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Home My WebLink AboutWOODLAND LAKES DEV UNIT #1 BLK 3 LT 24LoT' locK 2. 3. 4. 5. REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIE (Fill out in Triplicate · of person requesting approval ~[ame of property owner L~.al description Number'o[ bedrooms in house Water Analy~$is: a, aeter[al b. Detergent. '" ~ :~ Well data: ~ ~~~ ~ a. T~pe b. Depth ....... ; ~/~ c, Casing Size Sewage disposal system, a, Age of system b, Septic tank capacity c, Name of septic tank ma~ 1, Distance from well to closest existing or prSoosed: 2, Septic tank 4, Cesspool' 5. Property Line... 6, Other sources of possible contaminati¢ ~.e.~ creeks, lakes, houses, barn~ dralna tc. If "home made" show diagram 6~9~se side of this form. d,' Disposal field or seepage pit size and type 1, Distance to property line to house foundation ~, Perco]~tlon~Test Y~esul%s f. Percolation Test performed by -' Use the reverse side of this form to show diagram. Diagra~ should include She fo[~lowing information: ~operty llnes~.well location, house location, ~tic tank location, dls~osal area location, location of percolation test, an~ direetlon of ground slope. The ~mforw~tlon on this form is true and correct to the best of my knowledge. $ignsture of Applicant Date $i~ned TO BE FILLED OUT BY HEALTH DEPART~,~ENT PERSONNEL above described sanitary facilities are hereby approved, subject to th~ ~'llowing con~i~ions: The above described sanitary facilities are disapproved for the following reasons: Approval is valid for one year following the date of approval. CPJ:cw HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE~ ~ SERIAL NO. PROPERTY MORTGAGOR OR SPONSOR ADDRESS SUBDIVISION NAME BLOCK NO.< '~I LOT NO. ~,~ TOTAL NUMBER~ WATER SUPPLY BY: BASEMENT ] New installation [~ Com~nunity system additional bedrooms? (if Yes, how many~) []Yes No. SYSTEM DESIGNED DISPOSAL FOR Individual [] Individual /t, [] Yes [] No [] Public system iEWAGE DISPOSAL BY: "-]Public system [~ Community system PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH Itr~iS~he opinion of the [] State [] County Local Department of Health that this individual water-supply system L~is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [~Local Department of Health that this individual sewage-disposal sys- /a ith proper maintenance: n be expected to function satisfactorily, and is not likely to create an insanitary condition DATE . ~ SJGNAIUR ~] Cannot be expected to function satisfactorily NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and titJe in the spaces provided. Use ofthe above grid for Health Deportmentlnspector's sketch as well as use ofthe back of this form is at the option ofthe health authority. PART III.~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 [] Acceptable [] Not Acceptable Sewa/~e disposal be considered [] Acceptable [] Not Acceptable. SIGNATURE CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 25/,~ Rev. July 1958 REPORT OF INSPECTIONmlNDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank~ Distance from well,__ Total liquid capacity, Inside length~ Cesspool: Distance from: Well, Inside diameter, feet. Material, Number of compartments .gallons. Capacity inlet compartment, .gallons. feet. Liquid depth, feet. Inside width, feet. feet; foundation, feet. Depth, SECONDARY TREATMENT consists of [] Tile disposal field, [] Seepage pits. Other Tile Disposal Field: Distance from: Well,. Total length of tile lines, Trench width, Length of each line, feet; nearest lot line at [] front, [] side, [] rear, .feet. Liquid capacity, gallons. Lining material 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. (eet. feet. feet. square feet. inches. Type of filter material: [] Gravel. [] Broken stone. Other. Depth of filter material beneath tile,~ inches. Depth of filter material over tile,. Seepage Plts~ Number of pits Outside diameter,, feet. Depth, feet. Lining material Distance from: Well, feet; building foundation, __ feet; nearest lot line at [] front, [] side, [] rear,. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by Date of inspection , 19 inches. feet. REPORT OF INSPECTIONmlNDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main .... feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give mo~t recent record.o£ failure of wells in immediate vicinity to furnish adequate supply, of water Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size: .feet wide feet deep, Dwelling set back from front property line, feet. Individual water supply from: [] Drilled well. [] Driven well, [] Dug well. [] Bored well. Distance of well from: Building foundation, cast iron sewer,, feet; tile sewer, seepage pit, .feet; cesspool, Diameter, inches. Total depth, .feet. Type of casing, Approximate depth to pumping level of water in well,, feet. Approximate yield, Sealed watertight to depth of feet. 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, 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 water been made? [] Yes. [] No. If answer is "yes," give date. Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by Date of inspection , 19 _feet; nearest lot line at [] front, [] side, [] rear,. feet; septic tank, -feet; disposal field, feet; other sources of possible pollution, feet, Depth of casing, _gallons per minute. _gallons per minute. .feet. 1962 ~; Lo~ 2~, alo~k 3 ~oodlaad Lakes ~ov~ber 15, 1962. Federal ~ousing P. O, Bo~ AnchoreSs, Alaska Attention* Mr. Popp~t~do~f P~:~ I~t 24, Block 3 Woodlmnd L~kes o~med by Thel-~y Enterprl~m, was made by tht~ d~pargmeng July 31, 1963. ~ appear~ tha~ due ~o the ~ewer line grade, and 'Oepsrtme~ will no~ approv~ connection ~o ~his system un~fl is no~ the concern of the }~mlth Under the circumstances~ ~he Health D~par~uemt will all~ ~his ~atisfactory c~unity System Can be in~talled. Sincerely, DAVID 8. L. DUNCAN, M.D. Medical Diz'~cgor Donald ti. Venner~ R.M1 M~. Ray ~oudraau, Thel-Ray Enterprises Sommers & Thampson, Cengral Alaska Utilities GREATER. ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 827 Eagle Street Anchorage. Alaska 99501 Phone 272-6467 June 19, 1968 Professional Realty 188 West F~meweed Lane An~hora~e~ Alaska 99505 Deaf MrS, Padgett~ SUBJECTI Sewage Disposal System Serving Lot ~, Blk. 8~ Woodland Lake Subd, This notice is to remind you of the conditional approval of ~%~9 sub,eat system by this office. The conditional approval expires on July 1, 1988. Please contact this office to schedule final inspection of the required modifications prior to backfilling. If we have not heard from you prior to the above expiration date, ~he system will automatically be disapproved. Sincerely,. DAVID R. L. DUNCAN, M. D. Medical Director BY: DaVid B~ kamkneas D~H/srr MEMORANDUM TO The File FROM_Clifford P. Judklns DATE 13 August 1965 SUBJECT~ Woodland Lakes Subdivision Received anoymous complaint~ 2 August 1965, from woman concerning Woodland Lakes Subdivision's water supply. Stated that the water smelled like sewage and when poured into a glass would have foam on the top of it for several minutes afterward. Checked with the last Bacterial Analysis received (on our monthly mailing list) and found it to indicate negative results. Gentlemen from Central Alaska Utilities~ Inc. brought in another water smaple for the purpose of a detergent test. This test indicated negative results also. CPJ/cw