HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES BLK 1 LT 17
GREA1ER ANCHORAGE AREA BORudGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE '~00
FROM WELt
MANUFACTURER
NUMBER OF
COMPARTMENTS '~"
INSIDE LENGTH
_ INSIDE WIDTH
LIQUID DEPTH_
LIQUI D CAPACITY t/¢¢~'~12 GALLONS.
SEEPAGE Pit:
NUMBER OF PITS I DIAMETER __
LINING MATERIAL ~.~3'"¢,,c~v4..~,,~.-, CRIB SIZE:
BUILDING FOUNDATION
OR WIDTH ~L.,
DIAMETER
NEAREST LOT LINE__
ADDITIONAL ABSORPTION
LENGTH /')"",,' DEPTH ~
DEPTH 61 DISTANCE FROM; WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~'~ ~'
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE_
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
__, TANK __ SYSTEM
DISTANCES:
INSTALLED BY: ~,~.~r,,.
PIPE MATERIAL: _~/~
LOT SLOPE:
RFMARKS:
Form No. EQ-031
SYSTEM
G.A.A.B.
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588
DEPTH OF WELL '
STATIC LEVEL OF WATER FT.
i: ',ZW?"55r ~" /
/'~/d,o.a, D'//,,,t fd/~Z4) ..... DRAW DOWN FT.
~//~Z/d: GALS. PER HR
KIND OF CASING
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION r_ ,~? I '[ t:;/~Z;~J
DATE-Started / //f) j // d:, Ended
PERMIT NUMBER_ ' {(; '?,:'~-)> T
KIND OF FORMATION:
From ( Ft. to
From / Ft. to. /
From / ':~ Ft. to
From ') ~' Ft. to_
From '/[ Ft. to
From '~[ ~ Ft. to
From Ft. to
From~Ft. to__Ft.
From Ft. to__Ft.
From~Ft. to Ft.
From_~Ft. to Ft
From~Ft. to__Ft.
From Ft. to~Ft
From Ft. to~Ft
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
Ft. to_ Ft.
Ft. to_ __.Ft.
Ft. to Ft.
Ft. to Ft
Ft. to FL
From Ft. to Ft.
From Ft. to Ft.
From Ft. to.___Ft.
From Ft. to_ Ft.
From Ft. to___Ft
From__Ft. to Ft.
From Ft. to_ Ft.
From_ Ft. to__Ft.
From__Ft. to Ft
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft
MISCL. INFORMATION:
, ,.: ~i; ,,',
,d,, I h:V !
DRILLER'S NAME. :
F:IPPI_..:I:E:FIN"F ~!.3F:.:I.:!CE.:. [:,uNC:FiI',,I' F' 0 80'X 575 FT
L..C)CFI'I" I lin FI I E:FIFIEL DF.: I VE
L.EI]iFIL L.:LZ' E;:L PIT VFIL.L.E'.r'
'['"r'F'E OF ZOIL. Ft.E',)~C(REFI"ION S~"':'~TEI'I IS: TR[Ei",ICH
f"IFi::':: ]: MUM NUi"IIF.,'ER OF B[E[}F.:OOMf¢ = 3: SO I L RFIT I NG (:{;~! FT,."'E',R: .... 85
THE REi;:ILIIRED SIZE OF ]"HE SOIL. FIBSORPTION ~"~;"['[~1'"1 IS:
I ..O"[' SIZE
THE LENGTH [:'IMENSIOI",! IE; THE LENGTH '::IN FEET> OF THE TRENCH OR [:,F'.R]:NF']:ELD.
THE DEF'TH OF FI TRENCFI OR PIT IS TI4E [)ISTFII'4CE E:ETNEEI'.,I THE SIJRFFIC:E OF THE
C4ROUN[:' FIN[:, THE: BOI"]"OM OF' THE E',qCR',,,'FITION (:IN I:::'EET),
THERE ~'}'-:; NO SET NID'TH FOR TRENCHES.
I'HE GRR',,,'EL DEF'TH I S THE I"11 I'-,I I MUM DEPTH OF GRFt',,,'EL.. BIETt.,.IEEiq THE OLrf'F'RI...L P :f. Pt..i:
Rt'.,IE:, THE E:"r'f'Ol'4 OF:' THE EXCFI',,,'RTION (IN FEET).
F::FIC:I':::F i L.L I NG OF l::lN"r' S~¢SI'EFI [,.1:t.' THOUT F I NFIL. I t",ISF:'EC:I' I (IN FIN[:' FIPPROVI::IL. [i:'¢ 'T]'-I I S
[:,EF'I::IRTP1EN'[' 1.4ILL E:E SUBJECT TO I;:'ROSECUTION.
i"IiNZP'ILli"/ DISTRNCE 8E'I].,4EEN FI 14EL. L I:;iNr:, FIN', ON-SITE SEHRGE [:,I5;PO~!;F:~L :E;"r':~!;TEM I:.5',
::L~:)E~ I:::EET FOI';.[ FI F'[;.:I',,"RTE 14EL.L OR 28¢ FEE]' FO[;;'. R F'UE',Li'C I.,.IEI...L.
I.,.ll:id.l.,L LOGS I::It;.:E RE6!L.IIRE:D FIND IqlJS]' BE RE]'I..JRNEI]:' TO '/"HIE [:'EF:'FIR'I'MEIq'I"
OF' ]'HE NELl.., E:OMPL..ETION,
E;PEC l f:' I CRT I ONLY; FIND CONSTt;,'UCT I ON D I RGRFII"IS I:~RE I::t',,,'FI I LADLE TEl ]: NSURE PRCII':'Eg'.
:1:t',,1~5 T F-IL.L.FI T I ON.
:[ CERT :l:l':"'r' 'f'HFr'l'
:l..: I Fii"l F'FIP'I:[L~RR I.,.IITH THE REf;¢JIREMENTS FCiF..' ON-.-'}E;I"f'E SEWERS AI'.,ID t.,.IELL':'~; i::t'_:~; SET
FOI:~::TH 8~r' THE MUNIC~PFII...IT"r' OF FINCHORRGE.
2: i WiLL ]:NS"I'RI...L THE S'¢S'I'EI'4 ZN FICCORDRNCE I.,.IITH THE CODES.
:i~:: I UNbER2;TI::IN[2 THFIT THE oI.,I--S]:'FE .'.-::;EHEt~'. SYSTEM MFI'.r' t;.:E(.:.!UIRE I.:-]ql..i::Ii:;:GIEMEI'-,IT If::' THE
IdES i t::,IEN('-'.'E: I.':5 REMODEl_ED TO .'( NCL, UDE MORE 'f'taFIl",l
/ FIIZ'F'I._ I CFINT ~-?. ,F.'_l II]:E DIJI'.,ICFIi"~
I
t ?0,. oo
Perf~r,,ud for , ·
, . _,.r.~_~ru~. Du~ou~ ............................................ Date Performud..~3~... ~, 1975
This form reports: Soils lo9 X PercolaLion test
Was ground water encouutereU?
Readi m/
__~jo_ .......... If yes, at what depth? ....................
APPLI( NT FILLS OUT UPPER HA: ONLY
Property ~,',*,'ner ,k.7-- 1
..-' ~'-:/~ t~ c:--~-'l
Mailing Address /2../?
Buyer
Address
Zip Code
Lending Institution./I~"2L~ )/, ' c.:.;- ,,/I-¢ /.., ., '~c;) ._,? c (¢ .:./~,)c.'.-~//
Address ;/ ~,~ ~? .-';~ '"* "~ '/ ' × ' '
Realty Co, & Agent
Address Zip Code
Phone
Phone
Legal Description
Street Location
Type of Residence
~Slngle Family
[3 Multiple Family No. of Bedrooms
O Other
Water Supply
~ Community '
ATTACH WELL_ LOG. A well Icg is required for all wells drilled since June 1975.
For wells drilled prior to that date, give well depth (attach Icg if available).
Sewer Disposal
{~-Individual Year Individual Installed:
[] Public Utility When Connected to Public Utility:
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time
Date Date Date
lespector Inspector Inspeclor
Time
Inspector
Field Notes:
APPROVED BEDROOMS
) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE J{ ~ '~"(~,.~~~
BY: ~
MUNICIPALITY OF ANCHORAGE
DEPT. OF HC/,LT!i
ENVIRONMZN1AL PROTECflON
RECEIVED
"CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed Well To Absorption Area
;:'-.- /~ ,': Well 1o Tank . .-
72.023 (~/82)
Well Log Received
Septic Tank Size ¢. ; ,,¢~ ~, .:
,' ,!/c, :)/:.,: ].
Meet pete '-. Sun Realty
Pratt
,., ~,~.^.~?:
MUNICIPALITY OF ANCHORAGE U~I:T. O; ;' ,:i &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT ~N/ ' ' '
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Te,epho.e 264-472° R E ¢, E 1 ¥ E D
RFQUEST FOB APCROVAL OF INDIVIDUAL WATER AND SEWFR FAClLITII=S
DIRECTIONS: Complete all parts on pege 1. Incomplete roquesta will not ba processed. Please allow ten {~0} days for processing.
~. PROPERTY OINNER 1 PHONI::
Bruce L. DuncanI 694-2859
'~AI LING ADDRESS
Post Office Box 575 Fort Richardson, ~laska 99505
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
Stephen A./Amy P. Thorpe
MAILING ADDRESS
3, 'LENDING INSTITUTION I PHONE
United Bank AlaskaI 276-1911 _
MAILING ADDRESS
2600 Denali Street 99503 _
4. REALTOR/AGENT I PHONE'
Pete Ostdiek % Sun RealtyI 694-2509 ,.
MAI LING ADDRESS
?cst Office Box 1201 99577
5, LI~GAL DESCRIPTION
Lot 17 Block 1 Mountain Valley Estates Subdivision
STREET LOCATION
Mile 5% Hiland Road
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four [] Other
~ SINGLE FAMILY ~ Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SUPPLY
[~[IK INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WFLL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
B, SEWAGE DISPOSAL SYSTEM
[~ INDIV{DUAL/ON-SITE~
[] PUBLIC UTILITY
**If individual/on-site, give installation date 19 7 6
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONL~
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME 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
2, WATER SUPPLY PERMIT NUMBER
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] I NDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tan .l~or []Holding Tank
Size: /~6_2~ If Tank is homemade SOILS RATING
give dimensions: ~;;;~ ~'""
TOTAL ABSORPTION AR EA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ' I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
~APPROVED FOR ,.~ BEDROOMS
[] CONDITIONAL APPROVAL (Petter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72o010 (Rev, 3/78)
I,,.JICIPA[_ITY OF ANCHORAGE
Department of HealLh and I~;nvi. Fcmlnen[~l l'rotc~ctJon
~25 L ~trceL, Anchorage, Ala:~ka '~9'~0i
' 279-2511, ext. 224, 225
.'~(eques~ for hpprovai of Ind~vZdual Sewer and Wa~er Paeil. iLies
Property Owner:
Name of Buyer:
Ma.fling Address: ~2~4 ,q~K' ::*.,/4~'~1.~5~;z-1~i ~TL~__ Phone:
Lending Institution: ~l~_~<f.D ~[J~[_~.3!~[ ...........................
Mailing Address:
Realtor/Agent: _(~-0~.:~7- ~:- 6~2.s 7 ~> ,'
Mailing Address: ~~ 4.lc ~, ~_~:~¢.~l~..~:~:i~Z~ ..... Phone:
Legal Description: z c ~17 . /~k/I _~21~ ~,/~L.~. g~ /-~lI-/:dZg'~k ....
Street Location: ;;Tq , /~a ~?fJl //;J.,:~O I~L~ ....
Single Family Residence: (>~
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
.2
Water Supply: *Individual Well
If Individual Well, well depth
If Community System, name of systc'm
Public/Community System ( )
Sewage Disposal System: On-site System ~.) Publ4c System ( )
' . /m
If On-s~te Syste~n, date of installation: ....... ~./~: __
*NOTE: A w~.].l log ].s required on ALL wel..ls d]:'ill,~'d since, 6/75.
3/77
September 14, 1979
Bruce L. Duncan
Post Office Box 575
Fort Richardson, Alaska 99505
Subject: Lot 17 Block 1 Mountain Valley Estates Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following items have been
~ompleted:
~ The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
A four(4) inch cast iron cleanout needs to be installed
on the leaching area.
~(3) The septic tank pumped with a receipt submitted to
this office.
Please notify this department for a re-inspection when
the noted descrepancy is corrected. If there are any
further questions, please contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC:
Pete Ostdiek
% Sun Realty
Post Office Box 1201
99577
United Bank Alaska
Mortgage Loan Department
2600 Denali Street 99503
Iii:
DEPARTME~
825
'NICIPALITY OF ANCHORAGF '~l~L~
HEALTH AND ENVIRONMEN-I~,~ ~ROTECTION ·
Street,~.64_4720Anchorao~. Alaska 99501
Date Received: April 19, 1978
~ __ #3: Time
~ ~ ~LL~9 Date
~W Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Spokane Mortgage Company % Darila
3201 C Street, Suite 250 99503phone: 277-05~43
Mailing Address:
Property Owner: Bruce L. Duncan Phone: 863-9214
Mailing Address: Post Office Box 575 Fort Richardson, Alaska
3.~ Legal Description: Lot 17 Block 1 Mountain Valley Subdivision
4:. Sing].e Family Residence: (~ Number of Bedrooms: Three
Multiple Family ResJ_dence: ( ) Number of Bedrooms:
Well System:
Permit~,
Construction
Individual well ~ Community/Public System ( )
Depth of Well 9?' Well Log on File (x)
Bacterial Analysis
Sewage Disposal System: On-site System ~ ) Public Utility
Permit IS m ~c~. Installed 1976 Installer
Septic Tank Size _..L~"~('') ~,~___. Manufacturer
Absorption Area ~.,~ ~ _ Soils Rate ~ Material
7. Distances: Well to Septic Tank
to Absorption Area
to Sewer Line
Nearest Lot line
Absorption Area
to Nearest Lot Line
Page Two
Department of Health'and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 17 Block 1 Mountain Valley Subdivision
Col~aen t s:
Affadavit Attached: /~)
Approv ed:
Disapproved
Letter Attached: ( )
Date: ~'~)~ ~ ~---~
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
of Health and Environmental Protection
Department
825 L Street, Anchorage, Alaska 99501'
264-4720
· ~Request for Approval of Individual Sewer and Water Facilities iq
Property Owner: BRUCE L. DUNCAN
Mailing Address: P.O. Box 575, Ft. Richardson, Ak.
2. Name of Buyer: BRUCE L . DUNCAN
Phone: 863-9214
Mailing Address: SAME Phone:
Lending Institution: SPOKANE MORTGAGE CO. '~ ~' '/
Mailing Address: 3201 "C" Street~ Suite 250, Anch.,.Ak. Phone:
277-0543
Realtor/Agent: n/a
Mailing Address:
Phone:
Legal Description: Lot 17, Block 1~ Mountain Valley, EAgle River, Ak.
.Street Location: NHN Bird Song Drive, Eagle River, Alaska
Single Family Residence: (X) Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Water Supply: *Individual Well (X) Public/Con, unity System
If Individual Well, well depth 97'
If Community System, name of system
Sewage Disposal System: *~n-site System (X) Public System
If On-site System, date of installation:8- 17--76
( )
*NOTE: A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77