The URL can be used to link to this page

Home My WebLink AboutVALLI VUE ESTATES #2 BLK 3 LT 29 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONIVtENTAL 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 [~NEW Allen Wildman 337-6137 E~ UPGRADE MAILING ADDRESS 4300 Vance Street. Apt.~6 LEGAL DESCRIPTION Lot 29, Block 3, Valli Vue 4)2 LOCATION Redtree Dr. DISTANCE TO: [ We. N/A Ma,,fact,rer Sunset Plastics t in,a,lo.s IE,OME OE: DISTANCE TO: Well DISTANCE TO: Well N/A No, of lines Length of each line ) of tile to finish grade feet Length Inside length Dwelling I Dwel~_n~ feet Material fiber W dth o ..... Fo nd ion 2~ ~eet Material ~r~est ~)o~]~een~in~$W Trench w dth inches Totallength oflines Material beneath tile wash gravel 10 feet inches Depth NO. OF BEDROOMS 3 PERM~8~0 3 7 No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. 781037 DistanceDetween lines To ] e fective abso tion area ~6~ sq. Fget PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Euilding foundation Nearest lot line DISTANCE TO: Class Depth ~ Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPEMATERIALS ASTM ABS Plastic SOl L TEST RATi NG 150 INSTALLER C & J Excavatlng~ REMARKS APPROVED MOENING-GREY & ASSOCIATE~ By: Alvin R. Zeman P.E. LEGAL 11-9-78 72-013 (Rev. 3/78) FELflIT NO. DEPRR'FMENT C~..,HERL. TH FINE:, EN',,,'IRONMENTRL B~OTECTION ,_,,::.2°'""= ...[ ..,=-_,-f. REE,-:.T., RNCHORRGE., 'FIK.92~: 1. 264-4720 < 7'E~± 0.'~-:'? RPPLICRNT LOCRTION L. EGRL RLRN WILDMRN REDTREE DR L. 2~ B~ VRLLI VUE ~2 4~00 VRNCE ST RPT 6 LOT SIZE 20666 SQURRE FEET TYPE OF' SOIL RBSORBTION SYSTEM IS: TRENCH MFI',:.::IMI..IM NUMBER. OF' BEDROOMS = --':: SOIL RRTING ':.'SQ ET/BR.'.'= ±50 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE LENGTN DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCM OR DRAINFIELD. THE DEF'TH OF R TRENCH OF.' PIT IS THE DISTFtNCE BETNEEN THE SURFRCE OF THE GROUND RND TFIE BOT'FOM OF THE EXCRVRTION (IN FEET). TNERE IS NO SEI' WIDTH FOR TRENCHES. THE GRR',,,'EL DEPTH IS I'HE MINIMUM DEPTH Of GRR',/EL BETWEEN THE OUTFFILL PIPE RND THE BOTTOM OF TNE EXCRVRTION (IN FEET). PERMIT RPPLICRNT FIRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS FtDJRCENT TO THIS PROPERTY RND I'HE NLIMBER OF RESIDENCES THFtT THE NELL WILL SERVE. BFICKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION AND RF'PRO'¢RL BY THIS DEPFIRTf'IENT WILL BE SUBJECT TO F'ROSECLITION. MINIMUM DISTRNCE BETWEEN R NELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t08 FEET FOR R PRIVRTE WELL; OR 150 'FO 200 FEET' FROM R PUBLIC ~ELL DEPENDING UPON THE TYPE OF PUBLIC WELt... OIHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT ±: I AM FRMIL. IAR NITH THE REQUIREMENTS FOR ON-SITE FORTH BY THE MUNICIPFILIT~ OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF RESIDENCE IS REMODELED TO INCLUDE MORE TFIRN ~ BEDROOMS. ..,I ~NE[ ........... ,_,_,DE[ E~_~ ........... [.HTE ....... SENERS AND WELLS RS SET THE ',/]'.. '2 December 29, 1978 9781037 Alan Wildman 4300 Vance Street 96 Anchorage, Alaska 99504 subject= Lot~ Blodk 3 Valli Vue Estates Subdivision It2 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. 'If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.So Senior Environmental Specialist LNB/ljw enc: copy of permit BORING NUMBER Dote Completed: SOIL DESCRIPTION SILT W.SOME GRAVEL AND TRACE SAND tan, dry (_GM-MLI .25' 4.0~ SANDY GRA~q~L gray, slightly moist, scattered cobbles (.GP) ,10,0' SANDY GRAVEL gray, slightly moist scattered cobbles (iGPk SANDY GRAVEL tan, slightly moist, numerous rounded cobbles (GW) 18.0' COARSE GRAVEL WITH NUMEROUS COBBLES ~GWI Water Table Encountered 20.0' T.D. i DWN. JMB CKD. JMB DATE. 10- 31- 78~ SCALE.l"- L SOILS LOG JJ LOCATION SKETCH No Scole NOTE: DISTANCES SHOWN ARE APPROXIMATE AND HAVE NOT BEEN MEASURED BY SURVEYING METHODS. EXPLANATION ORGANIC MATERIAL Liffle Visible Ice 0:10' Vx Ss, 72,57. I°/o, 85.9 pcf I~ ~...~J I, I '-aLOWS/FOOr ~1 8EOROCK TYPICAL SOILS LOG ~ ~.~-~g~o~/N~ SAMPLER TYPE SYMBOLS 1 --~ ORGANIC i SOIL SYMBOLS I ALAN WILDMAN Lot 29, Block 3, VALLEYVIE% NO. 2 SUBDIVISION GRID. PROJ, NQ 851155 DWG. NQ A-01 J November 1, 1978 R&MNo. 851155 Mr. Alan Wildman 4300 Vance, Apartment 6 Anchorage, Alaska 99504 Subject: Soil Investigation for Sanitary Sewer System, Lot ~o. 2 Subdivision, Anchorage, Alaska Dear Mr. Wildman: 29, Block 3, At your request of October 26, 1978, we conducted a subsurface soils investi- gation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on October 30, 1978, consisted of a test hole drilled to a depth of 20 feet below the existing ground surface. The test hole was sited according to your instructions and its location is shown in attached Drawing A-01. Drilling was accomplished with a rotary drill rig using continuous flight solid-stem auger with an outside diameter of 6 inches. A sample was taken taken at the depths shown on the soils log in Drawing A-01. The sample will be held in storage at our lab for approxi- mately six months. In addition, all material brought to the surface by the augers was continuously monitored by an experienced engineering geologist. The topography at the drilling site is generally steeply-sloping to the west. At the time of the investigation the site had original vegetation consisting of brush and large spruce. The top of the test hole was located at original ground surface. The soils encountered in the bore hole are shown in the test hole log in Drawing A-O1. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was not encountered. Bedrock was not encountered. At the time the hole was drilled seasonal frost was not present and permafrost was not encountered. Based on the visual classification of the soil and the requirements set forth by the Muncipality of Anchorage, a percolation test was not necessary within the test hole on the subject lot. November 1, 1978 Mr. Alan Wildman Page -2- We appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of addi- tional service. Very truly yours, R~I CONSULTANTS, INC. Gary Smith Senior Geologist GS/kah/12-C MUNICIPALITY OF ANCHORAGE o Development Services Department Phone: 907-343-7904 On -Site Water &. Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-341-39 Expiration Date: 3" (Z -?`'� ^� 1. GENERAL INFORMATION Complete legal description VALLI VUE ESTATES #2 BLOCK 3, LOT 29 Location (site address) 6334 RED TREE CIRCLE, ANCHORAGE, AK 99507 Current property owner(s) EDWARD ERNEST REV. LIV. TRUST Day phone Mailing address Real estate agent 3140 KENWOOD CIRCLE, ANCHORAGE, AK 99504 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 Waiver Fee $ Date of Payment 4. TYPE OF WATER SUPPLY: Receipt Number 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 $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 05 C,21 11 1 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 3/13/2021 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 toA. 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 ��P• • • . :1 for current or future occupants or guarantee that no unseen encroachments, deficiencies or fig••• '•9 �rJ discrepancies exist can be given by First Water Consulting & FWCS *' 9 TH '* r 6. DSD SIGNATURE ��•'• •••' "•"/ ? • • Curtis Huffman System #1 Approved for 3 bedrooms 6"- CE 128991 •. System #2 Approved for bedrooms kk�, ROFESS0 ?� Disapproved Conditional approval for bedrooms, with the following tipu,Qtt Q w((((((( / VVJ IN rFRg r P&O m o y TcR BY' Original Certificate Date:_,— 17- Z"l 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 Hf: Legal Description: VALLI VUE ESTATES #2 BLOCK 3, LOT 29 Parcel ID: 015-341-39 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA – PUBLIC WATER ❑ 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) 43 years Tank type/material SEPTIC / FIBERGLASS Measured operating fluid level in septic tank 48" ® Standpipes/foundation cleanout per record drawing Date of pumping 3/10/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 11/1978 ® ALL standpipes present per record drawing Total measured depth from grade 9.6 ft (max) Measured depth to pipe invert from grade 5.6 ft (min) ❑ N/A – pressurized field Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ 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: TANK LEVELS APPEARED NORMAL Adequacy test date 3/12/2021 Results N Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 21 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time <15 min depth into effective 4' INTO THE 10' ED depth 0 in id d l fluep— ®Code-required soil cover over field Fina – ❑ 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) If yes, enter date Gallons introduced gallons Comments/Deficiencies: Water appeared in MT at start of test and was pone / dry within 15 min after adding 450 gallons FVES 4 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ 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 Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E] Yes if No ft ❑ Yes 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 Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑ Yes if No *4 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 MOA RECORD DOCS. G. ENGINEER'S CERTIFICATION l certify that l 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. mi ' .... ....�;:.� �.. Curtis Huffman : 4 �� c��, •. CE 128991 .3117/21 NP�4P �� OfESSI --Aaw ft ft ft ft ft ft ft MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: -:~ '~ TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water Day phone Day phone Day phone 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 NOTE: Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations~i~liC~ta~re~Cl~ate of this inspection. 20210 Donatar St. Name of Firm ~-~.,,c;..~. ~t~.~a 99567 Phone ~-¢2/-/¢/'~ Address Engineer's signature DHHS SIGNATURE ~ Approved-for ~"/~'~) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ~--~-- ~ Date / 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 pumhasers 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. Legal Description: A. WELL DATA Well type ,~ Log present (Y/N) Total depth Sanitary seal (Y/N) Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST If A, B, or C, attach ADEC letter. Date completed Cased to FROM WELL LOG ADEC water system number Driller Casing height Wires properly protected (Y/N) Date of test Static water level Well flow g.p.m. Pump level AT INSPECTION 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 Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) Y High water alarm (Y/N) Date of pumping Tank size l Oc, O Compartments Foundation cleanout (Y/N)-~ ~ Dep.ression (Y/N) /L"/ /~/~'~ Alarm tested(Y/N) (:~//?'/'~/~ Pumper /,~-/-,/L~//./~ ~'~fZJ//~..b'. Surface water/drainage 72-026 (Rev. 7/91) Front SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /)~A/~' On adjacent lots /-~°'~'~'~_ Foundation To property line __ 4-- Absorption field Water main/service line /oo CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA /i//7 ,~ Soil rating / Width ~ Gravel thickness System type /O 'Total depth. Cleanouts present (Y/N) 5/ Date of adequacy test for ~ bedrooms Date installed Length 'Z.~' Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /g///)- On adjacent lots '~.,//Z- Property line To building foundation ~-~ ¢ To existing or abandoned system on lot On adjacent lots /'~;)~)~'~ Cutbank ~'¢~'/ Water main/service line / O/ Surface water JO0 'I~'-' Driveway, parking/vehicle storage area Curtain drain ,f~O'/,~/G'~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. .. ~vid R. DaytOn P.F~ "' Signature Engineer's Name HAA Fee $ / 70/ Waiver Fee: $ Date of Payment /¢-~o ~ ~ Date of Payment Receipt Number ~¢~ ~/ (- ~ .~ Recoipt Number A, WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well Classification A Well Log P~esent (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~om Well: TO Septic/~olding Tank on Lot N/A TO Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanc~t/Manhole Water Sample Collected By Water Sample Test Results NOIJDgJ. O~d If A, B, ~ C, D.E.C~~~ ~te ~leted Yield ~pth of ~outing_ Pump Set At Sanitary Heal on Casing (Y/N) Depression Around Wellhead (Y/N)___ ; On' Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on LOt ; Date CfafaL~nts D.E.C. Approval Attached B. SEPTIC/HOLDING TANK DATA Date Installed unkno~a~ Size 1000 gals. NO. of Ccmpa~tm~nts unknown Standpipes (Y/N) Y Air-tight Caps (__Y./N) y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped 8-18-83 Pumping/Maintenance Contract on File (Y/N) N/A ; for N/A Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit (y/N) separation Distances f~om septic/~olding TarR: To Water-Supply ~11 200' + To' Property Line 5 ' + To ~ater Main/Service Line 10' + Course N/A To Building Foundation 5' + To Disposal Field 5' + To Stream, Pond, Lake, c~ Major Drainage Counts [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed unknown width of Field unknown unknown Square Feet of Absorption A~ea unknown Depression over Field (Y/N) N Date of Last Adequacy Test Results of Last Adequacy Test passed - 1200 gpd Separation Distanoe f~omAbsorption Field: To Water-Supply Well 200' + To P~operty Line 10, + Type of System Design trench Length of Field unknown Depth of Field unknown Gravel Bed Thickness unknown Standpipes P~esent (Y/N) Y 8-18-83 To Building Foundation 20' + To Existing or Abandoned System on Lot N/A ; On Adjoining Lots 30' + To Water Main/Service Line 10' + To Cutbank(if present) 50'+ To Stream/Pond/Lake/c~ Major D~ainage Course N/A TO D~iveway, Parkir~A~ea, o~Vehicle Sto~age A~ea 20' + Conmsnts D. LIFT STATION N/A Date Installed Size in Gallons "Pump On" Level at High Water Ala~mLevel at Tested for Electrical Codes(Y/N) Conm~nts Dilrensions Manhole/Access (Y/N) "Purflp Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bed~oomRating Against HAA Request I certify that I have ~ified, o~ conforn~d to all ~DA HAA Guidelines in effect oD the chec~e d ,/v~ date of/this Signed~ Company Arctic KB1/d5/s [Page 2 of 2] Date MOA No. ST84-001 DEPT. O~: [f:ALIH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ?.,OTECTION 8:~5 / Street- Anchorage, Alaska 99501 MAR 2, ? i cJT9 ENVlRONMENTALENGINEERINGDIVI$10,Telephone 264-4720 RECEIVED P'-'" REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAOILITIE$ 5. LEGAL DESCRIPTION 6. TY NUMBER OF BEDROOMS '- ~-~ ~INGLE--~ FAMILY [] One [] Four . [] Two [] Five [] MULTIPLE FAMILY "[~¢-~ Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* "~. COMM UNITY [] PUBLIC UTI LITY [] Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM **if individual/on_site, give installation date / ~-~g '~]~ INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY 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 T~ME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 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 []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/HoldingTank Absorption Area 8ewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~ APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE LEGAL DESCRIPTION 72-010 (Rev, 3/78) D. R. DAYTON, P.E., R.L.S. )~xX~~ Chugiak, Alaska 9@56~7 20210 Donalar St. 696-2417 April 23, 1993 ADEQUACY TEST Legal Description: Lot 29, Block 3, Valli Vue 92 Date of Test: April 22, 1993 Septic Tank: 1,000 gallon, 2 Compartment, fiberglass tank Absorbtion System: 28' x 10' effective depth trench Soils: 150 sq. ft. per bedroom Requirements: 3 bedroom - 450 gallons per day (DHHS Records) (DHHS Records) (DHHS Records) Test: Water was injected into the absorbtion trench while monitoring volume, time and liquid level in the trench. After water injection was stopped, the seepage rate was moni~red. Results: 450 gallons of water were put into the system in 2 hr 37 min with a total rise of 0.90 feet. The 0.90 ft. rise was completely seeped away in 1 hr. 30 min. The absorbtion trench 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 April 22, 1993 David Dayton 20210 Donalar Chugiak, AK 99567 SUBJECT: Valli Vue Estates Subdivision Class "A" Public Water System, PWSID 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 April 1, 1993. This does meet the provisions of 18 AAC 80.200(a) of the State Drinking Water Regulations. 4 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). The last Radioactive Contaminants Sample results were submitted to the Department on December 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. 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 STATEMENT A* HOME SERVICES. INC. ~A%/30/92 ~ ,',--,'k~ I ~ ACCOUNT NUMBEF LCd, l~Or-O~,5,SAnch°rage, Alaska 99516 BOrDeN 907-345-1890 Tom Boardman 633~ Red Tree Circle >,:':'.'.~,":--:~'%: '" Anchoraqe AK 99516 REFERENCE DATE CODE DESCRIPTION 6833 8/17/92 AMOUNT BALANCE $95 ,00 S95.00 $0.00 $0.00 PLEASE PAY 90 DAYS ] $0.00 SO, O0 - . .- > MUNICIPALITY OF ANCHORAGE DMSION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEAL~6 AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 3-28-84 (a) Legal [esc~iption (include lot, block, subdivision, section, township, range) Location (add~sss or directions) (b) Applicants Name Dean p~fan4s_~_~/ar-ston pwnpm~ Telephone ?~R-1717 Applicants Address 4105 E. Turnaqain Blvd. (C) Appliqant .i~ (check ode) lending Institution ~; Ow~er/builder~; Buyer~; Other~x t (explain); Seller - Agent (d) Lending Institution Undetermined Telephone Address (e) t~al Estate Co. & Agent Marston Properties - Dean Pefanis' Address 4105 E. Turnagain Blvd. Anchorage Telephone 2. _Type of Pesidenee Single-Family ~ Number of Bedrooms 3. Water Supply_ 248-1717 Multi-Family ~--~ Other (describe) Note: If community well system, must have w~itten confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate fo~ the number of bedrocks specified in this HAA (Y/N) Sewage Disposal Onsite~ Public~--~ Community~ Holding Tank~ ~ Is the wastewater disposal system adequate for the number of b~drocr0s (Y/N) Y [Page 1 of 2] 2-15-84 5. En~ineerin~ Firm Prov.idin~ Ins[~ctions~ Tests, Ebta and Information ~ I o~tify that I have d~ecked, verified, or confound to all MOA HAA Guidelines in effect on the.date ,Of/F~his ~spection. Nam~ of Firm Arctic ~qi~e~e. rs! Inc.._ __ Add~ess 1506 West 36t~/Ave. Signed by William T. Hawley Date 3-28-84 (ENGINEER SEAL) Disapproved 6. DHEP Approval Approve d for Approved ~ Date Telephone 561-1345 Terms of Conditional Approval The Municipality of ~cho~age Department of ~alth and Envirorm~ntal Protection does not guarantee the continued satisfactory ~erformance of the water supply and/or the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the riu~ber of b~drccms and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the foll~ing address: · KB2/d5/s [Pao~ 2 of 2] 2~15-84 MI. $ttEFFIELD, GOVERNOR Telephone: 3-5-84 To whom it may concern: Valii-Vue #2 L9, B6 PWS iD# 210605 The Valii-vue Drinking Water System (Class A) is currently in compliance with State of Alaska Drinking Water Standards. Environmental Field Officer Anch Western District ALASKA ellulROrlmer/TAL COF1TROL SeRUICeS, IrlC. ~nqineeHn9 6 ~nuironmental $1uches AUGUST 18 1983 PAT KRESS 6334 RED TREE CIRCLE ANCHORAGE AK 99501 SELLER - BILL MCGOVERN BUYER - SUBDIVISION - VALLIVUE #2 BLOCK - 3 LOT - 29 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 560 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 1200 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 693 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 8/18/83 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. 1000 IS ADEQUATE FOR 1200 LUes133rd ~uenue, $uJt¢ ~., Anchora§e, ^lesko 99503 · (907) 278-1361