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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 6 LT 34 GREf'rER ANCHORAGE AREA BOQUGH Department ~3~n~ir~eme~ntal C~uality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: FROM WELL-I (~'~,?~?~IANUFACTURER INSIDE LENGTH ~"? INSIDE WIDTH MATERIAL ~-/~) NUMBER OF COMPARTMENTS LIQUID DEPTH .LIQUID CAPACITY /,1~2 GALLONS. SEEPAGE PIT: NUMBER OF PITS / . DIAMETER OR WIDTH /~?, LENGTH /~ DEPTH ~/~ /(~?/z. 4~2x~-~ LINING MATERIAL CN<xv~ - CRI{~ SIZE: DIAMETER~DEPTH ~ DISTANCE FROM: WELL ~ .ZL ...... t ~ / TOTAL EFFECTIVE ~ . ~ BUILDING FOUNDATION~'~~ NEAREST LOT LINE ~ ABSORPTION AREA (WALL AREA) ~'(~ SQ. FT. ADDITIONAL ABSORPTION TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED _ REMARKS DISTANCES: INSTALLED BY: ./'~"/~//~/e~;'~'~ (/ PIPE MATERIAL: LOT SLOPE: REMARKS: Form No, LQ*031 DIAGRAM OF SYSTEM GRE;ATER ANCHORAGE Area BorouGH SEWAGE DISPOSAL SYSTEM -- APPLICATION~AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF ]~ACILJT¥ TO BE SERVED [~INANCED THROUGH cOmPLeTiON DATE ANTICIPATED OTHER NOTE: THIS PERMIT I$ NOT VALID WITHOUT SOIL 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. DRAIN FIELD · DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE Pit / ~ / DRAIN FIELD 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. SEEPAGE AREA SIZE GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR ~'/~-~) TYPE ,'~::S~'~'~; DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THe ABOVE DESCRIBED SYSTEM DATE /~SOILS LOG __ PEROLATION TEST Perf~ormed for ,,~,-A~-?_-~.-~ ?-~-~Z~?- Lega~ Descrip~6n: ,~m ~ ~ ~ ~/~_~ ~/~dx This form reports: Soils log ~ Percolation test Depth Feet 2- 3- 6- 7- 8- ~'\ GREATER ANCHORAGE AREA BOROU~-~ ' Department of Environmental quL ,ty 3330 "C" Street Anchorage, Alaska 99503 Date Performed_~ '~/~ '~'~ 1'1 !2- 13- 14.- Was ground water encountered? If yes, at what depth? Reading Net Time Depth to ~/ater Net Drop Date Gross Time Percolation rate minute. .Proposed installation: Seepage Pit Drain Field Depth of Inlet Depth to bottom of [)it or trench C01,IHEI~TS: EQ-040 (6/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March~,10, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Spokane Mortgage Company Mailing Address: 3201 C Street, Suite 250 Phone: 277-0543 Phone: 344-1646 2. Property Owner: John R. Armstrong Mailing Address: Post Office Box 4-2057 3. Legal Description: Lot 34 Block 6 Valli Vue Estates, Addition 92 4. Location: 6720 Crooked Tree Drive Type of facility to be inspected Single Family Well Data: A. Type C. Construction Public Utility 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank No. of bedrooms 3 B. Depth D. Bacterial Analysis On-site system. June, 1975 B. Installer ~L,~ ~,3m~_~A l. Size _~ 2. Manufacturer~m~. ~/~ 1. Absorption Area A~ D~. 2. Material Field: Total length of lines , Absorption area , Other contamination , Sewer Lines , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages -,Re,. :st for Approval of Individual . 'er & Water Facilities ~ga~-Description Lot 34 Block 6 Valli Vue Estates ~2 Comments Approved Di sa pp,roved ,_ .... ApprOval ~Valid for one year from date signed Greater Anchor~e Area Borough, Department of Environmental Dar e~ ~//~/~ Qual i ty 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) 3330 GR_AT~ ANCHORAGE ARLi, BOROUGH D~par~ent of Environmental Quality "C' St., Anchorage, A1 aska 99503 -- REQUEST FOR APPROVAL OF INDIVIDOAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: J~ R. Armstrong Mailing Address: P.o. Bo× 4-2057 3. Name of Buyer: John F. & Liana J. DtBene VA FHA CONV ~X Da.y Phone 344-1646 Mailing Address: P.o. Box 10248 Day Phone Name of Lending Institution: Spokane Mortgage Co. Mailing Address: Name of Realtor or Mailing Address: 279-7422 3201 "C" Street, Suite 2'50 ~h~ne 277-0543 Agent: John F. DiBene/Action Realty 302 W. Fireweed Lane Phone 279-7422 o Legal Descri pti on: Lot 34, Block 6, Va'Iii Vue Estates, Addition #2 Location: 6720 Crooked Tree Drive Tyoe of Fac'ility to Water Supply Tyoe of Supply: be inspected: dwelling No. Bdrms. 3 Public Utility If Individual, number of dwellings If Individual, depth of well Sewage Disposal-System Type of S~stem: Public Utility If Individual, date of i.nstallation xx Individual presently served Individual (on-site) June, 1975 :~:;~. ~'~',?-. ' ' -,,. ~,e :'7_q~:~;.~. :' 7..,~:'': .' --'- ~--"? ' _ "./- ' ,~ ::~:'¢ :A;; ' .',7" _.Z.,._-'...-'-. ;- -..'; '-:: .;~;-'- . -:--,...~,.:..,.,.;.:..,,~,~-; .- .:'-- .... ~]~ ,-~., ,~ D v s on.o[ Env mnmenta 8e~ ces .... ... . . · . .,.' ~. ~ . . . ' · On-8~te Seduces 8ect~on ; .O;Bo~196650r Anchorage, Alaska '9951~850 ""''~'" - ' ' ~ ~ ~: : '. ~ '; 3~47~' ':'~' .......... ..... - · -' -, : - ~.: - ~:'-,*' ---OERTIFIOA%EOF H~LTH AUTHORI~ . .~O~,~L ~¢~-.A-SINGLE FAMILY DWELLING ~;-~ ,( ': - - ......;:,~: Complete legal description ' -~Lo~5~i B~oe~ &~-~ ~ ~ ~ ..... - ' :-'. · -~* .... - ....... '"_'/;"-- : .':;-.~'5' - . ' "j . ..,:.. i.."" :.:. Loc~tig .¢k,~s,,!te adblress or directions); 720 Croo~.~_d Tree Z)iu.v~. · '' .... "- - -.~ ~. ~ ~'-*~.' ~-;:'.. ;~ ~'.'~ - ' Anchoraq6~ AK ' ' ' "' :: "-' ":' - -'- ¢:-~: :-,, ~"4. ~ng to the legal~tyand status of system. :, WASTEWATER ..... · .;. , ........ NOTE: If communt~ wastewater system, provtde wrtRen confirmation from State ::'' :: :' a~eSting' to the legaii~ ~nd ~ta:tus of ~yst~ - 5.. ,:STATEMENT OF INSPECTION BY, ENGINEER ;%:-L:.?:..:':*.' =-*~:" ':;.:.;~. '?~:'::i~'~:?,:::.:¥: ':: ~' ' As c;rtifled ~"~Y seal ~"i~ hereto and ~s of the Valid~ti0n' ~a{; ~;~' ~i~w, 'i~ver;~ i~at my investigation of this Health Authori~ Approval application, shows that the on-site water oupply and/or wastewater disposal system is ~fe. functional and adequate for the number of bedrooms and ~pe of structure indicat~ herein, I fu~her veri~ that based on the information obtained from the Municipall~ of Anchorage files and from my inves~ation and inspection, the on-site water supply and/or wastewater dispo~l system is in compl[an'ce with all Municipal and State codes, ordinances, and regulations in eff~t on the date of this. inspection. ' ' Name of Firm" '" ~":' s ~ s ENGINEERING - ' -.- Phone, '~ ~ ~ - ~ ~ 7 ~ 17~ E~e River L~ R~d N~ ~ ..... fingin~8 8ignaturo ~ 6. ~, DHHS,;~IGNATURE ! ...... ~ ~., ,., ,-,,~¥ :..:,~ :,- / · ':~,.~', ,,~ Cond t ona 'approva .for ..... ~"~',':~}[-b~rooms/'wlth. the,.follow ng. ~pulat~ons. ;. ~ents'.' ,~,~,9 ~' ',v' ,>'. ..', ~' - T~e ~unic~pality of Anchorage Department of Health and Human Services [DHHS) issues Health Authority Approval Certificates based only upon the representations gixen !,n,:pa~gmpt~ 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 satisty 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 orom~sslons In the professional engineer's ~/ork, ..'.' ..:,.. Municipality of Anchorage //'~11~, Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:L0 7'- :Y~,~L¢< ~., VlSi. c~ Vu~ ~$~¢/P2arcel I.D. A. Well Data ~ ....... Well type ~ ~'~ ~,w ~ ~- ~// If A, B, or C, attach ADEC let~ystem number Log present (Y/N) __Da~..~.~ . . Driller __ Total depth _ ~-----C~ased to ' Casing height Sanitary seal ~ ~ Wires properly protected (Y/N) ~ FROM WELL LOG AT INSPECTION ~ : z ~ Date of test t'~ r~ ,-5~ Static water level ~ ~__ co ~ o~ Well flow ~ g.p.m g.p.m. "'~ ~_~ ~ > Pu ~ ~ o SEPARATION DISTANCES FROM WELL TO: Septic/la~,~g tank on lot Absorption field on lot /J / ,4 Public sewer main ~/ //F Sewer service line r¢ /~ ; On adjacent lots ~ On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Date of sam~ple:- ~ Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed,.~ ,i' (~/~(~/' -:'7 5~ Tank size / O O Clean0~tS (~N) ' ~/~ ' Foundation cleanout (~¢/N) High wa~er al~,m (Y/N) ' ~ :~ k/,/~ ......... ~"/ I'~ / ¢/£-- Pumper Date of pumping SEPA~BATION DISTANCES.FBOM SEPTIC/HOLDING TANK TO: Well(s) 6n 19t ., '. On adjacent lots To property line ) 0 '~ Absorption field ~ ~' Surface water/drainage I ~0 72-026 (3/93)* Front Compartments '! ~ (~' .5 Depression (Y~) . w Alarm tested (Y/N) ,A/0 Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LI FT,~'~ ON'~TO: Well on lot ~ On adjacent lots Manufacturer Manhole/Access (Y/N) ~ Surface water' D. ABSORPTION FIELD DATA Date installed 6' / ~- (~/'7 S- Length / ~" / Width / 3 ' Total absorption area 3 ~ 0 ]-': Date of adequacy test ?//$-/ff J- Water level in absorption field before test ) I" Peroxide treatment (past 12 months) (Y/N) fv0.-¢,¢ Soil rating (GPD/Ft2) )¢o Gravel thickness Cleanout present (¢)N) YE- 5 Results ~fail) /O ,zj $.~ System type Total depth /o Depression over field (Y~I~ for 3 Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~/ / A On adjacent lots To building foundation ,~ On adjacent lots Surface water / /'C- Property line / o /-4- To existing or abandoned system on lot /" / '¢ Water main/service line Cutbank Driveway, parking/vehicle storage area ;;t u -"' Curtain drain ~ ~;-,, ,L. /¢ .,,/o ~,, ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA gu/defines in e~nspection. Engineers Name ~0~¢~ ~ ~4~ H~ Fee $ ~- ~ Waiver Fee $ of P ym.nt of P.ym.nt Receipt Number ///~ ~// Receipt Number 72-026 (3/93)* B~ck