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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 33Valli Vue Block 3 Lot 33 #015-341-35 {~ ~ ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION ~ ~ ~OT ~ ~CocK ~ VA~L~ VU~ I Well I AbsorPtion area Dwelling PERMIT NO, I I ~[ DISTANCE TO: Po~Ic ~F~ Foundation/o PERMITNO, ~= No. of line) Length of each llne ~otal length of lines Trench width Distance between lines *~ Top of tile to finish grade **____ * **--~ 'O inchesinches e~b~o~ ¢~ Material beneath tile ~¢ Total effectiv ion area OTHER 2~..~%;..%-;', ; ..... ~: *'~'~.' ~o. 222 5-E ~ ,.. JUNE 25, ~9?~ ",¢ 72-013 (Rev. 3/78) PERMIT DEPRRTPiENT U. NERL. TH BND ENVtRONHENTRL ,,.UTECTION 825 "L" STREET, BNCHORRGE. 264-4.728 ( 8~0985 ) FIF'PLIC:RNT SMRR. T EXCR,/RTING 560 L. YNNI.400[:' 9950.':" LOCFIT I 0N ~'5 LEGFIL L32EG: '¢~LL! VUE LOT SIZE 999999 SQU8RE FEET TYF'E OF SOIL FIBSORF'TION SYSTEP'I tS: TRENCH HFI,',:,'IMUM WUHBER OF' BEDROOHS = 3 SOIL RBTING (SQ F'T,,"BR)= 85 ]-HE REQUIRED SIZE OF THE SOIL BBSORPTION SYSTEM IS: [:,EP TH== J_(~ L. E ~"-,~ G T' H = ;.;.;:2-3 ~_3 F-: F-~ ".,.' E L [)EPT~4-- 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF Fi -FRENCH OR PIT IS THE DISTRHCE BETWEEN THE SURFBCE OF THE GROUND FIND THE BOTTOM OF THE EXE:FIVFtTION (IN FEET.'). THERE IS NO SET WIDTH FOR TRENCHES THE GRFI',,,'EL DEPTH IS THE MINIMUM [)EPTH OF GRR',,,'EL BETWEEN THE OUTFFILL PIPE F'!ND THE E~OTTOfd OF THE EXCI=P,,'RTION (IN FEET) SEPT ~ C: T'F~'-,i~-:Z S Z ZE-- i0 ~_--~ ~--] ~3RLLCAP-,IS PERMIT RPFCLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPBR'TMENT DURING THE iNSTBLL. BTiON INSPECTIONS OF BNY WELLS R[.'JBCENT TO THIS PROPERTY RND THE NUFIBER OF RESIDENCES THRT THE WELL WILL SERVE. BFICKFILLING OF FtNY SYSTEH WITHOUT FINRL INSF'ECTION FIN[) FIF'F'ROVFIL BY THIS [:,EPRRTNENT WILL BE SUBJECT TO PR. OSEC:UTION. MtNIMLIM DISTBNCE BETWEEF, R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEF' IS i. 00 FEET FOR R PRIVFITE WEL. L OR i50 TO 200 FEET FRON FI PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. HINIHUM DISTANCE FROM R PRIYRTE WELL TO B PRIVRTE SEWER LINE IS 25 FEET FIN[.', TO R COHHUNtTY SEWER LINE. IS 75 FEET. OTHER REL.]UIREI'tENTS MRY 8PP[..Y. SPECIFICBTIONS FIND CONSTRUCTION DIRGRRHS RRE FP/BILRBLE TO INSURE PROPER INSTFILLFITION F:'E] -F-: ~'.'~ _~ -F E>-:;F' Z F-~-:F£LS [:.E CE~".IE:E F-: Z=::i__. i CERTIFY THB1 i: t FIN FFIMILIRR WITH THE REQUIREMENTS FOR ON-BITE SEWERS BND WELLS RS SET FORTH BY THE NUNICiPFILi]'Y OF RNCHORRGE ;~: I WILL iNSTBLL THE Z'¢~TEH IN RCCORDRNCE WITH THE' CODES. S. I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM HRY REQUIRE ENL~RGEI"IENT IF THE RESIDENCE IS REHODELED TO INCLUDE MORE THBN S BEDROOHS: FIFF L I C:FINT ~ St"EIR~?¢Z:R',,~RT I NG ............... ....... -, , ., - . . PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 8 9 10 11 12 13 14- 15- 16- 17 18 20- COMMENTS SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTIVIENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST [] PERCOLATION TEST LAZE ! DATE PERFORMED: SLOPE SITE PLAN 2225-E [971 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) -- FT PERFORMED BY: ~ 72-008 (6/79) ,:ER ANCHORAGE AREA BO~' H Department of Environmental Quality ' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~/,~i: Z~-~3F'£7~?~i.5¢-S MAILING ADDRESS ~.'(~, ¢:g~>-/ ~/g~/ [~'"]~5'O/ PHONE LOCATION ~ ~,~Z~-,~///~*p~,~7~ -'- LO~ -~'2Z~- LEGAL DESCRIPTION /-~7~ ~'~ ~/-JO .~ ~,.f./.~c SEPTIC TANK: DISTANCE .~ ~, NUMBER OF FROM WELL (-~/~/?C MANUFACTURER -~-/~"/~ ~)/~;! MATERIAL /~('/~y~z~ :2~/7/~]- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY GALLONS. SEEPAGE PIT: NU~BEROEP,TS / DIAMETER LIN NG MATERIAL ~t~J/~'~ ~'r;-.~CRIB SIZE: DIAMETER DEPTH / BU LDING FOUNDATIO -- , NEAREST LOT LINE ~O . ABSORPTION AREA (WALL AREA) ,~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE _~'~"~-~ CONSTRUCTION ~,'~zz'~ DE'TN DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED f'/ DISAPPROVED REMARKS DISTANCES: /~3~ ~ir'~'~]O/L~ DIAGRAM OF SYSTEM INSTALLED BY: ~'~-?~.~,~(~.,~'zI'.~L~-' PiPE MATERIAL: LOT SLOPE: Form No, EQ-031 DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 '"C'" STREET ANCHORAGE, ALASKA 99503 ~0° SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INE;TALLATION OF: SEPTIC TANK / SEEPAGE PIT .. DRAIN FIELD . OTHER TYPE AND SiZE OF FACILITY TO BE SERVED ~ ~-~ ~/~~/~/~ ~ 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. SEPTIC 'rANK, /~>K/ . SEEPAGE PiT ./f/.) ~/), DRAIN FIELD ALSO CONSIDER AREA WELLS. ., SEEPAGE Pit //~ SEEPAGE AREA SIZF~ ~ ~'p~J~_* Type · j~/~:~ DIAGRAM OF SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAp OF EXCAVATION 5 FEET INTO UNDISTURBED SO[L, 4 JNCH [}IAMETER CAST iRON StPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR .., /~' [ 'A'FF-:R ANCHORAGE AREA BOROU~= .'~ /F DEPtiRTMENT OF ENV!,RONMFHTAL QUALITY Case # / 3330 C Stre~ ,:~, , ANCHORAGE, ALASKA 99503 :~$rt'ormed For '~~ ~~$~$ Dated Performed ~-['~-7~ ff[[g a i Description: l_ot~ -$~B1 ock This Form Reports Soils Log_~ Percolation Test, Soil Test Must Be Lo99ed To 4' Below Proposed Seepage System - Depth Feet ii 3 4 5 7 9 lO 1 Soil Characteristics Was Ground Water Encountered?_~/~ If Yes, At What Depth? Reading Date Gross Time L Net Time Depth to H20 Net Dro Percolation Rate Minute Proposed installation: Seepage Pit Drain Fie:ld Depth of Inlet Depth to Bottom of Pit Or Trench ,'est Performed gy~~~fied BY: Municipality of Anchorage DeveloPment Services Department · Building Safety DMslon On-Site Water & Wastewater Pl:ogr~m - ' 4700 South Bragaw SL "p:b~'B~x 196650 Anchorage. AK 99519'6650" www.cLanchorage.sk.us · . (~07) 34379O4 ' CERTIFICATE .OF :HEALTH AUTHORITY APPROVAL 'FOR' A" SINGL : FAHILY 'DWELLING' Pa~'cel I.D. 015~-341-35 1. GENERAL INFORMATION Compiete legal description LocaUon (site address or directions) .... Exl lration Date: VALLI VUE ESTATES SUBDIVISION; LOT 33~ BLOCK 3~ 10101 LONE TREE DRIVE * ANCHORAGE, AK 99516 Current property owner(s) Mailing address Lending agency .:. Mailing address Rea'l Estate Agent BILL HAYES Dayphone 10101 LONE TREE DRIVE * ANCHORAGE, AK 99516 Day'phone 868-5569 Dayphone Mailing address Unless othorwfse requested, HAA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class '^" 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 CerUficates of Health Authority 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 prepertes served by a single family on-site wastowater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authoflty Approval are valid for 90 days from the date of Issue for properties served by a pfivata or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a peflod of up to one year with valid water samples.) Certficates are valid for one year for properties served by Class A or 13 wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4.'- STATEMENT OF INSPECTION BY EN. GINEER As ce~fied by my seal affixed hereto and as of the validation date. shown below, I verify ~hat my investigation, based ~n procedures outlined In the Health Authority Approval Guidelines for this application,. shows that the on-site water supp¥ and/or wastewater disposal system Is(are) safe, functional and adequate for the number of bedrooms and type of stn~cture lndicated heretn. I further vedfy that based an the Information obtained from the Munldp~/i~y of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastawater 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 6901 DEBARR ROAD, SUITE 2B * ANCHORACE, AK 99504 Date Engineers Printed Name JEFFREY A. GARNESS, P.E. 337-6179 Engineer's Comments: In conducting this eva/uaffon, AWWC, Inc. attempted to provide a thorough, consclenffous engineering ana~sls of the system In accordance with ADEC and MOA DSD Guldetinea & Regulations. The reputed results desonT~d the perf~rnance of the system under the conditions encountered at the time of the test, and separa~fon distances measured to readi~' IEentifiable features. The operattonal life of ali we/Is and septic systems depend on tho Iocal so~s condition, groundwater levels that may flucluate during the year, and the water usage of the fam/~' belng served by the system. These conditions are outelde the con~ol of the evaluator of the s~Jtem. Satisfactory test results do not guarantee future pedotrnance of the system, nor do they guarantee that there are no hidden defects or encreachmente. AWWC, Inc. can therefore not I~o~fdo any warranty or future estimate of how long the system v~l continue to meat the operational requirements of the ADEC or MOA DSD. The content of this repe~t Is for the sole honefit of the owner listed above. Any reliance upon or use of this report by any other person or ~ Is not autho~fzed, nor will lt confer any I~jal right teflatecever. DSD SIGNATURE [.~ Approved for ~ bedrooms. Disapproved. Conditional approval for ~-- WATER AND . ~ ~ ~ WASTEWATER: ~ bedrooms, with tho f/lowing stipulation~ _';. PROG~M ?..~ Attachments: HAA Checldist Septic System Advisory Well Flow Advisory Manltenanca Agreements Supplemental Engineer's Reort Other Odginal Certificate Date: Municipality of Anchorage Development Services Department On-Slle Water & Wastewater Program 4700 ~x~th Bmgaw St, P.O. BOx 196650 Anch~x~ge, AK ~g519-6650 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescflp6en: VALU VUE ESTATES S/D; LOT 35~ BLOCK 3~ Pa~elID: 015-341-55 A. WELLDATA COMMUNITY WELL Well type 'A' If A, B, or C provide PWSID~ Well log (Y/N) ------- Date completed ~ Total deplh to ft. Casing height (above ground) .In. WATER SAMPLE RESULTS: FROM W~'LL LOG AT INSPECTION J It. ..J g.p.m. B. 8EPTIC/tl0LDING TANK DATA Founda~on cteanout (Y/N) YES Date of pumping 4/24/01 C. A~SORPllON RELD DATA Tank Type/Material STEEL Tank Size 1000 gal. Number of Comperlmants 2 Depre~lon over ten}((y/N) NO Pumper Date Installed 9/30/74 Oeanouts (Y/N) '~s High water ~darm (Y/N) NORTHLAND PUMPING ~rRENCH Date ~staaed ~o/e/~3 so~ raUng (g.~) 85 System t~3eSEEPAGE PIT/TRENCH length 14'.17'/22' ~ Widlh~if. Gravelhelowplpe 6'/6' ft. 354/ Depression over 6eld NO Totaldepth ~o.3'/~.4'if. Eff. e__~_. ~ema 264 it~ Mo~toringtuhe YES Date of adequany test 4/24/01 Results(Pass/Fall) PASS Fluid deplh In absorption 6eld before t~t~. Water added 624 gal. Etep~d Time: 9 min. Final fluid deplh*20.Sin. N:~orp6en rate Any mJuv~na~on treatment (past 12 mo.) (Y/N & type) NONE KNOWN New deplh*22.Sin. 450+ g.p.d. If yes, give date - O. UFT STATION .O~ te Irm _l~il. ed. Size In gailons ~ Pump on' level at in~ High ~r alarm_le~l ,t ._ in. ~ Cycles tested Meets alarm & cimult requirements? ~e~o tan~l~ station on lot Abesq)tion field on lot. Pubilc sewer main SEPA;ATION D STA. CES COMMUNITY WELL SEPARATION DISTANCES FROM WELL ON LOT TO: On adjacent lots Holding tank SEPARATION DISTANCE8 FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property llne S'+ Water main ! 0'+ Water ~ewlce llne 10'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 10% Surface water 1 oo'+ Wells on adjacent lots. 200'+ Property ilne 10'+ Water eewlce line 10'+ Cudaln drain NONE KNOWN F. COMMENTS Al3sorption field 5'+ Surface watsl: 1 oo'+ Water main 10'+ Driveway. parldng/vehlcle ~forage 50'+ G. ENGINEERS CERTIFICATION I certEy that I have detem'#ned through field ir~ and review of Munldpel mco~ds that the above systems ere In conformance with MOA HAA guidelines in effect on this date. Englneel'. ~ Na~. JEFFREY A. GARNESS Data ~ I HAAFee$ Date Payment 6I Receipt Number ~'~.~ ~ Waker Fee $ Data of Payment Receipt Number ~PR-IB-OI ~ED 11:14 hM F~ NO. P. 02/02 h 33 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # I~- ~-~,~.~ NAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (includ~ 10t, block, subdivision, section, township, range) Lot 33; B~ock 3~ Va~li V~¢ Estates S~bdiVision Location (address or directions) 10101 Lone Tr~_ D/tire (b) Property owner Mailing Address (c) Lending Institution Mailing Address Bob Packer P. 0. Bo[ 111274 Telephone:(home) 346-2747 Anchorage, A~a~6/z~ 99511 Business___S&4-5505 or 659-4450 Telephone (d) RealEstate Company and Agent JACK WHITE COMPANY ATTN: Address 3201 C Street Suite I00, Anchorage, A~aska 9~505 Telephone 563-5500 (e) Mail the HAA to the following address: (or check here~3, if hold for pick up.) List contact person and day phone number below: 'i703& ~agle River Loop Road No. 204 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms .~ "4 3. WATER SUPPLY Individual Well [] Community EZx Public [] Note: If community, well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ~ Public [] 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. 72-025 (Rev. 7/85) Page 1 of 2 ~ ~.o ~ a§ed leuop,!puoo le^oJdd¥ leuo?,!puoo to SUJJa I pa^oJdd~s!C] .~. pe^o~ddv ~q smoo~peq~.~o~ pe^o~dd~ 'RfAOl~dd~ SHH(I '9 alec] euoqdale.L 'uo!loedsu! siq~, ~o elep aq~, ua ~,oeita u! suoRelnaeJ pue 'seoueu!pJo 'sepoo alel$ pue lediolun!AI lie q~,!/~ aaUe!ldLuoo u! s! ~elsXs lesods!p Jele~else~ Jo/pue Xlddns Jele~ e~!s-uo eq~ 'uo!loedsuI pue uo!~eB!lseAuI ~ ~oJ~ pue SelII eBe~oqauv ~o ~l!led!o!un~ eql ~o~I peu!e~qo uo!le~Jo~u! eq~ ua peseq ~eql AI!JeA JeqlJn~ I 'uleJeq peleoipu! aJnlonJ~s Ia ed~l pUB s~ooJpeq ;o Jeqmnu eql ~o~ elenbepe pue leuo!lount 'ales s! ~elsXS I~sods!p JeleMelSBM Jo/pue ~{ddn~ JeleM elis-ua aql leql SMOHS leAoJddv ~llJoqlnv qlleeH s!ql ¢o uoileB!lseAu! ~m leql ~!~eA I '~oleq u~oqs eleP uo!lep!l~A eql ~0 S~ pue o~e~eq pex!j~e leas ~ ~q Pa!IR~eo sV NOliV~OdNI QNV ViVO 'HOaV~S 311d 'SISti 'SNOllOtdSNI 9NIQIAOMd ~MIJ DNIM~NION3 'S MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) 'A If A, ~, C, D.E.C. Approvedl~N) I Yield Date Completed Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~.¢j>~ ~ 4--- ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~',~'~ ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ~;:;>"~ ~ ~ ~'"~ ¢;~P '~'\ [-~ [ r~ (~ ~5'' ; Date B. SEPTIC/HOLDING TANK DATA Date Installed °~"~-T/~' Size StandPipes~)~N) '~ Air-tight Caps(~N)y Depression over Tank (Y~) Pumping/Ma!ntenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well 2. o,~ ~.r To Property Line [o~'~'- To Water Main/Service Line ~. O ~+- To Stream, Pond, Lake or Major Drainage Course Comments ~::::~'Ot'~~'-'~'~ ~ % No. of Compartments Temporary Holding Tank Permit (Y/N) Foundation Cleanou~)'N) Date Last Pumped I,c~'=5-~ ; for -- To Building Foundation To Disposal Field 72-026 (Rev. 7/88} Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~,o~ L.,- I~ Width of Field '~:::~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present ~N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots --~ ~4- To Cutback (if present) Square Feet of Absortion Area Depression over Field (Y~ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ c~ To Building,Foundation \ Lot To Water Main/Service Line ~,O ~- To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pum~ "Pump Off" Level at ' ~_~ High Water Alarm Level at~"~'-~.. ~ ~- Tested for ~'-"~~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) _ ~ Comments ~ **Check Permitted Bedroom Rating Against HAA 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 ~ ~, S ~NGINE. ERING 17034 ~agle River Loop Roa¢l No. 204 MOA No. ~--~' Receipt No. ~ S Date of Payment Amount: $ 72-026 (Rev. 7~88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 / \>~ Il /~. Il I1~ . / DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 October 2, 1990 FORt S & S Engineering Attnt Ray STEVE COWPER, GOVERNOR 563-6775 PWSID: #210605 According to the records on file in this office, the Valli-Vue Subdivision Water System is in compliance with the State of Alaska Drinking Water Regulations. VEC:pf ~ '~ D.~TE RECEIVED INSPECTION APPOINTMEN~TS ~/~ INSPECTOR INSPECTOR INSPECTOR _  DEPARTMENT OF HEALTH & ENVIRONMENTAL EC ION DEPT. OF HEALTH & 825 L Street- Anchorage, Alaska 99501PROT ENVIRONMENTAL ENVIRONMENTAL SANITATION DIVISION IV~/~Y 1 4 1981 Telephone 264-4720 Marshall W. and Fayl~nda R. L~ndner 344-7349 SRA Box 29M, Anchorage, Ak. 99507 Same Robert L. and Barbara W. Packer 337-4427 g SOHIO, Pouch 6-612, Anchoara§e, Ak. 99~0~ ~at~onal Bank of Alaska Ruth [eBar 276-11~2 Northern L~§hts and "C" St., Anchorage, Ak. 99503 4. REALTOR/AGENT Hal sey PHONE Admiral Realty - 930 W. Fifth, Anchorage, Ak. 99501 - IJetty 279-8586 5. LEGAL DESCRIPTION Lot 33, Blk. 3, Valli Vue Estates #2 STREET LOCATION lOlOl Lone Tree Drive 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four ~] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVI DUAL* * ATTACH WELL LOG, A well log is required for all wells drilled Kq 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 E~ INDIVIDUAL/ON-SITE** I(~-)L'~, YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY 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 UTI LITY 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: i~cO 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 '/^PPROVE FOR REDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~/~/~ DATE BY 72-010 (Rev. 6/79) ~12OZt Cle..'elond Ave, AO. Box )0-1126 Anc2, oroQe,AK. 9951 --_77- O';;'31 710 Third Ave P.O. Box 254,0 Fairbanks, AK. 99707 452-1Z67- 456-5155 S"->PT I CSYSTEM ADEQUACY REPORT JOB NO. 1555 DATE OF REPORT 5/21/81 DATE OF TEST 5/22/81 LEGAL DESCRIPTION ' LOT __3 Va 1 1 i vne SUBDIVISION OR SECTION ~ T___N, R__W, S.M. , ALASKA PERFORMED FOR: Lindner SRA AnchpragD~la~Wa PHONE NO. REQUESTED BY: Be%t3/~a~ley Admiral Realty PHONE NO. TYPE OF SYSTEM : [] NUMBER OF BEDROOMS 3 SEPTIC TANK WAS PUMPED ~ YES ABSORPTION RATE~ AVERAGE 24 HOURS SURGE RATE: 360 GALLONS IN SEPTIC TANK - SIZE _ CRiB OF; SEEPAGE PIT LEACH FIELD 1500 GALLONS ~ NO 450 GALLONS. 36 UlNUTES. NOTES [~ OBSERVATIONS: Day i 5/20/81 Day 2 _5/21~1 Init. Rd. 62 ~" !Init. Rd. 62 ~" __ After 360 gal - 57~" 'After 360 g.a]~ ..... 61 Day~ f4/22~/81_ ___ Fi nal_J%d. --- 62 ½~' - After 450 N,, ! TEST PERFORMED BY: __L.__M_. __ REPORT PRLPARED BY: ..LJvl~ __ APPROVED BY[. KR]3 . AL ASKA ARCHll ECT,.URAL & ENGtNEER!NG C(? ' P C:~ b~ox 2540 't800 Wes~ 48t1% Suite G r ,Fb~nks, AK 99707 &nchorage, AK 99503 (~O~SmRUCT I()~ TEST 2-~8-1212 (~,07) 4~2-1266 (907) ' LJ "-'J:' '/' ' " 'O LJ ndner 5/26/81 Jo~; r~,'l. 1555 .%R \ r.. ~., ' box 29 ~,~ An¢:horage, Alaska Jo~ ~,,,~.~ Adeq~acy Test JOS lecATI£PI AnchoL~ge, Alaska [2 ...... f,hF , iON F 2lc. E_ 5/2]/8]. i T.©'. 'f~ PumgSmg S~r.Kic. e ........ 825 "L" S"F REET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DI~PARTMENT OF ~-{EALTH AND ENV!RONMENIAL PSOTEC'FION May 19, 1981 Marshall W./Faylinda R. Linder Star Route A Box 29M Anchorage, Alaska 99507 Subject: Lot 33 Block 3 Valli Vue Estates Subdivision #2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The septic tank pumped with a receipt submitted to this office. (2) An adequacy test needs to 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 will need to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely,. Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska % Ruth La Bar Pouch 7-025 99510 Betty Halsey % Admiral Realty 930 West 5th Avenue 99501 ~_~ MUNICIPALITf OF ANCHORAGE~ ~'DEpARTME[ ~OF HEALTH AND ENVIRONMEN~ ~ 825 ~ L Street, Anchorage, Alasm~ 279--2511, ext. 224 or 225 Da ~ceived: Date _~~ Insp ~X _ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska NationaI Bank of the North Mailing Address: 3301 C Street, Calais II Phone: 278-8496 2. Property Owner: William/Kathleen P__. ~agee___~ Phone: 344-8297 Mailing Address: Post Office Box 548 99510 Legal Description: Lot 33 Block 3 Valli Vue Estates #2 4: Single Family Residence: (x) Multiple Family Residence: ( Number of Bedrooms: Three Number of Bedrooms: Well System: Permit # Construction Individual well ( ) Con..unity/Public System (x) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal System: On-site Permit # Installed .Septic ~ank Size Absorption Area ._~¢ Distances ~ Well to System (x) Public 1977~.,__ 5nstal!er Manufacturer Soils Rate Utility (') Septic Tank Material to Aosor.~tlon 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 Wa%er Facilities Legal Description: Lot 33 Block 3 Valli Vue__~E_s_t_a~_e~s_~k~_,.S_u_~d_~i_yv~i_QD__~____ Comment s: Affadavit Attached: Appro Disapproved: Department Worksheet: ( ) Letter Attached: ( ) · ~ ~- ~., , z'-x, /'~\ ~' V I. ~...' - o f_._ ' 'IUNICIPALITY OF ANCHORAGE ~ v' ~.//~/~ Department of Health and Environmental Protection ~{~~ ' ' 825 L Street, ~chorage, Alaska 99501 ~"~. [[~)) 279-2511, ex~. 224, 225 ~ - ' '~ ~~quest for Approval of Individual Sewer a,nd Water ~Fgc~l~g~es 1. Property Owner: ~'~ ~ ~/~ ~ ~ Mailing Address: /~. O. ~07 ~ ~ ~ Phone: Lending Institution: Mailing Address: , >~ Realtor/Agent: Legal Description: Street Location: Single Family Residence: Multiple Family Residence: Wa~er Supply: * Individual Well If Individual Well, well depth If Community System, name of system ~)/~.-f/~ Sewage Disposal System: On-site System If On-site System, Number of Bedrooms: ~ Number 6f'Bedrooms: ( ) Public/Community System Public System date of installation: [ ~ ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DJ RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~lli~m En~Cton MAILING ADDRESS 10101 Lonetree Drive. Anchorage: PROPERTY RESIDENT (if dlfferent from above) 2. BUYER Marshall W. Lindner PHONE AK MAI LING ADDR ESS 7405 Geronimo Circle: No. Little Rock. Arkansas 3. LENDING INSTITUTION National Bank of Alaska MAI hi NG ADDR ESS 5th and Gamble Branch: Anchorage: AK 4. REALTOR/AGENT CENTURY 21 Hanson Realtors (Bud Hanson) MAILING ADDRESS I 401 E. ~6th Ave.. Anchorage. AK 99503 PHONE PHONE PHONE 279-0491 5. LEGAL DESCRIPTION Lot 33, Block 3, Valli Vue Est. #2 STREET LOCATION 10101 Lonetree Drive, Anchorage~ AK 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four iX] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* *ATTACH WELL LOG. A well log is required for ali 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 DISPOSALSYSTEM [] INDIVI DUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) MUNICIPALITY OF ANCHORAGF: DEPT. OF HEALTH & ENVIRONMEN/AL PRO [ECTION JUL 1 0 1978 RECEIVED ' I THIS SIDE FOR OFFICIAL USE ONL~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DA~EE DATE INSPECTOR -- INSPECTOR INSPECTOR DIRECTIONS'. 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 UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM )ERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY \C,~,~ .-- Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~,. ~. z 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Aree to nearest Lot Line 5, COMMENTS [~'APP ROV ED FOR ..~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) /) LEGAL DESCRIPTION 72-010 (Rev, 3/78)