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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 2 LT 22 oGREA ANCHORAGE AREA BOR ,uu H Department of Environmental Ouality 3330 C Street Anchorage, Alaska g9503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL~'_~ '~ MANUFACTURER~f~.~ MATERIAL INSIDE LENGTH INSIDE WIDTH_ LIQUID DEPTH COMPARTMENTS LIQUID ' CAPAC,TY/ '¢ GAU-ONS. TILE DRAIN FIELD: [ TOTAL LENGTH DISTANCE FROM WELL~-,,~I¢)'J~ FOUNDATION _/~l ~¢ _NEAREST LOT LINE__/O OF LINES '~ NUMBER OF LINES / DISTANCE BETWEEN LINES W//~ TRENCH WI DTH~C'IN.-- TOTAL EFFECTIVE ABSORPTION AREA Il ~-~__) SQ. FT. LENGTH OF EACH LINE 5~ .C~ I DEPTH OF FILTER ~ I DEPTH: TOP OF TILE TO FINISH GRADE /'/ MATERIAL BENEATH TILE_,/ ~¢,BOVE TILE '~ IN. WELL: ~ TYPE _ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE , SEWER LINE__ OTHER SOURCES DISAPPROVED REMARKS DEPTH -- SEPTIC SEEPAGE TANK__ SYSTEM DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: ~'"t' PIPE MATERIAL: REMARKS: DIAGRAM OF SYSTEM FiPi-:i_ Y C F:tN i" H'F L Z:: Z F:t'F I "'.,i HE:ST TF:I-~F{ F:,R i.?.;~~:,,:::'""-' ',,,'F![..L]Z ',,,q..J[E ,..,~ / Fi?:t',:.:;J[i"il. lhi r&tbiE?,,ZF;: (}F EfiE[:,Fb:](]l n:, ?~ *~ Fi-iE RE:(::iU ]: RED iL:; ]: ZE [)F ;;' :2: Ell THE !..EN(:~Ft-H D i MEN'.:;! ON :i:E; THE'-- L.E':NG'TH ':1 i h! FEET) OF' THE TRENCH OR [:,RR I NF):ELD. THE i)EF'TH OF' I::I 'FREJ",!CH OR PIT ]:~:; TI'EE [:,i:~]T~IqCE 8E]'HEEN ]"HE SI. tRFI::ICE OF THE (1ROIJt'q[:, ~il"-lE:, THE BCrl'T(]M OF THE EY, CiqVI::iT~ON <):N FEET). 'FHE (~RFI',/FEL. DEPTH :i:tF; THE H]:N]:HL.!H DEPTH OF GRR',/EL BETHEEN THE OI..I~F'I::I!_.L. PIF'E FiNi} THE E,ZFFTEll'i OF ]'HE E',:':',E:Fi',,,'F!]']:ON (iN FEET). ]. RE(;¢.JII;;:ED. iF' f:i i',IF!:[NTENI::~I'.,iC:IE: ..... · ~ I ]( t",i .. Z J'.5 J'"t!:::! ! i'-,!TEEi",tF:Ii',ICFZ !::I(]REEI-"iEI",FI" ' c ..... .,. J' .... ~ :( S HOT t<Ft'F:'T CI..IRF:IEI",iT , _. _t I'11::I'~-' -, v I::IEI%I]iF;:F'T:[I.]~'I :,:, LII r'r,l,....,' ...~l'~. '-r'E l'il-¢'r' E'Jr}] q E.'F:'C'~r' ]'t] C:E:F~:'i )Z F"," THFi]- "'~' ....,EI4ER_, F~i",ID i,.IELL.E~ FIE; rm'i Fi::tH;[L.]:f~i~: J,.i;[TH 'FHE RI~X;¢._I]ZF~:EHEI'-4TS F'~R' I]l~-,j-.:5]]-j"~ : ........ P,~.,mt!~ E',Y ]'HE H IH':'"'iFU~i T]".¢ OF H HiLl. ):i"~-i~i..L THE; :E;","'.:~;TEH :i:N t:~C:COR[:,Ri'4CE HITH '['t4E C:OI],IE:E;. I_ii'..IF:,E];;:~-.¢ti~t} THi::IT 'T'HE C[N--:E;Z]'E 'J~;EHEI;;: ?T'STEH i"ilq¥ REE:!J~RE ENt...f::IF4:(;~EMENT ]:F' THE REZ~;]:DE~~~:,E:!..ED~~DE H()F'.E THF, N 4 Performed Legal ~escri~tion: Lot 22 Block 2 This ~orm Renort$ Soils LoQ yes "On~ ~ t~ wo~h a ~sand 2204 Cleveland Anchorage, Alaska 99503 For Bud Jackson Enterprises Date Performed 6/1/77 Subdivision ValleyView Percolation Test__yes ~e~th Feet Soil Characteristics Perc 8 -- ,zone 10-- 12-- 14--~ 16-- 18-- Brown Silty Sand with occasional Gravel .... Bottom of Test Hole Was Ground Water Encountered? No ~?o^ ~ I¢ Yes, At what Denth? Readinq Date Gress Time 6/1/77 6/1/77 Net Time minutes ~6/1/77 I Percolation Rate 1"/40 ~H nutes Depth to H20 inches 1-3__/8 2-5/8 3-1/2 3~7/8 4-7./8 Prnnosed Installation: Seeoaoe Pit Drain Field Den. th of Inlet De[~.th To Bottom Of Pit Or CmU~ENTS 275 Square. Beet drainage - David P, aul Net Dr0n inches 1-1/4 7/8 ~ _ , 1/2__ 1/4 1/4 Trench fertified B~CONST~CTION TEST LAB Date: 6/2/77 CERTIFICATE FOR Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us ~~~~ (907) 343-7904 OF HEALTH AUTHORITY APPROVAL A SINGLE FAHILY DWELLING Parcel I.D. 015-.322-56 1. GENERAL INFORMATION HAA# 0 L~ O0 '- ExpirationDate:_~..- ~ -0 Complete legal description VALLI Location (site address or directions) CUrrent Property owner(s) Mailing address Lending agency · . Mailing address Real Estate Agent Mailing address VUE ESTATES SUBDIVISION 6240 WEST TREE DRIVE ROBIN FRIEND c/o MARGARET. GOCHE #2; LOT 22, BLOCK 2 * ANCHORA(;E, AK 99507 Day phone c/o MARGARET' GOCHE Day phone. MARGARET GOCHE W/DYNAMIC PROPERTIES Day phone (907) 261-7612 .3111 "C" STREET * ANCHORAGE, AK 9950,3 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3."' ~FYPE OF WATER SUPPLY: Indivi~lual Well Individual Water Storage · Community Class. A Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Cedificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Cedificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Cedificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified b my seal affixed hereto and as of the validation date shown below, I v investig i ed on procedures outlined in the Health Authority Approval Guideline kation, sho h ite water supply andlor wastewater disposal system is(are) safe, functr °` n a for e of bedrooms and type of structure indicated herein. I further verify that based tion obtained from the Municipality of Anchorage files and from my investigation and inspection'the o -site water supply andlor wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. ►.ice ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. _3Z Approved for bedrooms. Disapproved. 337-6179 Date 30 �� r vIt f i *. ey A. G ss: C 7953 r .`cam `Q,frofessio�__-*7o Conditional approval for bedrooms, with the fllowing stipulations: tt�tt\tn : A A. 6 /r ON-SITE �•� • air.^rrn AAlil WASTEWATER O Attachments: HAA Checklist (� Manitenance Agreements �G • C, ,I"<-l7"` Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: Original Certificate Date: (Rev. 12(01) De'scription:. , :MUnicipality of Anchorag :Development'Services Depa ftme t ..: ..... Building Safety Division '~. .; On-Site Water & Wastewater Program,' "; ': 4700 South Bragaw St. ~ : P.O. Box 196650 Anchorage, AK 99519-6650 : www.ci.anchoragmak.us , i ,.. ~ .(907) 343-7904 ':', HEALTH ' ' ' ' : ,' ,:i, AUTHORITY APPROVAL (:HECKL iST vA I~" S / # :' L T' ~ K LLI VU ESTATE -S D 2 0 ~2, LOc 2 0i5-322-36 .. A..WELl. DATA .: i.~: 'i cOMMUNITY WATER . : W~,II,:tYp. eCOMMUNrh' ,~ IfA; B, or C provide PWSID# 210605 ~: ,~ ; ~' , , , tl]~ ;, I ,,; , :,' , , ', .... ' :,. HI ~ .... Date completed "sa~itax'~b~i fY~ ' ' ' i~ ~,~'~ ~'''': ': · · '" ~ 'i ..... ~"-'~ ~, ~ · w~res prop~ny protecmd (Y/N) fl ' - :;~Casedto ': ' ~ ' , . · ' · .. ' : .:. .- . Casing,hq ght (above ground) ::~ . ~ ~ . FROMWELL'LOGt . ' ~ ' ' AT INSPECTION at~ of test · ~ ~. / . .::,~,:..~ Stati6 W~ter level ' ' ". : ' WATEF~ SAMPLE RESULTS: Coliforn~ !: ~ colonies/lO0 Ars~di'6:. !~:~.! .... Date 6fsample: '::: : . C°ll~6t~cJ by: ' .' -- :,, , ~,; ~ . . B.' SEPTIC/HOLDING TANK DATA'!' ',~ ,r ,*PER 5/30/94 ANDERSON :ENO NEER N0':LETFER Tan~ Type/Material CONCR~E ~ , . .. · , D,~ ,~;,~ ~.;,~ . ~/~ . . [,,~ . ,.~ ~ . . . ~ , ~, j ~, ~ ~ , Tao~ sl~ 1250 gal. : ' 'Number of Com~a~ments 3 r ' ~iRn~n',~;,~'i~/~iV ~ ~:. . . , ~ · ?. ....... ., --; ..... ~,~ t--,,~/ .... --~ .h.:".~j~:'.? . .-' ...' ' ~'~: '. ~ ' ..... ' ~,'~r~-,'~',:~ .-' Fo~t~ ?ean0ut (Y/N)..YES. ~ :Depression ovgr tank (~)~). NO' ~: ~ig~;~'~m (y/N) "N/A Dat~.~fi~u~mping 1/29/2004: : 'PUmPer . " : ~ . MCDONAE~ S ;PUMPING '" .C. ABSORPTION ' ' '~ ..... : ' ' '~': '~ ; FIELD DATA ' ':'; - '" '~*BELOW ~N~ ~ .... ~' '[ .'" .... ; ' ~ [ Ii ,'. I, ~ -] . ,. . . - -t. ~ ~ : . ::" ;.. :.'. ~ ~' I:1 I~ i ...... : ' ''ii ' · " - z' '~ ' ', ' ' :~ ': '. ' Dateinstaled' 6/1977 ' "Soilrating(g.p~/ft~or ' :280..~ .~: ':-. i~ ,~' i; ' ' "'' ' ~' ', i :r~t~'~pe DEEp '~. ~ .... i:',', :vwotn~'' :~ ~ J 'o ': '~ ~ ~. "'(' .Gravel belowpipe 7 ~ Total th ~ ..13.o ~. Eft. absorption a~ea:1120 ~. M0niiorin t~b~' ' .... ' ~' YES ,, ~. D~ r r ~. ,. .. g . ion over field NO '~ t ' . . ., i , . .. ,[. . I .... :: Dar( ' ,qbacy test ...1/29/2004 ~ ,: ~ ~,,~ i.~,., '. . , ,,. ~[ es~lls (Pas'~/FaiI) PASS[' :~: ';~ '~''~ :' For - 4' bedrooms in. absorption fieid before test DRYiin ' watei'added'1217[~iJ':i,;: :. Newdepth 19 in. "~' ' ' t.' : ' :" ':': :~ ": '. 'i '"i' ": ': ": ~!'::~.,i~. ' ... 10min.., :' F~nal fired de. pth, 5 in. , . ' Ab§orptioii i-~te >= 600+ · : -. :~' ': ' ': ! ',I " .. ;:.i. '" ':~' "'1:~ .g.p.d. [i '; ('n treatm(~nt (p'ast 1.~2 m°.)(Y)N:& type)..' '-'.".'NONE KN0~N : Li Ii S, give date ' - i~.i~ , . , r :,:: *.**TESTED SOUTH TI~ENCH ONLY, i" ~, ) . . .. ,f .~t, i ': :/ "' , : "'Ii EI~ Ar ' colonies/lO0 mi. D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off" in. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Manhole/Ac/fdj� High water alarm level at in. Meets alarm & circuit requirements? COMMUNITY WATER On adjacent lots On adjacen Public sewer manhole/cleanout Sewer / vice line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water service line 10'+ Surface water. 5'+ 100'+ Wells on adjacent lots Zuu + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and * 40. T... ......... ........ .0 review of Municipal records that the above systems are in ; conformance with MOA HAA guidelines in effect on this date. ffrt y A. G s. Engineer's Print d N me JEFFREY A. GARNESS Q E 7953 �p 4p�s� '•, •�c�O _o Date f 3C °rofessio�°oma �DOD'Ooa� HAA Fee $ �'o�' jJV / Waiver Fee $ Date of Payment 1[0 "1 Date of Payment Receipt Number ?? Iv Receipt Number (Rev. 12101) JftN-12-200,~ IION 04:07 PI'I F/iX NO. . P, 02 ' ' -JAN. 12. 2004.- 4:14PM'. FIRST AMERICAN TITLE 562 0540 NO. 602 P. 2 " 'l ' I .:~'- ~," - ,.'.~' .' . . i.i .':.' ._. ..... I "1'1 · "~, I ',] .." ~'r .~ '~ .". ' I ' /'~[' · ~ ~ . !' - · ' '- I J . .' .' . ' ' ' , '..., ' " ' ' . ' ' ~A~I '. '. ' , ' ~T ~ ~ ~ ~m ~ MUNICIPALIT~ OF ANCHORAGE~ DEPARTMENT OF HEALTH & HUMAN SERV. ICES Division Of Ehvi~'6nm~ntal Services ,,, On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ..... 343-4744 CERTiFI(~TE ~'~ H~L:r~I AUTHORITY APPROVAL'FO~'A sINGEEFAMILY DWELLING INFO RMATION : 'Com'plete legal description Location (site address or directions) ~, ~Z__.O ~-J ~5~' --'f'-~-a" "~/'Li~/~t~' Property owner ~\~/ ~,-~,c~r~-~ ~'~c~co (",C~O Dayphone Mailingaddress-~)~ ~-'~. \~/'-,;3~-, ,r~c~ ~ c~5~[~ Lending agency Day phone Mailing address. Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State-ADEC attest- ing to the legality and status of system. TYPE OF WAsTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide Written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front ~4OA#21 STATEMENT OF INSPECTION BY ENGINEER 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'application 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 files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system isin COmpliance With all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~JJ)6'"E_~'O,,J ~ ~,/~l~l~'"P.j~J(. Phone 5~' ~'b-I . ~:; Address '~.0, ' ' :' Engineer's signature Date DHHS SIGNATURE -~ Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: · .. Additional Comments , /' .? Date ,' ~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in Paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHHS 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 p?ofessional engineer's work: Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type ~/,'I~H Log present (Y/N) Total depth Sanitary seal (Y/N) Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) Date of test FROM WELL LOG AT INSPECTION MUNICI?ALI'iY Or AN~-.HU~'.,-'.U~: ~!',/IRONMENTAL S~.VJCES DIVISION Static water level Well flow Pump level1 g.p.m. g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main /V/~ Sewer service line ; On adjacent lots ; On adjacent lots 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 ~./7 7 Tank size ,/~ + ~.~Y~/-~. Compartments J~ Cleanouts (Y/N) ~ Foundation cleanout (Y/N) ~ Depression (Y/N) ~ High water alarm (Y/N) /~ Alarm tested (Y/N) /'J/'~ Date of pumping Z'/7"5-'/~'54 Pumper ~;~ /v'~,~. '~c)~J ~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /'///-t To property line ~./~) Surface water/drainage On adjacent lots ~//~, Foundation ~ 7I Absorption field $ ~r~ Water main/service line CONTINUED ON BACK PAGE 72-026 (3/93)* Front Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~ [ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) ~ /'7'7 Width .~ / /~Iz~ f'-~7. 'z~ Cleanout present (WN) Z/'ZZ- Z.~/C/,¢ Results (pass/fail) Gravel thickness Y _/ Soil rating (GPD/FF) ~¢0 ~=/*,'--/p".~jvt. System type 7 ~ Total depth Depression over field (Y/N) for After test If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ,~/,'~ To building foundation On adjacent lots Surface water Curtain drain On adjacent lots /',J//~ Property line /O To existing or abandoned system on lot Al lA Cutbank A/O~ ~ Water main/service line :2' :5;0 ~ Driveway, parking/vehicle storage area '7 ~ ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guldelines/n, dffe6tqn the,c~t~,o! th~s inspection. Signature Engineer's Name ~t~f~e~ ~ ~o~ Date ::2 HAA Fee $ '~--¢¢~/ 0 ¢ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment / ~_~.~ ~9 ~ ~ ) Receipt Number EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE'NOT SHOWN HEREON. AS-BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortagee's in- spection of the following described property: Recording Precinct, Alaska, and that the improve- nfs situated thereon are within the property lines and do ~ or encroach on the property lying adjacent there- that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easemente on said property except as .indicated hereon. Dated at Anchorage, Alaska this /~'Y"// day of- f:;'-~'/~'Z~:~"/-"/~-~-- 19- FRED WALATKA & ASSOCIATES Engineers and Surveyors ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 May 30, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Robbie Robinson RECEIVED MAY 3 1 1994 Municipality of Anchorage Dept, Health & Human Services Subject: Lot 22, Block 2, Valli Vue Estates Removal of Jet Aeration Unit Dear Robbie: On May 19, 1994, Old McDonald's Pumping Service placed over 1,250 gallons of water into the septic tank on Lot 22, Block 2, Vatli Vue Estates to verify its capacity. The water was then removed and hauled from the site. The attached invoice from McDonald's verifies the capacity of the tank. The jet aeration unit inside the tank was found to be totally nonfunctional. We, therefore, removed the unit completely along with a portion of the access manhole. A concrete cap was placed over the manhole entrance and secured with ram-nek mastic to prevent unauthorized intrusion. All conditions preventing Health this property have now been resolved. have additional questions or comments. Sincerely, Michael E. Anderson, P.E. Authority Approval Certification for Please let me know if you APPLICANT FILLS OUT UPPER HAr-"ONLY Pr6pertyO~v,ner Ronald & Kate Morris Phone Mailing Address 6240 West Tree (Residence acldr~es) ZipCode 349 8998 Buyer Robert and Linda Hubbell Address Brantlv Place. Anchoracfe. )5~I{ zip Code Phone Lending Institution Lomas & Nettleton - Kathy Chase Address anchoraqe Business Park Zip Code Phone Realty Co. ~A~nt Ko~i Snyde~ - To~em Realty 272 0571 Address ~724 E. 15%h A~enue, Anchorage zip Code LegalDescription LOt 22 Block 2 Valli Vue ~2 3v3' r33F Street Locati~ 6240 West Treet Type of Resi~nce ~ Single Family ~ Multiple Family No. of 8edroo~9 4 ~ Other Water Supply ~ IndividuAl /~ A~AGH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community * ~ ~:~f ¢' '~ For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility ' ~ Sewer Disposal ~ Individua~ Year Individual Installed: _ ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OOESSlNG CAN BE INITIATED. Date Date Date Date (~APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED co. mo.f .ow ' Soils Rating Date ~wer Installed Well To ~sorption Area Well Log Received 72-023 (3/~2) I ALASKA ,IUIROFImeFITAL COIqTROL ~n§in~e~in§ g ~n~i~omcnlul $1udie~ SE!l dlC $, IrlC. 5/24/83 CONNIE SNYDER 724 E. 15TH AVENUE ANCHORAGE AK 99501 SELLER- RON & KATE MORRIS SUBDIVISION-VALLIVUE #2 BLOC K-2 BUYER-ROBERT & LINDA HUBBELL LOT-22 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 1120 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 660 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 5/24/83 . SEPTIC TANK ADEQUACY THIS HOUSE HAS A PACKAGE PLANT IN LIEU OF A SEPTIC --~-~ OI~ 4/.'Y~! TANK. 1200 J]Jesl 33rd ~uer~uc, Suite J~ * J~nchor~§e,/~hska 99503 · (907) 276 1361 ALASKA ,iUIROFImeFITAL COF1TROL $1 l dlCl $. ~n~jnecrJn§ ~- (fnuironmenlol Studies May 25, 1983 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99503 Subject: Supplement on Adequacy Test Lot 22 Block 2 Valli View #2 Subdivision During the May 24, 1983 adequacy test, it was observed that the "north" trench was not utilized. Prior to testing, no fluid was evident in the standpipe. Observations were made during the test and no water was noted. Sincerely, Larry Montgomery 1200 LU~sl 33r(I Aucnug, Suite B · AncNor,~§~, Alesk,~ 99503 "' (907) 276 1361 MUNICIPALITY OF ANCHORAGE DEPT. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'Fi~ 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ,. PROPE,TYOW"E. I PROPERTY RESIDENT (If different from above) BUYER ING ADDRESS '~. LENDING INSTITUTION MAI LING ADDR ESS PHONE PHONE PHONE 4, REALTOR/AGENT MAILING ADDRESS STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One ~our [;~/'SI NG LE [] Two [] Five FAMILY [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY [~IN DIVI DUAL/ON-SITE** * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available,) , / , **If individual/on-site, give installation date~/~'~lt~ ~/~)~N ~ If system is over two (2) years old an adequacy test is requiFed 8. SEWAGE DISPOSAL SYSTEM [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010{3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED K-) INSTALLER ❑Septi Tank or ❑Holding Tank Size:- A— If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL �} 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [�' APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~-~-~HNICIPALITY OF ANCHORAGL~-~ DEPARTMEN ~F /tEAL_TH AND ENVIRONMENT~ PROTECTION 825 L Stree~ Anchorage, Alaska 99501 264-4720 Date ~xece~ved. November 2g~_1977 Time w~,~'~ - Time Time ~2: Date Date insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Pacific Bank Mailing Address: Post Office Box 420 99510 Phone: 276-3110 2. Property Owner: Mountain Enterprises Phone: Mailing Address: % Margie Lug_e_,__M_.ar__ston Realty 277-7956 Legal Description: Lot 22 Block 2 Valli Vue Estates Subdivision ~2 Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: individual well 5. Well System: Permit ~ Depth of Well Construction __~ 6. Sewage Disposal System: On-site Permit # ~k~,~,~ Installed Septic Tank Size _~.~/~1~%~+ Absorption Area ~ ~ , Soils Rate ( ) Conununity/Public System (x) Well Log on File Bacterial Analysis System (x) Public Utility ( Manufacturer ~.~=~C~ - Material ~J~ Distances: Well to Septic Tan]< to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Department of Health and Env±ronmental Request for Approval of Individual Se~Ter and Waker Facilities Legal Description: Lot 22 Block @ Valli Vue Estates Subdivision Affadavit Attached: ( ) Approved~--~ Disapproved: (~/ Letter Attached: ( ) Date: Department Worksheet: ~,~ICIPALI~Y OF ANCHORAGE Department of Health and Environmental 825 L Street, Anchorage, Alaska 279-2511, ext. 2.24, 225 ~{equest for Approval of Individual Sewer and Property Owner: Mountain Enterprises Mailing Address: PhoRo: Name of Buyer: Mailing Address: John and Ann S_n~der 3218 LaTouche, D-16, ANC Phene: _ 2~7_9_0998 (wor~) Lending Institution: ALASKA PACIFIC BANK Mailing Address: P.O. Box 420¢ ANC 99510 Dilc ne: __ 27_6-3110 Realtor/Agent: Margie Luge, Mailing Address: Marston RE 2060 Dimond Blvd. ANC Phone: 2_7]_.7956 .. Legal Description: Street Location: L22, B2, Valli Vue Estates h~it #2 West Tree Drive, ANC Single Family Residence: (X~X Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms 7. Water Supply: *Individual Well ( ) Public/Commlunlt?- Svsuem If Individual Well, well depth If Community System, name of system /XKX Sewage Disposal System: On-site System (X~ Public System If On-site System, date of installation: *NOTE: A well log ls required on ALL wells drilled s~nce 6/75. Enclosure: check for $25.00 for inspection fee. 3/77