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Home My WebLink AboutWILLOW CREST Tract 6 Appears to have been subdivided ~rch 28, 197~ Ftle: Polar Realty 101 East International Airport Road Anchorage, Alaska 99502 ATTE~TIOa: Lars G. Ekstrand SUBJECT: Sower and water facil(ties servtny the South 1/3 of Tract Ntllowcrest Subdivision - 4113 Cope Street Dear Hr. Ekstrand: The well serving tile subject property is buried. A water sample taken on t4arch 25, 1975 proved to be satisfactory. Temporary approval for the water syste~)can be gtvenwhen funds are put into escro~ to cover the connection to the available public water. 'ri)e house is connected to the available public sewer and therefore is approved. Sincerely, Lynn S. Coed, Sanitarian II LC/ko ~~= GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 0 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection : :~:l~ Date of Inspection ,' INDIVIDUAL SEWER & WATER FACILITIES ~/~ ~. ~e o~ ~ ~o ~ ~n~e~e~ ~~~o. o~ ~. Wel~ Da~a:~, C. Construction ,~, ~:/'e~l D. Bacterial Analysis 7. Sewage Disposal System: ~, A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1174) Page 1 of two pages 3330 REQUEST FOR API~ROV,a,i OF INDIV~D/I,I\L..,~'EWER ~ l!/~rLl.~ FACILI~}Ec, 1. Type of Inspection: C~'illO "/~' xx 2. Property 0wn~r: William Thompson Mailing Address: 4113 Cope Street Name of Buyer: Fernando Lopez r: }i A C 0 N V Day Phone 277-9563 or cgtl POLAR REALTY--~) 272-1541 Mailin9 Address: 1042 East 8th Avenue, Anch. D~'/,P'none 274-1847 ................... 9'950l~ ..... Name of Lending Insti'i:ut~ion: KASSLER & CO, Mai 1 ing Address: 319 west 5th Avenue Phoae 272-9501 5, Name of Real [or or Agent: POLAR REALTY -- Mr. Ekstrand Mailing Address: 101 East In.~'_l ARt, Rd, ?hone 272-1541 2 Legal Description: 8-1/3 of Tract 6 Willowcrest S/D-OR= Tract 6-A Willow Crest S/D 4113 Cope Street (We have both legals on file--please advise if correc- Location: Anchorage, Ak. (tion is necessar ........................... y_.) 7. Type of Facility 'to 8. Water Supply Type of Supply: If Individual, number of dwellings If Individual, depth of 9. Sewage Disposal. System Type .of S~stem: Public Utility xxx If Individual, date of installation be inspect:~d; Well No, Bdrms. Public U,:il ity ........ .~en ,, ~y served 1 pre" ~ ~-~ 3 ..... PLEASE SEND REPORTS TO ICASSLER & CO.~ PLEASE ADVISE IF A STREET WOULD HAVE TO BE CROSSED IF HOOKED UP TO PUBLIC WATER. Sincerely yours, I(ASSL[R & £0, 819 ETtt AYENUE B~I~IIO~Af;E, AIdS]fA 99~0~ ~Pag.e 2 of two pages - Ri ~est for Approval of Individual ~ewer & Water Facilities Legal Description Approved ~-~_~/Y~J~proved Date ~ /' - - ~ A~r°val',Valid f°r one-Year from date signed / Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) , .a ;,'"-~3 ~ o~^ ~., , , ~ ~0 ~ ~c O~ ' I~IYIDUAL WATER SUPPLY Southeentr~l Regional ALASKA DI~PARTMllNT OF HEALTH Section of Sanltafion and llngtneerlng ACTION ON REQUEST FOR BACTERIOLOGICAL WATER ANALYSIS Yourrecentrequestforananalysisofasample ~5~ ",..u~-,~ .'~-" ~'---' fromthelndividualPrivateWaterSupply l~O, Mona llunt serving /~..l.~ Cope St, ,ape~rS~ ' receivea 1/2~60 and " - exmination has been completed. /~:~ ~' 7- ' . ~' / ~ ~J~' Records in this o~ce indicate this Individual Private Water Supply to be of Satishcto~ ~Questionable Unsatisfacto~ sanit~ stat~. Analysis shows this S~PLE to be t/ Satlsfacto~ .Questionable Uns~tlsfacto~. If an "Unsatisfactory" or "Questionable" stams is indicated above, you should take i~ediate action as reco~ended below. 1. Boil or chemically treat your water supply to protect your f~ily ~rom water-borne diseases ~ outlined in en- closed leaflet, "Dri~ It Pure." 2. Improve your spring~8~ bu~etin HSE-6-2 3. ~prove yo~ cistern~Sce bu~etln HSE-6-3 4. Improve yo~ dug well ~See bulletin HS~-6-4 5. Improve your driven well ~ See bulletin HSE-6-5 6. Improve your dd~ed well ~ See bu~edn HSE-6-6 7. Relocate your well to a sa~e location in relationship to your sewage disposal System ~ See bulletin HSE-15 8. Bottle broken in transit, plebe send new s~ple. 9. 8ample too long in transit; sample should not be over 48 hours old at ex~ination to indicate reliable results. Please send new s~ple. 10. Contact your nearest ~ L~al Health Department or ~ Alaska Health Department, Sanitation o~ce ~or bulletins, consultation, and ~sistance. 11. This is a surface water source and subject to po~ution by man and animals. An approved water supply source should be dev~F~.. ~ S~ITA~'5 ~E~S ~DfI--HSE~3-FI (e) This Form Must Be Filled Out Completely. INDIVIDUAL WATER SUPPLY ALASKA DEPARTMENT OF HEALTH Section o! Sanitutton and ~.n~ineering Please Look on Reverse of Sheet for Sample Collection Instructions. Request for Bacteriological Analysis .~i - Lab. N'5 ..........~.~.:~. ~ ................ Water sample collected by .............. ~..~[..~' .......................................... .~..c.r~.....~.../...f...~... ...... ./.../..::i/3....~.....~..../~.. (Name of person collecting sample) f// (Date) (Time) Water sample collected from ~(.Kttchen tap; [] Bathroom tap; [] Basement tap; [] Other (list) ..................................................................................................................................... Address premise where source is located .......... f.f..../.../....-~.. ............... ...~g.../F...:fr.'. ......... ~:~: .............................. .~...~...f~..~..~ ........ (Mr.) Mall report to (Miss) ............ ........................... ........ (Name) (Box No. or street address) (City) Please place an "X" in the box before items which bast describe your water supply: SOUttCE: Well -- ~Dug, [] Driven, [] Drilled, [] Bored [] Spring, [] Cistern, [] Other (list) ............................................................................................................... [] Creek, [] Rlver, [] Lake, [] Pond .................................................................................................................. DUG WELL ,\/, , OR CISTERN CONSTRUCTION: Walls- [~] Wood, [] Concrete, ~M~tal, [?~ ~lle, [] Brick or Concrete Block Top --[~ Wood, [] Concrete, [] Metal, ~Open Top LOCATION: [] In basement, [] Basement offset, [] Under l~ouse, J~ln yard Other ................................................ : ............................................................................................... ..................................... DISTANCE TO: Building sewer or other drainage pipe .............. feet, Septic tank .............. feet, Tile field .............. feet, Seepage pit .............. feet, Cesspool ....~...~..... feet, Privy .............. feet. Other possible source~ of contamination (list) ............................................................................................................................................. % MATERIAL: Building sewer -- ~Cast iron, [] Wood, [] Tfle,~Flbre pipe, [] Asbestos cement · ~oint material -- Type .................................... GENERAL INFORMATION: Does water become muddy or discolored? [] yes, When? ............................................................................................................................... , . Diameter of well.:.....~ .................. [.......depth .................... ~__.._....._ ._...._.......... ~' '~'"""~';'~'~ Well casing matertal.....¢:?~'..~...~...,ff~.( .......... diameter .................... depth'"'".."'"'"'........... ....... Length of drop pipe ............. ..~..<~ ...~.....: ................................................................................................ Water depth from bottom .......... : ................................................................................................. feet Pmnp location: [] In well, [] Offset in basement, [] In basement ~ In utility room, [] On top of well [] Other (list) ........................................................................................................ PURPOSE OF EXAMINATION: Illnass suspected? [] yes, [] no New source of supply? [] yes, [] no Repairs to existing systenl? [] yes, [] no Remarks: c~/_./~-~/ ' PLEASE DRAW A SKETCH IN THE SPACE BELOW. THIS SKETCH SHOULD SHOW LOCATION OF HOUSE, WATER SUPPLY SOURCE, SEPTIC TANK, SEWER, DRAIN LINES OR OTHER SOURCES OF POLLUTION AND DISTANCES BETWEEN WATER SUPPLY SOURCE AND ANY OF ABOVE FACFf.ITIES. SAMPLES MUST BE SUBMITTED IN CONTAINERS PROVIDED BY THE ALASKA DEPARTMENT OF HEALTH _-~ 66-69 J.V'ld