Loading...
HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 4 LT 2LoT' GRE, ,ER ANCHORAGE AREA B0R JGH O Department of Environmental Quality · 3330 C Street Anchorage, Alaska 99503 INSPE~CTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL~'~''~7'~ ~'~' ~ INSIDE LENGTH - NUMBER OF MANUFACTURER ~ MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL''~'~'~¢/I, FOUNDATION f~'~) f""~-_NEAREST LOT LINE ./g.~ ( TOTALoF LINEsLENGTH,~/ J NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH-~'~"']IN. TOTAL EFFECTIVE ! ABSORPTION AREA ¢'~0 SQ. FT. LENGTH OF EACH LINE ~/ I DEPTH OF FILTER J ¢' DEPTH: TOP OFTILE TO FINISH GRADE J/ MATERIAL BENEATH TILE~'¢ ,;;f'~[~(ABOVETILE IN. WELL: TYPE __ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION _, LOT LINE_ SEWER LINE TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: ..~/,,~Z LOT SLOPE~ REMARKS:- DIAGRAM OF SYSTEM GRE/ Z.R ANCHORAGE AREA BOt' UGH DISPOSAL SYSTEM -- APPLICATION AND PERMIT COMPLETION DATE ANTICIPATED PERMIT NO.- NOTE:: THIS PE:RMIT IS NOT VALID WITHOUT SOIL TE:ST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. ,, " tD'e 'e /:', f / ~. r' SEPTIC TANK,/ t6Vb , SEEPAGE PIT , DRAIN DIAGRAM OF SYSTE:M 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT ] CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28-68 AND THAT THE A~OVE GRE~,.ER ANCHORAGE AREA Bok ~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. DISPOSAL SYSTEM -- APPLICATION AND PERMIT LEGAL DESCRIPTION ,~,,t f~ ~) [,/i"~)/~¢ ~' / I'¢~' )~1 U INSTALLATION OF: SEPTIC TANK ?' SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED ~/' ¢I'.~ ~ f~ FINANCED THROUGH , DRAIN FIELD NOTE: THIS PERMIT IS NOT VALID WITHOUT SO.IL TEST CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FeET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST [RON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT I CERTIFY THAT I AM FAMILIAR WlTH,~tHE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM iS IN ACCORDANCE WITH SAID CODE, 1') t / ' / /' " ., ' ' · ' ;' 7:-' " DATE /?/ ~ [' : / ']} APPLICANT'S SIONATURE !' -"" GREATER ANCtlOkAGE AREA BOROb Oepartment of [nvi ronmell[a] (}uali ~y 3330 "C" Street Anchorage, Alaska 99603 SOILS 1,O(1 -- PEROI.ATION TEST Performed for ~_~n~e_~ Legal DescripB6h: Z¢'~-~~v' This form reports: Soils log_ Dep th Feet 3- 4- 7- 8- lO- II - 12- 13- 14 - [~o+1o.~_ I &' Was [er encountered? Percolation Lest If yes, at wi~at depth? Reading Date Gross Time Net Time Depth to Water Net Drop ~rcol ation rate minute. -Proposed installation? Seepa'ge Pit Drain Field l)e )th of Inl,e,t ............... . Oeptl~ t-6-'b-o~-t~-o-F-'-pit or t renc:, ...................... C0ht.IEHTS. /3,~c~,~oe ~ EQ-040 (8/74) Test Hole 3 Lot 2, Block 4 Elevation: Existing Ground W.O. %17378 Depth in Feet From To Soil'Description 0.0' I .0' F-4, sandy gravelly silt, ML, tan, damp 1.0' 16.5' NFS, sandy gravel, GP-GM, grayish tan, damp, trace of silt, poorly graded, some cobbles from 3°0', Group D Bottom of Test Hole: 16.5' Frost Line: None Observed Free Water Level: None Observed Type of Sample Depth ~ Sample Group I 5.0'-6.5' DAMP G D 2 10.0'-11.5' DAMP G D 3 15.0'-16.5' DAMP G D Remarks: 1. Type of Sample, G = Grab 2. Group refers to similar material, this study only • Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-341-45 1. GENERAL INFORMATION: Complete legal description Valli Vue Estates #2; Block 4, Lot 2 Location (site address) 10010 Lone Tree Drive *Anchorage, AK Expiration Date: V" i 3"26 Z 7 Current Property owner(s) Katherine Donohue Day phone 907-244-6939 Mailing address Real Estate Agent 10010 Lone Tree Drive *Anchorage. AK 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: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverlVariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment 7 Date of Payment Receipt Number 00033G Receipt Number COSA # 0S C ) 1 ), � a Waiver # AR 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: Garness Engineering Group. Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road. Suite 101- Anchorage. Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: !L 7_-2 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system a in accordance with the guidelines and regulations established by the Municipality of Anchorage and IL!�:­x . ..• - industry practices. The reported results describe the condition of the system/s on the dates of theIS, evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ��,; .• ` � -�, � Y,, encroachments may exist that were not identified during the evaluation. The operational life of all wells -- and septic systems depend upon a variety of variables, including but not limited to, soil conditions, l • . • • • . • • • groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and ... .. .. are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Hess: system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of ; 1 1� the well or septic system. GEG makes no representation whether an alternative well or septic system �p can be installed on the property in the event either of the current systems fail to perform adequately in C`. the future. The content of this report is for the sole benefit of the person/party that retained GEG t / L�`d?. G' 1(( ��. •J1 es slC perform the evaluation_ Reliance upon the information provided in this report by any other �r�r%b ((((((� j,X��`c� party (including subsequent property purchasers) is not authorized, nor will it confer aQ � OFd A1�{C,y whatsoever. `�\ \\\ �� 0 / #AECC884 6. DSD SIGNATURE 0tA_S11E D System #1 Approved forbedrooms \1�1P�ER..PP ER ;5 System #2 Approved for bedrooms 4 NS1 PM PR,OGh Disapproved Conditional approval for bedrooms, with t > jf � gyrations: lii J er� ey' C -P V, 1; CO Sr .,o `%P By: } 1� �i_il.. 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_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12.doc i�'I -L 0 Legal Description: Valli Vue Estates #2; Block 4, Lot 2 If more than 1 septic system on lot: COSA Checklist # of 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 CO Sta�wateratUbNeginning of test ft. r`ITY WATER SYSTEM B. TANK DATA Age of tank(s) 46 years Tank type/material septic/ fiberglass Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping _ D. ABSORPTION FIELD DATA Parcel ID: 015-341-45 Structure served by this system Well production at time of test gp / Water storage tank volume gallons Well disinfected fo orm test? ❑ Yes ❑ No ❑ Col" acteria is Negative itrate 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 year Lift station material Comment Which system tested (date installed) 1976 Adequacy test date 6/13/22 ❑ ALL standpipes present per record drawing Results R Pass For 4 bedrooms Total measured depth from grade 13 ft (max) Fluid depth prior to test 4 in Measured depth to pipe invert from grade 5.5 ft (min) Water added 669 gal ❑ N/A — pressurized field 13 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 120 depth into effective 7.5' Elapsed time min p ❑ Code -required soil cover over field Final fluid depth 8 in System presoaked Absorption rate 600+ and (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced n/a gallons y n/a If es, 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) F. ENGINEER'S COMMENTS *Met code at time of installation Condition of 47 year old septic tank is unknown. **GEG did not investigate where water line enters home. Septic location is different than what is shown on 1976 Inspection Report. G. ENGINEER'S CERTIFICATION o OF q �4 l certify that 1 have determined through field inspections and reviews�4�� of Municipal records that the above systems are in conformance with p T y MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet eflir q�ar_n�ss.• Q CE -79 3 0 profess'W' a ##AECC884 44�D�Od�Q Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cle > 100' ❑ Yes if No ft (❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Priva er/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 1 Animal Containment > 50' ❑ Yes if No ft Yes if No ft Manure/Animal Excreta Storage > 100' Comm ewer 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 *5+ ft Surface Water > 100' El Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' ❑✓ Yes if No ft �> s Water Main > 10' Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' ❑ Yes if No **unk ft If septic tank is under driveway comment below 1 From Absorption Field on Lot to: (Please enter distances if less than required) v Building Foundation > 10' 0 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' Q Yes if No ft Private Wells > 100' Yes if No ft �----� Water Service Line > 10' ❑ Yes if No **unk ft Community Wells > 200' ❑ Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *Met code at time of installation Condition of 47 year old septic tank is unknown. **GEG did not investigate where water line enters home. Septic location is different than what is shown on 1976 Inspection Report. G. ENGINEER'S CERTIFICATION o OF q �4 l certify that 1 have determined through field inspections and reviews�4�� of Municipal records that the above systems are in conformance with p T y MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet eflir q�ar_n�ss.• Q CE -79 3 0 profess'W' a ##AECC884 44�D�Od�Q PG £'3` Ox x LSC • �-° Municipality of Anchorage On -Site Water and Wastewater Program r (907) 343-7904 , S A F E T Y Certificate of On -Site Systems Approval Parcel I.D. 015-341-45 Expiration Date: g^�3 1. GENERAL INFORMATION: Complete legal description VALLI VUE ESTATES #2; BLOCK 4 LOT 2 Location (site address) 10010 Lone Tree Drive *Anchorage 99507 Current Property owner(s) Joseph & Katherine Donohue Day phone 244-6939 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class C Well Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank El Community ❑ Public Sewer ❑ WaiverNariance 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 0 1 Wa q6 Receipt Number COSA# (?�CaZ��?�� 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: ti � � �- In conducting this evaluation, GEG provided an engineering. evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and o00�� ��4 industry practices. The reported results describe the condition of the system/s on the date/s of the o" evaluation. Separation distances were measured to readily identifiable features. Hidden defects or OF�sp� encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 9 JH groundwater levels (that may fluctuate during the year), quality of construction (materials and Q r, workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and . • • ' •' . • .. are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of• • • • • . • • • • • • • • • the well or septic system. GEG makes no representation whether an alternative well or septic system v '•�7rf y� Gar xE ss:* can be installed on the property in the event either of the current systems fail to perform adequately in 0 P. UE795 the future. The content of this report is for the sole benefit of the person/party that retained GEG to O ��� � `p perform the evaluation. Reliance upon the information provided in this report by any other person or ��P ea `� Ego party (including subsequent property purchasers) is not authorized, nor will it confer any legal right �� prOo fe=s`°o whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, . POTY OF�(���i�(�i �J ON-SITE �y WATER q�p m_ with the followingp I-WA`3�r=�1'ATER z t1M V,. S\ Original Certificate Date: 6 -q-2-C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: VALLI VUE ESTATES #2; BLOCK 4, LOT 2 Parcel ID: 015-341-45 If more than 9 septic system on lot: COSA Checklist # of Structure served by this system �(1 B. TANK DATA C. LIFT STATION Age of tank(s) 45 years ❑ Required maintenance completed Tank type/material 52PT,aPLAS Age of lift station years Measured operating fluid level in septic tank Lift station material © Standpipes/foundation cleanout per record drawing Comments: N/A Date of pumping_Z'° pi p V �,.v VM P� tiG D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 2/5/76 A. WELL DATA 01 ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms ❑ Well log is filed with Onsite (or attached) Well production at time of test gpm Measured depth to pipe invert from grade 5.5 ft (min) Date drilled Water storage tank volume gallons New depth 21 in Total depth ft Well disinfected for coliform test? ❑ Yes 7 No depth into effective 75' Cased to ft ❑ Coliform bacteria is Negative Final fluid depth 11 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) If yes, enter date N/A ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) in. Collected by _ Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments COMMUNITY WELL - PWSID# 210605 �(1 B. TANK DATA C. LIFT STATION Age of tank(s) 45 years ❑ Required maintenance completed Tank type/material 52PT,aPLAS Age of lift station years Measured operating fluid level in septic tank Lift station material © Standpipes/foundation cleanout per record drawing Comments: N/A Date of pumping_Z'° pi p V �,.v VM P� tiG D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 2/5/76 Adequacy test date 5i19i20 01 ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 12.9 ft (max) Fluid depth prior to test 4 in Measured depth to pipe invert from grade 5.5 ft (min) Water added 768 gal ❑ N/A — pressurized field New depth 21 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min p depth into effective 75' FECCode-requiredsoil cover over field Final fluid depth 11 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced gallons If yes, enter date N/A Comments/Deficiencies: SUMP AT THE WEST END OF THE TRENCH WAS REPLACED WITH A CLEAN-OUT AND MONITORING TUBE COSA Checklist yellow sheet :41 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' F71 Yes Septic Tank/Lift Station on Lot > 100' Property Line > 10' F/ Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' ❑ Yes Yes if No ft ❑ Yes if No ft ENGINEER'S COMMENTS l<{� 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' Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft 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 *5+ ft Surface Water > 100' Yes if No ft 7` Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' Yes if No ft r -J Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' M✓ Yes if No ft T-, Water Service Line > 10' ❑ Yes if No*uNK 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' F71 Yes if No ft If absorption field is under driveway comment below Property Line > 10' F/ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓71 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' ❑ Yes if No **UNK ft Community Wells > 200' Yes if No ft Surface Water > 100' ✓0 Yes if No ft 6F_ C— Ai o N �-' i ,j*,, - ,n GF. ENGINEER'S COMMENTS l<{� CONDITION OF 45 YEAR OLD SEPTIC TANK IS UNKNOWN *MET CODE AT TIME OF INSTALL **KEYBOX IN FRONT OF HOME - U- ,GWN WHERE WATER LINE ENTERS HOME. SEPTIC LOCATION IS DIFFERENT THEN WHAT IS SHOWN ON 1976 INSPECTION REPORT G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with p MOA COSH guidelines in effect on this date. �f �4 .. g ...:.. .... �........... r'y Ga Hess. d m /CE -795 `cQQ. qPr •.���-����' cow t� COSA Checklist yellow sheet V�ea Pr o f e s s+fl�ooG 9AECC884 �po�c 0 i57• _ r1 is dO i il-WIx t' � _ gyp.. .\:�T��cplti :u;;-••�r;`'�•� `:Z.', ,.''t_';,-t`�1 � PD } .n 01 I 1 t i 1 Zy 4 61 i�89 °,�'i5'`'E' �-- X57.30 • v Q' : . 6u.a4- h i � (�� r oa V� 0 • ,� • °a ; ' ,til, . x . • �3Th3?�-� ° 'aw.a•ea°w I�, yJv.• ..o o.o' it is th-e responsibility of the owner to determine the existence of any eas.ements., covenants', or re- J;,•,; ' '5i;�s : _ s tri cti ons which. do not appear on ' the • recorded ' s ub- division plat. Under no circumstances should any NOTE Y ,r'..Y data hereon be used for construction or for estab- EASEMENTS OF RECORD, OTHER TRWO iOSE 1 ishinq boundary or fence lines. The surveyor ta;;eF SHOWN ON THE RECORDED PLAT, ARE'.NOT responsibility for the initial_ transaction only. SHOWN HEREON. �%, Rj. J LEGEND LOT �` BLOCK 4- ® BRASS CAP MONUMENT ~. L�5ZQ7`�S LT,�1 / / (PLAT N0. _ 0 IRON PIPE REBAR PROP.COR,FNO L" ANCHORAGE RECORDING DISTRICT 0 HUB ® TACK -= 4 :: _-• PREPARIE M BY:, DOWLING a ASSOCIATES - - - �� ' ••_ � �--- 804 EAST 15fh Ave: Suite 2 ANCHORAGE, ALASKA 99501 REVISION T DATE',BY: SCALE.: n + WORKQRDER: FIELD BOOK:, GRiD;' MUNICIPALITY OF ANCHORAGE DMSION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATIfkN FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1o General Information Application Date / / (a) LeGal Description (include .lot, block, subdivision, s~ction, township, ran~e) - il ll,' Location (addsess or directions) (b) Applicants Nar~ Applicants Add~ess /~/~O (c) Applicant is (check or~)Lending Institution Buyer ~; Othe= ~__j (explain); (d) Lending Institution Telephone Address e e 0 (e) l~al Estate Co. & Agent Address Telephone Type of l~sidence Single-Family ~ Number of Bedrooms Othe= (describe Water Supply Individual k%ll ~ Community ~ Public Note: If oa~nity well system, n~st have w~itten confi=mation from the State Depa=tm~nt of Environmental Conservation attestin~ to tb~ legality and status. Is the well adequate fo= the number of bedrooms specified in this HAA (Y~Ni Sewage Disposal Onsite ~ Public ~--~ Conmunity ~--~ Holding Tank / , Is the wastewater disposal system adequate for the numbe~ of bedrocrasf ((~N) [Pag~ 1 of 2] 2-15-84 effect on.~he date gf this inspection. Signed 5. Engineering Firm P~oviding Inspections, Tests, D~ta and Information I oe~tify that I have checked, verified, or conformed to all MOA HAA Guidelines in Telephone Signed by ~ ~,/~' Pate ~ .6. DHEP Approval Approved for/~'~u%, kedr ocras Approved ~ Disapprovad ~--] Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Enviror~ental Protection does not guarantee the continued satisfactory performance of p_he water supply and/or the wast~wate~ disposal system. This approval indicates that, as of th~ validation date shown abo~, based on the data and information fornished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedrcoms and type of structtr~e indicated. (DHEP SEAL) 7o Mail the HAA to the following address: KB2/d5/s [PaG~ 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) Well Classification ~/F//;~ ~ ~ Well Log P~esent (Y/N) Total Depth Cased to Static Water Level Casing Height Above GroJnd Electrical Wiring in Conduit (Y/N) Separation Distances f~om Well: To Septic/Holding Tank on Lot To Nearest .Edge of Abso~pti~ Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected By Water Sample Test Results C~¢~ents MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JAN 2 1985 Legal Description: If A, B, c~ C, D.E.C. Approve ) Date C~,~leted Yiel/d ' Depth of G~outing Pump Set At Sanitary Seal on Casing (Y/N) 'Depress.ion A~ound Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~ Size No. of Cc~pa~tments Standpipes ~) Air-tight Caps ~) Foundation Cleanout Depression over Tank _~/N) Date Last Pumped ~// ~/~/ ' Pumping/Maintenance Contract on File (Y/N)/U/~ ; for Holding Tank High-water Alarm (Y/N) ~/~- Tempora~y Holding Tank Pe~nnit (Y/N) Separation Distances f~om Septic/Holding Tank: To Water-Supply Well ~0! ~L~ To Building Fcundation /~ TO P~operty Line J~/~ To Disposal Field To Water Main/Service Line ~/~P/~ To Stream, Pond, Lake, c~ Major D~ainage co se [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~,/~_~ Width of Field _ .~/ Square Feet of Absorption A~ea ~ Length of Field D~pth of Field Gravel Bed Thickness Standpipes P~esent ~N) Type of System Design Depression over Field (Ye Date of Last Adequacy Test ~/~,-/~/ Results of Last Adequacy Test_ /~/ Separation Distance from Absorption F?e'ld: To Water-Supply Well ~-~.D / TO P~ope~ty Line .~ ":~' TO Building Foundation /~/''A~ To Existing Or Abandoned System Lot ~3/~' ; On Adjoining Lots ~ ~ / To Water Main/Service Line .~/~'~ To Cutbank(if present) To Stream/Pond/Lake/o~ Major D~ainage Course ./~/~ To D~iveway, Parking A~ea, or Vehicle Storage A~ea Date Installed Size in Gallons "Pump On" Level at High Water Ala~mLevel at Tested for Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Comments ** Check Permitted Bed~ocm Rating Against HAA Request I c~tify that I have checked, verified, or eonformsd to all MOA HAA on the da~.of ~.s ins~ction. KB~/d5/s effect [Pa~ 2 of 2] 2-15~84 DATE RECEIVED INSPECTION APPOINTMENTS TIME, TIME TIME DATE DATE D.~~ //~'~ ? INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL wATER AND SEWER FACILITIES DIRECTIONS: Complete all parts o~ page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER I~ PHONE Richard and Rosie Angell~ 349-4756 MAILING ADDRESS SRA 33 A, Anchorage, Ak 99507 PROPERTY RESIDENT (If different from above) PHONE Same 2. BUYER PHONE Abe and Cherie Johnson MAI LIN G ADDR ESS c/o ARCO Projects, 3201 C St, Anch, Ak 99503 3. LENDING INSTITUTION PHONE NB of A 3o/ ~' ,2~/~ ,~/,~//...c ~I--/ 265-2883 MAILING ADDRESS / 301 W Northern Lts Blvd, Anchorage, Ak 99503 4. REALTOR/AGENT PHONE Bonnie Mehner 277-1553 MAILING ADDRESS Jack White Co, 3201 C St, Anchorage, Ak 99503 5, LEGAL DESCRIPTION Lt 2, blk 4, Valli-Vue Estates ~) 2 ;TREET LOCATION 10010 Lone Tree DrlYe TYPE OF RESIDENCE NUMBER OFtBEDROOMS [] One ~] Four [] Other__ [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** 1975 YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 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. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR z./ EDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-O10 {Rev, 6/79) ALASKA ellLIIROnmellTAL COFITROL InC. July 10, 1984 Department of Health & Environmental Protection 825 L. Street Anchorage, Alaska 99501 Attn: Susan Oswaldt Dear Susan: .On July 9, 1984, I visited Lot 2, Block 4, Valli Vue Subdivision to check' the conditional on the Health Authority par~ormed on May 30, 1984. I observed that the depression over the septic taDk has .been filled and 'proparly graded as per Municipal Specifications. This office recommends that the conditional be removed. If you have any questions, please feel free to call our office. Sincerely, Robert Weimer Engineering Technician Approved by: Reid Jr., PhD PE 1200 UJest 33rJ Auenu¢. Suil¢ [~,, Anchera§¢. Aleska 99503 o(907) 561-50Ll0 DEPT. OF ENVIRONMENTAL CONSERVATION $0UTHCENT~ ~GIONAL ~FFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 Fws ~.~. #2_./f~v~ To Whom It May Concern: Water System is in compliance with the State Drinking Water Regulations. ALASKA r UIROnm nTAL CONTROL S RUIC S, I[1C. RECEIVED 2/J2/$2 RICHARD ANGELL SRA BOX 33-A ANCHORAGE AK 99507 SELLER - RICHARD ANGELL SUBDIVISION-VALLEY VUE BUYER- BLOCK-~ LOT-2 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 340 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 880 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 90 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A # BEDROOM HOME. THE SEPTIC TANK WAS PU/V~ED ON 2/12/82 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS # BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1220 West 251h Auenu¢ ~, Anchorage, Alaska 99503 · (907) 216-1361 January 29, 1.982 Richard & Rosie Angell SRA 33 A Anchorage, AK 99507 Subject: Lot 2, Block 4, Valli-Vue Estates ~2 Dear Mr. & Mrs° Angeil: Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Enclosure NB of A 301E. Northern Lights Anchorage, AK 99502 Robert C. Pratt Associate Environmental Specialist Blvd. 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality Street, Anchorage, Alaska 99503 274-4561 Date Received February 3, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. Alaska Bank of Commerce % ~rolyn Barrera Pouch 7012, 99510 i Phone: 279'5641 x 121 Timber Enterprises : Phone: 349-1922 Post Office BOx 335i, Anchorage 4. 5. 6. Legal Description: Lot 2 BloCk 4 Valli Vue Estates Unit 92 Location: 10100 Lone Tree D~rive 9~507 Type of facility to be inspected Well Data: A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line Single! Family No. of bedrooms Community system~ i B. Depth [ iD. Bacterial Analysis On- simile system~ ~ /~7~'~ !.iB. Instali] er l. Size [~ 2i Manufacturer~ _ 1. Absorption A¢,ea 2. Material Total length of \lines , Sewer Lines __, B. Foundation to septic tank C. Absorption area to nearest lot line , Ab, sorpt ion area , Other c~t3tam~nation , \gbs ~rption area EQ-034 (1/74) Page I of two pages P~g6 2 of two pages - Re~ bt for Approval of Individual '~'~,r & Water Facilities Legal~ D~,~crd P~%,'~M'!~ L,.o.t... $ Block ~._yal~l~ ~ue Estat~es~ Uni~ ~2 Comments Ap~oval 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 (!/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV ×K 2. Property Owner: TIMBER ~NTERPRIS~S Mailing Address: P.O. Box 3351~ Anchorage~ AK Day Phone 349-1922 3. Name of Buyer: Richard T. & Rozella A. Angell c/o Alaska Bank of Commerce Mailing Address: Pouch 7012~ Anchorage~ AK 99510 R/E Day Phone 279-5641 x121 Name of Lending Institution: ALASKA BANK OF COMMERCE - Attn: Carolyn Barrera Mailing Address: Pouch 7012~ Anchorage~ AK 99510 Phone 279-5641 x121 5. Name of Realtor or Agent: Bowden Co. Realtors (Ed Shelton) Mailing Address: 301 E. Fireweed Ln. ~ Anch. ~ AK Phone 278-3541 or 277-1482 6. Legal Description: Location: Lot 2~ Block 4~ Valli Vue Estates Unit 2 10100 Lone Tree Drive~ Anchorage~ Alaska 9950? 7. Type of Facility to be inspected: Septic Tank 8. Water Supply Community Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If ~ndividual, date of installation Individual Individual (on-site) No. Bdrms. 4 EQ-037 (1/74)