HomeMy WebLinkAboutROLLING HILLS ESTATES BLK E LT 3A3
HOME OFFICE
01
15'
PE3-1779
Percolation Test
Test Location: Lot, ~ Block ~
Requested by: /W~¢~; ~6~/~
Test Hole Log~
let. Filling:
Bottom of hole filled with
to drain out.
2nd. Filling:
Bottom of hole filled with
Percolation Rate: /~
Remarks:
FAIRBANKS OFFICE
FAIRBANKS, AL.A~
P. O, BOX 14BO
Test Hole Location
approximate slope
of water and allowed
~ of water and test run.
min./in.
These results are only the visual soil conditions and theoretical
percolation rate on this date for this test hole.
NO. 192-1~ . r ....
FHA Form 2573 ' FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8
Rev.,u¥ 19SB HEALTH AUTHORITY APPROVAL
li DIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OFFICE MORTGAGEE SERIAL NO.
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
BLOCK NO. LOT NO.
SUBDIVISION NAME,~o//~ /~///~ ~ ~ ~(~
Can a~ic or other area be ,,,u~ into
TOTAL NUMBER: BASEMENT ~ ~e~ J~st~][~tJofi additional bedrooms?
LIVING UNITS BEDROOMS BATHS (Jr Yes, how many~)
WATER SUPPLY BY: SYSTEM DESIRED FOR
~ Public system ~ Communi~ system ~Individual NO. OF BD~MS. GARBAGE DISPOSAL
SEWAG~ DISPOSAL BY:
~ ~blic system ~ Community system ~Individual ~ ~ Yes ~ No
PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
............. zzz: zZzz: zzzz
ZSZZZZZZZZZZ ZZZZ ZZZZ ZZZZ2
Z<-~ZZZZXZZ ZZZZZZZZZZZZZ=~Z
__~.;__~ .......... _ .....
~-->~---4 ....... ~---
~c-~ ...... ~, .........
_~_~--~ .... ~ ..........
_~__~c_~.~ ..........
Z~ ..... ~-~---'-~ .........
It is the opinion 6~ the ~ State ~ Coun~.~ ~ Local Department of Health that this individual water-supply system
~ is ~ is not satisfactory as a domestic water supply for the subject properW.
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 satisfactorily, and ~ Cannot be expected to function satisfactorily
' is not likely to create an insanita~ condition
DATE SIGNAT~ , TITLE ~
NOTE, The ~ea,,~-u;hZlt;:h:--;Id ~ the ;PPr°pr m '~ statement above and a~x date, signature and tltle in the
spaces provided.
Use of the above grid for Health ~partment Inspector's sketch as well as use of the back of this form is at the option of the
..... ~ b~fh~rity.
PART Ill.--FOR ~E OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pe~inent FHA Co~pli~nye~nspe~ion Report, and recommend that'the
Individual water-supply system be considered ~ Acceptable ~ Not Acceptable
Sewage dis~sal be considered ~ Acceptable ~ Not Acceptable.
DATE SIGNATURE ~ CHIEF ARCHffECT
DEPUTY FOR CHIEF ARCHITECT
HFAL?H AUTHORITY APPROVAL
'6I
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· pooq.mqqg!au u! /aetuolsno lou ale [] oJe ~ Slla~ i~np!a!pui
'u!t~tu jo az!s 'laoj :~tgO~--'uvus ~al~sa~ ~!iqnd lsa.~au m aaums!G
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~0 ~eptember
~ter Supply ~o be located
the op~n~ouo! th~sdepa~t that
DAVXD a. L. DU~S, ~.D,
9 ~p~em~er 19~
Dear Mr. Bmm~e.'
The percola~Lon ~esc £or Lo~ 3, Block K, lollS, nS; Btllo gs~a~es Su~vioi~
septic ~k, ~d ~ 8' x O° x 6' 1~ o~p~ p~ surr~ded by ~o fee~
Sincerely,
DAVID a. Lo DUI~AN,
Penner,