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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 45GRE~,ER ANCHORAGE AREA BOR, cJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS /~ ~ /~2'~0,j/ '.~ -~--~/' ~//~/'~/ PHONE SEPTIC TANK: DISTANCE FROM WELL ~. ~)O¢ INSIDE LENGTH MANUFACTURER L INSIDE WIDTH __MATERIAL .~~ NUMBER OF ,,~ COMPARTMENTS - LIQUID DEPTH LIQUID CAPACITY /~-'¢~"~OGALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL~~)~)~ NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION /~) NEAREST LOT LINE_ /~:) OF LINES D,STANCEBETWEENL'NES /Y/4 TRENC. W,OTH /e'N. TOTAL EFFECT'VE SQ. FT. LENGTH OF EACH LINE "'~ ? DEPTH OF FILTER ~ I MATERIAL BENEATH TILE _~. ABOVE TILE ~ IN. WELL: ?~'z.~i~c i,Z/e, iI ~ TYPE __ CONSTRUCTION DEPTH _ BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE__ SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: ~:? LOT SLOPE: REMARKS: Form LQ-032 DIAGRAM OF SYSTEM G.A.A.B. ~. PE:RMIT NO. DEPRRTMENT OF HERLTH RN[:, ENVIRONPIENTRL PROTECTION 25±6 E. TUDOR RD., RNCHORRGE, RK. 5,'~.507 276-222::t. < 7'684i ) ~ ':' ' .... · ..... ' '" F'. O. - ' MF~ L] ..MN1 ] ].flEER. ENTERF'F.:ISES, E,..¢, LOC:FIT I ON C:~'.00KE[:, TREE: [:,R I VE LEGRL L4~ E:~ ',,,'FIL. LI ',,,'UEE=,'"' ........ 1HTE.=,"- - "'--- ':"" - ' IS: -' T~"F'E OF E;OIL HB_,uRBI fUt,I S~'r'S"I"EI'"I TFEN_,H LOT :, .t ~:,E ,.~,~.:L,.:. SI]:¢JFIR. E FEE]' MRXIMUM IJJtlEE[ OF BEE:,F.:C~CIMS = 3: :,uIL RRTING '::SQ FT/BR)= ::L50 .. ::,tr = TEH IS: THE R. Eg!UIRE[:, c;IZE OF ]"HE: SOIL HB_LRFTtUN [:. E F" 1- H =:= ± O L. E ~'-.~ ,]-~ -F H = -::- ':' F" -' -:~ '." ....... ~ ~:.. ~ ,~ E b. E:. IE:.'E F" 'qf- ~-.H === THE LENGTH DIMENSION ES ]"HE LENGTH (IN FEET) OF THE TRENCH OR DRRINF'IEI...D. THE DEP-I"H OF R ]HF.'.ENCH OF.: PIT IS THE DIL:;TFINCE BE]"WEEN THE SURFRCE OF THE GROUND FIND THE E:OTTOM OF ]"HE EX'CRVRTIOH (IN FEET).. THERE IS NO SET WID'TTI FOR TRENCHE:E;. 'THE GRR',/EL. DEPTH IS THE MINIMUH DEPTH OF GRR'¢EL. E,'ETWEEN THE OLITFRLL PIPE RND THE BOTTOM OF' THE EXCRVRTION (IN FEET.'.". THIS MINIMUM [:,ISTRNC:E E:ETWEEN R WELL. RND RN~r' ON-SITE SEWRGE DISF'OSRL S'~%TEI"I IS iOO FEET FOR R PRIVRTE WELL OR ;-200 FEET FOR FI PUE:LIC WELL.. SF'ECtFICRTIONS RND CONSTRUCTION DIRGRRHS FIRE RVRILRBLE TO INSURE PROPER I NSTRLI_RT I ON. t CER'T'IF"r' THRT l: t Rid FRMILIRR WITH THE REE4UIREMENTS FOR ON-SITE SEWERS RND WELLS RD; SET FORTH B"r' THE HUNICIPRLIT"? OF RNCHORRGE; 2: I WILL. INSTRLL THE S"r'STEM IN RCCORDRNCE NITH THE CODES. ]:: I UN[:,ERSTRND THRT THE ON-SITE SEWER Sb'STEM MR'¢ REQUIRE ENL. FtRGEMENT :IF' THE RESIDENCE IS REIdODEL. ED TO INCLUD,E MORE THRN ~; BEDROOMS. _.I .... EN' ' : RISES Crooked Tree Drive J Test Hole Locations are approximate and have not been located by survey methods. T.H. 1 1016/76 ORGANIC MATERIAL SILT w/SOME SAND 0 --Ii0 (ML) --2,5 SAN~ W/SOME GRAVEL ANM~ TRACE SILT (SW) GRAVELLY SAND w/TRACE TO SOME SILT (SP) OCCASIONAL COBBLES, Brown No Water Table This log represents subsurface soil conditions within Valley View Estates SuJ0division, Block 1, Lot 45 Anchorage, Alaska CKD DATE: ~ 1"=3' Timber Enterprises NO. 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 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# Lot ': ~ o Location (site address or directions) Property owner Mailing address Lending agency Mailing address 6510 Crooked Tree Drive Anchorage. AK Frank Ra~e and Gordon Smith Day phone 160 Bay Street San Frano~[s~o, CA 94133 Day phone Agent Bon~e Mehner/ JACK WHITE CO. Address 3201 "C" Stre~':t Suite 100 Anchorag6, Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 ~, TYPE OF WATER SUPPLY: NOTE: Day phone 762-3171 AK 99503 Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site X×X Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~025(Rev, 1/91) Front 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. $ & $ ENGINEERING Name of Firm :7."...4 -"-u:~ ~,;,-f i.~p ~ead N~';z04 Phone L'~'~"~Z//" Address Eagle River, Ala~/ka/~577 ~/ Engineer's signature ~ Date 'Approved- for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 aoove 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 engineeCs work. {~ Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-~'J- ~--~- ~ / ~/~(_L.~" //'/~"/d~arcel I.D. ~) / ~ A. WELL DATA Well type ~ Log present (Y/N) Total depth Sanitary seal (Y/N) (~B, or C, attach ADEC letter. ADEC water system number Driller Date completed Cased to Casing height Wires properly protect~ FROM WELL LOG~SPECTION Date of test Static water level Well flow ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE Coliform Nitrate g.p.m. ; On adjacent lots ; On adjacent lots Public se~ Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed /f/~/~(~ Cieanouts(~N) High water alarm (Y~!~l~ Tank size //OO.O ~/'~Zo~'j Compartments Foundation cleanout~N) ¢~'J Depression (Y/~ Alarm tested (Y/N) ~ Date of pumping ~/~/~ ": P~ '~'% ~' ~¢/~¢~ / '/ SEPARATION DISTANCES FROM SEPTIC/~TANK TO: Weli(s) on lot ~ Onadjacentlots ~ '~ C~l~oundation ~ To property line ~ ~¢ Absorption field ~ ¢ Wa' )r main/service line Surface water/drainage ~ /2~¢JC~ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION /go,~-'~" /2~'~C~/~'~-' "~b'~-eq ns~alled Manufacturer Size in gallons -~-~ Manhole/Access (Y/N) Vent (Y/~) wump on ~ e~ at " High wator alarm Iovol ~ ~ted Meets MOA electrical codes (Y/N) ~~~ SEPARATION DILATION TO: ~~ ~ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date ,nstalled 1//~1 ~ ~ Length -"~r Width -~"- Total absorption area '~-; /Z~//¢~,.~ Depression over field (Y/~.~ Results a~fail) ,¢¢,"~ 5 Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness ~ ¢ Total depth Cleanouts present'N) '7~'~-~ Date of adequaoy test for -'~ //c/¢/v'E- /'("/f/0cOf¢ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot /,.-/0z,~C'- fc, c-.E-J£~'F" On adjacent lots ~,oo /fi- ,t,,J~z.(_ Propertyline To building foundation /O re._ To existing or abandoned system on lot On adjacent lots .~.,:~ ,/~z.~ __Cutbank /4/z~/~'E'/¢,~d-,.((.¢~Ui~Water main/service line Surface water ,Z/b/M~"~/c/Cc~rK-c/'~r Curtain drain Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certifythatlhave~fffT~d~ to allMOAandHAAguidelines in effect on th eda teof this inspection. Signature -/T/-'h "~'""~ -- h (' : ..... "'~, Engineer's Naz~e 1/7034 Eagle River Loota 17,,,,,,1 ~ o~ ................. r //Eagle River, Alash 9~7 . ' Date HAAFee$ z/ 2'E) Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION Lot, Block & Subdivision or U,S. Su~e¥ Lot 45, Block 1 (6510 Crooked Tree Drive) Valli-Vue Subdivision no.2 PWSID no. 210605 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Tit'~nvironmental ~y 27,'93 I Eng, Asst. Z~ WAST EWATER DISPOSAL The domestic wast~er system was: [] inspected by the Depa'l~.~ent of Environmental Conservation and found applicable requirements ~ 18 AAC 72; [] inspected by a Professional quirements of 18 AAC 72; [] installed by a Certified Installer of 18 AAC 72; or ineer who certifies that [] tested by a Professional En and that the system the pliance with complies with applicable re- the system complies with applicable requirements at the performance of the system is satisfactory ~aration distances specified in 18 AAC 72. with a total of bedrooms. Title Date 18-0404 (Rev, 8185) DISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 "WALTER J. HIOKEL, GOVERNOR (907) 349-7755 June 2,1993 Mr. Scott Swenor S & S Engineering SUBJECT: Lot 45, Block 1, (6510 Crooked Tree Drive); Valli-Vue #2 Class "A" Public Water System, PWSlD 210605 Dear Mr. Swenor: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on April 1, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants sample results were submitted to this Department on May 7, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on December 23, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on November 12, 1991. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II