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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 2 LT 6Valli Vue Estntes #2 Block 2 Lot 6 #015-322-52 Municipality of Anchorage a` Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road - P.O. Box 196650 Anchorage, AK 99507 Page of www.cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: OSP111101 PID Number. 015-322-52 Name: MARK VANDERGON Wastewater System: [:1 New ❑✓ Upgrade Address: 10620 LONE TREE DR., ANCHORAGE, AK ABSORPTION FIELD Phone: Number of Bedrooms: 4 El Deep Trench ®Shallow Trench ❑ Bed ❑Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: 1.2 Total Depth from original grade: TR#1: 1.5 TR#2: 2.5 G,D/Ft- F, Block: Lot: Lot:6 Subdivision: VALLI VUE ESTATES 7)2 Depth to pipe bottom from original grade: Gravel depth beneath pipe: 0 1.0 Ft. F. Township: Range: Section: Fill added above original grade: Gravel Length: TR#1: 2 TR#2: 0-1 Fl. 2 X 50 Ft, Well: ❑ New El Upgrade Gravel width: Numberoflines: 2 Distance between lines: 10 5 Ft. FL Classificatian (Private, A, B, C): Total Depth:Cased to: Total absorption area: Pipe Material: Ft. Ft. 575 Ft= I ASTM 3034 & SCH 40 PVC Driller. Data Drilled: Static Water Level: Installer: Data installed: Ft A+ HOME SERVICES 9/26 TO 9/28/11 Yield : Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding 0 S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic/Private Manufacturer. Capacity: From Tank Field Station Tank Sewer Line ANCHORGE TANK 11500 cal. Material: Number of Compartments: Well 200'+ 200'+ 200'+ N/A 25'+ STEEL 2 Surface Water 100'+ 100'+ 100'+ N/A LIFT STATION Ss: Manufacturer Lot Line 5'+ 10'+ 51+ N/A 1500 Gal. ANCHORAGETANK 'Pump on' level at: 'Pump off level ac High water alarm at: Foundation 5'+ 10'+ 5'+ N/A Factory ;n. Factory. ;n. Orenco PF50 in. Curtain Drain 50'+ 50'+ 50'+ N/A Pump Make &Model Orenco PF50 Electrical Inspections performed by: MOA Remarks: - EXISTING TANK ABANDONED PER MOA BENCH MARK Location and Description: REQUIREMENTS BOTTOM SIDING SOUTH EAST HOUSE CORNER Assumed Elevation: 100 Ft LARS SPURKLAND a 9/26/11 En —�or-�```i Inspections performed by: Dates: 1 2nd 9/28/11 `?`'49T 9 Development Services Department Approval; 0 Conditional Approval Date: PURKLAND. Gj � 115 0 .� �,`!• ��z Zo.- Reviewed and approved by: Date: (Rev. W06) 10' UTIL ESMT INSTALLED 4 -BEDROOM SEPTIC SYSTEAI 1500 GALLON STEP TANK LENGTH 1 x 50 FEET WIDTH 5.0 FEET TOTAL DEPTH 2.5 FEET MOA FILTER SAND 1 FOOT ROCK DEPTH I FEET INSULATION 1 INCHES COVER 20 FEET TRACT A r LOT 7 / d� LOT 6C LEVEL LOT 5 .r -I OF. MT. I 108.5' 126.5' 2 ®/ G BENCH MARK ® B' SLd°F ^ SE' S / S LOT a T 10' UTIL ESMTf - - - - P 1� � OMALLEY ROAD 25 0 25 50 75 100 125 150 - SCALE., l' = 50 FT, — NOTF: SUBDIVISION ON CLASS A PUBLIC WATER SYSTEM. NO WELLS ARE LOCATED WITH IN 200' OF PROPOSED SEP77C SYSTEM UPGRADE. NOT£.• 7HLS IS NOT A SURVEYED PLAT. WELL & SEP17C LOCATIONS TAKEN FROM ON -SRF WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. •�:, L F 49th R6 SPURKLAND NO. CE -11500 SPURKLAND ENGINEERINGI I VALET WE ESTATES 2 BLK 2 LT 6 I SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE DATE: OCT, 13, 2011 ANCH. AK. 99501 MARK VAND£RGON (907) 279-3916 10620 LONE TREE DR., ANCHORAGE, AK 99576 SHEET: 2/3 GRID: 2538 PERMIT #OSP111101 PID # 050-611-35 VVE#2B2L6D2,DWG O O O Trench #1 0 5' Wide O -H 3 1500 GAL STEP TANK 50' Long 2.5' Deep 1' Filter Sand o I' Sewer Rock 2' Insulation z 2' Cover �o PR1AARr TRENCH N. TS a O t C z Na SCALE a Trench #2 ' 5' Wide ® 50' Long 2,5' Deep F Filter Sand 1' Sewer Rock M 2' Insula tion 0 0 2' Cover M nitor Trench #1 2' Cover ELEV.=99' TEST HOLE {1 ELEV=100.5' —E.G. ELEV.=98.4' ELEV.=95' ELEV.=97.9' gilt sorrier 1 ft of Septic Rock Effective ELEV.=96.9' 1500 GAL STEP TANK H2O ELEV.=92.4' ' 1 Ft Filter Sand " �INVIrA B.O.H. ELEV!=88.4' r ••••�� • P..•�•"...... ' �1 �1 Na SCALE i Trench #2��over% ............................E.G. 9 TRENCH 12 = 101' •.. ••• ..11L 0ELE1 S SPURKLAND•••• ELEV.=100.7 Slit Barrier No. E- 1500 •ELEV=99.6'ective f Septic Rock ��;wS; 1 ft Filter Sand Bench Mark Bottom Sidin SE House Corner 9 Assumed Elevation of 100 feet SPURKLAND ENGINEERING VALM VUE ESTATES J2 BM 2 LT 6 SEPTIC SYSTEM ASRLJILT 203 W15th Ave Anchorage Ak 99501 MARK VANDERGON DATE, OCT, 13, 2011 279-3916 10620 LONE TREE DR. ANCHORAGE, AK 99516 SHEET, 3/3 GRID: 2538 PERMIT / OSPXXXXX PID { 015-312-52 WE1282L6D3.DWG On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE +w Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: 0SP111101 Tax Code Number: 01532252000 Work Type: Septic Upgrade Permit Effective Dates: June 24, 2011 to June 23, 2012 Design Engineer: SPURKLAND ENGINEERING Subdivision: VALLI VUE ESTATES #2 Site Legal Address: VALLI VUE ESTATES #2 BLK 2 LT 6 G:2538 Owner/Address: VANDERGON MARK A & MILDRED M 10620 LONE TREE DR ANCHORAGE AK 995076924 Site Mailing Address: 10620 LONE TREE DR, Anchorage Lot Size in Sq Ft: 24485 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage ent r• All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-37-Z-52 Propertyowner(s) ^AiLk V&nAC.*.90h Dayphone 31i6- 450? Mailing address 10620 Lon& Tree Dr� Anchw-am AK 9`151 b Site address -- 5A,116 — Legal description (Sub'd., Block & Lot) l% lli 1%u is gttd Z 61 K Z Lo Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms Li THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (N all that apply) Initial ❑ Absorption Field ja Upgrade Septic Tank Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Ad (Signatu property owner or authorized agent) Pe Rush Fees:= ate of Payment: Receipt Number: Permit No. o GABuilding\On Site\Forms\Client FormsTermit App_010411 Am Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 1/11) a g g Environmental Consulting and Design SEPTIC SYSTEM DESIGN Valli Vue Estates #2 Block 2 Lot 6 Municipality of Anchorage June 6, 2011 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 10620 Lone Tree Drive Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system is designed for a 4 -bedroom single-family residence. The existing system is no longer functioning adequately and must be replaced. A soils log, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cates: Groundwater was observed at a depth of 6 feet below ground surface (May 19, 2011) Soil Rating. From Testhole (5/19/2011) 2.8 min/in = 1.2 gal per sq.ft./day 4.0 min/in = 1.2 gal per sq.ft./day No. of Bedrooms 4 Required Area per Bedroom: 15011.2 =125 sq.ft. Total area required: 125 x 4 = 500 sqft System: The proposed system consists of a 1500 gallon STEP tank and a shallow trench absorption field. The absorption field will consist of 2 trenches 50 feet long and 5 feet wide and contain 1 foot (575sq.ft. effective) of sewer rock. Soils: A test hole was excavated on May 19, 2011. See the attached soil logs. Ground water was monitored for through June 3, 2011. In test hole #1, ground water was observed at 6 feet on the day of excavation and at 7 feet below the ground surface on June 3. During the excavation of test hole #2 minor seeps of water were observed between a depth of 4 and 7 feet. These appear to be small pockets of melt water, as frost was still present in the soil. On May 20t', 2011 they had dried up and disappeared. Surface Water: No surface waters were observed within one hundred feet of the proposed septic system upgrade. Topography: The lot slopes to the west at approximately 5%. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net SpUft�and ��g�C�C�C��o'i t- 7-7�- Environmental Consulting and Design Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. S' cerel , 1 Lars Spu land, P.E. Spurkland Engineering 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net rea Garl;a' \ LUT 48 \ \ S LUT 7 \ P - - 10' unc ESMr - - - - - s -L, oe I I LOT 6 gept�LJ I TRACT A IArea WELL & SEPTIC SYSTEM NOT DOCUMENTED P V LUT 3 I I 17 I, , I I LOT 5 / LUT 4 I I -- 10, 0MEsvr------_ _ T OMALLEY ROAD NOTE.• SUBDIVISION ON CLASS A PUBLIC WATER SYSTEM. NO WELLS ARE LOCATED WITH /N 200' OF PROPOSED SEPTIC SYSTEM UPGRADE. NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC •• •�� •♦1 LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER • DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE ♦. APPROXIMATE AV49 % ..... ....... ....... ............................ • �• L R SPURKLAND ?� ♦♦ �' No. CE -11500 1 50 0 50 100 150 200 250 300 ♦♦.p.,G (�•.,..�� SCALE 1' = 100 FT. j;; Nov SO O �� SPURKLAND ENGINEERING VALM VUE ESTATES #2 BU 2 LT 6 SEPTIC SYSTEM DES/GN 203 W 15TH. AVENUE ANCH. AK. 99501 MARK VANDERGON DATE: JUNE 6, 2011 (907) 279-3916 10620 LONE TREE DR., ANCHOARGE, AK 99516 SHEET. 1/3 GRID. 2538 PERMIT # USPI110XX PID # 015-322-52 V VE#2B2L 6,91,,g 6/6 T 10' UT/L ESMT 17MALLEY ROAD ��.'s..�� .•• E 25 0 25 50 75 100 125 150 SCALE' 1' = 50 FT. ° •`•;♦1 �.... h '•.....� NOTE: SUBDIVISION ON CLASS A PUBLIC WATER SYSTEM. NO WELLS � """ """ .... """ " ARE LOCATED WITH IN 200' OF PROPOSED SEPTIC SYSTEM UPGRADE. .....612.. ... ...� •• ..SPURKLAND j NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER 01 r ,•;• o, CE 11500 •':.•'�ti= DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE ♦♦ F,P'••• / ��.� APPROXIMATE. ♦FII !' �, SPURKLAND ENGINEER/NG VALLI VUE ESTATES 2 BU 2 LT 6 SEPTIC SYSTEM DESIGN 203. 15TH. AVENUE MARK VANDER ON DA TE.- JUNE 2, 2011 ANCH. AK. 99501 : 907 279-3916 10620 LONE TREE DR., ANCHORAGE, AK 99316 SHEET.• 23 GRID2538 PERMIT # OSPI11OXX PID # 050-611-35 V VE#2B2L 6D2.DWG / 10' UTIL ESMT LOT 7 � FF\ LOT 6 INSTALL 4 -BEDROOM SEPTIC SYSTEM 1500 GALLON STEP TANK LENGTH 2 x 50 FEET ABANDON EXISTING SEPTIC WIDTH 5.0 FEET TANK PER UPC REQUIREMENTS TOTAL DEPTH 3 FEET MOA FILTER SAND 1 FOOT ROCK DEPTH 1 FEET r/ LOT 5 yyYjj� INSULATION 2 INCHES COVER 2.0 FEET TRACT A rII1 r P / e`ptic!-)" Area • TH • \ v LOT 4 T 10' UT/L ESMT 17MALLEY ROAD ��.'s..�� .•• E 25 0 25 50 75 100 125 150 SCALE' 1' = 50 FT. ° •`•;♦1 �.... h '•.....� NOTE: SUBDIVISION ON CLASS A PUBLIC WATER SYSTEM. NO WELLS � """ """ .... """ " ARE LOCATED WITH IN 200' OF PROPOSED SEPTIC SYSTEM UPGRADE. .....612.. ... ...� •• ..SPURKLAND j NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER 01 r ,•;• o, CE 11500 •':.•'�ti= DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE ♦♦ F,P'••• / ��.� APPROXIMATE. ♦FII !' �, SPURKLAND ENGINEER/NG VALLI VUE ESTATES 2 BU 2 LT 6 SEPTIC SYSTEM DESIGN 203. 15TH. AVENUE MARK VANDER ON DA TE.- JUNE 2, 2011 ANCH. AK. 99501 : 907 279-3916 10620 LONE TREE DR., ANCHORAGE, AK 99316 SHEET.• 23 GRID2538 PERMIT # OSPI11OXX PID # 050-611-35 V VE#2B2L 6D2.DWG 0 0 Trench #1 5' Wide 1500 GAL STEP T4W 50' L ong 2" Deep I " Fit ter Sand F Sewer Rock Insulation Co ver PRINARr TRENCH N, TS NO SCALE Trench 5' klide 50' L ong 2" Deep V Filter Sand 1' Sewer Rock 2' Insulation 0 0 2' Co ver M nitor Trench #1 2-' Cover ELEV-- TEST HOLE ELEV EG. ELEV= ELEV rEffective S11t BarrIer 1 Ft oF Septic Rock ELEV.= 1500 GAL STEP TANK H20 ELEV.= 1 Ft Filter Sancl D F M nitor B.O.H. ELEV.= NO SCALE C--) # AV 2-' Cover "9 ve AW Trench #2 ELEV.= ELEV-- Iff 9th ... ....... .......... . .. . ............ ...... io 0 0 0 ELEV= 0 . ..... . .... .. .... ................. %. ... -ZA S SPURKLAND Silt Barrier - 1110 11' Ft oF Septic rEffective N 500 Rock 'WIN4,11,11ya S ELEV= 1 Ft Filter Sancl Bench Mark Assumed Elevation of 100 feet SPURKLAND ENGINEERING VALM VUE ESTATES J2 BLK 2 L T 6 SEPTIC SYSTEM DESIGN 203 W15th Ave Anchorage Ak 99501 MA RK VA NDERGON D A T E; JUNE 6, 2011 279-3916 10620 LONE WE DR. ANCHORAGE, AK 99516 SHEET: JIJ GRID: 2538 PERMIT j OSPXXXXX PID j 015-322-52 VVE12B2L6DJ.DWG 13 Performed For: Legal Description: iN �" j Depth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchorage.ak.us (907)343-7904 OP, '_V 9 1H I r<, R S u?�LAN, ' ''0 Soils Log -Percolation Test �I�j '*- PizYaa�� m'uk U'a►7�P��;ur1 Date Performed: �LjE �y}464'j ft2 Lof Township, Range, Section: Site Plan WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? (pp L Depth to Water After o -} i P Monitoring? E Date: t d 3 Reading Date Gross Time 2- -3- Depth to Water Net Drop 3-/ 5 ZI i I 5 2 i j l 11 06 �,,, 5- p �; 2 i 2/lio i Site Plan WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? (pp L Depth to Water After o -} i P Monitoring? E Date: t d 3 Reading Date Gross Time Net Time Depth to Water Net Drop 5 ZI i I 10% 5 2 i j l 11 06 �,,, 10 �+�.. t 2 i 2/lio i S' 400 �t II; ibAw► 1Z0 rni^ 9 33/`x;' II: 36 10 tet;., 3112°, 5 '3/tv 11. �l6 ni1, 50 ��,,, q ' 31 12 " 58/16 0, ►� 11 '5, �r, �Q � �n 3, 12 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER tp t� COMMENTS TEST RUN BETWEEN 2 FT AND _ FT Pty 0��1S�G� PERFORMED BY: J U a 1 AeE /VisI J�!( VW9_ CERTIFY THAT THIS TEST W PERFORMED IN ACCO DANCE WITH ALL ATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 24 Z G i Municipality of Anchorage Development Services Department ,.,�..e Building Safety Division "� c�. t :'' f'� aux On -Site Water and Wastewater Program 00 T 4700 Elmore Road• • • • • • /a ' P.O. Box 196650 Anchorage, AK 99507 www.ci,anchora-ge.ak.0 0 pFKLAND;rc f (907)343-7904 Soils Log - Percolation Test Performed For: Kc;il�,gn Df Date Performed: ` Legal Description: V ,11 Asa- E&e.�1 Z NK 2 1-D'[ �p Township, Range, Section: Depth 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - ORGAN iL,$ s � y stivl_�y it oa'm CS("A) Site Plan S-A j;u�l a w� Silk;jj lia(,s;; Swh� (ML) WAS GROUND WATER ENCOUNTERED? Date Gross Time Net Time Depth to Water s IF YES, AT WHAT DEPTH? 5 2l i� L Depth to Water After 0 P Monitoring? t✓� E Date: it 34 Reading Date Gross Time Net Time Depth to Water Net Drop 5 2l i� Il�oa rn �t,IDAtli it 34 20Ar"i '� 1�i� I� ",/16 Z-"/,5 16 It �) 30 Am 3D Min 10 (q1W# Vh ]) S r�llb II i!:qn rn qD fAi jj Nha x%16tt 5121l6II It M it 2II 8 8110 it 12:00 Pm 6 V mon Z I I z r� PERCOLATION RATE Lj (minutes/inch) PERC HOLE DIAMETER (0 � TEST RUN BETWEEN C, FT AND 2, 5 FT COMMENTS S0 PERFORMED BY: JOUAA(A ihur til q/; CERTIFY THAT THIS TEST WA PERFORMED IN ACCORDANCE WITH ALLSTATE D MUNICIPAL IDE NES IN EFFECT ON THIS DATE_ DATE: Z 70% a g g Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Valli Vue Estates #2 Block 2 Lot 6 Date: June 6, 2011 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project includes the procurement and installation of a 4 -bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work includes the installation of a 1500 gallon STEP tank tank, a drain field comprised of 2 trenches, 5 -feet wide x 50 feet long, with a maximum depth of 3 feet, with 1 foot of MOA filter sand and 1 foot of septic rock below the distribution piping. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank and a minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net SPUTk�afld F�gfl(@8 11'7 g Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shall extend a minimum of 12inches above the final grade. S. Tanks installed with less than 4 feet of cover shall be insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any class 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Drain field Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer immediately for clarification. 2. The drain field shall be installed parallel to slope contours. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net � t- a g g ,.r. Environmental Consulting and Design 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drain rock. 4. The drain field must be a minimum of 5 feet from the test hole excavation. 5. Distribution pipe is to be installed level with perforations facing downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A silt barrier must be installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" in diameter, installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drain rock shall be solid. 8. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be installed when the backfill depth is less than 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any class'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, cleanouts, and insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. 5. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name'� flA _ 7:d P/�/ /C �l �Ct� DISTANCES Tp FROM SEPTIC TANK ABSORPTION FIELD WELL Address/ ?+ 2V 6 �in �r)ne rec tc` `fjv// 7 -re Phone(s) Permit No. No. of Brooms +� WELL LOT LINE Sa LEGAL DESCRIPTION Lot (n Block ;;7 Subd vision �s FOUNDATION �9 Township, Range, Section 4-, -.,a AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, etc.) septic system, property lines, foundation, TANKS )] SEPTIC C7 /s?/AJi$ ❑ HOLDING Manufacturer 11 capacity in gallons ..%vt Pre 2 , eA Material No. of Compartments TYPE OF SYSTEM �f TRENCH [I BED ❑ W. DRAIN❑ OTHER Depth to pipe bottom from ,s original grade J FT/ Total depth from originals grade r`J~ FT Fill added above original grade FT Gravel depth beneath pipe ys FT Gravel length FT Gravel width 3 � FT Total absorption area s(j SQ FT Distance between lines 1_�119 FT r /1 !� Ts D b a .4 14t INAe Number of linesSoil rating / I-S�SQ FT Pipe material Sp)f3 9'- 87 e5 Installer Y 89— 1 ,� czf dSan ' l93 Date Installed WELLS ❑ PRIVATE ❑ R tldentily) Classification (A,B,C) Q ) �', � al Depth FT Cased to FT Installer Date Installed: REMARKS: ��e /a�z�,. s S ss s c�esr tie .,a .Scale: Inspections Date: Performed y: �nl2gc(�regl/h¢,G^✓pan ENGINEER'S SEAL : � K[' t � ' ; certify that this inspection was performed according to all P0, Municipal and State guidelines in eflect on this date: Health Department Approval: Date: 72-013 (3/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On -Site Services Transmittal Sheet TO: LEGAL: The attached paperwork has been reviewed and is being returned for the following reason(s): Discrepancy in legal description. Discrepancy in number of bedrooms. Calculation error. / Incomplete; needs Signature missing on Additional info needed Sewers/wells, curtain drains and streams within 200 feet not shown. Area soil/well information needed. Water sample unacceptable becaus Other Please supply the necessary information and re -submit your request. Your cooperation is appreciated. Date le /aen203-rev8/89 Reviewer MUNICIPAIM OF ANCHORAGE UK OF HEALTH & ENVIRONMENTAL PROTECTION IEP 111989 RECEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 0 825 "L" Street, Anchorage, Alaska 99502-0650 0 SOILS LOG - PERCOLATION TEST I PERFORMEDFOR:_ /7125AZ hT U-5/✓+9 DATE ePE Viel.. LEGAL DESCRIPTION: 1,O/ P,,R 44 #-2Towhship, Range, Section: DEPTH SLOPE SITE PLAN FEET) F 1 2 3 4 5 6 7 8 9 10 S WAS GROUND WATER ENCOUNTERED? 12� I s IF YES, AT WHAT L O DEPTH? E E 13 14 15 i MUNICIq LITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRO MENTAL PROTECTION 17 1AUG 1 11GPc" 18- RECEIVED 19 Depth to Water After Monitoring? - Date: Reading Date Gross Time Net Time Depth 06 O,' Water W-) Net Drop 42 - �30 3 o x D 67 p,z6 .? 3,11 O /tJ O•b .J 0'b7 �g X37 J %r p /O .67 IJrr /vo O Ob? lD•Y3 .aY 20 �. $^ „ PERCOLATION RATE (minutes/inch) PERG HOLE DIAMETER n TEST RUN BETWEEN 526 FTAND ('O FT COMMENTS �o7(S �J2('Gd ��%/ON iCC2y%P �r7/_P 4', /az - V?{�7Ci c, -b or, 4r' 7[ do„e aH PERFORMED BY: r� I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / A 57 72-008 (Rev. 4/85) ' MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON - SITE SEWER PEPMIT ��'�_�c>/��,cu/ Permit Number: 890139 Upgrade Oh\ Date Issued: 07/31/89 Engineer Designed Owner Name: JON AND PATRICIA PEERCF. Owner Address: 10620 LONE TREE ANCHORAGE, AK 99516 Parcel 7d: 015-322-52 Lot Legal: Subdivision: VALLI VUE Section: 14 Township: Lot Size 24485 (sq.ft" or acres) Max Bedrooms: This Permit: 3 Total SEPTIC TANK: Minimum total septic tank tank must have at least 2 compartments feet requires insulation over tank(s). EST` #2 Lot: 6 12N Range: 3W Capacity: 3 Day Phone: Block: 2 capacity: 1;000 gallons. Each septic Depth to top of septic tank(s) < 4"0 THE ACCEPTING SOILL STRATUM FROM 5"0' TO 9"5' MUST BE PERCED DURING EXCAVATION OF THE TRENCH IN ACCORDANCE WITH EPA FALLING HEAD PERC TEST PROCEEDUPE. PMHS MUST BE NOTIFIED PRIOR TO THE PERC TEST" THE SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE ENGINEER'S DESIGN" THIS PERMIT IS FOR A 3 BEDROOM SINGLE FAMILY RESIDENCE ONLY, AND EXPIRES ON 12/31/89^ [ CERTIFY THAT: 1^ I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska" 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3^ I will adhere to all MOA and State of Alaska requirements for the set back distances From any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4" I understand that ihis,permii is valid for a maximum of 3 bedrooms" I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit" Signed: DATE: ~-------------^--------------------~- ----------``^-- (Own ) jO. IN PATRICIA QEgRCF' Issued DATE: L Q on -Jud J h l L\0/�k-k\ y}o�U�� MUNICIPALITY OF ANCHORAGE Department of Health and' Environmental Protection Pouch 6-650, Anchorage, AK 99502 264- 4744 Lot Location: Max Bedrooms: lL aezt ;ay�2rr ! z- .4 ��-Lo%f�i %s��ict.�vte. die �ry5°�..� ✓�,�ts� � i�s��/�� iii cye- c✓ n„s� isoo� � 3 dc�i-�si� .rim-`�-. �'��f /esic✓�ce ?,CZ G'rx-es bpi ✓�c4% �kiS� �seriFi j i10 ** Gravel length 75 feet requires multiple runs (not exceeding 75 et each) — ** Tank must have at least two -compartments ---------------------------- ----------------------------------------- I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for the maximum number of bedrooms stated above, and any enlargement or modification will require an additional permit. IN CT AREA COVERED BY MOA BUILDING CODES, THEN IF A LIFT STATION IS INSTALLED NOT BE MUST E ELECTRICAWITHOUTL ITAANELECTRICALOINSPECTIONOREPORT; AND)(3) THE APPROVEDLTS WILL ELECTRICAL _WORK MUST�E�ONE BY A LICENSED ELECTRICIAN. SIGNED: _ Applicant ISSUED BY SWP/024 rev.1/85 DATE:l DATE: TO AEA�j F ANCHORAGE cs ALASKA HUIR0110 nTAL COnTROL SORU �>"�,��Al PROTECTION a Engineerinq 6 Enuironmental Studies t 1200 LUest 33rd Auenue, Suite E • Anchorage. Alaska 99503 • (907) !JUL-/, 7 Y9O9 IJ DATE !;2f �D._........_ .....__ SUBJECT J QU F- Z J z ZH n 00 W o H Fro Q UUF z `� v 01 W \, H H J Q H w m J ❑ w a ta- H> F- D m o H cIL n(Jiz ZW ° ° �U LL NLLo LUQ w n 00 zz ui QJ Z N H f o O H Q w z (n gy m° 6 ZW 0 J H Q F J U Y m LD QO Q J H v U U W U ° J W = IL tl � -gym—— 4� ..•.�. I !A H H O' IL NO H tl LL U W H J 7 0 ( O wa N z Ol a H Q w IL Q � HF O j O O.° a H y p d 0CID Y O ip f ¢ N 3 0 Wo O Q. ... _ T N 000 X /J O oa. �IL a. 'L O C C G C A! w H p Z3 Municipality of Anchorage Department of Health and Human Services di 1 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 July 26, 1989 Leroy C. Reid, PhD, P.E. Alaska Environmental Control Services, Inc. 1412 West 33rd Avenue Anchorage, Alaska 99503 Subject: Permit Application for Sewer Upgrade Lot 6, Block 2, Valli Vue Estates No. Dear Dr. Reid: At your request, we are providing the following written comments with respect to the subject permit application submitted by your office. Our comments are based on design information which you provided with the permit application as well as historical information contained in our files. , Page 1 of 4 indicates that the invert piping of the drain field will be located 5.0 feet below grade and that the total thickness of the drain rock below pipe invert will be 4.5 feet. This conflicts -with the cross section detail on page 3 of 4 which indicates that the drainfield invert will be located 4.5 feet below grade and that the total thickness of drain rock will be 5.0 feet. It is our understanding that the existing system may be operating inadequately as a result of the drainfield not being installed at the proper grade. Therefore we consider it important that this discrepancy be clarified prior to issuance of the permit. The soils log, which serves as the basis for design of the upgrade, indicates that a perc test was conducted between 1.1 and 1.6 feet below grade. However, the proposed receiving soil strata is located between 5.0 and 9.5 feet. Your design is based on the assumption that the soil strata between 5.0 feet and 9.5 feet will have the same perc rate (6 min./in.) as the soil strata between 1.1 feet and 1.6 feet. Given that the original system was designed using a perc rate of 24 min./in. and adjacent lots 5 and 7 were perced at 30 min./in. and 60 min./in. respectively, there is some concern that the perc test conducted may not reflect the perc rate of the receiving soil strata. Kids Are Our Future Leroy C. Reid, PhD., P.E. Alaska Environmental Control Services, Inc. July 26, 1989 Page Two If you feel that the receiving soil strata can be accurately visually classified at 150 Sq. Ft. per bedroom you may certainly exercise this option as a basis for design of the new trench. Please contact me at 343-4360 if you have any questions regarding our comments. Sincerely, J n Smith, P.E. Program Manager, On-site Services , A res ALASKA CIIUIROfI� nTAL COnTROL SCRUIUS, InC. a Engineerinq & Enuironmental Sludies SPECIFICATIONS FOR A TRENCH -TYPE WASTEWATER DISPOSAL SYSTEM LEGAL DESCRIPTION: LOT 6, BLOCK 2, VALLI VGE SUBDIVISION #2 1.0 GENERAL 1.1 The Drawings, sheets 1 thru 4, shall be a part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All elevations and depths are advisory, and are to be verified or modified in the field by the engineer or inspecting agency. 1.4 It is the responsibility of the property owner or installer to adhere to approved designs for installation, maintain the specified separation distances, and have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the sytem in violation of state or Municipal regulations. 1.6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank, it may be used it if meets the capacity requirement for the residence and the approval of the MCA. 2.2 .The septic tank shall be a UPC --approved two-compartment tank, constructed of 12 gauge steel with bi.tumastic coating and set level on undisturbed soil. If the tank is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.3 The septic tank and trench shall be a minimum of 1412 West 330 Avenue 0 Anchonage, Alaska 99503 0 (907) 279-5553 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" or "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval. or waiver by ADEC or MOA. 2.4 The septic tank shall be a minimum of 5 feet from the house foundation, and a minimum of 5 feet from the absorption area. 2.5 Piping shall be fitted with a mechanical watertight calder coupling on the outlet and inlet of the septic tank. Piping shall be 4 inch solid PVC ASTM D-3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot. If the piping is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (Jim Caps or equivalent), and extended a minimum of 1 foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the Municipality and the engineer. 3.0 ADSORPTION AREA 3.1 The gravel for the trench shall be 0.5 to 2.5 inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.2 The bottom and sides of the excavation shall be raked with the backhoe blade to ensure that it has not been compacted during excavation. The bottom elevation shall be level. 3.3 Monitor standpipe(s) shall be placed as shown in the drawings, and shall be 4 inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be 0.5 inch holes drilled on 6 inch centers on opposing sides of the pipe, or a regular section of perforated sewer pipe clamped to a solid section with either a no hub coupling or a solvent joint. A rubber rain cap (Jim Cap or equivalent) shall be installed over the top of the pipe. 3.4 The distribution pipe shall be perforated 4 inch PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DHHS for use as drainfield pipe. All distribution pipes shall be laid level. 3.5 Trenches may be paralleled, but must have a minimum separation distance between the trenches of 10 feet or 2 times the gravel depth (which ever is greater). 75 feet is the maximum allowed linear length of any trench. 3.6 If the final grade over the trench is less than 4 feet above gravel, insulation is required, using burial type polystyrene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 inches of soil cover even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have a minimum of 4 feet of cover or an equivalent layer of insulation to prevent freezing of the line. 3.7 If insulation is not necessary, the gravel shall be covered with a layer of nonwoven Geotextile fabric (such as Mirafai, Fibretex 200 grade, Poly Filter X or equivalent). 4.0 INSPECTIONS 4.1 A minimum of two inspections are required for the installation of the trench. The first inspection will be of the open excavation to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be after placement of the gravel, monitor standpipe and distribution pipe to verify proper installation and position prior to backfill. 4.3 The inspection of the septic tank installation can be incorporated with any one of the above listed inspections. 4.4 The lift station will require either an MOA electrical inspection or certification by a licensed electrician, depending on whether the building code applies to this part of the city. : ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. /'/124M West 33rd Avenue,'® ANCHORAGE, ALASKA 99503 (907) - z2y-fss3 JOB Oto BZ VALL/. lV✓t STA TtS #0- SHEET NO. / OFy - - CALCULATED BY �' P`e i� DATE 7 hyles CHECKED HNO l�1c. Omm,.N 01171. S'Aee.1 2 o le- NaiP; r>'Is 7'rPn�l<ti ohfy H-Srede Y»ck. seeoll �/E/bif2ae5-re&1[,4 SrAdDPIPk .� • y ri� 11F0^' 4 JTH,sy n� •.• �sY�. a •HH V 't : ROY REI;, JR. ; 8 'taxa C 2251 AV/ nj 1q*�� •aa e•sssee (V�e� q mV PpPNfesS�rioxw�a. 4m 4 ESCI-90 0I1 110TE: It Is the owners' responsibility to deterinlne the existence of any ensomenls, covonants, or restOctions which do not appear on the recorded sulullvinlon plat. Undsr no clicumstances should any dots hereon be used tar cons7uction or for establlshing boundary of fence Imes. �Sd�►gd OF A(q�eee sa . ,.... 1r f .p THOMAS H. GREYER p A Q'%�P•E• LS - 7625 • •cJ� B Ar dlaaw�s�'k" /YLaLLCY A� 0A-0 SURVEY CERTIFICATION: I hereby certify that I have surveyed the property shown and de' scribed hereon and that the Improvements situated thereon are within the property Imes and no e tr than encroachments exist exlet other noted. PLEASE NOTE: it is e LEGEND: SET FOUND • Q w •` 'o' 88'G -39S �1GINEE,RS •PLANNERS •SURVEYORS -or's responsibility to check top 8/8" REBAR Dan B7 of foundation In relation to HUB & TACK ❑ 10 MDR Y WEST BENSON BLVD, finish grade and building set• backsto lot Imes MONUMENT 0 Q A cuxo.: -HORAGE, ALASKA 99503 552.5291 - nation AL -CAP PK NAIL X IAL DESCRIPTION: �AS—,L3ri�LT" O F' IRON PIPE 0 O=ELEVS.'DATUM on:D. z53B . es ,.- ASSUMED Z y -Z-7 I ZSCALE: _ 1/0' / DATE: VA VUE ESTATES ,� I -t VO. L UN / t LZ I �,,mee2T.3 - J aU F-- Z J z Z 00n W�- pOQ ZW v O U in w a �o Q m El w 4 F H> Q m❑ Ir N n z Z❑CE o ❑ S H W a wog.W� ? m 0 0 Z 'y 1�0 a J Z v ❑ H HQ w a Y� Z> ❑ �6 z w < m a �- w m �v Q0�Qy� U N U ❑ J W s o � m _m C9 k,i x DI H H 3 O! IL O j WEL I H m i H F) H wY n m a o O~ m I ff W p i o O W 0- F m a m I as O > !Q OH v O o a� CQ Q ° n m —� W s) an IL _ mO O IL � Op� Olc� v � Q a Qp a f 11 QQ Hi UU a IL O O O O O W O 4 (IVOO a H � o* \� f H •% Municipality of Anchorage y,* .•4 • „ , ,,, 1 DEPARTMENT OF HEALTH & HUMAN SERVICES+ 825 "12' Street, Anchorage, Alaska 99502-0650 ° . .. . . ...j SEAL) SOILS LOG —PERCOLATION TEST • : E-2225151 R t• .,• - ' PERFORMED FOR: /� //2s �i s'q /2.�LP �D/• yj DATEPEIlRC,\��^?7�$y LEGAL DESCRIPTION: f-4/ 4e.2 IS//, Yt c A< 2. Township, Range, Section: T/a.v R3w,5/Sc Sly l/oro,/ SLOPE SITE PLAN 2 FEET) t•rr TK Si //�7 Depth to -;. WaterC47f) Net /art 3- — v•i� p,n D.7z 0_ AA 0.57 D 12 /yoz',Yo 0'b D.I O.09 . - /qo � o 4 4- O.DS - /yrJ l+1L o O• 0.13 5 5 _ ^( •r Ptf) 0.07 •I 6- 7 ; y' 8- 9 10 ;' WAS GROUND WATER s.. ENCOUNTERED? NO ;t IF YES, AT WHAT 12 DEPTH? fi I 13 r Depth to Water After - Monitoring? _,I?J_t._Date: 14- 15- 16- 17 4151617 18- 19- Reading 819 Reading Date Gross Time Net Time Depth to -;. WaterC47f) Net /art o — v•i� p,n D.7z 0_ AA 0.57 D 12 /yoz',Yo 0'b D.I O.09 . - /qo � o o•Ss' D. SD O.DS - /yrJ l+1L o O• 0.13 Os % . 4 0.07 •I 20 p PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND 1,4 FT COMMENTS ierk ra,rP PERFORMED BY: /- 72 r I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: .21l.;?Af• 72-000 (Rev. 4/85) l • MUNICIPALITY OF ANCHORAGE ® 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 NAME-�t �a-- P NE J �� 6 t 3J(�/ EW UPGRADE //•�'y��9^� MAILING ADDRESS,_, I l.// LEGAL DESCRIPTI OIy, t dr LOCATION - O/J� '�^/7 / fC.� NO. OF BEDROOMS�l/ -.y4 U Y DISTANCE TO: We Absorptio area Dwelling t PERMI�� _ M< Q WF. Manufacturer �•p Material No. of comps tmants N, Liq. caps it Inside length IF HOMEMADE: Width Liquid depth DUz DISTANCE TO: Well - elling PERMIT NO. -� Manufacturer Material Ljq id capacity in gallons O w= DISTANCE TO: Well �j/f Foundation Nearest lot line PERMIT NO. C.JL,K7 W u U J z w F—� No. of lines ' Length of eashl"n g Total length 9lines ` g b Trench dt , inches Distance b t e lines a F pLj Top of tile to finish grade Material beneath ile inches Total eff iv bsorption area w C7 Length Width Depth PERMIT NO. Q F wd Type of crib Crib diameter Crib depth Total effective absorption area m DISTANCE TO: Well • Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W 3 DISTANCE TO: Building foundation Sewer line r Septic tank Absorption area(s) OTHER ` V. PIPE MATERIALS 3 SOIL TEST RATING O C pp D J INSTALLER REMARKS APPROVED DATE LEGAL 72-h73<Rev. 3/78) v r• -f �®r-a � r_: a � r --r � � -r°s ;� � �=e t -a c: � g� €� r=� ®� L DEPARTMENT P-AHEALTH AND ENVIRONMENTAL PmOTECTION 025 N 'STREET: ANCHORAGE, AK, 99v .1 26.4-4720 (304-07 1 AF EE co E_ 4•a E_ FZ F" f= FT rl a T PEF:MIT NO. < 800550 APPLICANT JAK CONST. 251.1 CHILKAT C:TY. LOCATION VRLLI ?UE LEGAL LOT 6 ELK 2 VALLI VUE EST LOT SIZE 26000 / D A'ho tiaol I 1-0 A a %�U [L)Ld 1I-'s-,qn 694-3181 r _.QUARE FEET TYPE OF SOIL ABSORPTION SYSTEM I5: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SQ FT/BR)= 230 THE REQUIRED SIZE OF THE 'SOIL ABSORPTION SYSTEM IS: E>E=F"IFf-f= ilL al- !___E=tar4TF-i= tea- C3KFA%AEnL_ C•E=F"IFFA== 53_ 5 THE LENGTH DIMENSION I_ THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E>;CAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH I5 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL FIFE AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPON'IBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. — .-..._ T' L-4 97M < :2 > I PA K F=• EEC =1- 1 Cl to c• Fi F T f= FT f= C kJ if FZ f= E> — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PR.OS,EC:UTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR.. A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER. LINE IS 75 FEET. ATHER REQ=UIREMENTS MAY APPLY. SPEC:IFU=ATIONS AND CONSTRUCTION DIAGRAMS ARE `AVAILABLE TO INSURE PROPER INSTALLATION. I. CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS FORTH BY THE: MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. _: I UNDERSTAND THAT THE ISSN -SITE SEWER SYSTEM MAY REQUIRE RESIDENCE I' REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED ISSUED JAK CONST. IL Q EAIC9 AND WELLS AS SET ENLARGEMENT IF THE V? 0 M iIAMtn U (� 1,,O s a+ Lt.ii =IGZ f 5 fK_5;{[L tttl .- �iwan Or "OIL tiF•:•Ctl='F"'IItIFi £.ti �:71.1'l. I`-. �"�'�'�1''.i!� I�n_It't tlt.tfiE;EF' ftF E.Et?F:Cltahte• � `••k+#i- F'r7Fi1.it3 {;•t:l i•T.'E'ta;'r �� 1:6ia#.lif'F{* Alli cc THE soil t#E:"11F3'INV _`-`+'SIEM IS: �' �' I -a ' I_ r =_3 I` T - , : t 4'•,- ._ t t . -V t.-{ fHE LENCi7H PIP1111101 N'. THE LLNra1H riff fw. OF Tt;E iF•Fmr,'H f1 f+,tilllF ILL[': IIIA_' F -•L Pi H Rh ft I kE r4cm CIF, vii I =. 114F I+ T • .-tpwj pF- 7 t•[F Ffj i fti ';CIF f'rl :.E QF ME i I It II? Ft13f i 1 I{I 1:017OO OF THE E I:Ctt'vR; i T C" UN N i' g €1 4. _ 1{4[ I3F!R--.JEL it£F'1M IS 711t HlN7PIL'tt PFF'7H F4 GkA EL E 11TEN IHI (ILtlh01, TAKE w1f)'714E E*j:i1TC" OF WE EXf..tYRTION <IN 1`00 - aIa_ IIT Al"I'lL Ir"ANI HrIT. THE RE=.F1a?t1:.IE:It 17r' To Intl uh:ft TMI` t'•CPRPIMF III [+Li�'IIA:: Itif !t4[' i. -FIT I {/tI I HINFLI I ONO OF Ii1S'i I-i€LLS MA M F !17 1 CI. 111-.i' � f •F'CIF'[ F• S V #sift IPF. tFp Or F'E`.TI t1C:£.`• jHR7 THF WELL WILL r-F:F'Y& :_* 7 : •#._;g:-•F='sem_-1'. S t-{[.-l.q.- f iIT:k. _ #--:f'`.-{_'4 + 3 I.>'In I .. 'F`I I L I IICs OF fiHN 5101EM CI I 1 HttCi i F I Nt IL I t� �`Ei `7 t ON M19 ` I'1MIIii WILL E.E _t-tE,:J£C-7 7ti F-PftrEt'LI1iLifi. KIM Is I _.7 t if it 'E PE 7 H E H H I•ft t t s 11IC fit -A' Qt -1-'S I I L E.L I-CF;i iE t= I SPr IMI _'_-•'*'-• t E 1't 1' -- KEY -KE1 FYW R f-f+.-IVkIE 4iLLt CIF' I & itt AM FEET fF:&M H ft#L:I.lt NEU 14PE.1lt-MG 1111F 1't'F'I' tiF F'i i I 1 t ►IE l L. f t €'F: I {='R i t h1L t_ L 10 ft PP I VR I E QUIP t IN' I''• F I'£ 7 fit -10 t i ril`IPRIflIT'r' `EI -IFF. I_INE 1_• i - FFf:7. _ L CR`,s• isF'E F I� t ll_• I F:E Ir lith:• fl1t=.7 E.'L €`E T UPI& Is..I 1) 1 t -t£ F•E F'tsF°_i t•It.. tl1 1.1171 -UN - t t !.•t t`,••. FiF. 61CLL tiiftl'kE71i_ttl. .F' F:Er,trTSI fiF1IT`• I`ifsy r-Ifny `TICIFlitillrite, hall, rrlti=lF'LF:l Viii { Ifit,Prsti : HVL i s€:L t III I lI'" IRE F'k:i tF'C F: I N:-1 t -it i ti t l i 1# 1 i ':I•i i I t'_ r -:F ` T t -'I.. t 'C% f I•it.=l:"•_ I=: :1. . !14QQ01 VI It`i lift±I fthi FHl'111,11IF; WITH THF [R'EI#Ci1F:ffUUI MR OV -511L '_.t_ldTt`-`_• IT €:'i Mr MlHlif If'i1L}1'1' {IF #l1fY'HttF'W�t p17L1_ 1N_ IMI t In "=' -iEM In fit'.1:LtI:C}t+tCE WITH THE CODES I#tMRth':•Fit#1[• INJI1 THE ttii-SI7F- 5:FWEf' `;TEtt PiRY PEuLIIF'F. 5. PL Mr ,01' I t R Til 1111-1 11 i'iU14 1 #af1l # Isf'F' S E ti - MIA WE 1. L s Rte, .-E I £td{ei%'tsffif.lA7 It" 114t. V,. may{ Av- M iIAMtn U (� 1,,O s a+ Lt.ii =IGZ f 5 fK_5;{[L tttl .- �iwan Or "OIL tiF•:•Ctl='F"'IItIFi £.ti �:71.1'l. I`-. �"�'�'�1''.i!� I�n_It't tlt.tfiE;EF' ftF E.Et?F:Cltahte• � `••k+#i- F'r7Fi1.it3 {;•t:l i•T.'E'ta;'r �� 1:6ia#.lif'F{* Alli cc THE soil t#E:"11F3'INV _`-`+'SIEM IS: �' �' I -a ' I_ r =_3 I` T - , : t 4'•,- ._ t t . -V t.-{ fHE LENCi7H PIP1111101 N'. THE LLNra1H riff fw. OF Tt;E iF•Fmr,'H f1 f+,tilllF ILL[': IIIA_' F -•L Pi H Rh ft I kE r4cm CIF, vii I =. 114F I+ T • .-tpwj pF- 7 t•[F Ffj i fti ';CIF f'rl :.E QF ME i I It II? Ft13f i 1 I{I 1:017OO OF THE E I:Ctt'vR; i T C" UN N i' g €1 4. _ 1{4[ I3F!R--.JEL it£F'1M IS 711t HlN7PIL'tt PFF'7H F4 GkA EL E 11TEN IHI (ILtlh01, TAKE w1f)'714E E*j:i1TC" OF WE EXf..tYRTION <IN 1`00 - aIa_ IIT Al"I'lL Ir"ANI HrIT. THE RE=.F1a?t1:.IE:It 17r' To Intl uh:ft TMI` t'•CPRPIMF III [+Li�'IIA:: Itif !t4[' i. -FIT I {/tI I HINFLI I ONO OF Ii1S'i I-i€LLS MA M F !17 1 CI. 111-.i' � f •F'CIF'[ F• S V #sift IPF. tFp Or F'E`.TI t1C:£.`• jHR7 THF WELL WILL r-F:F'Y& :_* 7 : •#._;g:-•F='sem_-1'. S t-{[.-l.q.- f iIT:k. _ #--:f'`.-{_'4 + 3 I.>'In I .. 'F`I I L I IICs OF fiHN 5101EM CI I 1 HttCi i F I Nt IL I t� �`Ei `7 t ON M19 ` I'1MIIii WILL E.E _t-tE,:J£C-7 7ti F-PftrEt'LI1iLifi. KIM Is I _.7 t if it 'E PE 7 H E H H I•ft t t s 11IC fit -A' Qt -1-'S I I L E.L I-CF;i iE t= I SPr IMI _'_-•'*'-• t E 1't 1' -- KEY -KE1 FYW R f-f+.-IVkIE 4iLLt CIF' I & itt AM FEET fF:&M H ft#L:I.lt NEU 14PE.1lt-MG 1111F 1't'F'I' tiF F'i i I 1 t ►IE l L. f t €'F: I {='R i t h1L t_ L 10 ft PP I VR I E QUIP t IN' I''• F I'£ 7 fit -10 t i ril`IPRIflIT'r' `EI -IFF. I_INE 1_• i - FFf:7. _ L CR`,s• isF'E F I� t ll_• I F:E Ir lith:• fl1t=.7 E.'L €`E T UPI& Is..I 1) 1 t -t£ F•E F'tsF°_i t•It.. tl1 1.1171 -UN - t t !.•t t`,••. FiF. 61CLL tiiftl'kE71i_ttl. .F' F:Er,trTSI fiF1IT`• I`ifsy r-Ifny `TICIFlitillrite, hall, rrlti=lF'LF:l Viii { Ifit,Prsti : HVL i s€:L t III I lI'" IRE F'k:i tF'C F: I N:-1 t -it i ti t l i 1# 1 i ':I•i i I t'_ r -:F ` T t -'I.. t 'C% f I•it.=l:"•_ I=: :1. . !14QQ01 VI It`i lift±I fthi FHl'111,11IF; WITH THF [R'EI#Ci1F:ffUUI MR OV -511L '_.t_ldTt`-`_• IT €:'i Mr MlHlif If'i1L}1'1' {IF #l1fY'HttF'W�t p17L1_ 1N_ IMI t In "=' -iEM In fit'.1:LtI:C}t+tCE WITH THE CODES I#tMRth':•Fit#1[• INJI1 THE ttii-SI7F- 5:FWEf' `;TEtt PiRY PEuLIIF'F. 5. PL Mr ,01' I t R Til 1111-1 11 i'iU14 1 #af1l # Isf'F' S E ti - MIA WE 1. L s Rte, .-E I £td{ei%'tsffif.lA7 It" 114t. n, "--\ ❑ SOI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION �' PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: °s/� (FEET) 0"/ 4! r4 C7/* C 1 2 3 4 5 6 7 8 9- 10 11 — 12 13 14 15 16 18 19 20 COMM PERFORMED 72-008 (6/79) 1-4 DATE PERFORMED: SLOPE 0 RUELMAN 7— _f NO. 1732.9 June 22, 1968 Q Reading DateGross Time Net Time Depth to Water WAS GROUND WATER S L �•• ,' y«. ENCOUNTERED? / P E IF YES, AT WHAT DEPTH? NO. 1732.9 June 22, 1968 Q Reading DateGross Time Net Time Depth to Water Net Drop �� ff PERCOLATION RATE (minutes/ TEST RUN BETWEEN FT AND FT �CERTIFIED G DATE: /o " -go MUNICIPALITY OF ANCHORAGE - • DEPARTMENT OF HEALTH & HUMAN SERVICES O 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. # 1. GENERAL INFORMATION Complete legal description L oT Location (site address or directions) Property owner �o�'r �'az¢lc'Ia �'� �'��rs Day phone Mailing addressGonim—'TRe—¢ f Av0}Co ca(; L�_ Lending agency Day phone Mailing address z Agent 9 Day phone Address v W Unless otherwise requested, HAA will be held for pickup. LL W 3 O N � ~ N L1.J 2. NUMBER OF BEDROOMS: F, lJ LLJ 3. TYPE OF WATER SUPPLY: u22 c. Cie Individual well Community well X Public water -' J NOTE: If community well system, provide written confirmation from State ADES attest? ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank v✓ J 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 421 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 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. Name of Firm ^i'Q-Ahl� f4m e—r'r sv c_ Phone 227_2-15z'0 Address 2-0-(20Y, /41202s AevOil O-sze>,gcr /aI< Engineer's signature Date 6. DHHS SIGNATURE XApproved for bedrooms. Disapproved. Conditional approval for Additional Comments �, Slovon R. Pannone 0149 „ Ai '.OFESS 041t�' bedrooms, with the following stipulations: 411TIC 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 DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 72025(Rev.1/91) Back MOAN21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Le -r& —$Lock Z \IAeti s/vL% ra r*2 Parcel LD.: p l S - 3 Z -Z - g -Z- A. WELL DATA Well type Ce^r4. If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seat (YM) Date of test Static water level. Well production WATER SAMPLE RESULTS: Coliform Date of sample: Date completed Cased to FROM WELL LOG B. SEPTIC/HOLDMG TANK DATA Nitrate g.p.m. Casing height (above ground) T w � Wires properly protected (Y/N) 0 AT INSPECTION o w m LU � oti O J y T_ na— LLJ gp1& w Collected by: Other bacteria Date installed N 7-?) Tank size // z Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression (Y/N) t' High water alarm (YN t -11A Date of Pumping AP -4-R6 Pumper r4oZ-t-l4t.AAND C. ABSORPTION FIELD DATA Date installed `t - 8 4 Soil rating (g.p.dditZ or Podr /So System type `b T - Length S V Width 2, o Gravel thickness below pipe G 9 Total depth Q 3 Effective absorption area W SO Monitoring Tube present(Y/N) Y Depression over field (Y/N) 1`4 Date of adequacy test /o - 2 2. ^4,S Results (Pass/Fail) QAss For bedrooms Fluid depth in absorption field before test (in.); 25 � � Immediately after 4}0 gal, water added (in.): qo 7z Fluiddepth Izfzlo (ins.)Minutes later: 2 -TO Absorption rate = /-L:?o + g.p.d. Peroxide treatment (past 12 months) (Y/N) 1`t b If yes, give date D. LIFT STATION NIP Date installed Manhole/Access (YIN) High water alarm level E. SEPARATION DISTANCES Size in gallons *Datum "Pump off' level at* SEPARATION DISTANCES FROM WELL ON LOT TO: t-4 /A Septic/holding tank on lot : On adjacent lots Absorption field on lot Public sewer main service title adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation V Property line 25 1 Absorption field_ Water ntain/service line 'z.S t Surface water/drainage /tso 4- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation /-S-1 Water main/service line ZS + Surface water /oot Curtain drain ^V F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots 1" certify that I have determined thru field inspections and review oflvfunicipal in conformance with U0A IIIA guidelines in effect on this date. Siguaturq.��i�� Engineer'sNante S'T�.�l�r�t �.Qt�ivnfo.vc� Date / 6 - 23— 9 S HAA Fee $_-jM jL Date of Payment /U - 2 7 q S Receipt Number 3S I I Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number I S" /A -t- Property line 30 = Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 Legal: Location: Owner: Residence: SEPTIC SYSTEM ADEQUACY TEST Lot 6, Block 2 Valli Vue Estates #2 10620 Lone Tree John & Patricia Peerce 3 Bedroom, Single Family Septic System: From Municipal Records: Tank: 1250 Gallon Absorption System: Trench Length 50' Total Depth: 9.5' Absorption Area: 450 s.f. Eff. Depth 4.5' Soil Rating: 150 sf/br Installation Date: 9-11-89 Date of Pumping: October 6, 1995. By Northland Pumping Date of Test: October 22, 1995 Test Procedure: System was reinspected and measured. Tank was found with 5 feet of cover. Liquid depth was measured to be 77 inches. Three clean -outs and a monitor tube were found. The post tank clean-out was measured to be 71 inched deep and dry. Clean-out one was measured to be 97 inched deep and dry, but showed signs of being wet in the near past. Clean-out two was 84 inches deep and dry. The monitor tube had a total depth of 127.5 inches with 25 inches of fluid. Water was added to the system at a rate of 3.8 g.p.m. The water levels in the tank and monitor tube was monitored. Four hundred and seventy gallons of water was added over a 125 minute period. The level in the monitor tube rose from 25 ' hes deep to 40.5 inches deep. No water was observed to be flowing back into the tank. Twenty four hours rthe water level in the monitor tube was measured to be 25 inches. TESTS RESULTS: This system meets the code requirements of the Municipality of Anchorage. The operational life of all septic systems depend on the local soil condition, ground water 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 system. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. Submitted by, Steven R. Pannone, P.E. �a Stevan R Pammna @ �61) CE 8149 eA0 MUNICIPALITY OF ANCHORAGE • � Department of Health &Human Services DIVISION OF ENVIRONMENTAL SERVICES} j 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. #015- 322 S2 HAA# N 5S - n` -1Lo 1 GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location(addressor directions) IU[ /-O LU/n� i('re- �r (b) Property owner N F� Telephone: (home) Business Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent b) (±iaeG Telephone Address 30crO A ST. AIJ(!d 1%503 Telephone �a2- `6s3 (e) Mail the HAA to the following address: (or check here a if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family 14 3. WATER SUPPLY Number of bedrooms 3 Individual Well ❑ Community F 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 VC Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 Z }o a abed „oeg (BB/d'Aey)szo-ZL NaoM s,aaaul6uo Ieuolssa}oid ay; ul suo!ss!wo ao saoaaa ao} alq!suodsai lou s! a6eaoyouy }O /,;!ledlolunW aql ,panssi si aleol}llaao a ajo}aq a;ep Wjeue aO suo);oadsu) lonpuoo lou op SHHO 10 saa (oldw3 •s;uawaa!nbei a;e;s pue leaapa} u!e;Dao /}sl;es o; aapao u! suo!;n;!;sul 6ulpual clay} pue sawoq }o siasegoand o; Asa;anoo a se sly; Saop SHHO Dull 'e�IS31V 10 ale;S 9L41 ul paaa;sl6aa aaaul6ua Ieuolssa}oid luepuedopu! ue (q anoge g gdeAund u! UBA16 suolle;uesaadai aq; uodn Rluo paseq pa;eo. poo Ienwddyll!aoylnV ylleaH sonss! (SHH(I) saOlAaaS ueuinH pue q;1eaH }o;uawliedea a6eaoyouy}oAl!IedlolunWDull lenoaddy leuo!;!puOO }o swaal IeuOl;lpuOO panoiddesld panoaddy —a;ep i7� Aq swooapaq'—Tao} panoaddy 68-_s - w7 G IVAOHddV SHH4 '9 >7 0 ar 'o(aa •o tiOan o a J.°" e°oenm oe eece ecse�� 1 7e uesee�ee coo ecr til V ,5�� aieO SSaappy /Y auoydalal ^ • �r wald }o aweN 1. �r J uol;oadsu! slgl }o a;ep aql uo;oa;}a ui suo!lelnbei pue 'SeoueulpaO 'sapoo 91e1S pue led!o!unW Ile q;!M aoue!ldwoo u! s! Ovals (s esodslp aaleMalseM ao/pue AIddns aaleM al!s-uo aq; 'uO!;oadsu! pue uo!;e6l;s9nul !u1 woj} pue sal!} a6eaoyouy }o (;!ledlolunw ay; woa} paulelgo uopewao}ul aq; uo paseq ;eq1 A1!aaA jaglan} I -uiajaq pa;eo!pu! ain;onals }o odA1 pue swooapaq }o aagwnu ay; ao} a;enbape pue leuolloun} 'a}es sl walSAs leSodslp Aa;eMalseM Jo/pue llddns AaleM a;IS-uo ag; legl SMOgs enOaddy A;!aog;ny y;IeaH s!ql }o uOi;e6!;sanu! Aw;eq; ApDan I'Molaq uMOgs a;ep uo!;eplleA ay;}o se pue O;aAaq pax!}}e leas ALU Aq pa!}I1aao sy NOIlVWHOdNI ONV VIVO'HOHV3S 3'lld'S1S31'SNOLLOUSNl ONIOIAOHd WHId ONIH33NION3 A. WELL DATA CIPALITY OF ANCHORAGE (MOA) Iealth Authority Approval (HAA) ,^,HECKLIST - FEBRUARY 1984 - 343-4744 LegaMescrip Well Classification Lmo ` I& B, C, D.E.C. Approved/N) Well Log Present (Y/N) Depth Cased to Static W,pter Level Casing Electrical Wiring i Ground Date Completed (Y/N) Depth of Grouting SEPARATION DISTANCE&FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) On Adjoining Lots On Adjoining Lots Public Sewer Cleanout/Manhole Date Installed -06--go Size j2 SD 666• No. of Compartments Standpipes ON) Depression over Tank Air -tight Caps (( I�N) Foundation Cleanout ON) (Y/9) n/ Date Last Pumped Pumping/Maintenance Contact on File (Y/N) /v ; for I Holding Tank High -Water Alarrlr(•Y/,.N) Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FRO M'SEPTIC/HOLDING TANK: To Water -Supply Well+ a. To Building Foundation S~ r a w To Property Line s + To Disposal Field /0 To Water Main/Ser'vice'L ne.. To Stream, Pond, -Lake or Major Drainage°Course Comments 72-026 (Rev. 7iee) From Page 1 of 2 14 1 G G 132_ mal(" um sud C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata C) Type of System Design Date Installed �� Length of Field 5 y Width of Field Depth of Field Square Feet of Absortion Area Depression over Field (Y& _ Results of Last Adequacy Test 1 Gravel Bed Thickness S^ ��✓� Statndpipes Present YQN) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well r -c To Property Line / To Building'1Fo ndation /S -I-- To Existing or Abandoned System on Lot - ; On Adjoining Lots /S To Water Main/Service Line 10 )"r To Cutback (if present) jCii� r� To Stream, Pond, Lake, or Major Drainage Course G� To Driveway, Parking Area, or Vehicle Storage Area Comments LIFT STATION bMq l\nstalIed Dimensions Size i, n G�+4 nes Manhole/Access (Y/N) "Pump On" Levellaat--�t "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments **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. � Signed . fD ag Company C'C's . Date MOA No. Receipt No _,�2_6_ CF -2 T Date of Payment / Amount: $ C 2L VIP Receipt No. 44 0o aplofmiuta\ Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Engineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 1334 ANCHORAGE, ALASKA 99503 Alaska Environmental Control Services ATTN: Alan C. Wien 1412 West 33rd Avenue Anchorage, AK 99503 DATE: December 21, 1988 PWSID: 210605 To Whom It May Concern: STEVE COWPER, GOVERNOR 563-6775 According to the records on file in this office, the VALLI—VUE SUBDIVISION Water System is in compliance with the State of Alaska Drinking Water Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation of the Alaska Drinking Water Plan Review regulations. No as—built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satisfactory sanitary survey evaluation by the department, the system is acceptable under the standards in effect at the time of installation. An official "Certificate to Operate" may be issued upon receiving a complete set of as—built plans. Any expansion of the water system after 1978 will require plan review and the issuance of a "Certificate of Operation" permit. Sincerely, V L 0 �3 Vera E. Craig i/ Environmental Field Officer /i 1 Time a APPLIC AT FILLS OUT UPPER HAI'`'\ONLY •Property Owner3II \ Phone Mailing Address Zip Code /j - UcllO Buyer (h`\ �°OueC, rT Address Zip Code Lending Institution �<� ��r.g fc �,q a �c<ir �.�/tNK, Phone Address - Zip Code Realty Co. & Agent /i'S /-�.:) 13 p`e /j/�- (c�[.�-7 �>/y Phone s Address � � _ 7 Zip Code C) Legal Description G.cr (o� 3%OG/` , l%F��i 1✓Z{�' '+ �- Street Location Type of Residence U19iingle Family - ❑ Multiple Family No. of Bedrooms— ❑ Other Water Supply ❑ Individual - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Q, bommunity For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility DEPT. OF HEALTH 4<mss' Sewer Disposal -_ / do QTdividual Year Individual Installed: 5F ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. /i 1 Time Time Time Time Date Date Date Date ` Inspector Inspector Inspector InspectorlIlI st \ 1t 7 Field Notes: IC.VP'A'I1kFl`�F E Lk DEPT. OF HEALTH 4<mss' C - A v�tC ENVIRONMENTAL PROTECTI N c ° -1 voQ , �C- J UN 2 0 Jf A 0 V� RECEIVED ( `l ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONALAPPROVAL' of t -b" 7-�' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received eo Septic Tank Size �,5� Z, V /I - b -80 Well to Tank 72 023 It >� 5. LEGAL IPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME 6. TYPE OF RESIDE CE L DATE DATE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY L� Three ❑ Six INSPECTOR INSPECTOR INSPECTOR A41 La DEPT. OF I?L4CL! Z, MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL :ZCiT-CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 1IS J A N n U • i1 G 8 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER - PHONE .v s3z ff/ MAILINGADDRESS p -i (` " L PROP RTY RESIDENT (If different from above) ONE 2. BUYER PHONE MAILING ADDR SS 3. LENDING IN IT TION PHONE MAILING ADDRESS AltI` 4. REAL OR/AGENT PHONE MAILING ADDRESS - 5. LEGAL IPTION 6D,d�j` STREET LOCATION Oy 6. TYPE OF RESIDE CE NUMBER OF,BEDROOMS ❑- One E-1Four❑ Other DK SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY L� Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ;�4- COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - [A, INDIVIDUAL/ON-SITE** /9Td YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 72-010 (Re, 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ six 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTI LITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS (6—APPROVEDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Re, 6/79)