HomeMy WebLinkAboutWALTER G PIPPEL Block 7 Lots 1 & 12 Not in computer printouts??
15lock.
' INSPECTION APPOINTMENTS
~TIME TIME TIME
MUNICIPALITY OF ANCHORAGE DEPT. OF I~ALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~IRONMENTAL
825 ~ Street - Anchorage, Alaska 99501
) ENVlRON~ENTALSANITATIONg~V~S~O" FEB 5 lg80
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing,
1. PROP BTYOWNER
MAILING ADDRESS ~ ' -
PROPERTY~ESlDENT (If different from above} ~ / PHONE
4, REALTOR/AGENT
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET O~ rl~)
6. TYPE OF RESIDE~E
~ SINGLE FAMILY
MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[] Three [] Six
7. WATER S PPLY ~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
* 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.) ~V~IC~O~DY~
SEWAGE DISPOSAL SYSTEM
~N DIVI DUAL/ON-SITE**
[] PUBLIC UTI LITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY ,_
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY E] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM .,_~ .~j~T NUMBER
[]INDIVIDUAL/ON -~,TE S/¢~t~ DATE INSTALLED
~PUBLIC UTILITY~'~¢~. /~.
Connection Verified ~ /~'' ~ INSTALLER
~Septic Tank or ~ Holding Tank
Size:. ~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AR EA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
ONDITIONAL APPROVAL (letter must accompa~ertificate)
DISAPPROVED ~ F-. // /~
72-010 (Rev. 6/79)
,I
09
! hereby certify that I have surveyed ~he following
described propeI'ty:J.~/~_' ?) ~o~d2'~.~'d ' :'
Anchorage ~ecording Precinct, Alaska, and that the
lying adjacel~l thereto, that no ~mprovements on.pro~-
~s indicaied hereon.
/Dated at Eagle River, Alaska ' ' . :
SCAL~: Registered L~nd Sm'veyor No: 880-~
1' ~ /~ ' Box 456, Ea~le River, Alaska
Phone 694-2543 '. ' .
· :. . CHEMICAL & GL.~LOGICAL LABORATORIES ~,~-~" ALASKA, INC.
/~',~ TELEPHONE 274-3364 (907)-279,40t 4 ANCHORAGE S633 B St INDUSTRIAL re et CENTER
/~~ Drinki'ng Water Ana ¥s s
I i Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
I.D. NO.
,/','J.,'~,, /~. ''r-"., '-.
Phone No.
Mailing Address
~ O ,*;~, ~'~':' . "~- ~/"~"'>'
CitY ...... (. ' ,
Zip Code
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no. .
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
a
4
5
Time Collected
LOCATION Collected By
TO BE COMPLETED BY LABORATORY
Ana vsis shows tins Water SAMPLE ~o be:
[] Satisfactory
[] Unsatisfactory
[] Sample too long in transit: sample should
no~ De over 48 qours Die at examination
to indicate re table results Please send
new sample.
Date Received ,*'
Time Received /
Analytical Method:
[] Fermentation Tube
"~, Membrane Filter
Lab Ref. No. Result* Analyst
,~. ~ ..;-- 'Z,,. ~
I I ~
I FT']
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (bi
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date ColleCt ~(I Source
Lab. NO.
Pr~umptlve 10mi ].0mi ]*0mi 10mi 10mi ]*.Omi 0.1mi
24 Hours
48 Heur$
Confirmatory
24 Hours
48 Hours
EMB Broth 24 hours:
Co~Iorm/~o0fnl
Date
Time,
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
February 8, 1980
Thomas/Irene Green
Eagle River Medical Clinic
Eagle River, Alaska 99577
Subject: Eleven-Plex on Lot 1 and Lot 12 Block 7
W.G. Pipple Subdivision
Approval for your sewer and water facilities serving the
above subject property can not be approved until the
following items have been completed or corrected:
(~)/ ?he £1oor d~ain i~ the boiler room ~hich leads directly ~ '~(~,
~ to the sewer system needs to be disconnected.
(2).
The well head in the boiler room is below ground level
and will need to be extended twelve(12) inches above
the natural ground surface.
(3)
The first component of the sewer system was approximately
seventy-five(75) feet from the well. This component will
need to be exposed so that we can verify whether or not
a septic tank is existing and its condition. If there is
not a septic tank, one will need to be installed. If the
first component is a cesspool, it will need to be abandoned
and caved in. A new leaching area will need to be located
200 feet from the well.
(4)
A second component to the system was not located. If there
is one, it must be located so that we can make measurements
to the well to determine proper distances. If there is
a second component and it is the proper distance from the
well, you will need to have an adequacy test performed.
This test will determine if the system is adequate according
to National Standards. A listing of private firms performing
the test is enclosed. ~
Thomas/Irene Gree
February 8, 1980
Page Two
Please notify this department for a re-inspection when the
noted descrepancies have been corrected. If there are any
further questions, please contact this'office at 264-4720.
Sincerely,
RQbert C. Pratt, R.S.
Associate Specialist
RcP/ljw
cc:
Security National Bank
% Jackie Wehmhoff
Pouch 7-777 99510
Marianne Christian
% Realty Center
8301 Arctic Boulevard
99502
James Starr
Environmental Conservation
State of Alaska
338 Denali Street 99501
April 1, 1980
EAGLE RIVER MEDICAl. CLINIC
Thomas E Green, ~4.D.
PO BOX 1125
EAGLE RIVER, ALASKA 99577
Telephone 694-2105 or
279 0100
Able Excavating
2770 Pelican Dr.
Anchorage, Ak.
99502
Dear Mr. Stickley,
I hereby accept your bid of February 12, 1980 for exca-
vating and installing the sewer line on my. Eagle River
property, provided this work can be completed no later
than June 15, 1980.
To pay for your service
placed in escrow at the
sate of this property.
to begin this project.
the amount of $ 2,250.00 will be
time of closing of the forthcoming
Please advise me when you intend
Thank you for your cooperation and I look forward to
doing business with you.
Sincerely,
Thomas F. Green, M.D.
TFG/cbw
cc: Security National - Real Estate Div.
Dept. of Environment'Quality
Marianne Christian