HomeMy WebLinkAboutLot 04
10 ,~I.F 1953
A'btn ~ l~:~ran
!,ez, oy N'o ;'O,,lJnfror
Tile wator n~mplo eol!.oet~d on July 30 195.3~
!~yland Pork ~;ubdivJ. s:!.o~l
o:g col !teflon,
July 19r~3
FI4A Form 2573
Rev. July 1958
Form Approved
u. S, DEPARTMENT OF HOUSING AND URBAN OEVELOPMENT
FEDERAL HOUSING ADLqNISTRATION Budget Bureau No. 63.R0296
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
INSURING OFFICE
Anchorage, Alaska
PART I.mTO BE COMPLETED BY FHA
MORTGAGEE IS_ERIAL NO,
First National Bank of Anchorage 111:012971
JPROPERTY ADDRESS
NHN Chevigny Road, Anchorage, Alaska
MORTGAGOR OR SPONSOR
William F. Koester
SUBDIVISION NAME
Highland Park S/D
[BLOCg NO. I LOT NO.
3
TOTAL NUMBER~
1 3[ 2
BASEMENT
Can ottJc or other .rea Iz, e made Into
oddlUonal bedrooms?
, (Il Yes, how many~)
71Yes o O,c- room co. laCe
SYSTEM DESIGNED FOR ho b~,
[] New installation
WATIR SUPPLY BY:
~_ Public system E] Community system [] Individual
iEWAGE DISPOSAL BY*
] Public system E] Community system [] Individual
PART II.---TO BE COMPLETED BY HEALTH DEPARTMIENT
HEALTH DEPARTMENT INSPECTORIS SKETCH
It is the opinion of the [] State [] County ~] Local Department of Health that this individual water-supply system
[~ is [] is not satisfactory as a domestic water supply for the subject property. Public Wa%er
It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
UI Can be expected to function satisfactorily, and E] Cannot be expected to function satisfactorily
is not likely to create an insanitary condition
'AT~,] SIGNATURE //7~2 -. j TITLE
/ NOTE: The he.lth authority shoul~ complete the.pproprlate opinion st.t.ment.hove ~nd affix da~e, slg,atura m.d tltl~ln tho
r~co~ provided.
Uso of the above grid for Health Department Inspector's sketch as well as ~se of the hack of this form is at the option of the
health authority.
PART III.~FOR USE OF FHA OFFICE
YO 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
....... HEALTH ~UTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SY'STE~
] CHIEF ARCHITECT
DEPUTY FOR CHIEF ARCHITECT
FHA Form '~573
Rev. July 19S8