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Home My WebLink AboutBELLA VISTA #1 LT 12 S2 ~A F~rm 2573 Form Approved lev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE/MORTGAGEE SERIAL NO. MORTGAGOR OR SPONSOR PROPERTY ADDRESS ~le,njn v. oang~o~ ;,mst)jo Xvenuo, (:~m"d) Anohor~e, SUBDIVISION NAME BLOCK NO. LOT NO. TOTAL NUMBER: Can attic or other area be made Into BASEMENT J~l New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS (If Yes, how many~) WATER SUPPLY BY: SYSTEM DESIGNED FOR [-=] Public system [==-] Community system [] Individual NO. oF SEWAGE DISPOSAL BY: ' [--]'Public system O Community system JJ-'] Individual ~ ['-'] Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEi'ARTMENT INSPECTOR'S SKETCH / 7.,.¢' ' , - ........... ...... .~ ~ ~ - . .... mm md -- ~?r : ..-,. ....... ~ .... ~_ ~-}-----, ' -~-'--<'~ ........ i'"'-'-~- - ~' --~ ..... -~ , r ~'~ ~ ' -~--~-~ r----- - ~ ,.. ,, ..... ~., ---~-----' --:---~ ~ ' .... ~,~i ........................... .............. ~- ................ 4 / ~___.~ -. ............. -- , ............................ ..... - .... -~-'-- ~-Z-- '~ -~ _1 ...... ,_..,---~-' ---:-~ - ~ - .... ~--- , _~ ............. - ............. ~-- ~ ~__.~_~_ , ~_ ~Z :ZZ--ZZ--- :--'-- It is the opinion of the r-'J State r-] 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 ["-J State [~] County J~] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: p~ Can be expected to function satisfactorily, and [--J Cannot be expected to function satisfactorily is not likely to create an insanitary condition NOTE: The health authority should complete the appropriate opi~lon 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 a~tharlty. PART Ill.--FOR USE OF FHA OFFICE TO THE CNIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual water-supply system be considered J--J Acceptable ~ Not Acceptable Sewage disposal be considered ~-] Acceptable J~J Not Acceptable. DATE SIGNATURE ~] CHIEF ARCHITECT D DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 · 'n~'~5~~~- Ja:~m jo Xiddns al~nbaps qs!ujnj al .~!W.O!A al~!paustu! u! Slia~ jo aJnl!sj jo pJo>aa 3uaaaJ 3sam aa!O · pooqJoqq~!au u! /~smmsn> 3au aJe [] aJe ~ Slla~ l~np!a!puI · saq~u! 'u!~tu jo az!s uaaj--- -- 'u!~tu ~al~ ~!lqnd 3saJ~au 03 a~ums!G WtlSAS AlddnS-IIt/YiV~ 1YrlCIIAICINI--NOIH)tdSNI .IO/liOdall · laamO [] :le!Ja:sm JalltJ jo adJi. L 'au!i qaea jo q3~iUWl "qap!~ q~uaJ. I. · 'sau!i aid jo ql~?uaI imO~L 'ilaAk :tuoaj aaums!(I lPlShl IosOdSlO ®Il/ 'SUOllS$' l Jaq:0 'sl!d aliedaa$'~]ii{ 'platj l~sods!p al!,I. [] jo sls!suo~ INIWX¥1UI AUYGNO~IS le!Ja3etu ~?u!uFI 'SUOlI~? :',h.~d~ p!nb!'I ':aaj 'q3daG uaaj 'weaJ [] 'ap!s [] ':moJj [] 3, au!i :oI 3sa;~au '.3aaj 'uogepunoJ '.3aaj s3uatuzn,'dtuo> jo jaqtunN 'aa3am*!p ap!suI IIaAX :moJj :loodsso:) ';hp~d~a p!nb!I Im%L WBLSAS 1VSOdSla-BoV/~tS 1VIlcllAIClNI--NOII~tdSNI :10 .LUOd:iU COPY Telephone Br. 27221 MCINROY DRILLING 927 Orca Street Box 1021 Anchorage, Alaska Sept. 1st. 1959 H. W. Gangloff Bella Vista Sub--South Half Lot 12 F. H. A. No. 60-007000 Drilling well 125 feet $18.00 per foot. A. R. McInroy Total $1,000 LOG OF WELL DRILLED FOR H. W. GANGLOFF 0 to 21 to 28 to 65 to 75 to 85 to 121 to 20 rock and clay 28 Gravel and clayseep of water 65 Gravel and clay 75 Sand clay and fine gravel seepage 85 Fine gravel and clay 121 Sand and clay 124 Sand and gravel seepage 124 to 125 Coarse gravel and good flow of water Well cased with heavey 6 inch pipe, well pumped at 1800 gallon per min. hour withn no notica~le draw down water clear and free of sand. Driller: Joe Guthrie COPY ~'~~~~ MUNICI PALITY OF ANCHORAG DEPARTM,-mF OF HEALTH AND ENVIRONMEN,ML PROTECTION 825 L Street, Anchorao~.. Alaska 99501 264-4720 Date Received: January 9, 1978 , ,{%',~ # 2 :~ Ti~~ ~3: Time # 1' Time ........... ., .... Insp ~./,~J~ \ ~V' Insp. Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Mutual Savinqs Bank % Sher¥1 Smith Mailing Address: Post ,Office Box 1.1.2Q . . Phone: 274-3561/246 e Property Owner: Mailing Address: Kenqeth I./Alice Crewdson . . Phone: 27~-2422/w ~ 7727 Lumbis Street 4: Legal Description:. S½ Lot 12 Bella Vista Subdivision 7727 Lumbis Street Single Family Residence: {x) Multiple Family Residence: ( ) Number of Bedrooms: Three Number of Bedrooms: Se Well System: Permit 9 Construction Individual Well (x) Depth of Well Sewage Disposal System: On-site System ( ) Installed Permit Community/Public System ( ) Well Log on File ( ) Bacterial Analysis Septic Tank Size Public Utility Installe~ Manufacturer Absorption Area Soils Rate Distances: Well to Septic Tank to Sewer Line Nearest Lot.line to Nearest Lot Line Material to.Absorption Area Absorption Area · ~age Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: S~ Lot 12 Bella Vista Subdivision #,1 Comments: Affadavit Attached: Letter Attached: ( ) Approved: Disapproved Date: Department Worksheet: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Qualit~ "C" St., Anchorage, Alaska 99503 -274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: Mailing Address: 3. Name of Buyer: VA FHA Kenneth I. & Alice Crewdson CONV xxx 7727 Lumbi s Street Mailing Address: Name of Lending Institution: Box ll20 Mailing Address: Day Phone 279-2h22.. 5. Name of Realtor or Agent: ..o Day Phone Alaska Mutual Savings Bank Phone 27l~-3561 Ext. 246 Mailing Address: Phone 6. Legal Description: S 1/2 of Lot l P B~lln. Vi.~tn ,q~ ~ 1 Location: ,, 7727 Lumb~ Street. Aneh. Ak. . 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility xx If Individual, date of installation ~._~gle Family NO. Bdrms. 3 ..... Individual xx Individual (on-site) EQ-037 (1/74) ,.:-~-~ M .I _IJ~.,A'L I TY OF ~A~A¢ ,,;'-~~ DEPART~~~ _AND ~~NMENi~L PROTECTION , ; '' ,~~L~~~~~, Alaska ~ ~ Date Received: .... Time _ .~; Time ~3: Time Date ~o~L/.~ ~. Date Insp ~ ~J~ Insp Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: _Alaska Bank 0f. C0mme~¢e ....... % ,Diane .......... Mailing Address: p0uch 7-0],~,, ,9,9,,5]0 .... Phone: 279-~641/3]~?_. . . Property Owner: Mailing Address: Kennet.,h I/A1 t, ce M C~ewdson Box 1883 99510 Phone: 279-2422 Legal Description: Lot 12 south 1/2 Be.l,]a Vista Subdivision #1 4: Single Family Residence: ( ) Multiple Family Residence: (X) Number of Bedrooms: Number of Bedrooms: Five 5. Well System: Individual Well (×) Community/Public System ( ) Permit # Depth of Well 114' Well Log on File ( ) Construction , , Bacteria~ Sewage Disposal System: On-site System~y Permit Installed Installer Septic Tank Size Absorption Area Manufacturer Soils Rate Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 12 South 1/2 Bella Vista Subdivision #1 COmments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: y _ A Date: Disapproved :~.~.~~ Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: ~_n~h T._ & VA FHA CONV A'I ~a~. H~ Crewdson Mailing Address:Box !885 Anoh=,Ak~99510 Name of Buyer' n/a Day Phone: 279-2/+22 Mailing Address`pouch Name of Realtor or Agent: Mailing Address: Mailing Address: Name of Lending Institution: Alaska Bank _a£ 7012 Ancho ,Ako n/a 6. Legal Description: ~m~th ~ T,n~ ! 2; Location: 7727 T,~,mb-~ .~_ Day Phone: Commorce 99510 Phone:, 279-56/+1 Phone: R~ll~ Vi.~t~ .ql]hdivi.~iO~l #1 St~e~. Anchorog~-~ ~k~ 99502 ext 51 7 (Diane) Dupl ex No. Bdrms. Type of Facility to be Inspected: Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served Individual X 5 If Individual, depth of well Sewage Disposal System Type of System: 11/+' Well Public Utility Individual (on-site) If Individual, date of installation f~raC National Bank of Anchorase 6~6 = &Ch Avenue Anchorage, Alaska Yll~ lqo. 60-00700 ~lla ~teCa Subd. S 1/2 LoC 12 Herman #. ~sn$1o£f C, enClenen~ Several tnapecCtans of the above captioned oevase disposal system have been made over the pasCveeks. A steel septic tank of 10000 gallon capmctCy hms been tnsCalledwtth a los aeopase pit. Thte system cfm be expected to operate oaCtafacCortly and ts not ltkeXy Co create a nuisance, Joe L, #alker SfmtCartfm JL#zpb