HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 56
ANCHORAGE AREA
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
~' ~ £// ~/ (~ ' H NE
NAME L/ /)I~-~ C( ~/~/'~)/~ MAILING ADDRESS -- ~" ~
SEPTIC TANK:
FROM WELL MATERIAL
MANUFACTURER~/~/~'~~
INSIDE LENGTH---- INSIDE WIDTH
NUMBER OF
COMPARTMENTS
LIQUID DEPTH '~ .LIQUID CAPACITY
GALLONS.
SEEPAGE PIT:
NUMBER OF PITS .
LINING MATERIAL
BUiLDiNG FOUNDATION 70,
I
ADDITIONAL ABSORPTION
DIAMETER ~IOR WIDTH -- LENGTH"~ , DEPTH ~ V/
~4~"~~ / CRIB SIZE: DIAMETER DEPTH --
DISTANCE FROM: WELL ~.o ~-~
/
~ ~ ' TOTAL EFFE~'~IVE ~ ~
ABSORPTION AREA (WALL AREA). _ '~: FT,
NEAREST
LOT
LINE
TYPE CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS.
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
PI PE MAT E RIA L: :/~//_ :~?~/
LOT S LOP~: ://C"~4~
REMARKS:
Form No, EO-031
GREATER ANCHONAC4E
COMPLETION DATE ANTICIPATED
/~ /
-------'
/
SEPTIC TANK, ~ SEEPAGE PIT /~/~ DRAIH FIELD
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~-~(~ -
GENERAL INFORMATION
(a)
(b)
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
(c)
Legal Description (include lot, block, subdivision, section, township, range)
Location (address o~ directions)
Applicant Name ~Z~ ~RO~ Telephone: Home ~-[~7~ Business
Applicant Address - ~O · ~0~0 T~ ~,
Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer D; Other ~ (explain);
(d) Lending Institution
Address
(e) Real Estate Companyand Agent
Address
(f)
Telephone
Mail the HAA to the following address:
Telephone
TYPE OF RESIDENCE
Sing/e-Family ~ Multi-Family r-I
Number of Bedrooms --~
Other
WATER SUPPLY
Individual Well [] Community~' Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite,[~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 ?2-025 (11/84)
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
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 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 of this inspection.
Name of Firm /~',-~'
Address /'~,0~
Date
? bedrooms by Date
Approved, · ~or ~ '?/? Conditional
Appro~v'ed '; Disapproved
Terms of Conditional ApP'-brai
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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,
Page 2 of 2
72-025 (11/84)
~; '~NCr'"'~'AG NICIPALITY OF ANCHORAG (MOA)
DEPT. OF HEALTH & ~U V~ HAA
ENVIRONMENTAl. PROTECTIoi~HEALTH AUTHORITY APPRO (
RECE VE.D
WELL DATA
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: ~ I L,z~--~ ~/-,~-/ ~/~;
Well Classification C'O[~[Y~ (~ IV IT~ If A, B, C, D.E.C. Approved (Y/N) l, D, ~' 2./(~ ~0~'
Well Log Present (Y/N) Date Completed Yield
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrica{ Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
CleanouVManhole
Water Sample Collected by
Water Sample Test Results
Comments
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/l~
ion Around W Y/N)
joining Lots
n Adjoining Lots
Nearest Public Sewer
trest Sewer Service Line on Lot
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed 6~'/~/~'J~'
! I
Stand pipes ~)/N)
Depression over Tank (Y,~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) /~.///~
Separation Distances from Septic/Holding Tank:
To Water-Supply Well 200 /
To Property Line
To Water Main/Service Line
Course l 0~) '
Size
Air-tight Caps ~N)
20'4-
20,-I-
No. of Compartments
Foundation Cleanout (Y/(~)
Date Last Pumped
/'V'/,/~ :for ~V/,,~'
' '
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~ ~
To Disposal Field ~ /
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed --,~(J/~/J M J~ ~ l~.~
Width of Field
Square Feet of Absorption Area
Depression over Field (Y~)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation 2-
Lot ,~"
To Water Main/Service Line '~ ~) /¥'"
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (~N)
Date of Last Adequacy Test
FC:~ /VloRE T'/¢-44,r
To Property Line /0 i../.
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions ~J
ManhoCNi--
. / A ~PtIfnp Off" Level at
~r //.~ / Vent (Y/N) .
/.~/ Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I hava ccbc,cked, verifCed, or, conformed to all MOA and HAA g uidelines in effect on the date of this inspection,
" 2.
Signed ~,~,/?~..~ Date
Receipt No. ~O / -- O0 f ¢
Date of Payment / (- ~O --~
Amount: $ ~ ~ 0 0 Engineer's Seal
Page 2 of 2
72-026(11/84) ~ ~-- 5/~E
ALASKA & UIiRO[IlTI[ I1TAL CO[1TBOL sel ulCe$,
~n~ine~'iM 8- I~nuironm¢,lal
InC.
SUZANNE BROWN
6680 ROUNDTREE
ANCHORAGE ALASKA 99516
SELLER-SUZANNE DROWN
11/2o/86
SUZANNE BROWN
6680 ROUNDTREE
ANCHORAGE ALASKA 99516
60499
LEGAL:VALLI VUE #2 BLOCK 1 LOT 56
ADEQUACY TEST FOR SEWER SYSTEM
ADEQUACY TEST DATE-9/22/86
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 504 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 690 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 9/6/86 .
THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER
SUPPLY OR WASTEWATER SYSTEM,
1200 LUcsl 35r(] ~uer~u¢, ~uilg ~,Anc~oro§g, ~las~e 99505,[907) 561-5040
ALASKA EiIUIROIqmI F1TAL COFITROL Sel4dlCe$,
November 14, 1986
Department of Health & Human Services
825 L Street
Auchorage, Alaska 99501
Attn: Steve Morris
He: Block 1, Lot 56, Valli Vne #2 Subdivision
Dear Steve:
On September 22, 1986 our office was called on to perform an adequacy test and
a health authority inspection. During the health authority inspection it was
noted that the original absorption area did not coincide with what was found.
Upon further investigation we found that the original crib had collapsed during
the summer of 1983. Mr. Brown decided that to cure the situation as soon as
possible, he would install a new absorption area. Having some experience with
heavy equipment the new absorption area was instal]ed and working within a few
days of the collapse of the crib. Not wanting any more problems with his
on-site system, he installed what he thought was an oversized system.
A test hole was drilled on the subject lot to a total depth of 15 feet without
encountering water: The system dimensions area as follows: Width 4 feet,
length 45 feet, and gravel depth of 5.6 feet. Well graded gravel sand mixture
with a soil rating of 150 square feet per bedroom was observed. The Manual of
Septic Tank Practice states that additional credit may be given for a shallow
absorption trench depending on width and depth of the gravel in the trench.
Using the equation given on Page 20, Table 3 for the percentage of length of
trench allowed, 37% of the straight calculation for total length is all that is
needed, or 41.67 feet. This indicates that the system is larger than required
for this dwelling, A total depth to the bottom of the field is 9.25 feet
placing the system at 5.75 feet above tile bottom of the testhole.
An adequacy test was performed on September 22, 1986. The results show that the
system is adequate for more thau S bedrooms. This system does not violate any
separation distances (i.e. wells, other systems, water table, etc). We request
that health authority approval be given for tile subject lot based on the
information we have collected. If you have any questions please feel free to
contact me at 561-5040.
Sincerely,
~ .~!1 ~ Jeff Kaitchuck
~.~.,~,~z9 ~ Engineering Technician
1200 ~*sl 33r~ guenue. Suile B*~nchoraqe, glash 99503*(907) 561-5040
ALASKA ENVIRONMENTAL
CONTROL SERVIC!~' INC.
12OO West 33rd Avenue Suite B
ANCHORAGE, ALASKA 99503
Phone 276-3.361
*os I~/ L.~F; I/ALLI VIJE.
SHEET NO, OF
CHECKED BY DATE
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
@
RILL SHEFFIELD, GOVERNOR
~ - Telephone: (907)
;, Address:
274-~533
DATE: September 17~ 1986
PWS I.D.# 210605
To Whom it May Concern:
According to records on file in this office the Vallie View Subdivision
Water System is in compliance with the State Drinking
Water Regulations
Sincerely,
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 ~'C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~/~///~/
Time of Inspection
Date of Inspection
Approval requested by:
Mailing Address:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
/
Phone:
2. Property Owner: ~ Phone:
Mailing Address:
3. Legal Description:
4. Location:
5. Type of facility to be inspected ~c~c~, ~ No. of bedrooms
6. Well Data:
A. Type c~-~c~_~c~%~4J
C. Construction
B. Depth
D. Bacterial Analysis
7. Sewage Disposal System:
.~!:' A. Installed ~/~/?._~ B. Installer ~. ~
1\~C. Septic Tank: 1. Size /~
. Seepage Pit: 1. Absorption Area
~/~ E. Disposal Field: Total length of lines
o
Distances:
A. We~ to: Septic tank
Nearest lot line
B. Foundation to Septic tank
-- , Absorption area-- , Sewer Lines .,
, Other contamination
/Z/~1 , Absorption area ~ /
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re, i~ st for Approval of Individual S ~r & Water Facilities
Legal Description ~J~ m~ J / '
Comments
Approved ~/~ ~;. ~c~~' proved Date ~-
Approval .Valid for one year from date signed
Greater Anchorage Area 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)