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HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 6 LT 3 ~. FHA Form'25?3 ~ FEDERAL HOUSING ADMINISTRATION ~ Form Approved Budget Bureau No. 63-R296,B Rev, Jut¥ 1958 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM INSURING OFFICE PART I.--TO BE COMPLETED BY FHA MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR U BDIVISION NAME TOTAL NUMBER~ BATikS BASEMENT [] New installation WATER SUPPLY BY: [] Public system [] Community system SEWAGE DISPOSAL BY: []Public system [] C~mmunity system PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT PROPERTY ADDRESS ,P, ~e o££ Palmer ~igh~y on ~ ~ioad Can a~ic or other area be made Into additional bedrooms? (If Yes, ~ow ~ Individual No. O~ 8O~MS. OARBAOE ~'S~OSAL ~ Individual ~ ~ Yes ~ No 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 DATE SIGNATURE ]Local Deparunent of Health that this individual sewage-disposal sys- ]Cannot be expected to function satisfactorily 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 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 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 disposa~l be considered [] Acceptable [] Not Acceptable. SIGNATURE CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT DATE H~'~LTH 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, 69 feet. Material,. ~6~'1 Number of compartments ~ Total liquid capacity, ]..000 gallons. Capacity inlet compartment,, gallons. Inside length, .feet. Inside width, feet. Liquid depth, _feet. Cesspool: Distance from: Well, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,_ feet. Inside diameter, feet. Depth,. feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field. ~1 Seepage pits. Other Tile Disposal Field: Distance from: Well,. Total length of tile lines,. Trench wldth~ Length of each line, feet; foundation, feet; nearest lot line at [] front, [] side, [] rea\, feet. .feet. Number of lines, Distance between lines,, feet. inches. Total effective absorption area in bottom of trenches, square feet. feet. Depth, top of tile to finish grade, inches. Type of filter material: [] Gravel, [] Broken stone. Other. Depth of filter material beneath tile,v inches. Depth of filter material over tile,, inches. Seepage Pits: Number of pits~_. Outside diameter~ [¢~1'~ feet. .Depth,. 6 feet, Lining material Distance from: Well,. ~0 feet; building foundation, ~3 feet; nearest lot line at ~ front, ~ side, ~ rear,. ~ feet. Ins~ctlon made byz ~ State. ~ ~unty. ~ I~cal Health Author[w. Inspired by. }3~0 l), ~d~ Date of inspection [{0~ ~)~ . 19~~: Beg~on~ REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, ~a"ll~rlO; Ilfeet' Size of main, inches. Individual wells [~ are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to l~rnish adequate supply of water Properties in neighborhood ~] are I~are not being developed with both individual water-supply and sewage-disposal systems. Lot size:. ~100 .feet wide, '~0 .feet deep. Dwelling set back from front property line, ~ .feet. Individual water supply from: [~Drilled well. [] Driven well, [] Dug well. [] Bored well. Distance of well from: Building foundation!.,0 3,'J feet', nearest lot line at [~front6~] side, [] rear, cast iron sewer, ' feet; tile sewer,. .feet; septic tank, ---- feet; disposal field, seepage pit, J.l, JO -feet; cesspool, feet; other sources of possible pollution, i]olrlo feet. Well constructlon~ Diameter, inches, Total depth, Approximate depth to pumping ~.~of water in well, Sealed watertight to depth of~.,a~ feet. s~eel feet~dFype of casing, ~ld~qll~.~D~mh of casing, feet. Approximate yield, gallons per minute. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [~ Ordinary backfill. Well coo,.15,~i~1¢~.~ [] Wood. [] Metal, Openings in well cover watertight: [~ Yes. U1 No. Pump: [] Shallow well. [] Deep well, Length of drop pipe, ~ UfflKI1OWll feet. Pump capacity,, gallons Located 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, }l~ gallons. Has bacteriological examination of water been made? [~ Yes. [] No. If answer is "yes," give date ,3/1. 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. Date of inspection per minute. in uell ,19 [] Local Health Authority, Inspected by B~IAO~ D. Ad'ns 3/1/60 19 Regional Sanitarian /~/ feet~ -feet; feet. 6o TO: The Files ¢ SUBJECT: Eagle River FHA - Pending Existing Two (2) Bedroom House Mm. Harold D. Paddock - Owner/Occupant P. 0. Box 1686, Anchorage - Phone Eagle River 694 2286 Lot 3, Block 6 Walter Pippel Subdivision "Brown House - Yellow Trim" on Park Place Lot dimensions - 100' x 135' Existing house 2-3 years old visited, not "inspected" on February 17, 1965 - heavy snow cover. Distances visually estimated. Water and sewage systems~ materials, and specifications set forth as described by owner/builder/occupant. No exposed or excavated sewer system inspection possible. Water System - Not acceptable without modification - existing pump/well pit not permitted. Well-102 foot drilled well, 6 inch casing. Water sample taken Februamy 17, 1965, o.k. Location, o.k. Outside 10+ feet from line System will be acceptable if pitless adaptor, submersible pump and ~2+ gallon pressure tank installed~ present well cmibbing removed, well casing annular space properly sealed and pit excavation backfilled and graded to dmain. Private Premise Sewer System - Such systems generally in use in neighboring area. Subdivision soll percolation generally good. G~avel infor~ation obtained from building material supplier - "Genemal Supply Co.V Septic Tank-750 gallon steel UL appmoved-Seal number not available. Mfgr. UL o.k.'d Martin Marietta Tank Company~ Seattle Washington. Sewer Lines-Cement asbestos - acceptable Septic Tank-750 gallon steel 10+ feat from foundation wall. Seepage Pit-8'x 8'x 6'Log crib 25 feet from foundation wal~ 10+ feet from nearest lot line. No history of malfunction. System accepted as satisfactory - with proper maintenance - should function properly and not create unsafe or unhealthy conditions potentially causative of disease, 18 February 1965 Federal Housing Administration Alaska Insuring Offfce P. O, Box ~80 Anohorage~ Alaska 99501 Attentton~ Loan ~ua~autee RE'. Lot 3, Block 6 Walte~ Pippel Subdivision Eagle River, Alaska Dear Sl~: ~ A properly designed and installed individual sewage system can he expected to function satisfactorily on the property ~aptioned above. Individual sewage systems a~e common to the area. No area wide Sewage system exists. A water sample f~om the private water well on this property colleeted February 15, 1965 flor, bacte~iologfeat ana~ysts was satts~aetOr~. Very t~uly yours, John R, Kuhn Regional Sanitarian JRK~rsa 18 Feb~ua~y 196~ Mm. Harold D. Paddock P. O. BoX 1686 Anchorage, Alaska 99501 RE: Lot 3, Block 6 Walter Ptppei Subdivision TwO (2) Bedroom HoUse Dear Mm. Paddock: This is in regard to your request fo~ an inspection of the exlsttn~ private water and sewage systems located on the above listed property for the purpose of securing FHA approval. The water system cannot be approved because the unacceptable pump pit and the under- sized pressure tank do not meet ~equtred standards. This system can be re-inspected and approved sub]ent to the following modifications. 1. Addition of a "pitless adaptor" to your well. Relocation of you~ pemp and pressure system. A submersible pump is suggested. Installation of a pressure tank of at least 42 gallon capacity- (FHA requfrod minimum). Removal of existing pit c~ibbtng. Filling armular space between well casing and earth wall of well with cement grout to a depth of 10 feet. Backfilling well pit excavation, compacting and sloptn~ to drain. The 750 gallon steel septic tank/log ~Ib seepage plt ae~age system presently on site will be accepted as is p~ovlded that further ~' ~:'~: 4~n~peetio~ aftem melting Of existing mow cover does not reveal any malfunction and if yo~e this office with a notarized statement dss~ibtng the installation and itemizing details, materials, and specifications, Very truly yours, JRK:Paa John R~ Kuhn Regional Sanitarian