HomeMy WebLinkAboutELLEN COURT LT 9I
I
tO
Time Time ....
Date Date Date
Inspector Inspector Inspector
: Comments Conditional Approval
Date Sewer Installed Permit No. Septic Tank Size
Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT' LOWER HALF ONLY
'~Property Owner (,~"/i~/~_~ ~--'-' ~/~?~-~'
~alllng Address ~ Y ~ ~,~ ~~
~uyer
Address ~ _ ~
Lendinglnstitution ~ ~ ~ /~f~/I 1,1~/1~*~ Phone
Add ress ~~ ~/~ ~ ~
Realty CO. & Agent ~~ v Phone
Address
Legal Description ~ ~ ~{~~/~-
S,ree, oc t,o.
~ 8in~lo Family
:'>~. ~ Multiplo Family ~o. of Bodrooms
D Othor
~ator Supply
~lndividual ~ , ~ ~ A~ACH WELL LOG. A well log Is required for all wells drilled since June
~Community 1975. For wells drilled prior to that date, give well depth (attach log if
~ Public Utility ~ ~ ~ ~ available.)
Sewage Disposal
~ Individual Year Individual Installed:
~ Holdin~ Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
~CH. EMICAL & Gl '~OGICAL LABORATORIES ALASKA, INC.
TELEPHONE {907)-279.4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 S St rest
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:
~at~r $¥$~em ~ame
Mailing Address
~ty
Mo. Day
SAMPLE TYPE:
r-1 Routine
FI Check Sample (for routine
with lab ref. no.
[] Special Purpose
Year
Zip Code
E] Treated Water
[] Untreated Water
SAMPLE
NO.
I
I
3 I
I
LOCATION
~.
Time Collected
Collected
TO BE COMPLETED BY LABORATORY
Ar~alvs~s shows this Water SAMPLE to be:
~',Satisfactory
[] Unsatisfactory
[] Sample too ong in transit; sample should
not De over 48 hours old at examination
[o indicate reliable results, Please send
new sam pie
Date Received
Time Reoelved
Analytical Method:
[] Fermentation Tube
[]~Membrane Filter
Lab Ref, No. Result* Analyst
F'l-1
FT-I
I-I-1
F~
*NO, Df ;o[onles/100 mi, or NO, ol Positive Dornons
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
~- 06-1220 (h)
Ray. 1978
BACTERIOLOGICAL. WATER ANALYSIS RECORD
Date Collectea Source
Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0.1mi
24 Hours
48 Hours
Confirmatory
EMB. Broth 24 hours:
MultiPle Tube Report~
Membrane Filter: Direct Count
Final Membrane Filtar Results
Broth 48 hour$~
10mi Tuees Positlvt/Total 10mi Portions
Collform/100ml
BOB
Date
Coliform/100mi
February 25, 1982
~..~r. Gerald J. Miller
SP3t Box 3158 E
Anchorage, AK 99502
Subject~ Lot 9 Ellen Court Sub. Div.
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
The water analysis report needs to be submitted to
office from the Chem Lab, 5633 B Street, for our review.
Expose the well for our inspection to determine proper
construction, also to insure minimum distance requirements
ar% met between the well and sewer system.
Please notify this department for a reinspection ~%en the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,,~
Robert C. Pratt
Associate Environmental Specialist
P32/p/E