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Home My WebLink AboutGIRDWOOD ORIGINAL TOWNSITE BLK 3 LT 7 RECEIVED SEP 1 ~ 1991 Municipality of Anchorage Dept. Health & Human Services '~%'., ~o. 40~ ..'~ SURMEY CERTIFICATION: I hereby certHy that I have ~urveyed the property ~hown ~nd ,h EN[31NEERS ' ' 440 WEST BENSON BLVD, 272-9231 ANCHORAGE, ALASKA 99503 562-5291 LEGAL DESCRIPTION: Q, I Ii /A£ I/ L I4/OOD scribed hereon and that the Improvements situated thereon~are within the property lines and n encroachments exist other than noted, I.~GI~N~ R~[T FOUND 5/8" RESAR O O HUB & TACK r-1 MONUMENT AL-CAP PK NAIL X IRON PIPE l= ELEVS,- DATUM ASSUMED -or's responsibility to check top of foundation in relation to finish grade and building set- becks In relation to lot lines and easements. J of i Pages ~1;I ~1 I.~'r~'~~ Page No. ~ : P. O. Pox 674 GJ[TDWOOD, ~.¢-, 4 A{.,,-:,K~, 99587-0674 TO STATE AND ZIP ~ODE ~, ,~)~J~(.,:'{.') ~, , t,-.-,~ bio-~'~ '?~'~ ARCHITECT DATE OF pLANS PHONE DATE .? ,' ~ "i ~?: ':'¢ "~ .... JOB NAME ~ JOB LOCATION / t JOB PHONE We hereby submit specifications and estimates for: RECEIVED SEP 1 ~ 1991 L:u.~'clp::ty cf Anchorage H~ai~h & Human Services ~J~ ~l'opo~]~ hereby to furnish· material and labor -- complete in accordance with above specifications, for the sum of: .:~:! i~.~.~,~ ~-.!~ ~'L,U( ,.~"./ (- , :/e*- ~)O~L~{_~ ~)~-~'~. ~L.~ /2 dollars($ : Z45,~;t) ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike ! ', (j /~ j manner according to standard practices. Any alteration or deviation from ~bove specifica- Authorized ~: , ,, ,, ,, tions involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado.and other uecessary insurance. Note: This proPosal may be Our workers are fully covered by Workmen's Compensation insurance, withdrawn by us if not accepted within days. A~eptaure 0~ ~roposal ,The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature FORM 118-3 COPYRIGHT 1960 - Available from ~lnc., Groton, Mass. 01450 , HEALTH AUTHORII"~ · APPROVALS :SEWER & WATER MAIN EXTENSIONS · :'T":'~: SEWER&WATER ~r e i..'-:~ ~, .. :~ ENGII~;E'-RING STUDIES ~'~ ...... WELL INSPECTION ~?;:;?.. :': SrrE~'LANS ~::"' ROAOOE-~IGN ;~ .... i :5"'" SO~LTEST f~:: ...... STRUCTURAL & I: ...... MECHANICAL · * ON$1TE WASTE WATER DISPOSAL SYSTEM DESIGN 1990 ROBEI~':GHAFER, P.E ROGER SHAFER.::ii~ CIVIL ENGINEERS!¢i: FAX 694:1211 M~. LlndaSmith VISTA REAL ESTATE $o00 C stre~ #101 Anchorage, A~a~'99505 REFERENCE= Lo~ 9; Block 3; Girdwood Original ", NHN Ma~n Str~t, Girdwood, Alaska " AHFC # 91676 ~.A.# 715~4 .,~t ,(~,~eq~e~t · ~ow te~t ~u~ p~o~ed on the refe~ne~ prop~y on O~ob~ 8, 1990. The 6~ m~s~.t~d.~ 21" b~ow the top of the w~ '~lng ~nd the flo~ ~n~ on :.~'... f~.,"~<~ Leu~ m~r~e~ were ~k~ (~ee report ~ch~llt From. ,~ ~' ~ ~ eon~d~ the w~ l~ ~r~ prodding ~.2 g~l~o~ p~ ~te (GPM). T~ flow ~e ~ not. ~ 6~p~ were ~k~ ~' t~ for ~ ~n~co~{o~' b~.' If we maF be o{ furthe~ ~ervice, p£e~e co~;c~ u~. ? . Z/gm 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 17034 Eagle River Loop Road ROBERT A. 8HAFER~ Eagle River, Alaska 99577 CIVIL ENGINEER - . 894.29?g~ LOCATION OFWELL(Leoal Description): Z-oJ[' ~/ ~ L~Io~./~" _=~ ; ~ ;~_C/~x~ ('}V' ~ _. ,,....:. WELL DE.H: ~ ~ ~. CAS~NG: ~ . SCREEN: " ~;C~ATER LEVEL ~op of Casing): ~ / ' ~ CATE: / ~ - .... ELAPSED TIN~F RINCE DEPTH TO DRAWDOWNI PUMPING - · .CLOCK PUMPING STARTED/ WATER, FT. RECOVERY RATE, GPM REMARKS , 0 ,' ...., ~ [ (awl) 0 0 8tad . 1~(2 hours) 1~ (3 hours) Munic pahty of Anchorag~ RECOVERY Dept. Health 5 10 ~5 NPT ~ A ~00~ 35 ' : Commente:tw llproguces A o-Ic ~'' ouce ~ ~L ~.eU~' io,c¢lod S~bsequentVarlatl°n!:~ ;~.. Can Oecur.%_~:i:' ~ .": CHEMIC/iL & GEOLOGICAL L/iBOR/i TORIES OF AL~aSK~I, INC. PUBLIC WATER SYSTEM I.D.# S & S I~IGIK%'ERING ~ ( ~ ( ' State ' Ma. Da GAMPLE ~PE: Routine ...... ~,Check Sample (for VOht~e sample ', $AMPLE NO. LOCATION Zip Code [] Treated Water [] Untreated Water Collecte_d By READ INSTRUCTIONS . BEFORE Membrane Filter. Direct Count Verlflcetlon: LTB TO BE COMPCErED BY shows this Water SAMPLE to be. factory .... ~ ~mple too long In transit; s~ple should not be ~er ~ hours old at examination to indicate reliable results, Please send¢ new sample via special d~live~.~alI, L-.(. Time Received .. J~' Analytical~ethod: ~ombr~'~Fil~'~::? · No.'of colonle~l~ mi. Lab Ref. No. Resull' ....A~al 90.4151 -~ ~ ED ~umc,pah[y ut Anchorage Dept, Health & Human BAGTERIOLOGICAL WATER ANALYSIS RECORD ~/0~ COLLECTING SAMPLE TNTC = Too Numberous To Count OB = Other Bacteria I~-_~(AINDER TO FOLLOW' Final Membrane Fllter Results, Reported B~ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC, 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 Client lcct : $N$EHGP ~.0,t ~0)I~ EECEIVED ~eq t C~dezed By : ~. $~FE~ Se~ ~epozte to: Allowable ~AMPLE COLLEC~[D 5Y R.D.3. I Tests Performed OA-Unayatlab~e ~- Hone Detected ~A- ~ot Analyzed · See Special Instructlon~ Above '* See 5emple Re~rke Aboye LT-tes, ~n, GT-Groator Tl~n OCT ? 6 1990 AHP -- ANCHORAGE ~ ' Sample i, ~emrks: Mu, ,:cu~ah [y ot Anchorage '. Oept, Health & Human Serv ces ,,.: r ........... ~ .... ~' ............................. I0 ~:,~ :'." ~ 0.27 ~j/1 [?A 353.2 ~. :. :... ~ITRA~E-~ WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 5 GeophysiccI Surveys LOCATION OF WELL (Please complete either allBorough Suhdi¥ieion Lo, · Block ib.iI i/,qtrs'' Section No. TownshiPN[~. Range E[~ Meridian lc.il DISTANCE AND DIRECTtON FROM ROAD INTERSECTIONS ' Street Address and Area of W~II Location Feat Below 4. WELL DEPTH; {final) 5. DATE OF COMPLE~ION 2. WELL LOG Surface Material Type Top , Bottom' ' ~::):~_~.I% ..... 10 /%~ 0 Auger O'de~ted 0 Bored 0 Other: " -- . 0 Irri,.Hon 0 Recharge 0 Commericei . . ~ Tes~ Well 0 Other: ' 8 CA~ING: 0 Threaded ~ Welded diom L) in to ~? ft. Depth Weight ]'~_ lbs./ft. ' diam. in. ~ fo. ft. Depth Stickup ft. ' · 9. FINISH OF WELL: ' ~et between . ft. and ft. . - Backfilling Grovel peck I0. STATIC WATER LEVEL:~ ft. / / Dote ' ~ Above or ~ Below lend surface · Equipment used: [1. PUMPING LEVEL below land surfuce end YIELD . ft. utter hfs. pumping g.p.m. ft. offer hrs. pumping g.p.m. ' 12.GROUTING Well Grouted: ~ Yes ~ No M~teriol; ~ Neat Cement ~ Other: IS. PUMP: (if oveiloble) HP Length of Drop Pipe ft. capacity g.p.m. ' ' [4. REMARKS: , ~a!l I~,,~ATER WELt CO~TRACTO~'S CERTIfICATiOn: I~. Water Temperoiure o ~ ~ ~ C ' bfq ~ Orilling Permit No either ~o, lb o . A.D.L. No. AppLI(' NT FILLS OUT UPPER HAt ONLY Property Owner ~ ~--I)..)._Z:~ ~ '~-~:I~-T?,'>_1~ ~ ~'~ ~.~' 1 ~ Phone Address Zip Code Lending Institution ~)~:~ ~ ~ ~_~ ~ Phone Address ~5~ )~d-~ ~~~ LF~ ~.:V~'~ZipC°de Phone Realty Co. & A~nt Address/ ~ ~ ~ '' Zip Code Street Locati~ ~ ~ ~ ~ ~ '~ ~ Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ CommunitylndividualX~ . A~ACHFor WELL LOG.prior A w~l Icg is required for all wells drilled since June 1975. ~ wells drilled to that date, give well depth (attach Icg if available). ~ Publi~ Utiity ' , · '~ Individual Year Individual Installed: ~ :..:;.~ When Connected to Public Utility: :~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time ~ Time ~0 W~' /~ -- /O,' cot Date / \. / Date Date Date /~_/ ~ ~ g /¢._~ Insp~tor Insp~tor Insp~tor Insp~to~/~ p~ ~ Field Notes: ~ ~UNICIPALITYt- '~N~O~O GE H ,...a "' ~, DEPL OF HEALTH ~ ~ ~.~ ~ ~ ' OCT ( J ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ~ ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size 72-023 (3/82) C!tEIfflCAL & GIz,..£OGICAL LABORATORIES ~." ALASKA, INC~ TELEPHONE (907) 562-2343 ANCHORAGE tNDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SY~JEM: Water Syste~n Name I.D. NO. Phone No. Mailing Address ," TO BE COMPLETED BY LABORATORY Analysis snows this Water SAMPLE To be: [~. Satisfactory [] Unsatisfactory [] Sample too long in transit; samp e should not be over 48 hours old au examination to ndicate reliable results. Please send ........ new sa~ple~ .................... City State . Zip Code Date Received · Day Year Time Received SAM PLE TYPE: /{~ Routine [] 'Check Sample (for routine sample with lab ref. no. [] Special Purpose SAMPLE NO. LOCATION 4 l [] Treated Water [] Untreated Water Time Collected Collected By Analytical Method: [] Fermentation Tube ---E~Mem brane Filter / Lab Ref. No. Result* Analyst READINSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collectecl Source P?esumptlve /Omi 10mi /0mi 10mi 10mi 1.0ml 0.1mi 24 Hours 48 HOurs ConfirmatorY 24 Hours 48 HOURS EMB Broth 24 houra: Broth 48 houra: MultiPle Tuba Report; Mambrsrle Filter: Direct Count verification: LTB F..., M.mb....' 10mi Tubes PoSltlve/'rotal Z0ml Po~tlmls Collform/100rnl BGB SHIPPED TO 2285 C~TOMER'S ORDER SALESMAN TERMS SHIPPED VIA F.O.B. DATE, ~lFo-~-J ® 7S737 POLY PAK (50 SETS) 7P737 INVOICE NO. 2262 ~ TO SHIPPED TO DATE POLY PAK (50 SETS) 7P737 TO REPLY ~-~'~® 4S 472 SIGNED SEND PARTS I AND 3 INTACT - PART 3 WILL BE RETURNED WITH REPLY. ~ / / POLY PAK (50 SETS) 4P472 DETACH AND FILE FOR FOLLOW-UP )RIZED OFF~