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KASSLER/WEST MORTGAGE CORPORATION
604 EAST SIXTH AVENUE *ANCHORAGE, ALASKA 99501 * 212-9E01
DATE: July 15_. 1971
GREATER ANCltORAGE AREA BOROUGH
Dept. of Environmental Health
Pouch 6-650
Anchorage, Alaska 99502
RE: James E. MorAam
Legal: Lot 8~ Block 2 Plat P-60
Parmenter Addition
(t~) (VA} Case # lSl 853
Gentlemen:
Per the attached form, we hereby request inspection for Health
Authority Approval.
Please send your findings to either the FHA offices or the VA Office
as noted above for the "Case Number'.' Also, please send an exact
copy of the report to our office.
Your swiftness in expediting this request would be most appreciated.
Sincerely,
KASSLER /WEST MORTGAGE CORP.
Loan PrOCessing Department
Linda McClelland
P.S. If you wish to make an appointment before inspection, please call
110
-.<~) >- 111
¥
124
Sand Lake Area Reference-PlO
July 26, 1971
Kassler West Mortgage Corporation
604 E. 6th Avenue
Anchorage, Alaska
Subject:
Dear Sirs:
Water Supply at Lots 7, 8, and 9 Block 2,
Alderwood Subdivision '
An inspection of the subject lots revealed that the well was
located in a pit. The proper well distances have been
maintained to the sewer system. Also, the sewer system was
functioning satisfactorily.
The well does not meet the regulations necessary for this.
Departments approval. The well is in a pit and therefore
subject to surface flooding and contamination.
Contact this Department for the changes necessary for
approval of the well.
Sincerely,
Lynn S. Coad
Environmental Specialist
st
AP,~OVAL RE~tlE~:,~;'i' FOR, SP..!,.:~ '~: "~ATER FACILITIES
PA~: ~.D
AJ
C,
D,
E,
F.
c.,
Ii.
3,
~r ~ TO SEPTIC TA. JK ~,~/.~ '
I!ELL TO SEEPAGE PIT,
'"ELL TO
I,IEI.L TO PROPERTY LI::E ./~--'_./-
,-:iL TO O~)ER PO.~SI:,LL COLTAtlI:.IATIOD:
FOUI'~DATION TO SEPTIC
FOUixDATIOI:I TO $-F. EPAGE PIT.__~__~_.~"
SEEPAGE PIT TO PROPERTY LINE ~.:2~, /-
~EPAR'iFENT._qOF [LWIROi _,t~E~ffAL 01JALITY
3500 TUD~ RO~D
/~';mOR~E, ALAS~ 9950F
RECUEST FOR APPROVAL OF
INDIVIDUAL SB'~ AND i'IATER FACILITIES
FOR
SI
B,
C, SIZE_ ~ :/
E, P.~.CTERIAL A~..YSIS.
SB','AGE DISPOSAL SYSTEM:
A,
SEPTIC TAr,~K (IF HONEI'JADE, SH~'! DIAGRAH ON BACK)
~)EP~tT.~F~E~IRO[ ~,~I~I'AL t'~UAI. ITY
279-~36
DATE DECEIVED
INSPECT:
TIME;,,.
INDIVIIAIAL SBqER Al'ID ~'IATER FACILITIES
~. Su'.:PAG~:nF "' ~IT
_1, szzr: /~
C, 2ISPOSAL FIELD
2, TOTAL LENffrH
7, i~EQUIRED ~ T'EASUREMB,ff$
^, ',~L TO S~mC T~X ,~b~
B,' !ELL TO SEEPAGE PiT. /,~2
C. "~LL TO ~'"' , ,'
., o~.:..ER LI.~'.E /5i ~- .....
E. "~LL TO O~F_R POgSI:';LI.: CO;,T/~II'.'!ATION
F, FOUHDATIO~ TO SEPTIC TAI~K , _
11, SEEPAGE PIT TO PROPERTY
/
,A, PP!~I.AL~Ii} FO"2. O~iE .YEC, ~i iIF,,TE SICC!E~,
t3I~I'F.J~ Aide AREA tK)ROUGt-I DEPAR'TY,11~ff OF I~N'IRO~,IEI, ITAL ..e~/.ITY
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proc~sed. Please allow ten (10) days for processing.
1. PROPERTY OWNER [ PHONE
4528 ~lon~ Strut ~oraqo~ ~aska
P~O~fi~TY ~fiS~fi~T (If different from above)
S~ as ~
~. ~uy~ PMON~
~le, J~ice ~d Willi~ 277-7285
M~ u ~ ~DDR 5SS
3801 ~st 44~ A~ ~raqe, ~as~
~i~d ~ ~k~~ 276-1911
~A[[~NG ADDRSSS
645 G S~t ~choraqe, ~a~
4. REALTOR/AGENT [ PHONE
Sh~ ~ty/ ~ny Di~i~sI 279-3511
~A[UNG ADD,SSS
P.O. ~x852 ~t~.~iQ~l ~~ ~d, ~Qraqe., ..~a~ 99~0.~
5. LEGAL DESCRIPTION
~ot 8,9 Bioc~ 2 _~L[der-vz~x~
STREET LOCATION
4528 Delong Street
6. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY [] INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
S
INGLE FAMILY
[] MULTIPLE FAMILY
[] ONE [] THREE [] FIVE
[] TWO [~ FOUR []
SIX
[] OTHER
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
~PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Absorption Area to nearest Lot Line
Septic/Holding Tank IAbsorption Area
JSewer Line
INearest Lot Line
5. COMMENTS
APPROVED FOR / BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
DISAPPROVED
DATE
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
AC~:ff, AL I} eEOLO(~ICRL LADORATO~ OF ALASffdL I~'~C~.
P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD.
Drinking Water Analysis Report for Total Coliform Bacteria
TELEPHONE
{g07) 279-4014
TO BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM: I I I ]
I.D. NO.'
Paul Homolaines
Public Water System Name
4528 DeLonq Street
Mailing Addresa
Anchorage,
Alaska
City
SAMPLE DATE:
Mo. Day
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no
[~ Special Purpose Loan
State
Year
Zip Code
[] Treated Water
[] Untreated Water
SAMPLE
NO.
5
OCATION
L 8~9 Bk 2 Calderwood
Time Collected
Collected By
1:45 RCP
TO BE COMPLETED BY LABORATORY
LABORATORY:
CHEM & GEO LABS OF AK., INC.
NAME
4649 BUSINESS PARK BLVD.
ADDRESS
ANCHORAGE, ALASKA
Date Received
Time Received
CiTY
8-16-78
3:15 PM
Analytical Method:
[] Fermentation Tube
Xr~X Membrane Filter
Lab Ref. No. Result* Analyst
~)-.'~con
I Iii
I ICI
I I~
* No. of colonies 1100 mi. or No. ol Pollllve podlon~.
READ INSTRUCTIONS
BEFORE
COLLECTING SAM PLE
Form No. 18-310 (3-78)
06-3.220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Collected 8-16--78 Source L 839 Bk 2 Calderwood
a.m.. 8508
DateRecelved 8-16-78 Time Received 3:15 dg~Lab..o.
Presumptive ]0mi 10mi 10mi 10mi 10mi 3..Omi 0.1mi
24 Hours __
48 Hours
Confirmatory
24 Hours __
~.8 Hours
EMB Broth 24 hours: Broth 48 hours:
Multiple Tube Report: 0 1Omi Tubes Positive/Total 20mi Portions
Membrane Filter: Direct Count Collform/3.0Oml
Verification: LTB. __BGB
Final Membrane Filter Results Collform/3.0Oml
8-17-78
Reported By D. Bacon Date
Time: 1430 a.m.
FH~Form-2573
Re, v. July 19S8 ~ U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Form Approved
FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8
' HEALTH AUTHORITY APPROVAL
IND,I¥1DGAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--tO BE COMPLETED BY FHA
INSURING OFFICE MORTGAGEE SERIAL NO.
Veterans Administration -Anchorage Kassler/West Mortgage Corp
706 West 27 Ave.
~fO~w~ James E. Morgan Anchorage, Alaska 99503
SUBDIVISION NAME
Parmenter Addition - Plat P-60 2
?OYAL
BASEMENT ~ New instaLLation Can attic or other area be mode into
LIVING UNITS IEDROOMS BATHS additional bedrooms?
WATER SIJ~Y BY:
SYSTEM DESIGNED FOR
_g...ql_~blic system I ' Community systemr-~[ ~ Individual No. o, ..,~s. a,,.~a,~,s,os^,
SEWAGE DISPOSAL
[ [ Public system ['"] Community system [~] Individual r~ Yes ]~] No
PART fl.--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
0 is [~] is not satisfactory as a domestic water supply for the subject property.
It is the opinion of the [ } State ] } County [~ Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
r-] Can be expected to function satisfactorily, and [--1
Cannot
be
expected
to
function
satisfactorily
is not likely to create an insanitary condition
NOTE: The health authority ?hould complete the appropriate opinion statement above and affix date, signature and title in the
spaces provided.
Uso of ~the a~t~O~&~r1~f~r Healt~Del~artrn~nt Inspector's sketch os well os use of the bock of th!s form Js at th~ 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
I' Individual water-supply system be considered [~] Acceptable 1--] Not Acceptable
Sewage disposal be considered [~] Acceptable [~]
Not
Acceptable.
DATE SIGNATURE
r[3C'IEFARCHITECT
r-]DEPUTY FOR CHIEF ARCHITECT
HEALTN AU?H~BI~Y
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA Form 2S73
Rev. July 1958
REPORT OF INSPECTIONmlNDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of [] Septic tank.
Septic Tank:
Distance from well,__feet. Material
Total liquid capacity,
Inside length,. .feet. Inside width,
Cesspool:
Distance from: Well, feet; foundation,
Inside diameter, ~ ,fee~t._~D~e~t_h_ ....
UCO~DARY TREATW~fl' consists of [] Tile disposal field.
gallons. Capacity inlet compartment,
f~et. Liquid depth,
[] Cesspool.
Number of compartments
gallons.
feet.
.feet.
square feet.
inches.
feet; nearest lot line at [] front, [] side, [] rear,
fe~t.. Licluid_~:apocity .... gallons. Lining material
[] 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,
[] Broken stone. Other.
inches.
inches.
Tib Di~osal Field:
Distance from: Well,
Total length of tile lines
Trench width
Length of each line,
Type of filter material: [] Gravel.
Depth of filter material beneath tile,,
S~epage Pit~
Number of pits .... Outside diameter, feet.
Distance from: Well,_ feet; building foundation,_
Inspection made by: [] State.
Depth of filter material over tile,
Depth, feet. Lining material
feet; nearest lot line at [] front, [] side, [] rear,
[] Cx)unty. [] Local Health Authority.
Inspected by.
19
(TITLE)
Date of inspection
REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM
Distance to nearest public water main,__ __feet. Size of main, inches.
Individual wells [] are [] are nor custornary in neighborhood.
Give most recent rccord 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:
feet; nearest lot line at [] front, [] side, [] rear,
feet; septic tank,, feet; disposal field,
feet; other sources o£ 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.
~ump: [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity,
Located in: [] Basement. [] Pumproom off basement. [] Pumphouse a~ve 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.
(TITLE)
feet;
feet.
19
GP 0 878 47 !