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Home My WebLink AboutNEW MCRAE Block 2 Lot 6 of Lot 2L~ · Fi~iA F~r~25~-3 ';~ ~/' ~ ,,/ Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION ~ Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I. TO BE COMPLETED BY FHA INSURING OFFICE 1MORTGAGEE SERIAL NO. Anchor~.ge, Alaska JFirst National ~nk of Anchorage 60--008&32 MORTGAGOR OR SPONSOR PROPERTY ADDRESS H. M. Newell 2911 - 32th Street, Spenard SUBDIVISION NAME BLOCK NO. LOT NO. New McRae Addition ~ Lot 6 of ~esubdlvtsion of Lot 2, Block 2 TOTAL NUMBER.' LIVING UNITS BEDROOMS BATHS 1 BASEMEN~T C~-~wl ] Yes No ] New installation Can attic or other area be made into additional bedrooms? (If Yes, how rnany~] WATER SUPPLY BY: [~'] Public system SEWAGE DISPOSAL BY: []'Public system [--]Community system ]Individual [~] Community system Individual SYSTEM DESIGNED FOR NO. OF BDRMB. GARBAGE DISPOSAL 3 Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT ~IEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [~] State [--] County [~ Local Department of Health that this individual water-supply system [] is [--] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the ~State [] County [] Local Department of Health that this individual sewage-dispos~al sys- tem with proper maintenance: Can be expected to functior/satisfactorily, and [] Ca, nnot be expected to function satisfaktorily is not likely to create an ins_~ita~y ~ondition " ~ / '/~ZE:spaces provided.Thehea~thauth~ritysh~u~dc~mp~etethea~r~pr~ate:p~ni~nstatem~ntab~v~a~xdate~signatureandt.t~emthe`~ ' ~ ' ' Use of lhe above grid for H~alth ~eparl~en~ InspeCtor's sketCh a~ well ~s us~ of the back of this ~orm is at lbe option of th~ ~ealth authority. pART IlI.~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: 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 Sewage disposal be considered [] Acceptable ~ Not Acceptable. JATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM []CHIEF ARCHITECT ~'~ DEPUTY FOR CHIEF ARCHITECT FHA Form 25Y$ Rev. JuJy 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of)~} Septic tank. [] Cesspool. Septic Tank~ Distance from well,''''"~ feet. Material, C e, )a~l e,-)': '~ Number of compartments / Total liquid capacity, /~}O~ gallons. Capacity inlet compartment, ~ ..... .gallons. Inside length, J feet. Inside width, ........ feet. Liquid depth, ~ ..... feet. Cesspool: Distance from: Well, feet; foundation,. ~eet; nearest lot line at [] front, [] side, [] rear, feet. Inside diameter, feet. Depth, .feet. Liquid capacity, .gallons. Lining material SECONDARY TREA?MENT consists of~Tile disposal field. ~ Seepage pits. Other Tile Disposal Flold~ Distance from: Well,. ~ re.et; foundation, /~ feet; nearest lot line at ~1 front, ~[~ side, I-] rear, ~ feet. Total length of tile lines t ~'"g/~ feet. Number of lifies ~_ _ . Distance between lines,~~' feet. Trench width ~'~ q inches Total effective absor'ptio~n-area in bottom of trenches .--30~1;~ squa~re 'feet. Length of each line, t~,~/~ ~ / ~ ~ feet, Depth, top of tile to finish grade, ~ q inches. Type of filter material:~Gravel. [] Broken stone. Other Depth of filter material beneath tile,; ~ inches. Depth of filter material over tile, ~-'~'~. - __inches. Seepage Pits; Number of pits Outside diameter, feet. Depth, feet. Lining material Distance from: Well, feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear,_ feet. Ins.etlon made by: [] State. [] County, J~ Local Health Authority. REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water. Properties in neighborhood [] are [] are not 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. [] Bored well. Distance of well from: Building foundation cast iron sewer,. seepage pit, Well constructlom feet; tile sewer, -feet; cesspool, _feet; nearest lot line at [] front, [] side, [] rear, feet, feet; septic tank, feet; disposal field, feet; .feet; other sources of possible pollution, feet. Diameter, inches. Total depth, feet. Type of casing, Approximate depth to pumping level of water in well. feet. Approximate yield, Sealed watertight to depth of feet. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump; [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity,. gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] 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. Inspected by Date of inspection 19__ Depth of casing,. .gallons per minute. .gallons per minute. __.feet. 19 (TITLE) ~7 Form Approved FHA Fo~m 2573 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 ,ev.,u,y,gBB HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA ~SUmNG OFF~CE MORTGAGEE |SER~A' NO. The ~ir~t ~t~on~l Bank of Anchorq~e ~'ederal Housi~ Administration P~, 720, ~nohora~es Alaska ~ 60~8800 MORTGAGOR OR SPONSOR H. M. Newell SUBDIVISION NAME PROPERTY ADDRESS 2915 ~ 34th Street BLOCK NO. LOT NO. ~ew HeRae Addition and ~division of ~ot 2 Block 2 TOTAL NUMBER: LIVING UNITS SI~DROOM$ BATHS BASEMENT --]Yes [] No [-~New installation Can attic or other area be made into additional bedrooms? (if Yes, how many~) SYSTEM DESIGNED FOR PublicBUPPtVsystem'V: ~ system ~ ~9 $(' 0 [] Individual OA,~AGt -- ~ Communi~ NO. OF ; DISPOSAL BY: Public system ~ ~mmunity system ~ Individual 3 ~ Yes ~ No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the ~ State ~'~ County [~ Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. IDATE It is the opinion of the [---] State [--1 County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~San be to function satisfactorily, and [~ Cannot be expected to function satisfactorily expected ~s not likely to create an insanitary condition SIGNATURE J TITLE ~~/NOTE: The health~~~authorJty should c~e appropriate o~i~Injon statement above and affix date, signature and title in the - / spaces provided, .., *~ .... ~.~..~.~, ~ · Use of the above grid for Health Department Inspector s s~etcn as wen as use of the back of this form is at the option of the health authority. PART ViE mA O.,CE TO THE CHIEF UNDERWRITER: ! have reviewed the foregoing and the pertinent FH~ ComPliance Inspection Report, and recommend that'the Individual water-supply system be considered [] Acceptable [~ Not Acceptable Sewage disposal be considered '[] i~ceptable [--I Not Acceptable. )ATE SIGNATURE HEALTH AUTHORITY APPROVAL ~ .- "" iNDIVIDUAL WATER SUPPLY AND SEWAGE DIS'PoSAL SYSTEM [~ CHIEF ARCHI~E~T ]DEPUTY FOR CHIEF ARCHITECT FHA Form Rev. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank: Distance from well,__.feet. Material Total liquid capacits,, Inside length, feet. Inside width,. Cesspool: Distance from: Well, Inside diameter, fi3 ~' ..5-~ feet. Number of compartments .gallons.Capacity inlet compartment, feet. Liquid depth,__ feet. gallons. feet; foundation, a/ 2- feet; nearest lot line at [] front, [2]~ide, [] q~ar, / O / · feet. Depth, ~?- l~'/. t). feet. Liquid capacity, /C ~%i'~gallons. Lining material /' O~/J SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other Tile Disposal Field: Distance from: \Veil, ~ feet; foundation, 5~'~: feet; nearest lot line at [] front, [~de, U~'rear /-0 feet. Total length of tile lines,_ ,,.5~Taf~r~' feet. Number of lines, ',-e~, 5 :" .-'..-=-/) Distance between lines, feet. Trench widrh inches. Total effective absorption area in bottom of trenches square feet. Leugth of each line,__ feet. Depth, top of tile to finish grade, inches. Type of filter material: [] Gravel. [] Broken stone. Other Depth of filter material beneath tile. Seepage Pits: Number of pits__ . Outside diameter, _feet. Distance from: Well, feet; building foundatiou,. InspecBon mede bi,: []State. [] County. [~ocal Health Date of inspection c~' ~,,~,~'~,~//d/' . 19 ~7 /-- .inches. Depth of filter material over tile, inches, Depth, feet. Lining material feet; nearest lot line at [] front, [] side, [] rear, Authority. (~TL~) feet. REPORT OF INSPECTION--INDiVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish ~dequate supply of water Properties in neighborhood [] are [] are not bein'g 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. [] Bored well. Distance of well from: Building foundation cast iron sewer,, feet; tile sewer, seepage pit, .feet; cesspool,. Well construction: Diameter, inches. Total depth, Approximate depth to pumping level of water in well,. Sealed watertight to depth of feet. feet; nearest lot line at [] front, [] side, [] rear, feet; septic tank, feet; disposal field,. feet; other soorces of possible pollution, -feet, feet. Type of casing,. Depth of casing feet. Approximate yield, .gallons per minute. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. XTell cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump: [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pu:np pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity, gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] 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. Inspected by Date of inspection _ , i9 gallons per minute. (TITLE) feet, feet; .feet.