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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 4LoT' GRF':"rER ANCHORAGE AREA BO " 'iUGH Department3330°f EnvironmentaIc Street Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION 127,4/A7 7~£Z~- '2)~, MAILING ADDRESS ~-)];-/-) 'BO-y '-/0:?-'7 PHONE LEGAL DESCRIPTION //,7'- SEPTIC TANK: ) . , :/~ ¢~ ~;~'z ' NUMBER OF DISTANCE ~ '~' ~,i%~z_A ~ ~/~'~ MATERIAL~// / /(9~7~/' COMPARTMENTS FROM WELL¢CO'/P)~'Z MANUFACTURER INSIDE LENGTH ...... INSIDE WIDTH ...... LIQUID DEPTH ...... LIQUID CAPACITY /e~¢ ~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER ---- OR WIDTH c~. LENGTH ¢~'~, DEPTH /~' L N NG MATERIAL~:]? ¢/~-~FC~t'Z/,~I~B SIZE'. DIAMETER DEPTH DISTANCE FROM: ( ~ TOTAL EFFECTIVE BUILDING FOUNDATION ~'~ ADDITIONAL ABSORPTION WELL c?Z:'''P]~/C, NEAREST LOT LINE ~-/'~ ABSORPTION AREA (WALL AREA) d~,_~?~ SQ. FT. WELL: TYPE ~//~}~/~/~/1'~/,/ CONSTRUCTION /~//~L~-~ BUILDING ~IEAREST NEAREST FOUNDATION __ LOT LINE SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TAN K SYSTEM CESSPOOL OTHER SOURCES APPROVED ~/ DISAPPROVED REMARKS. DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: DIAGRAM OF SYSTEM DATE /~C;'0 '~-~ /(~ '~'/ APPROVED /~';~,,~-~- (?- ~d'l-'~'/'~(?'£C" G.A.A.B. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT LEGAL DESCRIPTION SO~L TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT BOlL TEST 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 DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK -~ FOUNDatiON TO SeEPaGE PIT /~'~ ~ ' SEPTIC TANK TO SEEPAGE PIT WALL ~ WATER MAIN TO SEPTIC TANK .///~ DRAIN FIELD SEEPAGE AREA SIZE TYPE SEEPAGE PIT /~ 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 FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, Performed For Lenal Description: Lot ~_F~Block ~ ,,Subdivision This Korm Renorts Soils Uoq iTE$ "One test i~ worth a thousand oI~inlons" Glacior ~eav~gtag 0ate Performed Valle~ View 10/26/74 Percolation Test ~eoth Feet Soil Characteristics 1 w ~ Seepage pit inlet (actual) 2-- Mixtures of (SM) Sands & 3-- (GW - GP) Sandy Gravels 4-- through out depth of pit 5-- (rings are 9 ft. deep) 9-- $$1 Bottom of test hole Was Ground Water Encountered? NO I¢ Yes, At what Depth? [ Reading Date Gross Time Net Time Depth to H20 Net Dron I ) Percolation Rate Minute Proposed Installation: Seenaoe Pit Yes Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench CA~!~ENTS: 22~ s~. ft. drainage area required./ bedroo~ no bedrock'or water table ~ ft. below seepage pit T~+ P~mn~mam R~ Jim Mack Data Certified B~:C°nstructi°n Test Lab MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL j~ - 1 / --~.,-'~ ')~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ' (b) Applicant Name ~n~5v' ~'d~-~,-~ Telephone:Home "~"/~-/'~/~' Business ~-~/ Applicant AOd¢oss ~ ~/~/~ (c) Appli~a~t'is ~check erie): Lending Institution ~; Owner/builde~ Buyer ~; Other ~ (explain); (d) Lending I,nstitution ~'~'~,~-~'~/'~-,~ Telephone Address ~ ~' ~ ~~ (e) Rea Estate Company and Agem .~X ~~ / ~' Address ~ ~ ~ .- ~ /~. ~~. TelepnQne~ .... (f) Mail the HAA to the following address: Other TYPE OF RESIDENCE Single-Family,' Multi-Family [] Number of Bedrooms .;~ , ~i: .'" ~:' WATER SUPPLY - . Individual Well FI Communit Public [] ' , ' Note: If community well system, must have written confirmation from the State Department of En~,i[qnr~e,nt~l Conservation attesting to the legality and status. 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 72-025 (11/84) ENG NEER NG F RM PROV D As c~rtf ed by my sea afl xed hereto and as of the validat on date shown be ow, verify that my investigati~ Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and ade(~uate for the number of bedrooms and type of structure indicated herein. from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipa[ and State codes, ordinances, and regulations in effect on the date of this inspection, Name of Firm Address Date Approved for ~'~ ?~ bedrooms by Approved ,~ Disapproved Conditional Terms of Conditional Approval CAUTION The MuncipalJty of Anchorage Department of Health and Environmental Protection (DHEP) issues Health ~,uthority 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 E)HEP 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} , ,- c?,O¢'O% MUNICIPALITY OF ANCHORAGE (MOA) , ¢ AUT.O.,TY APPROVA' (.AA) t ,k,3~~ ~%¢, ~%~, I~ ~ 264-4720 Well Classificetion ~ ~ l~A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Complete~ Yield Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot TolNearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Results Comments B. SEPTiC/HOLDING TANK DATA Date installed /~/~ Standpipes (Y/N) / Air-tight Caps (Y/N) Depression over Tank (Y/N) f~/ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course. Size ,,~'~,¢'¢ y'~/ NO. of Compartments ~/' Foundation Cleanout (Y/N) Date Last Pumped /~ .,,"~, /V/ ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field /~¢"' To Stream, Pond, Lake, or Major Drainage Comments ·. Page 1 of 2. 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~'¢..¢2 To Building Foundation Lot /~/., To Water Main/Service Line ~, To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Standpipes Present (Y/N) Date of Last Adequacy Test Type of System Design Length of Field ~' ~ Depth of Field ~ ~ Gravel Bed Thickness To Property Line Za / To Existing or Abandoned System on ; On Adjoining Lots ~,¢o / ','~' TO Cutbank (if present) ~/~/~//.4¢ Comments D. LIFT STATION Date Installed /1,,///~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I~,~,.~e~e~?erified, or conformed to all M 0,0~,~ and HAA guidelines in effect on the date of this inspection. Signed-~;~~~ Date ¢'~¢//¢~ J,.~ Company,,,4~/~/,//(¢, ~'d ,~¢,~' MOA No. Receipt No. __~¢ Date of Payment Amount: $ Page 2 ol 2 72-026 (11/84) ~ DA~E RECEIVED ., , INSPECTION APPOINTMENTS TIME' ~ TIME TIME DATE DATI ~ DATE MUNICIPALITY OF ANCHORAGE ~UNICIPALI~ OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT, OF H~ALTH &  825 L Street - Anchorage, Alaska ENVIRONMENTAL F~OTECTION 99501 ) ENVIRONMENTAL SANITATION DIVISION /~U6 5 I980 Telephone 264-4720 DIRECTIONS: Complete all parts ou page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING AD DR ESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT q~ ~-~ ~ J PHONE MAILING ADDRESS /~ ~ [] Other 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOA~ ~ One ~'~Four ~ SINGLEFAMILY ~ 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 prior to that date, give well ~ PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ,j~ INDIVIDUAL/ON-SITE*~ [] PUBLIC UTILITY /<~7~-~--~YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY~EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL COMMUNITY E] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [~]INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holdin9 Tank Size: IO~) If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line NUMBEROFBEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTURER MATERIAL k~A{ ~ ' ~S~ NearestLot Septic/Holding Tan bsorption Area~'~ wet Line Line 5. COMMENTS /~'CONDITIONAL APPROVAL (letter must a~cpmpaBy certificate) DATE ~ ~ [BY~ ~ ~2[ 72-010 {Rev, 6/79) Municipality e~f Anchorage Department Health &. Envirenmental Protection 825 "L" Street Ancherage, Alaska 995L;~1 Re : Nanc:y Eason, Health Authority Approval Lot 4 Block 3 Valli Vue Estates ~.2 ( HAA ) /-~lu~]h R. Bevan F'.E. Bo:.,' 11 ~8~ Anchor'age, Alaska 99511 ?~?J7 ,~.~ 1..,8,.~ :OOT 2 7 g88 RECEIVED Application. Gent 1 emen Dur:Lr~g the per:tod Yrom Oc:tober 13 to October site investigations and absorption field teeting Approval on t. he above reYerenced l~t. 1986 I per-formed research, pursuant 'ko Health Authority I per.for"med an adequacy test on the sep'~ic system and determined that it ahser"bed a~ a fate c~f 9~-~L~ gallons per day ([~/pd). ]-his exceeds the 6~;~ gpd required -for a 4 bedroom home~ so the system ls adequate. It is my understandin~ that the referenced !~uee had been. en_~l~emedeled igto a 3 bedreefl~ FJz_'ior t~o my ~'ms'lz:iqg the system. The septic tank was pumped and the capacity was ver i'F 1ed to be I~Z~,.]~ gal 1 ons. I believe I have assembled all the in4ormation r(*quested on the IaAA Checklist and Application .For-ms. I am submit'bing this clara to you .for- your r-eview. PI. ease (zontact me if I can provide any adclitional in¥ormaiton. laugh R. Bevan P.E. Attachments: HAA Application HAA Checklist Sewer As.-built Original Soils Investigation nancy eason Municipality of Anchorage Department Health & Environmental Protection 825 "L" Street Anchorage, Alaska 99501 To whom it may concern, In reference to 10504 Maintree, this home was originally built as a 3 bedroom home. Previous o~ners remodeled the home into a 4 bedroom home. A few years ago I remodeled the home back to a 3 bedroom. Attached is my current appraisal to verify that this is a three bedroom home. If you have any questions please feel free to call me at my office 276-2761. Thankyou, REA~TOR~ ~/~ realty, inc. 1000 east dimond boulevard, suite 101 anchorage, alaska 99515 phone: (907) 522.1(~3~v Address 2600 Cordova, Suite 100' L..O~,.h~y ot C.o,~st ~.veraqe ECl u>~ ~V~ge + ~ v~, ; 5 ' 2 ' 1.7~ ~ s,,, G~ss LwJng Area 3~.0 SCl. FL 1~~ Y.. ' ~c~, Pat~ ~ ~ ~: ~ .. · E~JcJent Items ~ ~ ~ .. Nel ad (Total) ~iO~ ~ ~ C a~ < ........6m~,p .... ~.eN,gma,m ~.ange.,Oven~Oms~sal ~O~shw~her ~ Fan~o ~Compaclo~ ~Washe~ ~O~e~ ~ ~ Yrl [)l RemmlninQ E~mmlc Llle ~ e ~, [zplmln II Im m~ L~n Term OOS' ~ 008"[ 009 008 , ~ 000 ~ ~ 9~ ~ --poo'~ 8~L'~I -'lO0~,6 09~ = ;%uo~a~ ~d x '=7 /, August 28~ 1980 Mr. Peter Shaw 1050b Haintree Anchorage, AK ASI NO q1580 Re: Adequacy Test for Existing Septic System on Lot 4, Black 3, Valli Vue No. 2 Dear Mr. Shaw: At your request our office conducted a percolation adequacy test on your existing septic system at the above-referenced location during the period August 26-28, 1980. You reported that your septic system consists of 1000-gallon septic tank and seepage pit. The septic tank had not been pumped prior to the percolation test. Since the 4-bedroom house had been occupied up to the time of the test, a .normal degree of saturation within the leach field is assumed. In accordance with the Anchorage Municipal Cod~, Chapter 15.65, Waste Water Disposal Regulations, any on-site sewage disposal system "shall have adequate capacity to properly dispose of the maximum daily sewage flow." The maximum daily flow is computed at 75 gallons per capita-day (gcpd). Since "the population of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage flow for your 4-bedroom house is 600 gallons per day (gpd). To test the soil absorphibn capacity as well as the surge capability of your system~117 percent of the maximum daily Flow or 700 gallons o¢ clear water was added in 50-gallon increments to t~e seepage pit. The water was obtained from ~he community ~ter system at its maximum sustained rate of 'about 6 gallons per minute (gpm). The liquid levels were '.monitored cloJely to detee£ any backup in the septic syst'em. Mr.-Peter Shaw August 28, 1980 Page -2- The attached Table of Iest Data represents the depths of liquid in the septic tank and seepage pit, and the quan- tities of water added. The septic tank was determined to be 7.8 feet deep (bottom of tank to ground surface) with an initial depth of 4.3 feet in the tank. lhe seepage pit was measured to be 13.6 feet deep with an initial depth of 7.5 feet. Ground elevation at the septic tank standpipe is approximately 2.4 feet higher than. the seepage' pit .standpipe. The attached Summary of Test Results indicates'that the liquid level in the seepage pit at the beginning of testing on Day 2 fell to O,.O~feet below its initial static level on Day l, during a recovery peb~od of 24 hours. On Day 3, the level had fallen to .0 feet below its static level on Day 2, during a recovery period of 24 hours. The level in the seepage pit at its highest level during the test (9.3 feet) was approximately 3.2 feet below the liquid level in the septic tank. Based on two days of testing, an average percolation rate for your existing septic system of approximately 700 gpd is indicated. Since an on-site sewage disposal system For a 4-bedroom dwelling must be capable of disposing of 600 gallons, o¢ sewage per day, your septic system appears to be functioning satisfactorily at this time. Many factors a[fect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to determine actual soil absorption capabilities of your septic system under normal useage by considering the degree of saturation 'of the leach field and surge loads that might be imposed on the system. This test can only evaluate appar- ent performance at a given point in time, and cannot deter- mine either the condition of the leach field, seepage pit or other components of the septic ystem, or the depth of the water table. We appreciate the opportunity given to perform this adequacy test. If you have any questions regarding this test~ please contact this office. Very ..., ALASKA SOZLS INVESTIGATIONS , ProjecL Manager -~ e~ .,., ~.~ SDS/MK/mF Owuer: Peter & Adequacy Test for Existing Septic System R~te Shaw Address: 10504 Maintree Project No. ASI 01580 Legal Description: Lot 4, Block 3, Valli Vue No. 2 X 27 X 12' Occupied prior to test: Last pumped: Components of Septic System: 1000 gal S.T.; Pit: 26 Number of Bedrooms: 4 Yes X No__ How long vacant: NA 3une 1980 Test performed by: M. Kjelstad Water meter/S.N. 22812186 Initial Static Levels: Septic Tank 4.3' ; Seepage Pit 7.5' cone rings TEST DATA %, ::- ·' ,:,Liquid Depth, ft:* ~:-' Water Meter Time Septic Tank Seepage Pit Added, gal Reading, gal Remarks 8:50 5.9 6.8 -0- 226671 ~8~§~ 9:04 5.9 6.4 50 22717 9:13 6.1 50 22767 9~20 5.9 5.9 50 22817 9:31 5.65 50 22867 9:37 5.55 50 22917 9:47 5.45 50 22967 9:53 5.9 5.35 50 23017 10:01 5.33 50 23067 10:08 5.3 50 23117 10:15 5.25 50 23167 10:23 5.22 50 23217 10:31 5.19 50 23267 10:38 5.9 5.17 50 23317 700 Gal. 10:45 5.9 5.15 50 23367 Stop *from top of Stand}zpes Owner: Peter Shaw Project No. 01580 ~egal Description: Lot 4, Block 3, Valli Vue No. 2 TEST DATA (Cont'd) Liquid Depth, ft* Water Meter Time Septic Tank Seepage Pit Aided, gal Reading, gal Remarks Auq. 27~ 8:17 5.95 6.85 -0- 23545 stnr~me~s re2n~leWdf 8:24 6.5 50 23595 8:32 6.2 50 23645 8:40 5.95 5.95 50 23695 8:48 5.75 50 23745 8:55 5.55 50 23795 9:04 5.30 50 23845 9:11 5.25 50 2389~ 9.18 5.15 50 23945 9~26 5.10 50 23995 9:34 5.95 5.07 50 24045 9;40 5.07 50 24095 9:48 5.07 50 24145 9:55 5.05 50 24195 700 Gal 10:02 5.95 5.03 50 24245 Stop Aug. 28, 19~ 8:17 5,95 6,85 -0- Check level~ 3rd day *from top of Standpipes Page -~- No. 01580 Wtr Added, Seepage Pit Rise in Seepage Pit Rise in Septic Tank Gallons Wtr Added per Ft of Rise (gal/ft) SUMMARY OF TEST RESULTS Day 1 Day 2 700 Gal, 700 Gal. 1.65 Feet 1.82 Feet 0 0 424 Gal./ft. 385 Gal/ft Day 3 0 Gal. Recovery Time between Test (Hours) Drop in Pit during Recovery Average Rate of Fall (Ft/hr Average Absorption Rate (gal/day) 24 hrs . 24 hfs 1.7 1.82 ,07 Ft/hr .08 Ft/hr. -700 Gal./day 700 Gal./day 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Or '~'t4C~ A~g~St 6~ Z980 Pete/Rita Shaw 10504 Maintree Anchorage, Alaska 99502 Subject: Lot 4 Block 3 Valli Vue Estates Subdivision 92 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 department. (2) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for review. If there are any further questions, please call this department at 264-4720. Sincerely, ~ Robert C. Pratt, R.S. AssoCiate Specialist RPC/ljw cc: Rainier Mortgage 4797 Business Park Boulevard 99503 John Bashaw % John Manning Real Estate 1577 C Street 99503 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 5, 1977 Time of Inspection 2:/30/p.m. Date of InSpection 1-5-~ Wednesday REQUEST FOR APPROVAL OF Pr/t~ INDIVIDUAL SEWER & WATER FACILITIES ,/ FOR Conv. 1. Approval requested by: Alaska State Bank Mailing Address: 310 East Northern Lights.Blvd. Phone: 2. Property Owner: Robert A. Edgerton Phone: Mailing Address: 4525 Harvey Road, Crosy, Texas 77532 4. 'Location: Lggal Description: Lot 4 BloCk 3 Valli Vue Estates 10504 Main Tree D~ive Type of facility to be inspected Single Family Well Data: A. Type Community C. Construction Sewage Disposal System: A. Installed 1975 C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line 279-7637 No. of bedrooms 3 B. Depth D. Bacterial Analysis On-site system B. Installer 2. Manufacturer 2. Material ., Sewer Lines ., , Absorption area , Other contamination , Absorption area EQ-034 (1/74) Page 1 of two pages P~age 2 of two pages - Re'~-"st for Approval of Individual .'-'%er & Water Facilities Legal Description Lot 4 Block 3 Valli Vue Estates Comments Approved Disapproved Approval~Valid for one year from date signed Greater Anchorage Ar6a 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) GREATER ANCHORAGE ARE/, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. roperty Owner: Mailing Address:2-~ _g~ ~ ~o. ~ _D_ay Phone 3. Name of Buyer: ~c~>~_.____~ ~"~.c~_~__ ~ _ Mailing Address: ~kO~. hone 5. Name of Realtor or 2gent:~ ~~e,- Location: ~ q~) ?'> C) ~ ~- k~'~m~ _~_~ ~r- 7. Type of Facility to be inspected:~-~e_'~c~,~ No. Bdrms. 8. ~ater S~pply ~~- ~o~e~ ~e~ Utility Individual o Type of Supply: Public If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal'System Type of S~stem: Public Utility Individual If Individual, date of installation (on-site) P£1OPOSED D?/VF. LLING LOCA O,N Zt is the e~ntractor's responsibility to ohec[ Top of Fonndation' ir relationship to Finis?, Grade. Top o~ Foundat3nn as indicato..d is ont, course of block above FLaish G/mdc. I hereby certify that I have surveyed the following described property: ~(~'~ ~/z x/~'~'C'j£'~'~' C5 Anchorage Re6ording Precinct. Alaska, a,n,d that the improvemems situated thereon are within the property lines and do nol overlap or encroach on the property lying adjacent theretc, that no [mprovemcms on prop- erty lying adjacent thereto encroach on tho premises in guestion and that there are no ~'oadways, transmission hnes or other visible easements on said property except as indicated hereon. Dated a~ Anchorage, Alaska FRED W~ATI~ & ASSOC~S Engineers and Surveyors