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HomeMy WebLinkAboutCHESTER VALLEY #6 BLK 2 LT 20 #1: Time Date Insp MUNICIPALITY OF ANCHORAGF-- DEPARTMEN. OF HEALTH AND ENVIRONMENI._ PROTECTION 825 L Street, Anchorac~. Alaska 99501 4-11-78 Tues #2: Buchholz 264-4720 Date Received: Time Date Insp April 11, 1978 #3: Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 2. Property Owner: Mailing Address: Spokane Mortgage Company 3201 C Street, Suite 250 John L. Viltz 1511 Patterson Street 99504 9950~hone:277-0543o Phone: 862-4206 3. Legal Description: Lot 20 Block 2 Chester Valley Subdiviion /', 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Three Number of Bedrooms: Well System:' Permit # Construction Individual Well ( ) Community/Public System ~) Depth of Well Well Log on File ( ) Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System ( ) Public Utility Installed Installer Manufacturer Soils Rate Material e Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area MUNICIPALITY OF ANCHORAG- - .~-'~)~ Department of Health and Environmental Protection ' / ?~,~[~ "'~ fl t~,~t;~,.~% 825 L Street, Anchorage, Alaska 99501 I,,,.~.~.&i,, 264- 4720 '' ~~~ e t for A roval of Individual Sewer and Water Facilities ' ~ ~equ s pp 1. Property Owner: ~~ ~, ~Z~ Mailing Address: ~ 2' Same of Buyer: ~ Mailing Address: Lending Institution: Mailing Address: Phone Phone: Realtor/Agent: Mailing Address: 5. Legal Description: Street Location: Phone: 6. Single Family Residence: ~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply:~. *Individual Well ( ) If Individual Well, well depth If Community System, name of system Public/Community System Sewage Disposal System: *~Dn-site System If On-site System, date of installation: ( ) Public System *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 Page Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 20 Block 2 Chester Valley Subdivision Comments: Affadavit Attached: ( ) / ,.-----~ Approved: ~~~~~.~ Disapproved: Letter Date: Date: Attached: ( ) Department Worksheet: ~-0ot'~o ~6~: oao ~ ll¥1Pt lVNOIIVNU31NI BO:I LON (,p:, ~,q~o "S) --Q]QIAOUd 39VlI3A09 33NVilflSNI ON ! L6! '.~dy OOB~; '""°=1 Sd S1].,I l~k~k~k~k~k~k~k~k~OlJlOOV 110.4 S191AIl]S 1VNOIL-dO ~ 3Q~dlZ QN¥ 3J.¥JS "O'd 'ON QNV 133UJ. S Ol IN3S (a;e),sod snld) ~01:--91¥1N Q31JI.I. B33 ~!0:1 ldFI33b OO CD RECEIPT FOR CERTIFIED MAILm30~ (plus postage) SENT TO POSTMARK OR DATE -STREET AND NO, P.O., STATE AND ZIP CODE OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN ill 1. Shows to whom and date delivered ........... 15~ With delivery to addressee only ............ 65¢ RECEIPT p 2. Shows to whom, data and where delivered .. SERVICES With delivery to addressee only ............ 85¢ DELIVER TO ADDRESSEE ONLY ...................................................... SPECIAL DELIVERY (extro fee required) .................................... PS Form 3800 Apr. 1971 NO INSURANCE COVERAGE PROVIDED-- (Se, other NOT FOR INTERNATIONAL MAIL * o~o: ]0w o- 460-74~ STATE OF ALASKA Form No. PEEHP-S-I DEPARTMENT OF HEALTH & WELFARE Division of Public Health SEWAGE TREATMENT FACILITY INSPEGTION REPORT II, III. I. LOCATION: City: Chester Valley System Populat ion: Popular ion Served: Unknown 246 Tt~EATMENT: Type: Rated Aeration 15000 GPD . Units: Grit remowml _ nnmmt ntiS. mr: Sewage Flow Range: 25000 GPD Rece lying Stream: N/A O~ERATING PERSONNEL: Chief Operator: Johnny Bgornson Operators: Dick Brink Date of Visit: August 17, 1966 2326 Sponard Rd Anrhnmgej' Unknoen Address: Lagoon _Average:25000 GPO C las e [fic at ion: N/A Yrs. Exp.: 25 Cert.:,, . Yrs. Exp.:. 2 Cert.: Yrs. Exp.: Cert.. :. .. Date Installed: Pr~mn~y n~.. ~mnk. Yrs. Exp.:,, Cert,: .... :This treatment' plant is being abandoned. Sewer trunk w&ll intercept the Nunaka Va'lleyl line and discharge ultimately to city interceptor'. "system is oomposed of 8", 10", 12"' and 16".AC pipe with coupled and gask'eted ;,:?FECT OF E, .(THQUAKE; REPAIRS AND RI DNSTRUCTION GOMPLETF, D: STILL EXISTING:. None RECO.X¢.MENDATiONS REGARDING PREPAREDNESS FOR POSSIBLE FUTU~IE DISASTERS: '.¢. '..;, ,: STATE OF ALASKA Form No. PEEHP-W-1 DEPARTMENT OF HEALTH AND WELFARE Division of Public Health II. PUBLIC WATER SUPPLY INSPECTION REPORT LOCATION: Operating Agency: Responsible Official: Spenard Utilities Inc. 3ames fi]ogre Mailing Address: 2325 Smenmrd Rd SYSTEM DATA: 8rink Subd., Area Served: Shady Lane, Chester Valley, No. of Connections: 255 Metered? Quantity- Range: G3700 - ~19200 Sources: Date of Visit:' AuguSt. 17.¢1966, 'Title: Vice 'President ; ? Office Location: 2325 Spenard ~d AnchOrage, Population. Se fred: No Water Rate: Average: 76000 GPD Drilled well 560' 8" casing 765 7.00 IV. Raw V~ater pH: 8.2 Treated Water pH: Temp: 39~f TREATMENT PLANT OPERATING PERSONNEL: Oohnny mgornson Chief Operator: Operators: Dick 8rink N/A Chlorine Residual: N/A SANITARY AND PUBLIC HEALTH CONDITIONS OR HAZARDS: Yrs. Exp.: Cert.: Y-rs. Exp.: 2 Cert.: N/A Yrs. Exp.: Cert.: a) b) c) d) e) g) h) Facilities: Toilet: No Wash Basin: No Source Protection: Housad & capped, pitless adaptor Shower: No Clear Well Protection: No c!earmell Building Drains and Sewers to: Cross Connections: None General Cleanliness: good N/A Other: No drains f) Fencing: No SAFETY CONDITIONS: First Aid Equipment: Chlorinator Housing: Ventilation: ~o, od Other: N/A No Gas Masks: N/^ Walkways: Good No Lighting: Good VI. RECORDS KEPT: a) b) c) Reports on File: d) Reports i~l~rogress: GENERAL COMMENTS: £ystsm is interconnected with Nunaka Uulley & Form No. PEEHP-W-1 Page Permanent Files: "As Built" 'Plans: Yes Engineer: Detailed Piping & Electrical Plans: Yes Shop Drawings and Operating instructions for Equipment: l°e rfo rear, ce ' Re cords: Yes N/A Dickinson-Oswald yes C=eek Side by. 10" and 8" AC pipes. Yell is installed with pitless adaptor. Sea Creek'Side comments~ EFFECT OF 1964 EARTHQUAKE ON WATER SYSTEM: On Water Sources: Non~ On Treatment Plant: On Distribution'System: Break,ge of lines and minor leaks. Repairs and Reconstruction Completed: , Yas Non8 Remaining.Ef£ects on System: II. INVENTORY SUPPLEMENT SOURCE: a) Surface: Structure: N/A b) Form No. PEEHP-W- · Page C ondit ion: N/A C apac [ty: Wells: Depth: 360' Size: 8" Static Level: 56' Drawdown: Unknown Rated Capacity: 550 GPM Screens: Yes Casing Material: Steel Casing Depth: Unknemn ' c) STORAGE: Type Pressur~ Tank Emergency source: Undarground None N/^ Mater iai Size C ondit ion Steel 6000 gal Good (50-70 psi9) Iii. DISTRIBUTION SYSTEM: Type of Pipe: A.C. 6" & 8" Fire Hydrants: Dead ends: No Pressures: Unknotun Other: Logical arrangement of valves Yes 21. IV. CHEMICAL FEED: Chemical Equipment , N c n ,~ ControI C ondit ion V. MIXING: 'Size: N/A Equipment: N/8 C ondit ion: N/^ Rated Capacity: VI. COAGULATION: Size: E quipment: N/A N/^ Rated Capacity: VII. C ondit ion: SE DIME NTATION: E qu ipm e nt: N/A Size: C ond it ion: N/A , VIII. FILTRATION: Type: No. of Units: Filter Mater iai: Underdrain System:' N/A Form No. PEEHP-W-1 Page 4 Date Installed: N/A Size: N/A Rate Controller: Backwash Method: General Condition: Loss of Head Gage: N/A REACTOR TYPES: General Description: C ond it ion: 'X. SLUDGE HANDLING: Method: Disposed to: C ondi. t[on: N/A XI. CLEARWELL; Size: C ondit ion: N/A No clear~ell XiI. CHLORINATION: Model: Controh N/A Type of Supply: Detention Tim e :... [4/A C ond it ion: N/A N/A G apac ity: N/A Point of Applicat[on: XIII, PUMPS: Purpose Pure,P Type ,No,: ~oll Submer. 20 HP C apac lty 200 CP~I C ond it ion Good (Berkeley) XiV. BOOSTER STATIONS: Location Pumps Capacity At ~,~uldoon 15HP, ,40, HP Condition 15 HP sums continuous ooeration 40 HP cuts in as =equired XV. XVI. LA~OR~kTORY: Size: Equipment: EMERGENCY PROVISIONS: · Stand-by Equipment: None Spare Parts: Adequate Form No. PEEHP-W-1 PAge' 5 XVII. XVilI. Auxiliary Power: ~o.~ COLD WEATHER PROTECTION: Units Housed: Units Heated: OTHER UNITS: odor control, Y~s Ye3 (fOr iron and manganese removal, softening,-aeration, taste and corrosion control, £1uor[dation, etc.) C HE_~ICAL FEED: Chern ical N/A _ OPERATIONS SUPPLEAc .LNT Form No. pEEHP-%V-1 Page 6 Method of Addition Fre( .uency: Quantity: ' ' N/.A_ ...... ?_:?.'ii St~ red on Premises: Biweekly Vii. ..i;ENERAL OPE~R_~TION AND !,/-A2TTEN--~NCE ' :~i[OBLEMS (low temperature, etc. ) ~one reported Viii. O ,,-,.~-_-~L MAINTENANCE . L'dbrLci~; ~[.n Sch, dule: Regular visits · ~:!-nt[~a~' Schedule:__6,~ re~uir'~ ii'.~.serv )ir Cie'an[rig Schedule;' '.. ~k~ r: REC OMMENDA TIONS WATER SOURCES: Satisfactory Form No. PEEHP-W-1 Page 7 Il. TREATMENT PLANT: DISTRIBUTION: Satisfactory GENERAL OPERATION: Satisfactory, see Creek ~ids comments. SPECIAL PREPAREDNESS FOR POSSIBLE FUTURE DISASTERS: Em.~r~ency power From Nunaka Uallsy should take cars on immediate needs of the III. IV. community. If emergency supply is provided at Creek Sidet it uould supply i~mcdiate needs of this community. ]had¥ Lane LAgORATORY RESULTS U.S. D~PART~ENT OF THE INTERIOR G~OLOGICAL SURVEY ~AT£R R£SOURC~S DIVISION Analyses by Geological Survey, United States Department of the Interio~ (pa~te per million) Date of Collection .......... Silica (Si02) · · · · , · · · · · · · · Iron (Fe) ....... · .... · · · [:~n) 9258 8-15-66 0.06 Calcium (ca) . ......... · · · 52 ~agnesium (f~g) . · · · · · · · · · · · 7.0 Sodium (Ne) ...... ? ...... 5.5 Potassium (Ki ......... 0.6 Carbon Dioxide · · · · · · · · · 1.8 8icarbsnate (HCO~) . .... . ..... 158 C rbon ts (CO) ~ ' ' 0 Sulfate (SOz)~. ? ......... · Chloride (C~)' ' 6 7 -~luoride (F) ............. Nitrate (NO5) ............ 0.0 Dissolved Solids Calculat@d ............. 159 Rosidue on Evaporation at 180~C'. · · Hardnoss as CoCO5 ........ ~.. · 109 Noncarbonate Hardness as CaCO5 .... 102 Alkalinity ~s Oa~O5 ..... . ..... 7 Specific Conductance (~,qicromhos at 25°C) ........ · pH · · · · · · · · · · · · · · · · · Color · · · ·. · · · · · · · · · · · · · 229 8.2 10 I · TESTING · EXPLORATION · CHEMICAl · MATERIALS · INSPECTION 1940 POST ROAD ANCHORAGE, ALASKA 99501 Mr. ~arris Magnusson PHONE 272-3428 Date:_ Au~.~ 17; 19gg %Arork Order No.: c/o Alaska Department of Health 6, Welfare 327 Eagle Street Anchorage, Alaska Project: Post Quake Sanitation Study Subject: Goliform Determination on Water Samples Gentlemen: Tn accordance with your request coliform determinations have been performed in our laboratory using the Millipore Membran..e method. · ne sample identification and results are as follows: Coliform Organism s Identification per 100 milliliters Sample i'kTo. ~nady Lane, at pressure tank; sampled 2ugus~ 1966; GJC-SK 470 Sane as above 0 2 if ~here are any questions with regard to the above tests please contact our office. KWB:sc Very truly yours, ALASKA TESTLAB Kenneth W'. d~I'edsoe, MAIC Water Laboratory Supervisor State Permit W-!