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Home My WebLink AboutBIRCHWOOD PARK BLK D LT 9 May 19, 1977 Lomas and Nettleton 4449 Business Park Boulevard Anchorage, Alaska 99503 Subject= Lot 9 Block D Birohwood Park Subdivision The water supply serving the subject property has a number of descripanctes as noted= (1) The well is not approved construction and must be upgraded by extending the casing twelve (12) inches above ground level and fill the pit with earth. (2) It should bu not~/ the well is not located on the subject property or ~der its control. (3) The well is owned by Charles Stan~pe, 1410 West 45th Avenue who in conversations with this department has stated there is no contract for continued service or funds set aside for emergenoi~s. The well serv&s four Or more residences at this time. (4) A s~pling schedule is required as the well must be sampled quarterly. There is a public water line available on West 46th. The descripancies must be corrected or the residence connected to the public water supply before this department would consider granting an approval. An analysis of the well water is pend~%g. If there are any further questions, please contact this office at 279-251i, extension 224 or 225. Sincerely, Les N. Buchholz, Sanitarian NS/lJh cc: Charles Stanhope Lee Guston 1410 West 45th Avenue 1411 West 46th Avenue Date Insp MUNICIPALITY OF ANCHORAGE OF HEALTH AND ENVIRONMEN' . PROTECT]ON Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: May 11, 1977 Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Lomas an'd Nettleton Mailing Address: 4449 Business Park Boulevard Phone: 274-7661 Property Owner: Mailing Address: Lee Edward Guston 1411 West 46th Avenue 99503 Phone :277-6581 3. Legal Description: Lot 9 Block D Birchwood Park Subdivision 4: Single Family Residence: ( Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: .5 0 Well System: Permit % Construction Individual Well ( ) Co~nunity/Public System Depth of Well Well Log on File ( ) Bacterial Analysis Sewage Disposal System: Permit ~ Septic Tank Size Absorption Area On-site System ( ) Public Utility ~) Installed Installer Manufacturer Soils Rate Material Distances: to Sewer Line to Nearest Lot Line Well to Septic Tank Nearest Lot line to AbSorption Area Absorption Area MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA f/'~' FHA 2. Property Owner: Mailing Address: IL~ [( ~.~ . Lq~ ~--~__ 3. Name of Buyer: ~.~'"Y~ ~L I~. (..,~,...~' Day Phone: Mailing Address: 4. Name of Lending Institution: '~ ~ v~/L_0L~,~ ~ Mailing Address: I~L( ~ ~ ~L~-~_S~ '~")d_~L ~[~[r~one: 5. Name of Realtor or Agent: ~/R t~UNICiPA~ ITy OF RECEIVED _OONV Oo Day Phone: Mailing Address: Legal Description: Location: I~-~, Phone: 7. Type of Facility to be Inspected: ~,z 8. Water Supply ~ Type of Supply: Public Utility If Individual, number of dwellings presently served . If Individual, depth of well ~ )~lx~ L~r~i~.Jv\ 9. Sewage Disposal System No. Bdrms. 4~ Individual Type of System: Public Utility If Individual, date of installation Individual (on-site). 72-003(3/76) Page Two ' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block D Birchwood Park Subdivision Affadavit Attached: ' (~%) Letter Attached: (~/ Approved: Disapproved: v _~~ ~~ Department Worksheet: Date: Date: 06-122~(a,)~ ~R~ "4973 NAME ADDRESS DATE ALA ,., /DEPARTMENT OF HEALTH AND SOCIAL SL,.. ,CEs DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS INDIVIDUAL [] SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO CITY ZiP CODE ADDRESS OF SOURCE ' ' ,. ,., COMPLETE THIS SECTION ' ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED ~" Sample Collected From [] Kitchen Tap [] Bathroom Tap [] Basement Tap [] Other (List) Well- [] Dug [] Driven SOURCE: [] Spring [] Cistern Dug Well or Cistern Construction: WaUs--[] Wood [] Concrete [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset I--lin Yard [] Other Building Sewer DISTANCE TO: or Other Drainage Pipe__ Feet. Tile Seepage Cess- Field_ Feet. Pit Feet. Pool Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Plastic Joint Material - Type [] Drilled [] Bored [] Other _ ~ [] Tile Brick or [] Open Top [] Concrete GENERAL: Does Water?Become Muddy or Discolored? When? [] Yes [] NO Septic Tank ----Fc~t, Feet. Privy _Feet. []Tile [] Fibre [] Asbestos Cement Diameter of Well Depth Feet. Well Casing Material Diameter Depth __ __ Length of Water Depth Drop Pipe From Botlom Feet. Offset in In Utility PUMP LOCATION: [] In Well [] Basement [] In Basement [] Boom On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No New Source of Supply? [] Yes [] No Repairs to System? [] Yes [] No Signature Lab No. OFFICE Analysis shows this Water SAMPLE to be: ~] Satisfactory [] Unsat|sfactory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at examination to indkate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS [] Under House 06-1220(~) Rev. 1973 DATE INDIVIDUAL [] SEMI-PUBLIC ~ CHLORINE RESIDUAL PPM ALA~ .... DEPARTMENT OF HEALTH AND SOCIAL SL ,¢ES DIVISION OF PUBLIC HEALTH Lab No. INDIVIOHAL ANB SEMI.PUBLIC BACTERIOLOGICAL WATER ANAL¥S-IS oE~CE / '~ Satisfactory NAME [] Unsatisfactory [] Questionable [] Sample too long in trans~b sample should not be over 48 hours old at examination to Jndlcate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS ADDRESS CITY ~ ZIP CODE OF SOURCE ~ COMPLETE THIS SECTION SAMPLE COLLECTED BY ~ t' DATE COLLECTED ,,ME COLLECTED Sample Collected Prom [~ml~r~chen Tap[] Bathroom Tap [] Basement Tap [] Other (List) Well- [] Dug [] Driven [] Drilled SOURCE: [] Spring [] Cistern [] Other____ Dung Well or Cistern Construction: WalJs--~] Wood [] Concrete [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset []lr~ Yard [] Other Building Sewer DISTANCE TO: or Other Drainage Pipe Feet. Tile Seepage Cess- Pield_ Feet. Pit ____ Feet. Pool Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? When? [] Bored [] Tile Brick or [] Open Top [] Concrete [] Under House Septic Tank Feet, Feet. Privy--__Feet. [] Fibre [] Asbestos Cement [] Yes [] No Diameter of Well Well Casing Material Diameter Length of Drop Pipe Offset in PUMP LOCATION: [] In Well [] Basement On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? [] Yes [] No Depth Feet. _ Depth Water Depth Fram Bottom Feet. [] In Basement [] Room [] Yes [] No Repairs to System? [] Yes [] No Signature ~ Spenard Area Reference Map-P7 87 98 ~)~"- 100 ¥ 104 ('c) 1976,111 06-1220¢a) 'Rev; 1973 DATE ALAS,,~;DEPARTMENT OF HEALTH AND SOCIAL S£,,.,CES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. :,. OFFICE INDIVIDUAL [] NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ADDRESS OF SOURCE ZIP CODE COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Sample Collected From []'KHchen Tap [] Bathroom Tap [] Basement Tap [] Otber (List) Well -- Dug SOURCE: {~ Sprlng ~CisternDriven [] Drilled [] Bored Other __ Dug Well or Cistern Construction: Walls--El Wood [] C ..... te ~1 Metal ~1 Tile Brick or Top -- [] Wood [] Concrete ~ ~Aetal j~J Open Top El Concrete LOCATION: [] In Basement [] Basement Offset [] Under House [lin Yard ~ Other Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet. Tank Feet, Tile Seepage Cess- Field- Feet Pit Feet. Pool Feet Privy, Feet. Other Possible Sources of Contamination MATERIAL: Building Sewer · [] Cost Iron [] Wood [] Tile -- Fibre [] Asbestos Cemenl [] Plastic Jo~nt Mater~al - Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Depth Feet. Well Casing Material Diameter Depth Length of Water Depth Drop Pipe , From Bottom Fe~. Offset in In Utillty PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes New Source of Supply? [] Yes [] No Repairs to System? READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE ,Ahalysis shows this Water SAMPLE to be: E~/Satlsfactory [] Unsatisfactory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS [] Yes [] No Signature .' ~ , 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 Lactose Broth 10cc lOcc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours 48 Hours _- .... Brilliant Green 24 Hours 48 Hours EMB ·; AGAR Lactose Broth, 24 hrs. 48 hrs. Gram's staln Coliform Density (Most probable No. per i00cc) MF Results Reported by ';r Dale ) ' ? f ,.'~' ' ~ a.m..' This analysis indicates Coliform Oiganisms to be: Absent' Present