Loading...
HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 26GRE i' 'R ANCHORAGE AREA BOR(" GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'~-/.,~.~gT~. ~/T~,,~.~..~Z.~-~..~ MAILING ADDRESS LOCATION ~¢:>~-Z:) ~-g- I:~/zZ~.~-~' LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH INSIDE WIDTH NUMBER OF MATERIAL ,,~'t.4¢,~ /~.~ COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY /AgO GALLONS. TILE DRAIN ~¢~/ DISTANCE FROM WELL ~-~/~ FOUNDATION / g) /~ NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA" ~ ,~' c~ SQ. FT. DEPTH: TOP OF TILE TO FINISH GRADE ! ~ ~ ~ TOTAL LENGTH NEAREST LOT LINE OF LINES TRENCH WIDTH'"' IN. TOTAL EFFECTIVE LENGTH OF EACH LINE ! ~__~ ~..~, ,~- l DEPTH OF FILTER ~ ~1 WELL: ~_~ ~.) TYPE BUILDING EOUNDATION __ CESSPOOL _ APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE TANK__ REMARKS DEPTH DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: ,,~/.r7%_~' ,~;~,'/¢~¢~2_ SEWER LINE DEPTH: PIPE MATERIAL: ~g-~7~ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE ~f//~/;/)' '~PP R O V E D _ G.A.A.B. grEAh_ar ANCHORAge Area BOR; ~gh DEPARTMENT OF ENVIRONMENTAL QUALITY LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT SEEPAGE PiT DI~AIN ~ OTHER , TO BE INSTALLED BY COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL C~UALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOLJNDAT]ON TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PiT WALL TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD SEEPA=E AREA $'ZE p TYpE DIAGRAM OF SYSTEM · 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 ]~CH DIAMETER CAST IRON SiPhON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH A]RTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORASE AREA BOROUGH ORDINANCE NO. 28-68 AND T~AT THE ABOVE NAME OF APPLICANT Greater ANChORAge AREA Bord ~;h DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! PERMIT NO. .Z_ ~ } - " :;' .... ._> LEGAL DESCRIPTION SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT · :./~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED TH ROU(~H SEEPAGE PIT TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SO!L TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SU,E~3ECT TO PROSECUTION. ? SEEPAGE AREA SiZE ) TYPE DRAIN FIELD / SEEPAGE PIT . ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK, ' /' (`j SEEPAGE PIT GRAVEL BACKFILL CONFORhl TO BOROUGH REGULATIONS REGARDING INSTALLATION. ' GRE'A"FER AI,ICIIOle./\GE f',l!EA UOROUG, Oeparlmlent of [nvironmen(al Qual i ~y 3330 "C" Street Anchorage, Alaska 99b03 SOILS 1,O(; PEI~OI,ATION TEST Performed for Lega 1 Des c ri p~-i-6-n? This form reports: Soils log Jate Performed Percolation ~est Depth Feet 1 2- 3- 4- 5- 6- Z- 8- lO- ll 12- 13- 14- ter encountered? A¢/O ' ' If yes, at wi~at deptq? · Reading Date Gross Time Net Time Deo~n to Water- Net Drop Pe rcol a t i-o-n rate Hll nu re. Proposed installation: Seepage Pit Drain Field ................. Depth of'Inlet Dep~-~'o--6~-t~--6?--pit or trenci, Date: EQ 040 (6/74) Test Hole 6 Lot 26, Block 3 D.epth in Feet From To 0.0' 15.0' 15.0' 16.5' Elevation: Existing Ground W.O. #17378 Soil Descriptio~ NFS, Sandy Gravel, GP-GM, gray, damp, trace of silt, Group D. NFS, Gravelly Sand, SW-SP, gray, damp, trace of silt, Group E. Bottom of Tes't Hole: Frost Line: Free Water Level: 16.5' None None Type of Sample Depth M~ Sample Group 1 5.0!~6.5'. iDamp G D 2 10.0'-11.5' Damp G D 3 15.0'-16.5' Damp G E Remarks: Type of Sample, G = Grab Group refers to similar material, this study only. Municipality of Anchorage' Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING 1. GENERAL INFORMATION Expiration Date: Completelegaldescdption VALU VUE SUBDIVISION; LOT 26~ BLOCK 3 Location (site address or directions) 6315 RED TREE CIRCLE * ANCHORAGE, AK 99516 Currant Property owner(s) Mailing addrass Lending agency Mailing address Real Estate Agent Mailing address KAY EL~SON Day phone 6315 RED TREE CIRCLE * ANCHORAGE~ AK 99516 Day phone CAROLE BENNETT w/ DYNAMIC PROPER~ES Day phone 3111 "C' STREET * ANCHORAGE, AK 99503 261-7648 Un~$sotherw~e~queste~ HAAw~behe~byDSD~rpNkup. 2. NUMBER OFBEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class "A" Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeownem. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note:Alaska Water and Wastewater Consultants, Inc. shall be paid $ O.~ at, or pdor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As cerb'fied by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shews that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of strocture indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JB-I-t<EY A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reposed results descdbed the performance of the system under the conditions encountered at the t~me of the test, end separation distances measured lo readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being sen/ed by the system. These conditions are outside the control of the eva/uator of the system. Satisfactory test results do not guarantee futura performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AW1/VC, Inc. can therefore not provide any warranty or futura estimate of how long the system wiN continue to meet the operational requirements of the ADEC or MOA DSD. The content of this repor~ ia for the so/e benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorfzed, nor wiN it confer any legal right whatsoever. f re .' :-7953 ..' 5. DSD SIGNATURE y Approved for .~ bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 ~ouff3 Bragaw St. P.O. Box 196650 Ancfloraga, AK 99519-6650 ~m~w.ci,anchorage.ak.us (~07) 343-?g04 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: VALLI VUE S/D; LOT 26, BLOCK Parcel ID: 015-541-4.2 A. WELL DATA Well type CLASS ',~' If A. B. or C __provide PWSI~ Date completed Sanita[~,~¢4]~?---~ Wires propedy protected (Y/N). . ~i/I-"-~. Cased to ft. Casing height (above ground) in. Date of test Static water level Well production FROM WELL LOG AT INSPECTION J g.p.m. J g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nitrate .~mg./L. Other ba ' ' I. ·: . . Date of sample: __ Collected by: SEPTIC/HOLDING TANK DATA Tank Type/Material FIBERGLASS Tank size 1250 gal. Number of Compartments 1 Foundation cteanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 6/3/2002 Pumper. Date installed 9/12/1975 Claanouts (Y/N) YES High water alarm (Y/N) N/A CHUGACH PUMPING ABSORPTION FIELD DATA Date installed 9/12/tg75 Length 29.5 ft. 18' S0~L ~ AT SI~LLOW END OF TRENCH. SYSTE~a HASI FUNCTIONED AD~qUA~I[LY IrOR 27 I Soil rating ~r ft ~/bdrm) 85 System type TRENCH Width UNKNOWN .ft. Gravel below pipe 6 Total depth 7-9 .ft. Eft. absorption area ,354 ft~ Monitoring tube YES Date of adequacy test 6/,.3/2002 Results (Pass/Fail) PASS Fluid depth in absorption field before test 20 in. Water added 716 gal. Elapsed Time: 0 min. Final fluid depth 20 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN Depression over field, NO For 4 bedrooms New depth 20 in. 600+ gp.d. If yes, give date - D. LIFT STATION Date installed Size in gallons "Pump on" level at Da..~tum ~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: High water alarm level at Meets alarm & circuit requirements? COMMUNITY WATER On adjacent lots _:....-- Public sewer manhole/cleanout Septic tank/lift station on lot Absorption field on lot Public sewer main Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Water main 10'+ Water service line 10'+ Wells on adjacent lots * 100' + Absorption field Sudace water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 5'+ 100'+ Water main 10'+ Driveway, parking/vehicle storage Building foundation 10'+ Surface water 100'+ Wells on adjacent lots .100'+ Property line. 10'+ Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS * 200'+ TO CLASS 'A" WELLS G. ENGINEER'S CERTIFICA'nON I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Priled ~lame Date JEFFREY A. GARNESS HAA Fee $ ~r7~' Date of Payment 7/ /02_ Receip(~ Number ~.. _~r~ (Rev, 12101) Waiver Fee $ Date of Payment Receipt Number JUN-Oi-2002 SAT 03:50 ?H FAX NO. P. 02 77~LgG .----~4UNICIPALITY OF ANCHORm. r~ DEPARTMEN 3F HEALTH AND ENVIRONMENi~ ]PROTECTION 825 ~L Street, Anchorac~e, Alask~ ' 99501 264-4720 Date Received: November 28, 1977 Time ~J~D_Ps~ __ #2: Time ~3: 'rime D te D te Da e Insp Insp REQUEST FOR APPROVAL OF iNDIVIDUAL SEWER AND WATER FACILITIES % Florence Wagner Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 Phone: 274-1521 2. Property Owner: Joseph Liles Phone: Mailing Address: % Tanner-Maqowan, Dave Sharman 274-2521 Legal Description: Lot 26 Block 3 Valli Vue Estates ~2 Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: well System: Permit ~ Construction Individual well ( ) Con. unity/Public System (x) Depth of Well Well Log on File ~~ Bacterial Analysis ~ Sewage Permit # Septic Tank Size Absorption Area Disposal System: On-site System (x) Public Utility Installed ,~7~-- Installer Manufacturer Soils Rate ~' Material 7 o Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest ]Lot Line to Absorption Area Absorption Area · ~age Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 26 Block 3 Valli Vue Estates ~2 Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved ~~f_~~~Da t e: Disapproved: Date Department Worksheet: ~-%, Municipality of Anchorage DEPARTP.. JT OF HEALTH & ENVIRONMENTAL PR(. ,-'CTION POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 REOUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. TYPEOFLOAN ~2. ASSESSORS PARCEL NUMBER [] VA [] F.H.A. ~ CONV [] 3. LENDING INSTITUTION !4. REALTOR OR AGENT ~'J?~ First National Bank of Anchorage ~;~r,J Tanner Magowan Anchorage, Alaska 99509 Anchorage, Ak ?:=!:Florence Wegner ~i 37!i: 274-1521 A '~:Dave Sharman ~0~ : 274 2521 5. SELLER 6. BUYER ~/,'~ : Joseph Liles ;~, ~: Kay Edward & Darlene M. Eliason /~ ~i~ [~ (has moved to lower 48) ~,~!~ ~%;: 6315 Red Tree circle Anchorage, Alaska 99507 ~,?~ o? ~,~'i /~;~¢¥ 276 0113 (work) 349-2743 (h~me) 7. LEGAL DESCRIPTION 8. LOCATION/STREE/ADDRESS Lot 26, Block 3, Valli Vue Estates #2 6315 Red Tree Circle 9. TYPE OF DWELLING 1O. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM ~SINGLE FAMILY RESIDENCE 4 BDRMS ~PUBLIC UTiLiTY/CO~rmlnity [] PUBLIC UTILITY [] MULTI-FAMILY RESIDENCE BDRMS [] PRIVATE ON-SITE ~ ON-SiTE YEAR INSTALLED INSTRUCTIONS TO REQUESTOR 1. Complete Items 1 to 11 above 3. Send to address above 5. Response wilt be returned to lending 2. Remove the carbon 4, Please allow 10 days for processing institution DATE RECEIVED DATE OF INSPECTION TIME OF INSPECTION INSPECTOR TYPE DEPTH YEAR DRILLED PERMIT REFERENCE .u -J ET. ~ CONSTRUCTION BACTERIAL ANALYSIS LAB REFERENCE NO. YEAR INSTALLED INSTALLER TANK SIZE MANUFACTURER ~ DIMENSIONS CRIB CONSTRUCTION ~ TOTAL LINE LENGTH TRENCH DEPTH GRAVEL DEPTH ~- [] DISPOSAL ~ FIELD ~ FT. FT. FT. TOTAL ABSORPTION AREA PERMIT REFERENCE Jv~UNICIPALITY OF ANCHOR/',G'~ SQ. FT, DEPT, OF HEALTH & 72-010 (11/76) . ,-~.MUNICIPALITY OF ANCHO'RAGEpC--N DEPARTME[ 'DF H6ALTH AND ENVIRONMENq] PROTECTION 825~ L Street, Anchorage, AlasKa 99501 279-2511, ext. 224 or 225 Date Received: July 29, 1977 ~1: Time ~/~_~.___ #2i Time Date _ff_7_-~-_~,3 (~ Date Insp ~, Insp #3: Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES ~0~ ~ L%~ ~S ~'~ ~% Bob Orell Lending Institution Request: First National Bank of Anchorage Mailing Address: Post office Box 720 99510 Phone: 276-6300 Property Owner: Joseph Robert Liles, Jr. Mailing Address: Star Route A Box 29L 99507 Phone: 344-3877 3. Legal Description: Lot 26 Block 3 Valli Vue Subdivision 4: Single Family Residence: ~) Number of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual Well ( ) Community/Public System ~ Depth of Well Well Log on File Bacterial Analysis ( ) Sewage Disposal System: On--site System (x) Public Utility ( ) Per,it # Installed-__&~3-%6 ~L_ Installer Septic Ta~k Size __~_~L~ ~J-~S, Manufacturer Absorption Area ~b~a~,' Soils Rate /~. Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 26 Block 3 Valli Vue Subdivision Affadavit Attached: ( ) Letter Attached: Approved: ~~ Date: Disapproved: Date: Department Worksheet: ~_~ " ~ :rMUNI,CIPALITY OF ANCHORAG L.~.~:,,.~ c,,,, ...... I... · ~.x/~ Department of Health and Environmental ~~ 825 L Street, ~chorage, Alaska '~'~9'~'01 I,---~~j 279-2511, ext. 224, 225 ~c i:/: uest for Approval of Individual Sewer and Wa~er~Faqili~es 1. Property Owner: -~05~ ~ ~, ~0 ~$ ~' ~ ~ J k Mailing Address: ~% ~ ~ ~L Phone: Name of Buyer: Ma±ling Address: Lending Institution Mailing Address: Phone Phone o o Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: Single Family ResidenCeS: (~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well ( ) If Individual Well, well depth If Conmlunity System, name of system Sewage Disposal System: On-site System If On-site System, date of installation: Public/Community System Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75· 3/77 December 13, 1977 R&M No. 751549 1st National Bank of Anchorage P.O. Box 4-2090 Anchorage, Alaska 99501 Attention: Mr. Club, Vice President ~.t.~L. ~k~L~ ~iO%ic'~.~ Subject: Adequacy Test on Sanitary System, Lot 26, Block 3,~:~w~" V±'~ No. 2 Gentlemen: On December 12, 1977, at your request, we conducted a test of the septic system on the above described property. During the test the liquid level in the leach pit was monitored as water was added to the system. The following table summarizes these measurements: SUMMARY OF MEASUREMENTS Liquid Level Water in Metered Time Leachfield Gallons 2:41 6.30 2:52 5.25 25 3:04 4.25 27 3:24 4.30 26 3:40 4.30 60 4:15 4.35 TOTAL 138 Ail liquid level figures indicate distance below the top of the standpipe. The meter used during the test was a Rockwell 5/8" standard water meter Wh~%ch had been previously calibrated by R&M Consultants, Inc. If the four-bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or 0.41 gallons per minute. During the test~ the system accepted 138 gallons~ or approximately 23 per cent of the total daily load, in 94 minutes. This indicated an effluent acceptance rate of approximately 1.47 gallons per minute at the time of the tes~. We conclude that the system is disposing of effluent at an adequate rate for a four-bedroom residence. December 13, 1977 1st National Bank of Anchorage Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or this letter or if we can be of additional service. Very truly yours, R & M CONSULTANTS, INC. W.F. Attwood Geologist Robert L. Schraeder Associate WFA/RLS/gld December 2~ 1977 Joseph Liles % Tanner Magowen Dave Sherman 3766 Arctic Boulevard Anchorage, Alaska 99503 Subject: Lot 26 Block 3 Valli rue Estates ~2 Subdivision Before this department may approve the request for sewer and water approval, a p~reolatton test must be run on the existing system to see if it is adequatey for a four(4) bedroom residence. The percolation test must be run by R & M ~$~eering. See enclosed handout. If an upgaade is necessary, a permit must be obtained prior to any construction from this office. If there are any further questions, please contact this office at 264-4720. sincerely, Robert C. Pratt~ R.So Sanitarian RCP/ljh First National Bank of Anchorage %Florence Wagner Post Office Box 4-20~0 99509 AUgust 5~ 1977 First ~ational Bank of Anchorage ~rtgage Loan Section Post Office Box 720 Anchorage, Alaska 99510 Attention: Bob Subject: Lot 26 Block 3 Valli rue Estates Subdivision ~ob~p~ Robert Liles, Jr. An adequacy test of the sewer absorption system is requested. The flow rate test is coaducted by R & M ~qineering Consultants. ~'he property owner has the responsibility of contacting R & M and supply this dep~rtment with the results. If there are any further ~estions, please contact this office at 279-2511, extension 224 or 225. S~ncerely ~ Les ~. Buchholz, Sanitarian LNB/ljh cc: Joseph Robert Liles~ Jr. Star Route A Box 99507 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Qualit~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 13, 1976 SYSTEM IS NOT BEING FdEGULAI~LY SJ~IPLED. Time of Inspection 4: .,~ . ~ /,~ ,~ . Date of Inspectlon~ ~,o ~u INDIVIDUAL SEWER & WATER FACILITIES ~ ~~'' FOR 1 Approval requested by: National BAnk of Alaska /~~ Mailing Address: Post Office Box 3-3859 99501 Phone: 279-2506 2. Property Owner: David Burlingham Phone: none Mailing Address: not furnished 3. Legal Description: Lot 26 Block 3 Valli Vue Estates 4. Location: 6315 Red Tree Circle 5. Type of facilit~ to be inspected Single Family No. of bedrooms 4 6. Well Data: Community System A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disnosal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Pg~ge 2 of. two pages - Re~ ~t for Approval of Individual ? -~.~r & Water Facilities .,Leg~l Description Lot 26 Block 3 Valli.. Vue Estates Comments Approved ,-- k.._~.~ 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) DEPT. OF , · .. ~ ~ ~.r ~NVIFtONMENTAL PROliiCTIOH MUNICiPALiTY -' 2518 Tudor- RECEIVED. HEQUES r ~:QF~, APPIIOV/d_ NDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO ................ VA ........... FHA CONY Property Owner MaiiiDg Address: Day Phone Mailing Address: Day Phone .............. ~__~ Name of Lending Institution: ~.~_ I've I~ g A~c~ess, Name o( Real,or or Agent: Mailing Address: Phone ,~' 7~ Phone ._ 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Uti!ltv If Individual, number of dwellings presently sepzed If Individual, depth of well Sewage Disposa! System Type of System: No. Bdrms .... _4./ Public Utility ............. Individua! (on-site) If Individual, dale of installation EQ-O37 il/vd)