HomeMy WebLinkAboutCRESTVIEW VILLAGE Miscellaneous Informations'bVj
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GREATER ANCHORAGE AREA BOROUGH
3500 TUDOR ROAD
ANCHORAGE. ALASKA 99507
PUBLIC WORKS DEPARTMENT
May 22, 1972
Mr. Rolf R. Strickland
Assistant Director of FQC
Department of Environmental Quality
Greater Anchorage Area Borough
3500 Tudor Road
Anchorage, Alaska 99507
Dear Sir:
Subject: TRANSMITTAL OF PLANS FOR REVIEW OF CRESTVIEW VILLAGE
LATERAL IMPROVEMENT DISTRICT NUMBER 34
Enclosed for your review, please find one set of the subject
construction drawings for a lateral sanitary sewer improvement.
The Public Works Department of the Greater Anchorage Area Borough
plans to advertise the subject project for bids during the sunmner
of 1972. If this design conflicts with either existing or future
utility plans, please notify this office.
Yours very truly,
GREATER ANCHORAGE AREA BOROUGH
James P. Swing, P.E.
W.P.C. Engineer
Charles W. Rainer
Civil Engineer
CWR/cl m
Enclosure
J~nuar.v 5, 1972
VA Adml nlstratio,a
B,;)x 1
Su~.fect~ Cr~.~tvie~· Village Subdivision Sewer
Sir:
The Crestvt,~w Village Subdivision community sewer system
is not an~nroved by this De~,artment. The gorouqh Pu'hllc
Works geF, artme~t, at nresent, is ~umnin9 the system to
minimize ~he sewaQe ~ollutton Problem in the arem. ~oruugh
~anttary sewer is ~cnedule~! 'to ~e tnstallad to re~lace the
tn)de~uate e~i~ttng ~ewer. This project ~tll hopeCully be
~omn)eted tn the 1972
On December 3A, 1971 the community system was dyed. On
January 3, 1972 the dye a~peared on t~e surface of the
ground in tme southwest oart of the subdivision. T~e Pub-
lic Works Oemartment will run their own studies on the
existing system to determine the exact ~ondttto~ of the
system. However, at the oresent, the actual ~umber of leaks
and hrea~s tn the sewer system is unknown.
Sincerely.
Lynn S. Comd
Environmental Sneclalist
st
cc: #tchael Rtsch
NUISANCE COMPLAINT FORM
· Phone No~, Box No.
~' ,Description of Complaint:
Owner of Property Where Nuisance Exists:
Owner's Address:
Location of Complaint:
Phone No.
Street Address:
Person Receiving Complaint: Date:
I certify that such statement of facts is true to the best of my belief and know-
ledge. I request that the foregoing matter be investigated and that appropriate
action thereafter be taken, I am willing to testify to the facts stated in the
foregoing complaint in court if necessary.
REPORT OF ACTION TAKEN
)ate Investigated: .......
.ction Taken: " ~~
COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT:
I~R 22 1971 L^,~ O~F,~E$
MAI'FEI, INC.
A PROFESSIONAL CORPORATION
ALBERT MAFFEI ~]*'~ ' ' : ~' ~
" ' ' 1026 WEST 47-H AVENUE
TELEPHONE :P77-:~.SEJ~){'k ~ ' '~ "ak?'~T P.O. BOX 674
ANCHORAGE,ALASKA99501
ALASKA WESTERN
LIFE INSURANCE BLDG.
March 19, 1971
Mr. ROlf R. Strickland, R.S.
Assistant Director, Department of
Environmental Quality
Greater Anchorage Area Borough
P. O. Box 968
Anchorage, Alaska 99501
Re: Crestvie~ Vil~ageSubdivSs.ion
Dear Mr. Strickland:
You may or may not be aware of the fact that
all the parties involved met with Mr. Cliff Judkins,
Mr. Robert Morris, and Mr. Robert Hudnall on May 8, 1970
regarding the problem.
Prior to that time the Borough had telephoned me
telling me of the situation set out in your letter of
March 16, 1971. I immediately on May 6, 1970 advised each
of the property owners involved that they should discontinue
the use of the sewer system and the dumping of sewage on
the property which is owned by David Green and myself. A
copy of that letter is enclosed.
I have no other means of enforcing this request.
It would appear, however, that your letter is misdirected.
It should not be directed to myself since I am not in any way
violating the Borough Ordinance nor am I discharging raw
sewage on the premises, as you can plainly see if you visit
the premises. The persons that should be consulted are the
ones that I have mentioned in the letter, a copy of which is
attached. Since Mr. Green and I have no buildings or other
improvements on this property it is rather unlikely that we
would be dumping raw sewage through the manhole.
I would request that you reinspect the premises
and obtain the proper factual situation before making any
Mr. Rolf R. Strickland, R.S. -2-
March 19, 1971
further directions and threatening legal action.
Very truly yours,
Albert Maffei
AM-.clv
Enc.
cc:
Sheila Gallagher
Director of Law
Mr. Robert Hudnall
~arch 16. 1971
~tr. Albert Mallei
Attorney At Law
1026 West 4th Avenue
Anchorage, Alaska 99501
SUBJECT: Crastview Village Subdivision
Dear Mr. Mallet:
This letter is to inforn you that a recent inspection revealed that
the collector se~er systma serving the six (6) ho~es in the subject
subdivision is still discharging rn~ swage to the surface of the
ground at the terninal manhole.
This condition is in direct violation of Borough Ordinance No. 28-68,
Sections 9-67, (a) (b); 9-68, (a) ~d 9-75.
You, as o~mer of the properties containing the collector syste~, are
officially notified that this condition is to be corrected within
five ($) days of receipt of this notice.
Reinspection of this condition will be made on or about ~rch 22,
1971. Failure'to correct this condition my result in legal action
against you.
Sincerely,
Roll R. Strickland, R.S.
Assistent Director
Department of
anvtron~ental Quality
cc: Shetla Gall~ker
Director of
RECEIPT FOR ~ERTI~D MAIL--2~
,S~~ ,~ ,,~W POSTMARK
~ OR DATE
~m ~pt Deliver to
~hows to whom ~hows to whom, A~see OflIy
4~ w~n. when, and where
WehvereW
delivered ~ 5~ fee
POD Form 3800 NO IN~4JRANCE COVERAGE PROVIDED.- 'See other s/de)
Nov. 1964 NOT FOR- INTERNATIONAL MAIL
October 13, 1970
GREATER ANCHORAGE AREA BOROUGH
2207 McRAE ROAD
ANC.,~RAGE, ALASKA 99503
0C7; .1~. 1970
Hr. Rolf R. Strickland, R.S.
Environmental Health Supervisor
Greater Anchorage Area Borough Health Dept.
327 Eagle Street
Anchorage, Alaska 99501
DEPARTMENT OF' PUBLIC WORKS
Dear Rolf:
As a follow-up on your memorandum to Mr. Hudnall dated October 6, 1970,
this is to advise that we are proceeding at this time to form an Assembly
initiated lateral improvement district for the purpose of connecting the
Crestview section of the Borough to the nearest available sanitary sewer
facility.
I would advise that such action will require condemnation of the existing
system, unless its present owners can be convinced of the necessity of such
sewer service and agree to convey the existing system to the Borough for
use by the community.
GRE,_.ER ANCHORAGE AREA BO.JUGH
HEALTH DEPARTMENT
327 EAGLE STREET · P. O. BOX 968 · ANCHORAGE, ALASKA 99501
DATE: OCt. 61~ '[~70
FROM: ~DIE R. Strickland, R.S.
TO: Robert audn~l
PubUc I~orks De~t.
SUBJECT: C1~$t~ ¥illa~e Subdivision
Ne wish to bring to your attention a definite health hazard that exists in the subject
area. There are six (6) h~s on a collector smeer system ~hich terminates at the
western bo~dary of this area. The sewer line terminates at a ~ole ~hich continually
overflows and discharEes ra~ untreated sewage a~to the ground and finally finds its way
into Campbell Creek. This exposes approximately 1400 gallons of sewage per day to the
residents of this area plus ~asurably decreasint the water q~liV/ o£ Campbell Creek.
We request that i~ediate ~ction be taken to connect this se~er into the line that exists
on the nortJ~ side o£ Di_~ Blvd. For any assistance in this matter~ please contact this
office.
USE THIS FORM FOR YOUR REPLY
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D/O ~76-A
Form NOG PEEHP-S-2
ALASKA DEPARTMENT OF HEALTH AND WELFARE
Division of Public Health
SEMI-PUBLIC SEWAGE SYSTEM INSPECTION REPORT
Establishment Crestview Village Subdivision Date of Visit 9/21/66
LocationW/in Sec. 7, T,12 N, R 3 W, SM
Responsible Official Not known
Mobile Homes Trailer Pk Campgr~t
No. Connections 6 * Population Served
Distance to Public Sewer System Campbell Ck.
"As Built" Plans available 0 Design only
Collection System:
System Handles: Domestic Waste Yes
Mailing Address Not knovm
Title
Mote 1/Lodge Sc hool Other
30 * Daily Flow-Range 400~0 *
0utfall approx. 1/2 mile.
Date Installed Not known
Ground Garbage No Storm Water infiltration
Gravity Flow ,, ~ Ye~ ........ Pumps (No. & Size) None
Pipe Types .See ~design Sizes $~e design Joints Same
Manholes and Cleanouts See design
Adequate Gradient . Annarentlv -- see ~ig~_.
Disposal System (Sketch on Page Z)
Septic Tank , Treatment Plant* None
Capacity . Dosing Siphon None
Drainage Field Surface drainage
Length & Type of Pipe,,~ ......................... . .......
T o Unde rg round
Soil Type Sil~.~- ~s~n~d - clay
Ce s spool (Size) N~ne Privie s None
Other
Effluent: Sludge Disposal:
Surfacing See Sketc,h .... Sludge Removed NO
To D{tch or Stream~,, Campbell Creek Frequency
(Name)
How Disposed Collectin= in
W-here Disposed system
Partial
Note: ~ (Yes); x (No)
*Use Public Form, PEEHP-S-1
Sanitary Conditions and Health Hazards:
Effluent Ponding,. ,
Access to Children
Odors
Insects and Vermin
Yes
Yes
Yes
Pipe Stoppage s Yes
Complaints
Water and Sewer Pipes
in Same Trench
Other * Appears to be a, partiall[ ,abandoned "public" sewer.
Form Noo PEEHP-S-Z
Page
None known
Not known
System Comply with State Regulations:
No
Sketch of Disposal System:
Effects of Earthquake; Reconstruction Completed and Remaining:
Not 'known
SEE ATTACHED DRAWINGS
Comments (Include General Conditions and Adequacy):
D/O ~76X
Form No.
PEEHP-S-Z
Page 3
· oli.d bl.ocking of, t:he .lo~r,. ,...~y~C?m, surface p(mdin~ and .sur£ace twans .po~cat:ton of
::... t:he s,9~m~e t:o .C~pbell Creek. ..... S.m~... ~..~e.?t:ic act:ion is ..found ~it:hin ~he flooded port:ion
..._ o£ t:he .svsCem .nd in ~_he o~ndln~ at: tho overflov area. No solids vere seen in the
.... s,evafe being emtCC_ed. CO Caapbell, Creek - t:he sewage had, !,!t:t:le odor and vas almost:
clear.
Rec omme ndations:
... _~__~..u....h~..~, may be o_bt:ain.!ng.nearly complet:e solid removal of ~he sevaset t:he s~face
f!~t~ ef~luenC .ia, .b2..no.~a. ~eaCed. ~ adeq~Cely .sized ~' ~pCio C~ ~d ....
...~atn .Eleld should be. ~rucCed C~d Che ~er end of ~e .~u~ivts~on C0
,, th~ ures~ se~e f~ as a. mini~ req~~. IC ~uld ~ rare desirable ,
,~O, C~nn~OC ,~e $~SCe~ ~O t~e ~isCi~ C~I1 Creek ouCfall ~d cle~ ~d repair
........
Photos attached ,Yes
Inspected by Art:hut Benedict: & Dan Itenshaw, P.E.
Dickinson Oswald & Associat:es
MEMORANDUM
TO The File.
FROM Clifford P. Judkins
Supervising Sanitarian
DATE December 12~ 1966.
SUBJECT Crestview Village Subd.
Overflowing Sewer System.
Property & system underwent bankruptcy. Unable to determine ownership.
Have paid no assesment, connection fees or monthly charges.
Parties involved:
1. First State Equity.
2. John Savage, Attorney At Law 277-6576.
3. Mitford, Australaska 277-8115.
~ 4. Dorothy Prior ??
Turned over to Borough Attorney to determine who is responsible party.
Four users.
CPJ/cc
C r~ f v /'~ uJ V / I I o_~ ~
Z:)- O ~ 7~ ~
OT E5
D/O ~76A
N°, '30-12 9/21/66
CRESTVIEW VILLAGE SUBDIVISION
SEWER LINE
Flow from left to righT. NoTe solid
material build-up in inver:.
D/O #?~A
No.. 31-1 9/21/66
CRESTVIEW VILLAGE SUBDIVISION
SEWER LINE
Surface wate~ infil~a~inE system.
No. 31-3 9/21/66
CRESTVIEW VILLAGE SEWER LINE
Same manhole as in shot 31-2 f~om
diffe~en= angel ~o show addi-
%ional pondinE.
No. 31-2 9/21/66
CRESTVIEW VILLAGE SUBDIVISION
SEWER LINE
Sewage seeping from manhole. No~e
ponding in surrounding area.
No. 31-q 9/21/66
cRESTVIEW VILLAGE SEWER LINE
Manhole wheme sewage apparently is
~e-en~ering system along wi~h ¢on-
side,able f~esh surface wa~e~.
D/0 //76A
No. 31-5 9/21/66
CRESTVIEW VILLAGE SEWER LINE
Effluent leaving manhole, nea~
Sand Lake Road to t~avel by sub-
face to Campbell C~eek. Note
¢la~ity.~o effluent due to suP-
face wate~ dilution and pamtial
t~eatmen~ within the system.
No. 31-6 9/2i/66
CRESTVIEW VILLAGE SEWER LINE
Same manhole as shown in 31-5 as
seen f~om Sand Lake Koad.
1966
I
SAMPLING
SITE - INDEX MAP NO.
POST-EARTHQUAKE ENVIRONMENTAL HEALTH PROGRAM
DICKINSON - O~WALD & ASSOCIATES
FOR
STATE OF ALASKA
DEFINITION OF TERNS US.
.SEPTIC TA#~: A watertight element designed to receive raw
aewage~ to provide removal of settleaMle and floatabAe solids;
to provide biological decomposition of ~he solid and liquid
fraction of ~he raw sewage; and to provide storage of sludge
CESSPOOL= An element which is designed to serve the same purpose
aS a' septic tank except that it is not watertight and thus permits
leaching of treated waste (largely liquid) into the surrounding
soil.
LEACHING FIELD: An element designed to receive' only treated sewage
(largel'~' liquid) or liquid waste; its purpose is to distribute
liquid throughout surrounding soil. Constructed as a network of
perforated pipes, open-~ointed drain tile, or similar nlterial,
SEEPAGE PIT: An elemen~ which serves the same purpose ss a leach-
lnf ~ield. '"'Constructed as a pit with open-]ointed llnin$,
tgi TO sY. 0 s ,us n
~ Well
~ Septic Tank
Cesspool
--~ , Sewer ~ines
//;//// Perforated Pipe
Seepase PAt
--Vi/--'- Mater
[" ~. ] Trailer
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Division of Public Health
Alaska OffiCe Building
Juneau, Alaska
Sept. 7, 1961
Mr. ~ustav V. Johnson
Consulting Engineer
Box 91
Anchorage, Alaska
Dear Mr. Johnson:
We have received your letter dated August 18, 1961 alon§ with the
preliminary plan and engineer's report.
The subject project was revi&wed from sanitary~dipublic health
ensineering aspects. The scope of the project is hereby approved. The
final plans, accompanied by specifications, application for approval,
and design calculations, should include the following items especially:
1. Details on water treatment.
2. Profiles for water ~ains and sewer pipes.
3. Percolation test results for the lagoons.
4. Quantity of water expected from the well.
5. Any sources of contamination within 500~ of the well site.
We will be looking {o~ward to receiving two sets of final plans.
If in the meantime we could be of service to you, please feel free to
contact us. Thank you very much.
Sincerely yours,
SPM:rgl
cc: SCRO
Amos J. Alter, Chief
Sanitation & Engineering
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GUSTAV V. JOHNSON
Box 91
Anchorage, Alaska
,~tu~'ulC 18, 1961
Hr. Amos J. Alter,~Chief
Sanitation & Engineering
Alaska Division of Public Health
Alaska Oifice Building
Juneau~ Alaska
Dear Itt. Alter:
A new group of developers appear to be takin8 over the Crestview Village
Subdiv~sion development. Hr. Herb Rollins of Spenard Utilities Corp. has
indicated his organization plans to take over the utilities. Hr. Don
Smith of the Australaska Corp., Box 20~2, Anchosage has requested we
proceed withwork on the sanitary utiities.
The current thinking is to change the name to Southgate Subdivision.
Also to keep the sewage treatment on the subdivision site since they do
not control the land previously considered for treatment use. They are
both measures to offset poor publicity received during the hearing for
a permit to didpose of treated sewage effluent in Campbell Creek.
Present plans are to develop only the lots served by utilities installed
last year. ~aen economic conditions suggest further site expansion for
home building, movement of the treatment plant and lagoons appears desire-
able to permit muttiple plant operation with larger lagoons.
Attached is a preliminary plan of the proposed wateraand sewerage systems
design criteria for your review and comments.
Very truly yours,
~S/ Gustav V. Johnson
¢
0
P
Y
GUSTAV V. JOHNSON
Box 91
AnchO~ ~ Alaska
August 21, 1961
SOUTHCATE (CRESTVIEW VILLAGE) SUBDIVISION
Water Supply & Sewerage Treatment Design Criteri~
I. Proposed Development
A. Lots to be served include - Lots 1 thru 12 of Block 1; Lots 7
thru 12 of Block 2; Lots 1 thru 7 of Block 4; Lots 1 thru 13 of Block
5; Lots 1 and 28 thru 33 of Block 6 for a total of 45 lots.
B. Population served is estimated at 158 persons based on 3~ persons
per lot for 45 lots.
Water Supply
A. Fire Demand. While fire hydrants have been installed, the water
supply and traatment costs economics will determine to what extent water
for fire protection can be provided. If the present supply requiring
iron removal is atiltzed, it is doubtful], any water for fire protection
can be justified.
B. Domestic Water a~qutremevts
1. Basing the D~estic requirements on 100 gal. per day per
capita for 158 persons, an average supply of 11 gal, per min. is required.
2. The maximum hourly Domestic requirement is estimated at 350%
of the average or 38.5 gal. per min.
3. The use of the existing well with iron removal treatment or
exploration at greater depths to obtain better quality water is proposed
to provide a minimum of 38.5 gal per min. plus whatever additional water
it is economically feasible to provide.
III, Sewage T~aatment
A. Sewa2e Flow Basing the average sewage flow on 75 gal. per day
per capita for 158 persons, the average sewage flow is 8.2 gal. per min.,
or 11,800 gal. per day. In terms of B.O.D., 27.8 lbs. B.O.D. is expected
based on 0.17 lb. B.O.D. per day per capita.
B, Treatment
1. First Stage with 80 co 90% S.S. & B.O.D. Removal. The raw
sewage is to be treated in a Chicago Pump 15,000 gal. per day raced
aeration M.S. package sewage treatment plant including a comminuter,
surface air lift and froth spray system~ The treatment plant is to be
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2of2
,~. B. 1. COn$inued
covered with a haated b~tlding to eliminate winter operational problems.
2. Second Stage and Final Treatment. Effluent from the aeration
treatment plant is to be disposed of in a series of Cwo lagoons. The
efficiency of the aeration treatment is estimated to exceed 80% removal of
S.S. and B.O.D. (page 111 of Theory, Design and O~eration of the Rated
Aeration Waste-Water Treatment Process by Engineering-Science Inc.)
Based on serving 158 persons, 80% treated plant effluent, and a rqquired
one acre of surface area in lagoons for 100 persons ;~wtth raw m~e, ~he
two lagoons proposed require a total surface area of 14,000 sq. ft. with
a depth approaching five feet.
Provisions are proposed for draining the lagoons and for posaible overflow
contingencies into the existing sewer line which follows the surface
drainage off the west end of the subdivision and ceosses Sand Lake Road.
~ile the outlet is presently located in a four foot sump, the ground
elevation at this peint is a foot lower than the proposed bottom of the
lagoon. The top of the lower manhole is also 3~ feet lower then the
proposed water level of the lagoon. Overflows from either the end or
over the top of the lower manhole will flow into the natural drainage
channel existin$ adjacent to the sewer line.
ROUTE SLIP
Environmental Health
Field Dir. or HO
Att:P. ngr. or San.
(initial) (initial)
Anc RO Admin.
FoX RO , Food & Drug .....
Fox Cry. San,__ Gen. San.
Ktn San. Engr.
Kodiak SERO
Nome WPC
REMARKS:
~'~---_0~ your info
PRO~:
Amos J. alter, Chief
(b~/~.-, ~ ~' )
Pot your action
DATE:
r~hell d~r~n~ his
.Aet and tho Water
~~~e
Dr. Phillip8 finally orated that he vc~ld roeogmend to the Ceumi~ of Health and Welfare
that a publio hearing be held on this subject, if poeatble prior to the inatallation of the
The leaders of the group oppeaing the ue of Campbell Creek far effl~eut ~, Hr. Henry
L. HeClure, and Hr. Donald A. Dura, stated that they had petitions o~150 mare
A%~b, 2
EMORANDUM -
TO... Dr. Harry V. gibson, Director of Health
Juneau Office Building, Juneau
DATE
5/4/6o
FROMF.J. Fhillips-GAEID
SUbJECT.Can~bell Creek Sanitation
Aerobic plant
Winey and I met with citizsns group iast night regarding the aerobic sewage disposal
plaut in Campbell Creek. There was pitiful lack of knowledge about savage disposal
and stre~pollution facto~sex.hibited by the ci~tzenery. Also, poor appreciation of the
legal restrictions state agents ubide by in their work. Even though specifically and
generally abused Winey held his ground ~Lth diplomacy and dignity. The group assembled
requested that the ~ssioner of Health and Wel£are hold a public hear~n~ ~r~thin 60 days
to determine the feasibility of the inst~llation of the plant in quest£on.This ~s official
transmission of that request. There are many facets to this problem. A letter in detail w~ll
follow in the near future from either me or Winey.
'~E/~OR~NDUM "~
DATE
SUBJECT{:~:~pI~ ~.10,rm~zk _~
~m ~mmmm mm ~ m m m~mmm~mYmm m
mm. N e m~mmdmtbm mm ~ bmmmmmm~mM! W A ~mmmm~
~ ~bmmm m ~ mmmmm ~ ememmmme &4me&~&~e~mm.
~$ 3mmary Z960
Loan
· /o eenera! Del.
Auehorase, Alaska
Loc BLock
At the requee~ of aU HOeS IIALTY an Lnope~c~on of tim
made on 1o11-60.
of which proved oaciofae~ory,
Very Craly yours,
JV/ku
Joe L. biker
Z
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Paul L. Winsor Commissioner of Health & Welfare
August 24, 1959
Mr. Gustav V. Johnson
Consulting Engineer Subject:
Box 91
Anchorage, Alaska
Dear Mr. Johnson:
One set each of construction plans,
Plans, Water & Sewerage Facilities
Crestview Village Subdivision
Alaska Building& Development Company
Anhhorage, Alaska
specifications, an application for approval
of plans and a letter of transmittal for the subject project were received in
this office on August 10, 1959.
The plans were reviewed with respect to sanitation and functional features,
and public health engineering aspects for conformance with applicable Alaska
public healthlaws and codes, and are herein approved as construction plans.
This approval does not include your proposed water supply for this project,
since your letter of transmittal indicates that ~ell test operations are to
be performed, and on which results your design water supply data to be sub-
mitted to this office for review will be based.
We shall look forward to the receipt of two sets of as-built plans on project
completion.
Full and final approval will be based on construction compliance with applicable
Alaska laws and codes when our review of the as-built plans is accomplished.
Please advise if we can be of additional assistance as your project develops.
Very truly yours,
JBB:Jm
cc: Regional Engineer, SCRO
Amos J. Alter, Chief
Sanitation and Engineering
Division of Health
COPY
ADH. HSE-M-FORM
ALASKA DEPARTMENT OF HI ',TH
(X) in column marked with (U). The defects noted should be corrected.
S U COMMENTS ON CONDITIONS
1. Site
2. Building [~ [-']
3. Ventilation [~] [-]
4. H=ting
6. Plant '.ayout []
7. Rodent Con=ol []
8. Insect Control [~]
9. Water Supply ~ ~ ~~ __ ~~ 7'
10. Waste Dis~sal
i1. Refuse Disposal
12. Toilet Facilities
13. Hand-washind facilities :
14. Equipment
15. Construction
16. Cleansing
17. Sterilization
18. Storage
19. Handling
20. Refrigeration
21. Wholesomeness of f~d and dri~
22. Storage, Display
23. Personnel, CleaMiness
24. ~mmunicable disease control
~5. ~e~ing
26. Adulteration
27. Misbr~ding
28. Premises Clean
REMARKS
~has reviewed this ins~c,~ion ~rith me.
HEALTH DEPARTMENT
MANAGEMENT
.Name
Prelt~inary Inspection
Water .~upply & Sewage
D~sPos al ~rstems
BOx ~ro.
Subdivision
. ,~-..-~
No' bedrooms
WATE.R.SUPPLY Yes/~ No ~
Type ~/~/~/~ . ~ p~ssible depth:
drilled,' bored, dug,' spri~g
nearest public water ~in~feet.
~,etal ~ Concrete ~ concrete block
Plan attached ,~ Health dep~t~nt plan ~
~ize ~ ~<:~ ~allons ·
feet.
Dis t~n ce to
tE~OKr~ARY TRF~T~.~NT
Seopage pit ~ Si~,e ~.% ~ ~ ~,
Tile l~e ~ len~h feet.
~ ~'~e of material ~--~.
~e material in ditch~ Stone ~
'. . ' Gravel
I plan to make the installation according to the plot plan and the i~formation
submitted and to ComPly with re~ulations found in Alaska Dept. of Health
Document HSF~-IS. ,
O~mer