App 1,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certiry tnat the intormation contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Date
6. Legal Description:
MUNIC'IPAlAY OF ANCH()kAGt;
/_ 17� /. C/
MUNICIPALITY OF ANCHORAGE
JLP7. Of flLrit.ihl 8.
FNVIfi��;�nlNfAt pfCTi;ftlpl,I
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 f NAR rj Cj IfJ�iJ
REQUEST FOR APPROVAL OF
,
INDIVIDUAL SEWER and WATER FACILITIES
1. Type Inspection:
i
of
CMRO v VA
FHA CONV
2. Property Owner:
Mailing Address:
��c h i j��� �- ���
Day Phone
3. Name of Buyer:
Mailing Address:
Day Phone
4. Name of Lending Institution:
j 5 �i`
�: G� �'
�
, Iy_ a I'GGl-
Mailing Address:
���f _ �i� n` -z-
Phone
5. Name of Realtor or Agent:
'Ie>
Mailing Address:
4 7
Phone
6. Legal Description:
z 2-
/_ 17� /. C/
Location:
7
9
Type of Facility to be inspected:
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
EQ -037 (1/74)
No. Bdrms.
Individual ttic- // f�) �--) -1/
Individual (on-site)