HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 35A J, cIP*LI a.e MUNICIPALITY OF ANCHORAGE
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On-Site Water &Wastewater Program ,5-;_
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsite
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On-Site Wastewater Disposal System Permit
Permit Number: OSP171075 Effective Date: 5/5/2017
Work Type: SepticTank Upgrade Expiration Date: 5/5/2018
Tax Code Number: 01532257000 --k-ivakk _ ( (- 1 7
Site Legal Address: VALLI VUE ESTATES #2 BLK 1 LT 35A G:2538
Site Mailing Address: 10415 MAIN TREE DR, Anchorage
Owner: TAYLOR DWIGHT L & PAMELA S Lot Size in Sq Ft: 17952
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3
This permit is for the construction of:
El Disposal Field Q Septic Tank El Holding Tank El Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: SGL ,. �!/ Date: 5
Issued By: �C�V c-f'.{1.1:? Cr Date: 57 7
MUNICIPALITY OF ANCHORAGE
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Community Development Department . ii;f4) Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water& Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-322-57
Property owner(s) Dwight & Pamela Taylor Day phone
Mailing address 10415 Main Tree Drive, Anchorage AK 99507
Site address 10415 Main Tree Drive
Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2 B1 L35A
Legal description (Township, Range & Section)
Lot Size 17,952 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) ❑X
(w/wo ADU)
Septic Tank Upgrade ❑X Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Muni '.al Code .
11000 1
(Signature of property owner or authorized agent)
Permit/Rush Fees: cj‘.LS Waiver Fees:
Date of Payment: 6/6/IV Date of Payment:
Receipt Number: ()c/?036 Receipt Number:
Permit No. QS PJ 0 76 Waiver No.
Permit App_ - :: .,c
Pannone Engineering Services Lac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@'panengak.com
May 4, 2017
Subject: VALLI VUE ESTATES#2 B1 L35A
Tank Replace Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade 1,000g septic tank to be issued for this
property. The existing 1,000g is collapsing. It will be decommissioned per code and replaced. Currently
the lot is developed. The proposed system will utilize a replacement 1,000g septic tank that will be
connected to the existing drain field. The existing tank is located approximately 100'+ from the well. The
proposed tank will be placed outside the existing well radius. All required separation distances will be
met.
1. Upgrade Tank Design.
A double clean out will be installed after the tank, and a foundation clean out installed before
The tank will be located: 5'+ from any property line or building foundation
10'+ from any water line
100'+from any surface water
100'+ from any private wells
200'+ from any public wells
The proposed installation will not affect the future development of the surrounding or existing lots.
If you have any questions or concerns, please contact me at 907.272.8218.
Sincerely,
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'' Steven R.Pannone r
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Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
,/-~GREJ ,:R ANCHORAGE AREA BO£ ~JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~ ~-~n"~'"~'~ MAILING ADDRESS ~ ,~- '~'~J"-% PHONE
LOCATION ~ ~ LEGAL DESCRIPTION
SEPTIC TANK: ~/~-~/ /o~J'~/~'~
DISTANCE /~,~_~/. NUMBER OF
FROM WELL .... MANUFACTURER ~ ~ MATERIAL ~ COMPARTMENTS
INSIDE LENGTH INSIDE WIOTN LIQUID OEPT, ,QUID CAPACITY/~ . ~GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / . DIAMETER OR WIDTH
LINING MATERIAL/~'Z~ ~'~/CRIB SIZE: DIAMETER
BUILDING FOUNDATION ~g/,~ NEAREST LOT LINE ~
ADDITIONAL ABSORPTION
LENGTH DEPTH / ~ /
DEPTH ~ /DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ,,3~ ~f,~
.SQ. FT.
WELL: ~
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY: ~
PIPE MATERIAL: ('/~Z~" ,~/
LOT SLOPE:
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYSTEM
DATE
APPROVED ~ ~. ~
G,A,A,B.
/
¢ /
//, / //, /
GEL {ER ANCHORAGE AREA BOROUGH
~ Department of Environmental Quality
, - '?, 3330 "C" Street
~ Anchorage, Alaska 99503
Performed for
Legal Description:
~ s form reports: Solls log _2< , Percolation test
Depth
Feet
3-
4-
6~
7-
8-
Was ground water encountered?
If yes, at what depth?
~eading Date Gross Time Net Time Depth to H20 Net Drop
?ercolation r~te
Proposed installation:
Depth of Inlet
CO,,IF, Et'iTS:
mi nu te.
Seepage Pit Drain Field
Depth to. bottom of pit or trench
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SiTE SEWER AND WATER FACILITY
264-4720
Application Date q I
GENERAL INFORMATION
(a)
(b)
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
Applicant Name~J~,~ ~ ~"~',~ Telephone: Home "~ ~G ~2~'O_~ Business
Applicant Address
(c) Applicant is (check one): Lending Institution []; Owner/J~ler~; Buyer []; Other [] (explain);
(d) Lending Institution Telephone
Address
t
(f)
H
Real Estate Company and Agent
Address o~,0'7 ~
Telephone ~-
M~il the HAA to the foJlowing address:
~o~
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number of Bedrooms -~
Other
. {/ll,l!x\ ,
WATER SUPPLY
Individual Well [] Community[~ Public []
Note: If corn m unity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL ·
Onsite~, Public [] Community [] Holding Tank [] ;
Note: If com m unity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the I~gality and status.
1 of 2 72-025(11184) :
Page
.,
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As ceH:ified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health
Authority Approval 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.
Name of Firm
Address
Date
Telephone
DHEP APPROVAL/' ', ',
Terms of Conditional A~proval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska, The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or'
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or om ssions in the
professional engineer's work.
Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
/ Legal Description: LO-~ ~...~ ~
WELL DATA
Well Classification ~:~ If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed Yield
Total Depth Cased to Depth of Grouting
Static Water Level Pump Set At
Casing Height Above Ground Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N)
Separation Distances from Well: ~
To Septic/Holding Tank on Lot ~' ,~.~3 o, ~ ; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ..~_.~.O-~ - · ; On Adjoining Lots
To Nearest Public Sewer Line To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot
Water Sample Collected by ; Date
Water Sample Test Results
Comments
B. SEPTIC/HOLDIN=G TANK DATA
Date Installed
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ~ ~ ~ ~ ~'~"
To Property Line ~
To Water Main/Service Line
Air-tight Caps (Y/N)
size / ¢ ~'~::) No. of Compartments '~'
Foundation Cleanout (Y/N)
Date Last Pumped ~/~
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation .t2.~
To Disposal Field ;Z.(~
To Stream, Pond, Lake, or Major Drainage
Course
Comments
Page I of 2
72-02601/84)
C, ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed '~' ~ · 7/-2`/
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N) /kc/
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Gravel Bed Thickness
Type of System Design
Length of Field ,~O ~
Depth of Field /~
Standpipes Present (Y/N)
Date of Last Adequacy Test
oNE
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~ ~.~
To Cutbank (if present)
Comments
D, LIFT STATION N O ~N~ ~---,
Date Installed
Size ia Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified or conformed to all fM2A and HAA guidelines in effect on the date of this inspection.
.
Receipt No
Date of Payment
Amount: $ U( % ,O~ Engineer's Seal
Page 2 of 2
72 026 01/84)
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
SEPTIC SYSTEM
TEST
LEGAL: LOT 35A, BLOCK 1, VALLI VUE
LOCATION:
10415 MAIN TREE
OWNER: JOHN EWING
RESIDENCE:
SINGLE FAMLIY, THREE BEDROOMS
WATER SYSTEM:
COMMUNITY WATER SYSTEM
SEPTIC SYSTEM:
FROM MUNICIPAL RECORDS:
TANK: STACK STEEL, STEEL, TWO COMP.
1000 GAL.
ABSORPTION SYSTEM: CONCRETE CRIB
ABSORPTION AREA: 480 SQ. FT.
SOIL RATING: 85
INSTALLATION DATE: 5/8/74
DATE OF PUMPING: SEPTEMBER 5, 1985
DATE OF TEST:
SEPTEMBER 4, 1985
TEST PROCEDURE:
WATER WAS ADDED TO THE CRIB AT A CONSTANT
RATE OF 9 GALLONS PER MINUTE WHILE THE WATER
LEVEL IN THE CRIB WAS MONITORED. AT THE
BEGINNING OF THE TEST THE LIQUID DEPTH WAS 44
INCHES. AFTER THE ADDITION OF 450 GALLONS THE
DEPTH WAS 73 INCHES. THE WATER LEVEL IN THE
TANK REMAINED UNCHANGED.
AFTER TWO HOURS THE WATER LEVEL WAS 52 INCHES
INDICATIONG THAT MOST OF THE WATER HAD BEEN
ABSORBED.
THIS SYSTEM MEETS THE REQUIREMENTS OF THE
MUNICIPALITY OF ANCHORAGE.
The operational life of all septic systems depends on the local
soil conditions, groundwater levels that may fluctuate during the
year, and the water usage of the family being served by the
system. These conditions are outside the control of the evaluator
of this septic system. We can therefore not give any estimate of
how long the system will continue to meet the operational requi-
rements of the Municipality and State.
/~X ~.~ MUNICIPALITY OF ANCHORAG~,~
/~~ DEPARTME,~ ': OF ,HEALI'H AND ENVIRONMEN~ ~ PROTECTION
((,~))~ ~, 8~5 L Street, Anchorage, Alas_~ 99501
~,~' --~ Date Received: May 10, 1977
. ~ ~ ~, ~__ ~3' Time l/,'~)
Time /~N~ _ ~2: Time /] ' ~ ~'~'~ ~ ~ ' ·
Insp ~=~
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request:
Mailing Address: Pouch 7-010 99510
2. Property Owner: William E/Mary J. Childers
Alaska National Bank of the North
Phone: 278-4581/273
Phone:
Mailing Address:
Legal Description: Lot 35A Block 1 Valli Vue Estates ~2
10415 Main Tree
Single Family Residence: (x) Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
3
e
Well System:
Permit ~
Construction
Individual well ( Community/Public System (x~
Depth of Well Well Log on File
Bacterial Analysis
( )
e
Sewage Disposal System: On-site System (x) Public Utility (
Permit ~ Instal]ed C~/ Installer ~~
Septic Tank Size _ ~O~o ~, Manufacturer ~ __~
Absorption Area Soils Rate ~_~.~' Material ..
Distances: Well to Septic Tank G'$ bsorption Area
to. Sewer Line
Nearest Lot line
Absorption Area
to Nearest Lot Line
~a~e ~7o
Department of
Request for Approval
Health and Environmental Protection
of Individual Sewer and Water Facilities
Legal Description: Lot 35A Block 1 Valli ~ue Estates #2
Comments:
Affadavit Attached:
Approved:
Disapproved
Letter Attached: ( )
Date:
Department Worksheet:
333O
GREATER ANCHORAGE ARE;, BOROUGH
Department of Environmental Qual i
"C" St., Anchorage, Alaska 99503.-
Type of Inspection: ' CMRO VA FHA
Property Owner: William E. & Mary.Jeanlce Ch±lders
CONV
Mailing Address:
Name of Buyer:
John A. & Sara E. Ewing
Day Phone
Hailing Address:
10415 Main Tree
WORK-MR. EWING
Day Phone 265-6194
4. Name of Lending Institution:
Pouch 7-010
Mailing Address:
Area Realty-
5. Name of' Realtor or Agent:
3300 "c" Street
Mailing Address:
Alaska NationalBankofthe North
278-4581 Ext. 273
Phone
CaroleBeason
278-2525
Phone
X
Legal Descri pti on: Lot 35A, Blk 1, Valli Vue Estates .~2
Location: 10415 Main Tree , Anchorage, Ak
7. Type of Facility to be inspected:
8. Hater Supply
Type of Supply:
Single Ho~ N0. Bdrms. 3
Public Utility
number of dwellings presently served
depth of well
If Individual,
If Individual,
Sewage Disposal'System
Type .of S~stem: Public Utility
Individua'l (on-site)
If Individual, date of installation