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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 63GRE ANCHORAGE'AREA Department of Environmental Qualit~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~-~ ~/,~ ~ Z~'~/~-~P/*~-~' M A I L I N G ADDRESS PHONE LOCATION /~'t~O "~/~-~-- ~)/'z///~'~ LEGAL DESCRIPTION ~)- ~,~ ~O~/~ SEPTIC TANK: DISTANCE ~/, FROM WELL MANUFACTURER INSIDE LENGTH INSIDE WIDTH NUMBER OF ~--~-~ MATERIAL ~'Z~:~=~Z~ COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY /~--~-~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH ~2~). LENGTH ~, DEPTH / ~' / LINING MATERIAL~ ~/~/~ ~//~/'Z~/' CRIB SIZE: DIAMETER DEPTH ~:~ /DISTANCE FROM: BUILDING FOUNDATION ~o /~ NEAREST LOT LiNE~./. TOTAL EFFECTIVE ADDITIONAL ABSORPTION WELL ABSORPTION AREA (WALL AREA) ~/ .SQ. FT, WELL: TYPE ~ ~r'r~ ~/~ BUILDING FOUNDATION CESSPOOL APPROVED / CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS __ DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: ~//-), /~$/~7- PIPE MATERIAL: LoT SLOPE: REMARKS: Form NO. EQ-031 DIAGRAM OF SYSTEM DATE APP ROV ED~W~ ~- G.A.A.B. SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT GREATEr ANCHORAGE ArEA BOROUGH PERMIT NO. PHONE INSTALLATION Of: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY OTHER 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. MINIMUM DISTANGES, REQUIREMENTS FOUNDATION TO SEEPAGE PIT ~ SEPTIC TANK TO SEEPAGE PJT WALL ? ~-- SEPtiC Ta[~K ,6 I SEEPAGE PIT ~ · DRAIN FIELD * SEEPAGE PIT · ALSO CONSIDER AREA WELLS. DRAIN FIELD SEEPAGE PIT · DRAIN fIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEETINTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT F~TTEDWITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS ARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SY TEM IS IN ACCORDANCE WITH SAID CODE. GREATER ANCHORAGE AREA BOROUGH ~ DEPARTMEHT OF ENVIRONMENTAL QUA[ [TY ~ 3330 "C" Street ANCHORAGE, ALASKA 99503 "1-. ,,.- k~ ,.,- Performed For Legal Description: Lot_~ BlXock_ / _ This Form Reports Soils Log_~_ Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics 13-- 14-- Dated Performed Z Percolation Test Below Proposed Seepage System Was Ground Water Encountered?_j/_(~) ~0~ If Yes, At What Depth~ F Reading Date Percolation Rate Pro~osem Gross Time I Net Time M i n u t e Installation: Seepage Pi~; Depth to H20 Net Dro Drain Field 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. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Lot 63; Block 1; Valli rue Estates Subdi~'~ Location (site address or directions) 6760 Roundtree, Anchorage, Alaska Property owner Claudia Light Mailing address 5 Gumwood, Irvine, California Lending agency . Mailing address Day phone - - Day phone Agent Tannic Hyde/JACK WHITE COMPANY Address 320] C Street, Anchorage, A]a.qW~ Q9503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water Day phone 762-3136 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: 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 · >pOM s2eau!~u9 I1~UO!$BejoJd eq] u! 9uo!ss!tuo Jo sJoJJe JoJ~ elq!suodseJ ~ou s! aB~Joqouv ~o Al!l~d!o!uniAI eqJ. 'p@nss! s! e~eoU!~eo e eJoJeq e]ep eZ/,l~U~ Jo suo!~oedsu! ~onpuoa ]ou op SHHQ jo seaAolduU~ .s~ueu~eJ!nbaJ e~ls pue le~epej u!mJao/~s!~es ol JepJo u! suol~nil]su! ~u!pu@l qeq] pue SaLUOq ~0 meseqoJnd o~,~seunoa ~ se s!q~ saop 9HHQ eql'~>lSelV Jo m,e~S eq~ u! peJa]s!6aJ Jeau!bua leUO!SSa~oJd ]uapuedepu] ue Xq e^oq~ ~ qdeJbeJed u! ue^l~ ~uo!]eluaseJdeJ aq] uodn Xluo peseq se~eaUilJeO le^oJddv Alpoqlnv q~l~al-~ sonss! (SHHO) soo!MoS ueuunH pue qlleOH jo ~uoua~deQ obeJoqouv ,to ,~,!l~d!o!untN oq.L s~uow .uoo leUO!l.!pPV :suol~elnd!ls 8U!MOIIOJ sql q~!M 'SLUOOJpeq 'SUJOO~peq JOJ leAoJdde leUOg!puoo 'peAoJddes!a Joj pe^oJddv ~ aBnJ.YNSlS SHHO eJn~euB!s s,Jeeu!Du~ sseJppv '9 .g Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L,-"('J~ ~:?~2 '~-~.~ ~ Parcel I.D. A, WELL DATA Well type ~ If A, B, or C, attach ADEC letter. ADEC water system number '~ c;> (~¢~ Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date Of test Static water leveJ Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot g.p.m. ; On adjacent lots ; On adjacent lots AT INSPECTION Public sewer main Sewer service line Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (~N) High water alarm (Y/N) Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Tank size / C:~;>(::~ Compartments cleanout([~N) ¥ Depression ( Y/~I~ ' Alarm tested (Y/N) Pumper ~"¥- ~¢_.- Well(s) on lot To property line Surface water/drainage On adjacenHots '~¢;t:~l J¢ Foundation Absorption field '~'~- Water main/service line 72-026 (Rev. 7/'91) Front cONTINUED ON BACK PAGE C, LIFT STATION High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested D. ABSORPTION FIELD DATA Date installed __ ~-~ '" I [4° '-' '"7 ~d¢- Length ~2~ Width Total absorption area Gl Depression over field (Yl~) Results~fail) Peroxide treatment (past 12 months) (Y,~ Soil rating Gravel thickness ¢:~ ~ Cleanouts presentd2~'4) Date of adequacy test for '~I',~'~V~ t-~ If yes, give date System type Total depth -/ bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~'~Z:::' J~" On adjacent lots '~¢~C::)I¢¢ Property line To building foundation ~~'tJr~ To existing or abandoned system on lot On adjacent lots ,-2.-~:>1 ..~ Cutbank t'~ r'-~ .Water main/service line Surface water ~t..~_ Driveway, parking/vehicle storage area Curtain drain ~'.-~O'--J~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, Signature Engineer's Name Date S & S ENGINEERING 17034 Eagle River Loop Roa~ NOt ~'_~,~ F, agle River, Alaska 9957Z HAA Fee $ /'~ Date of Payment ~'~.. °- ~ ~c~.~ 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 (907) 349-7755 Januaw 16,1992 FOR: S & S Engineering PWSID Cf 210605 My review of the records on file in this office reveals that the Valli Vue Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, Keven K. Kleweno Environmental Engineer KKK/cf - ( ~ I F. ~"' ' 3ATERECEIVED INSPECTION APPOINTMENTS T ME T ME DATE DATE I~ ¥ [' I'v~'~ DAT ~UNICIPALITY OF ANCHORAGE MUH[CIPALI~ OF ANCHO~GE 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECTIONS: Complete ail parts o~) page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10} days for processing. ~1. PROPERTYOWNER ~ PHONE MAI LING AD DR ESS 6760 ~ou~dt~ee 99507 (h~s ~o~k) PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS Same Alaska Pacifc Bank~ 276-3110 x 2 Post Office Box 420 99510 n/a )9 5. LEGAL DESCRIPTION Lot 63 Block 1 Valli Vue Estates Subdivision STREET LOCATION 6760 Roundtree 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~ Four [] Other :i~ 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 drilled ]3riot to that date, give welt [] PUBLIC UTI LITY depth (attach Jog if available.) 8. SEWAGE DISPOSAL SYSTEM -~ ~ INDIVIDUAL/ON-SITE** 8-16-74 YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUS~,~COMPANY~\i I~ EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(Rev. 6/79) [~ '~V /,' ~ 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 ~]IN DIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~eptic Tank or [~Holding Tank Size: 1 t 000 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 8-16-74 INSTALLER F.W. Mastel SOILS RATING 2OO TYPE OF TANK MANUFACTURER Steel Greer Seepage pit - 22x23x12' 4. DISTANCES WELL TO: 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 72-010 (Rev. 6/79) ~MUNICIPALITY OF ANCHORAGE · ~, ~epartment of Health and Environmental Protection °~,~ 825 L Street, Anchorage, Alaska 99501 264-4720 ~' .~equest for Approval of I~dividual Sewer and Water Facilities Property Owner: Mailing Address: Name of Buyer: Mailing Address: RICHARD E. WILLIAMS AND CLAUD~IAM$ 6760 Ro~mdtree, Anchorage, Ak,°z9~507 Phone: _276-363q Mr_~k. OI4qER/BUILDER SAME Lending Institution: ALASKA PACIFIC BANK Mailing Address: P.O. Box 420, Anch., Ak. 4. Realtor/Agent: n/a Mailing Address: o ° Phone: ° 99510 Phone: 276-3110 X 20~9 Phone: Legal Description: Street Location: Lot 63, Block 1, Valli Vue Subdivision 6760 Ro%mdtree, Anchorage, Alaska 99507 Single Family Residence: ~) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 4 Water Supply: *Individual Well ( ) If Individual Well, well depth If Community System, name of system ~Connnunity System ~X) Sewage Disposal System: *~)n-site System ~() Public System If On-site System, date of installation: (~)- \/xD_~-IL~. *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 18, 1980 Richard E./Claudia F. Williams 6760 Roundtree Anchorage, Alaska 99507 Subject: Lot 63 Block 1 Valli Vue Estates Subdi$1sion Approval for your 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. (2) Expose the standpipe to the seepage pit for our eainspectiOn'' _ ,~ ~ ~3-~] se notify this office for a reinspection wren the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S Associate Specialist RCP/ljw cc: Alaska Pacific Bank Post Office Box 420 99510