HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 6 LT 1212.
Lo'
7m
Well Data:
^ T
Co Construct5 on
A, Installed
B.
D,
/Z.g ~
Depl;h
flact;erial Ana!.ys]s
~L h]etalJer ~
C. Septic '.rank,, ], Size .................. 2, Manufacturer
Do Seepage Pit: 1.. Size ........................ 2, Material
E. Dtsposal Field: Tof:al l,ength of I,fnes ............................................................
8. Distances:
A. Well To: Septic Tank ................... , Absorpi;ion Area ............ , Sewer Lines
, Nea¥'e, st LoL line , Ogber Contaminatior~ ................... ·
g. Foundatior~ to Sopg:lc Tank ',, Absorotion Area
C. Absorpti.(m Area to Neare¢;t l,ot Line ................................................. ·
Request for Approval o'f T,-"iv~dual 1;ewer & Wa[my Faci.]it~r
Page Two
Ap~.,x~_'mv;~ waJir! fo'~' One Yr~ar l:','~:~ Date 3~.:m~ad
GreateF AnchoYage Area ;~orounh, Depa:r~:menl: t',f E',v~' m~eni;al Quality
V
and accurage representat~nn of the ~mb4~ct: sewe¥' arm wal:er 'fac] !] ;'[es located at:
DIVISION OF ~IILll~ HEALTH
lilAC'[EIIIOL,OGICAL WATER ANALYSIS
DEP,P" 'L £NT OF HE/tLYH AND SOCIAL
DIVIS]ON OF PUBLIC
BACTERIOLOGICAL WATER
E~cord~ in lid,{ office indicate this WATER SUPPLY to be of:
[] Ratisfactor¥ [] Quemionable [] Unsmlsfaclozy SanSary Stmu~,
NAME
CITY
ADDSESS
OF SOURCE
SAMPLE COM~CTED BY
MATERIAL: Building Sewer - [-.] Co~t [] Wood [] ?ilo [] ]Fibre [] Cemen
GENERAL: Does Water Eecome Muddy or Discolo~ed? []
PUMP LOCATIOI, h ['] In Well [~] Bosemo~t I~ In Bo~ement [] In Utl]ily
[] OlWe [] Other, , ,
PINtPOSE OF EXAMINATION: ]Rne~ ~uspocled? [] Yes [] No
READ INSTF1UCTIONS
ON
REVERSt:'" SIDE
BEFORE.
COLLECTING SAMPEE
....... 2. Increase chlorinallol; su[licier~tly lo meel recommended residual standards.
~. 6, lmp;,ovo your [] ~pdng [] dug well ~ ddven well
~ drilled well [] cistern
system [] see onclo~ro
~ Bottle Broken in tmnsiL ploa~ send new ~mnple,
SANITARIAN'S REMA~K~
06-1220 (b)
BACTERIOLOGICAL WA'rER ANALYSIS RECORD
April
Veteran
Loan Guaran Ly
dZ; J SLreat -. Suite 'di,i
Sm~juct: Loi: 12., i~lock 6, Zodiac Manor Subdivision
Ti;ers is no co~:~munity or publtc woL~r ~acill~ies aw~ilablu ~o the
stoL. jeer lot, A private well located on this lot mu:sC have no source
of co~itamina~ion ~i~hin ten (10) foot of the we'll, no s~ptic tanks
' . .M,aUu pi ~s wi ~hin
oned;undred (100) fe~:t of ~P,e well. I~ sNould bc no i'~rob'h:m ~o me~
Siilcepe'Jy,
Jmhn R. L(:~)
Lnvirontmmtal Specialist
ljh
A~ril ll, 1972
VA Ad~'~i nt stratlon
42~) "D' Street SUite
Anchorage, Alask~ gg~nl
Subject: Lot 12, Blk 6,
7odtak.!!anor ~ubdtvtsion
Public .~ewer i~ available to the s,bJect lot at,hough there
is no z~uhlic water sltpply. {~o do not have inform{ii:ion on
pu~ptn~ rates for wells tn this 8re~ however,
satisfactory su~plte~; of potable water have been developed.
~or cur approval there must be no souree of contaminntton
within lO' of the well and betweon lO' and 50' all sewer
line m~st be ca~t (rea with lead caulked Jot~t$ or its
casing must be brought to above gk-ound level 8nd have
water tight s~)nttary seal.
subject lot.
Sincerc'{~,
,lohn R. Lc(;,
Senior ~nvironmental Spectuttst
hb