HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 1 LT 37GR '-i'ER ANCHORAGE AREA BO'" UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~ u":'~c~ MAILING ADDRESS
LOCATION .D~)~//4/ /--~gz~Z~'~ ~)/) ' LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL ~f~¢~/J'~'~/ MANUFACTURER
INSIDE LENGTH INSIDE WIDTH
COMPARTMENTS
/~R~ ~F? 0
LIQUID DEPTH -~ LIQUID CAPACITY /~(2 ~) GALLONS.
SEEPAGE PIt:
NUMBER OF PITS / DIAMETER ~
LINING MATERIAL: )t~CRIB SIZE:
BUILDING FOUNDATION /0r) F
OR WlDTI~//'~/, LENGTH~;?~~
DEPTH
DIAMETER~DEPTH ~:' DISTANCE FROM: WELL ~"~'"7~?/77 ,.
NEAREST LOT LINE '/~'/ TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA} //(~? SQ. ET.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CONSTRUCTION
NEAREST
LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED ~
. DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK_ SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
Form No, EQo031
DIAGRAM OF SYSTEM
APPROVED ~¢~ ~. ~¢~/~(~?
G.A.A.B.
GrEaTer ANCHORAge Area BorOugh
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO..
INSTALLATION LOCA3~ION '/'~///~ ~//~'~ ~ · ~-
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT ~/ ., DRAIN FIELD _. 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.
SEEPAGE AREA SiZE
CONFORM TO BOROUGH ]:~EGULATIONS REGARDING INSTALLATION.
TYPE
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 ACCORDANCE WITH SAiD CODE.
Performed
Legal Oescrintion:
This Corm Renorts
'On~ test Js voorth a thousand opinions"
For Glacier Excavating Date Performed
Lot' 37 B10ck 1
Soi15 Lo~ YES
10/26/?4
Subdivision Valle~ View
Percolation Test_
Peoth
eet Soil Characteristics
_ Silty Sandy Gravel to ~'
~_~_~ (Seepage pit inlet -~")
Bottom of test p
?--
Seepage pit rings in
well graded sandy gravel
from minus ~' to ll ft.
I
I
Was Ground Water Encountered? NO ~om ' I j
Ie Yes, At what Denth? ~~
,-, I
Readinq Date Gross Time Net Time Depth to H20 Net Dron
! "
I
Percolation Rate !linute
Proposed Installation: Seenaae Pit Drain Field
Devth of Inlet Depth"To Bottom Of Pit Or Trench.
CAM!~ENTS: 8~ Sq. ft drainage area required ~er bedroom
no bedrock or water table 4£t. below
seepage Pit.
Jim Mack Data Certified B~: Construction TestLab
PIIO£OSED DWEI.~ING LOCATION
NOTE:
It is the contractor's rcsponsibili~ to check
Top oli']-?oundahon in relationship to
Cra(lb. Top o~ Foundatim) as indicated is one
co~rsa of })lock abova Finish ,Grade
I hereby certify that I have surveyed the following
described property: ~" O~- ,~'// ,~-~/../~/
/y//Z A / /~/~/&-
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the properly
lines and do not overlap or encroach on the property
lying adjacen~ thereto, that no improvemems on prop-
erty lying adjacent thereto encroach on the premises in
.cjLuestion and that there are no roadways, transmission
lines or other visible easements on said property except
as indicated hereon.
Dated at Anchorage, Alaska
thi~ r~"/~2~'/day of (/2'/.../)/ . 19 '~//r~
FRED WALATI<A & ASSOCIATES
Engineers and Surveyors
UNM�PAUT t'I OF
Development Services Department
On -Site Water & Wastewater Section
Parcel I. D. 015-322-59
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date: ! �l tc Q 12 iia
01
Complete legal description VALLI VUE ESTATES #2 BLOCK 1, LOT 37
Location (site address) 10325 MAIN TREE DRIVE, ANCHORAGE, AK 99507
Current property owner(s) BRENT & CHARMAINE JOHNSON
Mailing address
Real estate agent
1111CY41t41h1IZIINS:811
Day phone
ANCHORAGE. AK 99507
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
❑
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
%
Community
❑
Public Water System
Q
Public Sewer
❑
Waiver request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ S50
Date of Payment "( - 2 &P _(
Receipt Number �o rKZ��
COSA# 0_`)G2112,11
Date:
Waiver Fee $
Date of Payment
Receipt Number
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350.9566
Address 13030 SUES WAY ANCHORAGE AK 99516
Engineer's Printed Name CURTIS HUFFMAN PE Date 4/26/2021
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 estimate of how long a system will function satisfactory ��'g�Q: • . • • �„� ��
for current or future occupants or guarantee that no unseen encroachments, deficiencies or TH 1 .•
discrepancies exist can be given by First Water Consulting & FMCS .
6. DSD SIGNATURE-'. - Curtis Huffman 0
y� System #1 Approved for bedrooms ���Fcs•, CE 128991
OF S`;iDN�?�
System #2 Approved for bedrooms ��pROESS10�
Disapproved
Conditional approval for bedrooms, with the following stipulations:
ltlt(((f
ON-SITE_
WATER AND �" r
"'MmIltlll)I"
"UK,By: 6�ev Original Certificate Date: 5_4261620 �2 1
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 Checklist
Legal Description: VALLI VUE ESTATES #2 B1, L37 Parcel ID: 015-322-59
If more than 1 septic system on lot: COSA Checklist #
of
Structure served by this system
A. WELL DATA – CLASS A
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 of Sample
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) 15 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank *
Standpipes/foundation cleanout per record drawing
Date of pumping 5/14/2021
C. LIFT STATION
Required maintenance completed*
Age of lift station years
Lift station material
Comments: *SEE AX MAINTENANCE REPORT
D. ABSORPTION FIELD DATA
Which system tested (date installed) 3/25/2005
ALL standpipes present per record drawing
Total measured depth from grade 8.9 ft (max)
Measured depth to pipe invert from grade 4.1 ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective 4.8’ INTO THE 5’ ED
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date 4/22/2021
Results Pass For 4 bedrooms
Fluid depth prior to test 3 in
Water added 750 gal
New depth 34 in
Elapsed time 1410 min
Final fluid depth 2 in
Absorption rate 600 gpd
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Comments/Deficiencies: EXISTING CRIB DRY.
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No
ft
Neighboring Tank > 100’ Yes if No
ft
Absorption Field on Lot > 100’ Yes if No
ft
Neighboring Absorption Fields > 100’
Yes if No
ft
Community Sewer Main > 75’ Yes if No
ft
Community Sewer Manhole/Cleanout > 100’
Yes if No
ft
Private Sewer/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
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No *5+ ft
Property Line > 5’ Yes if No
ft
Absorption Field > 5’ Yes if No
ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No
ft
Community Wells > 200’ Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No
ft
Property Line > 10’ Yes if No **3+ ft
Water Main > 10’ Yes if No
ft
Water Service Line > 10’ Yes if No
ft
Surface Water > 100’ Yes if No
ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No
F. ENGINEER’S COMMENTS
*PER CODE AT INSTALL. **WAIVER ISSUED PREVIOUSLY.
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.
5/14/21
-3�1n !a J
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■■■ Z loss on ■ N N E on ■
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'd hex' Meld Maintenance Report ncho rageTa rl k
Annual Inspection 907-272-3543
I4apndy Llwm rrrmc" +
Brent Johrmm
1032 blain Tree armee. Anchixaga AK X9516
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Fax completed forme to 1-866-384-7404
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this _O�5 Day of ft9n1 of 20 At , by and between
61"&)C� � TVgN �,}JtY , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
Advanced Wastewater Treatment Systems. The Municipality grants permission to the
(rev. 05/18/2018) Page I of 3
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as AN ADVANTEX SYSTEM
located at (legal description)
VALLI VUE ESTATES #2 B1, L37
2.
Maintenance, Repairs and Alterations.
(Owner
is required to read, understand and initial each section)
Throughout Agreement, the Owner into
the term of this shall enter a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
w
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, could include sewage backup and costly repairs or drainfeld
replacement.
(rev. 05/18/2018) Page I of 3
e(0 Owner acknowledges that the Municipality may request records of maintenance and
(rev. 05/18/2018) Page 2 of 3
repairs from the manufacturer's representative or maintenance provider.
Owner that the fine for failing to
acknowledges maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
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.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3.
Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4.
Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5.
Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6.
Jurisdiction: Choice of Law. Any civil action arising from this 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 Agreement.
7.
Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
ONNINEIR:
T-3 (signature) Date:
Ci)(I ILI R I I I I I I _', rint name)
STATE- O1" ALASKA
ss.
THIRD JUDICIAL DISTRICT
The foregoing instrument was acknowledged before me this'4 I day or
20 ?,t.bv
Notaryry Public
AA
NOTARY PUBLIC FOR ALASKA MATT STARBIRD
My Commission expires: 1/30/ZO z- State ofAlaska
Commission Expires Jan. 30. 2022
MUNICIPALITY:
Bv: ARW -34/ts(signature)
Reke.cca CArv-o I ((print name)
Date: 5 A /Zo z I
Title:
05/18/2018) Page 3 of
Z:�