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Home My WebLink AboutLot 01Court s/O ,..L I 'l I " APPLI(-"NT FILLS OUT UPPER HAI - ONLY / /, / ./ / Zip Code · " Phone ".~treet Location //~ '," //:2: .... /,'~/' '~ype of Residence Single Family ,~,~ Multiple Family No. of Bedrooms [] Other Water Supply ' ' Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal [] Individual Year Individual Installed:/~'~ff~F~-'J:~ Public Utility When Connected to Public Utility: Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector I n s P ec t o~-[,h..~.O.....~:;,~... \ AG ,~uNtCIpALI t ~ ~ ...... DEPT. Field Notes: ~ E~V RONM~NTAL pRO'FEcTIO~ ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* OATS, Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size 72-023 (3182) CHEMICAL & GEt/LoGICAL LABORATORIES t,r' ALASKA, INC.~. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL. CENTER /~~ 274-3364 5633B St reet ~ Drinking water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. PIt~J~ e No. Water System Name Mailing Address City State Mo. Day Year Zip Code SAMPLE TYPE: E: Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 1 I 3 I I I LOCATION i I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analvs~s shows this Water SAMPLE to be: ~J~.] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at exarmnat~on to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst F.~..,, ,,II-T:}. I I I I [-r--] I I FT'] I I ~ READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collectea Source Presumptive /0mi X0ml 10mi r 1Omi 1Omi X.0ml 0.1mi 24 Hours 48 Hours Confirmatory EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 10mi Tubes positive/Total 10mi Portlonl Membrane Filter: Direct Count Collform/100ml Verification: LTB ,:.r ~ RGB Final Membrane Filter Reticles ~' t - .-.. Co~lform/100ml April 20, t983 Ed%;ard [~arrington SI{A Box 1319 Anchorage, AK 99502 Subject: Lot 1 Ellen Cook Subdivision Approval for the individual sev;er and %~ater facilitie~ cannot be granted until the following items have been complete¢]: " The top of the well casing should be sealed so that it is %;ater tight. Th~ water analysis report needs to be sub~itted to this office from the Chem Lab, 5633 B Street, for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, RP24/p/E1 Robert C. Pratt Associate Environmental Specialist GREATER ANCHORAGE AREA BOROUGH Department o'f Environmental Quality §330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 22, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR l. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Canv. Lomas and Nettleton Company 4449 Business Park Boulevard Phone: Arthur Solis Phone: 11840 Ellen Avenue Legal Description: Lot 1 Ellen Court Subdivision 274-7661 344-6105 home Location: Ellen Avenue south of Klatt Road ,~e of facility to be inspected Individual Single Family Public Utility B. Depth 1. Size 1. Absorption Area Total length of lines o ~,'~ell Data: .'}~. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Seotic tank Nearest lot line B, Foundation to septic tank No. of bedrooms D. Bacterial Analysis B. Installer 2. Manufacturer , Sewer Lines , Absorption area , Other contamination 2. Material , Absorption area C, Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES FHA_ CONV × 344-6105 home DayPhone: 277-1141 work Day Phone: The Lomas & Nettleton Company Business Park Blvd. Phone: 274______-7661 1. Type of Inspection: CMRO VA 2. Property Owner: Arthur Solis Mailing Address: 11840 Ellen Ave. 3. Name of Buyer: H~_nry Kvand~_ Mailing Address: 4. Name of Lending Institution: Mailing Address: 4449 Anchorage, Ak. 99503 5. Name of Realtor or Agent: Glacier Realty Mailing Address: 715 L St., Suite ~%zt, 99501 Phone: 277-8669 6. Legal Description: Lot 1 Ellen Court S/D Location: Ellen Ave. S of Klatt Rd. (Mrs.) 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served If Individual, depth of well 80 - 100' ? 9. Sewage Disposal System Type of System: If Individual, date of installation Sinqle Family Dwellinq No. Bdrms. 3 Public Utility X Individual. X one Individual (on-site) 72-003(3/76) P~ge. 2'of two pages - Re(~-'~t for Approval of Individual S~'"~,r & Water Facilities Le§al Description I~ot 1 ElLen Court, Subd,ivision Comments Approved~ ~-~2~ · ~ Disapproved Date % Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information 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 Date EQ, 034 (1/74) 06-1220(a) e Rev.' 1'973 ~ODEPARTMENT OF H~ALTH AND SOCIAL ~. ~' '%' · DIVISION OF PUBLIC HEALTH '='z _3 Lob No. INDIVIDUAL AND SEMI.PUBLIC ~ BACTERIOLOGICAL' - WATER ANALYSIS OFFICE INDIVIDUAL NAME SEMI-PUBLIC [] REPORT RESULTS TO CHLORINE RESIDUAL PPM ~- =ITY ZiP CODE ADDRESS OF SOURCE COMPLET~ THIS SECTION ONLY IF WATER I~ AN, IND VIDUAL SUPPLY OATE OLLECT,D /; '/) T,MECOLLEC,ED X,'O0 Sample Collected From ~,Kitchen Tap [] Bathroom Tap [] Basement Tap ~] Other (List', Well-- n Dug [] Driven [] Drilled rq Bored SOURCE~ ~-j Spring [] Cistern [] Other Dug Well or Cistern Construction: Walls--[] Wood [] Concrete [] Metal ~ Tile Brick 9r Top -- ~] Wood [] Concrete [] Metal ~ Open Top [] Concrete LOCATION: [] In Basemen! [] Basement O~ffset [] Under House []In Yard [] Other Building Sewer Septic DISTANCE' TO: or Other Drainage Pipe .Feet. Tank Feet. Tile Seepage Cess- Field Feet. Pit Feet. Pool---Feet. Privy J~et. Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Wobd [] Tile []Fibre [] Asbestos Cement [] No Feet. r- Plastic Joint Material - Type GENERAL~ Does Water Become Muddy or Discolored? When? Diameter of Wel Well Casing Material Length of Drop Pipe [] Yes Analysis shows this Water SAMPLE to be: [] U nsatisfaclory j [] Questionable [] Sample too long in transit; sample should not be over~ 48 hours old at examination to ind cote reliable results, g~l~ase send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS Depth Diameter '" Depth ,.~l~ater D~ter Depth ~'F~n~t°m''''~ , ; F~et, ~ Oft~et i In Utility '-~. PUMPon LOCATION:i~pD_ ~,, [] In Well [] Ba~ment J:. [] In Basement [] Room [] Of W~ll - [] Other ~ PURPOSE OF EXAMINATION: Illness Su~pected?,~'~ [] Yes [] No ~ New Source of Supply? [] Yes [] No Repairs to System? [] Yes []jNO~ 'LSignature -- 064~o (bi BAC'J'ERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 Date Received ' / ~ I x'': , Time Recelved READ INSTRUCTIONS ON REVERSE SIDE BEFORE Lactose Broth * ~ 10cc 10cc 10cc 10cc 10cc li0cc 1.0cc 24 Hours Brilliant Green , 24 Hours 48 Hours AGAR COLLECTING SAMPLE 1Most probable No. per 100cc) ~ ~:'~ ~:' 48 hrs. Lactose Broth, 24 hrs. ,{, MF Results Reported by ~'~" This analysis A'ndlcates Coliform O('ganlsms~ to be: Present