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HomeMy WebLinkAboutVANS BLK 5 LT 7AO'- -4-'f -0oo ADHW - LAB - 2W DATE STATE OF ALASKA ?'"~,RTMENT OF HEALTH AND WELF~'~E Lob. No. DIVISION OF PUBLIC HEALTH , BACTERIOLOGICAL WATER ANALYSIS OFFICE INDIVIDUAL [] OTHER REPORT RESULTS TO Records in this o~fice Jadlcate this WATER SUPPLY la be of: [] Safidadory [] Questionable [] UnsafidaclorySanilary Status, If an "Unsatisfactory" or "Questionable" stolus is indicated above you should fake immediate action as recommended below· 1. Notify consumers water is polluted. Boil or chemically treal this water as outlined in the enclosed leaflet "Drink It Pure." SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Pm Well- [] Dug [] Driven [] Drilled [] Bored SOURCE: [~ Spring [] Cistern [~] Olher Dug Well or Cislern Construction: Walls - [] Wood ~] Cone,eta [] Metal ~] Tile ~] Concrete __2 Increase chlorination sufficiently to meet recommended residual slandards, a sate water supply at all times. R. Check ch[ori~atinn and other mechanlcal equipment. Make certain if Js functioning properly. 4. If oher check~ng equipment a disinfecting resldual is not obtained, please wire Ibis office for emergency assislance or advisory services. 5. This is a surface waler source and subject ~o pollullon by man and animals. An approved water supply source should be developed. 6. Improve your ~] sprlng [] dug well [] driven well [] drilled well [] cistern. 7. Relocate your wel To c sa~e location in relafionshlp 1o your sewage disposa~ system. [] see enclosure 8. Sample 1oo long in transit; sampFe should not be over 48 hours old at examlnafion to indicate tellable resulls, please send new sampFe. ~ Baffle Broken in lransit, please send new sample. 9. Conlacl your nearesl [] Local Health Deparlmenl or [] Alaska ' Division o~ Public Heallh, sanilation otfice for bulletins, consullallon and SANITARIAN'S REMARKS Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD am Date Received ~ / · .Time Received pm Lab. LactoseBroth TOcc T0cc 10cc f0cc I 10¢c 1.0cc 0.1cc I 24 hours 48 hours Brilliant Green 24 hours 48 hours EMB AGAR Laclose Broth, 24 hfs, 48 hrs.. Coliform Oensily MF results Eeporled by i Dale This analysis indicates Colif?rm Organisms to be: .(Most probable No. per 100cc.) pm Absenl Present P.O. BOX 4-1276 ANCHORAGE, ALASKA ~509 4649 BUSINESS PARK 13LVD, Drinking Water Analysis Report for Total Col[form Bacteria TELEPHONE (9~7) 2794014 TO BE COMPLETED BY WATER SUPPLIER * I.D. NO. Public W ter System Name Mailing ddress ~ i~5~t-~ ' ' State Zip Code SAMPLEDATE: ~ ~ ~-~1'~/ Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no ~--Spe~ciat Purpose [] Treated Water ~qd~'t reated Water SAMPLE NO. , LOCATION 1 2 3 4 5 Time Collected Collected ~y TO BE COMPLETED BY LABORATORY LABORATORY: CHEM & GEO LABS CF AK., INC. NAME 4649 BUSINESS PARK BLVD. ADDRESS ANCHORAGE, ALASKA Date Received Time Received Analytical Method: CITY [] Fermentation Tube [~Membrane Filter Lab Ref. No. Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18-310 (3-78) 06-1220 (b) BACTE R IO LOG ICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected ~ .~0 ~ 7~ S ..... Date Recelved~-/~ ~(~ ' 7¢ Time Received /0" ~--5~Lab. NO.~ April 24, 1973 Jim McCoy 1233 W. 27th Avenue Anchorage, Alaska 99503 SUBJECT: Lot 7A, Block 5, Van's Subdivision Dear Mr. McCoy: The records in our office indicate that the well serving your lot was drilled three years ago by the property owner Mr. Nielson. Due to the Emergency State Wastewater Regulation in effect since February 5, 1973, this well will be suitable to serve only one single family residence. We have no data on production from the well or type of construction. Our present standards require the well casing be left 6" to 12" above final grade with the ground sloping away from the casing in all directions. It is suggested that a submersible pump and pitless adapter be used and that the service line from the well to the dwelling will be connected to public sewer which is available in the street. Should you need additional information or assistance, please contact the undersigned. Sincerely, Roll Strickland Chief Sanitarian lb October 1'~ 1 t,)73 !.~ui)a r t ;,;eh t 'dater supply for Opel Osburn Lot 7A, Dlock 5 Vans Subdvlsion has -,~,,,~ reconstructed and is no~ aFproved hy ~'~ ' Sincerely~ . ~t ~EITH H. MILLER, OOVERNOR ~-- HEALTH / POUCH H ~ JU~EA~ ~8~1 October 5, 1970 Mr. Rolf R. Strickland Environmental Health Supervisor Greater Anchorage Area Borough Health Department P.O. Box 968 Anchorage, Alaska 99501 Dear Mr. Strickland: Re: GAAB - Van's Subdivision, ~'/ Lateral Improvement District No. 28, Sanitary Sewer. This refers to the plans of the subject project which were forwarded to our Anchorage office by Mr. Lee's memorandum of 8 September 1970 and which were received here on 22 September 1970. A set of specifi- cations was also received which included the information that bids for this project would be opened on 22 September 1970. As we have stated previously, we would have no hesitation to withhold approval should it appear that our regulations have not been met, regardless of the bid date. In this instance, however, we have no objections to the proposals shown. The plans and specifications are approved for those features with which this Department is concerned. Sincerely yours, Richard H. Britt, Sanitary Engineer Division of Environmental Health RHB:jlf cc Kyle Cherry H. V. Lounsbury and Associates GREATER. ~CHOi~.GE AREA BO?""~ ~04 ~eat f~orthern Lights 5oul~vard Anchorage, Alaska 99502 S-2115 Plat Status; Final BOROUGH: Engineer Health. Department Public Works Dep~rtment Sand Lake Fire Department School District Street Names Tax Assessor Alaska Department of Highways Alaska Railroad Anchorage Natural Gas Corp. Central Alaska Utilities Chugach Electric Association Date; 8/18/70 CITY OF A~I~iO~tAGE: Fire ~larshal Municipal Light & Power Departmen Property Management Officer Public Works Department Telephone Utility Traffic Engineer Water Utility GAB Telecomnunications~ Inc. Matanuska Electric Association datanuska Telephone Association Assistant Superintendent of Hails Re: ~i*aN~i~I~Y~X / Resubdivision / M~Y~X Description of Property: See attached plat. Owner: 'Aleutian Live Stock Corp. Gentlem~n: Petition has been received by the Greater Anchorage Area Borough Planning and Zoning Commission for the proposed ~ ~ of subject property.' ...... Attached is a. copy of ~e proposed plat. Will you please submit your comments in writing~ specifying any easements or other requirements that your department or agency may need. If we do not hear from you by 9/A/70 you do not wish to submit any comments. _, we will assume that If you have no further use for the attached print, please return it with your comments° Planning Department Enclosure MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES IRECTIONS: Complete all pa~s on page q. Incomplete reques~ will not be processed. Please allow ten (10) days for processing. PROPERTY OWNER PROPERTY RESIDENT Ill different from above) PHONE PHONE 2. BUYER MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4, REALTOR/AGEN~ MAI LING ADDR ESS~g TREET LOCATION 6. TYPE O FR E~D ENCf2 '/ NUMBER OF BEDROOMS [] One [] Four [] Two [] Five MULTIPLE FAMILY ~hree [] Six [] Other ~INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC LTl LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** ~'~UBLIC UTILITY **If individual/on-site, give installation' date . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. ~)F RESIDENCE~ NUMB~ER OF BEDROOMS L~' SINGLE FAMILY [] ONE J~J THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, W.~R SUPPLY ~ INDIVIDUAL DEPTH OF WELL [~] COMMUNITY DATE DRILLED [] PUBLIC UTi LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ~o ~P~RMIT NUMBER I~]~ INdiVIDUAL/ON-SITE ~/~,Ot'~DATE INSTALLED [~C oUnBl~ ~ t~ cUnT IvLe Ir itl ~e O ~'/7 "~ INSTALLER I~Septic Tank or [~]Holdin§ Tank Size: If Tank is homemade SO!LSR~TING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED LEGAL DESCRIPTION 72-010 {Rev. 3/78)