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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 6 LT 1605O ooo .~ ~'UNICIPALITY OF ANCHORAGE DEPARTMEN, .F HEALTH AND ENVIRONMENTAL ~ROTECTION 825 L Street, Anchorao~. Alaska 99501 264-4720 Date Received: October 26, 1977 ~1: Time ~ #2: Time Date ~fln-D~-]] Date #3: Time Date Insp Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Bank of Commerce Mailing Address: Pouch 7-012 99510 Phone: 2. Property Owner: Jimmy M. Clark Mailing Address: Phone: 3. Legal Description: Lot 16 Block 6 Eagle River Heights Subdivision 4: Single Family Residence: (x) Multiple'Family Residence: ( ) Number of Bedrooms: Three Number of Bedrooms: Well System: Permit # Construction Individual well ( ) Depth of Well 6. Sewage Disposal System: Community/Public System (x) Well Log on File ( ) Bacterial Analysis On-site System ( ) Public Utility (x) Permit # Septic Tank Size Absorption Area Installed } ~,7 "? ~ Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~age Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 16 Block 6 Eagle River Heights Subdivision Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: Disapproved: Date: Department Worksheet: REALTORS' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: o CMRO VA DaN Phone A DaN Phone Phone CONV /~ Name of Mailing Realtor or Agent: //~,fr~ ,~x~X~.S ~ Address: ~t~ ~ ~.,y /~/'~ Phone Legal Description: Location: //x// o ge Type of Facility to be inspected: Water Supply Type of Supply: Public Utility Individual No. Bdrms. ~ If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility ~ If Individual, date of installation: Individual (on-site) REALTOR~ AREA, INC. REALTORS [] Anchorage "C" St. Office 3300 C Street (907) 278-2525 [] East Anchorage [~agle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (907) 278-2525 (907) 6,q4-§555 April 9, 1~63 ~atam~ka V~ ~ 7m ~ Avea~ Eagle River Heights S~bdivision! Glen Briggsl Lot 16, Bloek 6 A properl~ deaigaed iadAvidual sewage syste= ean be ex~-~ted to f~nc~ica satAafaet~ on the folXo~ing deee~ibed B~ - Eagle River Heights Lot 16, Rlcek 6 ~A~h~ FHA Form 2S73 Form Approve Rev. J.iy 1958 FEDERAL HOUSING ADMINISTRATION BucLc~ B**re~u'~'~o. HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.iTO BE COMPLETED BY FHA INSURING OFFICE Anchorage, Alaska MORTGAGOR OR SPONSOR ~UBDIVlSION NAmE Eagle River Heights TOTAL NUMBER: LIVING UNITS BEDROOMS I 3 BATHS WATER SUPPLY BY: [] Public system BASEMENT Yes ~ No J MORTGAGEE SERIAL NO, Ma~anuske Valley Bank - . ]An~hotq~e. Alaaka 111 001303 203 -- ' PROPERTY ADDRESS -- -- E/Side Colvllle St. #g2t N. oi' Old Eagle .... '~ - ~OCK NO. LOT NO. 6 ~6 Can ~lc ~ ether ama made Into ~ New installation additional bedrooms? be (ff Yes, how many~) Yes .o. SYSTEM DESIGNED FOR ~ Individual o~ ~.~s. o~,~o~ ~s,os~t So ~-] Community system SEWAGE DISPOSAL BY: [--] Public system F-] Community system PART II.iTO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [~ State [-I County ["-] Local Department of Health that this individual water-supply system ~] is [] is not satisfactory as a domestic water supply for the subject property. is the opinion of the [5~ State N It County tern with proper maintenance: N Can be expected to function satisfactorily, and is not likely to create an insanitary condition --1 Local Department of Health that this individual sewage-disposal sys- [~] Cannot be expected to function satisfactorily DATE . [ SIGNATURE ~ ~ TITLE ~ ./"% 7 - NOTE: The healt~ authority should complete the appropriate opinion statement above and affix date, signa ute a d ' e 'n 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 tho health authority. PART III.iFOR 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 F--] 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 Farm 2573 R~v. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM hi)tic Tank: Distance from well,__ Total liquid capacity Inside length. Cesspool: Distance from: Well, Inside diameter, PRIMARY TREATMENT consists of ~ Septic tank. [] Cesspool. feet. Materia]~ S ~-e,e/2 (-~ ~ dd~ ~- ~;~ O ~ ~ Number of comp~ments ~ ~ O~ 2 [ gallons. Capaci~ inlet comp~ment, feet. ~side wide, f~t. Liquid depth, feet. .gallons. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Depth,_ feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field. 1~ Seepage pits. Other Tile Disposal Field: Distance from: Well, Total length of tile lines, Trench width. Length of each line Type of filter material: [] Gravel. [] Broken stone. Other Depth of filter material beneath tile.p inches. Seepage Pits: 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. Depth of filter material over tile, Number of pits / Outside diameter. ~' X ~' feet. Depth,-~-+ / O feet. Lining material /O~_~ Distance from: Well, feet; building foundation, ~ 7 feet; ne~t lot line at ~ front, [] side, ~ rear,~ ) O f~. Date of insp~ion 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 weft from: Building foundation cast iron sewer,. seepage pit, Well construction: .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, .feet. .gallons per minute. _gallons per minute. ,19 (TITLB)