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HomeMy WebLinkAboutLot 040 I0- Z :3- 0 INSPEGTION ~EQUESTED BY: ON 12/16/60- per Tel/con GREATER ANCHORAGE HEALTH DISTRICT 217 E Street P.O. Box 968 Anchorage, Alaska BR 6-3351 Mr. Glen Crone of Action Realty, 445 East 5th Avenue BR 7-9451 VA LOAN INSPECTION FORM File Reference: 3046-261 Priority: D/L 130 740 AAA Nameof Buyer: Orris E.~SR~ervem Name of Seller: Albert W. Bailey . FA 2-343.8 Property Address: 1502 46th Avenue, Spenard Legal Description of Property: .Lot 4, ~lock E,.Birchwood Park S~bd. Phone number where buyer can be contacted: FA 2-2154 . Mailing Address of Buyer: ... 1502 4§th Ay~ue, Spenard Mail Fopy ,of VA letter to Action Realty Mr. Bailey, owner,, was contacted by telephone on 12/16/ and stated that property has a 35 foot dug, wood-cribbed well; 8xSx8 wood-cribbed cesspool. (Sanitarian) City water made avtlable this year - and one block away SPUDDsewer will be available next year. pmop,rty is 140 feet long and 100 feet wide; well sets on back S/E corner of house cesspool is located on S/W corner of property and estimated distance to house is 90 feet, and angling off to well approximately 10~feet~ /3-0£ /qo5 /5-0~ ~ /$ ~oo~ OFFICE D/~TE Section of Sanitation and Engineering ACTION ON REQUEST FOR BACTERIOLOGICAL WATER ANALYSIS Your recent request for an analysis of a sample from the Individual Private Water Supply se.ing O wos ,eceived examination has been completed. g~". Oz'x~$ E* 8k~eevem (~uestionable~Unsatislactor¥ Records in this office indicate this Individual Private Water Supply to be of. Satisfactory sanitary status. Analysis shows this SAMPLE to bo Satisfactory (~uestionable , Unsatisfactory. If an "Unsatisfactory" or '(~uesflonable' status is indicated above, you should take immediate action as recommended below. 1. Boll or chemically treat your water supply to protect your family from water-borne diseases as outlined in en- closed leaflet, "Drink It Pure." 9.. Improve your spring ~ See bulletin HSE-6-2 3. Improve your cistern -- See bulletin HSE-6-$ 4. Improve your dug well ~ See bulletin HSE-6-4 5. Improve your driven well -~ See bulletin HSE-$-5 8. Improve your drilled well See bulletin HSE-$-8 7. Relocate your well to a safe location in relationship to your sewage disposal system ~ See bulletin HSE-15 8. Bottle broken in transit, please send new sample. 9. Sample too long in transit~ sample should not be over 48 hours old at examination to indicate reliable results. Please send new sam.ple~ 10. Contact your nearest2~ _Local Health Department or [] Alaska Health Department, Sanitation office for bulletins, consultatioh, al~d assistance. I1. This is a s~tace water source and subject to pollution by man and animals. An approved water supply,source should Signature BACTERIOLOGICAL WATER ANALYSIS Lab. No Source Mail report to Address Dates: Collected Date Received :[,ctose ~ro,h I ~0cc I ~0cc I ~0cc I ~0cc I ~0cc I ~.0c~ I 0.~cc i 24 hours I ] I Lactose Broth, 24 hfs .... 48 hrs Gram's stain Coliform Density _ ~ ~ ~D ~- (Most probabl9 ~o. ~gr ~00ee.) Reported by ~ lbsent ~l~hls Analysis indicates Coliform Ot'ganisms to be: AI~H~HSE~-FI This Form Must Be Filled Out Completely. 'TAKE-'vI~AT]~!t SAMPLE TO: La4oratory, 9,1~ Sixth Ave, .lklonday~ Tuesda_L' INDIVIDUAL WATaRSUI~LY Please Look on ]{ev~$e of Sheet for Sample Colleotion ALASKA DEPARTMENT OF H*:ALTH Inqruetlon9. Section of Sanitation and Engineering Request for Bactersologlcal Analysis _ _ ~.:~e,;,~,~) , ~ (Name of person collecting ~ample) ' (Date) -- ' ...........................(Tlmo) Water sample collected from [~Kltchen tap; [] Bathroom tap; [] Basement tap; (Mr.) Mail report to (lYIng) ~)3 (Name) (Box No. or street address) (Ct~' ....... Please place an "X" in the box before items which be~t describe your water supply: SOURCE: Well -- ~ Dug, [] Driven, [] Drtlled, [] Bored [] Spring, [] Cistern, [] Other (list) ............................................................................................................... [] Creek, [] River, [] Lake, [] POnd ................................................................ .................................................. DUG WELL OR CISTERN CONSTRUCTION: Walls ~ ~Wood, [] Concrete, [] M~tal, ~ Tile, [] Brick or Concrete Block Top -- [~ Wood, [] Concrete, [] Metal, [] Open Top LOCATION: [] In basement, [] Basement offset, [] Under l~ouse, ~In yard Other ................................................................................. .~ ............ , ....................................................................... DISTANCE TO: Building sewer or other drainage ptpei~'.~ feet, Septic t~nk feet Tii~ *,o~ ......... feet, Seepage pit .............. feet, Cesspool .... .~.~... feet, Privy ..............feet. Ot~er ;~os;~; sources of contamination (list) ............................................................................................................... M~.I~RIAL: Building sewer -- [] Cast iron, [] Wood, [] Tile, [] I~lbre pipe, [] Asbestos cement Jotng material -- Type ....................................................................................................................................................... GENERAL INFORMATION: Does water become muddy or discolored? [] yes,~no When? ..............................u ......... '2 ................................................... Diameter of well ....... :' . .............................. depth ....:~..~..~x: .~.. · feet Well easing material ~.C~ diameter ~ ~ ~ ............... // ......................... ...... ..... ........ Length of drop pipe ................ ~....: ................. Water depth from bottom r.fi.'~ ~ g ...... ~ ............................................................ 7'":' Pump location: ~In well, [] Offset in basement, [] In basement [] In utility room, [] On top of well [] Other (list) ........................................................................................................ PURPOSE OF EXAMINATION: Illness suspected? ~ yes, ~ no New source of supply? [] yes, Repairs to existing system? [] yes,~no PLEASE DRAW A SKETCH IN THE SPACE BELOW. THIS SR~'.t'CH SHOULD SHOW LOCATION O~ HOUSE, WAT~.;t~ SUPPLY SOURCE, SEPTIC TANK, SEWER, DRAIN LINES OR OTHER SOURCES OF POLLUTION AND DISTANCES BETWEEN WATER SUPPLY SOURCE AND ANY O1~' ABOVE FACILITIES° SAMPLES MUST BE ~uur~'x'~'~:t~ IN CONTAINERS PROVIDED BY °t'HE ALASKA DEPAR~M~,NT OF