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Home My WebLink AboutLot 07OlZ P, Oo Box 5-283 M~, View~ Al~mka Lot 7, Block 1, Sunny Ac~s The Greater Anchora~e Health District w~ll approw.~ the water well as for ~r. Tom Sun to b~ used on Lot ?~ Block 1, Sunny Acres Subdiv~.?.ion provided ~ha~ a p~ is not use, d and if a p~ is used a p~tles~ e. dapter will be This office will al:~o approve ~he existzn~ s~wage disposal Jince~ely ~ DAVID R, i~, DU?~CAN, 5~.Do ,-~(~cal Directo~ Chlef Sani~p~an "Good Water Our Specialty" TELEPHONE; DI 4-1764 , TEST HOLE NO. ~ A~TI~ ALASKA TESTING LABORATORIE~S'S) W.O. NO. ~ 1940 POST ~OAO BOX 84~ DATE.~- ~-~ ANCNO~A~E FAIRBAN KS TECHNI~AN. ~ PERCOLATION TEST DATA O , ~L CLASS-VISUAL UNIFIED LOCATION SKETCH TEST HOLE LOG APP. TOPO~. FROST GRAVEL SAND SILT CLAY ORGANIC CONTEN? PEAT R~)INO GR08~ TIME NET TIME DEPTH TO H20 NET DROP 0 I $ 4 5 6 ? WATER TABLE FHA Form 2573 Rev, July 1958 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE Anoho~a~ ~ Alaska MORTGAGOR OR SPONSOR SUBDIVISION NAME Sunny Aore~ MORTGAGEE SERIAL NO. ~laeka ~%a%e ~nk 111~009757~0~ PR~P~ ADDRESS BtO~K NO. LO~NO. TOTAL NUMBER: WATER SUPPLY BYz [] Public system SEWAGE DISPOSAL BY~ [] Public system []Yes [--~ No ] New installation Can a~lc or other area be made Into additional bedrooms? (If Ye*, how many~) [--] Communi~ system [] Individual [] Community system [] Individual SYSTEM DESIGNED. FOR I--lYes [] No PART IL--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 tern with proper maintenance: [] Can be expected to function satisfactorily, and is not likely to create an insanitary condition [] Local Department of Health that this individual sewage-disPosal sys- [] Cannot be expected to function satisfactorily DAT~ J SIGNATURE JnTLE NOTE: The health autho~ should complete the appropriate opinion statement above and a~x date, signature end title In the PART Ill.--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 [] Acceptable [] Not Acceptable Sewage disposal be considered [] AccepTable [] Not Acceptable, SIGNATURE CHIEF ARCHffECT DEPUTY FOR CHIEF ARCHIFECT DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev, July 1958 REPORT OF INSPECTION~INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank: Distance from well,__ Total liquid capacity, Inside length, Distance from: Well Inside diameter, feet. Material .fcet. Inside width,. gallons. Capacity inlet compartment,. Ii:et. Liquid depth, feet. Depth, SECONDARY TREATMENT consists of [] Tile disposal field. Distance from: Well, Total length of tile lines, Trench width1 Length of each line, Type of filter material: [] Gravel. Number of compartments . gallons. feet. feet; nearest lot line at [] front, [] side, [] rear, feet. Liquid capacity, .gallons. Lining material inches. [] Seepage pits. Other 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_ Depth of filter material beneath tile. inches. Depth of filter material over tile Supage Plt~: Number of pits ..... Outside diameter, feet. Depth,. feet. Lining material Distance from: Well, feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear. Inaction mad~ by~ [] State. [] County. [] Local Health Authority. Inspected by Date of inspection___ 19 REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main .... feet. Size of main, inches. individual wells [] are [] are not customary in neighborholld. Give most recent record of failure of wells in immediate vicinRy to furnish adequate supply of water Properties in neighborfi~×xl [] are [] are not being deveh)ped 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 well from: Building fllundation, cast iron sewer, feel; tile sewer,. seepage pit, .feet; cesspool, Well construction: Diameter, inches. Total depth, feet. Type of casing, Approxboate depth to pumping level of water in well,_ feet. Approximate yield, 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: [] Sballow well. [] Deep well. Length of drop pipe,, feet. Pump capacity, lx~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. [] I~cal Health Authority. Inspected by Date of inspection 19 feet; nearest lot line at [] front, [] side, [] rear,. .feet; septic tank,. .feet; disposal field,. feet; other sources of possible pollution, ;[eet. Depth of casing,. _gallons per minute. _gallons per minute. .feet, feet; _feet. , 19__ ~ ~ ~ ~ REQ APPROVAL OF - ~-~ INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Tmipllcate) %~. ~am~of person requestin~ approval.. . 2. ~an~ of property~owner 3. [~a] de ~riptlon · 6, Numbex-of ~dx.ooms in house Analysis: a. b. Detemgent Well data: d. Distance from well to closest existing Om pmoposedl: ~' 1. Sewer llne ~}f~ 1 4, Cesspool~ 5. Propem%y Line. ~/~ / . OtheP sources of possible contaminaTion~ i.e.~ creeks, iakes~ houses~ barn, dpalnage ditch, etc. Sewage disposal system. bi' Septic tank capacity in gallons· c. Name of septic tank manufactu~em 1. If "home made" show diagram on ~eve~se ~ide of this fo~m. Percolation f. Percolation Test performed by ~ Use the reverse ,side of this form to show diagram. Diagram~ should include ~.the fo]3~owing information: p~operty lines~,well location, house location, v~[~tlc tank location, disposal area location a~d direction of ground slope. 9. The ~r~o~r~t[on Dm this form is true and Correct to the best of my knowledge. Signature of ^pplican~ Date Signed T_O._B_E__FILLED OUT BY HEALTH DEPAET~,~ENT PERSONNEL above described sanitary faeillties are hereby approved, subjec~ to the ~6~llowin? conditions: "-- Conditione: The above descmibed sanitary facilities are disspproved for the following ~easons: Date .~7- ]~ '- Approval is valid for one year following the date of approval. CPJ: cw DATE r ~'~ARTMENT OF HEALTH AND WE~/LRE ~ DIVISION OF PUBLIC HEALTH BACTERIOLOGICAL WATER ANALYSIS REPORT RESULTS TO NAME '" ' '~ " READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Lab. No. OFFICE Records in thls office indicate thls WATER SUPPLY to be of: Satisfactory [] Questionable ~] Unsafislaclor¥ Sanitary Status, , '~nalysis shows this Water SAMPLE Io be: [] Sallsfaclory [] Questionable [~ Unsatisfactory. ff an "Unsatisfactory" or "Queslionable" status is indlcaled above you should fake immediate actlon as recommended below. 1. Notify consumers water is polluted. Boil or chemically lreat this water as outlined in Ihe enclosed leaflel "Drink Il Pure." 2. Increase chloHnatlon suUiclenlly to meet recommended residual standards. Determlne source o~ contamlnalion and fake action necessary to main~aln a safe water supply at all flmes. '~. Check chlori~annn and ol½er mechanical equipment. Make certain [t is funclloning properly. 4. If alter checking equipment a disJnfeclJng residual is not obtainea, please wire this o{~Jce for emergency assistance or advisory servlces 5. This Js a surface water source and subject to pollution by man and animals. An approved waler supply source should be developed. 6. Improve your E] spring [~ dug well ~ driven well [~ drilled weU [] cistern. 7. Relocate your well to e safe ~ocalion n re~afionshio to your sewage disposal syster~ ~] see enclosure 8. Sample too long in Iransif: sample should not be over 48 nours old a~ examination to indlcole reliable results, please send new sample. [~ BotUe Broken in transit, olease send new sample. 9. Contact your nearesl [~ Local Heallh Deaartment o~ [] Alaska Division of Public Heallh. sanitation office for bulletins, consulfatlon and SANITARIAN'S REMARKS BACTERIOLOGICAL WATER ANALYSIS RECORD Laclose Brolh . - ' 10cc t0cc 10cc 10cc J 10cc 1.0cc 0.1cc I 24 hours . EMB AGAR Lodose Bro~h, 24 hrs. 48 hrs.. Gram's stain Col!form Densily .(Most probable No. per 100c¢.) MI: results