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Home My WebLink AboutBROOKWOOD BLK 2 LT 4016'-I 1 May 17, 1977 Alaska Mutual Savings Bank Mortgage Loan Section Post Office Box 1120 Anchorage, Alaska 99510 Subject: Lot 4 Block 2 Brookwood Subdivision The Brookwood Subdivision has been declared a health hazard by the Municipal Health Department. On-site sewer problems in the area have resulted in a planned public s~r lin~ to to serve Brookwood Subdivision by the end of summer 1977. Therefore, this department ~auld grant a temporary approval of the subject property if funds are escrowed for the costs involved. In the interim, funds should be set aside in case interim pumping of the existing system is necessary. During our inspection on May 16, 1977 no sewage overflow Information regarding costs of the assessments an~ connection fees is available from Skip Edinger at 279-~86. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, Les N. Buchholz, R.S. Sanitarian I~NB/iJh DEPARTME 825 MUNICIPALITY OF ANCHORAGE OF HEALTH AND ENVIRONMEN' L Street, Anchorage, Alas,La 279-2511, ext. 224 or 225 PROTECTION 99501 Date Received: ..May 12, 1977 #l: Time , /Z3:,~,Q~ #2: Time Date ~-/~7 '~/~'~-~//?/?~' Date Tns 93: Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Mutual Savings Bank Mailing Address: Post Office Box 112.0 99510 Phone: 2743561 Property Owner: Mailing Address: Larry/Sue Pettyjohn 1914 Dolly Varden Phone: 344-0258/272-7714 3. Legal Description: Lot 4 Block 2 Brookwood Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Number of Bedrooms: 3 Well System: Permit # Construction Individual Well ( ) Community/Public System (x) Depth of Well Well Log on File ( ) Bacterial Analysis w Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed Installer Manufacturer Soils Rate Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot.line Absorption Area to Nearest Lot Line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L S~:ree~, Anchorage, Alaska 995011 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: VA /X~ _FHA .CONV 3. Name of Buyer: Mailing Address:_ Day Phone:_ 5.Name of Realtor or Agent: Mailing Address: Phone: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility ~)~.. Individual 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 Individual (on-site) 72-003(3/76) Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 4 Block 2 Brookwood Subdivision Affadavit Attached: (i) Disapproved: Department Worksheet: Letter Attached Date: ~'~--/~ ~ Da-I-_e: GREA .R ANCHORAGE AREA BORr 'GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME-.J'?~Z.L~/dL-~ , MAILING ADDRESS '~-) ) . SEPTIC TANK: DISTANCE FROM WELL. MANUFACTURER ------ MATERIAL NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH. LIQUID DEPTH LIQUID CAPACIT~_~-~_ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELLO~¢ 0 J~PFOUNDATION ~ O ! TOTAL LENGTH ___NEAREST LOT LINE &~ i .j_ OF LINES %'~ i NUMBER OF LINES I DISTANCE BETWEEN LINES .TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE '~\. ~-~ ~'~ (~ i~ ¥'~'~. DEPTH: TOP OF TILE TO FINISH GRADE ] ~ ii-t- DEPTH OF FILTER '¢ __MATERIAL BENEATH TILE '~._2L) ~.IN. ABOVE TILE ~" IN. WELL: __DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC ~-) SEEPAGE FOUNDATION LOT LINE __, SEWER LINE__, TANK o~ O0i*, SYSTEM__ CESSPOOL OTHER SOURCES APPROVED_ __ DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: GAAB-HD-2 ~ GREATE~ 327 Eagle St. ,NCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 '~ROUGH c~.So. /~7 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS t~/~'~L ?]')o)/e~/ ~r~t_] LOCATION OF INSTALLATION LEGAL BESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ,.~ iQ PERCOLATION TEST RESULTS /7,"- PHONE NO.,~o ., SEEPAGE PIT. ,DRAIN'FIELD. ~ ,OTHER TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~, ~'~ ,PERMIT TO ,NSTALL~ ~ .~~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED .SEPTIC TANK SIZE ~-A<~'¢W~TYPE ~~ SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: Authority 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. GAAB HD-I GP"',,TER ANCHORAGE AREA BOROI"~H HEALTH DEPARTMENT 327 EA~,E ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL NUMBER OF COMPARTMENTS LIQUID CAPACITY LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH__ SEEPAGE SYSTEM: SEEPAGE PIT: NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: D,STANCE FROM WELL I~{~' /' EOUNDAT,ON 'Z~-' .NEAREST LOT L,NE 11 NUMBER OF LINES '_~ DISTANCE BETWEEN LINES TRENCH WIDTH 2~") ~'~' ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE 27" DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE /60 d It · IN. ABOVE TILE WELL: TYPE . ~Y", DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST NEAREST SEPTIC SEEPAGE OTHER ' LOT LINE SEWER LINE , TANK SYSTEM CESSPOOL , SOURCES__ TOTAL LENGTH ,,~,.,! , OF LINES /'~/~)' , IN. TOTAL EFFECTIVE DISTANCES: DATE DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Time of Inspection //.'5~ ~ Date of Inspection //-.-7f-7-% REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval Requested By: ..,~.~. ~.~~... 2. ProoertV Owner :~ Phonet 5. Type of Facility ~o be Inspected:~~~ - Number of Bedrooms: ~ A. Type C. Construction B. Depth D. Bacterial Analysis' Sewage Disr)osal System: ~ -~ ^. D ~-~ ~-~ 1 Size 2- ~a~erial E. Disposal Field: 8. Distances: A. Well To: Septic Tank /20/'~-- Absorption Area ~ . , Sewer Lines , Nearest Lot Line Foundation to Septic Tank ~ / C. Absorption Area to Nearest Lot Line , Other Contamination Absorption Area ReqUest for Approval of ~,,dividua] Sewer & Water Faeilit',es Page Two o. Comment-.: ti~ ~..~o~Z-, ;~ ~.~'~ ' ~ ' ~1' ~ ' ~d .' t... _.~ ~~ :,~,, ~c, ' ~~ .-- ~ ~, ~. ~~ ~ . Approved Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, DeFartment of Environmental Quali%y DIAGRAM OF SYSTS~., I certify that the information contained in this request for approval to be a true and accura~te representation of the subject sewer and water facilities located et: Signed Date Susan E. [)ickerson Sat'ii karl an cc: ,]~i)n R. L~]e, E:tvironruental Services Supervisor [ncl. Lot 4, :}lock ~], grookwood S:~b~,,ivi~ior~ FHA Form 21~73 ~' Form Approved Rev, July 19.58 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAOE DISPOSAL SYSTEM PART I.mTO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR PROPERTY ADDRESS BLOCK NO. ! LOT NO. SUBDIVISION NAME , .~,-.~.~, TOTAL NUMBER: Can attic or other area be made Into BASEMENT ~ New installation bedrooms? LIVING UNITS BEDROOMS BATHS (If Yes, how many~) WATER SUPPLY BY: SYSTEM DESIGNED FOR I-'-I Public system I_J Community system ~ Individual .o. OF BORMS, GARBAGE DISPOSAL SEWAGE DISPOSAL BY: [--'] Public system I-"] Community system ~ Individual )7 [---1 Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH ---~- -4 J ~- .... ~ ..... ,__~_ -~ ~ ~---- _-~ ..... ~- ½ , ~- ~ ..... - -~ - ...... ~-- -I---~ , ~.~_~ - _ _~ ..... i ~ 2 -1 ~-- r- ~ , ---r-- ~- ~ ~~ ~----7--- ~ -~ ....... _ _~ ~---_~--- -~ ~-_ --~ ~ ~ ~ - ..... It is the opinion of the D State [--] County.'Local Department of Health that this individual water-supply system 5] is D is not satisfactory as a domest!c _wate~r supply for the subject property. tit is the opinion of the ['-] State [~] County [35~ Local Department of Health that this individual sewage-disposal tem with proper maintenance: 5 Can be expected to function satisfactorily, and [--1 Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE TITLE NOTE: The heal hority should c lete the appropriate opinion statement above and affix date, signature and title in the spaces provided. Uso of the above grld for Health Department Inspector's sketch as well as use of the back of this form is at the option of tho health authority. PART III.~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 [--] Not Acceptable Sewage disposal be considered [--] Acceptable [~] Not Acceptable. DATE SIGNATURE [--] CHIEF ~eCH~TECr [~ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 '6I · 0~.nu.luJ J0d SUOlF~ · alnu!m ~*d SUOllei?' 'plo!.4 ol*tu!xoaddV 'l~u!se~ jo qlda(3[ '~'u:su~ jo ,dA£ --6I uo!lvodsu! jo ale(I Xq pa2oodsuI 'Xa!Joq2nv qaleaH 1~>o~ ~ 'XmnoD ~ 'o~mS ~ :Xq opera uopvadsuI · Xuu j} 's~]q~qxo panoJdd~ ~l}~ Aldmov lou soap ~ soap ~ uo}luilmSUi · uo~ldmnsuo~ uemnq ~oj X~o~ejsges lou s[ ~ s~ ~ ~al~ jo XlHen~ a~p a*~ ..'soX., s~ ~a~su~ JI 'oN ~ 'soX ~ ~ap~m uaaq Ja~ jo uoD, u~m,xo i~>~OlO~m>,q s~H · SUOlIe~ 'X~pgdeD 'hDmO ~ 'amsSaSd ~ :oSmols jo adA& 'ON ~ 'saA ~ :~8[~*1~ 8upunom dm~ 'oN ~ 'sox ~ :pau[u¢ XFado~d moo~dm~ '~d dm~ ~ 'punoJ~ oaoq, asno~dmnd ~ '~uam*s~q ~o moosdm~ ~ 'lu*mose~ ~ :u~ pol*>o7 'Alp*d*> dm~ 'laoj 'od,d doJp jo q~uo~ 'Ila~ daaO ~ 'Ila~ ~Oll*~S ~ :dmnd 'ON ~ 'sox ~ :lq~[lJal~ aa~o> IIa~ u! sSu~uodo 'Im*~ ~ 'poo~ ~ 'aloJ>uoD ~ :loao~ IIa~ · llg~2~q ~gu~pJO ~ 'XBp polpp~ ~ 'lnoJ~ ~uamaD ~ :q~ poi~as ~u[s~> punoa, a2gds JO~JOlx~ · ~*aj 'jo q~dap oa ~q~a~ paluaS [1,~ u~ ~a~ jo la~Oi ~u~d~nd al ~ldop mum~xo~ddV 'qldop N:~oju IOodsso> 'uo!lnlIod alq!ssod jo sa3Jnos Jaqlo '.laaj "~**~ [] '*p!s [] '~umj [] 16 au!l ~o1 ~sa~g,u '.~aaj 'Ilar, pa~o~t [] 'lla~X ~nG [] 'llaaX ua^[~(I [] 'lla~ POll!J(I [] :moJj Xlddns Jo~um lenp!^!puI · looj' '*U!l /aJodo:~d luoJj tuojj >louq sos ~U[ila~CI 'daap ~oaj' 'op!~ ~ooj :oz!s 3o'I · smolsXs lusods!p-,fi'~,~as pu* Xlddns-ja~ Iunp[^!pu! q2~oq tt~!,,a padolo^ap ~u!aq ~ou alu [] aJu [] pooqJoqt[fi!ou u! sa[lJadO.lcI Jo~,~ jo Xlddns aa~nbapu qs!u~nj o~/~!up!^ a~u!patutu[ u! SlIa~ jo a~nl!~J jo p~o>a~ lua>a:~ lsotu aa[rD · pooqJoqq~!au u! X~*tuolsn> ~ou oJU [] aJu [] Slla~ Fnp!^!puI 'satIDU! 'Ul~tU jo az!$ 'laoj u!~tu Ja3~,~ >!lqnd l~aJ*aU o3 aDums!O WtlSAS AlddI'iS'tltlYAR 1V'flalAICINI~NOII:)3dSNI t0 'laaj ~sal [] 'ap!s [] '~uoJj [] ~u au!i ~oI ~saJ,au :~aaj tu!Jalucu l?u!u!-I 'laaj '6I uo!lgadsu! jo al~CI ,iq pal>adsuI '~!.~oq:mv q*lgaH 1~>o"I [] '~unoD ~ 'alms ~ :Xq epom UOll~edsuI 'uo[~epunoj 8u~punq :laaj 'IIa~ :~oJj o>ums~O 'qldoG 'laaj 'Jolom~p op~slnO · sl~d jo JoqmnN :Said oSDdoos 'o113 Ja~o I~:ol~ JOll~ jo qldo~ 's~q~u~ ~'oI~3 ql~au~q l~[Jal~m Jal[~ jo qlda~ uaamlaq a>ums[G 'sou!1 jo JaqmnN '3ooj 'sau}[ oUi jo q~uaI lmO~ :plOld Iosodst~ 0111 'saq~u! lu!.;0:;~cu fi~u!u!'l 'SUOlI~ 'Xapud~> p!nbFI 'aaaj '~*a~ [] 'ap!s [] '~uoJj [] ~ au!I ~oI ~sa~au '.~aaj 'uo!l~punoj · ~aaj a.~nbs' '~aaj '~aaj 'laaj · ~aaj- 'tI~dap p!nbFl '~aaj 'ti~p[m ap!suI 'matmJedtuo> lalU! XlpuduD 'SUOllgo° 'loodssaD [] s~uatm~edtuo> jo aaqtunN WHISAS 1VSOdSI(]-HOVARHS 1vrlalAlaNl~NOIJ.3ldSNI JO l~lOdl~J FHA Form 2573 Form Approved ;~,~. ~uly 1'~58 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. F~r~t Na%~on~l Bsnk of Anohore~e A~o_h_o~gej lla sk~ Box 720, A~ohora ge, Ala sma 111-000050- (203) MORTGAGOR OR SPONSOR PROPERTY ADDRESS Alla~ J. Harris 19lA Doily Varde~ Avenue SUBDIVISION NAME ~-LOCK NO. LOT NO. RrooM ood .............. j----j Can attic or other area be made into TOTAL NUMBER: BASEMENT New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS (if Yes, how many~ WATER SUPPLY BY: SYSTEM DESIGNED FOR g-~ Public system [~] Community system [~] Individual NO. OF BDRMS GARBAGE DISPOSAL SEWAGE DISPOSAL BY: [] Public system [~ Community system [] Individual 3 ~ Yes e,~[~], No PART II.--tO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [--] State [~ County ['-] Local Department of Health that this individual water-supply system [--1 is ~] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [--] State [-"] County ~ Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~an be expected to function satisfactorily, and ~ [--1 Cannot be expected to function satisfactorily is not likely to create an insanitary condition ~ ~ J TITLE DATE : y p pp p' ~ opJn.,,~,,,atement above and affix date, signature and title in the spaces provided. / Use of the above grid for Health Department Inspector's sketcl~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 [~] Not Acceptable Sewage disposal be considered ~] Acceptable [~ Not Acceptable. DATE SIGNATURE J-'J CHIEE ARCHITECT ~1 CHIEF ARCHITECT DEPUTY FOR HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 257: Rev. July 1958 --6I · alnu!m Jad suo[l~ · alnu!tu Jad SUOll6~' 'plo.TX al6m!xoaddV '3aaa '~u!s63 jo qldaQ 'gu!s63 jo adXZ '3aaa --6I uo!13adsu! jo a16(I iq pa~3adsuI '&!Joqmv q~leaH I6~O2 [] '&unoD [] 'a~mS [] :iq ap~m uop>adsuI · Aug j~ 's~'[q[qxa paaoJdd~ q~[~ Xldmo> ~ou saop ~ saop ~ uopqle~suI · uoDdmnsuo~ uymnq JOj XJoDgjs~lgs lou s~ ~ s~ ~ Jal~ jo ~[~n~ al*p a~ ,,'saX,, s~ Ja~su~ JI 'oN ~ 'saX ~' iap~m uaaq ~a~e~ jo uoDeu~exa [~8OlO~Jm>~q s~H · SUOli~ 'X~p,duD '~[A,J9 ~ 'oJossaJd ~ :a~lols jo adA~ · oN ~ 'saX ~ :a~g~al*m gupunom dm~ .oN ~ 'saA ~ :pounce X[Jadold mooadm~ · ~d dm~ ~ 'p~no~g o~oqe asno~dmnd ~ 'momas*q ~o moo~dm~ ~ uuamasefl ~ :u~ pal~o~ 'ilped*~ dm~ '~aaj ad~d doJp jo ~u*~ 'lla~ daaQ ~ 'IIO~ mOlIe~S ~ ~m~ 'ON ~ 'sox ~ :~plol~ Jo~o~ Ila~ u~ sgu[uado 'lma~ ~ 'poo~ ~ 'oloJ>uoD ~ :J,~o> lla~ · ii~q ~gu~plO ~ 'X,[> palpp~ ~ '~no~g mamaD ~ :~a~ poleaS guise> puno~e a~eds ~opalx~ jo ~dap m ~g~uol,~ palu~ i[,~ u[ ~o~e~ jo lanai gu~dmnd m ~ldap a~*m[xoJddv 'q~dap ImO£ 'saq>u.r loodssa~ aid '. 3aaa' · laaj 'uoDnllOd alq!ssod jo sa>mos aaqlo '.iaaa Plait i6sods!p '.~aaj ',,lure >!ldas '.laaj' · 'a6aa [] 'ap!s [] 'luoaj [] 26 au![ 1oI ~sa.mau '.laa3 aa16~ jo Xlddns a~6nbap6 qs!uanJ m Xl!up!a al6!patum! u} Slla~ jo aanI}6J jo pao>aa lua2aa ~.sotu a*}rD 'pooqaoqq~'!au m Xa6tuolsn2 lou aJl.~ [] aa6 [] Slla~ 16np!a[puI · saq~u! umm jo az!s uaaj .... m6tu Ja36~ 3!lqnd lsaa6au os a3ums!O W:IISAS AlddI1S'IltlVAR 1VflCIIAIQNI~NOII:)IdSNI :10 l~lOdilll ~fl d c/,~, : /iq pal~odsuI · Xl!aoqlnV qll6aH 1,3o'I ~[ 'XlunoD [] 'alms [] :lq ®porn UOll~lsuI 'saq~u! 'saq~u} '~aaj aa6nbs' uaaj 'iaaa 'SUOll6~' / 'IoodssaD [] Wt.LSAS 1YSOdSICI'tOY~A;IS IVrlQIAIQNI~NOIJZ)tdSNI lO .LllOdtll