HomeMy WebLinkAboutNEW MCRAE Block 2 Lot 7 Resubdivision of Block 2 Lot 2
FHA Form 2570 '~-~-/ -, /'
Rev. July 1958 FEDERAL HOUSING ADMINISTRATION '~ FormBudgetApprovedBureau No. 63-R296,S
HEALTH AUTHORITY APPROVAL
INDIVIDUALWATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OFFICE
Anchorage, Alaska
MORTGAGOR OR SPONSOR
SUBDIVISION NAME
J BLOCK NO.
Ne,~ Me,,Rae Addition (a subdivision of Lot; 2, Rlk. 2, New Mc~ae Subdiv!) 2
MORTGAGEE SERIAL NO.
First Na%ional Ba~ of A~horage 60.-00783.1t.
PROPERTY ADDRESS
2~0E - 34th Street, Spenard, Alaska
JLOT NO.
?
TOTAL NUMBER:
LIVING UNITS I BEDRO0/~S
BATHS
BASEMENT
'--]Yes ~-] No
] New installation
WATER SUPPLY BY:
~--] Public system
F~] Community system
Can attic or other area be made into
additional bedrooms?
[] Yes [] No (If Ye,, h ..... y-~l
~]Individual
SYSTEM DESIGNED FOR
Yes [] No
SEWAGE DISPOSAL BY:
[~] Public system
~] Community system
~--] Individual
PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the J~] 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 ["-J County ~-] Local Department of Health that this individual sewage;disposal sys-
tern with proper maintenance:
[-'~ Can be expected to function satisfactorily, and [~] Cannot be expected to function ~:atisfactorily
Z. ~s not likely to create an insanitary condition
NOTE: The health authority should complete the appropriate opinion statement abg~e~nd a~x date, signature and title in the
spaces provided.
Use of the above grid for Health Department inspector's sketch as well as use o~e back of this form is at the option of the
health authority.
PART Ill.--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 ["q Acceptable [-~ Not Acceptable
Sewage disposal be considered [-~ Acceptable [--] Not Acceptable.
DATE
ISIGNATURE
CHIE? ARCHITECT
DEPU~[Y FOR CHIEF ARCHITECT
HEALTH AUTHORITY APPROVAL ~
L FHA Form 257;
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM , ~ R~V. J,¥ ~95~
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