HomeMy WebLinkAboutHANSON ACRES #1 BLK 2 LT 8 'ooq off
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~ ' 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) __