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Home My WebLink AboutSUN VALLEY HEIGHTS BLK 1 LT 2 DEPT. OF ENVIRONMENTAL CONSERVATION ! / WALTr-'R J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFF:ICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 (907) 349-7755 May 29, 1992 RECEIVED Mrs. doyce Barton 13241 Alpine Drive Anchorage, Alaska 99516 JUN ,5 1992 MunicipWi y of A~ ( horage Dept. Health & Human Services RE: Lot 2, Block 1, Sun Valley Heights, Anchorage, Alaska, ADEC Project Numbers 9221-DWW-032 and 9221-DW-079; Review Dear Mrs. Barton: This is in response to your submittal, received in this office on May 21, 1992, in which you requested approval for the on-site water and wastewater disposal systems located on the above-referenced lot due to the proposed change from a five bedroom single family residence to a three bedroom Bed and Breakfast and two bedroom single family residence. I have completed my review of the submitted information and have the following comments. WASTEWATER DISPOSAL SYSTEM Based on the submitted information, it appears that the wastewater disposal system was installed substantially in accordance with State regulations and guidelines at the time. Since it appears that there will not be an increase in the volume of wastewater being treated and disposal by the existing wastewater disposal system due to the change from a single family residence to a bed and breakfast. Therefore, the wastewater disposal system is approved for the concerns of this Department. The enclosed signed Approval of On-Site Residential Water and Sewer Systems, constituting this approval, is enclosed for the existing wastewater disposal system. DRINKING WATER SUPPLY SYSTEM The above-referenced lot is served by the Sun Valley Heights Class A Public Water System that is currently in compliance with State Drinking Water Regulations 18 AAC 80.2OO. Joyce Ba~on 2 May 29, 1992 Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to call. ?¢x.,.6¢.~cerely' '~ Keven K. Kleweno Project Engineer KKK/of [Enclosure: As Stated cc: John Smith, DHHS, w/o Eno. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICI"S Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Add,ess~~__ TANK FIELD WELL - Township..ange, SeeJion / ~n. ~ lure Capacily ', g~llon8 f Z ~ Malerial . No. of Compadments TYPE OF SYSTEM RENCH ~ BED g W. DRAIN [~OTHER ~O Z ~_ /~ ET FT Fiji added above original grade G~avel depth beneath p~pe ~ PRIVATE ~OTHER fldenlllv) 0 M---~-......_~L SEPTIC ABSORPTION TANK FIEI. R WELL ELL ~_~ ~ ~ 72-013 (3/85) I::',':~.~' l::l~ 1 ,[ I::l: 0:1.7'-'0A2'-22 I.ot, I.x;~qa 1: Subd :i. v i~i or"~: EiLP,.f V,qI.I,.IEY I'ITS,, I,.c)'L ,*, :2 B ].oc:k: !..(::~ ~:i~:i.;,:I,,.) ::E'?:l. lilhS (!!iH:l. {'L,,cH' Idax BIm:l r' c, cxm~;: 'Ih :i. !i~, F'r:! v m :i I'.: i I'cvL ,'a :t Ce. IS) ac i t, y ~:'~t-' F:'T I C 'f (~l',ll<: I"1 :i I~ :i mum 'L o't. a ], !i~i(..*l:-~ L ~ I::: Lan I.:: c: ~ ('~)(? 't' I" (~:, (::jt, t i P &!!B ;J I'1 !lB LI ]. ~,i~ '1:, :j. (3 Ii (:;~ V ~:~' P /'. a~ I'1 I:: ( !ii~ ) ,, II'.ltbl¢-'lI.L F:'li:l::,t liiil"lCi'[Nlii:lEF;',S F/I~'I I"()kl...I.) Dl........lt.l,dl. I"'F rt,,F:l:;r',l I.X:I.[:i~}IO t~~lRt2:]",l(~. I 1',4~I::'1::i:!;:::'1 ]10f',l ,: rl.I I s I:;'lii;Fd',l I T 113 I SSLJIEI:) F;J3F,; TI-lEi: F;',~'.];IOt!i]",IE;[!: AI',I~:) EXF'IF;:Ei:S i:}1',1 :12/::!;1/89,, ]: (31!!:B'.T i I:':'Y Il'IAI x :1 ,, ]Z afl1 t ;ai~l:i :[ iai' I¢,~ i '[:. h 'h J I~:) I" (.9 (::ILL :i P (;'?lYI(".]R '~. !B { (:;) P E)I]' dB i '1:. (./.! !BAH~.~O) I' E; ~f'~C{ MEe il. :J. {or't.l'~ I:iy 'I'.I"~? I"h.u"~:L(:iFu?~l:i. ty I::){' hric::l"ll::mag[) (1"11::l¢:~) and the S'Lat6) o~' :[ wJJ]:L :i.l"~i~;.~:.;::~:J.J U'ld.~ E~y~B'k(?fll Jr1 aC;C:(::)I'I:J~.¢d"iE:(.:~ v,d'Lh ali. I~ll::lJ:~ (::~::)~::1~; ar'icl al"icj Jl'i (::~ml:) 3. J. ar'H::Fo k,~:i.'~.h 1'.h¢.) d(::,m~:i, gll c:p i'Lr..:,v ia c~[' 'Ll't:i.~ i:)qH',mit. ,, Z ~,J:i:l]..~.~cih(ar,~..:~ I:.c) all I"ll::}(:~ au'mi St'.a'Le of hlaf~l.::a r'(eqLui, r'c~m~:,)r~t.s~ fen' 'L:.h(.~:) ~(,~'!'.. I:)ac:l< d.~],~i(;;) I].IIdCH"~Bt, iF~I 't'.t'l('? C:,;:/l::)a(:: C){' t.t'/E~ 't..cFl:a]. ~y~t.~::¢f~l :i.s~ ',~¢ l::)~:.x::h,(::)c~rfH~[i amd any e~,r'l 1 ¢;1 r' (:] (:)1 ~ C:ll,.~ :[ i' 6~ ach:l i't., i c)na I SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 %" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~"*",J~"~--,'y LEGAL DESCRIPTION: 2 3 5 6 7 8 9- 13 .- ~.~, W', 14- 15- 16- 17- 18- 19- 20- COMMENTS Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? s L IF YES, AT WHAT O DEPTH? p E Depth to Waler Aller~., ~onilori,lg? _~. Da~e: ~ ~ I~""~'~1 SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE '~' (minutes/inch) PERC HOLE DIAMETER TEST RUN SETWEEN .FTAND '7__. $ & S ENGINEERING 17034 Eagio R[vm- Lr. ep~Rea~ PERFORMED[~(~ glvl~'~, Alaska ~.,ST'/ _ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES-IN~FECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) oGREA 'R ANCHORAGE AREA BOR( Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOC^T,ON .EGALDESCR,PT,ON/ :.,, SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTN ....... COMPARTMENTS __ LIQUID DEPTH LIQUID CAPACIT~¢~'~'~ GALLONS. T I-bE--BR'A4 N DISTANCE FROM WELL NUMBER OF LINES__ ABSORPTION AREA DEPTFI: TOP OF TILE TO FINISH GRADE ~/~ , ¢ TOTAL LENGTH ~ / FOUNDATION NEAREST LOT LINE ~/~'~ OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ~¢IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACN LINE ~0 / ~;~7 P¢~f- ~/../ DEPTH OF FILTER /~2/ MATERIAL BENEATFi TILE __r~ABOVE TILE IN. TYPE ~)_'~ )¢'~ ~'J I1 ~_ CONST RUCTION BUILDING FOUNDATION CESSPOOL APPROVED NEAREST NEAREST LO-F LINE __ SEWER LINE OTI-IE R SOURCES DISAPPROVED ......... REMARKS DEPTH SEPTIC SEEPAGE TANK __, SYSTEM DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF: SYSTEM DATE'S/--Z~'"Z~'APPROVED ~ G.A.A.B. ' ---- Form EQ-032 GREATER ANCHORAGE AREA BOROUGH SIEWAG£ DISPOSAL SYSTEM -- APPLICATION AND P£RMrr PERMIT NO. DRAIN FIELD PHONE FINANCED 'ruRouGh ~--~ TO BE li~STArL, ED COMPLETION DATE ANTICIPATED -- SEPTIC TAI4K __2 , SEePage PIT ¢~) / TO NEAREST LOT LINE. DRAIN FIELD J~f~ / CAS'I IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, CONFORM TO ~3OROUGH REGULATIONS REGARDING INSTALLATION, SEEPAGE AREA SIZE ~.~'~-J~.~'~______ TYPE CONSULTANTS, INC. JUNEAU November 15, 1974 R & M NO. 462097 Hoe Unlimited 8040 Lake Otis Parkway Anchorage, Alaska 99502 Re: Test Hole and Soil Log Report for Sanitary System Lot 2 Block I Sun Valley Heights Subdivision Genlemen: We are submitting the test results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of ll-13-74,.and thos procedures outlined In a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single .test hole was put down within the Lot 2 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor mounted backhoe and the test hole was extended to a total depth of 9.0 feet below ground surface. One sample was recovered at a depth of 4.5 feet which represented soil encountered from 0.5 feet to 7.0 feet. The results of this sample are enclosed. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact Very truly yours, R & M ENGINEERING & 'GEOLOGICAL CONSULTANTS mes W..Rooney ~/ JWR:pjm xc: GAAB Test Hole 11-13-74 TRACE ORGANICS 0.0 0.5 SILTY SAND, TRACE GRAVEL (SM) 7.0 NOTE: SILT, SOM~ SAND TRACE GRAVEL, GREY 9.0 T.Do NO WATER TABLE TEST HOLE EVACUATED WITH TRACTOR MOUNTE~/BACKHoE Engineering 8~ Geological Consultants Inc, ANC~ORA(3E FAII~ BAN~(S ALASKA JuneAu Hoe Unlimited Log of Test Hole Anchorage, Alaska Dry Fina A~g. re:c! WL Dry FRACTURED PARTICLES ~tc! V/ok;hi Frecfured % Fmcture ,, :'~'LARORATORY TEST WORKSHEET Dof~ __4~.------------------~.~..-~.~_ . ,:,lB..i: i: ),'(-; Pro act Number . ¢/~:~- Pro act Name~~ .: Lab No~ ' _ ~ · ...... Sa~p~d From -,'t. ~ ,; ,~' f~,n ...... y CO .... ABg. %, ¢ ~ Lb. S,~VE'~ DRY WEIGHT % RE~: % PASS S,~¢~. Lbs. .;/o -¥o X ~'o , '~OFAL Ret. 'Ret. · Poss '+No. 4:'B Grod. :~-~ ...... :~ SPECIFIC GRAVITY AND ABSORPTION ~ ATTERBERG LIMITS ~icht in '" Dry-- Goin in 24- Hours Sp, G.~of.V,bter d T Absorption,% ,, ~, .... We~:Dhi in Water W,., ,~:* '¢,,c~r SoiI~WE Wt. cf Dry SoiI,V¢~ W¢ aht HzO Disddced DEI_ETE~!OUS,, ~.., ~_,,,,~,~'*TFP ,* i !._.A. -ABRASION Diff.. I%~",..J. IS..~,*.n ~ 'nt j ~ichf After v'dBht cf Fl~sk \:iL Flcsk ~,t.'ctar~ WI ]~.mo.,-F in E Ca./ Lz~ m,:;s ( PLASTIC Dish Can No. \, · ,,h..,~n t \~ Soil V'/siohl Ccn-,'-O(y_ Soil V/elqhi' of W~ar ~,.kin Ccm-FDF,t. So~l We]qhf of Cdn Moislure LIQUID LIMIT (LL) "-:- I ' PLASTIC L.MIT (PL) ~ .. , LAST~ IN~._X (P,) /o Cloy LABORATORY TEST REP~,{T TEst ON.~N~ PROOECT NO, -PROOECT NAME_..Ho~ U~ltmtted SAMPLED FROM Test Hole 1 SUBMITTED BY_J°nes SOURCE Lot: 2 Block 1 Sun Valley Heights Subdivision LOCATION Anchorage, Alaska GRAIN SIZE DISTRIBUTION 3/4" #B # 5O #4O ~50 .OOEMM DELETERIOUS MATERIAL MINUS ,~' 200 MESH SOFT FRAGMENTS COAL 6~ LIG, OR LT, WT, PART. CLAy LUMPS STICKS ~ ROOTS FRIAOLE PARTICLES SPECIFIC GRAVITY AS$ONPTION FINENESS MODULUS SULFATE SOUNDNESS FREEZ£ - THAW ~ATIO L.A, ABRASION LOSS DEGRADATION VALUE ORGANIC COLOR DEPTH0. 5-7'0' _DATE SAMPLED.11-12-74 CLASSIFICATION UNIFIED AASHO FAA %+~o SiLT FSV LL PL CLASS SM REM PROJECT NO. 462097 _ LAB NO 74A-1610 FIELD NO, 1 DATE REPORTED 11-13--74 DATE RECEIVED 11-12-74 COMPACTION STATIC IMM ERSION BRANS Engineering ~Geologlcal Con3ultant= MOISTURE - PERCENT DEPARTMENT OF HEALTH & HUMAN SERVICE~ ' Division of Environmental Services ,~=~r~, .... On-Site Services Section ........... ~t'~ "'P.O, Box 196650 Anchorage, Alaska 99519-6650 i:d/!'N:-'~ RE. cEIVED .~, ' , , , CERTF',CATEOFHEALTHAUTHORTY' . '"'..'.. ':"; ; .:.;.'~;~,AP~ROVALFORASINGLEFAMILYDWEL~I~G . ; ' : . .~,:~.4~rOompletelegal~description ~ot 2; Bloc~'t~Sun".VaI:ley.;,Hezghcs A~p~ne D~ve .~;;'.:.:,;.~:,¢-~:Lbcation(sitea~dress or directions) ...... · -- , .'- .:-~,~- .~. ~-~-, ~ . ~. '. A~ ~o~age,c, AE ; ..... '...- ' ..... """ ~';'.~ ~,:,Pro )e~v-'owner~*..',R~cna~o & ~oyce 9a~ton Day nhone...,.753-0248-(~)- .Mailing addre~';~13241'A1Pzne Drzve Anchouage, AK 99516-3178 :. Lendingagency · Mailing address Day phone Day phone .... ,: : :.~O'I'E: If community wel! system, provide written confirmation from Stat~ ADEC ~:ti~t~:i!! 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my inves'¢gation of this Health AuthorityApproval application shows that the on-site water supply.. "~ . .~ and/0~'wast~ater';~ Sposa system s safe, functional and adequate for the number of bedroor~s"- .;',:~v and~p,e of strhcture indicated herein. I further verify !hat based on the information obtained from · :U~e 'Mu~i~il~-ality of Ancl~r~ige files and from niy i~vestigati~n'and inspection, the on-site water ;':'-'~i-.. sbpbly and/or Wast(~&'~b'C:aiS'l~O'S'Al'~;s~te'm is in complia~c~'~vith all Municipal and State codes, -*- ordinances, and regulations in effect on the date of this inspection. ' ' ' : -' - "~ Addr~s~ "" ~'¢ Eegle RIvar, Alaska ,6' ;' DHHS SIGNATURE :.and tl'ieir len, ~ns,~,n, order ,certain federa and state requ rements Employees of DHHS do not, ::;:conduct ~ns analyze'da ~fore a ce,rt~ficate is ~ssued. ~The Mun c pa ty of Anchorage s 'not :'~. , ~!~ responsible for errors o~o~ssions ~n the professional engineer's work.~ :,:::: Logal Deserlp[lOll: /-o 'c Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ..,/.,h~ ~ c ~ 9 199~ 825"L" Street. Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 RECEIVED Health Authority Approva~ GhecklJst ~ GcoC,< / Parcell,D,:Ot~/ -- ~7 6). -- ~ t!NVIRONMF..NTAL SERvIcEs A WELL DATA Well type C L ~ 53' Log present (Y/N) Total depth IfA. B. or C. attach ADEC letter. ADEC water system aamber "~/oZ O O ~F' SanitaL'y seal fY/N) Date of test Static water level Well production / WATER SAMPLE RF~8~TS Coliform D~lmple: B. ~_~.,I_~HOLDING TANK DATA Date completed Cased to Casiog height (above groun.~cD/ Wires. properly p~r, ote'ff(et~ fY/N) FROM WELL LOG ~.~AT INSPECTION _ ,./ g p,m. Nitrate Other bacteria Collected by: g.p.m, Date installed IqTq ~ ~ q gq Tank sizel~o-u -/-S¥o Number of Compartments Depressioa (Y/~ _.~ O _ High water alarm (Y/~ ,v O Pumper Ir Foundation Date of Pumping C. ABSORPTION FIELD DA'fA Date installed lq~'~,g, Ifl~I Soilrating (g.p.d./ft2o ~)d;'o ¢ ~yq Systemtype Length f_.30 ,~ t4'/ Width"~/2, 2,~' Gravel tldckness below pipe to'& ~t Totaldepth__t't ~ b~ Effective absorption areal~OO g- 3F;~..MonitormgTubepresem(~tN)¥(J'_Del~ressionoverfield(Y/~) Date of adequacy lest I [ g '1 / ~l (o Resalts (Pass/Fail) /a'°,'f J For ,S~ bedrooms Fhfid depth in absorptioa field before test (in.): t) g y hnmediately after ~St gal. water added (in.) 09, a Fhfid depth /ox (ins.) Miautes later: - P 3 Absorpuon rate = '7 $"O 't~ .g.p.ct Peroxide treatment (past 12 moaths) (YfN) tv~rc ,q',,,ow~-, _ If yes, give date D. LIFF STATION Date installed Size in gallons Manhole/Access (Y/N) "Pu~ High water alarm level~ *Datmn Cyc~ "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: /v//p ~ c o,. ~ v~ ~ r 7 ;l~g ~ c Septic/holding tank oil lot Absorption field oa lot Public sewer main ~ Sewer_~..Z~~ SEPARATION DISTANCES FROM~HOLDING TANK ON LOTTO: Building foundation ~q'- /'~ . Property lille g' ~ Absorption field Water maia/service lille ~-O~ q- Surface water/drainage lo o ~4- Wells on adjacent lots ; Oil adjacent lots Public sewer manhole/cleauout Lift station ¥0 / 4- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building fmmdatiol~ 2 o / 4- Water mairdservice line Staface water I 0 o ( ~ Driveway, parking/vehicle storage area '¥'o ~ Curtain drain two t,~- a;~ o,~ ~,' Wells on adjacent lots ~. 0 ~ ~ Property lille F. ENGINEER'S CERTIFICATION ! certify that ! have determined thru field inspections and review of Municipal ~,~:I~:,h~3~][l~tetns are mconJbrmancewitkMOAH~dehnestneffectonthtsdate. ~' Pt ~-/~ ". Z ~ Signature ~t~J/ ' ~q~ t~Z~; ..... ,t EnglneersNanle ut)~A~ C. ~0~o~ t~' i ' ~lge~al~ Date / [ a ~ / q' ~ *a ~, -. .' .,.3' ¢ ............................................................................................. ~:~---~ ........... HAAFee $ ~':~ . ~ Date of Payment Waiver Fee $ Date of Paymeut Receipt Nmnber Rev. 8/95 OSS: haa.wk.doc MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # J~)/~.'"~- ~')1~, -~J~;~. _ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone_ Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 'TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm -~O ~ ~..~1' ~ ¢ ¢' ~'..~. ¢l. ~:1¢ Phone Address ~$ ~ ~ ~ Engineer's signature ~~ Date DHHS SIGNATURE ~ ~_ Approved for/¢~¢/~' Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments / The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /-Y~/ ~&14 Vt<J/<,.~ H-4,~¢)~I,~'-~ Parcel I.D. 0/7-* O(o~¢,, WELL DATA Well type ('-/c~:!,5./¥ If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG g.p.m. AT INSPECTION iCUNiCIpALt'fY OPAHCHO¢'AGF ~.N~RONMENTAL Sf.D/iC~:$ DNl$10['l g.p.m. RECEIVED SFPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot __ Public sewer main ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SI-'PTIC/HOLDING TANK DATA, / . Date installed /¢7¢g/(/¢? / _Tanksize t Cleanouts (Y/N) "'J Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Compartments / ¢. Depression (Y/N) /'7/ _ Alarm tested (Y/N) _ Pumper 4 '~' SPPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /"///,'~ To property line Surface water/drainage On adjacent lots i',///~ _Absorption field ~0 ~ __Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~'¢ ¢ ~¢ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating .~ l/c~ System type Gravelthickness /O// /'// Total depth Cieanouts present (Y/N) I Date of adequacy test / ,¢/ for bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I'~/A To building foundation On adjacent lots ,,~ ~ o Surface water h,[ J ~2 Curtain drain ~/¢ On adjacent lots ~"¢'/X~, Property line ~ / ~ ~'~P ~ To existing or abandoned system on lot /'//,'% Cutbank ~%'~ o ~/ ,-z_ Water main/service line ~. / 62 Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Engineer's Name Date "/ HAA Fee $ / Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev 3/91) Back MOA 21 DEPT. OF ENVIRONMENT~kL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 Januaw 6,1993 WALTER J. HIOKEL, GOVERNOR (907) 349-7755 Mr. Toben Spurkland SUBJECT: Sun Valley Heights North Class "A" Public Water System, PWSID 212005 Dear Mr. Spurkland: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on November 30, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on October 29, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on April 29, 1992. This does not meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemical were submitted to this Department on October 29, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 OFRTIFICATE OF INSPECTION FOR HEALTH AU'FHORITY APPROVAL 01: ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~J~2~,- Z ¢-q~-,-'-~. HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~,,,~ ~ ~' Mailing Address ~--2¢ ~. Telephone: (home) Business . (c) Lending institution Telephone Mailing Address (e) Mail the HAAto the following address: (or check here [], if hold for pick up.) List contact person and day phone number below:;. S & 5 1.3~'INEER~NO 17034 Eagle Ri~er Loop Road No. 2{)4 Eagle Ktver~ Aju=~Ka-~77 2. TYPE OF RESIDENCE Number of bedrooms Single-Familyx 3, WATER SUPPLY I¢~J~44~cJ W~ Community~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL on-site~. Public [] Community [3 Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev, 7/88) Page 1 of 2 MUNIClPALIT/y'"~F'~NCHO~ICIPALI'rY OF ANCHORAGE (MOA) r' ~- ~/ CH ECKLIST - FEBRUARY 1984 ~Z~/ RE 6 E I V E D Description:~ A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrica! Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank'on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Date Completed __ Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) 7~L~ / Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole _ To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~/~[~ --~ ; Date Date Installed~'~'"L~ '~ Size ~---~?L.O No. of Compartments -- / Depresaion over Tank ('Y N~. ,~ Last P.mped,'~ Pumping/Maintenance Contact on File (Y/N) ~"J-//'"]- ;for /U/'//~' Holding Tank High-Water Alarm (Y/N) _ ~,d/~_ Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/~TANK: t To Water-Supply Well ~7---4::¢° C- To Property Line //O ~'~ To Water Main/Service Line ,//~.O To Stream, Pond, Lake or Major Drainage Course Comments //L~ p'~.2 ~ 0/~ To Building Foundation 'Fo Disposal Field 72-026 (Rev 7/88)FronI Page 1 of 2 Square Feet of Absortion Ar, ea Depression over Field (YN~ Results of Last Adequacy Test C.*.SO.PT,O..,.L..ATA ;;' Soils Rating in Absorption Strata __ ~¢-7Z¢ ~¢' Type of System DosE Z.//" Datelnstalled ,-~-- ~.'~ -- ~' ~' Length of Field Width of Field ~ ,. ~-- / Depth of Field ,~ . z Gravel Bed Thickness 3~--2--/'/¢:>./¢~/o'/¢¢/~_ Statndpipes Present (~?/~) . - ~ ~.fl,, ~ Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot / To Water Main/Service Line /(:~ re To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments / 7~r /:~ c~ ,j To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) /L/O,t/~' D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) · /"Pump Off" Level at ~///~____ Vent (Y/N, Pumping Cycles during Adequacy Test, **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed $ & $ ENGINEERING 17034 Eagle RAver Loop Road NO. 204 Company =~_¢e ~!vn"; Alaska 99577 Date ,~-Z ~ ~¢ ~ MOA No. C~-- ~:)~- O~O~ Receipt No. Date of Payment Amount: Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Bsck Page 2 of 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FAO.ITY FOR SlNeLE FAMILY OWE _UN ParcelI.D.#~/'~ ¢~2 '~' 2 "~ HAA# ~u~O~- ((~)Lt'-'1OI 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 13241 Alpine Drive (b) Property owner AHFC Telephone: (home) Mailing Address 520 East 34t1~ Anchorage, Alaska (o) Lending Institution Telephone Business Mailing Address (d) Real Estate Company and Agent 2001 Realty/Nancy Bergh Pollock Address 1345 West: 9th Suite 201 Anchoraqef Alaska 99501 Telephone _276-2001 (e) Mail the HAA to the following address; (or check here ~; if hold for pick up.) List contact person and day phone number below: ,4 & S ENGINEEEING 17U34 Eagle River Loop Road Nc~. 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Number of bedrooms Single-Family [] 3. WATER SUPPLY Individual Well [] 4 Community ~ Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [~ Public [] Community [] Holding Tank E] Nole: If oommunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ~ Jo i~ e~Bd suo!ss!~o Jo eJoJJe Joi BIq!$uods@J )ou s! @~BJOqOU¥ JO ~)!lsd!o!un ~ eq± 'penes) s) @lBo!,t!iJeo B eJojeq slBp ez IBUB Jo suo!)oadeu! )onpuoo lou op SHHQ lo se@~old~3 's)ue~J!nb~J eleis pub IBJapei u!eiJeo,~js!iBs ol Jap Jo u! suo!ini!isu! au!puel J!eq) pub s~oq jo sJesBqoJnd o~ ,~eeiJnoo B sB s!q) sBop SHHO eq.L 'B~SSl¥ ~o elBiS gq) u) peJe)S!D~J Jesu!Due IBUO!SSejoJd luapuedepu! uB/~q e^oqB ~ qdBJ§BJBd u! ue^)D suolis)ueseJd@J eql uodn ~lUO pesBq p~iBo!j!Jeo IB^oJddv,~l!Joqin¥ q)lBeH s@nss! 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O:IdSNI IDNIOIAOHd INaI::I ~DNII::F:I:aNIIDN'a 'g MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL DATA Well Classification _ Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding'Tank on Lot To Nearest Edge of Absorption Field on L. ot To Nearest Public Sewer Line . A Date Completed __ Depth of Grouting If A, B, C, D.E.C. Approvedd~N) / Yield Pump Set At __ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~,,¢' 5. ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~//~'¢'/'~ Size StandpipesCN) '/_ Depression over Tank (Y~ Air-tJght Caps')N) Pumping/Maintenance Contact on File (Y/N)~/~ Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) SPPARATION DISTANCES FROM SEPTIC/HOLDING TANK: No. of Compartments \/ Foundatioa Cleanout(:~N) _ ~[~ate Last Pumped __/ ; for - Te Water-Supply Well To Property Line To Water Main/Service Line / E> To Disposal Field To Stream, Pond, Lake or Major Drainage Course Comments __ 72-028 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed // ~ "'2....¢~ -~ "7'~ Width of Field Square Feet of Absortion Area Depression over Field (Y/~I~ Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness l~t:;~ Statndpipes PresenE~N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot /~ Y ,'O_...¢~:::~ Iq. To Property Line ~ - To Existing or Abandoned System on ; On Adjoining Lots "~,, ,=~ 4- ~ ~ To Cutback (if p~esent) ~ ~b~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments \ D. LIFT STATION ¢ //~_ Date I nst,~d Size in Gallo?ts. "Pump On" Leve~ High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~'~---~-~ ~.~..Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effec inspection. $ & $ ENGINEERING Signed 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 Company Date MOA No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 3601 C STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563--6775 DATE: October 14, 1988 PWSID: 212005 To Whom it May Concern: According to the records on tile HEIGHTS NORTH Water System is in Alaska Drinking Water Regulations. in this office, the ~UN VALLEY compliance with the State of MPL:pkk Sincerel y, Michael P. Lewis, RE Environmental Engineer DIRECTIONS: Complete ail parts Oil page 1, Incomplete requests will not be processed. Please r [ow ten (10} dave for processing, ~ ~ ~'l~ PALITY OF ANCHORAGE MUNICIPALITY OF ANCHO~R/~GE DEPT. O: J -ALT, I ~. e DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEq.~{~ONMEN1, .L .', £CTION ~..~ ~ ~ 825 L Street - Anchorage, Alaska 99B01 ENVIRONMENTAL ENGINEERING DIVISION MAR 2 0 1980 REGUE~T FOR APPROVAL OF INDIVIDUAL ~ATE~ D E JPHONE N/A 1. PROPERTY OWNER _ James E. Nunnery MAILING ADDRESS 99502 Anchorage. Al~sk~ (Robert E. Baer~. Anchorage. Alaska IPHONE PHONE 274-7331 _] PHONE 272-0571 PROPERTY RESIDENT(Ifdifferemfromabovel NHN Alpine Drive _ Lot 2, Block 1, Sun Valley Heiqhts Subdivision 2, BUYER Ron & Ann Sponholz MAILING ADDRESS __2113_N__4j_t~ Anchorage. Alaska 3, LENDING INSTITUTION ~Ll~5~a_~;j~ic Bank MAILING ADDRESS -- lO1 F. R~n~nn Rlvd. 4. REALTOR/AGENT _ Totem Realty. Inc. MAILING ADDRESS -- 724 F. 1Bth Avenue ~'LEGALDESCRIP~'ION Lot 2, Block l, Sun Valley Heights Subdivision STREET LOCATION NHN Alpine Drive 6. TYPE OF RI-'SIDENCE [] SINGLE FAMILY MULTIPLE FAMILY 7, WATER SUPPLY [] INDIVIDUAL' COMMUNITY PUBLIC UTILITY NUMBEROFBEDROOMS [] One J~'Four [] Two "~e [] Three E] Six El Omer. *ATTACH WELL I_OG. A well log ~ required for all wells drilled since June 1975. For wells drilled prior to that date, give wel depth (attach log f available 8. SEWAGE DISPOSAL SYSTEM FX INDIVI DUAL/ON.Sll'E~' PUBLIC UTILITY **If individua/on-site, give installation date 11/74 appro.x, If system ~s over two (2) years o~o en adequac', test is required by this DeoartrnenL NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-O10{3/78) $ EE-A-'PT~AC~ E D ~ ¢ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME T~ME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY -- DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or I~ Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION [t25 L Street - Anchorage, Alaska 99001 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS= Complete all parts on page 1. Incomplete requests will not ba procSssed. Please ellow ten (10) days for processinB. ~-, PROPERTY OWNER PHONE ~AI LI NQ AD DR ESS~ ¢_. PROPERTY RESIDENT fdlfferent~romabove, 12, BUYE~ ~ REALTOR/AGENT PRONE ~AILING ADDRESS 5, LE AL DESCRIPTION STF EET LOCAl ON - ' ' I G, 'rYP~OF RESIDENCE ~ NUMBER OF BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ F~ve Other ~ MULTIPLE FAMILY ~ Three ~ Six 7, WATER SUPPLY ~ ~NDIVIDUAL~ * ATTACH WELL LOG. A we I log ~s required for all wel s drilled ~ COMMUNITY since June 1[~75. For wells drilled prior to that date, give well ~ PUBLIC UTI LITY depth (attach log if available ) 8. SEWAGE DISPOSAL SYSTEM ~lf individual/on-site, give installation date,~ ~ ~ IN DIVI DUAL/ON,SITE~ If system Is over two (2) years old an adequacy test is reauirea ~ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUSTACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~010(3/78~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: I. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~SINGLE [] THREE [] FIVE [] OTHER ONE FAMILY [] MULTIPLE FAMILY [~] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY cNDIVIDUA L DEPTH OF WELL OMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E3-I-N~VI DUAL/ON -SITE DATE INSTALLED [] PUBLIC UTI LITY II ''~ L{ Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: I,,~.-..?~ If Tank is homemade 8OILSRATING give dimensions: TYPE OF TANK - MANUFACTURER TOTAL ABSORPTION AREA MATERIA~ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E~APPROVED FOR ,b~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED L~AL DESCRIPTION 72-010 IRev. 3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-4561 Date Received November 4, 1976 Time of Inspection ~?~q~) Oz~t .. Date of Inspection /~c~y~/~ ~_~, REQUEST FOR APPROVAL OF ~/? ~ INDIVIDUAL SEWER & WA'FER FACILITIES ~ · FOR Conv. Approval requested by: Alaska National Bank Mailing Address: Pouch 7-010 Phone: 277-5511 x 31 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Ticor Relocation Phone: % Alice Hart__ig_z Metropolitan Realty Lot 2 Block 1 Sun Val]Ley Heights NHN Alpine Drive 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: A. Type ¢. Construction ~/~-4~~ 7. Sewage Disposal System: On-site system A. Installed //-7 z~ B. Installer C. Septic Tank: 1. Size 3/~''o ~. Manufacturer D. Seepage Pit: (Commnni~_y--sy~W~m~-r~een-%-l~--~.mp~ed) B. Depth D. Bacterial Analysis 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages 3330 October 27, . 6 'GREATER ANCltORAGF ARk/, BOROUGH mONICmAUT¥OF^NCHORAOa Department of Environmental Quality DEPT. OF HEA~.TH & "c" Anc ,orage, Alas - NOV 0 4 1976 REQUEST FOR APPROVAL OF' INDIVIDUAL SEWER & WATER FACILITIES RECEIVED 1. Type of Inspection: ' CMRO 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: Ticor Relocation VA FHA X31 .... _D a_~i- Phone James E, & Jo Ann Nun_nery_ Bo~ 37__~5 C Anch___or~ag__e 99--50--7 D8_~ Phone 265-8853 4. Name of Lending Institution: Alaska National Bank Mai 1 i ng Address: ~ouch 7-010 Anchorage, Ak. Phone 277-5511 99510- 5. Name of Realtor or Agent: Alice Hartig .-Metropolitan Realty Mailing Address: 523 W. 8th Ave. Anchroage,Ak. Phone 6. Legal Description: Lot 2 Block 1 Sun Valley Heights Sub. Location: NRN Alpine Drive Anchorag~e, .Alaska 99507 Type of Facility Water Supply Type of Supply: If Individual, If Individual, to be inspected: sfn_$_le :family dwellir~gO. Bdrms. 3 - 3UF Public Utility Individual number of dwellings presently served depth of welt 9. Sewage Disposal' System Type ,of S~stem: Public Utility If Individual, date of installation Clandla 2onas ' Mortgage Loan Secretary Alaska National Bank X (Communify) Individual (on-site) Page 2 of two pages - Re~ st for Approval of Individual [ er & Water Facilities Legal Description Lot 2 Block 1 Sun Valley Heicjhts Comments Approved[?~ ~4 . Disapproved Date _~ ,2~'. App~}val ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 12, 1976 Time Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR of Inspection ~'~ p,~. ~ Cony. 1. Approval requested by: Dynamic Realty Ine. Mailing Address: 501 West Northen Lights Blvd Phone: 279-7611 2. Property Owner: Ticor Reloca~tion Management Phone: 279-7611 Mailing Address: % Dynamic Realty 3. Legal Description: Lot 2 Block 1 Sun Valley Heights 4. Location: Alpine Drive, 4th house on righ off of De Armoun 5. Type of facility to be inspected 6. Individual Well Data: A. Type C. Construction 7. Sewage Disposal A. Installed C. Septic Tank: D. Seepage Pit: ~isposal 8. Distances: A. Well to: System: 1974 1. Field: Total Septic tank Nearest lot line B. Poundation to septic tank Single Family - Community Water On-st system B. Depth D. Bacterial Analysis l~A/ol/) _ B. Installer Size {~'~) 2. Manufacturer Absorption Area 2. Material length of lines, , Absorption area , Other contamination , Sewer Lines , Absorption area C. Absorption area to nearest 'lot line __ EQ-034 (1/74) Page 1 of two pages 1, Type of Inspection: 2. Property Owner: Mailing Address: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMFNTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 274 4561 REQUEST FOR APPROVAL OF INDIVIDUAL SFWER and WATER FACILITIES CMRO VA T'I COR Re] ocati on C/O Dy~aml c. MUNICIPALITY OF ANCHORAGF. DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUL 1 219;'6 RECEIVED 3. Name of Buyer: FHA CONV X Day Phone -~79-7611 Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: I]yl]alnic_]~ea]_t;.y..¢ I nc, Mailing Address: ~01__'¢~L~__ELCL.~ L~gbJ2s r~lvd Ancl~orage, Al<..99503 Day Phone Phone __ Phone 279-76] Legal Description: _~ot Location: _LL].p3 ne I)ri vn J3;qt,Jral ¢:e. dar ~'idlng b.l"h t'~ OP-r/s off 7. Type of Facility to be inspected: _ 8. Water Supply Type of Supply: s~ n.ql e 'FalJfi 1 y No. Bdrms. ll-~r~ Public Utility Individual If Individual, number of dwellings i?resently served COI~fl]LII'I~ ty water St,liq Va1 ley r~ts subdiv[slorl ~ nllrrlDer t,liqldqov,/i]0 If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation Lin J(flOWl3 Public Utility _ 1974 Individual (omsite) serving X EQ-037 (1/74) Page 2 of two pages - Re~ ss for Approval of Individual ~ er & Water Facilities Legal DescriDti0n Lot 2 Block 1 Sun Valley Comments Approve~~.~_~~ _Di sapproved /~ppro~wJ~,.Valid for one year from date signed Greater Anchorag~6a Borough, Department of Enwironmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for ao;)roval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)