Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
VALLI VUE ESTATES #2 BLK 6 LT 1
Valli Vue Estates #2 Block 6 Lot 1 #015-123-17 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page t of ON-SITE WASTEWATER INSPECTION REPORT Ut SP o5737?_� Permit Number: & Q,t&21A3V3A':i PID Number: t 'S —f Z 3 "( 7– Dwelling: .Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New PSUpgrade Dwelling: Name: t -A n "AvCl,e� ABSORPTION FIELD 421'!i S Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address L ko( ❑ Other Phone Number of Bedrooms Soil Rating Total depth from originalgrade 31 y U GPD/SF 70 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 15 C) Ft. Gravel depth !beneath pipe 6. 0 Ft. Subdivision Block Lot :Jf U WC/ t- 2— tP Fill added above original grade _ -Z.. ° Ft. Gravel length ?7 Z--- Ft. Township Range Section Gravel width L,'0 Ft. Beds: Number of Lines —' Distance between lines Ft. SEPARATION DISTANCES To Septic AbsorptionHolding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line ?j�U 4&0f--� Ft' / � Ft. "� Well 7T 1(% �1' / 14I[ Jr,- TANK Septic ❑ S.T.E.P. [I Holding El Other fN/f!� Manufacturert Capty * A,e p/r� 7aciOJ O Gal. Surface Water /odt � fVa I� Material ! % 4l—ie\ Number of compartments Lot Line ff�t� fJr� NA Foundation (� t�- f r LIFT STATION Manufacturer Capacity Gal. Curtain Drain link. kwy' Remarks A,! �rproj_�t5 d710 rhe .. Pump on level at in. Pump o vel at in. High water alarm at in. Pump ma nd model Electrical Inspections performed by �J Tank to PIPE MATERIAL Housetotank'3nL( drainfield 3D�� Installer / 1 / Drainfield ')vet -C colMP303rf Inspector % /fir% P (_ BENCHMARK (Assumed elevation) ft Inspedi , date . 12 ' /S 2"' (L / Location and description F l.3pwc.e. 5(A 6, 3r. 4' COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En A Conditional Approval: Date ,, s• .• a 3 00 VANDERSON A •� MICHAEL N. ;,�< if 69 Approved Date%f-fig ,�F49rRdfESilutZA��® ..,, Inspection Report _9-1-12.doc Permit No. OSP151372 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: VALLI VUE #2 BLK 6, LOT 1 PID No.: 015-123-17 WATER 7 SEPTIC MARK A B Cal 11 3 TC01 Cos 12 se SS 27 as MT 61 84 WATER 7 SEPTIC lul EI 1 fILTf5 O81lC49 dt oR� GM BENCH AT GA E SLAB ly Q�vWE�4� �"��\\ cu(a SLR LANK 'E .�niq,gir:+�.�wdT✓ 9 SEPTIC I .6 s' ♦ E ♦♦♦ No. 469 �S QQjj �.r. .. .��,�}�� Til#1 \ „ e� ��• //�f�11j / SSS' IJ i 0 \I A \ \\ I 03 B C01COZ NEW TANK , \\I / \I A BUILT 'SEPTIC SCALE: 1"=50' �� \ // C(rM2 rTC01 F I{( 1- r°'� \ r�"_e rcwtvto lul EI 1 fILTf5 O81lC49 dt oR� GM i �J i' l� '•. • TH E IMO sm �e cu(a SLR LANK 'E 9 iue.....nuuu ♦c�•;MICHAEL N. ANDERS( .6 s' ♦ E ♦♦♦ No. 469 �S QQjj �.r. .. .��,�}�� SEPTIC SECTION N.T.S. „ e� ��• //�f�11j SSS' On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151372 Tax Code Number: 01512317000 Work Type: Septic Upgrade Permit Effective Dates: November 16, 2015 to November 15, 2016 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Subdivision: VALLI VUE ESTATES #2 Site Legal Address: VALLI VUE ESTATES #2 BLK 6 LT 1 G:2539 Owner/Address: BRIGGS MARCIA L 6601 ROUND TREE DR ANCHORAGE AK 995077016 Site Mailing Address: 6601 ROUND TREE DR, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy All construction must be in accordance with: Lot Size in Sq Ft: 20283 Total Bedrooms: 3 N Private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY F Community Development Department \ _{ Development Services Division �— On -Site Water & Wastewater Program ON-SITE SEWER/WELL ANCHORAGE __..._.9 %ne: 907-343-7904 1 9, 7015x: 907-343-7997 Parcel I.D. 6145-123-1'1 Property owner(s) M&g1r t %a `w,,q, C4s Day phone Mailing address Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field Q Initial ❑ Single Family (SF) ❑ Septic Tank 5�2 Upgrade( (whvo ADU) Duplex (D) ElHolding Tank ❑ Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Srm p e• "IV 'C6� Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or authorized Permit/Rush Fees: 5 (A+ 3q I y6= q 10 Waiver Fees: 2 V:J (,i ' -�_ 3Y Y Date of Payment: _ (10-115 C* -J'71 Date of Payment: _ `� 1285 de-ill-16' Receipt Number: I CILOO Receipt Number: q 0 Permit No. 0519151372 Waiver No. pSV15Ii14'I Permit App_9-1-12.doc Nov 11, 2015 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic system Legal: Valli Vue Estates #2, Blk 6, Lot 1 To Whom it may concern: This is a request for a septic permit on the above referenced lot, the old system has failed and needs replacing. A new test hole was excavated on the west side and found various types of gravels, GM. No water was observed during the excavation or after the 7 day monitoring period. The perc rate was 2 minutes per inch at 5 feet below grade. A deep trench has been designed as a replacement trench. The tank will be c�esYeE1-a replaced The new system will be parallel to the slope of the lot therefore a waiver has been requested see the cross section. The lot slopes to the northwest at about 2-4 percent, see the drawing. This replacement system will not impact any of the neighboring properties due to the lot layout and community water. Please call me if you have any questions. Sincerely _-4 Michael N. Anderson, P.E. DESIGN CRITERIA: MOUND OVER (TH#1) GRADE 3 BDRM X 150 = 450 GPD 10 oRc SOILS = 450/1.2 = 375 GPD TER FABRIC 375 GA/12 = 32' —4.07. PIPE (1) TRENCH ER ROCK 10.0' DEEP 6.0' EFFECTIVE GM . 2.0' WIDE 2.0' 32' LONG 17 P \^ / VALLI VUE#2 BLOCK 5, LOT 11 0p VALLI VUE#2 VALLI VILE#2 BLOCK 5, LOT 12 40 BLOCK 5, LOT 10 r� COMM. WATER �(n VALLI WE#2 LINE BLOCK 1, LOT 48 �? PROPERTY LINE _ \` 3 BEDROOM HOUSE A 4v A, 1 VALLI VUE#2 C� BLOCK 6, LOT 34 _ VALLI VUE$2 C3 O VALLI VUE,#2 BLOCK 6, LOT 33 BLOCK 1, LOT 4 / PROPERTY UNE UAW VUE#2 / BLOCK 6, LOT 2 / VAL J BLOCKu6,/ LOT 32i 1 EXISTING SEPTIC � \_ Septic Design Prepared for 1,, MARCIA BRIGGS •••••,�F ............ 147"s VALLI VUE ESTATES #2, BLOCK 6, LOT 1 �' '. Anchorage, Alaska ...........49 TM . i...... .. .................... 0 L Michael N. Anderson, P.E. DATE: 11/11/2015 4601 NATRONA AVE DRAWN: DJR No. CE O� �%''� ANCHORAGE, ALASKA 99516 SCALE: •• (907) 345-3377/ FAX: (907) 345-1391 1"=100' ����SSI�•• ALL OF VALID VUE ESTATES SERVICED BY COMMUNITY WATER PROPERTY LINE _w EXISTING COMM WATER UNE PROPERTY UNE a LOCATION / EXISTING AY slp SYSTEM W/ C ° VALVE \ $SYOCO/ t `CO 2.R SHE VAI LI VUE ESTATES # BLOCK 6, LOT 2 NO SLOPE OR CUT BANKS / GREAT THEN 2, WITHIN 100' / OF THIS SITE / SEPTIC) / f / Septic .Design Prepared for MARCIA BRIGGS VALLI VUE ESTATES #2, BLOCK 6, LOT 1 Anchorage, Alaska Michael N. Andemn, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 345-3377/ FAX: (907) 345-1391 SCALE: / BEDROOM / HOUSE g / / / OLD TANK TO BE VALLI VUE ESTATES #2 DECOMMISSIONED PER THE BLOCK 6, LOT 33 UPC, INSTALL NEW 1000 GALLON TANK. / /4' X 48" WIDE BLUE BOARD INSULATION UNDER DRIVEWAY 49 TH if 11/11/2015 ,s�"'� DJR �1. �2 •/j 1"=30' 32.0' ADDRIONAL FILL FOR MIN. 3' OF COVER EXISTING SOIL ELEVATION 2-4% SLOPE 0 NEW 32' LEACH FIELD. Septic Design Prepared for MARCIA BRIGGS VALLI VUE ESTATES #2, BLOCK 6, LOT 1 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 11/11/2015 4601 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: 49 TH No. CE �F co ro y al 10. , M� M. CA �m d ~teona 0 0 '�0a04- 0 m m O O m�p E,o rE4. �p OUR O ro m gyro pup p dmi„mm mPTmm � �o Om ®O�� m'0 r m m g a r,m orm� a"ro�ma�rr O m�0ymm�d Oe�rn p a ��O fp1 r]M mm �RM me' m.o 0000.E O � py 0 AM9 ,Rg z�ttl ixCDm n Gizrila07. N [yi7 O N -4 I ` ss \ 00 \ 4 A A \\ \ 0 0 0 0 0 0 0 C m \ OO P ct m ✓ \ �� \ W�m� \ \\ L 9m j S ca \ W� N� CD V \ A \ \.cu w iO N a C'U 0 CD cn0 G '�'' R w 0 AM9 ,Rg z�ttl ixCDm n Gizrila07. N [yi7 O N -4 I ` ss \ 00 \ 4 A A \\ \ 0 0 0 0 0 0 0 C m \ OO P ct m ✓ \ �� \ W�m� \ \\ L 9m j S Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchQCggj.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: 1 ' : Ia' �-L g j � Q 6 p S Date Per Legal Description:y4 U I1V ,t a e__P_e, �_ Township, Range, Section: T I� (O L. Q - I 5- 1 15- 16- 17` 18q 19- 0tt-c� . �6yvf filo F/ero vi, -g%te" WAS GROUND WATER ENCOUNTERED? X 5 IF YES, AT WHAT DEPTH? L Depth to Water After O P Monitoring? E Date: L /� Site Plan Reading Date • �77S��V 49vrt ... •..............� Depth to Water IPA.... ..•...........C; io • MICHAEL N. AN • CE -9469 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop /J rrrn If 5 rr A Sir PERCOLATION RATE �G (minutestinch) PERC HOLE DIAMETER //�� J TESTRUNBETWEEN_ FT AND FT COMMENTS L••r 1pid, t^i vnr,-c PERFORMED BY: M N /h 1 CERTIFY THAT THIS TEST S PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: GRr 'ER ANCHORAGE AREA W' �'JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWA E DISPOSAL SYSTEM NAM v �A)�y P_ -9'�%( AJI ,MfAIIL/ING ADDRgESS i 1 ^ ��'"�(V/I ,S, P�H�OyNq-E 3 LOCATIOf� (�-t3TJkd / r'49J i (/7J 1.(� LEGAL DESCRIPTION IA II I • m - yo- 110 J SEPTIC TANj'K:NUMBER OF FROM WELL'�y MANUFACTURE �At'C ��e M �TERIAL �` COMPARTMENTS INSIDE LENGTH �- INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /00 0 GALLONS. SEEPAGE PIT: /Q i NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH— DEPTH % LINING MATERI `/� CRIB SIZE: DIAMETER—DEPTH DISTANCE FROM: WELL// "'''S _'_ �P(9 TOTAL EFFECTIVE BUILDING FOUNDATION �Q ( NEAREST LOT LINE f� . ABSORPTION AREA (WALL AREA SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE—,SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: ' LOT SLOPE: REMARKS: Form No. EQ -031 DEPTH _ DISTANCE FROM: SEPTIC SEEPAGE TANK—,SYSTEM_ DIAGRAM OF SYSTEM to S,YRtik- q I >� t�r Sec�A9C I 35'- cy- V I DATE APPROVED Ug -r-" = - G.A.A.B. H 9D, I A_U-f" AA a e.e GREATER ANCHORAGE AREA BOROUGH `r o� •Q �U DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 Woes IUUIV OOI `e J .%12�G1� (��-vt�a./ . SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION PHONE �' • /��V INSTALLATION OF: SEPTIC TANK ,SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED � FINANCED THROUGH > ���� B NSTALLED BY �^ so1L TEST RESULTS -"- -�)(S- NOTE: NOTE: 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 SIZE MINIMUM DISTANCES. FOUNDATION TO SEPTIC TANK TYPE �6 / SEEPAGE AREA SIZE FOUNDATION TO SEEPAGE PIT I / DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK / , SEEPAGE PIT �2 d DRAIN FIELD /Q / TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. / . SEEPAGE PIT / U / SEPTIC TANK, SEEPAGE PIT DRAIN FIELD V TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL 13ACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2868 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE �i_7w APPLICANT'S SIGNATURE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case 11 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For r m o Dated Performed -1a 7c) Legal Description: L.ot_--J_Block �vision 0Cz \1 This Form Reports Soils L.og_ --Percolation Test _ - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 1 2- 3- 4- 5- 6- 7- 8- 9- 10- 11 — 12- 1 - 3- 4- 56- 7- a- 9- 10- 11- 12- 13- 14— Was Ground Water Encountered?_Ui:,, If Yes, At What Depth? Percolation Rate Minul;e Proposed Installation: Seepage Pi',t Drain Field Depth of Inlet Depth to Bottoms Pit or Tren d COMMENTS:_--_�-__c+�_gd9 ea�� _ Test Performed BY Date Certified BY: Date: I Reading Date Gross Time Net Time Depth to H2O Net Drop Percolation Rate Minul;e Proposed Installation: Seepage Pi',t Drain Field Depth of Inlet Depth to Bottoms Pit or Tren d COMMENTS:_--_�-__c+�_gd9 ea�� _ Test Performed BY Date Certified BY: Date: IOCISTS F'.V HVEVO R_i �l 4I&M CONSULTANTS. INC. 10 COROOVT A 8O% 6087 9 ANCNORAGE. ALASHA 19 1 9 IN. 90/ 279 Y TLX. 090-25364 August 9, 1978 Lee Houston & Associates SRA Box 35-H Anchorage, Alaska 99507 Attention: Sam Nye; John Goldsmith Property R&M No. 851580 Re: Adequacy Test on Existing Sanitary Sewer System; Lot 1, Block 6, _Vzi= q - _V .. 2 Subdivision, Anchorage, Alaska - Dear Mr Nye: Per your request of August 1, 1978, we conducted a test of the sanitary sewer system on the above described property. The septic tank was pumped prior to the performance of the test on the see- page pit. During the test the liquid level in the seepage pit was measured before and after the addition of 425 gallons of water. The total depth of the crib was 7.2 feet. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Water Second 24 hour Total Reading Added Reading Reading Drop (gallons) 3.8' 425 2.4' 4.0' 1.6' The meter used during the test was a Neptune 1k' standard water meter which had previously been calibrated by R&M Consultants, Inc. The water level rose 16.8 inches with the addition of 425 gallons of water, indicating a capacity of 25.3 gallons per inch. Twenty-four hours later the liquid level was again measured and found to be 4.0 feet. It had dropped 1.6 feet or 19.2 inches. This indicates an average effluent acceptance rate of 486 gallons per day for the surrounding soils. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom residence. ANCHORAGE FAIRBANKS JUNEAU VAL.EZ WASI"A August 9, 1978 Lee Houston & Associaces Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. i Lynne Kosikowski Staff Geologist GS:LK/kky/12-P Iary . A/ASmith Project Manager July 27, 1979 Jonathan Goldsmith S Sam Nye/Lee UOUStOn & ASSOCiat"S 000 U streetf Suite 209 Anchorage, Alaska 99501 Subject: Leat 1131eak 6 Valli We BstatO s Subdivision 42 nefore this department MY Process your r quem for approval on the on -situ soarer systems a percolation test must be performed to determine its adequacy. The t*arca(2) firma doing the work arae it & X Wi.nOOrincl, 279.0443 anis 7`.M*L. Engineeringp 276-411.3, In the event the adequacy test f ai.l a t an upgrade of the system, urea;ld be require. Prior to the upgrki0e a permit most be issued by this department. if thorn are any quest.i.onsr ialOame GOntacst this office at 264-4720. Sincerely, Wert C. Wattte A*S. Sanitarian P.CP/l j is Cox x Vati anal. Bank of Alaska Pouch 7-025 99510 MUMUPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-123-17 1. GENERAL INFORMATION Expiration Date: 3� -11?00 Complete legal description Valli Vue Estates #2, Block 6, Lot 1 Location (site address) 6601 Round Tree Drive Anchorage, AK Current property owner(s) Ian & Anne Gallimore Day phone 290-0262 Mailing address Real estate agent 42296 St. Andrews Church Rd, Leonardtown, MD 20650 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Fx_1 Water Storage ❑ Holding Tank ❑ Community Well 0 Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -M Date of Payment yI22L19 Receipt Number o zylgp COSA # d 5i29 I4166 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. 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 for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 8/28/19 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: `I�r/1d Ftrr"' By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Valli Vue Estates #2, Block 6, Lot 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments COMMUNITY WELL B. TANK DATA Age of tank(s) 3.75 years Tank type/material SEPTIC/STEEL Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 8/30/19 - A Plus Home Services D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 12/9/15 ® ALL standpipes present per record drawing Total measured depth from grade 10.3 ft (max) Measured depth to pipe invert from grade 4.2 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 1200 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 015-123-17 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date 8/26/19 Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test 24 in Water added 550 gal New depth 24 in Elapsed time 5 min Final fluid depth 24 in Absorption rate '450 gpd Any rejuvenation treatment (past 12 months) If yes, enter date None E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No N/A ft Community Sewer Manhole/Cleanout > 100' r7 Yes if No N/A ft Neighboring Tank > 100' ❑ Yes if No N/A ft Private Sewer/Septic Line > 25' ❑ Yes if No N/A ft Absorption Field on Lot > 100' ❑ Yes if No N/A ft Holding Tank > 100' ❑ Yes if No N/A ft Neighboring Absorption Fields > 100' N/A Animal Containment > 50' ❑ Yes if No N/A ft ❑ Yes if No ft if No ft Community Sewer Main > 75' ❑ Yes N/A if No ft Manure/Animal Excreta Storage > 100' ❑ Yes N/A if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' 0 Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 21 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS System pre soaked with 1,200 gallons as this is the effective volume of the absorption trench. 32' Long x 6' Effective Depth x 2' Wide x .4 Percentage of Voids = 153.6 Cubic Feet. 153.6 Cubic Feet x 7.5 Gallons per Cubic Foot = 1,152 Gallons of Water. G. ENGINEER'S CERTIFICATION �F A. gt l 4""a" certify that I have determined through field inspections and review 0'`��<•°`'`$ �`�`-. of Municipal records that the above systems are in conformance with b MOA COSA guidelines in effect on this date. NW;'Bih w MICHAEL E. ANDERSON No CE -4381C 9/13/19 "' ""'°,:• COSA Checklist yellow sheet Fj� ¢L ft ft • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcell.D. 015-123-17 1. GENERAL INFORMATION Expiration Date: Complete legal description VALLI VUE #2 S/D BLOCK 6, LOT 1 Location (site address) 6601 ROUND TREE DR, ANCHORAGE, AK 99516 Current Property owner(s) MARICA BRIGGS Day phone Mailing address Real Estate Agent 6601 ROUND TREE DR, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 9- Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well 1' Community ❑ . Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: `a/Y�- Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ oc�/ t f Waiver Fee $ Date of Payment e'i mo_tJ(o CLqK) Date of Payment Receipt Number Iqq Receipt Number COSA # ®SLID 111 o Waiver # 5. 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 for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm MIKE N ANDERSON P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON PE Date 04/8/16 A� c 6. DSD SIGNATURE X` System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved.% Conditional approval for bedrooms, with the following stipulations: •cV OF A A,— WASTEWNi ER Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system Is on the lot: COSA Checklist # _of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: VALLI VUE 92 S/D BLOCK 6, LOT 1 Parcel 1D: 015-123-17 A. WELL DATA Well type A If A, B, or C provide PWSID # 210605 Well Log (Y/N) Date completed San'seal (YIN) Total depth _ft. Cased to _ft. FROM WELL LOG Date of test Static water level ft. Well produ g.p.m. Wires properly protected (Y/N) Casing height (above ground) WATER SAMPLE RESULTS: Coliform colonies1100 Nitrate mg/L Arsenic: Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I STEEL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N AT INSPECTION ft. g:p.m. Collected by: _ Date installed e? i Cieanouts (Y/N) High water alarm (Y/N) N Date of pumping NEW Pumper NEW C. ABS ETM LD DATA —1985 SYSTEM TESTED Date ins 4 / s Soil rating (g.p.d./fe or fe/bdrm) 1.2 System type DEEP TRENCH Length 32 ft; Width 2 ft. Gravel below pipe 6.0 ft. 3� Total depth 11 eft. Eff. absorption area �9+_itz Monitoring tube Y Depression over field N Date of adequacj bot, NEW Results (Pass/Fail) NEW For 3 bedrooms Fluid depth in absorption field before test NEW in. Water added NEW gal. New depth NEW in. Elapsed Time: NEW min. Final fluid depth NEW in. Absorption rate >= NEW g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) UNKNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (Y/N) in. "Pump off' level at in. High water alarm level at_ in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOTTO: 1 ,JJ t Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: wq�-rr/ Building foundation 54 Property line 51+ On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Absorption field 5'+ Water main 100'+ Water service line 10'+ Surface water 1001+ Wells on adjacent lots 40ft 71//00 ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main Water Service line 101+ Surface water 1001+ Driveway, parking/vehicle storage 10'+ Curtaindr'alrl 50'+tNoneKnown1 Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I h e determined through field ins,�pections and ®� ®` review of Municipal records that the above systems are in , 0 conformance with MOA COSA guidelines in effect on this date. • pq,....... .. CS i Engineer's Printed Name _MIKE N. ANDERSON. PE' * 4 TH Date 041812016 /.•. .................. / 9` MICHAEL N. ANDERSON :'b. s . 9g�i9 v C ' rte �•�`�: COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services Mtn DIVISION OF ENVIRONMENTAL SERVICES 343-4744 En CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel l.D.# 6/5--- aT /% HAA# 80A-() 2)9,0 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) "7- / SieeK I,10� �S�ctdCnTz�1 �3h) Location ('address.or directions) (b) Property:o�vnef`l���AJ/7AI Mailing Address (c) Lending Institution' Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone: (home) 3W4 --3jXy Business Telephone (e) Mail the HAA to the following address: (or check here Z, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family, Number of bedrooms 3 3. WATER SUPPLY Individual Well ❑ CommunityW Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. iiae( Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of FirmG5 Telephone L79—SSS3 Address /,,// Z_ J3�� 147ja /�z i%t5-d3 Date — 7-- Iff OF A JR. spy .......... Paleesslota% G. DHHS APPROVAL n Approved for 9i�edrooms by ,(S//y/// ����//C�CC--/ Date Approved 'Iol� Disapproved Conditional Terms of Conditional Approval CAUTION The Municipalityof Anchorage Departmentof Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional 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 oranalyzedata beforea certificate is issued. The Municipalityof Anchorage is not responsible for errors oromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUN)CMENTA O ER'vlas oU \t SEON _. MUNICIPALITY OF ANCHORAGE (MOA) E1dV)RON Health Authority Approval (HAA) • CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: 607 / &X✓/ I�uE 7zA/ 19.N 1£G /f( A. WELL DATA Well Classification &*N If A, B, C, D.E.C. Approved(DN) Log Present (Y/N) Total De-r,�_ Static Water Cased to Casing Height Above Electrical Wiring in Conduit Date Completed SEPARATION DISTANCES FROM To Septic/Holding Tank on Lot Depth of Grouting To Nearest Edge of Absorption Field on Lot - To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To NearesNZublic Sewer Cleanout/Manhole Date B. SEPTIC/HOLDING TANK DATA Date Installed '/5'f7 Size /O� No. of Compartments y Standpipes©Y N) - Air -tight Caps (Y ) Foundation CleanoutON) Depression over Tank (Yo Date Last Pumped 9'9 /sA�►�f Pumping/Maintenance Contact on File (Y/N) A ; for Holding Tank High,.W, ter Alarm (Y/N) Temporary Holding Tank Permit (Y/N) A SEPARATION.DISTANCES:F(iOM SEPTIC/HOLDING TANK: i To Water -Supply Well Two To Building Foundation To Property Line 3S To Disposal Field To Water. Main/,ServicesLine /d t To Stream, Pond, Lake.or Maj'o5zbrainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 4/ BG ✓/lu/ ✓6 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 41'15 -.- Width of Field Square Feet of Absortion Area Depression over Field (Y6 _ Results of Last Adequacy Test Type of System Design e_zlh Length of Field °r OA) "OUr lu // Depth of Field i Gravel Bed Thickness _ Statndpipss Present&N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: / To Water -Supply Well ZOO t To Property Line 3S i Tn Rijildinn Fniinrintinn y° a" To Existing or Abandoned System on Lot A,y/A To Water Main/Service Line /o / -r- On Adjoining Lots 35 ? To Cutback (if present) W/po To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area S/ Comments D. LIFT STATION Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request** 'Pump Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ��— o°�OF A4'4E� Company Date — MOA No. U _y49�1 W %.... a 09` a,Sd? �.� s TN OY C. REID, JR. CE -2251 , Receipt No. S �D4'� U -� Receipt No. a®�a�/��"° °�k��0 Date of Payment - _— 9 �/ Waiver Fee: $ Amount: $ Date of Payment 72-026 (Rev. 7186) Back Page 2 of 2 Seal STEVE COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 DATE: August 25, 1988 PWSID: 210605 To Whom It May Concern: According to the records on file in this office, the VALLI—VUE SUBDIVISION Water System is in compliance with the State of Alaska Drinking Water Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation of the Alaska Drinking Water Plan Review regulations. No as—built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satisfactory sanitary survey evaluation by the department, the system is acceptable under the standards in effect at the time of installation. An official "Certificate to Operate" may be issued upon receiving a complete set of as—built plans. Any expansion of the water system after 1978 will require plan review and the issuance of a "Certificate of Operation" permit. If you have any questions, please contact me at the Anchorage/— Western District office. Sincerely, Michael P. Lewis, PE Environmental Engineer NPL :pkk MUNICIPALITY OF ANCHORAGE DEPARTMEN I OF HEALTH AND ENVIRONMENTAL PRL. rCT1ON �/ 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) I P) 6) VhLL 1 VLF,S UF) ) 7 1V . 3 60 SC -c l �r e Location♦` � 105r ss or d Applicant,Ner� +� ° •" Applicant Address' -2Z Yn # (c)', Appljcant is (check• of (e) Real Estal Address t� '- z ,7 -_2Vfi Telephone: Home 3 !.�`s�3�-� Business Lending Institution ❑ ; Owner/builder br, Buyer ❑ ; Other ❑ (explain); Telephone Telephone 17 (f) Mail the HAA to the following address: 1� dZ.el7(f;�•2 Ga�CGG oplCi� - U%� i PG C-�_�./.Z.•--l1/ 2. TYPE OF RESIDENCE Single -Family, Multi -Family ❑ Other Number of Bedrooms I 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 K Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the Slate Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025(11784) /rte' i•, ENGINEERING FIRM PROVIDIh_. ,NSPECTIONS, TESTS, FILE SEARCH, DF .'AND INFORMATION 4s certified by my seal affixed hereto and as of the validation date shown below,[ verify that my investigati6n of this Health Whority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate or the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained rom 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 he date of this inspection. Name of Firm Telephone ,S L' I Q REM, E . 2251 DHEPAPPROVAL�. A/1 s Approved for bedrooms by Date Approved Disapproved Terms of Conditional Approval Conditional dr,ep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority :ji,' ?:!i(iCzt��' :. { ct'tietM'�C^n' •h4-oCf(.,LntntiCn�'j�/Prt in gara%r*Wh S above, lav 3n independent orofessienal engineer registered in the State of Alaska. The7DH�t-� d0c8a fibs a-tzc—purV"assr —� ':TT'= -`.. institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections( analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in Ut professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA, HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANCHORAGE CHECKLIST - FEBRUARY 1984 DEPT. OF HEALTH & 264-4720 gWIRONMENTAL PROTECTION Legal Description: I [ ki I/ALL/ i/ue JUN 0519% A. WELL DATA 1bb1\\ VED Well Classification 1 1 I�, C, D.E.C. Approved (Y/N) {� S In Z I X60 Well Log Present (Y/N) Date Complete Yield Total Depth Ca4>1 pth of Grouting Static Water LevelPump Set At Casing Height Above Ground Seal on Casi (Y/N) Electrical Wiring in Conduit (Yon Aro Wellhead (Y/N) Separation Distances from WeTo Septic/Holding Tank on Lon Adjoining LotsTo Nearest Edge of Absorptiojoining LotsTo Nearest Public Sewer Lineo Nearest Public Sewer Cleanout/Manholeearest Sewer Service Line on Lot Water Sample Collected by Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed % L Size 1 C)O Q No. of Compartments 2— Standpipes (qN) — Standpipes(qN) Air -tight Caps&N) Foundation Cleanout 6)N Depression over Tank (Yo Date Last Pumped 2 Pumping/Maintenance Contract on File (Y/N) a 811A ; for n/ / Holding Tank High -Water Alarm (Y/N) _�4- Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well zon To Building Foundation To Property Line .'�S To Disposal Field I S �. r 7t'.;� A>, TolNate 414"S.ervice Line S f To Stream, Pond, Lake, or Major Drainage A Corrift5el5t�s4�r"'u1° �8xPage 1 of 2o - 72-026(11/84) C. ABSORPTION FIELD DATA .Pin Soils Rating in Absorption Strata v - Type of System Design C8/8, Date Installed LF /u)- Length Length of Field �NKN�ui/V Width of Field Al KIyoc" .9 � t Depth of Field ( � $14 Gravel Bed Thickness 6 / Square Feet of Absorption Area UA] KItouJAl X Standpipes Present (M) /� Depression over Field (YQI Date of Last Adequacy Test ro/ i/y/n Results of Last Adequacy Test 4c. (oR Separation Distance from Absorption Field: To Water -Supply Well 20n To Building Foundation 2© Lot 4A - To Water Main/Service Line �s To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments /IN r 1`r ry D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedw, To Property Line 3s To Existing or Abandoned System on On Adjoining Lots 3(i To Cutbank (if present) I h/) `a- - Dimensions Manhole/Access (Y/N) "Pump Of/f" LPv01'a�t Vent (Y/N) Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I ha h ckpd v nfied or conformed to all M A nd HAA guidelines in effect on the date of this inspection. Signed Date 6 Company t-�CS - LfGi MOA No. Receipt No. -3"? G C, � Date of Payment /_Ze,� Amount: $ ^ 00 Hr #cGHmayr6 #/ a7rER of 080606 Page 2of2 'q2 PUMP RECEIFr ':t3 5 6 6,P1641+/ 72-026 (11/84) 60259 ALASKA ChoIROWnTAL COnTROL S%,,�M, IN. 6n9ineerinq & 6nuironmental Studies WAYNE BECKWITH 6601 ROUNDTREE DRIVE ANCHORAGE ALASKA 99516 SELLER—SAME LEGAL:VALLI VUE BLOCK 6 LOT 1 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE—JUNE 4 1986 JUNE 6 1986 WAYNE BECKWITH 6601 ROUNDTREE DRIVE ANCHORAGE ALASKA 99516 THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 462 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE. PLANT WAS PUMPED ON MAY 20 1986 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. 1200 West 33rd Auenue, Suite 6 • Anchorage, Alaska 99503 • (907) 561-5040 E OF � LIA SEM RILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: June 4. 198 PWS I.D.# 210605 To Whom it May Concern: According to records on file in this office the VALLIS VUE Water Regulations Water System is in compliance with the State Drinking Sincerely, even W. gr PE District Engineer rl I If nir-/y J ALASKA ENVIRONMENTAL Joe L! 56 VALLI VIIE CONTROL SERVICE(�INC. SHEET No n of 1200 West 33rd Avenue, suite B ANCHORAGE, ALASKA 99503 CALCULATED BY JTK DATE-2�-- (907) 561.5040 CHECKED BY DATE SCALE I �-20� 5. LEGAL DESCRIPTION L 7L O ftc fs DATE RECEIVED INSPECTION APPOINTM NUMBER OF�BEDROOMS TIME ❑ One ❑ Four ❑ Other TIME TIME DATE Three ❑ Six DATE DATE INSPECTOR since June 1975. For wells drilled prior to that date, give well INSPECTOR INSPECTOR B. SEWAGE DISPOSAL SYSTEM MUNICIPALITY OF ANCHORAUt X INDIVIDUAL/ON-SITE** MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ❑ PUBLIC UTILITY PROT EelaQdDNMENTAL PPOTECTION NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. DEPARTMENT OF HEALTH & ENVIRONMENTAL 625 L Street - Anchorage, Alaska 99501 • j WN 2 3 19131 ENVIRONMENTAL SANITATION DIVISION _ Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten It 0) days for processing. PHONE 1. PR PERT OWNER l!? �---- `S MAILING ADDRESS J Q ? C dgX 1 C C 1—f 1f PROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER (f% MAILING ADDRESS 3. LENDING INSTITU ON PHONE / .1. zicls MAILING ADDRESS 4. EA LTO R/AGENT PHONE _ MAI LING AI cy C�DD7! J 5. LEGAL DESCRIPTION L 7L O ftc fs STREETLOCATIO 6. TYPE OF RESIDENCE NUMBER OF�BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled 0 COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM - X INDIVIDUAL/ON-SITE** - YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) _ .. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY i; NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 6. COMMENTS W ---/APPROVED FOR __BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) EJDISAPPROVED DATE BY 72-010 (Rev. 6/79) ALASKA RUIROWnTAL COnTROL SCRUICCS, IN. engineering & l3nuironmental Studies i PEOPLES BANK & TRUST/ANN POUCH 7007 ANCHORAGE AK 99510 SELLER — GORDON TANS 1 U—�— U SUBDIVISION— EW ESTATES 2 BLOCK -6 LOT -1 THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 3-25-881 . OF RECEIVED 1220 West 25th Auenue • Anchorage, Alaska 99503 9 (907) 276-1361 oyaaa,eoe 000geee.gy.� e-'�////�B MUNICIPALITY OF ANCHORAGE ���•�� �J DEPT. OF HEALTH & ENVIRONMENTAL F2OFECTION oY C. Reid, Jr. o� No. 2251. MAY 2 6 1981 RECEIVED 1220 West 25th Auenue • Anchorage, Alaska 99503 9 (907) 276-1361 i PRP7T- V. s a& MUNICIPALITY OF ANCHORAGE - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ( 1' 825 LStreet- Anchorage, Alaska 99501 LP;-...... „ - fl:iN • CO % ENVIRONMENTAL ENGINEERING DIVISION 6 6. TYPE OF RESIDENCE Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILMES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed-. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE -TTo1v f �3e - I yy_y� MAILING ADDRESS *ATTACH WELL LOG. A well log is required for all wells drilled PROPERTY RESIDENT (If different from above) - PHONE 2. BUYER PHONE 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation date a a If system is over two (2) years old an adequacy test is required MAILING ADDRESS by this Department. 39/ P? A&ST�v-aeid Dz. 3. LENDING INSTITUTION PHONE 3A 64;MN Mr Lo a A7& //37 - MAILING ADDRESS 30 f W • No- L rS - Ano- • 99 SM3 4. REALTOR/AGENT PHONE Siai a7G5'Yo9 MAI LING AD DR S '990 P sr - c 91,75-eai fc 09 5. LEGAL DESCRIPTION I,3/ ck !o L7- / l/*//; l/trcdel rW-rZ--S -,g;6 2 - STREET LOCATION CO % 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other ® SINGLE FAMILY ❑ Two ❑ Five ❑ -MULTIPLE FAMILY ® Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ® COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if. available.) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation date ® INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR. INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE 04 SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ® THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL X COMMUNITY ❑ PUBLIC UTILITY Connection Verified- PERMIT NUMBER DEPTH OF WELL DATE DRILLED. LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ®INDIVIDUAL/ON-SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATEINSTALLED 'J % CF INSTALLER ®SeptitcfTank or ❑Holding Tank Size: t7d0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIALr Vf w 4. DISTANCES WELL TO: Septic/Holding Tank Absorp ion Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS n APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE �_ C '1 � �Ln �' BY (Title) VoLEGAL DESCRIPTION - G e rordys & Z 72-010 (Rev. 3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C� , Anchorage, Alaska 99503 274-4561 Date Received July 9, 1976 Time of Inspection 11:00 a.m. Date of Inspection 7-13-76 Tuesday REQUEST FOR APPROVAL OF Pratt INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: National Bank of Alaska Mailing Address: Phone: 274-1526 2. Property Owner: David Lannigan Phone: 344-5934 (Tenants) Mailing Address: Star Route 1 Box 10781 Fairbanks, Alaska 3. Legal Description: Lot 1 Block 6 Valli Vue Estates #2 4. Location: 6601 Round Tree (# is on the house) 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Community System A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on-site system A. Installed 1974 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 Page 2 of two pages - Rev 'st for Approval of Individual S��r & Water Facilities Legal Description Lot 1 Block 6 Valli Vue Estates #2 Comments Approved .t::�-Q . zZmNisapproved Date ; Approval ;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certifv that the information contained in this request for approval to be a true an( are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE i ;DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 'o REQUEST FOR APPROVAL OF I,F INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV_ — 2. Property Owner: Al , ff S P. — 1 f)cx M 11,9 f -*Day ate. s 391f - S2 3Y (i � Mailing Address: Phone: 3. Name of Buyer: Mailing Address 2J5.3.( eLJA AY Day Phone: Q2-- 7(3r�{^ 4. Name of Lending Institution: —y -k al) Mailing Address: Phone: �7y �S dro 5. Name of Realtor or Agent: Mailing Address: �-R f d /�C/ �� `nP/honey 2 -7 6• — 7 7 -7-7 -1-� 6. Legal Description: L 6 L I k In O JIOw C lj-FAn 1*Z Location: (nL b 1 crv' � 7 F?I a Type of Facility to be Inspected: *-o No. Bdrms. 3 Water Supply Type of Supply: Public Utility Individual v� If Individual, number of dwellings presently served If Individual, depth of well. Sewage Disposal System Type of System: Public Utility Individual (on-site) x If Individual, date of installation 72-003(3/76) 14U,1r 14