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Home My WebLink AboutLot 04 #1: Time Date MUNICIPALITY OF ANCHORAGE DEPARTMEN, OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage. Alaska 99501 264-4720 #2: Time Date Received: . Apr%l 17,, 19~8 #3: Time Date Date Insp Insp Insp FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Mailing 2. Propert~ Mailing 3. Legal De 4: Single ~ Multiple 5. Well Sys Permit Construc 6. Sewage D Permit # Septic T Absorpti Distance to Sewer to Neare ~tion Request: Amfac Mortgage Corporation 705 West 6th Avenue, Suite 201 Phone: 277-8~88 : John Knight Phone: ddress: % Alaska Associated Realty, Cloyd Moser 274-3556 ~cription: Lot 4 Block 3 Brookwood Subdivision 1~1~ 'uolly~v~redn Avenue ~ ~~ ~nily Residence: (x) ~amily Residence: ( ) ~em:' Individual well ( ) ~ Depth of Well ~ion posal System: On-site System (x) Installed i~k Size Manufacturer ~ Area Soils Rate .~. ,.. Well to Septic Tank ~ine Nearest Lot line t Lot Line Number of Bedrooms: Four Number of Bedrooms: Community/Public System Well Log on File ( ) Bacterial Analysis Public Utility ( ) Installer Material to Absorption Area Absorption Area MUNICIPALII'Y OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. 'Type of InSpection' 2. Property dwner: do_h__n__K_n i g ht VA xxxxx FHA. Mailing Address:_~_/_O Alaska Associated R.e_alty Day Phone:. CONV 3. Name of Buyer: Donald F. May Mailing Address:546 W. 19th Ave Anch 99503 Day Phone: 4. Name of Lbnding Institution: ,..AMFA_C MORTGAGE CORPORATION Mailing Address: .... 705 W. Sj_xth Ave,, Suite20])hone: 277 5. Name of Realtor' or Agent: ~. C]oyd~ Moser 278 3938 8588 Mailing Address:_ZL4§~_~_ Par_k Blvd 99503 Phone: 274 3556 Legal Descripton:__l-ot 4, Block 3, Brookwood Subdivision Location __1915 Dolly Varden Avenue Anchoraqe, Alaska Type of Facility to be Inspected:___s...ingl e family dwel 1 ing Water Supply Type !of Supply' Public UtiPftv~XXXXXXXX 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_ No. Bdrms.____4 _ Individual Individual (on-site)_ X-XXXX 72-003(3/76) MUNICIPALITY OF ANCHorAGE D~Pi'. OF HEALTH & ENVIRONMEN i Ai. ECEIVED Page. Two Req~ Legal Descr~ Comments: ! Department of Health and Environmental Protection list for Approval of Individual Sewer and Water Facilities : Lot 4 Block 3 Brookwood Subdivision Affadavit At' Approved: Disapproved: Department W( Letter Attached: ( ) Date: ~Tksheet: Date: April 21, 1978 Alaska Associated Realty % Cloyd ~os~r 4467 Business Park Boulevara Anchorage, Alaska 99503 SubJeetl Lot 4 Block 3 Brookwood Su~ivision John Knight Property Tem~rary approval may be granted if the mubject Uroperty connects to the pubXic sewer when it be~a~s available. 5~nies should be escrowed to oovur the ¢~t of the ~onnection. If ther~ are any further questions, please contact this offic~ at 264-4720. Sinc~r~ly, Robert C. Pratt, R.S. Sanitarian ReP/lib Amfac Mortgage Corporation 705 West 6th Avenue Suite 201 99501 C, AAB-HD-I GR I'ER ANCHORAGE AREA BOROI D,-eARTMENT OF ENVIRONMENTAL 0.UALI'I Y 3500 TUDOfi ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: ADDREssMAILiNG /('j~/,.,,~- /~,,,,//_/i/]~1~_t~/~/.~ PHONE LEGAL DESCRIPTION DISTANCE FROM WELL LIQUID CAPACITY /'cq~O.. GALLONS. MATERIAL NUMBER OF I COMPARTMENTS INSIDE LENGTH ~' INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_ LINING MATERIAL NEAREST LOT LINE TILE DRAIN FIELD:i DISTANCE FROM WELL O(~ltlmiiz]/~/ FOUNDATION/tjp/;~, ~I' . , NEAREST LOT LINE /~ NUMBER OF LINES _~__ DISTANCE BETWEEN LINES 2 TRENCH WIDTH ABSORPTION AREA__ t~OO0 ' SQ. FT. LENGTH OF EACH L NE ~ J~'/ '~' '/~ -~ ~-----~' ' DEPTH: TOP OF TILE TO ~INISH GRADE iO/O~°X. ,~ 'J~L°-:~' DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE DISTANCE FROM WATER WELL: TYPE [IJ~j~J~ltl2l~'J/, DEPTH , BUILDING FOUNDATION._ SAMPLE ! NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINE TANK , SYSTEM , CESSPOOL NEAREST OTHER , SOURCES DISTANCES: ¢l lC(El-titb t-'t(-t.t~ DIAGRAM OF SYSTEM DATE i/,',/(/'72 G.A.A.B. % "~'"D zt FHA F;rm 2573 Form Approved .,ev. 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. ~ l,~t,~mm], ~ or AnoboF88o MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISION NAME ] BLOCK NO. LOT NO. , TOTAL NUMBER~ Can a~Jc or other area be made into .... BASEMENT ~ New installation bedrooms? ~ (If Yes, how many~) WATER SUPPLY BY: SYSTEM DESIGNED FOR ~ Public system~l ] Communi~ system--~ Individual No. OF BDRM$. GARBAOE DISPOSAL SEWAGE DISPOSAL BY: ~ Public system ~ ~mmunity system ~ Individual a ~ Yes ~ 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 ~ 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 tern with proper maintenance: ~ Can be expected to function satishctorily, and ~ Cannot be expected to function satisfactorily is not likely to create an insanita~ condition DATE SIGNATURE TITLE NOTE: The health authority should complete the a~proprlat~ oplnlon statement above and affix date, signature an~ title in the spaces ~rowid~d. Use 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 the health authority. PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pe~inent FHA Compliance Inspe~ion Repom and recommend that'the Individual water-supply system be considered ~ Acceptable ~ Not Acceptable ~wage 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 FHA NUMIIR ....... .~ lOlL. CLAIIS-VIIU,~L-UNIFI~D" -_ I,~TION 9KETCH - - SILT ........ CLAY ..... ' ORGANIC PEAT WATER TABLE