The URL can be used to link to this page

Home My WebLink AboutLot 09 - 13 / Department of Environmental Quality~, 3330 lC" Street, Anchorage,~~4-4561 ,~ O1 /)~~~~ate Re~d November 9, 1976 ~ }~ · '~,~ /' /~/ Time~f Inspection ~1:~0 a.m. .... ~.~' ~ ~0f Inspecti°n ll-10y76 Wednesday ~> ~ :~ REQUEST FOR APPROVAL OF /~ INDIVIDUAL SEWER & WAIER FACILIIIES a [, ~c, FOR ~'~ ~ 1. Approval requested by: Mailing Address: 2. Property Owner: James Webste~ Mailing Address: 5401 North Star Drive 3. Legal Description: Lots 9 - 13 Block 3 4. Location: 5. Type of facility to be inspected 6. Well Data: A. Type Individual C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: Public 1. Size 1. Absorption Area Total length of lines Phone: Phone: 277-4178 ~'~" Trailer Court Well Lampert Subdivision No. of bedrooms 20 units B. Depth D. Bacterial Analysis B. Installer 2. Manufacturer A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination C. Absorption area to nearest lot line 2. Material , Sewer Lines , Absorption area EQ-034 (1/74) Page 1 of two pages Page~2 of two pages - Re st for Approval of Individual ~ ~r & Water Facilities Legal Description Lots 9 - 13 Block 3 Lampert Subdivision Comments ApPrlv~d~~ ~~ Disapprove~~~ ' ~// ' Appro~va~id for one ~r from 'date signed Date ~- 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner:_ Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution:. VA_ FHA 2,-~'~'~c/~ Day Phone: CONV Day Phone: Mailing Address: Phone: Nameof Realtoror Agent:./~fT~/~X,,~,/~:. ,~.~----///&-'~"%, MailingAddress:.~O¢~ ¢~'~ ~,?~ ~'~ Phone:_~ Legal Description: ~~~ ¢'~ ~. ,~/H ~ Type of Facility to be Inspected'..~'~'?-~,'/~/~ ~¢vd-~/~2c- No. Bdrms. Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility individual (on-site) If Individual, date of installation 72-003(3/76) IO /00 2501 ,dnJJ Spenard Area Roferm]ce Map-P7 64 q(~I>.- 66 78 65 06-1220(a) R~.v. 1973 DATE ALA DEPARTMENT OF HEALTH AND SOCIAL SL ~ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lob No. OFFICE INDIVIDUAL [] 4AME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS ': : CiTY ~ ADDRESS OFSOURCE ZIP CODE 'Analys]s shows this Waler SAMPLE to be: [] S~Hsfactory [] Unsatisfactory [] 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 COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY ' ~ '/': DATE COLLECTED ':. ' ,~: TIME COLLECTED Sample Collecled'From [] Kilchen Tap [] Bathroom Tap [] Basement Tap [] Other (List} Well- [] Dug [] Driven [] Drilled [] Bored SOURCE: [] Spring [] Cistern [] Other Dug Well or Cistern Construction: Walls--[] Wood [] Concrete [] Melal C] TiKe Brick or Top -- [] Wood [] Concrete [] Metal [] Open Top [] Concrete LOCATION: [] In Basement [] Basemenl Offset [] Under House E]ln Yard [] Olher Building Sewer Sepllc DISTANCE TO: or Other Drainage Pipe .... Feet. Tank Feet. Tile Seepage Cess- Field Feet. Pit __ Feet. Pool- Feet. Privy .__.Feet. Other Possible Sources of ContaminaHon __ MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Fibre [] Asbestos [] PJasHc Joint Material - Type GENERAL: Does Waler Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Depth __ __ Feel. Well Caslng Malerial Diameter Depth Length of Water Deplh Drop Pipe From Bottom Feet. Offset in In Ulility PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No New Source of Supply? [] Yes [] No Repairs to System? [] Yes [] No Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06-1220 Ibl BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 ~,f /~ .a.,.~ La~. No. Dale Received ~, ~r ,/ ~ Time Received Laclose Brolh lOcc lOcc 1Otc lOcc 1Otc 1.0cc 1,0cc 24. Hours 48 Hours Brilliant Green 24 Hours 48 Hours ~ ~ · EMB ____ AGAR Lactose Broth, 24 hrs. 48 hrs. Gram's slain Reported by ' ] ? ~ Date p,m. This analysis indicates Coliform Orgard~ms to be: Absent Present 06-1220(a) R~v. 1973 DATE ALP DEPARTMENT OF HEALTH AND SOCIAL S, ,~ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI.PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab Nc.. OFFICE INDIVIDUAL [] NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY__ II ADDRESS ~OP SOURCE ZIP CODE Analysis show,, lhis Waler SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Quest]onable [] Sample too long in transit; sample should not be over 48 hours aid at examlnalion to indicate reliable results. Please send new sample. [] Boltle broken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Samr~le Co acted Fron~ [] Kitchen Tap [] Bathroom Tap ~ Other (List) [] Basement Tap Well- [] Dug [] Driven [] Drilled [] Bored SOURCE: [] Spring [] Cistern [] Olher__ Dug Well or Cistern Construction: Wa~ls-- [] Wood [] Concrete [] Metal [] Tile Brick or Top - [] Woad [] Concrete [] Metal ~ Open Top [] Concrete LOCATION: [] in ~asemenl [] Basement Offset ~ Under House I~ln Yard [] Olher BuJld~ng Sewer Septic Tank_ Feet, DISTANCE TO: or Other Drainage Pipe Feet Tile Seepage Cess- Field Feet. Pti Feet, Pool Ceel, Privy Feel Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Casl ran [] Wood [] Tile [] Fibre [] Asbestos Cement [] Plastic Joint Materia - Type GENERAL: Does Water Become Muddy or DJscolored? [] Yes [] No When? D]ameler of Well Well Casing Material Diameler Lenglh 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 Depth Feel. Depth Water Depth From Bottom Feet. in Utility [] In Basement [] Room [] Yes [] No [] No Repcdrs to System? [] Yes [] No Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06-12~0 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 Dote Received ,/"~' [ Time Received / ~l~m L~b. No. Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours 48 Hours: EMB AGAR Laclose Brolh, 24 hrs. 48 hrs. Gram's stcdn . Coliform DensUy (Most probable No. per lO0cc) MF Results Reported by Tlds analysis indicates Coliform Organisms to be: / ; Absent Present POUCIt6650 ANCtI()ItAGE, AI_.ASI<A 99502 i90'/) 278 4531 ¢;EO,'~(;/. ,'1~ 5'Ul I. I VAN, M/1 YOH December 6, 1976 James Webster 5401 North Star Drive Anchorage, Alaska 99502 Subject: Lots 9 - 13 Block 3 Lampert Subdivision Dear Mr. Webster: The well serving the subject property is improperly constructed and has failed to meet the Municipality required standards and must be upgraded. The requirement for wells is the casing must be extended a minimum of twelve (12) inches above the surface of the ground and be closed with a sanitary seal of a type approved by this department. The real estate agent on the scene stated there is a drilled well, however, this fact cannot be documented as the well can not be observed for inspection. If-there are any questions, please contact this office at 276-2221, extension 289. Sincerely, John Kennedy Principal Environmental Control Officer JK/ljh DATE NAME ADDRESS DEPA"'" AENT OF HEALTH AND SOCIAL SEr"'ICES DIVISION OF PUBLIC HEALTH CITY ,": ADDRESS ~,OF SOURCE - SAMPLE COLLECTED BY BACTERIOLOGICAL WATER ANALYSIS REPORT RESULTS TO ZiP CODE DATE COLLECTED ~.; ' / z ,~' ..' TIME COLLECTED / .. , pm Sample Collected From [] Kitchen~ap [] Bathroom Tap [] Basement Tap [] Other (List) OFFICE Well [] Dug [] Driven [] Drilled [] Bored SOURCE: [] Spring [] Cistern [] Other, Dug W~ll or Cistern Construction: Brick or Walls - [] Wood [] Concrete [] Metal [] Tile [] Concrete TOD -- [] Wood --I Concrete [] Metal [] Open Top [] Basement Offset [] Under House LOCATION: [] In Basement [] In Yard [~Other. Building Sewer DISTANCE TO: or Other Drainage Pipe Tile Seepage =ield ' Feet. Pit Other Possible Sources of Contam[nauon Cast MATERIAL: Building Sewer - ~ Iron [] Plastic Joint Material --Type Septic Feet. Tank Feet. Cass- Feet· Pool__Feet. Privy Feet. []Wood []THe D Fibre [~Cement GENERAL: Does Water Become Muddy or Discolored? E]Yes E]No When7 Diameter of Well Depth Feet- Well Casing Material Diameter Depth Length of Water Depth Drop Pipe From Bottom Feet. Offset In In Utility PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room On Top [] Of Well E] Other Records in this office indicate this WATER SUPPLY to be of: [] Satisfactory ~ Questionable [] Unsatisfactory Sanitary Status. Analysis shows this Water SAMPLE to be: [] Satisfactory [] Questionable [] Unsatisfactory. If an "Unsatisfactory" or "Questionable" status is indicated above you should take immediate action as recommended below. 1. Notify consumers water is polluted. Boil or chemically treat this water as outlined n the enclosed leaflet "Drink It Pore." Increase chlorination sufficiently to meet recommended residual standards, Determine source of contamination and take action necessary to maintain a safe water supply at all times, 3. Check chlorination and other mechanical eauipment, Make certain ~t is functioning properly. 4. If after checking equipment a disinfecting residua is not obtaineD, pleaSe wire this office for emergaacy assistance or advisory services. 5. This is a surface vyater source and subject to Pollution by man and animals. An approved water supply source should be developeD. 6. Improve your []spring []dug well []driven well E]drilledwel E]cistem 7. Relocateyour well to a safe location in relationship to your sewage disposal system. E] see enclosure 8. Sample too long in transit; samole should not be over 48 hours old at examination to indicate reliable results, please send new sample. [] Bottle Broken in transit, please send new samole. 9. Contact your neares~ [] Local Health Department or [] Alaska Division of Public Health, sanitation office for bulletins, consultation and assistance. SANITARIAN'S REMARKS Signature READ INSTRUCTIONS REVERSE SIDE .BEFORE COLLECTING SAMPLE 0S-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 0.1 cc 24 hours 48 hours · Brilliant Green 24 hours I 48 hours EMB AGAR --Lactose Broth, 24 hrs. 48 hfs Gram's stain -Coliform Density, J '' (Most probable No. per 100cc.) -MF results '~; -Detergent Test · · :; ;-~;,/;.,' ?../ -Reported by Date This analysis indicates Coliform Organisms to be: ; Absent Present am pm August 4, 1972 Hr. Ronald L. Thiel 519 1~est Eighth Avenue Anchorage, Alaska 99501 Subject: lfater well Site- Lampert Acres Dear Mr. Thiel: The Department of Environmental Conservation has no objection to the well location as indicated on the plat provided this office, l~e shall look forward to the submission of complete engineering plans and specifications when they are developed. Yours trul. y, Regional Engineer Southce~tral Regional Office cc: GAAB-DEQ