HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 21Onsite Fife
4
�M i
9
I
I I L
CVz r
/ w
w
I � o Y ..
I J
z M
U N /
`x \ J z
eo
/ U
.¢uz
6 x � -
N I z3 yo 4¢ � O) •• x
..: S6 N U • O) �.. .
F'gZcr
�.
I r, 018.3' \.
00
W
O
p
CD
100
En
:-_i
W
I �w
Ow
U
z
L.
Y
z
z
z
Q
2
U
T
� o
I N
2.1'
r2
z Ld
j U 4.0'
o J
J w
for...
.Vj_,
V. 'k-
55
���`
55.4'
W
J
a
U
rn
cu
0
Q � QW
W
z
ca f2
O _ U
Q >y �
W
Fes-- � `� t� � Z
N � z
J W
J � W
O Q
/ � W
k \ � '0.
v
NOMrLm v v
`oma Q
0 0
m v
O O
N
C'4 C m> Q
� m L
v °
o Z ,M >.=
d F. m m p° cD l
mam°cwe �I
��.o am.
U N i O O C C I
m �:0 0—Emoo I
aZ m =a x �r I
O� N I
v
O0� V V � O
m
WO
��.W Ld 0. - C 2100- I
=Q.° � C X O
Ni�� C O T
mJ,�?CL0�`
in
L>�o�I
I
►ri vs= c
0
oo�l
m m L o� C .L
o.�amc°
N OL O N
op o c E— E �
Em o
N �
Q3c`c.o o°
.Vj_,
V. 'k-
55
���`
55.4'
W
J
a
U
rn
cu
0
Q � QW
W
z
ca f2
O _ U
Q >y �
W
Fes-- � `� t� � Z
N � z
J W
J � W
O Q
/ � W
k \ � '0.
v
NOMrLm v v
`oma Q
0 0
m v
O O
N
C'4 C m> Q
� m L
v °
o Z ,M >.=
d F. m m p° cD l
mam°cwe �I
��.o am.
U N i O O C C I
m �:0 0—Emoo I
aZ m =a x �r I
O� N I
v
O0� V V � O
m
WO
��.W Ld 0. - C 2100- I
=Q.° � C X O
Ni�� C O T
mJ,�?CL0�`
in
L>�o�I
I
►ri vs= c
0
oo�l
m m L o� C .L
o.�amc°
N OL O N
op o c E— E �
Em o
N �
Q3c`c.o o°
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181016 PID Number: 015-341-12
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple(SF and/or D) Project: El New ® Upgrade
Name:
ROBBIE MUIR ABSORPTION FIELD - EXISTING
Address ® Deep Trench ❑ Shallow Trench El Bed ❑ Mound
6421 RIDGE TREE CIR., ANCHORAGE, AK
El Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 -- GPD/SF -- Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot -- Ft. -- Ft.
VALLI VUE ESTATES #2 3 21 Fill added above original grade Gravel length
Township Range Section -- Ft. -- Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES -- Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches
From Tank Field Tank Line -- Ft2 -- Ft.
Well 200'+ -- -- -- -- TANK CO Septic 0 S.T.E.P. 0 Holding 0 Other
Manufacturer Capacity
Surface Water 100'+ -- -- __ ANCHORAGE TANK 1250 Gal.
Material Number of compartments
Lot Line 5'+ -- -- -- STEEL 2
NA
Foundation 5'+ -- -- -- LIFT STATION
Manufacturer Capacity
Curtain Drain NA -- NA -- Gal.
Pump on level at Pump off level at High water alarm at
Remarks Existing septic tank decommissioned
per code. New tank installed & connected in. in. in.
to existing fields. Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034 Tank to D3034
Installer Mike Anderson drainfield
Drainfield -- CO/MT D3034
Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft
Inspection 1sf 2/6/18 20°2/7/18 Location and description
da
3rd 4th Door Sill
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ,,1,'r'1►\
P , ' ,!r\
Conditional Approval: Date / ' {„t'` `�'f_
KENNETH M. IVA S.'iv 4
of
/ -I2---e
\
zogir
oo , Aar
Approved 4'A _ . Date 1 I Z e \'x:46:4`
Inspection Report ST copy 3.doc
AS-3UILT SYSTEM DETAILS/SITE PLAN Permit:DSP181016
VALLI VUE ESTATES #2 BLOCK 3, LET 21 PID#015-341-12
IA 7
IT
IJLOT 21 /
NEW 2018 MT EXIST. 1985 FIELD
Z Z! SUMP BLK 3 "
>C /
1 APPROX. LOC. SLIGHTLY BELOW GRADE /
BASED ON X /
N'1 REC. DOCS & EXIST. 1978 FIELD
=7. WEAK SIGNAL/ COI /I .. Ok i%!\�
BELOW GRADE X MUM
1 cos / EiP1111
D� 0 N' — •
NEW 1250-GAL S.T.
NI N\ W/ NEW FCO Sc POST—TANK.COs. C FCO
1 /
'COCP DECK A B
'L 2'x21' CANT 1'I FP / U /
X 44.0' ? CAN (!� (,U
-70. Pc
21 o EXISTING T p
4—BR HOUSEz.o' G�0
PO `
0 12.0' 0 0 0 / Z � + \
m 13.3' /
1 12.7'
x /+
24.0' J / /+
11. > .�
1 /
7 J
0
O
x
f / SCALE! 1' = 40'
A-C= 11,5'
B-C= 10.0'
A-D= 20.0'
B-D= 17.5' w 98.21 -8.4
_fit' NEV 2018
t?J''�t►" MONITOR TUBE l
R CLEANOUT ' Man. „ ' FINAL GRADE I-SUMP - BLOCKAGE
-..r .1 11 1 1 Il 2' BELOW INVERT
II I'=I— 1 Ili n1lw'i) �,y,,.= ,,.,-..,,..,,ww,w4ir�lil=l (I IElIElaIMIEIIL P I
tL 0 II
n VARIES
Qo
J —
El' NEW . —7-
o N R�1250 GAL 11=11=11
�� I TANK . , EXISTING FIELDS _ T
It
= II
93.4: 93.31 j 1
II II II II II 11 II II II II I —L
SCALE] NTS
..40:4b.. N,
i��� ' 1 PREPARED FOR:
ROBBIE J. MUIR
/* 4 I /N40. *, + 6421 RIDGE TREE CIRCLE 1C ER p
I • �\ . I ANCHORAGE, AK 99507 y 6 ��i '9 ra f4
r� / , m
/ : KE - - (. D S / FIELD BOOKS COMPUTED: .� I 7
'�
1 CE �, w� BOUNDARY:BOUNDARY DRAM: BMW >
f' /7 ti�4'� STAKING: STAKING CHECKED:KMD 1 WI
Li1■i:`•'ASO'/ ASBUILT: JLS DATE: 2/8/1 S �`!�� ,"NS..2/, .8
PEssio' �� N��� 0�
DWG. FILE: GRID: SW2538 ccR^ c'o, 11,c co,
`_� RiPFR SLT.TING • 6
ACAD FILE FILE MoD No.: 18106 AK.995'17"'''-
) MUNICIPALITY OF ANCHORAGE
DEPART[ViENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE
MAILING ADDRESS
LEGAL DESCRIPTION
DISTANCE
TO:
N ~ Manufacturer ~__ ~aterial No, of compartments
Li~ c~y in gallons ,~ HOME.DE: Inside length Width Liquid depth
~ ~ DISTANCE TO: Welt Dwelling ~ PE~~
~ ~ISTA"CE TO: ~' Total ,eh gt hgf&es
Top of tile ,o finish grade Mateda, beneath tile ~,
OTHER
SOIL TEST RATI"G /~ ~
INSTALLER X ~;>~
APPROVED DA E LEGAL
MUNICIPALITY OF ANCHORAGE , ·
% -~ DEPARTIVIENT OF HEALTH & ENVIRONMENTAL PROTECTIOJ
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE [~ NEW
George L. Hall 349-4171 []UPGRADE
MAILING ADDRESS
3800 Truro Dr.
LEGAL DESCRIPTION
L21 B3 Vallivue
I Well I Absorption area Dwelling PERMIT NO.
--~ DISTANCE TO: N/A 15' 10' 780617
Manufacturer Greet Material Steel No, of compartments 2
Liq. ca, pacity~j~i gallons Inside length Width Liquid depth
1250 IF HOMEMADE:
. ~ Well Dwelling PERMIT NO.
O Z <~ Manufacturer Material Liquid capacity in gallons
13 Well Foundation Nearest lot line PERMIT NO.
~ ~ DISTANCE TO: N/A 31 ' 20' 780617
~_~ N°'°flines i Length °f eacbl'ne65 Total length of lines 65 ' Trench width36 ,nches Dis'anceHb~t~een lines
~F- Top of tile to finish grade Material beneath tile Total effective absorption
area
~ 6 Feet 4 Feet 48 inches 520 Sq.' Ft.
Lengtb Width Depth PERMIT NO.
~ ~- Type of crib Crib diameter Crib depth Total effective absorption area
LU Well Building foundation Nearest Jot line
~ DISTANCE TO:
.~ Class Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
Cast Iron~ 4" Plastic Leech
SOl L T EST RAIl NG
125
INSTALLER
H&M Excavating
REMARKS
Community Water System
Lot 21 Block 3 Vallivue
72-013 (Rev. 3/78)
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTE[;TION
825 L. STREET, ANCHORAGE.~ AK 99501
264-4720
PERMIT NO:
DATE ISSUED:
APPL I CAN1":
ADDRESS:
CGNTACT PHONE
LEGAL DESCR.IP:
LOT SIZE:
MAX BEDROOMS:
G8/06/85
ED WASSELL
6421 RIDGE TREE
ANCHORAGE, AK 995~6
272=7587
SUBDIVISION: VAL~I_I VUE ESTATES ~2 LGT." 2~i
SECTION: 14 TOWNSNIP: 1.2N RANGE: 3W
]:A (SQ.FT. GR ACRES)
4
BL_OI]K:
DEPTH "FO F'IF:'E BGTTOM (FTn)
GRAVEL. DEPTH (FT,)
TGTAL DEPTH (FT,)
GRAVEL I/J]:D'¥H (FT,)
GRAVE]_ LENGTH (F'T', ~
GRAVEL VOLUME '(CU.YDS,)
TANK SIZE (GALS)
SOIL RA'TING (SQ.FT, /BR)
L. isted below ar'e the options available'to yom iii designir~g your septic
system. ChoOse the option that best ~i'Ls '~OL{P ~it~,
33. 1 ~ 53.4
' :t 65 ~ :[ 65
· ~.r~ TANK MU,~] HAVE AT LEAST TW.O COMPARTMENTS
cep'L i f'y that:
1. t am £amiliaP with
2.
the pequipements t'ep on-~.-",ite seweps and wells as set
£opth by the. Municipality o£ AnchoPage CMOA) and 'Lhe State of Alaska.
I will install the system Jln accopdance with all MGA codes and i~egu].ations~
and in compliance with the design c~itepiA oF this per'mit.
I will adhepe to all MOA and State o~ Alaska peqL~ir'emente t'ep ~.he set back
distances fPom any existing well, wastewateP disposal system op public
sewePage system on this oP any adjacent eP near'by lot.
I under'stand that this pePmit is valid ~oP a max:imum o~ 4 bedr~ooms and
any enlar'gement will i~equiPe an additional pepmit.
]:F A I__IFT STATION IS
THEN (1) AN ELEE:TRICAL PERMIT AND INSPECTION MOST BE GB'T'AINED;
WILL NOT BE APPIROVED WITHOUT AF.I ELECTRICAL INSPECTION REPORT;
EL. ECTIRICAL WORK MUS'F BE DONE BY A LICENSED ELECTRICIAN.
S I GNED
AF' F I,.. I [,AN] .
I SSOED BY
IN.~IAL. LED IN AN AREA COVERED BY MoA BUILDING CODES,
(2) AS-BU IL C.~
AND (3) 'I'H.F
PERMIT NO.
' RPPLICFINT
' LOCRT 1 ON
, LEGAL
GEORGE L. HFIL. L
RIDGETREE CRCL.
L21 87_': VRLLI VUE
]:8 EIE1 ]"RURO
LOT SIZE
:~49-417:1.
0 SQUARE FEET
TYPE OF SOIL RBSORE,'TION SYSTEM IS: TRENCN
MFI~IMUM NUMBER OF BEDROOMS = 4
'--;OIL RATING (SQ FT,."BR)= 125
'7'FIE REQUIRE[:, SIZE OF THE SOIL FIBSORPTION S'T'STEM IS:
THE LENGTH DIMENSION IS THE LENGTFI (IN FEET) OF -['FIE TRENCN OR DRRINFIELD.
THE DEPTFI OF Ft TRENCH OR PIT IS THE DISTFINCE BETWEEN TME SLIRFFICE OF TNE
GROUND FIND THE BOTTOM OF THE E,",~CFI',/RTION (IN FEET).
THERE I'E; NO SET NIDTM FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFFILL. PIPE
AND THE BOTTOM OF TNE E;.-'.CFI',,,'FITION (IN FEET).
PERMIT APPLICANT HRS -['HE RESPONSIBILIT'~' TO INFORM THIS DEF'RRTMENT DURING TFIE
INSTFILLRTION INSPECTIBNS OF ANY WELLS RDJRCENT TO THIS PROPERT"? AND THE
NBMBER OF RESIDENCES THAT THE WELL WILL SERVE.
BFICKFILLING OF RN'~ SYSTEM WITHOUT FINAL INSPECTION FIN[:, FIPF'RO'¥'RL B'?' THIS
DEPARTMENT WILL BE.SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN FI WELL RND RN"~' ON-SITE SEWFIGE DISPOSFIL. SYSTEM IS
l~uZI FEET FOR FI PRIVFtTE I,.IELL~ OR
'150 TO 2C1C~ FEET FROM FI PUBLIC WELL DEPENDING UPON THE TYPE OF PBBL. IC NELL.
OTHER REQUIREMENTS MFI'~' FIF'PL~'. SPECIFICATIONS FIND CONSTRUCTION DIFIGRFtMS FIRE
FI',,,'FIILFIBLE 'FO INSURE PROPER INSTFILLRTION.
:,iL _~ . ....
F"EZR~"'I ][ T' E.-.F ][ F-.E_.. tZ:.EC:EZ[rqE:EF;-: 3::~---- ~ ":
I CERTIFY THAT
1: I RM FRMILIFIR WITH TFIE REQUIREMENTS FOR BN-SITE SEWERS FIND WELLS RE; SET
FORTH BY THE MUNICIPFILIT9 OF FINCHORFIGE.
2: I WILL INS'I"FILL TNE S~r'STEM IN FICCORDFINCE WITH THE CODES.
]~: I UNDERSTFIND THFIT THE ON-SITE SEHER SYSTEM MFI'~' REQLIIRE ENLFtRGEMENT IF THE
PERFORMED FOR:
mUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
PERCOLATION
TEST
LEGAL DESCRIPTION: /'~OT ~ ! /~, '~
SLOPE ° SITEWPLAN '
10
11
12
13
14-
15-
16
17-
18-
20-
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
~/~,/~-- .-- o -- __o-- ~/' __ ~
7 7 ~" /
PERCOLATION RATE
TEST RUN BETWEEN
tN
~(minutesfinch) ~/ '
PERFORMED BY:
DATE:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG - PERCOLATION TEST
J~ SOILS LOG
[] PERCOLATION
TEST
DATE PE.FORM O - 7--! -7J'
LEGAL DESCRIPTION:
DE TH
(FI iT)
1
3-
4
5-
6-
8-
9-
10-
11
14-
15-
16-
17-
18-
19-
20-
SLOPE
/_
, IF YES, AT WHAT
SITE PLAN - '
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~d~S."""r,.~l~,.T~.) (minutes/inch)
TEST RUN BETWEEN , FT AND -- ET
COMMENTS
PERFORMED BY:~--
72-008 (7/76)
CERTIFIED BY:
DATE:
II itd k ■ oriI a° t •� NMI
Development Services Department
On -Site Water & Wastewater Section
Certificate of On -Site Systems Approval
Parcel I.D. 015-341-12
1. GENERAL INFORMATION
Complete legal description
Phone: 907-343-7904
Fax: 907-343-7997
Expiration Date: /— 'ig'"Z 0z3
VUE ESTATES #2 BLOCK 3, LOT 21
Location (site address) 6421 RIDGE TREE CIRCLE, ANCHORAGE, AK 99507
Current property owner(s) MICHAEL & AMY SCOTT
Mailing address
Real estate agent
Day phone
6421 RIDGE TREE CIRCLE, ANCHORAGE, AK 99507
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
4
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:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of PaymentITAz1 Date of Payment
Receipt Number ) 13 10-6- Receipt Number
COSA # 05 C V 1 O M Waiver #
Distance:
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 9951
Engineer's Printed Name CURTIS HUFFMAN, PE Date 01/11/2021
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
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
well and septic system. Therefore, any estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & FWCS
6. DSD SIGNATURE
XSystem #1 Approved for bedrooms
System #2 Approved for bedrooms
Disapproved
*: 497H ....•:*
/r • '. Curtis Huffman
•C991
1/11 /�027c��'���i
�l\��PROFE5S10
Conditional approval for bedrooms, with the following stipulations:
OF AAO�
�C)N.SIT[�
g WATER
AND
o^
Jc� WAS7_vAM �,: cO;
�JJ��lll SERA
By: Original Certificate Date:
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 21 Parcel ID: 015-341-12
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA — CLASS A WATER SYSTEM
❑ Well 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) 3 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 48"
® Standpipes/foundation cleanout per record drawing
Date of pumping 1/9/21
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/8/1985
® ALL standpipes present per record drawing
Structure served by this system
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)
Collected by_
Date of Sample
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
Lift station material
Comments:
Adequacy test date 1/8/21
Results R Pass For 4 bedrooms
Total measured depth from grade 10.7 ft (max) Fluid depth prior to test 39 in
Measured depth to pipe invert from grade 4_2 ft (min) Water added 790 gal
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state New depth 59 in
depth into effective 6.5' INTO THE TED Elapsed time 1380 min
® Code -required soil cover over field Final fluid depth 36 in
❑ System presoaked Absorption rate 600+ 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
Comments/Deficiencies: Tested lower trench installed in 1985. FW'CS
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well) NA
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No *5+
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
El Yes
if No
Neighboring Tank > 100' ❑ Yes
if No
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'
Water Service Line > 10'
® Yes
Animal Containment > 50' ❑ Yes
if No
❑ Yes
if No
ft
Community Sewer Main > 75' ❑ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
❑ Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No *5+
ft
Surface Water > 100' ® Yes if No
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100' ® Yes if No
Water Main > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
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
*Per code at installation.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date.
k
TH
Curtis Huffman
Ij�'F�, •.• CE 128991
�1i�pRaFESS10N4 0
ft
ft
ft
ft
ft
ft
ft
ft
•
• •t U�
•,Fc� Municipality of Anchorage =� •
On-Site Water and Wastewater Program K mil I
(907) 343-7904 s A Cr Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 015-341-12 Expiration Date: 5 - I Z-- 1 g
1. GENERAL INFORMATION
Complete legal description VALLI VUE ESTATES#2 BLOCK 3, LOT 21
Location (site address) 6421 RIDGE TREE CIRCLE,ANCHORAGE, AK 99507
Current Property owner(s) ROBBIE J. MUIR Day phone
Mailing address 5800 TRAPPER TRAIL ROAD, ANCHORAGE,AK 99516
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
I 1 Duplex
n Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY: Individual
Individual Well Holding Tank
Individual Water Storage ❑ Community C.
Community Class A Well ® Public Sewer
Public Water System ❑
Waiver/Variance request for: Distance:
Received by: .— Date: J— /Z /c6
COSA to be released to the engin niess otherwise requested by the engineer.
COSA Fee $ 5 ..L. Waiver Fee $
Date of Payment d2./q// $ Date of Payment
Receipt Number 66 033D Receipt Number
COSA# (Jig 16 440 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 2/8/2018
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with
ADEC and MOA regulations. 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 inland use,
local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the
system. 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 well and septic system. Therefore,ArcTerra can not give any estimate of how long a system will function
satisfactory for current or future occupants or can ArcTerra guarantee that no unseen
encroachments,deficiencies or discrepancies exist.
i. ( � OFAL4s1
6. DSD SIGNATURE 4• Tr1 9*
System #1 Approved for 11 bedrooms.
System#2 Approved for bedrooms. VP.
/
Disapproved. \�O B,o �` ��
Conditional approval for bedrooms, with the following stipulations:
G`QDOY 0F4A,
Jam`
-b
ON-SITE're
WATER AND m
vSTEWATER
()GRAMaNs
o=
Sr_.RVIO
Ct "\A ` Original Certificate Date: Z '' 2-1 V
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
COSA blue sheet 10-1 O-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of__
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: VALLI VUE ESTATES#2 BLOCK 3, LOT 21 Parcel ID: 015-341-12
A. WELL DATA-CLASS A
Well type A If A, B, or C provide PWSID# 210605 Well Log (Y/N)
Date completed ___ Sanitary seal (Y/N)Y Wires properly protected (Y/N)
Total depth ft. Cased to ft. Casing height (above ground) __in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Wellroduction
p _----- --- g.p.m.
_ _ - ----- g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic: ug/L Date of sample: Collected'by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC 1 STEEL Date installed 2/6/2018
Tank size 1250 gal. Number of Compartments 2 Cleanouts(Y/N)Y _
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping NA-NEW TANKPumper
C. ABSORPTION FIELD DATA
Date installed 818/1985 Soil rating (g.p.d./ft2 or ft2/bdrm) 165 System type DEEP TRENCH _
Length 60 ft. Width 3 ft. Gravel below pipe 7 ft.
Total depth 11.8 ft. (New 2018 MT) Eff. absorption area 840 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 1/30/2018 Results (Pass/Fail) PASS For 4 bedrooms •
Fluid depth in absorption field before test 21 in. Water added 1000 gal. New depth 46 in.
Elapsed Time: 1230 min. Final fluid depth 18 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment(past 12 mo.)(Y/N &type) N _ __ If yes, give date
D. LIFT STATION
Date installed _ Size in gallons Manhole/Access (Y/N)
• "Pump on" level at__in. "Pump off' level at _ in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES -PUBLIC WATER
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots _
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
•
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 104 Water service line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface.water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWi Wells on adjacent lots 200'+
F. COMMENTS
Vacant system presoaked prior to testing. Existing sus is blocked approximately 2'below invert. New MT installed.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date. i _OF`A'
Engineer's Printed Name KENNETH M.DUFFUS / � L
A
Date 21812018
KENN M. v /
COSA canary sheet_2-6-15.doc r� 7 18 ;4"
LOT 4 TRACT B
N89'56'40"W 188.44'
BASIS OF BEARING
---- --A-R-x-x-X-X-x-X—X-4@p
k—x f
10' UTILITY ESMT
•
\ I
x
1rn II
x CV
1n x
no Il
JAI 0
m ,�
(n
o
IA LOT 21 /� o
BLK 3 Ix X
IZ
ox k
J /
\ • • SEPTIC i x k
VENT
IQ (tyP) I x' /
`
x
: \ / j -' �
4=`,�- f • x
1 co J • 0/
OJ
e (Below Grade) Ne}
OO N 1 •1 CV
x / Csf
,1 J 1 x N0
U1 DECK
0 (P 10.0'
O CO '� • 2'x21' CANT �� FP aSLJ
N Zt.d IQ
44.0' o o CAN PC
EXISTING ' iN p
HOUSE 2.0' l;o'R/-
in A :_
A
0. 12.0' o o / Z +
\ 0 13.3' 1 12.7'
x
i
24.0'
11. }/ \
\ X
4.
' /
\ � f
PAVED
D/W CV
\/------ 0 j, ..), Z
0 I CV
R `:11:0 cur E—f
�
SOO •
,p " /
7
O
I �
' O
S��O6?1 .
\G� o0
4).4/.4,
h
ANCHORAGE RECORDING DISTRICT,ALASKA
ASBUILT OF: OO =FND REBAR NOTE: Pavement is approximate
VALLI VUE ESTATES UNIT No.2 due to snow and ice conditions.
LOT 21 BLOCK 3 PLAT 77-296 _``\,X
SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a i_ OF A \�` y��D LAIVDRP
physical survey of this property as shown on this drawing and that the . ���L.' L;��11 ���ti0 S ',.?
improvements situated hereon are within the property lines and no / cS •.• It ,C ,w5 4,.'44'
enchroachments exist other than noted.Under no circumstance should / &.' 49ni A I N O r Gl
any information on this drawing be used for construction of fences, * • * 4 a %. g•
structures,improvements,or for establishing boundary lines. , C IA V a t~
EXCLUSION NOTES:It is the owners responsibility to determine r• �'��.
(4-,--
L. SCHULLER... c/ = ¢ ' .1
the existence of any easements,covenants,or restrictions which ,� S-10408 •. ��� "�•• ' r '
do not appear on the recorded subdivision plat. t�. •. / w•...�✓`
WORK ORDER NUMBER: DA1E SCALE: E_M It e^m •.,Z.: g�j� 1831 Anchorage,TalkAlaskatna Street
FEB 7, 2018 1"=40' 1 a �'� a i 99508
18—0061oRAl BY:aca®BY GRO NUMBER BDDK/V"DE `�\�ofessiono� �'� (907) 227-1455 office
JLS SW 2538 180107 \NNN�1� (907) 274-4992 fax
Parcel I.D. #
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site serVices Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
L~ocation (site address or directions)
' .:~ Pr.opeEty..owner
: Mailing address
"Lending agency:
Mailing address'
'Z-%'~Th, bo A~S,~_~Lr_ Day phone
Day phone
Agent' ~
Address ~,mC
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
Dayphone.~- --~m?~
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. 1/91) Front MOA #21
STATEMENT OF INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with al.I Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection:
Name of Firm
Address
EngineeCs signatur~
6. DHHS SIGNATURE
/ Approved for "~()()~ bedrooms.
Disapproved.
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. Th~ 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.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 3{~-~4]~ 1997
Municipality of Anchorage
........ Dept Health & Human Services
Health Authority Approva L;necK~ls[
Legar Description: L~I~'~.~. ~A/.J..I qO ~' ~
A. WELL DATA
Well type L-~M~t¢~vt"~ If A, B, or C, attach ADEC letter. ADEC water system number '~-
Log present(Y/N)
Date completed
Total depth
Casedto
Casing height (above ground)
Sanitary seal (Y/N)
Date of test
Static water level
Well production
Date of sample:
Wires p~ted (WN).
FROM WELL LOG ~.~¢(T INSPECTION
Nitrate Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed ~/~ Tank size
Foundation cleanout (Y/N)
Date of pumping
C. ABSORPTION FIELD DATA
Length ~.~ O Width
Effective'absorption area.
Date of adequacy test /D~'[~
/'7_~.~-"O Number of Compartments ~- C eanouts (Y/N)___
Depression (Y/N) ~ High water alarm (Y/N) "---'
Pumper /~ ~
Soil rating (g.p.d./fF~ /'E~-'- System type'
Gravel thickness below pipe
Monitoring Tube present (Y/N)
Results (Pass/Fail) "~C>.~ For z~ bedrooms
Fluid depth in absorption field before test (i'n.);'-~
Fluid depth ~-"t" (ins) Minutes later:
Absorption rate = ~- ¢~-c)¢ g.p.d.
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
If yes, give date
D. LIFT STATION
Date installed ./ Size in !;LstloRs'~
Manhole/Access (Y/N) . u~level at*
High water alarm level at* ~ / A ~Datum
E. SEPARATION DISTANCES
"Pump off" level at*
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot ,/,/
Absorption field en lot
Public sewer main~
..>C~weC~septic service line
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation /(~-~ f Property line ~ ~ Absorption field /
Water main/service line .~.~--t- Surface water/drainage /c~cP"t' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface water
Curtain drain
Building foundation ~,O t
Water main/service line
Driveway, parking/vehicle storage area
Wells on adjacent lots / ¢'
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review
in conformance with MOA HAA guidelines in effect on this date,
Signature. ~
Engineer's Name
Date /~
HAA Fee $ ~('-), ~
Waiver Fee $
Date of Payment ~ E) ~ ~-~ \- c-~ ~
Receipt Number (..~ ~b ~'~o~ ) '~/'/¢~
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Steven R. Pannone, P.E.
Consulling Engineer
P.O. Box 142025
Anchorage, Alaska 99514
(907) 272-8218
SEPTIC SYSTEM ADEOUACY TEST
Legal:
Location:
Owner:
Residence:
Septic System:
Lot Zt Block ..~
Tank Size: / Z.~O gallons. Absorption System Type:
(from Municipal records)
Absorption System Size: ~':~g~ g'¥,r'Absorption Area:
InstatlationDate: ~tr~/~5- SoilRating: /~,$-
s.f.
Date of Pump~g: to/t~te7
Date of Test: t~ t t ~l ~ ?
Te~ Procedure: System was inspected and meassured. Ta~ was found Mth q Feet of cover.
Liquid depth was measured to be I~ Inches. The draln field was found to have ~ Feet ofcover and
a total depth of /o t . There was o Mches of liquid measured in the field's moMtor mb~-~o~
Water was added to the system at a const~t rate of 1~ G.P.M. The water levels in the t~ ~d dr~n-
field moMtor tube were moMtored. A total of tz~ G~lons of water was added. DurMg the test the level
rose ~" MchesMthefield. No fise was noted ~ the t~.
The infiltration rate was monitored for ! 9_ 'MinuS. During this period, a total of t 2t.o Gallons were
absorbed. By emending the observed infiltration rate, a total absorbption rate <tzo~ Gallons per day was
arrived at.
TESTS RESULTS: This system meetsl~amm~l~he code requirements of the Municipality of
Anchorage.
The operational life of all septic systems depend on the local soil condition, ground water levels that may
fluctuate during the year, and the water usage of the family being served by the system. These conditions are
outside the control of the evaluator of this system. We can therefore not give any estimate of how long the
system will continue to meet the operational requirements of the Municipality and State.
~A,
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR REALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information
Application Date _
(a) Legal Description (include lot, block, subdivision, section,
Location (address or directions)
(b) Applicants Name-- P~I~Z Telephone - Home Business
Applicants Address
(c) Applicant is (check one) Lending Institution ~--~ ; Owner/builder~--~;
Buyer F--~ ; Other ~ (explain);
(d) Lending Institution Telephone
township, range)
Address
(e) Real Estate Co. & Agent
(f)
C ev~,,~ k.
Address ~7o:~ ~/~ ~ ~7-
Telephone '-'/~Tv.,,, _~ ~_~
Mail the ~A to the following ~dress:
T_zpe of Residence
Single-Family~--~
Number of Bedrooms
3.~~
Individual Well_~
Multi-'Family~
Other (describe)
Community ~ Public ~
Note: If community well system~ must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
Sewage Disposal
Onsite~ Public~ Communtty~ Holding TankF--~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
~ngineering Firm Providing Inspections, Tests, File Search, Data and Info~.~[ ,
As certified by my seal affixed hereto and as of the validation date shown below,
verify that my investigation of this Health Authority Approval shows that the
water supply and/or wast.water disposal system is safe, functional and adequate for
the number of bedrooms and type of structure indicated herein. I further verify th&t,
based on the information obtained from the Municipality of ;mchorage file8 and fro~ ~y
investigation and inspection~ the on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm
Address ~_ ~-_~_xa
/
(ENGINEER SEAL)
DHEP Approval
Approved for~_~_~_ bedrooms
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRON~fENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TRE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER P~EGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCIAASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP 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.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
A. ~1~LL DATA
MUNICIPALIT~ OF ANCHORAGE (MOA)
HEALTH AUT~HORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Description:
Well Classification ~u~
Well Log P~esent (Y/N)
Total Dept~. ~ Cased to
Static Water Level
Casing Height Above Ground
Eiect~ical Wiring in Conduit (Y/N)
Distances f~cm Well:
Separation
To Septic/Holding Tank on Lot --
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cle anout/Manhole --
Wate~ Sample Collected By ~-~.
Water Sample Test Results
C~,~nts
RF CF IV
If A, B, c~ C, D.E.C. Approved(Y/N) ~
Date Cc~pleted ~ Yield ---
~- Depth of G~outing. --
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 dn LOt
,Det
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/7~ Size I~--~ No. of Compartments
Standpi~s (Y~) ~ Ai~-tight Caps (Y~) ~ Foundation Cleanout (Y~).~
~p~ession o~ Ta~ (Y~) ~ ~te ~st P~d ~/~. .
P~ing~intenan~ ~n~a~ ~ File (Y~) -- ; fo~
Holding Ta~ High-Wate~ ~a~ (Y~) ~ ~a~ Holdi~ Tank ~t (Y~)
~p~ation Distan~s ~ ~pti~olding Tank:
To Water-Supply ~11 ~ To ~ilding F~ndation
To ~ty Li~ ~ To Dis~sal Field
To ~ter Mai~vi~ Li~ ~ To S~e~, Pond, ~e, ~ ~jo~ ~aina~
Cc~a~nts
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~/Tff
width of Field ~ t
Squame Feet of Absorption A~ea :q-i~z)
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes P~esent (Y/N)
Depression ove~ Field (Y/N) /V ! Date of Last Adequacy Test
Results of Last Adequacy Test
Separation Distance f=om Absorption Field:
To ~t~te=-Supply Well
To Building. Foundation
Lot --"-~'/~' ~/4
TO Water Main/Service Line
To Stream/Pond/Lake/c~ Major D~ainage Course
To Driveway, Pa~king Area, c~ Vehicle Storage Area
-- To P~ope~ty Line
To Existing or Abandoned System cn
_; On Adjoining Lots
To Cutbank(if present)
Comments
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)
"Pi~ Off" Level at
Vent (Y/N) .
Pumping Cycles du~ing Adequacy ~%st.
~4~ets MOA
Co~,ents
** Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, v~rified, or conformed to ali. MOA HAA
on the date of this ,inspection.
Company
KB1/d5/s
.~nes in ~ffect
[Page 2 of 2]
2-15-84
DEPT. OF ENVIRONMENTAL CONSERVATION
SOUTHCENT~AL REGIONAL OFFICE
437 "E" STREET, SUITE 200
ANCHORAGE, ALASKA 99501
BILL SHEFFIELD, GOVERNOR
Telephone:
Acldress:
274-2533
PWS i.D.
To Whom It May Concern: ..... ........ . '-
According to records on file in this office the-~/f~A~f~
Water System is in compliance with the State Drinking
Water Regulations, -.
Sincerely,
September 27, 1984
Municipality of Anchorage
Department of Health and
Environmental Protection
825 "L" Street
Anchorage, AK 99501
Attn: Keith Bandt
Re: Adequacy Test - Valli Vue No. 2 Subdivision
Lot 21, Block 3, Anchorage
Dear Mr. Bandt,
On September 24, 1984, th~ referenced on-site lot septic tank
was pumped out and approximately 1200 gallons were recovered.
The following day over 600 gallons of water were pumped into
the on-site leach field and the field was found to be adequate
at that time.
Sincerely,
Dale R. Merrell, P.E.
Engineer
RPW/lbs
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349-6451/344-1352
"Providing a quality personalized service to those building Alaska's future"