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Home My WebLink AboutKIRCHNER LT 46 LESS S10' Time \_~ Time Date ,~-:~ Date Date Inspector Inspector Inspector Comments Conditional Approval /_ Date Sewer Installed Permit No. Septic Tank Size H oldin~Siz~--~ Soils Rating Well To Absorption Area Wel~og Received Well to Tank~ ~ ~ APPLICANT FILLS OUT LOWER HALF ONL~~/ Phone Property Owner ~/~/~ ~~~ ~~~. Buyer ~ ~~ ~~/~ Address ~: ~ - ~ ~ ~ ~ ~/ .... ' = ~ ~ / ~ Phone / / Phone .~ co. · A~t~ ~ Address Legal Description ~O~ ~ /~'~/~ ~~ ~~ ~X~O. ~-- Slrom kocation ~ ~ Type ~f Residence ~ Single Family ~ Multiple F~ily No. of Bedrooms ~ Other Wate~Supply ~ Individual 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 Q Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility:. ~ Holdin~ Tank J NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Januar? 2, 1982 David H. Krueqer 372,q W. 42n~ Avenue Ancboraqe, A~¢ 99503 Subiect: Lot 46, Kirchner A~dition Barbara Drive Approval for the individual sewer an~] water facilities cannot be ~ranted until the followin¢~ items have been completed: The depression or pit around the well casinq needs to be filled with impervious type soil so that it slopes away from the well casinq. .he well casing needs to be extended twelve (12) inches above cround .1..eve]_. The ~ater analysis report needs to be submitted to this o~.f!ce from the Chem Lab, 5633 B Street, for our review. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-A720. Sincere!v, Robert C. Pratt Associate Environmental Specialist CHEMICAL & GL.~LOGICAL 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 I.D. NO. Water System Name ~hone N.o. / D~ SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [3 Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. I I I LOCATION Time Collected Collected By,. · ,~:, ..::!:/:' TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: I~],.Satisfactory [] Unsatisfactory [] Samale too long in transit: sample should not be over 48 hours old at examination to indmate reliable results. Please send .new samole. Date Received Time Received Analytical Method: [] Fermentation Tube ~ Membrane Filter Lab Ref, No. Result* Analyst ICi wNo of colonies/100 mi. or No. of Positive porhons. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source a.m. Time Received Lab. NO. Presumptive ~Omt ].Omi ].Omi lOml 1Omi 1,0mi 0.1mi 24 Hours 48 Hours ~onflrmatory 24 Hours 48 Hours £MB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results r Reported By Broth 48 hourS: 10mi Tubes Posltlve/q'otal 1Omi Portions Collform/lOOml BGB Coliform/100ml Date "/: - CHEMICAL & G~ .... ,OGICAL LABORATORIES A TELEPHONE (S07)-279-4014 274-3364 ALASKA, INC. ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total ColifOrm Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I,D. NO, Water System Name ~ ~/?hone No, City State Mo. Day Year ~,> · . Zip C~ode SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. t I I I I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analvs~s shows this Water SAMPLE to be: [] Satisfactory ~ ~U~_s.~?S~f. ac_to.r.Y' _~ [] Sample too long in transit: sample should not be over 48 nours old a~ examinstion to indicate reliable results· Please send new sam pie. Date Received Time Recelvec~ "- : Analytical Method: [] Fermentation Tube ~ Membrane Filter Lab Ref. No. Result* Analyst I FTq I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Data ColleCtecl Sourca Tima Recaive~l __ ),m. i_ab. No. Presumptive 10mi 10mi 10mi ]~0ml 1Omi 1.Omi 0.1mi 24 Hours 46 H~urs Confirmatory 24 HOURS 48 Hours EMB Broth 24 hours: Broth 48 hours: , Multiple Tuba Raport., 1Omi Tubas Posltiv~/'rotal 10mi Portions Mambrane FIItar: Oirect Count ' .' Coliform/lO0ml Spenard Area Reference Map-P7 74 73-~®~ 88 Ir 97 8,5