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Home My WebLink AboutBIRCHWOOD PARK Block C Lot 1 FHA Form No. 2573 ~EDERAL HOUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I TO BE COMPLETED BY FHA ONLY ............................................ (Serial number) A~chora~e, ^/aska Firs% Nd%tl Ba~k of Anc~o~ag~ Mre. Lena ~D~on ........................................... (Mortgagor or sponsor) ......................................................... ......... (Mortgagee) (Insuring office) P 11 4~03 ~arfield S%roe% .............................................. roperty address ......................................................................... BirOhwood Park .. Block No ............................. Lot No ........................... Subdivision name ........................................................... State .................................... Anohorag· County ........................................................ City ........................................................ 1 2 Baths 1 Basement [] Yes [-~ No Total number: Living units ................ Bedrooms ................ Can attic or other area be converted to additional bedrooms ? [] Yes ['~ No How many ? .................... Water supply by [] Public system [] Community system [~ Individual Sewage disposal by [] Public sewer [] Community system [] Individual SYstem designed/or--Number bedrooms ................ Garbage grinder [] Yes [~] No Automatic washing machine [] Yes [] No PART II TO BE COMPLETED BY THE HEALTH AUTHORITY The individual [] water supply [J~ sewage disposal system installed at the above address is .[~_approved [] disapproved by [] State [] County ~1 Local department of health. Signed Date ...................... ' ..... (Title) (Name of health authority) * }' "SKA DEPARTMENT OF HEAI" '~ SANITARY INSPECTION Name of Establishment Address ~ (X) in column marked with (U). The defects noted should be corrected. S U COMMENTS ON CONDITIONS 1, Site [] [] B ilding [] [] 3. Ventilation [] [] 4. Heating [] [] 6. Plant Layout [] [] 7. Rodent Control [] [] 8. Insect Control [] [] 9. Water Supply [] [] 5 e,~,qe,--~ ~'"~ ..~"r'"'/.~a'~- ~ 11. Refuse Disposal ~ ~ ' , ¢ 12, Toilet Facilities ~ ~ 13. Hand-washing facilities ~ ~ 14. Equipment ~ ~ 15. Construction ~ ~ 16. Cleansiug ~ ~ I7. Sterilization ~ ~ 18. Storage ~ ~ 19, Handling ~ ~ 20. Refrigeration ~ ~ 21. Wholesomeness of food and drink ~ ~ 22. Storage, Display ~ ~ 23. Personnel, Cleanliness ~ ~ 24, Communicable disease control ~ ~ 25. 26. Adulteration ~ ~ 27. Misbranding ~ ~ 28. Premises Clean ~ ~ uo!{aodsuI JO ;~lodoH _ _'?_ _~_~?~ .V_ _Y_~J~?_ _ ~_°. _~_ _~J_~?_ _~ _ _Eg_ _ _ _ J_~_~? ~_ _~ _~J -~_~ ~ -~ ~ -D -~- .................. (pou~!s) mo;s.,(S ,(iddns-.~o~,m~A~_ l~np!A!puI~£Igg ...... 61. ............................... apls OSl~-AO~ aos--'q-I laud (ol~!~) ......... - ..... 6[ ' .................................... uot~oodi{u~ ~o o~G FHA Form No. 2218 (Revised Juno 19§1) [] New installation. ~ Existing installation. FEDERAL HOUSING ADMINISTRATION REPORT OF INSPECTION INDIVIDUAL SEWAGE-DISPOSAL SYSTEM To Be Headed in by FHA OtTice THE FIRST NATIONAL Form Approved, Budget Bureau No. ......... (Seria!!umOm~ee:j (Insuring office) (Mortgagee) (Mortgagor or sponsor) Property address ........... Igl~_.~..$Id~lC,~._~ ~f,~_RLl, l~la~t.~I~k_~hrltv~ =t aU ...................................... h~O~ O~fi~d S~t - ............................................ ........... : .............................................................. ................................... Total number: Living units ....... .~ ...... Bedrooms ........ _~_._ BatM ....... ~ ..... Basement: ~ Yes .~ No. Water supply by: ~ Public system. ~ Community system. ~ Individual sys:em on si~e. Part I-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 i~stallation, furnish as much of the information as may be available. PRIMARY TREATMENT consists of ~ Septic tank. [] Cesspool. Septic Tank: .... ~. Distance from well, ._~___ feet. Material ...... ~_~-~.~:~.~ ................................... Number of compartments ...~ ....... Total liquid capacity, _._~j_.0_~'. ........................... gallons. Capacity inlet compartment, .................................... gallons. length,-..~./..~ ........feet. Inside width, .~//.;.~_"_f_ .... feet. Liquid depth, __-~.~.~-.~.'. Inside feet. Cesspool: ~ Distance from: Well, .././Z.I ..... feet; foundation, ............... feet; nearest lot line at [] front, i[:2 side, [] rear, ~. ............. feet. Inside diameter, ........... feet. Depth, .......... feet. Liquid capacity, ............ gallons. Lining material ...-~ ~ ~ ~_ SECONDARY TREATMENT consists of [] Distribution box and [] Tile disposal field, i-I Seepage pits. Other ........................... Tile Disposal Field: Distance from: Well, ............. feet; foundation, ............. feet; nearest lot line at [:] front, [] side, [] rear, ............... feet. Total length of tile lines, ..................... feet. Number of lines, ..................... Distance between lines, _' ................ feet. Total effective absorption area in bottom of trenches, .................... : ...... square feet. Trench width, ..................... inches. Length of each Hne, ....................................... feet. Depth, top of tile to finish grade, ....................................... inChes. Type of filter material: [~ Gravel. [] Broken stone. [] Cinders. Other ........... , ............................................................ Depth of filter material beneath tile, ........................ inches. Depth of filter material over tile, .............................. inches. Seepage Pits: Number of pits ...... Outside diameter, ............ feet. Depth, ............ feet. Lining 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. Communi}y system, ............... feet, Approximate &rectlon of surface drainage of lot, ....... .'~d~:~;-.~ ................. Apprommate slope~., ............... feet per 100 feet. Soil is: [] Loam. [] Sandy loam. [] Clay. :[] Sandy clay. ~ Coarse sand or g.ravel. [~ Hardpan. [] Rock. Other ..................... Number of bathrooms, ---..IL .... Is there a basement? i[] Yes. j~ No. Basement drains to ................................................ Fixtures in basement: [] Laundry tray. [] Toilet. [] Bathtub. [] Shower. C] None. :[] Floor drain. [] Sump pump. Laundry waste disposal: Direct to [] Seepage pit. Other .................. Through sump pit to: i~ Septic tank. [] Seepage pits. Is footing drain provided ? [] Yes. i~i~ No. Drains to: [] Surface. [] Dry well. [] Sump in basement. Other ...................... Downspouts or areaway drain to: ~U1 Surface discharge. [] D~y well. Other ................................................................... Depth of house sewer below finish grade at foundation, ................ feet. Inspection made by: [] State. [] County. [] Local Health Authority. (Signed) .................................................................... Date of inspection .................................. ,19 ..... (Title) 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-satisfactoriIy, and is [] cannot be expected to function satisfactorily. not likely to create an insanitary condition. Remarks: ....................................................................................................................................................................... · (Signed) .~ ........................................................................... Date ......................................., 19 ...... (Title) Part III.--FOR USE OF FHA OFFICE To T~E CHIEF UNDERWRITERi I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual sewage-di, sposat system be considered [] acceptable :[] not acceptable. Remarks Date ................................... ,19 ..... (Signed) .......................................................................... [] Chief A~chitect. [] Deputy for Chief Architect. 2218--Individual Sewage-Disposal System ~-~s-~ Report of laspection