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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 34A ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~ PHONE __ ~PGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO, OF B~DROOMS ~ ~ Manufacturer Material ~o. of compartments m ~ ~ ~iq. capacitg in flallons Inside length Width klquld IF ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ Manufacturer Material Liquid capacity in gallons D Wel,~ Foundation& ~ Length of each line Total length of lin s Trench width Distance between lines NO. of lines / ~ ~' ~ ~ ~ ~ ~ inches ~ ~ ~ Top of tile to finish grade ~ f Material beneath die ~ ~ ~ " inches Total effectiv~absorptlon~ ~ area Length Width Depth PERMIT NO, ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well ~ Building foundation Nearest lot line ~ DISTANCE TO: Class~ Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS ~~/~ SOl L TEST RATING REMARKS 72-013 (Rev. 3/78) F'ERMI T NO. FFLI_.HNI" _ OL:AT I ON LEGRL HR-, DERNIR REDLINE: :L04::'5 MAINTREE L~4-ABi VRLLI VUE ~_6~d DEPARTMENT .. HEALTH AND EN,,.ZRONMENTHL . ,~UTEL. TZUN ..... 264-4¢'20 LOT SIZE TYF'E OF SOIL RBSORF'TION ~S=TErl I-. FREN_.H . E, EE.'EuuM_, = MR::.~Ir,1 I'1 NLIMBER OF ' ' '-- ': - ElL RATING (Sg! Ff, E,R.- 2A~'~ THE REQUIRED :,I.:.E OF THE '-]niL HBmuRFTILN _-r_TEM IS: [:,EPTI-~= 1,4 _ LE~"-~]TH:~': _~-~:~Z~ ~3F.~'R'.,-"EL [:,E-iF"TH--' 1,~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT I~ 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 ENCRVRTION (IN FEET). PERMIT APPLICANT' FIRS THE RESPONSIBILITY TO INFORM 'THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERT'¢ AND THE NUMBER OF RESIDENCES THAT THE HELL WILL SERVE. ,:, ,,: "' FH I_, BR]KFIL. I_ING OF RNY ~*_,TEM WITHOUT FINRL INSPECTION RN[:' RPF'RZVRL E,* ' ,r DEF'RRTMENT WILL BE =,UE, JEL. T TO FEO_,EuUTIuN. MINIMUM DISTANCE BETWEEN R WELL AND RNM ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR R PRIVATE WELL OR !50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIblUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS NAM RPPL~". SPECIFICATIONS AND CONS'rRLICTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT :L: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH B'¢ THE MIJNICIPALITY OF ANCHORFtGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES, _3.':: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. x IbHEC: _ RF'PLIC:[3NT MRS DEHNIR REDLINE ~ ¢ .... RTE - V4. 0 ~ S~I_IE~ ~,~ ...... ~ .............. -~-~ .......... r---~-~- PERFORMED FOR: ~/;~ i~ ~ ~l LEGAL DESCRIPTION: MiJNI~PA~UTY OF ANCHORAGE dEPT. OF HEALTH & NMENTAL PROTECTION ~ MUNICIPALITY OF ANCHORAGE //~-'~\\ ,tg~DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~/~ ~ 2 7 825 L, Street, Anchorage, Alaska 99501 264-4720 C E D so,,s ,OG- PERCO,A ,ON TE T 7 DATE PERFORMED: SLOPE SOILS LOG '- PERCOLATION TEST 11 ...... .14 15 16 17 18 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? /4~j.~ i~ o P E IF YES, AT WHAT DEPTH7 Gross Net Depth to Net Reading Date Time Time Water Drop / t~ :~ /o t. ?$ /~ /~ /. ~7 ~,?~ ~ /o: ~- /7_ ~.~ ~,3~ PERCOLATION RATE TEST RUN BETWEEN ~ ",/ ~.~,~,,~ . / ~, ~ ? (minutes/inch) ? , FT AND /0 FT PERFORMED BY: CERTIFIED BY: DATE: 72-008 (6/79) INSPECTION APPOINTMENTS ENVIRONMENTAL SANITATION DIVISION AU G 2 4 1981 Telephone 264-4720 REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND sEWER A(;EI~IJsV E D 5. LEGAL DESCRIPTION STREET LOCATION ~ One ~ Four ~ Other~ ~ ~ Two ~ Five SINGLE FAMILY ~ MULTIPLE FAMILY Three Six 7. WATER SUPPLY ~ INDIVIDUAL~ * ATTACH WELL LOG. A well Icg is required for all wells drilled ~ COMMUNITY since June 1975. For wells drilled prior to that date, give well ~ PUBLIC UTI LITY depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** /~8/ YEAR ON-SITE SYSTEM WAS INSTALLED. ~ PUBLIC UTI LITY NOTE,: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 O10 (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 [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~]INOIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions', TYPE OF TANK MANUFACTURER ~-OTAL ABSORPTION AREA MATERIAL '~' DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line ~bsorption Area to nearest Lot Line 5. COMMENTS [~APPROVED FOR ,-.~ BEDROOMS ~ GRE?-'~R ANCHORAGE AREA BOPAtJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION /~'~ '~//, PHONE SEPTIC TANK: ~t'/_- -~ / DISTANCE ~ NUMBER OF FROM WELL M^NDFACTURER. ¢ MATERIAL COMPARTMENTE INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __ LIQUID CAPACITY ~'~"~ GALLONS, SEEPAGE PIT: NUMBER OF PITS / DIAMETER __ LINING MATERIAL/~C2~¢'~C'RIB SIZE: BUILDING FOUNDATION__ OR WIDTH DIAMETER NEAREST LOT LINE ADDITIONAL ABSORPTION ! LENGTH DEPTH DEPTH ~ /DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .SQ. FT. WELL: ~ TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE DEPTH SEPTIC TANK DISTANCE FROM: SEEPAGE SYSTEM REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ~ PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, EQ-031 DATE G.A.A.B. . /,N,~, ,C),,., .;,L. [\REA [~Oi'~O J~l~t INS ~ ~-LL,?FIOIq LCCATIO~t ~4~ ....... d'_,e~ , . ~ .~ ,, ' . /: / ~rJ___.l_/_.,. I_ L_I_J..:_~_[_~ ~ ...... ,..._!__u__, .... · ' [- / I-'F--: -t -r""~ ....... F' ? ........... i-'i ....... i :;, ,c: ,'~,,:, 'lo s'c;:~-¢,,;,~ I rr v,,~,,Li ..... ~_4 ......... I---,'-~ .I---1---~--! ..... I.L-L-,I--P--4--i-.--,, -4---i ...... ~:" · ./ / ill // ~ //, ; I I ,~ i ~ :: ,:: ~m-~x ~' ....... s:,zp.~,.o:: mY _ >'2~' __, m-:^n,~ Fl~I.o ..~_~ ...... ~'~ -- .... IL ...... :_._, ......... ~L-'-- .~ ............. ', I ' , tl1 , i I, ,, /¢' / /¢ / L ]':ZZ3:T ..... F-'--'~ ..... C]- -F-r: ..... , '-, I I I ' ........... T- -3 .... l"~f-d .... -: ........ ~ ..... ~ , Gi ~TER ANCHORAGE AREA BOROUGH · ~' Department of Environmental Quality "~ ~ 3330 ~ICII Street Anchorage, Alaska 99503 ~erformed for _~~~_~Z~ ' Date .egal Descri pt~om~~~~~ ~ performed 'T~is form reports' ~oils ~--~~~~ - ' g ~ ~ Percolat~o. test Depth Feet 3- 4- 5- 6- 7- 8- 9- 13- Was ground water encountered? ___./}'~_~_~ If yes, at what depth? '~eading Date Pioposed ',,-- ~I,.~tallation: Gross Time SeepageP'~.'"' ' ' ' Net Time Depth to H20 Drain Field ' ' Net Drop Depth of inlet Depth to '-~ - ...... o~,ttom of pit or trench Cu ~ ~c[ITS: __ - ....... ~® I? / 3