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Home My WebLink AboutVALLEY VIEW TERRACE BLK 1 LT 3''% ~A 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 ' I We,l I Absor~tlon area , Dwelling PERMI~, ' , -- .~ ~ ~ ~Y DISTANCE TO: [ ~OI ~O [~ I ~ Z Manufscturer ~¢~ T~{~ Material ~( No. of~~mpartments~---" ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ ~ Top of tile to finish grade Material b~neath tile Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth ' Total effective absorption area m Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS - I lev. 3/78) PERMIT NO. DEF'RRTMENT L,*- HERLTH RND ENVIRONMENTRL r. ROTECTION 825 eL'" STREET, RNCHORRGE, RK. D~50Z 264-4728 ) FIF'PL I CRNT LOCRT I ON LEGFIL WIL. L. IFIM HRLKER PO BOX 998 ERGLE RIVER ERGLE RIVER L]: 8t VRLLE"r' VIEH ESl' ]'ERRFICE LO'F SIZE 6'..-.44 2993: 0 SL=.!LIF:IRE FEET T'¢PE OF SOIL RBSORBTION S'-r'STEM IS: TRENCH I'qR',:',',IMUM NUMBER OF BEDROOMS = :¢ SOIL. RFITING (E;Q FTdBR)= 25EI THE REQIJIRED SIZE OF TNE SGIL RBSORPTION S"r'STEM IS: TNE LENGTH DIMENSION IS THE LENGTH (IN FEET:) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF t~ TRENC:H OR PIT IX THE DISTFINCE BETFIEEN THE SURFFtCE OF TFIE: GROUND RND THE BOTTOM OF THE EXCFIVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE FiND TNE BOTTOM OF THE E::':;CR'¢RTION (IN FEET). PERMIT RPPL. ICFtNT NFi~; THE RESPONSIBILIT'¢ TO INFORM THIS DEPRRTMENT DURING THE INSTRL. LRTION INSPECTIONS OF RN9 WELLS FIDJF~CENT TO THI':7, PROPERT'¢ RND THE NUMBER OF RESIDENCES THI-]T THE F.IELL WILL SERVE. 8RCKFILLING OF RN"r' S~'STEM HITHOUT FINRL INSPECTION RND RPPROVRL. B"r' THIS DEPRRTMENT 14IL~L BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE E:ETHEEN fl WELL RND RN"r' ON-SITE SEWRGE DISPOSRL S'¢STEM IX ±OEI FEET FOR R PRIVFffE NELL; OR 150 TO 20~] FEET FROM FI PUBLIC WELL. DEPENDING UPON THE TVPE OF PUBLIC WELL WELL LUb=, RRE R. EQUIRED RND MUST BE RETL~NE[. TO THE DEF'RRTMENT WITHIN ]:.0 [:,R¥S OF THE WELL COMPLETION. GTHER REQUIREMENTS MF¢'r' RPF'L"r'. :,FEL, IFI_.HTION- FIND L.U~r,t:,TKLI--]I-~ DIFIGRFIMS RRE FI',,,'RILRBLE TG INSURE PROPER INSTRLLRTION. I CERTIF"r' II-IRT :L: I I=IM FRMIL..IRR WITH THE REQUIREMENTS FOR ON-SITE 5;EWERS RND WELL.S RS SET FORTH F..:'-¢' ]'HE MUNICIPFILIT'¢ OF RNC:NORRGE. 2: I HILL INSTRLL. THE S'¢STEM IN flC:CORDRNCE WITH THE CODES. ~:: I UNDERSTRND TNRT THE ON-SITE SEHER S'.r'STEM MR'T' REQUIRE ENLF~RGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 2.'. BEDROOMS. ',/~. ':2 " MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch t~BS0, Anchorage, Alaska 99502 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3- 4- 6- 7- 8 9 10 12 13 2O COMM EN.TS SLOPE SITE PLAN i I WAS GROUND WATER DEPT ? . Gross Net Depth to Net Reading Date Time Time Water Drop 72-008 (7/76) PERCOLATION RATE ~- .~:.~0 (minutes/inch) TEST RUN BETWEEN ,~,,__ FT AND ~-- FT C E R T I F I E~: ~~ ..... ( , DAT Mr. Bill Walker E~gte River, Ak. August 14, 1978 water well Lot 3, Block 1, Valley View Terrace Well seal 4 Pibless _2 Adapter Rock and clay Gravel and clay Gravel and clay Large rock and boulders Clay and gravel B~ulder Static levi at 86' Red Jacket Pu~p ~,~HP 13 stage Pump set at ll7 ' Drive shoe at 120, 76 8O 84 92 96 lO0 108 ll2 Angular gravel 120 ..... ~ Bail tested at 5 GoP.M~ Drilled and logged by Bill Magnuson Cotten-Magnuson Drilling APPLI?'!NT,FILLS OUT UPPER HA, ~ ONLY Mailing Address Address Zip Code ' /~ Zip Code ' Address :" . ~ /. /" - . '" - , ~...~,- .- , - ,./-~ / Legal Description , ... /. Street Locatic~ . '~,~. ' ' · - . . ,_ :/ ' ' /' ~ Water Supply Sewer Dispossl .. [~ Holding Tank Time Time Time Time Date Date Date Dat~==~,,~,~,- ~/'~,~ Inspector Inspector Inspector Inspector ( ~'~PROVED BEDROOMS ~- *CONDITIONSOF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' BV: /^ · we, to T..k Sept,0 T..k S~ze (~¢i O. 72.023 APPLIC FILLS OUT UPPER HAt ONLY Property Owper /,~'~,,.~ ; ~...,,/~. ~ .... ~.. Address Zip Code Lending-Institution Phone / Type of Resi~nce Single Family Water Supply ~ Individual A~AGH' WELL LOG. A w~l Icg is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give web depth (atlach Icg if available), D Public Utility ~ - ~ Individual Year Individual Installed: Public Utility When Connected to Public Utility: ~ Holding Tank NO~E: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST SEFoRE ~OCESSING CAN BE INITIATED. Time Time Time Time r~ Date Date Date Date ~, U Inspector Inspector Inspector Inspector Field Notes: "~) L~.~..~Z:) /v~UNICIPALITY OF ANCHO~AG6 ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ~-- q 8 Well to Tank Septic T~k Size Time iTime Date Date Date Inspector Inspector / Inspector Comments Conditional Approval ~'~'~' .-~ ,~'d BodroomS Date Sewer Installed Permit No. Septic Tank Size ~ __~ ~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner /~J ~//~ ~ /} ~ ' ~',~ Lending Institution ~ /~ J¢¢tj('¢ Legal Description A o ~ ~ ~/ ' ~y ~/~ :~¢ ~ Street Location /~///~ ~ ~/~ ~ Typ~f Residence ~ Single Family ~ Multiple Family No, of Bedrooms ~ Other War.Supply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975, For wells drilled prior to that date, give well depth (attach log if ~ Public Utilit~ available,) ]//~ ~. Sew~e Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holdin~ Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, May 14, 19~2 Mr. Russ Wrenn c/o RE/5~ of EoR. P.O. Box 848 Eagle River, A]~ 99577 Subject: Lot 3 Block 1 Valley View Terrace Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: o The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. ~]e septic tank pumped with a receipt submitted to -~is department. Please notify ~is Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt Associate Environmental. Specialist RP107/p/EH / / / / AS BUILT DATE RECEIVED '~ ~ INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R INSPECTOR I NSP ECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~I~ONMENTAL PF, OTECTION 825 L Street Anchorage, Alaska 99501 ( ENVIRONMENTAL SANITATION DIVISION SEP ~ ~ ~981 Telephone 264-4720 I 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OF~SEDROOMS [] One [] Four [] Other__ [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~' Three [] Six 7. WATER SUPPLY [ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells d~illed prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~' INDIvIDUAL/ON-SITE** _~.~r YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM [~INDIVIDUAL/ON -SITE [~PUBLIC UTILITY Connection Verified [~Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area Sewer Line [] OTHER Nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 {Rev. 6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ... ENVIRONMENTAL ENGINEERING DIVISION , , Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please a !ow ten (10) days for processing. 1. PROPERTY OWNER · PHONE M~LING ADORESS ' " PROPERTY RESIDENT (llf different from above) j FHONE 2, BUYER ~ PHONE MAI LING A DDR ESS 3. LENDING INSTITUTION BAILING ADDRESS PHONE MAI LI~IG ADDRESS ' I STREET LOCATION f'n;l 5 6. ~rVPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY [] One [] Four [] Other__ [] Two [] Five [~¢ Three [] Six 7. WATER SUPPLY ~' INDIVI DUALw * ATTACH WELL LOG. A well log is reqdired for all wells drilled [] COMMUNITY since June 1975. For weJls drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM '~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date "~ If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY 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 ONLY 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 PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LtTY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTILITY Connection Verified iNSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS {~/~APPROVEDFOR ~-~ BEDROOMS [] CONDITIONAL. APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78)