HomeMy WebLinkAboutBROOKWOOD BLK 4 LT 2
FH~ No. ~f~
Location, Lot ~ ,Block
ALASKA T E S T LA P
1940 Post Road
Anchorage, Alaska
T.H. NO.
Tech.. ~C. ~".
,Subdivision
Sheet
WO No. , '7~7~ _
Date_
De pth
Fee t
PERCOLATION TEST DATA
Soil class
Visual - Unified
Location Sketch
Reading Date Gross Y. lme Net Time Depth'to .t20 Net Drop
Percolation Eate 1"/ C.5' Minute.
TESTING · EXPlORAtION · CHEmiCAL · MATERIALS · INSPECTION
503 E. 6TH AVE.
ANCHORAGE, ALASKA
99501
PHONE 272-3428
May 9, 1969
Mrs. Gloria Moore
Box 1983
Anchorage, Alaska
99501
SUBJECT:
Lot 2 Blk. 4 (FHA 8149), Lot 4 Blk. 4 (FHA 8147)
Brookwood Subdivision, Percolation Tests
Dear Mrs. Moore:
The subject tests were performed on 8 May 1969.
appears on Sheet§ I and 2 of 2 attached.
Test data
As shown on Sheet 1 of 2 attached, test A was started to see
if a faster percolation rate could be obtained in the area of
Lot 4. The percolation rate was determined to be the same as
test #1 and test A was therefore discontinued after 120 minutes.
Very truly yours,
'S'l~eFhen Sklute, P. E.
Staff Engineer
Attachments
SS:ld
3330 "C"
Department of Environmental Quality
Street, Anchorage, Alaska 99503 274-4561
Date Received ~/~
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval'requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
Location:
Type of facility to be inspected
Well Data: ~
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
Size
Absorpti on Area
No. of bedrooms
B. Depth
D. Bacterial Analysis ~ ~ ..~ .......................... '~
// / Ii ' I
B. Installer
/
/) 4..~ 2. Manufacturer
d
2. Material
E. Disposal Field: 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-G34 (1/74) Page 1 of two pages
Page 2 of two pages - Req_.~st for Approval of Individual S ar & Water Facilities
~Legal Description
Comments
Approve~.~ ~ ._~~t/j.~,~/Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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 ARk,', BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503'"':' 274 4561
RECEIVEI~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
fl, R 2 1974 PM'
· GREATER ANCHORAGE AREA BOROUGH
DEPT. OF ENVIRONMENTAL QI~,I, ITT
Type of Inspection: CMRO VA ×xxxx FHA
Property Owner: Jerr7 Virchow
Mailing Address: NHN Rainbow D~±ve, Anchorage,, Day Phone
Alaska
Name of Buyer: $ilas Ha61e~
CONV
Hailing Address: 1200 w. Dimond Blvd, AnchorageDay Phone
Alaska 99502
Name of Lendi,g Institution: First National Bank of Anchorage
POO. Box 720
Mailing Address: Anchorage, Alaska,. 99510
Name of Realtor or Agent: Professional Realty
Mailing Address: 507 w. Northern Lights Blvd
Phone 279-4481
Phone 279-8551
Legal Description: Lot 2, Block 4, Brookwood
Location: ,~
7. Type of Facility to be inspected: House
8. Water Supply
Type of Supply: Public Utility x~x Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal. System
Type ,of S~stem: Public Utility Individual
If Individual, date of installation
No.. Bdrms. 3
(on-si te). XX×X
~#A F~l'nql 2~'7~'11 , ' ' u.S. DEPARTMENT OF HOUSIN3 AND URBAN DEVELOPMENT Farm Ap~'eved '
Rev. July 1958," - .~udget Bur,,au No. 63-R296.8
.~- .... FEDERAL HOUSING ADMINISTRATION
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
'~NSURING OFFICE MORTGAGEE SERIAL NO.
MORTGAGOR OR SPONSOR PROPERTY ADDRESS ~'v' ?~: ,
[] Can alflc or other area be made Into
TOTAL NUMB~R~ BASEMENT New installation additional bedrooms?
LIVING UNITSBEDROOMS BATHS
(if Yes, how many~)
3 ¥es r-Iso I--lYes
WATER SUPPLY BY, 'SYSTEM DESIGNED FOR
r,'J Public system ~ Community system J--J Individual .o.
SEWAGE DISPOSAL BYz
0 Public system 0 Community system ~ Individual ~2 0 Yes D No
PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
..,
'_..~ .., '- -~-- -- ~_~_
.... .._ __..~ . ........ ~-- ~--.. ~ ~--
...... '~ t-- ~--~- -
..... -~ ~-. -t--- -,- , ~- -
J -- ~_
.
It is the opinion of the ~] State F-] County . .F'~L°cal Department of Health that this individual
water-supply
[~t is 1-'] is not satisfactory as a domestic water supply for the subject prOperty.
It is the opinion of the F"] State 1~ County ~ Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
[~ Can be expected to function satisfactorily, and, 0 Cannot be expected to function satisfactorily
is not likely to create an insanitaryKf~ndition
-~ATE J SIGNATURE TITLE
I
NOTE: The health authority should· complete 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 ac 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 pertinent FHA Compliance Inspection Report, and recommend that the
Individual water-supply system be considered O Acceptable O Not Acceptable
Sewage disposal be considered r-] Acceptable O Not Acceptable.
DATE
SIGNATURE
~ CHIEF ARCHITECT
O DEPUTY FOR CHIEF ARCHITECT
'IIALTH AUTHORITY APPROVAL FHA Form 2573
INDIVIDUAL ,TlR SUPPLY AND SEWAGE DISPOSAL . ~TEM R.,. Jay ~9S8
REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
Inside length,.__
Cesspool:
Distance from: Well,
Inside diameter,
PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool.
Septic Tank:
Distance from well, feet. Material,
Total liquid capacity,
feet. Inside width,
feet; foundation,
feet. Depth,.
~CONDARY TREAT~NT consists of [] Tile disposal held. [] Seepage pits. Other.
Tile Diapoaal Field:
Distance from: Well,
Total length of tile lines,.__
Trench width
Length of each line
Type of filter material: [] Gravel.
Depth of filter material beneath tile;I
Seepage Pits:
Number of pits ..... Outside diameter,
Distance from: Well,
Inspection made by: [] State.
gallons. Capacity inlet compartment,
f~et. Liquid depth,
Number of compartments
gallons.
feet.
Date of inspection__._
feet; nearest lot line at [] front, [] side, [] rear,
feet. Liquid'capacity, gallons. Lining material
__ feet.
feet.
square feet.
inches.
feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,
__feet. Number of lines, Distance between lines,
inches. Total effective absorption area in bottom of trenches
feet. Depth, top of tile to finish grade,
[] Broken stone. Other
inches.
feet. Depth,
Depth of filter material over tile
feet. Lining material
inches.
feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear,
[] Cx~unty. [] Local Health Authority.
Inspected by
19.__
(TITLE)
REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM
Distance to nearest public water main, __ feet. Size of main, inches.
Individual wells [] are [] are not custo~nary in neighborhood.
Give most recent rc<ord of failure of wells in immediate vicinity to furnish adequate supply of water
Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems.
Lot size: feet wide ..... feet deep. Dwelling set back from front property line, feet.
Individual water supply t?om: [] Drilled well. [] Driven well. [] Dug well. [] Bored well.
Distance of woll from:
Building foundation
cast iron sewer
seepage pit,
Well construction:
Diameter,
feet; tile sewer,
feet; cesspool,.
inches. Total depth,
.feet; nearest lot line at [] front, [] side, [] rear,.
f~et; septic tank,, feet; disposal field,
feet; other sources o£ possible pollution, i'eet.
Approximate depth to pumping level of water in well,
Sealed watertight to depth of feet.
Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill.
Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No.
Pump: [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity,
[x)cated in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit.
Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No.
Type of storage: [] Pressure. [] Gravity. Capacity, gallons.
Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date
Quality of water [] is [] is not satisfactory for human consumption.
Installation [] does [] does not comply with approved exhibits, if any.
Inspection made by: [] State. [] County. [] Loc'al Health Authority.
Inspected by
Date of inspection 19
feet. Type of casing Depth of casing,
feet. Approximate yield, .gallons per minute.
gallons pet minute.
(TITLE)
feet;
feet.
HUD-Wa.fi., b. C.
GAAB-HD-I
GRF~TER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION '~//~[/.~_ ~,,~?/~'
SEPTIC TANK:
DISTANCE FROM WELL
ADDRESS ~ )~
LEGAL DESCRIPTION '~ c:~ ,,~'~
PHONE
MATERIAL
INSIDE LENGTH
O NUMBER OF
COMPARTMENTS
INSIDE WIDTH
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 FIELD:
NUMBER OF LINES ~'~
FOUNDATION
DISTANCE BETWEEN LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
TRENCH WIDTH
SQ. FT. LENGTH OF EACH LINE
~ DEPTH OF FILTER MATERIAL BENEATH TILE
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE
WELL:
LOT LINE
TYPE
DISTANCE FROM WATER
DEPTH BUILDING FOUNDATION SAMPLE NEAREST
NEAREST SEPTIC SEEPAGE OTHER
SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES~
DISTANCES: /
DIAGRAM OF SYSTEM
DATE
HEALTH AUTHORITY
GAAB.H O.2, '
GREATEIt ANCHORAGE AREA ~k ,)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 270-2511
Case No. ~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIOENCE ADBRESf~._'~//7 ~~~
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
F,N^NCEO T.ROUG. ~ )5 &
/
PERCOLATION TEST RESULTS '~::;~"-5--~//V//YA/C-.~ ANTICIPATED DATE OF COMPLETION
/~r'T' /.. ~ ~;?"~'TY BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
MAILING ADDRESS ~//~ PHONE N.O~
/ ,, SEEPAGE PIT ,DRAIN FIELD ~ ,OTHER
THIS IS TO SERVE AS ~..,~.Z '/~'/~~~ PERMIT TO INSTALL A
AS BESCRIBEB BELOW. SIZE OF UNIT TO BE SERVEB
.SEPTIC TANK SIZE/'~:)~:7~::~) TYPE ~-~-~
DISTANCES:
SEEPAGE AREA ,:~;'-~7/TYPE
BIAGRAM OF SYSTEM
alt~-Authority -
e~8
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinanc and that the
above described system is in accordance with said code.
DATE ~/"~/') '
,~,-~---///?///~ ¢ APPLICANTSSIGNATURE.~'A'~-'~&~"Y-~,'-' )~'