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Home My WebLink AboutBROOKWOOD BLK 2 LT 8016, - GAAB-HD-I GEe .,ER ANCHORAGE AREA BOROU'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION Z-~-'7'- ~ ~ ~., ~-")2 PHONE SEPTIC TANK: D,STANCE WELL LIQUID CAPACITY GALLONS. /' ~'/"11 'l C .~,~,"' .~ NUMBER OF MATERIAl - %-'~"'~ '~' *'/~" COMPARTMENTS INSIDE LENGTH ~_/&l' INSIDE WIDTH ~ I LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE OUTSIDE DIAMETER OR WIDTH DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH , DEPTH BUILDING FOUNDATION SQ. FT. TILE DRAIN ~ ,.---. DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE FOUNDATION. DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LINE TOTAL LENGTH OF LINES TRENCH WIDTH DEPTH OF FILTER MATERIAL BENEATH TILE: IN. TOTAL EFFECTIVE IN. ABOVE TILE DISTANCE FROM WATER , BUILDING FOUNDATION ~SAMPLE , NEAREST SEEPAGE OTHER , SYSTEM , CESSPOOL SOURCES LOT LINE , DEPTH NEAREST SEWER LINE SEPTIC , TANK DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED HEALTH AUTHORITY GREATER ANCHORAGE AREA BOROUG. HEALTH DEPAkTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE O 1.5 8I Performed For Ceq~!.,.Dau~h.i~99 ......... Date Performed 'Jnly 23. 1969._ Le ~al Descrip{-~on: Lot 8 i_Block 2 . S~bdi~sion Brook~ood Sub~zvzs~on v~ F~rm Re~orts a: So~.ls Log~ -.Percolation Tes~ Depth ?eat Soil Characteristics Overburden -- -- -- ~- ~- Silt .... "-~- From A Silty Sand to Sand , Location Sketch Ground Water Encountered?__~~ 90el ~f Yes, At What Depth .... Reading Date Gross Time Ne: Time Depth To H20 Net Drop Proposed Installation:' ~eepage Pit x Drain F~eld Depth Of Inlet . Dep%h To B~m"Of :Pit Or Trenc~"''''--'''~= .... COMMENTS: ............ Test Performed BA: William~an Data Certified By: William E. Duncan Date :~i 2_41, .1~.'-' ..... '-~ GREATEL. ANCHORAGE AREA ~OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No. ~ 7// SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT'"-'~ ~.t ak tl~\ ~ RESIDENCE ADDRESS -- - ~~ LOCATION OF INSTALLATION ,","~I~O0~:~bU~ ~ APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT. ,DRAIN FIELD. ~' , OTHER TO SERVE THE FOLLOWING FACILITY ~' ~ ~¢OD ~ FINANCED THROUGH. ~ ~'~ - TO BE INSTALLED BY ~.~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE A~z-~ ~s ~s~,,,~, ,~o~. ~,z~ o~ ,,,, ~o ,~.s~,w~ ~ . SEPTIC TANK SIZE ~TYPE ~~EEPAGE AREA D~A~AM OF DISTANCES: I Health 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. Form Approved FHA F~rm 2573 , u.s. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Budget Bureau No. 63-R296.8 Rev. July 1958~ ' FEDERAL HOUSING ADMINISTRATION ~ HEALTH AUTHORI-TY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.~TO BE COMPLETED BY FHA '~NsURING OFFICE MORTGAGEE SERIAL NO. TOTAL NuM~R~ Can ~ BASEMENT ~ New b~oms? LIVING UNITE BEDROOMS BATHS (If YeS, ~ow man~) r WA~R SUP~Y BY~ SYSTEM DESIGNED FOR ~ Public system ~ ~mmuni, system ~ Individual .o. o, .u,,s. o,..,o, ms,os,t SEWAGE DIS~SAL BY~ HEALTH DEPARTMENT INSPE~OR'S SKETCH ]--: --- .... ..... _~ .............. ~ ~ ~-- - --2 ~-~ - ~ , ~ .... ..... 2 ~ .... ~ ..... ~ ~-- ~-- -~-- -~-~ , ~- --~- - ~ ~-- ..... -. -~- -~ ~ ~ ~ ......... ~-~ ~---- ......... ~ ~ ........ ~ ~ ......... ~ ......... WG[e~-SU~]~ ~ is ~ ~s not s~t~s~ctory ~s ~ domescic w~ter supply fo~ the subject proart. s~s- tam w~th proper mGinten~nce: ~ Can ~ expired to function satisfaccorily, and ~ Onnot be exacted to function satisfa~orily is nor likely to create an in~anit~ condition ;ATE I SIGNATURE ~ TITLE NOTE: The heal~ authorl~ should, complete the opproprlate opinion statement above and a~x dote, signature and title in the s~aces Grovided. Use of the above grid 'for Health Department InsPect0~'s SketCh os well al use of the back of thiS form is at ~h~e 'optiOn of the heal~ authority. PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UN~RWRI~R: [ have ¢~iewed ~he ~ore~oin8 and ~he ~inent ~HA Complia]ce [ns~ion ~epo~, and ~ecommend ~hat the ~ndivJdua] water-supply system ~ considered ~ Acceptable ~ Not Acceptable ~wage dis~al ~ con,idered ~ Acceptable ~ Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2S73 R®v~ July 1958 Mr. Cecil Dauphines 4290~ Wright Street Anchorage, Alaska 99~O2 Re~ Lot 8, Block 2 Brookwood Subdivision Dear ~r, Dauphinee~ It was determined at the time of our investigation that ~ percolation test was not necessary and ~he information enclosed here-in de°ribes the soil ohmr~eris~ics for your property which is mdequ~te for a sewer system. Locatiom of the septic tank and seepage pit is shown on the ~%%ached Greater Anchorage Area Borough Health Department form. This test was performed in accordance with the ~r'eater Anchorage Area Borough Health DeparSment specifications and the Public Health Service Publication RespeO~f~Ally submitted, ~ana~er Emol: ~orm cc: Greater Anchorage Area Borough Health Dept.