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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 6 LT 10 ~. /qame .of person requesting approval ..... 6, W~ data: d. Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank . 3. Seepage Area Cesspool' 5. Property Line Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. .... Sews.ge disposal system. b. Septic tank capacity in gallons c. Name of septic tank manufactume~ 1. If "home made" show diagram on reverse side of this form. Disposal field or seepage pit size and type _~.;{~/~/ .. - 1. Distance to proper~y..llne to house foundation Percoiatio~ Te~t ~e. sults f. Percolation Test performed by ............ . ~ Use the r~ve~se.side of this form to show diafram. Diagram should include ..~he following information: pmoperty lines;.well location, house location, e~p~ic tank location, disposal area location, location of percolation test, a~ dimection of ground slope. 9. The ~f-or~at£on on this form is true and corPect to the best of my knowledge. SiKnature of Applicant 'Date Sz?ned T,O, BE FILLED OUT BY HEALTH DEPA?,T!.!ENT PERSONNEr, .e above described sanitary facilities are hereby approved subject to the l~owin~ con~ionsi ' ' ' Conditions: The above descmibed sanitary facilities are disapproved for the following reasons: September 24, 1962 Mr. Paul R. Timmins, Director Federal Housing Administration 716 Fifth Avenue Anchorage, Alaska Dear Sir: A properly designed individual sewage system can be expected to function satisfactorily on the following described property: Eagle River Heights Subdivision; Lot 10, ]3lock 6 Yours very truly, EDWIN O. ~riCKS, M.D., Dr. P.H. DIRECTOR JRK:hm ~nc. John H. ~uhn District Sanitarian July 26, 1962 FHA - Anchorage A properly designed individual sewage system can be expected to function satisfactorily on the following described property: Lo~ 10, Bleak 6! Eagle River Heights Subdivision John R. Kuhn District Sanitarian FHA Form 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 ~SURING OFFICE MORTGAGOR OR SPONSOR SUBDIVISION NAME TOTAL NUMBER: BASEMENT --]Yes [] No [~] New installation BLOC2 NO. LOT~0 NO. Can attic or other area be made into additional bedrooms? (If Yes, how many?) WATER SUPPLY BY: [] Public system [~r] Community system [~ Individual SEWAGE DISPOSAL BY: [--] Public system ['-] Community system ~ Individual SYSTEM DESIGNED FOR I-lYes ~-] No PART fl.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH ,d' ~ ,~, ~ It is the opinion of the ~] State ~ County [--] Local Department or Health that this individual ~ater-supply system [--'] is [-] is not satis~ a domestic water supply for the subject property. It is the opinipn of the ~ State [] County [] Local Department of Health that this individual sewage-disposal sys- per maintenance: be expected to function satisfactorily, and i_~t~an [--] Cannot be expected to function satisfactorily is not likely to create an insanitary condition ~ ~.~ DATE. NOTE: The healtheauthority should complete the appropriate opinion statement above and afflx 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 CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ~,,~..t,~4>, ]~58 REPORT OF. 71ON--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of ~Septic tank. [] Cesspool. Septic Tank: Distance from well,__.feet. Material ~'~'d -- /~ ~ ~' · / '~"~"Number of compartments Total liquid capacity, {~'OO gallons. Capadty inlet compartment,. Inside length, .feet. Inside width, feet. Liquid depth, .feet. Ce~ol: Distance from: Well, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,. Inside diameter, feet. Depth,. feet Li~.~Lcapacity, .gallons. Lining material .~CONDARY TREATI~NT consists of [] Tile disposal field. L'f~aeepage pits. Other gallons. Tll~ Disposal Field: Distance from: Well, Total length of tile lines,. Trench width Length of each line feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,, feet. feet. Number of lines, Distance between lines, feet. inches. Total effective absorption area in bottom of trenches .square feet. .feet. Depth, top of tile to finish grade, 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 I Outside diameter, ~ feet. Depth,. ~' feet. Lining material__ Distance from: Well,_ feet; building foundation, t,~ feet; nearest lot lin~at [] front,~ side, [] rear,~._~m~.~feet. Incpa~'ion mada by: l-] State. [-I County. [] Local Health Authority. , /~.~,~{9~,L'~ _ ~ ~ Date of inspection '[ . 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~ feet; file sewer, seepage pit, feet; cesspool,. Wnll conliTucflon: 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: [] Stare. [] County. [] Local Health Authority. Inspected by Date of inspection 19.__ .feet; nearest lot line at [] front, [] side, [] rear,, feet, feet; septic tank, feet; disposal field, feet; feet; other sources of possible pollution, feet. Depth of casing, gallons per minute. gallons per minute. ,19 (TITLE)