HomeMy WebLinkAboutNEVILLA PARK Block 1 Lot 23
FHA Form 2573 Form Approved
Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-8296.8
HEALTH AUTH¢)RITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I,--TO BE COMPLETED BY FHA
~NSUmNG OmCE ~O~O~ s~m~ NO.
Anchorage, A].aska ~aska S%a'be B~k ~[L-011[03-203
MORTGAGOR OR SPONSOR PROPER~Y ADDRESS
Larry Hasc~e 812~ 2nd Avenue Last
5USD[V[S~ON NArC BLOCK NO. COT NO.
Nevilla Park ]. 23
Can ohio or other area be made into
~ ~ew J~sta]]at~o~ oddltional bedrooms?
BASEMENT
LIVING UNITS BEDROOMS BATHS
--- (if Yes, how many?)
~ 3 2 ~ Yes ~ No I ~ Yes ~ No
WA~ER SUPPLY BY: SYSTEM DESIGNED FO~
Public system [] CommuniW system~LJ Individual ~o. o~ ~.~ o~.,.~ o,s.osat
SEW~E DISPOSAL BY:
~ ~blic system [] Community system ~ Indiviciual ~ [~ Yes ~ No
PART II.-~TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH D~PART~EN? INSPECTOR'S SKETCH
~ZZZZ_
ZZZZ~
:ZZZZ~
-ZZZ[
ZZ_ZZ
ZZZZZ
ZZZZZ
ZZZZ._
ZZZZZ
It is the opinion of the ~ S~ate ~ County ~ Local Department of Heakh cha~ this individual water-supply system
~ is ~ is nec satisAc~ory as a domestic water supply for the subject properw. PUBLIC
It is the opinion of the ~ Sta~e ~ Conncy ~ Local Department DC Health chac chis individual sewage-disposal sys-
tem with proper maintenance:
~ Can be expected ~o function satisAccorily, and ~ Cannot be expected to funcdon satisfactorily
likely to~ an i nitar~?ndition
DATE Q SION~
Sept. 8~ 1970 / .>
Sanitarian
NOTE:~-,/.~ hoe ~ authorlty should complete the appropriate opinion statement
date,
signature
in
the
spaces provided. /
Use of ~he ~ove grid for Health Dep~rtment Inspector's sketch as well as use of ti~e bock of this form is ut tire option of the
health authd~
PART III,~FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER;
[ h~ve reviewed ~he ~ore~oh~ ~nd the pertinent ~HA CompH~nce Inspe~don Report, ~nd recommend ~h~t'~he
Individual water-supply system be considered [] Acceptable ~ Not Acceptable
Sewage dis~sal be considered ~ Acceptable ~ Not Acceptable.
DATE SIGNATURE ~ CHIEF ARCHITECT
___ ~ ~EPUTY FO~.CHI~E_F A~CHIT~
HEALTH AUTHORITY APPROVAL
INDIVIDUAl, WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA Form 2573
Rev. July 1958
GR 'ER ANCHORAGE AREA BOROL' 'H
HEALTH DEPARTMEN?
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SIi'E SEWAGE DISPOSAL SYSTEM
NAME
PHONE
MAILING
ADDRESS
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
SEEPAGE SYSTEM:
NUMBER OF
MATERIAL COMPARTMENTS
_GA,~NS. INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH __
NUMBER OF PITS /
LINING MATERIAL__
NEAREST LOT LINE /~"'~ /
OUTSIDE DIAMETER
/
'~ OR WIDTH /ti/ LENGTH / ~'~ /
, , DEPTH
DISTANCE FROM WELL ~) , BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '"~ ''~' '~ SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION NEAREST LOT~U~:J~F~ OF LINES --
NUMBER OF/'; :D~t~IANC-,E--BETWE~N'TI~-E'-S-- TRENCH WIDTH ........ IN, TOTAL EFFECTIVE
ABSORPTION AREA __SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE____
WELL: TYP , DEPTH ,BUILDING FOUNDATION SAMPLE , NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE ., TANK , SYSTEM , CESSPOOL , SOURCES__
DIAGRAM OF SYSTEM
DISTANCES:
DATE
APPROVED ~
HEALTH AUTHORITY
GA~ B-HD-2
GREATEh ANCHORAGE AREA ~.)ROUGH
liEALTIt DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case No. ~'~/ .
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS
LEGAL OESCRIPTIONr Z,¢ ?' D.~j Z._;z~,~'~ / i~/~'
APPLICATIONT0 INSTAkL: SEPTIC TANK ~,SEEPAGEPIT~~,DRAIN FIEkD
TO SERVE THE FOLLOWING FACILITY '~/
FINANCED THROUGH ~[_-/~'~ TO BE INSTALLED BY ~ & /~'
·
PERCOLATION TEST RESULTS ~-z~ ~-~q ANTICIPATED DATE OF COMPLETION
,'/-/~'1 ,.~C/'I/~ MAILING ADDRESS~/¢', ~,~, , PHONE NO,_'-~"~
LOCATION OF INSTALLATION_2/~? ~C~' ~'c3, c? ~
,OTHER_
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS_ /v)~, / ,r.~ ',~(:J'; ~.~;k,PERMITTO INSTALLA ~"~ AS DESCRIBED BELOW. SIZE OF UNITTO BESERVED
_. SEPTIC TANK SIZE ~TYPE ~.~ .SEEPAGE AREA
DIAGRAM OF SYSTEM
DISTANCES:
~ ' -~HEALTH AUTHORITY
-- ,_,~..~o ,~,~.~. ~ ~/&;7~ 7a ~
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 code.
f / ~... ' _ . .
GREATER ANCHORAGE AREA BOROUGH
2207 MoRAE ROAD
ANCHORAGE~ ALASKA 99§03
272--1577
DEPARTMENT Of PUBLIC WORKS
June 23, 1970
GA!\$ Ilealth Department
327 Eagle Street
Anchorage, Alaska 99501
Gentlemen:
SAiiITARY SEWER SERVICE - NEVILL~ PAR',< SUBDIVISION LOT 23, BLOCK 1
This is to confirm that the Greater Anchorage Area Borough Department
of Public Works has set up an Improvement District in the East Muldoon
Area which includes Nevilla Park Subdivision for the construction of
sanitary sewers. This construction should be accomplished during tile
construction season of 1971.
These sanitary sewers would service Lot 23, Block 1, of Nevilla Park
Subdivision.
If you have further questions regarding this matter, please contact
this office.
Yours truly,
GREATER ANCHORAGE AREA BOROUGII
Department of Public Works
Robert Il. Morriss, Director
Robert M. ltudnall, Jr.
Administrative Assistant
RM H/j t