HomeMy WebLinkAboutVALLI VUE ESTATES #1 BLK 1 LT 11 ..~. ~ MUNICIPALITY OF ANCHORAGE ~'~
D[ RTMENT OF HEALTH AND HUMAN SER :ES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name J~( DISTANCES
^dd'essJ~ l:~ ,,~, ~ ~ SEPTIC ABSORPTION
~/2 ~ ~ ~ ~O ~/' ~ ~' ~ AS-BUILT DIAGRAM (Show Iocat,on of well, septic system, property hnes. foundat,on.
TANKS N
~ SEPTIC ~ HOLDING
Material No. of Compa~men[s
TYPE OF SYSTEM
~TRENCH ~ BED ~ W. DRAIN ~OTHER
Depth to p~pe bottom from Total depth from odginal grade
or,ginal grade ~' '~- FT ~ FT
F,II added above odg,nal 9rade Gravel depth beneath p, pe ~ /
T°talabsorph°narea ~ S" ET Oistance between fines -- FT ~ C ~'
~ P~WATE ~ OTHE~ ~denU~v~
Cl~ssIhcahon (A,B,C) ~ ~,o~pg' Cased ~0
~EMA~KS:
Scale: ;
ENGINEER'S SEAL
InspecSons PeHormeO by:
~unicipalandSlateg ' einesi cl t' dale: : ~ , '] t ~ ~ ~,
Health Depadment Approval: ~ Date:
72-013 (3/85)
L[:i. GAI.. DI ]SCF,' i F:' ~ SL!BD ][ V I S I [iN ~ VALI.. ~ VUE L,O]' ~
SI~!:CTION: :i4 TOWNSHIP: :!.2N RANGE: 3W
!.Of S:i:ZiL;: :i.~ ()A (liQ,, !'::i ,,OR ACRES)
fc)t'!.i'i by 'i:.l]~::, MLUi;ic:i.l:iality c:,F Anc:i'!oi-'~':ge (MOA) arid the State of A:l.a~M.::a~
:2.,: ! z4;i,]], ;i.n.i::i'l:aJ.J. 'l:.h~ syst.~:z,m in a(:::c:cipdaric:e I~:i.'LJ] ail I1CIA
:2,,. :i: ,..~:i,J.]. a(::il'i(~",e:~ Lo ali MOA a!'i(::l S'La'L~,) c:~i' ~:l][at~i[::a p~::~qLl:[l~eii!~;}:~i']'L[[~ i'l::ir' 'i:.h~]! ~[i~i~'.)t. bac:k
dJs'Lanc(:~s Fr'om any (-:~x:i.s'LinEt ~,~e].:!., wastewa'Lep d:i. spc:,sa], system oP public
I. ,: ~ ~,l...u.c,[/. ~ ~,~ AREA
~-d'~ COVIEF/ED MOA BU :I:I._D i NG
,~::~'~ (]) Ai,! ~I.I~],:IFercAI.. ! .. Il. ~ .... ....... [,CllL,,~ rh.~:~l FF' l,)~",,1 ..hI. NI:::.L~ (;Z) ~,.~ .... I.l. LI ....
........... ¢¢.! ...... 4..,! Ah.! ,..~..c:.~.,!l,,.I.E,(!.... ..,N,siI.L,[.i.~,m r~l::.t-Lh.t!i (,.qL, (;~) II~E
:::[ J::' '~:; ]:(..~(~i.. ~'i'!c:'~''' "" "-' '"-'~'.
....... -.. -._h::~ ~ BIE DDNIE :(:;:Y~:1 I...I ~.Jr:.N.:::~,:::D El, [:]2'I i::;: 'I' [; T [:.N ..
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P.O. SOX 6650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850463
Lot 1i Block 1Valli Vue Estates Subdivision #1
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to t~is
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation~
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
eno: Copy of Permit
DEF:'ARTMENT GF HEALTH AND ENVIRONMENTAL PROTECTION
$25 L STREET, ANCHORAGE, Al< 99501
264-4720
C.~ ~"'.l --. L_=i ]E 'T F] S E l¢,J E. ~'-.. F' E] F~ li'~J 3:
F:'ERM I T NG: G~¢t:~4.6.:,
DA'I-E I SSIJEI): (_1 7/..], .~/8~.,
APPLICAN F:
ADDRESS:
CONTAC I' F'HONE::
C/O GEOLAB CHUCK CROf¢
1131 :-:' 76TH ~101
ANCHORAGE, ~AK 99518
.... 44 8 .. 4,=
L. EGAL DESCRIP: SUBDIVISION.- VALL. IVUE ESTATES ~1 LOT:
SECTION: t4 TOWNSHIP: 12N RANGE: 5W
L..GT SIZE: lA (GQ.FT. [IR ACRES)
MAX BEDROOMS: 4
BLOCK: i
Lis'Led below ape the options available to you
system. Choos'e the option tha'L best Fits your
in designing your septic
site.
-F'REI'4C~-~ ]FJED W. Dr";.'A I I~[
DEPTH "FI: PIPE BOTI-OM (FT.) 5.0 ~'~ 4.5 5.0
GRAVEl._ DEPTH (FT.) 6.0 0.5 3.0
TGTAL DEPTH (FT.) 9.0 5.0 8.0
GRAVEL WIDTH (FI-.) 2.5 :[6.0 5.0
GRAVEL LENGTH (FT,) 55.0 32.0 40.0
GRAVE:[ VOLUME (CU.YDS.) 19.9 19.0 26.0
]'ANK SIZE (GAl_S) 1,250.0 ** 1,250~0 *~ 1,250.0 **'
SOIL RATING (SQ. FT. /BR) 99 85 85
~ DEF'TH -I"0 F'IPE BOTTOM 4...'~'.,J=' FT. R='QUIRES_ . . INSULATION
~ DEPTH TO PIPE BOTTOM <' 4.() FT. MAY REQUIRE A LIFT S'f'ATION
-~ 'f'ANK MUST NAVE AT LEAST TWO COMPARTMENTS
certiIv that:
t.. I am Familiar.with the requirements for on-site sewer, s and wells as ses.
For'th by the Municipality oI Anchorage (MOA) and the ~C~tate oI AIaska.
2.. I will install the system in accordance wi'Lh all MGA codes ano regulations,
and in compliance with the design criteria of th:is permit.
:~. I wil] adhere to all MOA and State of Alaska requirements For the se~. back
distances From any existing well,, wastewater disposal system of public
sewerage system od this or any acjacent or nearby Lot.
4. I under, stand tha'[ this permit, is va].id For a maximum o¢ 4 bedrooms and
any enlargement will require an additional per'mit.
IF: A
I"HEN
WILl..
EELE[;TRI CAL
,.~ 1GNED
AF'PL I CANT:
ISSUED BY
LIF:'T STATION IS INSTAL. LED IN AN AREA COVERED BY MOA BUII._DING CODES,
(1) AN ELECTRICAt. PERMIT AND INSF'ECTION MUST BE OBTAINED; (2) AG-BOILTS
NOT BE '~PPROVED WITNOLJT AN EI_ECTRICAI_ INSPECTION REPORT; AND (3) TNE
WORI.::] dUST BE DONE BY A _ICENSED ELECTRICIAN.
~~ .......................................... DATE.: 0 /'~ /~
C/O GEOLAB C~IUCI< CROFi
LEGAL DESCRIPTION:
OL
1
3
4
5
6
'7
8-
9-
10.
11
13-
14-
15
16
17
18
19
20
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
.j/4/~,~ ~/~/~./frownship, Range,
SLOPE
WAS GROUND WATER ~-~.¢~
//c~
ENCOUNTERED?
IF YES, AT WHAT ~-
Depth lo Water ADer
Monitoring? Dale:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop~
PERCOLATION RATE
(minutes/inch) PERC HOLE DIAMETER __
.G PiO~J'A B, Inc.
- l131.E.' ?6%h Ave.
Anchorage, Alaska
344-8042
SOIl_ LOG
PERCOLATION TEST
PERCOLATION
TEST
-~- BEDROOMS
PERFORMED FOR;__,
LEGAL DESCRIPTION:
5
6
?
8
9
JOB NUMBER:
SLOPE SITE PLAN
/~,~ ~/3,~ w
ff~e' ZZ. /' .. ~WAS GROUND WATER
~/ ~. ~ a¢~e ...........
~7 ................................ ~_~ ..................
.......................... {m;nulestinch)
TEST RUN BETWEEN . ._~ ___ FTAND_ ./¢:__ -- Ff ';' '
PERFORMED BY: <~~- : ...... CERTIFIED BY: ......................... Z_.' ...... DATE:
ALASKA eildRODmeDTAL CODTROL $ RuIC S, IDC.
~ncline~rin~ $ Enuironmenlol Sluclies
SPECIFICATIONS FOR BED WASTEWATER TREATMEN: SYSTEM
LEGAL DESCRIPTION! VtLTEv VUE ~TA~S BLOCK 1, LOT ~I
2 . 0 ~N~RA~
~ 1 TBe drawings, sheets ! throug! 4, shall be part )f this spe. cifioatJon.
1,2
1,4
2,0
2.1
2.2
2.3
2.4
2,5
All materials and workmanship shall meet the requirements of 'tile
,'4unicipai~t~ of Anchorage, Deparlment of Health & Human Services (DHHS),
tile conditions of the permit, and all applicable rules and regulations
currently in effect.
All excava[5oas and depths are advisory, and are to be verified or
,nodt~,~ed in tile field by the Engineer or inspecting agency.
It is the responsibility of 'tile owner or installer to adhere 'to approved
design for the installation, to maintain the specified separation
distances and 'to have the appropriate inspections.
If the installation is not inspected by an AECS engineer, AECS wii] not be
responsible for the instal]ed syetem. An engineer al: AECS should be
consulted prior to construction, to determine tile number of inspections
that will be requiz'ed and. to explain what these inspections will involve.
Septic T,.n:.
The existing septic tank may be used, if it meets the capacit,V requirement
for the residence aim tile approval of DHHS. if not, thenspecie' '~'1 Ca ~'t, lnns
2.~ througl 2.8 apply,
The septic tank shall he a UPC Approved two compartment tank, constructed
of 12-gauge steel with hitumastic coating and set level on undisturbed
soil. If the tank is buried at a depth of ~ feet or less, it must be
insulated with an overlying layer of 2 inch burial type po]ystyreue
rigid board insulation.
The septic tank shall be a minimum of 5 feet from the house foundation,
and a minJnlum of 5 feet from the absorption area,
The septic tank and bed shall be a minimum of 100 feet from any private
well or body of water, 150 feet from Class C wet]s, and 200 feet from
Cla~ A or B wells, unless otherwise specified. Less than the required
separation distance must have prior approval or waiver by DHHS or Alaska
Department of Enviranmenhat Conservation (ADEC).
Piping shall be fitted with a mechanical watertight calder coupling on the
outlet e. nd in]et of the septic task. The ]ids nmst be sealed and
watertight. Piping shall be 4-inch solid PVC ASTM D3034 or cast iron,
siaped a mintmum of i/4 inch per lineal foot. If the pipin~ is buried a~ a
depth of 4 feet or !ess, Jt must be insulated w~th an overlyin~ layer of 2
2.6
3.0
3.2
3.3
3.4
3.5
3.7
3.8
inch burial type polyshrene rigid board inenlal-[on.
Cieanouts shall be imsta!!ed as designated and capped with air-tight rain
caps (Ji!n caps or equivalent), and extend a minimum of I foot above
ground level.
Seepage Bed
The sand shall have an effective size of 0.4 to 0.6 MM and a uniformity
coefficent of not more tban ~.
The gravel for the bed shall be 0.5 to 2.5 inch, screened rock with less
tha~ 8% Dassiag ~200 sieve residual. All substitutes must have prior
DHHS approval.
The bottom of tbe excavation shall be level and raked with the backhoe
blade to insure that the bottom has not been compacLed during excavation.
The distribution pipe shall be perforated 4-inch rigid PVC witb a minimam
crush strength of 1500 pouads and shall meet the approval of DHHS for use
as drainfield pipe. Ail pipes shall be !aid level, sad spaced according
to the drawings,
bIonitor sLaudpipes simll be placed as shown in the drawings. They shall
be 4-inch rigid PVC ASTM D 8084, or cast iron. The section shows with
holes may be either drilled 0.5 inch boles on 6 inch centers on opposing
sides of the pipe, or a section of regular perforated sewer pipe may be
clamped to tbe solid section with a no-hub coupling or solvent joint.
Perforated section shall be located in gravel only. The portion of pipe
above the sewer rock shall be soiJd. A rubber raincap (Jim Cap or
equivaleat) shall be placed over the top of the pipe,
If the final grade over the bed Js less than 4 feet above the gravol,
insulation is required, usiag burial type potystene rigid board
insulation. There shall be 1 inch of imsulation for every foot of soil
less than the required 4 feet of cover, but there must be at least 2a
inches of soil even though insulation is used. The solid pipe extending
from the septic task to the drainfieid shall also have 4 feet of cover or
an equivaicmt layer of insulation combined with soil,
If insulation is not necessary, then the gravel must be covered with a
layer of a nonwoven fabric (such as Mirafai, FibreLex 200 grade,
Poly Filter X, or eqniva]ent).
The top and sides of the bed shall be planted mith a white clover and red
fescue m~x or blue grass.
4,0 Inspections
This bed wilt ~eqaire a minimum of three inspectioas. The first
inspection will be of the open excavation, to assure that the systei~ is
installed in hhe proper soil strata, correct depth and meet i~inimum
specified design parameters.
4.2 The :~econd inspection will be performed after sand fill is installed,
but pti. or to placement of gravel and distribution pipes. This inspection
will verify that the :filler is properly installed, that it meets
specifications and that it fulfills the intention of the design.
4,3 The [hird inspection will be after placement of gravel,
standpipes, and dJstributiou pipe, to verify proper installation and
position of pipes prior to backfill.
4.4
The inspection of the septic tank iastaliation can be incorporated with
aa¥ one of the above listed inspections.
ALASKA ENVIRONMENTAL JOb /../I gl Va/~, l'"'~ ~'r/.~ ~ /
CONTROL SERVICF~,INC. /,,~, ,/,
1200 West 33rd Avenue. SUite B SHEETNO.* ' OF
ANCHORAGE, ALASKA 99503 CALCULATED BY ~' ~'~'~' '~ DATE
(907) 561-5040
CHECKED BY DATE
SCALE
ALASKA ENVIRONMENTAL Jos /-// (~ /
CONTROL SERVICF~ INC.
1200 West 33rd Avem, Suite B SHEETNO.
ANCHORAGE, ALASKA 99503 CALCULATED BY.
(907) 561-5040
CHECKED BY.
SCALE / "/-- ~ !
DATE
UNIFIED SYSTEM ASTM D-2487
06/04/87
VALLI VUE #1 BLOCK 1 LOT 11
SAMPLE IDENTITY 5-9 FT
PASSING #200 SIEVE: 7.06% RETAINED:
PASSING # 40 SIEVE: 20.23% RETAINED:
PASSING # 10 SIEVE: 45.14% RETAINED:
PASSING # 4 SIEVE: 58.10% RETAINED:
PASSING 1/2 IN SIEVE: 74.16% RETAINED:
PASSING 3/4 IN SIEVE: 82,00% RETAINED:
PASSING 1 INCH SIEVE: 90.56% RETAINED:
PASSING 2 INCH SIEVE: 100.00% RETAINED:
PASSING 3 INCH SIEVE: 100.00% RETAINED:
D10 IS 0.17 MM.
D30 IS 0.90 MM.
D60 IS 5.50 MM.
TtlE LIQUID LIMIT IS UNKNOWN
THE PLASTIC LIMIT IS UNKNOWN
THE PLASTICITY INDEX IS UNKNOWN
CU = 32.35
CC = 0.866
13.17%
24.91%
12.96%
16.06%
7.84%
8.56%
9.44%
0.00%
0.00%
THE SOILS ARE COARSE GRAINED
SANDY SOILS
BORDERLINE SOILS
THE SOILS ARE POORLY GRADED SAND.(SP)
MUNICIPALITY OF
DEPT. OF HEALTH &
ENVIRONMENTAl. PROTECTION
RECEIVED '
ALASKA r-~U RonmenTAL cOnTROL SeP=~ICeS, IllC
~n~ineerin~ I; ~nuir~menlal Studies
TE7 HOLE NO.
Date
Legal Description
Sample Depth ~--,?
Reported to
Plotted /,.&~J Checked by.
.App ~oved by
I SIEVE ANALYSIS
SIZE OF OPENING IN INCHES I NUMBER OF MESH PER INCH U.S. STANDARD
Oc)o
IO0 ~ ~ ~ ~ ' -- -- - k ~ - I '
zo~ ~l ...... ~ ~-
~ -- GRAIN SIZE IN MILLIMETE~
COBB~S SAND
1200 [U~sl 33r~ Au~nu* SuiI¢ ~, An&oraq* Ahsb 99503.[907) 561-5040
May 27, 1987
Jo Ann V Crem hereby grants Judy M Lamb authority to sign for an on-sight
sewer (septic) system located on Lot 11, Block 1 of Valli Vue Estates.
7 Jo Ann V Crom
~ Jud~ M Lamb
STATE OF ALASKA )
)
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on this 27th day of May, 1987, before me, the
undersigned, a Notary~ubtic in and for the State of Alaska, personally
appeared~ ~. ~ , know to me to be the individuals named in
the fore~ing'instrument, and ~ acknowledged to me that~z~ executed
the foregoing instrument as a free act and deed for the uses and purposes
therein stated.
WITNESS my hand and official seal the day and year in this certificated..
first above written.
NOTARY PUBLIC in and for A as a
My commission expires:~~/~~'.
~I~)~OH~NV JO AJ. I1Vdl31NII~
/
/
L~T I~
%.
responsibility of the owner or
prior to construction, to verify the
proposed building grade relative to finished
g~ade and utility cormcctians and to determine
the existence of any easements, covenants, or
restrictions which do not appear on the
~x)rded subdivision pht
' '~-Z.~8"l