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HomeMy WebLinkAboutEVANSON LT 7L7 PARcel.. ~ 1 I'l~ I S' LOCATION LOT FHA NUMBER CLIENT l E:V,/I.~ 7 ARCTIC ALASKA TESTING LABORATORIES BOX 12:66 BOX 84;5 ANCHORAGE FAIRBAN KS PERCOLATION TEST DATA BLOCK SUBDIVISION .-= L/~N.~ o TEST HOLE LOG READINg DATE GROSS TIME I NET TIME SATURATE 0 6 i" 1 ~RCOLATI~ RATE I'/ ~ MIN. TES1 HOLE NO, W.O. NO, DATE.. ~ _ TECHNICIAN. LOCATION SKETCH APP. TOPO0. FROST DEPTH TO HzO NET DROP LEGEND GRAVEL SAND SILT CLAY ORGANIC CONTENT PEAT WATER TA BL E REMARKS I. SOIL CLASS-VISUAL- UNIFIED 9 September 1963 Sparlman&liotmanCo., Inc. ~0 $ch Avenue Anchoraee, Alaska FHA Case l~o. 111-001369-203 LoC 7, Evanson Subdivision Aa a$~eed by Che HealCh Deparcuenc, Spena~d Public Ucilicy DlsCricC, and Lewis &MeCzser, ~he oe~aSe disposal eyecemservinsLoc 70 gvaneon Subdivision is approved tot a one (l) year period, endin$ September, 196~, AC the end o£ Chis cime, conuecCionwill have been made Co the uCiliCy. Sincerely, DAVID R. L. DUNCAN, Medical Director ~y Donald '11. Penner, SaniCarten DHP:~sa · FHA Form 2573 Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.mTO BE COMPLETED BY FHA C~L~ SERIAL NO. ///- z:~/.~ ~r~,.~'-~'~.~ INSURING OFFICE J MORTGAGEE MORTGAGOR OR SPONSOt~ '~' . J PROPERTY ADDRES iUBDIVISION NAME TOTAL NUMBER: BASEMENT / I-I Yes LIVING UNITS BEDROOMS New installation WATER SUPPLY BY: ~] Public system ~ Community system SEWAGE DISPOSAL BY: --1 Public system [~ Community system BLOCK NO. LOT NO. 7 Can attic or other area be made Into additional bedrooms? (If Yes, how rnany~) [--~ Yes ~ No [] Individual ~ Individual NO. OF ;2~.~ IDEGS~FGGANGEED--[~cOpoR~AL I--I Yes No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the N State [] is [] is not satisfactory as It is the opinion of the ~l State -- County ! tern with proper maintenance: [~] Can be expected to function satisfactorily, and is not likely to create an insanitary condition Department of Health that this individual water-supply system for the subject property. D Local Department of Health that this individual sewage-disposal sys- --]Cannot be expected to function satisfactorily DATE t SIGNATURE TITLE ~ . NOTE: The health authority should complete the ap~Jropriate~opinlon statement above and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector~ 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 r-] Acceptable [] Not Acceptable Sewage disposal be considered ~] Acceptable [~ Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM r~l CHIEF ARCHITECT r~ DEPUTY FOR CHIEF ARCHITECT FHA Form 257,~ Rev, July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. ~ Cesspool. '~ ~'1 Septic Tank: Distance from well,__.feet. Material,. Total liquid capacity, gallons. Capacity inlet compartment, Inside length, .feet. Inside width, feet. l~iquid depth, Cesspool: feet. Number of compartments gallons. feet. Dept'h, I~ ' fee~'~ Liq~i6 cap'acity, gallons, Lining material SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other feet. square feet. inches. inches. YC~,~t V'heal'~iC 16t'~'-a't"[~_OWf,, 'r"'T's"lde;- Fq*'rear,.~t__~ feet. Authori~. ~r;- ~-~, , , 4~1~ Tile Disposal Field: Distance from: Well, Total length of tile lines, Trench width Length of each line, Type of filter material: [] Gravel. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, .feet. Number of lines, Distance between lines, inches. Total effective absorption area in bottom of trenches, feet. Depth, top of tile to finish grade, [] Broken stone. Other Depth of filter material beneatl¢ tile,~ inches. Depth of filter material over tile,. Seepage Pits: : " Number of pits Outside diameter, feet. i Depth, feet. Lining material Distance from: Well, ~' feet; b~liidihg £otlWd'aW6tl; Ins~ctlun moda by: [] State. ," [] County. [] Local Health Date of inspection~~L~, 194 R~O~'~RT OF INSPECTION--INI D:stance to nearest pl4g~j~ water ma:n .... feet. Size of l Individual wells []~'"al:e/[] are not customary in neighborhood. Give most recent ~co~d of failure of wells in i/mmediate vicinity )IVIDUAL WATI inches o, furnish adequate supl~ (TI'rLB) I~-SU~PLY ~}~STEM ly of v~fiter . Properties in .i~glab:o$}ood [] are [] are not being developed wi Lot size: ~,,_f, . ~ ' feet wide, .feet deep. Dwell Individual ware/s~"ply from: [] Drilled well. [] Driven well. Distance of ~ell from: Builditlg'l~ndation, cast j~orl' sewer,, feet; tile sewer, seepage pit, -feet; cesspool, Well construction: :h both individual watt -supply and sewage-disposal systems. set back from frontt ?roperty)line, '~ feet. ng [] Dug well. [] Bol ed w. elk feet; neare: lot hne at [] front, I~lA'~d~, .[~.-~*ars ...... .ri i feet; sepuc tank...~.J ~, ~ffe'e(; ,disposal ~eld feet other sources of possible polluuon, feet. Diameter, inches. Total depth, feet. '~rylYe~t~ca-i?n~;- .... Depth of casing Approximate depth to pumping~,l~u.~l;~ water in well,. .feet. Approximate yield, .gallons per minute. . · · Sealed. wat~tight~to..d~tath~f~~_:. -: -: - .... . 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, .gallons per minute. 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 watei':l~Cen made? [] Yes. [] No. If answer is "yes," give date , 19__ Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] ~oes not comply with ap~oved exhibits, if any. Inspection made by: [] State. [] County. [] Local Health Authority. -.~(· Inspected by Date of inspection 19 (TITLB) feet, .feet.