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Home My WebLink AboutANDERSON MILLER Lot 10~.~ I0 GD~.ATER ANCHORAGE AREA BORC"-'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 171 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL MATERIAL LIQUID CAPACITY GALLONS. INSIDE LENGTH MAILING ADDRESS LEGAL DESCRIPTION NUMBER OF COMPARTMENTS LIQUID INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE OUTSIDE DIAMETER OR WIDTH ('~'~'~W DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) J LENGTH /~ , DEPTH ~' f , BUILDINg FOUNDATION~-~ ~/, SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WF~""'/ . FOUNDATION~ NEAREST LOT LINE NUM/ ..... DISTANCE BETWEEN LINE~ . __TRENCH WID/~ -- TOTAL ~ ., OF LINES~ X_ ' IN. TOTAL EFFEi~TIVE IN. ABOVE TILE WELL: TYPE ..~/~..?~'Zj~._~ ~' , DEPTH / DISTANCE FROM / WATER .... , BUILDING FOUNDATION SAMPLE ~,.~' NEAREST ~.~.~--~ EPTI C ~.~-~ SEEPAGE LOT LINE SEWER LINE , TANK SYSTEM , CESSPOOL , NEAREST , SOURCES__ DISTANCES: DATE DIAGRAM OF SYSTE~")~ APPROVED HEALTH AUTHORITY ,~^.,,,,...p.2 GREATE ANCHORAGE AREA :OROUGH DEPARTMENT HEALTH 99501 327 Eagle St. Anchorage, Alaska SEWAGE DISPOSAL SYSTEM- ,;," RESIDENCE ADDRESS ~ kOCATION OF INSTAkkATION L~L ~SCR~T~O~ ~~ ~~ APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE PIT ~ ,BRAIN TO F~C~ T.~OUS, ~ /X ~' TO ~E ~ST~LLEO/ ~RCOLAnO. TEST RESULTS ~ ~ ~T~C~TEO ~TE OF CO~PL~T~ON BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~°~" ~'~4~ , PERMIT TO INSTAkk A AS DESCR,~EB ~ELOW. S,ZE O~N,:~ TO BE SERVED DISTANCES: with the requirements of Greater Anchorag'~ Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. ~_o¢~t~~.~ ~ ,,'7 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.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME BLOCK NO. LOT NO. Can a.ic or other area be made into TOTAL NUMBER: BASEMENT eW JfisCaJJa~Jo~ additional bedrooms? LIVING UNITB BEDROOMS BATHS (If Yes, ~ow UPPLY BY: SYSTEM DESIGNED FOR ]ic system ~ Communiw system ~ividual ~o. or ,u,us. o,.,o~ SEWAGE DISPOSAL BY: 7 HEALTH DEPARTMENT INSPECTOR'S SKETCH ..... ~ ~ 2'~, ' ..... ~ ~ ~_~ ~ ___~ ~ ~ ~ ~-----~ ~ --- -~ .... ~ ~ ~ ......... ~.~ ..... ~ .... ~ ..... ~ ~ ...... ..... ~ ~ ~~ ' e _ __ It is the opinion of the ~ State__ ~ Coun~ __ ~ Local Department of Health that this individual water-supply system ~ is ~ is not satishctory as a domestic water supply for the subject properS. PBBLIC ~gTER It is the opinion of the ~ State ~ County ~ Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~ Can be expected to function satishctorily, and ~ Cannot be expected to function satishctorily is not likely to create an insanira~ conditio~ · ~ ~ ~ ~ ~ ~'_.~?, ~ ~ ~..Rolf. R. Strickland, R.S. Environmental Health Supe~is,~ept' ~8, 19 ~ o{ ~h~ ~bov~ ~ri$ {or ~l~h ~.p~r~m.m* In,p.~lor'~ ~k~*{h ~ w~ll ~ u,~ o{ *h~ b~{k o{ lhi* {ovm i~ ~ *h~ option ~ ~h* TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pe~inent FHA Compli~ce Inspe~ion Repom and recommend that 'the Individual water-supply system be considered ~ Acceptable ~ Not Acceptable ~wage dis~sal be considered ~ Acceptable ~ Not Acceptable. DATE SIGNATURE ~ CHIEF ~RCHITECT D~PUTY FOR CHffF ~RCHffECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 REv. July 1958 '3aaj --6I · ~:mu!tu ;~d suol[~8 '~u,sev jo '61 uo!:Dadsu! jo Aq pa~adsuI 'Xa!Jotpnv q~leaH 1e2o7 ~ '~unoD ~ 'alms ~ :Xq apem uoD2adsuI · Au~ j[ 'sl~q~qxa paaoadd~ ql~& Xld~o> lou saop ~ saop ~ uoDellmSUI · uoDdmnsuo2 ue~nq aoj X~o~jsD~s lou s~ ~ s~ ~ ~ale~ jo a~p aa~g ,.'soX,. s~ aa~su* JI 'oN ~ 'saA ~ iapem ua,q Jo~ jo uoDeu~m~xa l~>~olo~sm2eq seH · SUOll~ 'Xlp~deD '~rJO ~ 'a~nssa~d ~ :aSmols jo adA& · oN ~ 'soX ~ :lq~ol*~ ~ugunom dm~ 'oN ~ 'soX ~ :pou~g~ XiJ~oJd mooJdm~ ':~d dm~ ~ 'puno~ aaoqg asnoqdmnd ~ uu*masgq ~o mooJdm~ ~ ':uamas~fl ~ :ul 'Xlp~d*~ dm~ uaoj od,d do=p jo q~ua] 'lla~ daoG ~ 'IIO~ ~Oll~qS ~ :dmnd 'oN ~ 'sa~ ~ :~q~p=a~ =aao~ lla~ ~ s~u~uado 'Ima~ ~ 'poo~ ~ 'a=a=~o~ ~ :saao~ 'll~q ~u~pso ~ 'A~p paipp~ ~ uno=2 ~ua~a~ ~ :q=~ pai~as 2u~s~ puno=~ a~ds =o~=a~x~ jo q~dap o~ ~q~o~ palcoS 'plo~X al~[xoJddv u~J lla~ m aa~ jo Iaaai 8u[d~nd m qldap aa~xoJddv :uoD)nJ~suo) Ile~ ~[oodssa~ '. 3aoj '3~d '20~0S o[~l '.3~oj 'Jonas uoJ~ 'uop~punoj Su~pHn6 :moji Ile~ 'lla~ pa~o~ ~ 'lla~ ~n~ ~ 'lla~ ua~D~ ~ 'lla~ PalI~J~ ~ :mo~j ~lddns Ja~ i~np~a~pui · laaj 'au!! Alaadoad auo.~j uaoJj >puq ~os gU!IlataG 'daap loaj 'ap!~a laa.,x :az[.s ~o'I 'stualsAs pssods!p-oS~aas puc Xlddns-~ale/a Fnp!a!pu! qloq q~!ax padolaaap Su!aq lou a:~u [] aa~s [] pooqaoqqS!au u! s~.13.lado.ld Jale~ jo Xlddns alenbape qs!uinJ oi /a!up!a a~e!patutu! u! Slla~ jo aJnl!sJ jo pgo>aJ lua~aa lsotu aa!O · pooqJoqq~[au m XJemmsn> lou a~e [] aJ, [] sIia~ Ienp!a!pui · saq~u} 'metu jo az!s uaaj-- -- u!etu Jalr~ >!lqnd :~soJ~OU ol *3um$!(I WtJ. SAS AlddnS-Util~/~ I~I~CIIAICINI--NOIX:)IdSNI .i0 J. UOd:IU · aaaj -- 'J~sa~ [] 'ap!s [] "~uoJj [] ~, au!i loI :saJeau '.:aaj- I~!Jo~u~ ~u:uH uo*j 'aid Jaao [~!Jal*tu Jall[l jo q:~doQ 'saq2u! 'saq2u! uaaj aJenbs uaoj 'Jaq:lO 'auols ua>loJl~t [] 'ape:tS qs!mJ o: aip jo do: 'qldacI ':aaj 'saq~uan jo tuolloq m uaJ~s uog&osqe oa!12ajja lmO~L 'saq2u! 'saU!l uaa~oq ogums!G 'saU[l jo ~aqmnN 'laaj 'J~,J [] 'ap!s [] '~uo~j [] 1, au!I ~oI ~saluau '.laaj 'uop~punoj '.laaj uoaj aaq~o le!Jal~m Su!u!I 'SUOllr:8 '/apede~ p[nbFI uaaj' "qldafI uaaj uaoj 'q~dap p!nb!'I uaaj "q~ppa ap!suI uaaj 'matu~edtuo2 lalu! ,41pgduD 'SUOll*S sauaualJsdmo> jo ~*qcunN 'loodssaD [] WIISAS 1VSOdSIQ-:IOY~AIS IVflOIAIONI--NOIJ,:):IdSNI tO 1UOd:IU (Fill out in T~iplicate) / .-- .of person ~equesting a2proval ...... ./ ................... .~ a, Bacterial b. Detergent . '~ ...... 5. We/.l data: a, Ty~e ..... Dept~ . ~ Casing Size . Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank , 3. Seepage Area_ _ , Cesspool' . 5. Property Line . 6. Other sources of possible contamination, i.e., creeks, lakes, etc. houses, barn, drainage ditch, _ . ........ b. Septic tank capacity in gallona. _/~ ,,,. 1. If "home made" show diagram on reverse side~f this fo~m. d.' Disposal field om seepage pit size and t~e: ...... / - 1, Distance to p~ope~y., line. 0 e. Pe~coiatic~ 'Te~t ~e. sults , · f. Percolation Test performed by ...... .................. .... , ~ Use the reverse .side of this fo~.m to show diaffram. Diagram should include .....~he following, information: p~ope~ty lines; .w~ll location, house location, '~p ~c tank !ocatlon, d~sposal area location, location of percolation a~ direction of ground slope. \ 9, The ~f~o~mation on this form is true and correct to the best of my knowledge. Sifnature of Applicant e e ?0~ BE FILLED ou'r BY HEALTH DEPARTMENT PERSONNEL ~.e above described sanitary facilities are hereby approved, subject to the Conditions: ? i i i tin i 11 i i I it i I inl i iiiii · i [ , ,, , .... , ......... _ ~.,.. lUll I I I II I I -__J I I I I I 1.1~ I ~ I n i i I[I nl i i ~ ~ ~ U I iii i -~ · ~ The above descmibed sanitary facilities are dissppPoved for the following reasons: "-, .~F~oval is valid for one year following the da~e of approval. ..~' CPJ:cw TO DATE JO~ ATTENTION RE: GENTLEMEN: we ARE SENDING YOU [] Attached [] Under separate cover via [] Shop drawings [] Prints [] Plans [] Copy of letter [] Change order [] [] Samples' the following items: [] Specifications COPIES DATE NO. DESCRIPTION -- THESE ARE TRANSMITTED as checked below: [] For approval [] For your use [] As requested [] For review and comment [] FOR BIDS DUE [] Approved as submitted [] Approved as noted [] Returned for corrections 19 [] Resubmit [] Submit__ [] Return.__ _.copies for approval copies for distribution corrected prints [] PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO Form 24G-T -- Hew Englar~ Business Service, I.c., Townsend, Mass. SIGNED: If enclosures are not as noted, kindly not~fy us at once. DEPARTMENT OF HEALTH & WELFARE DIVISION OF ENVIRONMENTAL HEALTH UCH -- NEAU 99801 September 1, 1970 Mr. Rolf R. Strickland, R.S. Environmental Health Supervisor Greater Anchorage Area Borough Health Department 327 Eagle Street P.O. Box 968 Anchorage, Alaska 99501 Dear Mr. Strickland: ~ ~ Re: GAAB - Anderson. Miller Lateral Improvement District No. 22, Meadow Crest Lateral Improvement District No. 18; Sewer Improvements Plans for these two Improvement Districts were forwarded to this office together with application for approval of Plans by your memorandum of 24 August 1970. No specifications were received but the 14 August 1970 letter to you from GAAB's Public Works Department stated that construction would be in accordance with their Standard Technical Specifications. The plans were one for each District. The plans are approved for those features with which this ~D~partment is concerned. ]p.yo ur request, we are enclosing 50 copies of l~,~ppro~'~l-' of Plans. ~*~ Si ncerely yours, RHB:jlf ...... ' cc: Mr. C. E. West Richard H. Britt, Sanitary Engineer Division of Environmental Health P.O. Box 490 Anckorige, Alaska ~N41 SiVIITARV SEid~R SERgICE - _:'~_~_~'~. ~_~'Tt. SUIDIVlSION P1MIO be advtsed that the IFqm(~f Anc~ Area Borough, Department of Publlc WOrks, ~ p1~ ~~~t ~ In ~e ~~- Tem.s trull, el[ATE! AKMOIUkOE AREA ik~a~nt ot' Pvbllc klmd~ Robert H. ill)trill, ltl~etlef AdKInts~rattve A&stslmit ec: l(r. I~a~l. ee~ltn (Mr. Bohlin has sighed the necessary rights-of-way to construct lateral sewers on his property.}