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Home My WebLink AboutVALLI VUE ESTATES #1 BLK 1 LT 32Lo. MUNICIPALITY OF ANCHORAGE 7'"__~ DEPARTMENT OF HEALTH & ENVIRONMENTAl. PROTECTION ENVIRONMENTAl. ENGINEERING DIVISION 825 L Street- Anchora~Je, Alaska 99501 Telephone 264-47?-0 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT OTHER ,,,, 72-013 (Rev. 3/78) PERMIT NO. DEPARTMENT OF HEALTH BND ENVIRONMENTBL PROTECTION 825 'L" STREET, ANCHORAGE, BK. 9L~501 264-4728 ~3~4--5 I TE 5EPJER LIPGRRE)E PERf4 I T 820949 ) APPLICANT LOCRTION LEGAL THOMAS RICHARD L~2 Bt V4SlbL-~E-~ VUE SRA BOX ~SX ANCHORAGE DD507 ~44-464D LOT SIZE ~BD~D SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT?BR)= 185 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [)EPTH= 10 LEr-]GTH= ~';--"; 2 GRt-]%-'EL [)EPTH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A 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 EXCAVATIOr~ (IN FEET:). -~4~ '7~) PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. TWO <2> I ~4SPEC:TIONS ARE REC4L~IREC, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS RND CONSTRUCTION DIAGRRMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF.'~4 I T E~:P I RES [:,EE:E~IBER ~k., ::k_q- 82 I CERTIFY THAT :1.: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. -~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INC:~LIDE MORE THAN 4 BEDROOMS. ~ ~ )~~~ ............. ............................ SOILS LOG ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82[} L, Street, Anchorage, Alaska 9§B01 264-4720 PERCOLATION TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: ~1 Lo'Y 5Z 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 2o- COMMENTS PERFORMED BY: 72-008 (6/79) SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop \ fi ~4 ~o m,h ,~3 · l~ PERCOLATION RATE TEST RUN BETWEEN ~%m I ~ Io/ CERTIFIED BY: I~/ 'I'' "(mi.nute:/inch) ~ ~Z ET Al)ID ~l FT DATE: GRE" ~R ANCHORAGE AREA BO[ 3GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~; z~ Y~ ~-?~ ~C~'"b/~ 7 .-- MAILING ADDRESS ~O)c //-/Z//¢- /-/ ~'~/~'//J/ PHONE LOCATION '~)~'~- T-'~4~4 . o~/ {~lJ~A~EGAL DESCRIPTION ]'- ~ ~h., ~_~ \, UC~(fl. SEPTIC TANK: DISTANCE J~fflJ]~ FROM WELL (/~' MANUFACTURER ~ NUMBER OF ~/~-~ /~ MATERIAL ~"~L-C~-~( COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __ LIQUID CAPACITY ~ GALLONS. SEEPAGE Pit,/ ~ 2]J,~_[ I0'~1~' //../~ NUMBER OF PITS DIAMETER_ OR WIDTH LENGTH DEPTH LINING MATERIAL~9/~ ]~ IO~ e~-/2 CRIB SIZE: DIAMETER ~IDEPTH ~ I DISTANCE FROM: Well ~ ~ t~ ~' ~O'-F TOTAL EFFECTIVE ~/~'~ BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA} SQ. FT. ADDITIONAL ABSORPTION WELL: ~.-~ TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION __ LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED Form No, EQ-O31 DIAGRAM OF SYSTEM GreaTEr ANCHOrAgE Area BOrOUgH PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT FINANCED THROUGH . ~ ~' - TO BE INSTALLED BY , /~-~. ~ ~ SOiL TeST rESULTS ~ ~ ~~ NOTE: THIS PERMIT IS "OV VALID WITHOUT SOIL "ST COMPLETION DATE AN'r,cIPAT[D '~ FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED· BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT O~ ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. WELL TO SEPTIC TANK - :'~EPAG~I~L-~4~'q. C ~ ,~ ~RAIN ~I.LD A~S~¥'ONS~ ^.EA WELLS. WATER MAlt'/ TO SEPTIC TANK .. SEEPAGE PIT DRAIN FIELD · SEEPAGE PI'T f~,~ DRAIN FIELD CONFORM TO BOROUGH REGULATIO{~S REGARDING INSTALLATION, LICENSED DESIGNER DIAGRAM OF SYSTEM GREATER ANCHORAGE A OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE; GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For /~///~ ~D~ s~c~_~ Dated Performed ~-~'--~ Legal Description:~ Lot ~ Block ~ Subdivision ~}~\\~ ~,~ This Form Reports Soils Log ~ Percolation Test__ Soil Test Must Be Logged To 4' Below Proposed Seepage System Depth Feet Soil Characteristics m 7~ 8~ 9-- lO- ll- 12~ 13~ 14~ Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2O Net Dro~ I Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench COMMENTS: Test Performed BY ~ ~. ~ Date Certified BY: Date: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4§61 Date Receive~ Time of Inspection Date of Insoectton REQUEST FOR APPROVAL OF INDIVIDUAL SE~ER & WATER FACILITIES 1. Approval Requested By: ~ , Address~ Phone: 2. Prooertv Owner: . / ~. Typa of ~acilitv to be Inspected: /~/fZ~Y~ Number of }~edrooms: ~ C. Cens~ru~tlon ~ ~ D. Bacterial ^nalysis Sewage Disoosal System~ A. Installed [~7._~ Septic Tank: 1, D. Seepage Pit: 1. Disposal F~eld: Size t O~ 2. Manufacturer Size~qXpl~,~02. Material ~ Total Length of Lines Distances:/~/~ A. Well To: Septic Tank Absorption Area ~ ,,,., Sewer Lines , Nearest Lot Line B. Foundation to Septic Tank · Other Contamination "> Absorption Area C. Absoretion Area to Nearest Lot Line · ~equ~st.fo~ Approval of,~ndivfSual Sewer -Page Two 9. Comments~ Apprv~a~ Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for appreval to be a true and accurate representation of the subject sewer and water faclllties located st: Signed Date Subdivision Owner's Name: ~,?'hartment of Environmental Qualit,~ .,tater and Sewer Questionnaire :~/~,~. ~, 7~'", Time Date , Block ~_- , Lot / Mailing Address: Questions: 2. 3. 4. How many bedrooms are now in your house? How many bedrooms were in the house at the time of purchase? Were the basement bedroom walls "roughed in" at the time of purchase? Was the basement bathroom plumbing "roughed in" at the time of purchase? Did the realtor or builder inform you that you would have to enlarge the existing sewer system if you finished the basement bedroom (s)? If on a public water supply, do you always have an adequate supply of water? Is the pressure always adequate? 9. Who was the home purchased from? OTHER COMMENTS: