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ALPINE TERRACE BLK 3 LT 3
· .... . . - = - -_ --'~- ~-: - - ; ~UN!CIPALrfYOF ANCHOt~AGE ,, - .~_ .:~ ,; -: _ _;-~M~NI.~I~QFAN~R~ -,: -_ ~D~. OF HEALTH & - _-: REQUEST F~-A~B~LO fDUAL-W, ATER ANDEEW : ' ~ .... -_ - - - ' ':~--. '- , -~ -~' A '~-'_ . .' ----' ~E~::,Compl~e all Pa~S on ~e 1; In~l~'r~m:~U-.~ pr~d, Plea~ealtow ten (tO)~a~ for pro=e~slng. ............. PHONE MAILIN6TAD~88- ;- ' :~:--~' ~:-:--:'--- -: .- -_ . -' ' - .- "" ' -:: ' - ~-.: ' _ - - ' _ .. ..-_ - _: :. A - -- ~ :_ -' -~ : , , : . ' ' ' ~¢P~:TY.~!DE~T (~f'di~r~-f~m~w) :- :~--_ _ · ~" - . ' : / ': ~'PHONE--- ~AlL~NGADD~E88 -~ -- ,: ' - ' ~ ' ' " -- , ' = --- "- *' - ' - - __L:../ _ _ :' . _ ._ : ----:_ .; ~ .... ' : _ _ . -,. , [] 'Fou( THIS·SiDE FOROFFI,~IALUSEONL. - .-'~ ---' i ':"' - '': COMe,liTY' - - ~ . '._ : .... ' , DATE DRILLED [] PUBLIC UTILITY ;' ' ~-- ' Connedti~h~Verified I--1: THREE~ - [] - ~I'VE- ;; .: [] TWO [:::] FOUR - []. S~X -~ '--' - _.' :"_-. _ IBER Sewer Line ' - ~ - - SeptiefHoldinCTank, Absbrpt on Area ._,.---- ~ ..... ' ..... '. .1 ...... - r_. I_ .IT~. r.l_j/~. ~ ~_'--. ' ~ ~ ~ 'F - -:" ' -CONDITIONAL APPROVAL (letter must accompany cert f cate). ' DISAPPROVED '- ' ' ' ' 72-010 September 24, 1979 John Hopkins Star ~oute A Box 2396-C Anchorage, Alaska 99507 Subject: Lot 3 Block 3 Alpine Terrace Subdivision Approval for your indivi~ual sewer and water facilities cannot be granted until the following item has been oompleted~ The standpipe needs to be installed on the septic tank. Please notify this department for a re-inspectionwwhen the noted descrepancy has been corrected. If there are any £urther questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist /ljw Esther Bumgardner % ~ote~ Realty 724 East 15th Ave~e 99501 August 23, 1979 John Hopkins Star Route A Box 2396-C Anchorage, Alaska 99507 Subjects Lot 3 Block 3 Alpine Terrace Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: /%~(1) The water analysis report be delivered to this office from ChemLab 5633 B Street, for our review. Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. ~le septic tank primped with a recent submitted to this office. .A four(4)~l_~st iron cleanout needs to be installed in the?~ptic t~and/or leaching area. (5) A percolation test Be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. K listing of private firms performing the test is enclosed. Please notify this department for a re-inspection when the noted descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/lJw CC' 4c~ '_204 Cleveland Ave. :O. Box 10-1126 ~.nchoroge,AK. 99511 _'77- 0231 710 Third Ave. P.O. Box 2540 Fairbanks, AK. 99707 452-1267 · 456-5155 SEPt-lC SYSTEM ADEQUACY REPORT JOB NO. CTL 79-2 39 DATE OF REPORT 9-10-79 DATE OF TEST 9-6-79 LEGAL DESCRIPTION ' LOT OR BLOCK '~ SECTION A!~ine Terrace W, S.M. SUBDIVISION , ALASKA PERFORMED FOR: John Hopkins Amchora~e, Alaska PHONE NO. "~L~4--,~'] '] n REQUESTED BY: Est, eT 3um,_~rdner Totem Rea] tv. }~c. 72a. East 15~h Avenue Anchora-~e, Alaska PHONE NO. TYPE OF SYSTEM ' SEPTIC TANK SIZE CRIB OR SEEPAGE PIT LEACH FIELD GALLONS NUMBER OF BEDROOMS '~ SEPTIC TANK WAS PUMPED F'~ YES [] NO ABSORPTION RATE ' AVERAGE 24 HOURS ?00 GALLONS. TEST PERFORMED BY: D. Paul REPORT PREPARED BY: D. Paul APPROVED BY: AC, 14EMICAL & eEOLOelGAL LABORATORIES OF AI. ASKA, INC. TELEPHONE , . (907) 279-4014 P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD.~., ~ Drinking Water Analysis Report for Total Coliform Bactena .....- TO BE COMPLETED BY WATER SUPPLIER PUBLI~WATER SYSTEM: ~ ' Publi© W/It~r Syatem Name ~ '~ 1 ' MMIIng ~ City State Zip Code Mo. Day ' Ye~{r SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no,_ [] Special Purpose ) [] Treated Water [] Untreated Water SAMPLE NO. LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY LAB_ORATORY: ,/') t~":~' .~: ADDRESS ~ ~' ~ITY Date Received Time Received Analytical MethOd: .. [] Fermentation Tube .,~ Membrane Filter Lab Ref. No. Result* Analyst No. of colonlaa 1100 mi. or No. of Positive portion,,. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18-310 (3-78) 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source a.m. Date Received Time Received p.m. Lab. No. Presumptive 1Omi /Omi 1Omi 1Omi lOml 1.0mi O.lml 24 Hours 48 Hours Confirmatory ~ 24 Hours 48 Hours EMB Broth 24 hours: Multi Die Tube Report: Membrane Filter: Direct Count Verification: LTB___.,~',7 . ~ Final Membrane FIIter,.4~l~$*~ ~ Broth 48 hours: 10mi Tubes Posltlve/Tbtal 10mi Portions Collform/100ml BGB. Co~/lOOml Time, ~'~('/ /~' ~ .~- ~L'~"~ a.m. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property-Owner: Mailing Address: 3. Legal Description: 4. Location: ~ 5. Type of facility to be inspected t~==~-~-~--~ 6. Well Data: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Phone: Phone: e A. Type . B. Depth No. of bedrooms C. Construction ~ Sewage Disposal Syst_em: c'~m~-~-~7~ A. Installed ~'~"~ B. Installer Analysis C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages .P~age 2 of two' pages - Re L ega.1~ De~cri pti on . ~-~ for~Approval of Individual & Water Facilities Oo~hmen~'s Approved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) GREATER ANCHORAGE AR~:,, DOt,OUC-'.II Departmeni: of Environmer;tal Quality 3330 "C" St.~ Anchorage, Alaska 99503 -274-4561 REQUEST FOR APPP, OVAL OF INDIVIDUAL SEWER & WATER F'ACiI. ITIES Type of Inspection: CMRO VA Property Hailing Address: D~L){. Phone Phone Mailing Address: Name of Realtor or Mailing Address: Loca ti on: Type of Facili't:y t:o be ins~.n~"~d: ' . .~.__~.' ............ x4~ No~ ...... Bdrms~::.~ .... z~ .~.~ 5upgly Type of Supply' Public [ltility I'ndividual ~/ If Individual: number o'F dwellings presently served .... /_ ..... If Indiv'idual~ depth of welt Sewage Di sposai' System Type .of S~stem: Public Utility Individual (on--site) J I f I REQUEST FOR. APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) 2. i~1oi ~~n o~ne~ ~~~~ 4. Number of bedrooms in house 5. Water Analysis: 6. Well date: c. Casing Size_~.. d. Distance from well to closest existing or proposed: 1. Sewer line~ 2. Septic t a.n~~, 5. P~ope~ty 6. Other sources of ~ossible co,tem&ndtion~.i.e., creeks, houses, ba~n~ drainage 81tch, etc. ~/~ ?. Sewage disposal system. / lakes, a. Age of system _7~ ~. . c. Name of septic tank manufactum, er ~ 1. If "home made" show diagram on reverse side of this form. d. Disposal field or seepage pit size and type Distance tO property line 3 ~, _tO house foundation ~ ~_._. e f, Percolation Test performed by Use the reverse side of this form to show diafram. Diafram should include the following information: ~opepty lines;.well location, house location, septic tank location, disposal area location, location of percolation test, and direction of ground slope. The information on this form is true and correct to the best of my knowledge. / Sight, tUt6 Of . - Date sig~ed " TO BE FILLED OUT .B,Y,, HE,ALTH DEPAET~.~ENT PERSONNEL :ne sbove described sanitary acllltles are hereby approved, subje~ct to the ............ ]~6'!lo,wing con~l~:ffr~ons: ............ Conditions: The above described sanitary facilities are disapproved for the following reasoRs: %~/~: o~ ~i~:~:~ ~t~ ·, .',..,-:,., ~.~.,,:~:' Approval is valid for one year following the date of approval. CPJ: cw