HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 5 LT 3
., APPLIf~_ :~IT FILLS OUT UPPER HAI~,ONLY
P~'rope;t~' O~vn.er ~ /~,~ (' r ~) ~ /:'/~ .... ~ ~ '~ ?' "~ /r Phone
Address / ', ¢ ,¢ ( r
S~ ngle Family
Water Supply
~ "
Time Time Time Time
Inspector Inspector Inspector Inspector
Field Notes: 14~ '~ ~'~A~'"~¢I
( ~)~APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE ~ ~ ~ ~-~"~
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
CHEMICAL & G~-~,OGICAL LABORATORIES ~ ALASKA, INC.
TELEPHONE (g07)-279,4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 S Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
Phone No.
Water System Name / / ,_,
L~
State Zi~ ~pde
MO. Day Year
SAMPLE TYPE:
'~ Routine
[] Check Sample (for routine sample
with lab ref. no. )
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analys~s shows th~s Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
--I Sample too long in transit; san~ Die should
not ae over 48 hours o~o at examination
ro indicate reliable results. Please send
new sam Die.
Oate Received [') [!~ ' '""
Time Received [ "') ( ?L ·
Analytical Method:
[] Fermentation Tube
'~(~,,.Membrane Filter
Lab Ref. No.Result* Analyst
/1 ?:] .. '..i
J
kNO O colonies/lO0 mi or NO of Positive Dorllons
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 lb)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Presumptive lOml 1Omi 1Omi ZOml lOml 1.0mi O,lml
MuleDle Tube Report=
Membrane Filter: Direct Count
verincetlon; LTB
Final Membrane Filter Results
Collforrn/lOOml
eGB
June 14, 1982
James O. and Elva L.
c/o Brian Kent Co.
Box 791
Anchorage, AK?, 99510
Connell,
Subject: Lot 3 Block 5 Walter G. Pippel Addition
Approval for the individual sewer and %.~ater facilities cannot
be grant~ until the followinq items have been completed:
Exposed ele%trical wires to the well head are in violation
of the MunicipalJ.~y of Anchorage codes and must be encased
in conduit.
~-"-The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
Please notify this Department for a reinspection when the
noted discrepancies }lave been corrected. If 'there are
further questions, please call this office
. any
at 264-4720.
Sincer~i¥,
Robert C. Pratt
Associate Environraental Specialist