The URL can be used to link to this page

Home My WebLink AboutWENTWORTH BLK 3 LT 25LoT Case No. GREATE,', :ANCHORAGE AREA ,,_,,OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS ~-~cC LEGAL DESCRIPTION Z#: '-.~-- ~'~ APPLICATION TO INSTALL: SEPTIC TANK ~_~_7~. SEEPAGE PIT~/ , DRAIN FIELD, TO SERVE THE FOLLOWING FACILITY /~L~;,,L~ /"~£~'~'~A.[" '/>~,~ '~'-- TO BE INSTALLED BY -~-~:'~'-'1 FINANCED THROUGH PERCOLATION TEST RESULTS .~'/~"?"~ ~':~' ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT MAiLiNG ADDRESS ,~"-..~/~" ~/- PHONE NO, ,~7~ /7("';/ LOCATION OF INSTALLATION ~ ,, ,OTHER THIS IS TO SERVE AS / /';c , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE '~ .TYPE ~ SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said co~. . f:¢~:~)7, ~¢/~7:~/~ ~ ~ FHA Form 2573 Rev. July 1p58 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE Anchorage, Alaska MORTGAGOR OR SPONSOR MORTGAGEE SERIAl. NO. First National Bank of Anchorage 59010 000 1 SHARP, Patricia A. 3301 E. 43rd Ave., Anchorage, Alaska SUBDIVISION NAME BLOCK NO. LOT NO. 25 WENTWORTH 6 [--']Yes [~No -']Community system Can attic or other area be ~,,G~G Into additional bedrooms? (If Yes, how many~) SYSTEM DESIGNED FOR ~ Public system La Individnal .o. o, ,.,~s. O^,.^GE .,S,OS^L SEWAGE DISPOSAL BY~ [] Public system [] Community system [] Individual [] Yes [] No PART II.--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. PUBLIC lqATER It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: ~] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanitary condition J TITLE -~Ate11/25/70 Ii .~,~' ~~. E nvironm.ntal H.alth Sup.tv is or heal~h/~/utho/f~y rhould complete the a~propriate opinion statement above and a~x date, signature ~nd title in the NOTE: The heal~ authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compli~mce Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. SIGNATURE ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2~7,~ Riv. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM [] Cesspool. feet. Material, gallons. Capacity in]et compartment, t~et. Liquid depth, Number of compartments gallons. feet. feet; nearest lot line at [] front. [] side, [] rear, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] 'Pile disposal field. [] Seepage pits. Other Total length of tile lines, Trench width Length of each line,___ Type of filter material: [] Gravel. 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 bottonq of trenches, .square feet. feet, Depth, top of tile to finish grade, dnches. [] Broken stone. Other Depth of filter material beneath ti]e. .inches. Depth of filter material over tile, __inches. Seepage Pits: Numher of pits __, . Outside diameter, .feet. Depth,. feet. Lining material Distance from: Well, feet; building foundation,, feet; nearest lot line at [] front, [] side, [] rear,, feet. InN~ction mode by: [] State. [] County. [] Local Health Authority. Inspected by- Date of inspecti.n 19__ REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Imlividua] wells [] are [] are not customary in neighborhood. Give mnst recent record of failure caf wells in immediate vicinity to furnish adequate supply of water Properties in neighhorlload [] are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot s~e: feet wide,. .feet deep. Dwelling scl hack from front property linc,. ~fcet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of well fram: Buihling foundation cast iron sewer, feet; tile sewer, seepage pit,. -feet; cesspool, Well construction: feet; nearest lot line at [] front1 [] side, [] rear, feet; septic tank, feet; disposal field, feet; other sources of possible pollution, ~'eet. 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 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 satisfactnry 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 .gallons per minute. gallons per minute. ,19 feet, feet; .feet. GPO 878 471 GAAB-HD-2 GREATE..r...,ANCHORAGE AREA,~.,OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No. L~/'./~ ~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT APPLICATION TO INSTALL: SEPTIC TANK /,.-/ ,SEEPAGE PiT ~ , DRAIN FIELD , OTHER SERVE THE FOLLOW,NO FAClL,T~ I;~C LATi O.N~ TEST RESULTS TO BE INSTALLED BY_ ~'~'/~ ~ L-~/~.,~z~Tz/~/.~7 ANTICIPATED DATE OF COMPLETION ~"'~'~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO RE SERVED · TYPE ~-2~/v'e~L~'r~= S E EPAG E SEPTIC TANK SIZE d''~Z'~ ~72~.,~-. AREA~.~Z TYPE D,A.RA. OE SYSTEr. I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the ab°vedescribedTstem~finacc°rdancewithsaidc°de' [/~7-&/~c~/~ ~/~i~/Z .AT,: :; REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in ~e) //~ ..~- ~_ /~a~ .of person requesting approval [~--~.~.~.~3~-~Z~_~f~... · N~une. of propePty~ owner . ~ <~ . _ · ... §. .Wate~x~lysis: a. Bac~teri~ul b. Detergent. We/.1 dar a: b. Depth c. Casing Size Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank 3, Seepage Area , Cesspool' Property Line . Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. Sewag~ disposal system. a. Age of system b. Septic tank capacity in gallons, c. Name of septic tank manufactu~em 1, If "home made" show diagram on reverse side of this form. 1. Dist.ance to property-line , uo house foundation -e. Pemco/~mtio~Te~th~esults f. Percolation Test performed by Use the reverse .side of this fomm ~o show dia£ram, Diafmam should include .~he foilowing information: pmope~ty lines;.well location, house location, ~p~ic tank location, disposal ares location, location of pemcolation res%, an~ direction of ground slope. The l~fo~mation on this form is true and correc~ ~o the best of my knowledge. $ignazure of Applican~ Date Si~ned TO BE FILLED OUT BY HEALTH DEPART~.IENT PERSONNEL ~--~e above described sanitary facilities are hereby approved, subject to the ......... ~l~owin~ con~ons: Conditions: The above described sanitary facilities are disapproved for the following reasoRs: -"Signature of .Approval is valid for one year following the date of approval. . ~ CPJ -' cw September 1, 1970 GAAB Health Depart)r~nt 327 Eagle Street Anchorage, Alaska 99501 Gentlemen: SANITARY SEWER SERVICE - WENTWORTH SUBDIVISION LT. 25, BLK. 3 This is to confirm that the Greater Anchorage Area Borough Department of Public Works has fo~ned an improvemen~ district in the Wentworth Subdivision for the purpose of constructing lateral sewers. These sewers should be constructed during the 1971 construction season and when completed will service Lot 25, Block 3 of the Wentworth Subdivision. If there are any questions regarding this matter, please feel free to contact this office. Yours truly, GREATER ANCHORAGE AREA BOROUGH Robert U. 14orrtss, P. E. Director of Public Works Robert C, Phillips Right-of-Way Supervisor RCP/Jt cc: Patrtcta Sharp GREATER ANCHORAGE AREA BorOUGH DEPARTMENT Of PUE~L[C WORKS September l, 1970 GAAB Health Department 327 Eagle Street Anchorage, Alaska 99501 Gentlemen: SANITARY SEWER SERVICE - WENTWORTH SUBDIVISION LT. 25, BLK. 3 This is to confirm that the Greater Anchorage Area Borough Department of Public Works has formed an improvement district in the Wentworth Subdivision for the purpose of constructing lateral sewers. These sewers should be constructed during the 1971 construction season and when completed will service Lot 25, Block 3 of the Wentworth Subdivision. If there are any questions regarding this matter, please feel free to contact this office. Yours truly, GREATER ANCHORAGE AREA BOROUGH Robert H. Morriss, P. E. Director of Public Works Robert C. Phillips Right-of-Way Supervisor RCP/jt cc: Patricia Sharp