HomeMy WebLinkAboutTIMOTHY BLK 1 LT 9'r i O
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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
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(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
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