HomeMy WebLinkAboutNORTON PARK #3 BLK 1 LT 2P
3330
REQU~'ST FOR APPROVAL OF
INDIVIDUAl_ SEWER & WATER FACILITIES
Type of Inspection: CMRO VA xx× FHA CONV
Property Owner: John and Sandra R. Anderson .,.
Mailing Address: SRA Box 177-F, Anchorage, Ak.__D_ay Phone ~ ~,
Name of Buyer: James Preston and Lynn L. Williams
Hailing Address: S2,A Box 177-G, Anchorage, Ak. D&.y Phone 272-5522 x 156(Her)I
Name of Lending Institu'~ion: Spokane Mortgage Co.
Mailing Address: 523 W. 8th Avenue, Room 105 Phone 277-0543
Anchorage, Alaska 99501
Name of Realtor or Agent: Skyway Realty, Rick Karzlarich
Maili,~g Address: 3202 Spenard Road Phone 274-5247
Legal Description: Lot 2, Blk. 1, N~rton Park Subd. #3
Location: corner of Ellen Avenue & 123rd off Klat:t Road
j
Type of Facility to be inspected: single family ~!Oo Bdrms.
Water SLIpp]y
Type of Supply: Public Utility Individual xxx
If Individual, number of dwellings presently served i
If iud" idua , e
~ v 1 d pth o'f wel 1 79'
Sewage Disposal-System
Type of system: Public Utility ××× Individual
If individual, date of installation
on-site)
Drinking Water Analysis Report for
Inorganic, Organic, and Radiochemical Contaminants
TO BE COMPLETED BY PUBLIC WATER SUPPLIER
PUBLIC WATER SYSTEM:
I.D. NO.
L g_~ FSi tOorft~
Public Water System flame
SAMPLE DESCRIPTION:
Collected By :~Y'~ ,~
Sample Localion
Address
City State Zip Code
Note: Check box to left el contaminants listed below Ior the
analyses desired.
Source Type [] Surface Water
Sample Date [~-~-I
MO.
[] Routine Sample
J;~.Special Purpose Sample
Ei~ Ground Water
Day Year
I~- Untreated Water
[] Treated Water
TO BE COMPLETED BY CERTIFIED LABORATORY
Laboratory Name
Address
Oily
State Zip Code
Sample No. Station No.
INORGANICS
~2. Arsenic
[3 Barium
F/J- Cadmium
[] Chromium
[] Fluoride
~ Iron
[] Lead
~ Manganese
[3 Mercury
-F,~.-NJ-t rat e
r.,9..S el e n i u m
ED Silver
[] Sodium
Limit
(0.05)
(0.010)
(0.05)
(2.4)
(0.3)
(0.05)
(o.os)
(o.oo2)
(lO.)
(O.Ol)
(0.05)
(25o)
Mg/I
o.oo6
D. 2ZO
ND Indicates Not Detected
ORGANICS
Limit
[] Endrin (0.0002}
[] Lindane (0.004)
[] Methoxychior (0.1)
[] Toxaphene (0.005)
[] 2, 4-D (0.1)
[] 2,4,5 -TP Silvex (0.01)
Mg/I
RADIOACTIVITY
Limit pCi/I
[] Gross Alpha (15)
[] Radium 226 & 228 (5)
[] Gross Beta (50)
E3 Strontium o 90 (8)
[] Tritium (20,000)
Date Analysis Completed
Form No. 18-316(Rev. 9/78)
Signature of Laboratory Supervisor