HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 72Valli Vu
Estates
Block
Lot 72
#015-123- 35
.~. MUNICIPALITY OF ANCHORAGE
~ DEl -~TMENT OF HEALTH AND HUMAN SER~ -'"S
Environmental Health Division
825 "L" Street, Anchorage, AJaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ ~'~l/(~ c'//~ //~.~_~ ~ DISTANCES
SEPTIC ABSORPTION
~r~ /~ TANK FIELD WELL
~) ~mi~ ~o. ~o o~ ~o~s WELL G~
~ O~C.,.T,O. LOT LINE
Lot ~ Block Subdi
AS-BUILT DIAGRAM (Sho~ Iocahon of wen, septic system, property lines, foundation,
TANKS
~ SEPTIC ~ HOLDING
/
TYPE OF SYSTEM
/
~ ET ~-~ ET
~ SQFT ~ -- ET ~
/{
WELLS ~ ~'
/
g,~7~ ~.~ ~/~4 tY' I'~,~ ~ ~7~' ,~/W~U,~,Z ~/~'
ceHJly Ihal Ibis inspection was ped0rmed according to all
Municipal and State guidelines in effect 0n this date:
Health Depa.mentApprova,:-~d~ ~' '~/~ Date:
72 013 (3~85)
MUNICIPALITY OF ANCHORAGE
ENV RONMENTAL SERVICE$/~'~$1ON
JUL 2 1987
Municipality of Anchorage
R F (~ ~)I~I~I~I~NT OF HEALTH & HUMAN SERVICES
.... 825 ~L"~Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTtON:/~7~7~~,'- ~¢,g¢-/¢'/ /'//~ J"/#~""" Township, Range, Section: '~,~
3
6-
7
8
9
10
12
13
14
15
16
17
18
19
2O
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER L
,,~/o
ENCOUNTERED?
DEPTH?IF YES, AT WHAT
E
Depth to Water Alter
Monitoring? /~)' gate:
Gross Net Depth to Net
Reading Date Time Time Water Drop
.~. /* //~/¢,-i/~r~ ,~ /,7 - I,~ ,lo
~. /~-/¢0~ /,~ -/,~ ,o~
PERCOLATION RATE /~',,~ (minutes/inch) PERC HOLE DIAMETER
TEST,RUN BETWEEN ~'~'~ FTAND
PT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE DATE:
~)
/ I I I I ~ / I I } ! f t
e GRE? ANCHORAGE AREA BO
Anchorage, Alaska BBS03
INSPECTItbN REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME~~'~2~ MAILING ADDRESS ~l~~og PHONE
LOCATION ~C~/~'~j~ LEGAL DESCRIPTION ~g/~ 7Z _~ ~'/
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELLQP/Ptt~. MANUFACTURER~ ~'~'~'~ MATERIAL~j' /'7~/?':~ COMPARTMENTS ~
INSIDE LENGTH ~" INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY /~ GALLONS.
SEEPAGE PIt:
/ /
NUMBER OF PitS / DIAMETER~ OR WIDTH /[/ LENGTH/d~, DEPTH /~
LINING MATERIAL~~ CRIB SIZE: DIAMETEF~I I f'~
DEPTH q DISTANCE FROM: WELL t~/~
BUILDING FOUNDATION /~1 , NEAREST LOT LINE l~j:~l TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA} (~'d~ SQ, FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~'W[//7]~,¢ ~'~,, CONSTRUCTION DEPTH
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE SEWER LINE TANK
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY: FIA~ ~l~,~fP~
PIPE MATERIAL:
LOT SLOPE: PO O c~O(~L
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYSTEM
DATE'
APPROVED ~ (~1. G,A,A.B,
GREATER ANCHORAGE ArEA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
INSTALLATION LOCATION
LEGAL DESCRIPTION ~ 7~'~
PHONE
INSTALLATION Of: SEPTIC TANK SEEPAGE PIT , DRAIN ~I LD , OTHER
~. ., 1+ -~-~
TYPE AND SIZE OF FACILITY TO BE SERVED ~=~ ~ .~r ~)~/ /
FINANCED THROUGH TO BE INSTALLED BY
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.
SE~TICTANK'IZE/~OO~'~L TYPE ~7 / ~~"~/~ ~ ~7 ~'~:~ ~ r~ i.
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
/
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
SEPTIC TANK TO SEEPAge Pit WALL. .// ~- /
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER aNCHORAGE aREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE W~TH SA[[} CODE, ~
GREAT~_R ANCHOR/kG[ AREA BOROUGH
DEPARTMENT OF ENVTRONMFHTAL 0[!~[ TY Case
3330 "C" Street
ANCHORAGE, ALASKA 99503
Perform'6d For TI~F-P~ ~AjT~_~l~i~_S__Dated Performed_
Legal Description: Lot '~_ Block ~',/Subdivision_ ~/AU~
This Form Reports Soils Log_-~c Percolation Test
Soil Test Must Be Logged To 4' Below Proposed Seepage System
Depth
Feet Soil Characteristics
2~$
Was Ground Water Encountered?
If Yes, At What Depth?
/ · ! / t
J J ] t t I I i
I
Reading j Date Gross Time Net Time Depth to H20 j
Net
Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of-Pit or Trench
COMMENTS:
les~ Performed BY · /~ Date Certified BY:
- Date:
Municipality of Anchorage
Development Services Department
Building Safety DMs[on
On-Site Water & Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION Expiration Date: ?-/2. 7/O1
Completelegaldescription VALLI VUE ESTATES SUBDIVISION #2; LOT 72, BLOCK 1
Location (site address or directions) 6900 ROUND TREE CIRCLE * ANCHORAGE~ AK 99516 ,..
Current Property owner(s) PAT SMITH Day phone 546-4465 ' :.
Mailing address 6900 ROUND TREE CIRCLE * ANCHORAGEt AK 99516 ' ~ ·
Lending agency
Day phone
Mailing address
Real Estate Agent
Mailing address
SUSAN BICKMAN w/ DYNAMIC PROPERTIES Day phone.
3111 "C" STREET * ANCHORAGE, AK 99505
240-0385
Unless o~etwise requested, I-/AA will be held by DSD for pickup.
2. HUM3EROF BEDROOMS: 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 Authodty
Approval (HAA) based only upon the representations given In paragraph 5 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-sits wastewater disposal and/or
water supply system. DSD also Issues HAAs upon request to homeowners. 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 sample results less than 30 days old. (Certificates may be reissued for a p6riod 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 Anchcrage Is ncr responsible for errors or omissions In the
professional engineer's work.
Note: A. laska Water and Wastewa!er Consultants, Inc. shall be paid $700.00 at, or prior
to closing for the engtneedng services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified 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 Authorfty Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number ~f bedrooms and type of structure lndicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files end 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 t/me of installation.
Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS. INC. Phone
AddresS. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504-
Engineer's Printed Name JEFFREY A. (;ARNESS, P.E.
Date
337-6179
Engineer's Comments!
In conduCb'ng this evaluation, AWWC, Inc. attempted to provide e thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The repotted results desctfbed the performance of the
system under the conditions encountered at the time of the test, end separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate du#ng the year, and the water usage of t~e family being served by the system.
These conditions are outside the control of the evaloator of the system. Satisfactory test
results do not guarantee future performance of t~e system, nor do they guarantee that
there are no hidden defects or encroachments. AWWC, Inc. can therefore not previde
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or patty is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for ~ bedrooms.
Disapproved.
Conditional approval for __
A~tachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the fllowing
,.*;?
.....
Manitenance Agreements
Supplemental Engineers Reo~
O~er
Original Certificate Date:.L~.~~-
Municipality of Anchorage
Development Services Department
8u~ling ~f~;-t Dtvl~on
On.S~ Wat~ & Wastmmt~r Program
4700 8outh Bragaw St,
P.O. Box 196850 AncO, AK 99519-8850
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalOescrlptlon: VN..U VUE EST. S/D ~2; LOT 72, BLOCK 1, ParcellD: 015-123-35
A. WELLDATA
We. II type "A" If A, 8, or C provide PWSID~ ~'10~05 Well Log (Y/N)_..._~ --.------
Da, completed ~(Y~)
T Cased to It. Casing height (above ground) .in.
FROM WELL LOG
Data of test /
Static water ~/.~''~''~'~"~ ft
.~cluction g.p.m.
WATER 8AMPLE RESULTS:
AT INSPECTION
~ J g.p.m.
Coliform colonies/100 nd. Ntirata __moA.. __ · nd.
· Collected by:.
B. SEPTIC/HOLDING TANK DATA 8/27/74.
Tank Type/Material STEEL Data installed 7/9/87
1000 2
TaM size 500 ' gal. Number of Compartments 1 Cleanouts (Y/N). YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Oateofpumplng 9/26/2001 Pumper DENAU SEWER AND DRAIN
C. ABSORPTION FIELD DATA laTRENCH TESTEDI
Oata in--ed 8/74. & 7/9/87 ~l rating (g.p.ddlt~x'~ 206 System type PIT/TRENCH
Lenglh 18/52 ft. Width 18/2.5 ft. Grovel below pipe 9/8 f[
Total depth _].~%~./2_ft. Eft. absorption area648/832 ft~ Monitoring tube YES Depresalon overflald NO
Dataofadaquacytast .11/1/01 Resutis(Pess/Fall) PASS For 4. bedrooms
FIulddepthlnebsorptionflaldbeforetest 50 in. Wataradded 986 gal. Nowdapth 67 in.
Elapsed Time: 1354. min. Final fluid daplh 4.6.5 In. Abeorpflon rata >= *.600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (y/N & type) NONE KNOWN If yes, give data -
**SYSTEM ONLY FILLED TO 70~ CAPACITY. LEVEL DROPPEO 1.5" IN FIRST 20 MIN. OF RECOVERY.
D. UFT STATION
Date installed Size in gallons
~ Cyclee tested. Meets alarm & circuit requirements?.
E. SEPARATION OISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tanklllft station on lot
Abeoq~on field on lot
Public sewer main
On adjacent lots
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: l,PER 197,t INSP. REPORTI
Building foundation *3' Property line 5'+ Absorption field. 5%
Water main 10't- Water sendce line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water eendce line *, 10'+
Curtain drain NONE KNOWN
Building foundation. 10'+
Surface water 100'+
Wells on adjacent lots. 200'+
Water main 1 o'+
Ogveway, paddng/vehide storage 1.5'+
F. COMMENTS
**ASSUMED 10'+ BUT UNKNOWN, SEE AlT,aCHED AS-BUILT SURVEY.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems am in
conformance with MOA HAA guidelines in effect on this date.
Englnee~'e Printed. Name
o.
JEFFREY A. GARNESS
HAA Fee $ ~
Oata of Payment //- ~./~- 4?/
Receipt Number
(Rev.
Waiver Fee $
Date of Payment
Receipt Number
Thursday, October 25, 2001 2;06 PM Dynamic Prope~es 907-261-7670
p.02
h
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. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
015-123-35 HAA#
1. GENERAL INFORMATION
Complete legal description Valli Vue Estates #2, Lot .'72, Block 1
~12N R3W Section 14
Location (site address or directions)
6900 Round Tree Drive, Anchorage
Property owner
Mailing address
FDIC Day phone 261-7400
P.O. Box 196639, Anchorage, AK 99519
Lending agency
Mailing address
Agent
Address
N/A Day phone
N/A
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
4
NOTE:
Individual well
Community well X
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site X
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Fron~ MOA
5. STATEMENT OF INSPECTION BY ENGINEER
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 application 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 files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
99577
Phone
Name of Firm Eagle River Engineering Services
Address P.O. Box 773294, Eagle River,~ AK
Engineer's signature ~~~
694-5195
Date
/,S SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 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 satisfy 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 or omissions in the professional engineeCs work.
724}25 (Rev. 1/gz) 8ack MOA#21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: J~"~'/ ~''/''/~ ~-~"'~ ~'~' ~ ~ Parcel I.D.
Z.o~ ~ ~Lo~ /
A. WELL DATA ~/~'~ ~3k~~ ~/b~ /~
Well type ~ If A, B, or C, attach ADEC letter. ADEC water system number
Log present(Y/N)
Date completed
Total depth Cased to at
Sanitary seal (Y/N) Wires proper (Y/N)
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well flow
Pump level
SEPARATION DISTANCES
Septic/holding tank on
Absorption field on
Public sewer ma'
~M WELL TO:
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Sewer service
Petroleum tank
WATER
Nitrate Other bacteria
Collected by:
B. SEPTIC/H~L-BtN~ TANK DATA
?
Date installed 07-07~?10~¢-&¢-?"~Tank size ~0~ 000 Compartments
Cleanouts (Y/N) ~ Foundation cleanout (Y/N)/ ' ~ Depression (Y/N)
High water alarm (Y/N) /MO Alarm tested (Y/N)
Date of pumping ~/~/~P.~-y /~- Pumper
SEPARATION DISTANCES FROM SEPTIC/t-EgL-D!-NG TANK TO:
Well(s) on lot /~///~ On adjacent lots Y' ~'~ f
To propertyline ~/0" ~' /
Absorption field
Surface water/drainage ;~/~ '" ·
Foundation
Water main/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N) "Pump on'~
;~t water alarm level ~.~T/~
S EP;RM~A elves (I...O.N' D I STA N C E
We~ On adjacent lots
D. ABSORPTION FIELD DATA
.--'f~anhole/Access (Y/N)
"Pump off" level at
Cycles tested
Surface water
Date installed - '-~"2 / O2'2?'?zh Soil ratin¢~'-~ ~1'~/ Svstemtwe
~.. / _, / , -/ , - J / c'/ "- /, --
Length-~'./?~' Width ~"z~//Jo¢ Gravelthickness
Total absorption area ~// (¢¢~' Cleanouts present (Y/N)
Depression over field (Y/N) /~J
Results (pass/fail) ¢¢>4 ~-_¢'
Peroxide treatment (past 12 months) (Y/N)
Date of adequacy test
for
(J/'/~'/~/¢ ~ ~-/ If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots
Property line
To existing or abandoned system on lot
Cutbank /n//-d Water main/service line
Driveway, parking/vehicle storage area
?~9 z
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection,
Signature
Engineer's Name
Date
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
DEPT. OF ENVIRONMENTAL
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99503
WALTER J. HICKEL, GOVERNOR
(907) 349-7755
February 14, 1992
FOR: Eagle River Engineering
PWSID # 210605
My review of the records on file in this office reveals that the Valli Vue Estates Subdivision
Class "A" Public Water System, is in compliance with the routine coliform bacteria
sampling requirements listed in Table C, and with the inorganic sampling requirements
listed in Table B of 18/),AC 80.200.
Sincerely,
Byron Roys
Environmental Engineer
BR/cf
~r~ pdnled on recycled paper
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME Tj~E
DATE DATE DATE
INSPECTOR I NSPECTOH INSPECTOR
DEP¥. OF I.::',iT ;. A_.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~J~IROi'qMENL'\L ~'' ~' i.CHON
( ~ 825 L Street- Anchorage, Alaska 99501 J)tU [~ I 3 1980
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 R E C E I V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
PI RECTIONS: Complete all parts o~) page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing,
1. PROPERTY OWNER PHONE
~ Thomas F. Leahey & Vera T~hey
~ILING ADDRESS .
~ ~ First National Bank of Anchorage, Trust Depar~men%
~// ( 6900 Round Tree Drive ' 265-3403
N/A
Alaska National Bank of the North
Pouch 7-010, Anchorage, 'AK 99510
4. REALTOR/AGENT PHONE
5. LEGAL DESCRIPTION
Lot 72, Block 1, Valli Vue Estates, Unit #2
STREET LOCATION
6900 Round Tree Drive
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 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
.,~ INDIVIDUAL/ON-SITE** )c~-'l~i. YEAR ON-SITE SY~3TEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev, 6/79)
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 UTI LITY ~ ~1~ q ~"1
Connection Verified INSTALLER
'{~]Septic Tank or [] Holding Tank~ [_~ ~-- --~0
Size: ~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAl ~
4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
)?
~FPRovED FOR ~ BEDROOMS
~ CONDITIONAL APPROVAL (letter must a~~cate)
~ DISAPPROVED
DATE BY~ ~~
72-010 (Rev, 6/79)
46-013930-6
THE
FIRST.
NATIONAL BANK
OF ANCHORAGE
August 11, 1980
Municipality of Anchorage
Department of Health&
Environmental Protection
825 L Street
Anchorage, AK 99501
ENVIRONMENi'AL ~ .'~; i ~CTION
RECEIVED
Attention: Laura Ward
RE: Lot 72, BlOCk 1, Valli Vue Estates, Unit #2
Per our phone conversation of August 6, 1980, I am in receipt of the
applications for septic system approval.
At this tim~, I am requesting a re-certification of the septic system on
the above-mentioned property (see enclosed application).
Please send the new certificate to the attention of the undersigned, and
should you have any questions, call me at 265-3403.
Thank you.
Yours truly,
Tricia Malick
Assistant Trust Officer
CC: Mr. & Mrs. Thomas F. Leahey
Bank of Anchorage" P.O. Box 720 ~' Anchorage, Alaska 99510
The
First
National
MUNICIPALITY OF ANCHORAGE IPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~IrI~DEPT' O~ ~IEALTH &
825 L Street - Anchorage, Alaska 99501 'ENVIRONMENTAL
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
NOV 0 1978
DIRECTIONS: Complete all parts on page 1. )ncomplete requests will not be processed. Please allow ten (10) days for processing.
PROPERTY RESIDENT (if differer~)from above~ PHONE
PHONE
MAILING ADDRESS
~-. ~B~XL DESCa PT~ON
STREET LOCATION
SINGLE FAMILY
MULTIPLE FAMILY
7, WATER SUPPLY
INDIVIDUAL*
COMMUNITY
[] PUBLIC UTI LITY
NUMBER OF BEDROOMS
[] One ~ Four [] Other__
- [] Two [] Five
,~ Three [] Six
ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM~] INDIVIDUAL/ON-SITE** ~'/~ /~
**If individual/on-site, give installation date ~ /
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE EOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
IME TIME TIME
)ATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS _.,
1. TYPE OF RESIDENCE
E~ SINGLE FAMILY
[~ MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size:_/~~)L--t'')(-~ If Tank is homemade
give dimensions:
TOTAL ABSORPTION AREA
[] ONE E~ THREE [] FIVE
~] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
[] OTHER
INearest Lot Line
MANUFACTUR E~. ~
-MATERIAL ~
/Septic/HoldlngTank Absorption Area
4. DISTANCES
WELL TO:
5. COMMENTS
._~[~.~P P R OV E D FOR ,~ BEDROOMS
b-J CONDITIONAL APPROVAL (letter must accompany c~
[] DISAPPROVED ./ ~
DATE
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
December 8, 1978 RS~vl No. 851601
Jack~ite Company
3201C Street
Anchorage, Alaska 99503
Attention: Mr. Saylor Rehm
Re: Adequacy Test on Existing Sanitary Sewer System; Lot 72, Block 1,
Valley View Estates, Anchorage, Alaska
Dear Mr. Rehm:
Per your request of November 30, 1978, we conducted a test of the sanitary
sewer system on the above described property.
'The septic tank was pumped prior to the performance of the test on the seepage
pit. During the test the liquid level in the seepage pit was measured before
and after the addition of 1000 gallons of water. All liquid levels were
measured below the top of the standpipe and are shown in the following table:
Initial Water Second 24 hour Total
Reading Added Reading Reading ' Drop
(gallons)
10.2' 1000 6.9' 8.95' 2.05'
The water level rose inches with the addition of .gallons of water, indicating
a capacity of gallons per inch. After twenty-four hours later the liquid
level was again measured and found to be 8.95 feet. It had dropped 2.05 feet
or 24.6 inches. This indicates an average effluent acceptance rate of 622
gallons per day for the surrounding soils. If the 3 bedroom residence on the
property is to house 6 people, the average load on the system can be expected
~o be 450 gallons per day. We can therefore conclude that the system is
disposing of effluent at an adequate rate for a 4 bedroom residence.
We appreciate this opportunity to be of service to you. Please contact us if
you have any questions regarding this letter or if we can be of additional
service to you.
Very truly yours,
R&M CONSULTANTS, INC.
Ernest R. Rahaim
Staff Geologist
GS/kah/12-G
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(x)
inch oa~ iron ~leano~b b~ In~tali~d ~o
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Sincerely,
A~oci~te Sp~iaI~t