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Home My WebLink AboutMOUNTAIN VALLEY ESTATES BLK 3 LT 9Mountain Valley Block 3 Lot 9 #050-64! -04 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L'~:~ ~;~*'~ ~'4~1~ ~.~ Township, Range, Section:-"~-~, SLOPE SITE' PLAN ' ~ - WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Oeplh l0 Waist ~ , 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O 1 2 3- Reading Date Gross Net Depth to Net Time Time Water Drop ~ t'~-..~ z ~ c~', ,~,~ ..---~ -'~ '/¢~" .~-- ?-' ""'~--.~; '~ ~,~ ,~ 4?- I't~" ~- ~ ~o~ ~ ~,~ ~/~" I'/'~" PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER PERFORMED I~r034 Eagle River Loo.p, Road No. 204 / ~ · A~asi~a '~,~' / ~ ~. , CERTIFY THAT THJ, g'TEST ~/~'AS PERFORMED IN A..... Eagle River, Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED F O R .'"~'~~'~"/ LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9- DATE PERFORMED: ¢~,~,~ownship, Range, Section: SLOPE SITE PLAN 10 ENCOUNTERED? 11 12 13 14 15 16 17 18 19 2O I S L IF YES, AT WHAT O DEPTH? p E ~l~/ Depth to Water Alter,c:I Monitoring? ~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN ~ c:;' (m~nutes/mch) PERC HOLE DIAMETER __ ~ FT AND ~ FT COMMENTS PERFORMED BY: S & $ ENGINEERING ~ ~'~ CERTIFY THAT THiS TEST WAS PERFORMED IN 1703~4~ Eagle Rlvel' Leep Road No 204 ACCORDANCE WITH':ALL['S~,Ct]-,rF-i,,A,~:,[~¢,~:~ GU DE~INES IN EFFECT ON mkilS DATE. DATE: ~ - ~ ~ ~ 72-008 (Rev. 4/85) Tom Fink, Mayor / unicipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 April 14, 1992 Terry J. and Alicia A. Goodnight P. o. Box 671132 Chugiak, Alaska 99567-1132 Subject: Mt. Valley Estates, Blk 3, Lot 9 P.I.D. 050-641-04 Dear Mr. and Mrs. Goodnight: Enclosed is a copy of the notification sent to Alaska Housing Finance Corporation upon the expiration of the upgrade permit for the sewer system on your lot. Since this office has not received an inspection report for the system, we have assumed that it was never installed. In checking with the design engineering firm (S & S Engineers), we find that although the house had been vacant for some period of time, the absorption trench nevertheless failed the adequacy test. The engineer reports that at the time of the test there were 57" of standing water in the trench. You are hereby advised that this system is apparently in failure and may totally fail during normal use. Should a failure occur and sewage is allowed to surface, you are subject to enforcement action from this office. This letter is being sent as a warning; should there be an overflow of sewage, you will be issued a criminal citation. If you would like to discuss this problem, please contact me at 343-4718. Sincerely, Susan Oswalt On-Site Services cc: John Smith, P.E., Mgr., On-Site Services Roger Shafer, P. E., S & S Engineers Alaska Housing Finance Corporation Tom Fink, Mayor N unicipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Bo× 196650 Anchorage, Alaska 99519-6650 343-4744 April 7, 1992 Alaska Housing Finance Corporation 520 East 34th Avenue Anchorage, Alaska 99503 Subject: Lot 9 Block 3 Mountain. Valley Estates S~bdivision Permit ~SW910048, PID #050-641-04 The subject permit, issued April 7, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of April 7, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. · ~p/~ i; r aS mm i M~a ~ a~Pg~'~rE' On-site Services Copy of Permit enc: PAGE 1 OF 1 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) PERMIT PERMIT NUMBER:SW910048 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:ALASKA HOUSING FINANCE CORP OWNER ADDRESS:520 E. 34TH AVENUE ANCHORAGE, ALASKA 99503 DATE ISSUED: 4/07/91 EXPIRATION DATE: 4/07/92 PARCEL ID:05064104 LEGAL DESCRIPTION: MT VALLEY ESTATES BLK 9 3 LT LOT SIZE: 96503 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. 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 (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ADJUST DESIGN ACCORDINGLY. RECEIVED BY: ? VERIFY NO BEDROCK WITHIN 6' OF SYSTEM DURING INSTALL. PROVIDE ADDITIONAL SOIL TEST AS REQUIRED DURING INSTALL. PROVIDE PERCOLATION TEST ON SOIL LAYER USED FOR DESIGN; $OAL~ Tom Fink. Mayor Municipality oi Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 Alaska Housing Finance Corporation 520 East 34th Avenue Anchorage, Alaska 99503 Subject: Lot 9 Block 3 Mountain Valley Estates Subdivision Permit #900077, PID #050-641-04 The subject permit, issued by 'this off%ce for a single 'family well and/or on-site wastewater system has expired as of December 31, 1990o A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Si~'~e~ly, / / JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" d'i.' SCALE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17- 18- 19- 20- DATE PERFORMED TownshiP,sLoPERange, Section: '~--~/~Lt,.~'SITE' PLAN ]~:?~' L~; ~----~'J- '~'~ WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Deplh lo Waler AI~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutestinch) PERC HOLE DIAMETER __ TEST RUN BETWEEN.~__ FT AND FT ./ / COMMENTS , / / ~ .... ~A..,? /~ r/~ ~ CERTIFY THAT T~TEST ~AS PERFORMED IN 72-008 (Bev. 4/g5) / QGREA1ER ANCHORAGE AREA BORudGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 'OCAT,ON SEPTIC TANK: DISTANCE INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY. //~2 GALLONS. SEEPAGE E~.'-I'~: NUMBER OF PIT5 / DIAMETER LINING MATERIAL BUILDING FOUNDATION__ ADDITIONAL ABSORPTION OR WIDTH '~ CRIB SIZE: DIAMETER NEAREST LOT LINE / / LENGTH ~7 DEPTH '/ DEPTH '~ DISTANCE FROM: WELL TO-I-AL EFFECTIVE ABSORPTION AREA (WALL AREA) FT. WELL: TYPE :r>f BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVE[) REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: ,A'~Z2'L~'-~-'¢:C.'~%¢~, . PIPE MATERIAL: LOT SI-OPE: REMARKS: Fnrm No. EQ-031 DIAGRAM OF SYSTEM FII::'F't.~ ]: C:FINT I.... 0 C: Fi"[' ]'. E)I",I L..liEC:iFIL.. I_Ei[ Ei:i~i: MCIIJN"I"I:::I]N :v:l:::ll.,.l,,..Jii~iT' 'l""r'F'liE ]:::il:' E;IZ[]:I.... IdE,:, hE, I ION =,r.:,lEIl IE;: "FI:~'.IEI",II.E:H '/"1'"1t~: t:~:1%t:i:!1..i :1: R[EE:' S ]: 2~E: OF' 'THE :E;O I L.. F:IE:E:[:3F~:I:::"T']: ON '.E;'~'S'I"EM I :~;: :1.~'~ ~ ................. F" THE LENEiTH ['.:' :t: I"llE:lqfE~: :[ CIl",l Z E: THE L. ENGTH ( Z N I::'EE:"I"::' OF' THEE "I"I:Efl~ENC:H ('.)1:~'. B'F['.F1:1: NF' :1: IEL..[::'. "I"HE I:::'E:F'TH CiE la TI:E:EI",IC:H CIIE'. F']:'T' :I:E: THE E:' ]: '.~ET]"F~NC:E: E:E:TP.IE:EN 'THE: :~E;I..IF~:I:::FIC:E: CII::' 'THEE: E~[~',CiL,II",IB' t:::INI:::' THE EE:CFI"TOM CiF' 'T'H[E EF:',C:fa',,,'I:::ITZON (ZI",I I:::E:E:'T'::'. "I'HI~:I~'.E: :[f~: I",10 E:E:T I.'.I]:E:'TH F:'OI:~', TI::~'.ENE:HEE:EL THE E~RF:I',,"EL. I)EF'TH :1:'.~ TH[E I'"I]:N]:I'"IIJH DEP'T'I~I [:)1:::' EiI:~'.I::tVEEL. E',E:'T'I41~E~:N THE: OI...]'T'F:'I::IL..L. Ftt",IE:' 'THE E:CITTOI"t CIF "FHE E::'::C:I::I","FYT' :[ ON 'E Z tq FEET ::'. ]: C:IiEI:¥1" :1: l::'"r' THf:Y[' :L: :1: I=ll'"l [:'I::~I'"IIL..:I:FII~:: I.,.I:I.'TH THE: I:E:E:'E[~:!I..J]:I:;~'.E:I"'I[L:iq"I':i~: I='OR C[i",I-'"E::I'.'f'IE: Ei:IEI41E!:IE::~ FIt",ID HEi:I...L.'.~Jl Fi:ii; :E;E"f' F:OFE'.'T'H E:¥ THE MIJN :[ C: .'[ F'I::II._ 2.: .'I: t4 :[ I....L. ]: NE:TFILJ.... THE: :ii:: ]: I...INI:::,E:Fi'.EFT'FII"dI:.':' THFIT THEE ON-'"Ei]:TIEi: :~'~E:t.,.IIF.:F.'. :Ei'T'EFT'E:I'"I ['"II:'~'T' I:E:E(i:!I...I:[I:~i'.I~i: E:iql...I::I[~:'.C~I!ii:I'"tE.'N'T :I:F: 'T'HI!~:: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99§02 276-2221' SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: Sept, 26, 1976 ............. ~ ...... s L~i~ ~ - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Silty Sandy G~avel - - throughout SITE PLAN i SUT~ [ j , _ ,. WAS GROUND WATER ENCOUNTERED7 IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATIQN RATE TEST RUN BETWEEN FT AND minutes/inch) ____ FT COMMENTS ' . and site location provided by ~ Site requir~,e.s/~25 sqga~e feet per bedroom° /,,/' 72-008(7'76) ~ ~ / 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. # f~)~:('%~::)Lt ~-- (~[.~ 1. GENERAL INFORMATION Complete legal description Lot 9, Block 3, Mountain Valley Estates Location (site address or directions) H±land Rd. Property owner Mailing address Goodnight P.O. Box 671132, Chugiak, Day phone AK 99567 Lending agency Mailing address Agent John Plyler - Greatland Day phone Realty Dayphone Address 11411 Old Glenn Hwy 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: individual well XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holdin9 tank Community on-site Public sewer NOTE: XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. /2-025(Rev 1/91l Fronl MOA #21 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/orwastewaterdisposalsystem is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythatbasedontheinformationobtainedfrom 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 17034 Eagle River Loop Road No. 204 Address ,:a~..~ ~;-',~., ,-: ...... 9..... Engineer's signature DHHS SIGNATURE /~ Approved for ..~ bedrooms. Phone Disapproved. Conditional approval for 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, 72~)25fRev 1191) Back MOAt121 ( Municipality of Anchorage Department of Health & Human Services HE^'TH AUTHO. T¥ APP.OV^L CUECK' ST Legal Description: ~ ~ ~L.~ * ~-~o'O~1¢~4 Parcel I.D. A. WELL DATA .,~..., .. /. _.. Well type ~l/-~.V/~- If A, B, or C, attach ADEC letter. ADEC~,atersystem number~ Log presentd~N) '-~ Date completed ~ Totaldepth \~ Casedto '~ I'~'-T"~ Casing height Sanitary seal~::¥'/N) '-( Wires properly protected(f~) FROM WELL LOG AT INSPECTION Date of test Static water level Well flow · ~ g.p.m. -.--- Pump level SFPARATION DISTANCES FROM WELL TO: ¢ Septic/holding tank on lot V~2'"'~ ; On adjacent lots _ Absorption field on lot .~'Z~I~ ; On adjacent lots Public sewer main ~ / ,~ ~ Public sewer manhole/cleanout .,-) Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: B. Sl-'PTIC/HOLDING TANK DATA Date installed \ '-Z-~'"~-¢I ~- Tank size Cleanouts(CCTN) High water alarm (Y/N) Date of pumping ~" ,~. '~ ~ Other bacteria Collected by: ~::;,.z¢~ ~:~o Compartments ~ '7' Depression ( Y/,~:~. Alarm tested (Y/N) Pumper ~---~ Foundation cleanout SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / Well(s) on lot J ~'"'/ On adjacent lots To property line /c~lJ¢ Absorption field Surface water/drainage \ ~¢:~ ~ J¢ / E)c~ '¢" Foundation 'Z~ water main/service line 72-026 (Rev, 7/91) Fronl CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons V, ent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length / c:~,r,~? Width Total absorption area (,.~ c:~ Depression over field (Y/~P' /---4 Results (pass/fa/I),1,.~-~ PeroxiOe treatment (past 12 months) (Y/N) ~ ' Soil rating ¢.~, ~ ~'~,2- Gravel thickness J System type ~ ,--~¢-~ ~--¢"~F,¢~ Total depth z:~ L-b~ Cleanouts p resent~CCTN) Date of adequacy test for If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot \'2-_ I On adjacent lots \ ~lCr Property line To building foundation I c:~zlF To existing or abandoned system on lot On adjacent lots "-~'~c:~" "J~-- Cutbank ~ lA Water main/service line Surface water Curtain drain 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 o date of this inspebtion. Signature Engineer's Name Date S & $ ENGINEERING 17034 Eagle River Loop Road .......... '-- ?9§77 HAA Fee $ \'--) f-~ ,C)"'"~ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number DE0-28-92 HOH 9:48 ,EA GRE,qT LPd,ID REhLTY FAX NO, 9076943093 P, 02 FI'EbD I~U~PING TEST DATA SHEET ,L0'~ATiON: OF-W~;LL (Legal Deso~;iption) Det~tb to I) r'a~e,fto~,m / Pt~:,.',!.'] n g .......... " ....................................... 1 .... :~ ........................................... ......... '_.¢~..t&~ .......,'.:: C.~ ? ............(,~ [' _ ....................................................................... Time Time Date Date Date Inspector Inspector Inspector Conditional Approval Comments Date Sewer Installed Permit No. Septic Tank Size / ~ ¢~_) ,.> 0 ~ "~ ~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner Larry 6 Robin Gross I Phone Mailing Address SRZ BOX 9358, Eagle River, AK 99577 I694-:5501 1 Buyer Thomas Maho:n and Stephen Vogler AddressSR A BOX 1690-J, ~chorage, AK Lending lnstltut[on First National Bank of Anchorage, South Center B~ ~hone Address P.O, Box 4-2090, Anchorage, AK 99509 265-3845 RealtyOo.&Agent Commonwealth ARIMA, Inc. (Myrna Jo]mston) Addres:s P.O. Box 249, Eagle River, AK 99577 Legal Description ~,]t]l. V~J. leT Jjst. ~ Block 3~ LOt 9 , NHN Johnny ])rive (Hile 5,0 Hiland Rd.) Street Location Phone ~94-9555 Type~f Residence C~ Single Family 3 [] Multtple Family No. of Bedrooms [] Other Watei~ Supply f~ Individual E] Community [] Public Utility ATTACH WELL 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.I Sewa, fle Disposal £2 Individual Year Individual Installed: 197 ~.~) E] Public Utility •Holdln~Tank OCt° Z98~. A~)~)rova~L ~/J~Gl~2O~n~tedt°PublicUtility''~/'"' t~e~,'~].(~UE II~.l~lCr~lr~:i~C&c~'/~C~tCY~,~E~,~ I~Ff-~I~S~BI~OJ~,.FL~iO~I~.~J~.~N BE INITIATED. MUNICIPALITY OF.,\NCUORAGE DE(:'ARTMENT OF ;tEAL'TH & ENVIRONMENTAL PROTECTION EIwironmenlal Sar, ilalion Division 825 L. Slreel- Anchorage, Alaska 99501 'Telephone 264-,1720 CEP, TIF:ICATE OF: INSPECTION SEWEF; AND WATER FACILITIES 1. PROPERTY OWNER Larry Gross MAILING ADDRESS Star Route 2 Box 9358 99577 2, LEGAL DESCRIPTION Lek 9 Block 3 Hountai. n Valley } ....... Les SubdivisJ. on 3, TYPE DWELLING SINGLE F/,MILY, IqE-,:,'IDEHCIJ MULTIPLE FAMILY I?ii$1DiiNC[. il} OTIIEF~ (Describe) ,1. WA'FER SUPPLY 1'~'~ INDIVIDUAL [i] COMMLJNITY/I~UR L i(] 5. SEWAGE DISPOSAL ~.:i,I INDIk)i " )U/.* L [13 PUBLIC U'TILIqY CJ IIOLDING TANK (Mair~tunance Required) ?L¥ APPROVED FOR .t h}l?A ...... BEDROOMS ',,'CqNDITIONAI_ APPflOVAL (See Attached) (ii1 DISAPPROVED Oct:ober 1981 7 2.0 1,1 (3/78) EXCAVATION ROBERTA. SHAFER WORK CIVIL ENGINEER 694-2979 October 11, Mt.]J~(SP1ALITY OF ANCHORAG~ DEPT. OF HEALTil & ENVIRONMENTAL ?~;Of5CTION Area Realty ATTENTION: Myrna Johnston P.O. Box 249 Eagle River, Alaska 99577 Dear Mrs. Johnston, []CT '1 2 1981 RECEIVED Reference: Lot 9~ Block 3: Mountain Valley Estates: Larry Gros§ property A sewage system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of 450 gallons of water over a 24 hour period without any measurable rise in the sump at 'the end of the trench. It can be concluded, from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of :further service, please do not hesitate to call. Sinc~/ly, . / uR, rc.E. cc: Municip&.ity of Anchorage Department of Health and Environmental Protection Alaska Nutual Savings Bank Eagle River Branch SR8 196X EAGLE RIVER, ALASKA CHEMICAL & GE ~OGICAL LABORATORIES ~ ALASKA, INC. ~ - TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER ' 274-3364 5633 B Street /,,,",;;o;.;.;.',.~.'-,~ Drinking Water Analysis Report for Total Coliform Bacteria . TO BE COMPLETED BY WATER SUPPLIER , ~ . I.D. NO. Water System Name ~' Phone No. Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [:3 Routine [:3 Check Sample (for routine sample with lab ref, no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. , I 2 I LOCATION Time Collected Collected By TO BE COMPLETE;D BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results, Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst *No of colonies/100 mi. or No of Positive porlions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1976 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Date Received Time R~Celved p,m. Lab. Presumptive ZOml ],Omi ].Omi ].Omi /Omi 1.0mi O,3. ml 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours Multiple Tube Rel3ort= ./0mi Tubes Positive/Total 3.0mi Portions Membrane Filter: Direct Count Collform/100ml Verification: LTB .BGB Final Membrane Filter Results . Collform/10Oml TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR I N S P ~T)~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTId~JUNICIPALITY OF ANCHORAQE 825 L Street - Anchorage, Alaska 99501 DEPT. OF I!:./:,LT~i & ( ) "~NVIRONM EN T,,\t. i ;~Oi£CTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQuEst' A.. OVA. Or .NO,V,OUA. ANO D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Larry Gross 694-3301 MAILING ADDRESS SR2 Box 9358, Eagle River~ AK 99577 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE NONE MAILING ADDRESS S, LENDING INSTITUTION NONE [ PHONE MAILING ADDRESS 4. REALTOR/AGENT ] PHONE AREA, Inc., Realtors, Myrna JohnstonJ 694-9555 MAI LING ADDRESS Box 249, Eagle River, AK 99577 S. LEGAL DESCRIPTION ////~ Mountain Valley Est. B3, L9 STREET LOCATION Hiland Road Mile 5.5 Approx. ~ ~.~ ~ SINGLE FAMILY ~ MULTIPLE FAMILY 0qUMBER OF~BEDROOMS [] One [] Four [] Other [] Two I-~ Five r~ Three [] Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *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,) 14 S fL. 8. SEWAGE DISPOSAL SYSTEM E~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LI'rY 1977 (?) YEAR oN-SiTE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY /¢-- 7'"' 7 ¢ Connection Verified INSTALLER []Septic Tank or E~] Holding Tank Size: //(~0 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ~]~.,,._~ TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/l-loldia§ Tank Absorption Area Sewer kine Nearest Lot Line ABsorption Area to nearest Lot Lina 5. COMMENTS (~'~APP ROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 72-010 (Rev. 6/79) CHEMICAL & G~E.. LOGICAL LABORATORIES L~" ALASKA~ INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total ColifOrm Bacteria TO BE COMPLETED BY WATER SUPPLIER Water System Name Phone No. Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [3 Routine [; Check Sample (for routine sample with lab ref, no. ) £; Special Purpose [~ Treated Water [] Untreated Water SAMPLE NO. I 3 b. 4 I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: I-]Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref, No.' Result* Analyst I *No o[ colonies/100 ml. or No. of Positive portions. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collect e~l Source aired Lab. Ho, ~rasumptlve Z0ml 10mi 10mi 10mi 10mi 1,0mi 0./mi 24 Hours 48 Hours 7,onflr metory 24 Hours 48 Hours EMB Broth 24 hours: _Broth 46 hours: Multiple Tube Report= 10mi Tubes Positive/Total [Omi Portions Membrane Filter= Direct Count Collform/10Oml Verlflcatlon~ LTB _BGB Final Membrane Filter Results Collform/lO0~! _ Date Reported By · yQ~ ' "INICIPALITY OF ANCHORAGE //~-'j~' DEPARTMENI _," HEALTH AND. FNVIRONMENTAL ~ ~//~ ~// ~1: Time (~i~2 , ~,~ ~2: Time C~',[~O~m ~3: Time REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 Phone: 274-1521/39 2. Property Owner: Larry Gross Mailing Address: Phone: 274-1604 3. Legal Description: Lot 9 Block 3 Mountain Valley Estates Subdivison 4: Single Family Residence: Number of Bedrooms: three Multiple'Family Residence: ( ) Number of Bedrooms: Well System: Permit tt Construction Individual well ~ Community/Public System ( ) '~ Depth of ~ell Wei1%og on File ~2/..,.) ~ 0 ~ ) Bacterial Analysis ~/ Sewage Disposal System: Permit ~ Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed 1977 Installer Manufacturer 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 9 Block 3 Mountain Valley Estates Subdivision Comments: Affadavit Attached: Approved: ~ ~ Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: Municipality of Anchorage DEPARTIv,. .T OF HEALTH & ENVIRONMENTAL PRO,_CTION POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES, 1. TYPE OF LOAN I 2. ASSESSORS PA'RCE[ NU'~'~R [] VA [] F.H.A, ~iCONV [] 3, LENDING INSTITUTION 4. REALTOR OR AGENT ; First National Bank of Anchorage ,, , ~ ~ ,,:'~j ' : P.O.Box 4-2090 Anchorage, Alaska. 99509 ~'1 , .None.. :' Una M. Bennett : 274 1521X39 5. SELLER B. BUYER ' -' GROSS, Larry K'& Marilyn J. '~ · '' None (new home and NHN Johnny Drive purchaser building) Eagle River, Alaska. 99577 7. LEGAL DESCRIPTION 8. LOCATION/STREET ADDRESS = Lot 9, Block 3, Mountain Valley Estates NHN Johnny Drive, Eagle, River, Alaska.99577 9, TYPE OF DWELLING 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM ~SINGLE FAMILY RESIDENCE 3 BDRMS [] PUBLIC UTILITY [] PUBLIC UTILITY [] MULTI-FAMILY RESlGENCE__ BDRMS ~kPRIVATE ON-SITE f~n~ON-SITE YEAR INSTALLED 1977 INSTRUCTIONS TO REQUESTOR 1. Complete Items 1 to 11 above 3. Send to address above 5. Response will be returned to lending 2. Remove the carbon 4. Please allow 10 days for processing institution GATE RECEIVED DATE OF INSPECTION TIME OF INSPECTION INSPECTOR TYPE DEPTH YEAR DRILLED PERMIT REFERENCE ~ CONSTRUCTION BACTERIAL ANALYSIS LAB REFERENCE NO. YEAR INSTALLED INSTALLER TANK SIZE MANUFACTURER ~ DIMENSIONS CRIB CONSTRUCTION ~ [] PIT ~- [] DISPOSAL TOTAL LINE LENGTH TRENCH DEPTH GRAVEL DEPTH ~ FIELD ~ FT. FT. FT. TOTAL ABSORPTION AREA PERMIT REFERENCE SQ. FT. 72-010 (11/76) Municipality of Anchorage DEPARTM, t'OF HEALTH & ENVIRONMENTAL PRO, -;TION POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 3. LENDING INSTITUTION 14. REALTOR OR AGENT =.~,~ i First National Bank of Anchorage P.O.Box 4-2090 Anchorage, Alaska. 99509 . ~ None ~ Una M. Bennett 274 1521X39 5. SELLER 6. BUYER .I., ,: ': GROSS, Larry K & Mariiyn J. None (new home and. NHN Oohnny Drive purchaser building) Eag].e River, Alaska. 99577 ............ . 274 1604 7. LEGAL DESCRIPTION 8. LOCATION/STREET ADDRFSS m Lot 9, Block 3, Mountain Valley Estates ~N Johh~ny Drive, Eagle, River, Alaska.99577 9. TYPE OF DWELLING 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM ~INGLE FAMILY RESIDENCE ,3 BORMS [] PUBLIC UTILITY [] PUBLIC UTILITY [] MULTI-FAMILY RESIDENCE____ DORMS [~RIVATE 0N-SITE [~DN-SITE ? YEAR INSTALLED 1977 TYPE: DEPTH: DATE RECEIVED .~ BACTERIAL ANALYSIS DATE INSPECTED CONSTRUCTION YEAR INSTALLED INSTALLER '"' ~ SEPTIC TANK SIZE MANUFACTURER ~ DIMENSIONS CRIB CONSTRUCTION TOTAL ABSORPTION AREA: I- ra~ [] SEEPAGE PITS: ~'~ TOTAL LINE LENGTH [] ORAINFIELD: ~ SO, FT, ~m~ WELLT0: J SEPTICTANK I ABSORPTION AREA I SEWER LINE LOTLINE OTHER CONTAMINATION SOURCE ~, FOUNDATION T0: ~,. ABSORPTION AREA T0: [] APPROVED [] CONDITIONALLY APPROVAL VALID FOR ONE YEAR APPROVED FROM: [] DIsApPROVED [] UNABLE TO INSPECT Department of Health & Environmental Protection Page Two l)epar'lm~enh of Ileal th ami Environmenhal Protecki. en Request for Approval of Individual. Sewer and Waher l?aci].i~ies Comment. s: On 10--26--',77 made calL1 to Mr. Gross, unable to se-h up apPointraenil to lzake a water sample {or analysis. [.I~, said only {~ime we Could ge~_ it was after 5:00 p.m. weekends. Our hours run from 9:00 to 3:30 ~.m. foz~ schedulinq am returning ~h~s and disapproved. Affadavi't Attached: ( ) Lehter A'ht:ached: ( ) Approved: Date: Disapproved: Les N. Buchholz, R.S. Dar. e: Oc-tober 27, 1977 Department Wor]csheo'h: 06-1220(a) Rev. 1973 DATE ALAS. DEPARTMENT OF HEALTH AND SOCIAL SEL ,ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO NAME ' ~ ' ~' :" ~ ~ ADDRESS CITY ZIP CODE ADDRESS ~ , : , , , ,~ OF SOURCE ' ~ : / -,~.. :,:. COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY ' : DATE COLLECTED / TIME COLLECTED' .'-'',~ r Sample Collecled From [] Kitchen Tap J~ Bathroom Tap [] Basement Tap [] Other (List) , - Well- [] Dug ~. [] Driven [] Spring [] Cistern SOURCE: Dug Well or Cistern ConsfruclJon: Walls--[] Wood [] Concrete [] MelaJ Top -- [] Wood [] Concrete [] Melal LOCATION~ [] In Basement [] Basement Offset [~]ln Yard [] Other ___ Building Sewer DISTANCE TO: or Olher Drainage Pipe Feet. Tile Seepage Cess- Field- Feet. Pit . Feet. Pool---- Olher Possible Sources of Contamination MATERIAL: Building Sewer-: [] Cast Iron [] Wood [] Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? When? Drilled [] Bored I~ Otber ..... []Tire Brkk or Open Top [] Concrele [] Under House TanL .Feet, Feet. Privy _____Feet. [] Tile [] Fibre [] Asbestos Cement [] Yes [] No Diameter of Well Depth Feet. Well Casing Malerlal Diameler Depth Length of Water Depth Drop Pipe From Boltom Feel. Offsel in Ill Utility PUMP LOCATION: [] In Well [] Basement [] In Basemenl [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected.'? [] Yes [] No New Source of Supply? [] Yes [] No Repairs lo System? [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING .SAMPLE SANITARIAN'S REMARKS Lactose Brolh lOcc 10c6 1Otc 10cc 10cc 1.0cc 1.0cc 24 Hours 48 Hours Brilliant Green 24 Hours 48 Hours EMB AGAR Lactose Broth, 24- hrs. 48 hrs. Gram's sfaTn Coliform Density (Most probable No. per 100cc) MF Resulls This analysis indicales Co]iforrn Organisms to be: Absent Present Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsafisfaclory [] Questionable [] Sample 1oo long in transit; sample should not be over 48 hours old at examTnatlon to indicate reliable resuhs. Please send new sample. [] Bottle broken in transff, please send new sample. Signature 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. ]973