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
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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
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