HomeMy WebLinkAboutFOSTER BLK 2 LT 4
I certify thc above true and corr('cL
,~penord, Alaska
We ach~se you to attach this ccrtilicate to your deed
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE ECEIVED:_./
INSPECT:
TIME:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
APPROVAl. REQUESTED BY:
ADDRESS: ~'~7 ,?, ,~
PHONE:
2. PROPERTY OWNER:
4. TYPE FACILITY TO BE INSPECTED:~/?~,.'~-~3
NUMBER OF BEDROOMS: ~------"
PHONE: q ~///-/'--~';
STREET:
WELL DATA:
A. T Y P E (" /C.(.
B. DEPTH /f"~//
D. CONSTRUCTION ~",,~.~>~..~1~.,..~..
E. BACTERIAL ANALYSIS ~u~,,~
SEWAGE DISPOSAL SYSTEM:
SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
1. SIZE
2. AGE
3. MANUFACTURER
4. INSTALl_ER
APPROVAL REQUEST ,.R SEWER & WATER FACILITIES
PAGE TWO
B. SEEPAGE PIT
1. SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTlt
REQUIRED MEASUREMENTS
A WELL TO SEPTIC TANK
B WELL TO SEEPAGE PIT
C WELL TO SEWER LINE
D WELL TO PROPERTY LINE
E WELL TO OTHER POSSIBLE CONTAMINATION
F FOUNDATION TO SEPTIC TANK
G FOUNDATION TO SEEPAGE PIT
H SEEPAGE PIT TO PROPERTY LINE
COMMENTS:
.. .. ~ , :,? . //.
APPROVED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
UNI' .J STATES DEPARTMENT OF THE INT OR
GEOLOGICAL SURVEY
WATER ANALYSIS
2GW
Location
Source
Cased to (ft)
Treatment __
WBF
Temp (°F)
Collected
Remarks
O:,z:i.)j~b} ':rn].Z Depth (it) :l~!':}~j___ Diam (in.)
19~J Date drilled _ ?:~:? 19~ Point of coll.
Owner l[en~ 'L~
U s e
40 Appear. when coil o].egl~
Silica (SiO2)
ppml8 [ epm
Bicarbonate (HCO3)
Aluminum (Al) Carbonate (CO3)
.Iron (Fe)
-,~a 0°02 Sulfate (S04)
Chloride (C1)
Fluoride (F)
Calcmm (Ca)
1 ~ ho
Ma~ne slum (Mg)
Nitrate (NO3)
Sodium (Na)
Potassium (K) [ 1o6 0o0l~
Total
Total
ppm
SpecH'ic c oz~Tamc e
(micromhos at 25° C)
Dissolved solids:
Coi~,~lo,~d 3.58 pH
Residue on evaporation at 180°C
Hardness as CaCO3
Noncarbonate
Color
No. C::.}:;: 5[k'D FieLd No. Project
TO
DICKINSON. OSWALD ? OARTNERS
800 Cordova Str~t
ANCHORAGE, ALASKA 99501
277-1685
GENTLEMEN:
WE ARE SENDING YOU
[] Shop drawings
[] Copy of letter
tached [] Under separate cover via
/~J Prints /~lan s
[] Change order []
[] Samples
.the following items:
Specifications
DATE NO.
THESE ARE TRANSMITTED as checked below:
.~] ~or approval
or your use
E} As requested
[] For review and comment
[] FOR BIDS DUE
LJ Approved as submitted
~ Approved as noted
[] Returned for corrections
Fi Resubmit__
Q Submit
LJ Return__
copies for approval
_copies for distribution
corrected prints
19
[] PRINTS RETURNED AFTER LOAN TO US
COPY TO
FROM:
TO:
GREATER ANCHORAGE AREA BOROUGH
; SUBJECT: //'~:,',/~(L~ ~:~.~ ~C
INITIATED BY: /S~ ~ ~y)~:/~?,ff~~" DATE OF MEMO:
, ~ DATE ANSWER
DEPARTMENT: ~/' / ,!/~//~/ ~'~/~" REQUESTED:
RECE~V~: //,
REQUESTED ACTION SCHEDULE
FOR iNFoR/~ATioN oNL'~ ~REPARE BACK-up INFoRMATIoN
FOR IMMEDIATE ACTION CALL ME BEFORE YOU ANSWER
FOR YOUR CONSIDERATION NEED YOUR RECOMMENDATION
OTHER
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