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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 4OMunicipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211085 I PID Number: 015-341-28 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name VIVIAN S TOKAR ABSORPTION FIELD ❑Deep Trench Q Wide Trench ❑Bed ❑Mound Site Address 10301 LONE TREE DRIVE, ANCHORAGE, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 907-244-9314 3 0.8 GPD/SF JTotal 10.0 / 7.8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 7.0/4.8 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot VALLI VUE ESTATES SUB #2 3 40 Fill added above original grade 1.0/0.2 Ft. Gravel length 6 8. 0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines NIA Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station � Tank Line 586.2 Ftz 1 N/A Ft. Well >100' >100' N/A N/A >25 TANK ulseptic ❑ S.T.E.P. ❑ Holding []Other Manufacturer GREER Capacity 1000 Gal. Surface Water >100' >100' N/A N/A Material PLASTIC Number of compartments 2 Lot Line >5' >1 0' N/A N/A NA Foundation >10' >10' N/A N/A TATION Manufacturer Capacity Gal. Remarks Alarm location Electric lied by PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Installer WILCO CONSTRUCTION Drainfield D3034 Co/MTD3034 Inspector L.TIDWELL/J. MILLETTE BENCH MARK (Assumed elevation) 100 ft Inspection 151 5/5/21 5/6/21 Location and description dates: 2°d CONCRETE SLAB AT FRON DOOR 3ftl 5/7/21 41h 5/7/21 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp N. Conditional Approval: Date 10.11 co 49 Benjarriqi�chiller ��'s�F9 07/27/292 Septic System Approved Date % f 0.2 pROFESS10NP Note: this approval does not include well permit requirements. (Kev Ub/02/16) 554552550548546 556546548542540 544538540542ADJACENT SEPTIC AREA FCO 1"=30' 68' LONG x 5' WIDE, 3' EFFECTIVE DEPTH ABSORPTION TRENCH 3-BDRM HOME 1000-GAL SEPTIC TANK w/ 20" MANWAY CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE DV - DIVERTER VALVE TH - TEST HOLE LEGEND PERMIT # OSP211085 PID # 015-341-28 VALLI VUE ESTATES SUB #2, BLOCK 3 LOT 40 A B FCO 15.6 MH1 20.9 SV2 23.9 A B C C 43.2 45.0 46.6 2CO 25.4 DV1 26.3 MT1 34.1 47.7 49.7 73.3 CO1 35.6 72.0 64.1 66.0LONE TREE DRIVEFEET 0 30 60 5/12/21 CO CO MT TH#1 2CO DV1 10' U T I L I T Y E A S E M E N T 10' UTILITY EASEMENTEXISTING FIELD TO REMAIN INTACT FOR FUTURE USE ADJACENT SEPTIC AREA WATERLINE ENTERS HOME ON NORTH SIDE UNDER GARAGE MT PLAN AS-BUILT MT2 37.424.1 CO2 38.523.1 SV1 MH1 PROFILE AS-BUILT (NO SCALE) 95.5 91.1 96.0 101.2FCOMH1 SV11000 GAL SEPTIC TANK 99.2 FINISH GRADE 68' DRAINFIELD ROCKMT1 TH#1NO GROUNDWATER 3/23/21 91.2 94.2 CO1CO285.2 91.2 94.2 101.2 ORIGINAL GRADE MT22CO95.3 PERMIT # OSP211085 PID # 015-341-28 VALLI VUE ESTATES SUB #2, BLOCK 3 LOT 40 99.0 ORIGINAL GRADE 102.2 FINISH GRADE 7/21/21 13%R=320.00'L=64.60'S02° 59' 45"E29.95S03° 43' 13"W 76.07'N79° 01' 36"W 185.20'N22° 32' 18"E 72.00'S67° 27' 42"E 150.49' SHED 60.3'30.2'65.1'36.1'30.2'58.2'22.0'8.0' 22.2' GAS GAS GAS GAS GAS GAS GAS GAS GAS GAS GASGASGASGAS ELECTRIC 10' UTILITY EASEMENT 10' UTILITY EASEMENTEXISTING HOUSELONE TREE DRIVE30' 30' LOT 40 LOT 41 LOT 39 LOT 8 LOT 7 LOT 9 E E E E XX X X XX X X XXXXCLEAN OUT (4)CLEAN OUT (7) NEW FENCE SEPTIC TANK ACCESS LOT 40, BLOCK 3, VALLI VUE ESTATES NO.2 AS-BUILT SEPTIC STANDPIPE WATER WELL FENCE Asphalt Concrete Overhang Wood Deck LEGEND: NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. DRAWN DATE: DRAWN BY: SCALE: CHECKED BY: 5/26/2021 SC AP/ADS/SC 1" = 30' PLAT: WORK ORDER: 21016 77-296 FB/PG: 821/16 GRID: SW2538 LEGAL DESCRIPTION: ORDERED BY: VIVIAN TOKAR SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED. EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT-PLAN PURPOSES. 250 H StreetAnchorage, Alaska 99501 Survey Department Phone 562-5291 Mainline Phone 243-8985 AECC 668 PARCEL #: 015-341-28-000 ADDRESS: 10301 LONE TREE DR. FB/PG: 820/12 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211085 Work Type: Septic Upgrade Tax Code Number: 01534128000 Site Legal Address: VALLI VUE ESTATES #2 BLK 3 LT 40 G:2538 Site Mailing Address: 10301 LONE TREE DR, Anchorage Owner: TOKAR VIVIAN S Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 1 t�lS i7 ( i� Depai• tnient 3/26/2021 3/26/2022 20095 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing ('�i 1- hZ k'ncv ►)ee.dcd Special Provisions: Aportion of the proposed absorption field is outside the 30 ft radius of the percolation test. An additional perc test is required at time of construction. If results require a design change, construction shall stop pending review and approval of a change order. Please submit results with the inspection report (or change order, if required). I I 0,0 Re -V 1 Se dra.�,►,-�,�-ex9' Received By: Date: Issued By: __ Date: 3 2 6 2 0 2% 3 �- Municipality of Anchorage !)�purnunt P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Degartment On -Site Water and Wastewater Section Waiver#: OSV211019 COSA#: Permit#:OSP211085 PID#: 015-341-28 Legal Description: Valli Vue Estates #2 Block 3 Lot 40 Engineer: Forge Engineering Applicant: Vivian Tokar Your request for a waiver of the requirement to install the absorption field parallel to slope contours has been approved. See engineer's waiver request and slope alignment drawing for justifications. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all code requirements be met or another approval from this department. ■mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm■■mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmaI Waiver is Granted: X Waiver is not Granted: Date: qflM, a/ao,� 1 _ Approved by: _ M C"o-A Name of Reviewer mmammmmmmmmmmmmmmmmmmmvmmmmmmmmmmmmsmmmmmmmmmmmmmmmmmmmmmmmvmmmmmmmmmmmmmmmmmv� UNIM ALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-341-28 Property owner(s) Vivian S Tokar Day phone 244-9314 Mailing address 10301 Lone Tree Drive, Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Vallie Vue Estates Sub #2 B3 L40 Legal description (Township, Range & Section) Lot Size 20,095 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) IN (w/wo ADU) Septic Tank 1ZUpgrade ❑X Duplex ElHolding (D) Tank F-1Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: i 21tl Per RQAc'k c, dk� ' - o S ko f e - CO `s A Distance: WA I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: *5 5 Waiver Fees: 0225 . Date of Payment: 3 - 2 6-21 Date of Payment: q/6420; Receipt Number: (9(9 1-RO Receipt Number: Permit No. DSP ZI 1085 Waiver No. OSV 2110 l`� Permit App_'.:- :- :'-.,:c V r PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVII.COM April 2, 2021 Aw MOA Development Services, On -Site Water & Wastewater Program49 TH 4700 Elmore Rd Anchorage, AK 99507 ... ......... �. Benje In Schiller CE 4i ?5s2���,� Subject: Valli Vue Estates Sub #2, Block 3 Lot 40 — Lone Tree Drive Septic system design Dear On -Site Services Engineer: We have received a new survey with updated existing septic pipe locations that interfere with the previously permitted design. Therefore, we are submitting this change order application for the redesign of the permitted septic system for the subject lot. The attached site plan shows the updated existing and proposed septic location. No conflicts exist between this proposed system or any other septic system, whether on this lot or adjacent lots. The slopes on the lot are around or under 15%. We are proposing a new septic system just south of the existing septic trench. Contours are shown on the site plan showing the grade and direction of flow. There are no slopes greater than 25% within 50' of this proposed system. Stormwater drainage will not impact this septic system. Due to lack of available space the new trench will be constricted against the contours as shown on the attached plan. The total drop in elevation of original grade from one end of the proposed trench to the other is 4'. We request a slope waiver for the proposed location of the new trench. Please see sectional drawing for justification. Please refer to the attached slope cross section drawing, plan and profile pages for the septic design details. If this design is followed, there will be no adverse impacts to adjacent properties, groundwater or otherwise. Sincerely, Benjamin Schiller, PE March 25, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 3/25/21 Subject: Valli Vue Estates Sub #2, Block 3 Lot 40 – Lone Tree Drive Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic system that has reached the end of its life, so we are submitting this permit application for the construction of a new trench and septic tank. The attached site plan identifies the location of the home as well as the existing and proposed septic location. No conflicts exist between this proposed system or any other septic system, whether on this lot or adjacent lots. A test hole and two perk tests were performed on the property for the septic design. 7’ of GP gravel was encountered that perked under 1 MPI. Below the GP was much siltier gravel that perked at 5.4 MPI. A large portion of the proposed trench will be within this GP layer, but since the silty gravel below the GP perks at a much slower rate, we expect no adverse impacts on wells or ground water due to effluent contamination. The slopes on the lot are around or under 15%. We are proposing a new septic system just south of the existing septic trench. Contours are shown on the site plan showing the grade and direction of flow. There are no slopes greater than 25% within 50’ of this proposed system. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. This lot and adjacent lots are served by a community well that is located greater than 200’ from the property. The new system will be a minimum of 100’ from all surface water, and more than 16’ away from the existing trench. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211085, Rebecca Carroll, 03/26/21 VALLI VUE ESTATES SUB #2, BLOCK 3 LOT 40 LOT 9 r' / LOTf,r 39 ADJACENT SEPTIC AREA ---- A� /0 ENTERS/ WATERLINE, ENTERS/ a. HOME ON NORTH SIDE UNDER GARAGE DECOMMISSION EXISTING t / 3-BDRM HOME SEPTIC TANK PER UPC C/) I NEW I'000-GAL SEPTIC < F,TANK W/ 2&'­MA-NWAY / rr f' r MAINTAIN 10' MIN FROM tj FCO j FOUNDATION & 5' FROM LOT 8 EXISTING FIELD LOT 4(P11 DV/ MT NIT TH#1 CO EXISTING FIELD I TO REMAIN —>1 0' INTACT FOR — FUTURE USE 68' LONG x 5' WIDE, 3' EFFECTIVE DEPTH ABSORPTION TRENCH LOT 41 LOT 7 ADJACENT SEPTIC AREA NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM LEGEND CO - CLEANOUT C' TH THIS LOT AND SURROUNDING LOTS ARE SERVED BY A COMMUNITY 2C0 - DOUBLE CLEANOUT WELL. NO CONFLICTS WITH SEPTIC SYSTEMS. FCO - FOUNDATION CLEANOUT . ....... ... FLOW SPLITTER VALVE FS B �"n MH - MANHOLE e ja Schiller 0 30 60 CE 12592 MT - MONITORING TUBE 4/2/21 him hm FEET ROFESSI�NADV - DIVERTER VALVE 1"=30' TH -TEST HOLE VALLI VUE ESTATES SUB #2, BLOCK 3 LOT 4.0 W1 DESIGN FACTORS: 450 GPD PEAK FLOW PERK RATE: 5.4 MIN/IN APPLICATION RATE: 0.8 GPD/SF SYSTEM REQUIREMENTS: 5' -WIDE TRENCH SYSTEM 1000 -GAL SEPTIC TANK w/ 20" MANWAY 450 GPD / 0.8 GPD/SF /5' WIDE * 0.58 RED FACTOR = 65.6 LF TRENCH REQUIRED (68 LF SPECIFIED) BOTTOM OF TRENCH: 10' BELOW GRADE @ HIGHEST POINT FLOW LINE ELEVATION: T BELOW GRADE @ HIGHEST POINT TOP OF TRENCH: 6" ABOVE GRADE (SEE SLOPE CROSS SECTION) ERFORATED PVC LES DOWN) INFIELD ROCK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY i E N G I N E E R I N Gi i ofs���# 49 TH Benja in Schiller �F CE 125923/3` LO LO LO LO LO LO LO U QNi03 INr O Lo w C'7 z w - �.. - LO l � C) oO J W W Q LL m O J U o W It - O N W LO _... - vJ > Cl) l#Hl �' Lt. ui N - ui k `Mv 4 W j 3`x W z _.. ,........... __...... .� ...... ..'i ._...__, .._ O 3 � 1W Y 00 w z O Lt) LO O Cl) O LC) LC) LCi Lf) LC) LC) Lf) 'r: LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) J. MILLETTE DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH?- 5.4 6 7.5 8.5 3/15/21 1 2 3 GM (FINE SILTY SANDY GRAVEL 4" MINUS) Professional Engineers Stamp: NO NONE 3/23/21 VALLI VUE ESTATES SUB #2 B3 L40 3/15/21 015-341-28 BRANDON TOKAR 12:451 2 3 3 0 16 / 8 10 16 1:18 1:50 1' OB 30 GP (POORLY GRADED GRAVEL 12" MINUS) 30 30 5 10 16 3 0 16 / 8 9 16 5 9 16 3 0 16 / 8 9 16 5 9 16 3/24/21 PT #2: <1 MPI PT #1: 5.4 MPI BOTH PERK TESTS WERE DONE IN THE SAME TEST HOLE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211085, Rebecca Carroll, 03/26/21 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: PERC TEST 2 SLOPE SLOPE SITE PLAN DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) J. MILLETTE DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING: IF YES @ WHAT DEPTH? <1 6 4 5 3/15/21 1 2 3 Professional Engineers Stamp: VALLI VUE ESTATES SUB #2 B3 L40 3/15/21 015-341-28 BRANDON TOKAR 12:551 2 3 0 0 16 / 6 0 16 12:59 1:03 2:10 2:21 2:15 6 0 16 3/24/21 4 1:06 5 1:10 6 1:14 2:19 2:15 2:10 0 0 16 / 6 0 16 6 0 16 0 0 16 / 6 0 16 6 0 16 0 0 16 / 6 0 16 6 0 16 0 0 16 / 6 0 16 6 0 16 0 0 16 / 6 0 16 6 0 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211085, Rebecca Carroll, 03/26/21 13%R=320.00'L=64.60'S02° 59' 45"E 29.95'S03° 43' 13"W 76.07'N79° 01' 36"W 185.20'N22° 32' 18"E 72.00'S67° 27' 42"E 150.49' SHED (2) CO 60.3'30.2'65.1'36.1'30.2'58.2'22.0'8.0' 22.2' GAS GAS GAS GAS GAS GAS GAS GAS GASGAS ELECTRIC EXISTING HOUSELONE TREE DRIVE30' 30' LOT 40 LOT 41 LOT 39 LOT 8 LOT 7 LOT 9 E E E E E E E 5545525 5 0548546 55654654854254035.5'10' UTILITY EASEMENT 10' UTILITY EASEMENT544544538540542SEPTIC TANK ACCESS TEST HOLE LOT 40, BLOCK 3, VALLI VUE ESTATES NO.2 AS-BUILT SEPTIC STANDPIPE FENCE Asphalt Concrete Overhang Wood Deck LEGEND: NOTES: 1. THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. 2. BASIS OF ELEVATION DATA IS MOA GAAB 72. DRAWN DATE: DRAWN BY: SCALE: CHECKED BY: 3/30/2021 SC AP/SC 1" = 30' PLAT: WORK ORDER: 21016 77-296 FB/PG: 821/12 GRID: SW2538 REF: N/A LEGAL DESCRIPTION: ORDERED BY: VIVIAN TOKAR SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED. EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT-PLAN PURPOSES. 250 H StreetAnchorage, Alaska 99501 Survey Department Phone 562-5291 Mainline Phone 243-8985 AECC 668 PARCEL #: 015-341-28-000 ADDRESS: 10301 LONE TREE DR. GRE/" ANCHORAGE AREA BO£ JGH · ·' '- Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~/'~//I~//L~(~/-~I MAILING ADDRESS .-~.0 / q. S~. ~(.,~.L~/) PHONE~').'7~7 ~('..~-O LOCATION ~..~ ~.0 }~.~.~' SEPTIC TANK: DISTANCE FROM WELL'~ ~4 ti~ INSIDE LENGTH MANU FACTU RER L_~ INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY /000 GALLONS· SEEPAGE I~T~ ~i~{~Ln~f NUMBER OF Pits . DIAMETER __ . OR WIDTH LENGTH DEPTH LINING MATERIAL CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL ,~l TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE __ ABSORPTION AREA ADDITIONAL ABSORPTION '~'/t~-~,.~ ~:~..~ ~,~,~ ~, ~~ TYPE~ F~ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION __ LOT LINE SEWER LINE TANK ~ , SYSTEM SQ, FT. CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: LOT SLOPE: ~.~Q~0~ REMARKS: Form No. EO-031 DATE DIAGRAM Of SYSTEM APPROVED (-~ G.A.A.B. L.EJ3RL H R R ',,,' E L_.~L E ,." H R Fd:~ I S~ L()I'4ETREE I)F:: I VE E,.:~. VFIL. LI _E EST L. 4EI "=' ~ 't I" 2!:36~FJEI '..:;.,L:.!I._IFIRE FEET ')F _-.,1_ IL HE,_,_I~.E,F:[Ui'4 --,~-:, Eli I=,. ~...,L, F'F,'"E~R::'= .L... · .,.,:,-" , .... :;ZIL RFf'FING HUH .JUl k.,ER OF BEDRI31]Mc; = -"* .- 'iHE RLmiCLIiRED SIZE OF I'HE SOIL. FtEiSORPI'ION SYSTEM IS: 'IHE LENG'FH [:,IHENSION ):S THE LENG'rH (IN FEET) OF THE ]'RENCH OR THE DEPTH OF R ]'RENCH OR P~'t ZS THE D~sTRNcE BETWEEN THE: SURFFtCE: OF' THE GROONC, RN[:, THE BOTTOH OF ]HE EXCRVRTZON (IN FEET). 'IHERE IS NO SET NZDTH FOR TRENCHES. ~HE ORRVEL [)EPTH iS THE HZNiHUM DEPTH OF' GRFIVEL BETWEEN ]'HE OUTFRLL P~PE ~NL:, THE E~O'FTOH OF THE EXCR',,,'RTZON (ZN F'EET). BRCI.qE:[LLINC~ OF RN'¢ S'¢STEH WITHOUT F'~NRL iNSPECTION RN[:, RF'PROVRt- BY THIS D, EPRR'TMENT WiLL BE SIJBJECT TO PROSECUTION. HINIMUM i)ZS"i'RNCE BETWEEN R WELL. RN[:, RNY ON-SITE SEWRGE [:,ISPOSRL S'¢STEH FEE]' FOR ~ PRIVRTE NELL OR 2(~(t FEET FOR R PUBLIC NELL. SPECZFZCRf'ZC~NS RND CONSTRUC]'ION [:,IRGRRMS RRE R',/RILRBLE ]-0 INSIJRE PROPER NSTFILL_RT i Of'~. :[ CE~:"I ]* F"T' 'rI'HI;:~T ::., E. I · 1_: 1 Fti'"i F:'FIH)~LiFIR WI:TH THE REL::!I.JIREMENTS FOR ON-SITE _,E!4ER.., FIND I-,~EL. L5; RS FIZI~:'IH B"r' THE ~'lt.f.,II .IFHLT F~ OF HNC. HU[4H.~E. 2:: I WiLL tNSTFILL ]'HE :,¢SlEi'l IN RCCORE:'FINC:E WITH "i"HE L. uE.E_,. ................ , - . _,: .... -, ,,' ........ , ' 'lnllIRE ENLRRGEMENT IF THE: <: I UI4DEF..= I-NL. THRT THE LN _,~IE SEWER _-,~=,]EII MR'¢ RE.~_ '..~ RESIE:,ENCE :IS REMO£:,ELEE:' TO ~NCL~ MORE 'H-4FtN 2: BEDROOHS. ........ FIF'PL I CF:IN]' H Fi R',/E~L L E ,.-" H R R F.. ~ S O N .[_-,.:,LI[~[. [[~,'~-~ J- ~$--~- [,H I ~. Performed Leaal ~escri~tion: Lot 40 Block 3 This Form Renorts Soils LoQ yes "On~ ~ is ~h · ~h~sand o?inlons" 2204 Cleveland Anchorage, Alaska 99503 For Harvelle/Harrison Date Performed 6/15/76 Subdivision Valli-Vue Estates Percolation Test ~eoth Feet T~p~ll Soil Characteristics Sandy Gravel (GP - GW) 8-- 10-- 12-- Silty Sandy Gravel (GP - GM) 18 20-- Silty Gravelly Sand so.tom of 'l'es5 hole Was Ground Water Encountered? I~ Yes, At what Denth? No Readinq Date Gross Time Net Time Depth to H20 Net Droo I ~ Percolation Rate !iinute Proposed Installation: SeenaQe Pit Drain Field De~th of Inlet Depth To Bottom Of Pit Or Trench C~HENTS: 115 $~are Beet drainage area req~±~eO per bedroom, ~o ground Water or bedrock encountered. Test Performed Data Certified B~:CONSTRUCTION T$~B Date: ~__ ~i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner ,~"; ¢' ~eb /-e Telephone: Home '~ 5/~'- ~7~"0 Business Mailing Address 10301 ~oaZ ~ De. ~ ~n c4or~ , (c) Lending Institution ~AC ~o~ Telephone Mailing Address 7~ ( ~, ~r ~ ~r~¢ (d) Real Estate Company and Agent ~¢/~x Feo~ ~C~I~M ~ C Address ~00 ~r~o~ ~ ~om~e ~ Telephone ~ 7 ¢ - ~ 7¢/ (e) Mail the HAA to the fol]owine address: or: Check here ~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family [] Number of Bedrooms WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written conf rmat on from the State Department of Environmental 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 fRev 8/865 Front NOI.LnYO IBUOB!puoo le^oJddv leUOp, ipuoo lo swJaJ. pe^oJddesi~ /K/' pe^oJddv Xq smooJpaq ~ Jo} pe^oJddv ']¥AOHdd¥ SHHO '9 · uo!~oedsu! s!qI 1o e]~p uo loaj,ta u! suo!iBin6aJ pub 'saoueu!pJo '$epoo a1BiS pus IBd!o!un[AI lib q~!~ eoUB!ldtUoo u! s! LUe~,S,~S IBsods!p Jo/puB ,41ddns Je].B~ al!a-uo sql 'uop, oedsu! pub uo!leSp, sa^u! ,~tu ~oJj pUB Sal!l eSeJoqouv }o X~!lBd!o!un~ aql moat pau!Blqo uo!1euJJo~u! eq~ uo pesBq ~eq~ ,~1pe^ JeLiiJnl I 'u!eJeq paieo!pu! aJnionJ;is ~o adA~ pub scuoo]paq a1BnbapB pus leUO!lounl 'aIBs s. uJelSAS iBsods.p JaSe,~e~sB~ lo/puB Alddns Je~e~ alls-uo sql ],eq], s~oqs B^o~ddv A],uoq nv q~leaH s!q~ lo uo!ieS!isa^u! ~t.u IBq] AH]a^ I 't~olaq u~oqs alep uo ],ep et, aq~ lo se pub o~eJeq pax!lie IBaS A~U Aq pa!}!iJao sV NOI.L¥1Nt:IOJNI (]NV VJ.'¢O 'HOIJV;3S =111=1 'S.LS;]J. 'SNOIJ. O~]dSNI 9NIOIAOI:Id .g WELL DATA Well Classification Well Log Present (Y/N) MUNICIPALITY OF ANCHORAGE (MOA) HEAL~ AUTHORITY APPROVAL (HAA) · cAOt~..,~.~.KLIST- FEBRUARY 1984 '{ 0~ ~ 9\''1'''5''''~' 264-4744 ¢~'~ ~%~'tN ,,. Legal Description: ,L. o 'f ¥0,, ~ %~¢~' If A, B, C, D.E.C. Approved (Y/N) Date Completed 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 To Nearest Public Sewer Line 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 Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ ~ To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA 6'/ e9/7~' Size Air-tight Caps (Y/N) Date Installed Standpipes (Y/N) Depression over Tank (Y/N) N Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~> 7co ~ To Property Line ~ 1 .~ ' TO Water Main/Service Line ~ to ' No. of Compartments }/ Foundation Cleanout (Y/N) Date Last Pumped ~/z~(87 N,A'- ;for ~ ,~- Temporary Holding Tank Permit (Y/N) To Building Foundation 8 ' To Disposal Field /~' ' To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026 fRev 81861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ / 89/7¢ Width of Field ~' Square Feet of Absorption Area ff~'~ Depression over Field (Y/N) N Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~ ~oo' To Building Foundation Lot N, .4., To Water Main/Service Line > To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments f~5' ~/~¢'-'~ Type of System Design Length of Field Depth of Field I 8 Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Properly Line ~" lo ' To Existing or Abandoned System on ; On Adjoining Lots ~ 5'~ ~ To Cutbank (if present) N,,4, D. LIFT STATION el,& . Date Installed 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 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date MOA No. Signed -T~ ~o~r~, Company ~/rz/¢¢ Receipt No._ Date of Payment Amount: $ Page 2 of 2 72-026 fRev 8/861 Back DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 STEVE COWPER~ GOVERNOR 7'elephone: (907) Address: 274-2533 To Whom it May Concern: According to records on file in this office the ///~//~ ~//~ / ~J'~/~¢~ Water System is in compliance with the State Drinking Water Regulations Sincerely, :)ATE RECEIVED 5 INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR~ I , MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &  825 L Street - Anchorage, Alaska 99501 APR 0 1981 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL ~ATER AND SE~ER FACILITIES DIREOTION~: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. 1. PROPE TYOWNER J PHONE MAILING ADDRESS PROPERTY RESIDENT (If different ~rom above] PHONE MAI LING ADDR ESS M~ILING ADDRESS 4. REALTOR/AGENT . ~ · PHONE MAIL~NG ADDRESS / - ' / 5. LEGAL DESCRIPTION Z,/ 40, STREET LOCA"FI ON 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] Other ~, SINGLE FAMILY [] Two [] Five [~ MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY [] {NDIVIDUAL* w 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 blSPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** 17~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~.~o' Connection Verified - INSTALLER []Septic Tar~ or [] Holding Tank Size: ~ (~hO If Tank is homemade SOILS RATING give dimensions: '/ ( 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 ~Y 72 O10 (Rev. 6/79) D~.e Hopkins D~nic Realty 501W. Northern Lights Blvd. Anchorage, Ak. 99503 Tobben Spur land P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 May 10. 1981 ADEQUACY TEST Legal; Lot 40, Block 3, Valli Vue Estate Location: 10301Lonetree Verrette Residence~ Two storey, three bedrooms, slab on grade foundation ~ter~ Community System CAU From Municipal records: Teak: 1~00 gs&., steel, 2 compartments Absorption System~ Trench, 29 feet long, 8 feet of gravel Absorption area: 464 sq. ft. Soil Rating: 115 Inst-ollation Date: June !~76 Date of Test: May 6th, 1981 Test Procedure: System was inspected and pumped on April 28th. A 6-inch s~p is 12.0 feet below ground with 3.5 feet of stick up. A water depth of 35 inches was measured in the sump.A 4-inch combo cleanout is inst'~lled between tank and trench° Combo is 7°5 feet below ground. No water. On April 29th water was introduced into the sump. Flow into the tank was noticed Damediately and dumping stopped. On May 6th, water was discharged into the system via She 6-inch sump at a rate of 4°5 gslo per min. The following measurements of the liquid depth in the tank were taken. Tobben Spurkland P,E. Liquid Volume Depth in tank 11:10 4~ 11:30 9© 48~ 11:40 135 48~ 11:50 180 48~2 12~00 225 48~ 12:10 270 48~ 12:20 315 48~ 12:30 360 48~ 12~40 405 48~2 12:50 450 48~ End discharge The toilet was flushed end the dischs~ge could be heard in the tank. Test Result~ This system was installed with an ~nperforated 6-inch s~p, the drainpipe may h~ve been installed with the drainhole~ Upo There is no practical way to measure the liquid depth in the trench. This system accepted 450 gallons in a time period of 100 minutes without any sign of backup in the tank. 825 "L" S-FREET ANCFIORAGE, ALASI<A 99501 (907) 264-411I GEORGE M. SULLIVAN, lvlAYOR April 23, 1981 Richard/Sharon Verrette Post Office Box 29R Anchorage, Alaska 99510 Subject: Lot 40 Block 3 Valli Vue Estates Subdivision Approval for the 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 office. ~2 (2) An adequacy test needs to 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 office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska % Sue Benedetti. Pouch 7-025 99510 Dale Hopkins % Dynamic Realty 501 West Northern Lights Boulevard 99503 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DFpT. OF H:ALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P,;O [~CTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 FEB 1 2 979 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10} days for processing. 1. PROPERTY OWNER PHONE Ronald R./Karen A. Buser 243-4332 MAILING ADDRESS Star Route A Box 29.~R 99507 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS PHONE 4. REALTOR/AGENT Jori C. Dawson, Jack White Company MAILING ADDRESS 3201 C Street 99503 5. LEGAL DESCRIPTION Lot 40 Block 3 Valli Vue Estates Subdivision ~2 STREET LOCATION 10301 Lone Tree Drive 99507 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 SYSTEN INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY '*If individual/on-site, give installation date 19 7 6 If system ~s 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) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR TNSP ECTOR 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 DATE DRILLED [] PUBLIC UTi LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~INDIVIDUAL/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 TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank · Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line ~ CONDITIONAL APPROVAL (letter m~y certi~te) ~DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) 3330 GREATER ANCHORAGE AREA BOROUGH_. Department of Environmental Qual i ~v~NICIPALllY OF ANCHORAGE "C" St., Anchorage, Alaska 99503 -~7~4. Sc~I]~ALTH& ]ENVIRONMENTAL [~0 ~ EcTION REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: Ronald R. and Karen A. Buser FEB 1 1979 REC.E! ED CONV ><~ Maiqin9 Address: SRA Box 29-R, Anchorage 99507 Day Phone. 243-4332 3. Name of Buyer: None yet Mailing Address': N/A 4. Name of Lending Institution: N/A Day Phone o Mailing Address: N/A Phone Name of Realtor or.Agent: Jon C. Dawson, Assoc~ Broke~, Jack White Company Mailing Address: 3201 "C" St., Anchorage, 99503phone 277-1553 6. Legal Description: Lot 40, Block 3, Valli rue Estates #2 k0cati0n: 10301 Lone Tree Drive, off Main Tree, off O'Malley Road 7. Type of Facility to 8. Water Supply Type of Supply: If Individual, If Individual, 9. Sewage Disposal System be inspected: Public Utility Single family No. Bdrms. 3 Conmlunity Individual number of dwellings presently served depth of well Unknown Type of System: Public Utility If Individual, date of installation X .Unknown, but many Individual (on-site) x 1976 EQ-037 (~/74) Fabruary 14, 1979 Ronald R./Kareu A. Buser Star Route A Box 29~.R Anchorage~ Alaska 99507 Subjects Lot 40 Block 3 Valli Vue Estates S%%bdivision ~2 Approval for your individual sewer and water facilities will not be granted until the following items have been completed: (1) The septic tank is pumped with a receipt submitted to this office. (2) A four(4) inch cast iron cleanout be installed to the septic tank. Notify this department for a re~-inspection when descrepancies t%ave been corrected. If there are any further questions~ please contact this office at 264--4720. Sincerely~ Robert C. Pratt~ R.S~ Associate Specialist RCP/lJw CC: Jon C. Dawson Jack %~tte Company 3201 C Street 99503 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 18 t 1977 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. l. Approval requested by: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 2. Property 0wner: Roger Bates % Debbie Johnson Phone: 274-3561 x 216 Phone: 277-1553 Mailing Address: 10301 Lone Tree 3. Legal Description: Lot 40 Block 3 Valli Vue Estates 4. Location: 10301 Lorl%. Tr e e 5. Type of facility to be inspected 6. Well Data: A. Type Community Single Family B. Depth No. of bedrooms 4 R'~', C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. AbsorPtion area to nearest lot line EQ-034 (1/74) Page 1 of two pages Pare 2 .~f two pages - Req~'~t for Approval of Individual S~-~.r & Water Facilities L'egal Description Lot 40 Block 3 Valli Vue ApPrOved/ ' ~iisapprove~j-~~ Date / -~/6/- .7 7 Approval Valid for one year from date sig~d Greater Anchorage Area 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 facilitjes and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) /~UNJCIPAI.I/Y OP ANCHOI~A(~I~ MUNICIPALITY OF ANCHORAGE DEPT, O~ HI~AL?H & DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIC~Ii~VIRONM~NT~ PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: 2cgar Bates Mailing Address: 10301 Lone Tree 3. Name of Buyer: JAN 6 1977, VA FHA CONY X BUSER, Ronald R. and Karen A, Day Phone: 277-1553 ROm: 278-1020 Mailing Address: 1208 "S" Street Day Phone: WORK: 243-4332 Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P.O. Box 1120 Phone:. 274-3561 Ext. 216 Debbie Legal Description: Location: 5. Name of Realtor or Agent: Gary Webber Mailing Address: 3201 "C" Street Phone: 6. Lot 40~ Block 3 Vali Vue' Subdivision 10301 Lone Tree Drive, Anchorage, Alaska 277-1553 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility. COI~'NITY If Individual, number of dwellings presently served if Individual, depth of well 9. Sewage Disposal System Type of System: -Public Utility COI~J~ITY Individual (on-site) If Individual, date of installation 72-003(3/76) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITy OF ANCHOP, AGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JAN 1 8 1977 RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: Roger Bates FHA CONV. X Mailing Address: 10301 Lone Tree Name of Buyer: BUSER, Ronald R. and Karen A. Day Phone: 277-1553 HOME: 278-1020 Mailing Address: 1208 "S" Street Day Phone: WORK: 243-4332 Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P.O. Box 1120 5. Name of Realtor or Agent: Gary Webber Mailing Address: 3201 "C" Street 6. Legal Description: Phone:__ 274-3561 Ext. 216 Debbie Phone:. Lot 40, Block 3 Vali Vue Subdivision 277-1553 Location: 10301 Lone Tree Drive, Anchorage, Alaska 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: SF No. Bdrms. COFRMUNITY Public Utility. Individual 4 If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of.System: Public Utility. If Individual, date of installation C O~PLPN I TY Individual (on-site), 72-003(3/76)