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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-~,'-' )~'