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HomeMy WebLinkAboutWENTWORTH BLK 2 LT 25 April 14, Mr, George MeKenzio 3301 {i. 32nd Avenue Aneho~,ago, Alaska 99504 it has been brout~ht to our attention that public sewer is available to Block 2, Lot 25, Wentworth Subdivision, Aeoo~ding lo Greater ~'daehoral~e Area Borough Ordinance, Chapter 16, Article 1B,4B, Section 18,45,050: "Septic tank-seepaCe systole sewage disposal facilities shall not available within~v~nty said premises .. Tho Greater Anchorage Area Borough Public ?~erks Depariment'~has checked their r~eords and tfiey indicate that your structure(s) is not connected to tho sanitary s~er. Would you please cheek your records to verify that the structure (s) is or in not oonneeted ~nd notify u~ immediately ti your records indicate that a e~neetion ba~ been made. If we do not hear from you within seven (7) days, we will assume that ou~rcoords are e. orreet. We, therefore, request you connect any a~ MI ~tPuetuvos located on the subject p~po~y to public ~ewer by August 24, 19~5 You must itpply for a connection psrn~lt from the permit officer for the Oreater Anellor~ge Aroa Boroul~h, ~§00 East Tudor lload. If you have any questions regarding th~ above, please do not hesitate to contact tho permit officer M ~70-8686, e~ensi~ 259, o~ the Department of ~nvironmental Qualt~ at 274-4561, extenMon 141. Sincerely, I~ Buehhols, R .$. Snnitarlan 1 LB/lw RECEIPT FOR I[;EI~rI'IFII~D iViAIL--30c (phms po:stage) SENT TO POSTMARK OD DATE STREET AND NO. ~STATE AND ZIP CODE NO INSURANCE COVERAGE PROVIDED-- 3800 Apr. 1971 NOT FOR INTEIINATIONAL MAIL FHA Form 2513 ': .... FEDERAL HOUSING ADMINISTRATION ' Budge1 Bureau No. 63-R296.8 · HEALTH AUTHORBTY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEJ~ PART I.--TO BE COMPLETED BY FHA DLiPLiCA, i~ MORTGAGEE ' ~ SERIAL NO, MORTGAGOR OR SPONSOR PROPERTY ADDRESS SUBDIVISI~DN NAME BLOCK NO. LOT NO. BASEMENT Can attic or other area be made into additional bedrooms? (Il' Yes, how mon~) WATER SUPPLY BY= Public system [] Community system [] Individual SEWAGE DISPOSAL BY: [] Public system [] Community system [] Individual SYSTEM DESIGNED FOR NO. OF BDRk~S, GARBAGE DISPOSAL []Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT 'IEALTH DEPARTMENT INSPECTOR'S SKETCH JJJJlJ IIII IJllll IIIIIIIII IIII II"'"' I IIIII I II Iii I II II I JJ Jl I IIII Il II II J I II II I *"'"'""""11 '"'""1" ""' ,,,,,,,,,,,,,~,1~,, IIII ,,,,,,'"'~' IJlJJJlllll IllJl ,,,,,,,,, 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 tern with proper maintenance: [~Can be expected to function satisfactorily, and is not likely to create an insanitary condition ..Tune 24m 1970 [] State [] County [] Local Department of Health that this individual sewage-disposal sys- J--J Cannot be expected to function satisfactorily TT~L~vi~Bt~J. JJ~Jt~Lt, h ~IJ~J'v:J~oJ' NOTE: The health au~hori~t~should complete the appropriate opinion statement above and af~x date, signature and.~ title in the spaces provided. Use of the above grid for Health Department inspector's sketch as well as use of the back Of this form is at the option Of the health authorlty. 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 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT 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, Cesspoofi Distance from: Well, Inside diameter~ .feet. Material,. gallons. Capacity inlet compartment, fleet. Inside width, feet. Liquid depth, feet, feet; foundation, feet. Depth,. SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other TIIo Disposal Field: Distance from: \Veil, Total length of tile lines,. Trench width, Length of each line, gallons. feet; nearest lot line at [] front, [] side, [] rear, feet. Liquid capacity, _gallons. Lining material feet. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. .feet. Number of lines, Distance between lines, feet. inches. Total effective absorption area in bottom of trencfies, square feet. feet. Depth, top of tile to finish grade, inches. Type of filter material: [] Gravel. [] Broken stone. Other. Depth of filter material beneath tEl% inches. Depth of filter material over tile inches. Number of pits , Outside diameter,, feet. Depth, feet. Lining material Distance from: Well, feet; building foundation, __ feet; nearest lot line at [] front, [] side, [] rear. feet. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by. 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 neighborhood. Give most recent record 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 front: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of well from: Building foundation, cast iron sewer, seepage pit, Well con~tructlom feet; tile sewer, -feet; cesspool, feet; nearest lot line at [] front, [] side, [] rear, feet, feet; septic tank, feet; disposal field, .feet; feet; other sources of possible pollution,, feet. Diameter, inches. Total depth, .feet. Type of casing, Approximate depth to pumping level of water in well, feet. Approximate yield, Sealed waterfight to depth of feet. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinar~ 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,. 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,. 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. [] Local Health Authority. Inspected by Date of inspection ., 19 Depth of casing, feet. gallons per minute. 19 gallons per minute. FHA Form 2573~ / ~ ~/ Form Approved HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.~TO BE COMPLETED BY FHA INSURING OFFICE Anahoz~ge, MORTGAGOR OR SPONSOR l~u/.ton C. Robeson SUBDIVISION NAME MORTGAGEE l~tr~ L~ede~l Savtn~ & Loan Aesn. PROPERTY ADDRESS 3301 ~. 42nd; SERIAL NO. 10736 ~ent~th TOTAL NUMBER: BATHS LIVING UNITS BEDROOMS WATER SUPPLY BY: [] Public system BASEMENT J~New installation ]Community system Can attic or other area be made into L additional bedrooms? (If Yes, how m~ny~) Yes No SYSTEM DESIGNED FO~ [] Individual .o.; B~US. O^ReAOt o~s~c~s^t [] Individual [] Yes [] No SEWAGE DISPOSAL BY: --J Public system ]Community system PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPBCFOR'S SKETCH IIIIIIIII I IIII IIIJJlll III Illll III Illilll IIIIIIIIIIII jjJl Illlllll IIIIIIIIIIII II IIIIJlll JlJlJJJJJJJJ 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 rem with proper maintenance: J~Can be expected to function satisfactorily, and is not likely to create an insanitary condition rx-1 Local Department of Health that this individual sewage-disposal sys- ]Cannot be expected to function satisfactorily NOTE: Tho 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 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 disposal be considered [] Acceptable [] Not Acceptable. ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rr~v. 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, Cesspool: Distance from: ',Veil, Inside diameter, feet. Material, Number of compartments gallons. Capacity inlet compartment, gallons. feet. Liquid depth, .feet. Inside width, feet. feet; foundation, feet; nearest lot line at [] front, [] sidc, [] rear, fcet. feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other Tile Disposal Field: Distance from: ',Veil,. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Total length of tile lines, .feet, Number of lines, Distance between lines,, feet. Trench width,, inches. Total effective absorption area in bottom of trenches, square feet. Length of each line, feet. Depth, top of tile to finish grade, _inches. Type of filter material: [] Gravel, [] Broken stone. Othee Depth of filter material beneath tile. inches, Depth of filter material over tile, inches. Seepage Pits: Number of pits__. Outside diameter, feet. Depth,. feet. Lining material Distance from: NV/ell, feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by Date of inspection , REPORT OF INSPECTION~INDI¥1DUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give most recent record 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. hldividual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of well from: Building foundation, cast iron sewer,. seepage pit, Well construction: feet; tile sewer, -feet; cesspool, feet; nearest lot line at [] front, [] side, [] rear, feet, feet; septic tank, feet; disposal field,. .feet; feet; other sources of possible pollution, feet. Diameter, inches. Total depth, feet. Type of casing, Approximate 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: [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly ch-ained: [] 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. [] Local Health Authority. Inspected by Date of inspection. , 19 Deptfi of casing, gallons per minute. gallons per minute. , 19 feet. I ~'5~ ~.~1~ ~/ INDIVIDUAL SEWAGE AND WATER FACILITIES ~ ~ ~ ~ (Fill out in Triplicate) ~j l~a~ ~of person ~eques~ng approval 5 · -Wate~x3%n~ls~is: a. Bac~temi~f[ b. DetePgent, We2_l da~ a: a. Type~. c. Casing Size de Distance from well to closest existing~ om proposed: 1. Sewer line "~ ~F 2. Septic tank ~ z 3. Seepage Area ~z9 ~ ~ . ~. Cesspool' -- 5. Property Line., ,/~/. Other sources of possible contamination~ i.e., creeks, houses, barn, drainage ditch, etc. ~ 7. Sewage disposal system. a. Age of system b. Septic tank capacity in gallons c. Name of septic tank manufactum~m ~/-h~ lakes~ 1. If "home made" show diafram on reverse side of this form. Disposal field or seepage pit size and type -~'~ Z,ra, C / 10 Distance to proper~cy line ~ z ~o house foundation e. Percolatic~Te~th~esul~s f. P~Pcolation Te~t performed by . Use the mevePse .side of this form to show diafram. Dia~mam should include .~.~he fo~ing info~ation: ~opem~y lines~.well location, house location, ~c tank location, disposal area location, location of percolation tes~, a~ di~ction of ground slope. 9. The '~ti~ on this form is true and comPect To the best of my knowledge. Signature of Applicant Date $ifned ,T.O. BE FILLED OUT BY HEALTH DEPARTr.~ENT PERSONNEL ~e above described sanitary facilities are hereby approved, ,subjec? to the .......... ~'ll~owin~ conditions: The above described sanitary acllzt~es are disapproved fom the followinE Approval is valid for one yea~ following the date of approval. CPJ: cw Ou~ Z, i~7o dou.~ ll~a; Ad~i nistration P.O. Box 48(I " ...... " 99501 SUBJRiCi~: :godificatiot~s to for Lot 25, gleck 2, Wontworth Subdivision; 3t01 [last 42nd Avenue; F~lton Co Robison An insl~ction was made on ,~a~ 2.,~ 1970 of the sewor and water facilities for the s~)ject rosidence, qbe sower nystom consists ~4;proval · t~ator is stq~pli~d by a 40' drilled t~ell, the top of whJck is located in a pi~z~ In order to ~:,oct this ~pa~nt% approval~ ti~o well c~ming will i~avo to be extended 12" above groined l~vol and tho pit filled witi~ i~q~erviou~; soil. Sincoroiy, CLIFFORi) Po .,bb~Ii~o, koO. Ad~i~inistrative Director c¢: [:ulto~l C. Robi~ion Federal Housing Administration P.O. Box 480 Anchorage, Alaska 99501 GREATER ANCHORAGE AREA J~ 2, 1970 SUBJECT: Modifications to Well for Lot 25, Block 2, Wentworth Subdivision; 3301 East 42nd ~//~ Avenue; Fulton C. Robison Dear Sirs: An inspection was made on May 29, 1970 of the sewer and water facilities for the subject residence. ~le sewer system consists of a septic tank r seepage pit which meets this Department's approval. Water is supplied by a 40' drilled well, the top of which is located in a pit. In order to meet this Department's approval, the well casing will have to be extended 12" above ground level and the pit filled with impervious soil. Sincerely, CLIFFORD P. JUDKINS, R.S. Administrative Director Sanitarian Ek~: rn cc: Fulton C. Robison AIR MAIL TO ALASKA IS FASTER