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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 48Valli Vu states lock I Lot 48 015-125 -03 Municipality of Anchorage Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW980087 PIDNumber: 01 512303 Patricia Dempsey Wastewater System: m New [] Upgrade P.O. Box I 13109 Anch., AK 99511 ABSORPTION FIELD - N/A 4 r'l Deep Trench [~ Shallow Trench ~ Bed ~ Mound i"1 Other LEGAL DESCRIPTION $oil Rating; To,al DePth from original grabe: GPD/$o. Ft. LOt: 48 SlOe':1 Valli Vue Est. #~ Township: I Range: i Section: Fill aacied above original graee: Gravel length: WELL: ?WS D New O Upgrade 6rave~wi<~th: Numherof~ine~: Yield: GPM1~ Pump Set at: Ft.,~ Casing He,gn, Above Groun::Ft TANK SEPARATION DISTANCES ~septic ~ Holding U S.T.EP. From Tank Fie[¢ Slalion Tank S~rU~ Anc. Tank 1 , 250 Well > 2 0 0 ~ I Material: Stee~ Number of Comaa~: s.~=~w~,., > ~ oo' LIFT STATION - Line Remarks: Only the Septic Tank and Two BENCH MARK Post Tank Cleanouts Were Placed Lo~tionan~scriDtion: Top Front Concrete Under This Permit. Existing Flow Step Line From House was Reused. ~ A~um~Elevation: 100 Inspections pedormed by: MEA Dates: ls~/30/98 ~ .................... s. ,~.~ ;5 ~' MICHAEL E. ANDERSOF Depadment of Health and Human Se~ices approval L~. Permit Number: Municipality of Anchorage Page 2 o!__ ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report SW980087 PID Number: 01512303 A S1 10.4 S2 17.0 Cl 18.1 C2 18.4 To Existing Drainfield OI si s2 Bedroom lSeptic ' Tank Home Driveway B 10.2 15.6 17.2 18.3 NOTE: New Septic Tank and 2 Post Tank Cleanouts Placed Under this Perm: .to 0 PLAN AS-BUILT SCALE 1" = 20' Municipality of Anchorage Page _3 ef ~' ' ,~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW980087 ___ PID Number: 01512303 NOTE: New Septic Tank and 2 Post Tank Cleanouts Placed Under this Permit. No Other Work Completed. PROFILE AS-BUILT SCALE 1" = 10' MICHAEL ~. ANDERSON j~ PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT NUMBER:SW980087 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:DEMPSEY PATRICIA OWNER ADDRESS:PO BOX 113109 ANCHORAGE, AK 99511-3109 (UPGRADE) PERMIT DATE ISSUED: 4/30/98 EXPIRATION DATE: 4/30/99 PARCEL ID:01512303 LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK 1 LT 48 LOT SIZE: 20093 (SQ. FT.} NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED DATE: April 30, 1998 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 48, Block 1, Valli Vue Estates Subdivision No. 2 Septic System Design Impacts to Adjacent Properties Dear Onsite Services Engineer: We hereby apply for a permit to construct a new septic tank on Lot 48, Block 1, Valli Vue Estates Subdivision No. 2. The attached site plan and backup documentation identify the size and location of the new tank to be constructed on the lot. The original tank was placed in April of 1974 with the original absorption pit. The pit was replaced with a trench in June of 1986, but the original tank remained in use. This tank has now seriously corroded and is leaking and backing effluent into the house. It is imperative the tank be replaced immediately to avoid damage to property and impact to public health. The new tank will be placed in the exact location of the old tank. In addition, two new post tank cleanouts will be installed for future maintenance of the system. Soils surrounding the tank are clean gravelly sands and will provide satisfactory bedding for the tank. The subdivision is currently served by a community water system so no conflicts exist with any wells in the area. The surface of the lot is flat in the area of the tank making placement of the new tank relatively uneventful. The existing absorption trench appears to be working adequately at this time. No testing was completed however to verify its condition. The trench was apparently designed for a three bedroom home, but a larger tank for a four bedroom will be installed at the request of the owner. Lot 48, Block 1, Valli Vue Estates #2 April 30, 1998 Page Two If the 1. system is constructed as designed the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The subdivision is currently served by a community water system. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments . ~ed~oom' HOme ! Taz LOT 48, ~ ' VaLLz VOE LO_c~c ?, ~'$~s //2 SCOPE OF WORK: 1. Remove Existing Septic Tank and Dispose. 2. Place New 1,250 Gallon Septic Tank. 3. Place Two New Post Tank Cleanouts. 4. Regrade Area to Preconstruction Condition. SITE PLAN SCALE 1" = 30' NOTE: Subdivision is served by public water system~ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 48, BLOCK 1, VALLI VUE EST. SUBDIVISION #2 GENERAL: The scope of this project includes furnishing and installing a new 1,250 gallon septic tank. It also includes the construction of two new post tank cleanouts in the distribution line between the new tank and the existing absorption trench. The existing tank must be removed from the site or crushed and backfilled on the lot. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC 1. TANK INSTALLATION A new 1,250 gallon septic tank must be procured from an approved source and installed at the location shown on the plans. Lot 48, Block 1, Valli Vue Estates No. 2 April 30, 1998 Page Two 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. Lot 48, Block 1, Valli Vue Estates No. 2 April 30, 1998 Page Three Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Lot 48, Block 1, Valli Vue Estates No. 2 April 30, 1998 Page Four 5. A permeable geotextile be installed between native soil layer. fabric (Typar, Mirafi or equal) must the final drain rock layer and 'the 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. ,, ~ MUNICIPALITY OF ANCHORAGE DE~ .tTMENT OF HEALTH AND HUMAN SER~, ,~S ~, Environmental Health Division 825 'L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ,~ ~' ~ ~ '"" ? ~ ~ SEPTICTANK ABSO,PTIONFiELD WELL Phone(s) ~' 6 'Z ~tqC/ Pe~mJt~dO/~dN°' ~oO°Q~d[°°m~ WELL '~ 0 1 ~o o LEGAk DESCRIPTION LOT LINE ~ i ~ /u ~ ~ g ~ / ~ drivew~y,AS-BUILTwaterglAGRA~bodJes, etc.)(Sh°w Iocalion of well, septic sysiem, property lines, foundat,on, TANKS ...... g SEPTIC ~ HOLDING N( _~ ~ TYPE OF SYSTEM .... Depth to pipe bottom from Total deptb Item original grade ~., ~/~ FT // FT~ ,~ / /~ ~/~ O FT ~ FT Gravel lenglh ~ ~ FT ~ -- ¢ FT 8~ FT 0 FT W~LL$ 0 P~IVAT~ 0 OTHER fldenlilv} Municipal and 8ta~delifles in effect off this date: [[ ~ ~ / ~ ~) ~ 72-013 (3/85) Anchorage P O. ~'~'( 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4~ 4 7 4 4 TONY KNOWLES, MA YOIR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 Patty Dempsey 3300 Providence Drive, #203 Anchorage, Alaska 99508 Subject: Lot 48 Block 1 Vall~ Vue Estates Subdivision On-site Sewer Permit Upgrade #860156 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. 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 this 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 264-4744. Sincerely, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit PEF~Mi T' DATE i SSL!ED: DEPARTMEN, OF: HE:AL,TH AND ENV!RONMENT¢-~.. PROTECTZON 82?.5 I.- S'T'F<EET, ANCHORAGE~ AK 99501 APPL I CANT ADDRESS ~ CONT'ACT PHONE." PATTY DEMF'SEY 3300 F'F~OVIDENCE DR ~],203 ANCHORAGE, AK 99508 5622 194 LEGAL DESCR t I::': LOT SIZE: MAX BIEDREIC)MS ~ SUBDIVISION." VALLI VUE LOT: 48 SEC'f 'ION: 14 TOWNSHIP: 12N RANGE= 3W 1800C) (SQ.FT. OR ACRES) BLOCK Listed be]ow are the opt:~c)r~s available to you ii] designing yeur septic system,, Choose the option thai', best ¢its your site. DEPTH TO PIPE BO'TT[)M (FT.) :LO.C) "GRAVEL. DEF'TH (f:::T.) 6,, 0 TOTAL DEPTH (F']".) 16.0 GRAVEL WID]"H (FT.) 27.. 5 GRAVEL_ LIENGTH (I::'"F.) 32. () GRAVEL VO!...UlflE (CU. YDS.') :1.9. TANK SIZE (GALS) 1,000.0 SI]]:L RATING (SQ.FT',, /BR) !25 TANK MUSI' HAVE AT LEAST TWO COMPARTMENTS I cer/:.i£y tf'iat~ 1. I am f'amiJ, iar with the requirements f'op on-site !set.~ers f:~nd we].].s as seer forth by 'Lhe Mun:[cipality oF Anchorage (MOA) and the State of' Alaska. 2. i will install i:.he syst. em in a~zcordanc;:e with all MOA codes and PegLi].ations~ arid in com[]].J, anc6~ with tine design cpitep:i.a eF this pePm:Lt. :;:!,. 7[ will adhel"e ilo a].]. MOA and State of Alaska i'eql..lirements t'er. the set back distances fpom any existing well, wastewaten disposal system or' public sewerage system on this ~r. any adjacent op nearby lot,, 4. ]Z Ltridl(.~l'Stal-!d t. hat this permi'L is raj, id Fc, r a maximum of 3 bedrooms and any er'ilar, gem6snt ~,gJ.].]. r'eqLiJ. Pe an additional, pepmit. IF: A L.IF'T STAT:ION IS INSTALLED Ilq AN ARIEA COVERED BY MOA BUILDING CODES, THEN (:I) AN ELECTRICAL PERMIT AND ZNSPECTtON MUST BE OBTAINED; (R) AS-BUILTS ELECTRICAL ~ORK ~4UST' B~ DONE BY A L..ICEIgSED EEI.,..EEC'TRI[:,IAN. ~~~d ......................... ~_ 2._._~_:.._0__ ~_ // Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2, 3- 4- 5- 6- 7 8 9 10 11 12 13 14 15 16 17 18 19 20- DATE PERFORMED: (ENGIN~S~SEAL) /o J~,-~ ~'d Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? DeCh to Water After Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN __ FTAND __ FT ACCORDANCEWITHALLSTATEANDMUNICIPAL GUIDELINESIN~FFECT/N THISOATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEEr: 'kd SEAL) PERFORMED FOR: ~r' LEGAL DESCRIPTION: 2 3 4 5 6 7 8 9 10- 11 DATE PERFORMED: '"2.-'"2.~¢~.~ lq 13- 14- 15- 16- 18 19 20 Township, Range, Section: SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN COMMENTS ~.7"/ ~/oeS' P'O'~ /Oo~ p~/~-/r'5~/~,~ . FT AND __ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEZON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINE-~EER'~,SEAL) PERFORMED FOR: LEGAL DESCRIPTION: 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS DATE PERFORMED: Township, Range, Section: SLOPE SITE ELAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p Deplh to Water After (~ole- r_.~-'~,- r, - Monitorlno? ~ Dat~: ~ .~/ Gross Net Depth to Net Reading Date Time Time Water Drop . ,~ /,~ ~EST RUN BETWEEN ~ '~-' FTAND ~ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL EiUIDELINES IN EFFECT ON THIS DATE. DATE: 72-00§ (Rev. 4/85) ,~Z~CG-~ ~/ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:~~)¢'' ~ /~C~'- Z~e,1~'~c~ DATE PERFORMED: (ENGIN~~ 13- 14- 15- 16- 17- 18- 19- 20- L' ~ Township, Range, SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p Deplfl lo Water Alii_/ n Monitorino? ~/~ Date: SITE PLAN ~an,,tl Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND __ FT THIS TEST WAS FORMED IN ACGORDANC~ WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ALASKA ENVIRONMENTAL CONTROL SERVI¢~-'~ INC. 1200 West 33rd Aven~, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO* OF / / ¢,..', ER ANCHORAGE AREA BOF UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME?F~/~._/.~.~V7~_~C~_~A,,,NGADDRES~S/OX z/- z o.5'7 PHONE3f/4/--/~g6 ~5 ~ , SEPTIC TANK: ~"/iL, -'~-/~5 O0 ¢ DISTANCE · NUMBER OF FROM WEL~MANUFACTURER C L MATERIAL COMPARTMENTS INSIDE LENGTH~ INSIDE WIDTH / LIQUID DEPTH / LIQUID CAPACITY/ZOO (~ GALLONS, SEEPAGE PIT, 42~ /_~ / NUMBER OF PITS ./ DIAMETER --OR WIDTH A L~~' LINING MATERI CRIB SIZE: DIAMETER (/ BUILDING FOUNDATION 'Z 0 i~t~'NEAREST LOT LINE ADDITIONAL ABSORPTION L E N,~,~-~, DEPTH ~'/0 / TOTAL EFFECTIVE ~ ~//SQ. ABSORPTION AREA {WALL AREA) FT. WELL: TYPE ~ CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TAN K SYSTEM DiSTANC ES: (/'h~,<~J ~ REMARKS: Form No, LQ-031 DIAGRAM OF SYSTEM GREATEr ANCHORAGE AREA BOROUGH ''! p~.MITNO.. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK /~ SEEPAGE PIT ~ DRAIN FIELD OTHER TYPEANDSIZEOF fAC[LITYTO BE SERVED ''~ /~"/~/~ SOIL TEST RESULTS ¢~J--~////~/{~Y~ NOTF: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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 ~-O DRAIN Field SEPTIC TANK TO SEEPAGE PIT WALt SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT Line. /0/ WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK SEPTIC tank· /~ / SEEPAGE PIT -- ALSO CONSIDER AREA WELLS, / · SEep^gE P~T. /~-~ / /~-~ f 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. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ) 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 ACCORDANCE WITH SA]D CODE. //~ //~ ~ DATE . APPLICANT'S SIGNATURE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVTRONMENTAL OUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For ~h ~ Legal Description: Lot This Form Reports Soils Soil Test Mus~ Be Case ~-- Block ~ _Subdivision Uo~ [)u~ Log_= X Percolation Test Logged To &' Below Proposed Seepage System Depth Feet Soil Characteristics 6-- 8~ 9~ 13-- 14-- Was Ground Water Encountered? If Yes, At What Depth? Reading Date T GroSs Time Net Time Peecolation Rate Minu~[e Proposeo Installation: Seepage Pi't be~th of Inlet ................. Depth ~ Bottom Depth to H20 Drain of Pit or Net Pro Field Trench---'-- Test Performed BY ~ j~$/~ ~x~ Date Certified BY: Date: ' GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY Case # 3330 "C" Street ANCHORAGE, ALASKA 99503 Performed For /__-(/}~¢~?~ ~/'¢~~~ Dated Performed Legal Description: ~ot ~S-Block / Subdivision__~/~/~' This Form Reports Soils Log ,~ Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 9-- ll-- 12-- 13-- 14-- Was Ground Water Encountered? ~¢ NLm. If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop I I Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet Depth to Bottom of Pit or Trench COMMENTS: /~m ~//~~ Test Performed BY ~.e¢~_~/Y~ ~F]_¢~¢¢ Date Certified BY: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 E!more Road P.O. Box 196650 Anchorage, AK 99519-6650 w~w.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING O Parcel I.D. 015-123-05 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing .,.address VALLI VUE ESTATES #2; BLOCK 1, LOT 4-8 6600 ROUND TREE *ANCHORAGE, AK LAWRENCE DEMPSEY 6600 ROUND TREE *ANCHORAGE, AK Day phone 333-3475 Day phone Day phone Unlessotherwi~queste~ COSA ~llbeheldbyDSD ~rpick~. NUMBER-OFBEDROOMS: 4 3. 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 [] ;ional civil )royal are required for the transfer samples.) ¢ The Municipality of Anchorage is not res with valid water ;ible for errors or omissions ~n the )rofessional engineer's work. ~ ~Th, T=M~'M'r OF )NSPECT!OM BY ~,~UdE~ As certified by my seal affixed hereto and as of the validation date shown be/ow, I ....vu~,~y' ......... invest~afion, based on procedures outlined in the Certificate of On-Site Systems Approval Guideiines for this application, .,~t the on-s#e water sup~!v an¢/or ..... ~ ..... ¢¢r ~¢o~,~=l o,.o¢~m is (are) ~afe, F~,n¢finna~ and adequate shows '~- , . , .... ~,~ ....... ~u .... z .................. for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtafi:ed fi'om the Municipafity of Anchorage Nee and ~m my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Munic(~al and State codes, ordinances, and regulations in effect at t,he time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 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 9 ~: WATER AND septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, ~nd 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 dhow 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 reporf~by any other person or party is not authorized, nor will it confer any legaf.right whatsoever: '. bedrooms, with the following stipulations: DSD SIGNATURE '~.~' Approved for Disapproved. Conditional approval for bedrooms. .~ :. WASTEWATER : :' COSA Checklist Septic Advisory .~enic Other Y reements Engineer's Re )oF[ B Original Certificate Date: ~'~' '~ "~ / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPROVAL CHECKLIST Legal Description: VALLI VUE ESTATES #2; BLOCK 1, LOT 48 Parcel ID: 015-125-0,3 A. WELL DATA COMMUNITY WATER Well type A If A, B, or C provide PWSID# 210605 Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N)_J Total depth ft. Cased to___ft. . Casing he~ in. FROM WELL LOG ~CTION Date of test __. ~ __ SV~;i: ~Voa~;tlieoVne' ~~ ~-~ ~:p.m. WATER SAMPLE R~~~. Coliform ,~-~olonies/100 mi. Nitrate mg./L. Collected by: A,,~sel~c~ ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Co Date installed Length Total depth Tank Type/Material Tank size 1250 gal. Foundation cleanout (Y/N) YES Date of pumping ~ / J ~/I ! ABSORPTION FIELD DATA 6/9-10/86 42 ,ft. SEPTIC/STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper I'BELOW EXISTING GRADEI Soil rating (g,p.d./ft2o~ 125 Width 3-4 ft. · 8.41 ft. Eft. absorption area 504 ft2 Monitoring tube**YES Date of adequacy test 6/17/11 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 7,34 gal. Elapsed Time: 160 min. Final fluid depth DRY in. Absorption rate >= y rejuvenation treatment 12 mo.) (Y/N & type) · *MONITORING TUBE ONLY ;XTENDS Date installed 4/,30/98 Cleanouts (Y/N) YES High water alarm (Y/N) N/A ' System type TRENCH Gravel below pipe 6 ft. Depression over field NO For 4 bedrooms New depth 8 in. 600+ g.p.d. NONE If yes, give date - 27" BELOW INVERT. D. LIFT STATION Date installed "Pump on" level at__ Size in gallons Manhole/Access (Y/_.~N) .in. "Pump off" leveJ~~. High water alarm level at in. ~ J Cycles tested. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Meets alarm & circuit requirements~ COMMUNITY WELL Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots ~ nout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 10'+ Wells on adjacent lots 200'+ Absorption field Surface water. 5'-I- 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ Water main 10'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS 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 JEFFREY A. GARNESS Date COSA Fee $ Date of Payment Recei Number (Rev. 11/05) Waiver Fee $ Date of Payment Recei Number LOT 47 N SCALE: 1"= 30' / / / / / / ~Woodfence LOT 48 LOT 49 Note: The wire fence is in poor condition. Fred Watatka No. 3255-S RECORD OTHER THAN THOSE SHOWN ON THE RECORDED '7~'-f~ PLAT ARE NOT SHOWN HEREON. FB 1_%3, / / / / 4 house Wire OH AS-BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 48 BLOCK 1 VALLI VUE ESTATES, UNIT No. 2 BE Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission 3ther visible ;merits on said hereon· Dated at Anch( Alaska this 17th of JUNE ,2011 FRED & ASSOCIATES Engineers and Sur ) ~' MUNICIPALITY OF ANCHORAGE :-,~. ~ ....... · 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION ' '' Telephone 264-4720 . REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES )IRECTIONS: Complete all parts on page 1. Incomplet/~ requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ~¢L~ /L~LL~& ~/~ D~J~'TL~ - 272-5537 da' s Garret M. Upper MAILING ADDRESS 4433 Business Park Boulevard 99503 344-4689 ew.~nings PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Lawrence C. Dempsey 333-1661 MAI LING ADDR ESS 259 Zappa Place 99504 3. LENDING INSTITUTION- PHONE National Bank of Alaska 279-2506 MAILING ADDRESS AN ASSUMPTION LOAN 4. REALTOR/AGENT PHONE Totem Realty 272-0571 MAILING ADDRESS 725 East 15th Avenue 99501 5. LEGAL DESCRIPTION Lot 48 Block 1 Valli Vue Estates Subdivision ~2 STREET LOCATION 6600 Round Tree 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other :~2[] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~: Three [] Six 7. WATER SUPPLY [] I NDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wetls drilled :x~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY If ~nd~wdual/on-s~te; give installation date 1974 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS -TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR . DIRECTIONS: 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 [] puBLIc UTI LITY Connection Verified LOG RECEIVED 3. SEWAGr: DISPOSAL S~YSTEM PERMIT NUMBER []INDIVIDUAL/ON -SI'I"E DATE INSTALLED [~PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: )(~)(~(~ IfTank ishomemade SOiLSRATiNGU give dimensions: ~ Lot Line 4, DISTANCESwELL TO: Septic/Holding Tank Abs Sewer Line Nearest Absorption Area to nearest Lot Line ~',. COMMENTS PPROVEDPOR BEDROOMS ~ONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED DATE / BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) Mailing Address: Name of Buyer: MUNIC ~ALITY OF ANCHORAGL '/~///~____~___~i Department of H~-~ % and Environmental ProtectiorI - · · //~/ 825 L ~9 ~ ~chorage, Alaska 995~1' ~~uest for A~~ ~ividual Sewer and Water Fac!l=t=es Property Owne~~ Malllng Address: 3, Lending Institution: Mailing Address: 4. Realtor/Agent: Mailing Address: Phone: Phone:' Phone: 5o Legal Description: Street Location: 6. Single Family Residence: (~) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well ( ) Public/Community System If Individual Well, well depth If Community System, name of system Public System ( Sewage Disposal System: *~n-site System If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 JML John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYSTEM TES? PERFORMED FOR: TELEPHONE: DATE OF TESTS:~ NO. OF BEDROOMS:_~___ RECORDS ON FILE: 1~72.~ --~,--5 Lo¢~ TEST PERFO~ED IN ACCORDANCE~WITH ~L STANDARD PROCEDURE ACCEPTED .BY MUNICIPALITY OF ANCHORAGE, DsPT. OF ENVIRO~TAL QUALITY ON ~ WITH THE ~LLOWING MODIFICATIONS: SURGE CAPACITY: SOIL ABSORPTION SYSTEM SEPTIC TANK PLUS SAS ABSORPTION RATE / OBSERVATIONS' NOTES: RISE SUPERVISED BY:~ TEST DATA ATTACHED John M. Lambe, P.E. 4303 North Star Street Anchorage, A~aska, g9503 g07-27g-8056 EXISTING DRAIN FIELD TEST - PERCOLATION ADEQUACY DATE ~/~/?/~ PERFORMED BY: ~o ~ /~o,~vge LEGAL DESCRIPTION: ~yT- ~ /T/Jr' ? (//~a~/vL//C. ~EPTH BELOW METER READING GALLONS PUMPED TIME RE~3RENCE ( GALLONS ) ( NET ) / I / JML o, John M. I. aml:e, P.E. 4303 North St~' Steer Anchorage, Alaska, 99503 907-279-8056 EXISTING DRAIN FIELD TEST - PERCOLATION ADEQUACY DEPTH BELOW METER READING GALLONS PUMPED TIME RE~CE ( ~.~S ) ( ~ ) 4-'~' ~ ~ ~~o ~ /-'~ 7z~~ 7 '-/~ ' l'll IV//Department of Environmental Quality · ~ 3330 "C" Street, A~chorage, Alaska 99503 274-4561 ...... ~.,~.~ · ~. I. · _ ~a~ Received September 13, 1976 ~ ~ ~o ~ x ~ ~ ~ ~z~ Time of ~nspection SYSTEM IS NOT ~GULA~Y S~PLED. Date 0f Inspection ~-I/~ FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4o 5. 6. Cony. National Bank of Alaska Post Office Box 3-3859 99501 Phone: 279-2506 Richard Thayler 6600 Round'~ree Drive Phone: none Lot 48 Block 1 Valli Vue Estates. Location: 6600 Round Tree Drive Type of facility to be inspected Single Family No. of bedrooms 2 Well Data: A. Type Community System C. Construction B. Depth D. Bacterial Analysis 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank ~earest lot line B. Foundation to septic tank On-site system B. Installer 1. Size 2. Manufacturer l. Absorption Area 2. Material Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines __ C. Absorption area to nearest lot line EQ-034 (1174) Page 1 of two pages ~age 2 cW~ two~ pages - Re' t for Approval Of In~ividual ~er & Water Facilities "Lega~ Description T,ot 48 Block 1 Va11± Vue Estates Comments Approved~Disapproved Da t e/W--7-- 7f~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Date SIGNED EQ-034 (1/74) MUI",,I~CIPALITY OF ANCHORAGE DEP~,RTIVIENT OF ENVIRON[~4~:NTAL QUALITY Alaska 99503 -- 274-4561 ~' StJ;~,t, Ancholage~.,.~s REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ,kNCHOI?AGE DEPT, OF HEALT!-[ ENVIRONMENTAL SEP 1 3 1976 RECEIVED 1. Type of Inspection: CMRO __ VA FHA 2. Property Owner: Mailing Address: Mailing Address: CONV~.~___ Day Phone 4. Name of Lending Institution: ~---~ Mailing Address: P '" I1~ Phone Mailing Address: ~ Phone Legal Description: Type of Facility to be inspected: Water Supply Type of Supply: No. Bdrms. ~ Public Utility ' ' -- ........... If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation ~ Individual (on-site)