HomeMy WebLinkAboutKNIK HEIGHTS BLK I LT 22
oGRE:'ER ANCHORAGE AREA BOP' 'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS ~ /~(~z~¢¢'~-~ PHONE ~"~Y/¢'~/'7//
. .~¢~ LEGAL DESCRIPTION ,~,//Z ~2~-2 L~2~~'~ .//[/'// ./~/~'
SEPTIC TANK:
DISTANCE /
FROM WELL
INSIDE LENGTH ~'~
MANUFACTURER ~¢-- ~'/~///g) m/'g' MATERIAL
NUMBER OF
COMPARTMENTS //
INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY /¢~J~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / . DIAMETER
LINING MATERIAL4~d~., g~/~'/Cff~/-~RIB SIZE:
BUILDING FOUNDATION _F~ H,
ADDITIONAL ABSORPTION _~
OR WIDTH/~_,
DIAMETER-'
NEAREST LOT LINE ..9.~ ~
LENGTH /~, DEPTH __,:'.~ /
DEPTH ~ DISTANCE FROM: WELL_
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ..~/--~ _SQ. FT.
WELL:
TYPE ,/~/~/,~',~z'~ CONSTRUCTION
BUILDING NEAREST
FOUNDATION /~-M LOT LINE
NEAREST
SEWER LINE
DEPTH ./,~.,/'~ /
-- - - DISTANCE FROM:
SEPTIC SEEPAGE
TANK f/'~ / SYSTEM ./¢¢~ /?~
CESSPOOL
OTHER SOURCES~/_/7~/& ~/,~-~/,~
APPROVED
DISAPPROVED REMARKS
D I STA NC ES
INSTALLED
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
G.A.A.B.
ANCHORAGE
AREA BOROUGH
~~l IH~I~1~ DEPARTMENT OF ENVIRONMENTAL QUALITY /~/v PERMIT NO.
~ 3330 'ICI' STREET ANCHQRAGE, ALASKA 99503 ,/
TELEPHONE
SEWAGE DISPOSAL _~YS~ ~.~PPLICATION AND P~RM~T
NAME OF APPLICANT . ~ r MAILING ADDRES
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT__ DRAIN FIELD
OTHER
~i-flS PERMIT I$ I~OT VALID WITHOUT SOIL 'i'E~T
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYS]'EM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT 'FO PROSECUTION.
MINIMUM DISTAN(:ES. RE(~UIREMENTS
FOUNDATION TO SEPTIC TANK
SEPTIC TANK TO SEEPAGE Pit WALL
DRAIN FIELD
., DRAIN FIELD
~-~ ~" , DRAIN FIELD
t00¢
, SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
GRAVEL BACKFILL
CONFOI~M TO BOROUGH/ REG/~_ATIONS REGARDING INSTALLAT]ON.
LICENSED DESIGNER
ENG ,;-5. ERING & GEOL(}GIC,' CONSUL]'ANTS
22{3 EAST Blst. AVE. -- P.O. BOX 6087 - ANCHOFtAGE, ALASKA 99503
TELEPHONE 907--279--0483 TELEX 090-35419
Geolo#ists Land Surveyors
.~.,,,,~ .. : .......... ~ i ',"- ........ ~;-;:;,,~L ,.. ,_:~ , :2~,, ,', RALPH R. MIGLIACCIO
I1E C'E J. V E D'
August 14, 1973
P~i'T, OP ~NVIRONMI~NTAb ~'m~,r:
R & M NO. 36647
Mr. Leo Sav~yer
Box 10105 Klatt Station
Anchorage, Alaska
Re: Test Hole and Soil Log Report for Sanitary System,
Lot 22~ Block I, Knik Heights Subdivision
Dear Mr. Sawyer:
We are submitting herewith a description of the soil stratifi.-
cation at 'the subject site and our conunents regarding soil
conditions encountered. This investigation was performed in
accordance with your request of August 14, 1973, and those
procedures outlined in a letter dated September 13, 1971 by
Mr. Roll Strickland of the Greater Anchorage Area Borough Depart-
merit of Environmental Quality.
A single test hole was put down within the Lot 22 area for the
purpose of defining general subsurface soil conditions for 'the
proposed sanitary system. Excavation was accomplished with an
auger type drilling rig and the 'test hole was extended to a
total depth of 13 feet below ground surface° The following
stratification was determined from samples reported by the
driller and left at the site for subsequent inspection by R & M
personnel on August 14, 1973.
0' -' 3 5'
3.5' - 8'
8' -
Soils Classification
C)rganic silt trac:e sand ML,~/~
Silty fine sand-trace gravel '6M~2~
Sand fine grain trace to
some silt and gravel. SP-SM~'gp
Grou~]d water was not encountered in -the test hole.
A,'";C HO FlAG E FAIiqBAN[<S .ILJNEAtl
Mrs Leo Sawyer
Augus-h 14, 1973
Page 2
We appreciate being given Chis opportuni%y to be of service
'to you. Should you have any ques-hions with regard ko -hhe
above, please do not hesiha~e %o con-hac-h us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
i~ames W. Rooney /
Partner
J~'~R: ph
xc: GAAB
R&M ENGINEERING & GEOLOGICAL CONSUI.i'ANTS
I:'lSI;.ffd t T iqC[.
F:IPPI. I CFIN T
LOCFt]' t ON
I.,..[/(!il::lt...
"1"~"I:::'t![ OF SCi I L FIf3SOi:~P]T I ON ':'?'r':::TEM I S;: TRENCH
I"'11:::1;:':; I MUM I",II...li'"lFi:[ii:l~'. f' I::' [3[~:[:'[;~:(:ICIMS = :i: ?~ I:;~:1::1"1' I IqCii
IX
I'I'tE R[~)]:!IJ :[ RED S 1 2:I:E FIF TH[!: SO l L f:II:i:SOI:~:F'T '[ K F,! 'S "r'c; "1~iI~:'1'"1 "'::' '
lrr~"ll[~ LENG"I"H DII'"IENStCdq IS TI...I[~:.~ L. EIqISTH ~.'.~l"ll FIZZ21') O1::
'rFHE [::EF'TH OF I:1 ]RENCH OR F'IT-~; TI"-IE I.~[ST~NCE [::[:T.,.EF~I 'Ft-~ ~ ':::1 F'FF-' ::' -F .... .. ::'
(:~I:~0:]I...IND I:::tN[) THE [~,OT]' OM OF THE E~CFI'v'FI"t' ~d~[~:,l ~:: I f.,! FEET ::, / ...............
I:::tN[) THE [~:OT'I'OM i]1[:' Tt. IE [~]:'::CI:::I'v'FIT.~ff.,I ~II'.~ FEE'T'). ~
................................................... x, ' .... , ". .... ::::- .ll~:;~:jl.. ~ I~.s:~ ~::~,.~1...~ ~::::;:!1 P..._. ~.... ~[!~ ~"-,,1!
I..,FI(..:I...~ II.:...I:N OF HN'r .:,'r.:,T: HI I'HOIJI I':I>~FIL IN.SFEC.~':~:L~N I~ND~"ff"PROVI'hL. bY IH.I.b
I}:PF'IR'TMEN"f' L ~E :;tJ~:L!F: TO PF'r'cFF ]"I'"N ~ "x ~ "'
..... .? ........... ,,,,
H :t: N ): MUM ~:,ETP.t:EN HELl.. I::1~:,1l} FIN¥ Cff',I""S I 'T'E SE~.:t~[:~ D
"' [ .... ~. ,
FEET FOR ~ .... I~ 14E I....~ ..F~ ":
OTI...IEI~: RE~::~U ii'S; Mt:F,.' I::ff::'~ L"r.. :SPEC l F I CFFf' ]~..OI",IS FIN[)
F:t'v'F:t:!:I_.F:IE',L.E TO I.~L "'[: f::'R ~[F' ~.[ ..... ~4:~S"t"FII...LFITI TN '"X~
]: CER'T I F"r' 'I]'"IF/'[ ~ ~ X.
..!.. ) Ht'~,,FHM.I.L. 1Hk I,.I.I. FH IH~:. F,~E~>P...~.I.R:I"~[:Nrb ~..~,~ uN....S:~'r'l::~S[:'~,.ll:~:~
F'OR'I'H :~. TI.IE I"ll...IN:[C~iF'FIL. IT'~; 0::' FINCI-K'~FIi:E' ~.;
]:: I UN[:,ERS'I"F~ND 'f'F.IFr~' 'THE OI'.,I-'.SITE SEI.,~ S'~.'STEM hIFFF:I:?:~ J~RE EI',II....Fff~:]::~I::MENT ~:~:'.:' THE:
RE'.S :[ [)f.:I'.~CE I S REMO[:,EI..:::D TO ~ IqCL. IJDE MOK: 'I'HI::IN ]~: 8EDI:b2~
August 21, 1979
Vickie Ropp
Star Route Box 1588-E
Shelburne Road
Anchorage, Alaska
R&M No. 951272
Re: Adequacy Test on Existing Sanitary Sewer System; Lot 22, Block 1, Knik
Heights Subdivision, Anchorage, Alaska
Dear Ms. Ropp:
Per your request of August 17, 1979, we conducted a test of the sanitary
sewer system on the above described property.
The septic tank was pumped prior to the performance of the test on the
seepage pit. During the test the liquid level in the seepage pit was
measured before and after the addition of 1,000 gallons of water. All liquid
levels were measured below the top of the standpipe and are shown in the
following table:
Initial Water Second 24 hour Total
Reading Added Reading Reading Drop
(gallons)
98" 1,000 67.5" 92.5" 25"
The water level rose 30.5 inches with the addition of 1,000 gallons of water,
indicating a capacity of 32.8 gallons per inch. Twenty-four hours later the
liquid level was again measured and found to be 7.7 feet. It had dropped 2.1
feet or 25 inches. This indicates an average effluent acceptance rate of 820
gallons per day for the surrounding soils. If the three bedroom residence on
the property is to house six people, the average load on the system can be
expected to be 450 gallons per day. We can therefore conclude that the
system is disposing of effluent at an adequate rate for a three bedroom
residence.
We appreciate this opportunity to be of service to you. Please contact us if
you have any questions regarding this letter or if we can be of additional
service to you.
Very truly yours,
R&M CONSULTANTS, INC.
Ernest R. Rahaim
Staff Geologist
ERR: GS/rm/AT&SI-W
Manager
APPOINTMENTjv DATE RECEIVED
INSPECTION
TIME TIME :J TIME
DATE DATE DATF
INSPECTOR INSPECTOR INSPECTOR
DER]', OF H~/d.'IH &
MUNICIPALITY OF ANCHORAGE ~NVIRONMENTAL PROTeCTiON
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501 f~
Telephone 264-4120 R E C E I V E D
BEQUEST FOB APPBOVAL OF INDIVIDUAL WATEB AND SEWEB FACILITIES
DlflEGTION~: Complete all parts on pa~e 1, In:omploto reques~ will not be procossed. Please allow ten (10) davs for processing.
PROPERTY RESIDENT (If different from above) ' _ y J PHONE
MAILING ADDRESS
3,
INST~ TUzTION// ~ ,
PHONE
4, REALTOR/AGENT ] PHONE
I
MAI LING ADDRESS
6, TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL°*
[] COMMUNITY
[] PUBLIC UTILITY
NUMBER OF~BEDROOMS
[] One ~] Four [] Other
[] Two [] Five
,J~ Three EZ] Six
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give wel
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ///
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~INDIVIDUAL/ON -SITE DATE INSTALLED
[]PuBLIc UTILITY
Connection Verified
INSTALLER
F-1Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
b XPPRoVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED /~/
DATE B~
CHEMICYlL & GL'_ LOGICAL LABORATORIES t~. ALASKA, INC. ~~
' T E LEPHON E (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER ~~~
: 274-33~ 5633 B St reet ~~~
Drinking Water Analysis Report for Total Coliform Bacteria -~~
TO BE COMPLETED BY WATER SUPPLIER
I.D. NO.
Woter System Nome i Phone No.
Mailing Address
City State Zip Code
Mo. Day Year
SAMPLE TYPE:
[] Routine ~>
[] Check Sample (for routine sample
with lab ref. no. _)
FI Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO,
t
2
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
~ Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] ,Fermentation Tube
FI' Membrane Filter
Lab Ref. No. Result* Analyst
L
*No of colonies/lO0 mi or No of Positive portions.
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev, 3.978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Dote Collected Source
Date Received __Time Receive0 p.m, Lab. NO.
Orosumptlvo lOml , 1Omi 1Omi lOml /Omi 1.0mi 0.1mi
24 Houri
48 HOURS
Conflrmotory
24 Hours
,48 Hours
EMB Broth 24 hours= Broth 4§ houri:.
Multiple Tube Report: 1Omi Tubes Positive/Total i0ml Portions
Membrane Filter= Direct Count Collform/100ml
Verlflcat Ion: LTB BGB
Final Msmbrane Filter Results Collform/100ml
Reported By · . Date
Tlme:~ .a.m.
) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE(~{~AL
826 L Street - Anchorage, Alaska 995{~,1
ENVIRONMENTAL ENGINE ING b v s oAJ
Telephone 264-4720 ~ ~ C ~ J V ~D.
REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1, Incomplete reqaests will not be processed, Please allow ten (10) days for processing.
1. PROPERTYOWNER.~ ' j PHONE
~{OPERTY RESIDENT (If different from ~ove}' -
PHONE
~AI LING ADDR ESS
3. LENDING INSTITUTION / ·
~AI LING ADDRESS
~. LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESIDENCE
~'~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
NUMBER OF BEDROOMS
[] One ~] Four ---] Other
~] Two E~] Five
~ Three El Six
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975, For wells drilled odor to that date, give wel
depth (attach log if available.}
y INDIVIDUAL/oN.SITE*
[] PUBLIC UTILITY
**If individua/on-site, give installation date d~/~'t"~/<=
If system ~s over two (2) years old an adequacy test, is, required
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78) Huffman Road to Shelburn, .5 miles in on the right, a log house
comes first, then a reddish chalet also on the right.
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR I NSP ECTOR INSPECTOR
' DIRECTIONS:
I, TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
)ERMIT NUMBER
2. WATER SUPPLY
-[~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED L..~)
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
-~ INDIVIDUAL/ON -SITE DATE INSTALLED
E]PUBLIC UTILITY
Connection Verified INSTALLER
{~[]Septic Tank or E~ Holding Tank
Size: ~ If Tank is homemade SOILS RATING
give dimensions: ,r~ C(~ o~. -~.~_¥ -
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERI,~L
o~ ~'.-~,.¢~..~_ Q,~'v - lq~ Iq, ~' L~, o-~_~.
4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
"APPROVED EOR ¢ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" Street, Anchorage, Alaska 99503 274-4561
Date Received May 27, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
5.
6.
Alaska Mutual Savings Bank % Fran
Post Office Box 1120, 99510 Phone:
Susan Gresham & Vickie Ropp Phone: 279-0516
NHN Shelbarn .S~[[ a/~__ ,]J~ /.~'~,~'.~- ,~
Lot 22 Block I Knik Heights Subdivision
274-3561
Location:
Type of facility to be 'inspected
Well Data:
A. Type Individual
Single Family
No. of bedrooms
B. Depth
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field: Total length of lines
8. Distances:
D. Bacterial Analysis
B. Installer
Size /L~LgO~?~ 2. Manufacturer
Absorption Area ~ 2. Material
Susan
A. Well to: Septic tank
Nearest lot line
, Absorption area
, Other contamination
__., Sewer Lines __
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
~.~,i.~.-~'~.~'i~.~ .i'~6'Partment of Environmental Quality
kq~!~l!~~¢!!<,,:~.~:~2330~.,.O¢.~;iSt., Anchorage, Alaska 99503 ~ 274-4561
REQUEST FOR APPROVAL OF
i~i~-~"iCi~,?LiI~NDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO , VA FHA , CONV
Proper'ty Owner: ~~ ~ -~ ' ~ ~'~- ~-L~/~ ' --
2.
3. ~,~m~ ~f Buyer:,~~~,~4~ :.
Mailing Address: D~y Phone
4. Name of Lending ~nstit.tion: ~~Z/-,
Mailing Address' 0, /~¢ Pho~.~-~
5. Name of Realtor or Agent:
Mailing Address:
Phone
Legal Description:
Location:
.Type of Facility to be inspected:
Nater Supply
Type of Supply: Public Utility ..... Individual /~_
If Individual, number of dwellings presently served .... L
No. Bdrms.
If Individual, depth of well
9. Sewage Disposal-System
Type ,of S~stem: Public Utility
If Individual, date of installation
Individual (on-site)
Page 2 of two pages - Rec ~t for Approval of Individual S ;r & Water Facilities
Legal' Description Lot 22 Block I Knik Heights Subdivision
Comments : ..
Approved Disapproved ..... Date
Apprg.w%~_~Valid for one year from date signed
Greater Anchora e~ea Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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)
06d 220(a) Rev. 1973 :
' Lab No. _ __
DATE
ALA,~ DEPARTMENT OF HEALTH AND SOCIAL SE' IES
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI,PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
INDIVIDUAL [] SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
REPORT RESULTS TO
NAME : '] :' 4
ADDRESS
CITY : : ~
ADDRESS , , · . .' ::
~OF SOURCE ; ,' :
COMPLETE THIS SI:CTION
ONLY IF WATER I$ AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
[)ATE COLLECTED : TIME COLLECTED / ~ ' ' ' / /,7
Sample Collected From E] Kitchen Tap [] Balhroom Tap [] Basemenl
[] Other (Lisl)
Well- [] Dug E] Driven [] Drilled
SOURCE: [] Spring [] Clslern [] Olher
Dug Well or Cislern Construcllom
Walls--[] Wood [] Concrete [] MelaJ
Top -- [] Wood [] Concrete [] Metal
LOCATION:
[] In Basement [] Basement Offset
[]In Yard [] Other
Building Sewer
DISTANCE TO: or Other Drainage Pipe
Tile Seepage Cess-
Field_ Feet. Pit Feel. Pool. --
Other Possible
Sources of Contaminalion
MATERIAL: Building Sewer- [] Cast ken [] Wood [] Tile
[] Plastic Joint Material - Type
GENERAL: Does Water Became Muddy or Discolored?
When?
[] Bored
[] Tile Brick or
[] Open Top [] Concrele
[] Under House
Septic
Tan~_ Feet,
Feel, Privy __ Feet.
[] Fibre [] Asbestos
Cemenl
[] Yes [] No
Diameler of Well
Well Casing
Material Diameter
Length of
Drop Pipe
Offset in
PUMP LOCATION: [] in Well [] Basement
On Top
[] Of Well [] Olher
PURPOSE OF EXAMINATION: Illness Suspected?
New Source of Supply? [] Yes [] No
Deplh Feel.
Depth
Water Depth
From Boltom Feet,
[] In Basemenl [] Room
[] Y~s [] No
Repairs to Syslem? [] Yes [] No Signature
OFFICE
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsafisfaclory
[] 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.
SANITARIAN'S REMARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
I]6-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1973
~ctose Broth lOcc 10cc I0c¢ 10cc t0cc 1.0cc t,Occ
24 Hours
48 Hours ·
illlant Green
24 Hours
48 Flours
EMB AGAR
Lactose Broth, 24 hrs.
Coliform Densily ~
MF Results
48 hrs.
(Most probable No. per 100cc)
Reported by ' Dale ~[ : ;' a.m,p.m.
This analysis indicates Coliform Organisms to be: Absent
GREATER ANCtiOPJ\GE AI~EA BOROUGIt
3500 Tudor Road
Anchorage, Alaska 99507
s- 2595
PLAT STATUS: Preliminary
BOROUGH:
Platting Engineer
Public Works Department
· Dep.aTtment of Environmental Quali~y .
Fire Department
Street Names
'Tax Appraisers
School DJstrict
OTHER:
Alaska Department of Highways
Alaska Railroad
Anchorage Natural Gas Corp.
Central Alaska Utilities
Chugach Electric Association
CITY
DATE: December 29, 1971
OF P~NCIIORAGE:
Fire Marshal
Municipal Light & Power Department
Property Management Officer
Public Works Department
Telephone Utility
Traffic E~ineer
Water utility
GAB Telecommunications, Inc.
Matanuska Electric Association
Matanuska Telephone AssociatSon
Assistant Superintendent of Mails
Alaska Department of Fish & Game
DESCRIPTION OF PROPERTY:
Add #2 (West) KniCk Heights Subdivision
OWNER:
R. C. Davis, F. M. Lindsey & Jerry A. Klingel
Gentlemen:
A petition has been received by the Greater Anchorage Area Borough Planning
Department {~r the proposed Subdivision of subject property for the
January 26, '1972 Planning Commission Meeting.
Attached is a copy of the proposed plat. WJ].i you please submit your comments
in writing, specifying any easements or other requirements that your department
'or agency may need.
If we do not hear from you by January lB, 1972 , we will assume that you
do not wish to submit any comments.
If you hav~ no further use for the attached print, please return it with your
Planning Department
i:[ IlO lo s ur e
,'3
DTI000854
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D E~ F E L 0 P M ' E AZ T
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ROAD
TING ,.R'IVIK HEIGHTS D£ FEL OPA~ EiVT
U IV3 ~Z~ zD t FID EL}
Road
GRIFFIN
N