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HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 2 LT 10 Municipality of Anchorage Page 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 Permit Number: ~t~5 ~ 8 o H-/1 PID Number: N~:~ ~ h~o ~oY ~.~s Wastewater System: D New ~Upgrade ~ ~ ~u~ O~. ~ ~ ABSORPTION FIELD Phone: ~ ~ -- ~ No. ooms: 0 Deep Trench ~Shallow Trench 0 Bed O Mound O Other LEGAL DESCRIPTION~o,.~,n~: ~' I I ~ ~ o~ -- ~ Ft. ~ ~ ~ ~ Ft. WELL: ~5~ ~ D~e Graveiwidth: ~JFt. Numberoflines:~ Distan~be~nlines:15 Ft. SEPARATION DISTANCES ~ Septic D Holding ~S.T.E.P. From Tank FieW Station Tank Sewer Lines ~HO~ we,~ Io3~ ~ Jo3~ -- ~'+ '~t"r'~':~e~ Water idol+ io~ ~,o~+ -- LIFT STATION Foundation O ~ 3e J~ 1 0 ~ ~ ~ ~ Il Remarks: & ~o~s, ~ O~L~ ~ B~oo~5. BENOH MARK I A~um~Elevation: ~.~ ~, Inspectionspefformedby: ~.~.~.c.~ i~c. Dates:lst 5/~/~ ~~~' .... "";" Depadment of Health and Human Sewices approva~ Reviewed and approved by', Date: D 72-013 (Rev. 9/91) MOA 25 NUMBER: AS BUILT DRAWING SW980471 ' 050-521-44 NEW DRAINFIELOS--~ ~ X~Xxx~ALTERNATE SITE C0~~ [?~ POINT "D' /// FCO 6.4 20. ST1 13,0 23.7 ST2 20.2 29.1 ~ ..,ex ~ ~ MH ,,C,, 22'2 30'6 POINI "D" 42.5 54.0 POINT 49.0 53.5 MI1 74.0 83.5 MT2 80.7 85.5 CO 103.5 95,0 MT 102,8 93,8 X A~S~ WA~R A~ WAS~.A~R CONS~TANTS, ~C. VALLEY VIEW ESTATES S/D ADDN. ~1; LOT 10, BLOCK 2, A~N AND CINDY THOMAS 696-7824 J.L.M. 1 = 40' 2 OF 3 PERMIT NUMBER: AS BUILT Die'WING PARCEL ID NUMBER: SW980471 ' 050-521-44 'FOP OP T~K-- ~ / ~ c -~ ~ TOP Off f~K A~lNb~l" 9/n~ 5,T,~,F, TANK MT2 Ffl~ ¢~ H / / A~S~ WA~R A~ WAS~WATER CONS~TANTS, INC. VALLEY VIEW ESTATES S/D ADDN. ~1; LOT 10, BLOCK 2, / J ~-/~U/~ J !~PE OF WORK: PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRABE A~N AND CINDY THOMAS 696-7824 )AT[:5/26/99 ~WN BY: SOA~: PAge: J.L.M. N.T.S. 11/12/08 TItlJ 15:35 FAX 6896499 VISTA REAL ESTATE ER 1~] 003 " .... rgerIifie :Drillin $ r g by A & L DRILLING COMPANY OWNER or LAN~ ~x ~ ~ 4 DEPTH OF WELL ADDRESS __ . ......... ~/ t ;,. ~ ~~ STATIC LEVEL OF WATER ~, , KIND OF FORMATION: "~ ~ · From 0 Ft.t~ [ Ft. ~og~a~ f/~ From. Fi. to .' From~/ Et,~ta 2 ~ F~... ~ From . Ft. to F~. From 2fi"Ft:td ~,~ F~.~ ~O~zO&~( From~Ft. to Ft; From, ~ q-/ Ft. to--Ft. ~o~ t g ~P~oc~ From From q70 rE. to qT~n. ~U~.SO. ~/ ~,2~ ~Ft. to From ~7~ Ft. to 5'~Ft~o.,.~ ..P~ r~om ,~Ft. to.__.F/._. From · Ft. to ' ' Ft.~ ~ . From_~.Fl. From, Ft. to__FI.___ From__F/. to Ft. Ft. ' ~ From.~Ft. Fr~)m ~Ft, t~f, From Ft, to From Et. to ' Ft,-,..:-~ , : Ft; .__ Ft. From ' Ft. to__Ft. · Fromm___ Ft, to - Ft,__ · MIscL. INFOI~VIATION: q From , From . From From From ~Ft. to Ft, Ft. tO Ft. Et. to ' ' Ft. F,.,o r,: V~-D F,.,o Mun;eipa~ity.:.c of A , · DRILLER'S NAME Hal Koatlln To: Date Re/' Pem'dt: H~mann Constr~ction PO Box 770617 Eagle River AK 99577 05-2~-99 Valley View E~t. Add,#1, LtlO, Blk,2 N/A RECEIVED dUlY 4 1999 MUnicipality o~ ~,,CnOrago Dept. Health & Human Services This is to oeaify that on site sewer liR station at above mentioned property has been wired in accordance with the standards of the National F. leztdeal Code and manufactures specification. Systems were oheeked and performed as spe~ffted m th systems manual. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. F~csimile Transmittal Number of Pa~S ~' 'l . ALASKA WATER-& WASTEWATZR CON/,~ Jeffrey A. Gamess, P.E., M.S. Comments: ~o'~ ~"" ~_.~-r~o~T~o~, 'r~H~ ~ ~c~,v~,-r~ C.o~c~o "'0~."-' ~ . .'.'" MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date issued: Dec 21, 1998 Expiration Date: Dec 21, 1999 Permit Number: SW980471 Legal Description: VALLEY VIEW ESTATES #1 BLK 2 LT 10 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Alan & Cindy Thomas Owner Address: 25843 White Spruce Drive Eagle River, AK 99577-9667 Parcel ID: 050-521-44 Site Address: 025843 WHITE SPRUCE DR Lot Size: 45001 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] 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 Cede 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. This permit is issued in conjunction with the conditional Health Authority Approval #HA980494. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 December 9, 1998 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 10; Block 2; Valley View Estates Conditional Health Authority Approval request Request you issue a Conditional Health Authority Approval on the referenced property due to winter conditions. On November 20, 1998, the trench was excavated to install a monitoring tube and found the system was working above the effective depth. There is no effluent surfacing and it is not backing into the house It appears the system is still functioning, he septic system will be upgraded no later than 15 June, 1999. If you have any questions c r require additional information, please contact us. JAG/gk Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B - Auchorage - Alaska 99504 (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers December 1, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic Design Upgrade for Lot 10, Block 2, Valley View Estates Subdivision Addn. #1 To whom it may concern: The existing 3 bedroom house is served by a private septic system and a private well. The existing septic system is surcharged and must be upgraded. At the request of our clients, we propose to install a 4 bedroom upgrade. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a log which shows the soil profile, and the percolation test result. The soils below the organic layer are a GW/SW material to a depth of 4 feet. At 4 feet, the soil transitions to a GM/SM material to a depth of 16 feet (bottom of the test hole). No groundwater was encountered during the excavation of the test hole. After 7 days, the monitoring tube in the test hole was checked {ound to be at dry. A percolation test was performed between the depth of 6.0 feet to 6.5 feet andfo~und the percolation rate was 6.7 minute/inch 2. TRENCH DESIGN: a. Percolation Rate: 6.7 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/f~2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 t~2 f. Total Depth: 10 feet above groundwater elevation. g. Effective Depth: 4 feet h. Width: 5 feet (minimum) i. Minimum Length: 75 feet j Effective absorption area = 750 ft2 OK There are no surface waters within 100 feet of the proposed 3. SURFACE WATERS: upgrade. 4. TOPOGRAPHY: As can be seen on the attached design, there is an excavation line that is shown just east of the test hole. A significant amount of dirt has been excavated out of the hill behind the house and pushed into the ~ont yard (southside of house). Approximately 1 foot of organics has been removed from the east side of the test hole where the proposed drainfield will be installed. On the west side of the test hole, the slope is a 10 percent to 20 percent slope running ~om north/northeast to south/southwest. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. .... r LOT ~, BLOCK 2, ~- WHITE SPRUCE DRIVE l~ D ~ ~ESnC ~A~ ESTA~S LOT 5 BLOCK 3, AI.AS~ WA~R A~ W~WA~ CONS~TA~S, ~C. VALLEY VIEW ESTATES S/D ADEN. ~1, LOT 10, BLOCK 2, [~.~ ;.~ ~ .... ~?.~ PREPARED FOR: PHONE NUMBER: A~N AND CINDY THOMAS 696-7824 uO~,'~... ~-'=~ ,...'¢~ / NOTE: .......... _/ / THE EXISTING HOUSE IS A 3 BEDROOM L___ RESIDENCE, BUT THE UPGRADE WILL BE FOR A 4- BEDROOM RESIDENCE FOR A ~ --~-~-- FUTURE ADDITION ONTO THE HOUSE. EXCAVATION ~7 '¥ /--~PROPOSED D~INFIELD - ~J ~ ~ / EXCAVATE 10 FE~ DEEP(MAX) ~ r ,' ~F~T~ / BY 5 FE~ WIDE BY 75 FE~ LONG. ~ ~/ ~/ ADD 4 FE~ OF CLAN, WASHED ~r~ ~ ~ / SEWER D~INROCK. INSTALL TRENCH~ ALTERNATE SITES~ C?~__ 7------2 / PARALLEL ~0 SLOPE CONTOURS. '~ ~~~CO ~PROPOSED 1250 GALLON // ~ANBONED C~MP~ELY ~'-) gEXIS~NG TR~CH TO BE ~~O$ WELLWELL USED ~ A RESE~E SITE, ~ WHITE SPRUCE DRIVE PHONE: (907) 3~7-6179/F~: (907) ]~8-~246 VALLEY VIEW ESTATES S/D ADDN. ¢1, LOT 10 BLOCK 2, ~[' {~ W~[ J DESIGN OF SEPTIC SYSTEM UPGRADE ........... PREPAREO FOR: PHONE NUMBER: ~ '~. ~ E--7953 ..' J.L.M. 1 = 40' 2 OF 2 'AL&SKA WATEP, & WASTEWATER CONSULTANTS, INC. ~Y.:..chF' .A...L~ LEGAL PESCRIPTION: VALL~ VI~ ESTATES S/B ~; LOT 10, BLOCK 2,~"~~H~ __'"~'"'- DATE PERFORMED: 11/24/9B OR~ICS TEST HOLE ~1 '~["~'" ............ " ~PTH ~ 4~ GC OL PROPOSED SE~IC UPG~DE SW , NH ~_ ~(s[[ ~l~N, PA~[ 2 OF ~'. 6 I ~ SC DRY ~ 1/25/9B ~, / 1 SM/GM DATE RE~ING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) RE'lNG (INCHES) 11/~5/9B 1 1:59 6" 2 2:09 10 MIN. 3 5/4" 2 1/4"~ ~ 2:09 6" ~ 2:19 10 MIN. 4" 2" 5 2:19 6" 6 2:29 10 MIN. 4 1/4" 1 3/4" B.O.H. B 2:39 10 MIN. 4 1/2" 1 1/2" 9 2:59 6" 10 2:49 10 MIN~ 4 1/2" 1 1/2" ~ 11 2:49 6" 12 2:59 10 MIN. 4 1/2" 1 1/2" ..o co_s: ms was ~[~[o~u~ mco~a~c[ w~. ac[ si c~ak~u~[s ~ [[[[c~ o~ ~s DEPTH TO DATE GROUNDWATER DRY 11/24/98 DRY 11/25/98 QGREA, R ANCHORAGE AREA BOR _$H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: NUMBER OF ~:~ DISTANCE - C/© ~ ,~ MATERIAL '~--'7~''~ / COMPARTMENTS FROM WELLJd~'~ MANUFACTURER INSIDE LENGTH INSIDE W~DTH LIQUID DEPTH LIQUID CAPACITY /~-~-~(] GALLONS. SEEPAGE PiT: NUMBER OF PITS t DIAMETER OR WIDTH LINING MATERIAL~/~P¢/ CRIB SIZE: DIAMETER BUILDING FOUNDATION , NEAREST LOT LINE O~ ¢~ ADDITIONAL ABSORPTION DEPTH ~ DISTANCE FROM: WELL /.~--) TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE BUILDING FOUNDATION -- CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: /'~' '~'vO ~/~- PIPE MAT E RIA L:C'~'~ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM APPROVED hiF?L 1 L:HNT I.. ]URtlUN DEiF:'FIRTMENT OF HERLTH FIN[:, ENVIRONMEN"FIL PI'~:OTECTiON '::,ZTk !;i~ El. TUE:,OR D'.E:,.., .4t"4 ..1N.. RH ~E, FIK. ,_., ~ -a -- -..--... Ii "'If' EE "_-~; ~l b4~ Eli ~4: F E .JE:,--, HRLL E:OH 609 E.R. E,E r,.;'.. 'r H i LL LfftNE t_JE E:2 ',/flLL..E'¢ VIEW EST L. CiT =,I~.E E;'iq. 4 -2d.06 '4515EI :,.,.UHRE. FEET 'i"~"F:'E IitF :SON... HEz..I'..EI_ J',l _:,..IEi'l I_. tKENUH i"iRH]F1Ui"I NLklE, ER OF: E,E[.F{uJi'I.. = -. .:,UIL ~:RTIF,16 (S]-! F t,.-'E:R;,= .t_, ._ 'IHE IkEg!LilI4:ED =,t,,.E. ElF 'I'HE '.SOIL RBSORF'~I"ION _,-t:.,1Eft IS: .... "- *'", ..... ....... -' ~.=.._.... ~L~[-~'2H tHE LL:iNGTH DIMENSION iS THE LENG"FH {'¢1't' FEET.':, OF THE TRENCH .iR [:,R. RII'.4Fi(EI-[:'. I HE [:,EP-rH -'F R t F. EI,I..W OR F'IT t_ ']"HE [:,IS'I'FINC:E BETWEEN T'HE *.;I II~,F'FI"E [:iF' THE C-iR:E,JND FIN[:, THE E:OI"'rOM OF 'THE EXrZFf,/F-ITiON (IN FEET). ]HERE ' '~ '=':" - . NO _,Er WID-I"H F'qF.' TRENCHES. 'IFIE GF::R',,,'I:::L [.,LF H 1.=, ']"HE blli'.,ll'i',ILIr,1 [:,EPTH OF C-iRFfv'EL E,E WEEN THE OUTFFILL. F'IF'E 'T FINL':, 't.HE EiT-t'L.d"I OF ]'HE E::.;iE:RVRTION ~._i",l FEET). Ih4: El {4;-~. tL~ ]l F~." ~ IE::~ ==. E. ~ I SE ~l: 31- IF-~ ~'-~ k::l '~ ....... ,~._ ,-, ,,~ ..... c',, ..........· I HI-, BRE:KH i LL I i",K~ OF RI",!'~" : ~r = t' Ei'l W I THOUT F I i'4RL I N_,r EL- I ..bHH-. i']E..¢, r WILL.. E,E. Sl..IB.JEf£:"r TO FR.C_,EuUT/'uiq. P'ilNIP1Lli',I C, IS]'HNE:E BE·T'WEI:EN FI WELL FIND FIN¥ L.N-_,Z'fE _-,EHH.~E [¢I=,PO_-,HL z,"r_,lEtl '"' ,--"", ..~ -'"" F'LIBLiC: .WELL. 'J.00 F"EE'f r' .F~ FI F'RIVRTE !4ELL OR 2R~'] FEEl" FL t~. FI HELL. I_E,3S FI~:E P. EE!LIIRED FIN[:' F1UST E:E F4:ETURNED TO THE E:,EF'FIBTMENT WITHii',t 30 [..H"¢-, OF:' TIdE WELL r2Ot,IPLETIi~N. .z,I-;E~IF.~.~.H !_N_ RNC, UUNz, T[4.UL.I IJb~ [:,IHt.~[4.~li'l_, I=I[4:E H,HILHE, LE T0 ~(NSIJ~'.E PROPER i Ns'rRL. LFrT' I I CERTIFY-I"HFIT J.: I FIM FFIP1Z[LIRF,' 1.4ITH '['HE REQUIF?.EP1ENTS FOR ON-SITE SEWERS RN[:' WELLS RS SE]" FOR'IH E:'¢ THE t,IUNiE:IF'FtLI"I"b' OF RNCHORRGE. 2: I WILL INS'T'FII_L THE S'T'S]'Et"I iN FICCORDRNCE 14i]'H THE CODES. -<: i UNDERSTFIND THRT THE ON-SITE SEI4ER S'gSTEM I'lFi"r' REC..!UIRE ENLflR:GEi"tENT iF' THE N:ESIE:,ENCE IS REZt,IO[:,EL. ED TO INCLUDE MORE "rHRN 3' BE[:,ROOF1S. RF'F'I~Z C'FtN T JESS HFILL 1L::;Z; JE[' E,'r~ ~g~'7-%~:---":'~- ...................................... CO. ._ ,HNICAL 8 DEVELS"' MENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 ~Carl Ellis Russell Oyster 688-2280 694-2774 $0~L LOG Land Development Soils ~t Foundations Performed for: Name: ~N-~~ Matltng Address: Legal Description: Depth (feet) 0 13 15 15 Ground Water Encountered: Yes__.__ No.~ ~f yes, ~lh~t depth_~ Proposed Installation: Seepage Pit_ . Drain Fiel~ ~ Comments: ~-,~_~_~,___.~.~j~_~.k_~_~~~ ~''~ ~ ~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONNENTA[ QUALITY 3330 "C" Street ' ANCHORAGE, ALASKA 99503 Legal Description: Lot ~ Block ~ This Form Reports Soils Log ~ - Soil Test Must Be Logged To 4' Depth Feet Soil Characterist~c~ Case # Dated Performed (: /t /]~ Percol~ation Test Below Proposed Seepage System - lO ll 12-- Il'- ~4! 13 14-- ~_n_l_ Li_H.L. [--: i_hills _L_LL Ikij._~l kJ_.l LJ I IJ J -i_!_ ! L_L. i! !_ i L_AJ . i_1 __j_j__L___!_] Ji ii, I-I XI _1 I I I I I I, I I Was Ground Water Encountered? If Yes, At What Depth? 'Reading Date Gross I Time j Net Time I I Depth to H20 j Net Percolation Rate Proposed M i n u t e ~ Installation: See;~afi~ Pit I)ra~n Field, Depth of Inlet Depth l:o Bottom of Pit Or Trench -- Test Performed ~y :~'~,-~ .~o~-~, uat~ ,eri~r~pd :'1. / '~ ~ /,~.o~,~-~ A & L DRILLING COMPANY OWNER OF LAND ADDRESS LECAL DaSCmPTION~ DATE- Started PERmT NV~.ER D . BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE694-2588 t?~L ~. DEPTH OF WELL ~/ I ~. ~ /2~m-P~-~ STATIC LEVEL OF WATER FT. Ended 7//(/Tg GA~. PER HR KIN. o~ casI.¢ KIND OF FORMATION: [;!.~ ~/ ,- ; ~'~.' From O _Et. to I Ft. O.:..,L~d~O;.>d~.~.j, t.t~ From From [ Et. to ~ V Ft. ~/~ From ~ '" 'i ~-7 ....... " : .... " ' From ]O'1 Et. to ~'~_?O Ft. ~g~-°<~ From__ From ,;')X;) Et. to ~)q"J Ft. ~[~C7~0/2r5'0 From From ]~ -?'/ Ft. to--ft. .~L ~ [~ ~aC~gOc. < From From'Z]Tf' Ft. to~Ft. ~¥~'~f p~/&~d~ff~ From From Ft. to Ft. From Ft. to Ft. From Ft. to~. Ft From Et. to Ft From__Ft. to Et: Ft. t¢ Ft. Ft. to__ Ft. Ft. to Ft. __Ft to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. Ft. to__.Ft Fro Ft. L m;.,o From~~ Ft~P0' .Et F~~C;~., ~n Ft. F~~ ~ to Ft From Et. to Ft. From___Ft. to Ft. From .Et to.__Ft From .Et to__Fi Front Ft. to__Ft From Ft. to Ft. MISCL. INFORMATION: / '?o / '/ ,7-'~ DRILLER'S NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 RELEASE OF CONDITION Parcel I.D. # -CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-521-44 HAA# GENERAL INFORMATION Complete legal descripfi~0n Lot 10; Block 2; Valley View Estates #1 Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address 25843 White Spruce Eagle River, AK ~y Th~m=$ Dayphone 745-7848 Raw 77~q~q ~],~ RiVer: A~ 99577 Day phone Agent Address Frank Stevens/Prudential Vista Day phone 689-6489 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 NOTE: Individual well xx . Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site XX Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. I/91) Front MOA~21 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 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 disposaJ ,sb'Ater0_i~ in corn ~liance with all Municipal and State codes, ordinances, and regulatio, ns i~ e~/l~h~ ~..t] ,i~s inspection. wastew, ter ~n~suttan/~, ? f Firm .,~. ~ ¢ . _ . Phone .~? Name o - . . /AnchCr, ~ A~',97~04 Address EngineeCs signature /.~////,/_ ('~/~..~__ Date Alaska Water & Wastewater Consultants, Inc. Shall be PAID $ c~'c'Z~°' or p.rior to. closing for the Engineering Se~ices Provided~' 6. DHHS SIGNATURE ~' Approved for ~ bedrooms. PLEASE RELEASE CONDITIONAL HEALTH AUTHORITY APPROVAL. SEPTIC SYSTEM HAS BEEN UPGRADED IN ACCORDANCE WITH M.©.A. REGULATIONS AND PERMIT # SW980471 Disapproved. Conditional approval for bedrooms, with th-e stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 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, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-4744 Legal Description: A. WELL DATA Well type ~0K~,/~'~E~ Log present ~/N) Total dePth Sanitary seal ((~/N) lo Health Authority Approval Checklist Date completed Cased to 13.°j FROM WELL LoG IfA, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected (~'N) AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/H~I~;NN~ TANK DATA Date installed Foundation cleanout ~N) Date of pumping J g.p.m. ~'~" g.p.m. Nitrate · O. I ,,1_5/~ Other bacteria Collected by: /~ .c,J.u.1. ~. I '1'~. Tank size I-~oo Number of Compartments ~-- C eanouts (~N). ~/~ "/~--~ Depression (Y/I~ ~ o High water alarm ~)'N) ~/~-~ Pumper C. ABSORPTION FIELD DATA Date installed Length '~ Effective absorption area Date of adequacy test Soil rating Oor~) O.8. System type ~4 ~,~.~¢ Gravel thickness below pipe ~/~1- q.t.~ lotal depth -'/ - Monitoring Tube present (~I/N) YE~ Depression over field (Y~ /'Je Results (Pass/Fail) For ~ ~ *~Y~edrooms Fluid depth in absorption field before test (in.); Fluid depth (ins) Minutes later: Immediately after ~ gal. water added (in.): Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) if yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (~/N) High water alarm level at* LC Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* /-'/~ ~ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot J O:~ I ~-- Absorption field on lot ) '~ Public sewer main ~/A- Sewer/septic service line ~; J'P *Datum ~o-¢-r~,~ o~' Lift station }.¢'o o "Pump off" level at* /~.~ 0 On adjacent lots ~- ¢../I On adjacent lots Public sewer manhole/cleanout I,~/A I Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots J Oo I_~ lo Property line Surface water Curtain drain SEPARATION DISTANCES FROM SEPTIO/H~ TANK ON LOTTO: Foundation I o I ~ Property line Absorption field Water main/service line ~o1+' Surface Water/drainage SEPARATION DISTANCE FROMABSORPTION FIELD ON LOTTO: ~...~1 ~ Building foundation Io01~- F. ENGINEER'S CERTIFICATION I certify that I, SLc Engineer's Naml __ Date HAA Fee $. Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 - conditional- Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 0 5 0- 5 21 -'F~[ ~"i NAA#~ -1 ~-'~ 1. GENERAL INFORMATION Complete legal description Lot 10; Block 2; Valley View Estates #1 Location (site address or directions) Property owner Mailing address Lending agency Mailing address 25843 white Spruce Eaqle River, AK Alan & Cindy Thomas Dayphone 25843 White Spruce Eagle River, AK Day phone 696-7824 99577 Agent Frank Stevens/ Prudential Vista Address Day phone 689-6480 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 NOTE: XX Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4, TYPE OF WASTEWATER DISPOSAL: NOTE: xx Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72 025 (Rev. 1/91) Front MOA ~21 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 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 thi,~ inspection. NameofFirm A~/['~--'3 /~'J~' / /,// Phone Address Engineer's signature ~,._~//,~/~ }~k~-_./~ Date REQUEST YOU ISSUE A CONDITIONAL HEALTH AUTHORITY APPROVAL DUE TO WINTER CONDITIONS. SEPTIC SYSTEM TO BE UPGRADED NO LATER THAN 15 JUNE 1999. MONEY TO RE ESCROWED FOR THE COST OF UPGRADE. ALASKA WATER & WASTEWATER CONSULTANTS, IS TO BE PAID $1506.25 AT CLOSING FOR ENGINEERING SERVICES PERFORMED, TO DATE. 6. DHHS SIGNATURE Approved for bedrooms. INC Disapproved. Conditional approval for i ?-! ~_ ~-~ bedrooms, with the following stipulations: The c system on this lot shall be upgraded pursuant to the attached permit #SW980471 no later than June 15, 1999. Money shall be placed in escrow for 1 ~ times the high bid from a minimum of three (3) bids. The balance of the escrow funds shall be released after an approved Certificate of Health Authority Approval has been issued by this Department. If there are any questions, please call 343-4744. Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or om~ssions in the professional engineer's work. 72~)25 (Rev. 1/91) Back MOA ~1 R EC E I VF_z Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES DEC 10 Environmental Services Division MUNICIPALITY OF ANC'~.~'-~--~"~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · 7 ,~.~- (90 Legal Description: A. WELL DATA Health Authority Approval Checklist Lo-r JO~,I~,Locv.. 'Z,~ X~A~-L~¥ '~e~ ParcelI.D.: ~r^-~ ~:/~ ~1 Well type ~¢,W Log present ~/l~r, Total depth ~(3o~'" Sanitary seal (~I~ :' Date of test Static water level Well production '- J WATER SAMPLE RESULTS: Coliform Date of'sarflple: B. SEPTIClHOLDI~NG TANK DATA Date installed I F~/~,~. Foundation cleanout (Y'~ Date of Pumping If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to / ~-~oI g.p.m. Collected by: FROM WELL LOG Casing height (above ground) Wires properly protected (ETI~ AT INs~'Ec~JON .,..', .... I Other bacteriaF /~. ~.~j.c. ~ I~c. Nitrate g.p.m. Tank size lo co Number of Compartments ' ~ Cle~nouts (~N))"~--$ h Jo Depression (Y/~) ~o High water alarm (Y~ /J ° Pumper 5~ 12u ~ ¢/~/~. C. ABSORPTION FIELD DATA Date installed Length ~'o ~ Width Effective absorption area Date of adequacy test '~ Fluid depth in absorption field before test (in.); Soil rating (g.p.d./fF or~ I IZ~ ¢System type Gravel thickness below pipe ~ !Total depth Monitoring Tube present (~ ~ Depression over field (Y/,~) ~X,Jo Results (Rase/Fail) ~At L For ,~ bedrooms Immediately after - '~ gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = .g.p.d. Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* If yes, give date LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I COI ~r Absorption field on lot lOol q' · -~ ~ On adjacent lots '~-I On adjacent lots ~':~q ¢o ' Public sewer main /,~/r~ Public sewer manhole/cleanout ~/'~, Sewer/septic service line ~- Ct Lift station ! oo I~,. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: I Foundation E, Property line I o Absorption field. ~' Water main/service line Surface water/drainage. Ioo I'h Wells on adjacent lots IooI+ SEPARATION DISTANCE FROMABSORPTION FIELD ON LOTTO: Properly line I o1+ Building foundation. Jo Surface water )~o Curtain drain /'d o ~4E I/-,~0~ A / ENGINEER'S CERTIFICATION /7/ F, d:'e'd 'nconforman~ewith/MM~H~del"n' Signature ( }/~/V{/~/~ / l,~"'m, ~ Engineer's NaT/ / ~ /j~f 4' Date f ~/~*~ ' Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots r~spections and revi~ ~ in effect on this date. HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNIOIPALITYOFANCHORAGE(MOA) SE P ] 8 ~ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 284-4,20 R E C E I V E D Legal Description: ~o~ (~ ~[oc/~ ~ WELL DATA Well Classification P¢'~'~ If A; B, C, D.E.C. Approved (Y/N) iV, 4, Well Log Present (Y/N) ~' Date Completed 7/1¥/7~ Yield /, c~ ~,/~m Total Depth 5'OO~ Cased to 1.~ ~:~ ' Depth of Grouting Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Pump Set At _~> ~/~'d' ' Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Al, .~-, Water Sample Collected by T Water Sample Test Results Comments ; On Adjoining Lots ~' too~ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed II/,~// Standpipes (WN) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well I ( ~- ' To Property Line To Water Main/Service Line N, A. Size ~Ooot/R'~! No. of Compartments Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N) Date Last Pumped ~ / I~' /'4, ,~. ; for H, .~. N,/1. Temporary Holding Tank Permit (Y/N) To Building Foundation ! 7 · To Disposal Field ~'~'~ To Stream, Pond, Lake, or Major Drainage Course ~. too' Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date installed '¢=¢~ Width of Field .3' Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: Type of System Design Length of Field Depth of Field Gravel Bed Thickness To Water-Supply Well '~ To Building Foundation Lot ^b A.. To Water Main/Service Line Standpipes Present (Y/N) Date of Last Adequacy Test 3 bec~Coo m_c To Property Line N Al,/)-, To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Existing or Abandoned System on ; On Adjoining Lots -~ To Cutbank (if present) /~, .>' ~OO' ~ $"O~ Comments Co~tc~ LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ~1~7 I~d Signed ~~ ~'"'~ Date Company /='(~,//z,? 7'~o4.~/c.(' £c.,c..c MOA No, Receipt No. ~/ ~¢~ ~ Date of Payment Amount: $ ~: ~) ' Page 2 of 2 72-026 (11/84) Engineer's Seal P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES September 30, 1986 Mr. Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Lots 9 and i0 Block 2 Valley View Estates Subdivision #1 Waiver Request, WR86-140 Dear Mr. Moore: Your request for a waiver of the 100 foot separation required between the septic system on Lot 9 Block 2 and the well on Lot 10 has been granted. This department concurs with your assessment that this waiver will not adversely effect public health. This waiver is valid for the existing septic system serving the dwelling on Lot 9. Any upgrades or enlargements of this system must meet State and Municipal separation requirements. Sincerely, ciVil Engineer On-site Services SSM/lJw THEODORE F. MOORE, P.E. PH: (907) 345-1355 OP TECH ICAL SE CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS 14530 ECHO ST. ANCHORAGE, AI3~KA 99516 September 17, 1986 M.O.A. Dep't. of Health and Human Services P.O. Box 6-650 Anchorage, AK 99502 Attn: Steve Morris RE: Separation distance waiver - LIO, B2, Valley View Estates #1 Dear Mr. Morris: By means of this letter, I am requesting a waiver of the required separation distances between the well serving the subject lot and the septic tank and leach field serving Lot 9, which are 89 and 98 feet to the respective cleanouts. Copies of the well log, soils tests and as-built drawings are attached for your review. The well serving Lot 10 was drilled in 1976 to a total depth of 500 feet. According to the driller's log a stratum of hardpan and boulders extends down to 55 feet, and the well enters bedrock at 127 feet. The zones from 127 feet to 230 feet and from 251 feet to 470 feet are solid bedrock, with the remainder being fractured. The only water encountered was in a heavily fractured zone between 475 feet and 500 feet. Both the overlying hardpan stratum and the 322 feet of solid bedrock provide excellent protection of the water bearing aquifer from contamination from surface waters. On September 16, the static water level was at 307 feet below ground surface, and I measured the yield of the well to be 1.0 gpm which agrees with that shown on the driller's log. A water sample taken that day showed no contamination by coliform or other bacteria (copy of lab report attached). The October 1979 soils log for the septic installation serving lot 9 shows GM strata between 0 and 4 feet and below 10 feet to a rg~Q~ndwater table at 13 feet. The soil absorption system was installed in April of ~1~981 in a SP stratum between these. Due to the tighter underlying soil, the septic tank effluent will tend to move parallel to the strata interface rather than downwards. I did not see any indication that effluent has ever daylighted from this system. The topography in the area slopes to the south at approx- imately 25 %. Although the ground surface in the vicinity of the well casing is 10 feet lower than at the Lot 9 septic system standpipes, the slope is such that surface flow from of the septic system is south rather than westward well casing. the vicinity towards the Apparently the Municipal inspector who approved the Lot 9 wastewater disposal system installation in April 1981 did not notice the pre-existing well on lot 10, as there is no record of it on the as-built drawing. Subsequent to that, Municipal Health Authority Approvals of the system were issued in May of 1981 and again in July of 1983, again without any recognition of this separation distance problem. Fortunately, the great depth of the aquifer, and the protection offered by the overlying bedrock and hardpan should more than compensate for the relatively minor deviation from the required separation distances. It is my professional opinion that granting of this waiver will not have an adverse effect on public health, and thus I request that you grant the waiver. Please give me a call if you require any additional information. cc: Carl and Brenda Thomas Sincerely, Ted Moore, P.E. Anch~age ~ecording Precinct. Alask~.~d· that th improvements ~itua~ed ther~n"are ~i~1~-t~ propert; lin~ and do' not overlap or~.en~o~ch '6n--the propert lying adjacent thereto~ that no ~provemants on prop er~ lying adjacent thereto end, ach o~:the premise~ i: ~agle River Area GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received November 5, 1976 Time of Inspection 1:30 p.m. Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 11-5-76 Monday Pratt 1. Approval requested by: Alaska Bank of Commerce Mailing Address: L~nx ~ d~ Phone: 2, Property Owner: Jessie H. Hall & Mary A. Hall Phone: Mailing Address: Post Office Box 609, Eagle River 4. 5. 6, 694-2406 Legal Description: Lot 10 BloCk 2 Valley View Estates Location: See map Type of facility to be inspected Well Data: A. Type Individual C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal 8~ Distances: A. Well to: Septic tank Single Family No. of bedrooms ' 3 B. Depth D. Bacterial Analysis On-site system B. Installer 1. Size 2. Manufacturer 1. Absorption Area 2. Material Field:Total length of lines , 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 - Re~ ~ for Approval of Individual ~f'~ & Water Facilities .L~gal~' ~escripti0n Lot 10 Block 2 Valley View Estates Comments Approved '~J.~' ~;-/~- Disapproved Approval Valid for one year from date signed Greater Anchorage Area Date Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO. .VA FHA 2. Property Owner: Mailing Address:~ Mailing Address: 4. Name of Lending Institution: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: '~ Day Phone: Phone: Phone: c~7~ 77. 7, Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. ~-~ ,Individual \~/~-~ If Individual, number of dwellings presently served if Individual, depth of well Sewage Disposal System Type of System: Public Utility. If Individual, date of installation Individual (on-site) 72-003(3/76)