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Home My WebLink AboutBROOKWOOD BLK 1 LT 4 FHA 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~ A'laslc~ F~.rs+., ~&t~on~ Bank o£ Anohora~e MORTGAGOR OR. SPONSOR PROPERTY ADDRESS Ali. an J, Harris Ane~tora~e, Jk~ask& SUBDIVISION NAME BLOCK NO. LO.T NO. Brook~od Sub~J.~$~n TOTAL NUMBER: Can attic or other area be made into l-~ New installation additional bedrooms? BASEMENT LIVING UNITS BEDROOMS BATHS L.-J (If Yes, how man¥~.) wATER SUPPLY BY: SYSTEM DESIGNED FOR E] Public system L~ Community system L~ Individual .o. oF BD.MS OARBAOE D,.OSAL SEWAGE DISPOSAL BY: ['"-] Public system [---] Community system r~ Individual ~ r'-] Yes ['--] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH J It is the opinion of the J--J State J--J County E] Local Department of Health that this individual water-supply system E] is O is not satisfactory as a domestic water supply for the subject property. It is the opinion of the j~ State I--I County I--1 '.ocal Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [Can be expected to function satisfactorily, and J--J Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNatURE -~ TITLE NOTE: The health outhority should complete tllee a ~l~rippr ate opinion statement ahovo Grid aJ~ dote, sig.oture Grid title in tho spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: Individual water-supply system ~ considered ~] Acceptable [--] ~ot Accep~ble Sewage disposal be considered [--] Acceptable [--] Not Acceptable. DATE SIGNATURE ~ CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 '61 · w, nu!m sad suoli~' · aanu!tu aad SUOli~3 'pla!X a~tu!xoJddV 'laaj '3u!s~2 jo qldoCl '~ms~2 jo ad/t.L ;a36~ jo Alddns a:6nbap6 qs!uJ~ m /a!m)!a oa6!patutu! u! Slla,~ jo aJnl!6J jo paoaaJ ~ua2aJ 3sam 'pooq.loqtlli!au u! f.16u/olsn3 :lou a.16 [] a.n,' [] Slla~ 16np!a!pui 'saq~u! 'u[6m jo az!$ 'laaj u!6m sa16.~.L:)~lqnd :lsa.16al~ 03 O~UI~IS!(I W:IISIS llddflS'U]IV/~A 1vnOIAIONI--NOII:):IdSNI t0 IUOdlRI ~aq~O 'auras uo~lm9 [] 'ap~a:? qs!ug o2 a[!~ jo dm 'q:~daG 'laaj '$alqDllOJ3 JO molloq m 6.J6 uo!ldJosq6 0a!l:>oJja 161015 's0tpu! 'sau!I uaa~loq aDu6ls!G 'sau}i jo JaqttlnN 'laoj ':reoJ [] 'ap!s [] 'auoJj [] 16 aU!l :oI lsaa6au L'~aaj 'uo!16punoj :laaj 'saqau!' · laaj aa6nbs 'SUOlN~ Jaqao I%~a:6tu ~u!uyI 'SUOlN:~' '/4p6d69 p!nbH 'laaj 'qlda(I 'laaj '$6ag [] 'ap!s [] '3uozj [] 16 aU!l 1oI lsa~6au '.laaj 'uo!16punoj '.laaj s:uaus~:~dtuoo jo JaqtunN 'IoodssaD [] W"JISAS 1VSOdSIO-:IOV/V~:IS 1VI'tOIAIONI~NOIl::)]dSNI :iO 1UOdlU FHA Form 2573 Form Approved Rev. July 1955 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.~TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. Azmbora~e~ Alasim Ma~ Valley' ~z~ 111~~ MORTGAGOR OR SPONSOR PROPERTY ADDRESS Can a~ic or other area be made into TOTAL NUMBER~ BASEMENT ~w ~s~l]~o~ additional bedrooms? (If Yes, how many~) WA~R SUPPLY BY: SYSTEM DESIGNED FOR ~ Public system ~ Communiw system ~ Individual No. OP BDRM$ ~A~BAOE DISPOSAL SEWAGE DISPOSAL PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT ~-~ ~ ~ ....... ~-~ ~ .... It is the opinion of the ~ State ~ CounW ~al Department of Health that this individual water-supply system ~ ~ is not satisfactory as a domestic water supply for the subject properw. It is the opinion of the ~ State ~ County ~oCal Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~an expected to satisfactorily, ~ Cannot be expected to function satisfactorily be function and is not likely to create an insanita~ condition DATE SIGNATURE TITLE I have reviewed the foregoing and the pe~inenr FHA Compli~ce Inspe~ion Repo~, and recommend that'the Individual water-supply system be considered ~ Acceptable ~ Not Acceptable ~wage dis~sal be considered ~ Acceptable ~ Not Acceptable. SIGNATURE ~ CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 --61 · o~nu!m J~d SUOlle~ · olnu!m Jod SUOlI~' pla[/[ alem!xo~ddV '~ooj '~ms*o jo q~doG '~msua jo adX. l. '~aaj 'q~dop ImO£ 'saq2u!' 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