HomeMy WebLinkAboutEVANSON LT 7L7
PARcel.. ~ 1 I'l~ I S'
LOCATION LOT
FHA NUMBER
CLIENT l E:V,/I.~
7
ARCTIC ALASKA TESTING LABORATORIES
BOX 12:66 BOX 84;5
ANCHORAGE FAIRBAN KS
PERCOLATION TEST DATA
BLOCK SUBDIVISION .-= L/~N.~ o
TEST HOLE LOG
READINg DATE GROSS TIME I NET TIME
SATURATE 0
6 i" 1
~RCOLATI~ RATE I'/ ~ MIN.
TES1 HOLE NO,
W.O. NO,
DATE.. ~ _
TECHNICIAN.
LOCATION SKETCH
APP. TOPO0.
FROST
DEPTH TO HzO NET DROP
LEGEND
GRAVEL
SAND
SILT
CLAY
ORGANIC
CONTENT
PEAT
WATER
TA BL E
REMARKS I. SOIL CLASS-VISUAL- UNIFIED
9 September 1963
Sparlman&liotmanCo., Inc.
~0 $ch Avenue
Anchoraee, Alaska
FHA Case l~o. 111-001369-203
LoC 7, Evanson Subdivision
Aa a$~eed by Che HealCh Deparcuenc, Spena~d Public Ucilicy DlsCricC,
and Lewis &MeCzser, ~he oe~aSe disposal eyecemservinsLoc 70 gvaneon
Subdivision is approved tot a one (l) year period, endin$ September, 196~,
AC the end o£ Chis cime, conuecCionwill have been made Co the uCiliCy.
Sincerely,
DAVID R. L. DUNCAN,
Medical Director
~y
Donald '11. Penner,
SaniCarten
DHP:~sa
· 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
C~L~ SERIAL NO.
///- z:~/.~ ~r~,.~'-~'~.~
INSURING OFFICE J MORTGAGEE
MORTGAGOR OR SPONSOt~ '~' . J PROPERTY ADDRES
iUBDIVISION NAME
TOTAL NUMBER:
BASEMENT
/ I-I Yes
LIVING UNITS BEDROOMS
New installation
WATER SUPPLY BY:
~] Public system
~ Community system
SEWAGE DISPOSAL BY:
--1 Public system
[~ Community system
BLOCK NO. LOT NO. 7
Can attic or other area be made Into
additional bedrooms?
(If Yes, how rnany~)
[--~ Yes ~ No
[] Individual
~ Individual
NO. OF ;2~.~ IDEGS~FGGANGEED--[~cOpoR~AL
I--I Yes No
PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT
DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the N State
[] is [] is not satisfactory as
It is the opinion of the ~l State -- County
!
tern with proper maintenance:
[~] Can be expected to function satisfactorily, and
is not likely to create an insanitary condition
Department of Health that this individual water-supply system
for the subject property.
D Local Department of Health that this individual sewage-disposal sys-
--]Cannot be expected to function satisfactorily
DATE t SIGNATURE TITLE ~ .
NOTE: The health authority should complete the ap~Jropriate~opinlon statement above and affix date, signature and title in the
spaces provided.
Use of the above grid for Health Department Inspector~ 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 r-] Acceptable [] Not Acceptable
Sewage disposal be considered ~] Acceptable [~ Not Acceptable.
DATE
SIGNATURE
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
r~l CHIEF ARCHITECT
r~ DEPUTY FOR CHIEF ARCHITECT
FHA Form 257,~
Rev, July 1958
REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of [] Septic tank. ~ Cesspool. '~ ~'1
Septic Tank:
Distance from well,__.feet. Material,.
Total liquid capacity, gallons. Capacity inlet compartment,
Inside length, .feet. Inside width, feet. l~iquid depth,
Cesspool:
feet.
Number of compartments
gallons.
feet.
Dept'h, I~ ' fee~'~ Liq~i6 cap'acity, gallons, Lining material
SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other
feet.
square feet.
inches.
inches.
YC~,~t V'heal'~iC 16t'~'-a't"[~_OWf,, 'r"'T's"lde;- Fq*'rear,.~t__~ feet.
Authori~. ~r;- ~-~, , , 4~1~
Tile Disposal Field:
Distance from: Well,
Total length of tile lines,
Trench width
Length of each line,
Type of filter material: [] Gravel.
feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,
.feet. Number of lines, Distance between lines,
inches. Total effective absorption area in bottom of trenches,
feet. Depth, top of tile to finish grade,
[] Broken stone. Other
Depth of filter material beneatl¢ tile,~ inches. Depth of filter material over tile,.
Seepage Pits: : "
Number of pits Outside diameter, feet. i Depth, feet. Lining material
Distance from: Well, ~' feet; b~liidihg £otlWd'aW6tl;
Ins~ctlun moda by: [] State. ," [] County. [] Local Health
Date of inspection~~L~, 194
R~O~'~RT OF INSPECTION--INI
D:stance to nearest pl4g~j~ water ma:n .... feet. Size of l
Individual wells []~'"al:e/[] are not customary in neighborhood.
Give most recent ~co~d of failure of wells in i/mmediate vicinity
)IVIDUAL WATI
inches
o, furnish adequate supl~
(TI'rLB)
I~-SU~PLY ~}~STEM
ly of v~fiter .
Properties in .i~glab:o$}ood [] are [] are not being developed wi
Lot size: ~,,_f, . ~ ' feet wide, .feet deep. Dwell
Individual ware/s~"ply from: [] Drilled well. [] Driven well.
Distance of ~ell from:
Builditlg'l~ndation,
cast j~orl' sewer,, feet; tile sewer,
seepage pit, -feet; cesspool,
Well construction:
:h both individual watt -supply and sewage-disposal systems.
set back from frontt ?roperty)line, '~ feet.
ng
[] Dug well. [] Bol ed w. elk
feet; neare: lot hne at [] front, I~lA'~d~, .[~.-~*ars ...... .ri
i feet; sepuc tank...~.J ~, ~ffe'e(; ,disposal ~eld
feet other sources of possible polluuon, feet.
Diameter, inches. Total depth, feet. '~rylYe~t~ca-i?n~;- .... Depth of casing
Approximate depth to pumping~,l~u.~l;~ water in well,. .feet. Approximate yield, .gallons per minute.
. · · Sealed. wat~tight~to..d~tath~f~~_:. -: -: - .... .
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, .gallons per minute.
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 watei':l~Cen made? [] Yes. [] No. If answer is "yes," give date , 19__
Quality of water [] is [] is not satisfactory for human consumption.
Installation [] does [] ~oes not comply with ap~oved exhibits, if any.
Inspection made by: [] State. [] County. [] Local Health Authority.
-.~(· Inspected by
Date of inspection 19
(TITLB)
feet,
.feet.