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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 3 LT 8Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201467 PID Number: 015-341-25 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name BURT & YAMELY WALLACE ABSORPTION FIELD — EXISTING CRIB ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10304 MAIN TREE DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot VALLI VUE ESTATES #2 3 8 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area z Number of trenches Dist. between trenches From Tank Field Tank Line Ft Ft. Well 200'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks DECK SUPPORTS 5'+ TO TANK. Alarm location Electrical installed by Installer DENALI EXCAVATION Tank PIPE MATERIAL House to tank 3034 dra afield 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspectio 1s` 11/12/20 11/13/20 Location and description Lnd 3`d 4`h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL ..�OF A Conditional Approval: Date �!�Q'. '•:tS',�.�� TH .. ` - ....... �l • • Curtis Huffman " " " " " " " �� Septic System Approved - W� D ate I 0 ?1,9''. CE 128991 .•��/� r'•. ttn3/ao2o•' �� Note: this approval does not include well permit requirements. (Kev U5/U2116) PID: 015-341-25 PERMIT: OSP201467 A—C=38.1' B—C=19,0' A—D=39.4' B—D=22,5' A—E=42,8' B—E=26,3' A—F=45,5' B—F=27,6' S86 14'15"E�-x,x_ ., , SEPTIC SECTION SCALE, NTS VALLI VUE ESTATES #2 133, L8 PREPARED FOR: BURT & YAMELY WALLACE 10304 MAIN TREE DRIVE ANCHORAGE, AK 99507 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmail.com DATE: F APPORX. HOLT 2020 DRAWN: FWCS SCALE: CRIB W LOC. CRIB MT ham- J INSTALED NEW CO 1000 -GAL HDPE SEPTIC TANK 0 p WITH NEW DFCO & DCO. p — MAINTAINED 5' TO DECK SUPPORTS F DCO E �- CO ® D C GPS MHO�Ga of 11, Q 'D't" 6 bi LLJ Ld �o ry GPLOT 8 z B LK 3 •tJQi� tib I"D 2 O• �� O p, z G� APPROX. WATERLINE LOCATION PAVED D/W Do d4- SCALEi SEPTIC SECTION SCALE, NTS VALLI VUE ESTATES #2 133, L8 PREPARED FOR: BURT & YAMELY WALLACE 10304 MAIN TREE DRIVE ANCHORAGE, AK 99507 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmail.com DATE: 11/13/20 SURVEY: HOLT 2020 DRAWN: FWCS SCALE: V, = 30, 1'=30 * CJ TH rtis Huffman wx r CE 128991�� 11/13/202 0cs F'EssIO-'O' AV MUNICIPALITY OF ANCHORAGE Qn-,3ite water & was towoter Program PO Sox 196650 47[.0 erwre Ro;pQ A,c;hor.o9r, AI;nsk.0 91�519.ft:50 Phona. (9G7) 343-79Q4 Fans: (9[]7) 343-79;97 hltp:1�l+ ww.muni.arg1ansito On -Site Wastewater Disposal System Permit Permit hlurnfaer; OSP201467 Work Type; SepcTanl Upgrade Tax Code N u tube r; 01 ��-l2 X000 Sit* Legal Address: VAL LI 1!U E ESTATES 02 SLK 3 LT B G,2538 Sit* Mailing Addrass: 10304 MAIN TREE DR, Anchorage Owner: WALLACE BURT & YAM ELY Design 1=nginear_ FIRST WATER CONSULTING This Permit is for the construction of; Effective date: Explra d d n Date: I-ot Size ipi *Sq F#: Total Bedroom$; 11 W O20 1 iD21 21514 ❑ Disposal Feld (Z Septic Tar1k ❑ Holding Tank CI Privy ❑ Private ~Nell ❑ W2t-er $toraae All constractlen Shall be in accordance with: 1. The attached approved design. 2. All requfremenis specIffed in Anchorage Municipal code Chapters 15-55 and 15.55 and the State of Alaska Wastewater disposal Regulations {18AAC72) and Drinking Wafer Regulations (1 SAAC80) J. The wdmtewatercode requires Inspcctlons during the Installation. The artglnaershal1 iso ryr [Ile De u0k�piriviit ervices department. Icer AMC 1615- Provide notification try callinq J90 7) $45-7004 (24M. d, From October 15 to April 15, a Subsurrace soil absorption system underomstruetion du ringfreeaiag weather shall be either: a. Opened and Clased on the sarno day, or b. Covered, sealed, and heated to prevent freezinq Special Pravislons; A minimum 20" marwa+ riser shalr be provided to the first cornpartment of the septic tank. Received By - Issued By. 1 l 1312020 DatQ= Date: 3 g Development Services Department On -Site Water & Wastewater Section ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-341-25 Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) BURT & YAMELY WALLACE Day phone 9073513800 Mailing address 10304 MAIN TREE DRIVE, ANCHORAGE, AK 99507 Site address 10304 MAIN TREE DRIVE, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2 BLOCK 3, LOT 8 Legal description (Township, Range & Section) Lot Size 21,514 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) F (w/wo ADU) Septic Tank F Upgrade FX Duplex ❑ (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: 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: 4 img S ((m lb -11 Date of Payment: 10 3a 1 �2 0) -0 Receipt Number: ( 1 3 `� Permit No. () S Ca 0 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com October 30, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: VALLI VUE ESTATES #2 BLOCK 3, LOT 8 PHYSICAL: 10304 MAIN TREE DRIVE, ANCHORAGE, AK 99507 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank to serve the existing 3-bedroom residence. The lot and area are served by a Class A community water system. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201467, Rebecca Carroll, 11/03/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201467, Rebecca Carroll, 11/03/20 GRFf'-'ER ANCHORAGE AREA BO" "UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ~'~(~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE ~ NUMBER OF FROM WELL[~¢~/f-4¢/~- ' MANUFACTURER ~,~.)2 ~-J~b ~,~ MATERIAL ~'/~/' ~' t~DA]~ COMPARTMENTS ~' INSIDE LENGTH '~ INSIDE WIDTH .... LIQUID DEPTH /' LIQUID CAPACITY /?¢~ GALLONS. SEEPAGE PIT: NUMBER OF PITS ,/ DIAMETER ~ OR WIDTH/~,/? LENGT DEPTH L'~ / LINING MATERIAL --~0 CRIB SIZE: DIAMETER~DEPTH ~'~ ~ DISTANCE FROM: WELL / .~ ~ ! TOTAL EFFECTIVE BUILDING FOUNDATION ,'¢~ , NEAREST LOT LINE ~(~ / ABSORPTION AREA (WALL AREA} '~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING qNEAREST NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL//, OTNERSOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: t~/) (~/(Z - PIPE MATERIAL: (~(/ ~'~/~ //~ LOT SLOPE: Form No, EQ*031 DIAGRAM Of SYSTEM G.A.A.B. GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMit NO. NAME OF APPLICANT INSTALLATION LOCATION /?? MAILING ADDRESS PHONE INSTALLATION OF: SEPTIC TANK SEEPAGE PIT -, DRAIN FIELD ~ OTHER TYPe AND SIZE OF FACILITY TO BE SERVED "~ ~J~/~/~Pgf( ff~-- FINANCED THROUGH TO BE INSTALLED BY CO.PLET,ON DATE ANT'O'PATED /?~.~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEEPAGE SEPTIC TANK size ~/~ ~ TYPE TO NEAREST LOT LINE· ~'/:~/:~?/~?~/~/~ WATER MAIN TO SEPTIC TANK /~ : . SEEPAGE PIT /~ / SEPTIC TANK, //~/)~: /"SEEPAGE PIT ~')~ :.. DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO' AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. ~REA SIZE TYPE DIAGRAM OF ~,YSTEM I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE A~EA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCR{BED SYSTEM IS IN ACCORDANCE WITH SAID C:ODE. Performed for Legal r~ GREATER ANCHORAGE AREA BOROIJ~'% ;Department of Environmental Q~ ~ty 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Glacier Excavating Description: L2~--~ ~F/gf-J-Va ± ± e y-~ri-e w Su~vision Date Perfo~ned 8/13/7lF This form reports: Soils log Yes Percolation test Depth Feet 3- 4- 5- 6- 7- 8- Well graded gravel 85 SF/BR 10 11 12- 13- 14.o Silty sand ~?°~o Was ground water encountered? If yes, at what depth? Reading Date Net Time Gross Time Percolation rate minute. Depth to Water Net Drop -Proposed installat--i-~h?-~e-e~-~-ge Pit Yes Drain Field Depth to bottom of pit or ~rench i)epth of Inlet ............. · COHHEItTS: ..... __N~o~25~oundwater or bedrock O~_~e~e~ gQ 040 (6/74) ?~artment. of Environmental Qualit.~f~ .i~ater and Sewer Questionnaire Subdivision Owner's Name: Mailing Address: Date , Time Block ~'~ , Lot ~ Questions: 1. How many bedrooms are now in your house? How many bedrooms were in the house at the time of purchase? ~y Were the basement bedroom walls "roughed in" at the time of purchase? Was the basement bathroom plumbing "roughed in" at the time of purchase? __~(j~ .~ ~://~7 5. Did the realtor or builder inform you that you would have to enlarge the existing sewer system if you finished the basement bedroom (s)? 6. If on a public water supply, do you always have an adequate supply of water? ~/~ - ~ 8. Who was the builder~ ~.: ,~: 9. Who was the home purchased from. ~ .~ OTHER COMMENTS: MUNM�PAUTY OF Q Development Services Department On -Site Water & Wastewater Section Parcel I.D. 015-341-25 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: _ 10-2r2-2_ozZ Complete legal description VALLI VUE ESTATES #2 BLOCK 3, LOT 8 Location (site address) 10304 MAIN TREE DRIVE, ANCHORAGE, AK 99507 Current property owner(s) BURT & YAMELY WALLACE Mailing address Real estate agent 10304 MAIN TREE DRIVE, ANCH 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone AK 99507 Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Water Storage ❑ Holding Tank ❑ Community Well ® Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ t-( 50 GOUI Date of Payment i /16 � O.Q0 Receipt Number 1 (1 y 5 Waiver Fee $ Date of Payment Receipt Number COSA # 0SG 20 1630 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 11/12/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the z�1\\\,kl system and maintenance. The operational life of all well and septic systems are subject to "+` �� these various and dynamic characteristics and are outside the control of the evaluator of the •A well and septic system. Therefore, any estimate of how long a system will function satisfactory Q:' • .,9 �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or rJ ili discrepancies exist can be given by First Water Consulting & FWr..S *� •�* rr 6. DSD SIGNATUREI . :• • Curtis Huffman j System #1 Approved for bedrooms .CE 128991 .��,��•► System #2 Approved for bedrooms FgFOpOFES$IONP�' FEWQO� Disapproved Conditional approval for bedrooms, with the following stipulations: IT%/ fly W Sir M 'QST, ;,'MMQ m 'J/JJJ/i , SFAS nnrC 0�N�,`\ l� Original Certificate Date: 2 C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: VALLI VUE ESTATES #2 BLOCK 3 LOT 8 Parcel ID: 015-341-25 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA — CLASS A COMMUNITY WATER ❑ W611 -log is filed with Onsite (or attached) Date drilled-� Total depth _ft Cased to ft�� ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA Age of tank(s) NEW 0 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NEW ® Standpipes/foundation cleanout per record drawing Date of pumping NA - NEW D. ABSORPTION FIELD DATA Which system tested (date installed) 10/1/1974 ® ALL standpipes present per record drawing Total measured depth from grade 10.8 ft (max) Measured depth to pipe invert from grade 6.4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective *4.4 INTO THE WED Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ No ® Coliform bacteria is Negative Nitrate _mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Co tied.,pv Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 10/29/2020 Results M Pass For 3 bedrooms Fluid depth prior to test 7 in Water added 620 gal New depth 7 in Elapsed time <1 min ® Code -required soil cover over field Final fluid depth 7 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date C Comments/Deficiencies:.•PER EXISTING CRIB CO INVERT & MT DEPTH MEASUREMENTS AT TEST. r - E. SEPARATION DISTANCES Pham -Private Well on Lot to: (Please enter distances if less than required or if community well) NA- COMMUNITY CLASS A Septic Tank/Lift Staato,�on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes , ^.lo ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No �ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Animal 'o�-tainment > 50' ® Yes if No ® Yes if No ft� Manure/Animal Excreta5(-,,ee >100' _ Community Sewer Main > 75' ® Yes if No ft —Z100, if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ft if No ft Wells on Adjacent Lots: ft Absorption Field > 5' ® Yes if No ft ft ® Yes if No ft Water Main > 10' ® Yes ft ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) ft Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No _ ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION �i I certify that I have determined through field inspections and review ��Q•:'' • • • `•�� of Municipal records that the above systems are in conformance �.' •:"� �� with MOA COSA guidelines in effect on this date. = . TM • , ..`: .. .... ..........k, jj Curtis Huffman f �•. CE 128991 A1V'�sd DpROFESSIO �`X"�.,,•� c I NOTE THI5LOTDOESNOTHAVE MATHEMAT/G7L CL05URE THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCEL INES. EASEMENTS OF RECORD, OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON THE RECORD PLAT ARE NOT SHOWN HEREON( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. THESURVEYDATA ON TH15 DRAWING IS PREPARED FOR THE OWNER OFRECORD ONLY. ANY COPYING, OR UT111Z/NG THE DATA HEREON/SPROHIBTTED UNDER COPYRIGHT (AW 1 G I o OF�Ar�s4p .•.. •rOG �.."'49 TH* y N� SHANE A. HOLT .' G �pP Q4LS-6914 O a •'�•� ..� ' a o s s.iD na. l AS-BU/LT SURVEY f"=301 NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 8, BLOCK 3, VALLI VUEESTATESUNIT2 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 12 TH DAY OF NOVEMBER , 2020 14860, FB 190-38 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 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° ~44 Parcel I.D. # _(~ \~-~ _ ~a)L\ '/ - --~,~g~ 1, GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# ~,~ ,,~-~ c~ ~ Lot 8; Block 3; Vat~ Vu~U~it No. 2 Location (site add'ress or directions) 10304 Main Tree Drive Property owner Mailing address Lending agency Mailing address Sharon Olson P.O.Box 190334 Day phone Anchorage, Alaska 99519-0334 Day phone 346--3~19 Agent Dave Wirth RE/MAX pROPERTIES Day phone Address 2600 Cordova Avenue Anchora,qe~ Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: NOTE: 257-0108 individual well XX Community well Public water 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 XX If community wastewater system, provide written confirmation from State ADEC attesting to the leg~fity and status of system. NOTE: 72-025 (Rev. 1/9~) Front MOA t¢21 As cari!f;ed by rny s~;/i affixed hei'eto and '.s o,' the va..idation ~;a..) shown below, I verify that my invef~dgation o~ Ibis Health Authr::i(,/Approval application snows that the omsile w~',(er supply and/or wastewater dis~c..,sal system is sale, functional and adequate ¢or tile number of bedrooms s. nd type of structure indicated herein. I lumber verify thai based on the information obtained fi'om the Municipality of Anchorage files and from ;'m/ investigation and inspe,s;ion, the on-site water supply and/,'.~ wr.~s~ .water disposal system is in compliance with all biunicipal and Slate codes. ordinances, and regulations in effect on the date of this inspection. Name ol Firm Phone Address Engineer's signature SIGNATURE Approved for ..~'~ . Disapproved. 70:~14 Eagle Rive~' Loep Road NO, 204 River, Alaska Date bedrooms. Conditional approval for 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 cenduct 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. 7;~.025 (Rev. 1191) Back MOA ~r21 Legal Description: A. WELL DATA Well type '~ Municipality of Anchorage /~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST If A, B, or C, a{tach ADEC letter. Parcel I.D. ADEC water system number Log present(Y/N) Date completed Driller__ :Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot-- Absorption field on lot Public sewer main AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Othgr bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed \ ir'.~- t, ~"'7 ~'~ Tank size 1 ~ Compartments Cleanouts~) y Foundation cleanout (Y,~j~ 4 Depression (Y/(~[]~ High water alarm (Y/N) Alarm tested (Y/N) Date of p~mpihg' \ --- ~ '~ ~ ~ Pumper ADc. ~¢f~iJ~¢- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 4~D4~' On adjacent lots To propertyline ~, ~ I...~ Absorpti0n field Surface water/drainage Foundation Water main/service line : ,: . ,.,,.,.,. ,., ~,,~., r'rW,~TINHEn n~,l BAcK; PAGE 72-026 (Rev. 7/91) Front C. LIFT STATION Date installe(J.<.~._ Size in gallons Vent(Y/N) High water alarm level "Pump 6n"-Ievel at 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 \ ¢ ~ / - "~¢-' Soil rating ,.c;2~ ~/-'/s~;¢~ System type ~-"~-'~ Length "~'(.~" Width \~'~' ~/~, Gravel thickness (.~ / Total depth Total absorption area ~ ~_~ ~ Cleanouts present~[~N) V Depression over field (Y~ ~ Date of adequacy test Results (pass/fail) '~ for ~ Peroxide treatment (past 12 months) (Y~[~ ~"~" ~1~1~'~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ {D~---~'~-- On adjacent lots .~.~::~:~,l.~ Property line [ ~l .~. To building foundation ..~..~.. i To existing or abandoned system on lot On adjacent lots ~' ..V- Cutbank t..~ L..-~. Water main/service line Surface water Curtain drain ~. ~<::~(_ "~ Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect~,.~e of this inspection. S & S ENGINE.EEING Signature Engineer's Name HAA Fee $ /~/) ~ Waiver Fee: Date of Payment /~ ~' ~ ~ Date of Payment 72-026 (Re¥. 3/91) Back MOA 21 SEWER 8, WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ADEQUACY TEST FORM APPLICANT: ~ kt~O~J DATE OF TEST: I NUMBER OF BEDROOMS SEPTIC TANK SIZE: TYPE OF ABSORPTION SYSTEM: ROBERT SHAFER, P.E. ROGER SHAFER. P.E. CIVIL ENGINEERS (90~') 694-2979 FAX 694.1211 ENG;NEERING STUDIES AND REPORTS WELL INSPECTION 8 FLOW TEST SITE PLANS ROAO DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS METER TOTAL VOL. TIME READI (Gal.) 5:55 610o .8'1. LEVEL COMMENTS RESULTS: ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGL'E RIVER, ALASKA 9957) .JAM 02 '92 09:23 R£MAX PRO~ERTIES SFX3~.~ ~; ~ ~'~r'_~:T ~i',~.~ R.2 FAX ~ ~45-81~5 F~C~IMILE TRANSMITTAL COVER THIS DOCUMENT <WITH COVER ~HEET) TOTALS ONE S~ND TO; NAMe: MR. DAVE' WORTH COMPANY: REMAX PRDPE~TIES) DATE: D~CgMBER ~3~ 1~91 FAX ~ PWONE# 87~76! INC. NAME= TAHARA SANDERSON S~NDER FAX NUMBER: 345-2125 PROBL~M~?? 3~5-~t2~ 10304 MAIN TRE~ DRIV~ INVOICE ~91~1831 MESSAGE: SEPTIC SYSTEM HA5 FAILED THE ADEQUACY TEST, Tk~ N~XT STEP IS TO DO ~ TEST HOLE TO D~TERMiN~ TVPE OF SYSTEM UP GRAD~NO IS N~CESSARY. THIS WORK CAN BE DONE FOR $ 940.00 / Tam,fa Sander60n PLEASE R~I'URN THIS FAX WITH REPLY. ~LEASE DO THE ABOVE WORK, DO NOT PREFORM THE ABOVE WORK. CHECK I~ AT FRONT COUNTER ~EAL?H AUTHORIyy APPROVAL R~SULT~ AND ANALYSIS A~ ~ Y~T D~T~ ONLY DEPT. OF ENVIRONMENTAL CONSERVATION / ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 July 19, 1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: S & S Engineering PWSID 210605 My review of the records on file in this office reveals that the Valli Vue Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Keven K. Kleweno Lead Engineer APPLI¢--'IT FILLS OUT UPPER HAr NLY Lending institution /~ ~:, ~[ /] , Address ~)d~-'~'::;C: ~1~; ~- '[~5~3 *' ~ Zip Code Realty Co. & Agent .... -~ "' ~ ~ ~'3 5L~ ~V'L~ Phone ~_~_ ~ Zip Code Legal Description Z~ ~ Mugiple Family t, ~ individual Year individual Installed: Time Time Time Time t~&/' t Date Date Date .~ . Insp~tor Insp~t Insp~tor ~ ~ [ MUNICIPALITY Up/Rl~ur~ Field Notes: · / J ~ ¢ A n A %~-~' ~ DEPT. OF HSALTH 8~ , RECEIVED (~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ~ISAPPROVED ( ) CONDITIONAL APPROVAL' BY: ('~ ~ Date ~wer InstAlled -' Well To Absorption Area Well Log Received Soils Rating .~ ,/, Or .. Well to Tank Septic T~k Size 72-023 (31~} ALASKA I1UIROFIm IqTAL COI1TROL SeRUICe$, ~nqin~rinq 6 ~auiro.mcnM §ludks IllC. August 18, 1983 Department of Health & Environmental Protection 825 L. Street Anchorage, Alaska 99501 Attn: Mr. Robinson MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTiI & ENVIRONMEN I'AL PRO £ECTION RECEIVED Re: Valli Vue #2 Subdivision Block 3 Lot 8 Dear Mr. Robinson: On the afternoon of August 12, 1983 I visited the above mentioned lot and verified that the cleanout servicing the leaching area was installed, capped and up to the Municipality of Anchorage code. you have any questions please feel free to contact me. Sincerely, Robert M. Weimer Engineering Technician Approved by: 1200 LU¢$t 33rtl Aucnu¢, Suite B · Anchoru§¢, Alaska 99503 "(907) 276-1361 ALA.$KA eDuIRODmeDTAL COFITROL $1 RuIC65, InC. AUGUST 12 1983 RECEIVED MARY TUDOR 8141 COUNTRY WOODS ANCHORAGE AK 99502 SELLER - MATLOCK BUYER - JONES & OLSEN SUBDIVISION - VALLI VUE ESTATES #2 BLOCK - 3 LOT - 8 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 492 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 1650 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 690 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS'ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 8/15/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 IJJcsl 33r,:1 Aucnu¢. Suite B * A~chora§¢, J~los[u 99503 · (907) 276-1361 july 6, 1983 Matlock c/o Morrison and Associate:-~ 1601 E. Diiaond, Suite 203 Anchorape, AK 99507 Subject: Lot O, ]~lock 3, Valii Vue Approval for the individual sewer an{] ,Jater facilities cannot be 9ranted until the followin9 items have been completed: An adectuacy test needs to be performed oa the existin9 . leaching area. ?his t'est ~-~ill deter~nine if the system is adequate according to National Standards. A listing of private firms Derformin~l the test is enclosed. This repor'a needs to be su~mJttod to this o~fice for our review. Please notify %his Department for a reinspection when the noted discrepancies have been corrected. If t}lere are any further questions~ please call this o~Jfice at 264-4720. septic tank pumped with a receipt subn~itted to this four (4) inch cleanout needs to be installed to the loachiniI area. Sincerely, Enclosure P. obert Co k~ratt Associate Er~viror,.mental Specialist RP19/c~. j/E2 -9- I hereby certify thai I have sur~zeyed the following described property: /.~2~ ~., ./-~.,/.~/:)~J/~C ,~ Anchorage Reeo~'ding Precinct, Alaska. and that ibc improvements situated thereon arc witi~in the property lines and do not overlap or encroach on the property lying adjacent thereto, thai no improvements on prop- erty lying adjacent thereto encroach on the premises in _question and that there are no Toadways, transmission hnes or other visible easements on said property except es indicated hereon. Dated at Anchorage, Alaska this z~//'z-/~' day of ~ ~//Ki '/ . 19 ~i~ FRED WALATIfJk & ASSOCIATES Engineers and Surveyors