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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 14 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street. Anchorage. Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ DISTANCES Addr~ ~ SEPTIC ABSORPTION ~ ' TANK FIELD WELL Phone(s) Permit No. No. of Bedrooms WELL -,~ - TANKS a ~ i~ N No. o~Companmems % ~TRENCH D BED ~ W. DRAIN ~ OTHER~ [/ ~ ~ originsI 9ratio ~ FT i ~ FT i5 ~ Fill added above original g~ade Gravel depth beneath pipe Total absorption ~rea Distance between li~es Numbe, ol linesSoil raling Pipe maleda, X ~ PRIVATE ~OTHER fldentifv, N Cla~gicati0odO~,~[~, ~(A'B'C) ~ Total Depth FT cased to FT Instatler Date tnst ailed: ~ ~0 fTC~T 14~iL~ cefliiylhalthisinspe~i0nwaspedormedaccordinoloall Municipal and Slate gui~elines in eflecl 0n ~ ~,% >. ,~ 72-013 (3~85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW90~l~q Date Issued: Design Engineer: Owner Name: Owner Address: Permit Type: ~'~-~ SY$'m~'~ ~ Expirstion Date: ~/~;/~ Day Phone: Parcel ID: O1~-~/-/~ C~D~' Lot Legal: Subdivision:~Acul ~QS~ Lot: Section: /~ Township: ~ZN Range: ~(~ Lot Size: Z~o~] (sq.ft. or acres) Max Bedrooms: This Permit: ~- Total Capacity:Z~ Block: SEPTIC TANK: Minimum septic tank capacity: [%~O gallons. Each septic tank must have at least 2 compartments, insulation is require~ if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of ~ bedrooms. I also understand that any enlargement will require an additional permit. . ~. I understand this permit is iseued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller. ( owne r/des i gnee~''~ DATE: DATE: db/ll5 N Y -,.-,~. ~ e.',..wr,,'-'u' / ___~ ~. / -o- 1. System Design, ~ Bedrooms 0 150 sf/bed. : 600 sf of field area 2. This is an upgrade to an existing failed system, Permit ~77352 3. The recommended system is a Deep Trench 38' in length, with the bottom of pipe ~' below the surface and the botto~ of trench 8' below the bottom of pipe. Area = 8' X 2 X 38'.: 608 sf. 4, Community Water is provided to each lot. ~. System installation to follow all MOA regulations fop materials, construction methods, and required ~nspections. 6. The existing tank is to be inspected at time of construction. DATE PREPARED FOR: SCALE PREPARED BY: ~' = ~' Kniefel Engineering ~OA CE 90-030 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) .ERFORMED FOR: DATE PE Township, Range, Section: LEGAL DESCRIPTION: L 4 7 $ 10 12 14 18 20- tA- 13, SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH;) Oeplh l0 Water Alter Moniloring? J~J 0 ~ (.7. Date: ~SI~E PLAN Gross Net Depth to Net Reading Date Time Time Water Drop __ (minutes/inch) PERC HOLE DIAMETER __ FI AND FI PERFORMED r~y: ~.. ~,/.~/;,.,I I. ~-~""{..- I ~ 14~J % ~'~,'""1.~ CERTIFY THAT THiS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: ~---- \ {~ ~ (~ ~) 72-008 {Rev. 4/85} oGREA fER ANCHORAGE AREA BOk.,LIGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~-~ -%:T~ PHONE SEPTIC TANK: INSIDE LENGTH MANUFACTURER.~ _~~ MATE RIAL ,;~ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY I~.~'0 GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA ~'¢~t/* SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER ~ ( ~/¢~,' DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE__ IN. AB.OVE TILE IN. WELL: ~ BUILDING FOUNDATION CESSPOOL APPROVED CONST RUCTION¢ NEAREST NEAREST LOT LINE__. SEWER LINE-- OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE ., TANK SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ~,~oJ~(~O~-~ SEWER LINE DEPTH: PIPE MATERIAL:~--~ ~) --~ ~''~ ~(' REMARKS: G.A.A.B. I::lJ;:' P I.. I C I::ll",~ T ~',1'. % E I..EICF:I]'ION I_ONE TREE CZRCI..E I..E(3FtL. L:L4 t:E~:;~: '¢I::IL.L.I ',,,'UIE I>IEF'Fff;.:]-f"IENT?'''::' FIEFIL'f'H FII"~[:, IEt'.,f',,,')3:~::ONMENTFII/"~'ROTECTION 825 * ,_" S'I'RE[~:T, RI'.,ICHORRGE., FIK. ;-}:7 9 - 2 5:t.:1. :SF,'F~ BO',,.,: ±7]~:5.:r LOT F;IZE: ;~r:3:lE~¢:l,';::' '.~;QLIFIF:',E FEET ]"YF'IE OF' S;O I L I::d.'3!SOF..'E:-f';I: ON ~;'.r".i~;'l"El"l ;1: S: TREIqE:H I1-,-,f11' I1 I-.!l..Ifh::lLl:. OF E',E[:,ROOMS = SOIL. RI::ITING ,::'.:ii;Q F1 EF...- THE I;'.IEQUIRED %I2:E Ed::' THE :i:JO:[I.. I::IB%ORP"f'ZON '_SYSTEM I'.'S: THE L.EIqGTH DIMENSION IS; THE LENGTH (II",i FEE:T) OF THE TREI'.,ICFI OR DRF:IiI:I'qF]:EL.E:,. THE E:,E:F'TH OF' FI "FREI'qCH OR PZT ZS THE DISTFINCE BE'TI*IEEN THE SURFFICE OF' THE GROI...INI:> AND THE BOT'r'OM OF THE E::*P]:I:IVI~TZON ,:: IN FEET>. THERE IS NO SET P.lI[:,-f'H FOR ]'RENCHE5. THE GRI::tVEL [:,EF'TH :[5 THE h'IIhlIMUM DEPTH OF GRFIVEL_ BE'FP.IEEN THE OLI'TFRI...L. PIPE F:II'.41:> "I'HE E:O]"T'OId OF THE E',:<CR',,,'ATION (IN F'EET>. "IF D,..!t Ii.j31 .::: ;;;?: _":, % Ih.,~ ::ii~; Ii:::' lillE: CZ: -I1'" :]E ~]L~ P',,~ :!¢; I¢:~t ~:;;-" E:_'Z IF;-"': E'Z C;:!! b~ % F4;: E~E It:_":. BFICKF I I_.L Z NG OF"" FINY :Fi;YSTEH I.,.I I THOLFF F Z NELL. Z NSI-':*EC-I'' I ON RI",I[) FIPI::'F.::OVFIL EP'r' ]']"~l ]: % C,t~/F'IqRTMEI'4'I' I.'.llI.J.._ DIE: ::51JEI,zrEc'I" -FO PROSECI.J"I"ZON. I','IIN:[MUI',I I.".',ISTFINCE BE-I"I.,.IFi;IF.".N R NELl._. Fff.,ll3, Ri'.,IY ON-SITE SEP.iRGE I~,I:SI:'O'.Sf:II... S'¢S-rEfd FEET FOR FI PRtVF~TI:i; I-,.IE]..L. O1:,~: ;;!:Fll3 FEET F'OF~'. FI PU.E,'L. ZC HELL. %F'ECII::'iE:I::ITIOI'4'.E; Ffl'.,IC, E:ON::~;TI:~'.UCTICff4 E:,IRGRFIM:~; FII:;..'E F.~VAZLFIE:LE TO ;[i'.,li~;LJF~:E PROPEl-;?. I',1:~:; T F:I L. I_ I::FF ;i; ON. I CERTIF:Y THR'T' :1.: I F:IM I::'RMIL.ZRR 1.4IT'H 'TI4E I:~'.EQUiF~'.IEPIIENTS:; FOR ON-..C.;I'TE '_:_';EHER':--; FIF,II> P.IE[..I_S FkF.; FOP. TH E?-r' THE MUI'.,tIE:IF:'FIL):TY OF FIF,IC:FIOF,'FIGE. 2: t' HILL. ZNSTF:IL.L. THE :~;YS;TEM IN FtCCOF::I:>FINE:E 1.4ITH THE ::ii:: I I..Ii'.,I[:,[.~:R'.-];TFihlI> THFIT THE OhI-SiTP':; S[:.'P.IER '.:.?.¢:STEI','[ MRY REL:.!UZI-~:E EF,!L.F:IREilEMEI'.,I'f' F?.F::SII:::,F_':NCE ]2!; REMEd>IEI_..ED 'FO INCI_UDE' MOF:'.E ']"I.-II::IN -::1- BEDF?.OOi',iS. ................. I N E D~a~_~!m, ent.~fHe~_lth ~,,d Environmep~-'.~ Proteetlon ' Anchorage, Alaska 99507 SOII,S I,O(1 - I'EIiOIATION TEST Perfor e~ for ~ ' ~ · lh~s form report~: Soils to~---~ .................. )~Eb]TF{¥F.'6$~Z ............ :-"~ Dep th Feet 2- 3- 5- 6- 7- 8- 9- 10- 11 1~- 14- Was ground water encountered? bLJO..__ If yes, at'what dedth? Reading Date Gross Time Net Time Percolation rate minute. -Proposed installation;, aeepage Pit Drain Field l)epth of Inlet' '. oept~l--t-o'"bYt-L~'m-b-('l)it or trenci ...................... ~::~ /'%, 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) (b) Applicant Name ~~ Telephone: Home Business Applicant Address · (c) Applicant is (check one): Lending institution D; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent ' ~-~.~ Address ~'~ '~ ~'~ Telephone ~1~ - I ~ (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Fa~nily~' Multi-Family [] Number of Bedrooms J~ Other WATER SUPPLY [] Community~ Public [] Individual Well 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~l~ 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 staius; 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 disposat system is sate, functional and adequate for the number of,bedrooms and type of structure indicated herein. I further verify that ba~ed 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. ~ ~ Name of Firm ~. ~ , Telephone /~'7~ "3~//= Address /' ~,O '~ ~ / ~',~"~ Engineer's Seal DHEP APPROVAL (/~TZ'/'~ - Approved for ,/~/."'~b e d r o o m s b ~~ ~te Approved ~,~ Disapproved 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 Ancho!age is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR l ? 1986 Legal Description: /-om' 1~,, WELL DATA Well Classification C.L.~.~ ,~ Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot ~ ~,o-~:~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of GrOuting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lets ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Comments SEPTIC/HI~4~;~I:I~G TANK DATA Date Installed /0///7"~ Standpipes (Y/N) TI~;) Depression over Tank (Y/N) Size I~)-'~O No. of Compartments T~./(-.~ Air-tight Caps (Y/N) '~/- Foundation Cleanout (Y/N) ~,~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ['¢/',~, ; 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 Buildin~g Foundation /~ To Disposal Field /~) To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026(11/84) ABSDRPTION 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 ~(~ (~ I~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area } ~O Type of System Design Length of Field ~_ I 1~ ~ I~.,, j~ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test ~//'~/~ To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) N Comments D. LIFT STATION t~Ot~ 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, opconformed to all MOA and HAA guidelines in Signed _ ~ ~----~'~f,,'~~ Date / Company MOA No, effect on the date of this inspection. Receipt No. ~ Data of Payment ~ © 'C::> Amount: $ (-0~ .----- Page 2 of 2 72-026 (11/84} Engineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA q9501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 To Whom it May Concern: According to records on file in this office the ~z/~ ~/4~ ~¢)~-~Water System is in compliance with the State Drinking Water Regulations Sincerely, CONSULTING ENGINEER /~203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: LOT 14, BLOCK 3, VALLI VUE 6423 LONETREE CIRCLE OWNER: PACKARD RESIDENCE: WATER SYSTEM: SINGLE FAMILY, FOUR BEDROOMS TYPE A COMMUNITY SYSTEM SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, 1250 GAL. ABSORPTION SYSTEM: ABSORPTION AREA: SOIL RATING: 150 INSTALLATION DATE: AUGUST 15, 1985/ ISAACS MARCH 13, 1986 TWO COMP. TRENCH 624 SQ. FT. JUNE 1977 DATE OF PUMPING: DATE OF TEST: TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED ON MARCH 11, 1986. TANK WAS FOUND WITH FOUR FEET OF HAD FOUR FEET OF COVER. 6 INCH SUMP WAS 10.6 DEEP WITH 7.5 FEET OF LIQUID. ON MARCH 13 WATER WAS ADDED TO THE TRENCH AT A CONSTANT RATE OF 9 GALLONS PER MINUTE. THE WATER LEVELS OF THE TANK AND SUMP WERE MONITORED. AFTER ADDING 400 GALLONS THE WATER LEVEL IN THE TANK REMAINED AT 51.5 INCHES WHILE THE LEVEL IN THE SUMP HAD INCREASED 11 INCHES. THIS INCREASE WAS LINEAR WITH 36.36 GALLONS PER INCH. THE INFILTRATION RATE WAS MONITORED FOR 30 MINUTES. THE INFILTRATION BECAME LINEAR AFTER 15 MINUTES WITH A RATE OF 2.72 GALLONS PER MINUTE. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE FOR A FOUR BEDROOM HOUSE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State.