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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 6 LT 19 I1', ~ ~ r, :~ ~ ~ nO -. ~ , Z~ ~'.. , ~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 8/22/74 Time of Inspection Date of InspectionS/22/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: ~ Mailing Address: 3. Legal Description: VA Smiley's Realty Phone: F~gle RivEr Al< Iht lg; Rlnr_J~ ~ Eagle River Heights Phone: 4. Location: 5. Type of facility to be inspected 6. Well Data: Community A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area Single No. of bedrooms B. Depth D. Bacterial Analysis Public Sewer B. Installer 2. Manufacturer 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual Se~ Legal Description ~j~ /4 ~ ~/~ /~ & Water Facilities Comments A,pprov~~--~-~ Disapproved Date 4l~j~ .~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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) 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.mTO BE COMPLETED BY FHA INSURING OFFICE MORTGAGOR OR SPONSOR MORTGAGEE SERIAL NO. PROPERTY ADDRESS SUBDI¥1SION NAME BLOCK NO. LOT NO. TOTAL NUMBER: BASEMENT N New installation BATH5 LIVING UNITS BEDROOMS WATER SUPPLY BY: Can attic or other area be made Jet~ additional bedrooms? (If Yes, how many~) SYSTEM DESIGNED FOR [] Public system [] Community system ~] Individual .o. o[ 'O~m 0'~'*0[ ~ms,0S*[ SEWAGE DISPOSAL BY: [--] Public system [] Community system [~ Individual '! [--] Yes [] 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 [~ is N is not satisfactory as a domestic water supply for the subject property. It is the opinion of the ~..State [] County tern with proper maintenance: [ ~Can be expected to function satisfactorily, and is not likely to create an insanitary condition [] Local Department of Health that this individual sewage-disposal sys- N Cannot be expected to function satisfactorily DATE S~URE~ TITLE NOTE: The health authority shou{d complete the appropriate opinion statement above 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 L._J CHIEF ARCHITECT '~ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ,. RD.,. J~,ly 19.s8 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM Septic Tank: Distance from well, Total liquid capacity. Inside length,. "~ Ce.spooh Distance from: Well, Inside diameter, PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. feet. Material S gallons. Capacity inlet compartment, feet. Inside width, Number of compartments '1 , -- 22~gallons. .feet. 1IL 8~. ~ 5t~6 feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Depth, feet. Liquid capacity, .gallons. Lining material r~COND~Y TRSA?I~NT consists of [] Tile disposal field. X~! Seepage pits. Other Tile 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 J- . Outside diameter,. ~ feet. Depth, 6 feet. Lining material Distance from: Well, -- feet; building foundation, 36 feet; nearest lot line at [] front,~] side, [] rear, 21.9 feet. Ins~inn modn by: ~] State. [] County. [] Local Health Authority. John Kuhn Inspected by Date of inspection 7./17 ~9 62 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 v~c_~ity 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, Weft construction: Diameter, .inches. Total depth, Approximate depth to pumping level of water in well. Sealed watertight to depth of feet. feet; nearest lot line at [] front, [] side, [] rear, feet, feet; septic tank, feet; disposal field, feet; feet; other sources of possible pollution, feet. .feet. Type of casing Depth of casing, .feet. feet. Approximate yield, .gallons per minute. 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__ gallons per minute. , 19__ (TITLE) .. 'ii_i.i Baruoo Do idms, April 9, 1~62 Hr. S. O. Reflln 219 East 6th Avenue Anchorage, Alaska b~ this offi~e of your plane for construct:Lng unit on Lot 19, ~lo~k 6 of t~he F--!~o River He:J. fh%o I~.ev of our files ~u~tc&tea that th~ ~e an ~ ~ for~va~~m ~~- ~of~e ~ e~c~ S~ a~ ~~ ~ic ~ ~se, Very %raly Bz~mel;Ada~, ~aperrl~or Regicaal Saaita%io~ Serrlee~ Divi~io~ of Public Health