HomeMy WebLinkAboutVALLI VUE ESTATES #1 BLK 1 LT 13
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAl. PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
82.5 L Street - Anchorage, Alaska 99501 Telephone 264-472-0
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
5 CLX.! qT /,l PGRADE
LEGAL DESCRIPTION
We] - / Absorption ~rea Width PERMIT NO.
~ L~q. capacity m gallons ~ IF HOMEMADE; ~ Inside length Liquid depth
~ ~ DISTANCE TO: Well Dwelhng
~ ~ ~ ~ Manufacturer Material Liquid capacity in gallons
~ Wel Foundation , ] ~
~ I DiSTANCE TO: ~ ~ ~ (~ Nearest lot line , PERMIT~.
~ ~ ~ No. of lines Length of each line Total length of lin
~--~ I '~ /~ I ~ ~ ~ ~) Trenchwidth~ inches Distance between l'nes
~ Top of tile to finish grade Materia) beneath tile ~ Total effective absorption area
Length Width Depth PERMIT NO.
~P Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation
I DISTANCE TO: I Nearest lot i/ne
~ Class .~ Depth Driller Absorption area(s)
~ ~ Distance to lot line PERMIT NO.
~ I DISTANCE TO Building foundatio~ Sewer line Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS J
A R - ED · DATE LEGAL
72-013,.(~gv. 3/78) /
PERMIT NO.
APPLICANT
LOCATION
LEGAL
EMIL T. HAMPTON
671~ DOUBLE TREE CT
Ll~ Bi VALLI: VUE ~
SRA BOX 34-R
LOT SIZE
344-476~
60000 SQUARE FEET
TYF'E OF SOil ABSORPTION SYSTEM IS: TRENCH
WA,'-<IMUM NUMBER OF BEDROOMS = 4
SOIL RATING
THE REQUIRE[) SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[)EF'TH= :~ LEt~GTH= 78 GRR'.~EL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION <IN FEET).
~.ECql_! Il i~.ED 5;EPT Il C TRt~i< $ ~r Z_E= ::L250 n..]RLL~31'4~
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
Tl-,lO ( 2_ > I lstSPECT I 13N$ RRE REQU I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM ~ t E;~:P Ii RES DECEFIBEI:~: -?~::L..
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I HILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
ISSUED b' _DATE ...... V4.0
GRE:'. ANCHORAGE AREA BOr-
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DLSPOSAL SYSTEM
'OCAT,ON j~'~'~l'~ 7;'--~ '~£(£' 7~'~ LE~ALDESCR,PT,ON Z-./~ '~1 e,/I;
SEPTIC TANK:
DISTANCE ~
FROM WELt
INSIDE LENGTH
M AN U FACTU R E R ~.~/~ ~/~,
INSIDE WIDTH
/d/.-/¢
>' /MATER,A' / NUMBEROF
COMPARTMENTS
LIQUID DEPTH,__ LIQUID CAPACITY. LONS.
SEEPAGE PIT:
NUMBER OF PITS J
DIAMETER __
OR WIDTH
LINING MATERIAL ~-I¢C¢ CRIB SIZE: DIAMETER__
BUILDING FOUNDATION ~'"~* NEAREST LOT LINE__
ADDITIONALABSORPTION/~' '~¢/"/ /7~'- ~/~/~--~,~s~l
DEPTH ~-~ DISTANCE FROM: WELL ~
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) "~'Z,O SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
NEAREST
LOT LINE
OTHER SOURCES
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
DISAPPROVED __ REMARKS
DISTANCES:
,.STALLED BY:
PIPE MATERIAL:
LOTSLOPE,
REMARKS:
Form NO. EQ-031 ~.j ~
/DIAGRAM Of SYSTEM
/
GreaTer ANCHOrAGe Area BorOUgh
SEWAGE DISPOSAL sYSTEM APPLICATION AND PERMIT
/?~- ~-
PHONE
iNSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~, DRAIN FIELD OTHER
$O.LTEST .ES'LT' : .OTE, T.,B....,T ,S.OTVA.'D W'T. OUT 'S'
COMPLETION DATE ANTICIPATED
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.
SEPTIC TANK SIZE TYPE:~' ~ ~g~ ~E~PAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~
FOUNDATION TO SEEPAGE PiT ~ ~ DRAIN FIELD
SEPTJC TANK TO SEEPAge PIT WALl / ~
~VELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
DIAGRAM OF SYBTEM
I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREAT OR E AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE
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
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
01 5-311 -~ 4 HAA# ~C~.c~ (,-~)~.,~(-~c~
GENERAL INFORMATION
Complete'legal description
Lot 13; Block 1; Valli Vue Estates #1
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailin. g address
Agent
Address
6716 Double Tree Drive
Anchorage, AK
~r~ Tav~11i ·
205 E. Dimond Blvd.
Sutie
Day phone
446 Anchorage,
Day ~hone
Day phone
346-2344
AK
276-2761
99515
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4 '~
TYPE OF WATER SUPPLY:
Individual well
Community well xx
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
lng to the legality and status ofsystem.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding 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.
72-025{Rev. 1/91) Front MOA~21
STATEMENT OF INSPECTION BY ENGINEER
AS certified by my ~eal 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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage flies 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 If this inspection.
Alaska V~ ~r &
Name of Firm
Address W/~e~'./~ _/~r./~
Engineer's signature
Alaska Water &
Wastewater Consultant,
Shall be PAID
of prior to, closing for the
I~fl~ifleer~ing Services I~!'OVidtl~l,
Phone
DHHS SIGNATURE
~ Approved for
bedrooms.
Date
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 courtesyto 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.
ECEIVku
Municipality of Anchorage MAY 1 ;5 1999
DEPARTMENT OF HEALTH & HUMAN SER~^I. ITy or ^NCI~O~G~
Environmental Services Division 6NVIRONMENTALSERV[CES DIVI$I
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description:
A. WELL DATA
We,,type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well production
Da~of sample:
Health Authority Approval Checklist
If A, B, or C, attach ADEC letter. ADEC water system number Date completed
Cased to __ Casing heig~mund)
__ W~ protected (Y/N).
FROM WELL LOG / AT INSPECTION
/ g.p.m, g.p.m.
Nitrate Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed ~'~ t~o A
Foundation cleanout~/N)
Date of Pumping 5'-/0- ~
Tank size ~/~ ~0 Number of Compartments c~ CleanoutsL'~/N) .
y Depression (Y/~ /f~/ High water alarm (Y(~) ~
Pumper X~/~/~
7'
C. ABSORPTION FIELD DATA ¢4:~ ~? ~../~~'~.~ '~7~'~
Date installed 17-//-~ Soil rating (g.p.d./ff2 o~ I?~ ~ystem type
/~:' ~ O ~ ~ Total depth ~--.
Length Width J~ Gravel thickness below pipe .~'
Effective absorption ~rea ~O¢ ¢* ~ Monitoring Tube present,N) ~/¢5 Depression over fiel~ '~S '~
Date of adequacy test ,~/J~/ee Results P~)/Fai,) ~2~ ~ For ZT~ bedrooms
~e" ~oo .~'Z~ .
Fluid depth in absorption field before test (in.); d t~ Immediately affe~ ~ gal. water added (in.): ~ r~
Fluid depth .-~'~) (ins) Minutes later:
Peroxide treatment (past 12 months) (Y(,.~
72-026 (Rev. 3/96)*
Absorption rate =
!0Kt4-'~¢l ~/'~ges. give date
~0~ -/-' g.p.d.
D. ' LIFT STATION ~
Date installed _ Si~
Manhole/Access (Y/N) _ ~_~-~F~h~leve]at* .Pump off,, level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
ASb~I:~ ir ~/t iho°i dfii~ ig~ ~ ~ kl o~n I ° t //~/-- On adjacent I°ts"'~n adjacent lOts -
Public sewer main/- Public sewer manhole/cleanout
ice line Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
/
Foundation ~" ~ Propertyline /~) 'f-- Absorption field /(~) -/''
/
Water main/service line /~ 1/- Surfacewater/drainage 1~-) '¢'- Wells on adjacent l~ts
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water
Curtain drain
/~_.) "/- Building foundation ~-~ '/'' Water main/service line /~) ~
/(~)(/) "/- Driveway, parking/vehicle storage area ~"~) /''~
/~0~-~ ~'~t~t.*D~'~ Wells on adjacent lots ~ ''/-
F. ENGINEER'S CERTIFICATION
I certify that I
in conformance
sign~
Engineer's Name
Date
HAA Fee $ ['~/-//~
Date of Payment ~--~/
Receipt Number
.Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)* .
05/0Z/1999 07:17
American T~tie & F~eml~
d2ma~e, reault~ from &he
pl.tman~ed With any eas~ents befo?e or
. aft~ the pla: date as del~oee:ed ~t~n~
T~le Search No. ~y~ .~
'. Unde~ no'ctrc~:ances should any data hereon~
be u,ed fo, c.nstruc,,o~ or,on .stab,,sh,ng
bo~dary o~ fence l~nes. // ' ' ,
b The surveyor t~kel responstb~llty for the ~ ~,%.., ~",~-~ -~ .~
,T /5 BLOCK
~NCHORAGE RECORDIN~ DISTRICT
14~ HFO~ 5TR~T
· ~ ..... ;UY7
Parcel I.D. #
1. GENERAL INFORMATION
Complete legal description
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 AUCrHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Lot 13; Block I; Valli Vue Estates
Location (site address or directions) 6716 Dou§le'Tree Court
Anchorage, AK
Property owner Diane and T,b~ H~u~pton Day phone
346-1997
Mailing address
Lending agency
Mailing address
Day phone
Agent Karen Schwartz PHH/HOME~UITY Day phone (301) 215-4436
Address 7700 Wisconsin Avenue Beth~sda, Maryland 20814
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherw!se requested, HAA will be held for pickup.
4 ~
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
XXX
individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front 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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verifythat based on the information obtained from
the Municipality of Anchorage files and from my inves_ti_gation 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.
5 & S ENGINEEEJNG
Name of Firm 17034 Eagle Rlvm- Le~e~
Eagle Rlver~ Alaska
Address ,' . .
EngineeFs s~gnature /~.,--'""~
Phone
Date
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
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 DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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~)25(Rev. 1/~1) Back MOA/f21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: L~- /3 /'~ l
A. Well Data
Parcel I.D. ,'~,//,'~
Well type ~L L.~.~,~ ,~ I~__~B, or C, attach ADEC letter. ADEC water system number
Log present (Y/~ .,~o - C_o,,~,~,,~r'~ Date completed Driller
Total depth Cased to Casing height
Sanitary seal (_Y,~N,)
Z l OGC_~ ~ ~
o
z
~ FROM WELL LOG AT2NS~TION
Static water level --
Well flow ~ j~ '~-'-~m.g. p. m .--~
level1 ~ - -
Pump
SEPARATION~ISTANCES FROM WELL TO:
Wires properly protected (Y/N)
g.p.m.
Septic/he!al!rig tank on lot
Absorption field on lot
Public sewer main
Sewer service line
; On adjacent lots ,,4.,//~ ~---
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank .~'"/~
WATER SAMPLE RESULTS:
Coliform Nitrate
Other bacteria
Date of sample:.
Collected by:
B. SEPTICI#I~'L"~I~ TANK DATA
Date, installed
Cleanouts~,N)
High water alarm (Y/~.)')
Date of pumping /~-/7/~~ Pumper
Tank size / ~-~'O Compartments
Foundation cleanout,~__Y~) "~'~J Depression (Y/~ "~J~
Alarm tested (Y/N)
SEPARATION DISTANCES FROM SEPTIO~,WL.~I#~ TANK TO:
Well(s) on lot ~__oo '+-- On adjacent lots
To property line ~ O fY'- Absorption field
Sudace water/drainage
Foundation //(',~
Water main/service line
CONTINUED ON BACK PAGE
Date installed Manufacturer
Size in gallons Manhole/Access~ ~
;iegn~ (wY~tNe)r alarm level "Pump on" level at ..././~Cyclestested.~"Pumpofl' Lm~lat _
Meets MOA electrical codes (Y/N) ~
SEpA~FT STATION TO:
..~.ethEn lot On adjacent lots Surface water
D. ABSORPTION FIELD DATA C.~1t'3/'~.~c~ht c/PGCu4~.
Length ~o//r~' Wi' dth EO~ ~[ Gravelthickness ~'/~' Totaldepth /3~/~'
Ye/
Cleanout present ~)
Total absorption area ~O/ ~¢~ Depression over field (Y~
Date of adequacy test 3 ~ [5 ¢ ~ ~ Results~fail) ~SZ for ¢ F~ Bedrooms
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots ~ 4:~ ~
Surface water /LJO/.~ /°/¢-E.~/J~'
Curtain drain ..~/C/E /&"',/JO&J/L./
After test ~:~ ~¢ FO
If yes, give date
On adjacent lots /ON6 P~T PropeAy line ~
/O/+ To existing or abandoned system on lot NO~E
Cutbank .~O~E /~E~E~Water main/sewice line
Driveway, parking/vehicle storage area /O ¢¢
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to al~ MOA and HAA guidelines in effect on the date of this inspection.
Engineer's Narr~ g
Eagle River,
Date ?//~
Date of Payment
Waiver Fee $
Date of Payment
Receipt Number
72-026 (3/93)' Back
' ' ' WAIu~ AND SEWEE
NEQIJEST FOR APF'ROVAL OF [NDI'dH}UAL ' '"[' -}u"l 'r r:,? ·
6716 Double Tree Court~ ~C~ora~e, ~a~ka' 99507
I
Emil T. and Diane Ti HamPton - -]
~ ~,i % ~'i ~G{b i~ ~ F~ ................................................
Alaska Mutual Savings Bank o/ ~ ~ I L ~ 274-3561
'~-u ~ uV{F- ...................... z~ ~_~~
P. O. Box 1120, ~chorage, Alas~ 99510
RbS:4 ::~ .............................. ~ ..........................................
J~ SINGLE FAMILY ~] One ]L~¢-~rfour [---J Other
[] Two LX] Fiw
F_] MU!/FIPLE FAMILY [_-] Three [~ Six
~ INDiVIDUAl_,* * ATTACH VCELL LOG, A we!! log is required for all wells drilled
r'] COiv~MUlqlTV' s!nce June u)/c., o v ...... e· prior o tha.da(e g~ve ~ ,.
C] PUSt. IC UT!. ITv c.,'em h (¢tt,<ch iO9 if available.)
~ iND!V!DUAi_/O!g.SFi-E** ~lf indivkhk:[/on site, give [nsta!iat[on d~te ..............
~J , .,bJC~ ,LIT1
NOTE: THi7 !I~!SPEC'TiCI',J PEE f~¢JS'I' ACCO~V~i:'ANY [AOH RP. OLiEST BEf:Ot]E PROCESSING OAi',l 8E INFi-IATED, I
0rde=ed July-6~ 1928
-I'tlhq ,SI!]':. FO?, UFFiCIAI_ USE ONLY
IItSFifCIlQI',IAP , h lk FN1
1. TYPE of F;E,S'IDENCE NI.IF, r~BER OF BlJPROOIv';S
[] SINGLE FAMILY ['] ONE Iff -I'FIREE [] FIVE ~ OTHER
[-J IqUUFIPLE FAMILY E~ TWO [] FOUR ~ SIX
PEFitvi[ I' NUMBER
2. WA'[FR SUPPLY
L~J jl N L'I VI [)UA L
PUBLIC U] I Ell'Y
Conn(~ction Verified
3. SEWAGr: ~)ISPOSAL SYS'f
f-~qDIVI[)UAL/ON -SITE
r-]PUBLIC I..I fILl'FY
Conl~eotion Verified
~]S(~l~ti(: Tal~ or [~ Hokliu9 Trmk
Size; l¢¢0 If Tank is homo,~ado
give clJmensJ0ns:
TYPE OF 'l'/\f'4 K
TOTAL AB$0RI-q'ION AREA
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
[)Al E INSTALLED
SOILS RATING
4, DISI'AN elis
WELL 'FO: I
STATE OF ALASKA
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS
PROPERTY DESCRIPTION
~t, Block & Subdivision or U.S. Su~ey
9421-DW-195-005
Lot 13, Block 1 (6716 Double Tree.Court)
Valli Vue Subdivision
PWSID no.210605
This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance
of the water supply and wastewater disposal systems.
WATER SUPPLY
A recent water sample was tested and found to meet Department of Environmental Conservation drink-
ing water standards for total coliform bacteria.
't'~nvironmental DateJuly 16,'93
ng. Asst. II
WASTEWATER DISPOSAL
The domestic wast~r system was:
[] inspected by the Dep'"z~,t.ment of Environmental Conservation and~)l~nd to be in compliance with
applicable requimments'b~AC 72; ~ !
[] inspected by a Professional Eng~r who certifies~t the system complies with applicable re-
quirements of 18 AAC ~2; ~ ..
[] installed by a C~ the system complies with applicable requirements
of 18 AAC 72; or / ~
[] tested by a Pr~S that th'~p~erformance of the system is satisfactory
and that thes~mS ap rafl~ances specified in 18AAC72.
This approval-family unit with"a total of bedrooms.
~8-0404 (Rev. 8185) DISTRIBUTION: WHITE--SANK/LENDING INSTITUTION; CANARY--APPLICAN~ PINK--DEPARTMENT
WALTER J. HICKEL, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
(907) 349-7755
July 15, 1993
Mr. Scott Swener
S & S Engineering
SUBJECT: Lot 13, Block 1 (6716 Double Tree Court); Valli Vue Subd.
Class "A" Public Water System, PWSID No. 210605
Dear Mr. Scott Swener:
I have completed a review of this office's files concerning the monitoring status of the
above-referenced Class "A" Public Water System and found the following:
The last satisfactory Total Coliform Bacteria Sample results was submitted
to this Department on July 6, 1993. This does meet the provisions of 18
AAC 80.200(a) of the State Drinking Water Regulations.
The last inorganic Chemical Contaminants Sample results were submitted
to this Department on May 7, 1993. This does meet the provisions of 18
AAC 80.200(a).
The last Radioactive Contaminants Sample results were submitted to the
Department on December 23, 1992. This does meet the provisions of 18
AAC 80.200(a), State Drinking Water Regulations.
The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC)
were submitted to this Department on November 12,1991. Based on
analysis of the previous VOC samples results have been satisfactory. This
does meet the provisions of 18 AAC 80.200(a), State Drinking Water
Regulations.
Issuance of this letter does not imply that the above-referenced Class "A" Public Water
System is in compliance with other provisions of the State Drinking Regulations. Unless
otherwise noted, this letter is valid for 30 days and is for the specified legal description
noted above only.
If you have any questions on the above information, please do not hesitate to contact this
office at 349-7755.
Environmental Eng. Asst. III
JML
John M. Lambe, P.E. 4303 North Star Street
Anchorage, Alaska, 99503 907-279-8056
NEW PHONE NUMBER 276-4113
SOIL ABSORPTION SYSTEM TEST
PERF01~MED FOR:
~--~/~i~, ~'/[.d_~l~lf'~'~ TELEPHONE: f'~'~,/~,-7--~--~,.~
~7~ ~~~ ~ ~A~ 0F ~STS:~~
CRIB ~ DRAINFIELD ,~ O~ER ~ '
TEST PERFO~ED IN ACCORDANCE WITH ~L STANDARD PROCEDURE ACCEPTED BY
MUNICIPALITY OF ANCHORAGEs DEPT. OF ENVIRO~ENTAL QUALITY ON
WITH THE ~LLOWING MODIFICATIONS: 1. . , ~ ~ ..
SURGE CAPACITY:
SOIL ABSORPTION SYSTEM (SAS)
SEPTIC TANK PLUS SAS
ABSORPTION RATE
~ ~ .
AVERAGE 24 hrs ~Q~)~l~/4~/
OBSERVATIONS:
STEADY STATE / @
RISE
NOTES:
TEST DATA ATTACHED
JML
'SHEET : O~
I
John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056
EXISTING DRAIN FIELD TEST - PERCOLATION ADEQUACY
LEGAL DESCRIPTION: ~-
DEPTH BELOW METER READING GALLONS PUMPED TIME
R~FERENCE ~'~;~ ( GALT,ONS ) ( ~ )
~ [ ~//~ Id.'l~
JML
SHEET
OF
I
John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056
EXISTING ~RAIN ,~IELD TEST .%, PERCOLATION ADEQUACY
LEGAL DESCRIPTION:.
DEPTH B. ELOW METER READING GALLONS PUMPED TIME
REFER~-.~,E ~z_~ ( GALLONS ) ( NET )
/ / '/ /
JUly 18, 1978
6716 Deubla Free Court
Anchorage, Alaska 99507
Subject~ Lo% 13 Blo~k 1 Va!li Vue E~ta%es Subdivision
Before this d~part~en~ may grant approval upon th~ l~an~ing
agency's reques5 for approval for the sewer system, you
%~ill n~ed to hava a p~r~olatfon test run on the se%~r ~ystem
to detect!ne its adsquacyo
The ~wo(2) firms in to%~% who perform th~ te~t are; ,~l ~'
Engine~ring, ~79-0483 or J.~.L. ~nginee~ing, 276-4!13.
an upgrade weuld be required. This would requira a per,it
from this offic~ prior to any oonstruetl(~.
If ther~ are aRy q~es%lons, please contact this office
Sincerely,
I'~bert C. Pratt,
Sanitarian
ac~,lljn
Alaska Mutual Sav~ng,- Bank
Post Office B~× 1120 99510