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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 42 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ~)/"-~-~ ''~ ~ / -' O ,.~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES /~ H ~ ~ TO SEPTIC ABSORPTION ~dd,e~FROM ~ WELL LEGAL DESCRIPTION LOT LINE Township, Range, S~tion ~ ~ ~ ~/ ~ ~ ~/ ~ ~ C / ~ AS-BUILT DIAGRAM (Show location of well. septic system, properly Fines, foundation. driveway, water bodies, etc.) TANKS ~ / N ~ SEPTIC U HOLDING .~ TYPE OF SYSTEM E~? ~TRENCH g BED ~ W. DRAIN ~ OTHER j Depth ,o pipe bDt,om from Total depth from original grade~ T~ Fill added above original grade Gravel depth beneath pipe FT FT Total absorption area Distance between lines ~ WELLS ~ PRIVATE ~ OTHER fldentifv) Insta[ler Date Installed; I ~~ ~ cedilylhalthis ins,e~ion was pe.ormed accordi,glo ail "" 72-013 (3/85) / ? ? i'!.I~ I'~ i,::)r'il! b'¥' 'thi~:, lfiu.!'!:i~::::i.p~.:i.'Ly c.:,! {~ni::h~)n?~,.,,.~c;~ (l~l!::h;~) .~,ru:J '~:.h~:~ ~t.a'i_~ cfi ::f~ :I: ~,,J:i.:l:! ;:~::li~:~'~'~'~.: t.(::~ a.l]. i!(::)~ ?':ti'id !~i'M~;~t.~.:~ !::ii' (~:ia~;~l-:;a i-~q~l:i.!'oiil~.)ixi:.s~i i'l::ii' Flattop ~'echnical Services 14530 Echo Street Anchorage, ,Alaska 99518 /.. Lo7 q2 LoT' ¥1 / NOTE: No ~v'~LL¢. I, VITI-{II',/ 200/ ol=' ~uBJ/~CT S£'PTIC SYSTEM . NO OTHER $£PT/c 5¥~T£~15 ~VITHt,'~ ]00' EXCEPT ~c; 51-/Ol.~N . L 0T ur2 VALLI VdE SEPT IcL $¥$% BLOCK I UPC~RAb£ SITE PL SC~L£: I"= Ufo' D~TE : tl/~o bWN B'/: ,~. PLAT, ALL LOCAT tON S A~E /~PPRox ~ ~TF Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Lot 42, Block 1, Valli Vue Estntes #1 10205 Main Tree Drive Septic Tank Replacement Specifications 1. The scope of the project consists of the removal of two existing septic tanks and installation of a new 1250 gallon, two compartment septic tank. All construct/on practices and material spec/fications shall conform with Municipal requirements. 2. The existing tanks are to be pumped, crushed and transported to the Municipal Landfill. 3. The existing upstream tank extends partially underneath a concrete slap, so care must be taken to ensure that the slab is not disturbed. Once the tank is removed, the hole is to be filled with sand and carefully compacted to minimize any potential for subsequent settlement of the slab. The existing waste line is to be extended through this compacted sand, and.a cleanout pipe installed as soon as it is clear of the slab. 4. The new 1250 gallon septic tank is to be instal!ed on undisturbed ground in the approximate location of the existing downstream tank. Calder couplings shall be installed on all tank fittings, and special care shall be taken to ensure that the inlet and outlet pipes rest upon thoroughly compacted soil. A double cleanout shall be installed in the waste line downstream of the septic tank, per Municipal requirements. 5. The excavation shall be neatly backfilled with clean material, and the finished surface mounded sufficiently to allow for subsequent compaction without creation of a depression. 6. Two inspections will be required: (1) after the old tanks are removed and the new tank installed~with the waste line and cleanouts installed, but prior to backfill, and (2) after final backfill and grading is complete. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE LEGAL DESCRIPTION LOCATION NO. OF 9 DROOMS Absorption area Owelling~ PERM~ ~ S~g IF HOMEMADE: ;~ DISTANCE TO:, ~,~ F°uq at' t Nearestl~r grade ~ Total~f lines Trench wld~ ~ inches Distance be~/~? ~ Top of tile to finish ~ Material beneath tile Total e~rption area ~ DISTANCE TO: OTHER REMARKS . . 72-013 v. 3/78) PERMIT NO. RPF'L ! CRN'I' L. OCRT I ON LEGRL L42 B~t. ',,4::ILL. i ',,,'.E L. OT ::,I,:.E 2;;'~FF* SQI.JRRE Fr_~F ff ,..,.[11._! N MF-F-'I;' OF BE[:,ROL]MS 4 S]IL F:RTIN]* ,::E;[-:! ~ ,. E ........ ..,I,_[_.'. OF THE SOIL RR'::;FiPF'TION .':,s.:,,- IS: THE t .]:.t:.!L! I FLE£ ~.I, ~ ....... IS .~,.,. FEET::, '"iF THE TRENCH ]F.' F:,RRINFIELD. THE L~_.,I.~iH [iMEN_--.~LN 'THE LENGTH ,'~'t _ - - .... F' - . ._ L. ).:,THNL.: 'THEE E:,EF'TH OF H IRE. N_H I~F' PIT IS THY: *" ......... FiE'Tt.dEE[.,~ THE ':II~'FFIF':E' ElF 'I"HE b~.uLIN... RNE:, THEE EOTTOM '"F THE E::4C:FP/HFILIN 'TN FEET). THERE "'" : - '-"T IRE. NL.H~:_,. Z=, ?4U :,E. N!DTH FCR "'=*' '" THE GRR',,,'EL [:,EPTH IS THE MINIMUM DEPTH OF aC. H zEL F~FTb. IE:EN THE OUTFRLL PIFE T'' . ~.'lr:. F:,-:;F:FIVFIT'f-N ,'IN FEET). 8NJ:' . HE E CFFTEff"I - F "'[ [' . ......... F'ERMiT FIPF:'L I'::;:INT t-IH_,"'= 'l't,E: REE;PONSISI. LIT'¢ T] INFORM -tHTq. ._ [:,EPRF,'TMENT DURING THE iN':STFiL. L,~?TION I~_,FEu IL, L. OF RN'¢ HELLS RL',_~RCENT TO TH!L:; r~.L.-~:...~ ~ RND THE NLIMBFZP. OF RESIDENCE':] THF!T Tt-!E HELL .,1'[11 _-.,E.R ,E. MINIMUM [>ISTRNCE 8ETNEEN F! NELL RND RN'¢ ON-SITE SE!.qFIGE DZSPOSRL S'¢STEM IS i00 FEET FOR R PRIVRTE HELL OR 150 TO 20E4 FEE'T FROM R PUE:LIC HELL [:,EPENDINC~ UPON THE T'¢PE OF F'UE:L!C: HELL.. M!NIMUH [:,IST~NCE FROM R F'RIVFF!'E HELL TO R PRIVRTE SEHER L. INE IS 25 FEET FIND TO R C:OMMUNIT'¢ SEHER LINE ZS 75 FEET. OTHER REQUIREMENTS MR'¢ RPPL.?. SPEE:tFZCRTIONS FIND CONSTRUCTION DIRGRRMS RRE F~VRZLRE~LE TO INSURE F'ROPER INSTRLL~TION. I CER'T!F"r' THR'F i: I RI"! F'RFI!L. IRF:: P.IITH ]'HE:-' REQUIREMENTS FOR ON--SITE SEHERS RND WELLS RS :SE]' E"ORTH E:'T' THE MUNIC:IPRLIT'¢ OF FINCHORRGE. 2: I NILL INS'TFILL. TF!E SV'_:;TEM ZN RCCORDRNE:E HITFI THE CODE'_:;. ]:: I UNDERSTFIND. 'TI4RT THE ON-SiTE SEI.,.!ER S'.¢S'FEM MR'¢ REQUIRE: ENLRRGEMENT IF THE ~'F-':;I£:,FNr":F l':; PEMFE:,F't E'£:' TO INE:[ !I[:,E MORE 'rHRN 4 E:EE:,ROOMS. FIF'PL. IE:FtN~ GU'T' H GREENE .......... GRE ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 UGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME T/~,,¢~7~ ~/~4~-['¢g~'MAILING ADDRESS /-~¢a0 ,~m~T,,g.4-~.~ //~2o. PHONE LOCATION /~¢~A2 "7--~-- ~/~-, ~ ~::¢~'"~AL DESCRIPTION /4~- &Z;Z/ /~/g. / ~/~&/ SEPTIC TANK: DISTANCE g¢'/~ ~7~ FROM WELL MANUFACTURER INSIDE LENGTH INSIDE WIDTH ~-//¢-J/_~.:~7'/~ MATE RIAL LIQUID DEPTH NUMBER OF ~/'~_~t~COMPARTMENTS / LIQUID CAPACITY /4'¢1' GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER LINING MATERIAL ~-~,~z ~ CRIB SIZE: BUILDING FOUNDATION__ ADDITIONAL ABSORPTION _ OR WIDTH DIAMETER NEAREST LOT LINE LENGTH /~ ! DEPTH /e/g/ DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~"-¢~-/ SQ. FT. WELL: ~)44~ . TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PiPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 GreaTEr ANCHORAGE AREA BOROUGh DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION T..E AN....E OF FAC.L..Y TO .E SERVE. FINANCED THROUGH . TO BE INSTALLED BY ~' / ~' ~o I~' COMPLETION DATE ANTICIPATED , OTHER Id/ NOTE= THIS PERMIT IS NOT VALID WITHOUT BOIL 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, REQUIREMENTB FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK . SEEPAGE PIT ~--{J . DRAIN FIELD WELL TO SEPT,C TaNk /0~ SEEPAGE PIT WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE. STREAM. 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 S~PHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS, BOROUGH REGLIL TIONS REGARDING I~/STALLATION. DIAGRAM OF SYSTEM 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 SA)D CODE. __/ ,~ DATE GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONmENTAl QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Performed For i ]~ Legal Description: Lot~.~d~Block_[ __ This Form Reports Soils Log_2o Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics ~'~"~ Was Ground Water Encountered? If Yes, At What Depth? Dated Performed Subdi vi si on__VMl~ kh~ Percolation Test Below Proposed Seepage System - I i Reading Date Gross Time ! Net Time Depth to H20 Net Dro Percolation Rate Minute Proposed Depth COMMENTS: Drain Field Ins~ll~T~rF: See,,,~ag~ Pit ~<z of In!etd~c~L< ?/ ' ~epth ~!o Bottom of Pit Or TrencF~TM Jla te: EP INPR*J S • • Gf B !,ler ;'�Municipality of Anchorage S. G On-Site Water and Wastewater Program 1,V 1 a ° (907) 343-7904 SA ETY Certificate of On-Site Systems Approval Parcel I.D. 015 341 05 Expiration Date: 1 10\J 0 a 1 019 1. GENERAL INFORMATION Complete legal description ValtiVue Estates#2 Block 1 Lot 42 Location (site address) 10205 Main Tree Current Property owner(s) Estate of Steven L Jochens Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual E Individual Water Storage E Holding Tank ❑ Community Class A Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: � . I ( /1/I ' Received by. Date: COSA to be rele• -• o the engineer,unless otherwise requested by the engineer. COSA Fee $ 5.9‘(0 Waiver Fee $ Date of Payment i0/ 41 r9 Date of Payment Receipt Number sOM(q) Receipt Number COSA# OSP 171575 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. Name of Firm C&M ENGINEERING Phone 907-854-5558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 10/20/18 leikikk 6. DSD SIGNATURE System #1 Approved for Li bedrooms System#2 Approved for bedrooms -40 Disapproved Conditional approval for bedrooms, with the following s ., , ,: ti J\ ut �v�;y� ON_SgE ��'�., - AgER AND o wp,STEwA R . pKoGRnM ok)4°SMT SER, jraWA By: O �"� fm cC.cOun,d Ori inal Certificate Date: !1DV O �OY 9 �A18 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 a�1k Cly X COSA blue sheet S c If more than 1 septic system is on the lot: COSA Checklist# 1 of1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Valli Vue Estates Block 1 Lot 42 Parcel ID:015 341 05 A. WELL DATA Well type A If A, B, or C provide PWSID# 210605 Well Log (YIN) - Date completed - _ Sanitary seal (Y/N) - Wires properly protected (YIN)- Total depth - ft. Cased to - ft. Casing height(above ground) - in. FROM WELL LOG AT INSPECTION Date of test - - Static water level - ft. - ft. Well production - g.p.m. - g.p.m. WATER SAMPLE RESULTS: Coliform - colonies/100 mL Nitrate - mg/L Arsenic - ug/L Date of sample: - Collected by: - B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC / STEEL Date installed 12/7/1990* Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) yes Foundation cleanout (Y/N) yes Depression over tank (Y/N) no High water alarm (Y/N) no Date of pumping 8/29/18 PumperA+ C. ABSORPTION FIELD DATA Date installed 9/22/82 Soil rating ( d.Gft2 or ft2/bdrm) 200 System type TRENCH Length 43 ft. Widtth�3 ft. Gravel below pipe 10 ft. Total depth 11* ft. Eff. absorption area 860 ft2 Monitoring tube yes Depression over field no Date of adequacy test 10/10/18 Results (Pass/Fail)pass For 4 bedrooms Fluid depth in absorption field before test 78 in. Water added 600 gal. New depth 96 in. Elapsed Time: <144 min. Final fluid depth 43 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) none known If yes, give date na D. LIFT STATION Date installed -- Size in gallons -- Manhole/Access (Y/N) -- "Pump on" level at-- in. "Pump off' level at -- in. High water alarm level at -- in. Datum -- Cycles tested -- Meets alarm &circuit requirements? -- E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot -- On adjacent lots -- Absorption field on lot -- On adjacent lots -- Public sewer main-- Public sewer manhole/cleanout -- Sewer/septic service line -- Holding tank -- Animal containment areas -- Manure/animal excrete storage areas -- SEPTIC/HOLDING TANK ON LOT TO: Building foundation 18 Property line +5 Absorption field +5 Water main +10 Water service line +10 Surface water +100 Wells on adjacent lots+100 ABSORPTION FIELD ON LOT TO: Property line 5* Building foundation +10 Water main +10 Water Service line+10 Surface water +1 00 Driveway, parking/vehicle storage 0* Curtain drain +50 Wells on adjacent lots +100 F. COMMENTS *See Suplemental Letter �r\� " kb G. ENGINEER'S CERTIFICATION ,."��'�s . � n �� U I certify that I have determined through field inspections and ,��p:.6 / '../r OA review of Municipal records that the above systems are in �`Gj • •'S7 conformance with MOA COSA guidelines in effect on this date. :4 9 T 1 ' fot . • • e • e • •-• • '• r Engineer's Printed Name Charles Balzarini Date 10/20/2018 tHARLES G BALZAR1NI /'c��,/•, •CE-13854 `<, Aso' s 0 •'0 (c: rROFESSIO�P�'-witt' COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ' fir ft., 907-343-7904 On-Site Water and Wastewater Section Fax:343-7997 www.muni.org/onsite / Septic Tank Advisory' Certificate of On-Site Systems Approval # OSC181570 Subdivision: Valli Vue Estates #2 Block:1, Lot: 42 The septic tank for this property is 28 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. --4...4 .Fsn a> ) I 4 :1/4"1„?.- S. 'M!r ? ,tiKi 4''+ <,S 6 :j..1 ,..,. yEy, y 1;'Ar yrs l --, ,f:',.•••••.: ,,,-,,,;:•:: 7, ,i.' r! ' r' • 4 �r *' • L c A * ySSb .A. Mailing Address: P.0.Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org • C&M ENGINEERING SERVICES Ph:907-854-5558 RE: Onsite Systems Testing for 10205 Main Tree On 10/10/2018, the septic system at 10205 Main Tree, Vali Vue Estates#2 Block 1 Lot 42 was tested and determined to be adequate and in functional condition. This letter serves to provide additional information in support of the Certificate of Onsite Systems Approval (COSA)application and checklist submitted for review. • During the course of our review, we found that the tank was installed in 1990. Per the MOA's policy W.05, which went into effect on 10/15/18, the existing steel septic tank levels were checked and were found to be within the required range for a functional septic tank (48"). Though no defects were noted, we recommend that the tank be replaced within the next 5 years. Additionally, it was noted that the leachfield is installed partially under the driveway. The system has been in its current configuration since the 1980s with no apparent issues related to the functionality of the system. While not typical, the system has a long history of adequate function and municipal approval. During the inspection, we were not able to measure to the full depth of the monitor tube however we were able to measure deep enough to perform the test. The measured total depth of the drain field was 11' vs the 14' originally documented. This indicates that the sewer rock extends approximately 3' below the bottom as measured. The values reported on the COSA form include the additional 36". A waiver was issued for the leachfield to closest lot line in 1990 for a distance of 5'. Sincerely, Charles Balzarini, PE , Iv 0 . • W7-4.3 ...9.c> iS \ ti' tea'' F s, is ac's � , /17' - 17:7 ` C. 'VG. /' IV (ki 7'e/,, 1,v 0 V\ I1 V : 1 r I L) ) 1 t.1-71 G4r4/ rt,`V Iv , ,, , D. / c ,..,�tt? /,_._ .. ._.... .._ ��..,�.alit,i_. �. OF Lot 42 ,slack / ,.� , ..-1.- ' : VQ//i, Vue • Esifbs UnifNo. 2 . •........-.._-..c•- . • iii Anchorage Recording District,Alaska i wet. ..., . R. t. .nWON : 1.OT SURVEY CERTIFICATJQN LEGEND Al's" 1192 •��. I hr.sr..rtiy titer then wrroye►t propertytMotters aM re 1 .. e Drosss�or Aluminum copped mOnurnfnir f•il.......•'' S`-or woof) otti ffir t,. i w et witi.,Ofa.rt.«on*Simi,theme s iw*i.l?Not 0prat- ° 2 z' ?nib toot re000and/re' rebarred recovered. f�k``l'� ea.1.'�a``» no hnproomeert' 'o�eeeet properly eerie,w..«ses%err tee preni.et 0 We x 3Q rebor est this survey In owe.1...ant oat owe are M r..dw.»,*My Woo.or stow Yt.t►t. ...punt.e0 .ell Property moot•mewled meson, 7:7—;9,9 v Scale iii 4of Date /'��j Prepared by: R.G.BUTTON ( F lJG+90r (90TIs79-WO° . W W.pIl LO NorAsr 5090/ Ref. z5 F.E.No.90 r/6Q Property of; A•/l.F, Ce ' ':Ldcat~'on (s te-addr~ss or d teb't onsl ~ ' '-I Lending agency'" '~/' ~ ¢'~ ~t~, l~ut i~-O~ Day phone Day phone Address State'j~D~c STATEMENT OF INSPECTION BY ENGIHEER 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 dispoeal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify thc4 based on the information obtained from the Munici,oality of/\nch~mge files and h~rn my invest~ation and inspection, the on-site water s~'.p!~.' r~r'Id/or w~;towat~;~ fisposal s'/stu; [:; in comp',; n;ce with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '---/-~/P.c H ~O~,l..~ ~.~ Phone ~7~-%~1 6 Address _ ,~O ~ _ , ,':~gineers'signature ~,~,,,,,~¢,~'~ _ _ .' Date. 5&~/~7 · DI-IHS SIGNATURE ~'-_ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: ~,J 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 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in or_der 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 omismons in the professional engineer's work. Legal Description: J.-o'Z~ /~., ~ [~.~ Municipality of AnChorage I V F~ DEPARTMENT OF HEALTH & HUMAN SERVICES R E C E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-t~- ~2 ~- 1997 Municipality ol Anchorage Health Authority Approval CheCklist Dept. Health & Human Services A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N', Date completed Total depth Cased to Casing height (above ground) Sanitary seal (Y/N Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/H~,L-i~N~ TANK DATA Date installed 1"~-'/~7/~' C~ Tank size Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) 7 Depression (Y/N) Date of Pumping ~/'~ ! ~ ~"" Pumper High water alarm (Y/N) ~J C. ABSORPTION FIELD DATA Date installed Length ~/.~l · Width Soil rating (g~p ...... or ~ I Gravel thickness below pipe System type f Total depth Effective absorption area ~/,~ Monitoring Tube present (Y/N)~._ Depression over field (Y/N) _ · ~l/i° Date of adequacy test / ~ ~ Re.suits (Pys/Fa. il) ~, ~ For Fluid depth in absorption field before test (in.); ~.~. Immediately after 3~ gal. water added (in.): Fluid dopth ns) Minutos lator: /~ ~ ~ P~roxid~ troatmont (past 12 months) ~/~) 72-026 (Rev. 3/96)* Absorption rate =, If yes, give date bedrooms D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation r c¢~ ! Property line .~O I Absorption field ,,~,.~ f Water main/service line /--'//~0 I Surfacewater/drainage ~"1/O Wells on adjacent lots '~/.~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation ~:~O ~ Water main/service line Driveway, parking/vehicle storage area ¢ ~.) t/tC[f~4,- ) Wells on adjacent lots ~'~/A F. ENGINEER'S CERTIFICATION I certify that I have in conformance with MOA HAA guidelines in effect on this date. Signature 7._~.~ ~4~,~ ~'7 Engineer's Name - 1~ ! HAA Fee $_ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. Cf 1. GENERAL INFORMATION Complete legal description HAA Cf Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: /7/ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well s, ystem, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: 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 o 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. NameofFirm 1,.",/''pz~-~'I ~(,,,,¢-~'_.[,-t,¢_4:~ '-~l~ Phone Address ,~% ~ /,¢~¢ ~ ~ ¢ Engineers' signature_ % %1x¢~¢~ Date DHHS SIGNATURE ~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: Additional Comments Date · Ti~e Municipal'ity of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above 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 engineer's work. Health Authority Approval Checklist LegalDescription: Lo4 q~, '~-~1 ~¢/,~Lll~- ~t~.~_ ParcelI.D.: A. WELL DATA Log present (Y/N) Municipality of Anchorage ~ ^ ~ ~, ,~NIE4PALITY OF ANCHOZAGE DEPARTMENT OF HEALTH & HUMAN ~bhtv'~xzt:'o, Environmental Services Division ENVIRONMENTAL ,~ERVICE$ DIVI$1 825Y. L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 0/,¢~ "5¥1- 0 IfA. B. or C. attach ADEC letter. ADEC water system number t~/0 b O ~'- Date completed Total depth Cased to Casing height(above ground) Satfitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m, g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Collected by: Other bacteria SEPTIC/HOLDING TANK DATA Date installed 1 7~-A/,~O Tank size /t~-O Foundation cleanout (Y/N) N? Depression (Y/N) N Date of Pumping Y~//t¢: Pumper ~$ 4~/42M~. Number of Compartments ~ Cleanouts (Y/N) y High water alarm (Y/N) C. ABSORPTIONF1ELDOATA F12-o ~4 tdd N I' Date installed ~ ~k~- Soil rating (g.p.d./flz 0~a2~drm, ~ System ,~e LenVh ~ I Width 3 ] Gravel thickness below pipe /0 I Total depth ¥ ~ HuM ~epth in abso~tion n~l~ ~efore t~st (in.)~ ~ Immediately ~er ~al. wamr a~e~ (in.): / Fluiddepth ¢~ (ins.) ~.~]~:s2 ]ater: ~t~ Abso,tionrate: b Peroxide treatment (past 12 months) (Y~) ' ~ , If yes, giv~ date D. LIFT STATION Date installed Size in gallons Maohole/Access (Y/N) "Pump on" level at* "Pump off lcxel att* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: '~/A Septic/holding tank on lot ~ ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer olahl Public sewer manhole/clcanm~t Sewer/scptic scrvicc lille Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ! Btlildiog fouodatioo [ ~> S ~) I Properly line Absorption field Water ma..'so~,iee .,,e //O 't' S.rfaee w,,ter/dra.,a~e tqlo- Wells o,, adjace,~t ~ot~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building fouodation ~Z> C) ~ Water mailffservicc lioe '~ [ ~ Cartaindram SI0 Wetls on adjacent lots 'S/~ Property li,:e V 1 certiZfl that 1 trove &retrained thrufield i,spections and review of Municipal recor& iba.t the above systems are ill conJbrmatlce with AIOA H.'M guidelines ill 7ffe(fit~n this date. · · '" HAA Fee $ ~_..~ Waiver Fee $ Date of Payment ( [~' / fi~-~]5 Date of Paymeot Receipt Number ¢~. ~ ~ Receipt Nunlber Rev. a/95OSS:haa.wk.dooO¢ ~¢4 7 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907) 2'/9-3916 Fax (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 42, Block 1, Valli Vue Estate #2 LOCATION: 10205 Main Tree Drive OWNER: Larry Thomas RESIDENCE: 4-Bedrooms, Single Family WELL: Community Water System PWSID 210605 Valli Vue SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4 Bedroom Syste,.ra: TANK: Anchorage Tank, 1250 Gal. 2 Compgi~,." . ABSORPTION SYSTEM: Trench ,/" , · '? ABSORPTION AREA: 860 Sq. Ft. ~ SOIL RATING: 200 ~'.' INSTALLATION DATE: Tank 1991, Trench1:,981I~.i WAIVERS GRANTED: None Required ~_ DATE OF LAST PUMPING: Northland Pumping, July 28, 1995 DATE OF TEST: November 10, 1995 ~'~"'~'~"~ TEST PROCEDURE: System was inspected and measured. Tank was found with 3 feet of cover and with a liquid level of 50 inches. Trench clean out was found 3 feet deep and dry. Trench monitor was 11 feet deep with 95 inches of liquid. Trench distribution pipe was seen 4 or more inches above water level. On November 9t300 gallons of clean water was added to the trench at 10 gallons per minute while the water level in the tank and trench were monitored. The level in the tank did not change while the level in the trench monitor rose 2 inches per 100 gallons, for a total of 6 inches. During the next 2 hours the water level in the trench monitor dropped 2 inches, indicating that 50 gallons per hour was absorbed by the soil. On November 10 the water level had dropped 6 inches, showing that all 300 gallons had been absorbed. The test was repeated by adding 300 gallons of water and observing a rise of 6 inches. During the next 6 hours the water level dropped 3 inches. At this time another 300 gallons were added to the trench, again resulting in a rise of 6 inches. 16 hours later the water lever had returned to the pretest level, indicating that all 600 gallons had been absorbed. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE 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 this system will function satisfactory for current or future occupants. All septic systems ultimately fail. Some systems last I5-20 years, others fail after less than 5 years. 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~C~)~ ~-.e-/4_\- f~_~ HAA # GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency ~or~ Mailing address Agent ~,tyn Address 38~o '~ Un/ess otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: NOTE: TYPE OF WASTEWATER DISPOSAL: NOTE: 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. Individual on-site 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 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 flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipar and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm i~/¢zf'l'oj~ "]-¢c~'~/ ,,-(¢~'v~,~,~./' Phone Address /~'/5'-,?O ~-c/10 _,C,/> ,/~r,~c(4o/"'¢~..¢~ ,,,¢j"~ Engineer's signature ~~ ~, ~ Date II/ DHHS SIGNATURE · '~ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 above by an in'dependent 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. Em ployees 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 engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: ~P-/ I I./,~lll I/~ ,~ # ~; ParcelI.D. A. WELL DATA Well type If A, B, or C, attach ADEC letter· ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Wires properly protected (Y/N) AT INSPECTION g.p.m. ; On adjacent lots Absorption field on lot Public sewer main Public sewer service line ; On adjacent lots PubliC sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed I ~ / '7 / ~C7 Cleanouts (Y/N) ~' High water alarm (Y/N) Date of pumping N,,4. Tank size 1'~5-O ~-~! Compartments Foundation cleanout (Y/N) Y Depression (Y/N) N0 ~, Alarm tested (Y/N) /~' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage Onadjacentlots ~ ~o~' Absorption field Foundation I& ' Watermain/serviceline ~. ~o ' 72-026 Rev. 3/91 Front MOA21 CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: We~l on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed ~ /P..?-./ Length ~t3' Width __ ,~'0"" Total absorption area Depression over field (Y/N) Surface water Soil rating 1~C,c,' m'/IZc4r~, Gravel thickness fO' ¢~$/~_. cC/p, Cleanouts present (Y/N) Date of adequacy test System type ""r'r¢ n c.~ Total depth f ~ ' Results (pass/fail) P¢',.~' for Peroxide treatment (past 12 months) (Y/N) I~o SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot N,/~, __On adjacent lots ;~, '8.oo ' ,/ If yes, give date N, ~', bedrooms To building foundation On adjacent lets Surface water ~. Curtain drain ~,5"' ::~--o~ ¢. O, _ To existing or abandoned system on _Cutbank_ /~,~. Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91 ) Back MOA 21 WALTER J, HICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 "C" STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 November 5, 1991 FOR: Flattop Technical Services PWSID # 210605 My review of the records on file in this office reveals that the Valli Vue Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria samples requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC 80.200. Sincerely, Byron Roys Environmental Engineer BR/cf MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF : ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # .~3 \.~_ ~9~q ~_ ~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Desgription (include 10t, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~/'/ .~ C Telephone: (home) Mailing Address F'. O. Go, z, (o/ o ~-o / ,,Zr,~c~er,~,,~, ~ (c) Lending Institution N,A. Telephone (d) (e) Business 5-'~'E.-I ~ z ?_ Mailing Address Reap Estate Company and Agent Address 3 ~0 ~" Telephone ~ ~- / ~ Mail the HAA to the following address: (or check here I~, if hold for pick up.) List contact person and day phone number below: '7-' e~-~ ~o o,'~ '~ 2. TYPE OF RESIDENCE Single-Family [] Number of bedrooms 3. WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ~ ,to ~ ODed ')JJOM s,aeeu!Due leUOlSsejoJd eqi u! SUO!SS!LUO JO SJOJJO JoJ elq]suodseJ lou s! eSeJoqouv jo Al!led!o!un~ eq.L 'penss! s! eleo!J!lJeo e eAo~eq elep ezAleUe Jo suoRaedsu! lonpuoo ~ou op SHHQ jo saaAoldLU3 'slueuJeA!nbea elels pue le~epeJ ulepeo A~s!les o~ JepJo u! suo!ln~!~su! 5u!puel ~]aql pue seuJoq Jo sJeseqoJnd o~ ,~se~Jnoo e se slq~ seop SHHQ eq_L 'eHselV jo ele1S eq~ u! peJels!DeJ Jaau!Oue leUO!SSejoJd luapuedepu! ue Aq e^oqe B qdeJ6eJed u! ue^!8 suoRelueseJdeJ eql uodn,{lUO peseq pa~eo!J!Jeo le^oJddv Alpoqinv q~leeH senss! (SHHQ) sea!^JeS ueuunH pue q~leeH jo lueLu~Jedec] eBeJoqouv jo A1!led!olunv~ eq/ leUO!l!puoo leAoJddv leUO!~!puoo Jo suJJe.L pe^oJddes!a ~/ peAoJdd¥ *q smooJpe~ loJ po^older 'lYAO~dd~f SHHa '9 leas -?~'£/ - ~c/)~ euoqdole/ /~.2!,4.~¢~ /~!u¥~J. ¢/0¢.j~/.=/ ua~H Jo oLUeN .~ 'uo!loedsu! s!ql jo eiep alii uo ~oej~e u! suo!leinOeJ pue 'seoueu!p~o 'sepoo ellis pue led!oiun~ lie ql!M eoUe!ldmoo u! s! ~eJs~s lesods!p Je~eMe~SeM Jo/pue Xlddns Je~eM ei!s-uo eql 'uo!~oedsu! pue uo!~e6!lseAu! Xm moji pue sel!J eOe~oqouv Jo X~Hed!olunR eql ~oJJ peu!elqo uo!le~Joju! eqJ uo pas~q leq~ ~jpeA JeqlJnj I 'u!eJeq pe~eoipu! eJnlonJjs jo edXl pue smooJpeq 1o Jeq~nu eqi Jol e~enbepe pus' 18uo!lounj 'eJes si ~alsXs lesods!p JeleMelse~ Jo/pue ~lddns Je~eM elis-uo eq~ leql s~oqs leAo~ddv Xipoqlnv qlleaH s!ql ~o uoReb!lseAu! A~ leq~ AlP aA I 'MOleq UMOqS o~ep uoilep!leA oqi ~o se pue oleJeq pox!lie leDS ~ Aq po!~ilJeo sV · /,,--~¢)x- MUNICIPALITY OF ANCHORAGE (MOA) ~,~' Health Authority Approval (HAA) ~,~x~'~,~;;.l~/ ,~ CHECKLIST - FEBRUARY 1984 SC" ~%0% ~%~ LegalDescription: ~ A. WELL DATA ~ ' Well Classification Well Log Present (Y/N) Total Depth _ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Date Completed Depth of Grouting SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest PuNic Sewer Line To Nearest Sewer Service Line on Lot I~ B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments D~ (~ ; Date B. SEPTIC/HOLDING TANK DATA Date Installed i'Z-/? /<)c, Size Standpipes (Y/N) ~' Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) /z.~-o~=f No. of Compartments Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N) N Date Last Pumped ~\1, ~. ; fo r N, ,4.. N, ~-. Temporary Holding Tank Permit (Y/N) ^h SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~ ;~'c.,o' To Property Line 5"~' ' To Water Main/Service Line '~ (~ ' To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation · To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed c~/2 7-'~'~ Width of Field .~ ' Type of System Design Length of Field ~'3 / Depth of Field I ~ / ¢6¢o ~.,;.(,---'~ Gravel Bed Thickness /O/ Square Feet of Absortion Area ,8'00 P~a I~¢? RC.P. Statndpipes Present (Y/N) Depression over Field (Y/N) No Date of, Last Adequacy Test !e//2.(./¢) e Results of Last Adequacy Test ~¢¢'~¢4/-¢' ~-.~,'~ ~ SEPARATION DISTANCE FROM ABSORPTION FIELD: 5' To Water-Supply Well ~ '~oO ' To Property Line ~ ~ ~'~ I~P. ~e~P°~T To Building Foundation _.5'5' F¢o~ C,o, To Existing or Abandoned System on Lot ~ 12,' F~o~ OL~ 5g',fP,~6- ~I'F ; On Adjoining Lots To Water Main/Service Line _'.~ ~r., ' To Cutback (if present) N .~, To Stream, Pond, Lake, or Major Drainage Course "~ To Driveway, Parking Area, or Vehicle Storage Area 5'~er. tE~ PPr¢~-~' DeN~,q'rH Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Company Date MOA No. Receipt No. ~'~ Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Waiver Fee: $ Date of Payment Page 2 of 2 Tom Fink, Mayor 3 unicilpality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 December 13~ 1990 Ted Moore, P.E. Flattop Technical 14530 Echo Street Anchorage, Alaska Services 99516 Subject: Waiver Request for Lot 42 Block 1 Valli Vue Estates #2 S/D Waiver Request #WR900061, HA900531 Dear Mr. Moore: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 5 feet from south property line. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Susan Oswalt On-site Services Concur: /~ / On-site Services ljm:6 OP TE HNICALSE ~/ece~er· NE NSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: ANCHORAGE, AiASKA 99516 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED By means of this letter we are requesting a waiver allowing the existing soil absorption trench on Lot 42, Block 1, Valli Vue estates, Unit #2 to be within 5 feet of the south property line. Despite the fact that the Municipal inspector indicated this distance to be 13 feet at the time of installation, the enclosed property survey dated 11/2/90 shows the monitor tube to be approximately 6 feet from the lot line. This configuration should not create a conflict with either the existing or any future septic systems on on Lot 41 to the south of the subject lot. Accordingly, we recommend that the lot line waiver be issued. Please give us a call if you have any questions on this request. cc: Al-IFC c/o Heritage Real Estate Sincerely, Ted Moore, P.E. J L/~//~ Vue Es~/es L/mi~- A/o. Z Prepored by: DEPT. OF ENVIRONMENTAL CONSERVATION STEVE COWPER, GOVERNOR ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 November 14, 1990 563-6775 FOR: TED MOORE According to the records on file in this office, the yalli rue Subdivision Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, ~r ~mCenF~t ia~ F i~O f f ice r VEC:pf PLAN ELECTRICP~L FLOOR PL.~BI ELECTRICIqL kINE DIP~GRGIY) OlCKIN$ON-OSWAL§ 8 PABTIiIER$ J I DTI002i25 1972 WATER IMPROVEMENTS VALLI-VUE ESTATES WELL HOUSE SCAt F I00 .... ,/ "~ APPROVE[:) N ACCEPTANCE OF DEDICATION GREATER ANCHORAGE AREA BOROUGH 35A 54 TRACT A Reserve} J2 SURVEYOR'S CERTIFICATE I~ Richard KDeCam~professionol~andsurveyor do hereby certify that the plot afl Lots E4.A~3~A 8 36A~ef 1 Volli Vue Estates No.Z is o true and .o VICINITY MAP I" 9 I MILE CERTIFICATE OF OWNERSHIP rou~k~$,p~l~ ~ otb~r public NOTARY'S A~,KNOWLEDGEMENT' Subsqribed and s~n ~ be~m ~ ~ NOV~ 5~4 RECEIVED PLAT APPROVAL, Plot a~d ~ the ~rou~ Platting ~ard CLARIFY STATUS LEGEND, ~ DOWL BC Monument Set This Survey All other corners are 5/8"x :~0" Rebut, LOTS ~.A,~SA .~]56A, BLGCK I, VALLI \ ~ i~,~ ~ ~ , / :'"':"- ..... ~-Iz-7~ ~0~ ~TI~I~T~ ~EP~ ~ ~DICATI~ ~ T~ , MUNICIPALITY OF ANCHORAGE VICINITY MAP I" - I MILE CERTIFICATE OF OWNERSHIP & DEDICATION NOTARY'$ ACKNOWLEDGEMENT Su~tcrlbed ~nd ,mn ~o before m~ thi,e ~ ~ day DTI002130 PEAT APPROVAL ~t ~ ~ ~ Plat ting Authority LOT 6 IA, BLK I, VALLI VUE ESTATES,UNIT No. 2 LOT 61. 8LK I. VALLI VU[ ESTATES. UNIT NO.':' APPROVE D ACCEPTANCE OF DEDICATIDN GREATER ANCHORAGE AREA BOROUGH dot af ,/~' ~/ ~74 Attest: 54 55 36A 35A LEGEND, VICINITY MAP I" = I MILE CERTIFICATE OF OWNERSHIP & DEDICATION, SURVEYOR'S CERTIFICATE ~ DOWL BC Monument Set This Survey · 5/8'x 30" Rebar Subscribed and sworn to before n!e this ;..~,~. ' ¢,a:', ~ ' ~ of ~/~ ,~74. DT1002t31 PLAT APPROVAL ~ Ph3! opproved by the Borough Plotting Board th,,, ~TS ~A,~SA , ~K I, _£ ~OTES ACCEPTANCE OF D~DICATICN BY THE MtJN1C~PAI.ITY OF ANCHORAGE I0' WIDE WALKWAY ~iI" :: ', ' LEGEND SURVEYOR'S CERTIFICATE g ~ VICINITY MAP I" ' I MILE CERTIFICATE OF OWNERSHIP 8~ DEDICATION NOTARY'S ACKNOWLEDGEMENT Subscribed and sworn to before me this____<~ ~ day NOV 1 5 ~. RECEIVED PLAT APPROVAl- DT1002135 '": ~'~ ~'~' LOT 6lA, BLK I,VALLI VUE ESTATES,UNIT No. 2 LOT 61, BLK I, VALLI VUE ESTATES,UNiT No,~