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Home My WebLink AboutVALHALLA #1 BLK 4 LT 11 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~b..f 0J_~"Oo,.¢~) PIDNumber:_~)lSE-ili~-- Name:LA~y, ~ ~AM~ ~,o~o Wastewater System: ~ New ~grade Address: /~ ~tc~ ~o~ ABSORPTION FIELD Phone: NO. Of Bedrooms: ~ep Trench ~ Shallow Trench ~ Bed ~ Mound B Other LEGAL DESCRIPTION so, Rating: Total Depth ,rom original grade: GPD/Sq, Ft. /~ ~-- /~' ~ LOt: BlOck: ¢~/~''/~b~°n; Dep,~ to pi~e bottom from odgin Ig,ado:¢~O Ft. Gravel depth benoa,~ pipe Township: [ Range: Section: Fill added above original grade: I Gravel length: WELL: upgra ~¢ ~t. / ~ Classification (private. A.8.C): To,al De . Total absorption area: ~ ~/~ ' ~ OateDrilled: SialicWaterLevel:F,. Installer=* ~ ~¢~,, D¢~ks=~:/~~ SEPARATION DISTANCES ~ptic a Holding ~ S.T.E.P. Well I~¢ I~~ ~ / ~Ma~ Numb~' °' C°mpartments: ~ w~t~ 2t¢¢~ >1¢¢~ / ~ / LIFT STATION . Line Lot ~ I~' ~ i~ ~ ~ ~ Size in gallon,: [;.nufact;;;i,,D,,~..,~a~ Curtain Drain ~/~ ~/~ ~ ~ ~ =~Efectricallnspectionspodormod by: Remarks: /~¢~ ~,~ /~ ¢¢/~r-~ BENCH MARK Assumed Elevation: /¢¢¢ ~['1 c'[~[NE~S SEAL Department of Health an¢ 'Human Se~i~es approval ~t~.;~,~.,,,,, :,.,:;: t, ;~ , ' ~' '~"' ,,'-7% ~' Reviewed and approved by: ~ ~¢~c~¢~ ~.~ ~jv~¢ ~-~ Date:-~ ~) - - x.,..., :.. 72-013 (Rev. 9/91) MOA 25 ~ermlt No. '-~' [,~) q~-~(~O~O Page ,.of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343~4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No.: ,, 01~'~.111 Z- PermitNo. '~*~k~lC~-~"O0~O Page ,~ of -~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: /-'~'/" /'/, 6/~,c~o c./ ~/,4L~tj~L.l,~t~¢ WATEH WELL LOG ~ ,', ~0S3 D~I~J,ING ~chor~e, Alaska 99~01 FEET OF DRAWDOWN. REMARKS PUMP TO BE SET __tO__ __tO__ __tO__ __t o__ RECEIVED MAY 1 2 1995 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:SW950040 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:ROETTO LARRY R & JOANN OWNER ADDRESS:12025 WILDERNESS RD ANCHORAGE, AK 99516 DATE ISSUED: 3/31/95 EXPIRATION DATE: 3/31/96 PARCEL ID:01521112 LEGAL DESCRIPTION: VALHALLA ~1 BLK 4 LT 11 LOT SIZE: 16201 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MTJST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: A DIVERTING VALVE SHOULD BE INSTALLED SO THAT THE SEPTIC TANK EFFLUENT IS DIVERTED ONLY TO THE NEW TRENCH. {BULL RUN. ZABEL Z2OO-D, OR EQUIVILANT} ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 March 29, 1995 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 11, Block 4, Valhalla Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The absorption trench on the subject lot is currently submerged and operating in a surcharged state. We are therefore proposing to install a new trench adjacent to the existing trench. The existing septic tank is made of fiberglass material. We have verified the tank is in good condition and is not leaking and therefore acceptable for reuse. The attached site plan shows the location of the existing and new absorption trenches as well as the wells and septic systems in the area. Surface drainage in the area is currently from east to west and will not be impacted by the new construction. If the trench is installed as designed the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells in the area. The 100' protective radii are shown on the attached site plan. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current dra. inag¢...,,p, attern will be maintained. Sincerely, Michael E. Anderson, P.E. CALCULATED BY DATE DATE CALCULATED BY DATE SCALE Lot 11, Block 4, Valhalla Subdivision DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Deep Trench System Pete. Rate: 8 Min./Inch 1,000 Gal. Septic Tank (Exist.) Application Rate: .8 GPD/SF 8' Drain Rock Beneath Pipe 3 Bdrms. X 150 GPD / .8 GPD/SF = 562,5 SF of Absorption Area 562.5 SF / 16 SF/LF Sidewall -- 35 LF Length (Minimum) Therefore: Construct a Deep Trench System 3' Wide X 40' Long at the Location Shown on the Site Plan. Place 8' of Gravel Beneath Distribution Pipe. Distribution Pipe Placed at 5' Below Existing Ground Surface. NOTE: Maintain 4' Vertical Separation From Bottom of Trench to Groundwater Tablo, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:. 1 2 3 4 5 6- 7 8 9- 10- 11 13- 14- 15- 16- 17- 18- 19- 20- SLOI WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT ~ SL DEPTH? pO Deptll to Water Alter Monitoring? 0 Date: '~ /~ SiTE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ,~ (minutes/inch) PERC HOLE DIAMETER ~'" TEST RUN BETWEEN ~'~ FTAND ~ FT / ~ 'qlqs ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/~) GREA. R ANCHORAGE AREA BOR Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 JGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ? FROM WELL INSIDE LENGTH INSIDE WIDTH NUMBER OF MATERIAL '~'~_.I~cOMPARTMENTS ___ LIQUID DEPTH LIQUID CAPACITY/~-~j GALLONS. DISTANCE FROM WELL J~O[-_FOUNDATION~'~ /~' NEAREST LOT LINE ~' ("~'P~-OF TOTAL LINEsLENGTH/'J~/~' NUMBER OF LINES__ J __ DISTANCE BETWEEN LINES ~/~ TRENCH WI DTH~ IN. TOTAL EFFECTIVE ABSORPTION AREA ,~ ~ ~ __ SQ. FT. LENGTH OF EACH LINE ~ ~,~ DEPTH OF FILTER .... DEPTH: TOP OF TILE TO FINISH GBABE' MATERIAL BENEATH TILE~¢ ~_ "~ABOVE TILE ~-' f IN. WELL: TYPE ~ P~A-' .CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION .... LOT LINE , SEWER LINE __, TANK SYSTEM CESSPOOL OTNER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM ' / ~ G.A.A.B. Form EQ-O32 i'ii B-;;)l'il. li"i 1-41.1ttl:l I. ()1' h:!:Z[)l.;:()Obi':; :: Iti1: I.U;(.:!IlZi:I;U{I) ::;:1"' Of:',-.,. '111¢: .':'f 'il H! :::::;I )i:;'F:"I' IZIH '. ". I.lt' ttlF t.l':iqlXFII I)):HFT.I::;);I:d",I :('::; 'Fill:; I.l:':i",l(iilll ,::)'H F"l:i::;l::, ()i' IFil:: I1 It K:'~:I:"I'II O1" 1:~ '11;:l+:l'*l(.:il I::$;'. t:':( I (:::; Y[ fl:: I)~:::¢'lftl".l(::l:: F:~F:'ll,![::l::hl (il.,:l:)lJl",ll) Fli'.tl)'1'1 It{ t',O'i I'i::ll'l ()f' '1'1 I1:; t:::qI::I"I',,"FI'i :(1::1I'-.I 4:~1",1 IJil: I::il;:f'l',,,'H:l. D!:X::"I'II ;!::;:, III1: t'i:(l",lTll411iq t)hiF"ltl ()b G}.;:PI¥1:I. I~:F:'II'II J~;b,l Till: t ti",{l;;, II ll:Z !;llZ;I I '1 ()l'l O1: I'I It:{ I>Z'>'O/:I::I',?F'I I':i;l[)i',l ( :(t'J i'l{l{t'). :~:;i Zl.'lt' IG[ :; HI:Il. L:'I ;:I :'1 II.;:11"'l[:;;Iq I I I',/H ); I .t'1t:1..I: TH 1 5-27-76 0.0I ORG~ C__S__~T~ _ 0.5' ORGANIC SILT W/SOME SILTY SAND W/TRACE . _C~YfEL _LT~_ ..... 2.0' GRAVELLY SAND W/TRACE SILT (SP-SM) (20o) TH 1' · 7.0' ,, SANDY SILT (ML) , . ~-- ......... 7.5 SAND W/SOME GRAVEL & TRACE S I LT._( S__LS M_~ _~20__0 ) 7.5' SILTY SAND W/SOME GRAVEL (SM) ~__ 10.5' SANDY SILTY GRAVEL (GM) (GW) (160) Layers of Sandy Gravel SILTY SAND W/SOME GRAVEL (SM) Log Represents Location of Test Hole Lot 11 Blcok 4 Valhalla Subdivision Log of Test Hole Carl Luchsinger Anchorage, Alaska ' 22.0'T[ · Ii:ROd.NO. 656241 I OW~.NO. A-O1 PERCOLATION TEST CARL LUCHSINGER R & M NO. 656241 TIME 12:00 12.'01 12:02 12:03 12: 04 !2:05 12:10 12:15 12:20 12:25 t2: 30------ 12:35 12:40 12:45 1:00 ELAPSED DROP TIME INCHES 0 0 1 1 1/2 1' i 1/2 1 1 1. 1 1/4 1 1 5 4 5 3 1/2 5 3 5 2 3/4 .......... 5 .............................. 2.3/4 5 2 1/2 5 2 ]./4 5 2 1/4 5 2 5 2 1/4 5 2 1/4 60 Minutes 35 3/4 Total Drop Lot 11 Block 4 Valhalla Subdivision May 28, 1976 R & M No. 656241 Mr. Carl Luchsinger Box 94 STA Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 11 Block 4 Valholla Subidvision Dear Mr. Luchsinger: We are submitting herewith the boring logs, percolation results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of May 17, 1976, and those procedures outlined in a letter dated July 15, 1976, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the Lot 11 area for the purpose of defining general subsurface soil conditions and conducting percolation tests for the proposed sanitary system. Excavation was accomplished with a tractor-mounted auger type drilling rig and the test hole was extended to a total depth of 22 feet below ground surface. The final log prepared for the test hole has been included in Drawing A~01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney vice President JWR/PJ/pe xc: Municipality of Anchorage WELL OW~R D~ ~J WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 USE OF WELL SIZE OF CA~I~GI~" DE~H OF HOLEL~L~T. CA~m ~0___ / &~ STATIC WATER LEVEL_~.~__._FTo YIELD,,/~ ,GALoPER.MIN. WITH FEET OF DRAWDOWN. FT. REMAPhKS DATE COMPLETED .O_to.LQ /_~_to~ ~itogP ~t o~_~ /~_~to~ /~o/,~ ~g 0 ...... ~gO ..... ~g 0 ..... ~0~ ~0~ ~0~ ~gO~ _ ' MUNICIPALITY OF ANCHORAGE~; .:.~ .... : .... DEPARTMENT OF HEALTH & HUMAN SERVICES_.. :'~i~;~ ' '--'- ....... Division of Environmental Services : ....... ., ~- ...... .., ~ .................... :. ~.. On-Site Se~ic.es Sect!~n...;:.~ ..... -:_. ' ' . ' ' P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # Of~'"~-- I I I ~. HAA # 1. GENERAL INFORMATION Complete legal descrlpbon ~ j }, L~ocation (site address or directions) - r-:-::,pr0pe~yowneC'~' 'AN 0 -.;~T~A~ ~P-~"O Day phone -: Lendino__~ ~.__~.aaencv'- ..... Day. phone ..:.'Agent --"-~ '-:~ ......- --. ...... - ' · Day phone 3. TYPE OFWATER SUPPLY: Individual well ~ K Community well Public water · , ..-r. NOTE:~'~'If communtty well s~tem, provide wn~en conhrma.ton from ............ - ..... ing to the legali~ and status of system. ' '"':' '"' 4. ': TYPE OF WASTEWATER DISPOSAL: '~ ' "Individual 0n~site '~X .......... . .............. ~+.,.,, ,~,,~nu tank ....... . : - . NOTE: If communt~ wastewater system, provtde wrt~en confirmatton a~esting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 ' -~ ~ ';' :2 '- -~.--: .... ----__, ........ ~ ..... ~0[~ I/~, :,el~o ~ '~ ~~. oJnl*ufi!ss~u!fo~'/L-- : ~. ~l~ · ~~.'., ~LLO~2 ~j O~,.;..:,.~e~pp~': -'~ ~ 'uo!ioadsum s!q~ ;o o~p eq; uo ~oe~o u! suoBeln~aa pue 'saou,ulpao moji pau!~lqo uo!l~waotu! oql uo pes~q l~ql ~!JS~4oq~nt I 'u!oJe~ pel~9!pu, oJnlomls to ed~ pu~. smompaq jo Joqmnu aql Jot elanbapa pue leUO!lount 'et~s s! molsAs leSOdS!p ~ele~els~ JO/pu~ Atddns JOi~M el!s-uo eq~ lsq~ SMOqS UOR~O dde s6o~ddv ~ joqlnv qlleeH slql to uo!ls6BseAu!'~ ' -'- ' ~gaNl~Ng kg NOIIOadSNI ~O'IN~glVlS-'-'S Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORiTy APPROVAL CHECKLIST Legal Description: A. Well Data Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed '7/1~//7P Driller Cased to /.~-/? Casing height /. Wires properly protected (Y/N) Date of test Static water level Well flow Pump level1 FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / Absorption field on lot / Public sewer main Sewer se~ice line g.p.m. AT INSPECTION ~ ~) ~' .g.p.m. ;On adjacent lots ; On adjacent lots ~/0 Public sewer manhole/cleanout Petroleum tank ~'o~ WATER SAMPLE RESULTS: Coliform ~ Date of sample: Y-¢~/~ Nitrate , ~ 0 hA ~ / ~... Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~/I ~ '-//~'~,~i~-' Tank size / (-)0 0 Compartments Cleanouts (Y/N) '~ Foundation cleanout (Y/N) . "~' Depression (Y/N) High water alarm (Y/N) /~ Alarm tested (Y/N) Date of pumping /'J',.~ud ~d ~J g~-/~ (_~/OA( Pumper ,'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot / O0 To property line ~ Sudace water/drainage On adjacent lots ~/~0 ' Foundation Absorption field ~ /0 ~ ' Water main/service line ?~-o~s (~). Front CONTINUED ON BACK PAGE JequJnN lUeLU,~ecl 10 $ e~:l Je^!BM 'uo!loodsu~ st~ ]o OWl:),~ql'aO looile ul sOUllepln~ WH pu~ VOI, V fl~ ol p~l. uJojuoo lo pa!lure 'po.'lo~qO m~Ll I Ieill .,9!l~eO I NOI.LVOI-IIIEFtO S,Id=EINIDN=I '=1 O~ ~/ eeJe e§eJols eio!qeA/~u!HJed ',{eMe^pa eU!l eo!mes/u!etu Je~,eM .[~ p/0/¢¢ Nueqlno lOl uo LUelSXS pauopueqe JO 8u!Is!xe ol , ~; ¢~ eU!l/qJedoJd O0 / (. SlOl lueo~Jpe uo ,j~) .p,/O],v' uieJp u!eiJno ~,~ t'q O]'V JJ)JeM eoePnS ¢ 00/z. SlOl luaoe[pe uo uo!iepunoI §U!pl!nq oj. c: c': / lOl uo IleM :01 C]'1=I1:t NOIldblOSBV ~0~4 ~]ONV.LSIC] NOI.LVblVd~]S (N/A) ~$eooV/elOqUelAI JeJnDetnuelAI SlOl luao~[pe uo lol uo IleM :O1 NOIIVIS .L=II'I IAIOkI=I =IONVISIC] NOIIV'dVd=IS (N/A) sepoo leo.uloele VOIAI sjeelAI la^el WJ~le JeleM q6lH (N/A) lUeA SUOll~B u! ez!s CT&E Ref.# Client Sample ID Matrix CT&E Environmental Services Inc. Laboratory Division ~~'J~a~J~'~'J~'~'~'~'~'~'J"~'~'~'~'~'~ Laboratory Analysis Report 11/4 VALHALLA WATER Client Name ANDERSON ENGINEERING WORK Order 12815 Ordered By ALA~ ~/~DERSON Printed Date 02/27/95 ~ 16:57 hrs, Project Name Collected Date 02/22/95 ~ 14:15 hrs. Project~ Received Date 02/22/95 ~ 14:40 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: STUART. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Ini~ Nitrate-N 0.10 U m~/L EPA 853,2 10. 02/24/95 CMR * See Special Instructions Above UA ~ Unavailable ** See Sample Remarks ;%bove NA - Not ;~%alyzed L~= Undetected, Reported value is the practical quantification limit. LT - Less Than ~= Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 99518-1605 -- Tek (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA APPLlC/ Ti'¢ILLS OIJT tJPP'ER hAL,' )NL.,Y Address {,~,, ~,-~ ,2 ~ Lending Institution Address Type of esidence In~lle Family Zip Code Phone Zip Code / Zip Code Phone Water Supply '~4'Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach Icg if available), [] Public Utility Sewer Disposal Year Individual Installed:__ [] Public Utility When Connected to Public Utility: F~ Holding Tank NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspe2tor Field Notes: (~)APPROVED BEDROOMS ) DISAPPROVED ) CONDITIONAL APPROVAL' 'CONDITIONS OF APPROVAL Soils Rating Date Sewer Installed Well Fo Absorption Area Well to Tank Well Log Received Septic Tank Size APPLIC ~' NT FILLS OUT UPPER HAl" ONLY Address Zip Code Address Zip Code Street Locall~ Type f Resl~nce ~ dlvldual A~ACH WELL LOG. A w~l log Is required for all wells drilled since June 1975· I ~ Community For wells drilled prior to that date, give well depth (attach log if Available). ~ Public Utility Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ,--'~ DEPT, OF HEALTII ~ (~) ('~O- 0 ~ . ENVIRONMENTAL PRO'J[CTION RECEIVED { ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE BY: Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size ALASKA eFIUIRODmeDTAL COFITROL SeRUICeS, IFIC. (~nqineeHnq 6 ~nuiror, ment~l $1udies October 10, 1983 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On October 7, 1983 our company collected a water sample from the house located on Lot 11 Block 4 Vahalla Subdivision. The property owner is Jack Katzenmeyer. The water analysis was satisfactory. A copy of the report is attached. The well is located 105 feet from the septic tank and 105 feet from the leach field. The electrical wires are encased in conduit. Ail the standpipes are capped. The well casing stands 2 feet above ground and has a sanitary seal. 1200 ~¢St 33rtl Aucr~u¢, $uii¢ B · Anchoroqe, Alaska 99503 · [907) 276-136l 1. Approval Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received October 15, 1976 Time of Inspection ZZ:O0 a.m. Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. requested by: Alaska Mutual Savings 10-18-76 Monday Pratt Post Office Box 1120 Daniel G. Wiege Phone: Phone: 274-3561 Star Route A Box 1542W 272-5716 Lot 11 Block 4 Valhalla Wilderness Lane, see map 5. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal System: A. Installed 1976 C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: A.Well to: Septic tank Nearest lot line B.Foundation to septic tank Single Family No. of bedrooms B. Depth D. Bacterial Analysis On-site system B. Installer 2. Manufacturer 2. Material 135' , Absorption area , Other contamination , 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 - Req st for Approval of Individual S 3r & Water Facilities Legal Description Lot 11 Block 4 Valhalla Comments Approved ~.~ j//~(~ Disapproved Date 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) MUNICIPALITY OF ANOHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO , VA FHA 2. Property Owner: ~tZ~4,~; q ~' Mailing Address: ~.A I ~/'~'J/~ ~ Day Phone: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: CONY Location: Day Phone: Ph~e: # 7. Type of Facility to be nspected: 44~ ~ ~ ~ 8, Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well ~ ._~ ~ 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation ~ ~-~ No. Bdrms. Individual ~._._ Individual (on-site) 72-003(3/76)