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Home My WebLink AboutBROOKWOOD BLK 1 LT 1016- 18 i- 0 FI~A Form 2573 Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget 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. Anehor~e, Alaeka F~t l~at~onal ~ of An~omge ~008~9~ MORTGAGOR OR SPONSOR PROPERTY ADDRESS A~ ~, ~a 19~ ~n~ Ayres Auehomge SUBDIVISION NAME BLOCK NO. LOT NO. NUMBER: Can a~ic or other area be made into BASG~ENT ~ ~C~ J~]]~Jo~ additional bedrooms? LIVING UNITS BEDROOMS EATHS WATER SUPPLY BY: SYSTEM DESIGNED FOR ~ Public system J~ Communiw system ~ Individual NO. OF BDRM$. GARBAGE SEWAGE DISPOSAL BY: ~ Public system ~ ~mmunity system ~ Individual ~ ~ Yes ~ No PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH -~-~ ~ ...... zt is the opinion of the ~ State ~ CounW ~ Zoca~ ~epartment of ~ea~th that this inaivid.a~ water-s.pp~y system ~ is ~ is not satisfactory as a domestic water supply for the subject properW. It is the opinion of the ~State ~ County ~ Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: E~Can be expected to function satisfactorily, and ~ Cannot be expected to function satisfactorily NOTE: The health authority should complete the appropriate opinion statement d affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's ~ketch a~ well as use ~ 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 pe~inent FHA Compliance Inspe~ion Repo~, and recommend that 'the Individual water-supply system be considered ~ Acceptable ~ Not Accepmble ~wage disposal be considered ~ Acceptable ~ Not Acceptable. DATE SIGNATURE ~ CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 f I l / / / 4t L, ~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ,,~ Street, Anchorage, Alaska 99503 274-4561 Date Received /30 "C" Time~ Inspection Dar6 of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR July 23r 1976 Cony. l. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 Phone: 274-1521 2. Property Owner: David E. Hanrahan Phone: 344-3342 Mailing Address: 3. Legal Description: Lot 1 Block 1 Brookwood Subdivision 4. Location: 1902 Rainbow 5. Type of facility to be inspected Single Family No. of bedrooms .3 6. Well Data: Individual A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line , Absorption area , Other contamination , Sewer Lines B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page I of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner' CMRO~VA Dav±d E, Hanrahan FHA CONV. Mailing Address: Name of Buyer: Mailing Address: Mark and Joanne Johnson 3083 Lois Dr. (103) Day Phone: 344-3342 Day Phone: 279-0585 4. Name of Lending Institution: Mailing Address: ?.0. Box 4-2090 5. Name of Realtor or Agent: none Mailing Address: N/A Lot 1, Block 1, 6. Legal Description: First National Bank of Anchorage Phone: 274-1521 Phone: Brookwood Subdivision Location: 1902 Rainbow (04) 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: SFD No. Bdrms. Public Utility. Individual, xxx If Individual, number of dwellings presently served If Individual, deptfi of well Sewage Disposal System Type of System: Public Utility. If Individual, date of installation Individual (on-site) xT~ 72-003(3/76) Page 2 of two pages - Req 't for Approval of Individual S r & Water Facilities Legal Description Lot 1 Block 1 Brookwood Subdivision Comments Approved ~ ~2~_~A. ppr~~a Disapproved 1 Valid for one year from date signed Date Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received gl Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval 'requested Mailing Address: 2. Property Owner: Phone: Phone: Mailing Address: 3. Legal Description: 4. Location: ~ ,-~ 5. Type of facility to be inspected. A. Type '~'~ ''- ~-~ j~ ~;LI'-~ /'' B. Depth e C. Construction D. Bacterial Analysis Sewage Disposal System: ~ /4~ ~ . _ . / ~ ~ ~.'74 ?,~ ~, A. Installed 7~4~0~/o,~,~B. Installer ~ ,' ~ C. Septic Tank: 1. Size '~x~ ..... ~z~" 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines e Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual S~,ar & Water Facilities Approved ,..~.~... ~_ ,.,~ ~.,, ,: ~- _,,,,~L..Di sapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED ~' Date ~///'2 ~/~ ~ EQ-034 (1/74) GREAI'ER ANCHORAGE AREA BOROUGH... Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA .b.// FHA CONV 2. Property Owner: Mai.ling Address :~oX 3. Name of Buyer: Mailing Address': 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone Legal Description: Location: Type of Facility to be inspected: Water Supply ~_. ~,~w/~fO,~,r/~/--~ Type of Supply: Public Utility No. Bdrms. ~ Individual Individual (on-site) If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation /¢~ ~/~-~ EQ-037 (~/74)