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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 28 MUNICIPALITY OF ANCFIORAGE DEPARTMENT OF HEALTH & ENViRONMENTAl.. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISFOSAL SYSTEM AND/OR WELl_ INSPECTION REPORT J~UPGRADE MAILING ADDRESS 5'R A Zo ×' LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS Liq. capacity in gallons Well Manufacturer WellF HOMEMADE: DISTANCE TO: No. of line/ I Length of each line Top of tile to finish grade ¢~' ~ ~ Length Width Type of crib Crib diameter DISTANCE TO: Well IAbsorption area Dwelling PERMIT NO, Material Width No. of compartments Liquid depth PERMIT NO. Class DISTANCE TO: Inside length Dwelling Foundation Total length of lines Material beneath tile Depth Crib depth Building foundation Depth Driller Building foundation Sewer line ~__Material Nearest lot line inches Liquid capacity in gallons PERMIT NO, Dist8 nc(~.t ween lines Totat~.f~e a.~.ion area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Septic tank . Absorption area(s) OTHER PIPE MATERIALS SOl L TEST RATING /oo INSTALLER /d /3 REMARKS APPROVED 72-013 (Rev. 3/78) DATE LEGAL ,7- zJ-$' Z V 4, GRE }R ANCHORAGE AREA BOr "'IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~-4/ /~/~*~']~ MAILING ADDRESS //~, /~'-- .~B.C~ PHONE LOCATION ~/~-~-~Z~ ~' ~-~EGAL DESCRIPTION ZO'7-- ~Zgl, z ~Z/~' /~ SEPTIC TANK: DISTANCEFRoM WELL ~2~/' MANUFACTURER MATER~AL NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __ _LIQUID CAPACITY /~ GALLONS. SEEPAGE PIT: NUMBER OF PItS /. DIAMETER LINING MATERIAL ~/A/c~' ~ CRIB SIZE: BUILDING FOUNDATION 2~ ADDITIONAL ABSORPTION OR WIDTH LENGTH DEPTH g / ! DIAMETER DEPTH /~ DISTANCE FROM: WELL NEAREST LOT LINE ~ /f TOTAL EFFECTIVE $ ABSORPTION AREA (WALL AREA} FT. WELL: ~ ~//~/ . TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form NO. EQ-031 DIAGRAM OF SYSTEM 0//~ f~/Z_ ~'4e~rt-r~-~- DATE ,~./~/7 ~- APPROVED ~ *. G.A.A,B. F~F'F'L I L.OC:Ffi" :[ ON LEGFtL HFt_r)L:: f-t,. ~. [., C:ROOI.(EC, "!"F%E C:ZF:C:LE L.T.~.":":',.., E:Li{. ,S '¢RL.Z 'v'UE.,cL. .... I-ri-t::. OF S';ETL FiEiSOF.:F'TiCd'-,! E;'.?'E;TEM IS: TRENCH i"'!RX:!:MUM .!t_l!lbr:.l';. OF EE[:,r~'or']M"_:: = :3 '.EOII.. RFITIN3 '::SQ 1: T. E,t~,. - '[I-'IE F;'F.~ 'i'~'p'r'' ~,¢l.~:$ ]ZiF' "J"l-~'~ ~ll.j~TL RESLqR"F'T'.[_qI'.,I .=, ::1F~.!1 IS: THE L. ENGTH [:,iMEN'S;IOI'..! iS THE LENGTH (iN FEE'f) OF 'THE TRENCH OF..' DRRINFIELD. THE DEPTH OF F:i TF:ENC:H OF'. PiT IS THE: [:,:[STRNCE E:ETP.!EEN THE SUi:RFF:ICE OF THE GROLIi'.,!D RND THE BOTTOM (:iF THE E,'.'<CR',..,'R]"ION (Il",! FEE]">. THERE .T.S NO SET HIDTH F'OR TRENCHES. THE GRWv'EL DEPTH iS THE MINIMUM DEPTH OF GRff,,,'EL BETHEEN TIdE OUTFRLL PIPE FINE:, THE ['30'TTOM OF THE EXCFIVRTION (IN FEET). PERMIT RPPLIE:F. Ii'4T I-4FIS THE I.;;:ESPONStFJIL:(T'-¢' TO INFORM TH:!:S [:'EPF:IRTMENT [:,UF.:ING THE INSTFIL. LFYFIC~N INSPECTIONS Oi.:' Fiiq"r' 14ELLS RDJRE:ENT TO THIS PF,:OF'ERT'¢ RIqD ]'PIE !"g..IHBER OF RESIDENCES THFIT THE HEL.L. i,4tL. L SER",,'E. MZIqIi"!LIi"I L.,]..:,I~'Ii",P...E ~:~:'"~' Ir:"[:'~ Fl !,.!ELL Ri"~[:, [~,i'.~'¢ Oi'.-~-L:ITE SEI4Fll3E [.-I ....... IL :,T-", Ell .... ...........'i F[:i FEET FUR ~::l , ~ ..... t IE HELL F ::t.[~ilZl TO :-"~.'~!."l F-~.ET FF. tCd"I F:I F'LE__T: HEI..I... [:,EF'EI'.,IL":,!'i'.g3 F"3N THE T'¢F'E OF' P !Bi'Z: HELL.. ':-:' '"F F[;:OI'i R -';'"--': i"I-ft".!!MU!"! £ .... ILl ........ FI'..1 ,¢'1 c HELL TO FI F'F.:i',2FITE SEI.,.IER LINE -": .... FEET FIND ']"O i,'-:! COMMLII'.,!IT':.' SEHEI:.i: LINE !E; ,'='Y; FEET. "'T'FIE[;' p,c:'-' i' "-;'" ~' ",r ............... ....... L_F.L!IE,,I"t_, i"iF1'¢ FIF:'F'L?. SF'E'.":iFIr_":F!T]:Fd'.,IS F:II'-,![:, uut',I:,%~.LI_. I:l",!, DIF!GI.;~:F!I"iE; FIRE R' 'I::IT FIP' F TO 'i:;,' ..... F~ . ........... t. .... ZN':.~_IF;:E F,.=F E.... Ii",ISTFILLRTIC¢",L ! C:ERTIF'¢ 'I'HF!T i: I FiM FRM!L. iFiR HiTH THE REQL!t,~REMEI",!TS F'OR Ohi-E;ITE SE!.qERS FIND HELL. S FIE; SET FORTH E¢¢ THE MUI'.~IC:;I;PF:ILZT'-,.' OF Ri'..ICHORFiEiE. :;~: '-( HiLL INSTFILL 'f"HE S'¢'_=;TEM iN FICCORDRNCE P.IITPI THE CODES. 3:: I Ui'.,!DEF4'.STFd'-,I[) THFtT 'THE ON-SITE SEI4E[~'. S'¢E;TEM i"!R'¢ REL.qUIRE ENL. RF~:GEPIEi'..IT IF THE F::ES I [:,EI",iCE ! S F,:EMf3DEL. E[:, TO _T tqCL..!.IE:,E h'!O[;~:E THFIN 3: E:EDF;~f]i)MS. .,~ .............. :--'?- ....................................... GreaTEr ANCHORAGE AReA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "E" STREET ANEHORAGEi ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK ~ SEEPAGE ~I~r I ~ , DRAIN FIELD ~,,.,/ . OTHER FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF' ENVIRONMENTAL QUALITY AUTHORITY WILL E~E SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENT~ FOUNDATION TO SEPTIC TANK '. ~1 SEPTIC TANK TO SEEPAGE PIT WAL£ SEPTIC TANK ., SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAC;E PIT TO RIVER, LAKE, STREAM. ALSO CONSIDER AREA WELLS. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 iNCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORMTO BOROUGH REGULATIONS REGARDING INSTALLATION. OR ~ LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SA}D CODE. DATE APPLICANT'S SIGNATURE -. GREATER ANCttORAGE AREA BOROUGH DEPARTMENT OF ENVTRONMENTAL QUALITY 3330 "C" Street .ANCHORAGE, ALASKA 99503 er~ormed For /~:~1~/< /~--~z?~-Qb~d~' ] Dated Performed j~-//' ~ Legal Description: Lot ~ Bloc~ ~ Subdivision_ j~/~"~z~ This Form Reports Soils Log Percolation Test Soil Test Must Be Logged To 4' Below Proposed Seepage System -- Depth Feet 2-- 3m 4-- 7-- 9-- lO- llI 12-- 13-- 14--. Soil Characteristics Case # Was Ground Water Encountered? If Yes, At What Depth? Reading Pef'colation Date ] Gross Time I Net Rate Mi n u l;e Installation: Proposed Depth of Inlet ..................... Depth COMMENTS: Time Depth to H20 Seepage Pit Drain Field to Bottom o-i~-Pit or Trench- Test Performed BY ,-c $ ~F~c~~ Net Dro Date Certified BY: Date: /ViUN~CIPAU~Y MUNICIPALITY OF ANCHORAGE DEP?, OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~viRONMEN1.A/ 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION OCT 2 9 1981 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10} days for processing. 1. PROPERTY OWNER Wade Bi Auld and Martha M. Auld PHONE 344'0679 MAILING ADDRESS 6810 Crooked Tree Circle PROPERTY RESIDENT (If different from above) Anchora~e~ Alaska 99507 2. BUYER Refinance Loan (SAME) PHONE Same PHONE MAILING ADDRESS 3, LENDING INSTITUTION 1 PHONE Alaska Statebank I 265-2257 MAILING ADDRESS 310 E. Northern Lights Blvd, Anchorage~ Ak 99503 4. REALTOR/AGENT N/A PHONE MAILING ADDRESS N/A 5. LEGAL DESCRIPTION Lot 28, Block 6, VALLI VUE ESTATE NO. 2 STREET LOCATION 6810 Crooked Tree~ Circle 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ,,~__k~.~ *.~1~e$3~ ~' ? One * Four [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ,~ ~' ~,P ~ Three [] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 1974 If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department, NOTE: THE INSPECTION FEE MusT AccoMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED I NSPECTI ON APPOI NTM ENTS ',, TiME TIME TIME DATE~(~ ~'~/'f DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS'. 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2~ WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL ~--J COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or ~ Holding Tank Size: ~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~APPROVED FOR ~ BEDROOMS ~ONDITIONAL APPROVAL (letter must accompanv cert]ficnte} DISAPPROVED DAT~ BY 72-010 (Rev, 3/78)