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Home My WebLink AboutKESTER LT 56E/ , 5C,4L E /'~' 30' /oz. v7 3~//ILT I hereby c.rtify that I have ~urveyed the following de~cribed property, Lot x~;'g ~Block~.- ~ '.~--"~'.~ -~-~'~- J~/J'/'<?/~' Anchore~recording Precinct. Alaska, and that the improvements t~tuated ther~n are within the properly liner and do nol overlap or incroach on the property lying adjacent thereto, that no improvements On property ~ Eying edjaclnt thereto incroach on the premisel In question and that there iri no to.ways,' l~lnImls~ion linll or othir visible libretti on ~ld pro~ Ixc!pt il indi~t~ her~n~ ; I Book No, 4D'O/t No, 12.. MUNIC~PALI'rY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmenlal Sanitation Division 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER MAILING ADDRESS 259 Kester Circle 2. LEGAL DESCRIPTION Lot 56 g Kester Subdivision I ] OTHER (l)escribe) 3. TYPE DWELLING !..') SINGLE FAMILY RESIDENCE I×¥ MULTIPLE FAMII_Y RESIDENCE ,1. WA] ER SUPP.LY Ii~l INDIVIDUAL Ix'~ COMMUNITY/PUBLIC 5. SEWAGE DISPOSAL · [Z] INDIVIDUAL/ON SITE ,~: PUBLIC UTILITY I~] HOLDING TANK (Maintenanco'F~equire.,:l) APPROVED FOR ___[_o?._~-_ ..... BEDROOMS CONDITIONAL APPHOVAL (Se{; A~.tached) DISAPPROVED )AF[ Octobe~ 12 IJl,I (3/78) ~=,, ¢ '2 ' ~' ~' /'/ D,~TE RECEIVED INSPECTION APPOINTMENTS~. ~ /~.Z~7,~,~j(~j~_ DATE DATE [~ ~ ~ t v/~ DATE INSPECTOR DEPT. O~ H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~EON~ENTAL pROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION OCT 1 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ~1. PROPER~WNER ~ PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE PHONE M~l king MAI LING ADDRESS 4. REALTOR/AGENT PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION ~TREET LOCATION 6. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One ,~- ~ Four [] Two [] Five [] Three [] Six Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *'ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log 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) ~L~2/~~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY E3 ONE [] THREE E~] FIVE E~ OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVI DUAL 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 []Septic Tank or E~] HoLding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS (~}.~PROVED FOR ~'- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE BY 72 010 (Rev. 6/79) Time '~__i Time .~ ~e ~Date Date Date Inspector Inspector inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner .,,.~-~_,~.,~,~ ~'~.,L~--,.0J~ Phone Buyer Address Lending Institution Phone Address Phone Realty Co. & Agent ', Address Legal Description I~ L~(o- ~ ~:~ 1~-~ -~"~- ~ ,~ /,~ Street Location,, ~;'~)~ Type of Residence ~Mngle Family ultiple Family No. of Bedrooms [] Other Water Supply p~.ndividual ATTACH WELL LOG. A well log is required for all wells drilled since June Ira' Community 1975. For wells drilled prior to that date, give welt depth (attach 1og if [] Public Utility, available.) Sewage Disposal ~,l, ndividual Year Individual Installed: E~ Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time '~j; Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sev~r Installed /~/- Permit-'R'o. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner~~ F~ ~ Phone Buyer tflX- ~ Address Lending Institution ~-X~C~ ~lW ~~ ~ Phone Agent~~____ ' ~ Phone Realty Co. & ~ Legal Description/¢ ~ ¢ ~ Street Location 4~--¢ Type of Residence ~ingle Family ~ultiple Family No, of Bedrooms Q Other Wat~upply ~ Individual A~ACH WELL LOG. A well Icg is required for all wells drilled since June D Community 1975. For wells drilled prior to that date, give well depth (attach Icg if ~ Public Utility available.) Sewage Disposal ~lndividual Year Individual Installed: ~Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH BEQUEST BEFORE PROCESSING CAN BE INITIATED, C~HE~ICAL & G~OGICAL LABORATORIES .¢~' ALASKA, INC.~ TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-33S4 §633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. Phone No. Mailing Address City State Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose Zip Code [] Treated Water [] Untreated Water SAMPLE NO. t I Time Collected LOCATION Collected By " ~ ~ ~i [' ~'~ /'' ~. ".'c, i; ~"' ','~'"'' "/f;' I TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too ong in transit: sample should not be over 48 nours old at examination to indicate reliable results Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* I CT-] *No. of colonies/lO0 mi. or No. of Pos~bve porl~ons Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collecteci Source Time ReCelveCl p.m. Lab. No, 24 Hours 48 Hours Confirmatory L 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 1Omi Tubes Positive/Total 1Omi Portion! Membrane Filter: OlreCt Count Coliferm/lOOml verification: LTB BGB Fna Membrane F ter.Re~ultS~ Collform/lO0~l Ted Forsi and Associates, Inc. 124 East Seventh Avenue * Anchorage, Alaska 99501 · (907) 274-9517 P.O. Box 2470 · Soldotna, Alaska 99669 · (907) 262-5531 January 4, 1982 Municipality of Anchorage Department of t~alth and Environmental Protection 825 L Street Anchorage, Alaska 99501 ATTN: Robert C. Pratt Subject: Well Inspection, Lot 56E, Kester Subdivision Dear Sirs: On December 31, 1981 an inspection of the private well located on Lot 56E Kester Subdivision, at 259 Kester Circle, Anchorage, Alaska, was made. The G inch cased well is located on the west side of the building and is in a 6' x 6' x 6' - 8" masonary well pit. The casing extends up to the top of the pit which is approximately 12" above the surrounding ground surface. The hydro- pneun~tic tank/well pumping equipment is located in the well pit. A sewer service line cleanout is located 6 feet south of the well and the b~dlding is connected to the Municipal sewer system. I took a bacteriological water sample from the first floor kitchen sink and the sample was taken to Chemical and Geological Labs where is was found to be satisfactory. On October 22, 1980 an inspection had been made and the well had been approved by your Department. Based on my on-site inspection and water test results this well presently meets the Water Well Standards of the Municipality of Anchorage. If you have any questions, feel free to contact this office. Sincerely, TED FORSI & ASSOCIATES, INC. · John T. Lovett, P. ~. Civil Engineer Engineering · Planning · Surue~ing