HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 70GRE:'~ ANCHORAGE AREA BOv~"qGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL~//~/
INSIDE LENGTH
MANUFACTURER ~J~/¢~9~/~ MATERIAL
NUMBER Of
COMPARTMENTS
INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY J~¢~') GALLONS.
SEEPAGE Pit:
NUMBER OF PITS // DIAMETER -~--' OR WIDTH /~27-, LENGTH //? DEPTH
LINING MATERIAL.~.z/~:~/~/CRIB SIZE: DIAMETER ¢ DEPTH ~ DISTANCE FROM,
BUILDING FOUNDATION ~/~ NEAREST LOT LINE~ /¢
ADDITIONAL ABSORPTION
WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)/CC.~_~C'~Y~ SQ. FT.
WELL:
TYPE ~//,~//~r'/~///~ CONSTRUCTION DEPTH
/
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION __ LOT LINE SEWER LINE TANK
CESSPOOL OTHER SOURCES
APPROVED____ DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM .
DISTANCES:
INSTALLED BY: ~//d /¢¢.,¢~//~'¢'/;x/y/./Cg/
PIPE MATERIAL:
LOT SLOPE: /~/~'~7~/Z/
Form NO. EQ-031
DIAGRAM OF SYSTEM
, / ,
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERM IT NO.
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
MAILING ADDRESS
SEEPAGE PIT
TO BE INSTALLED BY
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
, DRAIN FIELD ., OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL "r~8'T
FINAL INSPECTION: Z4 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 SEEPAGE AREA SIZE TYPE
/~ /
, DRAIN FIELD
/
· DRAIN FIELD
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONS[DER AREA WELLS.
WATER MAIN TO SEPTIC TANK f ~) / . 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 S]PHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
F]TTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF Greater ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6B AND THAT THE ABOVE
DE$CRIBEO SYSTEM IS IN ACCORDA.CE WITH SAID CODE.~/~/~~~
GREATEr ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
MAILING ADDRESS
PHONE
OTHER
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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK -~ )
FOUNDATION TO seEPAGE PIT ~'~ ) , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /i~';
WELL TO SEPTIC TANK ~4P~~ SEEPAGE PIT
DRAIN FIELD /~) / Ak80 CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK /~) , SEEPAGE PIT
SEPTIC TANK, /~' SEEPAGE PIT /~/ , DRAIN FIElg~2
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.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DINANCE NO. 28-68 AND THAT THE ABOVE
~ s foPm re~orts: Soils log ~ ~ Percolation test __
G~- ,P~, ANCHQRAGE AREA BOROUGH
Depa ~,:t of Environmental Quality
3330 "C" S~reet
AnChorage, Alaska 99503
10-
12-
13-
Was 9round water encountered? ~qo If yes, at what depth? ' '
Reading
Date Gross Time
Net Time
D_p~h to H20
Drop
MUNICIPALITY OF ANCHORAGE
Development Services DepartmentPhone: (907)343-7904
On -Site Water & Wastewater Section Fax: (907)343-7997
Certificate of On -Site Systems Approval
OSC251252
Parcel ID 015 -123-33 Expiration Date:
Legal description VALLI VUE ESTATES #2 BLK 1 LT 70
Site address 6816 ROUND TREE DR
Current property owner(s) RUBY-MARKIE ELLEN &
X The On-site system(s) is/are approved for 3 bedrooms
By:
6/16/2026
Conditional approval for bedrooms, with the following stipulations:
Comments or conditions:
Original Certificate Date:
6/25/2025
This C"rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
�evelopment
aem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage,
Service 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 submittal.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory X Arsenic Advisory
Other
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. 015-123-33
Complete legal description VALLI VUE ESTATES #2 BLOCK 1 LOT 70
Location (site address) 6816 ROUND TREE DRIVE ANCHORAGE, ALASKA 99507
Current property owner(s) MICHAEL & ELLEN MARKIE
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone
3. TYPE OF WATER SUPPLY: ❑ Private Well serving # dwelling units
❑ Other Non-public well as regulated by MOA ❑ Water Storage
Al Community Well or Public
4. TYPE OF WASTEWATER DISPOSAL: FO -1 Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: M Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 21 - See advisory if steel or fiberglass older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench [W 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 $ 63D r
Date of Payment �
COSA #i� o� S70?T o�
Waiver Fee $
Date of Payment
Waiver #
COSA Application_Apr2025.doc
COSA Checklist_May2025.docx
72COSA Checklist
Legal Description: VALLI VUE ESTATES #2 BLOCK 1 LOT 70 Parcel ID: 015-123-33
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 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 49"
Date of pumping 6/16/25
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. DISPOSAL FIELD DATA
Which system tested (date installed) 5/20/1974
ALL standpipes present per record drawing
Total measured depth from grade *24.6 ft (max)
Measured depth to pipe invert from grade *10.2 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 gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 6/16/25
Results Pass
Fluid depth prior to test 0 in
Water added 600 gal
New fluid depth 12 in
Elapsed time 1440 min
Final fluid depth 0 in
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 72 in (MOA 6’ ED)
Effective depth used 0 in (Final Fluid Depth)
Effective depth remaining 72 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots, visual
observations, MOA records appears approximate. *The crib is deep - on a side hill, with apparent additional fill and the invert
is based off the post tank cleanout.
COSA Checklist_May2025.docx
E. SEPARATION DISTANCES
From Well on Lot to: (Please enter distances if less than required)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Disposal Field on Lot > 100’ Yes if No ft
Neighboring Disposal Fields > 100’
Yes if No ft
Sewer Line/Main > 100’ Yes if No ft
Sewer Manhole/Cleanout > 100’
Yes if No ft
Sewer Service/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 Disposal Field(s) on Lot to: (Please enter distances if less than required)
Tank to Foundation > 10’ Yes if No ft
Field to Foundation > 10’ Yes if No *6 ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main/Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
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
*MET CODE AT INSTALLATION.
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 06/25/2025
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 &
06/25/25
,.t INSPECTION APPOINTMENTS
TiME TiME TiME
DATE DATE DATE
,NSEEDTOR 'NSEECTOR 'NSPE¢'roR¢. ,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~IPAL[~ OF ANCHORAGE
825 L Street- Anchorage, Alaska 99501 DEPT. OF
~ ENVIRONMENTAL pkO~ECT~ON
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 .
DIRECTIONS: Complete all parts on page 1. In=omplete requests will not be proce~ed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAi LING ADD R ESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAI LING ADDR ESS
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
4, REALTOR/AGENT PRONE
5. LEGAL DESCRIPTION
TREET LOCATIO~I
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four [] Other
[~. SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [~ Three [] Six
7. WATER SUPPLY
[] INDIVIDUAL*/-- *x~ATTACH WELL LOG. A well log is required for all wells drilled
~ COMMUNITY (~J~C? ~;'/£ S'/~/~'~ince June' 1975, For wells drilled prior tothat date, give well
[Z] PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
J~ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. 'TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2, WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[~ PUBLIC UTILITY
Connection Verified
[~]Septic Tank or []Holding Tank
Size: / ~-~('~rO If Tank is homemade
give dimensions:
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE[NSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
MATERIAL ~'-~
Septic/Holding Tank Absdrption Area Sewer Line
[] OTHER
Nearest Lot Line
5. COMMENTS
DATE
PPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)
j, f ~ DATE RECEIVED
INSPECTION APPOINT~NTS~
DATE DA DATE[ ~
INSPECTOR NSP~CTOR '"~ ' NSPECTO¢~
MUNICIPALITY OF ANCHORAGE ~UN~CIPALI~ OF ANCHO~GE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
825 L Street - A~chora~e, Alaska 99501 ~N~RONMENTAL P~OTEC~[ON
ENVIRONMENTAL SANITATION DIVISION ~0V 6 1980
TelepNone 264-4720
.EQUEST FOR APP.OVAL OF IND,VlDUAL WATER AND SEWE~J~ ~
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be proce~ed. Please allow ten (10) days for processing.
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
3. LENDING INSTITUTION . .
MAILING ADDRE~ I '~O0
4. REALTO R/AGENT~ PHONE
MAILING ADDRESS
6. TYPE OF RESIDENCE NUMBER OFxBEDROOMS
[] One [] Four [] Other__
[~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
[] INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
~ COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
~1 INDIVIDUAL/ON-SITE** Iq% YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY '
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
E3 PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
---
/]septic Tank or []Holding Tank
Size: ~(~ If Tank is homemade SOILS RATING
give dimensions:
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~"~APPROVED FOR -~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accg~pany certificate)
L~-/DISAPPROV ED
72-010 (Rev, 6/79)
ALASKA erlUlROnml lqTAL CONTROL SeRUlCe$, InC.
~n§in¢¢rin§ ~ J~nwronmental Stu(Ji~s
DEC ~,:~ :L980
r~A:I.N_k MOk GA(~E/UUI:)Y VOSS
BOX
ANCHORAGE AK 99510
SELI.,.ER - ALVZN I::'ATRIK
SUFIO'ZV:ES:.~:ON-VALt.,.EY V:[IEI4 ESTATES/UNZT '.e E,L.O~,I, .t LOT-71J
· o :.:.-' SYSTk--M ZS A F'ZT NZ'¥H AN UNKNONN AREA.
TI-lIE TYPE OF AE.~Ok, ZON
THE SYSTEM IS CAI AE, LE OF ACCE. FTZNG 450 GALLONS OF NATE:R PER DAY*
~ .,- "c, ~ ..... '~'~'~eP E' FOR A
E,A,~..I.) UF'ON THE TEST DATA THE SYST~zH Z,~ ,~,~,=.* ~.~ .
3 E, EI.)Id.)(. M HOME ~
1220 LUcst 25th AuCnu¢ · J~ncheraq¢, Alaska 99503 ,, (907) 276-1361
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
November 12, 1980
Alvin William Patrick
Star Route A Box 32P
Anchorage, Alaska 99507'
Subject: Lot 70 Block 1 Valli Vue Estates Subdivision #2
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
A well log submitted to this department for our
review.
The top of the well casing sealed with a sanitary
seal so that it is water tight.
The depression or pit around the well casing needs to
be filled with impervious type soil so that it slopes
away. from the well casing.
The well casing extended twelve(12) inches above
ground level~
The water facilities were not turned on at the time of
the inspection. Please call this department to
reschedule an appointment for the water sample.
The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
( Expose the well for our inspection to determine proper
construction, also to insure minimum distance requirements
are met between your well and sewer system.
The septic tank pumped with a receipt submit%ed to
this department.
'Alv~in William Patrick
November 12~ 1980
· Page Two
The septic tank pumped .with a receipt submitted to
this deparment. The ~otal number of gallons pumped
need to be on the receipt to verify the size of the
tank. This will need to be verified by a registered
engineer prior to submittal.
Expose the septic tank manhole to verify its existance.
This will need to be reinspected by this department.
Locate and expose the standpipe to the seepage pit
for our inspection. This is to insure the minimum
distance requirements are met between your well and
sewer system.
A four'(4) inch cast iron cleanout needs to be installed
to the septic tank and/or leaching area.
An adequacy test be performed on the existing leaching
area. This test will determine if the system is adequate
according to National Standards. A listing of private
firms performing the test is enclosed. This report needs
to be submitted to this department for our review.
( )
Your permit for the installation of an on-site sewer system
has expired as of December 31, 19 We have not received
the as-builts of the installation in this office. If a
private engineer inspected the system, please send us the
report for our files and review.
Your application shows the number of bedrooms exceeds the
number the sewer system was originally designed for. An
upgrade will be required. Prior to any upgrade, a permit
needs to be issued from this department.
Please notify this department for a reinspection when the noted
descrepancies have been corrected. If there are any further
questions, please call this department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Raihier Mortgage
4797 Business Park Boulevard
% Judy Voss
99503
Suburban Realty