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HomeMy WebLinkAboutVALLI VUE ESTATES #1 BLK 1 LT 27Valli Vu Estates Block I Lot 27 #015-311-28  O · Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519~6650 Page www.ci.anchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL iNSPECTION REPORT Permit Number: O.~fflttO~'l' PIDNumber: ~1~- ~1~ - N ....~' ~en/~ Wastewater System: ~ New ~ Upgrade Address: ABSORPTION FIELD Phone Number of Bedrooms 3 ~ -- ~9~ ~ ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~ Other Soil Rating: Tota~ Depth from original grade: LEGAL DESCRIPTION Block Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: To. ship Range Section: Fill added above original grade: Gravel Length: Well: 6' ~ ~ New ~ Upgrade Gravel width: Number of lines: Dist .... bet .... ii .... Ctassffi~tion (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material Driller Date Drilled: Static Water Level: Installer: Date Installed: Y~e~d: GPM Pump Set at: Ft. Casing Height Above Ground: SEPARATION DISTANCES B Septic ~ Holding ~ S.T.E.P. ~Other:  Manufacturer: Capacity: To Septic Absorption Li~ Holding Public/Private Tank Field Station Tank Sewer Line ~O~ ~ ~ ~ ~O Gal Material: * Number of Compadments  Size: Manufacturer: ~ "Pump on" level at: "Pump o~' level at: in. High water alarm at Cudain Dra~n .... ~ ~ Pump Make & Model Electrical Inspections pedormed by: Remarks: Location and Description: Assumed Elevation: InSpections performed by: ~~/ ~ee~ ~'~C Dates: 1st ~11 ~ fi Development Se~ices Depa~ment Approval Conditional Approval Date: ' . Reviewed and approved by: / ~,,, ~2 C ' Date: ' '~/ '- PERMIT NO: OSP11 {~34/ PID NO: 015-311-28 ",, SWING TIES: FROM: COR. "A" COR. "B" TO: CTR. M.H. "C" 32.5' 47.5' CTR. POD "D" 30' 43' TR. C.O. "E" 20' 36' TR. M.T. "F" 15' 24.5' TR. C.O. "G" 17' 11.5' NEW 25-FOOT LONG SOIL ABS. TRENCH -- w. 4.0' EFF. GRAVEL NEW "ORENCO" TREATMENT POD NEW 500-GALLON RECIRCULATION TANK (VERTICAL CONFIG.) DRIVE EXISTING 1250-GALLON SEPTIC TANK PAGE 2 OF 2",, I / WATER __ SERVICE "'~ LINE N 10' UTILITY "'" EASEMENT T.H. / #2 PLAN VIEW SCALE: 1" = 30' THEODORE F. MOORE CE - 3589 500-GAL RECIRC TANK "ORENCO" AX-20 POD FROM EXIST NV. 89.5' PROFILE VIEW NOT TO SCALE c.o. (___ iiTER FABRIC ......... ._'~... __~'~ .................... :::::::::::::::::::::::::::::::::: ............... :::::'--:: ....... ........... 92.0' SOIL ABS. TR. 92.0' w' 4.0' EFF GVL. · ,, ~ BOTTOM TRENCH ELEV. 88.0' BOTTOM T.H. #2 /-~ ELEV. 80.5' NO WATER LENGTH: 25' LOT 27, BLOCK t, VALLI VUE EST. #1 SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION REPORT 4/11/11 FLATTOP TECHNICAL SERVICES 14530 ECHO CANYON ROAD ANCHORAGE, ALASKA 99516 SCALE: AS NOTED DRAWN BY TFM APRIL, 2011 Municipality of Anchorage Community Development Department - Development Services Division P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 Inspection Report- ElecFin E11-1171 Permit Type: Electrical APPLICATION NO. Master/St~'ndalone Permit Note~: pleas~ call whbn finished. Kenny at 227-1812 Thanks. Requested by: kenhy 227-1812 eei1954@gmail.com Address of Project: '10705 MAIN TREE'DR Alteration Schedule Date:04/191201'1 Preference:AM Inspection #: 124920 ' ParceE 01531128000 Legal: VALLIVUE ESTATES #1 BLK 1 ET 27 G:2539 Description of Work: WIRING FOR SEPTIC LIFT STATION *TINA*' (1) INSPECTION Contacts C0n'tractor Owner (907)272-4591 ED'S ELECTRIC INC P.Q BOX 210767 KENLEY LOUIS C & NANCY K Inspector Comments: Inspector: Date: Municipality of Anchorage f e Development Services Department ..'~.~ Building Safety Division On-S~te Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page / of www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:..SW050229 PID Number:. 015-311-28 Louis & Nancy Kenley Wastewater System: [] New [] Upgrade 10705 Main Tree S/D ABSORPTION FIELD LEGAL DESCRIPTION s~.~ ,~. o.~,~on~., No change o.o,~ Well: [] New [] Upgrade o,-~..~. ~~..~o~,,~ j Ft C&N Construction 7/20/2005 o~ F~. F~ TANK SEPARATION DISTANCES [] Septic [] Holding I-1 $.T.E.P. [] Other:  Sepbc Absorptmt: Lift Holding ubrmc.'Ptlvaleiwt~h,;~u~. Tank Field Station Tank Sewer tine Anchorage Tank 1250 ~, 200+ 200+ NA NA NA '~"" 10 Gauge Steel 2 s.~.w... 100+ 100+ NA NA ~ / LIFT STATION ~ L.,. 27 19 NA NA NA Old tank removed and buried on site. Monitoring BENCH MARK tube installed near crib. An attempt was made to ~'~""~ ~'~'~ Garage Slab find the 1975 trench, to install a MT, but the line " 100.00 could not be found on the east side of the crib, ' Inspections performed by: Cindy W. Ellis, P.E. Dates: ~'~ 712012005 ~~.~~~....... ~... ~ '~ '..._~ Reviewed and approved by:/~ ~/~'~t.~.~.' Date: ~/~7-~? ~,~ ............. ~' Existing 4 BR House Existing septic tank removed and buded on site. New 1250 gal Deep septic tank Note: 1975 drain field could not be found on the east side of the crib. Water keybox FCO / DCO / / / CRIB / AS-BUILT Water line location - Chugach Sewer & Drain Co. A B FCO 4.4 17.2 STI 6.10 18.0 ST2 15.1 23.4 DCOI ]7.0 24.7 DCO2 ]8.5 25.6 CRIB 38.5 42.7 MT 39.9 41.6 Valli Vue Estates, Addition #1, Blk 1, Lot 27~,..~?. ';'~"~'"O'"F"'A't'-.~.~'::~, Record Drawing of Septic Upgrade Watkins Engineering, Inc. ~.e-' Louis & Nancy Kenley Parcel ID: 015-311-28 ~'"~,~, ............. ':""~. Permit No. 5W050229 ~;.-;:':..'"a~ '~. ~":..'"'~. Cindy W. Ellis, P.E. P.O. Box 110443 ~., ............. .,'~ August, 2. 2005 Anchorage, Alaska 99511-0443 Scale I Inch = 30 ff Phone: (907) 349-1851, Fax: (907) 349-1934 FCO 92.48 91.95/ FINAL GRADE 101.18 / 1250 GALLON STEEL SEPTIC TANK N.T.S. To Existing Drain field AS-BUILT Valli Vue Estates #1, Blk 1, Lot 27 ~' Record Drawing of Septic Upgrade Louis & Nan~ Kenley ~" Parcel ID: 015-311-28 Watkins Engineering, In~ ~ ........ = ............... :....,~ Permit No. ~050229 ~'~' . ............. :...~,, Cindy W. Ellis, P.E P.O. Box 110443 August 1, 2005 Anchorage, Alaska 99511-0443 ~h~,, ......... No Scale Phona (907) 349-1851, Fa~ (907) 349-1934 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-66,50 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 15, 2005 Expiration Date: Jul 15, 2006 Permit Number: SW050229 Legal Description: VALLI rUE ESTATES #1 BLK 1 LT 27 Design Engineer: 0844 Watkins Engineering. Inc Owner Name: LOUIS & NANCY KENLEY Owner Address: 10705 MAIN TREE DR ANCHORAGE. AK 99516-6737 Parcel ID: 015-311-28 Site Address: Lot Size: 21621 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered. sealed, and heated to prevent freezing. 5. The following special provisions. a.) Water line must be located prior to septic tank installation. Must maintain minimum 10 feet ve~ical separation between water line and septic tank. Received By:. Issued By: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERNVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-311-28 Permit Number SW Property owner(s), Louis & Nancy Kenley Mailing address (1) 10705 Main Tree Drive Day phone 346-4298 Mailing address (2) Anchorage, AK Legal description (Lot, Block & Sub'd.) Valli Vue Estates #1, BIk 1, Lot 27 Legal description (Section, Township & Range) Lot Size 21,621 Acres/Sq. Ft. Number of Bedrooms 4 Zip Code 99516 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of'property owner or horiz g ) Permit Fees: Date of Payment: Receipt Number:. (Rev. 12/00) Waiver Fees: Date of Payment: Receipt t)umbe~. Watkins Engineering, Inc. P.O Box 1~0443, Anchorage, AK 995~! (g07)349-1851 cwellis@gci, net July 14, 2005 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Vale Vue Estates #1, Block t, Lot 27 Proposed Septic Tank Replacement To Whom It May Concern: Attached please find an application to install a new 1250 gallon steel deep burial septic tank at the referenced 4 bedroom house in Anchorage. The existing septic tank, installed in 1973, has collapsed and will be abandoned in place. A deep burial tank is required. No work is proposed on the drainfield. The water line will be located during construction to ensure a minimum separation distance of 10 ft to any septic system component. The water line location will be documented with the new tank installation. Thank you for consideration of this permit application. need further information, please call me at 349-1851. Yours truly, Cindy W/. Ellis, P.E. President you have any questions or 29 Existing steel sE to be abandoned n place. 11 Valli Vue Estates #1, BIk I ~ 12 DEEP BURIAL steel sei )OUBLE TREE OURT 13 No work is proposed on existing crib and trench. O'MALLEY ROAD This subdivision is served by a community well. Louis & Nancy Kenley Watkins Engineering, Inc. July 14, 2005 Anchorage, AK 99511-0443 Scale 1' = 100' Phone: (907) 349-1851 Fax: (907) 349-1934 Appr duringconstmction. ~- \ \ \,.._.As~.~,~ J Mai~mum \ \ \~'~,,.. Cx'~'~'~ _,.,0~v' Water keybox Valli Vue ~tat~, Addition gl, BIk 1, Lot 27 ~.~E.4.~?~, ~.." ~ ~.~.'~,, Proposed Septic Upgrade Watkins Engineering, Inc ~."'49~ "~ Louis & Nan~ Kenley .... : ............... ~... Cindy W. Ellis, P.E P.O. ~ox 110443 July 14, 2005 Anchorage, Alaska 99511~443 Scale I inch = 30 ff Phone: (907) 349-1851, Fa~ (907) 349-1934 ,. )ANCHORAGE AREA BOR ~2F? Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME '?"¢ tA4. LOCATION MAILING ADDRESS "~ ~ .~ "~ ~' ~' J A~/~t PHONE LEGAL DESCRIPTION ~)41 i ~U~ ~l lC / /~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH 2 MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY__ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION ~" ~ NEAREST LOT LINE ¢~,Ll~ f TOTALoF LINEsLENGTH*~q DISTANCE BETWEEN LINES ~ TRENCH WIDTH 4-~<~ IN. TOTAL EFFECTIVE J4~)'7 ~ SQ, FT. LENGTH OF EACH LINE ~'-~ I DEPTH OF FILTER MATERIAL BENEATH TILE (~ J. ABOVE TILE ~ IN. WELL: TYPE %ONSTR"CTION BUILDING FOUNDATION CESSPOOL APPROVED NEAREST LOT LrNE __ OTHER SOURCES __ DISAPPROVED NEAREST SEPTIC SEWER LINE TANK REMARKS DEPTH DISTANCE FROM: SEEPAGE SYSTEM ~00 ~ ~' DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: ('~PL~-- J: GreATEr' ANChoRAgE AREA BOROUGh /~U:~ ~--/~-'--' ~ DEPARTMENT OF ENVIRONMENTAL~(~UALITY ~ ~'~ PERMIT NO, 3330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT FINANCED THROUGH . TO BE INSTALLED BY SOIL TEST RESULTS _ ~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED /g7 ,,~ / 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· M , TYPE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPT[C TANK FOUNDATION TO SEEPAGE pIT ~ I , DRAIN FIELD SEPTIC TANK TO SEEPAGE PiT WALL /~ ~ SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD ~I WATER MAIN TO SEPTIC TANK //~ ! SePTiC TANK, //~J~/ ~ seePAGE PIt TO RIVER, LAKE· STREAM, · SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT /~// DRAIN FIELD /~ / 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 FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFOrm TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQ DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE THAT THE ABOVE GREr' ER ANCHORAGE AREA BOI> UGH Department ;~3E0n;irs~rn2;ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAM~7'J'~ ~ ,~'F,C_7~,4/X/ MAILING ADDRESS ,~OX 3~/ ~A PHONE SEPTIC TANK: DISTANCE ~'~t,~ b / cb FROM NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY/~"O (~ GALLONS. SEEPAGE PIT: / NUMBER OF PITS - LINING MATERIAL ~J~_~ CRIB SIZE: D,AMETER /'/'DEPTH /2 D,STANCE FROM: BU'LD,NG FOUNDAT,O. 77./ NEAREST LOT L,NE ~-O'~ WELL P~ TOTAL EFFECTIVE F~,.~ ABSORPTION AREA (WALL AREA) ~,.~,~' SQ. FT. ADDITIONAL ABSORPTION ~ T~'YPE-, CONSTRUCTION BU i LD i NG~~LEA R EST FOUNDATION L O T L-'~'~'T]~'-'--~ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE .-- SEWER LINE TANK. __ SYSTEM REMARKS DISTANCES: INSTALLED By: -~-~-z-~ PIPE MATERIAL:/~/-~;~ REMARKS: DIAGRAM OF SYSTEM DATE /~--~"~-~M 7~ APPROVEDZ G.A.A,B, Form NO. EQ~031 GREATER ANCHORAGE AREA BorOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION OF: SEPTIC TANK ~ - / ' SEEPAGE PIT TYPE AND S'ZE OF FAC}L'TY TO Be SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS ., DRAIN FIELD , OTHER NOTE* THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANT SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of FOUNDATION TO SEEPAGE PIT {~ -, DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALl I ~C I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge Area BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN CORD CE WITH SAID CODE. "One test is worth a thousand opinions" Lo,al Descriotion: Lot'~Block / Subdivisi n ~/~7 This Form Reoorts Soils Loc ~ Percolation Test Deoth Feet Soil Characteristics Was Ground Water Encountered? If Yes. At what Denth? Readinq Date Gross Time Net Time Depth to H20 I Net Dron Percolation Rate ~irute Proposed Installation: Seepage Demth of Inlet COMMENTS: Test Pit Drain Field Depth To Bottom Of Pit Or Trench Performed By .~K~~ Data Certified By:.~8~ ~ ~u~)~ Date: ~-Y] ~anuat~ 4, 1~74 Lewis J. Geie~ann P. O. ~ox 3551 An¢,qor'a{~..~. Alaska Your system is not approved pendtne the installation of ~he cleanout pipes ~arking the place;nent ~f the septic tank and ss~pa~je cr{b on ti~e std)j~c~ ?ropert.y. One pipe ~/a,~ found hut it had no cap. Please cap this pipe ~tn~i locate the ~issing standpipe providi{')g it pith an airtigi)t cap, ?]e~se ca]] t)~is office a{!ain, for are. pinspection. If you here any questions, please co~{tac~ ~;ie at ,:?4-,4aol, ~xsenslon 155. Sincerely? Control Officer Anchorage, Ataska ~\\ _ ''~MUN[CIPALITY "~.~.~ ~ '¥DEPARTM~,:.~ .H'EA~TH"AND ENv.IRoNMENTAL-JROTECTION ~"?~L~~ - .... '-'~-:' ~.'~' ~[~['k. ' ' 825 L Street, ~chorage, Alaska 99501 ..'' %;-~ ~ ..] , 279-2~]1~ ext 224, 2 ~--~'~, ~ bW .~"- D ~ ,.~g~'D%~%e Received: March 24, 1977 lsg Inspection: Time Date 6-61-77 ~. Date Inspector ~ ~ Insp%ctor K_.QUEbT FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Mailing Institution Request: First Nati6nal Bank of Anchorage Address: Post Office Box 720 99510 Phone: 276-6300 x 482 2. Property Owner: Lewis/Marilee Geierman Phone: 344-173B Mailing Address; 3. Legal Description: 4. Single Family Residence: Multiple F~nily Residence: Lot 27 Block 1 Valli Vue Estates Subdivision Number of Bedrooms: Number of Bedrooms: 5. Well DaLa: Type Individual Construction Depth Well Log Filed ( ) Bacterial ~nalys~s Sewage Disposal Permit ~ Septic Tank Size Absorption Area System: Installed On-site system Installer Manu fac turer Public Utility { ) Scils Rate Material Distances: Well Lo Septic Tank to Sewer Lines Nearest Lot Line Absorption Area ~o NearesE Lot Line to Absorption Area Page Two . ~ - · Department of-Health and Environmental Protectzon ~ ~Request for~ Approval of Individual Sewer and Water Facilities Legal Description: Lot 27 Block 1 Valli Vue Estates Subdivision Comments: Af fadavit Attached Disapproved: ~.q Letter Attached: ( ) Date: Date:?~? Department Worksheet: 1. Type of Inspection: MUNICIPALITY OF ANCHORAGE .MUNICIPAUT( OF ,",NCHOI~,G2 DEPARTMENT OF HEALTH &ND ENVH~ONMENTAL JqtOTECTIO~JEF]: OF 825 g ~ ~ I?(J~.t AllC:/qO 1%~ ~I ©, 279-25].1, ext. 22,J, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES VA FHA __ & 19/7 RECEIVED CONV X 2. Property Owner: Lewis & Marilee Geiermann Mailing Address: Day Phone:. 344-1738 3. Name of Buyer: Louis C. & Nancy K. Kenley Mailing Address:_ 22776 Alturas Dr. Mission Vie~LO_,Day Phone: ........ California 4. Name of Lending Institution: First National Bank of Anchorage~ .... Mailing Address: P.O. Box .720 Phone: 276-6300 ext 482 selling agent: Clyde Lower @ Jack White Co. 5. Name of Realtor or Agent: listing agent: Chris Bannon @ Executive Mailing Address: Legal Description: Lot 27 Blk i Valli Vue Sub Location: 2nd house on right Main Tree selling: 277-1553 Phone: listing: 6~94-9549 Single Family No. Bdrms. .Individual one X X 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If I~dividual, depth of well 9. Sewage. Disposal System Type of System: Public Utility If Individual, date of installation Please contact listing agent to gain access. Yours Truly, ~ ~aula M. Cranmer Loan Processor Individual (on-site) 72-003(3/76) 74 t GREATF-R ANCHORAGE AR£A BOROUG~ Department of Environmental Quality 3500 Tudor Road. Anchorage. Alaska 99507 279-8686 Date Rece,ved / ~.//~.~.~, Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWBR & WATER FACILITIBS FOR Approval Requested By: Address: - Number o~ Badrooms~ Well Data: C. Construction Sewage Disbosal System: B. Depth D, Bacterial Analysis C. Septic Tank: 1. ozze~/.~'~6/~;, ~. D. Seepage Pit: 1o Size~'~"~'~/~-u? 2. Disposal Field: Material Total Length of Lines Distances: A. Well To: Septic Tank .... ' , Absorption Area -~ , Sewer Lines ----" , Nearest Lot Line . Other Con'tamination i..~, - ~ g. Foundation to Septic Tenk -~ Absorption Area ' ~ ,': ,, ,,. · C. Absorption Area to Nearest Lot Line ~ .~ , ff ';~ ~ Req,mst for Approval of Im, Zvidua] Se~er & Water Facilities Page ~-. .,~' ~-~ fl - / :~ Ap.~roval Valid for One Year From Date Signedv /~ Graate? Anchorage Area Borough, Department of Environmental Quality DIAGRA~ OF SYSTS~ I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: Signed Date • BL • c.: Municipality of Anchorage 1" On-Site Water and Wastewater Program i�I i .. (907) 343-7904 s= F t CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-311-28 Expiration Date: 7- (H C_ 1. GENERAL INFORMATION Complete legal description VALLI VUE ESTATES#1 BLOCK 1, LOT 27 Location (site address) 10705 MAIN TREE DRIVE,ANCHORAGE,AK 99516 Current Property owner(s) RANDEL&CAROL McPHERRON _ Day phone Mailing address 17754 SHASTA CIRCLE, EAGLE RIVER,AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class A Well ® Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: / Date: C COSA to be released to the engineer, unle s otherwise requested by the engineer. COSA Fee $ S2 . 00 p Waiver Fee $ Date of Payment 1 0 t8 Date Date of Payment Receipt Number 0 SO Receipt Number COSA# OSC'd'aitS i Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 10/10/18 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. 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 inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. 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, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen ��►\ encroachments,deficiencies or discrepancies exist. Ol <41/ X �� fx1+ III 6. DSD SIGNATURE System #1 Approved for L( bedrooms. hENNL:111I` IIAtf System#2 Approved for bedrooms. c'%� �� k ' 0, /8e Disapproved. \ . f.,: C's. "Ali' `-41►r Conditional approval for bedrooms, with the following stipulations: \G\QP\\l Y Ul-,y/vC '• O ON-SITE j. WATER AND rn PROGRAM ?° SERV\ y: ,/' Original Certificate Date: (d The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of_ Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: VALLI VUE ESTATES#1 BLOCK 1, LOT 27 Parcel ID: 015.311.28 A. WELL DATA Well type A If A, B, or C provide PWSID# 210605 Well Log (Y/N) Date completed Sanitary seal (Y/N)Y Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic: ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC&ADVANTEX RECIRC.•STEEL Date installed 7/20/2005&4/12/2011 Tank size 1250&500 gal. Number of Compartments 2&1 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y(Inside Garage) Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping 7/1112018 Pumper A+ ADVANTEX MAINTENANCE C. ABSORPTION FIELD DATA Date installed 4/1212011 Soil rating (R.p d/fit or ft2/bdrm) 3 System type TRENCH Length 25 ft. Width 2.5 ft. Gravel below pipe 4 ft. Total depth 10.4 ft. Eff. absorption area 200 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/10/2018 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 670 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N)_ "Pump on" level at in. "Pump off' level at in. High water alarm level at __ in. Datum Cycles tested___ Meets alarm &circuit requirements? E. SEPARATION DISTANCES -CLASS A WELL WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas 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'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 6'+1- Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 200'+ F. COMMENTS Vacant field presoaked per code prior to testing_ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. OFA/ Engineer's Printed Name KENNETH M.DUFFUS j(S• � 11 y Date 10/10/2018 , x 49Th * � irAirruiFir irJri • KENNE U .+ / COSA canary sheet_2-6-15.doc 1 "'6 e�/ iris C-' \ __f • ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE • AND 'IN on 510 (}'�TtQ .11A3S THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of of 20 , by and between herein the "OWNER,"and the Municipality of Anchorage,herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein,the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at(legal description). 10705 Main Tree Dr, Anchorage Valli Vue Estates#1 Blk 1 Lot 27 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval(COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts,components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 1 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement,the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor,the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. 2 H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 1. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: plfl'►Si 0 1406 G 0.4260 QS b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 3 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: 7�( (signature) _ , •I‘ • •rint name) STATE OF ALASKA) ) ss. THIRD JUDICIAL DISTRICT) Date: 10/12-/Gc The foregoing instrument was acknowledged Before me this 12 day of OCA-0 62,Y , 20 by r / / i r • V j\/1 Cl Y 1 (il R_Q Li V1.0 c - 4/740'0A NOTARY PUBLIC FOR ALASKA My Commission expires: 03/3 I/z STATE OF ALASKA.s,„ , NOTARY PUBLIC .44 MUNICIPALITY: Mattie Dawson My Commission Expires March 31.2021 By: (signature) (print name) Date: Title: 4 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: a-pwi. By:�f Oj/S,' D �/ P(/' 6 S (signature) l/C 5,.CJ e ci`l evi (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT) Date: {�)/ I /� b The foregoing instrument was acknowledged before me this )2 day of 000 h.-V , 20 S7,by 1 ( 1JC114SO irvic Di Oil I O Q_e (i NOTARY PUBLIC FOR ALASKA My Commission expires: v312) J lZ I f - --; STATE OF ALASKA. NOTARY PUBLIC MUNICIPALITY: 0 Mattie Dawson ,My Commission En:ires March 31, By: (signature) (print name) Date: Title: 4 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 " ~. _ _ ,F www. muni.org/onsite i ~ .. ~, ::, ~ ~ CERTiFiCATE OF ON-S TE SYSTEMS APPROVAL , FOR A SINGLE FAMILY DWELLING Parcel I.D. GENERAL INFORMATION Complete legal description Location (site address) Expiration Date: Current Property owner(s) Mailing address Lending agency Day phone Day phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: ~! TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A- Well Public Water System TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank [] [~ COmmunity On-site [] [] 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 sample results. (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, function_~ and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based orf:~.~ information obtained from the Municipality of Anchorage files and from my investigation and inspection, [~'~_g-,~ 't¢ water supply and/er wastewater disposal system is(are) in compliance with all applicable Municipal and S~e:!'c0des, ordinanceS.'~nd regulations in effect'at the time of installation. ,: ~, Address Engineer's Printed Name ..(~,,,' ~,-, 'c ~,' Phone / ,r~. /'--re, o ~--~' Date DSD SIGNATURE ~ Approved for ¢ Disapproved. Conditional approval for ~. ~ 9'o"ow'n- bedrooms, with the Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) X Arsenic,Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 EImore 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: A. WELL DATA Well type '~" Date completed ~ Total depth __ Date of test If A, B, or C provide PWSID # ~-tO 6'0,5" Well Log (Y/N) Sanitary seal (Y/N) __ Wires properly protected (Y/N) ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Static water level ft. ft. Well production g.p.m, g.p.m. WATER SAMPLE RESULTS: Coliform __ colonies/100 m L Nitrate __ mg/L Arsenic: ug/L date of sample: SEPTIC/HOLDING TANK DATA / Tank Type/Material 5-0o Tank size I~ 5'0 gal. Number of Compartments Foundation cleanout (Y/N) ~' Depression over tank (Y/N) Date of pumping ~.{ It / t t Pumper /A -f- C. ABSORPTION FIELD DATA Date installed ~*./'./~( f¢ Length '?- 5- ft. Total depth I0.~' ft. Date of adequacy test Fluid depth in absorption field before test __ Elapsed Time: ~ min. Other bacteria Collected by: colonies/100 m L Date installed '7 (2 Cleanouts (Y/N) High water alarm (Y/N) Soil rating (g.p.d./ft2 or ft2/bdrm) ~__~_~ System type "T",,-~,,~c.J~ Width ~-5' ft. Gravel below pipe Eft. absorption area ~ ft2 Monitoring tube I~./I. L/ ~,~-~) Results (Pass/Fail) r~,~j,- c,~ in. Water added._~__ gal. Absorption rate >= Final fluid depth ~ in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Depression over field For ~ bedrooms New depth ~ in. ~,~ g.p.d. If yes, give date /~', ,4-. D. LIFT STATION ~/. ~'. Date installed "Pump on" level at__ in. Datum E. SEPARATION DISTANCES Em Size in gallons "Pump off" level at ~ Cycles tested in. Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: ~/~c.,,~ ~. SePtic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots Property line I ~' ~ Absorption field ~. ~" water service line ~. tO t ' Surface water ~ ~o~,, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~5" Water Service line '~ ~.~ ' Curtain drain COMMENTS Building foundation t ~, ' Water main ~ t~, Surface water ~, t~c:~:~ ' Driveway, parking/vehicle storage Wells on adjacent lots '~ 2.00, G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name "T'/~o~ ~--..~.,~,' /~. in. COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Date of Payment Receipt Number '© LOT 28 .- [FILTER PQD! / ~ - - ~ / ~.,. ...... ~o~_~q ~' LOT 12 .%. / A/ LOT 26 I LINDSAY HOLLAND @ I KELLER WILLIAMS REAL ESTATE AS-~UILT SURVEY 1" : 40' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 27, BLOCK 1~ VALLI ~IJE ESTATES NG. ~.