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Home My WebLink AboutHIDEAWAY HILLS BLK 2 LT 7 ::;ii'] ~"i::.' 'i iii: '::;il ii i::li::l':::;']i:;?i:'] 'i I'ii'.,i './.~":,li(i'i i :; : :i; i ].: i.,i ii ::~ !i I~' .ii ,::'::: ' ii ':::::ii !i i: i 17:': ]i:;i ~..,'~ I .:;; ~ Ii::" ,,:':::" ,, ,~. ii, · I~ .:.,. ii. ;~ ii J di i H'-' ! i..ii., i"::':i :i:i',.,i:iq I iii'-,] ,: I i'-,! ~ i'. i ', ~:,i i.'i i i , i'i] i'.,i i i'h i['i i:d::i:::'ii.i iii: i.ii;i'l::i,,,i: i:',i, ii,i!:[.i., i i'[i:: i lilii.!ii i i:::"] i::'i: :.. ,, ! ~ : i i i~ i ii::: 1i i'..Ji ii..:::. 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Depth Feet 2~ 3-- 4-- 5~. 7-- 9-- 10- ll-- 12-- 13~- Dated Performed Subdi vi s ion A/zm~,_ Percolation Test Soil Tes{. Must Be Logged To 4' Below Proposed Seepage System Soil Characteristics F5 'l Was "Gro~!!nd W, ater Encountered?__~_ If Yes, At Wha~ Reading I Date Gross Ti=me Percola[ion Rate Minul:e Net Time t ~,~,,~,~H~m~,/ Net Dro A,oo:U%% Drain Field Proposed installation:, Seepage Pit '[tom Depth of Inlet ....... 2_,~/~_p'_/L ..... Depth to --6-f--Pit Or TrencH]-~'~] COMMENTS: ~ :~-~c~. ~-6c~ ~ -. /~o /~c~w :~.~ ~zx:~ ~,-~,: ~ ~ . . ~ .... Test Performud BY.%~,w.~+~.~,::¢A~¢¢d /&¢ Date CertifiedDa GRr~.TER ANCHORAGE AREA BOROPBH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl_ SYSTEM NAME LOC:AT,ON ADDRESS ~1-~'z ~ PHONE SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY [~ GALLONS. MATERIAL .~F~'z~''~- NUMBER OF cOMPARTMENTs ~' ~r'"~'l ~'~/~r~ /'q~9 LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH__ SEEPAGE SYSTEM: SEEPAGE Pit: NUMSER OF PITS / OUTSIDE DIAMETER LINING MATERIAL C'O'~ ~//~ ~''~'-/'''"~,~ NEAREST LOT LINE OR WIDTH ['~ . LENGTH /'2~ . DEPTH DISTANCE FROM WELL ~ BUILDING FOUNDATION tOtAL EFFECTIVE ABSORPTION AREA (WALL AREA) E-"~ :-~ ~ SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCEFROMIELL ...~i~'?~NDATION NEARESTLOI LINE OF LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: DISTANCE FROM WATER TYPE DEPTH ., BUILDING FOUNDATION SAMPLE . NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES__ DIAGRAM OF SYSTEM DISTANCES: f E--r --c ---f7/ DATE GAAB-HD-2 GREATEL 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 ...OROUGH 279-2511 Case No. ____ SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS MAILING ADDRESS LOCATION OF INSTALLATION , SEEPA6E PIT , DRAIN FIELD TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION PHONE NO ,OTHER BELOW TO BE FILLED OUT BY HEALTH DEPARTMEI~IT THIS IS TO SERVE AS , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED .. SEPTIC TANK SIZE. TYPE SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: t i r with the requirements of Greater Anchorage Area Borough Ordnance No. 28-68 and that the above described system is i~accordance with said code. / DATE / GAAB-HD-2 GREATEI~ ANCHORAGE .AREA HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 SEWAGE DISPOSAL SYSTEM k ,)ROUGH 279-2511 APPLICATION & PERMIT Case No. NAME OF APPLICANT ']'~f; t// .lb )//I t/t-)/~/ RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH /~' /-~ /~ PrC4q'~'--~ TEST RESULTS s44- 3qo ~ MAILING ADDRESS_._~')~) ~/fl¢ LOCATION OF INSTALLATION ,SEEPAGE PIT ¢~ ,BRAIN FIELD ,OTHER TO BE INSTALLED BY ~-IC ~/d&~D ANTICIPATED DATE OF COMPLETION '"¢¢l ~1-/3~LOW TO BE FILLED OUT BY REALTH DEPARTMENT THISISTOSERVEAS lit/l?, S'(,I // / ~_/ (D A.~, PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNITTO BESERVED ,SEPTI6TANKSIZE /D~(~ TYPE~SEEPA6EAREA DIAGRAB OF SYSTEB Authority / I certify that I am familiar with the requh'ements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. - 3REATER ^NCHORAGE AP, EA BOROUGH HEALTH DEPAkTMENT CASE 327 EAGLE STREET -= ........ ANCHORAGE, ALASKA 99501 neEal Desc, ip~io~ IJ6~ : This Form Repomts a: S~nog ~ -.~e'b~61~~~~- 7'-- Depth · Feet Soil Characteristics I ~/l ~ ,p ~ ~,~ :u ~ t~v~, ,>~/ ,., ½,,% Was Ground Water Eneountered?__~ If Yes, At What Depth Date Reading Gross T~me Net Time Location Sketch Depth To H20 Net Drop P.rop,~sed Instal'~a-~To~Seepage Pit ~ ..... Drain Field Test PerformedBy :.~~_~~)- Data Certified FHA Form ~5'~3 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FEDERAL HOUSING ADMINISTRATION HEALIH AUTMORIIYAPPROVA[ INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Form Approved Budget Bureau No. 63-R296.B PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE MORTGAGOR OR SPONSOR PROPER'fY ADDRESS SERIAL NO. SUBDIVISION NAME BLOCK NO. J LOT NO. '7 TOTAL NUMBER: WATER SUPPLY BY: []Public system SEWAGE DISPOSAL BY~ ~] Public system BASEMENT []Yes E]No ~New installation ~_~ Community system Can attic or other area be made into additional bedrooms? (If Yes, how manyf~) i SYSTEM DEEIGNED FOR ] Individual 'NO. OF BDRMS, GARIAOE DISPOSAL ~r-] Yes No E] Community system ~ Individual PART II..~TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County L~ Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. PUiLh~(: gAT-ER 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 J S~GNATURE . J TITLE 11/3/69 J --';/F5~.4/ .<',.'!;-e.,.-t~..,/,:;.~/,--~t/P' , tlnvlron~.nte~ Health Supevvtsol~ NOTE: The healt should complote the appropriate ap:alan statement above and ~ dote, signature end title inthe ipace~ provided, U~e of the above grid for Health Department Inspector's sketch as well ~s use of the back of this form Is at tho option of the heal~ 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 recomtnend that the Individual water-supply system be considered [] Acceptable E_-] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. ] CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL FHA Form :2573 Rev. 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