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HomeMy WebLinkAboutVALLEY VIEW TERRACE BLK 1 LT 2B i % 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 NAME PHONE E~NEW MAILING ADDRESS ~ ~ DISTANCE TO: Well Dwelling PER~IT NO. TO: ~ ~ ~ No. of lines Length of each line lota, length of mines Trench widtb Distance between mines inches · ~ ~ ~ Type of crib ~o~c r. Crib diameter Crib depth,. Total effective absorption area Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Building foundatioo Sewer line Septic tanE Absorption area(s) OTHER SOlINSTALLERL T~rpEST RAT'NG APPROVED DATE LEGAL SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LO(] - PERCOLATION TEST [] PERCOLATION TEST ~2 SLOPE SITE PLAN ~ 1 ~,..- 2 3 4 5 6 7- 8 9- 10- 11 13- ENCOUNTERED? ~/&/~ ~- - IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 15- 16- 17- 18- P .......... N RATE COMMENTS TEST RUN BETWEEN , ET AND (minutes/inch) -- FT PERFORMED BY: ,~%~ ~;~ ~/~-~J' ) ~ ¢~ ~'~ CERTIFIED BY: 72-008 (6/79) poIj...~ 6 650 ANCHORAGE, ALASKA 99502-0650 (907) 264 4111 TONY I(NOWI ES. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840534 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 2 Block 1 Valley View Terrace Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, orKeith E. Bandt, SupeYvis Environmental Engineering Program KEB/ljw enc: Copy of Permit SW?/057 MUN-][C I F'AL I TY OW= ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE~ AK 99501 264-4720 ON--S I ~TE SEW. EZR ~ WE~-_ L PERMIT PERMIT NO: DATE ISSUED: 07/02/84 APPLICANT: C/O S & S ENG'G. JAKE CHRISAFULLI ADDRESS: GRB 196X EAGLE RIVER, AK 99577 CONTACT PHONE: 694-2979 LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: SUBDIVISION: VALLEY VIEW TERRACE LOT: 2 SECTION: 22 TOWNSHIP: 12N RANGE: 5W 20000 (GQ.FT. OR ACRES) BLOCK: 1 Listed below are the options available to you in designing your septic system. Choose the option that best Fits your site. W. I}RA ][ N DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) 0.5 1.0 TOTAL DEPTH (FT.) ~.0 3.0 GRAVEL WIDTH (FT.) 17.0 5.0 GRAVEL LENGTH (FT.) 54.0 77.0 GRAVEL VOLUME (CU.YDS.) 21.4 TANK SIZE (GALS) 1~000.0 SOIL RATING (SQ. FT./BR) 125 146 DEPTH TO PIPE BOTTOM < 3.5 FT. REQUIRES INSULATION DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1. I am £amilimr with the requirements ~or on-site sewers and wmtls am ~orth by the Municipality of Anchorage (MOA) and the Gtate o£ Alaska. 2. I will install the system in accordance with all MOA codes and regulmtio~s, and in compliance with tqe desig~ criteria of this permit. 3. I will adhere to all MOA and State o~ Alaskm requirements for the set~ ba~k distances £ro~ any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby Iot. 4. I understand that this permit is valid ~or a maximu~ of 3. bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~ THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTG WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED ~/ ~ DATE: APPLICANT: C/O S & S E~G'G. JAKE CH~ISAFUL[I PERFORMED FOR: 7 8 9 10 11 12 13 14 15- 17, 18. 19- 20- SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTIVlENT OF HEALTH AND ENVIRONMENTAL PROTECTION_,d,~./~ ~) ~E~TCOLATION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST DATE PERFORME~ / SLOPE SITE PLAN 6 COMMENTS / t Reading Date Gross ,~et Depth to Net k Time j Time Water Drop RERCOL.~T!C~.JRATE J~ ~ ~ (minutes/inch) TEST RUN BETWEEN '"~FTAND -- FT PERFORMED BY: ~'~r-~ CERTIFIED BY: ~'~ DATE: 72-008 (6/79) - O & E E EERING & DEVEL'C MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for: Name: ~"~/~'~ ~'~/-//~ / 5' ,~FU~! Tel. N0 [~" ~ Mailing Address: ~ ~'' ~ ~/ ~ ~/ ~' Legal Description: L~2, ~/~/,. ~V ~/~'~ ~~ ~- Depth (feet) Soil Characteristics 0 1__ 2__ 3 4__ 5__ 6__ 87 ~]] ~-'~'~.~'w~;,~~ 9__ /--4 10 /~o ?-'r~ 7--0 11__ PLOT PLAN 12__ 13__ 14__ 15-- 16__ Ground Water Encountered: Yes ~ No /~O/t~/~/ ~c~ TLY ~E= If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: PERC. TEST Performed by: ~. ~4~_/.~ Date' · GR E4Y"~",, AN C H 0 RAG E AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME //~/f}/¢~'~'/) /~1~;-/~'" MAILING ADDRESS SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH PHONE ~ . [ , ~_./j~,~c.yCi_~Z.' NUMBER OF MANUFACTURER (~'~ [ ~' ~{~ ~/ MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY /(~) GALLONS. SEEPAGE PIT: NUMBER OF PITS __ LINING MATERIAL BUILDING FOUNDATION__ DIAMETER ~ OR WIDTH LENGTH DEPTH 131 CRIB SIZE: DIAMETER /~' DEPTH (~.1 DISTANCE FROM: TOTAL EFFECTIVE NEAREST LOT LINE __ WELL ABSORPTION AREA (WALL AREA) ~]L/ .SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE DEPTH DISTANCE FROM: SEPTIC ¢(~t SEEPAGE (~2~ TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ~031 GrEATEr ANCHORAge Area BOrOUgh DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO, TYPE AND SiZE OF FACILITY TO BE SERVED PHONE . ., OTHER. NOTE: TMIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ /~-~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK -, SEEPAGE PIT TO NEAREST LOT LINE. W~LL TO SEPT'C TANK DRAIN FIELD WATER MAiN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD CAST iRON INTO AND OUT OF SEPTIC TANK AND iNTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIO TANK AND SEEPAGE PIT F~TTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM CONFORM tO BO~O~E~O~TION$ REGarDING INSTALLATION. i CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE 08`EGEOTECHNICAL 8' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis Russell Oyster 688-2280 694-2774 Soils 8- Foundations Land Development SOIL LOG Perfomed for: Name: Tel. No. Matling Address: 'Legal Description: Depth (feet) So11 Characteristics 12 Ground Water Encountered: Yes No ~ If yes, what depth Proposed Installation: Seepage Pit ~ Drain Field 'Oi.A)[:I< ~ L Ii I WILL. tZI .EiC I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION ~' ~/¢c,K I Legal Description (include?t, block, subdivision, section, township, range) Location (address or~irections) (b) (c) Applicant Name ,.7-~ ¢ o A (' ~-'~' ¢'* //' ' Telephone: Home /~./~ Business Applicant Address /~,O. z~,.>r ,~-~' '3 L:~sz~ ,,'¢~,.~c~, .~,;( Applicant is (check one): Lending Institution [] Owner/builder ~; Buyer []; Other [] (explain); (d) (e) Lending Institution ~ /¢'r ~'~ Address ,¢~,¢, z~o~ '~ 7~ Real Estate Company and Agent Address Telephone Telephone -~' ,2 ~, _ ~'~C' 2/ (f) Mail the H,AA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Well~' Community [] Public [] 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~ Public [] Community [] Holding Tank [] / Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 ¢, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATioi,~ As certified by my seal affixed hereto and as of the validation date showo below, I verify that my investigatioo ~ ~ Authority Approval shows that the on-s te water supply and/or wastewater disposal system is sate fUnCtior~ah for the number of bedrooms and type of structure indicated herein. I further verify that based on the ntormatio~ ¢ from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and~'~f 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 F~..~ IF RIVIFR FN{~INEt:Rt~' Telephone EAGLE RIVER, AK §9§;I Address [', O. ~ Engineer's Seal 6. DHEPAPPROVAL Approved for "~'~ Approved ? Disapprove/t~/' ' /' Conditional Terms of Conditional Approval Date 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 DHEP does this as a courtesy to purchasers of homes and their [ending institutions in order to satisfy certain federal and state requirements. Employees of [:)HEP 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. Page 2 of 2 ~ DEPT. O~ ~NVlRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR 274-2533 Mr. Lou Butera, P. E. Eagle River Engineering Services P. O. Box 773294 Eagle River, Alaska 9957 7 July 1, 1985 Horizontal Separation Waiver Between Well and Leach Field, Lot 2-B, Block 1, Valley View Terrace, Eagle River, Alaska 8521-WA-176 Dear Nr. Butera: The Department has reviewed the subjectwaiver request and hereby waives the horizontal separation between the well and leach field to 90 feet on the subject property for a 2 bedroom single family residence only. Sincerely, Steve Eng, P.E. District Engineer SE/dd WELL DATA Well Classification /4:) ~, ~ Well Log Present (Y/N) Total Depth /o ~ Static Water Level ~=~' / Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4728 ~ ~NVIRONMENTAI. PROT£C~ION Legal Description: M , ~ ,.~ T~ r' r'-, ¢ ,c IfA, B, C, D.E.C. Approved (Y/N) Date Completed ? ~ ~ q Yield Cased to ~'z~' v- Depth of Grouting Pump Set At /~" Sanitary Seal On Casing (Y/N) .)/ Depression Around Wellhead (Y/N) JO0 / ; On Adjoining Lots /~ ¢ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line /~o'-',-'-~ Cleanout/Manhole Water Sample Collected by /:~ ~ ,~ e ~ ,- Water Sample Test Results ,,~ z ; On Adjoining Lots /~ ~'- To Nearest Public Sewer To Nearest Sewer Service Line on Lot ;Date ~'//' ¢/~ i- Comments B. SEPTIC/HOLDING TANK DATA Date Installed /~'~5- Size /,¢~¢~:~ No. of Compartments Standpipes (Y/N) ~' Air-tight Caps (Y/N) ~' Foundation Cleanout (Y/N) Depression over Tank (Y/N) /t.) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) "~ · ; for Holding Tank High-Water Alarm (Y/N) /~.,~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line ~/~ / To Water Main/Service Line ~ &~ '~ Course To Building Foundation ~- ~ ? To Disposal Field /d_) / To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /¢) 75- Width of Field //~" Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test .~, Separation Distance from Absorption Field: To Water-Supply Well 7°9 ' ~"~' To Building Foundation --'4-',2 Lot To Water Main/Service Line /o To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storag? Area Comments Type of System Design Length of Field /9" Depth of Field / '3 Gravel Bed Thickness ~ r Standpipes Present (Y/N) Date of Last Adequacy Test .Y To Property Line Y/E2 / To Existing or Abandoned System on ; On Adjoining Lots ..~o ~- To Cutbank (if present) ,/Vcr~ LIFT STATION Date InstalleO Size m Gallons "Pump On" Level at High Water Alarm Level at 'rested 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. Signe~~¢:¢~ Date '7/°-,/ac&- Company ~'/~"~"/~'£' MOA NO. ff~ ~ ~ ~- Receipt No. ~4~1 ~ Date of Payment ~ ~' O~ Amount: $ q- ~ - ~ ~ Page 2 of 2 72-026 (11/84) Engineer's Seal n! DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street-Anchorage, Al"$"a ~0~01 , REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10} days for processing. P PERTYOW.ER ~l~I PHONE · BUYER ~ PHONE I MAILING ADDRESS 4, REALTOR/AGENT / PHONE MAI LING ADDR ESS E, LEGAL DESCRIPTION STREET LOCATION , 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four  SINGLE FAMILY ~Two [] Five MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ~ INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wet[s drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISP. OSAL SYSTEM ~. INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY **If individual/on-site, give installation date 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~)10(3/78) . THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 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 []PUBUC UT.ITY & Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: ]O~O IfTankishomemade SOILS RATiNG give dimensions: ~,~ (~-) TYPE OF TANK MANU FACT RER 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 dP [:;]'/'APPROVED FOR ~).~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [Z~-"~D I S A P P R O V E,.~/D DATE ~ .- (/~'"r~ -'? i~Y BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 3/12/75 Time of Inspection Date of Inspection 3/14/75 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA 1. Approval requested by: Mailing Address: 2. Property Owner: ~ailing Address: 3. Legal Description: Selective Realty Harold Haeg Eagle River AK Phone: Phone: Lot 2, Blomk 1, Valley View Terrace Subdivision 4. Location: Eagle River Road 5. Type of facility to De inspected 6. Well Data: A. Type Drilled o C. Construction Sewage Disoosal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. Well Pit Single No. of bedrooms 2 B. Depth 107' D. Bacterial Analysis Satis£acto~.~' 3/17/7s See Comments. B. Installer Size 2. Manufacturer Absorption Area 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Total length of lines , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-034 (1/74) Page 1 of two ,,~ac~e~ Legal Description LO'C 2~ Block 1~ Valley View Terrace Comments Approval pending escrow funds for upgrade of sewer system and well prior ~o July 1~ 1975. e~ ~ ~'~'. Disapproved Approv Date Approval:Valid for one year from date signed~ Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)