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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 3 LT 37LL LoT' GREA, .R ANCHORAGE AREA BOR, 3GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME "T/)'~'(L ~'n'~' MAILING ADDRESS '~g-~ LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH NUMBER OF MATERIAL ~1~ ~ / COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY//<~OO GALLONS. DISTANCE FROM WELL~OI'A /~ FOUNDATION I ~..I '~' ~..~ TOTAL LENGTH NEAREST LOT LINE NUMBER OF LINEE, I DISTANCE BETWEEN LINES ABSORPTION AREA ~z~ SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE '~'' DEPTH OF FILTER ,~'~:~' MATERIAL BENEATH TILE ~r. ABOVE TILE IN, TRENCH WIDTH ~ IN. TOTAL EFFECTIVE WELL: TYPE ~"~ I~A ~/~ - CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: ~ '//~//~ b'10~" SEWER LINE DEPTH: /'~/ PIPE MATERIAL: LOT SLOPE:' REMARKS: DIAGRAM OF SYSTEM Form LQ-032 f PERHIT NO. -FI-I I..~NF L :' E:FFf' I LEGRL 1 Ii'ILEI,.. EN'i'EF..F I:~.I_E_ LONE TREE [:,R L.]:? E,--. VFILL. I ',?L.IE ,F.F E,U,s i=,~-_u,H LOT =,I4E _,:.44-i:L ,. ,. 20.C4E~E~ ~,L::!I_IFIE'.E FEET ']"~¢PE (iF .:,...EL. HE,_,U[~.E, fILIN ::,'n= ]' El ~ TRENCH MFI;:.::Ih'IUH Nt_.IflEER OF EEBF.'.UUtI_ = ]: '-]' .'-' -' ,:: 2~ g! .=,LIL. FH'flN~ FT,.."E:R)= · 'M 'THE F'E';~ IF?ED .::,I¢.E OF THE 'SOIL RE'LB-,ORF'TION =Y=]EI'I IS: II.£::, fE F" -"tF' ta .==: ::]_ ZE:': b.. t[: ~'-.] L~ I H -- '- - - nE:ii F: FII "-.o" E L E:" f=..~- F° 1"' 1-~ == THE LENGTH [:,IMENSION IS THE LENGTFI (IN FEET) OF ]'HE TRENC:H OR DRFIINFIELD. THE DEPTH O1,:' R TRENCH OR PIT IS; THE DISTFINCE BETNE:EN THE S;URFFtCE OF THEE GROUN[:, FIND ]"I4E BO]"TOM OF THE EXCRVRTION (IN FEET)· THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',/EL [:,EI,:'TH I'.2-, ]"HE MININUM [:,EF']'H OF GRFWEL BETWEEN THE OU'TFFIL. L PIPE FINE:, TBE BOTTOH OF THE EXCFIVRTION (IN FEET). ~';~:"': E] ,]%" L..~ ~ ~-'.' EEE:. __. [_ [ F :I ,~_: -f' F~ 1"-.~ 1-:-"]=. :E Z E == :1. El ~-Z, ~-Z, ,.~ ~'dt IL_ E,H...I...FILLINL4 O1,:: FIN~.r' _.,~'_,TE. ft HITHOI.JT FINFII_ INSF'ECTION RN[:, HFFE.,,HL E,-r FI.II .... E:,EI,:'RRTME'N'T HILL BE:.' .-.,UE,.JE_.t 'Tf'~ F'RO'%EE_TI]N. MINIMUM DtSTRNCE BETWEEN FI HELL FIND laN'.? ON-SITE SENRGE DISPOSFIL SYS]'EH IS; :1.0El FEE-I" F'OR R I::'RI'v'FITE 1.4EL. L OR 201:3 FEET FOR FI PUBLIC HELL S;F'EC:IF:'ICFITIONS F:IND CONSTRUCTION DtBGRBI'"I'-=J FIRE R',,,'FIILFIBLE ]"0 INS;URE F'RC~F'EF,: I NS;'I"FIL. LRT I ON. I CERT'IF"¢ 'THFI"F :1.: I RH FF:IMILIFIR WITH ]'HE REQLIIREHENTS FOR ON-SITE SE.HERS FIND HELLS RE; S;E]" F'CII.;?.TFI B"? THE NUNICIPRLIT~¢ OF RNCF'IORRGE. 2: I HILL INSTFIL. L THE ~;'¢S;TEM IN FICE:ORDI"'~NCE WITH THE CODES. 3:: i UNDERSTRN[':, THRT THE ON-SITE SEWER S"r'STEI'fl i"lR'¢ REQUIRE ENLFIRGEHENT IF THE I:4:EE;I[."ENCE IS; F.:E]"I.ODEL. ED TO INCLLI[:'E ftORE THFIN ]: BEDROOHE]. GREATER AItCIIOk/~GI: ?,I',LA I]epartmenL of nv]ronmen.a] (IL ,]ty 3330 %" Street. Anchorage, A1 as ka 99b1'~3 ,'q() II,S 1,()(iI'EI~OLA'EION Performed for Legal llescrip This form reports: Soils log z ' Perco'lation Lest Del) th Feet 1 - ~.,.~I~ 2 - .;.:m (~zp) 3 - >4L (279) 6 - m? (e~) l0 -~ 12 - ~.; (229) 13 - aY (222) Was ground water encountered? ~.~ If yes, at wi~at depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute, -Proposed insta.llation:-'~e-6~a~e Pit Drain Field I)ep[h of Inlet Depth to bottom of pit or trenci, ' COMMENTS: (6/74) Rzcnaru ~. Drab.u, P.E. Richard A. Drahn, P.E. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL~]~.~_/---.i/...~ ('~ OF ON-SiTE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include'10t, block, subdivision, section, township, range) Location (address or directions) /~-// ~/~' ~- ~.- (b) Applicant Name ~-~,E/' ,~/~/,~'~:~'~ Telephone: Home -.¢' "/¢ -~;$'¢~'~ Business Applicant A~dress /d2--II .¢~ ~"'.,2~,~~''' aZ, /¢"-t//¢/"~r ~ (c) Applicant is (check one): Lending In§titution []; Owner/builder~l~; Buyer []; Other [] (explain);. (d) Lending Institution ,A~/'J~'- ¢¢;¢'~ Telephone Address (e) (f) Real Estate Company and Agent ,/./ Address Telephone Mail the HAA to the f..o~owi~g add.ss: ¸2. TYPE OF RESIDENCE Single-Family'~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Well [] Community'~ Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental 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 72-025 (11/84) ENGINEERING FIRM PROVIDII~_ iNSPECTIONS, TESTS, FILE SEARCH, DA..4 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 files 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 ~. ~4 Telephone Address / Z...-~r.~ ~J ~. ~ /..// /:~¢-~ ~ /¢-/./'~'/~, Date DHEP APPROVAL Approved for "~J~'"~-'~ bedrooms by ~-'~''~'''~' '~' ~'~'~'~'~ Approved ~ Disapproved GonOitional Terms of Conditional Approval 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) DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 ~TEV~: coWPER~ GOVF. RNOR Telephone: (907] Address: 274-2533 DATE: 2-24-87 PWS I.D.# 210605 To Whom it May Concern: According to records On file in this office the VALLIE VUE ESTATES Water System is in compliance with the State Drinking Water Regulations Sincerely, Michael P. Lewis Environmental Engineer · NORTHLAND PUMPING 11301 WILLENE DRIVE ANCHORAGE, ALASKA 99516 SOLD TO; PHONE: 344.7146,--~,~.~. )~7.// PROJECT ~. PROJECT TIT~ INV~CE ~TE MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) .... P. AG~HECKLIST- FEBRUARY 1984 SERVICES DiViSiON 264-4720 WELL DATA Well Classification MAR ' 987 lf~A, B, C, D.E.C. Approved.~l~)'~ ~t,,J5 ~) ;FL Well Log Present (Y/N) Total Depth 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 __ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) ~ Around Wellhead (Y/N) To Adjoining Lots ; On Adjoining Lots Public Sewer on Lot Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~1) ~ Air-tight Caps(~) Depression over Tank (YN~) Pumping/Maintenance Contract on File (Y/N) / Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ,~-) ~.- ¢.- ?/,o Size /¢720 No. of Compadments ~' Foundation ~N Cleanou ) Date Last Pumped ~,-Z,-.~ ~ for Temporary Holding Tank Permit (Y/N) To Property Line To Water M~in/Service Line /0 'P ' Course To Building Foundation To Dispose! 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 ~" Type of System Design Length of Field ~'~ Depth of Field // / Gravel Bed Thickness --~ ¢~ Standpipes Presen~'Y~N) Date of Last Adequacy Test Square Feet of Absorption Area Depression over Field Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well 2~.¢,-"o ~ To Property Line To Building Foundation /O" ./- To Existing or Abandoned System on Lot ; On Adjoining Lots To Water Main/Service Line /o ./ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /~ To Driveway, Parking Area, or Vehicle Storage Area /o / .~ Comments D. LIFT STATION Date I nst~la te4~ / Dimensions Size in Gal,l, ons '"~'"'-~_ .~fl/..~ Manhole/Access (Y/N) "Pump On Level at '"'~'~_~"~/"~ "Pump O,," Level at High Water Alarm Level at ~"~_ Vent (Y/N) . ;~fcf~ rc o~s~ s ( ~N~ ~C_ycles during Adequacy Test. Meets MOA Comments ~_~. ** Check Permitted Bedroom Rating Against HAA Request ** or conformed to all MOA and HAA guidelines in effect on the date of this inspection. I certify that I h a.~.~ che/j;ked, v'/erified, Signed ~'~/~'- (/~ ~//-'"'~'~ Date Company ,/¢-~'~' .5 MOA No. Receipt No. ,¢~ O 0 / - O0 ./'O Date of Payment 3 ' %/--~¢'7 Amount: $ //~'2 0 ~ Page 2 of 2