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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 ■■ ■ gloom E■Ng N rrff IN■N No NONE ■■■ Z loss on ■ N N E on ■ ■ on AKIN ■ N ■■N■ E t■■ ■N■ '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 AX 5" 1p 0 7 -145109 SWO50055 Rvarkwe O&IM *ft C]ait 1ww- -_ N-.;i1uruUu Tb-af,r xr:h if,rf, A)6 c r PtrForrn Fuld Snmplirx� rr k}prys Nr.J Ii $ - K -TU PH f&-% Zrgs Compwwbmt DO 4241 oAnr 4�11` $44mpdL- OjrrsrK r)p¢al L � ! OE&^Ihr wil-wiral WSulfide [ JCabbapa ❑ODMY GUY 1Wn In PVII t 1 Y,—. 17HO F in I rk 1. j 7it`Y (Z Mo Check C4rrtral PoFwi Iv v F h,,, ArWs DinA"e✓rmp6 I ELrotutyt Ptrnp 1alAt - .. , r -, .... r ku�itrle and visad terns Oli , CA yon tone vel y". .nAIK] � YM m0% JWeeVlirean PurriP i6;rn - T4-rTt- Lafry f3ufts MWLIr RTU1 W860 FilcasvrC SludgelScum $Svr" (9G7) 350-s533 Orta al ux roM0C%M MD3+2424 isr. r.Of LpIri1Wf4 linut-1 Cin Fli serALid .. _ _ _ ... - - ... _ _ _ . , - - - Zrgs Compwwbmt Rplic-0 tw!c..................... Pr"k M OjrrsrK FIOct caras -------------------- Flew6........................ Pump---- • ---- • ---- • • --- • • --- Iv v I ELrotutyt Ptrnp 1alAt - .. , r -, .... r 1 Pe rzutaligSplhMrVa----.--- - T4-rTt- Lafry f3ufts MWLIr RTU1 W860 FilcasvrC SludgelScum $Svr" (9G7) 350-s533 Orta al ux roM0C%M MD3+2424 isr. r.Of LpIri1Wf4 C?urn:rrL PmrnouG Crrent PTUMuQ Zrgs Compwwbmt Qvnvryk Pr"k M OjrrsrK prCauQ Irk!;pcc CWzin Xdwan7$x Piller Odor. I Fft-1 I U F�,qenl 1 kKrMt yyNormal nf3vrnsshne 6ridqirKVF'afrdinogp Ho ; •I Ewoais" Inspec#UC:lean aiEpGLan$& Prrn>p Sxsbarn fiixrr'LJd I__I SpIk>0 MR U f aa rar+ds F° Laterals�Orifioes Pod RaHaeA { IMaKe Vent V. 7. brupect Okon Fb3A tf. F. Cl Pump L ❑ InspccUSi rvicc Other SpyMm OmporwwM Irtsp1:4-- GFemfr IrcsPah ubum Oisvdf:•f:.k7n Fgrllprnrrft J7 nFafdrB i.�l4 ;f Ccs O b x.: fL Xr"tS Adda•ticnat SeMces Ftetdered !{3k�arrl G xri I a� Replaced UY Berns? C9,p11.,1--Wised olhoritertrs'r PRM Used; W - Y%arran Ly, B - E3iILbIL- appropriate sr. lrrbonj w a chem Hurrimtku Drestviol ;&a FinalfSzlelyt Iri!&pec ion F;SV Lia bl2nud on M;urrflard rewnrrtttcd; Music 4alym c1D%A —tird par3c7 rf:a3zrlu3tad Swmmary1l1ecommerrdaUons ! &/s am perform"; rpm hrrMrs aprHcn nL , f MLnk fr. jDkznf"=J 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:�