HomeMy WebLinkAboutSTOCKHAUSEN LT 2
GREATER ANCHORAGE AREA BOROUGH /0
Department of Environmental Quality /~
3330 "C" Street, Anchorage, Alaska 99503 274-456
Date Received February 25, 1977
Time of Inspection 1:30 p.m.
Date of Inspection 2-28-77 Mon. LNB
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by: Home Federal Savings and Loan Association
Mailing Address: 535 D Street Phone:
2, Property Owner: Mike Whitelaw Phone: 688-2043
Mailing Address: Chugiak 9~567
3. Legal Description: Lot 2 Stockhousen Subdivision
,4. Location: See map on the back of white sheet
5. Type of facility to be inspected Single Family No. of bedrooms
6. Well Data:
A. Type Individual
C. Construction~j~/~-~w~..
Sewage Disposal fystem: On-site system
B. Depth 80 or 90'
D. Bacterial Analysis Oc~',
A, Installed B. Installer
C. Septic. Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
E, Disposal Field: Total length of lines
2. Manufacturer
2. Material
8. Distances:
Well to: Septic tank
, Absorption area
, Sewer Lines ,
Nearest lot line
· Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - R~/--'st for Approval of Individual · ~r & Water Facilities
Legal Description Lot 2 Stockhousen Subdivision
Comments
Approved/--~~t~ Disapproved Date---~'/~ 7~7
Apprd~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
? / 2 , ~
'-72
?g
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)
06-~220(~ Rev. ~973 AL DEPARTMENT OF HE LTH AND SOCIAL SE
· :DIVISION OF PUBLIC HEALTH 'ab
INDIVIDUAL AND SEMI*PUBLIC
BACTERIOLOGICAL' WATER ANAL:YSIS
DATE OFFICE
j//Analysis shows this Water SAMPLE to be:
INDIVJDUAL;~I'" SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
[]
Satisfactory
i REPORT RESULT5 TO ~'
:~ [] Unsatisfactory
ADDRESS ~-- ~ /~(~? (~ ' / /~.~ r/;/" ' · / hours old at examination, to indicate reliable results. Pleose
COMPLETE THIS SECTION
ONLY ~F WATER IS AN INDIVIDUAL SUPPLY
[] Olher (List)
o6-1~2o (bi 'BACTERIOLOGICAL WATER ANALYSIS RECORD
Bev. i973
~ (~-' pr~ tph. No.
READ INSTRUCTIONS DateRece[ved ~/'(~-w)~ ,/'~'] Time Received ....... am
ON
REVERSE SIDE
BEFORE
COLLECTING 5AMPLE
Lactose Broth 10cc 10cc 10cc 10cc 10cC 1.0cc 1.0cc
-24 Hours
24 Hours
48 Hours
EMB AGAR
Lactose Broth, 24 hrs. 48 hfs.__ Gram's stain
Coliform Density (Most probabl~.No, per 100cc)
MF Results
by
This analysis indicates Coliform Organisms to be: /' ~' Absent ~
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
FEB 2 5 1977
1. Type of Inspection: CMRO VA FHA.
Mailing Address' ~/~ (~. ~1 J~-,~. ~-~ ~- ~ay Phone:
Name of Buyer: ~~ ~ ~ ~
Mailing Address: ~~~ i ~ Day Phone:
4. NsmeofLendinglnsdmdon: ~ ~~
Mailing Address: ~ ~ ~'~~ne:
oc ,ion:
Type of Facility to be Inspected:
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
No. Bdrms. '~
,Individual.
/
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)
1. Approval
Mailing Address:
Property Owner:
Mailing Address:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
)ate Received 11/14/74
Time of Inspection
Date of Inspection 11/18/74
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Alaska State Housing Authority
requested by: Robert Flemming
Great Land Real~y
Clarence Halverson
3. Legal Description: Lot 2, Stockhausen Subdivision
4. Location: Peters Creek
Phone:
Phone:
5. Type of facility to be inspected
6. Well Data:
A. Type ~rilled
C. Construction Standard
7. Sewage Disposal System:
A. Znstalled 1968
C. Septic Tank: 1. Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A. Well to:' Septic tank
Nearest lot line
B. Foundation to seotic tank
Single
No. of bedrooms 3
B. Depth
D. Bacterial Analysis Satisfactory
B. Installer Polyefko
1250 gals 2. Manufacturer
I. Absorption Area 8x8x6' 2. Material Log
Total length of lines
C. Absorption area to nearest lot line
210' , Sewer Lines 130'
75'
155' , Absorotion area
65' , Other contamination
39' , Absorption area
20'
EQ-034 (1/74) Page 1 of two c~qer.
~ag~ 2 of two pages - Re~ ~t for Approval of Individual S ~r & Water Facilities
Legal Description
Lot 2, Stockhausen subdivision
Comments
Approved~l~c~L~' A~,s, DisapprOved
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental
Date 11/22/74
Quality
)IAGRAM 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)
06-1220(a) Rev~.l~9,7~_ c',
DATE
ALA{ DEPARTMENT bF HEALTH AND SOCIAL SE. ?~ES
DIVISION OF PUBLIC HEALTH -'
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL-- WATER ANALYSIS
Lab No.
OFFICE
NDIVIDUAL [] " SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
REPORT RESULTS TO
A~alysb shows this Water SAMPLE to be:
[] Saffsfaclory
[] Unsatisfactory
J~] Questionable
[] Sample too long in transit; sample should not be over 48
hours old at examlnaHon lo Jndlcafe rellable ~esulfs. P~ease
send new sample.
[] B~ftle broken in transit, please send new sample.
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS. AN* INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY ~:' ' ..... / 7'~' .... ~-
DATE COLLECTED '~-~. ,~'~/~' '?~/ TIME C CTED /- ~?~);-~'~
Diameter of Well ~ Deoth Feet.
Well Casing
Mater~al Diameler Depth
Length of Water Depth
PURPOSE OE I~XAMINATION: Illness Suspected? [] Yes
rq No
[] No Repairs to System? [] Yes [] No Signature
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
e~-~20 (b) ' BACTERIOLOGICAL WATER ANALYSIS RECORD
~ p:M L)~. No
.actose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc ],0cc
48 Hours
EMB AGAR
Lactose Broth, 24 hrs. 48 hrs Gram'~ slain
Coliform Density ~ (Most probable No. aer 10gcc)
MF Resuit~