The URL can be used to link to this page

Home My WebLink AboutVALHALLA #1 BLK 4 LT 13 QGRE! 'ER ANCHORAGE AREA BOP"IJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PHONE. SEPTIC TANK: DISTANC~oc~ ¢ l~((~l i/~ (~C/] -~'~' ~* ?~ MATERIAL FROM WE~L M~t~FACTU R ER -- NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH_ LIQUID DEPTH LIQUID CAPACITY / ,~/~)~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH/(~, LENGTHen, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER__DEPTH ~2 DISTANCE FROM: WE r TOTAL EFFECTIVE BUILDING FOUNDATION] ~'/, NEAREST LOT LINE ~,O . ABSORPTION AREA (WALL AREA) ~-<~'U 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: PIPE MATERIAL: LOT SLOPE: Form No. EQ-031 DIAGRAM OF SYSTEM (~REA'TER ANCHORAGE AREA IEIOROUGH SEWAGE DISPOSAL SYSTEM --. APPLICATION AND PERMIT ~ ! PIT ~} WELL TO SEPTIC TANK /~/~ ~,~J___, SEEPAGE PIT CONFORM TO [~OROUGFI REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE iROUGH ORDINANCE NO. 2.8.68 AND THAT THE ABOVE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES_ Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519~6650 343-4744 Parcel I.D. # OI ,~ -~ll - I L~ 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# Hgq Location (site address or directions) I~-o~ 5 ~OILb~_P-N~ '~-_~ ~ Property owner F~'. ~^us ~ ~ Mailing address Day phone Lending agency Mailing address. Day phone Agent ]--~H~ '~d~, L/;,c~L~ Address TYPE OF WATER SUPPLY: ,/ Individual well ~" Community well . Public water Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ., 4. TYPE OF WASTEWATER DISPOSAL:, ~,/ ,,';: Individual on-site. " Community on-site ' " Public sewer ' If community wastewater system, provide written confirmation from Sta'te ADEC attesting to the legality and status of system. NOTE: 72-O25(Rev. 1/§1) Front MOA#2! slue~LUO0 I~UO!I)PPV :suo!~lndp, s §u!~OllO~ eq~ 41!/~ 'suuoo~peq 'sLuoo.~peq Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST If A, B, or C, attach ADEC letter. ADEC water system number Date completed /~ ? L~ Driller (,,)vt ~,,~ ~,,<--,,~ Cased to '7 ~ 2.. Casing height ,)/ Wires properly protected (Y/N) A. Well Data Well type ~ Log present (Y/N) Total depth Sanitary seal (Y/N) .g.p.m. FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot j I Public sewer main Sewer service line AT INSPECTION / o l~. qC~ ~ ~: g.p.m, ~ i~ ; On adjacent lots ;On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate_ ~ ~ ~. Other bacteria Collected by: ~1~, ~L~ B. SEPTIC/HOLDING TANK DATA Date installed ~--17--7~' Tank size ,oo~a Compartments Cieanouts (Y/N) ~ Foundation cleanout (Y/N) ~ Depression (Y/N) High water alarm (Y/N) r.//'/~. Alarm tested (Y/N) Date of pumping t J"/?~, Pumper ,~PL ~4 ,,, o~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /cO..~ On adjacent lots I c, 2. Foundation C~ To property line ~ / O Absorption field I c~ Water main/service line ) ~.G Surface water/drainage I~/l c) 72-026(3/93)' Front CONTINUED ON BACK PAGE JeqLunN ld!aoat, d )ueuJ~d jo eFeQ 'uo!loadsu! e!Lll ;o alep a~!1 Uq j~b#a u! saU!lap!n6 WH pub VOI/V I1~ al pauJ3ojuoo JO 'pa!y, JaA 'pa)toaUo aA~LI I ~Ltl /fJ!lJaO I NOI£VOI=II£t:I~Io $,I-I:a=INIgN~ '=1 :O.L 0-1ql4 NOLLdEIOS~iV IAlO~l-I =IONV/SIQ NOI.L¥~Vd3S elep a^!6 'sob Il ~xJ viva a-131~ NOlid~OS~V 'O Je~eM aoepnS s)ol ~ueoe[pe uo )ol uo IIOM :O.L NOI.LVJ.S J~lq ~O~l=J aONVJ.SIQ NOI.LVIdVcF:IS (N/A) sepoo leO!J)Oale ¥0~ sleetN passel selo~O leAeI WJele JO)eM qB!H le la^eq ,,~o dbUnd,, (N/A) sseoov/eloqueR 1~ [eAel ,,ua du4nd,, (N/A) lUeA SUOlleB u! ez!s JeJnioejnUelAI Pallelsu! o)~Q NOI£V/S/dl~ 'O CT&E Ref.~ Client Salnple ID Matrix CT&E Environmental Services Inc, Laboratory Division ~~/~,~E~ 95.0127-1 Laboratory Analysis Report L13 BLK4 VALHALLA WATER Client Name TOBBEN SPURKI~YND, P.E. WORK Order 11909 Ordered By Printed Date 01/12/95 @ 16:30 hrs. Project Name Collected Date 01/10/95 ~ 14:00 hrs. Project~ Received Date 01/10/95 ~ 14:19 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: T.S. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nltrate-N 0.10 U mg/L EPA 353.2 10. 01/10/95 CMR See Special Instructions ~Qoove UA = Unavailable See Sample Remarks Above NA = Not Analyzed Undetected, Reported value is the practical quantification limit. LT = Less Than Secondary dilution. GT = Greater Than 200 W, Potter Drive, Anchorage, AK 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN. MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA APPLIC FILLS OUT UPPER HAL ONLY I'.~ Phone Mailing Addre~ ':~' / ~ ~ i Address Lending Institution Address () ~//~.~ Realty Co. & Agent Phone Address Zip Code Type of Residence ~Single Family ~ Other Water Supply ~(,ndMdua, ~( ~L A~ACH WELL LOG, Aweg log is roquiredfor ag wegs drilled since June 1975. Community ~ For wells drilled prior to that d~te, give well depth (attach Io9 if available). Sewer Disposal [~lndividual E3 Public Utility [~ Holding Tank Year Individual Installed:. When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, Time Time Tiroe Time Date Date Date Date Inspector Inspector Inspector Inspector MUNiCIPALiTY OF ANCHOP, AG~ DEPT. OF HEALTH & ENVIRONMENTAL pROTECTION. RECEIVED APPROVED BEDROOMS DISAPPROVED CONDiTiONAL ,SP. EROVAL' 'CONDITIONS OF APPROVAL Soils Rating Date Sewer installed Well To Absorption Area Well to Tank Well Log Received Septic Tank Size /~) ~ 72023 ALASKA EI1UIRO[lmI FITAL COrITROL S RUICES, IFIC. ~nqineerinq 6 ~nuironmcnlol $1udies AUGUST 10 1983 DOUG NIELSON 8301 ARCTIC BLVD ANCHORAGE AK 99502 SELLER - DOUG NIELSON SUBDIVISION - VALHALLA BUYER - 8301 BLOCK - 4 LOT - 13 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT/CRIB WITH AN AREA OF 480 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 720 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 600 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 8/12/83 . SEPTIG TANK ADEQUACY THE EXISTING SEPTIC TANI( VOLUME OF THIS 3 1000 IS ADEQUATE FOR 1200 U)¢sl 35r~1 Auenu¢, 5uii¢ ~ · Anchor(]§¢, Alaska 99503 · (907) 276-1361 August 5, 1983 Doug Nielsen 8104 Country Wds. Drive Anchorage, AK 99502 Subject: Lot 13 Block 4 Vahalla Sub. Add. Approval for the individual se%;er and water facilities cannot granted until the fol. log~ing items have been completed: The septic tank pumped with a receipt submitte.d to tills department. An adequacy test needs to be performed on thc.· existing leaching area. 'l'his test %~;ill determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. ']!his report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noto. d discrepancies have been corrected. If there"are any further questions, please call this office at 264-4720. Sincerely, RP25/p/E Enclosure Robert C. Pratt~ Associate Environmental Specialist DA'~E RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DEPT, OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~NVJRONMENTAL 825 L Street - Anchorage, Alaska 99501 ) EUVIRONMENTALSANITATION o~v~s~oN APR 1 4 1981 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing, PROP E~T~R ESI DE ~T (I f ~Bt fr~bove~ .~ . ] Z I · ~-~ ' I PHONE 3. LE lNG IN~ ~TU~ON J PHONE B, 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 SYSTEM ,ND,V,DUAL,ON-S,TE" 1975 YEA, ON-S,TE SYSTEM WAS,NSTALLED. [] PUBLIC UTILITY 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 ~l 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 Connection Verified iNSTALLER -- []Septic Tank or [] Holding Tank Size: ~OOe If Tank is homemade BOILS RATING give dimensions; TYPE OF TANK MANUFACTURER TOTALABSORPT,ONAREA MATER,AL ¢, ~ / z-~_z ~h ~ ~ ~ *~f-~ /~- 4. DISTANCESwELL TO: ~ Septic/H~ldieg Tank Absorption/Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (Petter must accompany certificate) [~ DISAPPROVED DATE BY 72-010 (Rev. 6/79) _ INSPECTION APPOINTMENTS ~' ~..~. TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR,J~J~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ~NVIRONMENi, .L ~,. i~CTJON DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION 825 L Street- A.chorage, Alaska 99501 MAR 1. ' 1980 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (~0) days for processing, PROPERTY. OWNER PROPERTY RESIDENT (if different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS b S. LEG/~L DESCRIPTION .... STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] - Other ~] SINGLE FAMILY [] Two ~ Five [] MULTIPLE FAMILY [] Three [] Six " 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled [] ' COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** /~'7'-~' YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTILITY 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 Connection Verified )NSTALLER ~Septic Tank or ~Holding Tank Size:~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ~ ~ ~. TOTAL ABSORPTION AREA MATERIAL 4. Septic/Holding Tank Absorption Area Sewer Line ~ Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS BEDROOMS ~ CONDITIONAL APPROVAL (~etter must accompany certificate) ~ DISAPPROVED 72-010 (Rev, 6/79) RE2 REID ENVIRONMENTAL ENGINEERING SRA BOX 1584R ANCHORAGE, ALASKA 99507 x~e~X~X~O~xx 276-1361 March 24, 1980 John DiBene & Co. 4791 Business Park Blvd #3 Anchorage AK 99503 Attn: Mrs Jane Melarvie Dear Mrs Melarvie; On March 22, 1980 I performed a soils adequacy test on the septic tank/pit at the home located on L13,B4, Valhalla Subdivision. After the test was completed, the tank was pumpe~ by Isaacs Pumping Service. A total of 1600 gallons of water was run into the system without any evidence of failure occuring. ~sed upon the test the system is adequate for a three 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVA~ MAYOR DEPARTMENT OF HEALTN Al,ID ENVIRONMENTAL PROTECTION March 14, 1980 Jane H. Melarvie 4791 Business Park Boulevard ~3 Anchorage, Alaska 99503 Subject: Lot 13 ~ 4 Valhai-i~xSubdivision #1 William D~a~ Dugdale ~ Approval for your individual sewer and water facilities can not be granted until the following items have been completed: The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. Locate and expose the standpipes to the tank and the pit. This is to insure the mini.mum distance requirements are met between your well and sewer system. (4) An adequacy test 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 department for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw GREATER ANCHORAGE AREA BOROUGH epartment of Environmental Quality .Z~L~ ~-~ 3330 "C" S~eet, Anchorage, Alaska 99503 27~F--4'5~61 /~ Date Received April 26, 1976 !.~\~9%~3 Time of Inspection 10:30 a.m. Date of Inspection ~-28-76 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Conv. First National Bank of Anchorage Post Office Box 720, 99510 Phone: Employee Transfer Corporation Phone: 111 West Washington, Chicago, Illinois 3. Legal Description: Lot 13 Block 4 Valhalla Subdivision 4. Location: Wilderness Lane, Talus West Subdivision 279-4481 x 288 312-630-3021 60602 5. Type of facility to be inspected Single Family 6. Well Data: Individual serving one A. Type B. Depth C. Construction 7. Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: ]. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line __ EQ-034 (1/74) No. of bedrooms 3 D. Bacterial Analysis On-site system /~7)~ ~-~ ~ ' ~ // ~\ , Sewer Lines , Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual ' er & Water Facilities Legal Description Lot 13 Block 4 Valhalla Subdivision Approved Disapproved .... Date Approval Valid for one year from date si~gn~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 facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (]/74) MU~IL.'IPALI'ry OF ANCHORAO[J D~PT. OF HEAL 1- & MUNICIPALITY OF ANCHORAG~F~ViRONM~NT^c P~O'I'ECtION DEPARTMENT OF ENVIRONMENTAL QUALITY · 333o "c" Street. ^.o,or.go. AI.ska 99 03 - 1976 RE QUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FAClL1TIE~ 1. Type of Inspection: CMRO VA FHA 2, Property Owner: ~'~/¢ Mailing Address: Ill- f,d.t~.;~H~'~-~. ~.~,.~e., I~L.~,o,,,Day Phone 3. Name of Buyer: ~e~h~l~ ~' ~(~g'*,7'~ ~..- Mailing Address: ~'V5'- 4. Name of Lending Institution: / ~'t' 1~'7J/.. ~'~, CONV .~¢' Day Phone Mailing Address: /¢o¢o r~¢/¢ ?;zo/~¢Jl ./~.. ~e/~rl¢ Phone Name of Realtor or Agent: Mailing Address: ~2,01- Legal Description: Location: d~OI 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility 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 Individual Individual (on-site) EQ-037 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality Date of Inspection 4. 5. 6. 7. 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection R[QU[SI FOR ~PPROV~k OF INDIVIDUAL SEWER & WATER FACILITIES EOR Approval requested by: Property Owner: ~_~_~ Phone: / Mailing Address: . ~_ ~' /~ .:~. ~.. Legal Description: ~9 /.Sa ~.-~Z~ ~ Location: ~ /j- ~ Z~L-c~)~ ~.~ m-. Type of facility to be inspected ~_-~..~c)~ No. of bedrooms / Well Data: A. Type -~_~-~,~--~<~._. B. Depth //~ / ~) C. Septic Tank: 1. S~ze /~o ~ 2. ~anufactu~e~ D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of line~ o Distances: A. Well to: Septic tank /0~/ , Absorption area Nearest lot line /d ~ ~ , Other contamination B. Foundation to septic tank /o /d~- , Absorption area Sewer Lines C. Absorption area to nearest lot line __ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual Se..~r & Water Facilities Legal Description_ .~ ?$ ~ J~/~X~ .. Comments Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental DIAGRAM OF SYSTEM Quality 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)