HomeMy WebLinkAboutSPENARD ACRES Block A Lot 11-B
FHA Form 2573 Form Approved
Rev. Ju~y 1958 FEDERAL HOUSING'ADMINISTRATION
Budgel 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.
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
Ed~a~l R, ~tterm· An~orage~ h~ka
SUBDIVISION NAME ] BLOCK NO. ] LOT NO.
Can aHIc or other ~rea be mode Into
TOTAL NUMBER: BASEMENT New installation additional bedrooms?
....... (If Yes, how many~)
I ~ Z~I' ~ Yes ~ No ~ Yes ~ No
WATER SUPPLY ~Y: SYSTEM DES,GNED ~
~ Public system ~ Communi~ system ~ Individual NO. O~ BDRM5. GARBAGE DISPOSAL
SEWAGE DISPOSAL BY:
~ Public system ~ ,~mmunity system ~ Individual ~ Yys ~ No
Distance fiom well, ~-~
Total liquid capacity,
Inside length, "/ '/.- '
Cesspooh
Distance from: Well,
Inside diameter,.
REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of~ Septic tank, [] Cesspool.
Septic Tank:
/
feet. Material, (" , . e' ~ ( /¢
:7 '/ ,..? gallons. Capacity inlet compartment,_
feet. Inside width, _5" feet. Liquid depth, 5' q ' feet.
Number of compartments
feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,
.feet. Depth,~ .feet. Liquid capacity, .gallons. Lining material
S£rONDARY TREATMENI consists of [] Tile disposal field. J~ Seepage pits. Other
Tile Disposal Field:
Distance from: Well, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,
Total length of tile lines, feet. Number of lines, Distance between lines,
Trench width, inches. Total effective absorption area in bottom of trenches,
Length of each llne, feet. Depth, top of tile to finish grade,
Type of filter material: [] Gravel. [] Broken stone. Other_
Depth of filter material beneath tilea inches. Depth of filter material over tile,
Seepage Pits:
/
gallons.
feet.
feet.
feet.
.square feet,
inches.
inches.