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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 6 LT 9 ~HA ~orm 2573 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 MORTGAGOR OR SPONSOR MORTGAGEE Amdmmmml Almmim PROPERTY ADDRESS SERIAL NO. SUBDIVISION NAME TOTAL NUMBER: LIVING UNITS BEDROOMS 1 WATER SUPPLY BY: [~] Public system SEWAGE DISPOSAL BY: --]Public system BASEMENT [~] Yes [] No 1['] New installation ~r~ Community system Community system BLOC~) NO. LOT NO~ Can attic or other area be made Into additional bedrooms? (If Yes, how many~) I SYSTEM DESIGNED FOR --]Individual No. OF BDRMS. GARBAGE DISPOSAL [] Individual ~ [] Yes [X'] 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 N is ~ is not satisfactory as a domestic water supply for the subject property. It is the opinion of the'~-'~ State [] County tern with proper maintenance: V4 Can be expected to function satisfactorily, and ts not likely to create an insanitary condition D Local Department of Health that this individual sewage-disposal sys- -']Cannot be expected to function satisfactorily DATE ' , J SIGNATURE , ' TITLE --/ NOTE: The health authority should complete the appropriate opinion statement ab/ave and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the 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 [] Acceptable [~ Not Acceptable Sewage disposal be considered [~] Acceptable [~ Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT FHA Form 257: Rev. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists o£~ Septic tank. Cesspool. Dis~ce from well, feet, Matefi~ .c~ _/ ~ ~ 1~ Numar of compartments To~l liquid capaci~. ~ 1~ gallons. Capacity inlet comp~ment, ~ ~lons. Inside len~, fee( ~s~ wide, .f~t. Liquid depth, feet. Cmp~l: D~smnce from: ~ell fe~t; foundafioo, fe~; n~est lot line at ~ front, ~ s~de, ~ re~, f~t. Inside dhmeter, f~t. Depth,. fe~. Liquid capad~, gallons. LM~ng material ~CONDARY TREATMEHT consists of ~ T~le d~sposal fi~ld.~ SeepaKe p~ts. Other Tile Disposal Field: D~smnce from: ~ell, fe~; foundation, f~; newest lot l~ne at ~ ~r~nt, ~ sMe, ~ lear, f~t. Tma1 len~h oi tale lines, f~t. Numar of Hnes, D~stance becw~n l~nes, f~. Trench w~dth~ ~nches. Total e~tive abso~tion area ~n bottom of rte~ches square f~t. ~ngth of each IMe f~t. Depth, top of tile to fiNsh grade~ ~nches. Ty~ of filter matetial: ~ Gravel. ~ Broken stone. Other Depth of filter matefi~ ~neath tile~, inches. Depth of filter material over fi]e, inches. ~page Pita: . ~, ~; Numar of pks ] ~ts~de d~ameter ~ ~/~ fe~ ~ th ~: feet L~n~n material D~sunce from: ~ell, ~ feet; bu~ld~ng f~dafion ~ f~t hearst ot 1 ~e at ~ front, ~s de, ~ ~ar / ~ f~t. Ins~on marlo by: ~' S~te. ~ Count. ~ Lo~l H~lth Authori~. /~'~ / REPORT OF INSPECTION~I~I~~A~ER-SUPPLY SYSTEM D~stanc~ to hearst public water ma~n, feet. Size o[ ma~n, ~nches. Ind~vMu~ wells ~ are ~ ~e not ~stoma~ ~n neighborhood. G~vc most recent r~ord of failure of wells ~ ~mmediate vichi~ to ~m~sh ad~tc 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, feet; tile sewer, seepage pit, feet; cesspool, Well construction: .feet; nearest lot line at [] front, [] side, [] rear,. feet; septic tank. feet; disposal field, feet; other sources of possible pollution, feet. feet, 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, feet. .gallons per minute. (TITLE) 19 gallons per minute. ~ u. s. GOVERNMENT PRINTING OFFICE: 1957 O-F--4~7038 ILO" LINE PRoP PLOT FLA h,J Sc,,,'., ~ :~i-;-"i' C.5~'* .... LOT fl 15LOCK. Co h'IODEF-,,t',4 t--iOl'dE~ INC. ~e. Dan P~)12ee ~ox 1a99 Dear M~. Rapalee ~ The water supply system ao~ving Blook $0 Lot 9, Eagle RAver HeAgh~ Subdivision Aa a community system which is approved by this offioe. SlnMroly, DAVID R. L. D~CAN, N. D. J4edi~al Dl~e~to~ CPJ/az~ BYs CU--o~ P, ,~i'."~'~'~'. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 2l, 1973 Time of Inspection 9:30 a,m. Date of Inspection September 2l, 1973 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR F.H.A Aoproval Requested 87: Lomas & Nettleton Address~ 3380 C St. Anchorage AK 99503 2. Pronertv Owner: Smiley's Realty 3. Legal Description: Lot 9~ Bl.ock 6, Eagle River Heights 4. Location: ]08 Colville St. E.R. 5. Phone: Type of Facility to be Inspected: Single Family Dwelling Phone, Number of )~edrooms: Well Data= A. Type ConmunitS C. Construction 694-2115 7. Sewage Disposal System: Three (3) B. Depth D. Bacterial Analysis A. Installed C. Septic Tank: 1. Size D. Seepage Pit: 1. Size B. Installer 2. Manufacturer 2. Material Disposal Field: Total Length of Lines Distances: A. 9!ell. To: Septic Tank__ , Nearest Lot Line Fc, undation to Septic Tank , Absorption Area , Other Contamination '~ Absorption Area ADsorption Area to Nearest Lot Line , Sewer Lines 'Eequ~st for Approval of lndtvi~lual Sewer k Wate'~ Facilities Page T~o 9, Comments; Public sewer available. Corm, action ,must be made for approval,or funds escrowed for connection within 90 d.a~/s from this date. Apnroved Disapprove Date September 21, 1973 // Approval Valid fore'Year From Date Signed Greater Anchorage Area Borough,~Depertment of Environmental Quality DIAGRAM OF SYS~ ! certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water fac~lit~es located at: Signed Date