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HomeMy WebLinkAboutVALHALLA #1 BLK 4 LT 12 MUNIGIPALITY OF ANGHORAGE 9EPARTMENT O~ HE^,TH AND HUMAN SERWCES Environmental Health Division APR I ~ ]99[ .... ora e 825 L Street, Anch g , Alaska 99502, Telephone 264-4720 WELL INSPECTI ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR ~¢~ DISTANCES H iCh~el ~ A~o~ [~ ~ ~ Tfl SEPTIC ABSORPTION WELL ~d~r~FROM~ TANK FIELD ~ho.ets) Permd NO. NO. o1 ~rooms WELL LEGAL DESCRIPTION Township, Range, Section AS-BUILT DIAGRAM {Show location of well, septic system, properly ~ines, foundation, TANKS ~ SEPTIC ~ HOLDING Anchor~e T~ rOOd ~atetial No. of Compartments TYPE OF SYSTEM ~3~*~ ~ ~s r;,'~ p, i ~TRENCH ~ BED ~ W. DRAIN ~OTHER ~ $~ Depth to pipe bottom from Total depth ~rom obgina~ grade :ill added above original grade Gravel depth beneath p~pe ~ ~ I Or~veHength ~' Gravel width)istance between lines ET ~Q~ TOtal absorption area ~i SO FI FT installer Date InstaUed WELLS ~ PRIVATE ~ OTHER tld~ntifv) Clessigcation (A,B,G) Total Depth ~1 Cased to [1 ~ ? ~ Inslallet Date Installed; : Municipal an~ Slate guidelines in eilacl 0n Ibis date~ 72-013 (3/85) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910055 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:NOWLAND MICHAEL A & OWNER ADDRESS:12015 WILDERNESS RD ANCHORAGE, AK 99516 DATE ISSUED: 4/10/91 EXPIRATION DATE: 4/10/92 PARCEL ID:01521113 LEGAL DESCRIPTION: VALHALLA #1 BLK 4 LT 12 LOT SIZE: 16055 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~-~'~ DATE: DATE: / 9/ H~£ , 1 Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99S~q L 12, IS q~ I/ALH/ILLA ~g2 ~ tT~ PI-MN NOT~: T,ltd ~ ,qoV ,,4 .~R b'~ Y ,~D pI~,4F Al../. AodAT ION~ ,4Rt~ A??RO.Xlhr,4 TE "ER ANCHORAGE AREA EOF' qJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~t~'~' ,Sg[i~/JP./I MAILING ADDRESS '-~'?Y~),~¢ ~, PHONE ~ )/z/~ %~ ~/ LOCATION ~IJ~¢~./~S' JM~¢ OP~ ~zPP/fl~ LEGAL DESCRIPTION /07,~' ~Z~ . ~ ~/q~/ZF~ ~'~, " SEPTIC TANK: DISTANCE D, / NUMBER OF FROM WELL fleqo. /0f~ MANUFACTURER ~t~t(3K ,~/E~.¢ .MATERiAL~_~ec/. 2~Z¢J /~¥/¢v07 COMPARTMENTS ~O INSIDE LENGTH ~ INSIDE WIDTH_ ~ LIQUID DEPTH ~ _LIQUID CAPACITY. /OOO GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH /'~ ', LENGTH~,~, DEPTH LINING MATERIAL ~,, (,.!/'e(~ CRIB SIZE: DIAMETER~/g(/DEPTH ~ ! DISTANCE FROM: I ' TOTAL EFFECTIVE BUILDING FOUNDATION ~ NEAREST LOT LINE ADDITIONAL ABSORPTION WELL/?~,. ABSORPTION AREA (WALL AREA) WELL: ~,~.Z .<.~t.o-~/% ~/&, /~/ ~ TYPE "~O~4~,t) ~IN/~IV. CONSTRUCTION ~~/ DEPTH DISTANCE FROM: BUILDING NEAREST /O/¢ NEAREST SEPTIC /¢~J ~AGE /;¢ / FOUNDATION LOT LINE SEWER LINE TANK , ~%-T~M . CESSPOOL APPROVED OTHER SOURCES_ DISAPPROVED REMARKS DISTANCES: INSTALLED BY: ~'J) PIPE MATERIAL: &EL ~sl-~aot4 _ LOT SLOPE: REMARKS: ~-~/ Form NO. EQ-031 DIAGRAM OF SYSTEM DATE ~/2//,L0 .9.5~;/97~ APPROVED ,/t~tZb',UL L G.A,A,B. GREATEr ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 33~0 IICII STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274--4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FACILITY TO BE SERVED-- FINANCED THROUGH-- · OTHER 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 EJISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT- WELL ~O SEPT'C TANK /([) D , SEEPAGE PIT WATER MAIN TO SEPTIC TANK ' SEEPAGE ~IT CAST IRON INTO AND OUT OP SEPTIC TANK AND INTO CRIB CROSSING GAP OF CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT~R~NCHORA(;~ AREA BOROUGH ORDINANCE NO, 28.68 AND THAT THE ABOVE DESCRIBED ~YSTEM IS IN ACCORDANCE WITH SAID CODE. /// / , PA !!~ ~i' C'F E~Iu[P, OH!%hi',L ~I~ '~ 3500 TUDOP , -~o~{CHORA ,E ALASKA 995n2 Performed For Lemal This ~ 0 I~ E ~][___ S E Iq DE lq Date Performed Description: Lot I~- Block ~ _Suhdivision__~_~/_~l/Jj~___L~ Form Re~orts Soils Lofl_~ Percolation Test 1 Qepth Feet Reading Date Gross Time Net Time Depth to H20 Net Dr. p, Percolation Rate Proposed ln_~t~T)-~f~-{}7[/: fie~'r-,~rle Pit._X_ .......... Prawn Field Depth of Inlet Depth To Bott. em r)f Pit Cn~ENTS. . · ~--- / ........ Test Performed Bv March 14, 1973. WILLIAM A. £GAR, GOVERflOR SOUTHC£NTRAL REGIONA£ OFFICE Mr. Robert Senden c/o Service Henshew 5577 Abbott Road Anchorage, Alaska SUBJECT: Lot 12, Block 4 Yalhalla Subdivision Dear Mr, Senden: ' We have reviewed your situation in light of the interpretation of the 40,C03 Sq. Ft. -20,000 Sq. Ft. requirement ccrtained in Section 18 AAC 72.C30 of the Department of Envircnmental Conservation Y. aste Water Regdiations. It is our finding that since you had ownership of the lot on or before February 5, i973 and That you fntend to construct a private residence for your personal use, that this particular Section of the Waste Water Regulations is not applicable in your case. We would however advise you that of course all existin§'Borou~ Regulations are in effect and are applicable in all cases excapt where State requirements are more stringent. Yours truly, Kyle % Clierry (~.) Regional Environmental Engineer cc: GAAB-DEQ~' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date .__.z_~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) (b) (c) (d) (e) Location (address or Oirectionsl l ~O l5 ~',l~t~ro ~.s~ fid ~ /'rno%rovqe Applicant Name Co..cmo~ NyJ'/'zfczO Telephone: Home 3//0~' 7~¢'6"O"" Business ~f Applicant is (check one): Lending Institution []; Owner/builder ~(,; Buyer []; Other D (explain); Address Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~] Multi-Family [] Number of Bedrooms...~ Other WATER SUPPLY Individual Well [] Community [] Public [] Note: If comm unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ~ Pnblic [] 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 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ali Municipal end State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~(~Z~"~O/e 7'~C~,,~,¢~( .~£u'~'ce.f Telephone Address Date /~o./y ~ I~'~' Approved for Z,/b,'[.O.~ _. bedrooms by, ~' Date Approved .,~' DisapproVed Conditi~. Terms of Conditional Approval Engineer's Seal 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Lo, i. Legal Description: MUNICIPALITY OF ANCHORAGI! DEPT. OF HEALTH & ENVIRONMENTAL PROTECTIOi'I I EGEWED WELL DATA Well Classification /'~"~lu~f'~ If A, B, C, D.E.C. Approved (Y/N) ~t,/'J Well Log Present (Y/N) IV Date Completed J'nz.~ ~'/¢'/Z.~ Yield Total Depth .~' ~2 £~ Cased to ~7 ~,,.~z Depth of Grouting Static Water Level ?~'l Pump Set At Kd Casing Height Above Ground jif a Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) tt~ Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot J 0~' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot J ~) J~ L',~, ; On Adjoining Lots '~. To Nearest Public Sewer Line Cleanout/Manhole N, Water Sample Collected by Water Sample Test Results To Nearest Public Sewer To Nearest Sewer Service Line on Lot N,/~. ; Date ,5- /;Z~ /~L~' Comments B. SEPTIC/HOLDING TANK DATA Size iOOO ¢):e¥( Date Installed Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) N,A. Holding Tank High-Water Alarm (Y/N) . N,,'?, Separation Distances from Septic/Holding Tank: To Water-Supply Well I ~' To Property Line '~ To Water Main/Service Line Course '~ t00' No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for N,/J. Temporary Holding Tank Permit (Y/N) N,Ig. To Building Foundation 8~ To Disposal Field ~:],~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11184) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /'/ / ~ ¢ [ 7. ~ Width of Field i~¢ Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot_ J'~,J~. ,¢6' To Water Main/Service Line I~,A. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test 1o/l? /?H To Property Line j 7,~" To Existing or Abandoned System on ; On Adjoining Lots '~ i'~O ¢ To Cutbank (if present) '-? [00 ' Comments D. LIFT STATION j~,/), 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 Bating Against NAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ,°~,~'/~'~-i¢~'''6 ~' ~'/'~'~ Date Company /-'="{~"~/~J~ Receipt No. _~zJ[ ~ ED /~ Date of Payment Amount: $ Z/~ Page 2 of 2 72-026 (11/84) ~-~q~r ~ XTHE~ORE F. MOORE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMBNTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all paris oil page 1. Incomplete requests will not De processed. Please allow ten(lO) days for processing. 1. PROPERTY OWN ER PHONE J.P, & Diane R. Pace ...... MAILING ADDRESS ~2015 Wilde~esS St~ee~ PROPERTY RESIDENT ( f different from above) Oa~maz~. F. & DazLu~ Nys%uen 2, BUYER Carm~n F. & Dann~ N,ystuen MAILING ADDRESS PHONE 3~b~-7849 PHONE 3L¢,-7849 , 1201~ Wilderness S%reet~ Anohora~e~ Alaska 99~07 3. LENDING INSTITUTION Co~t Mortgage Compaz~v MAI LiNG ADDRESS P.Q. BO~ 1200~ Ancho~age~ Alaska 4. REALTOR/AGENT ~o~e IPHONE 2?9-O665 PHONE MA LING ADDRESS §, LEGAL OESCRIPTION STREET LOCA~T~N 1201~ Wilderness St~ee%, Anchorage, Alaska 99507 6, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] SINGLE FAMILY [] Two [] Five ~ MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY PUBLIC UTI L[TY ATTACH WELL LOG, A well log is required for al wells drilled since June 197~. For wells drilled prior to thatdate, give well de~th (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE~ PUBLIC UTILITY *'If individua/on-site, give installation Dale If system is Dy6- two (2) veers Did an adequacy test is reouired by this Department. NOTE: TH E INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) Coast Mortgage Co 4797 Business Perk Blvd., Suite 4, P.O. Box 1200, Anchorage, Alaska 99510, Phone (907) 279-0665 October 20, 1978 Laura Ward Enviromental Health Department Water & Sewer Section 825 L. Street Anchorage, Alaska 99501 RE: Health Inspection Lot 12, Block 4, VALHALLA SUBDIVISION Pace, J. P & Diane Dear Ms. Ward: I am enclosing the report on the water test, Engineers report on the adequacy of the sewer, and a receipt showing the septic tank on the captioned property has been pumped. With these enclosures you should now be in position to issue your Certificate of Approval. Your prompt attention to this matter will be greatly appreciated. Mortgage Loan Processor Enc /mmu Ted Fors and Associates 107 West Sixth Avenue, Suite 205 · Anchorage, Alaska 99501 · (907) 274-9517 October 18, 1978 Ms. Michelle Nelson Coast Mortgage P.O. Box 1200 Anchorage, AK 99510 subject: Adequacy test for septic system Lot 12, Block 4, Valhalla Subdivision Dear Ms. Nelson; On October 17, 1978, we performed tests to determine the adequacy of the septic system which serves the subject property. Based on the percolation rate of the seepage pit, the system will adequately serve the three bedroom house on this lot. On the same date, Issac's Pumping Service delivered 1,000 gallons of water and they also pumped the septic tank. This was all part of the adequacy test and a receipt for this work is attached. If you have any questions or we can be of further service to you, please feel free to contact us. Sincerely, TED FORSI AND ASSOCIATES Lynn Whitmore Engineering and Survey Coordinator NLW/psk Attachment cc: Les Bucholtz Coast Mortgage Co MUNICIPALITY ~)F ANCHORAGE 4797 Businees Park BIvd., Suite 4, P.O, Box 1200, Anchorage, Alaska 99510, Phone (9.~7~::i~TH & ENVIRoNMENtAL October 13, 1978 OCT 6 RECEIVED L~u~a Ward Enviromental Health Department Water & Sewer Section 825 L. Street Anchorage, Alaska 99~01 Re: Health Inspection Lot 12, Block ~, VALHALLA SUBDIVISION Dear Ms. Ward: It is my understanding that your office will not issue a Certificate of Approval on the captioned property until you have received the following: Report on Water results from Chem Lab; Engineers report on the adequacy of the sewer; Receipt showing septic ta~_k has been pumped. With this letter I am enclosing copies of Chem Lab's report on the water sample. The remaining two items have been ordered, and I will see that they reach yoo_r office when they are completed. Should auything be needed in addition to the above, I would appreciate it if you would contact me at 27~-066~. ~Sincerely~ ~ .~ Michelle M. Nelson (Mrs.) Mortgage Loan Processor C C o Department of Environmental Quality 3330 %" Street, Anchorage, Alaska 99503 274-4561 "~'--~---~--~ Date Received February 11, 1977 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. l. Approval requested by: Alaska Bank of Conmlerce 4. 5. 6. Mailing Address: Property Owner: Pouch 7-012 Gary P./Sheila Bader Phone: 279-5641 x 317 ~7~ - Phone: -1151 (mrs.) Mailing Address: 12015 Wilderness Drive Legal Description: Lot 12 Block 4 Valhalla #1 Location: 12015 Wilderness Drive Type of facility to be inspected Single Family Well Data: A. Type Individual C. Construction Sewage Disposal System: A. Installed 1973 No. of bedrooms 3 B. Depth D. Bacterial Analysis On-site system B. Installer 104' 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 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-O34 (1/74) Page 1 of two pages P~g~ 2 of two pages - Req it for Approval of Individual S ~r & Water Facilities Legal Description Lot 12 Block 4 Valhalla #1 Comments Approved I'-~( ~~.A~/Disapproved Approval~Valid for one year from date signed 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 facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ENVI~~'E~HON 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 I:~~ 1§-/'~' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: CMRO. VA FHA 2. Property Owner: Bader~ Gary P. & Sheila Mailing Address: 12015 Wilderness Road 3. Name of Buyer: Pace, Jospeh P. Jr, &D±ane R. Mailing Address: 3444 International Airport Day Phone: 243-4316 4. Nameof Lendinglnstitution: Alaska Bank of Commerce Mailing Address: Pouch 7012 Name of Realtor or Agent: Penny Pefanis/ Marston Mailing Address: 2804 Northern Lights Blvd MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ~:NVIRONMENTAL PROTECTION FEB I 1977 RECEIVED CONV.× DayPhone:276-1151 (her work) Phone: 279-5641 Realty Phone:. .... 277-3511 extension 317 Legal Description: Lot 12 BLock 4 Valhalla Subdivision #1 12015 Wilderness Road Location: Type of Facility to be Inspected: SFD No, Bdrms. three Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served 104 feet If Individual, depth of well one Individual Sewage Disposal System Type of System: Public Utility If Individual, date of installation 1973 X Individual(on-site) (at time house was built) 72-003(3/76) ~ GREATER ANCHORAGE AREA BOROUGH ~q~'nn T,, Department of Environmental Quality · 0 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 6~ Time of Inspection . [ ~ b_~ Date of InspectionS7 ; ~ {0 ~ REQUEST FOR APPROVAL OF <~uN ~ I~IVIDUAL SBWER & WATER FACILITIES % ' Address: ~ ~ Phone ~ ~ ..~Phone Type of Facility to b.. ~nspected: ~ Wel] Data: A. Type C. Construction Sewage Dts.~osal System: A. Installed / ~</~ B. C.-Septic Tank: 1. Size ./~d'~y~2. D. Seepage Pit~ 1. Size z/~O~/ 2, Disposal Field: Installer Manufactorer Total Length of Lines --~,, Distances: A. Well To: , Nearest Lot Line /~ /~z~ , Other Con'tamination Foundation to Septic Tank 2l~ / "~ Absorption Area Absorption Area to Nearest Lot Line ZZ~y / /~c/ /, Sewer Lines Request for Approval of k Page Two 9, Comments: ~ /Z ~//< ividua] Sewer & Water Facilitie~ Year Prom Date Sfgned~// Greater Anchorage Area Borough, Department of Environmenta] Quality D%AGRAM OF SYSTBM .3 ~°~H ~0/ I certify that the information contained in this request for approval to be a true and accurate representation of the sub.iect sewer and water facilities located at: ,)uno 6, lg73 Coast Mortgage C~,~pany Carolyn i~arrera P.(). Box 1200 At)chorsge, Alaska 99510 SUBJECT: Lot 12, I)lock 4, Valhalla Subdivision #1 l)ear Ms. Barrel'a: Yhe sewer system on tho sub.~ect 'lot ~.~as installed in compliance with borm~gh la~ April 24, 1972. Yhe ~ell was drilled a~ a la,er date. It is a six inch casing and is p~'operly sealed. The depth Js unknown. N~ wa%er sample was ~ake~ pendtnq hookup o¢ the electricity. A co~y of ~he water report will be sent following a sampling. Sincerely, SUSml E. Otckerson Sanitarian I Robert Senden