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HomeMy WebLinkAboutTURNAGAIN PARK BLK 1 TR 11 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201104 Work Type: Septic Upgrade Tax Code Number: 01824203000 Site Legal Address: TURNAGAIN PARK BLK 1 TR 11 G:3033 Site Mailing Address: 14460 OLD SEWARD HWY, Anchorage Owner: CHIEI MARJORIE M TRUST Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: v Department 5/26/2020 5/26/2021 46243 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing CD -�x / 1� .end �� It�f-. 5 ` T9 - '0�m6,cj Received By: Date: Issued By: C, Date: 3 S quuleipality ® Anchora a �n�,:{/f �,./ 1)r.�+arcm circ r•. P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 e Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV201020 COSA#: Permit#:OSP201104 PID#: 018-242-03 Legal Description: Turnagain Park Blk 1 Tr 11 Engineer: Garness Engineerinq Group Your request for a waiver of the required 10 feet horizontal separation from the absorption field to absorption field has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. .............................................................................. t Waiver is Granted: X Waiver is not Granted: i Date: Approved by: LZ – — Name of Rev' er **** VARIAN C E/WAIVER REVIEW **** Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Ethan Berkowitz On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 018-242-03 Property owner(s) CHRIS CHIEI Day phone 907-440-3333 Mailing address 14460 OLD SEWARD HIGHWAY *ANCHORAGE, AK Site address 14460 OLD SEWARD HIGHWAY *ANCHORAGE, AK Legal description (Sub'd, Block & Lot) TURNAGAIN PARK; BLOCK 1, TRACT 11 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms 6 BEDROOM DESIGN (3 BEDROOM HOUSE) APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO SLOPES >25% TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: 35 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5'45 44 • Waiver Fees: e� %��•�� Date of Payment: 5' Ll /9®*16 Date of Payment: Receipt Number: G?2 9167 Receipt Number:: Permit No. — 5 P 2 G l i®q Waiver No. Q5- V2 a 16 26 (Rev. 01/11) COVID-l9 2570 DISCOUNT APPLIED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201104, Deb Wockenfuss, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201104, Deb Wockenfuss, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201104, Deb Wockenfuss, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201104, Deb Wockenfuss, 05/26/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201104, Deb Wockenfuss, 05/26/20 �' I " I I` "IFY 0 F A N C I i 0 R A G E I 'u AUVANCED WASTEWATE MAI MUENJANCE j%IID 1THS M_INK FENANCEAND REPAIR AGRELNENT, herein the and emumd imo as of this 11, by an(I J)ct%vcejj jcj_ j)ay of P QPQ coIt e! mwor;e 'wl VC C — I in the "OWNERI'arml the Municipality of Anchor-ag,e, humin *he -N--j1,JN11C",PALXrY-, inaccordance with Anchorage MUnicipal C --'ode (AMQ 11653K In con.sidef1ition of'tne ITILItual covenants contained herein, the parties to this Agmemem agme as AHOWS: IN MuricipahLy grams pert-nissio.ji to the Owner io utilize. andlo-M-ate an Advanced Wastmatcr Triatn'tent Sysjc�-n (AW-WTS;7 desc6bed as Jgal descripiun) 2. 1"t"ellairs". 141e_� il-ftern-tions. (Owwr is reqWred to real Unfit mm! and inkia! each suc6an) ,QC 11roughuut the Imal of "is Areernen', the Owner shall enter into a service. with an AVAVTS Zit:. f'ac'e; T-naintellance provichr approved by the TWunidpaily or thea mululiclurar's represcuiative, 4-lic A,A`VFFS shall be i-naimained in . is "-,. ,) Conwhon Cynble of PerAmlong as desig - I a sat "J'. C1, ry ,net,- 'IT produc-ing troated offlllicnt' in acsydnce Moll it eqmPmef"C's, aqpproval -for Operation in he Acs respDnWhy of the Owner during thic terryi ocithis Agreeineilt tc, f6i jay i -aH reprAQ maimcnanc(:, aajusrnnen4s), replacement costs, an,-! i-iispcCtion cos -Ls. This am Lnnu'al Uypically,$400 to S600), spy. Owner agrees that only 1-flainteriance and rc Pzlir Personnel a1pproved by the V gll2le ip y or the manul'acturer's representative will inspect and make any necessary maintenance, repays or permitted afterations to t1je ,;yste,11. Ovmer acl-:. no "(1 edges dmt regular njaintenance of an AVVWTS mduces the potemial "Hure Of Wtem, which undd AM stnxage back-up wid cosOy repOrs or drinfield (rev, 05/18/2CAS) page i on cc.,_ Ov'rner thal the f0unicipality may rcqucst records of maintenance and repairs frorn the nianu !"ac (tire r's representative or maintenance provider. Owneracknowledges Mat die fine for :ailing to mAntain and repair an MVVTS may be assused in accord mce with, AMC 14.00.030. Ov"ne'- agrc:�:s 10 grant Ic Wh6pality rC..'ISGI-lableaccess to test 'alld inspect Te AIVVVTS. The MuNctaky &H giveat least 24 --hour notice. ,L& Owner agNes dML any SAC oc ti-ansfer of title OFIC Property will not occur without anew Ceil,if I icate o 'I On -Site Systems Approval, Owri,r agrucs that 'Ohe AWWIFS installation and IT requirements as provided by iht-- AWA,V-17S, vendoriinstaller and approiad by the Miani cipallity are dic� governing gURNIMCS Or Lhe consnucdon, maintenance wid repair of ihe Owinwr's AWYVTS. CC O. al es to mablain remote mordioring, of the AWW'I'S asrequired by the z 3. 111pi lie temi ofthis AgMeHienL ;aIhall begin on the dateofapproval by the Munisipalky to ki,,LZdled system. or upon fransfer of title, and shatll coritinue WS the AWW'I'S is operational or undl title is umnsIrred. 4.'Nonv,,-�,iven The Whre of the Murtic"ality at any tirne to enforce a provision of this Agrt-,i-,inent sliall in no way constitute a, waiver of the provisions, nor in anty way affect the validdy of die Agree:?` crA or any pan hereof, or the right of the N'lu-nicipaiity -cc every provision lierco� thereafter to e-111,01 I Amendment 'rhis Agreement shall only be amended bywhorized representatives of We Owner and DMIUaicipality. -/uly attempt totmend this agreerticnt by cithcr an _n,auti "o "i ze' 1-'-Preswradve or unawhorized nicans shoffl be void. 6. ju Thdin-"10- - CC lo' vc of Any civil action arising, frorn this Agreenient shall bC b ro u Ft tor the Third Judicial District of die State of Alaska at Anchoratge.1he iaws o? :lie Statc of Ajmka s' -ill govt -m the ii lits and obfiga6ons of the partes undlc.- 'Outs Agrce-nnent, 7. S w w-AhAlk.-V. Any pro -visions of dis Agreement decmed invalid *,hy a court off'conipet,,--m juris,dictioiz shall not MAN= the remaking rwovisions of the Aggreerrient. ,rcv. 05/1 ; 1, Page 2 W C3'�4J'!�FA: Sy:-'`'`-- (signature) Iy� r"`. C:7. r}"'E iprint name) STATE OF ALASKA THIRD JUDICLA? DISTRICT The foregoin __ L*11s�mentdS5 a k, owl 204'ri, by ss. ;d before me this �ay of , N0TW,VU9LIC FOP, ALASKA My Co&d(i(ission expires: p `� NWNIC EPA IAT x`: (rev_ 05/18/2018 j I�tGTARY :, o PLT3LIC .' !//fill O 11111 Dia c: _s -/Zo_ Tint name) F! t 1 e: Page 3 or -1 PERMIT NO. DEPARTMENT OF' HEALTH RND'EHYIRONMENTRL PROTECTION 825 ~"'; STREET, ANCHORRbE, 264-4720 I-IEL._L. - .---~I~ - - -- _,. F='ERI',I T T ( 'PLICRNT ~'. [',,o ~- t~E I CATION Gll~ %v.*u.,Acl~ PE OF SOIL RE. SORPTION SYSTEM LOT SI,7. E,~-C)~OOcSSQURRE FEET XIMUM i",~UMBER OF BEDROOMS SOIL RATING (SO FT?BR>= E REOUIRED SIZE OF THE SOIL ~BSORPTION SYSTEM IS: EPTH= LEI~4GTH= I-~ P~ I'~1"," E L DEP "I=H = THE LEHGTH DIMENSION IS THE LENGTH (IH FEET> OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTR~CE BETWEEN THE SURFRCE OF THE GROUHD AND THE BOTTOM OF THE EXCAVRTION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIHUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOH OF THE E×CRVRTION (IN FEET>. E~.U 'r RED SEF'T P. MIT APPLICANT HAS THE RESPOHSIBILITY TO IHFORM THIS DEPRRTMEHT DURING THE' STRLLATION INSPECTIONS OF ANY WELLS RDJRCEHT TO THIS PROPERTY RHD THE MDER OF ~E~IDENCE~ THAT THE WELL WILL ~ERVE. ---- TI---I 0 'C 2 ) 1' I"~$PECT T 0 r-,l__'5 I--~P. E EEC-~U 1. CKFILLING OF ANY SYSTEH WITHOUT FINAL IHSPECTION AND APPROVAL BY THIS PRRTMENT WILL BE .SUBJECT TO PROSECUTION. NIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE 5EWAGE DISPOSAL SYSTEM IS ~ FEET FOR R PRIVATE WELL OR 3.50 TO 200 FEET FROH A PUBLIC WELL DEPENDIHG ON THE TYPE OF PUBLIC WELL. NIMUM DISTR~CE FROM R PRIVATE WELL TO A PRIVATE SEHER LINE IS 25 FEET Rtl[;. R COMMUHITY SEWER LINE IS 75 FEET. LL LOGS RRB REQUIRED RND MUST ~E RETURNED TO THE DEPARTMENT WITHIH _~.n DRYS THE WELL COMPLETION. HER REQUIREMENTS MAY APPLY. SPECIFICRTIOtlS AND CONSTRUCTIOH DIAGRAMS ARE RILRBLE TO INSURE PROPER INSTALLATION. PERr-I I T E×P I RES DECEr'IBER _--~-.-1 .. .13.__o. 0 CERTIFY THAT I RM FAMILIAR WITH THE REQUIREMEHTS FOR ON-SITE SEWERS AND WELLS RS SET RTH BY THE MUNICIPALITY OF ANCHORAGE. I HILL INSTALL-THE -~YSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON-SITE 5EWER ~YSTEM MAY REQUIRE ENLARGEMENT IF THE 5IDENCE I~ REMODELED ~ INCLUDE HORS THRH 3 BEDROOM~ ....... PERMIT NO. APPLICANT F. D. CHIEI, JR. BO>{ 148 D9510 LOCATION MILE D OLD SEWARD HIGHWAY LEGAL iL' 11 B I TURNAGAIN PARK S?D : LOT SIZE 344-3631 50000 SQUARE FEET MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVRTE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED RND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS ARE RVRILRBLE TO INSURE PROPER INSTALLATION. RES DEcEr~IBER 3:~, :L980 I CERTIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED' APPLICANT F. D. CHIEI~ JR. ISSUED BY_ V4, 0 £&unicipalitYo Anchorage 825 °'L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 31~ 1980 F.D. Chiei, Jr. Box 148 Anchorage, Alaska 99510 Permit % 800673 Subject: Lot 11 Block 1 Turnagain Park Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a cal~dar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document,the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. LNB/ljw enc: Copy of Permit SWP/057 ANCHORAGr', ALASKA 9g$0;[ · SUBSURFACE EXPLOEATION Shift Repo~ of Operations ~, T¥1~[ OF [XPLORATION - TO PUkL CA$1N~ , RIG HOURS ~' C~ING LOG ~o. SOILS LOG. i*MPL£ DEPTHS NO. I~[NGT" ~OTAL ' NO. e.MaLe F1ATERIALS AND REPIARKS · ORILLER~~ INSPECTOR~ SUBSURFACE EXPLORATION " · Shift Report of Operations .. " TIME DISTRIBUTI~,,~//HOURS,~ ~.,~ ' RIG HOURS CASING LOG lo. SOILS LOG, DEPTHS' NO. 'PiATERIALS AND RE~4ARKS * DRILLER INSPECTOR SUBSURFACE EXPLORATION Shift Report of Operations u,; TIME DISTRIBUTION HOURS RIG HOURS NO. · CASING LOG 10. DEPTHS TO MATERIALS AND REMARKS ' ,~'7~,~ ¢ ~ DRILLER INSPECTOR e33 EAST 81ST AVENUE SUBSURFACE EXPLORATION ":' ~ :..~ ::~. JAN'2 3'1981 Shi~ Repo~ of Operations ~ ,: ' ,7 , " RECEIV[D. RIG HOURS t CASING LOG to. SOILS LOG. DEPTHS 'MATERIALS AND REMARKS '~E~TATES~oC,~//.'',. : . .,- 633 EAST 81ST AVENUL'* ' ~ ' ANCHORAGE. ALA.~KA 90502 '' ~UB~URFACE EXPLORATION Shi~ ~epo~ of Operations o, TIPIE DISTRIBU HOURS RIG HOURS ./ · ". CASING LOG LOG. SAMPL,[ DEPTHS , NO* .[NOTI. TOTAL. . NO. SAMP~.I[ 'IVlATERIALS AND REPIARKS ../. '/ L. 4C-'~ 4,3 7/' "C.x~.~ ~ -¢',e,-~.,,r/..' /¢ $/'~ '7/ / · DRILLER INSPECTOR " " I~J md ADAMS · CORTHELL · LEE CONSULTING ENGINEERS W.o. No. ~96 June 26, 1963 Box 303 Spenard, Alaska PROJECT: Percolation Test - Tract 3_1, TurnagAin Park Subdivision Dear Mr. Brink: T~o test holes were augered on the subject tract. The first hole, located roughly north of the proposed building site, indicated unsuitable soils for waste water dispossl. The second hole, located as noted on the attached sheet, was used for the percolation test. The soils log and test data for the second test hole are shown on the attached sheet. The percolation rate was determined to be one inch per 4.5 minutes. We recommend that you contact Mr. Penner, Greater Auchorage Health District, and discuss with him the required distance between the seepage pit location and the bluff at the rear of your tract. Very truly yours, ADAMS ' CORT~?~ · T~ Frank W. ~lnce, P. E. HEALTH AUTHORITY APPROVA-L INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM INSURING OFFICE MORTGAGOR OR SPONSOR PART L--TO BE COMPLETED BY FHA MORTGAGEE SERIAl. NO. Can 4~flc ~. otter oroo be mode Into odditl__lona bedrooms? (If Yes, how man,f) ISYSTiM DESIGNED [] Public system ~ Community system [] Individual .o. o, *o,,., o.,.o, [] Community system [] Individual ~ [] Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PItIMARy TREAT~NT consists of.~] Septic tank. ~ ~s~l. ~ Tonk~ Disun~ from well ~ f~. Mate~al ~ ~, ~]~ Toul liquid cap~i~, 1000 gallons. ~pad~ inlet compartment. Inside 1~8~ ~ f~. Inside width, ~ · ~ f~t? ~iquld de.h, 4 Number of compartments ~ feet. Inside diameter. Feet. Depth feet. J. iquid cal~acity, gallons. Lining material S~CO~IDARY TWIATMEflT consists OF [] Tile disposal field. :k~ Seepage pits. Other Distance from: Well. Total length of tile lines. Trench width,. Length OF each line, feet; foundation, feet; nearest lot line at [] front, n side, n rear, feet feet. Numbes 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: l-I Gravel. f-I Broken stone. Other Del~h of filter mater/al beneath tile4 inches. Depth of filter material over tile, inches. S4epo~, Pite~ ~q ~X~ feet. Depth, 5' ~ feet. Lining material LOT Number of pits]. , Outside..~im~eter, Distance from: Well, ].00 Feet; building foundation, ~ Feet; nearest lot line at ['-I' ftont,~] side. [] rear, ~-~ Feet. In~cH~el mede hya [] State. [] C~unty. Date of inspection [] Local Health Authority. REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, 'l/~ 'T~t. Size of main, ~ inches. Individual well$'~] are [] ate not customa~/ in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties tn' ' boyhood '[] are not being deve oped with both individual water-supply and sewagl, -disposal systems. Lot size: ~.e~ Feet wide ~j~re feet deep. Dwelling set back from Front property lin, '~(~ Feet Individual water supply from:~['q Drilled well. [] Driven well. [] Dug well. f=l Bored well. I~tonce of well from~ Buil.&j0g Foundation. ].~ feet; nearest lot line at []/ront?'~ side, [] rear ~0 Feet. "-, 6~ ~' feet; septic tank, ~ feet; disposal field. -- feet; cast aofl scwer,,i ~O- Feet; tile sewer seepage pit, feet; cesspool~ ,m feet; other sources of possible pollution~ ~ Feet. Well conotrucflom~ · ~ype et C3Smg. Depth oF casing, feet. feet. Approximate y eld 1~. gallons pet minute. Approximate depth rD pumping~el of water n wel Sealed watertight to depth of feet. Exterio~ space around casing ~ealed with: [] Cement grout. [] Puddled clay. [] O,r,dinary backfill. ~m~ I-I Shallow well. '~WI Deep well. Length of drop pipe. feet. Pump capacity, gallons per minute. Lo~ated in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumpmom prop~r~ ckained: [] Yes. f-I No. Pump n~4~nting watertight: f-I Yes. [] No. Type of storagef'[=] pressure. [] Gravity. Capacity, · gallons. Has bacteriological examination of water been made? [] Yes. ' ~] No. If answer is "yes.;' give date , 19 Quality of water [] is [] is not satisfactory for human consumption. Installation f-I does [] does not comply with approved exhibits, if any. : Inspection made by: WI State. [] County. [] Local Health Authority. a October 20 , ~63 In,~ed b Date of inspection... · , ,; -- (Trrta) .- '" 70~ ~b Avenue ~ ~racC ll Dear ~lrs: lndicace~ that this lo: will satisfactorily sustain tho con~en- IM, VIg~. Lo DUI~CA~, [i.D. ~dical Director ~y Do. Id H. Pcnaer, R.S. Anchorage, Alaska October 29, 1965 To Whom'It May Concern: The sewer system at the Brink House is constructed of materials purchased under applicable Federal Specifications, and conform to said specifications. The installation of Said system was accomplished by Government personnel in conformance with Uniform Building Code and applicable Federal requirements. The subsoil consists of a glacial till with pebbles, cobbles and some boulders in a silty .sandy material overlaying a glacial outwash con- sisting of silty fine sand with some silt bands. R. M. Moore B&B Supervisor Anchorage, Alaska October 28, 1965 To Whom It May Concern: The water system at the Brink House is constructed of materials purchased under applicable Federal Specifications,.and conform to said specifications. The installation of said system was accomplished by Government personnel in conformance with Uniform Building Code and applicable.Federal requirements, R. M. Moore B~B Supervisor :.:!... : ':~_. ~-' .'..:"-. . :i 'This sketc~.~rom RF. PORT. OF LANDSLIDES ]~ETWEEN MILE 103 :AND. 104 ON THII AI.,AI!iKA .RAIl,ROAD ~'OLLOI~'ING' .t FHA ~rocm 2573 FEDERAL HOUSING ADMINISTRATION Rev. Jury 19S8, · ~ ' HEALTH AUTHORITY APPROVAL ~ ~ INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL INSURING OFFICE PART L--TO BE COMPLETED BY FHA IMORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR TOTAL NUMSIR: WAI~R SUPEq. Y BYs [] Public system SiWAGE DISPOSAl. BYs [] Public system ~ASEME~ I [] New installation~ Ye~ [] No [~ Community system [~ Communlty system [] Individual .o. o, Io,,,s.] OA,t, OE O,S'O [] Individual ~ [] Yes [] lX PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT ALIN DEPARTMENT INSPECTOR'S SKETCH REPORT OF INsPECTION--INDIVIDUAL sEWAGE-DISPOSAL sYSTEM PIIMAIY '[IIATM~NT conslscs of I-1 Septic tank. I'-I Cesspool. __ Number of compartments~ gallons. S4pek Tanks . ' Distatlce from well,~ f~c. ~13tetlal,~ ~ty inlet cotnPartment'~J, eet. ~ Total liquid capaciv/,---- ~ - __feet. Liquid dep~h,--------- Inside length..-------'-~'feet' Inside ,~idda,-------~ ear feet fee~v foundation, feet; nearest Io~ line at VI front. I'-I side. I-I, r , /