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HomeMy WebLinkAboutT15N R1W SEC 8 LT 38AT15N R1W Sec 8 Lot 38A #051 - 092 - 49 i, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PF~OTECTION ENVIRONMENTAl_ ENGtNEEFHNG DIVISION ,~1~// 825 L Street- Anchorage, Alaska 99501 'rdephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~ ...... :: ' ~ PNO~E- . I '~E]UPGRADE MA] L I N ~:~/..P~ S/'] LOCATION C~) DISTANCE 'FO: Liq DISTANCE TO: Manufacturer DISTANCE TO: No. of lines ~ / (T15N_R1W Section 8 Lot 38 Absorption erea/ ! J Dwelling~,~ /,~'~ Inside length ] Width .grade Width Type of crib Crib diameter Well Dwelling NO, OF BEDROO~ P E P,_[vll T NO. , ¢.,,_ Liquid depth PERMIT NO, Liquid capacity in gallons Distance Total effective absorption area PERMIT NO. ~ depth Total effective absorption alea DISTANCE TO: Class ~ Driller Distance to lot line IPERPERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank A~lrption area{s) OTHER PIPE MATERIALS SOl L TEST RATING fi//' ~ INSTALLER ~,.~, / ('~) ///~ REMARKS DATE LEGAl_ '['HIZ B?.~"::(]:!t..I:fJRE[:, E, IZE I)F TFIE 5;OIL (:I[3:i~,(3RF'T]:O[q :~':i'.r'Sq"E[',l IS: THE: LEt'..!,C~TPI P 11.'IENE;:[ OF,! Z E; THE LEF.1.GTH ,:; Z I":l [:'I~'ZE:'T ::, 01.:' -f'HE; 'I'I;itENE:H OR DRI::I }: HF:: l E~TL.[:,. 'r'HE DEPTFI f.)F' ¢::1 "t"F~:IENC:H (:ff,: PiT :[~5 THE DZ::¥I'RF.ICE: E:E-FMIEEN 1"HE ~;UF4'.F'F'IC:E C)F: THE THE '"'"~r. ...... r,, .=""L.. D EF~'~-~:~-+~[ N~HU~ ~'E,E~Tra"~:¢~-'~,~ EZ~FF~]~E~Z~?z't~ F, :[ F,E.. taN() THE [3(3TI"CIPI OF 'I'HE EXCFIYFIT'[Cff.,I (ZN FEE:T:). THE Ii:ESPOi",I.%.I:B:[L.I:-1.".r' 'TO !NF()1.;~:M '['f"lJ:':~ E:'EPFIF?.TMEN't- DL.IR1.?',!(:~ II",I~;1.:'E':E:T:[(31'.,I!k~; OF' I::!BI"¢ I.q!EL.L'.'~ F![:)..:rFIC[i:BIT TO TI..IZS F'I;?.OPE!:Fi:T'.r' F:II'.,IB, '1.'HE TH[::I-I" '1"HI:_" HELl... F.I:[L.L.. ~[?.[-~'.',,,'E. 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I C:ERT!F'"r' 'THFIT :L: I Ri"1 F?I1."IILIF:IIR I,IITH 'rile F'~:E:I;]UII;:EI,1E:h,I'f'~; FOF?. OI'.,I--E;I'TE :~EI.,.!ER~; FII%', P.![i[I._!..:5 FI:'F.: ~!;ET F'O1.~'FH E~'-r~ 'THE: i"II.JBIZC:IPFIL, IT¥ El(:' F:INC:FICIf~:i:rlI:!iE. ;2:: I HIL. L. IN!E;TFILI.... THE E;¥:STEM ~:: Z LIIq[)E:F~STf:IIq[::, 'T'I-IFrI' THE: Cql'..I..-.:~I'['!:~ '.:];E!-,.l[[r;'. ~'.,-'~:~',TE:Ft MFt'.r' RE)::!I.JlRE: -Eh,ILF'~[~?JiEMEf'..!T tF' THE: RE:SZDENCE[ :(E; F'~%i"I()DEL.IED Russell Oyster 694-2774 Performed for: Legal Description: Depth (feet) O&EEN. ;NEERING & DEVF'LC.'MENT CO. Box 90, Davis St,, Eagle River, Alaska 99677 694-2774 or 688-2280 SOIL LOG ' 688-2280 $oll Characteristics 0 1 10___ 11___ ............ ;'7 7-0 ~ ~ ~ ~'-~ '~ ~'" ~ :~;'s'~'~¢,,¢4 I/::1 ~ "'- PLOT PLAN 13___ 14___ 15___ 16___ Ground Water Encountered: Yes____ No_ Proposed Installation: Seepage Pit _ Drain Field___ Comments: If yes, what depth_ PERC, TEST oL Performed by: __~'._~'t. ,:.t 5, % Date;.J¢.-~.- / ~,, / 9_~,] . ,, APPLIC IT FILLS OUT UPPER HAL; , NI.Y Properly Owner Phone Lending Institution ~ ~;S~,~ ~ · , . Phone Ty e of Res[~nce %~ Si.glo Family E] Other Water Supply ~(Indlvldual ATTACH WELL LOG. A w~l log Is required for all wells drilled since June 1975. El' Community For wells drilled prior to that date, give well depth (attach log If available). E] Public UIIIgy Sewer Disposal E] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Inspector Inspector Inspector Inspector (~) APPROVFD B~DROOMS 'CONDITIONS OF APPROVAL ( ) CONDITIONAL APPROyAL 7~'~' DATE __~ -~ . ~ .~ ~ ~ ~ © CHEMICAL & GE~"~OGICAL LABOR~4TORIES t:'"~ALASKA, INC. TELEPHONE (907)-27g-4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: / ,.o..o. Water System Name Phone No, City "· · . SAMPLE DATE: ~ Mo. Day year SAMPLE TYPE: ~ '~outlna · [] 'Check S4uT)ple (for routine ~ample with lab tef. no. ) 0 Special Purpose r-i Treated Water rq Untreated Water SAMPLE . NO. LOCATION I I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: r-I satisfacto~, [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received ,Time Received f Analytical Method: [] Fermentation Tube ,1~ Membrane Filter Lab Ref. No. Result* Analyst I I~U~-'/'/i ~ ....,~ I r-]-I t [-'1-1 I FT'I I r-Ti BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE CHEMICAL & GE~OGICAL TELEPHONE (907)-279~J014 274.3364 Drinking Water Analysis Report for Total Coliform Bacteria LABORATORIES ~ALASKA, INC. ANCHORAGE INDUSTRIAL CENTER 5633 B Strut TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. ,,.' , i )' /... ,;,,'?-f. .... .. SAMPLE DATE: ~ Mo. SAMPLE TYPE: ~ ,Routine D' Check Sample (for routine with lab ref. no. I"l Special Purpose umple Zip Code Treated Water .,. Untreated Water · ~ SAMPLE NO. LOCATION 3 I ' I SI Time COllected Collected By J I. TO BE COMPLETED BY LABORATORY Analysis show~ this Water SAMPLE to be: 1-] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. ' Date Received Time Received Analytical Method: r-i Fermentation Tube I-I Membrane Filter Lab Ref. No. Recult* Analyst I I I I ICI I m I rtl · BACTERIOLOGICALWATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE TELEPHONE 1~71-2794014 ANCHORAGE INDUSTRIAL CENTER 274-~ 56~ B Str.t Drinking Water Analysis Repo~ for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Mo. Day year _- .... Zip Code., ~ ), SAMPLE TYPE: /~ Routine Check Sample (for routlna sample with lab ref. no. 0 Special Purpose n Treated Water '[] Untreated Water SAMPLE NO, LOCATION , I Time Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactorv ~Unsatisfacto~ [] Sample too long in transit: sample should not be over 48 hours old et examination to indicate reliable results. Please send new sample. · Dete Recel ~cl .... Time Received '/ % '::~ '~ ~ Analytical Method: Fermentation Tube ,E]~ Membrane Filter Lab Ref. No. Result* Analyst '-~/ "~"> I I~ l/,'.",, .,..~ ~,~. // I II-I-I I Ir-l'-I I II-I'-I I II-lq READ INSTRUCTIONS BEFORE COLLECTING SAMPLE ~6-1220 SACTERIOLOG ICAL WATER ANALYSIS RECORD CHEMICAL & GE~OGICAL LABORATORIES OALASKA, INC. TELEPHONE (~7)-279~014 ANCHORAGE INDUSTRIAL CENTER 274-~ 56~ B Strut Drinking Water Analysis Repo~ for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ~...';, - ~, ,/.t~ ":./," -, ,,.. , I.D. NO. Phone No. Mailing A~dr e~l SAMPLE TYPE: D Routine [] Check Sample (for routine sample with lab ref. no. I-I Special Purpoee ) 0 Treated Water [] Untreated Water SAMPLE NO. LOCATION I Tim4 Collected Collected By., I ~-~-- ~;)':~" TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~Satisfactory 'ti Unsatisfactory [-] Sample too long in transit; sample should not be over 48 ,hours old at examination to indicate reliable results. Please send new sample. .:..., ..~.1~ f:." Date Received , , -~ Analytical Method: [] Fermentation Tube ~]~Membrana Filter Lab Ref. No. Result' Analyst I ~,~-o<.( i-Pi, READ INSTRUCTIONS .BEFORE ,COLLECTING SAMPLE 0~-1220 BACTERIOLOGICAL WATER ANALYSIS RECORD CHEMICAL & GE~f'~OGICAL LABORATORIES ~ ALASKA, INC.~ TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER · 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. ~hone No. State Zip Code MO. Day year SAMPLE TYPE: [] '~outlne r"l Check ~.e (for routine sample with lab no. ) [] Special Purpose E) .Treated Water [:3 Untreated Water SAMPLE NO. LO~ATION 3.1 I 4 I I Tim ~OIII~IMI Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: I-'1 Satisfactory :~::~I'U n s at is f a c tory [] ~ample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please' send .-: T'.new sampl? :.~ .: '~ ::: Date Received · Time Received Analytical Method: 'El Fermentation Tube .,~M. embrane Filter Lab Ref. No. Result* Analyst I I-t-1 I I I-l-I I ~F~ BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE CHEMICAL & G~.~OGICJL L~JBOR~TORIES 0 ~L~SK~, INC. TELEPHONE 1907)-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 8 Street Drinking Water Ana;ysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: /[' ,~ I.D. NO. Phone No. City ·, State Mo. Day year SAMPLE TYPE: [].Routine [2 Check Sample (for routine with lab ref. no. D Special Purpose sample ) SAMPLE NO. LOCATION I 't'7'~ '~/' 2 I ,/.. ,~ 7" 3 I [] Treated Water [] Untreated Water Time Colle~led Collected TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination .to indicateJreliable results. Please send new sample· Date Received Time Received Analytical Method: It Fermentation Tube · IJ Membrane Filter Lab Ref. No. I :1 I Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOG ICAL WATER ANALYSIS RECORD TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 S Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Phone No. City State SAMPLE DATE: ~ Mo. D~y SAMPLE TYPE: ~ Routine [3 Check Sample (for routine ~ampls with lab ref. no. r"l Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION 3 I ' I Collected TO BE COMPLETED BY LABORATORY · Analysis shows this Water SAMPLE to be: [] Satisfactory Unsatisfa [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. D.,...c.,ved Time Received//~- -~'" } Analytical Method: r-i Fermentation Tube Membrane Filter Lab Ref. No. Result* Analyst /?'W- 241 ~ ,-:-"~.~ F'i'-I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD CHEMICAL & GE,....,OGICAL LABORATORIES 0 ALASKA, INC. TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER 274-33~l · 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER · WATER SYSTEM: I.D. NO. · Zip Code umple ) I~ Treated Water [] Untreated Water SAMPLE DATE: ~ MO, SAMPLE TYPE: 3-] ,Routine O Check ,Sample (for routine with lab ref. no. D Special Purpose SAMPLE NO. LOCATION ' 3 I ' I Time Collected Collected By ] ~. C <. · TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~, atisfactory ~ Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Time Received -/ 'C~O ~ Analytical Method: E] Fermentation Tube .,El Membrane Filter Lab Ref. No. Result* Analyst READ INSTRUCTIONS .,BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD . ~~)CHEMICAL & GE(,~OGICAL LABORATORIES (,. ALASKA, INC. TELEPHONE (g07)-279-4014 ANCHORAGE INDUSTRIAL CENTER = 274-3364 5633 B Street ~4rinkmg Water Analysis Report for Total Coliform Bacteria 'N~.~? TO BE COMPLETED 'WATEFI SUPPDER WATER ,SYSTEM: Phone Water System Name SAMPLE TYPE: ,/-- ~ E] Routine E] Check Sample (for routine , / with lab ref. no, /~r.~peolal Purpose SAMPLE NO. 2 I 4 State Zip Code Meet ,//~raat ed Water ntreated Water Time Collected Collected j J J J J TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~' Satisfactory [] Unsatisfactory [] Sample to() long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Analytical Method: [] Fermentation 'ruDe ~;~Membrane Filter Lab Ref. No. Result* Anc,~et ._ ..J f-FI J f-i-] 06-1220(b) BACTE R IOLOG ICAL WATI-'R ANALYSIS RI[CORD BEFORE COLLECTING SAMPLE , ..mo e Tube Report, _~0ml Tube. Po~tl¥1.fTotal 1Omi Portlo,r~ READ INSTRUCTIONS e.m, TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER : ~ 274-3364 5633 B Street , .~ Drinking Water Analysis Report for Total Coliform Bacteria ~" TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ;, .... ' -~ r,'~ ~',.,,,-~ (-~' 7 Water System Name P~one No, / , [] Treated Water [:] Untreated Water SAMPLE TYPE: ~l~n Routlna Check Sample (for routine ~ample with lab ref. no. [] Special Purpoee. SAMPLE NO. LOCATION [77 ,J ,e, 4 I , I Time Collected TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: r-I Satisfactory ~ Unsatisfactory~'') [] Sample too long in transit; sample should not be over 48 hours old at examination - to ~indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: D Fermentation Tube 1"1 Membrane Filter Lab Ref. No. Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE e~-tz2o lb) BACTER IOLOG ICAL WATER ANALYSIS RECORD ReeMtl~ ~y ( /5* ( ' '" ' Data '/ /f'''~ / Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. " ~,/.''!' , ~,' SAMPLE DATE: ~ Mo. State Zip Cod~ Yw SAMPLE TYPE: Routine Che¢k Sample (for routine .ample with lab ref. no. ) [:3 Treated Water Special Puqmae D Untreated Water ~MF~E NO. I I , I Time r.,ellecle4 LOCATION Collect~l By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,~]' Satisfactory I-] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send .n~ew sample. 4., , , Date Received Time Received Analytical Method: CI Fermentation Tube .~ ~,[:]' Membrane Filter Lab Ref.'No.. Raault® Analyst / ./' ,,., ~. I I ~ I I I-F1 I I l-l-] READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Drinking Water Analysis Report for Total Coliform Bacteria TO BE COM~rED BY WATER SUPPUER WATER SYSTEM: I.D. NO. c~y SAMPLE DATE: State zip Cod~ SAMPLE TYPE: ~ Routine · ~heck Sample (fOr murine lample with I~b mr. no.' ) I-t Special Purpose Treated Water Untreated Water SAMITE NO. 1 LOCATION Time Collected C~llectld. By I TO BE COMPIJ=tt:O BY LABORATORY Analysis shows this Water SAMPLE to be: ~'Satisfsctor¥ [] Unsatisfactory [] Ssmple too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Metho(l: CD Fermentation Tube ~'Memhrene Filter Lab Ref. No. Result* Analyst / ~ -? ~ , /,,, ....... "ll-F) -"-" I ~-~ I ~'~ READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD ::.mrmlWt, Lo]and ~.,~h. Box 331 exte~]fiod j:)c, riod oJ~ time. i?lease co~t,.toi~ this d,2[)artlucnt F/'(/._ '' .... ._ ,,,.. Plea~;e notJ. J~y thi;) Depa)ftmont ~2o).' a rein~;i;~ec:t, ion when