HomeMy WebLinkAboutSUN VALLEY HEIGHTS BLK 4 LT 2O I 7 (P 6'Z 4'9 __
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMI~NTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM/~-'.~/~Iit~I~F/~L-'E. INSPECTION REPORT
NAME
~E~AL DE~CmPTIO~
DISTANCE TO:
Manufacturer
Liq, capaciW in gallons
IF HOMEMADE;
Well
DISTANCE
DISTANCE TO:
Type of crib
Class
Width
Crib diameter
Well
Inside length
Foundation
tile
Building foundation
Depth Driller
Building Sewer line
DISTANCE TO:
Material
Width
Total effect
Distance to lot line
Septic tank
PERMIT NO.
No, of compartments
Liquid depth
PERMIT NO.
gallons
PERMIT NO,
OTHER
PiPE MATERIALS
SOl L TEST RATI N,G
REMARKS
APPROVED DATE LEGAL
[)EF'FIFCFMEH]" ,...,c HEFILTH FIHD ENVlRCINMEN'T'FIL ~' RCITECTI(]N
825 '"L'" STREEI"., FINC;-IORRGE., FffC. 9'95{L~t
xT,) P,~q --- ::~;; :]:: ']'"' E-E: ."ilE; E'. -~..-~ E: IR' E-::" EE E;~:: p,1J lie "lf"
FIPPL. ]: C FII'.,! T
I._OCFI]' t
L.EGFIL
CF:IRL_ L.. UL. Efli: I CH
[:,EFIRMOUI,,I ,?: GUi',Ii'.,IISh:3N DR
[.2 E',4 9.;LIN ',/F:ILLEE'¢ F..IEIL-~HTS
L,OT SIZE
dl.3E,~HEI S(;!t..IRRE FEEl"
']"¢F'E OF S;OIL FIBSORF'TI(}H S'¢S;TEH :IS "FRENCH
MF'¢,?.'.'IP1LIM ['.,ItJME:ER OF' [?,EDRCn]I'd'E, = 4
SOIL RFtl-ING ,::S6:! I::'T,,'BR)= ±r?';2
I"HE [a:E6!LIIRED S;IZE [')F 'I'HE SCII L. I::IE:SOP::F'T IOH S'¢STEM IS:
"FF'IE LENG-f'H D I P1ENS;I (:if,! I S; 'FHE L. ENG'TH ,:: I1",1 FEET' ::, IiIF' THE: TRENCH OR [:,RF:II NF 1!1 EL J}.
THE:. DEF:'TH 01::' FI TRENCH OR F'IT ;IS THE [:,IS;TF:INCE E~ETHEEI',I THE S;LIRFFICE OF 'I'HE
C. iROLIH[) FIN[) THE E~()TTOFI OF THE E',:.,',C:I::I',,,'F:ITZON ,::t'N FEEl'T).
THEI:a'.E IS; NO SET H!DTI.4 FOR TRENCHES.
'I'HE GRFI',,,'Ei.. [)EF'TH I:.'.S 'I"HE MI i',IN~II. JM E)EEF'"FI-'I OF CJF;'.FI',,,'EL. E:E]"HEEN THE Ii'tl. JTFI'-'-ILL F'ZF'E
FIN[) THE E~O"FTCd'"I OF 'I"HE E).:;C:F:IVFITION ,::Zi",! FEE'f').
PERMIT FtPPLIC:FINT HFI5 'f'HE I-'~:ESPONSIEC[LiT'T' TO IHFORM THI'S DEF'I::IF.:'TMENT I}URINC'i I'I'"IE
INSTlai..I..I::FI"ION II',I'iSF'ECTICdqS OF FIN"r' HELLS; F!DJFICEH"f' 'TEl 'f'HI}:: F'RI]F'EI:a!T".r' FII",IC, THE
HUMBE:R OF RESIE:,ENC:ES; THf:IT THE lqEELL !.,.I ILL S;E[~:',,,'E.
E~RCI':::F I L..L. I 1',t6 OF l::lN"r' :":;'¢STE'.'M I.,I I'FHOUT F I NI::IL I IqSPECT I ON FIND FIPF'RO',,,'FIL. B'.,.' 'FI-I I S
[:,IEF'FIRTfqEI'.,IT I,I:[LL. E',E 'J{.;UEhlECT TO F'ROS;ECI_.IT]]OH.
' h'l I N I MUM E:, I STI':II'.,ICE E:ETt.,IEEN R I,IEI...L FIND FlI'..!'.r' OF,I.--S I 'I"E SEPIFIC~E [:, I :SPOSFIL. S;'¢SrI'EM I S
iOEI FEET FOR FI F'RI',,,'FKrE 14ELL. OR :LC:;Ei TO ;;.ZEiE! FEET F:'RC]M FI F'UBL. IC HELL DEPEi',fF_.',iNG
UF'ON 'T'HE 'T'¥'PE OF Pt..IE~LIC HEI..J_..
MII',IN¥IUM DIS;TFINCE FROM R F'R!',,,'FITE HELL l"O R F'RI',,,'F:I]"E %Ek!ER I_._INE IS 25 FEET FII',ID
TO la COMP1UNII""r' SEI,IER LINE IS; F5 FEE1-.
O-[HEF?. REL::!UIRli':]"IENT:S MFI'T' RPPL.'T'. $PECIF]:CRTIOIX!S ]::'IN['., C:C$1S;TRUC:TION [:,IFIGRRMS FIRE
FI'¢RIL. Ft[!;I..,E TO INSI.Jf~:E PRI)PEiR INSTFIL_L. FITIOI'.,I.
CER'r I f-' 5" THRT
I FII'd F'FIMILIFIR P.Ii'f'H THE RE'_"(.:.IUIREMEI",I'I-S FOR ON-SI]'E S;EiI,IERS F:IND klEL.LS; RS SET
I
::L:
F:'ORTIq B"," "FHE MUNIC!PF:!LIT'¥' OF RNCHORFICiE.
2: I !4ILL ][NSTFILL THE S"r'STEM IN FtCCOR[:,FINC:E 14I]"H THE CODES.
]:: I I..Ii'.,I[)EFarSTFIH[:, THFIT THE Oi",I-SI'f'E 'ii;EPfliCI'i: S"r'S;TEM MFI"/ !;i:ECIIJIRE E{NLF:ffa'.GEMENT IF 'THE
F,;'.EL:;IDE]'.~CE IS; REMO[:,EL. ED TO .1.'NC:LUDE MORE THFli'.,I 4 E?,EDROOMS.
FtPt::'L I C:F-II'.,FI- CFII:~:L. L.. L.IL.E~R I CPI
IS;'S ED E:Y'. .......... i~-¢! ............................ L.._./:.',.__I:A'_C..%_DF:ITE ................ .SL'i'..,;'..~'i.:.L' ...... ',/q..
I:i'l
QGRE
'"'ER ANCHORAGE AREA BO" "UGH
Department of Environmental quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~//2~} F,~'~%::~- MAILING ADDRESS~/'~'.~/~c~,'YT/~. ~'~HONE ~' ~
LOCAI'ION ~¢/~//¢/J ~ LEGAL DESCRIPTION /~ ~L~ ~2~[/~/¢g[~J~
SEPTIC TANK:
DISTANCE , ;~ ~: , > ~ c--
FROM WELL (~2~ MANUFACTURER ¢¢~'~'/~'?~'" NUMBER OF
~/~/~ MATERIAl ~ ~-~ COMPARTMENTS /
INSIDE LENGTH _INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY /~-~ GALLONS,
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER //~ O/R WIDTH '-- LENGTH -- DEPTH /~ /
LINING MATERIAL~'-'CC/~C,E~-~ CRIB SIZE: DIAMETER~DEPTH ?' - DISTANCE FROM: WELL
,- . / , -/~'~J'~,.J~,~ TOTAL EFFECTIVE
BUILDING FOUNOATION'~/-2:~/ NEAREST LOT LINE ~'~.5'¢ . ABSORPTION AREA (WALL AREA) __~"'~./~J' SQ. FT.
^DO,T,ONAL ^ SO.PT,ON
WELL:
TYPE CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION_ _, LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
PIPE MATERIAL:
LOT SLOPE:
DIAGRAM OF SYSTEM
JO*
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
iNSTALLATION OF: SEPTrG 'rANK .a~ ~ . SEEPAGE PFF__ M , DRAIN ]~[EgD , OTHER,
TO BE INSTALLED BY
NOTEI THIS PERMIT IS NOT VALID WITHOUT ~OIL TE~
'rYPE
, DRAIN FIELD
SEEPAGE P~T
., DRA~N FIELD
GRAVEL BACKFILL
"--'l / P low
, t moisture content. Ther~
..... ~:~ were some erratio sand
{Gw and gravel bodies but
... ] these acoounted for
less than 5% of the
.... total sediments.
Gm
(;round Water
1325 "h" STREET
ANCItORAGE, ALASKA 99501
(907) 264-4111
July 22, 198].
Carl ulbrich
% Donna Lybarger
Totem Realty
724 East 15th Avenue
Anchorage, Alaska 99501
Subject: Lot 2 Block 4 Sun Valley IIeights Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
'fhe 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
Js adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there ace any further questions, please call this office
at 264-4720.
SJ.ncerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
..~c: Amfac Mortgage
401 East Northern
99503
Lights Boulevard
ALASKA eFIUIROnmeI1TAL COFII'ROL SeRUlCe$, IFIL
MUNICIPALITY OF ANCHORAGE
7/31/81
AUG 5 1981
RECEIVED
JOHN J I_OVERT
SRA BOX 373-K
ANCHORAGE AK 99507
SEF,L~,R - CARL ULBRICH
SUBDIVISION-SUN VALLEY HEIGHTS
BLOCK-4 IlTf-2
ADEQUACY TEST FOR SEWER SYSTF~
'I~HE TYPE OF ABSORPTION S~TEM IS A PIT WITH AN AREA OF 684 SQFT.
THE SYSTF_~ IS CAPABLE OF ACCEPTING 80 GALLONS OF WATER PER DAY.
BASED UPON THE TEST DATA !FHE SYSTEM IS NOT Af~EPTABLE FOR A
HOME OF 4 BEDROf~Z_S.
THE PUMPED ON 7/24/81 .
1220 [Ucst 25th r~ucnu¢ ,, Ancl~or(~§e, /~lasb 99503 , (907) 276-1361
,%
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by: _
Y~d~Phone:
Mailing Address: .~×~..
2. Property Owner: __, _~:/~v~--- Phone:
4.
5.
6.
Mailing Address:
Legal Description:
Type of facility to be inspected ~::/:~/::~-~ No. of bedrooms
Wel 1 Da ta: ~],,jl:?.~?m>,tx:~'~/'
A. Type B. Depth
C. Construction
D. Bacterial Analysis
Sewage Disposa'l System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
B. Installer
1. Size ~_~P,, 2. Manufacturer ~/~
1. Absorption Area ~' 2. Material
Total length of lines
Distances:
A. Well to: Septic tank G~/~:/~, , Absorption area ~:~/. , Sewer Lines
Nearest lot line ~ , Other contamination
B. Foundation to septic tank .~ x?~_ , Absorption area ~: '~--
C. Absorption area to nearest lot line ~$~'.-~$~)~,
EQ-034 (1/74) Page 1 of 'two pages
Page 2 of two pages - Req~,_~t for Approval of Individual S~,,er & Water Facilities
Legal Description
Comments
/
Approved _ ~?~.~.~. 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)
, -- r' DAYE RECEIVED
INSPECTION APPOINTMENT8
~ME 'TIME TIME
~SPECTOR INSPECTOR INSPECTOR ~
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCRORAGE
DEPT OF NEALTFI &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~oN~ENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION JUL, ? 1981
Telephone 264-4720
DIREOTIONS: Complete all parts o~l page 1, Incomplete requests will not be processed, PJease allow ten (10) days for processing,
~ PROPERTY OWNER PRONE
MAILING ADDRESS
~OPERTY RESIDENT (If different from above) / PHONE
~ BUYER PHONE
MAI LING ADDRESS
3. LENDING INSTITUTION / /
PHONE
MAILING ADDRESS
~ REALTOR/AGENT --~'~ ~ '/~4 /~ / PHONE
5. LEGAL DEBCRIP'I'I(~N
~TREET LOCATI gN
6, TYPE OF RESIDENCE NUMBER OF,BEDROOMS
~ One ~Four ~ Other
~INGLE FAMILY
~ Two ~] Five
~ MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
[] INDIVIDUAL* 'ATTACH WELL LOG. Awell Icg is required for a wells drilled
[~"'~COMMUNITY ~ince June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY uepth (attach Icg if available. I
8. SEWAGE DISPOSAL SYSTEM
--[~' INDIVIDUAL/ON-SITE** --'~' ~'/' YEAR ON-SITE SYSTEM WAS INSTALLEr).
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC
UTILITY
Connection Verified INSTALLER
[]SepticTank or []Holding Tank
Size: /,~--.~'~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Ta bsorption Area Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] CONDITIONAL APPROVAL (letter m~s'~accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev. 6/79)