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Home My WebLink AboutSOUTH ADDITION Block 28 Lot 11Aj FHA Form No. 2217 Budget Bureau No. 113-R298.3. (Revised Dec. 1948) FEDERAL HOUSING ADMINISTRATION - - ❑ New installation. REPORT OF INSPECTION --------- J60-otswls------------------ CX Existing installation. INDIVIDUAL WATER -SUPPLY SYSTEM To Be Headed in by FHA Office QI'ex°a1 ilrrx�in�; ��(9)yin. Vrtional Bank e'' A7rtola 'i t- rno-. G. ________ _______ - _____ __ __ -------------------------------------------- - ______- (Insuring office) (Mortgagee) - (Mortgagoror Property address----3=7r3(� �.'xh- `.-Gest is ?I�=sa�ak._Pyr-t"_<__dcin_._,__4nrl?ssr� r' ,�kt;1--------------------------- --------- Ancherps..a--------------------------------------------------------------------- ----- ----- --------------------------------- 1 p'skp ------------------------- ------- (City) (County) - (State) - Total number: Living units ____/____ Bedrooms ___________ Baths__ ----- Basement: [?, Yes O 'No. Sewage disposal by: Public sewer. E] Community system. C'] Individual system on site. Part I–a.—FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of thgg information as ma} be available. % s l a 7 tEc r' , e', `/e, Kt Distance to nearest public water main, _______ feet. Size of main, ___________ inches. Individual wells ❑ are 6.are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water ------------------ _'______________________ ------------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------------- Properties i>�ilFhborhood E] are are I tit being developed with both individual water -supply and sewage -disposal systems. Lot size: -- - -------- feet wide, ____�"_------'___ feet deep. Dwelling set back from front property line_ _______________ feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. ❑ Dug well. K Bored well. Distance of well from 7 A� e - Building foundation, _ ____ _________ feet; nearest lot line at ❑ front, side, ❑ )ear; _____ -' ""�___ •-�_------- feet, cast iron sewer, __ "'�°'°__" feet; tile sewer_ ______________ feet; septic tank, _______ ------ feet, disposal field, _ ________ feet; seepage pit_ ------------------ feet; cesspool, ____ _______ feet; other sources of possible pollution, ______ ______ feet Well construction: �#ifC - g Diameter, inches. Total depth, ____ __ feet. Type of casing, AK ___-_ Depth p of casing, _,____ feet. Approximate depth to pumping le, el of water in well_ ____________ feet. Approximate yield, ____________ gallons per minute. _ Sealed watertight to depth of __ feet. Exterior space around casing sealed with: ❑ Cement grout. ❑ Puddled clay. (Ordinary backfill. Well cover: ❑ Concrete. ❑ Wood. 1?5 Metal. Openings in well cover watertight: AYes. ❑ No. Pump: X Shallow well. ❑ Deep well. Length of drop pipe_ _____________ feet. Pump capacity, ____________ gallons per minute. Located in: 613asement. ❑ Pump room off basement. ❑ Pump house above ground. ❑ Pump pit. j� tel. ` j s 9°'.� rnfs.f L�4t � i Pump room properly drained: ❑ Yes. ❑ No. Pump mou tjng watertight: ❑ Yes. ElNo. Type of storage: e Pressure. ElGravity. Capacity, A__°--___ gallons. Has bacteriological examination of water been made?. 0 Yes. ❑ No. If answer is "yes," give date _ __,`2Z :____ 19 a Quality of water K is ❑ is not satisfactory for human consumption. Installation ❑ does ❑ does not comply with approved exhibits, if any. Inspection made by: State. ❑ County. ❑ Local Health Authority. } (Signed) W` 'V �! Date of inspection "` t o P---- r�l ------------- - ^ 19 -- � --�"_ _ --- Part I–b.—See reverse side ° U• Part IL—FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the ❑ State ❑ County ❑ Local Department of Health that this system ❑ is Elis not satisfactory as a domestic water supply for the subject property. Remarks: ---------------------------------------------------------------------------------------- ----------------------------------------------------------------------- (Signed) ----------------------------------------- Date---------------------------------- 19------ (Title) To THE CHIEF UNDERWRITER: Part III.—FOR USE OF F. H. A. OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual water - supply system be considered ❑ acceptable ❑ not acceptable. Remarks----------------------------------------------------------------'-----------------------------'------------------------------------------------------------------- Date---=------------------------------- 19------ (Signed) ❑ Chief Architect. ❑ Deputy for Chief Architect. 2217—Individual Water -Supply System Report of Inspection yf, v WaOaua! aq 04 huTMAO 60 U014ALMilk F FHA Form. No. 2217 t Budget Bureau No. 6; Ii296.2. (Revised Dec. 1948) FEDERAL HOUSING ADMINISTRATION ❑ New installation. REPORT OF INSPECTION __60-095277-----------_______ Existing installation. INDIVIDUAL WATER -SUPPLY SYSTEM (Serial number) To Be Headed in by FHA Office ANCHORAGE ALASKA---------NATI NAL__BAIVK_OF_ALASKA1--------RAGLRSS_,__James __G.-anci_1kry_A. ------------------ (Insuring office) (Mortgagee) (Mortgago,- or sponsor) Property address --- S. _ J of _ Plot -11—A. BLOCK --28. _Sout_h___Addition__ 1750_ l__2th_Aves)_____________-____- ANCHORAGE -------- (city) (County) -------- AIAM ----------------------------------- (State) Total number: Living units __1_____ Bedrooms ___z______ Baths ____1_____ Basement: ❑ Yes X] No. Sewage disposal by: A Public sewer. ❑ Community system.. ❑ Individual system on site. Part I–a.—FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation,, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. .If existing installation, furnish as much of the information as may be available. fiP4gY�/t Distance to nearest public water main, 4_0 0 St___ feet. Size of main, ___� _____ inches. Individual wells ❑ are X are not customary in neighborhood. Give most recent retold of failure of wells in immediate vicinity to furnish adequate supply of water - ig --- VICL" G.a y4 ------------------------------------------------------------------------------------- Properties in ne'ghbolhood Llare fly, are not being developed with both individual water -supply and sewage -disposal systems. Lot size: ------9b-____ feet wide, _____ feet deep. Dwelling set back from front property line, ----- Zia%----- feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. ❑ Dug well. ;K Bored well. Distance of well from:�° s* Building foundation, -_-d__------------ feet; nearest lot line at EJ front, X side, E] rear, _____________ --------------- feet, cast iron sewer, ______�4t __ feet; the sewer, _____ feet; septic tank_ _________________ feet; disposal field, _________________ feet; seepage pit, feet; cesspool_ __________________ feet; other sources of possible pollution, ------------------ feet. Well construction: .y Diameter, ----I----- inches. Total depth, _44____ feet. Type of casing, -_112etfil__________ Depth of casing,feet. Approximate depth to pumping level of water in well_ ____________ feet. Approximate yield, --------___ gallons per minute. Sealed watertight to depth of feet. Exterior space around casing sealed with: ❑ Cement grout. ❑ Puddled clay. M Ordinary backfill.. Well cover: ❑ Concrete. ❑ Wood. Its Metal. Openings in well cover watertight: OK Yes. ❑ No. Pump: ;K Shallow well. ❑ Deep well. Length of drop pipe, __ _'--_ feet. Pump capacity, hlt*!�__ag� lavr a FOrr trinute. Located in: PL Basement. ❑ Pump room off basement. ❑ Pump house above ground. [I Pump pit. Pump room properly drained: N Yes. ❑ No. Pump mounting watertight: C.Yes. E] No. Type of storage: 1K Pressure. ❑ Gravity. Capacity, _+Z-_ gallons. Has bacteriological examination of water been made? X Yes. E]No. If answer is "yes," give date ---- 1/_-___7--------- 0>66 Quality of water A is ❑ is not satisfactory for human consumption. Installation ❑ does A does not comply with approved exhibits, if any. Inspection made by: ❑ State. ❑ County. P<Local Health Authority. (Signed)�frs1-.(� - ��.............. Date of inspection ------- ---------- 19L4� GI.e- g� (Title) Part I–b.—See reverse side Part IL—FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the X State ❑ County 4;3' Local Department of Health that this system 7& is pis not satisfactory as,a domstic water supply for the subject property. Remarks: --------------------------------------------------------------- -------- -------- -- (Signed) ---- _r__�---�-- Amo® Alter,, i, Sectim of Baaai tiIon and Enginiser ----De�m&n t__DS_�Iie.2tb------ Date --- 1�QVCIDbOi'- ��---------� 19_��_ #--e ( itle] To THE CHIEF UNDERWRITER: Part III.—FOR USE OF F. H. h. OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individu tl, _water - supply system be considered ❑ acceptable ❑ not acceptable. i Remarks- ------------------------------ ------------------------ – -----------------------------------------------------------------------------------------------=�-------------- C Date ------------------------------- 19------ (Signed) ❑ Chief Architect. ❑ Deputy for Chief Architect. 2217—Individual Water -Supply System Report of Inspection • .-.q R: r / �p [� e.�, .-r, c+� w V r D J • '�" :� -"tea. c/��. CJ [ Z n'�. .I� r ire-c✓� T� !1 1 t� ii h ! 'ar• uI a i Ci 7' ry d{ UA t . / Lf 0 ' � (y J ,-4 Ito GRATER ANCHORAGE AREA BOROUGI�' DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT:�� TIME: REQUEST FOR FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR fir//; 0 1. APPROVAL REQUESTED BY: 12c . ) ADDRESS: /4/4.2 SOC /S" PHONE: t 7 2. PROPERTY OWNER: /,j?�_ PHONE: 12 3. LEGAL DESCRIPTION: Z012-1 4. TYPE FACILITY TO BE INSPECTED:G7r��it�t�f�STREET:/,>"EGD �'S�w✓Jr NUMBER OF BEDROOMS: J 5. WELL DATA: A. TYPE B. DEPTH C. SIZE D. CONSTRUCTION E. BACTERIAL ANALYSIS 6., SEWAGE: DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. SIZE 2. AGE 3. MANUFACTURER 4. INSTALLER i APPROVAL REQUEST-'rOR SEWER & WATER FACILITIEs� PAGE TWO B. SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: APPRODISAPPROVED: 1 DATE: DATE APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY