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VALLI VUE ESTATES #2 BLK 3 LT 6
Onsite File ------------- i I� t a Inspection Report_1-1-12.doc Municipality of Anchorage Community Development Department Page 1 of 4 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171101 PID Number: 015-322-60 ❑ New ❑✓ Upgrade Name: Michael S Griesbaum ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench El Bed [:1 Mound Address 10404 Main Tree Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 4.5-5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5-4 Ft. Gravel depth beneath pipe 1.0 Ft. Subdivision Block Lot Valli Vue Estates #2 3 6 Fill added above original grade 0.0 Ft. Gravel length 66 Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 330 z Ft 1 N/A Ft. well 100+ 100+ N/A N/A N/A TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 1,000Gal. Surface water 100+ 100+ N/A N/A Material Number of compartments Lot Line 5+ 10+ N/A N/A Steel 2 NA Foundation 5+ 10+ N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield A+ Home Services Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection s' 6/20/2017 dates: 1 d 2" 6/20/2017 Location and description 3`d 6/20/2017 4'h House Trim COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date Steven •f�. •�annorae•� ��.1,• CE 8149 LLH'//oF$510t�A Approved lsUt n rrCJl Date i s �D 1 i h -: Inspection Report_1-1-12.doc SWING TIES I gi I '7 ` I I I n III `'' 1 11 JJ / I- / I I 1 7 I OR SCA \ 1"= 50' I I \ J �. \C�AREA� 42 I / I II / 578 ABANDONED CRIB PER MOA CODE INSTALLED ABSORPTIO 6LFx5.0' WX1.O'E. D., 4.5 / DCO AFTER TANK, J I I sez T ENDS OF FIELD � I �-- C FC E rnl TH-1974 \ M1 C1 T1 SBD --- I ILII T2 SE � I \ DRIVE ^ PTIC AREA j/ I �10 A \ I I I B INST N .0' IEL - 5.0' . D. MT & CO I AYI M ALLED NEW I \ — — — — — — D 96 1,000g SEPTIC TANK / 43—�I I TH-1 / REMOVED OLD TANK PER MOA CODE I \J I C2 — M2 > � I A B T1 14.8 25.0 M1 38.3 39.1 I gi I '7 ` I I I n III `'' 1 11 JJ / I- / I I 1 7 I OR SCA \ 1"= 50' I I \ J �. \C�AREA� 42 I / I II / 578 ABANDONED CRIB PER MOA CODE INSTALLED ABSORPTIO 6LFx5.0' WX1.O'E. D., 4.5 / DCO AFTER TANK, J I I sez T ENDS OF FIELD � I �-- C FC E rnl TH-1974 \ M1 C1 T1 SBD --- I ILII T2 SE � I \ DRIVE ^ PTIC AREA j/ I �10 A \ I I I B INST N .0' IEL - 5.0' . D. MT & CO I AYI M ALLED NEW I \ — — — — — — D 96 1,000g SEPTIC TANK / 43—�I I TH-1 / REMOVED OLD TANK PER MOA CODE I \J I C2 — M2 > � I I I 1 1 / III / I NOTES: 17�T �7� �/ PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 Q'� •' •. �• Date g/g/2017 RECORD DRAWING �I PHONE (907) 272-8218 FAX (907) 272-8211 •� 7H "' '•' ' " ""•• •• }� ..�G�nOl�e CE 8149 `q�; q ABBREVIATIONSt I VALLI VUE ESTATES #2 B3 L6 SITE: 10404 MAIN TREE DR MICHAEL S GRIESBAUM PO BOX 111544 _ -TH TEST HOLE I I PERMIT NO. OSP171101 SITE PLAN (P) PROPOSED I w I w�NATER LINE / �'t�IELL 20F4 (E) EXISTING I RADIUS FS ZOELLER TRU—FLOW SPLITTER I / I CO CLEAN OUT N0. / I I MT MONITOR TUBE N0. I I —I NEW SEP)rIC TYP TYPICAL SEPTIC I I I �J 1 / III / I NOTES: 17�T �7� �/ PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 Q'� •' •. �• Date g/g/2017 RECORD DRAWING PRIMARY SEPTIC SYSTEM V( NO. BEDROOM: 3(450 gpd) TANK SIZE: NEW 1000g PERC RATE: 85SF/BR (1974) => 1-5MPI— SOIL RATING: 1.2 GPD/SF AREA RQD: 375 SF REDUCTION FACTOR: 0.87 ADJUSTED ABSORPTION AREA: 326.25 SYS. TYPE: WIDE TRENCH 1.0'ED MIN LENGTH: 66 LF I CjARE USE: -66.OLFx5.0'Wxl.O'E.D., 4.5-5.0' TD TOTAL AREA: 330 SF 1 / III / I NOTES: 17�T �7� �/ PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 Q'� •' •. �• Date g/g/2017 RECORD DRAWING PHONE (907) 272-8218 FAX (907) 272-8211 •� 7H "' '•' ' " ""•• •• }� ..�G�nOl�e CE 8149 `q�; q Scale 1 = 50' VALLI VUE ESTATES #2 B3 L6 SITE: 10404 MAIN TREE DR MICHAEL S GRIESBAUM PO BOX 111544 P.I.D. NO 015-322—s0 DRAWN NJC PERMIT NO. OSP171101 SITE PLAN Sheet ANCHORAGE, AK 99511 20F4 TH-1974 -1.5 SM FILTER FABRIC DRAIN PIPE EL. [�F�4'DO RAINROCK 6" ABOVE PIPE INV DRAIN ROCK TH-1 I [�EL.93.65 EL. 92.65 1.0 GW N -11.0 EL. 86.15 BOH NO GROUNDWATER SECTION ENCOUNTERED w z " w m (P) PROPOSED 0 H O� > > > m QO O O w0 ? W W W m W f H O 0 OJ J J OJ z O U` U OG/FG EL. u mnc)n W o nu H 99.81�1—'� 15 E SII 97 n n J EL. 95.66 1 EL. 95.06 1,000 GAL TANK NEW DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3(450 gpd) TANK SIZE: NEW 1000g PERC RATE: 85SF/BR (1974) => 1-5MP1 SOIL RATING: 1.2 GPD/SF AREA RQD: 375 SF REDUCTION FACTOR: 0.87 ADJUSTED ABSORPTION AREA: 326.25 SYS. TYPE: WIDE TRENCH 1.0'ED MIN LENGTH: 66 LF USE: 66.OLFx5.0'Wx1.O'E.D., 5.0' TD TOTAL AREA: 330 SF EL. EL. -1.5 -6.5' BOH NO GROUNDWATER ENCOUNTERED PROFILE W W — WATER LINE / WELL RADIUS — ss — ss — NEW SEPTIC EL. 93.65 EL. 92.65 ABBREVIATIONS TH w m (P) PROPOSED 0 H r FILTER FABRICo CLEAN OUT NO. 0 -4" 0 DRAIN PIPE 2 w —DRAIN ROCK 6' 5 ABOVE PIPE INV n n OG/FG EL.97.65 PROFILE W W — WATER LINE / WELL RADIUS — ss — ss — NEW SEPTIC EL. 93.65 EL. 92.65 ABBREVIATIONS TH TEST HOLE (P) PROPOSED (E) EXISTING CO CLEAN OUT NO. MT MONITOR TUBE NO. TYP TYPICAL NOTES: PANNONE ENG SVC, LLC Date RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510�G••...• • 11/27/2017 PHONE (907) 272-8218 FAX (907) 272-8211 ��''•• Scale VALLI VUE ESTATES #2 B3 L6 "' "' "' P.I.D. NO SITE: 10404 MAIN TREE DR" i'.' 015-322-60 ever2�n a PERMIT N0. DRAWN NJC MICHAEL S GRIESBAUM CE 8149 osP1711o1 PO BOX 111544,�y�, ANCHORAGE, AK 99511 ""rte"^" sheet 3 OF 4 TEST HOLE 1 SOILS LOG — PERCOLATION TEST SLOPE 1 WATER READING DATE CLOCK SM SILT NET DROP 2- 1 20JUNE17 0900 VALLI VUE ESTATES #2 B3 L6 SITE: 10404 MAIN TREE DR r MICHAEL S GRIESBAUM PO BOX 111544 ANCHORAGE, AK 99511 3.27" P.I.D. NO 015-322-60 3- 34 2 0910 10 MIN 8.10" 4.83" 4— 3 0910 WELL GRADED 3.27" GW GRAVEL 10 MIN 5 4.29" 2.33 5 0920 6 3.27" 6 0930 10 MIN 7.21" 3.94" TH 7 0930 3.27" ES P 8 BOH 10 MIN 7.03" 8 2.66 9 0940 3.27" 9 10 0950 10 MIN 7.00" 10 2.68 11 12 13 WAS GROUND 14 ENCOUNTERED 15 IF YES. AT Wh DATE PERFORMED: DEPTH? 20JUNE17 NO GROUNDWATER AT TIME DEPTH TO WA OF TEST MONITORING? DATE: 20J COMMENTS: Test hole excavated by A+ Home Services. SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 2.68 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 5.5 FT AND 6.5 FT PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: CLOCK NET TIME LEVEL READING NET DROP (MPI) 1 20JUNE17 0900 VALLI VUE ESTATES #2 B3 L6 SITE: 10404 MAIN TREE DR r MICHAEL S GRIESBAUM PO BOX 111544 ANCHORAGE, AK 99511 3.27" P.I.D. NO 015-322-60 2 0910 10 MIN 8.10" 4.83" 2.07 3 0910 11 3.27" 4 0920 10 MIN 7.56" 4.29" 2.33 5 0920 3.27" 6 0930 10 MIN 7.21" 3.94" 2.54 7 0930 3.27" 8 0940 10 MIN 7.03" 3.76" 2.66 9 0940 3.27" 10 0950 10 MIN 7.00" 3.73" 2.68 COMMENTS: Test hole excavated by A+ Home Services. SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 2.68 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 5.5 FT AND 6.5 FT PERFORMED BY: Joseph Lawendowski. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC LLC P.O. BOX 102954 ANCHORAGE, AK 99510�•• PHONE (907) 272-8218 FAX (907) 272-8211 �P'•• *� •,� """ ' "" ••�}�� • �G�nWIC CE 8149 •••jq 1• Date 11/27/2017 RECORD DRAWING Scale NTS VALLI VUE ESTATES #2 B3 L6 SITE: 10404 MAIN TREE DR r MICHAEL S GRIESBAUM PO BOX 111544 ANCHORAGE, AK 99511 P.I.D. NO 015-322-60 DRAWN NSC PERMIT N0. OSP171101 SOILS LOGS Sheet 4 O 4 ` MUNICIPALITY OF ANCHORAGE On-Site Water& Wastewater Program .S Callod PO Box 196650 4700 Elmore Road �c f. . Anchorage,Alaska 99519-6650 Pnone:(907)343-7904 Fax:(907)343-7997 r. 41 'E http:llwww.muni.orglonsite (par[Inc n 44'c-H.0,4' On-Site Wastewater Disposal System Permit Permit Number: OSP171101 Effective Date: 5/31/2017 Work Type: Septic Upgrade Expiration Date: 5/31/2018 Tax Code Number: 01532260000 Site Legal Address: VALLI VUE ESTATES#2 BLK 3 LT 6 G:2538 Site Mailing Address: 10404 MAIN TREE DR, Anchorage Owner: GRIESBAUM MICHAEL S Lot Size in Sq Ft: 21700 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: El Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 (24/7). 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 Special Provisions: A percolation test shall be completed prior to construction of the septic field. If the results require a design change, construction of the system shall stop pending On-Site review and approval. Please submit stamped and signed results with the inspection report. Received By: a :� I, Date: Ly 7/4 Issued By: tsii6ttejL atitDate: 5/3//ao 17 MUNICIPALITY OF ANCHORAGE .. Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel ID.D. 015-322-60 Property owner(s) MICHAEL S GRIESBAUM Day phone Mailing address PO BOX 111544, ANCHORAGE AK 99511 Site address 10404 MAIN TREE DRIVE Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2 B3 L6 Legal description (Township, Range & Section) Lot Size 21,700 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field 0 Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑ Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. e4FV(2 (Signature of property owner or authorized agent) Permit/Rush Fees: _LIb61 _ Waiver Fees: Date of Payment: 5)a-31 �'7 Date of Payment: Receipt Number: 01a5"76 Receipt Number: Permit No. OS 'i \ t l b 1 Waiver No. Permit App_.- ' c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com May 24, 2017 Subject: VALLI VUE ESTATES#2 B3 L6 Septic System Permit Request Design Narrative This is a design narrative for a permit to install an upgrade absorption field to be issued for this property. The proposed system will serve an existing three (3) bedroom house. Currently the lot is developed. The lots in this subdivision are served by public water service. 1. Soils. One test hole was performed by Neal Hausam in 1974 for the original system, and no groundwater was encountered. The original test hole rated the soil at an absorption rate of 85 SF/BR. Based on the results of the percolation tests; an application rate of 1.2 gallons/day/square feet was used for a conventional wastewater system in the area of the test hole. The proposed absorption system provides ample vertical clearance to the bottom of the original test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100' of the proposed septic system. The system will maintain 100' of separation to all surface water. 4. Topography: The existing topography generally slopes from the southeast to the northwest in the area surrounding the septic system at approximately 5%-7%. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 / J / 7 7 1lL) H - �'-; ► ---7 r * * % r 7 -- 1-9 i 1 ; "0" 1 n . N 1 7 / I I I I t. 1 r 2 11 / � I ,RLI WORTri scA : 1 5b' / J / i 111 W \ 1 f I I L _ —� f / r � _ Jr I - -1 r / - I 1 � / qF°/ \// �� c l I ) \,._ r ' —( � / // / III I 1 l 4-- r- 42 , C_SAREA r/ . �• — •/ —• . -- -I * I ( 1 / } A: •NOON CRIB E " R MOA 1 f / / I ( --- CODE - _ 1 1 J / I ( INSTALL ABSORPTIO F ELO 1 r r` i I 1 I / 66LFx5.0'Wx1.0'E.D.,5.0' .D. W/ DCO AFTER TANK, T & 0 \ r1 J 1 ` I i j? AT ENDS OF FIELD l 1 f .w...----- - ._j ___ ---. r - — ) , 1 12\0Ilk 3BR r 1 I / — — — —� _ _ _ I ' POMP SFD $1 Z I ‘l /( // 1111 'SEPTIC - pif DRIVE AY t' / AREA TH-1'.a 1 --- m 11 6 I 43 \ L - -� , / /IL MI \ 1 r � \ I-- ti - - - - -41.4 - - X0 1 I \ — — — — I I 1 4 ` ✓ I J - - — �. 1 1 / 1 . -- • ._)11)1 r ) I .---\---- r , \ r- il \ c ___ / r� 1 , / DESIGN PARAMETERS �— (� I 1 1 \ / PRIMARY SEPTIC SYSTEM I \ /NO. BEDROOM: 3(450 gpd) ABBREVIATIONS 1 ( TANK SIZE; 1000g TH TEST HOLEI PERC RATE: 85SF/BR (1974) => 1-5MPI (P) PROPOSED 1 I 1 SOIL RATING: 1.2 GPD/SF (E) EXISTING —w} w -- ATER LINE / AREA RQD: 375 SF r 'WELL RADIUS REDUCTION FACTOR: 0.87 FS ZOELLER TRU-FLOW SPLITTER / II ADJUSTED ABSORPTION AREA: 326.25 CO CLEAN OUT NO. / 5— SYS. TYPE: WIDE TRENCH 1.0'ED ss —ss NEW SEPFIC MT MONITOR TUBE NO. l MIN LENGTH: 66 LF TYP TYPICAL .. - ,---SEPTIj j ARE USE: 7 / I �66.OLFx5.O'Wx1.0'E_D_, 5.0' TD I 1 I / ) - TOTAL AREA: 330 SF 7 / " 111 / 1 i / / - . ) / i NOTES: PANNONE ENG SVC LLC Date FUR CONSTRUCTION ' 05/30/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 ... .,•• PHONE (907) 272-8218 FAX (907) 272-8211 _ •••• 4 Scale *: 1,ire.../i •..* • 1" = 50' VALLI VUE ESTATES #2 B3 L6 � �) ••• P• 5-322-60O SITE: 10404 MAIN TREE DR •'$} 'I_'' . "4.41.3. PERMIT NO. r; DRAWN JRL MICHAEL S GRIESBAUM CE 8149 sneer - OSP 171101 SITE PLAN PO BOX 111544 I ANCHORAGE, AK 99511 •'''�Fb t C)F SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: INSTALL UPGRADE SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 11 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: . TITLE: DATE: NOTES: PANNONE ENG SVC, LLC Date FOR CONSTRUCTION 05/30/2017 P.O. BOX 102954 ANCHORAGE, AK 99510 •"" PHONE (907) 272-8218 FAX (907) 272-8211 ,1 Scale *� \ . * NTS VALLI VUE ESTATES #2 B3 L6 ; • �� P.Q.D. No SITE: 10404 MAIN TREE DR • :��L..- 015-322-6C DRAWN JRL / seven �. 'annope PERMIT NO. MICHAEL S GRIESBAUM CE 8149 • ',•, OSP171101 PO BOX 111544 ' •.,, • DESIGN NOTES ANCHORAGE, AK 99511 ' � Shee2 OF 2 GRF-"rER ANCHORAGE AREA BO UGH Department of Em/ironmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM /~4~')/>~-- /'~©/~ MAILING ADDRESS NAME LOCATION /~'/~/'/~-~- ~- /~'4~[ j/' ~'~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE //~ NUMBER OF FROM WELL~Ek~T¢z~ MANUFACTURER ~'~'~:~ ~'~ MATERIAL~2~?/--~ ///2~)/~//z/~_ COMPARTMENTS ~ INSIDE LENGTH: ~ .INSIDE WIDTH "-- -- LIQUID DEPTH ' ~ LIQUID CAPACITY //~0 (~ GALLONS. SEEPAGE Pit: / / ~ /~' / ¢/ ' NUMBER OF PITS f DIAMETER OR WIDTH/- ~ ~ ~LENGTH_O/2 , DEPTH{~ LINING MATERIAL~O~ CRIB SIZE: DIAMETERo~c~ DEPTH ~[ DISTANCE FROM: ,_/ / / TOTAL EFFECTIVE BUILDING FOUNDATION ~ , NEAREST LOT LINE--~') Y ABSORPTION AREA (WALL AREA) ~:~/- SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ~)'~)~v~/v~&&~?~c~ CONSTRUCTION ~/~/'?-~'~ DEPTH DISTANCE FROM: BU I LDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION_ LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED /]/' DISAPPROVED REMARKS DISTANCES: /~-~ INSTALLED BY: C~',/.//!/~./A-(.,., . PiPE MATERIAL: ~/~? LOT SLOPE: REMARKS: ~'/ DIAGRAM Of SYSTEM G.A.A.B. Form No, LQ-031 GREATEr ANCHORAGE ArEA BorouGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C"STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION LEGAL DESCRIPTION ~ ~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE Or FACILITY TO BE SERVED ~r~//~ L~ FINANCED THROUGH TO BE INSTALLED BY SO]L TEST RESULTS ~'~ NOTE: THIS PER~IT IS NOT VALID WITHOUT ~OIL COMPLETION DATE ANTICIPATED ~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZEj~/~ ~:~/~//~ TYPE SEEPAGE AREA SIZE TYPE . MINIMUM DISTANCES, REQUIREMENTS SEPTIC TANK ~/ , SEEPAGE Pit ~) ~ , DRAIN FIELD WATER MAIN TO SEPTIC TANK / SEEPAGE PIT CAST IRON iNTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. L, ICENSED DESiGNE~ I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DE$CRIBe, SYSTEMISINACCORDANCEWITHSAIDCODE,:~/.7?~ ~.~. Performed for Legal Description:_.. This form reports: GREATER ANCHORAGE AREA BOROI~-~ Department of Environmental QL ~ity 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG -PEROLATION TEST Glacier Excavating Blk~ yall~y View Subdivision AU6 ': ~ 1974 Date ~e ri~ rmed Soils log. Yes Percolation test Depth Feet i- 3- 4- 5- 6- 7- 8- Reddish Silt Well Graded Gravel 8~ s~/B~ 12- 13- 14.- Was ground water encountered? No If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute. · Proposed installa~n-:---~e~-P~-ge Pit yes Drain Field .................... ~)epth of Inlet Depth to bottom of pit or trench Perf~Fm-~'d- ~y?'Ice~z~gzz-li~z$am ~ Certified By: ........................ - ~-g6 ............ EQ~040 (6/74) I hereby certify that i have surveyed the following described property: ~)~'~/ 8~.~' ,-~ /_~./2.//~' //~, ~. Anchorage Recording Precinct, Alaska, and that the improvements situaied thereon are within the property lines and do not overlap or encroach on the property lying edjacen~ thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises m .question and that there are no zoadways, transmission lines or other visible easements on said property except as /ndicated hereon. Dated at Anchorage, Alaska FRED WALATKA & ASSOCIATES Engineers and Surveyors MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Sen/iceS 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 '3ZZ &'~ ' ' ' HAA# ~ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Address Day phone~2. Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA#21 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, t 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 Address Engineer's signature David R. Dayton P.E. ~0~!0 Donalar~t. Chuglak, Alaska 99567, Phone DH~,.SIGNATURE Approved for '~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(R0¥,1/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST / / Legal Description: A. Well Data Well type Log present (Y/N) Total depth Sanitary seal (Y/N) I~B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level1 .g.p.m. .MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION SEP 1 5 1993 g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Collected by[ Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~'/-- ! Cleanouts (Y/N) ¥' High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) ~')//'~ Alarm tested (Y/N) ~?/~.////~---' Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot '~"//-~ On adjacent lots /'///~ Compartments : Depression (Y/N) ~ To property line Surface water/drainage Foundation 7 Water main/service line Absorption field IbC .(..-- 72-026 (3/93)* Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) / "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at High water alarm level Meets MOA electrical codes (Y/N) .Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~.)¢.'7~ Length ,~ l Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) ~"~" '~ ~.y,~./z.. System type /~z 7-' Width I ':,) Gravel thickness ~ Total depth ¢/¢¢~ Cleanout present (Y/N) ~' Depression over field (Y/N) ~/'///¢/~:2 Results (pass/fail) '~> for ~///¢ ~/ Aftertest Z.~'~>' ~ If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot //'~'/,~ To building foundation On adjacent lots Surface water / Curtain drain On adjacent lots ,,v/.//,~- Property line To existing or abandoned system on lot Cutbank /V~//"]- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in Signature Engineer's Name Date David E. Dayton P.E. 20210 Donalar St. Chugiak, Alaska 99567, of this inspection. HAA Fees ~.~¢ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3~93)* Back MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING HAA # ,L~ ~'~ ~,~ ( ~,~?~c~ ~3) 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (ad dress ~-di recti0 ns);:,. (b) Mail.lng Address Telephone: (home) Business (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here [], if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE Single-FamilY',/ Number of bedrooms WATER SUPPLY Individual Well Fi Community. B)" Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site,:E~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page I of 2 ':~JOM s,Jeeu!Bue leUO!Sse~.o,~d eq~, u! suolssluJo JO sJoJJe Joj elq!suodse.I ~.ou s! ebeJoqou¥ ~.o/~l!led!o!u n V'~ Sql 'penss! s! el. eo!Jp, Jeo e eJojeq elep ez~leUe Jo suoil, o~dsu! ~.en puoo ~.ou op SHHQ J.o see.4oldLU~ .s~ueuJeJinbeJ e:m~.s pus leJepeJ, u!epeo ~J.s!l. es m. JepJo u! suoRn~.R, su! §u!puel J!eql pus seu~oq jo sJeseqoJnd m. ,~se~,JnOO e s~ s!q~. seep SHHC] eq.L 'e~selV J.o m.m,S sql u! peJe~.s!~@J Jeeul~ue leUO!SseJ, oJd ~.uepuedepu! ue.4q e^oqe S qde,~BeJed u! ue^!D suoR. mueseJdeJ @q~. uodn ~lUO peseq pel. eo!J.!JeO is^o]ddv ,~.!Joq~.n¥ ql. leeH senss! (SHHQ) seo!^Jes ueuJnH pus ql. leeH J.o ~,ueuJiJsdec] eDeJoqouV J.o ~,!led!o!u n~l sql I~AoJddv IsuoR!piJoc J,o suJJei isuo!~!puoo peAoJddes!Q _~;;,zT~ peAoJddv MuNICiPAL 1¥ OF ANcHOP-AGE ENvi~ONM~-NTAL SEa. ViCES DIVISIOI~ OCT 5 191~9 '~' REC£1VED A. WI=LL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~-7 Date Completed Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Yield Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ; on Adjoining L0ts ~ ZC ~- / ; On Adjoining Lots To Nearest Public Sewer Cieaneut/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~,"'~ /¢?~ Size Standpipes ~"-~,'~1) Depression over Tank (~'/~ Pumping/Maintenance Contact on File (Y/N) ~ ; for Holding Tan~i~'~tercAlarm (Y/N) /~ / ~ ' Temporary Holding Tank Permit (Y/N) ~PARATIO~ ~I~TA'NC'E~¢ER~M SEPTIC/HOLDING TANK To Wat~B. uppCyJ~,~ ~ ~2~ ~. ~ To Building Foundation ~. ~,~,, ,~ ..... . . ~/ To Properl~ ~ ne ~ ~ To Disposa Fie d · o r in g. Co r e ~o¢~ No. of Compartments ~- Air-fight Caps (CY~/~) Foundation Cleanout (Y0~J~ Date Last Pumped ,~O-'~/'~ .~.r.._c_~ ~t,~.(7,~ 72-026 (Rev. 7/88) Front Page 1 .of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field /-('- / Square Feet of Absortion Area Depression over Field (Y/L~(J'~ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot /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 ~'~ Statndpipes Present ~) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ? ~'~'~ / To Cutback (if present) ~ ~/ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at /,/) High Water Alarm Level at Meets MOA Electrical C~oo~'s (Y/N) Comments ions ~Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have ch.ecked, verified, or¢conformed to all MOA and HAA guidelines in effect on the date of this inspection, signed Company Date ./¢/~'/'/~¢"~? , er's Seal MOANo. Z~ ~/ / ReceiptNo. ~,/F,.~'/ / ~"~//~ Date of Payment /¢'' ~r-/~ Amount: $ /~ ~ Waiver Fee: $ 72-026 (Rev. 7/88) Back Date of Payment Page 2 of 2 DATE RECEIVED ~ ,' INSPECTION APPOI NTM ENTS TIME TIME TIME DATE DATE DATE (~ - ,NSPECTOR ,NSEEOTOR 'NSEEOTO~x¢~~ MUNICIPALITY OF ANCHORAGEDF EPT OF HEALTtt & __ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~O[I~c~NMEHTAL p~OT~CTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION APR ? 1981 Telephone 264-4720 nEC El\/~r~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEV~E~ ~A~LYT~E~' DIRECTIONS: Complete al~ parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE MAI LING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE MAI LING ADDR ESS 4. REALTOR/AGENT PHONE S, LEGAL DESCRIPTIONC:~ STREE (O C T,"O N ,'O S~ TYPE OE RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five J~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ,,~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM --~:' ,ND,~,~UAL/ON-S,TE*' /F. ZC YEAR ON-S,TE SYSTEM WAS ,NSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6~79) ~:-~~'"!I ' ..~.L~ ~'-\'~-- ~/ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED ~,~ ._ -~. ~ []PUBLICUTILITY Iq~L -- c'~,~i ~'~ ~-'~ Connection Verified INSTALLER []Septi~ Tank or [~]Holding Tank Size: /000 If Tank is homemade SOILSRATING give dimensions: TYPE OF TANK MANUFACTURER ~ ,~ .~1~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: 8eptlc/Holding Tank Absorption Area Sewer kine I Noorest Lot Line Absorption Area to nearest I-et kine §. COMMENTS [~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED /,~ DATE BY _~ 72-010 {Rev. 6/79) MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEW. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~'I~I/JRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION SEP 2 5 1978 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIE DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. 1. PROPERTY OWN ' ~ PROPERTY (~ESI DENT '(~f different from above) 3. LENDING INSTITUTION MAILING ADDRESS 4' REALTOR/AGENT MAI LING ADDR ESS PHONE PHONE PHONE STREET LOCATION 6. TyPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~. Three [] Six 7. WATER SUPPLY [] INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled I~ COMMUNITY,-' since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM I~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date ':::=~'~/-- . If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTOR : INSPECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BBDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL )EPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Coonection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade ' SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS []~'"'"APP R 0 V E D FOR 3 BEDROOMS [] CONDITIONAL APPROVAL {letter most accompany certificate) [] DISAPPROVED DATE BY (TitleJ LEGAL DESCRIPTION 72-010 (Rev, 3/78) D. R. DAYTON, P.E., R.L.S. i~~ Chugiak, Alaska 99567 20210 Donalar September 2, 1993 (907) ~~ 696-2417 ADEQUACY TEST Legal Description: Lot-6, Block 3, Valli Vue Estates ~2 Date of Test: September 1, 1993 Septic Tank: 1,000 gallon, 2 compartment, steel t~nk Absorption System: 20' long x 17' avg width x 6' seepage pit Soils Rating: 150 sq ft per bedroom Requirements: 3 BR - 450 gallons per day Test: Water was pumped into the seepage pit while measuring volume, time and water level rise. After pumping was stopped, the water level drop was measured at timed intervals. The results were plotted on a graph of time and gallons absorbed and extrapolated to 24 hrs. Results: The system is currently functioning adequately for a 3 bedroom home. WALTER J. HICKEL, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 (907) 349-7755 September 3, 1993 Dick Dayton SUBJECT: Lot 6, Block 3 (10404 Main Tree Dr.); Valii Vue Estates #2 Class "A" Public Water System, PWSlD #210605 Dear Mr. Dayton: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on August 10, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on August 13, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on Debember 23, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on November 12, 1991. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "_A" Public Water System is in compliance with other provisions of the State Drinking Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION Lot. Block & Subdivision or U,B. SurYey Lot ~;~ ~loc:k 3 [L0~0~J ~.?3. in '[~ree Drive) This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. WAST EWATER DISPOSAL The domestic w--"as~.ewater system was: · [] inspected by the"~e'l~rtment of EnvironmentaLConser~ation and fou_~nd to be in compliance with applicable requirements, of 18 AAC 72; · · [] inspected by.a Professiona-~l Eq.gineer who certifi~es-tha~the system complies with applicable re- · quirements of 18 AAC 72; --~ []installed by a Certified Installer w~l~c~¥ti~ies that the system complies with applicable requirements of 18 AAC 72; or ?-~'~ · .' [] tested by a Profes~s. iofia~ Engineer who certifies'~th~.t the.performance of the system is satisfactory - · and that the~ystem complies with the minimum s"e~oaration distances specified in 18 AAC.72. This..a p/roval is valid for a [] single family,] multi-fam~i~ u~nitwithatotalof bedrooms. - Name. Title Date 18-0404 (Rev. 8185) DISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICAN~ PINK--DEPARTMENT ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 DATE: Sept. 21, 1989 PWSID: 210605 Requested By: A.E.C.S. According to the records on file in this office, the v~lli Vue Estates S/D Water System is in compliance with State of Alaska Drinking Water Regulations. the Sincerely, Cindy Thomas Environmental Engineer 'ALASKA rlUIROrlm IqTAL COIqTROL S RUIC S, IrlC. ~n~ineerin§ $ ~nuironmcntol ~tudics APRZL :1 ,i~U~I~,~ITY OF ANCHORAGE APR ~ ? 1981 TEll TAYLOF:/RE/MAX PROPE:RTY F',O, E, 270~. GAMI:.:,EI-L ANCHORAGE AK 99503 RECEIVED SELl_ER STEVEN HUSTON ~ ~ ' SLIEJDZV:][S.'[ON"-VALLEY VUE ESTATIES THE TYPE OF ABSORPTZON SYSTEM IS A I":'ZT NZTH AN AREA Of'" 444 SQF'To THE SYSTEM :ES CAPABLE OF ACCE:F'T:[NG 600 GALLONS 01:'" MATER PER DAY° THE SO.~I...S RATZNG OF THE SYSTEM AT CONSTRUCT:EON NA~ 85 AND NON IS :L:t.:I. SQFT/ E:EDRSOM~ BASED UF'ON THE TEST DATA THE SYSTEM ZS ACCEPTABLE FOR A 3 BEDROOM HOME:, THE SEF'T:[C TANK NAS F'UMF'ED ON 8-25-Y9 1220 UJcst 25tJ~ Auenu¢ · Anchoracj¢, Alaska 99503 · (907) 276-1361 JML John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907.279-8056 NEW PHONE NUMBER 276-4113 SOIL ABSORPTION SYST~4 TEST PERFOI~MED FOR: LEGAL OESCR~TIO~N: ~ ~oc~(~ ~, ~ gO~ NO. OF BEDROOMS: ~ RECORDS ON FILE: ~/~ ~~ ~~ TEST PERFORMED IN ACCORDANCE WITH ~L STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE, DEPT. OF ENVI~O~ENTAL QUALITY ON g/Z.~/wg WITH THE FOLLOWING MODIFICATIONS: STEADY STATE -~-'--"----- ~ '~'~-'~ RISE SURGE CAPACITY: SOIL ABSORPTION SYSTEM (SAS) SEPTIC TANK PLUS SAS ABSORPTION RATE AVERAGE 24 hfs OoZ~ ~[m~ . OBSERVATIONS OF John M. I~,mb~, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 EXISTING. DRAIN FIELD TEST - PERCOLATION ADEQUACY DATE ?/Z~/?~ PER~O~ BY: LEGAL DESCRIPTION: ~r '~ ~//4 DEPTH BELOW METER READING GALLONS PUMPED 4 TIME REFERENCE ( GALLONS ) ( NET ) 7 '- ? ~ ' ~qo zo 4o0 ?,'Jo / 7 ~ 7~Y~,~/ z~ ~3vo 7 :~}" ,, / JML 'SHEET : '7~ OF I John M. Lambe, P.E. 4,t03 North Star Street Anchorage, Alaska, 99503 907-279-8056 EXISTING DRAIN FIELD TEST - PERCOLATION ADEQUACY LEGAL DESCRIPTION: /~.T"