HomeMy WebLinkAboutSUN VALLEY BLK 3 LT 6
Municipality of Anchorage
BUILDING SAFETY DIVISION
j U L 2 3 1985jj'
f;
Recd. By L-�r—= h
l
Or
$k
AS -BUILT
I hereby certih° that I have surveyed the following described
property _ c e
Anchorage Recording Precinct. Alaska, and that the improve-
ments situated thereon are within the property lines and do not
overlap or encroach on the property ling adjacent thereto, that
no improvements on property Ivin adjacent thereto encroach
on the premises in questttan,and ttat there are no roadv.,ays,
transmission lines or other visible easements on said prope'rt`
except as indicated hereon.
Dated A Eagle River, Alaska
tris
ROBERT C. JOHNSON
.:A I_£ Registered Land Sun.vor No 8ti-L5
4ox 7'-04%, Eagle River. Alaska 99577
Phone (907) 644_2 43
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINI:'ERING DIVISION
825 L S'treet - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION BI-:PORT
~4AILING ADDRESS
EGAL DESCRIPTION
LOCATION
.... Well I Absorption area
Material
Well Foundation Nearest lot line
DISTANCE TO:
No. of Hnes Length of each line th of lines Trench width
Top of tile to finish grade I beneath the
IWidth
PER
No, of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines
inches
Total effective absorption 8r08
Typ%o_f crib.. Crib diameter Crib depth
Well ¢ Buildi ]g foundation
DISTANCE TO: ~ ¢.2.~ ~.~.'¢ ~ ¢,~
Depth Driller
DISTANCE TO: Building
Sewer line
PERMIT NO,
Total effective absorption ar
Nearest lot line ~, ~')1 ,~
Distance to lot llne PERMIT NO.
S01)tic tank Absorption area(s
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
,,' :?:
DATE
LEGAL
72-013 (Rev. 3178)
DEPARTMEI~IT £ HEAI_'I-H AND ENVIROIqMEI',ITAL ]'I"EC, T:I:OIq ·
U¢ .... L S'I'REI~FT, ANCH[IRAGE., Al'::: 99,50 1
:264,..,4'7'~0
PERM.I'[' NO~ 850346
DATE I SSLJlED L~ 06/',24/8~]
A PF:'I... I CANT
ADDF~E,~3S ..
CONTACT PI"iOI~ E ".
DAVID JOERG
3605 AR[;T I [;
ANCHOR(~GE, ~::: 995();~
:];44- 1608
L.EEJAL DESCRIP,
L.(]]' ,~31ZE."
MAX BEDI:~OOM,~3."
SUBDIVI'SION: DUN VAL.LEY LOT: 6
SECTION." 4 'I"OWIqSHIF~: 1;'~N RANGE: :l.W
1.52A (SQ.FT,, (:)R ACRES)
3
Listed below ape the op'Liorls available 'Lo you in clesign:i, ng yr.)up septic
system. Choose 'Lhe op'Lion that be~t Fits yc~u~ site.
DIEF::'TH TI) F:'IPE BO'I"'I"OM (FT.)
DR(~VEI,.. DEF:;TTt (FT.) ~. 0 0,, 5 3,, 0
TOTAL DEPTH (F'T.) ~ 4~,~5 '7. O
GRAVEl.,. WIDTH (F:"f'.) ~,,t5 :1~:~
GRAVIEt. LENGTH (FT.) '75,, 0 :56.0 53.0
GF(AVI~EL VE)I,.UME (CU. YDfi],, ) 24,, 4 25.4 34.4
TANK ~i I ZE (13ALS) :1., 0~%~,, 0 'l'~' 1,00(). 0 '~'~' 1,000.0 '~'~'
SOIl,.. RATIIq[:~ (SQ. F'l'. /BR) :LSO ;I.~0 150
~'~ TANK MLJS]" HAVE A'T' LL;i:AST TWO C(]MPAF:;~TMENTS
]: c(~,r't:,i fy that, ii
:L. I am f'ami:[iar with
'Lhe peqLLinements £oP on-.site ~eweps anti wells a~
For'th by the Mun:[cipality oF Anchopage (MOA) and the ~'Lat. e of' Alaska.
2. :1: will :Ln~ta].l the system in accoJ'clancr;~ with a:Ll f'li]A ccJcles and r'~3gulations,
a[rld i[1 compl:Larice with the design c:r'itc;~r':La o¢ this per'm:kt,,
3. I u~].~ adher'e to a],~ H[)A and D'La'Le of' A].asl,:a r, equ~.~-ement, s fcm Lhe set bacl,:
dis'Lances rr, om any J~>~J. stil'lg we].]~ wastewater' disposal system or' public
. sewerage system on this o1- any ad.jacen'L c:)l', near'by lc)t,.
4. I under's'Lar~d 'Lhat 'Lhis i:)epmit :Ls va].J.d t'[)p a Ill¢&~.(:LfliLUll of' :% bE~dl"OOlllS
any l.:~rllar'gemer'rL will ]'eqLIJ. P6~ ar1 addJ. t:i. orla].
]:1::: A L..II::'T' ,C. TFATION IS INSTALLED IN AN AREA CDVERED BY MOA BLJILDING (30DIES,
'l"l-4EIq (1) AN ELJEC, TRZCAL PERHZ]' AND INSPECTI[tlq MUS]' BE DBTAZNED~
W]:L..L.. NO'r' BE AFFF~OMED WZ)HOUf' AN EI._I:~:t[',TFC[CAI,.. INS~I::~;DTZON RF~F:C:IFVI"I, AND' C5) THE
EI..EI]TF(ICAL WDFd< fflL.ISl'r BE~DOIqE BY A I..ICENGED f:~I....EE',TRICI~N,,
, .................................................................
AF:F'LZCAN]'~ D~MID JOERG ~ /
SOILS LOG
MI. JNIClPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 254-4720
SOILS LOG -- PERCOLATION 'rEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
DATE PERFORMED:.~-- I -- ,~'
SLOPE ~ITE PLAN
AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
t
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN .~'/FT~ FT
COMMENTS ~ ~-~ ~.~ ~ ~'- ~r~ ~,~
PERFORMED BY'
'~~~ ~Wr CERTIFI
PH.
72-008 (6/29)
BIG,
DIPPER
DRILLING
7529 E. 6th Avenue · Anchorage, Alaska 99504 ~ (907) 333-6435
July 19, 1985
D~vid iI~
Ar~chorage, Ala~,ka
T~e following information is your copy of the well log for the porper y
located at Lot 6, Block 3, Sun Valley Subdivision. This should be
r~tained as your permanent record of improvements to your property.
WELL LOG
0 To 14 Feet Sandy silt, gravel
14 17 Gray sand, silt, gravel
17 20 Brown sand, silt, gravel
20 51 Gray silty gravel
51 77 Sand, silty gravel (moist)
77 89 Gray sandy silt
89 93 Silty sand moist
93 95 Grave]., WATER
6 GALLONS PER MINUTE
STATEMENT
95 Feet drilled and cased~ @ $19o00 per foot = $1,805.00
Thank you for specifying BIG DIPPER DRILLING for your water well needs.
Sincerely,
C. R. Kron
Owner
Licensed · Bonded · Insured
MtJNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPI--CTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATEB FACILITY
264-4720
1. GENERAL INFORMATION
Application Date --BI ~ ) ~ - ~f;-'~
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name ~,Z~v*,/I ;-~_~::2L~"'==~L.~Tel?~hone:Home ~J2 ~-~0 Business
Applicant Address ~O~~ ~[~ -~~_~,
(c) Applicant is (check one): Lending Institution D; Owner/builder ~ Buyer ~; Other ~ (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Cempany and Agent
Address
Telephone
(f) ,~e HAA to the follgwing address:
TYPE OF RESIDENCE
Single-Family¢ Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual Well [~/ Communit7 [] Public E]
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status,
SEWAGE DISPOSAL
Onsite,~ ~ublic [] Community E] Holding Tank []
Note: If community well system, must hCve written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72 025 (11/84)
ENGINEERING FIRM PROVIDING ,.,~P["CTIONS, TESTS, FILE SEARCN, DAT/-, ,RD INFORNIATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation~f this H~ealt h
Autllority Approval shows that the on-site water supply and/or wastewater disposal system is safe, '~unctiona[ and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the irrformation obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water suppty 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 :-~;:',-'. !,:/' >' '. :.~; , '
Date .,.~z.~
Telephone
DHEP APPROVAL ,~ ~
Approved ¢~"~'~bedroorns by
Approved ~ Disapproved
Terms of Conditional Approval
, Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DFIEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requiremonts. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issue¢l. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORII'Y APPROVAL [HAA)
CHECKLIST - FEBRUARY 1984
Cased to__ ~1'~'
MUNICIPALITy OF ANCHOP, AGE
DEP'I: OF HEALTH &
ENVIRONMENTAl. P,~OTECI'ION
Wel Classification
Wel Log Present ~N)
Total Depth ~t'~
Static Water Level
Casing hleight Above Ground
Electrical Wiring n Conduit~l~¢~'~
Separation Distances from Wel
NOV :lUl
Legal Description: L.- r.~~ D
If A. [3 C. D.E.C. Approved (Y/N)
Date Completed ~ - [ "'1 ~ ,~,_~ Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casingd;~%l)
Depression Around Wellhead (Y,,~
To Septic/14eMh~ Tank on Lot ~. ~' Oil Adjoining Lots
To Nearest Edge of Absorption Field on Lot ~. ~ ' : On Adjoining Lots
To Nearest Public Sewer Line ~ ~ TO Nearest Public Sewer
Cleanout/Manhole . ~r..~ To Nearest Sewer Service Lhle on LO[ ~'--~ .1~.
Water Samole Collected Dy ~----~"~ ~'~ 'l~'-~/.~[,"J"~=~--Z'~ .Date
Water Sample Test Results ~¢~'l'"'tE.
Comments
B. SEI:~TIC/HOI:DiN6 TANK DATA
Date Installed
Stano ~ipes (,.~/N) Air-tigm Caps CN)
Depression over Tank (Y,~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank hllgh-Water Alarm (Y/N) ~
No. of Compartments
Foundstion Cleanout ~E,~/N)
v Date Last Pu~ ~eo
..,.b//~ : for
Temporery Ho ding Tank Permit (Y/N)
Separabon Distances from SePtic/Hr:tiding. Tank:
To Water-Supply We
To Property Line
To Water Main/Service Line
Course t ~-~ '
Comments
To Building Foundation '¢~,"~ 1"t:
To Disposa Field ~_
To Stream. Pond, LaKe, or Major Drainage
Page 1 of 2
72-02E 1/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
TO Building Foundation
Lot /~/~
Type of System Design
Length of Field ~
Depth of Field
Gravel Bed Thickness
Lo ~,o'''~ Standpipes Present
Date of Last Adequacy Test
To Water Main/Service Line ~ ~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots "~::'
/
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** 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 :i ~:':
Company': ,~1! !~
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)