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Home My WebLink AboutO'BRIEN BLK 5 LT 5 REQUEST FOR APPROVAL OF INDIVIDUAL SEW^GE AND WATER FACILITIES (Fill out in Triplic~a~t~> x ila~ = of person requesting approval ~ 2. ~U~m~, of- property~ owner 4. HumL~:~. r-,f bedrooms in house Wate~ Analysls: b. Detergent , ~ i/ ~ ~] ,., __ ,, d. Distance from well to closest xistine or propose~: /e }// 1. Sewer line 2. Sept] c tank 3, Seepaffe Area 4. Cesspool' 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. Sewage disposal system, a. Age of system~~ b, Septic tank capacity in gallons__~O0 c. Name of septic tank manufactu~r 1. If "home made" show diapram on reverse s~e oF this fo~m. Disposal field or s eepa?e pit size and type ~~~~ 1. Distance to property line o house ,. undation ~_~_. Per,co]ation, Test results f. Percolation Test performed by Use the reverse side of this form to show diagram. Diagram should include the foJlowing ].nfo~nation: property lines~.well location, house location, n~ylqc tank location, disposal area location, location of percolation test, a~ direction of ground slope. 9. The l~,£or'ma*~on on this form is true and correct to the best of my knowledge. Si~'nature of App'~ Date Signed TO BE FILLED OFF BY HEALTH DEPARTqENT PERSONNEL '?he above described sanitary facilities are herehy ~pproved, subject to the rollowzng ~.~ondi~'ions: Conditior, s: The above described sanitary facilities ,~re dis~pproved for the following{ reasons: ~ C3 .... Date ~' Approval is valid for one year following the date of approval, CPJ:cw REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) ~, l~ame of person requesting approval 2. ~ame of pmoperty~owner 4. Numb~-r ~ ~edrooms in house ~ . 5. Water, An~lysls: a. Bacter.~a] b. Detergent Well data: a. Type b. Depth c. Casin~ Size Distance from well to closest existing or proposed: 1. Sewer llne 2. SeptJ c tank 3. Seepage Area Cesspool' 6. houses, barn, drainage ditch, etc. Sewage disposal system. b. Septic tank capacity in gallons / ~0~'~~ c. Name of septic tank manufactu~m (%'-~Z.>LTI dj' Property Line Other sources of possible contamination, i.e., creeks, lakes, 1. If "home made" show diagram on reverse side of this form. Percolation. Te'st results f. Percolation Test performed by Use tee reverse .side of this form to show diagram, Diagram should include ~the foJ].owlng information: p.roperty lines; .well location, house location, .... ~,~{e tank location, disposal area location, location of percolation test, aud direction of ground slope. Tke ~"~'"'~n~m on this form is true and correct to the best of my knowledge. ,. S~~ APplicant-- ............. Date Signe~ FILLED OUT BY HEALTH DEPARTI.~ENT PERSONNEl, The above described sanitary facilities are herek7 approved subject to. the .......... ~6'llowing conditions ~ ' Conditions: reasonsThe above: described sanitary facilities are diseppmoved for the following Approval is valid for one year following the date of approval. CPJ:cw FHA Form 2573 Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budgel 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. .~nohoz'a~e~ ~ skn ~.~'Nmuslm V~ 13.ey B~nk 11t-007317-203 MORTGAGOR OR SPONSOR Jom)ph B,~~ (~ldc~)-- PROPERTY ADDRESS 7306 flake ~uchorage~ SUBDIVISION NAME ] BLOCK NO. LOT NO. Can attic or other arec~ be made into TOTAL NUMBERJ BASEMENT New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS ....... (If Yes, how many~) WATER SUPPLY BY: sYSTEM DESIGNED FOR [] Public system F-] Community system [~] Individual NO. OF BDRM~ GARBAGE DISPOSAL SEWAGE DISPOSAl BY: F-] Public system [] Community system F'~ Individual /+ [~ Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH b_zp- :z_ _ _~ -Z _LE -p -k_ZZZZZZZ k---~-r---- -~-:- -~-k -~- -b ....... ........ _ _-~_ _k-~-~a ........ IZZ- ZZZ ]_.Z__ ]-b- -Z,_Z .... Z_Z_Z Izz z_-;z-~zz~ :z~z :zF_c_Z~c_z-;zzzz It is the opinion of the . r'] State [~ Count>, [~ Local Department of Health that this individual system [-~ is FI is not satisfactory as a domestic water supply for the subiect propers. 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 insanitary condition DATE SIGNATURE TITLE NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and title Jn the spaces provided. Use of the above grid for Health Department Inspector's sketch as well os use of the back of this form is at the option of the health authority. PART III.~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 [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE SIGNATURE [-~ CHIEf: ARCHtTECT [ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL FHA Form 2573 6I 'a~nu!tu aad SUOllSg-- 'o~nu!m Jad SUOllSg 'gu!se~ jo q~daG · laaj 'au!l X~aadoad luoaj tuoaj >puq las gU!lla,~(l 'daap laaj 'apDx laaJ :az}s 1o~I · stua~s~;s lusods!p-ag~as puu Xlddns-Ja~uax lunp!^!pu! qaoq tl~!x~ padola^ap fi'u!aq ~ou a~u [] aau [] pooq/oqqg!au u! sa!lJadoJd aa~uax .jo Xlddns a2enbapu qs!uJnj ol /{l!up!^ a~u!patutu! u! Slla^X jo a]nl!uJ jo psooa~ lua2aa ~sotu aA!D 'pootl2oqq2!au u} Mutuo~sn2 ~ou aJu [] *Ju [] Sllam lenp!^!puI '[III~[U jo 3z!s ']a~j- UI}3ULI Jal~ 0!lqnd 3saJgaU o3 a~tlm$!(I WtlSX$ Alddn$-lltllt/~ qvnOIAlaNI~NOI/::)tdSNI ~O lltOdla 'saqvu! 'saq>u! 'laaj aJunbs '~a~ '~aaj 'qlpF6 tl:~UaJ~L 'saU!l aid jo qaguaI lm%L 'lla,~6, :tuo:j aaums!G :PIOM Insodslo oil/ 'SUOllUg · ~aaj 'tDdap p!nb!q ']aaj 'q~p!,,a ap!suI ']aaj '~uaunsudtuoo ~alU! X~puduD 'SUOllg:8"-- -- gltlatLr~Jgdtuo> Jo JaqtunNI aa~atuu!p ap[suI 'lla,~\ :moaj a~ums!G :loodsse:~ · 'q~'uaI ap]suI 'Al!ged'e0 p!nb}[ 'llaaX u~oJj ~31un! al,~do$ WI&SAS IVSOd$1(I'tOV/V~il$1vnoIAI(JNI~NOI/.~)tdSNI :10 J,l:lOdillJ · [oodssaD [] '.~um >!lda$ E] JO s]s!suo> J. NIW.L'~tlt/. AIIVWIIId June ~, 1968 Dally & Albrecht Builders 1~5~ Nelohtna, Apt. 8 or 9 Anchorage, Alaska 99501 ~JB~ECTI Sewer and Water System 8erring Lot 4 & ~, Block ~, O'Brien Subdivision, (15,000 sq. ft.) aen%lemenl We have received pero~Iation tests from the two eubJec~ lots. The following informatie~ was obtained from conversation with you and should be altered if your plane for the buildings oh~,nge. The enclosed information was recently ohmlged as by the sho~ reduced sizes of s~p~io tanks. A two bedroom house on Lot 4 will require a 7~0 gallon septic tank. Based upon the percolation test, there should be a mlnimum off 170 square feet of seepage area. A three bedroom house on Lot 9 will require a 1,000 gallon aeptio tank. Based upon the percolation test, there should be a mintmt~ of 3~5 square feet of seepage area. You indica~ed ~hat each residence would be served by its own well. Please refer to the enclosed material regarding disposal system die,antes from Individual well. For your information one standard log crib (8 x 8 x ~ feet) seepage pit · properly installed will be approximately 160 to 200 squa~,e feet of Please con, act this office for any further information and ~l~o prior to backfilling fox, final on-site inspection. Adequate supplies of "safe" water can be obtained in ~hts area from deep wells. Sincerely, DAVID R. bo DUNOAN~ M. Do Medical Director 1LRS/srr cc~ FHA Roll R. Strtokland, Sanitarian ADAMS · COI;~THELL · LEE · ~VINCE & A~;$OCIATE~'; CONSULTING ENGINEERS AFFILIATED WITH ALASKA TESTLAB 1940 POST ROAD - ANCHORAGE, ALASKA - 99501 TEL. 272-3428 June 17, 1968 W. O. 8776 Daily and Albrecht, Builders 1555 Nelchina, Apt. ~8 Anchorage, Alaska 99501 SUBJECT: Percolation Tests - Lots 4 & 5, Block 5, O'Brien Subdivision Dear Sirs: A percolation test has been performed on each of the subject lots. The tests were performed by hand digging the test holes in previously excavated holes. The test data are shown on the attached data sheets. The percolation rates were determined to be: Lot 4 - 1-inch per 60 minutes Lot 5 - 1-inch per 4 minutes Should you have any questions regarding this project, please call us. Very truly yours, ADAMS, GORTHELL, LEE, WINCE & ASSOCIATES By Frank W'. Wince, P. E. ~RCS, FW-W:ld RICHARD S,' ADA~,$, P.E, AlAN [4, CORTHELL, P,E. HARRY R. LEE, P,E, FRANK W. WINCE, P,E, aLASKA TE S T LAB 1940 Post Road Anchorage, Alaska F~ No, Tech. I~cation, ~t ~ ,Block Sheet we Date ~, ,8ubdivi sion ! ? PERCOIATION TEST DATA Depth Soil Class .Fee t Visual - Unified P, eadinc 1 $,'/fy Location ~,k.tch Dat,~ Gross Time Net Time Depth toH_.20 Net Drop 9 11 Percolation ?.ate 11 .~o go ~LAS KA TE S T LAE 1940 Post Road Anchorage, Alaska Cltent_./~//~/ ~/~i~'~/~?~-_. _~_fY/~V/~_ '."Y~,'~'' ° . T .H ~ No. F~ 'No, / Tech. ~ ~ ~cation, ~t O~ .,Block ~' ,Subdivision _~)f/~KZ Sheet_~__ of ~ we No~ ~f& Da t e _~J~_r~ ~ PERCOLATION TEST DATA Depth Soil Class Feet Visual - Unified I.ocation Sketch Reading Dab-,. Gross '.P. ime Net Time Depth toH_ .20 Net Drop 9 10 11 Z Percolation ?.ate l',C-/ ~. Minute.