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~
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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