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HomeMy WebLinkAboutTIMOTHY BLK 1 LT 9'r i O es' L.oT- _1_ MUNICIPALITY OF ANCHORAGE DEPAR~ ?NT OF HEALTH & ENVIRONMENTAL PR £CTION ¢ eNVIRONMENTAL ENGINEERING DIVISION ; 825 LStreet-Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM A~JD/OR WELL INSPECTION REPORT '/¢ ~/7/J lAME MAILING ADDRESS 71~/~ Ti mo ¼y LEGAL DESCRIPTION LOCATION DISTANCE TO: DISTANCE TO: IF HOMEMADE: Well DISTANCE TO: No. of lines Length of each line · PHONE [~] NEW ~ ~*~ ~ - ~/~--~0 ~ UPGRADE Absorption area Dwelling Material NO. OF BEDROOMS 10. Total length of lines Material beneath tile width ¸NO. Depth NO. Type of crib Crib diameter Total effective absorption area DISTANCE T Well Building foundation Class ~6 (v(~c, ~ Depth DISTANCE TO: OTH E R~.:'....~ ,,' ~., ,-/~:~ -.--.-: Oistance to lot line PERMIT NO. Absorption area(si SOIL TEST R~,TING APPROVED DATE LEGAL 72-013 (Rev. 3178) Location~ O~ner~ Address: Well Data~ Pum~ Test~ WELL TEST Lot 10,~ Block 1, Timothy Subdivision Francis A. Andersen 7149 Timothy St. Anchorage,~ Alaska 9950£ Year drilled-~959 Driller-Jerry Rebischke,. Eagle River Depth: TSO" Depth to water~ 30" Casing: ~' steel w/welded joints Estimated capacity-l~ gpm Pump: Jacuzzi submersfble~" capacity-i0gpm Pump set @ 48" A w galvanized pipe was run from a 13" gate valve at the well head to a 5~ gal drum adjacent to the well. The line to the water storage tank was shut off at the water storage tank. The Dump was run twice to fill the 55 gal drum. In both instances the 55 gal drum filled in 3 minutes. Pumping Rate 5~ divided by 3 e~uals 18+ gpm~ Eate of test 6/8/7g Francis A, Andersen October 31, 1978 R&M No. 851711 Sandy Shissler 7145 Timothy Anchorage, Alaska 99502 Re: Well Inspection ~ Lot 9, Block i~ Timothy S'ubdivision. ~6g'%~rdfessionai .......... Services Rendered through June 21, 1978. Gentlemen: The following is our invoice for professional services rendered on the above- referenced project~ Professional Serviqes Invoice No. 851711-1 Senior Geologist 2 .75 hr @ 43.00 $32.25 Staff Geologist 1 2.5 hrs @ 25.25 $63.13 Subtotal Professional Services $95.38 Total Invoice No. 851711-1 $95.38 Please note our invoice nt~ber on your remittance. Should you have any questions concerning this invoice, please contact me or the Project Manager, Mr. Jim Brown. Thank you, R&M CONSULTANTS, INC. G. J. Parisena Anchorage Office Manager CJP/djb/2OC-G MUNIC,I/~,LITY OF ANCHORAGE POUCH 6-650 ~' AN ./ORAGE, AK 99502 ~' PHONE 279-8686 FINANCE DEPARTMENT CASH RECEIPT N°'48230 FRoMRECEIVED .~jF-~-~..~[.///~, ...~., ~....~-,/~//.._~-..~:.r~ L _.~.~. /'~. DATE .REMARKS DES~F~IPTION I Org/CC Acer/Obi Task Option Cost Center,WA/WO 6 Amount MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER MA~L~N~ A~RES$ 2. LEGAL DESCRIPTION 3, TYPE DWELLING OL~ SINGLE FAMILY RESIDENCE ED MULTIPLE FAMILY RESIDENCE OTHER (Describe) 4. WATER SUPPLY ED INDIVIDUAL · [~ COMMUNITY/PUBLIC 5, SEWAGE DISPOSAL ED INDIVIDUAL/ON-SITE [~ PUBLIC UTILITY ~ HOLDING TANK (Maintenance Required) [~ APPROVED FOR BEDROOMS ED CONDITIONAL APPROVAL {See Attached) [2] DISAPPROVED 72~)14 (3/78) MuniciPality of Anchorage MEMORANDUM DATE: ~"~ ''~'~'' "~7c'~ TO: ~/~ FROM: SUBJECT: Municipality of Anchorage DATE: TO: FROM: SUBJECT: ~ [.1..~{~ ~.~\r' MEMORANDUM 91-010 (4/76) "' ' "' ~ ~ TEEE HO 4649 BUSINESS PARK BLVD. P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 Drinking Water Analysis Report for Inorganic, Organic, and Radiochemical Contaminants PUBLIC WATER SYSTEM: I.D. NO. Francis A. Andersen Public Water System Name 7149 Timothy St. TO BE COMPLETED BY PUBLIC WATER SUPPLIER SAMPLE DESCRI'PTION: Collected By F. Andersen Water Storage Tank Sample LocaUon Address C, lrQrJ]~]ca~e_. Alaska State ~ No~e: Cheek box to left of conlaminants listed below for the analyses desired. Source Type ['] Surface Water Sample Date ~ Mo. El Routine Sample r] Special Purpose Sample Xl Ground Water Day Year ~(] Untreated Water [] Treated Water TO BE COMPLETED BY CERT F ED LABORATOI~Y CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA,INC. 4649 BUSINESS PARK BLVD. Address ANOHOR^GE, ALASKA 99509 Oily State ~ip Code Sample No. 7999 Station No. Laboratory Analysis NO. ~._ Kan_¢._n ...... Received by _6/.2/7-8___ Date ORGANICS Limit INORGANICS [] Endrin (0.002) Limit Mg/I [] Lindane (0.004) Eq Methoxychlor . (0.1) f'l Arsenic (0.05) 01. 0 2 [] Toxaph.ene (0~005) [] Barium (1.)< 0I. 1 [] 2, 4-D (0.1) [] Cadmium (0.010)< 0 . 0 1 [] 2,4,5 - TP Silvex (0.01) ~ Chromium (0.05)~ 0 - 0 I []__ [3 Fluoride (2.4) 0!. 1 [] [] Iron (0.3) 0!. 3 [] Lead- .(0.05)< 0 .I0 1 F~ Manganese (0.05) 0 · 0 9 RADIOACTIVITY [] Mercury (0.002)4J} . 0__0 2 Limit El Nitrate (10.)~ 0 · 1 F~ Gross Alpha (15) E/ Selenium (0.01)~ J~ . !O 1 [] Radium 226 & 228 (5) [] Silver l (0.05)~ 0 . 0 5 [] Gross Beta (50) [] Sodium (250) 8 . 4_ [] Strontium -90 (8) El Color Units _< 5 . [] Tritium (20,000) ~ Turbidity NTU 1 [] June 2, ND 1978 Indicates Not Detected Mg/I pCi/I June 8, 1978 Date Analysis Completed Signature of Laboratory Supervisor Date reported ~ TO 610 P_fth Floor FROM ~ur~ Fourth Floor West x 4720 ~ ~ · DATE SUBJECT LO~ 9 Block 1 TzmOthy ouDdivzsion Refund request for tl~e attached paperwork, this was clone by an engineering firm, rather, then this department as we~were out on strike at this time° Receipt ~t 48230 JOhn S. Shissler ~ $25.00 7145 _zmothy Street 99502 Redi~orme 4S 471 Poly Pak (50 sets) 4P471 SIGNED SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 W~LL BE RETURNED WITH REPLY DATE June 13, 1977 Lloyd Hill 6948 Timothy Road Anchorage, Alaska 99502 Su~bject$ Timothy Subdivision According to this department's water s~ple moniterlist, we have not as yet received a water sample for the above subject well systera for the month of ~y, 1977. Our records indicate that you are rGsponsible for turning these mandatory samples in for the subject water system. If you have not done so as yet, pleas~ obtain a water sampling bottle from the State Lab, 527 East 4th Avenue, as soon as possible ~ld return the sample to the same address for analysis. If you are no longer in charge of the subJeot water system, please notify us i~m~edtately to any n~e and/or address changes. If there are any further questions, please contact this office at 279-2511, extension ~4, or a~ the above address. Thank you for your co-operation in this matter. Sineerely~ Willia~a M. Db:son Principal Environmental Control Officer ~,,,-[~ - o ~: o,~o ~ IIVIN IVNOI/VNB)INI Bo.m ION 008{: mao.m Sd P (a;etsod snld) ~O~:--qlVW QqI.-IIIB3:) BO:I .Ldl303B return receipt requested 1. The following service is requested (check [] Show to whom and date delivered...._~ ...... 15~t [] Show to whom, date, & address of delivery.. 35¢ [] RESTRICTED DE'LiVERY. Show to whom and date delivered ............. [] RESTRICTED DELI~yERY. Show to whom, date, and address of deliv~er~.85~t WMD/ljh Sewer and. Water Lloyd Hill 6948 Timothy Road. Anchoraqe, Alaska 99502 REGISTERED NO. I INSURED NO. 102195 I I have received the article described above, IN .~,TALL 0;~. ~OVq E..F-. LIN~ 't 8 _J L1 6 _ _ j~.o. oo 1 II 7%00 12 ~1 ,, I , 7%0_0 J,