The URL can be used to link to this page

Home My WebLink AboutINDIAN VALLEY ALASKA BLK 1 LT 2pA*c.eL'ORO-Olfr - ova y ~ MLINICIPALITY OF ANCHORAGE "~ i~ 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 PHONE ~./~ I~NEW NAME MAILING ADDRESS LEGAL DESCRIPTION ' NO. OF BEDROOMS Material No. of compartmeo~s ~ ~ M~nufacture~ ~ ~ Liq, capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Well Dwelling PERMIT NO. ~,~ DISTANCE TO: O ~ ~ Manufacturer Material Liquid capacity in gallons P E R M~,T NO. ~ Well Foundation ~earest I~l~e ~ ~ DISTANCE TO: I~O ~0r I ~ No. of li~es Length of e / ~ Top of tile to finish ~rade~ ~, Material Beneath tile Length Width Depth ¢ Total offective absorption area ~ ~ T~pe of crib Crib diameter Crib depth m Well Building foundation Nearest lot line ~ DISTANCE TO: Class Depth Driller Distance to lot line ' PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER ~-' PIPE MATERIALS SOIL TEST RATING -- ' INSTAEEER DATE LEGAL 72-013 (Rev. 3/78) DEPAR'I-MEN'I- OF HEALTH AND ENVIRONMENTAL PRO'T'ECTION 825 L STREET, ANCHGRAGE, AK 9950] 264'-4'?20 PERM I T NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 850394 07/08/85 GEORGE REANDEAU 8550 EAST 1] (iT. ANCHORAGE, AK 99504 3~7-3442 SUBDIVISION: INDIAN VALLEY ALASKA LOT: 2 SECTION: 5 TOWNSHIP: 10N RANGE: 1W 41600 (SQ. FT. OR ACRES) 5 BLOCK:I Listed below are the options ava~.lable to you in designzng your s~.ptzc system. Choose the option that best £its your site. IF F~ D~Z N C ~-~ ~£D DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 GRAVEL. DEPTH (FT.) 4~0 0.5 TOTAL DEPTH (FT.) 8.0 4.5 GRAVEL WIDTH (FT,) 2.5 17.0 GRAVEL LENGTH (FT.) 4~5.0 34.0 GRAVEl._ VOLUME (CU.YDS.) 18.8 21.5 TANK SIZE (GALS) '~1,0,00.0 .~ 1.~000.0 ~.~. SOIL RA'¥INS (SQ. FT./BR) 120 125 ** TANK MUST HAVE AT LEAST TWO ~OMPARTMENTS 4.0 3.5~ 7.5 5.0 4 1 ,, () 30.4 000.0 .~. 1~5 I certi£y that: 1. I am familiar with the requirements ~or on-site sewers and wells as set ' Forth by the Municipality o£ Anchorage (MOA) and the State o~ Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria, oF this permit. 3. I' will adhere, to all MOA and State oF Alaska vequi~em~ents For the set back distances ~rom any existing well, wastewate~ disposal system or Public sewerage system on this or any adjacent or nearby lot. 4. I understand that this pea, mit is valid ~or a maximum o~ 3 bedrooms· ~nd any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WIL. L. NOT BE APPROVED W'ITHOLJT AN ELECTRI~SAL INSPECTION REPORT; AND (3) THE · APPL I CAN]" ~ ~EORGE REANDEALJ IssoED BY .~ ~ DATE: PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17f 18j 19.- 20- COMMENTS SOILS LOG MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L, Street, Anchorage, Alaska 99501 264-4720 ~-~ £J/~, ~ ~ SOILS LOG-- PERCOLATION TEST '~ %~" SLOPE SiTE PLAN WAS GROU.D WATER E.CO J.TERED? 0 P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE I~,,,~.J.J~ VJSI~41~ ~. ~ TEST RUN BETWEEN ~--/~=--. FT AND -- FT PERFORMED BY: 72-008 (6/79) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol ~ Geophysicol Surveys Drilling Permit No. LOCATION OF WELL (Pleo~e complele either ID, lb or lc.) A.D.L. No, ~-o.ljBorough Subdivision Lot Block 'b~]l '/4qlr$. Section No. Tov~nahlPN~] Range E[~ Meridian ~DISTANCE AND DIRECTION FROM ROAD INTERSECTIONs OWNER OF WELL: WELL LOG Feet Below 4. WELL DEPTH: (flnel} 5. DATE OF COMPLETION Meleriol Type Top Bottom g~o~g~r~ ~b/~. ~av~/~A~ ~ · 9+ 6. 0Cable ldo' ORotary OOriven ODug 51L7~/ ~AL/bY ~A~JEL ~T q~ ) J ~ ' 7. USE; ~omeltlc ~ Public Supply ~ I~dultty ~ 8. CASING: 0 Threaded ~ Welded I~.GROUTING Well Grouted: ~ Yes ~ No Material: ~ Neat Cement ~ Other: ) ' 15. PUMP; (if available) HP / Length of Orop Pipe ft. capacity g.p.m. ~ Subm. ~ der ~ Centrific~l ~ Other 14. REMARKS: WATER WELL CONTRACTOR'S CERTIFICATION: 15. W~lar Temperot,re o ~ F ~ C This well was drilled under my )urlsdlctlon and this report is lrue lo the best of my know~edge and belief; iF'ERMIT NO: DATE ISSUED: h~'~L~l'~ ~ C~ ][ F'AE_ I T'Y OF~ ANE;HOF(AGE DEPARTMENT [~'~' HEALTN AND ENVIRONMENTAL · ]TECTION 825 ~-~STREET~ ANCHORAGE, AK 99~0/1 ON--~B I -[E 850316 06 / 18/85 APPLICANT: ADDRESS: CONTACT PHONE: GEORGE REANDEAU 8550 EAST 1~ COURT ANCHORAGE~ AK 99504 557-344~ LEGAL DESCRIP: LOT SIZE: SUBDIVISION: INDIAN VALLEY ,~il:;~. LOT: 2 SECTION: 51/2 TOWNSHIP: i1N RANGE: 1W 41600 (SQ. FT. OR ACRES) BLOCK: I I certi£y that: 1. I am familiar with the requirements for on-site sewers and wells as set £orth by the Municipality of Anchorage (MOA) and the State o£ Alaska. ~. I will install the system in accordance with all MOA codes anU regulations, and in compliance with the design criteria o£ this permit. 3. I will adhere to all MOA and State of Alaska requirements ~or the set back distances ~rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 1SSUED BY .~~ ......... DATE: _~./~. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date / ~ -- /~ ~;-~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) NameS~¢~¢~¢¢~¢¢, ~ Telephone: Hom~-~¢ ~? Business~ (b) Applicant (c) Applicant is (check one): Lending Institution ~; Owner/builder~Buyer ~; Other ~ (explain); (d) Lending Institution _?./-J,¢-~'¢¢ ~' '~ (e) Real Estate Company and Agent Address Telephone (f) Mail the HAAto the following address: TYPE OF RESIDENCE Si ngle-Family [~}¢~ulti-Family [] Number of Bedrooms ~'~--- Other WATER SUPPLY Individual Well J~Community [] Public [] Note: If community well system, must have written Confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite [~t~PPublic [] 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, Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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. Address Date Engineer's Seal DHEP APPROVAL x '~ , '~ Approved for "7~/-~-pE'-~) ~ bedrooms by ¢~,~d~ Date Approved Disapprove~' Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 engineer's work. Page 2 of 2 72-025 ( 11/84) MUNICIPALITY OF ANCHORAGE (MOOr HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: [.oT WELL DATA Well Classification '~ ~--"~ Well Log Present (Y/N) Total Depth J ! ~-. Cased to Static Water Level _~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments P, CEIVE If A, B, C. D.E.C. Approved (Y/N) DateCompleted ;~ON~.2.~ J~'~;-~ Yield J I ~-- Depth of Grouting N Ol~ kto~ Pump Set At 1~ OT'J'O Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots J ~"~O ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ; Date B. sEpTIC/HOLDING TANK DATA Date Installed ~//~.~ Size 1~ No. of Compartments Standpipes (Y/N) ~' Air-tight Caps (Y/N) ~' Foundation Cleanout (Y/N) Depression over Tank (Y/N) ~ Date Last Pumped N/,~ Pumping/Maintenance Contract on File (Y/N) [~'/,~O~. ; for Holding Tank High-Water Alarm (Y/N) [~',/',~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course To Building Foundation J~ To Disposal Field ! ~ To Stream. Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area "~"~ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field /1/ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line ~ ~" D To Existing or Abandoned System on ; On Adjoining Lots ~ ~ ~ To Cutbank (if present) f'~O ~ ~ NoH~, D. LIFT STATION ~ 0 ~'~, ~ Date installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified..,or conformed to all. llMOA and HAA guidelines in effect on the date of this inspection. Signed T.~ Date Company ~'~~ MOA No. ~'..~ ,.~ ~"'- C3 ~/' Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal .~., APPL'~NT FILLS OUT UPPER H~'~ ONLY j RoaityCo,&A~nt ~ ~d"'~ f~,k~r/ Phone Code ~81n~le Family No of" ' ~ Multiple Family . Bedroo~ ~ ~ -Other Water SuPply A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~dnd v d~l :;' ~ C~m~unlty" For wells drilled prior to that date, give well depth (attach log if available). ;.- D Pubflc Utility '-.D P~.~II ly . When Connected to Public Utility: . ~ ' ' NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. E,U .~.. ALITY OF ANCHORAGE , DEPARTMENT OF HEALTH & ENVIRONMENTAL PRoTEcTION Environmental Sanitation Division 825 L Street o Anch~age, Alaska 99501 · Telephone 264-4720 CERTIFICATE OF INSPECTION ON.SITE SEWER AND WATER FACILITY : :Malllhg'Ad~e~, ion Howard G. VanOrman PoO.Box I'0-2037 Anchorage, AK , 99511 Lot 2, Block 1, Indian Valley Subdivision Type o! Dwelling X~ Single Family C. Muttlple Family '.~_ Other 'CONDITIONSOFAPPROVAL ':~hat::a 500 gallon septic tank eXisting on the property; this is ~'adeq~ate"-for a One(l) bedroom .~dwelling'.only. 4. Sewage Disposal X~ Individual [] Public Utility . [] Holding Tank 5. Water Supply X~ Individual [] PuUIc j [] Community~ (shared) J APPROVAL FOR one BEDROOMS · [~ CONDITIONAL [] DISAPPROVAL THIS APPROVAL NOT VALID ~M~APPROVED WITHOUT DEPARTMENT SEAL APPLI .~NT FILLS OUT uPPER HA!. ONLY ~tbP~e~ty'Owner, ///~ [.L.)~'~ .~..~:[ ~ ~ ~ ~ ~ ~ -'~-'/ Phone Ma~n~ Addre~ ~ Zip Code Address Zip Code Lendinglnstitution (,',..~7 ~ ~ ~,'~,~ A 2~ /Z~,~ K ~X)e l.~vy~ &~xT& Phone Address Zip Code Phone Realty Co. & A~nt ~ Type of Resi~nce ~gle Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~lndividual ~ Community ~' ~ ..... For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility S.wer ~,o~, ,.U~v~u~, ~n~,eU: When Connected to Public Utility: ~ Public Utility ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. . Time : Time Time Time [ ~ '~ 0 Date Date Date Date Inspector Inspector Inspector Inspector ~ ? ~ ENVIRONMENTAL PROTECTION J U L 1.. g 1983 RECEIVED ( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( )DISAPPROVED That a 500 gallon septic tank existing on the property; this is adequate for a One(l) bedroom ( ) CONdITION. AL APPROVAL* ?/~k/;T~ ~ dwelling only. OAT , .-- , Soils Rating Date Sewer Installed Well To Absorption Area /.~ /.iF Well Log Received p ~../ ~ / t' Well to Tank Septic Ta~k Size 72-023 (3182) ALASKA e/- rdlROFImeFITAL CONTROL SeR UiCe$, IFIC. ~r~clineerin§ 6 ~nmr'onmcnlal Studies HOWARD VAN ORMAN P.O. BOX 10-2037 ANCHORAGE AK 99511 JULY 25 1983 SELLER - HOWARD VANORMAN SUBDIVISION-INDIAN VALLEY BUYER-RICHARD REDMAND BLOCK-2 LOT-1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 225 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 55 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 1 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/25/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 500 GALLONS IS INADEQUATE BY 500 GALLONS FOR THIS HOUSE OF 1 BEDROOMS. 1200 J~'st 33rd Au6nu¢, $,Jt¢ J~ · Ancbra§6, AJasb 99503 · (907) 276-1351 J~ly 22, 1983 lloward ~. VanOrraan p. Oo Box 10-2037 ~w 99511 Anchorage ~ Subject: Lot 2~ ~lock 1~ Indian Valley Sub, iris!on Approval for the individual sewer and water facilities cannot '. been co~.~p!e~ed ' be gr~nted until ~he ~ol!owi~g items ~ave o e 0 · ~ ~n the rece].pt and v~l~-~=~ .~ ~ ,=~-~ ~ to verify the /~ the gctna~ ~.~a~..-. ~ '- ExpoSe the septic tank manhole to verify its and/or leaching area for our inspection- This is to insure .~inim~',~ distanc~ requirenents are met between the well and ~ be "erfor~e,~ on the existxn..~ ~n a..,~q~-~ ' · ,~ ~ q~h~rmi't~e if the sys~,~ ~ ]eac ~ing area, ~his t, , ~ .~ ,,,~r~s, A listing /,~ adefinate ~ccord%/%~ to . -. · ..... ~ ..... 1 , '~hl8 report ~ ~ ........ ~ ..... f,~'~ a relnspection when the Pie~se notify this ueparn.a=-~ -~ ,~-~ If thera are a~v ' ~ r .. · ~ been corre~u~,-~- ' , note~ disarepancie~ ~ale ~--, ~-~ ~e at 264-4720. Sinc(*,rely, Jim ~%ober t s Assistamt Environ?aental Specialist j~. 3/e J/i;nv