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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 6 LT 13 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "¢" Street, Anchorage, Alaska 99503 274-4561 Date Received 1/9/75 Time of Inspection Date of Inspection 1/9/75 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA Smiley's Realty Eagle River AK Phone: Ray Garrish Phone: 694-2114 Lot 13, Block 6, Eagle River Heights 5. Type of facility to be inspected Single 6. Well Data: COMMUNITY WATER SUPPLY A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Total length of lines No. of bedrooms B. Depth D. Bacterial Analysis PUBLIC SEWER SYSTEM B. Installer 1. Size 2. Manufacturer 1. Absorption Area 2. Material Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages · ~age 2 of two pages - R~ ~t for Approval of Individual ~r & Water Facilities Legal Description Lot 13, Block 6, Eagle River Heights Comments Disapproved Date 1/9/75 Approval~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) Form Approved ~:HA Form 259'3 ,F~DERAL 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 MORTGAGEE SERIAL NO. lettammhn Yal.I.eT Bank MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME BLOCK NO. LOT NO. ~agle River llei~h4m 6 13 Can attic or other area be made into TOTAL NUMBER: BASEMENT [-qJq New installation additional bedrooms? LIVING UNITSBEDROOMS BATHS ~ (If Yes, how mony~) x x [-1¥- I lNo F--lYes I lNo WATER SUPPLY BY: SYSTEM DESIGNED FOR [] Public system ~ Communit~ system r-] Individual .o. OF .DR~LS. GAKSAGE DISPOSAL SEWAGE DISPOSAL BY: [] Public system [] Community system ~] Individual 5 [--] Yes [~ No PART IL--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH Z__U_-ZZZZZZZ_-ZZZZZZZZZZZZZZZZZZ2 ZEE .... .__ 222222222222222222222222222222- 22222222 .................................. '"7: :::--'---:- C:kzzz-zz--; 4- - E~ZZZZZZZZZZZZZZZZZZZZZZZZZZZZz ZZZZ.~_ZXZ_ ~_~ ................................. .~---~-. ~i"- ................................ '--~-- '--~PP ........ .~-_~------_-----------Z-Z-----ZZ----ZZ~Z_Z.~i!- c.. It is the opinion of the [] State N County [] Local Department of Health that this individual water-supply system r'] is n is not satisfactory as a domestic water supply for the subiect property. It is the opinion of the .[~State N County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~Can be expected to function satisfactorily, and ~ Cannot be expected to function satisfactorily ts not likely to create an insanitary condition ~ w - · v and affix dote s~ nature and htle th~ NOTE: The health authority should complete the appropriate opinion statement/~ bo e , 'g ' in 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 [--1 Not Acceptable Sewage disposal be considered [~ Acceptable [~ Not Acceptable. DATE SIGNATURE [] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 Septic Tank: Distance from well, Total liquid capacity, Inside length, Cesspool: Distance from: Well, Inside diameter, REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of ~Septic tank. [] Cesspool. ~ feet. Matera~l, ~v'~..~.~_f ~lv.~"~ $ff~ Number of compartments '"/~ ~ ~alfons. Cap'acity inlet compartment, ~ feet. Inside width,. .feet. Liquid depth, feet. I gallons. feet; foundation, feet; nearest tot line at [] front, [] side, [] rear, feet. feet. Depth,. feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field. ~eepage pits. Other Tile Disposal Field: Distance from: Well, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Total length of tile lines,, feet. Number of lines,. Distance between lines, feet. Trench width inches. Total effective absorption area in bottom of trenches, square feet. Length 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 tile4 inches. Depth of filter material over tile, inches. Seepage Pits: Number of pitsI . Out,~side diameter,~-feet. Depth, ~ feet. Lining material ~',~ ~ ~1~ Distance from: Well, feet; building foundarion,~_~feet; nearest lot line at [] front, l]~side, [] re~r,~t. Inspection made by: ~'State. [] County. [] Local Health Authority. Date of inspection ,,.~ Inspected by~ R OF INSPECTIO~ER-SUPPLY SYSTE'' M 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; tile sewer, seepage pit, ~feet; cesspool, Well construction: 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__ .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. (TITLE) fc~et. ,19 T- /;