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HomeMy WebLinkAboutLot 010/6-17Z 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.mTO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. A~chora~e~ ~].a~ka First National B~nk cf Anchorage 60-007h39 MORTGAGOR OR SPONSOR PROPERTY ADDRESS All~n J. ~a~is _~chora~e, A~ska SUBDIVISION NAME ~OO{~Od Subdivision BLOCK NO. LOT NO.  Can a~ic or other area be made into TOTAL NUMBER: BASEMENT New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS (If Yes, how mony~) wATER SUPPLY BY: SYSTEM DESIGNED FOR ~ Public system ~ Communiw system ~ Individual No. OF BDRM$. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: ~ Public system ~ Community system ~ Individual ~ ~ Yes ~ No PART II.--lO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH .... Z____.-... ~__. ~ .... . ~_~ ~ ............. ~ is ~ is not satisfactory as a domestic ~atc~ supply ~o~ thc sub{cc~ p~opcc~. It is ~hc opinion o~ ~hc ~ State ~ Coun~ ~ Local Department or Health that chis individual sc~a~e-disposal ~ Can bc expected eo Function sadsFaccocily, and ~ Cannot bc expected to Function satisfactorily DAT~ S~ATUR~ T~ T~J ~1~ ~~l~J I have reviewed the foregoing and the pertinent FHA Compliance Ins~ion Report, and recommend that'the Individual water-supply system ~ considered ~ Acceptable ~ Not Acceptable ~wage dis~sal be considered ~ Acceptable ~ Not Acceptable. DATE SIGNATURE  CHIEF ARCHITECT  DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 --6I · olnu!m Jod suo[N~ · alnu!m Jad sUOll~8- '~u~s*> jo tlldaG ~o~*~ jo Xlddns o~enbop, qs!ujnj o~ Xl!up!a o~g!potutu! u! sii,~ jo oJni!gJ jo pJo>~J luo~oJ lsotu *~!O 'pooqloqq~!otI u[ /a,tuolsn~ ~ou o~g [] o~ [] SilOa~ FnpD!pui · soq>u! 'umtu jo oz!s 'looj --'m~m ~ol~ >!Iqnd 3$OJBOH ol oDulgI~!G WllSXS AlddflS-tlllVM 1VNOIAIONI--NOIID]dSNI :lO ltlOdltl 'sotpu! 'soq>u[ '~ooj '~aaj Joq~o l%~a:mtu 2u!uH 'SUOli~ . '~p~d~" p!nb!'I '~aaj 'q~doG 'laaj :~o:~atut~!p ap!suI 'a,aa [] 'ap!s [] '~uoaj [] ~ aU!l ~oI ~saJeau :~aaj 'uog,punoJ :~aaj 'iia?ak :moJj a2ums!(I 'suolv$ '~oaj' s~uam~rcdtuoo jo ~aqtunN 'q~.dap p!nb!'l '~aaj huam~Jedmoo ~alU! X.~p*deD 'SUOll~2 WI/S,[S I'O'SOdSIQ'ilOVMitS 1Vt'I(]I^I(]NI--NOII:)IdSNI JO liIOdllJ DEPARTM~ 825 MUNICIPALITY OF ANCHORAG~ OF HEALTH AND ENVIRONMEk ,L PROTECTION L Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: May 25, 1977 #2: Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Security Pacific Mortgage % Bob Fritz Mailing iAddress: Property Owner: Mailing:Address: 1011 East Tudor Road Suite 190 Daniel K./Pamela A. Renard 1901 Dolly Varden Phone: 276-1933 Phone: 272-5033/work 3. Legal Description: Lot 1 Block 3 Brookwood Subdivision 4: Single Family Residence: (x) Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 5. Well system: Individual well ( ) Community/Public System (x) Permit # Construction Depth of Well Well Log on File ( ) Bacterial Analysis 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 Sewer Line Nearest Lot line to Absorption Area Absorption Area to NeareSt Lot Line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA X FHA 2. Property Owner: REN_/~D~ Daniel K. and Pamela A. Mailing Address: 1901 Dolly Varden Avenue 3. Name of Buyer: RENARD, Daniel K. & Pamela A. Mailing Address: SEA ~ow 1 507 Anchorage, Alaska 99507 4. Name of Lending Institution: SECURITY PACIFIC MORTGAGE CORP. Mailing Address: 1011 East Tudor~ 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Lot 1, Blk. Day Phone: Day Phone: Wife teacher at TOM THUMB MONTESORI SCHOOL 272-5033 Suite 190 Phone: 276-1957 Phone: 3, BROOKWOOD S/D Location: 1901 Dolly Yarden Avenue 7. Type of Facility to be Inspected: On-site sewer 8. Water Supply Type of Supply: Public Utility system No. Bdrms. 3 ,Individual COM~JNITy 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) [.)EPAP~I'MENT OF ttEALTI'I AN[) FNVIRONMENIAE (2510 East Tudor Road) qROTECTION File No.: -., - July 14 1976 - . ' ' - .'. ..... "": '' '- -" ""-'.~:: -'-" · - _ . .' . . . ...:~'::;- _ ..'....,.).: ~: ..-.,;'..: ..' ..- '::.}':::.....- '". ..'.' '.'--... :~". :.-.'-' ,.-.' "i. · . To Whom It ~ay Concern,'. -'- - , . .-... ;,: :<. _: ...... . ...... ...:' .'- .... ...., .::.~: ..... .- ' ~ ~, i r · ~ ~ SU~,JECf: On-Site Se{~er System Loca~.d On Lot 1 Block 3 Brookwood ....-- ::[' : Subdi~sion.'- ' ' ' ' ": Gentlemen: .., ;. _ . .. _....:..:. . . --._ '.}. ,~.-,.~,. [ .. :: . . .... ' 'ii' [-" '' A search of available records in this offic~ and .... ~,~' , oflhe ..... '-' conducted on the subject on-site sewer system re~_ects the systeln will. this time, meet the mh-dmum requirements of this Depar[ment. If you have any questk)ns reg'arding this matter ~],--~,~ co:~t;,,.~ r~:e a~ 276-2221, extension Sincerely, :osepn ~a~r, ~. · ~n:zironmental JB/lw Page Two Department of Health and Environmental Protection ReqUest for Approval of Individual Sewer and Water Facilities Legal Descr Co~mments: ~Ption: Lot 1 Block 3 Broo~wood Subdivision Affadavit Attached: Approved Di sapprov ed Letter Attached: ( ) Department ~orksheet: ( ) Date: Date: %1: Time #2: Time Date Da L c: J ;c., t ,.' Insp _ _ iEnzp ......................... T t', ,~: l; ...... REQUEST FOR APPROVAL OF INDIVit}UA.% SEWER AND WA'i']::I. "~'" T , -,, ~end ing In s t i tut ion Requ e s t: _._S ?_c_u_r_i_t_y_._P_aS i f~ ~c___.~9~..t~9_g_.e~__.%_.._B_0.b- _.I~ ~ .i.~t Z Mailing Address: 1101 East Tudor Road, Suite 190 2. Property Owner: Mailing Address: 3. Lega i Descr i pt J on: __Lo~t 1_ .B_l_g..c_~k__3___B~rg_o~qqd__..~__u)~d__i3zi.~.i. Qn ........... Single Family Residence Multiple Family Residenco: ( ) Well System: Permit # Construction 6. _Sewage Disposal System: On-~Lte Syst,.m', k~ Permit · Septic Tank Size Absorption Area o}.1~, Rat. e Matc~::i_~l Distances: Well to Septic Tank to Sewer Line Nearest I,o~: line to Nearest Lot Line Page -Two Departmen%t of Healt'.h and Request for Approval of !ndivi~lual Sewe)" Legal Description: Lot 1 Block 3 Brookwood Subdivision Comments: This is a corrected loan June 10, 1977. _ ~ sys~§_mthat_~s_gpproved per November 22,..~.~..~_~n...~s~e~ti~on. approval. Thee property is not served by.?k..b_l~_~i.c._~.~._ew_e_.r.., p..~er .... i.n_spection_re~uest submitted to us. The property was approved fo~_09.1s~%~...~e~.~n~..._~u~l~c.water on Ju y 1_~,__1976. The same approval applies to our November · 22, 1976 approval. Affadavit Attached: ( ) I,ctteu Approved: Da t Disapproved: Dat- Do~rtment Worksheot: 3330 GREATER ANCHORAGE AREA BOROUGH ..~,~,~,f.~. 'Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274_4561~¢~' Date Received November 17, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR voa. 1. Approval requested by: First National Ba~.of Anchorage Mailing Address: Post Office Box 4-2090 Phone: 274-1521 2. Property Owner: Joe and Delores Harbin Phone: 344-4325 Mailing Address: 1.901 Dolly Varden Street 3. Legal Description: 4. Location: Lot 1 Block 3 Brookwood 1901 Dolly Varden 5. Type of facility to be inspected Single Family 6. Well Data: A. Type -z-~l.i~z3_~:al B. Depth No. of bedrooms 3 C. Construction D. Bacterial Analysis 7. Sewage Disposal System: Public Sewer A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 2. Material 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines ., Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. AbsorPtion area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHOP. AOE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTIOI~, NOV 7 1976 RECEIVED 1. Type of Inspection: CMRO VA ×××× FHA CONV 2. Property Owner: Joe and Delores Harbin Mailing Address: 1901 Dolly Varden Street Day Phone: 344-4325 3. Name of Buyer: C.D. MC Curry Mailing Address: 4. Name of Lending Institution: Mailing Address: P.O. 5. Name of Realtor or Agent: 3800 Barbara Drive Day Phone: 276-5161 First National Bank of Anchorage Box 4-2090 Phone: 274-1~21 Dick Gainer Mailing Address: 4791 Business Park Blvd, Suite4 Phone: Legal Description: Lot 1 Block 3 Brookwood Subdivision Location: 1901 Dolly Varden Street 276-7894 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility. No. Bdrms. 3 .Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility XXXX Individual (on-site) If Individual, date of installation 72-003(3/76) Page 2 of two pages - Req ,t for Approval of Individual S .r & Water Facilities Legal Description Lot 1 Block 3 Brookwood Subdivision Comments Approved~ ~~C~ Disapproved ~m~-er~m~-~/(b~~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality 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) GREATER ANCHORAGE AREA BOROUGH ~ Department of Environmental Quality . 3330 "C" Street, Anchorage, Alaska 99503 274-4561 /~~ ~ Date Received May 25, 1.,976  ime of Inspection C~..~o~) ~[ y-- Date of Inspection (~- ~,i~ -~- REQUEST FOR APPROVAL OF V.A. 1. Approval~ requested by: Dynamic Realty % Valda Drake Mailing Address: 3380 C Street Phone: 279-7611 2. Property Owner: Joe Harbin Phone: 344-4325 Mailing Address: Star Route A Box 1507, 99507 3. Legal Description: Lot 1 Block 3 Brookwood Subdivision 4. Location: 1901 Dolly Varden 5. Type of facility to be inspected Single Family No. of bedrooms 3 Well Data: A. Type Community System B. Depth C. Construction 7. Sewage Disposal System: D. Bacterial Analysis On-site system S~ F//// ~m-s~%.. A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: B. Installer u. ~. ,~,~'~ ~-w / ' 1. Size /?-~-~ 2. Manufacturer ~e/" 1. Absorption Area ~ ;~9~' 2. Material ~, C'?'~,~', ~ Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/741) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY -3.330 '~-zz~Str~ct, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: .i~,-7"~,~-~ Mailing Address: 3. Name of Buyer: FHA CONV :/-Z;z,5¢~ Day Phone ~-~5/'~'- ~-,5>,~j- Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: ../ Day Phone Phone / Phone Legal Description: ¢;.--~'~ ,/ Location: ~'-'~:" / 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: No. Bdrms. -~,~) Public Utility L~/-'~ ~ :;~;~,~-~:~ 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) EQ-037 (1/74) Page 2 of two pages Re st for Approval of Individual ~r & Water Facilities Legal Description Lot 1 Block 3 Brookwood Subdivision Comments Approved ~-~3/fL~,~~ Disapproved Date ~-/~/~ G /; Approval Valid for one from date signed year reater Anchorage Area Borough, Department of Environmental Quality 7// 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) 172 163 171 ~ 173 178 Rabbit Creek Area Reference Map-P13 19'74 JH If you have a~y quastions regarding =~e abov~ piea~e Sincermly, Sani~arian 06-1220(a) Rev. 1973 DATE I ALA DEPARTMENT OF HEALTH AND SOCIAL SE, ;ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ZiP CODE ADDRESS OF SOURCE Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Sample Collected From [] Kitchen Tap [] Bathroom Tap [] Other (List) [] Basement Tap Well- [] Dug [] Driven [] Drilled SOURCE: [] Spring [] Cistern [] Other Dug Well or Cistern Construction: Walls- [] Wood [] Concrete [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset []In Yard [] Other Building Sewer DISTANCE TO: or Other Drainage Pipe Feet. Tile Seepage Cess- Field_ Feet. Pit Feet. Pool Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? [] Bored Tile Brick or Open Top ~] Concrete [] Under House Septic Tank~ Feet. Feet. Privy ~____Feet. [] Fibre [] Asbestos Cement [] Yes [] No When? Diameter of Well Depth Feet. Well Casing Material Diameter Depth . Length of Water Depth Drop Pipe From Bottom Feet. Offset in In Utility PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No New Source of Supply? [] Yes [] No Repairs to System? [] Yes [] No Signature READ INSTRUCTIONS ON¸ REVERSE SIDE BEFORE COLLECTING SAMPLE 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 am Dale Received Time Received. pm Lab. No, Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc ~4 Hours 48 Hours Brilliant Green 24 Hours 48 Hours EMB AGAR Lactose Broth, 24 hrs. 48 hrs. Gram's stain Coliform Density (Most probable No. per 100cc) MF Results Reported by This analys~s indicates Coliform Organisms to be: Date Absent Present aom, To Wh~.~ it ~,~J' Con~: On-Site 8~ Syst~ Loeat~ On Lot 1, l!loek ~, ~kwood Subdivision. Oe~tlemen~ t~s t~e. me~ th~ minimum ~ui~e~ts of ~i~ Dep~m~t. 27~2F~1. ext~nsion II91. 4.1 Anohoraqe, Alaska ~9501 Lot ~ ~lo~k 3 Brookwood Subdivision tes~. for above, ~lease con~ac~ ~is off~ce a~ 276-2221, B~itarl~ 06-1220(a) Rev. 1973 DATE ALA[ DEPARTMENT OF HEALTH AND SOCIAL SE, ;ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI*PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO NAME ADDRESS CITY ZIP CODE ADDRESS OF SOURCE Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at examination to Tndlcate reI~able results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED ' TIME COLLECTED -~' Sample Collected From J~l-Kifchen Tap [] Bathroom Tap [] Basement Tap [] Other (List) : Well- [] Dug [] Driven [] Drilled [] Bared SOURCE: [] Spring [] Cistern [] Other__ ___ Dug Well or Cistern Construction: Walls--[] Wood [] Concrete [] Metal [] Tile Brick or Top -- [] Wood [] Concrete [] Metal [] Open Top [] Concrete LOCATION: [] In Basement [] Basement Offset [] Under House []In Yard [] Other Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet. Tank Feet. Tile Seepage Cess- Field ___ Feet. Pit Feet. Pool __ Feet. Privy. Feet. Other Possible Sources of Contamination MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Fibre [] Asbestos [] Plastic Joint Material - Type Cement GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Well Casing Material Diameter Length of Drop Pipe Offset in PUMP LOCATION: [] In Well [] Basement On Top [] Of Well [] Other PURPOSE OF EXAMINATIONi Illness Suspected? [] Yes New Source of Supply? [] Yes Depth Feet. Depth Water Depth __ From Bottom Feet. In Utility [] In Basement [] Room [] No [] No Repairs to System? [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Signature BACTERIOLOGICAL WATER ANALYSIS RECORD 06-1220 (b) Rev. 1973 Date Received ' · ~ ~ ~ :.ITime Received pm Lab. No. Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours 48 Hours Brilliant Green 24 Hours 48 Hours EMB __ AGAR Lactose Broth, 24 hrs. 48 hrs.__ Gram's stain Coliform Density (Most probable No. per 100cc) MF Results Reported by Date p.m. This analysis indicates Coliform Organisms to be: Absent Present Farm Approved FHA Form 2573 u.s. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Budget Bureau No. 63-R296.8 Rev. July 1958 FEDERAL HOUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--tO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. Anchor,age, Alaska MORTGAGOR OR SPONSOR PROPERTY ADDRESS Cecil O, Dauphinee Bvook~ood S~diVlsion TOTAL NUMBER: Can ~c ~ o~er ama be made into ~ New installation a~iflonal b~oms? EASEMENT LIVING UNITS BEDROOMS ~ATHS (If Yes, how martyr) WA~R SUPPLY BY: SYSTEM DESIGNED FOR ~ Public system ~ ~mmuniw system ~ Individual No. OF .DRMS. GARSAGE ~DISPOSAL SEWAGE DISPOSAL BYz ~ ~blic system ~ ~mmunity system ~ Individual ~ Yes ~ No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPE~OR'S SKETCH ~_~ - ~ ~ -~.- ~ -~ -~- __~ ..... ~ ,- .... 1~ ~ ~ ~ ~ -- is the Dp Jrt Jan tern with proper maintenmnce: ~ Can ~ expected to function satisfactorily, and ~ ~nnoc be exacted ~o function satisfactorily is not likely to c;eate an insanka~ condkion ~ATE [SIGNATURE /' /', /J / ~ , [TITLE NO~[= The he=lfh =yfhorl~s~ould (omplefe the oppr=~rl=fe opinion sfafemenf ~bove and =~x dale, signafure ~nd rifle in the spaces provided~ / Use of the above grid '~:Health Deportment Inspector's sketch as well as use of the back of this form is at the option of the heal~ authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UN~RWRITER: I have reviewed the foregoing and the ~.inent FHA Compli~lce Ins~ion Repom and recommend that the Individual water-supply system ~ considered ~ Acceptable ~ Not Accep~ble ~wage dis~sal ~ 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 June' 1 .~ 1977 Security Pacific Mortgage 110i East ~or Road Suite 190 Anchorage, Alaska 99507 Subject: Lot 1 Block 3 Brookwood Subdivision ?he Brookwood Subdivision has been declared a health hazard by the Municipal Health Departm~ent. On-site sewer problems in the area have resulted in a planned public sewer line to serve Brookwood Subdivision by the end of I977. The property must be connected when the sewer line is available. This department would 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 pm~ping of the existing system is necessary. During our inspection on ~.my 27, 1977 no sewage overflow was noted. Information regarding costs of the assessments and connection fees is available fron~ Skip Edinger at 279-8686] If there are any further questions, please contact this office at 2~9-2511, extension 224 or 225. Sincerely~ Les N. Buchholz, R.S. Sanitarian LNB/ljh