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Home My WebLink AboutBROOKWOOD BLK 1 LT 3Om G,- of 9 ? /05 ' APPLIr ',NT FILLS OUT UPPER HA 'ONLY PropertyOwnerTi~)~)~-~` ]~,~/~C'~ ~_ ~~ Phone Lending Inst~tu[io~ ~ ~ Phone Address Zip Code , // ~ ~ Type of Resi~nce Single Family Multiple Family No, of Bedroo~ ~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975, Community For wells drilled prior to that date, give well depth (attach log if available), Public Utility Sewer Disposal ~ Individual Year Indiv~ual Installed: Public Utility When Connected to Public Utility: ~ ~_~ Holding Tank e ~ ~ ~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE ENVIROi,lh :I',.>. ,,O,'%.TION RECEIVED (~') APPROVED BEDROOMS ~ *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72.023 (3182) #1: Time Date Insp DEPARTME. 825 MUNICIPALITY OF ANCHORAG~ OF HEALTH AND ENVIRONMEN _ PROTECTION L Street, Anchorage. Alaska 99501 264-4720 9:~i a.m. ~2: Time 12-~77 Thursday Date - ~r~tt~- Insp Date Received: November 29, 1977 12~-77 Fr_iday B,~iNIO Mailing Address: Post 0f~ice Box 4-2090 2. Property Owner: Patricia Maletic Mailing Address: Star Route A Box 1506D REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage 99509 Phone: 99507 Phone: 344-1698 Legal Description: Lot 3 Block ~. Brookwood Subdivisio~ ~_ 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Two Number of Bedrooms: Well System: Permit # Construction Individual Well ( Community/Public System ( R Depth of Well Well Log on File Bacterial Analysms Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed 1976 upgradqnstaller Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area ~ ....- R e qu e s MUNICIPALITY OF ANCHORA Department of Health and Environmental Protection .825 L Street, Anchorage, Alaska 9~501 '~' 264--4720 ,,.., , for Approval of Individual Sewer and Water Facilities ~o~ert[ Owner: ~- ~~ Name of Buyer: _:~ ? ~~_~.- Lending Institut:i. on: Realtor/Agent: ......... ~'//~ Street Location: Phone: Phone: Single Family Residence: Multiple Fami].y Residence: Number of Bedrooms: Number of Bedrooms: 7 Water Supply: *Individual Well ( ) Public/Communi-hy System If Individual Well., well depth (~ Sewage Disposal System: **On-site System (~) Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee ef $25.00 must accempany each request before processing can be initiated. 3/77 Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 3 Block 1 Brookwood Subdivision Comments: Affadavit Attached: ( )//~ Letter Attached Disapproved: .... Date: Department Worksheet: December 15, 1977 Patricia Malefic Star Route A Box 1506D Anchorage, Alaska 99507 Subject= Lot S Block 1 Brookwo~ Subdivision The second percolation test performed on the sewer system failedo Therefore, the first letter sent to you dated De~ember 2, 1977 is still in effect. If there are any further questions, please contact this office at 264-4720. Robert C. Pratt, R.$. Sanitarian RCP/XJh First National Bank of Anohorage Post Office Box 4-2090 99509 1977 Patricia Maletic Star Route A Box 1506D Anchorage, Alaska 99507 Subject: Lot 3 Block 1 Brookwood Subdivision The I~rcolation test run on the seepage pit failed to pass the adequacy test. Because public se~r will be a~ailable to the subject lot, we will require you to connect to public sewer before we ~an approve the request. If you want to close your loan, monies may be escrowed to cover the cost of connecting and also for any pumping of your ~p~e~t system in the interim. If you choose to escrow, we c~ give temporary approvals and will give final approval a~ter the connection is made. If th~e are any further questions, please contact this office at 2~4-4720. sincer ly, Robert C. Pratt, R.S. Sanitarian cc: First National Bank of Anchorage Mortgage Loan Section Post Office Box 4-2090 99509 SUBJECT X IAT 0 DATE I SIGNED Redi~orm ® SEND PARTS I AND 3 WITH CARBON INTACT 4S 469 Poly Puk (50 sets)4P469 PART 3 WILL BE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP THE FIRST NATIONAL BANK OF I NCHORI GE January 13, 1978 Municipality of Anchorage Department of Health & Environmental Protection 825 L Street Anchorage, Alaska Attn: Robert C. Pratt. R.S. Re: Lot 3, Block 1, Brookwood Subdivision Dear Mr. Pratt: Enclosed please find copies of our Cashier's Checks forwarded to Lawyers Title Insurance Agency for payment of connecting the sewer to the public line when itbecomes available and for payment of sewer hookup. Please grant approval . Yours truly, (Mrs.) Marianne Nolan Assistant Cashier Enclosure SOUTH CENTER BRANCH · 201 WEST 36th AVENUE · P,O, BOX4-2090 · ANCHORAGE, ALASKA 99509 FHA Form 2573 Rev. Ju',, 1958 FEDERAL HOUSING ADMINISTRATION Form Approved Budget Bureau No. 63-R296,8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART h--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME BLOCK NO. ~ LOT NO. TOTAL NUMBER~ - BASEMENT ~ Can atilt or other area be made Into LIVING UNITS BEDROOMS BATHS New installation additional bedrooms? X ~ 1 ~ Yes No ~ Yes No WATER SUPPLY BY: ~ Public system ~ Communiw system ~ Individual SYSTEM DESIGNED FOR ~ Public system ~ ~mmunity system ~ Individual ~ Yes ~ No PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the ':~ State ~ Counw ~ Local Department of Health that this individual water-supply 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: Can be expected to function satisfactorily, and ~ Cannot be expected to function satisfactorily is not likely to create an insanitary condition NOTE: The health ~uth~tJt~ s~oul8 ~omplele the ~pptoptJ~te opinion statement ~b~8 ~x ~te, signature ~n8 title i. the sp~Jes ptovlded. Ui~ oJ Jhe ~ove ~tJ~ J~t Health ~ep~ttme,l Inspector's sketch PAKI Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertipent FI-i~ Compliance Inspection Report, and recommend that'the Individual water-supply system be considered [--] Acceptable ['--] Not Acceptable Sewage disposal be considered [~] Acceptable [--] Not aceeptablc. DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT FHA Form 257; Rev. July 1958