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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 4 LT 10oGREA i ER ANCHORAGE AREA BORL, UGH Department of Environmental Quslity 3330 C Street Anchorsge, AIssk8 ggS03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL DESg RIPTION SEPTIC TANK: DISTANCE 0.~IV¢L FROM WELL ' INSIDE LENGTH MANUFACTURER~ INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY/'::z'''~ GALLONS. TILE DRAIN FIELD:CY/LJ-4J' DISTANCE FROM WELL FOUNDATION ABSORPTION AREA ~)~ ~:::) C¢/ DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH NEAREST LOT LINE OF LINES ~-~-~- TRENCH WIDTH C(~IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED .CONSTRUCTION _DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE , TANK SYSTEM OTHER SOURCES DISAPPROVED .REMARKS DISTANCE FROM: DISTANCES: _ DIAGRAM OF SYSTEM iNSTALLED By: J/,,~ ~- SEWER LINE DEPTH: PIPE MATERIAL, LOT SLOPE: REMARKS; G.A.A.B. Form EQ-032 PERMIT NO. DEPRRTMENT OF HERLTH RND ENVIRONMENTRL P~:OTECTION 25±6 E. TUDOR RD., RNCHORRGE.. RK. ~507 27g-222± 7~78i ) RPPLICRNT LOCRTION LEGRL TIt~BER ENTEReBISES' GREEN TREE CIRCLE LlO B4 VALLI VUE P 0 BOX ~5i LOT SIZE 2±4L.'.':9 SL-]URRE FEET TYPE OF ,,,,;OIL RBSORSTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:" E F""C H = ::L ~:£-~ L E ~'-.~ ~S T H = ~----:2 C3RF~%-"E L. [:' E F" T' ~-! =: ,.~ THE LENGTH [:'IMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND FIND THE BOTTOM OF ]'HE E~<CR\,'RTION (IN FEE]'). ]'HERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH tS THE blINIMLIM DEPTH OF GRR'v'EL BETHEEN TNE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). l-4:E ~:.~t~ % RE[:. SEF"T %1] C: -f'R~'-.{l-<: S % ZE= :-t_,~, ,---~l C', E:RCKFILLING OF RNY SYSTEM HITHOUT FINRL INSPECTION RND RPPROVRL BY THIS £,EPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTFtNCE BETWEEN R WELL RN[:, RNY ON-SITE SEHRGE [ I_,F__,FL..=,-r_-,TEM · '=' '-'=" '-'"-' ' IS iC~l:3 FEET FOR R PRIVRTE HELL OR 280 FEET FOR R PUBLIC HELL -SPECIFICRTIONS IRND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER I NSTRLLRT I ON. I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELL`---; RE; SET FORTH 8Y THE MUNICIPRLIT~' OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE HITH THE CODES· ]:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR'¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 2: BEDROOMS. _.MNT TIMBER ENTERPR I_.E_, Performed For 2516 h. ludorRqad Anchora , Alaska 99507 276-2221 Dep th Feet I - 2- 3'- 5- 6- 7- 8- 9- lO- ii - 12- 13- 14- Topsoil ow (8~) ow ow .(8~) o~ (8~) o~ (8~) ow ow (87) Was ground waLcr encountered? No Flat Reading Da te if yes, at wilat depth7 Depth to WarmI Gross Time Net Time Net Drop---7-' ' 'Fo-F6-o] rate m~nute. ............. - ............ 'Proposed ins Ca 11 a't~i~]- '~e~qe P i t t)ra i n FJ e Id DepLh of Inlet · Oept[~t~'l~6~O~-~-'pit or trenci, ~' ................ COMMENTS: ............... -- ......................... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 10; block 4; Valli Vu¢ Estates #2 Location (site address or directions) 6242 Green Tree Circle Property owner Mailing address' Lending agency Mailing address Agent Dcbra Brandw~in Day phone 346-8226 wk 564-5434 6242 Green Tree. Circle A~oho~g~; A£~z~ qq516 CITY MORTGAGE Jack Gre¢~ Day phone Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well XX Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fron[ MOA #21 · ~IJON~ s,Je~u!Su@ isuo!sso~'oJd @q~' u! suo!s@!uJO JO s JO J J9 JoJ 91q!$uodseJ ~,ou s! ebeJoqou¥ jo /¢,Hedp!unV~ eq.L 'p@nss! s! 9~89!J!~8o ~ 9Jojeq 13~ep ez,~l~ue Jo suoBo@dsu! ~onpuo9 ~ou op SHHC] ~o s@@~oldUJ:3 .siueuuoJ!nbeJ @le~s pue leJ@pa,t u!~C~o,~Js]~es o~ jepJo u! suoBn~Bsu! bu!puel J!aqi puc saLuoq jo sjaseqoJnd o~,~sa~J noo ~ 98 s!q] seop SHHC] 9ql 'e3seIV ~o ~B~S aq~ U! pej@~9!~oJ Jeau!bue 1~3uo!ssejoJd ]uepuedepu! u~ ,~q e^oq8 9 qdeJ~Jed u! u@^!6 suoBe~u~seJdeJ ~q], uodn ,&lUO peseq se]~oU!l~@O le^oJddv ~l!Joq]nv qll~eH s~nss! (~HHQ) seo!AJeS U~LUnH pue q]l~eH jo ~uauJpedeQ ol~BJoqouv jo ,~!ledpiunlAI eqJ. S~UeLU~UO0 leuoB!pPV suop, elndqs 6u!~OllOJ eql qw~ 'suuooJpeq 'suJooJp@q ~ Joj leAoJdde leUOB!puoo 'peAoJddes!C] Joj pe^oJddv ~- 3tJI'IJ.'VNOIS SHHa '9 '9 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /_.C)~ [~),. /~'.~F.. ~ ~/~/-~.~ ~"/~:~---'Parcel I.D A. WELL DATA Well type (~FS.~ . Log present (Y/N) Total depth Sanitary seal (Y/N) If~ B, 'or C, attach ADEC letter. Date completed Cased to Date of test Static water level FROM WE/LL LOG Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line /'~//~- ADE~ u water system number Drii,er Casing height Wires properly protected (Y/N) g.p.m. AT INSPEC/TION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ;~> om ~ ~ <2> ~ WATER SAMPLE RESULTS: /L.)//~ ,~- Coliform Nitrate Date of sample: Other bacteria Collected by: B. SEPTIC/~TANK DATA Date installed Cleanouts ~N) High water alarm (Y/~') Date of pumping Tank size / C)O(~ G~L Compartments Foundation cleanout ~-~4) . ~/~$ Depression (Y/~_.~ Alarm tested (Y/~)' /~/~ ~--~,Co--c~ [ Pumper ./~c )'~o~,:~-~ SEPARATION DISTANCES FROM SEPTIC/~ TANK TO: Well(s) on lot c;~-60 ' ¢ On adjacent lots To property line 03-0 ~ Absorption field Surface water/drainage 100 f' Foundation ~ / Water main/serVice line /6) -~- 72-026 (Rev. 7/91) Front *i ; ' ' ~ CONTINUED ON BACK PAGE C. LIFT STATION Size in gallons '~"~,~.~.~ Manhole/Access (Y/N) Vent (Y/N) "Pump on"~level "Pump off" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~_,~. ~ Width /-/o° Total absorption area Depression over field (Y/(~) f'3o · Results (pass/fail) Peroxide treatment (past 12 months) (Y/~ Soil rating ~C,7~ $¢'/~ System type Gravel thickness ~, ' Total depth Cleanouts present ~1) ,2, Date of adequacy test ~ for ~,~o'~ ~,l-~e,~.u~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ¢J/~ On adjacent lots ¢O~O0 ' ¢' Property line To building foundation c~O ~ To existing or abandoned system on lot f[////~ On adjacent lots r~(~ ~ Cutbank Water main/service line Surface water lO0 ~ ,/- Driveway, parking/vehicle storage area Curtain drain ~k~ 0 ~.Tt~. E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING 17034 Eo~Ie River Loop Road No. Signature Engineer's Name HAAFee$ / 7~) / Date of Payment ~ ¢,.~ ~) *'~/ Receipt Number ~-~ ~'/~' 72-020 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 WALTER J. HICKEL, GOVERNOR (907) 349-7755 April 22, 1992 FOR: S & S Engineering PWSID # 21O605 My review of the records on fife in this office reveals that the Valli Vue Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, B~ro/nn Roys ~ Project Engineer BR/of DEPARTMENT OF HEALTH & HUMAN SERVICES ' DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date °~t~// GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) (b) (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Properly Owner hone: Home Business ¢ ~ ~ ~ Telephone ~0 g - ~-~ (e) Telephone ~'(o ~ - .~-'~ 0 Mail the HAA to the followinQ address: or: Check here [~ if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms~ WATER SUPPLY Individual Well [] Community'~ Public i-I ( - Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL OnsiteX Public t-I Community [] Holding Tank [] Note: ~f community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 IRev 8/861 Front 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 compfiance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~. ~,~'~~ Telephone Address Date DHHS APPROVAL Approved for ?bedroom by Approved ~---__ Disapproved Terms of Conditional Approval Conditional Date CAUTION The Municipality of Anchorage Depadment 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 fRev 8/86) Back WELL DATA Well Classification ('~/,.-/~ ~ Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~, O~ .~4~I~II~IfCIPALITY OF ANCHORAGE (MOA) · C\~'h?,~$~-~"~IEALT" AUTHORITY APPROVAL ("AA) (¢¢//'~"~-- r"~4////-- ~'~/-f ~ ~ ~HECKLIST - FEBRUARY 1984 .,~1~ LegalDescription: :oT Io;~ ~AL&/ ~ / Jf A, B, C. D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed (~/'~ Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ To Property Line ~- O To Water Main/Service Line Course /~ Size /O~::~J~2 No. of Compartments T"'~J~,/(7.) Air-tight Caps (Y/N) ? Foundation Cleanout (Y/N) J~ Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ I / '7~ Width of Field. Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design _ Length of Field ,~- Depth of Field / 0 Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~ 2-f. C2 ~ To Building Foundation ~- ~ Lot ~/¢-~ [//~z To Water Main/Service Line T/C) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Properly Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) ~)/o~4 Nor,//-: Comments LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or co~formed to alI.M OA and HAA guidelines in effect on the date of this inspection. Signed ~ ('~-~£~-'¢'f~ Date / MOA No. Company Receipt No. Date of Payment Amount: $ Page 2 of 2 72 026 fRev 8/861 Back Engineer's Seal 203 W, 15th AVE 'C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: SEPTIC SYSTEM ADEQUACY TEST Lot 10, Block 4, Valli rue Estates-~,?:,' ...... ~zez ~een Tree Circle ~ . ~;-- : '~ ~ ~' 9-~% ~o. 222,5-51 ' S~ngle Family, Three Bedrooms ~q~.: Community System Class A FROM MUNICIPAL RECORDS: 3-Bedroom System TANK: Greer Steel 1000 gal 2 Comp. ABSORPTION SYSTEM: Trench ABSOR. PTION AREA: 264 sq.ft. SOIL RATING: 85 INSTALLATION DATE: October 1976 DATE OF LAST PUMPING: August 1, 1988 Isaacs DATE OF TEST: July29, 1988 TEST PROCEDURE: System was inspected and measured. Tank was found with four feet of cover and a liquid depth of 51 inches. Clean-out to trench was 5.5 feet deep with water in the invert. 6-inch sump was 12 feet deep and with water to invert o9 800 gallons of clean water were added to the trench clean-out. This caused the water level in the tank to rise 1/2 inch and the level in the sump to rise '2 inches; an indication that the trench absorbed the water as it entered the trench. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions, groundwater 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 septic system. We can therefore not give any estimate Of how long this system will function satisfactory for current or future occupants. ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 DATE: August 1, 1988 PWSID: 210605 To Whom It May Concern: According to the records on file in this office, the VALLI-VIEW SUBOIVISION Water System is in compliance with the State o? 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 o? the water system after 1978 will require plan review and the issuance of a "Certi?icate of Operation" permit. epe 1 y , District O?fice Supervisor BEE:pkk