HomeMy WebLinkAboutSUN VALLEY HEIGHTS BLK 2 LT 4
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SI--RVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: '~"~'/C~O~ PID Number:
~-4~,v~ ~o~d,~ ~-. Wastewater System: ~ New ~ Upgrade
~d~,~.: ~, ~ ABSORPTION FIELD
~- ~Oj ~ ~OeepTrench ~ShallowTrenoh ~Bed ~Mound ~Other
LEGAL DESCRIPTION sog ,~.,: To~ ~¢~ ~ro., o,~¢na~ ~r~.:
[.~ GPO/Sq. Ft ~,~
Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe
WELL:~x[~.~D New ~ Upgrade Gravel width: ~ iFt. Number oflines:( Dis~ancebetweenlines:~ F~
Driller: ~¢/ St811c Water Level: Installer: Date installed:
Casing Height Above Ground:
SEPARATION DISTANCES ~SeptJc ~ ~ Holding
/ Ma~// Number of Compadments:
su,~c~ ' ~oo'+: too~+ ~ LIFT STATION
Water ~oo ~
Lot ,¢ --~ Size in gagon9: ~ Manufacturer:
Foundation ~ ~O' ~ ~ ~- ~',
Curtain Pump M~ke & Model Electrical Inspections pedormed by:
Remarks: Fou~n~,~ c~ o~ ~¢r BENCH MARK
Location and Description:
[Oo .o
ENGINEER'S SEAL
Inspectionsperf0rmed ,,- uates:lst ,;-'~-qG
Department of Health and Human Services approval
Reviewed and approved by: ~ Date:/-/;- ¢;
72-013 (Rev. 9/91) MOA 25
Permit No. SW950355 Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AN[) HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
LOT 4, BLOCK 2, SUN VALLEY HEIGHTS 01706234.
Legal Description: PID No '
ST$ /-FINAL GRADE ~-.
90,4'/ ~ NEW
, ,00 GA
~.T.E.p
~YSTE~ ,
100.8'~
N,T.S · 95.?' NO WATER FOUND
~ A E C
FCO ..... 19'
ST1 19'
~EXISTING YSTEM ST2 ....
ANOONEO SUCH ~f" MAY C01 -- 4 ' 9'
C02 -- 3~' 10'
// ,
NEW TREIICH
/~// ~ ~ ' MT1 69' 7~,' --
./ L~-.~. ~ MT2 97' 61" __
~ :XIS'FING 12~ 3 GAL
~ : [. ~-SEPTIC TA K
S T.E.P. SYST y
72-013 A (Rev. 9/91) MOA 25
~UILDERS--MA$ONRY 2484484
,I ,L. .... TON
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PAGE 1 OF 1
PERMIT NUMBER:SW950353
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:COLGIN MARVIN L JR
OWNER ADDRESS:13200 MOUNTAIN PL
ANCHORAGE, ALASKA 99516
DATE ISSUED:10/19/95
EXPIRATION DATE:10/19/96
PARCEL ID:01706234
LEGAL DESCRIPTION:
SUN VALLEY HEIGHTS BLK 2 LT 4
LOT SIZE: 44589 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
l. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (iSAAC?2) AND DRINKING WATER REGULATIONS (iSAAC80) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY
DATE: .,~ ?,/~' -
DATE: /,¢ ?r
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
HEALTHAUTHORITY
APPROVAL8
SEWER&WATER
rNSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOWTEST
ROAD DESIGN
SO~LTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
October 10, 1995
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE= Lot 4, Block 2, Sun Valley Heights S/D
Request you issue a permit to upgrade the septic system
serving the four bedroom house on the referenced property.
A test hole was excavated and a percolation test performed
in the area of the proposed upgrade. The approximate
location of the test hole is located on the attached site
plan.
At the time of excavation no water was encountered in the
test hole and after seven day ground water monitoring, the
monitoring tube was found to be dry.
Attached is the proposed upgrade design.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us0
Sincerely,
Robert C. ~owan~
RCC/gk
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
1" = 50'
mO0:;E r'-
-q ~'~ o
SITE PLAN
UPGRADE
Zm
--- 'H.I'.S..~O,~L~ I DETAIL
PROFILE
L I~FFECTIVE /
6' DEEP
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
525 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG --. PERCOLATION TEST
PERFORMED FOR:
LEGALDESCRiPTiON:)0~'- J/ ~.o¢~c. O_
~,[ ~OgERT C, COWA~ ~ ~ 1
DATE PERFORMEI ~ , . .,
Township, Renge, Section;
1
2
5'
6'
7
8
9.
13'~
14-
15-
16-
17-
18-
19-
20-
COMMENTS
F~O.ht'
WAS GRODND WATER
ENCOUNTERED?
SLOPE SITE PLAN
IF YES, AT WHAT
DEPTH?
~)epth 10 Water A~ler
MonitednD? -~ Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
.,o ,,
PERCOLATION RATE .
TEST RUN BETWEEN .
(minutes/inch) PERC HOLE DIAMETER __
17034 Eagls River Loo_ _._~p_.R_ Road No. 2!.(~_ ' ' ~0 [~1 (c/ 6--- ,.
ACCORDANCE WI'[~I~,e~J,F.~'Iy~AL GUIDEL'I~S IN EFFECT ON THiS DATE. DATE:
72-008 (Rev. 4/85)
IN
ROBERTC. COWAN, RE.
ROBERT A. SHAFER, RE.
HEA~HAUTHORITY
APPROVALS
SEWER & WA]ER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
iNSPECTiONS
ONSITE
W/~TEWATER
DISPOSALSYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 4, Block 2, Sun Valley Heights S/D
October 10, 1995
GENERAL z
The scope of this project includes the installation of
a 500 gallon wast.water S.T.E.P. system (septic tank)
and a five wide pressurized leachfield trench to serve
the four bedroom residence located on the referenced
property.The existing 1250 gallon septic tank is to be
excavated to verify its integrity. If of poor
integrity, the tank is to be abandoned and a new 1500
gallon S.T.E.P. system (septic tank) installed in its
place (do not install 500 gallon S.T.E.P. system).
The existing leachfield is to be abandoned such that
it may be used in 'the future.
Construction shall be ii1 accordance with the approved
site plan and design drawings, Municipal permit with
any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal
Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property
owner shall be responsible for final grading areas
subsequently depressed from soil settling.
Contractors installing wast.water disposal systems
must be certified by the Municipal Health Department
for system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INST~ZLLATION:
A septic tank is to be constructed by a certified
septic tank manufacturer. Construction shall include
two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to
prevent settling or shifting of the tank.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 4, Block 2, Sun Valley Heights S/D
October 10, 1995
Ali. standpipes on the septic tank shall extend a minimum of
12 inches above final grade.
Septic tanks installed with less than 4 ft. of cover shall
be insulated.
A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the tank
and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic
tank). These cleanouts shall be located on undisturbed
soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield.
The second cleanout shall be to clean toward the septic
tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate 'the proposed trench to the dimensions shown on the
design. The bottom of the excavation shall be within 2
inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed-up) before
gravel (sewer rock) placement.
Once the gravel is installed, the distribution pipe is to
be installed level with the holes faced downward. The
distribution piping is to be of PVC (ASTM D3034 or equal).
All joints are to be solvent cemented. Gravel is then to
be placed over the distribution pipe to provide a minimum
of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter,
installed approximately in the locations shown on the
design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is
equivalent to the effective depth of the gravel as noted on
the design.
Page Three
Lot 4, Block 2, Sun Valley Heights S/D
October 10, 1995
De
Backfill over the final gravel layer must not be less than
twenty-four (24) inches. Insulation must be installed when
the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent
the formation of a depression after settling.
MINIMUM ~%TERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
TyDe of Pipe
Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
t
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N,
or equal) must be installed between the final leachfield
gravel layer and the native soil backfill.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the ~t200 sieve.
When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C.
requirements.
Page Four
Lot 4, Block 2, Sun Valley Heights S/D
October 10, 1995
INSPECTIONS:
Typically 'there will be a minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of ally gravel. A septic tank
may be set in place, but may not be backfilled before
this inspection.
The second inspection must be conducted after 'the
placement of the silt barrier, grave]., distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
The final inspection is to occur upon final grading of
the property.
Often there will be more than these 3 inspections required.
Especially with 'the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-construction
meeting will take place on-site. The inspecting engineer will
not coordinate, direct or control in any way the contractors
activities.
The owner shall contract with the contractor to perform the work
outlined in these specifications and plans and in accordance
with the attached M.O.A0 permit. There will be no contractual
arrangement existing between the contractor and S & S
Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the
contractors work rests with the owner and the M.O.A.
Page Five
Lot 4, Block 2, Sun Valley Heights S/D
October 10, 1995
S & S Engineering shall have no liability to the owner or to
others for acts or omissions of the contractor or any other
persons performing work on this ]project or the failure of the
contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer
will not be responsible for the construction means, methods,
techniques, sequence, procedures or the safety precautions
incident to this project.
CONTRACTOR/INSTALLER
"~'AME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF NEAL'DH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
[] NEW
~;~ UPGRADE
MAILING ADDRESS
zOq k). -~,mo~J
LEGAL DESCRIPTION
LOCATION
Well Absorption area I
(J' DISTANOETO:I I ,o
I , [ i.Z~O I iF HOMEMADE:
~ ~ z l Nm o~ lineTy %Lenmb of:eaclj lin~ -i~ ~otal Imgth of line%
~ [~f tile to flnlsh grade Materlal beneatb tile
1
Dwelling
Width
Material
Material
Nearest lot line
Trench width
NO, OF BEDROOMS
PERMIT
No, of compartments
Liquid deptl~
PERMIT NO.
Liquid capacity in gallons
PERMIT NO. ~,~Oq~.~_~
Total effective absorption ar a
ioo¢ ~
PERMIT NO,
OTHER
PIPE MATERIALS
SOIL TEST RATING
~;t -t~~/-~.
INSTALLER
R E M~-I~ -¥
Dig -:mk ¼We m
~PPROVED
DATE
MUNICIP;
LEGAL
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
.ITY OF ANCHORAGE
72-013 (Rev. 3/78)
PERMIT NO.
~'.'111tj Ih,il ][ C:: Z ' ::~ II.... ]: 'Il-" "-r" ,::]u F:' FII II"-,.] C:: IF-.
DEF'FII:,~:TI',IENT ,:.,t- HERL]-'H FINI) EN',,,'II;::ONI','IEN]"FIL F't,~:OTECTIOr.~
82'5 "L'" STREET., FINCHORFIGE., FIt:::.
FIF'F'I,.. I C FII",IT
LOCI:IT 1 O1'4
LEGFtL,
I:~: E I",1 ......
::,I-IL i' Ii' I ..111
MT. F'L.I':IC E
L 4 E~ 2 _,Uhl ¥1:::ILLEtr~ HI-,.
;~:e~9 [,.I. E:,IMON[:,
]: 4 4 - '.:L 5 ] ':l.
251ZIIZII~I '-:,(~.!UFI[;;:E FEET
THE LENGTH [-"IMEI"J'.'SIOI'.,I IS THE LENGTH (Ii",1 FEET) O1: THE TRE:NCH OR I}RFt.INFIEI,...D.
THE [:'EPTH OF FI T,~:ENCH OR PIT I:~, TI"IE [:'IZ';TFII",~C:E BE]-HEEN THE ~LIRF:F:ICE: OF THE
GI:~:'.OIJND RN[:, THE BOTTOM OF ]"HE E)':',CFIVFI'TION '::IN FEE]").
TI'"IEI:;tE I2'; NO :gET I-4IDTI-I FOF.'.' TRENCFIE~!;.
]"HE GRFI',,,'EL DEPTH ILO', THE M]:NIHLIf"I E:,EF'TH OF GRR",,'EL BETI-,.IEEN THE OU]"FFILL PIF'E
FIND THE BOTTOM OF THE Ek:CFI',,,'RTION (IN FEE:]").
PERMIT FII::'F'LICRNT I-II':1:5 THE RESPONSIBII...IT¥ TO INFORM THI"2; DEPFIRTI'"IENT [:,IJI;i:ING THE
I N2;TFILLFIT I ON I IqSF'EE:]' I Ol",l:[~OF FIN'¢ [,.IEL. L'.E; FIDJFfl]:ENT TO TH I '5 PROPEF::T"r' FIND THE
NUHBIER OF' I::;:F-:':-':IE:,EI",ICE'.E; THFFf' THE FIELI'_ F.IILL. ?,ER',,,'E.
MINIMiJH DI2;TRi",IC:E BET!.'.IEEN FI WELL F:IN[:' FIN"r' ON-SITE :"2;EI4RGE [)ISI:::'02;FIL '.E;'T'STEH I~!;
:l..E~E~ FEET F'OF.: FI F'RI","RTE [4EL.L. OR ::LSD TO ;Z!-3E~ FEET F'ROH FI I::'UE~L~[C I.'.IELI- [)EPENDING
UF'ON THE T'¢r:'E OF PLIBL. IC [,.IEL. L.
HINIHUM DI[;Tf:ii'.,IC:E F'ROH I-'r~ F'I;]:I',,,'FITE I.,.IELL 'FO la F:'I-"~:I',,,'FITE SEI.qER LINE IS.': 25 F-"EET F:IN[:,
TO FI C:OIqMI.JIqIT'¢ SEI.,.IER LINE IS 7'5 FEET.
OTHER RI:]6!UIREMEI'.,FF'..?, MFI"r' f:IF'F'Lh". '.:~;PECIFICFITIOI",IS FIND COI"J~E;TRUCTiON DIFIGF.'.FIMS FIF.".E
FI',,,'FIILFtBLE TO IN'."~;I.JI;?E PROF:'EF~: INtE;TFILLFITtON.
I
:L:
FORTH I:.::,¢ TFIE I ILIJ[_.IF[II_[ i 'r OF FII",ICIflC~RIZICiE.
~.: I .[,.IILL II'LI LL THE '..z.,h"2;-FEH IN FICC:OR[:,FIi"~CE I.,.IITH THE ..... [.E=,.
.'2.'..':: I UNI}EF-'.:~;TFIi",I[:, THFIT THE II -' ':' .": -' ', .... , -'] ' ;, , - -, '" ', - ,. '
..14-.::,ITL :E;Et.,.IER .~,~._,TEll MFt'¢ FEte. JIt. E EIILI-I:~...~EI1EI4 F
RE_,I[[:.i',ILE I::"'; REHO[:'ELE[:~ TO II IL. I....I..,I[..E MOF.:E THFIN q.E,E[."' RUUtt'-' ....
F F L I ..I' I I f E~EI",I _4 IEi',Ii',IUI I
· El I' IF'r THFIT
[ IZtl"l FRI'"IIL. ZFIF.: I.,.IITH THE REQUIREf'IF-NTL:'; FOR _I,F z, ITE.-,El':"::' lEI' :"'~..:, FIN£:, !.IELLz," '-klZ'rz ,.TE..-.i'
I F:' THE
DEPARTMENT 0''~ HEALTH AND EN'./IRONMENTAL POOTECTION "L .:]TREET., ANCHORAGE, AK. 95 L
....
~4-4 ,'
~ 8~~4--2~TEE 5E~.~ER4 PE~.PIZ T
//
LEGRL . ' · LOT SIZE S6~URRE FEET
'" ' ~I~ THE SOIL ¢ASORPTION _q'¢~IS: . .
THE ~E9JI~.ED
THE LENGTH DIMEN~I~N IS THE LENGTH (IN FEEZ) OF THE TRENCH OR ORRINFIELD.
THE DEPTH OF R TREe, CH OR PIT IS THE DI~TRNL. E BETWEEN THE SURFACE OF THE
GROUND ~ND T~E 80TTOM' OF TH~ EXCRVRTION' (IN FEET).
THERE I~ NO ~ET WIDTH FOR
THE GRRCEL DEPTH ~S THE M~4'IMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OFITHE E~8VRTIE~'{.~IN FEET).
REQIJ I RED
PERMIT APPLICANT H~ T~ ~E~Of. JSIBILI~Y TO ~JFORM.I~IS DEPARTMENT DURING THE
INSTALLATION INSPECTIg~S OF/~NY HELLS/RD JAUNT TO"~Hi~x PROPERTY 8NC, THE
.... TL.~C, ~¢ ) ¢ NSP~C-r ~014S /ARE ~REI~LI I RE[) "
BACKFILLING OF Rr~¢SYSTE~WIT~[IT FINR~ INSPECTION ~ND RFPROVRL BY THIS
DEPARTMENT WILL BE SLIBJEO~PROSEOLITIO'{ / .~ /. , ,
MINIMUM DISTANCE BETWEEN R WELL
&ee FEET FOR 8 PRIVATE WELL OR 250 TO 208 F~%~ROM ~UBLIC WELL DEPENDING
UPON THE T¢PE" OF PUBLIC P~ELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITM SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPARTMENT WITHIN ~8 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS M8Y APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERfl I T E,'-< F-' I F-: E_-'~. DE'-'}--EME~ER ~--:~-..
I CERTIFY THAT
1: I AM FAMILIAR WITH TH[-'" REQUIREMENTS FOR ON-SITE SEHERS AND WELLS AS SET
FORTH BY THE MI_INICIPRLITZ¢ OF ANCHORAGE.
2: I ~4ILL INSTALL. THE ~YSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE I5 REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
APPL I CANT
q~ '2_D~TE_ "4. E~
I_ =,LIED B'¢ .....
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MA YOR
DEPARIMENT OF HEAL'FH AND ENVIRONMENTAL I~ROTECTION
December 31, 1980
Ben Shennum
209 West Dimond Boulewtrd
Anchorage, Alaska 99502
Permit # 800671
Subject: Lot 4 Block 2 Sun Valley Heights Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If yeu have drilled the well, a well log should be sent
to this department to docunlent the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions,
office at 264-4720.
Sincerely, //
Les N. Buchholz,
Senior Environmental ~¢cialist
LNB/ljw
enc: Copy of Permit
SWP/057
please call this
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alask~ 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
2
3
~,~4
5
6
7
8
9
10
11
.~ 13 -
14
15
16
~.-~1,7
18
19
20
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water ~)~;~ ,¥ Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN '~' ~ FT AND ..~ . FT
PERFORMED DY:~,~/~,~ CERTIFIED SY DATE:
72-000 {6/79)
GI~EATF, R ANCHORAGg ARgA BOHOUGH
Deparlment of Environmemal Qualit~R~ ~TER ANCHORAGE AREA BOROU'~H
8500 Tudor Road -- Pouch 6-650 ~
N? 843
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
LOCATION. t~C ~'JH~r.~/~ ~G( .LEGAL DESCRIPTION
PHONE
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY_
t NUMBER OF
(~'~' 'J-' MATERIAl "-? 7/2(!/( . (4 ....
/~..Z:~ COMPARTMENTS
6(/_ .2f /
__GALLONS, INSIDE LENGTH INSIDE WIDTH ~ ~
LIQUID
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF pits / OUTSIDE DIAMETER "~ OR WIDTH .-2/
LINING MATERIAL ~ (~.O(~c~'c~'(~ J]l~(] % DISTANCE FROM WELL /,~CT~ (/
NEAREST LOT LINE /(/ /
' TOTAL EFFECTIVE ABSORPHON AREA (WALL AREA)
LENGTH_-f'f/[~ , DEPTH
BUILDING FOUNDATION ~(/ ~
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LINES
ABSORPTION AREA~--'~'-~
FOUNDALION_
DISTiNgUE BETWEEN LINES
............. TOTAL LENGTH
~. - -7NEA'REST LOT LINE ,-~?[l~S-~
TRENCH WIDTH
IN, TOTAL EFFECTIVE
SQ. FT, LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
.DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE__
WELL: TYPE~.~}m/)16t/d/Tx/ _, DEPTH
f_~._ NEAREST ~_~ SEPTIC
LOT LINE SEWER LINE. , TANK.
DISTANCE FROM ~.~- WATER
, BUILDING FOUNDATION._ SAMPLE NEAREST
SEEPAGE OTHER
'~"~ , SYSTEM z~-~'-- , CESSPOOL i~/FJi1JE~-' ,, SOURCES/~L,i(,,~M,S
DISTANCES:
.Jti¢ (~o d.?W
DIAGRAM OF SYSTEM
b · APPLI~NT FILLS OUT UPPER HA,~, ONLY '
Address Zip Code
Lending Inslitution
Wete~ Supply
~ Public Utility
Sewer Disposal
E] Public Utility
NO. o[ Bedrooms
Phone
Phone
ATrACH WELL LOG. A wail log is required for all wells drilled since June 1975.
For wells drilled prior to Ihat date, give well depth (allach log if available}.
Year Individual Installed: _~~
When Connected to Public Utill(y:
NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
Environmental Sanitation Division
825 L Street ,, Anchorage, Alaska 99501 ,, Telephone 264.4720
CERTIFICATE OF INSPECTION
ON-SrYE SEWER AND WATER FACILITY
1. P~operty Owner
2. Legal Description
3. ??>~f Dwelling
· CONDITIONS OF APPROVAL if monies are
escrowed for the upgrade of the sev
system. The upgrade will include
83' of trench with 9' of gravel
backfill and no deeper than
13'. See attached permit
#830493.
/'~4. Sewage Disposal J 5. Water Supply
,...[~ln divid u al J E~ Individual
E] Public Utility E] Public
E] Holding Tank
./~Community (shared)
APPROVAL FOR DATE: ','~'~i ~'"T ~ A
er Z~ BEOROOMS BY: >:~<"<.'-"' ' ~-~-f~
· 5~ONDITIONAL '" ~
~ DISAPPROVAL THIS A~R~V~ NOT V~LJD
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICFS '
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CFRTIFICATE OF HEALTH AUTHORITY
APPROVAl_ FOR A SINGLE FAMILY DWELLING
1. GENERALINFOFIMATION
Complete legal description
Lot 4; Block 2; Sun Valley Heights
Location (site address or directions)
13200 Mountain Place
Anchorage, AK
Property owner
Mailing address
Lending agency
Mailing address.
Agent
Address
Marvin Colqin
13~00 Mnu~aXn P£aoo.
Anchorage.
Day phone
AK 99516
Day phone
345-2610
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
4
NOTE:
Individual well
Community well XX×
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 XXX
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.
72-025 (Rev. 1/91) Fronl MOA~I21
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 inves'¢_gation 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
Address
Engineer's signature
S & S ENGINEERING
Eagle River, Alaska 99577
Phone
Date
DHHS SIGNATURE
Approved for z~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
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 SEP, VICES
Environmental Services Division
825"L" Street. Room 502 ,~ Anchorage, Alaska 99501 · (907) 343-474¢AUN[CJPAOiy UE ,~
ENVIRONMENTAL SERVICES DIVISION
Health Authority Approval Checklist
A. WELL DATA ('t~$'; .4"
Well type ~O'Mnl'Jm}lc/ [f A. B. or C. attach ADEC letter. ADEC water system oomber
Log present fY/N)
Total depth
Sanitary seal fY/N)
Date completed
Cased to
FROM WELL LOG
Date of tcsl
Static water level
Well productioa_ .,,-/ .g p.m
WATER S AMPL.,~ ER~SSULTS:
Colifor~3~/ Nitrate
/
D~e of sample: Collected by'
Casing height (ab~13v ge'~rouad)
AT INSPECTION
g.p.ln.
Other bactcria
B .~ .~HOLDING TANK DATA
Datcinstalled ?/o~ro/~'~ Tanksize ]'33-0 NumbcrofCompartments ~ Clcanouts~) Yg3
Foundation cleanoul (Y~ ~o ~ Depressioa (Y~ ~ O High water alarm ~)
DateofPumping_l~/13/qF Pamper / 55Ac6 f
C. ABSOR~ION FIELD DATA
Date installed I ¢- I~ -q ~ Soil rating ~ or fiZ~drm) I.g? System t3 pe %HAcuo~
Leagth &O t Width ~ ' Gravel thickness below I)q)e g. 5' t Total depth
Effective absorpnon area ~ 5~ ¢ Monitoring Tube present) c/e~ Depressmn over field fY~
Date of adequacy test 6vs~ Results fPass~aiB For ~ bedrooms
Flaid depth in absorption field before test (in.): hmnediately ~er~ gal. water added (in.)
Fhfid depth (ins.) Mimflcs tater: Absorptmn rate = .g.p.d
Peroxide treatment [past 12 months) (Y/N) __ If yes give date
Lilrr STATION
Date iusmlled
Manhole/Access {~q)
High water alarm level at* %q
Cycles tested ~-~
E. SEPARATION DISTANCES
~holdiug tank ou lot
Absorptiou field on lot
Public sewer umin
Sewer/septic smwice line
Size in gallons
"Pump os" level
*Datum
"Pulnp ofF' level
SEPARATION DISTANCES FROM WELL ON LOT TO:
~ OO t'P ; On adjaceut lots
7¢ cao ' 4-- : On adjacent lots
Public sewer mauhole/cleaaoat
Lift station
SEP~ATION DISTANCES FRO~HOLDING TANK ON LOT TO:
Building foundatiou ~ ' Prope~ liue ~ o ~v . Absorption field
Water mailffse~iceline [o I& Surfacewater/drainage low ~q Wells onadjacent lots
SEPARATION DISTANCE FROM ABSOR~ION FIELD ON LOT TO:
Building foundatioa 6,0
Surface water
Curtain drain ~o~4~
ENGINEER'S CERTIFICATION
Water main/service line to -4-
Driveway, parking/vehicle storage area
Wells on adjaceut lots ,~/~. Property line
ill conJb,'mance with ~I/IOA ,rI./L4 ~zuidelines ill effect oB this date.
Engineer s Name ~0~ ~ ~ / Co~- ~
............................................................................................................
HAA Fee $ ~ff~ ' (~ Waiver Fee $
Receipt Nunlber / fT/ D'/q &~.fl Receipt Nunlber
Rev. 8/95 OSS: haa.wk.doc
MUNICIPALITY OF ANCHORAGE "~(~
DEPARTMFNT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, ,block, subdivision, section, township, range)
Locatioo address or directions)
(b) Property Owner
Mailing ,~dd,:~§s
(c) Lending, Institution
Mailing ,~dd?s$,
/z~./¢/¢~.~- .. -. Telephone: Home
Business
Telephone
(d) Real Estate Company and Agent
Address
Telephone
{e)
Mail the HAA to the followina address: or; Check here h~if hold for pick up.
List contact person and day phone number below,
--., ,
TYPE OF RESIDENCE
Single-Family~
Number of Bedrooms
WATER SUPPLY
Individual Well [] Community"~ Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite~[. Public [] Community r-] klolding Tank []
Note: If corn munity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status·
Page 1 of 2 72-025 trey 81861 Front
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.g
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
Well Classification ~/~
W~ Present (Y/N) Date Completed YJel~
Total De~ Cased to Depth of Grouting
Stat~ Wa~ L~ Pump Set At ___
Casing Height Above GrG~ ._ __ Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/~ Depression Around Wellhead (Y/N)
Distances from Well: '~
Separation
To Septi~Holding Tank on Lot ~~~; On Adjoining Lots
To Neareot Edge of Absorption Field on Lot _ __ '~ni~ Lots
To Nearest Public Sewer Line To Nearest Purer
Cleanout/Manhole To Nearest Sewer Service~on Lot
Water Sample Collected by ; Date
Water Sample Test Results
Comments
~ A. B. C. D.E.C. Approved~) /'~ "~¢
B. SEPTIC/HOLDING TANK DATA
Date Installed ~.- ~.-~,d'~ Size / ~'~"~* No. of Compartments
Standpipes Y~) Air-tigiqt Caps (Y~) Fouedation Cleanout IY(~
Depression over Tank fY(/'~ Date Last Pumpea '~'"'-/~-~-~
Pumping/Maintenance Contract on File (Y/N) ,~¢./'~ : for ~'/'-~
Holding Tank High-Water Alarm (Y/N) _ /J/~ _ Temporary Holding Tank Perrnit (Y/N) _
To Property Line
To Water Main/Service Line
Course
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ,~¢ro ~'ff-
/0/¢'-
To Building Foundation "~
TO DisPosal Field
To Stream. Pond. Lake. or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed '7''Z~
Width of Field ~
Square Feet of Absorption Area
Depression over Field
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Drivew~ Parking Area, or Vehicle Storage Area
Comment~.~-~--$~.~)~r~ /,~,#/~..T~ /~.,~,
Type of System Design
Length of Field ~'~
Depth of Field _ ~)
Gravel Bed Thickness ~
Standpipes Present, N)
Date of Last Adequacy Test
To Property Line ""'~
To Existing or Abandoned System on
; On Adjoining Lots /"¢
To Cutbank (if present)
/o
LIFT STATION
D~t~q*~ ~/~ . Dimensions
~fze. in G~al, l,o, ns , . ~ ~,......~ Manhole/Access(Y/N)
Pump On Level at ~~.~. "Pump Off" Level at
High Water Alarm Level at ~.~.~e_~nt (Y/N)
Tested for __ __ Pumping Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I hav¢~.e~ecJ~ld, veritied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~-'~-~ ~¢"~//"~-- - Date '~[~'~'
Company ,/¢~¢-~'~ MOA NO.-¢ -- ~7'¢2'~ '
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE ~...~ ~
SPEOTDR ,NSPEOTOR ,NSPEOTOR
· DEPT OF H~ALTH &
MUNICIPALITY OF ANCHORAGE ENVIRON~EN'AL".I'~-E .....
D~PARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ h,u~ bHU~
ENVIRONMENTAL SANITATION DIVISION
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts oil page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing.
~ P~OPERTY OWNER -- ~ ~ _ . . ' PHONE
2, BUYER ~ . PHONE
MAILING ADDRE88
5, LEGAL DESCRIPTIOI~
STREET LOCA'¥10k
6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS
[] One ~ Four
~';1~ SINGLE FAMILY
[] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7, WATER SUPPLY
[] INDIVI DUAL' ' ATTACH WELL LOG. A well log is reouired for all wells dril e¢
COMMUNITY since June 1975. For wells drilled prior to that date, give well
PUBLIC UTILITY Depth (attach o§ if available.)
~ SEWAGE DISPOSAL SYSTEM
~'~ INDIVIDUAL'ON-SITE'~ /~/7--~ YEAR ON-SITE SYSTEM WAS INSTALLED,
~ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-O10 [Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
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 UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified ~ INSTALLER
[] Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES WELL 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
72-010 ( Rev. 6/79)
INSPECTION APPOINTMENTS
~ATE DATE DATE
ENVIRONMENTAL SANITATION DIVISION /4ILO 1L) r~ 1980
Telephone 264-4720
RECE VE
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing,
1, PB~ARTYOWN~/~ ~
PHONE
P~OPERTY R E~ID~NT {I f different from above)
PHONE
2, BUYER ~ PHONE
~AI LING ADDRESS
~ LENDIN~ INSTITUTION ~HONE
~AI LING ADDRES~
~ REALTOR/AGENT PHONE'
~AI LING ADDRESS
STREET LOCATION
6. TYPE OF RI"SIDENCE NUMBER OF,BEDROOMS
',,~'~S [] One ~ Four
INGLE FAMILY [] Two [] "Five
[] MULTIPLE FAMILY [] Three [] Six
Other
7. WATER SUPPLY
[] INDIVI DUAL' ~ ATTACH WELL LOG. A wel log is required for ali wells drilled
".,~. COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTILITY aepth (attach ]o¢. if available. I
8, SEWAGE DISPOSAL SYSTEM
~'---.INDIVIDUAL/ON-SITE** //--~7-¢-~ YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev, 6179)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OP 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
[] ~NDIVIDUAL/ON -SITE DATE INSTALLED
FqPUBLIC UTILITY .~7 2._
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: /-~-~:> If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area I ISewer Line Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[~'~ DISAPPROV ED
DATE BY
72-010 (Rev. 6/79)
Tom Fink,
Mayor
] unicapality of Anchorage
Department of Health and Human Services
825 "L" Street
P,O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
July 12, 1988
Alaska Environmental Control
Services, Inc.
1200 West 33 Avenue, Suite B
Anchorage, Alaska 99503
Subject: Waiver Request for Lot 4 Block 2 Sun Valley Heights S/D
Waiver Request #WR68-023
Dear Mr. Reid:
Your request for waiver of the required 10 foot
be%ween a septic system and a lot line has been
waived distance is 0-1 feet.
separation
approved. The
This approval applies to-the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Serivces
DJR/ljw#7
ALASKA enUlROnmenTAL CONTROL
~n§incerin§ ~ ~nuironmenlal $1uclies
$1 RUlCe$, IRC
bkmicipalJty of Anchorage
DepartmeuL of Health & lhunan Service
825 L Street
Anchorage, Al(. 9{)5021
May ] 7, t ,988
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTIObI
A'( 1 8 9BB
RECEIVED
Re: Lot: 4, Block 2, Sun Valley leights Subdivision
The IteaJ. kh AuLher:Lky inspection shows the ab.sorpkJon area of I:he sabjec'k lek :ts
eam.'oaching oa the east tot ]ine which borders ~oantain Place Drive, At worst
case, the south east corner of the bed appears to be 0 ko ] foot from the lot
line, The bed location does sot encroach on any wells, sewer systems op private
properly. Tho waker supply ]s frmn thc commanJt, y sysLm with the well over 200
feet. The system was 6 feet from the known lot ]ine when it was iastalled.
RecenEly i~ was found that the road carw~ was misa12gned. The new survey which
is attached shows the system to be within the lot,
We request I:hat you grant a waiver fop tile absoppLJoo bed to he up ko the east
lot line. See attached diagrma,
If you haw.~ any questions, plea.qe call.
Sincerely,
Leroy C. Reid Jr., PhD,
Prosideat
PE
1200 LUcsl 33r'd /~uenue. ~uil¢ B o/~nchoroqe, J~loska 99503 J(907) 561-50L10
,~ame~ Karl Oowtln9
1564-S
It is the responsibility of the o~ner to determine
the existence of any ea§ements, covenants, or re-
strict ions which do not appear op. th'e ~eco~ded sub-
di,visf~on Under no circumstances should any
data hereon be used for ccnstructton or for esta~
lishinq boundary or fegce lines. The sb~veyor
respon~ib)lity for the initial transacts]on only.
' K 'm LEGEND
-O'T ~ BLOC ~ _, '"
ANCHORAGE RECORDING DISTRICT u
~: ~NG ~ ASSOCIATE¢
, '. ,.L/ 426 'der Street, .... -
:", ANC~ AEASKA 9 9~i01
.~IOTE
EASEMENTS (~F RecoRD, O'I*HER THAN THOSE
SHOWN ON THE-R£CORDeD PLATt ARE NOT
ANCHORAGE/WESTERN DISTRICT OFFICE
3601 "C" STREET. SUITE 1334
ANCHORAGE, ALASKA 99503
~63-6775
To Whom It May Concern:
Accordinq to the records on ?ile in this o?¢ice, the
__~_F.__~_ ....................... Water System is in compliance with the
State o? Alaska Drinking Water Regulations.
Si ncerel y,
~-.9~,~ Ronald $. ~le~n.
~ Environmental ~leid O??icer
APPLI( kiT F'ILLS OUT UPPER HA[ ONLY
,
Realty Co. & Agen! :~ / / ../~ .': ? ~ ~->: >': ]>J,']:',:?. Phone
Add~ess..:.~/,1~.;t ,./.f ./ '_ ,,') ::: ,: /.. . . .] ] //
]~"~ln gle Family
Time Time Time
[)ate
Inspecto~
Eield Notes:
Date
Inspector
Inspector
~A'f 3 1. t983
RECEIVED
]~) APPROVED BEDROOMS
) DISAPPROVED
(DATEI' ,") CONDI'rlONAL(,,.¢ .-~ -~APp]ROVAL"~ ~
CONDITIONo OF APPROVAL
Soils Rating
Date Sewer Installed
Well To Absorption Area Well Log Rooeived
Well ~o Tank ~¢'~v~-r~ , O]4(, Septic Tank Size
/
DEED OF TRUSI
THIS DEED OF TP..UST is made this 29 ti', day of
June 19 83
among the Trustor
Charles L. Wood and Dialia bi. Wood
husband and wife
Transamerica Title Insurance Co.
TIlE FIRST NATIONAL BANK OF ANC[IORAGE
existing under the laws of UNITED STATES OF AMF, RICA
P.O. BOX 100720, ANCI IO RAG E, ALASKA 99510-0720
(herein 'Bor >wet"),
(he[eJn "Trustee"), and tile Be.eficiary
. whose address is
(herein "Lender").
BORROWER, itl consideratiou of tile indebtedness herein recited and the trust herein created, irrevocably graats and
conveys to Truslee, iu trust, with power of sale, the following described property located ia the
Anchorage Recordisg District Third Judicial DislricL
State of Alaska.
Lot Four (4), Blo'ck Two (2), SUN VALLI£Y IIEIGIITS, according
to the official plat thereof, filed under Flat No. 70-233,
beiug within tile Anchorage Recording District, Third
Judicial District~ State of Alaska,
wlfich has the address of NHN Mountain Place
Anchorage, Alaska} 99507 Anchorage
[Oily]
Address");
SRA Box 30 W
, Alaska 99507 (hereiu"Property
tstato and Zip Code]
TOGETHER with all the improvemeuts now or hereafter erected ou thc property, and all eascmcuts, rights.
appurtenances, rents (subject however to the rights and authorBics giveu herein to Lender to collect aud apply such
reuts), royalties, mineral, oil and gas rights and profits, water, water rights, and water stock, and all fixtures now
hereafter attached to tire property, all of which, iucludiug rcplacemcnts and additions thereto, shah be deemed to be
and remain a part of the property covered by 0ds Deed of Trust; and all of the foregoing, together with said property
(or the leasehold estate if this Deed of Trust is on a leasehold) are herein referred to as the "Property";
To S[;culu~ to Lender (ar thc repayment of tile iudcbted.ess evidenced by Borrower,'s note dated
June 2~J, 1383 (hereto Note ).mthc m.c~
********** ONE BUNDRED SIXTY T IOUSAND FIVE [[UNI)RED aud O0/lOO
**************************************************** Dollars. with interest tbcreon, providing for monthly
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264.4111
GEOF~GE M. SUL.LIVAN
MAYO~
DEPARTMEN f OF IIE^I. TH AND ENVIRONMENTAL PROTEC'FION
November 3, 1980
Ben Shennum
209 West Dimond Boulevard
Anchorage, Alaska 99502
Subject: Lot 4 Block 2 Sun Valley Heights Subdivision
The adequacy test performed on your sewer system shows
the system is inadequate for a four(4) bedroom residence.
Therefore, before approval may be granted, an upgrade
will be required. Prior to the upgrade, a soils test
will need to be performed so that a permit may be issued
by this department.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: HQme Federal Savings and Loan
535 D Street 99501
Suzane Brown
% Century 21 - Northwind Realtors
2518 East Tudor Road{ 99507
825"L"S1 REET
ANCHORAGE, ALASKA 99501
(907) 264-4111
October 17, 1980
Ben Shennum
209 West Dimond Boulevard
Anchorage, Alaska 99502
Subject: Lot 4 Block 2 Sun Va].lcy tleighhs Subdivision
Approval for your
cannot be g~Tanted
eomplel:ed:
J.ndJvidual sewer and water facilities
until the following items have been
(].) The septic tank pumped with a receiph submitted to
this department.
(2)
An adequacy test be performed on the existing ].caching
area. This test will determine if the system is
adequate according te National Standards. A listing
ef private engineers who perform the {.ese is enclosed.
This report needs to be submitted to this department
[or our review.
If there are any further questions, please call this
department at 264.-4720.
Sincerely,
Robert C. Prat/, R.S.
Associate Specialist
RCP/ljw
cc: Ilome I ede]_a], odVlllgs and Loan
535 D Street 99!503
% Century 21l - Northwind Realtors
2518 East Iulor Read 99507
825 "L" STREET
ANCltORAGE, ALASKA 99,501
(907) 264 41~1
G[:O[IGE M SULLIVAN,
I,,,1 A y () I~,
August 15, 1980
Ben Shennum
209 West Dimond Boulevard
Anchorage, Alaska 99502
Subject: Lot 4 Block 2 Sun Valley Heights Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The septic tank pumped with a receipt submitted to
this department.
(2)
An adequacy test be performed on the existing leaching
area. This test will determine if the system is
adequate according to National Standards. A listing
of ~rivate engineers who perform the test is enclosed.
This report needs to be submitted to this department
for our review.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specia].ist
RCP/ljw
ALASKA I UIROF m I TAL COrITROL SeRUICe$, IrlC.
MUNICIPALITY OF ANCHORAGE
DEPT. OF irZAI.[Jl &
ENVIRONMENT/\I F:'~; [ECTION
19[]0
RECEIVED
CI"I[~.L$/.ENl. 8HENNUM
209 N DZMONID E, LVD
SIELI..[:R -. Ckll:~:[!.i'r]:Nli.': [iI"I[ENNIJM
[~UtE:I):I:V:I:S:~ON~'SUN VAL. I_EY I,.IIE:::E(..~I,,I'T8 E:LOCI.(-2 L[IT.-~
THE 't'YF:'[~: OF' AB~OI:~I::'I'ZON f~Y~I'IEM ~'.~ A PIT NZTH AN AREA OF 828
'l'ligSY[]'I'IEH ZS C)Ar.:'AIDLIE: OF AC)CEI::'TZNC~ :1.6~; (':;AI..I_ONS OF:' NATIEI~ F'ER I)AY~
THI]~ SO][L~ RAT[[N(;; OF:' '[1"11][ $~;Y~)]'I~iM AT CON~TRUC)TiZON NAS [!~O AND NON
~]~; >'300 ~J;Ql:"l' PIER E:E~I)ROOM~
E:ASEI) UPON THE '[IE~]T DATA 'l'H~[ SY~FI'IEM ills NOT ACCEPTAIDI_E FOI~ A
'FH~ SE]F'TZC) TANK NAE; I~'UMF~EI'.) ON OCTOIBEI:~ ~zf 19(~0
1220 LUcst 25th/tucnue. J~chore(le, Alaska 99503 ',, (907) 276-1361
THOSE 'SHOWN ON '~i'iE i .. *, P.
'T
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