Loading...
HomeMy WebLinkAboutSUNNY SLOPES LT 17 G~/ATER ANCHORAGE AREA BORO~'"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 9950! 279-251 N? 65 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~/~./(,/ ~"'~"~-~'~Z/.~ ADDRESS PHONE LOCATION ~'~/'///,~/ ~//~d~-~.-~. ~--~'/~-~/~".~LEGAL DESCRIPTION ~'~/~.~, .s~/%~'/~/~'/'~'' ~<~-/~'~-~f~.~/',,~ SEPTIC TANK: DISTANCE FROM WELL~'~Z.~-//~ ~ LIQUID CAPACITY //~) ~ ~' GALLONS· NUMBER OF MATERIAL ~/_~_ / i/~ ~ .~ COMPARTMENTS INSIDE LENGTH / ~IINSIDE WIDTH. SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE. SEEPAGE PIT: / OUTSIDE DIAMETER ~ OR WIDTH //~ LENGTH /~ /, DEPTH TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~"/~:~,,-~ SQ. FT. TILE DRAIN FIELD: DI~PTH: TOp OF TILE TO FINISH GRADE ~ DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN ABOVE TILE · WATER WELL: '~., ~ //~'~DISTANCE FROM ]'~/~SAMPLE ~'//~) NEAREST TYPE (--~-/_~'-'~-'-~'~ , DEPTH ., BUILDING FOUNDATION //~., ~EARESI _~E~, ~C / SEEPAGE / / ~-~)THER ~ LOT LINE EWER LINE ,-ANK . SYSTEM ~' CESSPOOl ~., SOURCES DISTANCES: DATE DIAGRAM OF SYSTEM /orm 2573- July~ ] 958 ~i ~/ Form Approved HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM INSURING OFFICE Anchorage, Alasha PART I.--TO BE COMPLETED BY FHA MORTGAGEE Matanuska Valley Bank SERIAL NO. 111-011187- MORTOAGOR OR SPONSOR Straub Builders SUBDIVISION NAME PROPERTY ADDRESS NHN Sunny Circle LOT NO. 17 Sunny Slopes TOTAL NUMBER~ BASEMENT [] Yes [] No [] New installation WATER SUPPLY BYz --]Community system addl~onal bedrooms? (If Yes, how rnany~) •',es ~o. SYSTEM DESIGNEU FOR ] OF BDRM$. GARBAG~E OISPOSAL Individoa] No [] Public system SEWAGE DISPOSAL BY: ]Community system ]Public system PART IL--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [~]cL°cal Department of Health that this individual water-supply system []~ [] is not satisfactory as a domestic water supply for the subject property. PUBLIC W^TER 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 ~eOTe' *h, Jheo,~ ! Environmental Health Supervisor Dec. 7, 1970 ' · ' ~ ouJd comp ',~ the ~prbpfla,~ ~Jnidb itatem~nt .h~ve .ncJ .~JX date. ·,gaa}ure ©nd title in th~ · paces provided· Uso of the above grid 'for Health Department Inspector'· sketch as well as use of the back of this form · at the opt on of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERVIRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATSR SUPPLY AND SEWAGE DISPOSAL SYSTEM ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT FHA Form 2~ Rev. July 1958 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 9950'7 279-8686 Date Received ~,/~/7~ Time of Inspection. Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VoAo 1, Aoproval Requested ay:., Marston Realty Address. 2804 W. Northern Lights BI.vd 99503 2. Prooertv Owner: Ed Willis 3. Legal Description: Lot ]7, S~n~ Slopes Sub 4. Location: SU~ Circle Eagle River Phone: Ph ones 277-3511 5. Type of Facility to be Inspected: Number of !~edrooms: Four (4) 6, Well Data: Single Fqmil~ dewelling A. Type Sunny Slopes Comm Well C. Construction Sewage Dissosal.System~ B. Depth D. Bacterial Analysis A. Installed Sept. 4, ]970 B. c. Septic Tank: 1. Size ]000 2. D. Seepage Pit: 1. Size 12'X14' 2, 5. Dtsposs] Field: Total Length of Lines Installer .... []Dm Straub Manufacturer A..S. Material Loq Crib 8, Distances: To: Septic Tank , Absorption Area , Sewer Lines .... , Nearest Lbt Line , Other Contamination 8. Foundation to Septic Tank "~ Absorption Area C. Absorotion Area to Nearest Lot Line J~equ~st for Approval o~ l~¥.~lVl(IUa! hewer & w~r. er ~aOll~UI~ CommentS: Pending hOOK up to public sewer bv~lo_ve, mher 1. lq7~_ ~.~.1 ~/~ red ' Date ' J/ Approval Valid for One Year From Date. Signed. , ~reater Anchorage Area Borough, Department of ~nvlronmen~a~ Qualfty DIAGRA~ OF SYSTS~ I certify that the Information contained in this request for apprava] to be a true and accurate representat~.on of the subiect sewer and water facilities located at: S~gned Date