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April 27, 1978
~77214
Earl Struck
Post D~:zic~ Box 4-~1326
Anchorages. Alaska 99509
Subject ~- Permit Expiration
A permit issued by this depar~nent for wall and/or on-sit~
sewer instal] at~ on on .Lot 2 Block 1
has expired since the issue date exceeds on~(1) year.
In the ewmt you still plan to ins~;.a].t the well re%d/or
on-site sewer system, a ne~.~ permit is requ. ired. The oriqinal
soil test may be used to obtain a current per)nit.
~f the well has been drill,]d, a wall ].ou should be sen~.
to this department to doc~u,~nt the inskallation date°
If you have any questions regarding %he above
please contact this office i~an~ediateiy at 264-4720.
Sincerely,.
Les
Senior ~]nviromnen{~a! Specialist
3'.ai IX J n
GREATER ANCHORAGE AREA BOROUGH
Department of Environmon%al Quali'chy
3500 Tudor R.ad, Anchm:age, Alaska 99507 279-8686
Date Received '~//
Time of Inspection
Date of Inspection
REQUEST FOR AP~oROVAL OF
tND.T. VZDUAL SEWER & ~"IATER FACILITIES
Address~ _~ ........... ' ~ :
5. Type of Facility ~o be Ivspected:
Number of Bedrooms:
6. Well Data:
7, Se~aqe Disoosal
B.
D.
Bacterial Analysis
A. Ins%ailed g. Installer
g, Septic Tank: 1, Size ........... 2, Manufacturer
D. Seepage Pit: 1. Size 2. Material
,...u Disposal F~e].d:
( ,es .- '-
Total Length of Lines
Distances:
Bo Well To:
'3~,rr~-C-"F~ .............. , Absorpt;ion Area ~,'~ }6 , Sewer Lines
, Nearest, Lot line ~(2 , Other Contamination . ~
Foundation to Seot~c Tank ";, Absorption Area.._~. [~
Absorption Area to Nearest I.o% Line ~_ ~;> ~
aeCfaest for Approval of 3
Page Two
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request fo].' approval to be a true
and accurate representat~.on of the subject sewer and water facilities located
Signed Date
10-55 - 5M ' Lab. No..
INDIVIDUAL WATEB SUPPLY
Sou%hcentz'ai HeEler, '~
4- ~1~i ALASKA DEPARTMENT OF H~ALTH omc~
DATE Section of Sanitation and Engineering
ACTION ON BEQUEST FOR BACTERIOLOGICAL WATE~ ANALYSIS
from the Individual Private Water Supply
serving ~, ~.~ ~ ~.~De
~eceived, and
examination ha~ been completed.
Records in this of/ice indicate this Individual Private Water ~upply ia be oi ~ Satlsiaciory~Questionable Unsatis/acto~y
sanitary status.
Analysts shows this SAMPLE to be Satisfactory. Questionable Unsatisfactory.
If an "Unsatlsfacioryf' or "Questionable" status is indicated above, yon should take immediate action as recommended b~low.
1. Boil or chemiccdly treat your water supply to protect you~ family from water-borne diseases as outlined in en-
closed leaflet, "Drink It Pure."
2. Improve your sp~ing- 5es bulletin H~E-6-2
3. Improve your cistern -- See bulletin HSE-6-3
4. Improve your dug well- See bulletin H~E-6-4
5. Improve yonr driven well -- ~ee bulletin H~E-8-5
6. Improve your drilled well- See bulletin H~E-8-8
7. Relocate your well to a safe locattan in relationship to your sewage disposal system-- 5es bulletin H~E-15
8. Bottle broken In transit, please send new sample.
9. Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable
Please send new sample.
10. Contact your nearest [] Local Health Department or [] Alaska Health Department, Sanitation office for
bulletins, consultation, crud c~ssistance.
11. This is a surface water source and subject to pollution by man and animals. An approved wate~ supply source
should be developed.
!t'~am Form Must Be Filled
Out Completely.
INDIVIDUAL WATBR SUPPLY
AI, ASKA DI/PARTMENT OF
Section of Sanitation and Engineering
Please Look on I~ever~e of
Sheet for Sample Colleotil
Instructions,
Request for ,Bacteriological Analysis
Water sample collected (Name of per~on collecting sa p e) f fDate) (Time)
Water sample collected from ~Kltchen tap; ~ Bathroom tap; ~ B~ement tap; ,~ [ [ ·
/
Addr~s ~remi~e where ~ource ~ l~a~ed ............. ~ ............ ~....~ .................................... '4...~.~L..{...:-.~~
(~r.) ~ ,
......... ......... ...............
(Name) ~ ibex No. or etreeL ad,ecs) (City)
Please place ~n "X" in ~he box before l~m8 which b~g desc~be your wa~er supply:
SOUEOE: Well ~ ~ Dug, ~ Driven, ~ Drilled, ~ Bored ~ Spring, ~ O~em, ~ Ogher (lisg) ...............................................................................................................
~ Cree~, ~ River, ~ Lake, ~ Pond ..................................................................................................................
DUO ~LL
To~ ~ ~ WooO, ~ ~oneroge, ~e~al, ~ Open Top
LOCA~ON: ~ In basement, ~ Basement offset, ~ Under no~e, ~ In yard
Other .....................................................................................................................................................................................
DISTANCE TO: Building sewer or other drainage pl~....~.feet, Septic ~nk ...~ ....... feet, Tile field ..............
feet, Seepage pit/~....feet, Cesspool .............. feet, Privy ..............feet. Other p~slble sources
of contamination (l~t) .............................................................................................................................................
~,~: Building sewer ~ ~Cast iron, ~ Wood, ~ THe, ~ ~bre pipe, ~ Asbestos cement
~oint material -- ~pe .......................................................................................................................................................
GE~R~ I~OR~ON: Does water become muddy or discolored7 ~ yes, ~ no
When7 .................................................................................................. ~ ....................................
Diameter of well ............................ ~ ........... '.........depth .......... ~ ............................................ feet
Well casing material ............ ~ ................. ? ....diamete~ .................... depth ..................................
Length of drop pipe ........................ ~. ...................................... : ...................................
Water depth troln bot~m . L.~. .......................................................... ~....~.~..~'~
P~p location: ~ In well, ~ Offseg ~ basement, ~ In b~ement
~ ~ utility r~m, E3 On top of well
~ Other (l~t) ........................................................................................................
Do you s~pect illne~ frown th~s supply? ~ yes, ~ no
Remarks: .........................................................................................................................................................................................................
PLEASE DRAW A SKETCH ~ ~ SPACE BELOW. ~I~ ~CH SHOULD ~HOW LOCATION OF HOUBE, WA~R
SUPPLY SOURCE, SEPTIC TANK, SE~R, DRA~ L~S OR O~R SOURCES OF PO~ON ~D DIST~OES
BE~N ~AT~ SUPPLY SO~OE AND ~OF ~OVE FAC~.
SAMPLES MUST BE SUBMITTED IN CONTAINERS PROVIDED BY [j.,HF. ALASKA DEPAR~;MEI~ OF HEALTH~
7 July 19~9
705 ~ 6t:h Avenue
Anchorage, Alaska
Re ~
LoI: 2~ ~lock l, ll;[ghland Subd.
COro KlaCC Rd. & [;sward lliway
Dear
An inopection of the above capt;loned residence was made
Wednesday, July 1. A large 750 gallon concrete ~eptic
Conk ha~ baen in,tailed ~d backfillaa according to
current requirement~, The sept:lc t~k tnstallat~o~ meets
with our approval.
Tha monies held in escrow ma~y be raleased for the payment
of this work.
JLW:pb
cc: 8~evenaongxcavattn~ Co.
Joe L, Walker
12 January 1959
Veter~ms Admlnistrabion
Loan Guaranty Division
7th Avenue and Olive Way
Seattle 1, WashingS;on
/,TT~NTION: Grayce ~iorger
Loan fhmrsnty Reviewer
DL 126217 BAA
~]~eller, Goodie
f~y~r~ G~orge B. Fatterson
^n inspection of the above captioned rom~dence was made in
Novembor ].958. It wa~ requested that a septic tank be in~
stall, ed or money for its installation be held in escrow.
Other~i~e t!m premises meet all requlr~,w~ent~ and is approved.
Joe Walker
San~ tarian
J W: pi:,
DATE