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HomeMy WebLinkAboutWONDER PARK BLK 3 LT 5IN On iD f,P-- BlocK .3 ~ c, ~mc~. a e~OLOmC~. LA~O~TO~.S oF:ALAska' : ~Nc. P.O; BOX 4:1276 zH}49 BUSINESS PARK BLVD. ANCHORAGE, ALASKA 99509 Drinkin§ Water Analysis Report for Total Coliform Bacteria '~ ......... TO BE COMPLETED BY WATER SUPPLIER Public W~ter , Systsm Name Malting Address City SAMPLE DATE: ~ ~ Mo. Day SAMPLE TYPE: [] Routine [] Check Sample (for routine with lab ref, no, [] Special Purpose sample ) state ZIp Code Year [] Treated Water [] Untreated Water SAMPLE NO. LOCATION ~I I I · I ~ I' I Time Collected Collected By TELEPHONE (907) 279~1014 TO BE COMPLETED BY LABORATORY LABORATORY: NAME ADDRESS CITY Date Received ~ 7¢ Time Received /,~,'~) ,S~'' Analytical Method: [] Fermentation Tube ~embrane Filter Lab Ref. No. Result* Analyst i FT-1 I ~ I l-iq READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18-310 (3.78) o6.]22o (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. ~.978 (~ate Collected Source Oate Received .Time Received p,m, Lab, No. =resumptlve 1Omi 1Omi 1Omi ).Omi [!Omi 1.0mi O.lml 24 Hours 48 Hours 3onflrmatory 24 Hours 48 H o u.___r s EMB Broth 24 hour~: Multiple Tube Report= MembFa~?!tll~er Direct Count Broth 48 hours:__ t0ml TUbeS Posltlve/Total-lOml Portions COUfocm/100ml GLENN kLONDIKE ~',/E 32 TAKU DPJVE HE'NA AVE. C, AR, I~OU AVE. E. 5 AVE. ~ /~ ~.~v'~F :~ ~ E. ~ AVE. WONDER PARK ELEP1F;NARY 5100 E· 4AYE. 31 ~ 33 Mountain View Area Reference Map-P3 Anchorage POUCh, o-650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAN, MA DEPARTMENT OF HEAL. TH AND ENVIRONMENTAL PROTECTION (825 "L" Street) April 9, 1979 Gail D. Petersen 311 Bunnell Anchorage, Alaska 99504 Subject: Lot 5 Block 3 Wonder Park Subdivision Approval for your individual sewer and water facilities will not be granted until the following items have }peen completed: (1) Expose the well for our inspection to determine proper construction, also, to insure the minimum distance requirements are met between your well and sewer system. (2) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. Notify this department for a re-inspection when descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security Pacific Mortgage 1011 East Tudor Road, Suite Cherri C. Odens % Area Realtors, Inc. 3300 C Street 99503 190 99507 ' MU NICI p~,LITN~3~ ANCHOP, AGE MUNICIPALITY OF ANCHORAGE DEPT. ©~ -,~,Ul'[t & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONEb(VJRONF,ENTAL 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION APR Telephone 264-4720 DIRECTIONS: Comme~e aH Darts on page 1. Incomplete requests will not be processed, Please allow ten {10) days for processing. I. PROPERTY OWNER 'vlAIL NG ADDRESS PROPERTY RESIDENT fdifferentfromabove~ 2. ~yER Mr~LI N G ADDRESS LENDING INSTITUTION~ MAILING ADDRESS 4, REALJ'OR/AG~NT ADDRESS PHONE PHONE · 5, L. EGAL DESCRIPTION STREET LOCATION 3il 6. TYPE OF RESIDENCE '~ SINGLE FAMILY [] ViU LTIPLE FAMILY 7. WATER SUPPLY ~(-,C NDIVIDUA L' [] COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM [] NDIVIDUAL/ON-SITE '1~' PUBLIC UTILITY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five .~', -, Three [] Six [] Other *ATTACH WELL LOG A well Icg is required for all wells drilled since June 1975, For wells drilled orior to that date, give well depth (attach log if available. I individual/on-site, Bive installation date system is over two (2) years ma an adequacy test ~s required gv this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-01E 3~78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER sUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E31NDIVIDUAL/ON -SITE 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 AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS (. ~ APPROVED FOR '~ BEDROOMS [] CONDITIONAL APPROVAL (letter m~us~ccompany certificate) O,SAPPROVED DATE BY {Title) 72-010 (Rev. 3/78)