HomeMy WebLinkAboutVALLI VUE ESTATES #1 BLK 1 LT 3Valli Vue
Estates #1
Blk 1
Lot 3
#015-311-04
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241056 PID Number: 015-311-04
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
ANN & MALCOM FULLER
ABSORPTION FIELD - EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
6855 DOUBLE TREE COURT, ANCHORAGE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
GPDISF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
VALLI VUE ESTATES #1 1 3
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To', Septic Absorption Holding Sewer
Total absorption area
Number of trenches
Dist. between trenches
From Tank '� Field Lift Station Tank Line
Ft2
Ft.
i
Well 200'+. -- 25'+
TANK ® Septic [IS.T.E.P. ❑ Holding ElOther
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water 100'+' --
Material
HDPE
Number of compartments
2
Lot Line 1 Q'+ -- NA
Foundation 1 Q'+
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks DEEP BURIAL HDPE I PLASTIC TANK
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Installer JRS
Drainfield CO/MT 3034
Inspector FWCS
BENCH MARK (Assumed elevation) 100 ft
ection
Inspection 15' 5/20/24 d 5/21/244
Location and description
_.___.--_----------.... 2
3rd 4th
BOTTOM OF SIDING
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: Date
TH
-- ._ - --- -------- _ .....
.... . .........
Septic Syste
$ Curtis Huffman /
Approved - ,
�� �'F,' . CE 128991
�,
Date d�
r -
624 //6/•' c��
'• .. 24
OPROFESSi6A.�.'�'
Note: this approval does not include well permit requirements.
��`��.,�•�'*►
(Rev 05/02/18)
PID:015-311-04 PERMIT:OSP241056
FIRST WATER CONSULTING
VALLI VUE ESTATES #1, BLOCK 1, LOT 3
-- DOUBLE -------TREE _ COURT
THE INFORMATION HEREON IS FOR THE USE OF LENDIN6INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONIN6 ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN
HEREON ( UNLESS INDICATED)
NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
BY
IVOR OF
7-25-1952,
GE 87
ASEMENT
-CTRIC,
6, PAGE
EAST 10'
2-7-1984;
'AGE 235
o�����00
0 — OF q / %%%
a��P s�f-OG
TH*
49
oO 9N
SHANE A. HOLT
OQp P LS-6914
.....
Q4a10 6 o
Pofessionak _o
ASBUILTSURVEY I ff = 30`
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 3, BLOCK 1, VALLI VUE ESTATES NO. 1
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS _23 RD DAY OF
MAY , 2024
HOLT LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
223.8615
11874, FB 150-63 237-10
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241056
Work Type: SepticTank Upgrade
Tax Code Number: 01531104000
Site Legal Address: VALLI VUE ESTATES #1 BLK 1 LT 3 G:2539
Site Mailing Address: 6855 DOUBLE TREE CT, Anchorage
Owner: FULLER YVETTE ANN &
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
0
f�
Department
4/29/2024
4/29/2025
20002
❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
i
Reeeived--By: S 5yed 4o Date:
Issued By: ,f% Date:
Zq 2
3
MUHMPAU TV OF/L'\HC H o0 -D �\ G[E
L�
,=3
Development Services Department `,_ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-311-04
Property owner(s) YVETTE & MALCOLM FULLER Day phone
Mailing address 6855 DOUBLE TREE COURT, ANCHORAGE, AK 99507
Site address 6855 DOUBLE TREE COURT, ANCHORAGE, AK 99507
Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #1 BLOCK 1, LOT
Legal description (Township, Range & Section)
Lot Size 20,002 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) 0
(w/wo ADU)
Septic Tank
El
Upgrade El
Duplex (D) El
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 2.zs- Waiver Fees:
Date of Payment: v I Z/ 2v L Date of Payment:
Receipt Number: Receipt Number:
Permit No. _i)SP;2N 1056 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
April 19, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: VALLI VUE ESTATES #1 BLOCK 1, LOT 3
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic
tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank per the
attached design to serve the existing 4-bedroom residence. A 1500-gallon HDPE tank is to be
installed for current functionality and future consideration or flexibility. No groundwater was
noted in the MOA on-site file, but if groundwater is encountered during installation an epoxy
coated steel septic tank may be required. The lot and area are served by public/community water
and any encroaching wells, easements, … must be staked prior to construction. The design will
not impact any of the neighboring properties. Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241056, Deb Wockenfuss, 04/29/24
FIRST WATER CONSULTING
NO WELLS WITHIN
200' OF PROPOSED
SEPTIC TANK
VALLI VUE ESTATES #1, BLOCK 1, LOT 3
DESIGN DETAILS:
NO KNOWN
GROUNDWATER.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241056, Deb Wockenfuss, 04/29/24
GRU--�r,,R ANCHORAGE AREA BOV"WH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME '�TEYCG�lS/ MAILING ADDRESS 'SDK 36Z: -S 9 /�A)r.H PHONE
LOCATION /0 wzlL V �• 1-7'eaq LEGAL DESCRIPTION 10r 3 Val-"
SEPTIC TANK:
DISTANCE qq,�,,,,,,,,__ ��,,� uL l9oq,-5D NUMBER OF
FROM WELL ml2k. MANUFACTURER MATERIAL �'2� COMPARTMENTS /
INSIDE LENGTH ` INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 1�; O GALLONS.
SEEPAGE PIT:
r r i
NUMBER OF PITS DIAMETER — OR WIDTH/Z- , LENGTV , DEPTH 9
LINING MATERIAL 40113(601e- CRIB SIZE: DIAMETER -y /DEPTH d / DISTANCE FROM: WELL LVr
hl
/ TOTAL EFFECTIVE
BUILDING FOUNDATION, NEAREST LOT LINE " ABSORPTION AREA (WALL AREA) ,-1-ff SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
Ll
BUILDING NEAREST
FOUNDATION—,LOT LINE
DEPTH
NEAREST SEPTIC
SEWER LINE—,TANK-
DISTANCE FROM:
SEEPAGE
SYSTEM -
CESSPOOL ,e OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:DIAGRAM OF SYSTEM
INSTALLED BY:
J ✓ ed vice
PIPE MATERIAL: LW 0 /14%n
�0
�I
/2 a /Y •,�` .ail"L
I/aeJr 64
LOT SLOPE:
REMARKS:-�T&A r-
`/ ai.[m
U
DATE��,, . /g7 APPROVED
G.A.A.B.
Form No. EQ -031
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PERMIT NO. --
4,+m nrt
SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT
NAME OF APPLICANT Sy�f MApILyI�NG/ ADDRESS � PH NE
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK SEEPAGE
PIT_ DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED��y/
FINANCED THROUGH �j TO BE INSTALLED BY
SOIL TEST RESULTS O� / �y 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(-�` TYPE _L�Gs d��/ SEEPAGE AREA SIZE �C �Z� TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
d/
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT �O / DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK. SEEPAGE PIT -212 DRAIN FIELD
TO NEAREST LOT LINE
WELL TO SEPTIC TANK T� SEEPAGE PIT —•
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK / SEEPAGE PIT
DRAIN FIELD .
SEPTIC TANK,/ "-�. SEEPAGE PIT /DRAIN FIELD
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 BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
BOROUGH ORDINANCE NO. 2868 AND THAT THE ABOVE
�1
GREATER ANCHORAGL AREA BOROUGH
DEPARTMENT OF ENYTRONMENTAL QUA.L.TTY Case #
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed FortQ'-'Cz_ ! �I, , Dated Performed
Legal Description: Lot Block 1 _Subdivision 7,LCGc-2J«._
This Form Reports Soils Log_ d__ I __Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System
Depth
Feet Soil Characteristics
1— (l (un 5 0 i
2-
3-
4-
5-
6-
7-
8-
9-
10-
11
12-
13-
14—
Was
-3-
4-
5-
6-
7—B-
9-
10-
1112-
13-
14—
Was Ground Water Encountered? )ia
If Yes, At What Depth?
S/
Op
F
%adann M NIP
Percolation Rate Minute
Proposed Installation: Seepage Pi!t Drain Field
Depth of Inlet _ _ __Depth to Bottom of pit or Trencfi —
COMMENTS:
Test Performed _Date Certified BY:
Date:
Reading
Date
Gross Time
Net Time
Depth to H2O
Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pi!t Drain Field
Depth of Inlet _ _ __Depth to Bottom of pit or Trencfi —
COMMENTS:
Test Performed _Date Certified BY:
Date:
MUNICIPALITY OF ANCHORAGE
Development Services Department �., = _ ", Phone: 907-343-7904
On -Site Water & Wastewater Section ���' Fax: 907-343-7997
Parcel I.D. 015-311-04
Certificate of On -Site Systems Approval
Expiration Date: 5/21 /2025
Legal description VALLI VUE ESTATES #1 BLK 1 LT 3
Site address 6855 DOUBLE TREE CT Anchorage AK
Current property owner(s)
ANN & EARL FULLER
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 6/17/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 015-311-04
Complete legal description VALLI VUE ESTATES #1 BLOCK 1, LOT 3
Location (site address) 6855 DOUBLE TREE COURT, ANCHORAGE, AK 99507
Current property owner(s) ANN & EARL FULLER Day phone
2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units 0 Community Well or Public
❑ water Storage
4. TYPE OF WASTEWATER DISPOSAL: Z Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel M Plastic ❑ Concrete ❑ Fiberglass
Age NEW - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench N Seepage Pit
Waiver request for:
Expedited review requested: ❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $
Date of Payment
COSA # QeC 'aLk 11
Waiver Fee $
Date of Payment
Waiver #
COSA Application.doc
COSA Checklist copy.docx
COSA Checklist
Legal Description: VALLI VUE ESTATES #1 BLOCK 1, LOT 3 Parcel ID: 015-311-04
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA - PUBLIC &/OR CLASS “A” WATER
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.
Well production at time of test gpm
Water storage tank volume NA gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank NA
Date of pumping NEW TANK
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 9/10/1974
ALL standpipes present per record drawing
Total measured depth from grade 10.3 ft (max)
Measured depth to pipe invert from grade *4.5 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective (ED).
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced 2000 gallons 4/15/24 date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 4/16/2024
Results Pass
Fluid depth prior to test 30 in
Water added 650 gal
New fluid depth 55 in
Elapsed time 1390 min
Final fluid depth 30 in
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 72in (MOA 6’ ED)
Effective depth used 32 in (Missing ED + Final Fluid Depth)
Effective depth remaining 40 in
Comments/Deficiencies: Approximate total measured depths from existing grade. * Invert & ED per measured shots from
top of crib to bottom of crib and appears approximately 0.2’ or 2” ED is missing.
COSA Checklist copy.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 6/6/2024
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
6/6/24
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650 d/
Anchorage, AK 99519-6650 ,
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-311-04 COSA# t 1 �yC� aS Cy��11
1. GENERAL INFORMATION Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
6855 DOUBLE TREE COURT * ANCHORAGE. AK * 99507
JAY LIGGETf Day phone 346-9440
6855 DOUBLE TREE COURT * ANCHORAGE, AK * 99507
Day phone
Real Estate Agent CLAIR RAMSEY W/ DYNAMIC Day phone 261-7552
Mailing address 3111 C STREET * ANCHORAGE, AK * 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class A Well
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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 ENGINEERING GROUP, Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date
Engineer's Comments:
in conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system.will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal tight whatsoever.
5. DSD SIGNATURE IG
Approved for
Disapproved.
Conditional approval for
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
bedrooms.
bedrooms, with the following stipulations:
By:
(Rev. 1 V05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
• Development Services Department g
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: VALLI VUE S/D #1; BLOCK 1, LOT 3 ParcellD: 015-311-04
A. WELL DATA ICOMMUNITY WATER
Well type COMMUNITY If A, B, or C provide PWSID# 210605 Well Log (YIN)
Date completed Sanitary seal (Y/N)_ Wires properly protected (Y/N
Total depth ft. Cased to ft. Casing height (abo rouhd) in.
FROM WELL LOG AT I CTION
Date of test
Static water level ft. ft.
Well production
WATER SAMPLE
Coliform colonies/100 ml. Nitrate mg./L. Collected by:
emc: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA *INSIDE HOUSE
Tank Type/Material SEPTIC/STEEL Date installed 9/10/1974
Tank size 1250 gal. Number of Compartments
Foundation cleanout (Y/N) *YES Depression over tank (Y/N) 12
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
Date of pumping 6/16/2011 Pumper ISAACS PUMPING
C. ABSORPTION FIELD DATA
Date installed 9/10/1974 Soil rating (g.p.d./ft`or /bdrm 85 System type SEEPAGE PIT
Length 12 ft. Width 12 ft. Gravel below pipe 6 ft.
Total depth *10.75 ft. Eff. absorption area 288 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 9/15/2012 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test3s in. Water added **620 gal. New depth **43 in.
Elapsed Time: = min. Final fluid depth **43 in. Absorption rate >= 450+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**LAST 490 GALLONS CAUSED NO RISE IN LIQUID LEVEL. DRAINFIELD ABSORBED OVER 490 GALLONS DURING TEST.
D. LIFT STATION
Date installed Size in gallons�.�Highwatercalearsm(yle�vel
cs
"Pump on" level at in. "Pump off' level
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on
Public sewer main
Sewer /septic service
areas
On adjacent lots
On adjacent lots
manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
10'+
Building foundation
10'+
Water main 10'+
Water service line
10'+
Surface water
100'+
Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION 01F
i certify that t have determined through field inspections and *%' y n
review of Municipal records that the above systems are in b
conformance with MOA COSA guidelines in effect on this....... ... _ .. , , , .
f
date. �
QO � �.J f A. G rness.•
JEFFREY A. GARNESS Q a CE -79513 ` m�
Engineer's Printed Name
00 �Pd .�.� coo
Date � Z 40�p Orofesslo
COSA Fee $ 4a0>cJ
Date of Payment X19,
Receipt Number M47A ��
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number
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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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # C I S - 3 +/ - e cf HAA #
1. GENERAL INFORMATION
Complete legal description Lot 3; Block 1; Valli Vue Estates
Location (site address or directions) 6855 Double Tree Court
Anchorage, AK
Property owner
tike Kyrias
Day
phone 346-1620
Mailing address
6855 Double Tree Court
Anchorage,
AK 99516
Lending agency
Mailing address.
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
Day phone
Day phone
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) FlOnt 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 this inspection.
Name of FirmS-& S -ENGINEERING Phone 6 C1 tl 7
Address 17034 Eagle River Loop Road No. 204
Engineer's signature
6. DHHS SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Conditional approval for
Additional Comments
By:
Date -7 /19/q6
OF
T•ROBERT C. COWA,Y•��-
1. "� • : '�•� �
bedrooms, with the following stipulations:
Date g —2
'T'he 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.
72-05(Rev. V91( Beck MOA p1
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
Municipality of Anchorage JUL 19 1996
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division P Y E p dh
825 L Street, Room 502 • Anchorage, Alaska 99501 • (90) 4 4
Health Authority Approval Checklist
Legal Description: G�� 3 Q�Gf.� / VA4r Parcell.D.:
A. WELL DATA
Well type If A, B, or C, 'attact ADEC letter. ADEC Water system number +1 I b O 5 -
Log present (Y/N) ,/1✓- Date completed /Z= //
Total depth Cased to /V' Casing height (above ground)
Sanitary seal (Y/N) ✓� A' Wires properly protected (YIN) 141
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production X/ A g.p.m. 9.p -m.
WATER SAMPLE RESULTS:
Coliform /✓ /i. Nitrate �Al, f} - Other bacteria If
Date of sample: �A, Collected by: �•
B EPTI OLDING TANK DATA
Date installed �- %V Tank size/L.S-G 6itG. Number of Compartments Cleanouts � i�; _-
Foundation
Foundation cleanout (Y6P n� 4 Depression (Y/L ^l0 High water alarm (Y/99 N 0
Date of Pumping y'Zyjj� Pumper /�-� 110-4'
C. ABSOROTION FIELD DATA
Date installed g -161 Soil rating (g.p.d./ff2 or /tidr 97 / System type G��G?
Length Width ` /47- Gravel thickness below pipe �/ / Total depth
Effective absorption area �- Monitoring Tube present A)S Depression over field (Y/IW
G
Date of adequacy test x'17 ' i011 Results as /Fail) P.fsS For 3 bedrooms
Fluid depth in absorption field before test (in.); /4�' Immediately afters'/O gal. water added (in.): W
Fluid depth / r. (ins) Minutes later. Absorption rate = � g.p.d.
Peroxide treatment (past 12 months) (Y/tQ1✓01V f If yes, give date /�/ • 4 •
72-026 (Rev. 3/96)*
D. LIFT ST
Date installed
Manhole/Access (Y/N)
High water alarm level
E. SEPARATION DISTANCES
*Datum
Size
"Pump off" level at*
SEPARATION DISTANCES FROM WELL ON LOT TO:
eptic Idling tank on lot
//�
On adjacent lots
Absorption field on lot
All
On adjacent lots i
Public sewer main
iy
Public sewer manhole/cleanout
Sewer/septic service line
41,1-1
Lift station /z
SEPARATION DISTANCES FROM � �PT /HOLDING TANK ON LOTTO:
Foundation �� �� Property line / Absorption field
Water main/service line 1� Surface water/drainage ^%7 '7� Wells on adjacent lots 2(90
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line 0 Building foundation /O f Water main/service line A/-
Surface water�CJr1 Driveway, parking/vehicle storage area
Curtain drain �'�� �� Alla wh' Wells on adjacent lots �;,o (-7
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal records
��systems are
In conformance with H uidelin in effect on this date. y�Q �:•• <`fS st
Signature rE 7fi� �
A 5
Engineer's Name lCCT- C6t✓qri '" »L P
Date -7 fol ROBERT C. COWAN
1. % CE -8801
HAA Fee $r�� Ciz)
Date of Payment 7/17/7,C,
Receipt Number.(.
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
a
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
T,nt-. 3. Block 1, Valli Vue Estates
November 11, 1985
Location (address or directions)
6855 Double Tree Court
(b) Applicant Name Nancy Bodwell Telephone: Home Business
Applicant Address 6855 Double Tree Court, Anchorage, Alaska
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution
(e)
Address
Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following
2. TYPE OF RESIDENCE
Single-FamilyZI Multi -Family ❑ Other
Number of Bedrooms 3
Telephone
3. WATER SUPPLY
Individual Well ❑ Community K1 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 ® Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
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 Firm QUADRA Engineering, Inc. Telephone 276-3770
Address 401 East Fireweed Lane, Anchorage, Alaska 99503
Date
1985
DHEP APPROVyA-LL
Approved for w bedrooms byy Y9kDate
Approved _ Disapproved Conditional
Terms of Conditional Approval
CAUTION
Engineer's Seal
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
7t-695 111/841
i
MUNIGPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH &
HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION
CHECKLIST - FEBRUARY 1984 NOV 12 Off
264-4720
Legal Description: Lot 3, Bloc1�t'.CI,�Cn
Valli Vue E
A. WELLDATA – COMMUNITY WATER SYSTEM
Well Classification Community If A, B, C,. D.E.C. Approved (Y/N) Y
Well Log Present (Y/N) Date Completed Yield
Total Depth
Static Water Level
Cased to
Casing Height Above Ground —
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N) —
Depression Around Wellhead (Y/N)
To Septic/Holding Tank on Lot 200'+ On Adjoining Lots N/A
To Nearest Edge of Absorption Field on Lot 200'+ On Adjoining Lots 200'+
To Nearest Public Sewer Line N/A To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot
Water Sample Collected by Alan Haral_a-1 Date November 7, 1985
Water Sample Test Results `
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed 9/10/74 Size 1250 No. of Compartments 1
Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) N
Depression over Tank (Y/N) N Date Last Pumped November 4, 1985
Pumping/Maintenance Contract on File (Y/N) N ; for
Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well 200'+ 10'
To Property Line 40 +
To Water Main/Service Line 30'+
Course 00'-+
Comments
Page 1 oft
72-026(11/84)
To Building Foundation
To Disposal Field 18'
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 85 SF/BR Type of System Design Seepage Pit
Date Installed Sept • 10, 1974 Length of Field 12'
Widthof Field a Depth of Field 9
Gravel Bed Thickness 6'
Square Feet of Absorption Area 288 Standpipes Present (Y/N) Y
Depression over Field (Y/N) N Date of Last Adequacy Test November 6, 1985
Results of Last Adequacy Test Satisfactory
Separation Distance from Absorption Field:
To Water -Supply Well 2001+ To Property Line 20'
To Building Foundation 38 To Existing or Abandoned System on
Lot
To Water Main/Service Line
30'+
To Stream/Pond/Lake/or Major Drainage Course _
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installed N/A
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) _
Comments
On Adjoining Lots
To Cutbank (if present)
100'+
a
— Dimensions
Manhole/Access (Y/N)
"Pump Off' Level at
Vent(Y/N)
0
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify .t,haat1 h ve c eckeo, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed,r 4dt4W)�— Date November 11, 1985
Company QUADRA EngineerinIgOA No. ST85-199
Receipt No. /is' OF A4
DateofPayment f�'�d-�� FmC�•`���°'°a„°°°�
Amount:$ ( ° N ° a Engineer's Seal
CcJ ®�'��Y97 �.�� aof:<�J
0 40°�1°oo l`ao•aap°°a°Oo°O°aoCso o /t
Page 2 of 2
72-02e (1 1/84)
Michael E. Anderson' iV
4381-E_`;`"�
"'Y0FESSION�
401 E. FIREWEED LANE
ANCHORAGE, ALASKA 99503-2197
(907) 276-3770
JOB zz" -� � .l�f�'GL.� [/!JE �'T-f1E6
SHEET NO. OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE e 30 f
Time's—� -_
Time
is
Date
Date
Date
4A—,,,dl
Inspector
Inspector
Inspector
Comments
Conditional Approval
w, i.
Date Sewer Installed
Permit No.
Septic Tank Size r tr- 0
q— I
',
Holding Tank Size
Soils Rating
Well To Absorption Area
Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner James M. Nesbitt, Jr.
Phone
Mailing Address
344-7400
Address
Lending Institution - - o..�
4/1 _ - �ux-6-- r'^""
Phone
Address(_. /
,1-,,
Realty Co. & Agent
Totem Realty, Inc.
�2r�,�%°_>� i,.f _
Phone
-
ddress 724 E. 15th Avenue Anchorage,
_
Alakka 99501
Legal Description Lot 3, Block 1 Valli Vue
Fmtntes
Street Location 6855 Doubletree Court
Type of Residence
N Single Family
-
3
ED Multiple Family No. of Bedrooms
O Other
Water Supply
tR Individual
ATTACH WELL. LOG. A well log is required for all wells drilled since June
W Community -
1975. For wells drilled prior to that date, give well depth (attach log if
❑ Public Utility -
available.
Sewage Disposal
M Individual -
Year -Individual Installed:
❑ Public Utility -
When: Connected to Public Utility:
El Holding Holdin Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
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6s NOTES:
1. Flevation datum assumed.
a' 0
D-�L �S 2= loon 00 88 PA
0
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c_ OOP A=-- -
SURVEYOR'S CERTIFICATE
I hereby certify that I have surveyed the
follnainp, described oronerty: 1_01' 3 BLOCK 1
VALLI VUE ESTATES UNIT #1 Anchoratce Record-
ing Precinct, Alaska, and that the relative
existing elevations are as shown hereon.
(late Stanley E. Sears, R.L.S.
2. Record information taken
from City Grid #2539.
3. Pronosed elevations
A. Ton of foundation 850.0
B. Slab 842.1
PROPOSED BUILDING LOCATION
2 It is the contractor's resnon-
sibility to check Top of Foun-
dation in relation to Finish
Grade.
LEGEND:
as Fnd. Brass Cap Monument
Fnd. 5/8"Rebar
0 Set 5/8" x 30" Rebar
with Sury Kap
,
�.......:,d,�•:1 1914
V
r
P " r�Ll, , r I_ f 1 .. �✓
Pl_OT PI - NN
of
Loo 3 BLOCKI VALLI_VU6_
P5TA-rE-S -(1 N I -r- NQ Z
SEARS, SC14WE7Tz-EA h)VD 'A$SOCIA7E'5
Rhe ,s--ered L And Survelf O rS
fh06 Mar -F-�n Sf-'ec-/-
Rrjc. a<e., Alas✓Ea 99504-
D&7r 24An-+173 RID i:�/CLD Bk' 13 fxj 5-9
5CA,LE1'1 - 4b' 253. 2.5391V'IORIG Of% 74-Z3Of% 74-Z-3
ALASKA 611UIR011R1 NAL C011TROL SCRUICCs, Inc.
En9ineerin9 & Enuironmental Studies
Fkp/1
5/19/82 i�
r RA
TOTEM -REALTY -/-VIOLET HULCE 6��®
CC
. _.
6855_DOUBLE TREE COURT'
ANCHORAGE AK S14507---
SELLER
9567
SELLER - DR JIM NESBITT BUYER -MIKE CASE
SUBDIVISION -V VUE BLOCK -1 LOT -3
(DOj-L,, (-) lie °cc,�lu eo
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 288 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 670 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 5/19/82 .
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
oy C. Reid, Jr.
No. 2251E _:
1220 best 25th Auenue • Anchorage, Alaska 99503 9 (907) 276-1361
May 20, 1932
James M- Nesbitt, Jr.
C/o Totem Realty, Inc.
violet Hulce
724 S. 15th Ave.
Anchora0e, AK0 501
Subject: Lot 3 Flock 1 Valli vue Estates
roval
items
beppgrantedountitl the individual
folloti.ng and
water facilities cannot
g have been coml�7.eted:
The septic tank pumped with
department. a receipt submitted to this
° An adequacy test needs to be Performed on the existing
leaching area. This
adequate accord,test will determine if the system is
ng to National Standards. A listingof
private firms performing the test is enclosed.
needs to be submitted to this This report
oEf.ice for our. revThi.
Please notify this Department for a reinspection when the
noted discrepanci-es have been corrected. If there are any
further questions, Please call this office at 264_4720.
Sincerely,
Robert C. Pratt
Associate Environmental specialist
Enclosure
RP 111 /p/ EIi