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HomeMy WebLinkAboutHANSON ACRES #1 BLK 2 LT 8 'ooq off ] ~ ' APPLI¢-~NT FILLS OUT UPPER HAF"<ONLY ' Lendinglnstitution ~-/es-r AIRSK~td ~No~TgflO~ .'~od~oO Phone Address 4 4 X Street Locati~ ~/) Type of Residence ~Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water upply ~dividual ?::' A~ACH WELL LOG. A well Icg is required for all wells drilled since June 1975. ~ Community '. , For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individual , Year Individual Installed: ~Public Utility ~/(~ ~gO~ ~ Whed:Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY ~AC~:RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Bate Date Date Inspector Inspector ~-~)~0,~' Inspector Insp~tor)~O Cq  MIINICIPALITY OF ANCHORAGE ~NVIRONM~NTAL PRO~[CTION ~ - RECEIVED ( ~PPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APP~VAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Seplic T~k Size 72-023 CHEMICAL &,..Gl LOGICAL LABORATORIES~f-~, ALASKA, INC.~ TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: II;I I II I [~2~. I.D. NO, Water System Name ,, Phone No. Mailing Address City SAMPLE DATE: Mo. Day . Year Zio Code SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with tab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. I 2 I 5 I LOCATION Time Collected Collected By T~E COMPLETED BY LABORATORY Aha ys s snows this Water SAMPLE to De: ~atisfactor¥ [] ,~satisfactorv FI ,~ample too long in transit; sample should not be over 48 nours old at examination to mdmate rehable results. Please send new sample. D~t'e Received Time Received Analytical Method: Fermentation Tube Membrane Filter Lab Ref. No. Result* Analyst 12~7-V' I ~ ~,4~/.. · I ! FF'I I I'-i'-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD P~esumpt Ive 3.0ml 10mi 10n{I 10mi ].0mi 1.0mi O.3rnl Final N{embrane Filter ReSults .f'~ ) Collform/lOOml Time' /,~') a.m. CHEMICAL ~& G[ .OGICAL LABORATORIES , ALASKA, ,~'~ Drinking Water Analysis Report for Total Coliform Bacter,a TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name Phone No. Mailing Address City State Zip Code MO, Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose [] Treated Water ~E3 Untreated Water SAMPLE NO. LOCATION ,, I Time Collected Collected By T.O,,~E COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~atisfactor¥ ,~?satisfactorv [] Sample too long m transit: sample should not De over 48 hours old at examination ~$ indicate reliable results. Please sene new sample. Date Received ~o - ~c~,~ TJ~e Received Analytical Method: E] Fermentation Tube 'l~,.Membrane Filter Lab Ref. No. Result* Analyst ~NO of colonies/I00 mi. of NO. of Positive oor[~ons READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Membrane Filter: Direct Count Final Membrane Filter Res~ults June 29, 1983 Lana Dailey 590'7 Cordova Anchorage~ AK 99502 Subject: Itanson Acres ~1 Block 2 Lot 8 Approval for the individual se~er and %~ater facllltleo canner · l~emo have been completed: be granted until the following '~ = ~ The top of the well casing should be sealed so that it is ~ater tight. ~ Exposed electrical wires to the well head are in violation of the ~uniclpallty of Anchorage codes and must be encased in conduit. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further <~estions, please call this office at 264-4720. Sincerely, ~/ Associate Environmental Specialist pl5/p/ ~.~ ~ ~.. ~.~ ,.:j ~ ~ ~.- ...... ~,.~,,,,~ ~ ...... ~, ~/,. '.~ ~.~:/ - uepar~ment or ~nwrer..~:entai qual~y '~ ,~ ~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 · . . ~5~ Date Recel veal z o 'N~ ~ Time of Inspection Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Type of facility to be inspected WelTData: C. Construction Sewage Disposal System: A. Installed REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & t'IATER FACILITIES FOR Phone: ~ 7~--~' - -~ ~ ~ Phone: No. of bedrooms B. Depth D. Bacterial B. Installer(/---~ Analysis C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Abso'~p~'ioH Area 2. Material E. Disposal' Field: Total length of lines 8o Distances: A. l'lell to: Septic tank Nearest lot line B: Foundation to septic tank , Absorption area · Other contamination , Absorption area C. Absorption area to nearest lot line -., Sewer Lines Eq-034 (1/74-) Page 1 of t~,lo pages ~ate 3330 'GREATER ANCHORAGE ARE/', BOROUGH Department of Environmental Quality "C" St., Anchorage, Alaska 99503 - 274-4~~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Propor~y Owner; Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name CMRO VA FHA x CONV 5907 Cordova Street DaM Ph0ne272-7638 DUNLOP~ Barry L. 5907 Cordova Str~e6 of Lending Institution: ALASKA NATIOnAL BANK Mailing Address: Name of Realtor or Mailing Address: Day Phone 272-7638 277-5511 Pouch 7010~ Anchorage Phone Agent: Bob Powell/Shennum Agency 236 East Sixth Ave. Phone 279-3511 Lot 8, Block 2, Hanson Acres #1 6. Legal Description: Location: 5907 Cordova Street 7. Type of Facility to 8. Water Supply Type of Supply: be inspected: Well No. Bdrms. 2 Public Utility Individual x If If I,dividual, depth of well 200 ft. Sewage Disposal. System Type ,of S~stem: Public Utility x If Individual, date of installation Individual, number of dwellings presently served Individual (on-site) __