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VALHALLA BLK 2 LT 9
Valhalla Block Lot 9 2 #015-212-21 WOMI l UAL APR 019 2013 Municipality of Anchorage Development Services Department Building Safety Division ' Onsite Water & Wastewater Program, 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 3437904 page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020363 PID umber. 015-212-21 DENISE & TIN! UTOAFILI Wastewater System: ❑ New ■ upgrade Address: 2230 SHILOH ROAD * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms (907) 345-0454 4 N Dnp Trench a Shallow Trash 0 Bed 0Mound OOther LEGAL DESCRIPTION ""�` 0.5 Grose. Told gmft °�h,weed°`�00 Bbck: Lab subdMebn: 2 9 VALHALLA bePth to pa IwUen, Sea edelnd Pub: 3.0 MAX &@M depth bmNe,h plea 6.99/7.00 R R Township:longe: Section: — — — M added OWN WOW sawn or" W qV,: SEE DWG. R 90 (2®45) R WELL: ❑Now ❑upgrade a aw deft 2.5 tNmeer d rwr 2 ante". at le" 'nee 16.5+ IT, R aceirmum ABA : Told Te: Total abatplbn sem 1260 Ppe moGaal: D 3034/ F-810 R R SQ. ftl oat LNLeea slow Fade Le R M A HOME SERVICES 16-21 /2003 NeLd: Pwsd K wp Cabq H@W Alem a*ua: TANK �„ R R SEPARATION DISTANCES ■Septic oHordrng 135.T.E.P. [3 Other To Sgers Tonk AllOrp' n nedl ' Lin staeon Iloldlrq rank sewn L%w Hendoch W. ORENCO SYSTEMS oopedb. In ad— 1500 from 1 Well 100'+ 100'+ — — 25'+ FIBERGLASS Nenear d 2 Surface water 100'+ ,DD'+ — — — LIFT STATION Lot Lina 5'+ *1*+ — — — sm. x eeawa 1500 Nanerocbeen ANCHORAGE TANK ORENCO SYSTEMS w Lwd d: [We abrin R 7 TIMER TIMER 46" Curtain Drain NONE KNO Pmep Maio a Memo seeokd wpeetlar owned W 20 OSI 05 HHF M.O.A. Remarks:—THIS IS AN ADVANTEX TREATEMENT SYSTEM BENCH MARK Location ww OmrWm: *WAIVER #WRO20069 TOP OF ADVANTEX POD *•• x�.,; s ., . ti ,. A.uned LBevation: 97.35 pL J J,! >k4 i® . ENGINE ... o F.. C o0 y s L$ z a �.' 0 33 :. y: ina jl C1 1s pertvrd' bAKWWC, INC. Dates: 1st: * 4 2nd 7 " 3rd 1/21/2004 Development Services Departm nt Approval ar sar OO°o5 '•. —7953 �`OG Reviewed and approved by: Date:^edArofeaetot a��� woza3s� A5 -BUILT DRAWING PARCEL ID NUMBER: ats-212-21 `:;DBLi 49.86 53.84 OBL2 t<ST1 50.52 50.82 54.77 56.61 MH 51.73 62.26 FD 54.14 67.51 FS 55.25 68.25 C01 54.22 67.90 I \ INSTALLED FLOW C01 a II I I I n1II III I 1 1LT4-3 MTI 52.81 66.25 CO2 71.34T95.54 MT2 72.31 96.39 CO3 72.56 84.53 MT3 73.01 84.63 C04 84.85 106.83 MT4 83.48 105.48 TIELO SERVE SITE \ o BL7 ,-NEW 1500 CALLON ADVANTDC TREATMENT SYSTEM L --NEW � 7' NNFIELDS JA NOTE: PER DAN ROTH NO I NEED FOR DOUBLE CLEANOUTS AFTER TANK. r� I �R7'IG s•. 1/22/200 ,IAIA111111616'9AlAAOAIAI AIT TI A'�IiA�IAiI AI �INLIR DRAWN Tom: ALASKA WATER & WASTEWATER C.J.G. pAlA,�uwiw�wOtlMINNRAAOmmxs CONSULTANTS, INC. �^^^ e.w,^.. .�A..A.N,.� . _ 30� 6961 DEBARR ROAD. SUITE 20 - ANCHORAGE. AN 9950L - PHONE (907)53716179 • FAX (907)53S -3M PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DENISE & TINI UTOAFILI (907) 345-0454 2 OF 3 LEDAL DESCRIPTION: VALHALLA SUBDIVISION; LOT 9, BLOCK 2, TYPE OF WORK AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE . r< p� n A•• ♦P 44 \. + 4 BESTING DROOM—_ �TM im tIry°7953 -.. '• ......•''�pAoO JAN7?4:20Q3_@!j: 3M FRQM:R+ HCS WMLWj .IN 907-868-6770 � , _ TQ. 33246 P:1!1 o. R1ghtFAX 1/23/2003 5147 PAGE 1/1 RishtFAX Munlclpauty of Anmploculon Ae u wRd ng Sahty Dlvbbn 4700 80uth eragaW mSPacTLON: VOICE 343-Wo :NGPECTIONs PAX (007)248-7777 INFO, 3"=11 . Nanro EDS ELECTRIC Panna 03-7091 Addy 12230 SHILOH RD Ptwm 272-4591 Lopt SK 2 Li 9 impeeMon Deb 1/23/200.3 PM ap6dMalm VALHALLA Aommaft9 or Olreetbna R44MOC ILL TO MEET ON SITLOMOSEPTIC LIFT STATION In4pectlon Ratio tslecttteal Rdmpeftn N �p NO NONCOMPLIANff OBSERVED ❑ CORRECTIONS ESSENTIAL AS EXPLAINED BELOW WILL RE-EXAMINE AT NEXT 00 NOT CONCEAL UNTIL REINSPECTION © INSPECTION COMMENTS, (for kopeaor useonty) Fmp«xar JAN -23-2003 THU 05:42PM 10:A+ HOME SERVICES. INC. PAGE :2 1 Fmp«xar JAN -23-2003 THU 05:42PM 10:A+ HOME SERVICES. INC. PAGE :2 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Upgrade Permit Number: SW020363 Date Issued: Sep 18, 2002 Expiration Date: Sep 18, 2003 Parcel ID: 015-212-21 Legal Description: VALHALLA BLK 2 LT 9 Design Engineer: 0041 AK Water & Wastewater Consultarr Site Address: 012230 SHILOH RD Owner Name: Denise & Tini Utoafili Lot Size: 20000 SO. FT. Owner Address: 12230 SHILOH ROAD Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516-2205 This permit is for the construction of: [l Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. /0//7/02—/0PV6. C HL LF /,) � S TNTE0 I r Gzk. S iti« /r rs A.� ADV�t�rEx Received By: Issued By: ju.ci<r�ie�z►sG a 104A 1 Date: 2 Date: 01aba Municipality of Anchorage •. ;til., h-��,• • 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-212-21 Permit Number SI,4/020363 Property owner(s) DENisF dr TINI UT0AFILl Day phone 345-0454 Mailing address (1) 12230 SHILOH ROAD • ANCHORAGE. AK Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) �L Legal description (Section, Township & Range) Lot Size�T1), r -i")0 Acre q.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER do WASTEWATER CONSULTANTS, INC. Permit Fees: pl Date of Payment: 9 02 - Receipt Number: Waiver Fees 15D Date of Payment: 01 1 1 i 3 02 - Receipt Number. 255% �� ALASKA WATER & WASTEWATER CONSULTANTS, INC. September 10, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Septic Upgrade for Lot 9, Block 2; Valhalla Subdivision ADVANTEX"' TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The existing 4 bedroom home is served by a private well and septic system. The septic system is in a state of failure and must be upgraded. A test hole was excavated south of the existing drainfield. We are proposing to design the new drainfield around the 30 foot radii of this test hole. Due to the poor receiving soils, we are proposing to use an Advantex treatment system and a dual deep trench type drainfield. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System because the poor percolation rate dictates the use of an alternative technology system. The Advantex system has received class III approval and we are going to assume an application rate of 0.5 GPD/FT2. 4. TRENCH DESIGN: a. Percolation Rate: 120 minutes/inch b. Allowable Application Rate: 0.5 gallons/day/62 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1200 ft2 f. Total Depth: 9.5 feet (max.) g. Effective Depth: 7.0 feet h. Width: 2.5 feet i. Minimum Length: 45 feet long each (90 feet total) k. Effective absorption area: 1260 f12 6901 Debarr Road, Suite 2B— Anchorage, AK 99504 — Ph: (907)337-6179— Fax: (907)338-3246 5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE NVATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPHY: The average topography in the area of the proposed drainfields is a 15%- 20% slope running approximately east to west. In short, there are no slope concerns. 8. LOT LINE WAIVER: We request a I foot lot line waiver be granted to the south lot line. 9. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, two soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debart Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 I LOT 3 1 1 iSHENANDOAH HILLS 5/D I I , LOT I SHENANDOAH HILLS S/D LOT 2 SHENANDOAH HILLS S/D I 1 1 I I ________---J I 1 — LVTALWLLu 5�2 '' I LAT 7, BLOCK 2 ��� VALHALLA S/D \LATH BLOCK 3 I \1VALHIALU S/D I I I I PROPOSED SEPTIC UPGRADE , (SEE DESIGN PACE 2 OF 4) i \ , \\ I17-e— I EXISTING ( 4 BASE 1 1 i LOT S. BLACK 2 I 1 I \\ I LOT S, BLACK 3 1 j VALHALLA 5/D I 1 VALHALU S/D 1 1 1 WACA�t�'I I J �\ 1 LOT 4, BLACK 2—_—J �1 \ I LOT 4, BLOCK 3 1 1 S/D \\ % VALHALLA S/O /VALHALLA I ' I \ I I DUSTING / 1 I I THII1 1\ SEPnC L_ 1 \ i 1 1. \ SYSTEM i � ., �\ 01,� 1 I I 0 \\ LOT 3. BLACK 2 I VALHALLA S/D 1 1 RFA—_—_ / I / ' LOT 3, BLOCK 3 I VALHALLA S/0 I C3 C3 \ LOT 70, BLOCK 2 OI / I I \N VALHALLA S/D =1 / 1 LOT 2. BLACK 3 I 1 1 I LOT 2. BLOCK 2 iI LOT 11, BLACK 2 I VALHALLA S/D I i VALHALLA S/D , I VALHALLA S/D I LOT 1, BLOCK 2 1 1 LOV 12. BLOCK ALHALLA S/D I 1. BLOCK 1 LVAUA.LA S/D 1 VALFAU S/D I I , I i I I I I I I 1 DATE 9/10/2002 LL V�^1 er+-n -e-raen� s DRAWN BY: ��'`v•••••••• _AIASKA WATER S VVASTRWATRR C.J.G. 4 �9 SCALE: CONSULTANTS, INC. 100 .... 6001 OFRAPQ ROAD. SUITE 78 , ANCNORAGF, AK 00504 • M F (007)33)4179 • FAX (00/)338-3746 — i PAGE PREPARED FOR PHONE NUMBER: NUMBER �1 ... .... ........� DENISE do TINT UTOAFILI (907) 345-0454 1 OF 4 �: p • of A. Orn (� —79 a ' 5S. - LEGAL DESCRIPTION: VALHALLA SUBDIVISION; LOT 9, BLOCK 2 •......... Ai%. SVS.%*Q �rolsetl{o�o.��� ' TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE INSTALL DOUBLE I CLEFLOUTS \\ cl-Prric INSTALL I DIVIRTFR a 1 I 1 _-•J s I I PROPOSED 1500 G41ON DVANTEX TREATMENT UNIT EXISTING DRAINFIELD DRAWING PACE 3 OF 4)USED ASI AESITER /\(SlE'DErAIL \ INSTALL FLOW SPUTTER \ INSTALL SCLEANOUT TION i 6 I EXISTING �+—�• •' 4 BEDROOM— ',-, OUSE II II I c I I \ I I II I °OeIMTANKS TCOMPLETELY I TM LE I I II II / I I \1 III— II IMT I V LOT UNE WAIVER \ REQUESTED T DRAINJNFIEL / \ NOTE. THE CONTRACTOR SHALL AVA EXCAVATE 79. OEET TKAT R DEEP SOUTH THE ' �V100 LORADII J I I MAXIMUM UY Z5 FEETOWIDE FOOT WELL SHOWN BY 45 FEET LONG EACH (90 I \ e FLAGGED BY A REGISTERED LAND FEET TOTAL). ADD T FEET e \ SURVEYOR PRIOR TO CONSTRUCTION. OF CLEAN. WASHED SEWER �R 3 G DRAINROCK. INSTALL TRENCH AREA PARALLEL T SLOPE WELL RADIUS CONTOURS./ 100• I � DATE: opd�0 9/10/2002 0� F 4 C.J.G. ` ALAS" RATER & WASTE«'ATER AK 9 N6TS,RHCNG(90AS11d119 SCALE 1w � 30T .*.�6901 .•DPREPARED I OFRARR ROADSUITE 2R • ANCOAGE • FA; (90))516-JTG6 FOR: PHONE NUMBER: PAGE NUMBER: DENISE do TINI UTOAFILI (907) 345-0454 2 OF 4 ',lei a A. am: i ° '• —79 3 LEGAL DESCRIPTION: VALHALLA SUBDIVISION; LOT 9. BLOCK 2, .•`l QQ�/° q v �4�04pppeo�� TYPE OF WORK: FOR SEPTIC SYSTEM UPGRADE SITE PLAN AdvanTex Treatment System r� NPOETEw�IM„c�RE°� INSTAALLL•EDTMOVER THE INSULATION TANK & - AX20 -Mode la BEYOND NT ALL SIDES EXCEPT UNDER �0 THE HEAT T FILTER. THIS WILL ALLOW 40x94Pod = � FOR TO TIE FROM IT � INLET . FINAL CRADE� °• T'P�21—\ / ifol .• PVC PUMP -M (7YPs; .• PVC COUPUNG CLUED TO TANK (TYP.2) .. 9/10/2002 ..-.Ta.�-•*n.._Y a DRAWN BY: AAAA ' P� 4 ALASKA NATER & WASTEWATER c ' G Ste' CONSULTANTS, INC. 1 EOOi DFPGa4 MAD. SUTE M - A.+fMM+nGF. AK 0050(. • PNONF (007)1174179 • FAX (00)A3MJiL0 N.T.S. ........... .............. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DENISE & TINI UTOAFILI 345-0454 3 OF 4 • ....'... QO � •• ff y A. a ass: LEGAL DESCRIPTION: Q �Oi 795 �t VALHALLA SUBDIVISION. LOT 9, BLOCK 2, QQ4t�s^ '••. cqo TYPE OF WORK: Q4�dP o/ss�io�O` DETAIL DRAWING OF FIBERGLASS S.T.E.P. TANK AND ADVANTEX SYSTEM DOppp0000 _ I II� - . °-.. I 11 wl�—Illl .. 9/10/2002 ..-.Ta.�-•*n.._Y a DRAWN BY: AAAA ' P� 4 ALASKA NATER & WASTEWATER c ' G Ste' CONSULTANTS, INC. 1 EOOi DFPGa4 MAD. SUTE M - A.+fMM+nGF. AK 0050(. • PNONF (007)1174179 • FAX (00)A3MJiL0 N.T.S. ........... .............. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DENISE & TINI UTOAFILI 345-0454 3 OF 4 • ....'... QO � •• ff y A. a ass: LEGAL DESCRIPTION: Q �Oi 795 �t VALHALLA SUBDIVISION. LOT 9, BLOCK 2, QQ4t�s^ '••. cqo TYPE OF WORK: Q4�dP o/ss�io�O` DETAIL DRAWING OF FIBERGLASS S.T.E.P. TANK AND ADVANTEX SYSTEM DOppp0000 -- --------------------------------- s LID FROM A? DVANTEX 7REA7MENf UNrr— y'INSTALL FLOW SP L-- -------- ----------------------- 9/10/2002 DRAWN ft ALASKA IVATKR (X "'ASTKR'ATKR C.J.G. CONSULTANTS, INC. 001 DFSABF 90A0. SUITE TN • ANCN09AGF. AK 00504 • P F (007)517 0179 • FAX (001133%-JT4A EPARED FOR: PHONE NUMBER: DENISE do TINI UTOAFILI (907) 345-0454 VALHALLA SUBDIVISION, LOT 9, BLOCK 2, E OF WORK: DETAIL DRAWING OF PROPOSED DRAINFIELDS 0 pe r N.T.S. �...... :... NUMBER: O ....... ...... 4 OF 4 A. Gama S -- ALASKA WATER R WASTEWATER CONSULTANTS, INC. LEGAL DESCRIPTION: VANHALA SUBDMSION; LOT 9, BLOCK 2 PERFORMED FOR: DENISE AND TINI UTOAnU DATE: 9/5/2002 DEPT _ ORGANICS (1°e1 EST HOLE 1 1 ___= FILL 8 9 10 11 12 13 aaauai 17 18 TO ML DEPTH TODATE GROUNDWATER DRY 9/5/2002 I (t +� LOT 8. 1 K 2 v WATER LEVEL READING •CLASSIFICATIONS 1 •- 3:00 - 6' EE 1GP ulllilllML 3:30 30 5 3/4* 1/4' 3 II�III!11ISM CL 1� - 4 4:00 GC N/NN• • 1/4' 5 i I I I . - IIIIIIIIIMH - 6 4:30 ! �� 5 3/40 • %//CH % ` Hill i SRE PLAN • SC 8 9 10 11 12 13 aaauai 17 18 TO ML DEPTH TODATE GROUNDWATER DRY 9/5/2002 DATE READING I (t +� LOT 8. 1 K 2 v WATER LEVEL READING NET DROP (INCHES) 9/6/2002 1 3:00 - 6' EE / 3:30 30 5 3/4* 1/4' 3 3:30 ; 1 - 4 4:00 � 5 3/4- 1/4' 5 i I I I . - 6' - 6 4:30 ! �� 5 3/40 E ` i SRE PLAN 1'-100, DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/6/2002 1 3:00 - 6' - 2 3:30 30 5 3/4* 1/4' 3 3:30 - 6' - 4 4:00 30 5 3/4- 1/4' 5 4:00 - 6' - 6 4:30 30 5 3/40 1/4' 19� PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARUW CALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A GARNESS, CERTIFY THAT THIS WASjPER7ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Sent By: Alaska Water and Wastewater Con; 907 338 3246; Sap -13.02 13:36; Municipality of Anchorage Development Services Department • ^� Building SafayDivision OnSite Watcrard WastewuerProgrnm 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-663D www.ci anchorage. sk.aa (907)343-7904 Page 2/4 PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated l U — D is made between the Municipality of Anchorage Development Services Department (DSD) and the property owner(s) of. V o d a loA g k, P,L.o - 01 This agreement is made for the purpose of maintaining an on-site wastewater disposal system on the subject property. The property owners agree to the following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and operation statement shall verify that thceaginccr has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. (Signature) (Signature) (Printed Name) NOTARY PUBLIC, (Printed Name) The Foregoing Instrumc/nt was cknowledged bgfore me by �,-tis c (-Foo,}: It on this I(c t day of wu /— 2032 Vim y han td seat. NP blic igaat=) _ "'f R�.1 (Notary's printed name) My Commission Expires . t l do057_ Gcogge I'. 115ierrA. Mayor 9/13/2002 Anchorage Alunieipality of Anchorage All -America City Buildirig Safety DIAISI011 III r 2002 Jeffrey A. Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Rd., Suite 2B Anchorage, AK 99504 Subject: Waiver Request for Valhalla Block 2 Lot 9 Waiver Request #WR020069 Parcel ID #015-212-21 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Blftt(P!. 1W Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program P.O. Box 196650 • Anchorage, Alaska 99119-6650 • Telephone: (907) 3.13-8:301 • IYIC: (907) 343.8200 4700 South Braraw Street • Anehorage. Alaska 095507 li ttp://a�cir.ci.nnchnrnge.nlc.us Municipality of Anchorage Development Services Di Department � Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR020069 PID#:015-212-21 HA#: Permit#: Date Received: 9113/02 Legal Description: Valhalla Block 2 Lot 9 Engineer. Jeffrey A. Garness. PE r,.^7I� .�'I�IG11r1ZZ Waiver Requested 1 Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: X_ Waiver is not Granted: List Conditions or Reasons for above: SEF, ENG 7NE6 K r f L E Ire X a rF NA S t/ Fita rro� VATEV 5EPF /0.02 A7/4CAM0 Date: By: DAN Name of Reviewer ..............................................................................� Rec#: 2M Amount: $150.00 Date Paid: 9/13/2002 MUNICIPALITY OF ANCHORAGE f?-.-lth and Environmental Pro'"^ction +' Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION RIEPORT ON-SITE SEWAGE DISPOSAL SYSTEM PII3NE �}S d LEGAL l`C.SCRIPTION _.. �._—.l-() -� S,: MC TAIIK: I'll I nNCT IDI".l `:,_ LL._____. _. __. ..:•Lt:!i.0 R /O oco NUMBER OF -_-- t.! l -T - PIAL __ .__--_-___COMPARTMENTS fI's -_...__ LIQU;0 Cr PTH .____ LT0U10 CAPACITV_Sbv GALLONS. 711.[ DIiAITI FICLD: TOTAL LENGTH UP t.::('l fko'.1 %:i LL. __. ___._FOV:Ji)ATION-_..t;l:ARr57 LOT LINT..- _-_- OF LINE u of Lines -..- UISL NCC BLT :ECN LINE"__---------TRENCII l':IGTH-- IN. 'TOTAL EFFECTIVE /•:.�.t,IK'; I'� : ..a[i...-._. _ —____ SQ. ! T. LENG III Of EACIf l.l.':T. .—__— DEPTH O!" 11LTER MATO 11 Ib rL'IC AT It TILL—vIN. ABOVE TILE — -IN. SC%P,^.CL. PIT: UI--1:CT CR --OR WIDTH_. LE;IC.CH _. o`cPTH Log Crib _Rings Crib Size: CIA -MLI LIi--.__ULP(H--OISTANCC FROM: WELL TOTAL LT TECTIVE !:EARL51 LOT LT?JC API�ERPTION AREA (WALL AREA) SQ. Fl -U-I---T-j Class: Depth:t- ' :ell Distance To: Lot Line _ : i. T 1_. pe I3sJc;/er Linc. i i px: ilatcritcrials. f Installer: J(81v`T�h-"i-- fi-� .-.enarL-s: I i i _i...-PIT1 1 I 1! 1- lo mea l$ t I'_� ! F- I I 1 I APPHOVrO ----- GREATER ANCHORAGE AREA BOROUGH„t/� Z�� V&0 -'SZ' DEPARTMENT OF ENVIRONMENTAL QUALITY / PERMIT NO. 3330 "C” STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMITv?'�2-It> NAME OF APPLICANTVA'• /N ge MAILING ADDRESS ' • �D'" `� PHONE INSTALLATION LOCATION • V (� //� �% LEGAL DESCRIPTION L -/ [ J O'er 1/14/ A% g S1,o- INSTALLATION OF: SEPTIC TANK v SEEPAGE PIT DRAIN FIELD OTHER TYPE AND S12E OF FACILITY TO BE SERVED 90Rm SI r J FINANCED THROUGH L' pM TO BE INSTALLED BY SOIL TEST RESULTS .5 �� I NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL 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 SUBJECT TO PROSECUTION. SEPTIC TANK S12E TYPE ^-�--CO /`1,�lO[o UEd SEEPAGE AREA SIZE MINIMUM DISTANCES. REQUIREMENTS 1 FOUNDATION TO SEPTIC TANK'_j) /f I / 20 FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT 190 DRAIN FIELD TO NEAREST LOT LINE. 1 WELL TO SEPTIC TANK 1 SEEPAGE PIT DRAIN FIELD 1049 ALSO CONSIDER AREA WELLS. WATER MAIN TO AO SEPTIC TA�K SEEPAGE PIT DRAIN FIELD �O ' pAI 1 /y0 SEPTIC TANK. SEEPAGE PIT ._LYJG_. DRAIN FIELD „L-, TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHOR, DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ! / APPLICANT'S SIGNATURE FORM NO. EO -41 6 TYPE DIAGRAM OF SYSTEM NO. 28-68 AND THAT THE ABOVE Mr. Marvin Star Route Box 1579 Anchorage, Subject: 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907.279-2581 November 19, 1975 W.O. 17579 Grid No. 2736 Rankin A AK 99507 Subsurface Investigation for Suitability of On -Site Sewer, Lot 9, Blk 2, Valhalla Subdivision Dear Mr. Rankin: Transmitted herein are the results of the above referenced investigation as performed by us on November 5th and 6th, and November 14th and 15th, 1975. Included in this trans- mittal are: Vicinity Map Figure 1 Test Hole Location Sketch Figure 2 Grain Size Distribution Curves Sheets 1-2 Test Hole Logs Table A Standard Explanatory Information Appendix'A The exploration was conducted using a truck mounted Mobile Drill B-50 drill rig, with a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, Inc. Drilling was supervised, the test hole logged and the initial percolation tests run by Mr. Wallace Oliver, -staff technician with Alaska Testlab. The second percolation test was run by Mark Hansen, engineer with Alaska Testlab. The test hole was placed at the approximate location shown on Figure 2. The log of.this hole is included as Table A of the report. In interpretting the log, it would be helpful to utilize the standard explanatory information contained in the back of this report. Mr. Marvin Rankin -2- November 19, 1975 After the drilling was completed, the test hole was filled with water and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. The percolation rates observed in the initial 60 -minute test were rather erratic, the rate increasing with time rather than decreasing. The results of the first percolation test were inconclusive. Since the test showed erratic rates, mechanical analysis was performed to help judge the absorption capacity of the soil. Samples'of material removed from the holes were divided into two groups depending on texture and particle size. Mechanical analysis was performed on composite samples of these groups. It should be noted that these composite samples are disturbed and do not reflect stratification which'causes the soil to be more -or -less sorted in the field. Group A was silty sand and consisted of samples taken from 5 and 10 foot depths. The unified classification is SM. This soil contained significant silt lumps and also had some silt present in the sand. The grain size distribution curve • for group A is shown on the attached Cl 1. Group B was taken from the 15 �nd oot depths. This group was a fairly clean sa'with a significant number of silt lumps. Even though the sand was not highly silty, there were enough silt lumps present to cause the composite sample to be classified sandy silt on the soil triangle, and to have a unified classification of SM. The grain size distribution curves for groups A'and B are very similar, but the appearance and texture of each group are different. The sand and silt in group A are, to a degree, blended, and the soil behaves somewhat cohesively. The sand and silt in group B are distinctly separated, and the soil has a sandy, non -cohesive texture. We believe the silt lumps may be caused by alternating layers of sand, silt,'and silt-sand'mixtures in the field. Because of the silt lumping, results of the mechanical analysis were also inconclusive in predicting percolation rates. rag Mr. Marvin Rankin ka -3- November 19, 1975 On November 14th and 15th, 1975, a second percolation test ,was performed. The test was run for a two-hour duration to 'reduce the effects any erratic readings might have. The observed percolation rate was 4 min./inch. Utilizing the data contained in Table 1 "Absorption Area Requirements for Individual Residences" on page 8 of the "Manual of Septic Tank Practices" published.by the U.S. Dept. of Health, Education, & Welfare, the absorption area requirements for a seepage pit or absorption bed placed in the soils of this lot is 115 square ft. per bedroom. Due to the layering of sand and silt and the presence of silt lumps in much of the sand, we would recommend the use of a slightly higher design value of 140 to 150 -- say .145 square feet per bedroom. On the date of exploration no water table was detected in the test hole. It should be noted, however, that the water table normally fluctuates with precipitation and and with the seasons. We hope this report meets your present needs. If we can be of further service, please do not hesitate to contact us. Approvedwoe�e a : I Mel in R. Nich ls, CE Laboratory Supervisor RMH : mm Attachments Yours very truly, A L A S K A. T E S T L A B 1 94411�/z R. Mark Hansen Go=ATER ANCHORAGE AREA BORO''H HEALTH DEPARTMENT I 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME T AWE ,LOCATION OFF �uFFi+�r9N T fi &X3Yq c•ANc'f . PHONE3Y�YU-5 4.7-1 V4 �� - SEPTIC TANK: �cNUMBER OF DISTANCE FROM WELL �3/ MATERIAL eoN, 6t -ow, �ODO 10 / INSIDE WIDTH DEEPTH ID LIQUID CAPACITY GALLONS. INSIDE LENGTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH, LENGTH DEPTH-42�, LINING MATERIAL ZZ . DISTANCE FROM WELL—�da BUILDING FOUNDATION , NEAREST LOT LINE S _+ . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Z 98 SO. F1. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: �Ql �IEQ DISTANCE FROM WATER TYPE ZI DEPTH 6, BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC C7 , SEEPAGE I ,�G. I OTHER LOT LINE .SEWER LINE—, TANKJ SYSTEM LSCS CESSPOOL ,SOURCES_ DIAGRAM OF SYSTEM DISTANCES: D- b= 4o D -C= oe I -6= 83, 4-Q_ log' DATE L 1 �1 ,. "Z-'.2 GREATEh_,ANCHORAGE AREA OROUGH Case No. 1HEALT11DEPARTMENT /� ya 327 Eagle St. Anchorage, Alaska 99501 279.2511 • SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT` Jrrey:7���� NAME OF APPLICANT A4 � 00 f 1, ��M(JAILING ADDRESS ��' PHONE NO �Y � RESIDENCE ADDRESS ' dCATION OF INSTALLATION IV LEGAL DESCRIPTION r Z 41 APPLICATION TO INSTALL: SEPTIC TANK �, SEEPAGE PIT DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH TO BE INSTALLED BY PERCOLATION TEST RESULTS A'% ANTICIPATED DATE OF COMPLETION d±% BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS 0� " PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVEDy'U' '''�� SEPTIC TANK SIZE LELTYPE SEEPAGE AREA 065 l*' TYPE �— DIAGRAM OF SYSTEM bISTANCES: 1`4 )X ■■■■■■■■e■■■■■■■■■■■■■ ■■■■■■■■■■w■■■■■■■■■■■ lot MENNEN ■■■■■�i■■■ire■■■■■■■■■■■ � : , . .�'■!■u�■: ::fir■■■■■■■■■■■ r `■■■■■■■■■■■■■■■■■■■■■■ Borouch Ordinance accordancetern is in DATE 6`1�L1 _f11 APPLICANTSSIGNATURK ' �" "' M M • TESTING • EXPLORATION • CHEMICAL • MATERIALS • INSPCCTION 503 E. 6tH AVE. PHONE 272.3428 ANCHORAGE. ALASKA A1AST7 T[511GS 89501 May 6, 1969 Mr. Pat Moore Box 394 E Star Route A Anchorage, Alaska WO 9476 SUBJECT: Percolation Test - Lot 9 Blk 2 Valhalla Subdivision Dear Sir: The subject test was performed on May 5, 1969. The percolation rate Is 1" (one inch) per 1.5 minutes as shown on sheet 1 of 1 attached. Very truly yours, AIASKA TESTIAB �`►!�!�I�C�•=�G+-..r-a.� Jam• �l=`..Cc�..,.a,.0 )Mtephen Sklute, P.E. Staff Engineer SS:pc Attachment r A L A S K A T E S T L A 11 Sheet _ of. / . uasKat�sns�� 1940 Post Road ice, �ti0 No. Anchorage, Alaska Date: '%^,✓ / %' `� T.H. No. Z _ ?'HA No. Tech. r r Location, Lot ,Block -' ,Subdivision 'IZZ' -12." PERCOIATION 'BEST DWA Depth Soil Class Feet Visual - Unificcl . Location Sketch G t i t0 1 1. 0- 7- 9- 01 01 Readina Date Cross Time Net Time Depth to II2O Net Drop mrcolation to ., G t0 1 mrcolation to Certificate of On -Site Systems Approval J C / � y , ct " Parcel I.D. 015-212-21 Legal description VALHALA B2 L9 Site address 12230 Shiloh Rd Anchorage Current property owner(s) Utoafili Expiration Date: (o Z- X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: M �w / Ty-IP- !�' AM P L-F _3 , Q S7v,./So-, C— X 7_r;_,� Original Certificate Date: Z Z 3 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 MUMMPFAU Y OF ° HCHO R " CAFE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-212-21 Complete legal description VALHALA BLK 2 LT 9 Location (site address) 12230 SHILOH ROAD, ANCH AK Current property owner(s) UTOAFILI 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete i❑ Fiberglass Age 1/21/03 _ See advisory if steel older than 20 years 6. ABSORPTION FIELD: ■❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ 550 Waiver Fee $ Date of Payment 3f lbl® Z -3 Date of Payment COSA # CSC_ 9, 31 io l Waiver # G 1G-723 COSA Application_June 2022 COSA Checklist Legal Description: VALHALLA BLK 2 LT 9 Parcel ID: 015-212-21 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UN Total depth *'40' ft Cased to *40+ ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 2/20/23 Static water level at beginning of test 33 ft. Comments * data from MOA files B. TANK DATA Measured operating fluid level in septic tank Date of pumping ADVANTEX SYSTEM ❑ Required maintenance completed, if AWWTS Comments: *PRE-SET W/ ADVANTEX SYSTEM D. ABSORPTION FIELD DATA Which system tested (date installed) 1/17/03 ❑ ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 3.0 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Well production at time of test 3+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.06 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date 10/17/23 �✓ Sic. F 5 Sv M c qp�y-JjD C. LIFT STATION ❑ Required maintenance completed Age of lift station 2003 years Lift station material FIBERGLASS Comments: Adequacy test date 2/20/23 Results ❑ Pass Fluid depth prior to test *24 in Water added 600+ gal New fluid depth 60 in Elapsed time 1440 min Final fluid depth 24 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used 24 in Effective depth remaining 60 in Comments/Deficiencies: * TESTED EAST TRENCH ONLY, WEST TRENCH HAD 60" OF WATER COSA Checklist —June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑m Yes if No ft 0 Yes if No ft Neighboring Tank > 100' n Yes if No ft Private Sewer/Septic Line > 25' © Yes if No ft Absorption Field on Lot > 100' a] Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft �i Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' DYes if No ft QYes if No ft ❑ NIA — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lotto: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' 0 Yes if No ft Tank to Property Line > 5' © Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No *� ft Private Wells > 100' FEI Yes if No ft Water Main > 10' ■❑ Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *PROPERTY LINE WAIVER IN MOA FILE G. CERTIFICATION & 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm M, " t,.Avt �_ c %%vf y t �_ • Phone 727-8864 Engineer's Printed Name 1:7 u M A.— Date I L-1 t -Z�jt •' . .. ........•.. • M{CH;.EL N. AS, : Rt:C;4 �� :�'...�• CE 5 COSA Checklist June 2022 COSA Checklist Legal Description: VALHALLA BLK 2 LT 9 ParcellD: 015-212-21 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UN Total depth *'40' ft Cased to '40+ ft 0 Sanitary seal is functioning correctly ❑Q Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 2/20/23 Static water level at beginning of test 33 ft. Comments * data from MOA files B. TANK DATA Measured operating fluid level in septic tank Date of pumping ADVANTEX SYSTEM 0 Required maintenance completed, if AWWTS Comments: `PRE-SET W/ ADVANTEX SYSTEM D. ABSORPTION FIELD DATA Which system tested (date installed) 1/17/03 0 ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 3.0 ft (min) ❑ N/A —pressurized field. ❑ Per record drawings, field is insulated. ❑Q Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date COSA Checklist—June 2022 Well production at time of test 3+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No 0 Coliform bacteria is Negative Nitrate 1.6 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0 Arsenic less than MRL (ND) Collected by , Date 2/20/23 M NA C. LIFT STATION 0 Required maintenance completed Age of lift station 2003 years Lift station material FIBERGLASS Comments: Adequacy test date 2/20/23 Results Q Pass Fluid depth prior to test `24 in Water added 600+ gal New fluid depth 60 in Elapsed time 1440 min Final fluid depth 24 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used 24 in Effective depth remaining 60 in TESTED EAST TRENCH ONLY, WEST TRENCH HAD 60" OF WATER E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑i Yes if No _ ft E Yes if No ft Neighboring Tank > 100' ❑m Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' a] Yes if No _ ft Holding Tank > 100' QYes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No _ ft ❑i Yes if No _ It Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑N Yes if No _ It Z Yes if No _ ft ❑ N/A— Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' ❑m Yes if No ft ❑i Yes if No _ ft ❑ Yes if Noft ❑� Yes if No _ ft ❑� Yes if No _ ft F. ENGINEER'S COMMENTS "PROPERTY LINE WAIVER IN MOA FILE Surface Water> 100' Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' 9 Yes if No _ ft ❑� Yes if No _ ft Q Yes if No _ It If tank or field is under driveway comment below G. CERTIFICATION & 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm MI H e /"L '40 � ev (Uva (-'r Engineer's Printed Name S vim. COSA Checklist June 2022 Phone 727-8864 Date • rkicrii�e �a �cH; � a .' �% 4•,•• CE 946y. MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 10 Day of fila rC � of 20a1 , by and between Ercxolcieeuez herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) o Sly, )ok Rd �Kc ,► �, �-�a���� 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. r It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 0511812018) Page 1 of 3 2 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. -L Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. T_? Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7 Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. {rev. 0511812018} Page 2 of 3 (signature) Date: C) 3 - 0 - - print name} STATE OF ALASKA ) } ss. THIRD JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me this ioday of C, 20 , by +� Px- .3� STATE OF ALASKA NOTARY PUBLIC NOTARY PUBLI FOR ALASKA Jenie R. Sta. Maria My Commission expires: 6 -a " -)-V My Cam M[UNIC ALITY:__ Z2 BY�--� (signature) Date: Z C UA .0S s r O (print name) Title: (rev. 05/18/2018) Page 3 of 3 XXXXXXXXXXXXXXXXXXXXXXXXXXXL27 L27 10L27 L27 L27 10' U7IL ES07&21& DRI9 E W A < 00' 00' E1&L2SED S72RA*E XX S+ED ED*E 2) *RA9EL℄ S+IL2+ R2ADW S SS SSSS SS SS SS SC S N89° 59' 00"W 200.00 S00° 03' 00"E 100.00S89° 59' 00"E 200.00 N00° 03' 00"W 100.00&29ERED S72RA*E AD9A17EX 7A1. %E %E E G 0 110 0 MB 1 11 1 0 011 0 0 ' W E L L R A D I US 1LRW %ORFN 9DOKDOOD SXEGLYLVLRQ 0000 ST )W 10 SKLORK RRDG SWRU\ WRRG )UDPH +RXVH WLWK AWWDFKHG &DU *DUDJH PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. February 15th, 2023. Legend: Scale 1" = 40' Gas Meter Electric Meter/Outside Power Deck Septic Fence Mailbox Lot 9, Block 2 Valhalla Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Elise Yaremkiv 23-051 02/22/2023 P-644 2736 Water Well ConcreteMB Septic M.H. G E S x W )HE 0 R E GISTEREDPROFESSIO N A L LA NDSURVEYORPierre M. Stragier No. L.S. - 9812 SC B.E.Basement Egress ® MUNICIPALITY OF NCHORAGE • DEPARTMENT OF HEALTH & HUMAN SEAVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.,# 47>145-- 2.12— ( HAA# -1i�9�na 1. GENERAL INFORMATION, Complete legal description L oT Q. L o c IC Z \/q L fl A LC A 5/ D Location (site address or directions) 1 Z.23 o S141Loµ • opertyowner _ r t•,u 1► • • • Day phone Lending agency - Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water . NOTE: If community well system, provide written confirmation from State ADEC attest - Ing Ing to the legality and status of system. _ 0l1 4. TYPE OF WASTEWATER DISPOSAL- ISPOSAL Individual Individual on-site Holding tank :- Community on-site Public ewer' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 71425(RW van Front MOAR21 S. 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. 13 ey' _ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval. Certificaies'besed only upon the representations given in paragraph 5 above by an Independent professionai 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 engineer's work. Name of FirmTC-Ey%• M �.�aon�� ,"P. d- Phone 2�4-o3oB Address Q� o Q3ox �Kzozcr ANcNoaac,e t AK �JS�� Engineers signature�R Date, -iz-vs ¢moi 0^0~ R Pw E CE -8149 �JrF_ °lSoblZ ; DHHS SIGNATURE Nk:_pR0rES.V3y9 Approved for "bedrooms. Disapproved. Conditional approval for_- *bedrooms, with the following 'stipulations: Additional Comments - Date 712425 (Aw. w+) 8MOARV ® Municipality of Anchorage AL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:Lam, VA LII A t t A Parcel I.D. _ o I S -?R "21 A. Well Data Well type T2t V A Tti If A, B, or C, attach ADEC letter. ADEC water system number Log present (YM) _ N D Date completed UeJy~o ✓ Driller v,ukc voter- Total depth q0, Cased to K 0 ` Casing height f 2.0 Sanitary seal (YM) Yt---J Wires properly protected (Y/N) Cz S FROM WELL LOG Date of test - 2 0 - Static water level Well flow g,p,m, AT INSPECTION GE 5-2v— 4 S M,UNtG9X0`" OE0. INC { 01-400td EfNlROE�� SQ M t X1995 S • W f g.p.m. Pumplevelt SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot 68 46 ` ; On adjacent lots ! e o -t- Absorption Absorption field on lot / co ; On adjacent lots Public sewer main Ni,A Public sewer manhole/cleanout Sewer service line " to Petroleum tank WATER SAMPLE RESULTS: /VIA RECEIVED Conform—y - Nitrate 4 4 Other bacteria - a - Date of sample: Sln/cs t 6 /iz/ a s Collected by: -S- o s wA c r. B. SEPTIC/HOLDING TANK DATA Date Installed °b�s- Tank size /S o o Compartments z Cteanouts (YM) Y Foundation cleanout (YM) Y Depression (YM) 'J.4 High water alar (Y/N) "-' (A Alarm tested (YM) N1.4 Date of pumping S /to/ Q S Pumper N &a -W LA ., SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wells) on lot P R ` # g 6 On adjacent bis / eo -t Foundation 371 To property line to ` Absorption field / 2 I Water main/servtce line z S •t Surface water/drainage IVIA 72-026 rVM)• Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Al (A Manufacturer Sae In gallons Manhole/Access (Y/N) Vent (YIN) 'Pump on' level at 'Pump oft Levet at High water alar level Meets MOA electrical codes (YM) SEPARATION DISTANCE FROM LIFT STATION TO: Cycles tested Well on lot On adjacent lots Surface water_ D. ABSORPTION FIELD DATA Date installed 14 Soil rating (GPD/Ft') t KS System type Length 3 Z r Width 3 ` Gravel thickness 1®r Total depth Total absorption area `t-2 8 Cleanout present (Y/N) i� Depression over field (Y/M t'—t o Date of adequacy test 8_-10-9 S Results (passlfaa) for 7`0 o rz C 4)• Bedrooms Water level in absorption field before test 6 SV After test C 8 Peroxide treatment (past 12 months) (YIN) r—t. 0, If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot fyo t On adjacent lots 10 o Property line o To building foundation 61 To existing or abandoned system on lot 30t r•'<<A M?Sr On adjace� lots 3 0 Cutbank l-.--__NIerviceline Surfacewater N fkQ Driveway, parkingIvehice storage area 5� Curtain drain N f E. ENGINEER'S CERTIFICATION 1 cerfffy Drat 1 have checked verified, or conformed to all MOA and HAA guidelines in effect on the date of this Inspection. C%(' iy 7 rte. Signature__ Engineer's Name 1��J1 CF.•G1C9 r\.Z``.. Date HAA Fee $> ,Cid Waiver Fee $ Date of Payment (e) - I S- 5 Receipt Number c»,9 R� 72-028 (5'43)• Back Date of Payment lo- \c,,- Receipt SReceipt Number C30`',fsa Municipality of Anchorage ati� �. Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 July 11, 1995 Steven R. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 9 Block 2 Valhalla Subdivision Waiver Request #WR950026, PID #015-212-12, HA950220 Dear Mr. Pannone: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are 96 feet from the private well to the septic tank on property. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljm .• �1 MUNICIPALITY OF ANCHORAu- Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR950026 PID# 015-212-12 HA# HA950220 Permit # Date Received: June 15, 1995 Legal Description: Lot 9 Block 2 Valhalla Subdivision Engineer: Steven R. Pannone, P.E. PO Box 142025 Anchorage Alaska 99514 Applicant: Harmon M. Blanch Waiver Requested: Private well to septic tank on property of 96 feet. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. • Other: Points: Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for above: SEE g71•A/'L1EO Date: %- ll%- 9S- By: DAA1 /?OTN Name of Reviewer Rec #: 00982/ Amount: $ 625.00 Date Paid: June 15, 1995 z w/4,vER I?Eq"rsr paK —tor? . oLk r, IWI*IVEI? "Qu£ST '"ANOCR WnyrOO26 V/¢tyAttA- StcBGiviJ/oiv Aturn RrquEsr FOA ON-LoT brEtL rr repnr Th/.Ak Op %6 FEET, E P77 c ngwk DIST/+ - rHE' JFpr/L TAS+/( !,v gw0jr7o" fPAf A S-oO sALLov rgNk /fpprAg oa jp /4✓ ExIJT/mob /OO000viLv" rlovk /v ,v0 v, /9>S. THE /OCOGAtton, TiaNK - RLSo EA/CRoni4cr QA1 TKE 1-.6 t, g kT t_ns aNtTiv..eTEP RW FOIe Cer- /97p QkvP r..r /S G RnrOpATKER6P TO DE CLOSaR rp,?Av /00 � To rME w£Lt. TKE Eva GftcoN YNM! Iw 4ufsr.vN /9s COASTIPucTEp Pi4nly& 'OA1 F_AA /NV,ERFS G.ERE Vlv TXE /NtET-ourtL'T— C4&1f,vauTT To u7/ti; WI} rflQ r,&Hr COIAPI-Iv&r. THF SEPr/C T19Nk /S Vo LL c, SLOPE fvoo+ TI t�6Lt /ti Q tAe t roti okv A st ooe. OF ApPipox.nAr6t r If-%. THE (l" -r TR"crEP /u fo,ts rN.4r PeRe. AT AI/QOX /nATEtY .20 ♦+t.�n. ,..Htco /s (OA/OKS,.r_ TO rRvATI.IG l6OT/L rfVA' EFFimr...r VERY Leel /t, A SHO.r! P/s TAN( E. L L P,4r/- — THE u-ELC /A. QuEST/on, Mf NO kEt L L o& AvA/tA6aF, 17(E/P4 /S //DICE VWAfCJQCPkf aEtjL Lols /N THE J•NR)qCUtA/N(, ARev T74.4r Ikbo,cwrr T j.- 'f-4ser c -c Jrrk&rAy ISRE 14EL tT/rEtY C>AvJ/Jr6AVr WITH �Im✓Y j7-elCkZ�)-zes S/Lrs i CzArS C094-LBp ptyr pr rAte t. cll- PRitt ERJ r"fl/9T SNO"Zo VRfv,K,.7 A,✓Y fKerwee ev�rAml/ .,trio~ F/?Gn Rt'.4CH/w6 rlre t.'),rse A•reu/FtpQ fu/pLY/ti6 A-�orEi? rp Tutt' H-Ett. TKE U.EtL f*m otEi IkvDILATE %HNT NO COL/FORN p4cr6.?/4 6x/s TJ !� TJff t.ttt /rN0 h{F Ao,TR,TrE L E✓EL / S uaPET6'cT/IBLE. Of A. D. E. C. S. P. W. 6. for S. C. I. ArLcR TABLE AP u wf/Q AT (0 �— a prl7/jnvok n t1 = °` r _.17+ /z $O/L SORancov (-� s2 s (60) L 0 =` ERMEAv/L, TER Tf1BLE GRADI ENT flfSNHE (ONSE�(VRiI�E -j � �- vrr/zoNr�t SEOAIPATION / G RANO TOrgL "O,bCl-kS/av GR/itir L—mvER 2.6 2.0 2.8 /7.0 Steven R. Pannone, P.L. Consulting Engineer P.O. Box 142025 Anchoragc,Alaska,99514 (907) 274-0308 July 1, 1995 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Attn.: Mr. Dan Roth Subject: Lot 9, Block 2, Valhalla Subdivision Septic tank to well waiver Dear Mr. Roth; You requested additional information on how the points were derived requesting a waiver for the above property. Attached is a site plan showing the adjacent properties, general site topography and approximate location of wells and on-site soil absorption system on each lot. Lot 9 is approximately t/: acre. The eastern half of the lot (on the Shiloh side) is relatively level. From this point the lot slopes sharply off to a lower area on the western side. The well is situated approximately 20 feet off the property line against Shiloh. The seepage trench is located toward the flatter area on the western side of the lot. The soil absorption system was installed in 1969. The original septic tank is located 88 feet from the well and met the separation requirements at the time of installation. The sewer systems and wells on either side of Lot 9 are similarly situated. The exact date of drilling the well is unknown; we found that it is cased to over 40 feet and that the static water level was 34.5 feet below ground level. Well logs for Lot 8, 9, and 10 cannot be found in the records maintained by your office. It is assumed that the well were drilled by the same company during the same time frame. A soils log is not present for Lot 9. A soil log was found for Lot 10 performed in 1985. The soils on Lot 10 were logged to be silty sands and gravels to sandy gravel to a depth of 15 feet. No water was encountered in this test hole. It can be assumed that the soils are similar on Lot 9. Mr. Dan Roth July 1, 1995 Page 2 In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. Lot 8 has a similar situation. A waiver for well to septic tank to 90 feet was issued by your Department and by ADEC. I hope the above information will assist you in determining that the waiver should be granted. If you have any questions or concerns, please contact me. Sincerely, Steven P. Pannone,P.E. Civil Engineer Attachments L9B2Waiv.02 Waver Request WASTEWATER ABSORPTION SYSTEM Lot 9, Block 2, Valhalla Subdivision Sh, oh iv • Vell V II Ven 100' Well Rod�vs Well TYD+col oa srso pion Systen - Typ;Col Lot 8 Lot 9 Lot 10 Plan ofJ z1 O N 6 J 2% U U �� e ¢ J O. O S'/. Typical Section OF �1 i 49T" #f)A%••""•" ""•"•••" •"""d"'"� ♦ � •Steven R. Ponnonef � PREPARED FOR STEVEN R. PANNONE, P.E. ♦ CA �� ♦ No. CE 8149. Dynamic Reatty P. O. BOX 142025 3611 C Street, Suite 100 ANCHORAGE, ALASKA 99514 �i�^• ..""•• �� ♦/��aR a Anchorage, AK 99503 274-0308, 272-8218 Fax 7-1-95 ���•� DATE: DESIGN A - r� i liox 13000 Bruit HoLmr: A MI -3-771.1 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 170 Ri;&. 61 DRILLED AT THE RATE OF Y18•$0 PER FOOT. n A Il PROPERTY OWNER Gam•• uorL warn- �y•- LOCATION OF WELL SITE A. & au - DRILLER flet/UC CAn" at RftAa4t D lt"ng VOtL4- _ WELL LOG: 0----34' gt"ct and 4tU4 clad Und" 34---95 SzU# 4an4 9.wue,L met wtth 30'- ctaye - — 95-134' Wet c -&v. 151 4=4 aa� 12o q to v" 134-169' Ha4dpan. 169-170' good etc= ✓v'a.te�t beattn¢ 9-uwa with a p4oduct.Lon oA 10 V. n with 30 .sect o/. kutpu 4tand to ea44nq. 1/2 Ha&t C Sub punp 4hOUad Ge .1"tatied I.tYe {.tat oUl bott.oa.. 4 pot ex.teneion..ndded .to the 170 ltet: Chnt9e $28.00 no Chao 4e- A& G CAA Sead.. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF. 53173.00 THANK YOU VERY MUCH. j BERNIE CLAUS OF RAMPART DRILLING WORKS 1 DATE—�� 1$tht 1979 -%rPVICC CHAgGE O: 1544 PCR MONTH WILL PC Ae%SESSED ON PAST DUE ACCOUNTS Well Log I I A -Z ..................................................... ............ ..... Locate...on o I IL...... r. 5jet ................................................ bate ... ... pth: of 4well-Wil.,. z .......................... lot ecasing;.,, a :Lyre . ........ ... . . ................ ........ . IS o wa e, JAW, t .................................................................... 4 V, ra s ancettowater while pump ... :Z ...........................at rate A'ZI 4-T. per hour. � r., f "I }.! ZDELTA DRILLING COMPANY BRA BOX 394 8 .ANCHORAGE. ALASKA 99507 1 J,. Driller W_ -!Formation from to jriV4 r 07 s Ile, sr n. -NMI 1 41`1 I,- I 'CJ':t � r., f "I }.! ZDELTA DRILLING COMPANY BRA BOX 394 8 .ANCHORAGE. ALASKA 99507 1 J,. Driller e�.. Well Log For . ......../% ,.. Location ............ 0 ......... :�.f% Date completed....../l�G%1."n...i�.,� 7%" ........................................... Depth of well ......... ..%.7...../t�'%� :................................................. Size of cashig.......ln Distance to water........ .................................. Distance to water while pumping ........ %� .r <: ........ .... at rate of........Z.. ?a ...............—.....gallons per hour. Formation I from I to I 7 J-�-- ,�,�,. �. OP %.? �L/J/�ti _ ..'r. •' �i/y?.L^ / .. �� /i1 tity !� -2 -,�f- h;7- ,. / 17 Driller PELTA CRIT 00717ANY ' � �; �- •�'''•r�."':.s �.t� r:: �--I'".•fw?t,-���/T.- .^ ,• ,- �t'J��%�=U•�,.,.?'-'�t +• .,Y� (li`e 1 • yf.i. ww : •�,l •I-'•�', I .n'...D rj :.. I'•..,'j. -�ri� 1 •J ":i ''. ••' j:: `.1'•� �/ ..�.L 4� i -� T�_i� t. C r %'�!7 1>^r!. r.R' r ` ..� . o • ... •. I , el Certified Well '•:;� i `iilde:re3s.Iars� Rota ....... ........ `•, o .. ��, ate completed...ril . 25 1a5?. D tior....E p. 1 ��3 r..: Depth of well ....... -A-16. e. - s Size of casing �S _ ....................... _.... . _ Distance to water:_ ..._ AM -Yea.. � • j " ' Distance to water wbil.e P=!Asig�`t.. •• 11D.FeQt et znte i. :� ' •;;� oi:.. c.L00........ .,....... sailous;per-ta�••u: • ) .�... ..•"/- moi: - . . •_, '•• '. _.. r� �:- .:•i Des= iptioa'ot Fc MnUon/ Lom to �:,.•- •�,• 'L:r • ♦'liner rt..« 1, f`. ,yti..� ..��/.� •,.. n - \•, Pa LAR / iiLnYt 'e, •!•�1���/",�r•• ..tom_ �� 1:.�: VA J.4. its' •�r „ •. ,.'•.- /1`•\�.. ••<`� > j 1 certify the abore,/trx. and co-^rect. t; �' ��'i a .•r ! ` . � A. Driller of VIELL MULLING w >; Bruin Park OZ•tanep Axd ptraard. Alaska is r r, •r_ We adeiae yotl to attach this rertifiatr to your deed ) I ' � �; �- •�'''•r�."':.s �.t� r:: �--I'".•fw?t,-���/T.- .^ ,• ,- �t'J��%�=U•�,.,.?'-'�t +• .,Y� (li`e 1 • yf.i. ww : •�,l •I-'•�', I .n'...D rj :.. I'•..,'j. -�ri� 1 •J ":i ''. ••' j:: `.1'•� �/ ..�.L 4� i -� T�_i� t. C r %'�!7 1>^r!. r.R' r ` ..� . o • ... •. I , el Certified Well '•:;� i `iilde:re3s.Iars� Rota ....... ........ `•, o .. ��, ate completed...ril . 25 1a5?. D tior....E p. 1 ��3 r..: Depth of well ....... -A-16. e. - s Size of casing �S _ ....................... _.... . _ Distance to water:_ ..._ AM -Yea.. � • j " ' Distance to water wbil.e P=!Asig�`t.. •• 11D.FeQt et znte i. :� ' •;;� oi:.. c.L00........ .,....... sailous;per-ta�••u: • ) .�... ..•"/- moi: - . . •_, '•• '. _.. r� �:- .:•i Des= iptioa'ot Fc MnUon/ Lom to �:,.•- •�,• 'L:r • ♦'liner rt..« 1, f`. ,yti..� ..��/.� •,.. n - \•, Pa LAR / iiLnYt 'e, •!•�1���/",�r•• ..tom_ �� 1:.�: VA J.4. its' •�r „ •. ,.'•.- /1`•\�.. ••<`� > j 1 certify the abore,/trx. and co-^rect. t; �' ��'i a .•r ! ` . � A. Driller of VIELL MULLING w >; Bruin Park OZ•tanep Axd ptraard. Alaska is r r, •r_ We adeiae yotl to attach this rertifiatr to your deed ) Steven R. Pannone, P.E. Consulting Enginccr P.O. Box 142025 Anchoragc, Alaska, 99514 (907) 274-0308 June 12, 1995 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Attn.: Mr. James E. Cross Subject: Lot 9, Block 2, Valhalla S/D Septic tank to well waiver Dear Mr. Cross; LuQ9S) agvo MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION I S 0 rv-\ JUN -1=4r 1995 RECEIVED On May 20, 1995, my associates and I conducted an inspection of the subject property. Measurements were taken and both a well flow and a sewer adequacy test were performed. During the course of the inspection we found that the second septic tank (500 gallons), is less than 100 feet from the well. The actual measured distance from the first clean out on this tank to the well is 97.4 feet. We are therefore requesting a waiver to 96 feet. This lot is approximately 1/2 acre. The eastern half of the lot (on the Shiloh side) is relatively level. From this point the lot slopes sharply off to a lower area on the western side. The well is situated approximately 20 feet off the property line against Shiloh. The seepage trench is located toward the flatter area on the western side of the lot. The sewer systems and wells on either side of Lot 9 are similarly situated. The exact date of drilling the well is unknown; we found that it is cased to over 40 feet and that the static water level was 34.5 feet below ground level. The total coliform test is negative and the nitrate level is 0.94 mg/liter. The original sewer system was installed in 1969; the original septic tank is 88 feet from the well and met the requirements at the time of its installation. Subsequently in 1975 the house was upgraded to a four bedroom and both a new 500 gallon tank and a new trench were installed. The soil rating used for the upgrade installation was 145 square feet/bedroom. As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Mr. James E Cross June 12, 1995 Page 2 Distance from sewer system bottom to groundwater Soil absorption below sewage system Soil permeability below the system Water table gradient Horizontal separation Total Points 5.0 2.5 1.0 6.0 2.1 17.0 In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. If you have any questions or concerns, please contact me. Sincerely, t � Steven R Pannone, P.E. Civil Engineer S2 bi»n R Parn:re Q U.9B2Waiv Es x•8149 1 �i0(sIZ chi 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 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) LOT 9 8Lor- K Z VRLNALLAI 50BDIV isIOAJ Location (address or directions) /7-2,30 SH/Loy sT. 9AJC/1, R11 (b) Applicant Name TEh SHEIZW/n/ Telephone:Home 34.5-490S Business 6&5 Applicant Address I2230 SN/Lod 67. A/VC//, /'IK, (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer; Other ❑ (explain); (d) Lending Institution Address Q 4K--1-7 (e) Real Estate Company and Agent 11EfL I 1IqC+ E UQME-S 4 1fJ VG Err' iVTS Address 207 ! U&I477S )3i_VD • FyVCH htC- 945v3 Telephone x76'I33'; l ERI! ic2vtil 1A (f) Mail the HAA to the Mowing 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms .4- 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite o 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. Page 1 of 2 72-025 (11,84) 5. ENGINEERING FIRM PROVIDING 4SPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below,) verify that my investigation of ttfatyey Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional andadoq„.. for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtainea 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. Name of Firm COruUJI tJ d /955oC.. /N G . Telephone .SC / G / 5 Address :17.70 Sus /NESS VA2K RG VD. 6UILDIAir D surre / Date .4NGN Ar. C/y503 Seal DHEP APPROVAL /Q_ Approved for 46 2 bedrooms by r'— �' `� to /� Approved Disappr d 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 engineers work. Page 2 of 2 r=-025 (11/64) n MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAGE HEALTH AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH & CHECKLIST - FEBRUARY 1884 ENVIRONMENTAL PROTECTION 284-4720 Legal Description: LOT 9 Z L GC l4 ! i I IF A. WELL DATA Well Classification P2IVATE If A, B. C, D.E.C. Approved (YIN) Well Log Present (YIN) _ NO Date Completed /17Z Yield :3 •5 GPM Total Depth —� 6 / Cased to /ELCRST Qo /Depth of Grouting /V�A Static Water Level / Pump Set At 4lAll KAJOW/V Casing Height Above Ground z Sanitary Seal on Casing (YIN) YES Electrical Wiring in Conduit (YIN) YE -S Depression Around Wellhead (YIN) Al Separation Distances from Well: To Septic/Holding Tank on Lot 88 / ; On Adjoining Lots /00 To Nearest Edge of Absorption Field on Lot ADO ; On Adjoining Lots /Ua �+ To Nearest Public Sewer Line.To Nearest Public Sewer � Cleanout/Manhole To Nearest Sewer Service Line on Lot Z6 Water Sample Collected by 7'oo S1JE1Zr4j4 J ; Date A-4 Water Sample Test Results - SH T/SF/9GTo/2Y Comments B. SEPTIC/HOLDING TANK DATA Date Installetl'�75 Size 1500 No. of Compartments Standpipes (YIN) YES Air -tight Caps (YIN) %E5 Foundation Clea�n�ou (YIN) A k? Depression over Tank (YIN) ND Date Last Pumped _lu/Y��C'S' Pumping/Maintenance Contract on File (YIN) AJ 49 ; for Holding Tank High -Water Alarm (YIN) Temporary Holding Tank Permit (YIN) Separation Distances from Septic/Holding Tank: To Water -Supply Well 88 /d hod / To Property Line /0 /'f To Building Foundation 3 7 / To Disposal Field Z To Watordlaia/Service Line ZF / To Stream, Pond, Lake, or Major Drainage Course A.) / Comments UPGRADED //J /975 020 -/NAG /4J570/_Q9 7-.IC1A/ O/4 TE Page 1 of 2 72-026(1 V84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 14.5 Sq. FT. /Bp2A4 Type of System Design T/LENCH SE�GfiP/T Date Installed 2 %S Length of Field * 3 Z Width of Field 3G Depth of Field 141 Gravel Bed Thickness /O Square Feet of Absorption Area q Z 8 Standpipes Present (Y/N) YES Depression over Field (Y/N) A.)0 Date of Last Adequacy Test / _C,)1g- A Results of Last Adequacy Test A b Q UA TC FOQ A rOU/Z 8bp- M Separation Distance from Absorption Field: To Water -Supply Well /80 To Property Line To Building Foundation �� To Existing or Abandoned System on Lot -3d ; On Adjoining Lots 30 /+ To kteler-Mein/Service Line z ! r ITo Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments X SEE Comm MW oTNAFfZ -5/DE D. LIFT STATION /JOT USED Date Installed Size in Gallons -Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments Check Dimensions Manhole/Access (Y/N) "Pump Off" Level at Rating Against HAA Request •• Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA Icertifyth t v h d,verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed I Date h-) /O-8-> Company MOA No57'85 —ZIS Receipt No. .35 936 Q 1��3\ Date of PaymentO �/�g5 ��,.••'�• �.4st!Ia d :. �••�9 ! Engineer's Seal Amount: $ /* r.. . Page 2 of 2 ��` f'.• HCE3289n 72-026(11,84) f,�4h."' FESSt Zip %yCorwin & associates,inc. Consulting Engineers 4790 Business Park Blvd. - Bldg. D - Suite One - Anchorage, Alaska 99503 - (907) 5616151 October 10, 1985 Ms. Susan Oswald Department of Environmenetal Protection 825 "L" Street Anchorage, Alaska 99502-0650 Re: HEALTH AUTHORITY APPROVAL LOT 9 BLOCK 2, VALHALA SUBDIVISION Dear Susan: Pursuent to our discussion on October 9, 1985 I am sending this correspondence with the Health Authority Approval to explain the violation of the separation distance from the well to the septic tank. Apparently the old septic tank installed prior to 1973 was installed 88 feet from the well. There was an upgrade on this system in 1975 where an additional 500 gallon tank was installed in 1975 which was inspected by D.H.E.P. At that time it appears that your inspector did not think it prudent to move the old tank and thus left it intact. In light of the above, it seems fair that the system should be left as is since the system is working properly and no new construction is required at this time. Should you have any questions, please feel free to call. Very truly yours, CORWIN & ASSOCIATES, INC. Tod Sherman, E.I.T. TS/rc Enc: t FIELD PUMPING TEST DATA SHEET G, PROJECT: Zo7 I BLOCLt< 2y/1L NALLR DATE OF TEST: /0 5 .ZS .•LOCATI03 OF WELL (Legal Description): ,0 Z.5 WELL DEPTH:: Cos FT. AT ceAsr CASING: 40 T SCREEN: DATE DRILLING COMPLETED: /9 77— DRILLER: UAJ&uoum 7 ' o60 STATIC WATER LEVEL (Top of Casing):_ FT O 90 44.o 5.0 •40 hours 0 apseq Time Since 0 4bu 1q.0 Clock Pumping Started/ Depth to Drawdown/ Pumping Remarks Time Stooped, Min. Water, ft. Recovery Rate, rP74 6:40 •. hours).40.0 S.g RECOVERY '40P 0 3 ' swl 0 { 0 Start "IA .7 45_ 140.5 1 4.0 G, YY U,V 1215 .ZS ,0 Z.5 L Cc bu O .S 7 ' o60 1 hour 0 O 90 44.o 5.0 •40 hours 0 7, 0 4bu 1q.0 .3 of : 40houIrs 3 6:10 Z10 .O 3•3 6:40 •. hours).40.0 S.g RECOVERY n Corwin & associates,inc. Consulting Engineers 4790 Business Park Blvd. • Bldg. D • Suite One • Anchorage. Alaska 99503 • (907) 5616151 ADEQUACY TEST LOG LEGAL DESCRIPTION: /—OT 9 QLOG1[ 7 VAL HP114 NUMBER OF BEDROOMS: 4— DATE TIME SEPTIC TANK LEVEL READINGS REMARKS 10 705 ODM 0,00 0.06 1:50 0000 *0. 3' 1-:00 O . 60 6#34 Z: o ,34 Z:ZO 0.00 6134 2:30 0.00 D. 34 0 0,0o 6#b3 3:/0 0.0 .8 3:40 40,00 b,A6 4:10 0.00 Cf Z 4,40 0000 /,OZ S: /0 - /� Zo 67:40 0.0 .30 PERFORMED BY: TPD ,SIlrftMA/./ DATE: _LQ��1 AS y� P N W u CL T 1 P �p m m e m N 77 On C3 o � PON J M N (SUOTTe3) pagaOsgy sa;eM N .m N m C.1 lull= ®mum so Immm3m �2i OFn �����_ IN llili,611hqb��_�®��qqev�Damn Nil® EM MIM 1�== I OF 11 Em IN��� M N (SUOTTe3) pagaOsgy sa;eM N .m N m C.1 PETLMIT AND CERTIFICATE OF APPROPRIATION OF WATER Certificate No.: ...4569.:.. .. ........ x1t0tv Ali fifiltit Bg 04for lirrsents tha"t the Statj of Alaska,pursuant to A.S. 46.15, as amended grants to .... T.ji.E.0..Q.PUj and the rules and regulations promulgated thereunder, hereby hq.un- Al.a zka .... 9.9.50.7.. ................... the right to the use of .... AQ1.9AUQn. S--PdMAAY ...................from the public waters. of the State of Alaskafor the purposes of ...... .......................... ..................................................................... The location of the water urce1.16'5rhich the -water right,herein granted shall appertain is .... A.. leir-ti Da. 22 J.6 ...1or0'.-Ran96;' Xdni.diAn . .... ............................. :tit PETLMIT AND CERTIFICATE OF APPROPRIATION OF WATER Certificate No.: ...4569.:.. .. ........ x1t0tv Ali fifiltit Bg 04for lirrsents tha"t the Statj of Alaska,pursuant to A.S. 46.15, as amended grants to .... T.ji.E.0..Q.PUj and the rules and regulations promulgated thereunder, hereby hq.un- Al.a zka .... 9.9.50.7.. ................... the right to the use of .... AQ1.9AUQn. S--PdMAAY ...................from the public waters. of the State of Alaskafor the purposes of ...... .......................... ..................................................................... The location of the water urce1.16'5rhich the -water right,herein granted shall appertain is .... A.. leir-ti Da. 22 J.6 ...1or0'.-Ran96;' Xdni.diAn . .... ............................. MUNICIPALITY OF ANCHORAGE,, bEPARTME OF HEALTH AND ENVIRONMEN' _ PROTECTION 825 L Street, AnchoraaP. Alaska 99501 264-4720 #1: Time 11:15 a.m. Date 3-28-78 Tuesday #2: Time Date Date Received: March 23, 1978 #3: Time Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Spokane Mortgage Company Mailing Address: 3201 C Street, Suite 250 Phone: 277-0543 2. Property Owner: Wayne Lee Carr Phone: 344-6706 Mailing Address: Star Route A Box 1579 99507 3. Legal Description: Lot 9 Block 2 Valhalla Subdivision 3rd house in on the left on Shilo off of Huffman 4: Single Family Residence: (x) Multiple'Family Residence: ( ) Number of. Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( ) Permit # Construction Depth of Well R01 Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Permit # Septic Tank Size Absorption Area Public Utility ( ) Installed ig7g Installer Manufacturer Soils Rate 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest Lot line Material to Absorption Area Absorption Area i PaZ_ Tti:O Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block 2 Valhalla Subdivision Comments: 'i Affadavit Attached: ) Letter Attached: ( ) Approved: Date: Disapproved: Date: Department Worksheet:. -- p•0°° 91 4rs;odo • 1101 UNOIUN831N1 801 ION Y • n 40 e 00iL6[ •ad —030UO8d 30Ytl1A00 30NY80SN1 ON 0090 rued td ly L, (pu hbY3 w3 +3yu) Atl3A1730_1"IdS �r !OS ............................................... C « A1N0 33$$3X00, O1 N3A1130 !SC"pMalli/r»y�jYr rMO'WW+iI NYYS L t701AN34 159 «""""" 11u0 Ntt»DDe DI »PNYD Y1�M U1307N !SI pNaNaD qrD tu° rey+_q trey$ _y NVMIIY IIIA—W-N-01-1100Y N01 S131Atl3S_1YN01140 ., 3000 dll ONY 31Y ^ '0'd 00 Cn 'ON ONY 133XIS 31,0 NO M MSOd 01 1NIS (83elsod sn1d) 00£—'llt/W 0311112130 U01 1d13038 r �MUHIANCHORAGE 3 n/ Department of Healthalth andnd En Environmental Protection 1� m� 825 L Street, Anchorage, Alaska 99501 +1 1 264-4720 = itcquest for Approval of Individual Sewer and Water.Facilities 1. Property Owner:V1BN ` '1 Mailing Address: �(1�� �OX �� 7 9 Phone: .3 G — 41 63 2. Name of Buyer: ` 7h g c4 4J ) N Mailing Address: Phone: 3. Lending Institution: J O 1P N/ O I Mailing Address: QAv T 1�12(tleG(kj Cn Phone: 4. Realtor/Agent: � i. m X� (fO WAV Me J'eCe LA«t'�, Mailing Address: '30:3 C /S A'7tt a76:K Phone: � 5. Legal Description: 1,0 T QI /�-( dC l'\ V� �4� L J Street Location: rk It, -3yc( LjzsIAC ml 6. Single Family Residence: Number of Bedrooms: % wd.. Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply:_ *Individual Well (A Public/Community System ( ) If Individual Well, well depth Z O If Community System, name of system 8. Sewage Disposal System: *'bn-site System Public System ( ) If On-site System, date of installation:' 76 *NOTE: A well log is required on ALL wells drilled since 6/75. **If pn-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 n - GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 '`-� Date Received I,- i -mss � (0 (0 5 1:1r. Time of Inspection '1r3 a 2. Approval requested by Mailing Address: \'�- O o Phone Property Owner:�(�Gs�,.� i�,.Phone Date of Inspection — REQUEST FOR APPROVAL OF C INDIVIDUAL SEWER & WATER FACILITIES FOR Mailing Add 3. Legal Descr 4. Location: 'a"1 y - o 10 bS el -\r)- - to Lt's 5. Type of facility to be inspected o. of bedrooms - 6. Well Data: A. Type B. Depth 'C. Construction D. Bacterial Analysis 7. Sewage Disposal 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 -..._�-...-„-.--.-�.-..�.,.-.�...-._.-.......-..........-.._.,.+-..r-...-........ �- ..tee.... ... la::+.1•`^-'^'..--� .�. ,V 1Z. (Lf two pages - Retest for Approval of Individual ' -ir & Water Facilities . OWT OWription d e C� , 2 4. . Approved Disapproved Date lc -%S Approval,Yalid for one year from dates ned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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 EQ -034 (1/74) Da to •jr ? ' "\ 'GREATER ANCHORAGE ARE:. BOROUGH �•._I..,; Department of Environmental Quality "i 3330 C st-., Anchorage; Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. -Type of Inspection: CMRO VA v FHA CONV 2. Property Owner: ?' Mailing Address: St. Rout Q _•579 Day Phone o�oe_n.,a 3. Name of Buyer: Mailing Address: Day Phone a 4. Name of Lending Institution: Coast Mortaaae('o Mailing Address: P Box �20o Phone 279-0665 5. Name of Realtor or Agent: Mailing Address: Phone 6. Legal Description: Lot 9, Block 2 Valhalla Subidvision Location: • M Shiloh Road 7. Type of Facility to be inspected: Hone No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual_ If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal•System Type -of System: Public Utility If Individual., date of installation Individual (on-site) edwmuy 40 Im •. •. 99510 :•�: ,.lot 9p Dlmk 2,, Valhalla Subdivisicu ._.. .. serving this bouse was lnxb&Uod in 2969 and gr q for a tbres CS) balrom ..,. _ .. free to contact in at 274-4Mo ezbwAiclm 146. Sinammlyo V 1/ \PV GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received /-.7�-- ;7 Time of Inspection i0 %ou /I•�%% Date of Inspection /- REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VW �79-3561 1. Approval requested by: Mailing Address: 00 Phone: ,z79-064-5- 2. zy9-0665 2. Property Owner: &.-y 7f Phone: ,x4 r�•'�c.y Mailing Add 3. Legal Descr -4. Location: 5. Type of fac 6. Well Data: A. Type C. Construction ltuc4d - 6 r'cng s, 7. Sewage Disposal System: B. Depth (11 / D. Bacterial Analysis _fi t' A. Installed B. Installer ?6(T076ore C. Septic Tank: 1. Size 2. Manufacturer Cen< n c e_ faleu� D. Seepage Pit: 1. Absorption Area PsF 2. Material foy c E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tankS' 3 p � Absor tion area (b �' Sewer Lines /0 ;- Nearest lot line ;�?O �^� , Other contamination B. Foundation to septic tank 5 n , Absorption area 4 C. Absorption area to nearest lot line 2 0 /-r EQ -034 (1/74) Page 1 of two pages Page t of two pages - Re•'~st for Approval of Individual ^er & Water Facilities Lam} Description Lef- e7 Z L1a f C,nua Co ments 2 c"cy c d e(,j c. Z b-cct4 ctr� Approved 17A,41 Disapproved Date 1119 Y Approval,Yalid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM are operating satisfactorily. SIGNED EQ -034 (1/74) Date 1 „1i',��;•� 'GREATER ANCHORAGE ARt:, BOROUGH Departrent of Environm_ntal Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF /Ot 0 C /f/I1 INDIVIDUAL SEWER & 'WATER FACILITIES /,24'7T 1. Type of Inspection: CMRO VA �_ FHA CONV 2. Property Owner: Pax Kqy Mailing'Address: Norp Day Phone TJnne 3. Nane of Buyer: Marvin J. Parkin Mailing Address: 7sno nPBarT 31-65 Day Phone 333-9p2b- 4. Name of Lending Institution: Coast Mortg_p= Comnany Mailing Address: P o Box 1200 Phone 979-o665 5. Name of Realtor or Agent: Gene's Realty Mailing Address: 815 W 5th Ave Phone 272-6494 6. Legal Description: Loto Lot �Block 2 Valhalla Subdivision Valhalla Subdivision Location: MW Shiloh Road, 7. .Type of Facility to be inspected: Single family No. Bdrms. ,4family No. 8drms. ,4 8. Water Supply Type of Supply: Public Utility Individual x If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal -System Type of System: Public Utility _ If Individual, date of installation Individual (on-site) x 1.. EQUEST FOR APPROVAL OF n �U( INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) I.. _ Ua,rs..of person requesting approval_ `2� t1,,,� of proNr-ty,owner v ✓ 3I. 'AV -0. descript.ioq j�umt c s •of, bedrooms in house Water,.. nalysis : a. Bacterial n / b. Detergent 6, Well data: a. b. Depth c. Casing Size d. Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank-, 3. Seepage Area, 4, Cesspool' S. Property Line PA 711116 5 6. Other sources of possible contamination, I.e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system. a. Age of system b. 'Septic tank capacity in gallons c, Name of septic tank manufacturgr (/� 1. If "home-made" show diagram on`ieverse••Side of this form. d. Disposal field or seepage pit size and type 1. Distance to Peoperty line to house foundation • ;e. Percolation Test 'results f. Percolation Test performed by Use the reverse.side of this form to show diagram. Diagram should include \,the following information: property lines; -well location, house location, anr.tic tank location, disposal area location, location of percolation test, ar.3 direction of ground slope. 9. The \ Sur^n,c-,tion on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL ED --,n above described sanitary facilities are hereby approved, subject to the following conditions. Conditions: -4-1/90/Lf Ir ED The above described sanitary facilities are disapproved for the following reasons: 3 Signatur of 8.. icial Dat ir• s Approval is valid for one year following the date of approval. CPJ:cw