HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 3 LT 1
" 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: ~ ~70~ ~g~ PID Number: ~:~'O ,-,~',~,,o/- ~O
~ ~ ~ ~~ Wastewater System: ~ New ~Upgrade
Address:
~ ~ ~ ~-/~ ~4~ ~ ABSORPTION FIELD
Phone: ~_~/~ INo. ofaedr~ms: ~ Deep Trench ~Shal,owTrench ~Bed ~Mound ~Other
LEGAL DESCRIPTION Soi,.~in~: ~, ~ GPD/Sq. Ft. Total Depth from o~n~l grade:
Lot: ) BIock:,~ ~Subdiv'~ion: ~ Depth to pipe bottom fr~ ~iginal grade: Ft. Gravel depth beneath~/pipe Ft.
Township: ~ Range:~ ~ Section: ~ Fill added above, originally/grade: Ft. Gr~vel~ ~ length:~ ~ ~ /~ I~ ~Ft,
WELL:~ New ~ Upgrade Gravelwidth: ~/ Numberoflines: lDistancebe~enlines:
.,. ~ If' ,,.
Pipe material:
Classification~4~l~(Private' A,B,C): Total~5~ I Fi.Depth: Cased/~To: 'Ft. Total absorption area:~o~ ~ SQ. Ft. ~¢~ ~-
Date Drilled: Static Water Leveh I.staller~¢~ Date installed~. ¢.
Yield: Pump Set at: Casing Height Above Ground'
SEPARATION DISTANCES ~Septic g Holding ~ S.T.E.P.
w~,,. /~'~ ~'~ k % ~s'¢ .~,~r,..:~r~~
Su~ac~ ~¢ LIFT STATION
Foundation /'* jO~ ( "Pump on" level ~,," level at: J High water alarm at:
Cu~ainDrain ~X~ ~.~* ~ =u~, JE,~otd~a,,..p~ctio..pedo,m~dby:
Remarks: BENCH MARK
Location and Description:
J Assumed Elevation: /~ ~J,
Inspections performed ,l~~op~~ 2nd ~ 1~%~ o. .
Department of Health and Human Services approval ',~>., ..,. ~. . ,,..<-~'~
Reviewed and approved by: /~ Date: ¢¢¢ "' '~"+*" ~"'¢"'"
72-013 (Rev. 9/91) MOA 25
NO. SW970255
PAGE 2 OF 2
Municipo,[it;y oF Anchor'o, ge
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,13, Box 196650,~ Ancho~'a9e, ALo. sko, 99519-6650 ~Tetephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION REPORT
LEGA~ LOT 1, BLOCK 5, VALLEY VIEW ESTATES S/D P.I.D. NO. 050--521--40
A B
FCO ..32.0' 18.0'
ST1 45.0' 22.5'
gT2 51.0' 50.0'
DBL1 52.0' $2.0'
}BL2 55.0' ,55.0'
CD 75.0' 94,5'
201 84.5' 83.5'
vIT1 81.5' 83.5'
302 87.0' 119,5'
vlT2 87.0' 118.5'
303 104.5' 106.5'
MT,5 106.0' 109.0'
C04 105.0' 1,34.5'
MT4 104,0' 152.0'
£XIS
4
MT C01 = 80.6'
C02 =
CO1 = 76.9'
C02 76.9'
MT1 = 75.6'
MT2 = 75.6' MT3 =
MT4 = 73. i'
·
WATER ~OUND 68.6' \
60.1 B.0.H. ~
% --FINAL GRADE
~MT ~_ C03 = 77.9
//004=77.3'
C03 = 74.1'
C04 = 74.2'
STI ST2 /FINAL GRADE
ST1
NEW 1250 GAL.
lC TANK
C01
SCALE t" = 40'
TH
"~NEW TRENCHES
004
ROBERT C. COWAN
CE - 8801 ,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUM3LN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970235
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:GRIFFIN JAMES M & JAN M
OWNER ADDRESS:4230 FOLKER,APT.A-102
ANCHORAGE, AK 99508
DATE ISSUED: 8/01/97
EXPIRATION DATE: 8/01/98
PARCEL ID:05052140
LEGAL DESCRIPTION:
~VALLEY VIEW ESTATES ~1 BLK 3 LT 1!
LOT SIZE: 80000 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AMD 15.65 AMD THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18A3~C72) AMD DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
Ao OPENED AND CLOSED ON THE SAME DAY
Bo COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
ISSUED BY:
SPECIAL PROVISIONS:
ROBERTC. COWAN, RE.
ROBERTA. SHAFER, RE.
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
J~ND REPORTS
WELL INSPECTION
& FLOWTEST
ROAO DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
iNSPECTIONS
ONSITE
W,~STEWATE R
DISPOSAL SYSTEM
DESIGN
July 28, 1997
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 1, Block 3, Valley View Estates S/D
Request you issue a permit to upgrade the septic system serving the existing four
bedroom house on the referenced property.
A test hole was excavated and percolation test performed. The approximate location of
the test hole is located on the attached site plan.
At the time of excavation no water was encountered in test hole and after seven day
ground water monitoring water, water was to found be at 6.5 feet.
Attached is the proposed upgrade design.
We do not anticipate any adverse effects on neighboring wells, septic systems or drainage
patterns by the installation of the proposed septic system.
If you requke additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/mg
Enclosure
17034 NORTH EAGLE RIVER LOOP "SUITE 204 · EAGLE RIVER, ALASKA 99577
I
1" ~= 60'
SCALE
SITE PLAN
DESIGN
oo ~
~g
10' UTILITY EASEMENT
o 8
Municipality ct Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
UJ~ownshiP,sLopERange, Section:
1
2
4
5
6
7
8
9
10
11
12
13
14-
15
16
17
18
19
2O
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water After,,_ ~
Monitorin[~?
,,,,:
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
COMMENTS
' ---' t Eagle River. AT,~,5~ - ~/~/~.
~17/~
'/ l''
72-008 (Rev. 4/85)
HF~tLTH AUTHORITY
APPROVALS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOWTEST
SITE PLANS
ROAD DESIGN
SO]LTEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
?~EFERENCE: Lot 1, Block 3, Valley View Estates
July 28, 1997
GENERAL:
The scope of this project includes the installation of two five foot wide drainfields
to serve the four bedroom residence on the referenced property. The existing
septic tank is to be excavated, pumped, crushed, and abandoned completely, and
replaced with a new 1250 gallon septic tank. The existing trench is to be
abandoned completely.
Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary underground utility
locates.
Unless specifically agreed otherwise, the property owner shall be responsible for
final grading areas subsequently depressed from soil settling. On all leachfield
mound systems, the property owner shall be responsible for ensuring a satisfactory
vegetation growth over the mounded area.
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing thek own
systems must also receive prior approval from the Municipal Health Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shining of the
tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Page Two
Lot 1, Block 3, Valley View Estates
July 28, 1997
5. A foundation cleanout shall be installed one to four feet from the building
foundation. In the line between the tank and the leach_field them shall be two
adjacent cleanouts (unless an effluent pumping system exists within the septic
tank). These cleanouts shall be located on undisturbed soil not mom than 10 f~.
from the tank. The first cleanout, in line, shall be to clean toward the leachfield.
The second cleanout shall be to clean toward the septic tank.
Final grading over the septic tank shall be such that a positive slope exists away
from the septic tank.
ABSORPTION TRENCH/D~LD INSTAl J,ATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom
of the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (roughed-up) before gravel
(sewer rock) placement.
Once the gravel is installed, the disttibufion pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution
pipe to provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil
backf:dl. Ensure the silt barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending through the gravel shall be
perforated from the bottom ofthe trench to the invert of the distribution pipe. This
is equivalent to the effective depth of the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six 06)
inches. The finish grade over the trench must be mounded to prevent the formation
ora depression after settling.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be constructed by a Municipally
approved septic tank manufacturer.
The following pipe materials are approved for use in septic system installations in
the Municipality of Anchorage:
Page Three
Lot 1, Block 3, Valley View Estates
July 28, 1997
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use ora type of pipe other than listed above must be approved by the inspecfmg
engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder,
Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, l~ftrafi 140N, or equal) must be
installed between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than
3% passing the #200 sieve.
When sand is bimg used as a filter material, its gradation spec'fl~cations must
conform to current M.O.A. or D.E.C. requirements.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank
may be set in place, but may not be bacldilled before this inspection.
The second inspection must be conducted at, er the placement of the silt
barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Page Four
Lot 1, Block 3, Valley View Estates
July 28, 1997
Often there will be more than these 3 inspections required. Especially with the installation
of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecfmg
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary,
a pre-construction meeting will take place on-site. The inspecting engineer will not
coordinate, direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
spec'flications and plans and in accordance with the attached M.O.A. permit. There will be
no contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and ~ inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with
the owner and the M.O.A.
S & S Engineering shall have no liab'flity to the owner or to others for acts or omissions of
the contractor or any other persons performing work on this project or the failure of the
contractor to can'y out the work in accordance with these construction documents. S & S
Engineering's inspecting engineer will not be responsible for the construction means,
methods, techniques, sequence, procedures or the safety precautions incident to this
project.
CONTRACTOR/INSTALLER
NAME
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONiVIENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
[] UPGRADE
MAILING ADDRESS
5;RA I'~$5- I~ ANCHo~A~ AoA~ ica ??Ko ¥
LEGAL DESCRIPTION
LOCATION
Manufacturer ~"~- ~ ~. Absorption area
DISTANCE TO: I Well 100 ..il./. I ~Z, (~'
Well ~ InsMe 'e"g~A
L q'DISTANcEcapaclty n To:ga ions IF HOME--DE; / ~we ng
Dwelling ·
MaterlalsfE~.~
w dtbNA
NO. OF BEDR.~MS
PERMIT NO.
No. of compartments
Liquid depth
PERMIT NO.
Manufacturer / V/~ Material Liquid capacity in gallons
IWe,, , IEo.nda,,o , NearestJo~e , PERM~NO.__
DISTANCE TO: / O0 ./. 6' 0 I + I ~.~O~j<~ 2_
Length of e ch line Total leng f line Trench wid t Distance bet ee lines
.o.o, lines /I I z:o* I I
grade ¢ Material bedeath tile ~ Total ef ectlve abs rption area
Width Depth I PERMIT NO.
Length h
Total effectNe absorption ~[~a
Well Building foundation Nearest lot llne
DISTANCE TO: I~ ~ ,¢~ Septic tank
Class Depth Driller Distance to lot llne
DISTANCE TO: Building foundation Sewer line/V J~
OTHER
PIPE MATERIALS
z/r,c~r izo,v
SOl L Z EST RATING
INSTALLER
REMARKS
4~'~ II~o,'J F78ol~ D~E.L.~A)~ To
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
PERMIT NG.
FFLI _.PINT
LOC:RT I ON
LEGRL
FOSTER '" '=~"-- . -' ' ,"-
,. ........ ENbINEER:,
EFtGL. E F,.I, ER
L±B.~. ',.,'~ L L E"r'
i,=..._ OLD SEWRR[:, HI.~Ht-.IH, '.~'-¢..~.~.~Z -<49-656t
T"r'F'E OF '-- - "~- ' ' '-- '-'=' -' ' I-'
=,UIL HE,-,URFTIuN -,N-,TEH IS: TREN_.H
LOT SIZE 9,~,~,~9,-] _.QUHRE FEET
MRXIML.IH NUME'ER OF BEDRGOM'-~_ = 4 SOIL RRTIN~' P ,:,-~F,~ FT,,"E,R.. -' '"'- :L5.E'~
TFtE REI.qUIF'.ED --,I.::..E riF THE .:,OIL RB_,uRFTIuN S'¢STEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD.
THE DEPTH OF ~ TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SLIRFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTON OF THE EXCRMRTION (IN FEET).
F-: E t----.~ El I F-:E[) _.EFT I C: TRP-~k~:: S Z ZE--- l.~.-_ ~-.::, ..~P~L~_O~-~.:..
F'ERMIT HFFLI..MNT HH..., THE RE_,FuN--,IBILIT~ TO INFORM THIS [EFHRTMEf~T [, RING ]'HE
INSTRLLRTION IN_FEuTIuN_~ OF BN'?' WELLS RDJRC:ENT TG THIS ~,~,n ........
r~._r:.:.~ FIN[." THE
NUHBER OF RESIDENCES THRT THE WELL WILL _,ERIE,
E, HL.F. FILLINt~ OF BN'?' ':"'"= " '='' -' - -''' I','- B'¥'
_,T_,TEfl WITHOUT FINRL tN_,FEL. TIuN RNDHFFRC HL THI_,'--
DEPRRTMENT WILL BE SUBJEC:T TO FRO-qECUTION.
MINIMUM DISTRNCE BETWEEN R WELL. RND RN'¢ ON-SITE SEWRGE DISPOSRL S'T'STEM IS
t0C~ FEET FOR R PRIVBTE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE T'¢PE OF PUBLIC WELL.
HINIMUM DISTBNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO B COMMUNIT'¢ SEWER LINE IS 75 FEET.
WELL LOGS RRE REQUIRE[:, FIND MUST BE RETURNED TO THE DEPRRTMENT HITHIN ]:8 DR'CS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MR"¢ RPP~'¥'. SPECiFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVFtILRBLE TO iNSURE PROPER INSTRLLRTION.
PEF:hl Z ]- E£.--.~F Z E.E_. [:,EE:EhlBER ------':t.. t9:_::3:
I CERTIF"r' THRT
Z: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET
FORTH B~' THE MUNICIPRLIT'¢ OF RNCHORRGE.
2: I WILL INSTRLL THE Sk'STEi'"I IN RCCORDRNCE WITH THE CODES.
2:: I UNDERSTRND THRT THE ON-SITE SEWER Sh"STEN MR'¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS.
..............
~ ' ' r'-. -,: , -., ,=e,- -. ,~
FFLZ_.HNT Fu~TER ,. ...... :: ENuZNEER_,
t_,_,UE[, b~___~Zb~sL ............ ~C2: ..... [:'RTE_c__~_2~LJZ.~'L "/4. C1
.$
& ENGINEERS. INC.
s
7125 OLD SEWARD HWY.
ANCHORAGE, ALASKA 99503
349 -6561
SOILS LOG PEFI(]OI_AIION I'ESl
1:1-
15
16-
17-
18-
19
20
)NTERED)
PERCOLATION RATE ~/ I ~U/..~L_ {m;noic. slinchl
TEs:r gUN BETWEEN ~ FT AN0 '-7 _ FT ·
COMMENTS
pER, FORMEO OY:~
.II'ii) "r" ' ' -, ,
,,llqilOI d~J(' , !,[,?,1 ,J 'FF~,I~ ;
,,( I1.,, IA)i; I I,I{~)J,A I I(LJ
r,.rlm[.,.,I ur Hamilton Excavating ll;,te I'erftn'mcd 9-7-75
[~."1., I 1,:'.,. ;'i *ti',,, '5_o~'L Bl~ck 31 'V4ilPk ?i4w_- 7~_ a!45e~; 5aa'.-~'t;' ~.a~River ...........
lhi', for[. r~Murl.:, 5uils Iml X I'e~'~;}))dti~il"t(:';'ll ...........................
I- 2-" H~-raas
2 - SM
~- 3 - SM
4 - SM-SP~200)
5 - SM-SP (200)
6 - SM-SP (200)
~ - SM-SP (200)
8 - SM-SP (200)
._ 9 - SP-GM 090)
~0 - SP-GM (190)
11 - SP-GM (190)
13 -
14 -
Was 9ruu.d WdLcr encountered?
8%
I yL'~, at Wlk~l. ali.dUll 11 ft.:'\
............ r ......... , - i .............. , ................ , ........... L..., ................
........ t .................. J ........... : ................ : ...................
'~'r~pjscl irmlallaLi~}{: '':;ei'P[J',le Pil IJrilin Field X
Alaska Geological Consultants ~/: 9-8- 5
.................................. .......................
la. Borough Subdivision I Lot - Block ib. 1/4gtrs. Section No. TownshipNO Range E0Meridian `
inch Valley U_t.f :•t : iof'—of—of
S� WE]
tc. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
3. OWNER OF WELtC� JeCo C7 E>' "` G@C
1'
�.;..
SPA Box � ?3� u
Address:
��nclt crage s 'l�lc 99507
Street Address and Area of Well Location
2. WELL LOG
Feet Below
Surface
4, WELLDEPTH: (final)
5. DATE OF COMPLETIO
N
r �" ft'
— G — 3
Material Type Top
Bottom
!!d S' cra c., I ? larown +3:,w u O
� �
6. ❑ Cable tool �{ —Rotary C Driven C] Dug
Auger' QJettedBored ❑Other:
a,:i C; t;YC ; . ay (...Lay sJ
.?rw1n clay 25
2.00
7. USE:'..[]_1.pomestIc 0 Public Supply C3 Industry
Irrigation 0 Recharge 0 Commerleol
Test Well Other:
44
v '' C:1;:y
8. CASING:- Q Threaded ".0 Welded
diam. C; in. to ft. ft. Depth Weight Ibs./ft.
diam, in. to ft. Depth Stickup ft.
9. FINISH OF WELL:
Type: Diameter:
Slot/Mesh Size: Length:
Set ,between ft. and ft.
Backfilling Gravel pack
IO. STATIC WATER LEVEL: ft.�
Q Above or Below land surface Date
Equipment used:
I I. PUMPING LEVEL below land surface and YIELD
ft. after hrs. pumping g.p.m.
ft. after hrs. pumping g.p.m.
12.'GROUTING Well Grouted`: 0 Yes 0 No
Material: E] Neat Cement 0 Other:
13. PUMP: (if available) '-HP
Length of Drop Pipe ft. capacity 9-P.M.
Subm. Jet Centrifical n Other.
14. REMARKS:
e':f' }
-16. WATER WELL CONTRACTORS CERTIFICATION:
15. Water Temperature a 0 F C
This well was drilled under my jurisdiction and this report
is true to the best of my, knowledge and belief;
3' i,l:iC'✓11 1! _ �,..' L:LiI_
1•lii tjj�:i
Registered Business Name
-"Contract License Number
Address' , .+f1 t % iE. t L.dr1T' t
�,,.� "(
t "f
Signed : ' �� / ' �' i ? �•'� '�"7: r /=i
", l��} �1"._�_ Dane i.' i:;'G o 1 1
Authorized Representative
Form 02-WWR (II/81) Copy Distribution: WHITE-Stole DGGS, PINK-Driller, CANARY-Customer -
'a -
_C
m
N
r
c
z
,o
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel I. D. 050-52140
1. GENERAL INFORMATION:
Expiration Date:
Complete legal description VALLEY VIEW ESTATES #1: BLOCK 3, LOT 1
Location (site address) 25650 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
Current Property owner(s) PAUL AND PATSY GUNN Day phone 694-7608
Mailing address
Real Estate Agent
25685 WHITE SPRUCE DRIVE, EAGLE RIVER, AK 99577
JANINE BABUSCH Day phone 302-1035
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
Received by:
Date:
4. TYPE OF WATER SUPPLY:
COSA Fee $ 550
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
Receipt Number
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
ElCommunity
11Public
Water System
❑
Public Sewer
❑
WaiverNariance request for:
uistance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 550
Waiver Fee $
Date of Payment 1
Date of Payment
Receipt Number 09
Receipt Number
COSA # OSC211021
Waiver #
6. 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: Garness Engineelinq Group Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 i
Engineer's Printed Name: Jeffrey A. Garness Date: / t `U(, ?_1
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1 Approved for
System #2 Approved for
Disapproved
Conditional approval for
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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
Septic System Advisory
Well Flow Advisory
COSA blue sheet 70.10-12.doc
Nitrate Advisory
Arsenic Advisory
Other geej _ lNct a sv, 17
COSA Checklist
Legal Description: VALLEY VIEW ESTATES #1; BLOCK 3, LOT 1
Parcel ID: 050-521-40
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _
A—WELL
Adequacy test date 8/28/20
Well log filed with Onsite (or attached)
Well production at time of test 1.7 gpm
Date drilled 91y83
Water storage tank volume N/A: gallons
Total depth *452 ft
Well disinfected for coliform test? ❑ Yes ■❑ Nc
Cased to *199 ft
0 Coliform bacteria is Negative
0 Sanitary seal is functioning correctly
Nitrate mg/L Q Nitrate less than MRL (ND)
❑E Wires are properly protected
Arsenic ug/L Arsenic less than MRL (ND)
Casing height (above ground) 18+ in.
Collected by GEG,LTD.
Date of flow test for COSA 8/28/20
Date of Sample 8/28/20
Static water level at beginning of test 278.3 ft.
Any rejuvenation treatment (past 12 months) NONE
Comments *PER 1997 INSPECTION REPORT AND 1997 H.A.A.
B. TANK DATA >station
N
Age of tank(s) 23 years
ntenance co
Tank type/material STEEL ye
Measured operating fluid level in septic tank 49.5" ial� Standpipes/foundation cleanout per recorddrawing
Date of pumping I 1 I
D. ABSORPTION FIELD DATA DUAL 5-WIDES ('MT3 / MT4)
Which system tested (date installed) 8/4.6/97
Adequacy test date 8/28/20
Q ALL standpipes present per record drawing
Results [DPass For 4 bedrooms
Total measured depth from grade 4.8 ft (max)
Fluid depth prior to test 0 / 0 in
Measured depth to pipe invert from grade 2.9 ft (min)
Water added 609 gal
❑ N/A — pressurized field
0 / 0
New depth In
Monitor tubes go to bottom of effective. If not, state
0
depth into effective
Elapsed time min
IMN Code -required soil cover over field
Final fluid depth 0 / 0 in
❑ System presoaked
Absorption rate `600+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) NONE
date of test)
Gallons introduced gallons
If yes, enter date
Comments/Deficiencies: 'TESTED LOWER TRENCH ONLY. UPPER TRENCH (MT1 / MT2) WAS SURCHARGED DUE TO NON-FUNCTIONAL FLOW SPLITTER.
FLOW SPLITTER HAS BEEN REPAIRED (NERFIED ON 12/23/2020 BY GEG CONSULTANT JODY MAUS)
COSA Checklist yellow sheet
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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
Community Sewer Manhole/Cleanout > 100'
FV Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' 0✓ Yes
if No
ft
Private Sewer/Septic Line > 25'M Yes
if No ft
Absorption Field on Lot > 100' M Yes
if No
ft
Holding Tank > 100' Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' Yes
if No ft
M✓ Yes
if No
ft
ft
If septic tank is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' [✓ Yes
if No
ft
F�(J Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
Yes
if No
ft
Surface Water > 100'
Yes if No ft
Property Line > 5'
0✓ Yes
if No
ft
Wells on Adjacent Lots:
Wells on Adjacent Lots:
Absorption Field > 5'
Yes
if No
ft
Private Wells > 100'
F71 Yes if No ft
Water Main > 10'✓Q
Yes
if No
ft
Community Wells > 200'
FVJ 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'
F'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
1✓
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
0
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
El
Yes
if No
ft
Community Wells > 200' 0✓ Yes if No ft
Surface Water> 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
*MEASURED 101.1 FEET FROM EDGE OF WELL TO CLOSEST SEPTIC PIPE (MT) ON
LOT 1, BLOCK 2; VALLEY VIEW ESTATES #1 (MEASURED WITH TOTAL STATION).
**LESS THAN 10 FEET FROM WOOD RETAINING WALL.
G. ENGINEER'S CERTIFICATION
I certify that l have determined through field inspections and review O ��
of Municipal records that the above systems are in conformance with p ✓� : T
MOA COSH guidelines in effect on this date. �-
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MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT'S
On -Site water and wastewater Section
www.muni.org/onsite
Septic 'Tank Advisory
Certificate of On -Site Systems Approval # OSC211021
Subdivision: Valley View #1 Block:3, Lot: 1
907-343-7904
Fax: 343-7997
The septic tank for this property is 23 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
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Lot 2
/ 1
8493'0'
SCALE: V= 40'
Note: Asphalt location is approximate
due to snow and ice.
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of .' izabeth L alatka : , w
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AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described Iparty- LOT 1. BLOCK 3.
VALLEY VIEW _ESTATES ADDITION No, 1
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
Visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
EASEMENTS OF RECORD, OTHER THAN i this 14th day of December, 2020.
/ THOSE SHOWN ON THE RECORDED
lr / FRED WALATKA &ASSOCIATES, L.L.C.
PLAT ARE NOT SHOWN HEREON
UNLESS OTHERWISE NOTED.Engmeors and Surveyors
FB 20.7, pg 37-38 BE 907-24&1666
This drawing Is a representation or conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any Inaccuracies that a subsequent boundary survey may disclose. The Information This on this drawing shall not be used to
establish any fence. structure or other Improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walalka Is a violation of Federal Copyright law. Unless gross negligence Is discovered,
the liability extent of the preparer Is limited to the amount of fees collected for services in preparation of Utis product.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Service's Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1, GENERAL INFORMATION
Complete legal description
Lot 1; Block 3; Valley View Estates
Location (site address or directions) 25650 wt~ite Spruce Drive
,, "~""' "' · Eagle River, AK
?Prop,e.rty owne~ James & Jan Griffin
.. ;Mailing address . 4230 Folker Apt. A-102 Anchoraqe,
~ '; L'ending agency i"
* Mailing address:
Day phone
AK 99508
Day phone
562-0413
Aggnt
Address
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well Y3:X
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 X:xLX
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.
724325 (Rev. 1/91) Front MOA ~21
5. STATEMENT OF INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as of ~he validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein, I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
S & S ENGINEERING
Name of Firm 17~=4 £:-~!-- River 1 ..? ~oad No, 204 Phone (~ Cl ~q '" ,~?q -I ~
Eagle River, Alaska 99577
EngineePs signature -~--~' -,~/?'~ -.-~ Date '~ / / ~"/~/ ?
DHHS SIGNATURE
Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following 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 satisty certain federal and state requirements. Em ployees of DH HS 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 engineeCs work.
Legal Description:
Municipality of Anchorage ~vt~°~m~"''
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502. Anchorage, Alaska 99501. (907) 34~
Health Authority Approval Checklist
~, Parcel I, D,: ~
A. WELL DATA
Well type
Log present (~)
Total depth /--1/~
Sanitary seal gN)
If A, B, or C, attach ADEC letter· ADEC water system number
Date completed ~"%'? ' ~'' ~
Cased to /'~:~ / Casing height (above ground)
F~.~ Wires ProPerly protected ~1)
FROM WELL LOG AT INSPECTION
Dateoftest ~" ~ ~ ' ~ ~
Static water level ~~ ~ ~ /'
Well production ~ g.p.m. ~, /
Nitrate
WATER SAMPLE RESULTS:
Coliform
Date of sample:
g.p.m.
Collected by:
Other bacteria
B. SEPTIC/HOLDING TANK DATA
<:~ -~ :-~'~ Tank size
Date installed
Foundation cle, ar]ou~) F~.-~ Depression (Y/~ //~o High water alarm ('~)
Date of. P;~l~i~g'-' "· ~'v~"r .~1~ Pumper
..... FIELD "
C. ABSORPTION, DATA"
Dat~installed ~--~,~ ~. Soil rating (g.p.d./ff= or fF/bdrm) ~'~
Length ¢ /0 ~ Width ? Gravel thickness below pipe
Efecti;~a~sorption area ~.
Date of adeq'u;;y i;st"' '~
/~O Number of Compartmer~ts c'~ Cl~anouts ~_/,iXI)
System type '~'~"¢ f/
Total depth ~--~" !
Mo.itoring Tube present Depression over field
Results (Pass/Fail) For bedrooms
Fluid depth in absorption field before test (in.);
-- Immediately after --:-gal. water added (in.):
Fluid depth -- (ins) Minutes later:
/.
Peroxide treatment (past 12 months) (Y/N)
Absorption rate =
If yes, give date
g.p.d.
72-026 (Rev. 3/96)*
D. LIFT STATION S~ ~
Date installed
Manhole/Access (Y/N) ~1 at* "Pump off" level at* ~
High wate~ ~Datum
E. SEPARATION DISTANCES
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /Oc~ '¢'
On adjacent lots
On adjacent lots ~/OdJ
Public sewer manhole/cleanout Lift station ,.'M//
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation '/~ ~ (~ Property line /4) t~L AbsorC,~ion field ~/~ /'~
Water main/service line ,/c~ /~
Surface wateddrainage (/,¢4) '~ Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD, ON LOT TO:
'7
Property line / ~ Building foundation /(J
Water main/service line
Surface water ~/O ¢_) '~L
Driveway, parking/vehicle storage area
Curtain drain ,.4,,/~,,¢~ ,~'.,¢/,,w ,,'--/ Wells on 'adjacent lots ,'/OdJ
ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal record~~ are:',
Signatur~inc°nf°rmance withMO~.J-lA~g~uideli, nes,~_~~.~~..~/~y{ in effect on this date.
Engineers Name
Date ' ~/I ~'/~ ~ ~<~,~, CE ~Oi /~/.~
HAA Fee $ .~ L~2~' L'~
Dateo, Payment
Receipt Number ~'.'~, ~ '~- '"~ _/'~... C.~ ~-~
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
APPLIC ' IT FILLS OUT UPPER HAL - ONLY
Property Own$~ ~ames C. Foster
MailingAddre~ S-~ BOX 1735R Anchorage, AK ZipCode 344-7884
Buyer James M..Griffing and ~an M. Ferguson
Address Zip Code
Lending Institution Frontier Alasak Fed. Credit Union/ Cathy Phone
Address 3500 Eide. Anchorage, AK zip Code 563-3766
Phone
ReaUy co. & Agent Hearthside, Inc, Gallery of Homes
Mary Camichael, Agent
Zip Code
LegalDescription Lot 1, Block 3, Valley View Estates, Eagle River, ~
Street Locati~
Type of Resi~nce
Single Family
4
Water Supply
~lndividual A~ACH WELL LOG. A well log is required for all wells drilled since June 1975.
Community For wells drilJed prior to that date, give well depth (attach icg if available).
~ Public Utility
Sewer Disposal 198 3
~ Year Individual Installed:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
( ~/-~-APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
CONDITI NAL PPROVAL*
DATE
72-023 (3182)
Time.~'' Time .me
Date Date Date
Inspector Inspector Inspector
c°mme~sb~,,~ ?,,,~'o.c) - --' ~ ConditionaiApproval
~ ENVIRONMENTAL PROTECTION
SEP 8
R[CEIV[D
Date Sewer Installed Permit No. Septic Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner ~ ~, '~ Phone
Mailing Address
Buyer J~S M. ~iff~ ~d J~ M. F~
Address
Lending Institution ~nti~ ~a F~. ~t ~on/ ~y Phone
Address 3500 Eide, ~rage, ~. 563-3766
Realty Co. & Agent ~side, ~, ~1~ of I~s Phone
Address
603 W. ~or ~., ~o~, ~ 99503 563-3655
Legal Description ~t 1, BI~ 3,
Street Location
lype of Residence
~ Single Family
Q Multiple Family NO. of Bedrooms 4
Q Other
Water Supply '
~ Individual~ , A~ACH WELE LOG. A we~[ ~og is required for all wells dril;6d since June
~ Community ~n 1975. Eor wells drilled prior to tha~ date, give well depth (attach Icg if
~ Public Ut~t~~ available.)
Sewage D~sposal
~ Individual Year Individual Installed: 1983
~ Public Utility / When Connected to Public Utility:_
~ Holding Tank
NOTE: THE INSPECTION FEE ~UST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
September 14, 1983
James C. Foster
SRA ~3ox i735R
Anchorage, A~ 995
Subject: Lot 1, Bloc~. 3, Valley View Estateo
Eagle l{ive ~-,
Approval for the individual sewer and water facilities cannot
be granted until the following iten~s have been completed:
o A well log subm~tteu to this otfice for our files and
o Ex~3os~d e3ectrica] wires to the well head are in violahioa
~ ~- , '. .'[' . ', ~ ~ '~ ~ ~ ' and must be encase~
~z the l,lunlcxpa] ~ty of Anchorage codes ,
- in conduit.
o ~fhe water facilities were[not turned on at the time of the
~chedulefl ~nspectiou. Please call this office for another
ppointmen ~..
o The water pipe is allowing water to discharge on top of the
:ench, which is not acceptable to this department.
o The soils test will only allow the total depth of the
trench to be 8 feet yet the engineerfng as-builts show the
bottom of the trench to b? 9 fee[~ deep. There will need to
e a new soils test submi,zted allowing flor the new depth
before we can accer3t tl%e ensxn~.~r as-builts. Please ~on-
Please uotity this Departmenn zor a re~nsp=~ .... ' ' - ~ ~~
noted dlscr,~pancies bare been corrected~ If ,.here are any ~ ~
further questions, please call thxs o~t~ce at 26~-~720~
C~32/e3/~.
"ir ely
Cory Willis, t{.S.
Actin9 Sewer & :4ater
Program Manager
SepteJ:R}er 14~ 1993
SU}~Ji<CT~ I,ot t, ,..lock 3,
Valley Vic~w E:M~ates
which bare been s%~bmitted to this
office, are Dot withii~ the para~ieters o~ the o~-site
~it4~e<] en~i~eer as-buiits.
It yo%~ have any furth~'.r questions please " ~ .t' your
neeu~.n~ fir~a or this de~>artaen-.
Sincerely,
[~ ~ S ?~ngineers, Inc.
7125 Old Se%~ar~
Anchoraqe ~ Ah 995
