HomeMy WebLinkAboutCRESTVIEW VILLAGE BLK 6 LT 32013 oz.
000
January 4, 1978
~2ne ~ight
1300 Jaokson Drive
Anchorage, Alaska
99502
Subject: Lot 32 Block66 Crestview Village Subdivision
Permit ~77460
A permit issued by this department for well and/or sewer
systea has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4?20.
Sincerely,
Health and Environmental Protection
Sewer and Water Section
Rt::'F'i .. 17 C:R?.JT
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~NICIPALITY OF ANCHORAGE
DEPARTMEN%_..~ HEALTH AND ENVIRONMENTA..~?ROTECTION
825 L Street, Anchoraa~. Alaska 99501
264-4720
Date Received: October 27, 1977
#1: Time 11:00 a.m.
#2: Time #3: Time
Date 10-31-77 Monday
Date Date
Insp Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
e
Lending Institution Request: First Federal Savings and Loan
Mailing Address: Post Office Box 4-2200 ~99509 Phone: 274-6561
Property Owner: Wayne V. Knight
Mailing Address: 1300 Jackson Drive
Phone: 349-3892
3. Legal Description: Lot 32 Block 6 Crest View Villaqe Subdivision
4:
Single Family Residence: ( )
Multiple Family Residence: (x)
Number of Bedrooms:
Number of Bedrooms:
Five
Well System:
Permit #
Construction
Individual well (x) Community/Public System ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
e
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System ~) Public Utility
Installed 1977 Installer
Manufacturer
Soils Rate Material
e
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot ~line Absorption Area
to Nearest Lot Line
~'age Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 32 Block 6 Crest View Village Subdivision
Comments:
Affadavit Attached:
Letter Attached: ( )
Approved:
Disapproved:
Department Worksheet:
Date:
Date:
06-122~al '~'v. 1973'e'
DATE
-ALA~EPARTMENT OF HEALTH AND SOCIAL SE~S
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
INDIVIDUAL [] SEMI-PUBLIC J~-' CHLORINE RESIDUAL PPM
REPORT RESULTS TO
CITY i/ ZIP CODE
OF SOURCE / ~ ~),,. ( 4.~7.~C~ .
COMPLETE THIS SECTION
ONLY IF WAT~E~ IS ~f~ INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY ~ ~
DATE COLLECTED "' TIME COLLECTED
Sample Collected Fram [] Kitchen Tap [] Bathroom Tap ~ Basement Tap
[] Other (List)
[] Bored
B Tile Brick or
Open Top
Concrete
[] Under House
Septic
Tank
Feet. Privy .--
Well--B Dug ~ Driven ~ Drilled
SOURCE: Spring ~
Cistern Other_
Dug Well g~ Cistern Construction:
Walls--J~ Wood Concrete
Top -- [~ Wood B ~ Metal
Concrete Metal
LOCATION:
[] In Basemeht [] Basement Offset
r-lin Yard [] Other
Building Sewer
DISTANCE T~. or Other Drainage Pipe .Feet.
Tile Seepage Cess-
Field Feet. 'Pit Feet. Pool
Other Possible
Sources of Contamihation
MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile
[] Plastic Joint Material - Type
GENERAL: Does Water Become Muddy or Discolored?
[] Fibre [] Asbestos
Cement
When?
Feet,
Feet.
[] Yes [] No
Lab No.
~ Diameter of Well Depth Feet.
Well Casing
Material Diameter Depth
Length of Water Depth
From Bottom Feet.
Drop Pipe Offset in In Utility
PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room
On Top
[] Of Well []
PURPOSE OF EXAMINATION: Illness Suspected~ [] Yes [] No
Ne.w Source of Supply? [] Yes J~ No Repairs to System? [] Yes [] No Signature
OFFICE
/
if
Reported by t/~
This analysis indicates Coliform Organisms to be: ~ Absent
Pr~ent
COLLECTING SAMPLE
BEFORE
REVERSE SIDE
READ INSTRUCTIONS
MF Results
EMB AGAR
Lactose Broth, 24 hrs. 48 hrs. Gram's stain
Coliform Density ~ ~ (Most probable No. per 100cc)
~ 1,0cc 1Oct lOcc lOcc 1Oct 1.0cc 1.0cc
Lactose Broth ~ ·
24 Hours ·
48 Hours ~ ~
Brilliant Green
24 Hours
48 Hov~
06-1220Rev. 1973(b) BACTERIOLOGICAL WATER ANALYSIS RECORD ,.-- '-~
am
Date Received ~' 0 '~ ~1 ./~ Time Received
- J
SANITARIAN'S REMARKS
Analysis shows this Water SAMPLE ta be:
Safisfactory
r-J Unsatisfactory
r'1 Questionable
[] Sample too long in transit; sample should not be over 48
hours old at examination to indicate reliable results. Please
send new sample..
[] Bottle broken in transit, please send new sample. :
" ! ' ' X._,~_UNICIPALITY OF ANCHORAGE ' :7
) Department of Health and Environmenta~rotection ;;~l
· / 825 L Street, ~chorage, Alaska 99501 lU
264-4720
~quest for Approval of Individual Sewer and Water Facilities
1. Property Owner:. ,'~/Q~ ~. _~~ ~ "~
Mailing Address: , Phone:
2. Name of Buyer:
Mailing Address: ~ Phone:
o
Lending Institution: ~/~j_~~J~_~/~-y .'
Mailing Address, ~' : ~~ /~ Phone:
4. Realtor/Agent: ~---"
Mailing Address
Phone
Legal Description:
Street Location:
Single Family Residence: ( ) Number of Bedrooms:
Multiple Family Residence: (~ Number of Bedrooms:
o
Water Supply: *Individual Well (~ Public/Community System
If Individual Well, well depth ~Y ~
If Community System, name of system
( )
8. Sewage Disposal System: *~n-site System ~ Public System ( )
If On-site System, date of installation: ~q~
*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 reques~ before processing
can be initiated.
3/77
(:5,
Spenard Office · P. 0. Box 4-2200
Anchorage, Alaska 99509 · (907) 274-6561
December 15, 1977
Municipality of Anchorage
Attention: Mr. Bob Pratt/Environmental Health
Dear Bob,
Per our conversation today, attached is a bid from Ziegler Excavating Co.
to complete work on the well.
We are holding $150.75 which is one and a half times the amount needed for
completiom.
Please issue an approval at your earliest convenience. Thank you.
Sincerely,
Ruth M.. McPflerren
Construction Loan Closer
Encl.
KIUAI. NOU$1~
I. ENDEFI
~" ~ ~._.zPage No. of Pages
Iroposa!
ZIEGLER EXCAVATING
8850 Runamuck Place
ANCHORAGE, ALASKA 9~502
Phone 344-9692
CO.
PROPOSAL SUBMITrED TO
STREET
CITY, STATE AND ZIP CODE
ARCHITECT · I DATE OF PLANS
PHONE
JOB NAME
JOB LOCATION
IJOB PHONE
We hereby submit specifications and estimates for:
· e ]lrapose hereby to
Payment to be made as follows:
furnish material and labor --complete in accordance with above specifications, for the sum of:
dollars ($ )
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. Ail agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Signature
Note: This proposal may be
withdrawn by us if not accepted within
days.
epIa e af ]trapasal--The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
Signature
Signature