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Home My WebLink AboutBIRCHWOOD PARK Block A Lot 2 FHA Form No. 2218 (Revised June 1951) ,1~ New installation. [] Existing installation. FEDERAL HOUSING ADMINISTRATION REPORT OF INSPECTION INDIVIDUAL SEWAGE-DISPOSAL SYSTEM To Be Headed ~n by FHA Or, ce Fomn Approved. Budget Bureau No. $~-R297~. ....... .6.~.Q0_~fi62_ ...... (Sm'iai number) ................ ~nckar. age.,...~laska ................. F~.r,~... N~.tJ_onaZL__~ank .......................... I~,5.L~,___0_h ~r!c_m_~,._&..t~ .~h ....... (Insur~n~ office) ' (M0rtga~ee) (~0rtgag0r or ~pon~or) Property address I~% 2~ Block A~ Birchwood Park Sub.d~_vi.s_%.pn~ .~./...~ Corner of the ........ 2 ..... Intersection . Minnesota Drive_._~_ ~._r_q.t_i__c..._B.._!vd~ Ancb~.ra~.r ~ -----~;~ ......................................... ~co..~,~ ......................... ~;~ ............... Total number: Living units ....... ..1_ ...... Bedrooms ........ ..~. ..... Baths ......... 1 .... Basement: [] Yes .~ No. Water Supply by: [] Public system. [] Community system. ~ Individual system on site. Part I-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If ~ew i~stallc~t~on, inspect for compliance with approved exhibits and record any observed information not shown on, or whickvaries from, the approved exhibits. If ezistin~ i~al~iio~, furnish as much of ~e information as may be available. PRIMARY TREATmenT consists of ~SepQc ~k. ~ Cesspqol. Distance from well, .~eet. ~aterial, __.~ ~ Number of corn"art ..... / Cesspool: Distance from: Well, ............... ~eet; ~ound~ion, ............... ~ee~; neares~ lo~ ~ne at U 5'on~, ;~ side, ~ re~r, ............... feet. Inside diameter, ........... feet. Depth, .......... feet. Liquid capacity, ............ g~llons. Lining material ......................... SECONDARY TREATMBNT consizts o~ ~ DJst~bution box and U Tile disposal field. '~ Seepage pits. Other ........................... Tile Disposal Field: Distance from: Well, ........... ~eet; ~oundation, ............. feet; nearest lot llne at ;~ front, U side, ~ rear, ............... feet. Total length o~ tile llne% ..................... feet. Number o~ lines, ..................... Distance between lines, .................... ~eet. Total effective absorption are~ in bottom o~ trenches, ........................... square ~eet. Trench width, ..................... inches. Length of e~eh Hue, .......................................feet. Depth, top o~ tile to ~nish grade, ....................................... inches. Type o~ ~]ter material: ~ Gravel. ~ Broken stone. U Cinders. Other ........................................................................ ~epth of filter m~terlal beneath tile, ........................ inches. Depth o~ filter m~terlal over tile, ..............................inches. Seepage Pits: Number of pits _~. De~th .... .... feet. Lmmg material ..~.~.~..__~_~ Distance from: Well, _.~._ feet; foundation, --~-~'.feet; nearest lot line at ~ front, ~ side, ~ rear, _._.~.~.__ feet. If Existing Installation, give all the following additional information available: Distance to nearest: Public sewer, ................. feet. Community system, ............... feet. Approximate direction of surface drainage of lot, ........................... 2 ........Approxima~ slope, ................. feet per 100 fee~. Soil is: ~ Loam. ~ Sandy loam. ~ Clay...~ Sandy clay. ~ Coarse sand or g~avel. ~ Hardp~. ~ Rock. Other Number of bathrooms, ............ Is there a basement? ~ Yes. ~ No. Basement drains to ................................................ Fixtures in basement: ~ Laundry tray. '~ Toilet. ~ Bathtub. ~ Shower. ~ None. ~ Floor drain. ~ Sump pump. Laundry waste disposal: Direct to ~ Seepage pit. Other .................. Through sump pit to: ~ Septic t~k. ~ Seepage pits. Is footing drain provided? ~ Yes. ~ No. Drains to: ~ Surface. ~ D~ well. '~ Sump in basement. Other ..................... Downspouts or areaway drain to: ~ Surface discharge. ~ Dry well. Other .................................................................... Depth of house sewer below finish grade ag foundation, ................ feet. InspecQon made by: ~ State. U County. ~ Local Health Authority. ~ Date of ,nspec,ion ._: :~- ~ 19_~ ~<~,%.~__~ Part I-b.--See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the .[~ State ,[] County [] Local Department of Health that this system with proper maintenance: [] can be expected to function satisfactorily, and is [] cannot be expected to function satisfactorily. not likely to create an insanitary condition. Remarks: .~ ................................................................. . ................................................................................................... (Signed) ............................................................................ Date ....................................... ,19 ...... (Title) Part IlL--FOR USE OF FHA OFFICE To TH~ Cm~F U~.RW~t~R: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual sewage, disposal system be considered [] acceptable .[] not acceptable. Remarks: ................................... ' r Date ..................................... 19 ..... 2218~Individual Sewage-Disposal System Report of Inspection '~-I ~d ut. poq!~osop Xlln~ ~ou s~u~ug ~uou!i~od ~u~ aoloq qo]o~is ~q a~oqS--'HD~I}IS uo!$o~dsuI Jo ~odoH va°?sXS l~S°ds!(I'°~a°S I~nplA'tpuI--8Igg (Revised Dec. 1948) ~ New installation. [] Existing installation. FEDERAL HOUSING ADMINISTRATION REPORT OF INSPECTION INDIVIDUAL WATER-SUPPLY SYSTEM To Be Headed in by FHA Office Budget Bul'eau No. 63-R296.2. _60--00),8_62 . ABchqrage, Ala~k_a ...... ~i~:e%_ ~a~qional.?ank ....... LF~LIE, _Cha~les R.._ &.-Ruth (Insulqng office) (Mortgagee) ..... (Mortgagor o1' sDonsor) Property address Lo5 2, Black .A~ ~B-~-chw~--Park--Subdiv&sJ_on~ ..... ~ersec_tion _~_ 14i~e_soga -Dri~e__&_Anc~ic Blvd._, -Anchorag%__~aska (City) (County) (State) Total number: Living units_ _~ _ Bedrooms ..... ~__ Baths __~ __ Basement: ~ Yes ~ No. Sewage disposal by: ~ Public se~er. ~ Community system. ~ Individual system on site. Part 1-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. Distance to nearest public water main, .......... feet. Size of main ............ inches. Individual well)%([] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water ............................ Properties in neighborhoo~ are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size: --/'4~-~z;: ...... feet wide, ~,~g.~?jg:.~ ...... feet deep. Dwelling set back from front property line, e ~.~ ~,~- ~ feet Individual water supply from~ Drilled well. ~ Driven well. ~ Dug well. ~ Bored well. ~'~::'~':' ........ Distance of well from: Building foundation, ~_/~c ...... ~ .......... feet; nearest lo~ line at ~ fron~ side, ~ rear, __.~:_:~_ .................... feet, cast iron sewer, _~.:~: ..... feet; ~ile sewer, ~< ........ feet; septic tank, _~';~ ....... feet; disposal field ................. feet; seepage pit, _~ ..... fee~; cesspool, _ ............... feet; other sources of possible pollution, feet. Well construction: Diameter, ~_ ..... inches. Total dept~4~ ..... feet. Type of -~-~ ,:---~- ....... Depth of casing,/~.__ feet. caslng~ Approximate depth to pumping level of water in well, .......... feet. Approximate yield, ....... gallons per minute. Sealed watertight to depth of~.~ feet. Exterior space around casing sealed with: ~ Cement grout. ~ Puddled elay.~ Ordinary backfill. Well cover: ~ Concrete. ~ Wooded Metal. Openings in well cover watm~ght: ~ Yes. ~ No. Pump: ~ Shallow well.~ Deep well. Length of drop pipe, ........ feet. Pump capacity .......... gallons per minute. Located i~ Basement. ~ Pump room off basement. ~ Pump house above ground. ~ Pump pit. ~. , Pump room properly drained: ~ Yes. ~ No. Pump moun~ing watertight: ~ Yes, ~ No, /~/~ ~VC ,:/'~2' Type of storag~ ~ Pressure. ~ Gravity. Capamty~ ..... gallons. Has bacteriological examination of water beefi made~ Yes. ~ No. If answer is "yes," give date Z .... Quality of ~vat~ is ~ is not satisfactory for human consumption. ~::, ;?77~. ~- ..... ~.. ~:~, Installation ~ do~ does not comply with approved exhibits, if any. Inspection made b~ State. ~ County. ~ Local Health Authority. Date of inspectio~,~ ~ 1~;':¢_ '¢ ~ Part l-b.~See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the [] State [] County [] Local Department of Healtb that this system [] is [~is not satisfactory as a domestic water supply for the subject property. Remarks: Date ............................ , 19 .... (Signed) ................................................. (Title) To TIlE CHIEF UNDERWRITER: Part Ill.--FOR USE OF F. 1[I. A. OFFICE 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. Remarks: Date ........................ , 19 2217--Individual Water-Supply System Report of Inspection