The URL can be used to link to this page

Home My WebLink AboutVALLI VUE ESTATES #1 BLK 1 LT 23 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: ~ O~C~ CO ~ ~ N~ ~ Wastewater System: D New ~Upgrade Address: ~ ~ ~L~ ABSORPTION FIELD Phone: JNo. of B~ooms: ~eepTrench ~ Shallow Trench ~Bed ~Mound DOther Soil R~ting: Total Depth from ori inal grade: LEGAL DESCRIPTION C ~ ~ L~ ~P~. Lot: Block: Subdivision: ~ ~ tO pipe bottom from o~.al grade: Gravel depth beneath pipe Number of lines: IDistance between lines: WELL: D New D Upgrade Gravel~:~/~ ~ Ft. )I ' Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. ~ SQ. Ft, Oriller: Date Drilled: StaticWater Level: Installer: Date installed: SEPARATION DISTANCES n Septic ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding Public/Pr[vat( Manufacturer: Capacityin gallons: From Tank Field Station Ta~k Sewer Lines Well ~/~ Material: Number of Compadments: Surface Water ~/~ LIFT STATION Lot Size in gallons: ~ Manufacturer: Line I Foundation ~ "Pump °n" level at: I"Pump °fl" level at: IH~gh water a'arm at: CuHainDrain ~e ~ Pump Make & Model I Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: Inspections performed by:N. ;~ Dates: 1st --''____' Department of Health an~ Human Services approval Reviewed and approved by: ~ Date: 7- 7- ~ 72-013 (1/91) MOA 25 ~IVE£SIDN VAL \ ~ EXISll CDNC~ETE PIT \ \ I TOBBEN SPURKLAND P.E, ~03 ~ 15TH, AVENUE ANCH. AK. 9950! LOT 2~, BLOCK 1 VALLI VIEW SEC 14 [12N £3W 6756 BOUBLE T£EE COU£[ SEPTIC SYSTEM DESIGN DATE~ JUNE ~ 1993 SHEET~Bt'/~ GRID, 2539 3' Wide 50' Lon0 ]0' 2eep 5' Se~/er ~o~k 5' Cover NO SCALE INSTALL CLEANDUTS DIVERTIQN VALVE 1250 go! Sepflc fonk CLEAN AN1) CHECK £AFFLES Cleonou~s ~ Corem 98, 7 TO CONCRETE PIT Exi~$, 5Cound Miro £i 140 o£ Septic Rock ND SCALE 93 88, 9 TI?M; PORCH FDUNDA [IgN ASSUMED ELEV, ]00,00 FT TDBBEN SPURKL~N9 P,E, 203 W15~h ~ve Anchorage Ak 99501 LET 23 BLOCK i VALLI VUE SECTION 14 Ti2N R3W 6756 ]}DU£LE T£EE CDU£T SEPTIC SYSTEM ASBUILT D^TE, JUNE 2~ ]993 SHEET, 3/3 GRID, 2S39 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920382 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BUTCHKO RONALD J OWNER ADDRESS:3605 ARCTIC BLVD. APT 736 ANCHORAGE, ALASKA 99503-5704 DATE ISSUED:Il/12/92 EXPIRATION DATE:il/12/93 PARCEL ID:01531124 LEGAL DESCRIPTION: VALLI VUE ESTATES #1 BLK 1 L T 23 LOT SIZE: 30827 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 2. RECEIVED BY: ISSUED BY: ENGINEER WILL PROVIDE ADDITIONAL SOIL TEST AT TIME OF INSTALLATION TO VERIFY CONSISTENCY OF SOIL AT RESERVE SITE (INCREASE FROM 3 TO 4 BDRMS). VERIFY INTEGRITY OF EXISTING SEPTIC TANK. LOT 203 ~ ]Lth. Aw~e~ Suite 206 ANCHORAGE~ ALASKA 99501 (907) 279-5916 SEPTIC SYSTEM DESIGN 23 -BLOC~{ ~ V~LL~ VUE ?_~ ] R0N BUTCHK0 STANDARD TRENCH TOTAL LENGTH 50 FT. TOTAL WIDTH 5 FT. TOTAL DEPTH i0 FT. ROCK DEPTH 5 COVER 5 FT. PU~P AND CLEAN EXISTING SEPTIC TANK INSPECT BAFFLES INSTALL DIVERSION VALVE TO EXISTING CONCRETE RING PiT Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: L~"~ _~ --. VA L.g.t 2 3 ,~ I ,L."T' 4 WAS GROUND WATER ~&~ ENCOUNTERED? IF YES, AT WHAT DEPTH? pO E "', ~ENG ,NEER:S SEA[) Township, Range, Section: 5 6 7 8 9 10 11 12 13 14- 15- 16 17 18 19- 20- Depth to Water A~r Monitoring? ~:~ O,te: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /'~'~ ~(minutes/inch) PERC HOLE DIAMETER ~ll PERFORMED BY: ~ I CERTIFY THAT T S TEST WAS PERFORMED IN 72-008 (Rev. 4/85) ~ I o --'--'--~ -----. .......... // //I~ I ~ , I~ll ..~ ~:~ ' . I' II ~ · Z i/P/ALLEY N ~0 100 1~0 ,200 £ChLE: 1' = lO0 Fr, ~58 30~ TUBBEN SPURKLAND P.E. E09 W 15TN, AMENU£ ANCH, ~g, 99501 LOT 23, J~LOCK 1 VALLI VIEW SEC 14 T12N RSW 6756 9DUBLE TREE C~IURT SEPTIC SYSTEM DESIGN DATE, OC~ 1~ 1998 SHEET, 1/3 GRID, 2539 SCALE; l' = 50 TDBBEN SPURKLAND P.E. 203 ~ 15TH. ~VENUE ANCH, AK. 99501 LilT 23, BLI1CK 1 VALLI VIEW SEC 14 T12N 6756 ~LTU~LE TNEE C£URT SEPTIC SYSTEH ]DLSIGN ])ATE, On~[. ]5, SHEET, 1/3 GRII), ,2539 I I I I I I I I N £CALE; 1' = ~ FT, TDBB£N SPURKLANB P,E, 203 ~ ~STH, AVENUE ANCH, AK, 9950t LOT ~3, ZLDCK 1 VALLI VIEW SEC 14 [IBN R3W 6756 Z[IUZLE T~EE COURT SEPTIC SYSTEM DESIGN DATE, gcr, 15~ 1992 SHEET, 1/3 GRID, 2539 3' ~/ide .50' Long ]0' B~ep 5' Sewer rock 5' Cover NO SCALE INSTALL CLEANOUTS 1 BIVERTION VALVE ]250 got Septic tenk CLEAN ANB CHECK BAFFLE. TO CONCRETE PIT / Cleanouts ---. /~ Monltor $* Cover / ~ 5 £t o£ Septic Rock --// NO SCALE - Exis~. 6round 12.50 ga[, sep'~lc 3ank TDBBEN SPURKLAND P,E, 803 W15th Ave Anchorage Ak 99501 LDT 23 ~LOCK ] VALLI VUE SECTIDN I4 TI2N R3~/ 6756 BDU£LE T£EE CDURT SEPTIC SYSTEM DESIGN DATE, ~CT, £0 1992 SHEET, 3/3 GRID, £539 DIVERTER VALVE Here's the simplest, strongest, and most economical diverter valve ever invented for septic tank leach fields. It is made of tough molded plastic that will not shatter, bend, rust, or corrode. It is lighter in weight, easier to handle and cut, and less expensive to ship. FUNTIONAL The diverter valve stem flow may be controlled to individual or multiple fields (up to three) in any combination. With a three way valve stem, flow may be diverted to any two outlets. To allow flow through all outlets the valve stem may be removed from the assembly. EASY TO INSTALL · Connect 4" plastic sewer and drain pipe to inlets and outl&ts on the four way distribution box. (Unwanted outlets may be sealed by installing outlet cap). The Diverter shield which houses the diverter stem may be cut to desired length. DIVERTER VALVE DEBCRIPTIOhl PARTNO. PKG. QTY, MATERIAL LI~T PRICE Diverter Valve 4" Diverler Valve. 4" DIverter Vslve *IAPMO Listed ~75" 4 AES 83,50 ~ 4 PV¢ 83.50 ~i\ ;.'.'./:11'7 · .... ,,tQI'I ..... :[7- '.._" ~a~n~) ~ou.voi-,o:~ds ] .... ..... .'"$PECiFICATION-GUIDE~,~ ~ i. "' SlqlII,ii,VAIA~II DIVERI~ERVALVE '. NOW AVAILABLE IN P.V.C, IAPMO Lbtod ~NDS 675 NDe 575P For septic tank leach fields, Irrigation and other applications Here'a the etmpla~t, elrongeat, moat ooonomloal dlverter valve ever Invented for aeptlo tank loach fields and other epplloallone In drainage and Irrlga. lion ayet~)me, Mede of tough AB$ molded plastlo that will not shatter, bend, rust or ommda. Lighter In weight. Eaaler to handle and out. Lees expensive to ~hlp, With dlverter valve atom, you oan uontrol the Jndi. vlduela end up to three outlete~ In any comblnatlen. With a three.way valve t~t(~m, you divert flow to any two outlets, To permit flow through ell outlets, JUet fill the valve atom out of tho eeaambly. To In~tall, co,naot standard 4" plaellc sewer and drain couplings or regular reduoei' fittings to inlet .nd gullets on the four.way dletrlbutor box. (UnWanted gullets may be sealed by In~telllng outlet oep.) Out dlverter shield to daglred depths and Install In top alcove of distributor box. Insert dlverter valve ~tem. Cover with dlverler shield gap. ~ ANCHORAGE AREA BOr ,UGH Department ~)~3E0n;irs~rner~;ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATIONO~'C~._L~-y ,/ _,~/,'¢)(~"-7~ ¢-~--~- LEGAL DESCRIPTION .Lg~ ]~/ ~/ U;~/~-! SEPTIC TANK: DISTANCE .r~ .... iA~,, ~-~ -"". -' /q ,'~ NUMBER OF FROM WELL . MANUFACTURER~0''~ MATERIAL ,~ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ,.LIQUID CAPACITY ~'~'~ ~ O GALLONS. SEEPAGE PIT: NUMBER OF PItS I DIAMETER OR WIDTH LINING MATERIAL CRIB SIZE: DIAMETER BUILDING FOUNDATION , NEAREST LOT LINE ADDITIONAL ABSORPTION DEPT. t DEPTHC~ I DISTANCE FROM, WELL~/V'V~ ,. ABSORPTION AREA (WALL AREA) ~ SQ. FT. WELL: TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION_ LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED PIPE MATE RIALC~)~ LOT SLOPE: ~""~., ,~ . REMARKS: Form No, LQ*031 DIAGRAM Of SYSTEM :.., ~,~.~/,, ~, ~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 27Z~-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. 'NS~^L"^T'ON LOCAT'O. (gh/*ll~y 'j.. INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT · OTHER SOIL TEST RESULTS ~ '/~ ~-~) J~'/~)~/~) ,~/~'~ NOTE: THIS PERMIT I$ NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOT~CE 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 SEEPAGE PiT ~ ~ DRAIN FIELD //~ J -. SEEPAGE PIT ~ DRAIN F[ELD~/~J/ WELL TO SEPTIC TANK /~g)' ~/~/ ~ SEEPAGE PIT /~) DRAIN FIELD /~)/) ~ ALSO CONSIDER AREA WELLS. ~ /~ DRAIN FIELD /'~ / SEPTIC TANK, / ~}~ SEEPAGE Pit -- /~/~ , DRAIN FleL~ ~.,i~)/L.~ ~'~7- xt'~"7~ ///~/~ ~ DIAGRAM OF SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND iNTO CRIB CROSSING GAP Of EXCAVATION 5 FEETINTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON S~PHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED W}TH AIRT~GHT REMOVABLE CAPS. GRAVEL ~ACKIFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT [ AM FAMIL[AR WITH THE REC~U]REmENTS OF GREATER ANCHORAGE A~EA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. FORM NO. E~-Ol 6 ~9~05~ ~'~D ~' '"'~ ,, INN~ GR~/~TER ANCHORAGE AREA BOROUGH ~'5_1~{'~ 'DEPARTMENT OF ENVIRONMENT2L QUALITY A~o~ou~" 3333 "C" Stree~ G~AI~ AN~~NM~N~AL QURLllY ANCHORAGE ALASKA 99503 Case Performed For Smith Excavating Dated Performed oct, 5, 1973 Legal Descript.ion: Lot 23 BLOCK 1 Subdivision ,~al,Zey View ],states This Form Reports Soils Log. ×x Percolation Test Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet 2-- 16'~ 18~ Soil Characteristics Brown Silty Sand (SM) Gray Sandy Gragel (GW) with silty sand pockets and seam~ Was Ground Water Encountered? If Yes, At What Depth? NO Reading . Date ''. Gross Time :Net ~ime Depth to H20 .Net Drop ation Rate Minute ~ Proposeu Install'ati'on: Seepage Pi: xx Drain Field Decor of Inlet O.epth ~o Bottom Of Pit 6r Trench COMMENTS: 120 sq. ft. of drainage'area is required per bedroom below fou~ feet depth~ Test Performed BY R.E. Carlisle Date Certified BY: -. APPLIEr. 'NT FILLS OUT UPPER HAI/'~'~ONLY Address Zip Code Lending Institution /~(..AslcA t.) S/~ ~C. 9 ~C~,A,-. ~Z zT ZO, ~/~-a ~I I L) AI Phone Zip Code ~ Multiple Famgy No. ot Bedrooms [~ Public Utility Sewer Disposal '~ Individual Year Individual Installed: ~'~ [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector .~ '~ - MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH · ENVIRONMENTAL PRO~ECTION SEP 2 RECEIVED ( '~APPROVED BEDBOOMS *GONDITIONB OF APPROVAL ( ) DISAPPROVED ()DATE CONDITION~t~I~21~L APPROVAL*~ Soils Rating Date Sewer Insta)led Well To Absorption Area Well Log Received / ~ ' ~ '~ Well to Tank Septic Tank Size DATE RECEIVED '- ~ . '~ INSPECTION APPOINTMENTS T ME ITIME T ME INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ENVIRONMENTAl i';~O}ECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C ~ I V ~ D REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 5. LEGAL DESCRIPTION STREET LOCATION' S. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [~ Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled '~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM '[~ INDIVIDUAL/ON-SITE** ,,~'"~ y YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY /~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEBT BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 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 [] CQMMUNITY DATE DRILLED [] PUBLIC UTILITY 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, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~PPROVEDFOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~] DISAPPROVED / 72-010 (Rev. 6/79) ALASKA I1UI Ollm nTAL CO[1T OL S RUIC S, I[1C. ~a~lin*¢rin§ 8 ~'nuironmenlal $1acJi~s MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT '7 1981 RECEIVED lO/5/81 UNITED BANK OF ALASKA P.O. BOX 7059 ANCHORAGE AK 99510 SELLER - WILLIAM ARTUS SUBDIVISION-VALLEY VIEW BLOCK-1 LOT-23 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 702 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 564 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 4 BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1220 JJ~¢st 25tJ~ Aucnu¢ - Anchoracl¢, Alaska 99503 · (907) 276-1361 825 'L' ANCHQ[~AGE, Al ASKA 99501 (90~) 264~41 t 1 October 5, 1981 William Artus 629 L Street, Suite 20 Anchorage, Alaska 99501 Subject: Lot 23 Block 1 Valli Vue Estates Subdivision #1 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The septic tank pumped with a receipt submitted to this office for our review. (2) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, James S. Roberts Associate Environmental Specialist JSR/ljw ~c: United Bank Alaska 645 G. Street 99501 Linda Switzer % Re/Max Properties 2702 Gambell Street 99503 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received JuI¥ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090, 99509 Phone: 274-1521 6, 1976 2. Property Owner: Harry Mc Clure Phone: Mailing Address: 4. 5. 6. Star Route A Box 32L 99507 279-9641 Legal Description: Lot 23 Block 1 Valli Vue Estates Location: 6756 Double Tree Court Type of facility to be inspected Well Data: Co~ma~nity System A. Type C. Construction Sewage Disposal System: A. Installed 1974 Single Family No. of bedrooms. 4 B. Depth D. Bacterial Analysis On-~ite B. Installer , Sewer Lines __ C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank , Absorption area Nearest lot line , Other contamination B. Foundation to septic tank ~, Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page l'of two pages page 2 of two pages - Req'~t for Approval of Individual Water Facilities ~egal Description Lot 23 Block 1 Valli Vue Estates Comments ApprovedDisapproved Date Approval Valid for one year from date signed Greater Anchorage Ar~a 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) .;'-~MUNICIPALITY OF ANCHORAGF, DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE DEPAflTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JUL 6 1976 RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: /-/(q,e~./ /~ ~/~'~ Mailing Address: .~c>/J~ J~o.~ ~2 (__ - ~?S'~ ~ FHA__ CONV / Day Phone: ~2~' 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: / Mailing Address: ~/ ~c/. ~_~; /'~'~ . 5. Name of Realtor or Agent: Mailing Address: ...... 6. Legal Description: ,L- ~Y- ~ Location: Day Phone: Phone: Phone: 7. Type of Facility to be Inspected: j~E_.<, 8. Water Supply Type of Supply: Public Utility No. Bdrms. Y rtndividual. If Individual, number of dwellings presently served if Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) '~'~ If Individual, date of installation 72-003(3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 6/~1~74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 4. 5. 6. Etrst National Bank Box 4-2090 99509 Billy G. Wisdom Phone: 274-0641 Phone: Legal Description: Lot 23, Block 1, Valli Vue Est. Location: Doubletree Type of facility to be inspected single family Well Data: Public Water A. Type C. Construction Sewage Disposal System: A. Installed 10/18/73 C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area 702 sq.~t. E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank No. of bedrooms B. Depth D. Bacterial Analysis B. Installer Smit~ 1250 gal. 2. Manufacturer Espinoza - concrete 2. Material rings , Absorption area , Other contamination , Absorption area Absorption area to nearest lot line , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual S~ ~r & Water Facilities Legal Description Lot 23, Block 1, Valli Vue Est. Comments Approved~ ~x~-~uDisapproved Date ~ Approval Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true a.d accurate representation of the subject sewer and water facilities and these facilities are operating satis·factorily. SIGNED Date EQ-034 (1/74) 3330 'GREATER ANCHORAGE ARL'.f~ BOROUGH ~'~,"r,o ~C'~o,~ 'Department of Environmental Quality "C St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Prope'rty Owner: Billy G. W-isdom " ..;~".: Mailing Addr 6 Double Tree ~ Day Phone 279-7571 3. Name Buyer: Mcdlur6%~r~f-r~ZAi.- '~ Sharon L. :, Mailin§ Address: Day Phone 279-~641 4. Name of Lending Institution: The ~irst ~atlo'mal Bank of'Anchorage Mailing Address: Box~-ZO9q99509) Phone 27~-1521 5.Name'of Realtor or Agent: Area Realtors Mailing Address: 3300,,~,, Phone z?9-7571 Legal Description Lot 23, Blk. I, Valli Vue Estates Location: Type of Fac]]]~y to be ~nspec~ed. 3 No. Bdrms.- ~ater Supply Type of Supply: Public U¢~IJty ×××× Znd~vidua] If Individual, numBe~ of dwellings presently served ~f ~ndiv~du~l, depth of well Sewa9e Disposal'System Type.of S~stem: Public Utility __ Individual (on-site) If ~ndividual, date o~ installatJon xxxx