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)