HomeMy WebLinkAboutKRAMP BLK 2 LT 1017,!
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APPLI¢ NT FILLS OUT UPPER HA; ONLY
Address ~¢? .~ .~. ,
Lending Institution /~ ~
Address /. ~/~ ~ Zip Code
~_egalDescription /~ "~ / :~
Street Locati¢ ./.~//~_/~¢ ¢ %~-. ~.f/ /[;~.2// ~/¢
Type of Residence
~ Single Family
~ Multiple Family No. of Bedrooms_~__
~ Other
Phone
Phone
Phone
Water Supply
/~. Individual ATTACH WELL LOG. A well is for all wells drilled ~ince Juno 1975.
log
required
[] Community For wells drilled prior to that date, give well depth (atlach Io§ if available).
[] Public Utility
Sewer Disposal
~ individual Year ledividual Installed:_
~ Public Utility When Connecled to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED
Time Time Time Time
Date [)ate Date Date
Inspector Inspeclor Inspeotor lespeotor
Field Notes:
MuNICIPALiTY OF ANCHORAGE
E'EPT. OF 14,,c/',Lf!i &
ENVI RO;'..;¢l~'q~ AL p~.Of ~CTtOI~
.EECEIVED.
(.~,~.-). APPROVE D BEDROOMS ) DISAPPROVED
) COND).TIO~N/~.L APPROVAL'
DA'rE ..-',
'CONDITIONS OF APPROVAL
Soils Rating Date Sewer Installed
IWell To Absorption Area
Well to Tank
Well Log Received
Septic f~qk Size
NHA WTH O RNE-EN G INEE RING
NHAWTH¢)RNE ~ ENG[Nr-'ERING
7127 Old Seward Higi~way
/\rich,, AK 99502 344. 4711
BOULEVARD
ALASKA 99,503
9~
September 27, 1983
Alaska Department of Environmental Conservation
437 E St.
Anchorage, Alaska 99501
RE: Lot 10, Block 2, Kramp Subdivision, Anchorage, Alaska
Sirs:
This is to certify that I have inspected the installed well on
tile above named property. The dwelling is a single family residence
and is served by municipal sewer as shown on the attached sketch.
Well casing height above ground, sanitary seal, and site grading
are per your regulations.
Sincerely yours,
Neil Hawthorne
Engineer
S 89°b-6'OO"bZ
69.9~
\.
15/
44. 9~3
C£ ED
Lo/ II
~ Yk-L/
0o¸,
AS LPUILT SURV£Y
dAMES B. RODGERS
Rog/stored tonal Surveyor
SR4 Box 1618 G
Anchorage, A/osko 99507
Ooto J Scolo orwn. by
'7-1S-e~J I'/=~o' ?J-?
(90I?.~46- 0927
I Gr/d
Shoot
HEMICAL & GEOLOGICAL LABORA3'ORIES OF' ALASJ~A, INC.
TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER
5633 B Slreet
Drinking Water Analysis Report for Total Coliform Bacteria
WATER SYSTEM:
Water System Name
City State
MO, Day Year
I.D. NO.
SAMPLE TYPE:
Routine
Check Sample (for routine sample
with lab ref. no._ .J
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
READ INSTRUCTIONS
Presumptive
Time Coilected
Collected By
BEFORE
COLLECTING SAMPLE
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
~'~'atisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over ,48 hours old at examination to
indicate reliable results. Please send new
samp{e via special delivery mail.
DateRecelved ~" 2~'0¢ :l
Time Received /~ ~ '0
An;dytical Method:
[] F.'ermentatlon Tube
E3~,Membrane Filter
Lab Ref. No. Result* Analyst
$
J
j I-T-]
J
I FT']
BACTERIOLOGICAl- WATER ANALYSIS RF. CORD
EMB
Multiple Tube Report~
~rnbrane FIIter~ Direct Count
Verification; LTl]
Final Membrane FILter Resultl~ ~'~,
R,porl~ By ~ d-1 ~~~,' , ~.D.t.