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Home My WebLink AboutTHIRD ADDITION BLK 34B LT 3O0 ~- I~% ?_5 ooo CHEMICAL & GI~,LOGICAL LABORATORIES ,~,~ ALASKA~ INC. ,~ -- TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER ~, Drinking water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER Moiling Address City Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref, no. ~ [] Spaclal Purpose Zip Co, Jo [] Treated Water [] Untreated Water SAMPLE NO, LOCATION 1 J Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Fleeult* Analyst J I · ~No ol coloroos/100 mi ol NO ol Po$ilive pot[ions REA[) INSTRUCTIONS BEFORE COLLECTING SAMPLE (]6-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source a ReCeived Time Received p,m, L. ab, No. MUNICIPALITY OF ANCHOR E \] ,~ ~Q~, 0 i, Departlnent of Health and Environmental P~otection ~'~ 825 L Street, Anchorage, Alaska 99511 ~_~O . ~' 279-2511, ext. 22~, 225 ~%,Ro'~. ~ ac~l~tles ~' Request for Approval of individual Sewer and Wate~ ~ ' ' ' Property Owner: Mailing Address: LAWRENCE CHRISTENSON 424 East 15th Terrace 99501 Phone:272-0737 Name of Buyer: ROBERT CHARLES KITTAMS Mailing Address: 726 East llth Aot. 2 99501 Phone: 274-7068 Lending Institution: ALASKA FIRST MORTGAGE Mailing Address: 207 East Northern Lights 99502 276-0117 4. Realtor/Agent: Frank Hol loway Mai ] ing Address: 1021 West 25th Ave. 99503 Phone: 277-0551 () . Legal Description: Lot 3, Block 34B, Third Addition ,qtFeet Location: 424 East 15th Terrace Sincl].e Family Residence: (X) z:Number of Bedrooms: (2) TWO Multiple Fam!ly NesJdence: [ ) Nunlike}' of Bedrooms: Water Supply: * ]ndiv:[dual Well (X) Pul:)lic/Con~mu~ity System ( ) '[[ ]ndJ\Tldual W~ll, well doVth 95' if Co~nunity SysLcm, name of system Sewage Disposal System: If On-site System, dale On-site S,f.~;tem ( ) Pub] i.c System (X) of installat ion: *NOTE: A well log is required on AhL we]Is drilled since 6/75. ~/'77 825 "l" STREET .f'~, fO ANCHORAGE, ALASKA 99501 DEPAIII'MENI'OF HEAl. IH AND ENVIRONMENFAL PI1OTECTION June 9, 1980 Lawrence Christenson 424 East 15th Terrace Anchorage, Alaska 99501 Subject: Lot 3 Block 34B Third Addition Subdivision Approval for the individual water facilities can not be granted until the following items have been completed: (1) The well casing extended twelve 12) inches above ~ ~round level. (2) %he water analysis report be delivered ~o this department from Chem :Lab, 5633 B Street, for (3 our review. ) The floor around the well casing should be poured concrete. ~4) Physically d~sconnect the f].oor dra~n xn the wel. '~h~ps~e from the public sewer line. Please notify this department for a re-inspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincere].y, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska First Mortgage 207 East Northern Lights Boulevard 99503 Frank Holloway % Target Inc. Realtors 1021 West 25th Avenue 99503 DATE RECEIVED INSPECTION APPOINTMENTS ~IME TIME TIME MUNICIPALITY' OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT, OF I.!~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~iViRONMENTAL p,r-:OTECTION ( ENWRONMENTALSAmTAT,ON D WSlON dUN 6 1980 Telephone 264-4720 Lawrence ChristensonI 272-0737 424 East 15th Terrace 99501 '~, BUYER PHONE Robert. Charles Kittams 274-7068 726 East llth Avenue ~2 99501 Alaska First Mortgage 276-0117 207 East Northern Lights Boulevard 99503 '~, REALTOR/AGENT ///~l ] PHONE Frank Holloway ., 277'-0551 1021 West 25th Avenue 99503 ~'. LEGAL DESCRIPTION Lot 3 Block 34B Third Addition Subidivison STREET LOCATION 424 East 15th ~. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~ Four ~__ Other {~ SINGLE FAMILY [~× -'~T'wo [] Five [] MULTIPLE FAMILY [~] Three [] Six 7. WATER SUPPLY ~;~ INDIVIDUAL~ ~ ATTACH WELL LOG. A well og ~s required for all wells drilred [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY aepth {attach ~og if availableJ 8, SEWAGE DISPOSAL SYBTEM [] INDIVIDUAL'ON'SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. Elk PUBLIC UTIL TY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS r [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY --DATE r)RILLED [] PUBLIC UTI LITY Connection Verified '-LOG RFCEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE --DATE INSTALLED [~PUBLIC UTILITY Connection Verified ~NSTALLER E~Septic Tank or [] Holding Tank Size: f Tank is homemade SOILS RATING giw} dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATEFIIAL 4. DISTANCES Septic/Holdin§ Tank Absorption Area Sewer Line I Nearest Lot Line WE!--L TO:I -- Absorption Area to nearest Lot Line S, COMMENTS -~/~APP ROV ED FQR ' BEDROOMS [] CONDITIONAL APPROVAL (letter must acco~pt~o{~y certificate) -~-AT E BY 72-010 (Rev. 6/79) 096 LOOI.LQ - Z I '