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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 43 Municipality of Anchorage 'Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. BOX 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ,~l,V ~0o~ PIDNumber: Name:Wastewater System: [] New 'l~'Upgrade CHA~LE~ ~, ~;:=Rlqi3oN . ' Address: lo,+z~ ~.o~E TR~ BP,. ABSORPTION FIELD Ph°ne:3~'(o-1~5~ IN°'°I~-dr°°ms: '~;~' Deep Trench {D Shallow Trench EgBed ~Mound ~Other Total Depth from ori~inal grade: Subdivision: ~ Depth lo pipe bottom Irom original grade: Gravel depth beneath pipe Lot: ~3 Block: ~ V~LLI V~E ~ST~ =.~ -- ~ Ft. ~ Ft. I I Fill added above original grade: Gravel length: Township: Range: Section: WELL: EXIST D New ~ Upgrade Gravelwidth: Numberofgnes: IDislancebetweenlines: 2, ~ Ft. [ ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: F-~Jo Driller: Date Drilled: SlagcWater Level: Installer: Yield: GPM tPump Set al: Ft. Icaslng Height Ab°va Gr°und:Ft. TANK SEPARATION DISTANCES ~septic ~ Holding ~ S.T.E.P. To Septic Absorpl[o~ Lifl Holding Public/Prival( Manufacturer: Capacityin gallons: From ~ank F~eld Station Ta.k Sewer Lines ~ I I Material: Number of Compartments: Well ~00 ~o0 ~ ~ ~2o~ STEE~ 2 Water ~100 >/oo -- -- ~/oo'- LIFT STATION I ~ "Pump On" level at: I "Pump cfr' level al: I High water alarm at: Foundation JO 2~ ~ ~ O I Curtain ~ Pump Make & Model ~ E1ectrical Inspections performed by: Drain Remarks: ~V~m t~[{~ ~ ~ BENCH MARK t Location and Description: ENGINEER'S SEAL Inspections performod by: FLA~OP TEe". S¢C~ Dates:lst ~/n/?* g~?~gm~ Department of Heal~~an Services approval ~..,.c~. 3589 Reviewed and approved by: /~~ Date: 7- /-~4 72-013 (Rev. 9/94) MOA'25 Permit No. .~t,,,' C/L~ooq/o Page :2 of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 · Telephone: 343-4744" On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LoT q3 BLOCk' 3 VALLI VI./E ES'T, '¢:~. PIDNo.: DRWEW'A¥ 6DR ~ HOU SE: ^5~.. 'r,R[Ncl{ H- '/.5 5o1~ 72 013 A (2/91) MOA 25 EAL Permit No. .~ h/ c~ z~ OO ~(~ Page ~ of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: koT z43~ I~L~ ~ ~ VfirLLI VU)z:- EST '~:2 PiDNo.:~Ol,$'32220 72 013 A {Rev 9/91) MOA 25 BO'l-TO~ oF TRE~qC,[/ BoTTo PI OF T'.H. ~ DR"/ 7~.~ ENGINEER'S SEAL PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM UPGRADE) PERMIT PERMIT NUMBER:SW940046 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:HERNDON CHARLES M & OWNER ADDRESS:10421 LONE TREE DR ANCHORAGE AK 99516 DATE ISSUED: 3/07/94 EXPIRATION DATE: PARCEL ID:01532220 LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK 3 L T 43 LOT SIZE: 20122 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 3/07/95 1 SPECIAL PROVISIONS: A DIVERTER VALVE WILL BE INSTALLED BETWEEN THE EXISTING TRENCH AND THE NEW TRENCH. RECEIVED BY: ~-~ ~L~% DATE: · OP TECHNICAL. SER CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS I'IIEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 March 1, 1994 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the requh'ed design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 43, Block 3, Valli Vue Estates # 2, located at 10421 Lone Tree Drive. The existing trench, which was sized for 3 bedrooms, is nearing the end of its useful life, and since the residence has an extra bedroom downstairs the upgrade and replacement site is sized for 4 bedrooms. A soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material between 5' and 17' below ground level is a somewhat silty sand with a measured perc rate of 10 minutes per inch. Using the soil application rate of 0.8 gpd/sq, ft. specified in the wastewater ordinance, this 4 bedroom residence requires a total absorption area of (4 x 150)/0.8 = 750 square feet. The proposed 47 foot long trench with 8 feet of sewer gravel beneath the horizontal distribution pipe has a total absorption area of 752 square feet. As I discussed with John Smith on March 1, because of limited space considerations in the proposed construction area, the proposed design concept calls for there to be 8 feet of gravel beneath the horizontal distribution pipe in the trench, with the bottom of the gravel being 4.5 feet shallower than the bottom of the test hole. The reason for this is to enable the trench to be shorter, with the lower portion of the trench being in a cleaner portion of the sand stratum. It has been well established that bedrock in this area is much deeper than 6 feet below the bottom of the proposed trench, and there is no indication of other impermeable strata. In my opinion, this configuration will maximize the useful life of the trench. The design also incorporates a diversion valve to allow the effluent to be periodically diverted back to the original trench, thereby allowing the new ~ench to dry out and rejuvenate itself. The topography of the lot in the vicinity of the proposed upgrade slopes towards the northeast at ~ approximately 5 %. The designated replacement site is on a knoll south of the proposed upgrade trench, however there are also other sites on the lot where replacement systems could be constructed. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/sm'face and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. SEPTIC SYST. THIS AREA LOT 42 15% LOT 43, BLK. 3 VALLI VUE EST. #2 NOTE: ALL LOTS IN THIS ~D ARE SERVED BY A CLASS 'A" COMMUNITY WATER SYSTEM DRIVE 5% LOT 44 25% PROPOSED 47' LONG SOIL ADS. TRENCH W. 8 EXISTING SOIL ADS TRENCH -- EXISTING SEPTIC TANK (TO BE ABANDONED) 4BDRM HOUSE NEW 1250 GAL. TANK REPLACEMENT TRENCH SITE SEPTIC SYST. THIS AREA SEPTIC SYSTEM THIS AREA LOT 6 20 0 20 40 60 FEET 80 1 O0 LOT 43, BLK. 3, VALLI VUE EST. #2 SEPTIC SYSTEM SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH = 30 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JANUARY, 1994 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. CONNECT'TO UPSTREAM END OF EXISTING SOIL ABS. SYST. ~, ~ "A" 1 47' LONG SOIL ABSORPTION TRENCH 4" ASTM D-3034 47 ~~ '~__'BULL RUN" DIVERSION VALVE MONITOR TUB~ DOUBLE CLEANOUT ~ 'A' 1250 GALLON SEPTIC TANK ~ CLEANOUT PLAN VIEW SCALE: 1" = 10' MONITOR TUBE (PERF. PORTION THRU SEWER GRAVEL) UNCLASSIFIED BACKFILL (MOUND 1' OVER TRENCH) FILTER FABRIC 4" PERFORATED DISTRIBUTION PIPE (INV 8' ABOVE BOT. OF SEWER GRAVEL) 1/2" SEWER GRAVEL SECTION "A-A" SCALE: 1" = 5' LOT 43, BLK. 3, VALLI VUE EST. #2 PROPOSED SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, AK, 99516 SCALE: AS SHOWN DRAWN BY: TEM DATE: FEB., 1994 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 [ TESTHOLE#1 ] SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 43, BLOCK 3, VALLI VUE EST. #2 DATE PERFORMED: JANUARY 14, 1994 PERFORMED FOR: LOUANN FELDMANN & CHARLES ttERNDON DEPTH (feet) SLOPE Pt SM BROWN GRAVELLY S1LTY SAND GP BROWN SANDY GRAVEL POCKETS OF GM SP/SM FINE, SOMEWI-IAT SILTY SAND LIGHT BROWN, BECOMES CLEANER W. DEPTH Depth to Groundwater Date NO WATER 1/14~4 M.T. DRY 2/24/94 Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) ]2" PRESOAK 11:00 27 1/2 11:16 23 ADD WATER 11:17 27 1/2 START 11:37 23 3/8 gl 11:47 10 22 3/16 1 3/16 ADD WATER 11:48 23 3/4 #2 11:58 I0 22 5/8 1 1/8 ADD WATER 11:58:30 23 5/8 #3 12:08:30 10 22 5/8 1 ADD WATF~R 12:09 24 9/16 #4 12:19 10 23 3/8 1 3/16 SM SILTY SAND DENSELY PACKED PERCOLATION RATE 10 (minutes/inch) PERC HOLE DIAMETER 8" TEST RUN BETWEEN 7.0 FT AND 7.5 FT COMMENTS: MATERIAL IN PERC TEST HOLE WAS SOMEWHAT SILT][ER THAN TYPICAL FOR THE MAJOR1TY OF THE STRATUM. THE SYSTEM SHOULD BE SIZED AT 0.8 GPD/SQ. FT. FOR MATERIAL BE2~rEEN 5' AND 17' BELOW GROUND LEVEL. PERFORMED BY FLATTOP TECHNICAL SERVICES. I '~..~ ~/,~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Flattop Technical Serv~es 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 43, Block 3, Valli Vue Estates g2 10421 Lone Tree Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing septic tank and installing a new 1250 gallon septic tank followed by a 47 foot long soil absorption trench with 8.5 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank may be retained in service only if (1) it is determined to have 1250 gallons of capacity, (2) it's structural integrity is verified by the inspecting engineer, and (3) it has functional cleanout pipes with airtight caps allowing pumping access to each compmtment. Otherwise, the existing septic tank is to be properly abandoned by thoroughly pumping, removing its top and backfilling with clean soil. 2.2 The new 1250 gallon septic tank shall be Municipally approved, and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped witb waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 2.4 A "Bull Run" diversion valve (available from Alaska Pipe) shall be installed downstream of the double cleanout. A 4" wasteline shall also be installed between this valve and the upstream end of the existing soil absorption trench allowing wastewater to be diverted to the original trench. A valve handle shall be installed allowing easy operation of the valve from the surface. LL' ~ 3.0 Soil absorption system: 4.1 The soil absorption system shall be constructed as shown on the design drawings by excavating a · 47 foot long trench to a depth of 13 feet below original ground level near the west end of the trench 4.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 4.3 A total of 8.5feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 8 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.5 Approved f'dter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 After the backfill material has stabilized, the homeowner shall be responsible for covering the disturbed areas with topsoil and reseeding to promote rapid revegetation. 5.0 Inspections: 5.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the inf'dtrative sm'face to ensure that it is level and at the fight elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after f'mal backf'fll and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The inst~ller shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. GREA !R ANCHORAGE AREA BOR . ,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE /~ ~j FROM W E L'L~~ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY -- GALLONS. TILE DRAIN FIF_LJ~. NUMBER OF LINES_ / DISTANCE BETWEEN LINES ABSORPTION AREA ~¢~' ¢/ SQ, FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~ / MATERIAL BENEATH TILE TOTAL LENGTH NEAREST LOT LINE_ ~:~ / OF LINES ~'C7 TRENCH WIDTH ¢~ IN. TOTAL EFFECTIVE ~g;% IN, ABOVE TILE /~/- ~/ IN. WELL: TYPE ~-"~'P~ /~f~l'~"'~ CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION__ LOT LINE__ SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH SEEPAGE , SYSTEM_ DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 25t6 E. , UDOR RD. ..J l"-.~ _ F'EF.:MIT NO. ,:' -"~'"' ~ . RF'PL I CANT LOCF~T I ON LEGAL HH~.,¢ ELLE HHRF~. I _,ON LONE TREE DR L4--:: B]: ',?RLLI ',.,,'IJE SUBD · -d± C _T LOT _,I¢...E 2~JJ~Z2 SQLIRF.:E FEET TYF'E OF _,ulL RE,-.,ORE. TIuN SYSTEM IS: TF..ENL. H MRxIrIUM NUMBEF.: OF BEDROOMS SOIL RBTING (SQ FT/BR>= t¢_.40 THE REQUIRED =,I~E OF THE SOIL FtBSORPTION SYSTEM I_. [) E F' T i--I = :12 L_ENGTH= 26 GRR',/EL [:,EF"TH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. 'THE GRRMEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETWEEN THE OUTFRLL PIPE RND THE 80TTOM OF THE EXCRVRTION (IN FEET). ~:E¢---~J IRE[:, S EF'TIC: T Rt4~ SIZE= ~J._,~,0~3 ~3RL_L_C~4S -~1-40 ,:' z ) ,I klLgF'EC:T I E,~45 RF-:E F~.E _C-.Li I F~:E[:, BRC~(F'ILLING OF RNY SYSTEM WITHOUT FINRL INSF'ECTION RND RFPRL~RL BY THIS DEPBRTMENT WILL BE SUBJECT TO PRESEC_TIEN. MINIMUM DISTRNCE~>BETWEEN R HELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RV~ILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT ±: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS Ri'.,ID WELLS RS SET FORTH 8Y THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. g: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR9 REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. ~ I uNE[ ........... RPPL ICRNT HRRMELLE HRRRISON I_,.=tJED B ( [',RTE "One~niswo~halh~sando~inions" Date 5erformed 9-10-76 Performed For Harvelle-~arrison V~$/Z,,_~o~ Leeal ~escrintion: Lot Block~Subdivision This Korm Renort$ Soils LoQ yes Pe~rcol~tion Test Penth Feet Soil Characteristics 4-- 6-- 8m 10-- 12- Sand, 14--. 16-- 18-- 20-- 6" of Topsoil Sandy Gravels,(GP) (SP) Moist Bottom of Test Hole~ Moist Was Ground Water Encountered? I~ Yes, At what Depth? NO BEDROCK ENCOUNTERED No Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolation Rate ~linute Proposed Installation: Seenaae Pit Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench C°~!~ENTS: 100 Sq, Ft~ of Drainage Area Required For Bedroom Test Performed By//~$,,-~4~l,~&~_~--~_ Data Certified B~: Mack Date: 9-10-76 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) (b) (c) (d) Legal Description (include lot, block, subdivision, section, township, range) Location [address or directions) Applicant Name ~/~/~ .,'~_-~ ~ //L:/6~ephone: Home Applicant Address /~/ Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); Lending-~'"' "~ ~ ~~~ Address ......... Busi'ness ')~8 -")(~6 (e) Real Estate Company and Agent /~'./// Address Telephone TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Other Number of Bedrooms "~;'*-~ WATER SUPPLY mdividualWelli-I Community*~ Public,~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~' Public[] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and.status, Page 1 of 2 72~)25 (11/~4) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-si{e water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedroor~s and type of Structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this in~,~oe~ction. , Name of Firm ~'-:'-:'-:'-:'-?- ~;/2~ /~- /0077"~' Telephone ~ ~'~' -64~; / Address Date z~-//~./~ Approved for ~ bedrooms ate Approved ,,~, Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) 'issues Health Authority Approval certificates based ~olely upon the representations given in paragraph 5 above' by an independent professibnal engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspectior~s 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. . WELL DATA ~/~ MUNICIPALITY OF ANCHORAGE (MOAJ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAG~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION APR 1 Legal Description: [///~j VU~ i IVED Com~z~ll'~ I(A, B, C, D.E.C. Approved (Y/N) Well Classification Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line ~' Z.~ t · To Water Main/Service Line '/' '~' Course IJ/A comments ~ /ev~ir~[¢~4 C-~ size J~l'flE:~A-31oJ~ No. of Compartments Air-tight Caps (Y/N) No Foundation Cleanout (Y/N) Date Last Pumped ~-~ ; for ' Temporary Holding Tank Permit/(Y/N) I To Building Foundation 4-/~ To Disposal Field /~ ~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata /¢O ¢~./~;~c'-~),,¢..~ Type of System Design Date Installed ~ '~ ~ ~ ~ ¢~ I Width of Field ~ ~ ~1 Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Length of Field Depth of Field Gravel Bed Thickness To Water-Supply Well Date of Last Adequacy Test Separation Distance from Absorption Field: /~'/A To Property Line ~ I "~ '~' To Existing or Abandoned System on ; On Adjoining Lots "/"'~'O ~ To Cutbank (if present) /,f//~l Standpipes Present (Y/N) To Building Foundation Lot To Water Main/Service Line ~ ~''''~ ! To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ?~ ~''~ Comments ~ ,~I"T~A, ~ //¢~,J¢ ~"1.¢~ D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I Rave checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ReceiptNo. ~ J Date of Payment Amount: $ Page 2 of 2 72-026(11/84) DEPT. OF EN¥1RONM]~NTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 To Whom it May Concern: According to records on file in this office the Water Regulations Water System is in compliance with the State Drinking Sincerely, APPLI~"~IT FILLS OUT uPpER 'HA£'-~'~ONLY Property Owner ~i~)~iL~ ~.~©.y ¥~.~ Phone M~lingAddre~ [ O~ ;~ ~"xr ~ ~ ZlpCode Buyer Address -~ ~'~ Zip Code Type of esi~nce ~ Multiple Family NO. of Bedroo~ Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975, ~ommunity For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility vi~ ~dual Year Indiv~ual Installed: Utility When Connected to Public Utility: ~ Holding Tank NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Timl~l',JV[~ ,i I!,~Fi,A- F ~O E'.T!C ~ Time Time Time I ~ i ~ Date Date Oete Date .~ o,1 t ~- I952 ,n p t ECF iVED insp tor Insp~tor ,nsp~tor Field Notes: ~ APPROVED BEDROOMS "CONDITIONS OF APPROVAL ( ( ) DISAPPROVED ( ) C NDITIONAL APPROVAL* Soils flaling Date ~wer Installed Well To Abso[ption Area Well Log Received Well to Tank Septic T~k Size 72-023 (3182) STANLEY BRUST & Engineers - Planners - ~f,'~),or~ 13t7 East 74th Avenue Anchorage, Alaska 995ff'} ~i'~' ~. (907) 349-6577 RECEIVED ,.:£PTIC SYSTEM ADEQUACY REPORT LEGAL DESCRIPTION ' OR .SECTION , T___ N , R W S.M. ALASKA PERFORMED FOR; PHONE NO SEPT/ lC TANK - SIZE CRIB OR SEEPAGE PIT REOUESTED BY: TYPE OF SYSTEM ~ LEACH FIELD SEPTIC TANK WAS PUMPED D YES MUNIC]PALITY OF ANCHOBAGE DEPT. 07 ~'~.~LT~! & ,/,.,x.~ : APR 9/079 ~j~ ENVIRONMENTAL ENGINEERING DIVISION R ECE IV E D REQUEST FOR APPROVAL OF iNDIViDUAL WATER AND SEWER FACILITIES Larry Talbert vacant PROPERLY RESIDENT (If differenl from ,~bove) 10421 Lone Tree Drive PHONE ' 2. BUYER Floyd W. Sharrock EHOr~E (406) 728-2163 MAI LING ADDRESS '15 Greenbrier Drive Missoula, Mt. 59801 --T N.B.A 276-1132 MAILING ADDRESS Pouch 7-025 Anchorage, Alaska 99510 ~ REALTOR/AGENT I PHONE Clair Ramsey Jack White Co. I 277-1553 MAILING ADDRESS 3201 C St. Anchorage, Alaska 99503 LEGAL DESCRIPTION Lot 43, Blk. 3, Valli Vue Estates STREET LOCATION 10421 Lone Tree Drive One . ~ ~ Four 6. TYPEOF RESIDENCE ~i~ SINGLE FAMILY ~ MULTIPLE FAMILY [] Two ~ Five ~k Three ~ Six [] Other 7. WATER SUPPLY INDIVIDUAL* I 'J~ COMMUNITY I]] PUBLIC UTI LITY * ATTACH WELL LOG. A welt log is required for all wells drilled since June 1975. For wells drilled prior to that date, give depth (attach log if available.) ' ~,,~,~ ,~'V~ ~'~ ;'~ ,v~, 4~*,"~-~ 3/2.$'/7 ? ~V~ ~' **If individu~l/on-si~e, give installation date I~ . IT system is over two (2) years old an adequacy test is required PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72¢210(3/75) THIS SIDE FOR OFFICIAL USE Ot INSPECTION APPOINTMENTS DATE ~ D,qTE TYPE OF RESIDENCE SINGt_E FAMILY ~,, MUI_TIPLE FAMILY 2. WATER SUPPLY INDIVIDUAL COMMUNITY PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM ~INDiVIDUAL/ON -SITE ;__--'PUBLIC UTILITY Com;ec~ion Vel ified ......... ~SeptjcTank or ~]HoldingTank Size: /(~O0 If Tank is homemade give d~mensions: NUMBER OF DEDROOMS ONE [] THREE [] FIVE TWO [] FOUR ~ SIX PERMIT NUMBER DEPTH OFWELL DATE DRILLED LOG RECEIVED PERMIT NUMBER INSTALLER SOILS RATING [] OTHER 4. DISTANCES Septic/Holding Tank /Absorption Area iSewer Line Ne.~rest Lot Line I J WELL 'TO: LC.L~%~,PP R O \/E D FOR ~ BEDROOMS CONDITIONAL APPROVAL (letter must accompai~cate) May 21, 1979 R&M No. 951147 Jack White Company 3201 'C' Street Anchorage, Alaska 99503 Attention: Claire Ramsey Re: Adequacy Test On Existing Sanitary Sewer System; Larry Talbert Property, Lot 43, Block 3, Valley View Estates, Anchorage, Alaska. For Services Rendered May 21, 1979. Dear Mr. Ramsey: The following is our invoice for professional services rendered on the above referenced project. Professional Services Fixed Fee Invoice No.951147-1 $155.00 Total Invoice No. 1 $155.00 Please note our invoice ntunber on your remittance. Should you have any questions concerning this invoice~ please contact me or the Project Manager, Mr. Gary A. Smith. Thank you, R&M CONSULTANTS, INC. ~alchorage Office Manager CJP/rm/I 1-X May 21, 1979 R&MNo. 951147 Jack White Company 3201 'C' Street Anchorage, Alaska 99503 Attention: Claire Ramsey Subject: Adequacy Test on Existing Sanitary Sewer System, Larry Talbert Property; Lot 43, Block 3, Valley View Estates, Anchorage, Alaska. Dear Mr. Ramsey: At your request of May 16, 1979, we conducted a test of the septic system on the above described property. During the test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Elapsed Liquid Level Below Top Total Gallons Time (Minutes) of Standpipe Added 0 5.275' 0 18 5.1' 105 27 5.2' 155 37 5.2' 200 45 5.25' 200 55 5.25' 200 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&MConsultants, Inc. If the 4 bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or .42 gallons per minute. During the test, the system accepted 200 gallons in 55 minutes. This indicates an average effluent acceptance rate of approximately 3.64 gallons per minute at the time of the test. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 4 bedroom residence. May 21, 1979 Jack White Company Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Ernest R. Rahaim Staff Geologist ERR/rm/AT&SI-Z o GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 4, 1977 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Approval requested by: Alaska Pacific Bank Mailing Address: Post Office' Box 420 Property Owner: Richard Matthews/Roger Bates Mailing Address: Phone: 276-3110 Phone: 276-5551 277-1553 Legal Description: Lot 43 Block 3 Valli~Vue Estates #2 Lone Tree Drive Single Family No. of bedrooms 3 B. Depth D. Bacterial Analysis system, Permit #76546 B. Installer Size 2. Manufacturer Absorption Area 2. Material Location: Type of facility to be inspected Well Data: A. Type Community_ C. Construction Sewage Disposal System: On-s±te A. Installed 1976 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C, Absorption area to nearest lot line Field: Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines __, EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re(' ~t for Approval of Individual ~'~r & Water Facilities L~ga'l ~escription Lot 43 Block 3 Valli Vue Estates #2 Comments Approved i~C ~~/~ Disapproved Date / Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information Contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: CMRO VA '77 1L (' MUNICIPALiTy OF AN DEP'F 0 CHOP, A ENVIRot,~,-,.F HEALTH & GE '"v~ciYTAL PROTECTioN A . 1R 4 1977 RECEIVED FHA CONV LJ Day Phone: Day Phone: 4. Name of Lending Institution: ~/z~u'_/-c~- ~ c/u -"-' Mailing Address: g~, ~¢~C q~5~ Phone: ~ -7/~ -,~,//~::) 5. Name of Realtor or Agent: Mailing Address: Phone: Legal Description: ~ ~7/3 ~.~ O~ZdL~' /~/~ Location: ~ ~ ~ ,~-,,~ 7. Type of Facility to be Inspected: ~ ~ No. Bdrms.. 8. Water Supply Type of Supply: Public Utility ~ Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation Public Utility Individual (on-site) 72-003(3176) 42 IlL 4J SCALE 1"=30' ?LAIF 73.50 TOP OF FOUNDATION WALL ELEVATION t P"?O. 0 ~LEVATIOR$ BASED ON~5~'~ ~'f/.~'.5¥ '7~ OATUM PLOT PLAN I CHK. J/~Fd SR 1~..~3,~ IT SHALL 8E THE RESPONSIBILITY OF THE BUILDER OR OWNER TO V~RIFY THAT SUILOINO LOCATION SHOWN MEETS ALL $UBOIV~SION COVENANTS AND LOCAL ZONINS COOES AND ORDINANCES.