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VALLI VUE ESTATES #2 BLK 4 LT 5
Valle Vue Estates #2 Block 4 Lot 5 #015-341-48 �,• GREW ?R ANCHORAGE AREA BORf}GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /i M 6eYL EJ'TE/Zpi2/SES MAILING ADDRESS • �o� •335 / PHONE LOCATION LOi-/E /2 H>" C'�c-�,/ LEGAL DESCRIPTION LoT .�, �/�4z SEPTIC TANK: DISTANCE NUMBER OF FROM WELL 60M"" MANUFACTURER SUAIS T MATERIAL COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY�4-'" GALLONS. TILE DRAIN TOTAL LENGTH DISTANCE FROM WELL �MiYI FOUNDATION aU / NEAREST LOT LINE Zu /f OF LINES z7 NUMBER OF LINES / DISTANCE BETWEEN LINES A-)4 TRENCH WIDTH 3/ IN. TOTAL EFFECTIVE ABSORPTION AREA y'3'z SQ. FT. LENGTH OF EACH LINE VEpy74- 04T2En/G/f // 3 / DEPTH OF FILTER �^/ DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_O Ust. ABOVE TILE IN. WELL: n TYPE— 0-6 M CONSTRUCTION EPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM_ i CESSPOOL APPROVED t/ DISTANCES: OTHER SOURCES DISAPPROVED REMARKS INSTALLED BY: LJ �[s D J PpE2 SEWER LINE DEPTH: PIPE MATERIAL: As 6Q2'0 ! LOT SLOPE: REMARKS: Form EQ -032 DIAGRAM OF SYSTEM /O/ DATE / -I^APPROVED 0 G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT PERMIT NO. POp'3-3S % '41Y�'N NAME OF APPLICANT %(/�L c� / MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION ZW I 0._Y 't / f9 's / INSTALLATION OF: SEPTIC TANKy SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY 3I • DRAIN FIELD . OTHER h E/w/iL SOIL TEST RESULTS la'5 0 NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED '617(d 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. SEPTIC TANK SIZE :+'0C - MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK Is FOUNDATION TO SEEPAGE PIT ' -� DRAIN FIELD //' / AREA SIZETYPE SEPTIC TANK TO SEEPAGE PIT WALL -- r-- Y SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TAN z4 � SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. / I / WATER MAIN TO SEPTIC TANK [ o SEEPAGE PIT Ar DRAIN FIELD [�f Tg` SEPTIC TANK, // �1 , SEEPAGE / PIT L� DRAIN FIELD �, o 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. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM G.A.A.B. //�Ak��laito ius� �EDDESIGNERI mil 3 13b,04 I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2868 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. _ DATE APPLICANT'S SIGNATURE Test Hole 9 Lot =5, Block 4 Depth in Feet From To 0.0' 16.0' Bottom of Test Hole: Frost Line: Free Water Level: Elevation: Existing Ground , W.O. #17378 Soil Description NFS, Sandy Gravel, GP -GM, gray, damp, slightly silty 11' to 16', Group D. 16.0' None Drone Type of Sample Depth M'- Sample Group 1 5.0'- 6.0' Damp G D 2 9.0'-10.0' Damp G D 3 15.0'-16.0' Damp G D Remarks: 1. Type of Sample, G = Grab. 2. Group refers to similar material, this study only. Directions: Out O'Malley Road to Main Tree, turn left; go until Lone Tree Circle turn left onto Lone Tree Circle, about the third cul-de-sac on the left; all the way to the end, only backhoe in the cul-de-sac. Says the streets are marked I l 1 �1 I� I CPC, ACT • pr�4-' r�Vi •c 7°,3 Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 Stt Certificate of On-Site Systems Approval , Parcel I.D. 015-341-48 Expiration Date: Z ZZL 1. GENERAL INFORMATION: Complete legal description Valli Vue Estates#2;Block 4, Lot 5 Location (site address) 10110 Lone Tree Drive*Anchorage,AK 99507 Current Property owner(s) Ralph Portell Day phone 281-892-9513 Mailing address 10110 Lone Tree Drive*Anchorage,AK 99507 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: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community El Public Water System El Public Sewer ❑ WaiverNariance 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 3T/29! /9 Date of Payment Receipt Number 07-aZ iq6 Receipt Number COSA# a�GtQ iq.5" 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: 517.-B if i-_- 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 . .•••• •. ..cro„ .• ••. s industry practices. The reported results describe the condition of the system/s on the date/s of the -c"?•-..•" •• evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wet. s / '14 and septic systems depend upon a variety of variables, including but not limited to, soil conditio 4groundwater levels (that may fluctuate during the year), quality of construction (materials a d 4 workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,a • ?,/••• are outside the control of GEG. Satisfactory test results do not guarantee future performance of the " • ‘• A. Game s.• system/s;therefore, GEG makes no warranty(express or implied)regarding the future performance of CE— J the well or septic system. GEG makes no representation whether an alternative well or septic system lib •.. can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to )""- f eS 9OO 5" perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE OF, ;,i0littUff(q, System #1 Approved for 3 bedrooms (t " System #2 Approved for bedrooms sz-3' ON-SITE 0- 01.--- Z4 Disapproved WATER AND Conditional approval for bedrooms, with the followiriktAuoiEWATER 0 PR 'GRAM z.N 2k. 4-3 j SER\O- 4)))))»)))0 Original Certificate Date: C;,—(.0 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 I Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc COSA Checklist Legal Description: Valli Vue Estates#2; Block 4, Lot 5 Parcel ID: 015-341-48 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system Class A water system PWSID 210605 A. WELL DATA ❑Well log is filed with Onsite (or attached) Well production at time of test_gpm Date drilled Water storage tank volume .a Ions Total depth ft Well disinfected for • ' • m test? 0 Yes CI No Cased to ft 0 Colif• •acteria is Negative 0 Sanitary seal is functioning correctly 'itrate mg/L ❑ Nitrate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND) Casing height(above ground) n. Collected by Date of flow test for CO . Date of Sample Static wate -•- at beginning of test ft. .. ments B. TANK DATA Tank liquid level was 47"at time of Inspection C. LIFT STATION Age of tank(s) 44 years 0 Required maintenance completed Tank type/material sept'Uhp Age of lift station - yea ❑■ Standpipes/foundatio cleanout per record drawing Lift station material - Date of pumping 52e/Z of y Commen : ' 4 LIFT STATION D. ABSORPTION FIELD DATA Which system tested (date installed) 1975 Adequacy test date 5/21/19 El ALL standpipes present per record drawing Results ✓❑Pass For 3 bedrooms Total measured depth from grade 11.6 ft(max) Fluid depth prior to test 88 in Measured depth to pipe invert from grade 3.0 ft(min) Water added 512 gal 0 N/A—pressurized field New depth 103 in ❑■ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 125 min depth into effective 0 Code-required soil cover over field Final fluid depth 83 in Absorption rate 450+ gpd 0 System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) NO date of test) N/A Gallons introduced N/A 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' Community Sewer Manhole/Cleanou _ i i ❑Yes if No ft I Yes if No ft Neighboring Tank > 100' ['Yes if No ft Private - - eptic Line >25' ❑Yes if No ft Absorption Field on Lot> 100' ❑Yes if No Holding Tank> 100' ❑Yes if No ft Neighboring Absorption Fields > !' Animal Containment>50' ❑Yes if No ft Yes if No ft Manure/Animal Excreta Storage > 100' Co .i. ' 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' Q Yes if No '5+ ft Surface Water> 100' 0 Yes if No ft Property Line >5' ❑✓ Yes if No ft Driveway/Parking >0' Q Yes if No, comment Absorption Field > 5' ❑✓ 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' 0 Yes if No ft Community Wells>200' Q Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft Driveway/Parking >0' Q Yes if No, comment Property Line> 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells> 200' Q Yes if No ft Surface Water> 100' Q Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL. Condition of 44 year old Fiberglass septic tank is unknown. a�OF A i %'% G. ENGINEER'S CERTIFICATION o • ,9 ,,,,, , I certify that I have determined through field inspections and review O ►) .. O, of Municipal records that the above systems are in conformance with Q b : 11 S) H 1 i\ .7 o0 MOA COSA guidelines in effect on this date. 0 V a 0 1 - / ' A. Gar ess.' OQO s . *If - I .•.c�4pO %Le,ed z. .1 0) COSA Checklist yellow sheet �0�r of e s s0 � #AECC884 \\ppp0 Municipality of Anchorage • R Development Services Department r° Building Safety Division ` SA CYY On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Septic System Advisory Certificate of On-Site Systems Approval # OSC 191195 During a recent adequacy test on the septic system for Block 4, Lot 5 of Valli Vue Estates #2 subdivision, 88 inches of standing water was observed in the absorption field. This indicates that approximately 91% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval f 30' \ 1 LOT 4 O i � 1 445, \ I i 17 5 8 ---- ---- '%),� w � 4.00'00 i it'''',(,:\ \Q ,-- 2ti 'x12.5' 2'x4.5', O �• CANT FP CANT 1 O- I Z r1 l 42.0' N EXISTING p it HOUSE ma. x °' CCVERED U) LOT 5 ■ =' �' . ENTRY "O 0 3.5' O - BLOCK 4 . N o �, •41, cIN PAVED N N tp r SEPTIC 24.0' l D/W • t 1 CONC WALKCt m FND REBAR $74'41'55'W 2.30' -+ NOT ACCEPTED 41, in cD DO /0' 51.00 00 `N / '' c,."1/' 4 ..v ( fN0 REBAR Cil") S03'27'35'W 1.06' LOT 6 v / NOT ACCEPTED I I 25 i / ANCHORAGE RECORDING DISTRICT,ALASKA ASBUILT OF: VALLI VUE ESTATES UNIT No.2 OO =END REBAR • LOT 5 BLOCK 4 PLAT 77-296 +�`"\` SURVEY CERTIFICATE:I.John L.Schuller,Have conducted a �"�, �F' ���l y� LA141) S Rjt� physical survey of this property as shown on this drawing and that the �/ Q�.•'' fQ^11 �4.51v r„ f improvements situated hereon arc within the property lines and no 5 . I -v WI 4.4 AV �i' �� enchroachmen,s exist other than noted.Under no circumstance should .. 4 TH )\ a C*t , •••''' CI any information on this drawing be used for construction of fences, f f cc ti Z structures,improvements,or for establishing boundary lines. r ( r FA 0 D' I s EXCLUSION NOTES: It is the owners responsibility to determine /o the existence of any easements,covenants,or restrictions which I .�. ' HN L. SCHULLER. 0/ 1 do not appear on the recorded subdivision plat. t`"t;.. IS-10408 •.• A ......- It „ ,,. ” KIRK oaoaR Kuueot: turt xau o-wa i°c •'/.Q.• ;i• 1�''• c2�%/ 1831 Talkeetna Street OCT 16, 2016 1'=30' ` cep •« �d Anchorage. Alaska 99508 16-058 "'�' i+•MO $080461: � \�ore3si0no\ 1'.`� (907)er 227-1455 office JLS SW2538 160202 \\�``�� (907) 274-4992 fax 4E B • Municipality of Anchorage},t On -Site Water and Wastewater Program 4 z (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-341-48 1. GENERAL INFORMATION Expiration Date: 1 (9 — l (9 — ( 7 Complete legal description VALLI VUE ESTATES #2 BLOCK 4 LOT 5 Location (site address) 10110 LONE TREE DRIVE ANCHORAGE AK 99507 Current Property owner(s) RENEE C HANNON 2006 TRUST... Day phone Mailing address Real Estate Agent 10110 LONE TREE DRIVE ANCHORAGE AK 99507 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to theeny eer, unless otherwise requested by the engineer. COSA Fee $ 52(0.00 Date of Payment I0/21 -I /Mlls Receipt Number 0 50 11 D COSA# 05CIC0IS(D0 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS 10/10/2016 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future Ar 0], A r� occupants or can ArcTerra guarantee that no unseen i S� c. encroachments, deficiencies or discrepancies exist. �`S �*f4qT1i� 6. DSD SIGNATURE a xsSnen�CeeuS System #1 Approved for bedrooms. Ira 6 _� AW System #2 Approved for bedrooms. ��orES,o�A Disapproved. Conditional approval for bedrooms, with the following stipulations: BY t Original Certificate Date: 1O'o27-/ 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA bWe sh el_10.1012Ax If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: VALLI VUE ESTATES #2 BLOCK 4, LOT 5 Parcel ID: 015.341.48 A. WELL DATA — CLASS A Well type A Date completed Total depth ft. Date of test Static water level Well production If A, B, or C provide PWSID # 210605 Well Log (Y/N) Sanitary seal (Y/N) Y Wires properly protected (Y/N) Cased to _ft. Casing height (above ground) -in. FROM WELL LOG AT INSPECTION WATER SAMPLE'RESULTS: Coliform colonies/100 mL Arsenic: ug/L ft. g.p.m. Nitrate _mg/L Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC /FIBERGLASS Tank size . 1000 gal. Number of Compartments 1 1 Foundation cleanout (Y/N) Y . Depression over tank (Y/N) N Date of, pumping 1011012016 Pumper ONE STOP C. ABSORPTION FIELD DATA Date installed 1011975 -Soil rating (g.p.d./ft2 o ft2/bdrm, 125 ft. Collected by: Date installed 1011975 Cleanouts (Y/N) Y High water alarm (Y/N) N System type DEEP TRENCH Length 27 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth 12.1 ft. (Measured 10110116) Eff. absorption area 432 ft2 Monitoring tubeY Depression over field N Date of adequacy test 1/612014 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 25 in. BELOW LAT. Water added 600 gal. New depth'2 in. INTO LAT. Elapsed Time: 10 min. Final fluid depth 25 in. BELOW LATERAL Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum Size in gallons "Pump off' level at _ in. Cycles tested E. SEPARATION DISTANCES - PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas Building foundation 5'+ Property line 5'+ Absorption fiel Water main 10'+ Water service line 10'+ Surface water Wells on adjacent lots 200'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 2004 F. COMMENTS in. Water came up 2" into lateral / invert during test but did not back into septic tank and quickly returned to pre-test level. Sump bottom 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 MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 1011012016 COSA canary sheel_2-6-15.doc OF AL4\ 9/ AC1 TF1 ` nNNE77116 'H M, MIFW-4' / 9 t��uressro��� � FND REBAR 503'27'35"W 1.06' NOT ACCEPTED ASBUILT OF: VALLI VUE ESTATES UNIT No.2 LOT 5 BLOCK 4 PLAT 77-296 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences. structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 16-058 .x . xr. °<aan e. oxo .: I . JL5 SW2538 160202 LOT 6 O =FND REBAR OF...4L�\ *;•4 Tia a ........ /...... ... ........ h HN L. SCHULLER: ° �esf (�.. LS -10408 1' ���Ofessionot �e FND REBAR S74'41'55"W 2.30' / NOT ACCEPTED 'o/ w� iGv� PyDLANpty��l U e rr � n 1831 Talkeetna Street Anchorage, Alaska 99506 (907) 227-1455 office (907) 274-4992 fax LOT 4 / 44 5 00 / -74.0c; 4'00 5 w / u7 0'(%01 10 2'x12.5' 2'x4.5' / / CANT FP CANT / 42.0' m EXISTING o n HOUSE 10.0, x °i COVERED ENTRY A OT 5 LOT 3.5' O 0 C BLOCK 4 N A r a PAVED • N D,W O U) _I r SEPTIC SYSTEM 24 0' - - M < CONC WALK M N 41 0 a 2,010, p0 W S1,}•0� FND REBAR 503'27'35"W 1.06' NOT ACCEPTED ASBUILT OF: VALLI VUE ESTATES UNIT No.2 LOT 5 BLOCK 4 PLAT 77-296 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences. structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 16-058 .x . xr. °<aan e. oxo .: I . JL5 SW2538 160202 LOT 6 O =FND REBAR OF...4L�\ *;•4 Tia a ........ /...... ... ........ h HN L. SCHULLER: ° �esf (�.. LS -10408 1' ���Ofessionot �e FND REBAR S74'41'55"W 2.30' / NOT ACCEPTED 'o/ w� iGv� PyDLANpty��l U e rr � n 1831 Talkeetna Street Anchorage, Alaska 99506 (907) 227-1455 office (907) 274-4992 fax 111 . MUNICIPALITY OF ANCHORAGE Department of Health & Human Services k e DIVISION OF ENVIRONMENTAL SERVICES M 343-4744 019 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL.OF_ ON-SITE SEWERANDWATER FACILITY FOR SINGLE FAMILY CjWgl(JJN.G Parcell.D.#HAA# 0QSSA1LDQ% 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) /aclr 'Y Valli l/ue Fc An Far # 2 Location (address or directions) /0//0 Gane Tl -e" OrILie (b) Property owner _Da.e frc N'% /3e"m [r Telephone: (home) Business Mailing Address l610 S1`. Ef('enne /?! . P.rv.6oxY90 6raulrarn! Cfi 70,5-1g (c) Lending Institution 6''/'7/} C Telephone Mailing Address `'160 Lu. %�_do r Rai.. A-^ Ghorage, A�-, '99503 (d) Real Estate Company and Agent Fa�iunt P�a�t�h�i - �l('[/ Thome✓ Address 3 GUO %i` S f. o }}}}^, 4� 995-03 Telephone SG 2- 7,56- 3 (e) Mail the HAA to the following address: (or check here E9, if hold for pick up.) List contact person and day phone number below: N(el /�7oMcu SG Z.- 7653 2. TYPE OF RESIDENCE Single -Family ® Number of bedrooms 3 v 3. WATER SUPPLY Individual Well ❑ Community 63 Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Cohservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ® 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. 72-025 (Rev. 7/88) Page 1 of 2 Z to Z abed �Da8 (891L' Od) 9Zo-ZG ->joM s,aaau!6ua leuo!ssa,oad agl u, suo!ss!woao siona ao, alq!suodsaj lou s! abeaogouV to A1!!ed!o!unW agI `ponssi sl aleo!,!laao a eaolaq step azAleue ao suo!loadsui lonpuoo lou OP SHHO to sea.Aoldw3 -sluawaa!nbea alels pue lejapel u!eljao Als!les ofaaPio u! suo!ln1!lsu! 6u!pual a!agel pusawoq to siasegoind of Aselinoo a se s!ql saop SHHO aql 'e�IselV to a3e1S egl u! paaals!6aa aaau!6ue leuo!ssaload luepuedepui ue (q anoge g gdea6ejed ui umb suo!leluesaadaa aql uodn Aluo paseq paleo!1POD lenoaddV Al!aoglnV g11e91-1 sonss! (SHHO) saolnaaS uewnH pue g11saH to luawliedaO a6eaogouylo Al!!ed!o!unW agl leu0!1!pu0c) °gat ZI — lenoiddV leu011!Pu0O 10 swaal panojddes!p _T panoaddV i Aq swooapaq--Taol panoaddV IVAOHddV SHHO '9 a br algid ssaappv euogdolal /.>>naaS /n�)vy»l a/¢�/� wJIdloaweN uo!loedsut s!ql to alsp eql uo 100110 ul suo!1eln6ea pus 'seoueu!pio 'sapoo alelS pue led!o!unlN Ile ql!M aoue!ldwoo ui s! wets (s lesods!p jaleMelseM ao/pue (lddns aaleM 01!9-uo agl 'uo!loadsu! PUL uo!le6!lsanui AW U104 pus sal!, ebeaogouV ,o Al!led!o!unN agl uaoil peu!elgo uo!lswao;ul agl uo peseq legl AjpDA jaglanl I 'u!aaeq paleo!pui wnlonals,o adAl pus swooapaq,o aagwnu ag1 aol alenbape pue leuo!loun, 'a,ss si welsAs lesods!p aaleMalseM jo/pue Alddns JaleM 91!s -u0 agl legl sMogs lenoiddV /1!aoglnV gllsaH sigllo u0!le6!ls9nul fw leglAlljaA 1'Molaq uMogs alep uo!lep!IeA agllo ss PUB olaaeg pax!lle leas (w /q pa!,!laao sy NOIlVWHOdNI ONV VIVO `HOHV38 3"I1d `SIS31 `SNOIIOUSNl ONIOIAOad Wdld ONIH33NION3 '9 MUNICIPALITY OF ANCHORAGE (MOA) fi • Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 E 1343-4744 Legal Description: = t3/ac I- Jars 31 19'01 Vat IIi (/ue ES/et Itr # 2 A. WELL DATA hun!Cipa.Eity of Anchorage Dept. Health "IluServices Well Classification Cass f1 comm C4 A; /y If A, B, C, D.E.C. Approved (Y/N) r Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Date Completed Electrical Wiring in Conduit (Y/N) Depth of Grouting SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line - To Nearest Sewer Service Line on Lot Water Sample Collected by Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) On Adjoining Lots On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Date Water Sample Test Results Comments DEC (efFer of 44th,.'. czf-iueheaC B. SEPTIC/HOLDING TANK DATA Date Installed 10/7S-- Size 1000pt No. of Compartments Standpipes (Y/N) r Air -tight Caps (Y/N) t' Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped1 / 3w zsaacr Pumping/Maintenance Contact on File (Y/N) Nr A. ; for N• /f. Holding Tank High -Water Alarm (Y/N) N.A. Temporary Holding Tank Permit (Y/N) N, 4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 200' To Building Foundation /2' %�" c.0, To Property Line y3 To Disposal Field /G To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course ' t00 Commentsn— tP rvWems Aote�t eA-;, sggA'c *xnk 72-026 (Rev. 7189) From Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 12S L711,6arm Type of System Design Trerch Date Installed f o / 7S Length of Field Width of Field 3/ Depth of Field Gravel Bed Thickness U Square Feet of Absortion Area H3Z Statndpipes Present (Y/N) r Depression over Field (Y/N) N Date of Last Adequacy Test f/ 3G /9/ Results of Last Adequacy Test Ade! uafe %or 3 b ec[rooml SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 200 , To Property Line To Building Foundation 201" To Existing or Abandoned System on Lot N A ; On Adjoining Lots To Water Main/Service Line 00 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area 1515 Comments Floe wo, occu 'rte s1 /��rG fcrf. Su cye ccc//a�rA� o� 4 -ran rl? it > 2000 wa/ D. LIFT STATION N/ A. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) _ Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HA--A;'g ifjell eys lh�effect on the date of this inspection. Signed ri Company FCaffor Techsr'ca Sev./�� ✓aao;,/,`: ,:o>'o ooa s:,.� Date ;ranuoar y 3 / 199/ urp,e0l%%wr.c Engineer's Seal MOA No. 90- 0!9 Ci:- °r Receipt No. c7lo�z—! Date of Payment ' -3 1- q Amount:$ 7a0 . 0Z0 72-026 (Rev. ]/88) Back Receipt No. _ Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE • Department of Health &Human Services Ail O DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcell.D.# (�1a—�t)1—t HAA# AA999L,'5�1LI 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) / A I I 1 't-_' 1 r j/ i- r— �, n' -r C C- '# 2 1 Location (address or directions) 1(�11 I D c: ! F I IZF E A N C' H A L `` (b) Property owner 1C-) SG'riM 1 n i Telephone: (home) S 4h— �Business Mailing Address 1011() I--—rPF_ E AMCH AK (c) Lending Institution ��� Telephone Mailing Address (= / (d) Real Estate Company and Agent KI ; A Address Telephone / (e) Mail the HAA to the following address: (or check here�/if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well ❑ Community Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site 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. 72-02e (R.v.7/ee) Pagel of 2 5. 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-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 in effect on the date of this inspection. Name of Firm Lor iJJ_K ASSCC . Telephone h 7_Z - Address acre I- Dj.MCSm -4120f5- KI C H A`m i5 Date �o Engineer's Seal Robert E. Knef 140, 4749-L tj%Pg0FEc' 6. DIAHS APPROVAL Approved for L__ bedrooms by %i � i t � � Date 5 -e Approved. A- —Disapproved Conditional Terms of Conditional Approval AOTP, ..i5�pT.c': %q lam( %'s f.%!.'-f��-/vr.i¢!� � ' �.ltt��ly <Z7'/7�,"-Ir %,iiiiJdii�/r! i C[c{ 'rr.x �� iUdS 1�t5'T/ ���//v1. !!�l%/ iU•�. a'l iS �'ii:1�(� d �JL/i�ryl�35� ����. .!/Li�t2� lZti� /=I_rhfL{//'✓� I"t-'���G-/�/�/Zde27` C(i v , ♦ 3 `. � �"n'rt*rtM19"a'4� c 0 � , � rt 3.Y,; F , 'ice% 5 '.SSS .n_ r The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections oranalyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. /2-025 (Rev. ]/88) Back Page 2 of 2 UMi PA�YC�FA�C IQAQHORAGE (MOA) RONMENr@!ltvProval (HAA) UARY 1984+� 343-4744 j hA9 RECEIVED Legal Description: U ti/) l 'V ii e 5 u b d RECEIVED Lo't S Block 4 - A. WELL DATA Well Classification CO MM u -h i )- t If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) n/0— Date Completed ���`— Yield Total Depth Cased to Depth of Grouting Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot/5lJ Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot > /SO r ; On Adjoining Lots ' / c) To Nearest Public Sewer Line &L 1A To Nearest Public Sewer Cleanout/Manhole u To Nearest Sewer Service Line on Lot > 75 Water Sample Collected by Water Sample Test Results Comments Date B. SEPTIC/HOLDING TANK DATA— Date Installed (� 7S Size 1000 No. of Compartments Standpipes (Y/N) �/ Air -tight Caps (Y/N) —Foundation Cleanout UN) Depression over Tank (Y/N) n! Date Last Pumped S S Pumping/Maintenance Contact on File (Y/N) / �! ; for Holding Tank High -Water Alarm (Y/N) n(� Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: t To Water -Supply Well %® To Building Foundation To Property Line / ':5 U To Water Main/Service Line ��O To Stream, Pond, Lake or Major Drainage Course Comments To Disposal Field 72-026 (Rev. 7/88) From Page 1 of 2 10' C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Z L/P ArMType of System Design Date Installed 1 Cl 7 5 Length of Field 2 - ,k Width of Field Depth of Field Gravel Bed Thickness 0 Square Feet of Absortion Area 432 60k"tatndpipes Present (Y/N) y Depression over Field (Y/N) N Date of Last Adequacy Test g L j /a 1 Results of Last Adequacy Test 2, a G'A'O r- U SEPARATION DISTANCE FROM ABSORPTION FIELD 'To Water -Supply Well 7 -40 1 To Property Line > 1 D To Building Foundation LO To Existing or Abandoned System on Lot h lam- ; On Adjoining Lots n c,.— To Water Main/Service Line �> To Stream, Pond, Lake, or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments — D.'L- T STATION Datete In al` Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments To Cutback (if present) (J iX4 (%/0— > 30' Dimensions Manhole/Access (Y/N) ."Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. L_ E'onoop�Ll � OF A GFt Signed Company C 2w, tSvGt-A L`5 d��o°° �4 ",�� c1 o g� D Engineer's Seal Date 11?�`-•� /— O % Ooeoo°°o°°ooaaoonounae np,. �%, G -��- az'z e° ° MOA No. 0 . 1 ° nP° Ro ert E. K iefe Si No. 4149. E 0 ROf1--s Receipt No. c Receipt No. �4 Date of Payment Waiver Fee: $ Amount: $ _� l PI,SJI'� Date of Payment 72-026 (Rev. 7/69) Sack Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES PVcit�` ^, / CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 6�f�t0 OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or di io/i© Z_ (b) Property Owner Mailing Address Lending Institution Mailing Address Real Estate Company and Agent Address Telephone Mail the HAA to the List contact person 2. TYPE OF RESIDENCE Single-FamilyX Number of Bedrooms Telephone: Home 396 711 Business Telephone i address: or: Check here if hold for pick up. phone number below. 3. WATER SUPPLY Individual Well ❑ Communityx 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 OnsiteX 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 72-025 (Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION M 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-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 in effect on the date of this inspection. _ Name of Firm Address Date U ve , w!� Telephone A/ DHHS APPROVAL Z�klzll Approved for z bedrooms by Approved X, Disapproved Conditional _ Terms of Conditional Approval CAUTION EngiResr.�:SQa�® 17 TI / B. rYNR HINDVf SON .7r V CE -4488 4„- Zil IV 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 purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rei 8186) Back RAGE M�NICIPNO OENTA OERCEDV SIONMUNICIPALITY OF ANCHORAGE (MOA) ENVI/ HEALTH AUTHORITY APPROVAL (HAA) 7 1988 CHECKLIST - FEBRUARY 1984 264-4744 R E C E v E D Legal Description: ,Loth �L,Vp # A. WELL DATA // C o�Ce�LA Well Classification (_�` rr0n 66'ViT4 If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments To Nearest Sewer Service Line on Lot B. SEPTIC/HOLDING TANK DATA Date Installed 76�/% //Size /000 No. of Compartments / Standpipes (Y/N) Air -tight Caps (Y/N) f� Foundation Cleanout (Y/NI C' Depression over Tank (Y/N) Date Last Pumped 61 Pumping/Maintenance Contract on File (Y/N) �n4 for Holding Tank High -Water Alarm (Y/N) J�/& Temporary Holding Tank Permit (Y/N) Separation Distances fromSeptic/Holding Tan/k: � To Water -Supply Well f✓/��' 63irnML,nITU To Building Foundation To Property Line / t To Disposal Field/ To Water Main/Service Line 60" To Stream, Pond, Lake, or Major Drainage Course �V C?/✓! Comments Page 1 of 2 72-026 (Rev. 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /7:15'r 13K Type of System Design P,��/ / Date Installed Length of Field Width of Field /i Depth of Field Gravel Bed Thickness t� Square Feet of Absorption Area 5-F Standpipes Present (Y/N) Depression over Field (Y/N) U Da e of Last Adequacy/ Test Results of Last Adequacy Test � +.li .L !l -e t[(^c�ch✓r /-/p"" el Separation Distance from Absorption To Water -Supply Well To Building Foundation Lot Nr,N To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area or Vehicle S,�toorage Area Comments U'+ i+/t�a ?5// D. LIFT STATION t�f Date Installed Size in Gallons To Property Line To Existing or Abandoned System on On Adjoining Lots 76 To Cutbank (if present) 7111/ee tl�T `3 Ea/' ��tE/al uX-�eMUi� Wcl "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments 01JF Dimensions Manhole/Access (Y/N) Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I h e ch , v fifi 6 or conformed to all MOA yd HAP guidelines in effect on the date of this inspection. Sigpe - - ..�` ate 6 Comp n, r MOA No. -- 0 /,7—, G[1/ � F x fl 1,p ° p0 4i '• Receipt No. °"a',�- Date of Payment / /y ,,, ° ,a3. i19 . *_'<A Amount: $ Z' d 0 D G's C�20 V,�- / Page 2 of 2 72-026 (Rev W86) Back 1. WfNE HVNOEEEON o (° CE -4488 ? �° .j hrAl It ij/rAALT l ec,ce�m S / Z DEPT. OF ENVIRONMENTAL CONSEav z @m / AAC= Aaq DISTRICT zm« 2 563-6775 Q, ^nSa! GSa vom =m zm:e � god yyJ� S1�« sa January G, 1991 aSe1w 0 »,record; « SI, m G Q #S:e:eve a is Aat me aI HOe:A gauae6wc Awz Gmm is mco !I»a WG G, «mow Qa o: IJ c P0.060, :w a « Alaska « mEm, Awz G#GS«s Sm�Sw a§�a :wn�al EmvR«—ntw 7,nQ w ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 DATE: August 31, 1989 PWSID: 210605 Requested By: Corwin & Assoc. 563-6775 According to the records on file in this office, the Valli Vue Estates #2 Water System is in compliance with the State of Alaska Drinking Water Regulations. sincerely, Cindy Thomas Environmental Engineer - PENINSULA ENGINEERING 440 W. Benson Blvd. Suite 206 July 7, 1988 Anchorage, Alaska 99503 (907) 561-5107 Fortune Properties 3000 A Street Anchorage, AK 99503 Attn: Johnie O'Man RE: Lot 5 Block 4 Valli We #2 Dear Ms O'Man, At your request I have preformed the adequacy test on the septic disposal system and provided the necessary document for the Health Authority approval. The following are tabulated results of the adequacy test. ADEQUACY TEST DATE I TIME(min) I SEPTIC TANK I C.O. #1 1 Sump I RATE (QUANTITY 7-1-88 I 0 I minutes 1 0.9' 1 I 0 1 1 79pm 1 I 0 1 10 I minutes 1 0.9' 1 0 I I 1 1 7gpm 1 70 I 20 I minutes 1 I 0.9' 1 0 I I I 1 IStoppedl 140 I 23 i minutes 1 I 0.9' 1 0 i I I 1 1 49pm 1 140 I 1 33 I minutes 1 I 0.9' 1 0 I i I 1 1 4gpm 1 180 I 43 minutes 1 0.9' 1 0 1 1 4gpm 1 220 I I 53 I minutes 1 I 0.9' 1 0 I I I 1 1 4gpm 1 260 1 63 minutes 1 0.9' 1 0 1 1 4gpm 1 300 73 minutes 1 0.9' 1 0 1 1 4gpm 1 340 I 83 I minutes 1 I I 0.9' 1 I 0 I I I 1 1 4gpm 1 I— 1 1 380 93 minutes 1 0.9' 1 0 1 1 4gpm 1 420 I 7/1/88 1 103 I I minutes 1 I I 0.9' 1 I 0 I I I 1 _ IStoppedl I I 460 The system was found to accept the required daily loading of 450 gallons with in two hours without any backup into the Septic Tank. The system is therefore considered adequate for 3 bedroom home. If I can be of any further assistance please call. Sincerely, Wayne Henderson P.E. nn n n STEVE COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 1334 ANCHORAGE. ALASKA 99503 DATE: July 6, 1988 PWSID: 210605 To Whom It May Concern: According to the records on file in this office, the VALLI—VUE SUBDIVISION Water System is in compliance with the State of Alaska Drinking Water Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation of the Alaska Drinking Water Plan Review regulations. No as—built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satisfactory sanitary survey evaluation by the department, the system is acceptable under the standards in effect at the time of installation. An official "Certificate to Operate" may be issued upon receiving a complete set of as—built plans. Any expansion of the water system after 1978 will require plan review and the issuance of a "Certificate of Operation" permit. Sincerely, Ronald S. Klein Awl Environmental Field Officer RSK/MPL:pkk cc: Mike Lewis, ADEC, Anchorage CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 6 STREET ANCHORAGE, ALASKA 99513 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 - •neoanroares ANALYSIS REPORT BY SAMPLE for. Ylork Order B 7503 Date Report Printed: JUL 5 88 @ 07:52 Client Sample ID:5/4 PALLI VUE 82 Client !lame : PENINSULA ENGINEERS - PYiSID :UA Client Acct : PENIN.SP Collected JUN 28 88 v 15:15 ]vs. P.O.4 NONE REC D Received JON 28 88 8 16:45 his. - Req $ Proseivod with :4 DEG. C Ordered By Analysis Completed :JUN 29 88 Send Reports to: Laboratory Supezvi o- :STEPHEN C. EDE I)PENINSULA ENGINEERS Released By r^f, ��.� 2) '.a=.=v=. u...=y=... ....... .g,....4.............=....a.ze==.a.=+e..............==.- Special Instruct: Chemlab Ref 3: 1569 Lab Smpl ID: 1 Matrix: Mater Allowable Parameter Tested Result/Unite Method Limits NITRATE -N 0.82 rrg/1 EPA 353.2 10 Sample ROUTINE SAMPLE, Remarks: SAMPLE COLLECTED BY W. HENDERSON. c41 .................... ..=mT= Tests Performed 4 ......... ===a.=='eSpecial Se= 9 InstructionsAbove='_vsC4 UA -Unavailable ND- None Detected "-..Seo Sample Remarks Above NA- tiot Analyzed LT -Lees Than, GT-Greator Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 s` b u P Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.# 1 Analysis shows this Water SAMPLE to be: PRIVATE WATER SYSTE ❑ PR M 0111[^t wrtirS _ � _ _ 0 � Satisfactory Name i/ Phode No. 440 6(1[_e Mailing Address City State Zip Code SAMPLE DATE: 0 6 S` g Mo. Day Year SAMPLE TYPE: X❑ Routine Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water i ❑ Special Purpose ❑ Untreated Water SAMPLE Time NO. LOCATION / Collected 1 L VI- MON 2 3 4 5 READ INSTRUCTIONS RG1=(1RF COLLECTING SAMPLE ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received v(O Time Received Analytical Method: Membrane Filter * No. of colonies/100 ml. Lab Ref. No. Result* Analyst FTa roti U m U m u m U m BACTERIOLOGICAL WATER ANALYSIS RECORD 1 1 Membrane Filter: Direct Count Verification: LTB BGB Final Membrane Filter Reported By TNTC = Too Numberous To Count OB = Other Bacteria Ya-��� (9) -'�'a��� Coilform/1100ml � Coilform/100ml Date r/ _//6V a i Time: �C9 a.m. p.m. Time APPLI/-�"IT FILLS OUT UPPER H,4"^ -ONLY Property Owner b1 , Ta VV\ 0—!; f7 -t` e o k S - Phone iJ Mailing Address R A 7 -7 nG Zip Code e) S 1/ri^'1/S O D to f r Buyer Date - r^� Date Address Zip Code Lending Institution� - Phone Address �u:..-�"-�- C if r _S h YG. Zip Code Realty Co. & Agent - y �c75E'� J Phone Address Zip Code ( ) DISAPPROVED Legal Description �.., S(oG (2 L' �jG.�Qti - (/U..e.. i1 L Street Location G 11 G L 6'tn Type of Residence "Ingle Family DATE _ �'�% Z ❑ Multiple Family No. of Bedrooms ❑ Other f Water Supply ❑ Individual - - ACH WELL LOG. A well log is required for all wells drilled since dune 1975. �For Q'Community Soils Rating wells drilled prior to that date, give well depth (attach log if available).. ❑ Public Utility Well To Absorption Area Well Log Received Sewer Disposal 01 %-5 1�3,tndividual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. - Time Time Time Time D to f Date Date - Date Inspector Inspector -. Inspector Inspector Field Notes: ( `�) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL - ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE _ �'�% Z - f BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size A000 72023(31&) ALASKA R ROnMenTAL COnTROL SRIIP,ALII0.OF ANCHORAGE en ineerin & enuironmental studies e)of HFPU'{ R 9 9 ENVIRiJhsi3,,A. r::o-.Fcrr_.4 J U L 2 0 1982 RECEIVED JULY 8 1982 JIM BROOKS SRA BOX 29 N ANCHORAGE AK 99507 SELLER - JIM BROOKS BUYER- SUBDIVISION-VSE-EY—VIEW #2 BLOCK -4 LOT -5 t'\a)\,0us-v Egycdeo ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 432 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 11/28/80 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1220 Test 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361 . iF10NfCIPTLITV �CHORAGE ' MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT ECTI 094VIRONMENTAL PROTECTION I. 625 L Street - Anchorage, Alaska 99501 1 I 6. TYPE OF RESIDENCE OCT 3 01978 ENVIRONMENTAL FNGINEERING DIVISION i] One O Four EJ Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (101 days for Processing. 1. PROPERTY OWNER PHONE Merrill Lynch Relocation Management, Inc. X9 COMMUNITY 2_77-1.553 MAILING ADDRESS - depth (attach log if available.) _ Jack White Company PROPERTY RESIDENT (If different from above) -- PHONE ___r - ! 2. YER BU _ If system is over two (2) years old an adequacy test is required PHONE Arthur J. Brooks NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS J — =LENDING INSTITUTION PHONE National Bank of Anchorage 274-1521 _First MAILING ADDRESS Post Office Box 4-2090 99509 - Southcenter Branch 4. REALTOR/AGENT PHONE Elliot Lawson % Jack White Com_pan__y 277=1553 MAILING ADDRESS __- 3201,C Street 99503 =LEGAL DESCRIPTION Lot 5 Block 4 Valli Vue Estates #2 Subdivision STREET LOCATION 10110 Lone Tree _ 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS i] One O Four EJ SINGLEFAMILY O Two O Five ❑ MULTIPLE FAMILY )0k Three O Six 7, WATER SUPPLY ED INDIVIDUAL' 'ATTACH WELL LOG. Awell log is required for all wells drilled X9 COMMUNITY since June 1975. For wells drilled prior to that date, give well El PUBLIC UTILITY - depth (attach log if available.) _ 8. SELVAGE DISPOSAL SYSTEM F_4x INDIVIDUAL/ON-SITE" "If individual/on -site, give installation dateL�pprgx. 1975 If 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. 72-010(3178) " MUNICIPALITY OF ANCHORAGE MUNlgPgtiTy, OF DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI¢Rly� OPT' OF HEA THH$ RAGE 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 NMENigL PROTECTION REQUEST FOR APPROVAL OF OCT 3 0 1978 INDIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: CMRO VA FHA CONV xxxx 2. Property Owner: MERRILL LYNCH RELOCATION MGT. , INC. oJack White Co. Mailing Address: 3201 C St. , Anchorage, AK 99503 Day Phone: 277-1553 3. Name of Buyer: Arthur J. Brooks Mailing Address: unknown Day Phone: contact E. Lawson/ Jack Whi Co. 4. Name of Lending Institution: 1st National Bank of Anchorage (South Center) Mailing Address: 201 West 36th Ave. ,Anch. 99503 Phone: 274-1521 5. Name of Realtor or Agent: Elliot Lawson/ Jack White Co. Mailing Address: 3201 C St., Anchorage 99503 Phone: 277-1553 6. Legal Description: Lot 5, Blk 4, Vallivue #2 (10110 Lone Tree Dr.) Location: New Seward Hwq to O'Malley... go up O'Malley to Maifi 7Tree Dr. & turn left. Take 1st left off Main Tree on Lone Tree.... go to 10110 address. House is on left side of road when going down Lone Tree. 7. Type of Facility to be Inspected: Single-familu residence No. 8. Water Supply Type of Supply Public Utility Individual COMMUNITY If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation About 1975 72-003(3/76) Individual (on-site) xxxx GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 10, 1977 Time of Inspection Date of Inspection /-/7-77. REQUEST FOR APPROVAL OF . �Y INDIVIDUAL SEWER & WATER FACILITIES FOR /lo eru LOLOl i�uI �lLbu LT4 eonlm. x- /l SL lnnL Conv. 1. Approval requested by: Alaska Pacific Bank ___Sue La Mont Mailing Address: Post Office Box 420 Phone: 276-3110 2. Property Owner: Timber Enterprises Phone: Mailing Address: Post Office Box 3351 3. Legal Description: Lot 5 Block 4 Valli Vue 4. Location: 10110 Lone Tree Drive 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: A. Type Community B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On—site system A. Installed 1975 B. Installer C. Septic Tank: 1. Size 2. Manufacturer ° D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re( est for Approval'of Individual �`,er & Water Facilities Legal Description Lot 5 Block 4 Valli Vue Comments Approved NNr-uvar.vai ru ivr vnc ycar arum uauc nsuiiau Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM i �crr,riy urar, uie imunuar,run uvnuallmu in r.rrra rcuucau ivr aNNruvar w uc a 61ac a". accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 1 (� MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 JA. N 10 1977 REQUEST FOR APPROVAL OF RECEIVED INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FNA CONY X 2. Property Owner: Timber Enterprises Mailing Address: P. 0. Box 3351 Day Phone: 3. Name of Buyer: Bruce Krogstad Mailing Address: c/o IBM 1689 C St. Day Phone: 272 6551 4. Name of Lending Institution: Alaska Pacific Bank Mailing Address: P. 0. Box 420 Phone: 276 3110 5. Name of Realtor or Agent: Area Realtors Mailing Address: 3300 C St. Phone: 278 2525 6. Legal Description: L5 B4 Valli Vue SD Location: 10110 Lone Tree Dr. 7. Type of Facility to be Inspected: sf dwelling No. Bdrms.3 8. Water Supply Type of Supply: Public Utility Community Individual If Individual, number of dwellings presently served unknown If Individual, depth of well unknown 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) xx If Individual, date of installation 1975 Sue LaMont Alaska Pacific Bank 5th 9 F ST. Anchorage, Alaska 276 3110 72-003(3/76)