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HomeMy WebLinkAboutCREEKSIDE PARK #1 LT 3 o rlt N oI LOCATION LOt' ~- ' ARcJtC ALASKA TESTING BOX 1266 B©X 845, ANCHORAGE FHA NU&~SE ~l CLIENT oT- · (, ,,,,; ~o i4 I TEST HOLE LOG SAT UR~T E o P£ RCOL ~ ,oL McQUAID REALTY F ~.c~ t~ T' k GREATER ANCHOraGE AREA BO:OJGH "~-~ ''' Department of Environmental Quality 3500 Tudor Rom , Anchorage Alaska 90507 279-8686 ,.-x. }3ate Received '' '' : '" Time of Inspection Location: Tyr~e of Facility to be Inspe Number of Bedrooms: ,, · ' .... ' REQUEST INDIVIDUAL :E,~ER & ?~A"F:R FAC!LITI:S .,. FoR / , / , ,, / .... <, Phone: ' "/' Address: 3. Legal Description:_ Z C>, ~'~¢~ /':~.~[ ~~' ~ ,, ?~- ' JD 7-4 We].l Data: < -, , ~'-. '.. A. Type B. C. Construction D. Deoth Bacterial Analysis Sewage Disposal System: ,? A. Installed ' '~"t4 ~g¢'~ B. Installer D. Seepage Pit: ]. Size 2. ~aterial = Disposal ~4eld: Total Length of Lines Distances: A. Well To: Septic Tank , Nearest Lot: line Foundation to S~otic Tank , Absorption Area , Sewer Iines · Other Contamination · '~ AbSorption Area · C. Absorption Area to Nearest Lot Line · 'R%quest for App'roval of · .... vidual Sewer & Water Faciliti~ Page Two 9. Comments: Ao~rov ~ a~roved__ Date Aporova] Valid for One va ~ From Date SiGned Greater Anchorage Area Borough, De~rtment of Environmental Quality D IAGR~.~ OF I certify that the information contained in this request for approval to be a true and accurate representation of the su55ect sewer and water facilities located at: Signed Date INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill o~t in Triplicate) ,, . War er~Analy$1s: a. Bacterial b. Detergent .... Well data: b. Deptl~ ....... c. Casing Size dj Distance from well to closest existing or proposed: 1, Sewer line . 3, 5. 6. Septic tank , Seepage Area Cesspool'__ _ Property Line Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. _ . Sewage disposal system, a. Age of system ~/¢~0 b. Septic tank capacity in gallons 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 line/.~. / .... to house foundation~,?~ e, Percolatic=l Te~ Yesults f. Percolation Test performed by  Use the Pevepse,side of this form to show diaEpam. he following information: DiaGram should include p~operty tines;.well location, house location, ~ptic tank location, disposal area location, location of percolation ar~,. dl~ection of ground slope. The t~f~or~ation on this form is true and correct to the best of my knowledge. 'signatUre 'o{ APPiicant Date Si?ned TO BE FILLED OUT BY HEALTH DEPAET~?ENT PEBSOI.INEL · 'The above described sanitary facilities are hereby approved, subject to the ............ ~.~'!~owing eond,i~'ions: Conditions: The above descmibed sanitary facilities are disapproved for the following Peasons: "Date ' ...... ' '-" '- Aptn'oval is valid for one year followin~ the date of approval. CPJ:cw FHA Form 2573 J' Form Approved Rev. July 19.58 * ~ U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Bad,el 8ureou No. 63-R296.8 FEDERAL HOUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL -' INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. MORTGAGOR OR SmNSOn PROPER~ ADDRESS SUKIVlSION NA~ NO. LOT Oree~de  Can ~ ~ o~ a~a be ~ In~ TOTAL NUMAR: ~SEMENT New installation a~fl~l b~s? LIVING UNITS BEDROOMS BATHS (If Yes, how man~) W/~R SUP~Y lY~ SYSTEM ~GN~ FOR ~ ~blic system ~ ~mmuni~ system ~ Individual ~. o, ,DR, G*..o, ~WAGE DIS~SAL BY~ ~ ~blic ,y,tem ~ ~mmunity ,y,,em ~ Individual 5 ~ Ye, ~ No PART ".--TO BE COMPL'ED BY HEALTH DEPARTMENT HEALTH DEPARTME~ INSPE~OR'S SKETCH I I ~ [ I ~ r' I i ~ I I ~ ~ !, ~ ] I ' ~ : I i , ~ j ' J ~ ~ ,, ; , : ~ ~ j I J ' : ~ ~ , i '- ~ J B . , I I I I ' J J J J J ,, J I , I i i ] , I I ~ I B : I ] j It is the opinion of the ~ State ~ Cou.W ~ ~cal Department of Health that this individual water-supply system ~ is ~ is not satisfactory as a domestic water supply for the subject proart. ~l~ It is the opinion of the ~ State ~ County ~ L~al Department of Health that this individual sewage-disposal sys- tem with proper maintenance:  ~ exp~ted to ~nction satisfactorily, and ~ ~nnot be exacted to fun~ion satisfactorily is not likely to c~ate an insanit~ condition / NOTE: The bea[~ a~ori~ should compl~t~ th~ appropriat~ opinion s~t~ment above ond a~x dat~, signatur~ and title in ~ spac~ provided. Us~ of the above grid for H~alth Department Inspector's sketch as well as us~ of the back of this form is at the option of the bea~ au~ority. PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UN~RWRI~R: I have r~iew~ the fore, oinK and ~he ~ninem FHA Complim~e Ins~ion Report, and recommend ~ha~ the Individual water-supply system ~ considered ~ Acceptable ~ No~ A~cep~ble ~waKe dis~sal ~ considered ~ Ac~p~ble ~ Nor Accep~ble. DATE ~ CHIEF ARCHITECT  DEPU~ F~ CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 19SlB (Fill out in Triplicate a, BactarJa ] b. DeterEent 6, Wail data: e a. ~3P~ b, Depth c. Casing, Size dj Distance from well to closest existing, or proposed: 1. Sewer llne 2. Septic tanP 3. Seepage Ar,aa ~, Cesspool' · houses, barn, drainage ditch. Sewage disposal system· a. A~e of systa~ . /.~ ,'' Property Line Other sources of possible contamination, i.e,, creeks, lakes, b. Septic tank capacity in gall~ 1. If "home made" show diagram on reverse a, ide of this form, d.' Disposal field or seepage pit size and type 1. Distance to property to house Percolatio~ Test '~esults f. Percolation Test perfermed by ,. , '~ Use the reverse ,side of this form to show diagram. Diagram should include --['[--%he following information: P~operty lines;.well location, house location, ,m~ptic tank location, disposal area location, location of percolation test, a~: diz.ection of ground slope. 9, The i~Co~t~on on this form is true and correct to the best of my knowledge. Sifnature of Applicant ~ate Si?ned TO BE FILLED OUT BY HEALTH DEPAET~-~ENT PERSONNEL [--~e above described sanitary facilities are hereby approved, subject to the ......... ~6'l!owing con~ons: ,,, The above described sanitary facilities are disspproved for the following Peaso~s: '~ignature o/ ]1~¢-4.ik4~,."?.-.' .... .-~,,--,t-------- -- __ ~__ .pp o~al is v~id ~r one year following the date of epprow:l. CPJ: cw $ JsnuaTT 7002 LO~ a, Cr, eekl.tda Park #2 I:M at" ~2 ~ ~he 750 ~alL~ septic ~k ~ yea~, the lnata~ati~ of o ~dit~ septic ~k of ncc ~ae ~h~ 500 wll~ a11~ y~ ~q~e ~entim for a ~ ~ttor ~o~orial ~ducTi~ ~d s~ ~itim~ ~tlh~. With ~ lns~a1~ci~ of C~ p~vt~ly ~scrl~d ~ficat ~ will y~ o~ ha~. This claud ~ne~r ~he sl~ge ~pth enc~l w~th n ol~t ~0 ~en in~t of of ~he b~ of ~i~ of ottomans, I wo~ Sincere ly, DAVID R. [,, DUNCAN, ~.D. I~edioal Di~otor CPJ s~ ~ar The wate~ supply in use a~ Lot S, Creek~ide ~ark ~2 i~ approved by the Grea~er A[~chora~e Health basis of a ~ch Tes~ for alkyl-banzene-~ulfonate (coa~onl~ re- ferred ~o as datet~ent) and a 5acterial analysis bo~h off ~b!ch resulted t~ aesa~ive findinas' Stncere ly, DAVID R. L, 5U~CAN, H.?, Hedlca[ Director Clifford P. J~dkinz CPJ:a~d FHA Form 2573 Form Approved Rev. July 1958 ~ '* FEDERAL HOUSING ADMINISTRATION --- - Budget Bureau No. 63-R296.81 HEALTH AUTHORITY APPROVAL .' INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPI:ETED gY FHA INSURING OFFICE MORTGAGEE SERIAL NO. lnchora~, llemka Box 600, Anehore~, llamka 111~X~2~2-203 MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME BLOCK NO. J LOT NO. Creekaide Park #l , -- 'G'--I Con attic or other area be made into TOTAL NUMBER: BASEMENT~ New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS (If Yes, how many~.) ].. ~ Z ~]Yes ['-]No [---]Yes ~-]No WATER SUPPLY BY: SYSTEM DESIGNED FOR [--] Public system I-~ Community system ["-] Individual NO. OF BDRM$. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: D Public system [~ Community system ~-] Individualj 3 r--J Yes [~] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH ~ , ~ ..... ' ~-i ~ ..... ' ' ..... -. . ....... -~--- -~ .--- _~ b-Z ....... Z---Z ~____czz: --~ ~-~.'~ ~_ . ~__ _~- ...... i_~__i~__, .....'-~ -~ .----~---~ __, ----b-=- ~ ~- --~ .... ._ l- ~ ~-~-~-"-C --~-~-'-- --'-' h ~ ~--~ <, - It is the opinion of the [-1 State m-Co.unty ['~ Local Department of Health that this individual water-supply system D is m is not satisfactory as a domestic water supply for the subject property. It is the opinion of the r-] State ~1 County [~Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~ Can be expected to function satisfactorily, and O Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE ' TITLE NOTE: The health authority should complete the appropriate opinion stgfement above and af~ 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 III.--FORUSE 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 I~l Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE SIGNATURE J CHIEF ARCHITECT m DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of ['X Septic tank. S~ptic Tank: Distance from well, -- feet. Total liquid capacity, Inside length, 8 feet. Cesspool: Distance from: Well, Inside diameter, feet. [] Cesspool. Material, Steel U.L. _,~46798 000 gallons. Capacity inlet compartment, Inside width, $ feet. Liquid depth, Number of compartments [ . -- .gallons. .feet. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, Depth,. feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field· Tile Disposal Field: 'Distance from: Well, Total length of tile lines Trench width Length of each line. [] Seepage pits. Other 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, Type of filter material: [] Gravel. [] Broken stone. Other Depth of filter material beneath tile, inches. Depth of filter material over tile, Seepage Pits: S q · Number of pits [ . Outside di-mnete~, 8 Y. _R ' feet. Depth, 5 feet. Lining material Distance from: Inspection made Date of inspection Distance to nearest Individual wells [] Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water feet. feet. square feet. inches· inches. Well, .~ feet; building foundation, 23 feet; nearest tot line at [] front, [~ side,~ ~'e'~r~~feet. by: [] State. [] County. [] Local Health Authority. ADAMS · ~ ~ T~:.krt- , , ~b E~.q 5, ~; ~, REPORT OF INSPECTION--INDIVIDUAL WATE.-SUPPLY:{~TEM"{'"' "''"...:-7 ~ public water main, feet. Size of main, inches. ~ ~:.', . ~ ....... ',,~ .'" .," are ~ ~e not customa~ in neighborhood...' ~ ': '7_.". 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: .feet; nearest lot line at [] front, [] side, [] rear, feet; septic tank, feet; disposal field, 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, .gallons per minute. .gallons per minute. feet, feet; 19__ (TITLE) ~- u. s. GOVERNMENT PRINTING OFFICE: 1R57 O-F--4Z7038 2, 3, 5, REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) Name of person requesting approval //~7/7 Number~of~ ]~edrooms in house: WaterAnalysis: a. Bacterial b. Detergent We]_ldata: Type Depth Casin~ Size . Distance from well to closest existin~ or proposed: 1. Sewer line 2. Septic tank . 4. Cesspool' . 5. Property Line_ ,,,, . 6. Other sources of possible contaminations i.e., creeks, lakes, houses, barn, draina£e ditch, etc. ~, 7. Sewage disposal system. a. Age of system . b. Septic tank capacity in gallons /~~ c. Name of septic tank manufactume, r 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepage pit size and type Distance to proper~cy line to house foundation e, Percolatio~ Te~t ~esults f. P~rcolation Test performed by Use the reverse ,side of this form to show diagram. Diagram should include '~he following information: p~operty lines;.well location, house location, ~ptic tank location, disposal area location, location of percolation test, and direction of ground slope. 9. The lnfor~mtion on this form is true and correct to the best of my knowledge. Signature"of Applicant ........... ~i~ned, Date TO BE FILLED OUT BY HEALTH DEPART!4ENT PERSONNEL ~e above described sanitary aclt~tzes are hereby ~pproved subject to the ~'llowing con~ons: ' Conditions: The above described sanitary facilities are disspp~oved for the following reasons: .... Date ~' , Approval is valid for one year following the date of approval. CPJ:cw ADAMS · CORTHELL. LEE CONSULTING ENGINEERS -- SOILS, FOUNDATIONS, AND MATERIALS BOX B43 FAIRBANKS TEL. 4653 BOX 1:256 ANCHORAGE TEL. BR ALAN N. P-0RTHELL HARRY R. LEe AFF[LIATED WITH ARE:TIE: ALASKA TESTING LABORATO~IEc~ /~pril 25, 1962 Mr. Howard ~itli~mson Box 5-787 Nbunfein View, Alaska SUBJECT: ?ercotatton Test, Lot 3, Cr¢¢ksid¢ Park Virgint~ Subdiv~slon, D¢,r Iwr, '~illiamson: A percolation test was performed on the subject tot on April 24, 196g. The ~olls log, percoteflon fesf dele ced approximate tocafion of fha fesf hole ere shown on fha attached sheet. The percolation rate was greater then ! inch per mlnuf¢~ Ground wafer condlfions~ soits~ ~nd pzrcol~fton rate es reported indlc~fe the conditions existent af the specific time and [ocafion the fcsf wes performed. ~c c~n~of predict fha conditions which may exist af any other fim~ or af any other with certainty. Very truly yours~ ADAMS · COR'FH,eLL , LEE location HRL:ma Encl. Approved: ~.~_..~ Harry R.-'L~e, P.E, ' Greater Anchorage Health District by Chief Sani~arlan