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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 2 LT 19Onsite File Valli Vue Estates #2 Block 2 Lot 19 #015-322-39 4-bedroom approval is for septic tank only. Drainfields are each sized for up to 3-bedrooms. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ht,p:11w%,vw.muni.arg1onsfte Permit Number: OSP211244 Work Type: SepticTank Upgrade Tax Code Number: 01532239000 Site Legal Address: VALLI VUE ESTATES #2 BLK 2 LT 19 G:2538 Site Mailing Address: 6266 WEST TREE DR, Anchorage Owner: MANN JASON R & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: ry Department 6/29/2021 6/29/2022 20036 E-1 Disposal Field 21 Septic Tank 0 Holding Tank 0 Privy 171 Private Well 171 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15-65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing AW, Special Provisions: 1) 4 -bedroom approval is for septic tank only. Drainfields.are each sized for up to 3 -bedrooms. 2) The water service line shall be located at time of construction to confirm minimum 10 ft separation to septic system. Received Bw Issued By: Date: L Date: -) I 0� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-322-39 Property owner(s) TANI KRON Day phone 907-830-1007 Mailing address 6266 WEST TREE DRIVE *ANCHORAGE, AK Site address 6266 WEST TREE DRIVE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2; BLOCK 2, LOT 19 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 7 Upgrade Z (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 22 r Waiver Fees: Date of Payment: 5 a0 Date of Payment: Receipt Number: G 6 `i 7 5 G Receipt Number: Permit No. C� P 2-1 1 ?_9'- Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211244, Rebecca Carroll, 06/29/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211244, Rebecca Carroll, 06/29/21 f'OT A' PART t I .. Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5't,,,/~ ¥0 ¥c~0" PID Number: Name: ~ch~l ~o~ Wastewater System: D New ~ Upgrade Addres':6~ ~ ~ee D~ A. c4~ ~/< ~/~ ABSORPTION FIELD Phone: ~y~.3e~7 IN°'°f~dr°°~: DDeepTre~ch ~ Shallow Trench DBed ~Mound DOther LEGAL DESCRIPTION } * ~ GPD/Sq. Ft. LOt: Block: Subdiv~ion: ~ ~ Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: I Range: I Section: Fill added above original grade; Gravel length: I I ~'~ Ft, ~ Ft. Gravel width: Number of lines: ~Dista~ce between lines: WELL: New Upgrade Classification (Private, A,B,C): Totat Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: StaticWaterLevel: Installer: Date installed: Yield: GPM IPump Set at: Ft. ]Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~septic ~ Ho[ding ~ S.T,E,P. To Septic Absorption Lift Holding 'ublic/Private Manufacturer: Capacity in gallons: FrO~ Tank Field Station Tank Sewer Lines Material: ~ ~ ~/ Number of Compa~ments: su,.ce LIFT STATION ~.~ Water ! ~ ~Oo' ~ t~ Lot Size in gallons: ~ Manufacturer: Cu~ain Pump Make & Model I Electrical Inspections performed by: I Remarks: ~y~ m~(/~ p~ BENCH MARK Location and Description: ' ~ Assumed Elevation: Reviewed and approved b~~~ 7g-013 (R~. 9191) MOA 25 PERMIT NO: SW940406 PAGE 2 OF 2 PID NO: 01532239 LOT 19, BLK. 2 VALLI VUE #2 44' LONG x 5' WIDE DRAINFIELD SWING TIES NEW 1000 GALLON SEPTIC TANK PLAN VIEW SCALE: 1" = 30' - 0" !FROM: COR "A" O: .... .T.C.O., E. 17 .T.C.O. 'F 22.5 DBL. C.O. 'G" 27 C.O. "H" "B .... C ....D" 24 26 25 60 20 47 M.T. "1" C.O. "d" 86 45 64 103 61.~6 1000 GALLON ~__INV SEPTIC TANK 94.4' -- BOTTOM DRAINFIELD @ 89.4' PROFILE VIEW VERT. SCALE: 1" [] 5' -0" ~- T.H.#2 M.T. DRYAT 82.0' LOT 19, BLK 2, VALLI VUE EST #2 SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, ALASKA 99516 ISCALE: AS,SHOWN DRAWN BY TFM NOVEMBER, 1994 PAGE 1 0~ 1 MI/NICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ~,'.J~ I,/~'q[ ~ [ZJOI t~/Iq P.O. BOX 196660, 825 "L" STREET, ROOM 502 ~KZ~i/.Z/~ ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGP~ADE) PERMIT PERMIT NUMBER:SW940406 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:GOODE MICHAEL R & VICKI L OWNER ADDRESS:6266 WEST TREE DR ANCHORAGE, AK 99516 DATE ISSUED:10/19/94 EXPIRATION DATE:10/19/95 PARCEL ID:01532239 LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK T 19 2 L LOT SIZE: 20036 (SQ. FT.) NIrMBER OF BEDROOMS: 3 THIS PEP, MIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED ISSUED BY: ~~~~ C DATE: THEODORE F. MOORE, P.E. PH: (907) 345-1355 OP T] CHNiC A, ::SE CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS 14530 ECHO ST. October 12, 1994 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 19, Block 2, Valli Vue Estates, Unit//2, located at 6266 West Tree Drive. The existing soil absorption trench failed a recent adequacy test. Soils logs, perc test results, sieve analysis results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 2A. As can be seen from the soil logs for this and adjacent test holes, the native material below 9.5 feet is a uniform fine sand with a measured perc rate of less than one minute per inch. The enclosed laboratory sieve analysis of material removed from the perc test hole shows that it is properly classified as SP, and therefore there in no need to install an imported sand filter. Using the soil application rate of 1.2 gpd/sq, ft. specified in the wastewater ordinance for soils with measured pere rates of less than 5 minutes per inch, this 3 bedroom residence requires a total absorption area of (3 x 150)/1.2 = 375 square feet. The proposed 5' wide drainfield design with 3 feet of sewer gravel beneath the horizontal distribution pipe has a total effective absorption area of 377 square feet. The topography in the area of the proposed construction slopes downwards towards the east at approximately 2%. The ground surface at test hole #2 is approximately one foot lower than at T.H. #2A. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. This subdivision is served by a community water system. Please give me a call at 345-1355 if you have any questions on tlfis submittal. Sincerely, Ted Moore, P.E. LOT 12, BLOCK 1 SPRING FOREST S/D HOUSE LOT 20, BLOCK 2 LOT 19, BLK. 2 VALLI VUE #2 ,; T.H.#3 T.H. OLD 1000 GAL. SEPTIC TANK ~#2A ?,,~$ EPTIC TANK NEW 44' LONG 5' WIDE DRAINFIELD -W. 3' GRAVEL BELOW HORIZ. DIST. PIPE SEPTIC .__~ SYSTEM~ LOT 18, BLOCK 2 NOTE: HOUSES IN THIS SUBDIVISION ARE SERVED BY A COMMUNITY WATER SYSTEM. N 20 0 20 40 60 80 100 FEET LOT 19, BLK. 2, VALLI VUE EST. #2 SEPTIC SYSTEM UPGRADE SITE PLAN FLATTOP TECHNICAL SERVICES r 1 INCH = 50 FEET 14530 ECHO STREET I DRAWN BY TFM ANCHORAGE, ALASKA 99516 OCTOBER, 1994 NOTE: THIS IS NOTASURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 44~ "A" 4" D-3034 FROM SEPTIC T~I~ K 4" PERF PIPE (F-810) ~ 'A" EXCAVATION PLAN VIEW SCALE: 1" = 10' - 0" MONITOR TUBE ORIGINAL GROUND 1ACKFILL FABRIC F-810 PERF PIPE 3.5' SEWER GRAVEL (3.0' BELOW PIPE) SECTION 'A - A" SCALE: 1" = 5' - 0' LOT 19, BLK 2, VALLI VUE EST#2 SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, AK, 99516 SCALE: AS SHOWN DRAWN BY: TFM OCTOBER, 1994 Flattop Technical Services 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 19, Block 2, Vaili Vue Estates, Unit g2 6266 West Tree Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of an exi~sting septic tank and soil absorption trench and installation of a new 1000 gallon septic tank followed by a 44 foot long, 5 foot wide soil absorption dralnfield with 3 feet of sewer gravel beneath the horizontal distribution pipe. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All c. onstmction procedures and material specifications shall conform with Municipal and State reqmrements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 Unless inspection by the engineer confirms that the existing tank is still in good condition, the existing septic tank is to be properly abandoned by thoroughly pumping, removing its top and backfilling with soil. 2.2 The new 1000 gallon, 2 compartment septic tank shah be Municipally approved and shall be set level on undistur[~ed soil. Each compar~anent shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste llne between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 5' wide trench to a total depth of · approximately 13 feet below the elevation of the original ground in the vicinity of test hole #2A. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. Sand for leveling or serving as filter material shall comply with Municipal specifications. 3.3 A total of 3.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 3.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the g200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending tlu:ough the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel before backfill. 3.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3i after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of the filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The instbller shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. TEST HOLE LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR; DEPTH (feet) 1- COMMENTS: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 19. Block 2. Valli Vue Estates. Unit #2 October 6:1094 Rick Goode Pt ML Gray silt, fill Pt SM Reddish sandy loam ML Gray silt, dense, dry. cohesive clumps Some cobbles and boulders scattered damp sand seams @ 10' large bpulder at 10.5' SLOPE Depth to Groundwater Date No Groundwater 10/6~)6 q Clock Net Time Porcometer Not Drop Date Reading Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT Soil not suitable for construction of an on-site soil absorption system. No monitor tube set. PERFORMED BY FLA'FrOP TECHNICAL SERVICES. I ~',.z.~ ff~'~..,~(._ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: tO / /"~[ ~ ~ TEST HOLE LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: DEPTH (feet) 11- 12- 13- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 19. Block 2, Va[Ii Vue Estates. Unit #2 October 6, 1994 Rick Ooode Pt SM Reddish sandy loam ML Brown silt, dense, cohesive near top becoming looser with depth SP/SM Fine gray sand SLOPE Depth to Groundwater Date No Groundwater 10/6i96 Monitor lube dry 10/12/94 ... .. SITE P~N 14- COMMENTS: Transition to SP, Uniform fine sand, below 13 feet Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT See log for T,H #2A for perc test results PERFORMED BY FLATTOPTECHNICALSERVICES. I '~'"~,~. ~ ACCORDANCE WITH ALL STATE AN D MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~0 / [ ~. /' c~ lTEST HOLE# 2Al LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 19. Block 2. Valli Vue Estates. Unit #2 October 6:1994 Rick Goode DEPTH (feet) Pt SM Reddish sandy loam ML Brown silt SP/SM Fine gray sand Transition to SP, Uniform fine sand below 9.5 feet B.H. SLOPE Depth to Groundwater Date No Groundwater 10/6/96 o, Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 10/ltl 12" Presoak 4:12 27 1/2 4:14 dry 4:15:30 21 4;20 29 4:21 1 23 6 4:22 1 20 3 4:23 i Dr~ 3 16- 18- PERCOLATION RATE <i (minutes/inch) PERC HOLE DIAMETER '6" TEST RUN BETWEEN 11.0 FTAND il.s FT COMMENTS: Perc test was conducted approximately midway between T.H.'s #2 and #3. The clean sand stratum was encountered at a shallower depth than in the other test holes. Recommend constructing soil absorption system in vicinity of T.H. #2A. See sieve analysis of material from per, I . _'~,.~ '~'~'~._ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED By FLATTOP TECHNICAL SERVICES. ACCORDANCEWITHALLSTATEAND MUNICIPALGUIDELINES iN EFFECTON THiS DATE. DATE: ~O t//~-.j ~ TEST HOLE # 3 LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: FLA'rroP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99519 SOILS LOG -- PERCOLATION TEST Lot 19. Block 2. Valli Vue Estates. Unit #2 October 6, 1994 Rick Goode DEPTH, (feet) 1 Pt SM Reddish sandy loam Iv~ Gray/brown somewhat sandy silt Soft digging SP/SM fine sand scattered clumps of IvlL SLOPE Depth to Groundwater Date No Groundwater 10/6/96 Monitor tube dry 10/l 2~94 ..., SITE P~N .Becomes clean SP below 13', however there are scattered clumps of ML Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT COMMENTS: PERFORMED BY FLATTOP TECHNICAL SERVICES. l ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN I J.U/,1Z/I~ Z,~:Z:" ~'9o"r .522 ,3403 R&M CONSULTANTS ' ' LABORATORY TEST REPORT CLIENT/PROJECT: Flattop Technical Services / Valli Vue TEST ON: Ta~st Hole SOURCE: Valli Vue Subdivision SUBMI1TED BY: Client SAMPLED FROM: Test Hole #2A DATE SAMPLED: ~ LOCATION 12 va, .. DEPTH: 11 ft. ~003/003 R&M PROJECT: 45107,~ LAB NO.: 4282 FIELD NO.= N/A DATE REPORTED: 10/11/94 DATE RECEIVED: 10/10/94 BRAIN SIZE DISTRIBUTION SIEVE SPEC. 5" % + 10 4' 6+3 3e % GRAVEL 2" %SAND I 112 ' %SILT 1" % CLAY 3/4" 1/2' 3/8" //4 //8 CLASS #10 ~30 ~40 ~so ~60 ~10o ~200 6.0 ,02MM .O05MM .O02MM CLASSIFICATION COMPACTION UNIFIED AASHO OPTIMUM MOISTURE: MIN. DRY OENSI"C~'. 0 94 ~, FRACTURE; NATURAL DENSITY= NATURAL MOISTURE: WEIGHT LOOSE: SP GRaJN SIZE DISTRIBUTION CHART ~;: ;'7.' ,' ",~,.,';., , '; :;,, .,~ ,.-/- .- i ,.,,- T T GRAIN SIZE Irmn) TOTAL WT. TESTED'. 518 GMS. ~)EtE'~EfllOUS MAT. COARSE SPEC F~E Si~EC ORGANIC CONTENT L.A, ABRASION LOSS: REMARKs: Tested By:. CLF Checked BV: S JO GRE~..ER ANCHORAGE AREA BOP.. IIGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~f/¢0.-t"//:;'.,4~ ,¢lc)eK; MA,L,NG ADDRESS ~'~ r+ 7¢'/5 qCb-o? P,ONE :~'¢,1- 5-¢o(,/ SEPTIC TANK: . _~ DISTANCE /'~ /~.~_ ~""~"~"-'~ R ~ FROM WELL ~//,~'~(~MANUFACTURE ~)~2.~' MATERIAL cNoUMMpBAERRTOMFENTS ~ INSIDE LENGTH / INSIDE WIDTH / LIQUID DEPTF~"'~ LIQUID CAPACITY[~'~ALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL ATION __2~ NEAREST LOT LINE ABSORPTION AREA ,~'/'~0 SQ, FT. LENGTH OF EACH LINE ..~,~.,~,...f¢ ~ DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~J~/'(~ MATERIAL BENEATH TILE_ ~ ¢~) IN. ABOVE TILE TOTAL L ENG T H/4,//~ OF LINES IN. TOTAL EFFECTIVE TYPE _"--7 ~' v--L~ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK__ SYSTEM_ CESSPOOL OTHER SOURCES APPROVED_ DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: ~ -- PIPE MATERIAL: LOT SLOPE: Form LQ-032 DIAGRAM OF SYSTEM GR£]-".'Er ANCHORAGE AREA BO )UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE. ALASKA 99503 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT LEGAL DESCRIPTION ,' DRAIN FIELD ., OTHER TO BE INSTALLED BY NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION ;~4 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.... SEEPAGE PiT . · DRAIN FIELD ALSO CONSEDER AREA WELLS. SEEPAGE PIT DIAGRAM OF, sYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT AM FAM[I.IAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE EQ-016(3-75) TH-1 Lot 19 Not to Scale TH-1 2-10-77 All Samples A SA~DY SILT N/TRACE GRAVEL Brown, Moist Cobble at 3' --10.0' SAND Brown, Moist, Fine to Medium Grained 18.0' TD Groundwater Table Not Encoun%ered This log represents subsurface soil conditions within Lot 19, Block 2, Valli-Vue Estates, SW%, Section 14- T12N, R3W, S.M. Anchorage, Alaska [DWN' V~ ~CKD~ DEB ~0a¥5: 2-11-77 . ~ 1"=3' SANITARY S~4ER TEST HOLE BAVARIA~ BUILDERS A~;CHORAGE, AI~ASKA GRID: 752109 A-01 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING NAA# GENERAL INFORMATION Complete legal description /3(oc~- ~, /-/~//i c/we Location (site address or directions) ~'2d'd' ~z~. 7-f~ D,~,-~_ Property owner Mailing address Lending agency Mailing address Agent ~ory ~n~ Address Day phone Day phone ~Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well / LP'~ -~P~~'~' ~''~' c/ /~Z' Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: · · Individual on-site - -, Holding tank Community on-site r -- ' ' ' ' Public sewer , - - - NOTE: If community wastewater system,'provide wr~?en confirmation from State ADEC .... attesting to the legality and status'Of~s~e~i~'~;:i':i ,~:-: . ~;.'... ~:, '~¢:;.:;~: ..'~ ~:.- .' 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 ~hat 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. Phone ~ ~/~ - / '34-.5- Date I! /7/?¥ DHHS SIGNATURE ·~ Approved .for ~ / Disapproved. Conditional approval for By: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHSI issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registerad in the State of Alaska,The DHHS does this as a courtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees o1 DHHS do not conduct Inspections or analyze data:before a certificate is Issued, The Municipality;of.An,chbr~ge is responsible for errors' or or~issions I~ the pr,ofeSSional engineer's work..q.:_i.:: ,,.,,..,.,,., .o^.. ...... . :, :., ?;i,?,i;;::i?:-t:,; r~,.;, ,,:.,·, Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITy APPROVAL CHECKLIST Legal Description: Lo ~ I~,. [~ /lc ~., ball; U'u¢ #~ Parcel I.D. FROM WELL LOG A. Well Data Well type '~/)" Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number. Date completed Driller Cased to Casing height Wires properly protected (Y/N) AT INSPECTION Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line .g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cieanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed II / ~ ~/? '7' Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size / ¢,oo' ~'~ / Compartments Foundation cleanout (Y/N) 'i" .Depression (Y/N) A~ Alarm tested (Y/N) /,,I, /~, (. n.~ c(., ~ Pumper .N. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot .~l. A, To property line ~.5- Surface water/drainage On adjacent lots ~> ~_c,o' Foundation I Absorption field -7.5-' Water main/service line 72026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION N./¢. Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LiFT STATION TO: Well on lot __ On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water D, ABSORPTION FIELD DATA Date installed II / ~ / ? ~' Soil rating (GPD/FF) Length "/"/ Width .5' Gravel thickness Total absorption area 3 ? ? Cleanout present (Y/N) Date ot adequacy test N. A, ( n-~u~./ Results (pass/fail) -- Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) N System type 5' ' ~-', Total depth /.~ Depression over field (Y/N) for 3 Bedrooms After test O If yes, give date hi, A, SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N,/~-, To building foundation I g' On adjacent lots ',> 3' d ' Surface water >. too ' On adjacent lots > ~ ~.,c, ' Properly line To existing or abandoned system on lot Cutbank ~, A. Water main/service line Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in the date of this inspection. Signature '~~ Engineer"s Name HAA Fee $ ,~ ,~'~ Date of Payment _ 1!/~3/~ Receipt Number 00 ~'"'?"¢'" '~ "7 "'~ ~ 72-026 (3/93)° Back CE-3589 Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date _ ~/¢/'/~ ~"~ GENERAL INFORMATION (a) Legal Description (include lot. block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~'~I2~,'~U"~L- Telephone: Home ~l.J(~ . ¢~,~..~ Business Applicant Address ~ ~,~,. 0~, /.~.~ ~ ~ (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent g~e.,,-~ ,Le~/~_ Telephone ~"~ ~ ~/~"'~ ~' (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~[~' Multi-Family [] Number of Bedrooms .~ Other WATER SUPPLV Individual Wail [] Community/J~ Public Note: If com m unity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ 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. Page I of 2 72-025 (1~z84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 shows that the on-site Water supply and/or wastewater disposa~ 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 end 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 d~e of this inspection. Name of Firr~ ~ ;--~~ Telephone ~-'7~ ' ~ ~'~ Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION The M, uncipelity of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this es a courtesy to purchasers of homes and their lending institutions m order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze da!a before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the profe3$ional engineeFs work. Page 2 of 2 MUNICIPAUTY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal~_Descdpti,on: ,L_ O'~' MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECr/O~,I WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Reid on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by IfA, B, C, D.E.C. Approved (Y/N) Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Y Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~/7/~'7 Standpipes (Y/N) 0 (~t~--- Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well . ~ To Property Line To Water Main/Service Line Course Size I0o0 No. of Compartmen~ts Foundation Cleanout (Y/N) Date Last Pumped ;for /'%"//,.'~ Temporary Holding Tank Permit (Y/N) Comments 'To Building Foundation / Z/ To Disposal Field /~:~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed _ Width of Field Square Feet of Absorption Area _ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well "~ To Building Foundation ,~' Lot Fl 0 N .L~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ~' Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Comments Dm LIFT STATION /~ ON ~- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, veri~Od, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~'~, ~~ · Date Company ~"'~'~-¢ Receipt No. Date of Payment Amount: $ ~/~- c,~z_ Engineer's Seal Page 2 of 2 72-026 (11/84} I CONSULTING ENGINEER ~203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: 1907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: LOT 19, BLOCK 2, VALLI VUE ESTATES 6266 WEST TREE DRIVE ROGER K. DOUGHTY SINGLE FAMLIY, THREE BEDROOMS ON SITE WELL FROM MUNICIPAL RECORDS: TANK: GREER STEEL, 1000 GAL. ABSORPTION SYSTEM: ABSORPTION AREA: SOIL RATING: 125, INSTALLATION DATE: TWO COMP. TRENCH 580 SQ.FT. 150 MARCH 1977 DATE OF PUMPING: 8/3/85 DATE OF TEST: 9/9/85 WATER WAS ADDED TO THE TRENCH AT A STEADY RATE OF 9 GALLONS PER MINUTE. THE WATER LEVELS IN THE TANK AND SUMP WERE MONITORED AT THE START OF THE TEST THE WATER LEVEL IN THE TANK WAS 49 INCHES. AFTER THE ADDITION OF550 GALLONS THE WATER LEVEL HAD NOT CHANGED. THE WATER LEVEL IN THE SUMP ROSE FROM 27 INCHES TO 54 INCHES DURING THE TEST. ONE HOUR AFETR THE END OF THE FILLING PERIOD THE WATER LEVEL WAS 50 INCHES. THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THE TRENCH ABSORBED 80 GALLONS IN ONE HOUR. life of all septic systems depends on the local groundwater levels that may fluctuate during the water usage of the family being served by the The operational soil conditions, year, and the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue 5o meet the operational requi- rements of the Municipality and State.