HomeMy WebLinkAboutWENTWORTH Block 5 Lot 23
J Type of Resi~nce
Water Supply
~ Individual A~AOH WELL LOG. A wall Icg is required for all wells drilled since 8uae ~g75.
Community For wells drilled prior to that date, give well depth (attach Icg if available}.
Sewer Disposal
~ Individual Year IndivBual Installed:
~ Public ~i!ity When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes: ~ ~ ~ c~c) ~)~OVLO}~ J ' ~ · %~C~¢%~0"% DDPT
- , Uo
~ ) APPROVED BEOROOM8 ~ 'CONDITIONS OF APPROVAL ~t4 ~[M
~ils Rat~ , ~ In~le~ ~ ~ell TO Absoretio. Area Well Log Received
3500
~ ~. 17:
University Area Reference Map-P8
69
92 ~'- 69
12
93
COPYRIGHT 1981
CHEMICAL & G[~ LOGICAL LABORATORIES .~...Z ALASKA, INC.
TELEPHONE (907)-279-4014 ANCHORAGE iNDUSTRIAL CENTER
274-3364 5633 B Street
Drinking Water Analysis Report for Total Coliform Bacteria
I.D. NO.
Water System.,/Name ~' /~ Phone No
City
State
Zip Code
MO. DSy Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO.
1
2
Time Collected
Collecte(~ By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
}~].,.Satisf actorv
[] Unsatisfactory
[] S~imole too long in transit: samele should
3ot be over 48 hours old au examination
tc indicate 'eliable results. Please send
qew sample
Date Received ;: :'~ ~ ;-:>
Time-Received /-~ .....
Analytical Method:
[] Fermentation Tube
J~/Membrane Filter
Lab Ref. No. Result* Analyst
I [--F-I
I
I
*No of colonies/lO0 mi. or NO. of Posibve aorlmns
06-1220
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECOED
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Date Collecte~ Source
Received Lab. No.
Presumptive 10ml 10mi lOml 10mi /0mi Z,Oml O.lml
24 Hours
EMB
Verification: LTB
BGB
August 20, 1982
Earl Mitchell
c/o Evans Agency
840 W. 10th
Anchorage, AK 99501
Subject: Lot 23 Block 5 ~'~entworth Subdivision
Approval for the individual sewer and water facilities cannot
be granted until the following iteras have been complehed:
.The water analysis report needs to be submitted to this
office from the Che~n Lab, 563.3 B Street, for our review.
°/ Expose 'the well for our inspection to determine pr?per
~/~construction, also to insure minimum distance requirements
~ are met between the well and sewer system.
~ This departmen% need. s to }]ave the ~ocument submitted, to
verify .public sewer connection. . .
Please notify this Department for a reinspection when the
noted d~scr_pancles have been corrected. If there are any
further questions, please call this office a't 264-4720.
Sincerely,
Cory Willis,