HomeMy WebLinkAboutNEWLAND BLK M LT 17
' Time ~ ~,~,, Time ,, -_
Date Date Date
Inspector J'~ i~/"' Inspector Inspector
Comments Conditional Approval
Date Sewer Installed Permit No. [ Septic Tank Size
Holding Tank Size
Soils Rating Welt To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner Phone
Mailing Address
Lending Institution ~Z/~ ~5~ Phone
Address ~2~ ~'~ ~ ~~J~'~
Realty Co. & Agent ~¢~ ~ / ~~-.. Phone
Address
Street Location ~2 ~ ~ 7 ~ ~C~ ~
Type of Residence
~Single Family
~MultJple Family No. of Bedrooms
~ Other
Water Supply
lndividual A~ACH WELL LOG. A well log is required for all Wells drilled since June
Community 1975. For wells drilled prior to that date, give well depth (attach log if
~ Public Utilit~ available.)
Sewage Disposal
~lndividual Year Individual Installed:
Public Utility When Connected to P~'blic Utility:
g Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
CHEMICAL & G~,., ;OGICAL LABORATORIES,, ALASKA, ~
--~ ~ TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER INCo
x..- ~.o.~...,.. -~/~~ Drinking W!ir274'3364~nalylis Reprort )flor5633 8 StreetlTOiaJI ICoili!rm. FBacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Water System Name
1.0. NO.
Phone No.
Mailing Address ;
City State Zip Cede
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
_~.Satisfactory
[] Unsatisfactory
[] Sample too long m transit; sample should
not De over 48 hours old at examination
to indicate reliable results. Please send
new sam pie.
Date Received / " ; '/
Time Received '-"' '"'
Analytical Method:
[] Fermentation Tube
O~ Membrane Filter
SAMPLE
NO.
4
LOCATION
?.. '7 .....
../ , ,~,,. ,~, ~.~-.,,~ ._ ~, .~ /
Time Collected
Collected By
Lab Ref. No. Result* Analyst
I r-r-1
*No. of colonies/100 mf or No. of Positive portions.
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 3.978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected SoUrce.
Presumptive /Omi 1Omi 3.Omi ZOml /Omi /,Omi 0.3*mi
24 Hours
48 Hours ~
Confirmatory
24 Hours
48 Hours
EMI) I)roth 24 hours: Broth 48 hours:
Multiple Tube Report: 1Omi Tubes Positive/Total 1Omi Portions
Membrane Filter: Direct Count Collfotm/100ml
Verification: LTB BGB.
Final Membrane Filter Results' Coliform/100~111
& B CERTIFIED WELD', ~ INC.
v 6611 Arctic Blvd. ''~- x
ANCHORAGE, ALASKA 99502
(907) 272-516:1.
NO.
PHONE
MECHANIC
HELPER
HOURS
TOTAL
:LPERS · ~ [ABOR
GREATER ANCHORAGE AREA BOROUGh
HEA~TH DEPARTMENT
217 E STREET · P, O. BOX 968
ANCHORAGE, ALASEA 9950~1
PHONE 272-6467
23 May 1966
Mr. Leonard Ford
Star Route A, Box 1242
Spenard, Alaska
SUBJECT:
Overflowing Cesspool.
(Newland Subdivision).
Dear Mr. Ford:
You are directed by this Department to abate the health hazard of an over-
flowing cesspool at once by pumping or installing an additional adequate
disposal system within 7 days or by May 31, 1966.
Sincerely,
DAVID R. L. DUNC~, M.D.
Medical Director
Ra~ond~ j [ Snyde~ R~S. ' ....
Sanita~i~
RES/co
cc: Greater Anchorage Area Borough Attorney.
AIR MAiL TO ALASKA IS FASTER
Sp~na~d~ Alaska
Ovemflowing Cesspool.
(Newland Subdivision).
DAVID 2o Lo DU~'~CA~, M,D,
~S/cc
~iUSIA;.~CE CO!;PLAI~.IT
Street
~ddr~ss
::. () , ( ,¢ ,' .....
Public l'iealtt] ]lulsance
Property Nuisance
Na~;e of person afa~nst %~hom cof¢?la~nt is made
Owner of ~roperty whe~ nuisance exists
O~ner's Stree~ Addr. ess~ Phone }~o, Dox 70.
Location o~ complaint:"
Street Address_ ., Phone ;~o. Box
Pe~,son receiving =' ~ ' '~ ~
I certify that such statement of facts is true to the best of ~:y belief and M~ou-
ledge, I request that the foresoln[ mattor be iuvest~[:ared~ and that
action thereafter, be taken. I am will~nF to ~est~fy to the facts stated ~n the
foregoin~ complaint in court if ~eces~ar.y..: .. ~
REPORT OF ACTION TAKEN
Date Investigated
Action Taken '
Date complainant.was called regarding disposition of complaint
~TH AVE
c
200
ACCEPTANCE OF DEDICATION BY ~
DT1001176