HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 2 LT 4-VALL.. y
.LOT
?~'~ MuNIcIPALITY OF ANCHORAGE "~'
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGA ~ESCRIPTION
AbsorPtion ar~a
~ ~ Liq. c~n gallons IF HO.E~DE: Inside length Width Liquid depth
~ Well Foundat,o~ ~ NearestZ~l'~
;~Z No. of lines~ Total leith o2~~ Tronch~id~inches '
OTHER
(Rev. 3/78)
,, f~ DEPRRTMENT -¢ HERLTH RND ENVIRONMENTRL PROTECTION
"~ LE6~b: L4.B2 WLLEY VZEW EST LOT ~,~mMRE FEET
TYF'E OF SOIL HE_,L~RPTION SYSTEM IS: TRENCH ¢~,~
MRXIMUM NUMBER OF BEDRL~OM_. 3 SOIL RRTIN6 (5Q FT/BR>= 2~$
THE REQUIRED ~IZE OF THE SOIL RBSORPTtON SYSTEM IS:
[:.EPTH= 7 LE~46TH= 87 6RR%-'EL DEPTH=
'THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GR8VEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCBVRTION (IN FEET).
F~ELi.~IJ I REC. SEPT I
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
Tb~Ei (2) I NSPECTI,]~4S RF:E RE,~LIIRE[)
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PERi'I I T E.~<P I F:ES DECEMBER _---'~- it.. i982
I CERTIFY THRT
1: I 8M FBMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RE:COR~iRNI~E WITH THE CODES.
3: I UNDERSTR~HRT TH~ON-~ITE SEWER S~STEM MRY REQ~,JIRE ENLRRGEMENT IF THE
RESIDENCE I~RE~ELE~O INL. LUDE MORE THRN S< BEDROOMS. ~,
,
PERFORMED FOR:
LEGAL DESCRIPTION:
2
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8
11
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[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
COMMENTS
WAS GROUND WATER
ENCOUNTERED? /"~/O SL
O
P
E
IF YES, AT WHAT
DEPTH7
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ , ~..'¢~ i~ ~,~ 9 ~" y~..
ul"
PERCOLATION RATE ~/~, ~ (minut.s/inch)
TEST RUN BETWEEN , ~" FT AND f/F/ , FT
/0:
72-008 (6/79)
APPLIC FILLS oUT UPPER HAI- -' NLY
Address Zip Code
AddresSRealty Co. & Agent/')~ '" /-~ (D4' /~'/~';" i /r/t, )¢~., f ~(9 Phone
Type of Resi~nce
/Single Family
~Multiple Family NO. of Bedtoom~ :~
Water Supply
~ Individual A~ACH WELL LOG. A w~l log is required for ali wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal
~ Individual Yea[ Ipdividual Installed: _
~ Public Utility When Connected to Public utigty:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Date Date Date
Field Notes:
PPROVE~EDROOMS ~ ~ ~ 'CONDITIONS OF APPROVAL
Soils Rating Date ~wer Installed Well TO Absorption Area /O~ ' Well Log Received
.January O, 19~
~<ay~%ond J. and Brenda Ko A~sden
SRI~ ~ox 1757
Eagle River, AK 9957'7
Lot 4, Block 2, Valley View Estates
Al?proval for the individual sewer and ~.~ater facilities ca~lnot
bc· {~ranted until the followi*~g items have been completed~
, ~?11 log sub~tted to this orifice ~2or our files and
~ review.
~;xpOSe the well _~or our inspection to deter~ine proi?er
construction~ al:so to insure n%inimu~ distance requirements
are ~et betwee{% the. well and sewer system.
Please ~lotify this ~i)epart~ent for a reinspection whe~ the
noted discrepancies have been corrected. I~. there are any
this office at 26~t-,Y?Z0o
furtller questions, please call ~' '
Sincerely,
Cory Willis, R.S.
Actin{.~ :~ewer & Water
P ~'og r a~'.~ ~}anager
CHEMICAL & G~ _I)GICAL LABORATORIES ~_, ALASKA, INC.
TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
WATER SYSTEM:,
LD. NO.
Water System Name Phone NO.
Mailing Address
City State Zip Code
Mo. Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref, no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
5I I
Time Collected
Collected By
TO E~E COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
,.F- Satisfactory
[] Unsatisfactory
[] San' ~le too long in transit; sample should
not be over 48 hours old at examination
to indmate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
[] Membrane Filter
Lab Ref. No. Result* Analyst
I
]
I i-J-]
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
o6-zz2o (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date C ollecte¢l Source
ecelved ,ab, No.
24 Hours
4a Hours
confirmatory
24 Hours
EMB. Broth 24 hours:
Membrane Fgter: Direct Count
Verification: LTB.
Final Membrane Fgter Results
coaform/100ml
BGB