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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 2 LT 8.6/0 ~ MUNICIPALITY OF ANCHORAGE ~-~ DE ATMENT OF HEALTH AND HUMAN SER ES -~.~' Environmental Health Division ~ 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT /~/~.~, /~... o/ DISTANCES Address ~.n~"~ TO SEPTIC ABSORPTION TANK FIELD WELL Phone(s) Permit .o. NO. o, Bedrooms WELL LOT LINE ~/2 g ~' ,~ ¢0 ~/~ AS-BUILT DIAGRAM tShow location of well. septic system, property lines, foundation. T,.xs N TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAiN ~ OTHER " FIll added above orig,nal grade Gravel depth beneath p,pe Totalabsorpho~ area .: ~ ~ F' Dislsnce between I>/~ F: WELLS ~/ FTJ FT REMARKS: (3/85) 0 '?'/;:?. :]!: /E~ ? F:'.nrc:e] Id.' 0;! ?'J~.~;< ?;ced r ,:~(;",~'n~s ;; FJ ~ J. ~:~ J::'c~H~ m :i. t. :: 2?. Tc::,'L ~, 1 [;aF)~:~u::: i i:. y :,, F F;~ !E !'4 Ill; l"J !~. ~.) J~ ~.:i I ~ (3 c,,z~ I .L)e:,Fi ;'. h ( ¥ ,.,; :l 0 ,, 0 "' un cip H yo Anchorage P.O. F~-"'¢ 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES July 22, 1987 Dr. Leroy C. Reid AECS Inc. 1200 W. 33 Ave. Anchorage, Ak. 99503 Dear Dr. Reid, From the information you have provided on Lot 8 Blk. 2 of Valli Vue #2 and as a result of our conversations, we have been able to determine that sufficient area does exist for the planned septic upgrade and an additional replacement site, for a total of five bedrooms. As a result this department has no objection to the planned two bedroom addition to the original absorption trench. The department will, however, reserve judgment on the acceptability of the the other trench, constructed in September 1982. If this trench is to be used as a part of an alternating system evidence will have to be presented which proves the acceptability of the trench. At this time we are processing the permit for the planned trench upgrade and the addition of a 500 gallon tank. Should you feel anything further is necessary please contact our office at 343-4744. Thank you for your patience in this matter. Sincerely, / Daniel N. Bolles DHHS On-site Services cc DHHS files ALASKA ENVIRONM[ ~AL CONTROL SERVlCES~ INC. 1200 West 33rd.Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 DATE. , I PERFORMED FOR: DEPARTMENT Of HEALTH & HUMAN SERVICES ' 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST '~'~x_ ... .." ~ / LEGALDESCRtPTION: /-,07.-? ~D/~' 9 [/,~,'fl;~'~c-Township. Range. Section: ~ /~2,/~/ ~"t/ .~'/y 4- 5- 6- 7 8 9- 10- 13- 14--- 15- 16- 17 18 19- 20- COMMENTS FILL SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh {o Waler After Monitoring? Gross Net Depth to Net Reading Dete Time Time Water Drop ' /I0 , 7/~0 I~;~P-/~;~ ~ ~/n ,[7-,~7 ,/~ PERCOLATION RATE__-'~ (minutes/inch) PERC HOLE DIAMETER __~ I t TEST RUN BETWEEN ~' FTAND Y'~ FT 72~O8 (Rev. 4185) PERFORMED IN / ~ MUNICIPALITY OF~ANCHORAGE 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 PHONE I [] NEW LEGAL DESCRIPTION LOCATION _~ [ DISTANCE TO: IWell ~- Z Manufacturer Liq. capacity in gallons [ IF HOMEMADE: Manufacturer DISTANCE TO: I We ~_~-~ ~ IT°p°ftilet°Enishgrade ~--~ ~ ~ Length Width NO. OF BEDROOMS IAbsorPtion area Dwelling PERMIT NO. Material No, of compartments Inside length Width Liquid depth Dwelling PERMIT NO. Liquid capacity in gallons Material beneath tile Material¢/.O~.~- Nearest lot lin Trench w~.~ inches OTHER inches Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot llne Driller Distance to lot llne PERMIT NO. Sewer line Septic tank Absorption area!s) Distanc~z~~ Ii nes Total effe~:7've~orption area LEGAL DATE DEPARTMENT b. HERLTH AND~ENVIRONMENTAL . _.OTECTION ,~-~- , 8.;'5 '"L" STREET.. AN~.HORBGE, ~K. 995~ ~ ' 2~4-472~ ~ ~ ~ C~-~'~ ~ TE ~E~.~ER L~P~'E PE~ ~ T /~ ~o ~. PERMIT N_. ~ ~_.~ , ~ LOC~T I 0N LEGBL L8 82 V~LLI VUE ~2 LOT ~~~RE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MA~,:IMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 150 ~J~ THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ~-.EF'TH= icl LE~-~GTH= 51 GRR~-'EL DEPTH= 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 OUTFBLL PIPE AND THE BOTTOM OF THE E~CAVATION (IN FEET). RE _r2~L~ 1r REC-' SEPT I C: TAI'-,Ii-~'. S I ZE= dL. 250 ~"~I:tLLC~NS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI40 (2) I ~ISPECTIO~IS 8RE REe>gJIRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROVAL 8Y THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ±00 FEET FOR A PRIVATE WELL OR ~50 TO 200 FEET FROM A 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 AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION~ I CERTIFY THAT 1: I BM FBMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH 8~' THE MUNICIPALITY OF ~NCHORBGE. 2~ I WILL INSTALL THE SVSTEM IN ACCORDANCE WITH THE CODES. ~ I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENL. E'~ IS REMODELED TO INCLUDE MORE THAN 4 BEDROOblS. RPPLICRNT RCHESON ENT. MUNICIPALITY OF ANCHORAGE , DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCO LATIC TEST DATE PERFORMED: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Reading Date Time Time ' ~ MUNICIPALITY OF ANCHORAGE 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 MAI LING ADDRESS PHONE ~,~"/~ ~.~) [] UPGRADE LEGAL DESCRIPTION LOCATION Well DISTANCE TO: J ~1- L q, capac ty n ga NO. OF BEDROOMS I Absorption area Dwelling ~'~ ! Width Material PERMIT NO. No. of compartments Inside length Liquid depth Well Dwelling PERMIT NO. Nearest lot line Manufacturer Liquid capacity in §aliens Foundation PERMIT NO, inches DISTANCE TO: )Wel~o~ ~ ~ ~ff 'iii:st o finish gr Jd~e ng/~/)f~ach line Width Depth Distance between lines Total effective absorption area PERMIT NO. Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO, DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS 72-013 (Rev, 3/78) DATE LEGAL -- E:,EF:'Fff;::TMIEI",FF "F HERLTH ?-,r-:L., EN',/!?.EIN!"!ENTF:E... F'I':STES:T!Eff'4 ,=,,=..., "'L'" STREET., ;2 .... [ "' .... :::::. F=K ,. ~ ~¢::::::: f:;:: !i=:" EE E;;:: ~'"dl % "T" ....... ~-J.. .= :E'T' RF:'F'L. I I S F' !:::i'J' 'r L.EGF:[!_ L. INC iZN'ET. !.~1.:..:, I L.E: E:2 'v'F:d...L_ ! T'T'PE ()F' '.:~;O!L. FIE:SORBT!Cq",I S"r'STEH :I ..... T,'q:ENCH i'"!FI::'::IJ"IUI"I NLIME:Ef~: r'rl= .... E:E:E:,F::EuSff'1% : .......:~ THE f;:IE)~:¢..I :!: REZ:, '.E; I ;2E; Iii[: THE S '"~ ]'I. F:E:2 '::;O[~'t::'T '1: ON :E;'¢:STEM ! :::;: THE LENGTH D I ["![.EI',!:::; ! ON I E; THE L. ENG-FH ,:: ! lq F'E:E:T ::, O1::: THIE "['F?.ENCH OF?. DIq'.R ! NF:' i EL_D. THE E:,EPTH OF' I::I TI;;¥L=NC!"] O1:;?. Pi'T IS THE Di'S'1"F:iNCE EqET!4E:E.N THE :E;t. JI:,;':F'FII:::E Ot:: THE EiI:?.CIUND FIND THE BOTTOi'd OF THE E',:-:',CI=I',/FFf'tEd'4 'T'HE:F::E IS NO SET 1.4![::,'r'H FOI:;?. -I"RENCHES. THE GF?.F:[VIEL. DEPTH :!:% THE HINIMUM DE:F:'Ttd OF' Gt:E:FI'v'EL BET[4EEN THE OUTF'F&_L_ I:::'IPE: FiND THE E:OTTOP1 OF 'E'HE E::-::CFi',,,'RTZON ,::IN FEE'1"?,. F..L._,I .. 1,L., ,. ,=. J. L _ t r TO I NFOFd"i T!..! !' '_:: DEI=IF:II:;:THE':I'-,IT [':, f;? ! i'.,IEi THE: F'EF;:I"I I T FIF'F:'L ! IS:FINT Hl::l~ii; 'THE: :' :': :'" ' ': ' ~' ...... ' ~ - I [ .......... I::i[).J'Fi(::E]'4T TISI "['H ]: E; I- l~... F :. ~: t , FIJ",I£:' THE: IN'.E;'?F:ILI_I=!-!']:Cll",I I!",IE;!::'EC"I'ICIN:~:i lsd:= Rt",!¥ I:' ,' "-'~""'-"~.' i'. I ~ -,-' ::, ::' c,~ ~ - - " ' 91.:'I;;'~,.,~ E' ...... I t...,L,-. Eft= I:;'[:"::" ',[:'i"l" F:"= THF!'T' THE HE.L.L. .'. I I._!. M ! N I MUH D ! E;TRI'.,ICE E:E!TFHEEI",i :i.[EIE) t:::'EET ]::'CIf;;: 19 Pt:R!k,'FITE HE:L.L.; OF;'. :tEiE~.l TO ?.Eiii~ FEET FRO,~"! F:I PIJEC.IE: 14E:I.J_ 12, E;F:'EN[:,iNG 1..!F'OI'4 TI-!E 'P'r'F:'E O!:= F:'UE:LiC 14[EL.L.. OTHIEf';;: i:4:[CI;[LII!:~:EHE;NTS MI=I? !=IPF'L.¥. SF'E:C:iF:IE:F!T!C~NE; Ft[",ID CO["2E;"I"F?.LICTICd",! [)IF!GFi:Ftt"IE; I=i',,,'F:ttL. FtE]I_E TO :[!",!SIJt:;'.E F'F?.OF:'EF;~ Ii".IEi;TFILLFiTIE~N. I CEF<-!"IF'? "['HF:IT :t: I I=11'"t FFIHIL..tF:IF.: [,.I:!:-!'!.-! F:'OF-:'.TH I:E¢.¢ THE; I',IUN!E:iF'FtL.!T'¢ !Df:: F~NCHE~RF!I:iE. '-2: ! !.,.i ILL ! NSTFiLL TF1E S'./STE~["I t I'.4 f:IC:COFi:I::,FtNCIE F! ! TH THE; 2;: ! UNDEf~'i=tND T!~II::IT THE: E!N-'_':!;I-!"E ~4EI.,.!E::t:;~: :f;¥STEI'"i !"IFt'T' I'~:E:6':!I_i!FYE F:IPPL. I CRi",Ft' L I I",IC C:ON:~;T. :[ ':5 '.'~'; I_1 E: E:, E, '¢ ~~ [",Fl-r'i VENTUREiS CONSUL'rING GEOLOGIST SOILS LOG PHONE 344-?07! :Soil Type Water Level Remarks 6 ~ 12 ~ ~ 14 16 18 ; 2O Total Depth of Excavation Groundwater ~ot Reached Depth, if Reached Classification Method ~Visual ( ) Sieve Analysis () Material at Total Depth ~ Bedrock ~ot Reached Depth, if Reached Gary F. Player, Consulting Geologist MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~ ~-~- ~)/~) / OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date &/~'/&~ 1. GENERAL INFORMATION ~ (a) Legal De c rpt~on (include lot, block, s~bdivision, section, township, range) Locatio~n (address or direc, tions) -- . (b)...-Acplicant. Name~/~h ~¢ Telephone:Home ~B -- -. - (c) Ap~h~ant ~(~eqk'.one)~.~end~ng Insbtut~on ~, Owner/budder~, ~uyer ~, Other ~ (explmn), - ' ' (d ' Lending Insbtp~,¢e Telephone ..~ )hon~ 4. sEWAGE DIsPoS-'~L:, :; ;: : ;:' : ,:" i;.' /;': , onsite,J~ PublicD 'communityr-I R°idingTankl-I ; :, ?, : ;: :; ' :; :;;; Note: If corn munity well system, must have Written ~onfirmation from the State Department of Environmental Conservation attesting to the legality and status. 72~25 (11/841 Page 1 of 2 · , - · ~Jo~ s,J9eU!6U9 iBuo!sseJoJd eql u! suo!ss!uJo dO S JO J J@ JO~ elq!suodsaJ IOU S! ~6eJoqouv JO A~!lBd!o!un~ aq.L 'panss! s! eleo!J!lJaO B eJoJaq e~ep BZAIBUB JO SUO!~oBdsu! 13npuoo lou op d3HO jo seaXoldUJ3 'slueuJBJ!nbaJ mBls pub leJ~peJ U!B1JeO/~JS!IBS o], JBpJo u! suo[lnl!lsu! bu!puel J!eql pub sauJoq bO sJesBqoJnd ol Ase~noo B se s!ql seop cl3HO iBuo!ssajoJd luapuedapu! uB Aq e^oqe S qds~6sJBd U! Ue^!~ suo!lelues@Jd~J Bql uodn/~lelos peseq smeo!~!Heo le^oJddv Alpoqlnv qllBeH s~nss! (dqHO) uo!loelOJcl IBlUeLUUOJ!^U3 pUB q~lBeH NOI.,Ln¥O IBUO!l!puoo le^oJddv IBUO)i)puoo Jo swJa/ '9 c.~ (?-Z / 88@JPPV 'uo!jo~dsu! Slqj bo ~]Bp eu] uo Joe jiB uj suo!jBjn~J pu~ 'S~OUBUIDJO '$~po0 ~]~J~ pUB Iea!o]un~N IIe qjJM eOUB! auJo9 Ul $1 LU~JS~S IesOd~!p J~iBMeJSBM JO/pUB Alddns JelBM ~]J~-UO ~l 'uoJJoedsuJ pUB UOJ]B~!lBeAU! ALU LUOJb pUB ~lJJ ~JO~OUV ~0 Aj!iBdJo!un~ ~qJ LUOJJ p~u!Biqo UO!jBUJJOJU] ~J UO pesBq lBql AJ!J~^ J~qpnb I 'uj~J~ peiBo!pu! eJnlonJl$ Jo ~dA1 pub SLUooJpeq bo jeqLunu ~j JoJ ~lenb~pe pub iBuo]jounb '@bBs S! LU~ISAS IBsods!p J~]BM~jSBM do/puB ~lddns J~JeM ~]!S-UO ~q] J~j ~MOqS le^oJddv ~j!JO~JnV NOIL¥~BOJNI aNY wYa 'uouws ~ll~ '$/$~Jz 'SNOILO3dSNI 9NlalAO~d ~14 9NIB~NIgN~ .g MUNICIPALITY OF ANCHORAGE (MO~,; OF ANCHORAGE MUNiCipALiTY iCES DIVISIO~EALTH AUTHORITY APPROVAL (HAA) NTAL SERV ENvI~ONME CHECKLIST- FEBRUARY 1984 AUG 6 1987 WELLDAT ECEIVED 264-4720 Legal Description: '7'-/,z/o ~.'~ Well Classification ~]~' J//~-z;~_~/,~C::~(~f A, B, C, Well Log Present (Y/N) Date Completed Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances lrom Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field or To Nearest Public Sewer Line Cleanout/M-an hole Water Sample Collected by D.E.C. Approved (~ Yield Depth of Grouting Pump Set At Sanitary Seal on Y/N) Depression Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots ;t Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Resul Comments __ i TANK DATA Date lnstalled ¢~/~¢c~','~,~',ze '~5~6 ~,00. No. Standpipes ~)/ ''.-0 Air-tight Caps ~4) Depression over Tank (Y/~¢~' Separation Distances from Septic/Holding Tank: TO Water-Supply Well To Property Line ./. To ~ater Mam'/S~rwce L~ne 7 ':? uCourse '~ ~./_/)~ Oommedts ' of Compartments ~ ~- ~ Foundation Cleanout ~) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation /k* To Disposal Field To Stream, Pond, Lake, or Major Drainage 72 026(11/84) ABSORPTION FIELD DATA Soils~ating, in Absorpl~ion Strata '.ZJU¢ ~ ¢ -- Date Inst~lled Width of Field ~.,~/-// ./~"~/~.~_~'/'~ Type of System Design Depth of Field ~avel Bed Thickness Square Feet of Absorption Area ~/~ ~ ~ Standpipes Present Depression over Field (Y/~_ Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Abs.grption Fiel,~: To Water-Supply Well To Building Foundation Lot 5 / / To Water Main/Service Line / To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ~¢ To Property Line To Existing or Abandoned System on ; On ,~djoining Lots ~///~-) / ~/O 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 Manhole/A~ "Pu.~.Cr"Off" Level at j .-~'~ Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I haveC'~Cc~ked, ve~d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ,.--~ -~'¢~' Date Company ,~5' ,~-'~''/ MOA No, C~' ~'F r~',~ ,~/ Receipt No. //~ g://-- f'~ ¢ O ,/ Date of Payment /~) ~ ~ Amount: $ ~/~/~ Page 2 of 2 72-026 (11/84) DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 STEVE COWPER~ GOVERNOR Telephone: (907} Address: 274-2533 DATE: August 5, 1987 PWS I.D.# 210605 To Whom it May Concern: According to records on file in this office the Water Regulations. VALLIE - VUE Water System is in compliance with the State Drinking Sincerely, Michael P. Lewis Environmental Engineer MUNICIPALITY OF ANCHORAGE ' DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ~INVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. C~neral Information Application Date (a) f~gal Desc=iption (include lot, block, subdivision, section, tcwnship, range) Location (address or 'directions) (b) Applicants Nar~ ~QCOC'; ':'~q~'~ Applicants Address [~)~9 ~,~_'-.:.~. Telephone (c) Appliqant is (check one)~ending Institution ~ ~f~ne~/builder ~; Buyer ~-~; Other ~ (explain); (d) l~nding ·Institution ~, ~q~'~r¢,,~- I'~"~,C~FI{Q Telephone Address (e) t~al Estate Co. & Agent Address Telephone 2. Type of ~esidence Single-Family,, Number of ~drcoms 3. Water Supply Individual k~ll~"~ Multi-Family Other (describe Cormunity~ Public~ Note: If cc~unity well system, must have ,,~itten confirmation from the State Depa~tn~nt of Envirop~rmntal Conservation attesting to the legality and status.' Is ~e well adequa~ for the rnmber of ~o~ns s~cified in this HAA<~%~/N) _Sewage _Disposal Onsite ~ Public ~ Cormunity ~ Holding Ta~k Is the ,,astewater disposal system adequate for the number of kedrocms [Pa~e 1 of 2] 2-15-84 Engineering Firm P~ovidin~ Inspections, Tests, D~ta and Information I ~e~tify that I have checked, verified~ c~ conformed to all MOA ~ ~id~lings in effect on the date of this inspection. Name of Firm /~ !!_~_7 C~ ~ Date Telephorm Signed by (ENGINEER SEAL) 6. DHEP Approval Approve d for Approved ~ ~-/ bedrooms Disaptm~oved ~ Terms of Conditional Approval Conditicnal ~ The Municipality of Anchorage Dapa~tment of Health and Environmental Protection dces not ~uarantee the continued satisfactory performance of the water supply and/or the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the wate~ supply and wastewate~ disposal system is safe and func- tional for the number of back, corns and type of structure indicated~ (DHEP SEAL) 7. 5~il the HAA to the follcwing add~'ess: KB2/d5/s [Page 2 of 2] 2-15-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification Legal Description: If A, B, c~ C, D.E.C. Approved~FY~) Well Log P~esent (Y~N~ Total Depth Cased to Static Water Level Casing Height Above G~cund Electrical Wiring in Conduit (Y/N) Separation Distances ~__om Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewe~ Line Date Completed Pump Set At Depth of G~outin~ Yield Sanitary Seal on Casing (Y/N) Dep~essionA~oundWellhead (Y/N) Cleancut/Manhole Water Sample Collected By Water Sample Test l~sults C~,~ents ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Hea~est Sewer Service Line on Lot B. SEPTIC/HOLDING TANK DATA Date Installed ~/~/~ Size (~O No. of Co.part,rents ~ .: Stan®ims *out,at*on C*ea t ~pression over Ta~ (Y~ ~te ~st P~d ~//O/~ P~in~intenan~ Con~a~ ~ File (Y~) ; fo~ ~oldin~ Ta~ High-Water Ala~ (Y~) ~/~ ~=a~y Holdi~ Tank ~it (Y~) ~p~ation Distance ~ ~ptic~oldin~ Ta~: To Water-Supply ~11 ~k~ To ~ildi~ Foundati~ /~/ To ~o~ni.~__~ ~/ ~,pTo Dis~sal Field ~ ~ ~e~,Main/~vi~ Li~ ~ ~) To S~e~, Pond, ~e, ~ ~jo= ~aina~ [Page 1 of 2] 2-15-84 Ce Soils Pating in Absorption Stmata Date Installed ~.~(~J ~/~O/~ Width of Field '~; ~/'~ ~p~ of Field ~1~ Grail ~d ~ick~ss Squ~e Feet of ~sorption ~ea ~p~ession ove~ Field (Y~- ~te of ~st a~a~ ~st Results of ~st A~a~ ~st ~p~ation Distan~ ~ ~sorption Field: To Building Foun~tion , ~/ Lot ~/ 0 ; TO Wate~ Main/~vi~ Line To Stre~ond~ke/~ ~jo= ~aina~ C~ To ~iveway, Pa~ki~ ~ea, ~ Vehicle Sto~a~ ~ea D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) ~ Di~rens ions ~ Manhole/Ac~s (Y/N__) '~f" Level at. W/ Vent (Y/N) / ~ng Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating A~ainst HAA Request I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed i~-~ '~i S/~~'a~/~- Date Company ~'.~ MOA No. ~3ff-O'~J{- KB1/d5/s [Page 2 of 2] 2-15-84 ALASKA e UlROnmenTAL CONTROL ~nqineerinq ~, ~nuironmenlal Sludies SI RUICI ]$, Inc. JULY 12 1984 MARI ANN SOOTT 10600 LONETREE DRIVE ANCHORAGE AK 99510 SEE,T,RR -~{~RIANN SCOT~ BUYER - SUBDIVISION - VALLI VUE BLOCK - 2 ADEQUACY TEST FOR SE~ SYSTEM THE ~3---2--- ...... ~ OF ACCEPTIN~ 605~LLONS OF WAT]~ PER DAY. THE ~u~(~: CAPACITY OF THE SYSTEM 1~-793 GALLONs. ~'~4 BEDRO(~ HO~E. DATA THE SYSTEM IS ACCEPTABLE FOR A SEPTIC ~ ADEQUACY THE EXISTING SEPTIC 5~2~K VOLUME 0~ ADEQUATE THIS 4 BEDROCM HOUSE. FOR 1200 LUcsl 33rd Aucnu¢. Suil¢ ~.,Anclloroq¢. Alosko 99503.{907) 561-50/10 DEPT. OF ENVIRONMENTAL CONSERVATION / SOUTHCENTRAL REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL SHE~IEL~GOV~RNOR ~relephone: 274-2533 To Whom It May Concern: A~cordin~ to records on file in this office the ~,/C~J~L - ~ %-*J~&~$C¢,?~ Water System is in compliance with the State Drinking Water Regulations. Sincerely, IqTC/ MUNICIPALITY OF ANCHORAGE MENTAL PRoTEC 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION J~ 2 8 1979, Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S;E~ ~g~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) davs for processing. "P"OPBR'OWNEk josg MAILING ADDRESS PROPERTY RESIDENT (If different from above) 3. LENDING INSTITUTION MAILING ADDRESS 4, REAL~OR/AGENT , MAILING ADDRESS PHONE PHONE 6. 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 "~ INDIVI DUAL/ON-SITE*~ [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUL 0 6 197~' THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 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 CATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tan_.~.l or [] Holding Tank Size: /~-~ L) If Tank is homemade SOILS RATING give dimensions: / TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank ]Absorption Area Sewer Line Nearest Lot Line / WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS ~"'APP ROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany/~r,~ificate) [] DISAPPROVED DATE BY (Titl~. LEGAL DESCRIPTION 72-010 (Rev. 3/78) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGEM. SULLIVAN, MAYOR DEPARTMENT OF HEAL'FH AND ENVIRONMENTAL PROTECTION June 27, 1979 Carol Nielsen Construction Loan Processor Alaska Statebank 310 East Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 8 Block 2 Valli Vue Estates Subdivision Lot 9 Block 2 Valli Vue Estates Subdivision In reference to your letter of June 22, 1979, the following is the procedure for request for approval of on-site s'ewer and water facilities for lending agencies. (1) A request form(see attached is submitted to this office. (2) (3) An appointment for on-site inspections is made. We also review our files for information on the sewer system. After everything has been reviewed and inspected we are then able to send a certificate of approval to the lending agency. In this case, the systems were installed last year, so the request forms needed to be filled out and submitted to this office. We will review our files and will be able to send a certificate of approval to you. One(l) request for each individual property. Do not send the fee as this will not require a field inspection. For you further information, Valli Vue Estates Subdivision is not served by public sewer. The entire subdivision is served by on-site septic systems. Public sewer is not available and will not be available for several years. If there are any further questions, please contact this office at 264-4720. Sincerely, Laura J. Ward Sewer and Water Section Alaska Statebank 310 E. Northern Lights Blvd. Anchorage, Alaska 99503 907/279-7637 MUNICIPALITY OF ANCHORAQE DEPT. OF I!~\L'FH & E. NVIRONMENTAL P~O fECTION' June 22, 1979 JUN 2 ? I979 Bob Pratt Department of Health 825 "L" Street Anchorage, Alaska 99501 RE: PRADO, Jose' R. Lots 8 and 9 of Block 2 Valli Vue Estates Dear Mr. Pratt, Since the above referenced property is serviced by public water and sewer, I would like to request a letter of approval regarding the facilities in use. Please forward the letter to the attention of the undersigned at your earliest convenience. If you have any questions regarding the above, please feel free to contact me at any time. Sincerely, Carol Nielsen Construction Loan Processor