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Home My WebLink AboutBROOKWOOD BLK 1 LT 14 P-5170 GAAB-HD-I ' GRFe, TER ANCHORAGE AREA BOROU,'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ADDRESS LOCATION ~ P~-/~ t'~"~ t-' '~-~'~/~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY J"~ GALLONS. MATERIAL C6~ ~/i~"7'~---' NUMBER OF .COMPARTMENTS INSIDE LENGTH ~' ~' INSIDE WIDTH ~9/' · jr DEPTH NUMBER OF PITS OUTSIDE DIAj~..T.C-R'~- ~DTH LENGTH DEPTH LINING MATERIAL ,....._,~ DISTANCE FROM WELL '~'"'""T~J4J~), lNG FOUNDATION. _J~T LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) . . TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ,FOUNDATION ~J ,NEAREST LOT LINE ~,STANCE BETWEEN LINES ~7' ~ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES tN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE ~/~./'~/~ DEPTH NEAREST SEPTIC LOT LINE SEWER LINE ,TANK DISTANCE FROM BUILDING FOUNDATION. , SYSTEM WATER SAMPLE , CESSPOOL , NEAREST OTHER , SOURCES/[ DISTANCES: DATE DIAGRAM OF SYSTEM APPROVE~ HEALTH AUTHORITY GREATEK ANCHORAGE AREA [,OROUGH Ca,eNo. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS ~"-~O...a/VLJ~ LOCATION OF INSTALLATION LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH F ~ PERCOLATION TEST RESULTS SEEPAGE PIT. , DRAIN FIELD ~ , OTHER TO BE INSTALLED BY~ ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT DISTANCES: AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED.,. ~' ~ · SEPTIC TANK SIZE .~=~___~TYPE~,~-~ SEEPAGE AREA~'¢'~5~;7~~:) ,~! TYPE DIAGRAM OF SYSTEM ~ ,,..5'/ I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE ~"-/7/~7 APPLICANTS SIGNATU R E .~ ~--~ ~ E'Y. ................................. DATE: ..................... GHKD. BY. ................ DATE. ..................... SHEET NO .................... OF' .................. · JOB NO ................................................. .'][?F,~o.t,../~'r..t.o.~ _.T~.. a...F..._ IO N/It 1o -T'O P~,~Z, UP 7'0 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Phone ~ ~m_~/~~ Phone: ,,~"/'~.~,,,~.,, Type of facility to be inspected ~o~. ~. No. of bedrooms 6. Well Data: A. Type B. Depth . C. Construction ~ D. Bacterial/Ara 7. Sewage Disposal System: A. Installed~ /B. Instal C. Septic Tank: 1. S i~ ~ 2 D. Seepage Pit: 1. Abso~tionIArea ~0~~ 2. Material E. Disposal Field: Total leN~of lines ~ 8. Distances: A. Well to: Septic tank , Absorption area · Sewer Lines , Nearest lot line B. Foundation to septic tank , Other contamination , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AR~i, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA FHA Property Owner: C~0~,-i-.£.~ 'r ~Ri~¥ ]~. /~Vl~ Mailing Address: CONV 3. Name of Buyer: Mailing Address: . DaN Phone 4. Name of Lending Institution: Mailing Address: Phone Name of Realtor or Agent: ~r~£um /~,,~l~u.'~'/~'C' ~-,~'UT~,, 1~-, Mailing Address: ~:~ ~ ~5',~: Phone ~-7~// t ~, No. 7. Type of Facility to be inspected:c)~,q~/~RrTl~-~ Bdrms. 8. Water Supply ~Ti~m~'/ %¥~f~r~ Type of Supply: )Zubllc Utility Individual Legal Description: Location: '~ 1/'-~ '~ O ~,3 If Individual, number of dwellings presently served If Individual, depth of well Sewage DisposalI System Type ,of S~stem: Public Utility If Individual, date of installation Individual (on-site) Pile: 4-1 Mr. & Mrs. Charles Xrvine ~R~ox 1536 E Anchorage, Alaska 99507 ~ubj~o~: ~ot 1, ~lOck 14, ~rOOkwood Subdivision Dear Mr. & Mrs. lrvtne~ O~ July 24, 1975 th~s department signed a sewer and water approval £or a four bedroom dwelling on the subplot property. This was done ~/~ error. The eystem was installed for an~may serve only a three bedroom dwelling. This letter will serve as o££i=ial notice that the original approval has been voided in th/s offiae~ it will also be notice that we will grant full approval for a three be~=oom Sincerely, Susan E. 0swalt Sanitarian SEO/ab cc~ Pamela Towill Dynamic ~alty T FOR CERTIFIED MAIL--3Of~ (plus postage) STREET AND NO. P.O., STATE AND ZIP CODE OP T I O~L-~ER~R~F~~- RETURN ~IF ~' S~~-a~d ~a~e-d~i~e~ ........... ~5~ RECEIPT With delivery to addressee only ............ 65¢ SERVICES 2. Shows to whom date and where delivered ~ ~L ~:~ With delivery to addressee only ............ 85, r requ,red) PS Form Apr. ~97~ 3800 POSTMARK OR DATE NO INSURANCE COVERAGE PROVIDED-- NOT FOR INTERNATIONAL MAIL ~' GPO: 1972 O - 460-743 (See other side) Page 2 of two pages - R~ ~st for Approval of Individual ~er & Water Facilities Legal Description Comments '.(~~Disapproved /~LY Approval ~Valid for one year from date ronmental Date Qual i ty 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) 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. ~Gho~ge ~ Aluka CecL1 D~uph:[n~ 8178 MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME I BLOCK NO. r LOT NO. B~ook~ood SubdlvL$~.on TOTAL NUMBER: BASEMENT [~ Can attic or other area be made into LIVING UNITS BEDROOMS BATHS ~ New installation additional bedrooms? (If Yes, Bow many~) WATER SUPPLY BY: SYSTEM DESIGNED FOR [2] Public system ii Community system [--] Individual .o. O .RMS. GARSAG D,S OSA. SEWAGE DISPOSAL BY: g Public system [-'] Community system ~ Individual 8 ['-] Yes [~ No PART II.--lO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH , I I i I i i I I ~ J , i ' It is the opinion of the [~ State ~ County [~ Local Department of Health that this individual water-supply system ~] is ['-] is not satisfactory as a domestic water supply for the subiect property. It is the opinion of the [ [ State ~l County [~] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~ Can be expected to function satisfactorily, and r-'] Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE S,G.ATU.E / /)// //9T,TLE NOTE: The hea uth should mPlete the appropriate opinion statement above and affix date, Signature and title in the 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: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that 'the Individual water-supply system be considered ['-] Acceptable I~] Not Acceptable Sewage disposal be considered [~] Acceptable ['--1 Not Acceptable. DATE SIGNATURE F'-I CHIEF ARCHITECT ---] DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 257; Rev. July 1958 'rELEPHOHE: ALASKA GEOLOGIC:AL C:ONSULTANTS ENGINEERING GEOLOGY '~ MINING ~ GIoPHYIICI '~' GROUNDWA'IIKR ~ PrrRoLIUM 222? SPENARD ROAD ANCHORAGE, ALABKA 90503 May 5, 1969 Dauphinee Construction Co. 4290~ Wright Anchorage, Alaska ATTENTION: Mr. Cecil Dauphinee Re: Percolation Test, Lot 14, Block 1, Brookwood Subdivision Gentlemen: This letter is to certify that a percolation test has been conducted on the above-mentioned property. The test was performed in a twelve-inch diameter, twelve-inch deep test pit in the bottom of the proposed absorption field. Location of the test pit, the log of the test pit and percolation data are shown on the attached Sheet. / / This test was made in accordance with the Greater Anchorage Area Borough Health Department specifications as prescribed in Appendix B of the National Plumbing Code, 1962 Revision. Very truly yours, ALASKA GEOLOGICAL CONSULTANTS B GP:j s Bruce O, Purcell Attach.