HomeMy WebLinkAboutVANS BLK 5 LT 9BLoT'
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Formanon from[ to
I I
Driller
DELTA DRILLING COMPANY
SRA BOX 394 B
ANCHORAGE. ALASKA 99507
_,_. .2. ~ APPLI( .NT FILLS OUT uppER HAl'~ ONLY
J
Property Owner ~_.~ ?~ J~:i ~-/ ~C.~T'd~._ ~_ ~ / ~ Phone
Lending Institution /~L W~:~ 1( C[ ~' /~ ~./~(~7'". -3 I~ C [ /~l t O~%J Phone
Address
Legal Description
Street Locati~ ~/
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector J ri S P ec t °~/C. Lc~l
Field Notes: X~ ~c~ MUNICIPALITYEN¥1RONMENT^i_DEpT, OF OEHEALiHpRoTECTioNANCHO~G~&
MAY 6 i983
RECEIVED
( ~APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDmONAL APPROVAL'
Soils ~aling Date ~wer installed Well TO Absorption Area Well Log Received
Well to Tank Septic T~k Size
CHEMICAL & G~,.~LOGICAL LABORATORIES ~.~; ALASKA, INC.
k TE LEPHON E (907,-27g-4014 ANCHORAGE INDUSTRIAUCENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TC BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
Water SYstem Name
Mailing Address
I.D. NO.
~ Phone No.
.... ' fl. :~. !if "K'..~ ~
City State
Mo. Day Year
Zip Code
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treatec Water
[] Untreated Water
SAMPLE
NO.
1
2
3
4
5
LOCATION
'" ~' /''::'''
/ ~
~.....z i,-,,
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Ana vs=s shows this Water SAMPLE to be:
~ Satisfactory
[] Unsatisfactory
[] Sample too long ntransm samDleshould
not be over 48 hours old at examination
to mdmate reliable results Please scrod
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ref, No. Result* Analyst
II
II
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Ray. Z978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collect ecl Source
Pre/umpt Ive /0mi 10mi l~)ml 10mi 10mi 1,0mi 0.1mi
24 Hours
EMB Broth 24 hours:
Multiple Tube RePort:
Membrane Filter: Direct Couht
Verlflcatlom LTD
Final Membrane Filter Results, ,' '" ~
Reported By ".''"
BGB
STATE
· of ALASKA
//~f~i~/j~//~j~/~,.~#"'~'?./j"~,~UNICIPALI~ OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
OCT 5 1980
TO: r-
FROM:
Bob Gilfilian
Acting Regional Supervisor
Region II
Tom Murrell
nv ronmental
DATE:
FILE NO:
EEL£PIION[ NO:
SUBJECT:
October 10, P~EIVED
274-2533
Class C Wells #1 and #2
Lots (A and B, Block 5
Vans Subdivision
Charles Gregory, owner of two duplexes located on Lots
9A and B, Block 5 of Vans Subdivision, has requested that
this department grant a waiver of 18 ~J%C 80.020 of the
contaminate separation distance between potential sources
of contamination and public drinking water wells.
The project was constructed without prior departmental
plan review. Mr. Gregory was unaware of any requirements
for plan review prior to construction of his public water
systems. The Delta Drilling Company of Anchorage, who
drilled the wells, did not require Mr. Gregoy to show evi-
dence of any state or municipal approval.
In each project, a 4 inch ductile iron sewer service pipe
serving the owner's duplex is buried Within 60 feet of each
well. Each well log indicates that the producing aquifer
is located at or below the 80 foot level, and is capped by
several layers of clay and silt.
In my opinion, the risk of contamination from the ductile
iron service line is minimal. I recommend that we grant a
waiver of the private sewer line spacing requirement from
75 feet to 60 feet.
This does not relieve the owner or future owners from any
possible liability that could result from contamination of
water system by sewerage leakage.
cc: Charles Greg~F
the
cc: DHEP
437 E Street
Second Floor
Anchorage, AK 99501
P.O. 8ox 1207
$oldotna, Alaska 99669
(907} 262-5210
P.O. 8ox 1064
Wasilla, Alaska 99687
(907) 376-5038
October 10, 1980
Charles Gregory
P.O. Box 1920
Anchorage, AK 99501
Subject: Class C wells # 1 and # 2, Lot 9A and B, Block 5,
Vans Subdivision
Dear Mr. Gregory:
We have reviewed the "as-built" plot plans, well logs and
water analysis for the two subject public water systems.
These systems are approved for the features with which this
department is concerned.
We recommend however that you re-evaluate your pressure-cell
size requirement° A pressure cell (hydro numatic tank) is
usually considered adequate when the effective (useable)
volume is equal to 2 times the pump capacity, expressed in
gallons per minute, for systems where the pump capacity
exceeds the peak demand.
This department grants a waiver of 18 AAC 80.020 of the State
Drinking Water Regulations which requires a minimum sepa-
ration distance of 75 feet between a class C and a private
sewer line to 60 feet.
Enclosed with this letter you will find a certificate granting
approval to operate the water systems.
If you have any questions concerning our review of this
project, feel free to contact me.
Sincerely~x
'~homa s Murrell
Environmental Engineer
enclosure
CC: DHEP
imc
CHEMICAL & GEOLOGICAL LABORATORIES ¢,~' ALASKA, INC. ~
TELEPHONE (907}-279-4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATERSYSTEM:
Water System Name
Mailing Address
City
MO. Day
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
State Zip Code
Year
) [] Treated Water
[] Untreated Water
SAMPLE
NO.
I I
4
$
LOCATION
.. /'! /.,¢*;
~,.. ~,. ..... ,/
Time Collected
Collected By
TO,BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
[] Unsatisfactory
Samole [oo long in transit; sample should
not be over 48 hours old at examination
[o indicate reliable results Please send
new sample.
Date Received ,, ~
Time Received
Analytical Method:
[] Fermentation Tube
C~:; Membrane Filter
Lab Ref. No. Result* Analyst
I FT-1
FTq
I
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collect 6<l Source
ab. No.
Presumptive 10mi Z0ml Z0ml. Z0ml Z0ml 1.0mi 0./mi
24 Hours
46 Hours
Confirmatory
24 Hours
48 Hours
· ~ DATE RECEIVED
~ INSPECTION APPOINTMENTS T~~2~
TIME TIME
DATE DATE DATE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIC~[~VIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
( ENVIRONMENTAL SANITATION DIVISION OCT $ 1980
Telephone 264-4720
DEr'r'l~/r r~
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWaI~A~Lt~
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing.
PHONE
1. PROPER~Y OWNER
MAILING ADDRESS
PHONE
PROPERTY RESIDENT (If different from above) /
2. BUYER
MAI LIN~ ADDRESS
MAILING ADDRESS
PHONE
4. REALTOR/AGENT
MAILING ADDRESS
STREET LOCATION ' -
6. TYPE OF RES DENCE ' NUMBER OF~BEDROOMS
[] One [] Four
[] SINGLE FAMILY [] Two ~' Five
,J~ MULTIPLE FAMILY [] Three [] Six
[] Other~
7. WATER SUPPLY
I
NDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
~ PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBEROFBEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDI VI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
INSTALLER
SOILS RATING
OTHER
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
I
WELLTO:
Absorption Area to nearest Lot Line
5. COMMENTS
DATE
[~'~PPROVEDFOR ,~' BEDROOMS
[] CONDITlONALAPPROVAL(lettermustaccompanycertificate)
[] DISAPPROVED
72-010 (Rev. 6/79}