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VALLI VUE ESTATES #2 BLK 3 LT 46
LL Lo'l"' oGRE/t, :'--3ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME GOD"JO FlO MA,L,NGADDRESS LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL ~¢*~.O61'¢- MANUFACTURER ,¢;'i~.~',¢, MATERIAL INSIDE LENGTH ~ INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY (GO~ GALLONS. DISTANCE FROM WELL ~0 ~')- FOUNDATION TOTAL LENGTH NEAREST LOT LINE lO ¢ OF LINES NUMBER OF LINES J DISTANCE BETWEEN LINES ~ TRENCH WIDTH ~IN. TOTAL EFFECTIVE ABSORPTION AREA -~'~O SQ. FT. LENGTH OF EACH LINE ~.~.l DEPTH OF FILTER ~ DEPTH: TOP OFTILE TO FINISH GRADE J tJ~ MATERIAL BENEATH TILE (.0 I~t. ABOVE TILE~ IN. WELL: TYPE ~O~49Aq~; ~L ~ CONSTRUCTION DEPTH. BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK__ SYSTEM CESSPOOl OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: FO-~'- INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: ~"~0 // ~-~ REMARKS: DIAGRAM OF SYSTEM ~J/G:rEater ANChOrage Area Borough 3330 "C' STREET ANCHORAGE, ALASKA 99]503 TELEPHONE Z74-~561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO, LEGAL DESCRIPTION SEEPAGE PIT , DRAIN FIELD. ,, OTHER FINANCED THROUGH TO F~E INSTALLED BY COMPLETION DATE ANTICIPATED FINAL INSPECTION: Z~ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION· SEPTIC TANK SIZEfl LOgO TYPE SEEPAGE AREA SIZE TYPE I ' ~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPT'C TANK FOUNDATION TO seePAge PIT (~) , DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK -, SEEPAGE PIT /-~(~ /" .. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~ DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD · SEEPAGE PIT ~(~ {~ · ALSO CONSIDER AREA WELLS, · SEEPAGE Pit f(} {' SEPTIC TANk, ~.~1( , SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT Fitted WITH AIRTIGHT REMOVABLE CAPS. TO BOROUGH REGULATIONS RE RDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGHORDINANC~ORDINANC O. 28-68 AND THAT THE ABOVE Performed For Leaal This "On, t,. is worth a thousand opinions" Glacier Excavating Date Performed 0escriDtion: Lot 46 Block 3 ~orm Renorts Soils Loq YES 4/21/75 Subdivision Valley View Subd. Percolation Test. Oeoth Feet Soil Characteristics 1 2-- 3-- 4-- 5-- 6'--- grave11~ Silt~ Sand T~ro~g~ o~t degt~ of test ~ole (occasional cobbles) SM-250 /'~'~a s ~ W~ t~'~$~ n~/~ t e r e d ? I~ Yes, At what Depth? NO I Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolation Proposed De~th of cnUMENTS: Rate Hinute Installation: Seeoaoe Pit Drain Field YES Inlet Depth To Bottom Of Pit Or Trench 250 Square feet drainaqe area required per bedroom No bedrock or qround water encountered to -12 feet. By _ Test Performed Data Certified B~: ~O~STRUCTION TEST LA} /James D. Mack Date:~ �4 MUNICIPALITY OF ANCHORAGE r� Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section -� Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel 1. D. 015-322-17 1. GENERAL INFORMATION Expiration Date:. S --,S _2-cgZ 0 Complete legal description VallVue estate No. 2, Block 3 Lot 46 Location (site address) 10521 Lone Tree Drive Current property owner(s) Honnen, Gilbert & Lavon Day phone Mailing address 12350 Industry Way No. 216, Anch., AK 99515 Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic R Water Storage ❑ Holding Tank ❑ Community Well El 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. �l�f Date of Payment Receipt Number _ �£ `IDC Receipt Number COSA # (Irj (��1� Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER By: 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and 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. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Phone (907) 745-8200 Date 8/6/19 �� OF AL -g& P• `� i* 4 DSD SIGNATURE • • • • • • • • System #1 Approved for bedrooms ' ''tee%en 'R. 'flor orae d a� CE 8149 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: \`�A�G\pALITVok /iii r1. F FF1�•,, FR Qa Ilk i J L&VICES Original Certificate Date: — L Z _/ 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 Checklist blue sheet Legal Description: Valli Vue Estates, No. 2 Block 3 Lot 46 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ 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) 44 years Tank type/material F'bcrg!a. Measured operating fluid level in septic tank 50 ® Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Primary Parcel ID: 015-322-17 Structure served by this system 1 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: Which system tested (date installed) 1975 Adequacy test date 7/31119 ALL standpipes present per record drawing Results [DPass For 3 bedrooms Total measured depth from grade 7.9 ft (max) Fluid depth prior to test 3 in Measured depth to pipe invert from grade 3.3 ft (min) Water added 450 gal ❑ N/A — pressurized field New depth 9 in Monitor tubes go to bottom of effective. If not, state 240 depth into effective Elapsed time min R Code -required soil cover over field Final fluid depth 3 in ® System presoaked Absorption rate '450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) No date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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 ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [✓ Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5'✓Q Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' F/ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ✓� Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' F71 Yes if No ft Community Wells > 200' El Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS 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. 1/-I, Iryaq /-,-- COSA Checklist yellow sheet OF AC dT... f%- Lot 45 vlJppd `fence — ;o � Lot 46 Septic vent (typ) 0 �O i O W N �O � o ° 2• cp cN .2 Cly LEGEND (R) Record per Plat No.77-296 \� (R1) Record per Plat No. 71-217 cS� (C) Computed Note: The origin plat for this lot does not r3 depict the data for the Easterly lot lines. Data from adjacent Plat No. 71-217 was used to compute the ��• OF bearings and distances 9th .17 i� ��, • climbeth L Walatka 8036 - LS • •�Q'` EASEMENTS OF RECORD, OTHER THANzoxcsstoyt,L•`�� THOSE SHOWN ON THE RECORDED���a_` PLAT ARE NOT SHOWN HEREON FB 19-7, pg 8 BE UNLESS OTHERWISE NOTED. FB 75-5, pg 61 Lot 4 is 71 70220 Lot 3 '00 SCALE: V= 30' 0 0 \ V0 \ o \ T Lot 47 $o nj RECERTIFIED 8-7-19 f�3 a���•-� AS -BUILT NO CORNERS SET THIS DATE I hereby certify that i have performed a Mortgagee's inspection of the following described property: LOT 46, BLOCK 3. VALLI VUE ESTATES UNIT No 2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except,as indicated hereon. Dated at Anchorage, Alaska this 19th _ day of JUNE , 1975. FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors 907-248-1666 LEGEND \ (R) Record per Plat No.77-296 (R1) Record per Plat No. 71-217 (C) Computed „ N7 5� 4g/ Note: The origin plat for this lot does not \ depict the data for the Easterly lot lines. Data from adjacent Plat No. 71-217 was used to compute the OF bearings and distances . m P�� ' ' • ' C; qs L\j,AST&-� s aq411 �'?' 49th L©cA ( ray-) C7N �. GCc�?J7 TZ1�Lv r .ti' f<S 2 a : •1.7�r���... F ,?4 l vt m . lizobeth L. RJalotko 8036 - LS •••J' "'� EASEMENTS OF RECORD, OTHER THAN �Fo p�OFessio A� •�P� � THOSE SHOWN ON THE RECORDED ' \\���� PLAT ARE NOT SHOWN HEREON FB 19-7 pg 81? E t E UNLESS OTHERWISE NOTED. FB 75-5, pg 61 Lot 4 7022C SCALE: V= 30' RECERTIFIED 8-7-19J d AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property:_ LOT 46, BLOCK 3. VALLI VUE ESTATES UNIT No, 2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do. not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 19th day of JUNE , 1975. FRED WALATKA &ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors