HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 4 LT 21LoT'
,~-~", MUNICIPALITY OF ANCHORAGE ~'%
" DE, .,RTMENT OF HEALTH AND HUMAN SER,...ES
Environmental Health Division
. 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
F RO M~--......~ SEPTIC ABSORPTION
WELL
Address
TANK
FIELD
AS-BUILT DIAGRAM tShow Iocahon of wetl, septic system, property hnes, Ioundatmn,
TANKS i
~ SEPTIC ~ HOLDING
TYPE OF SYSTEM ~ ~
FIll added above oHg,nal grade Gravel depth beneath p,pe ~ ~0'(~*' ~
Number ol hr, es ISollratlng $~ IPlpematerial '
~ t / WELLS
~ PRIVATE ~ OTHER (Identify) ~
Ins eotion, Pedormed by:
I - cfiflily Ihat ibis inspection was pcdormcd according lo all
Health Department Approval: ~ ~ ¢ ~/~ Date: '~ ¢
72-013 (3/85)
4
i ~3 r' 'L l-i ..........
" 11: ~,~;. I :i. " ....... ' i ti'i,:::, :::':/~,('.,:::,m iii ............... :*¢:i'Lh !'"ICiF>~ ............. a::r~<::t
& associates,inc.
Consulting Engineers
4790 Business Park Brvd. · Bldg. D · Suite One · Anchorage, Alaska 99503 · (907) 561-6151
August 3, 1987
Municipality of Anchorage
Department of Health & Human Services
825 "L" Street
Anchorage, Alaska 99502-0650
SUBJECT: LOT 21, BLOCK 4, VALLI VUE SUBDIVISION
Gentlemen:
On July 31, 1987 we witnessed the installation of a new trench
on the above referenced property. During installation, the
distance to the drive was shorter than anticipated and we made
the decision to make the trench deeper. We verified that
ground water was not present to a depth of 22 ft. +/-. The
'soils were identical for the full depth of the excavation to
.our original test.
Should you
information,
have any questions
please let us know.
tru~ yours,
/ czAT s, inc..
. ~ Co~zn, P.E. -
_d~ ~t
or need any additional
MUNICIPALITY OF
ENVIRONMENTAL SERVICES ~,~v,.,~....i,
AUG ~ 1987
RECEIVED
Anchorage
P.O. ('-"~( 196650
ANCHORAGE, ALASKA 99519-6650
(907) 343-4200
TON Y KNO WL ES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
July 31, 1987
Karl W. Kolthoff
10500 Lone Tree Drive
Anchorage, Alaska 99516
Subject: Lot 21 Block 4 Valli Vue Estates Subdivision
Dear Mr. Kolthoff:
This office has received a request to upgrade the sewer
system on the subject lot from three bedrooms to four
bedrooms. However, we are only able to grant a three
bedroom permit for the replacement of the existing failing
system.
The majority of the lot lies within the 100 foot setback to
Craig Creek; state statutes and municipal law prohibit
placement of a sewer system within this setback. This
setback also reduces the area of land required to meet the
"reserved area requirement" of 12,000 square feet as outlined
in AMC 15.65.040.G.
If you have any questions, please call this office at 343-4728.
Daniel N. Bolles
Engineering Tech
On-site Services
SEO/DNB/ljw
cc: Alaska Housing Finance Corp.
SEWER SYSTEM LOCATION PLAN
.......... ~ ~ORTH ~, ~ m~Eas~ous mmcAr~o HAW
I; ..... '..:....~.~.. '. :t'.::'.' ': . ..... ~1',i"~ ~ ~ J
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
6
9
10'
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
12
13
'~ 14
16-
17-
18
19-
20-
COMME.TS 5 flS
SEAL)
SITE PLAN
_1
S
DEPTH? p
E
Depth 10 Water After/:) ,,-,,/. L
.o.itoei.¢'
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~ ~' (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FTAND ~FT
I o~J I~' rc~ o~+ a6~.~c~,~.~L/~droom
PERFORMED BY; _L~'~k-~-L-J~(~~ I "' ~"-----CERTIFY THAT HIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN__IN EFFE N THIS DATE. DATE: 7
72~008 (Rev. 4/85)
oGRE,,ERANCHORAGE AREA BOF,.-dGH
Depart ment ~3E0n~ir~:ntal Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME~~J MAILING ADDRESS
SEPTIC TANK:
INSIDE LENGTH INSIDE WIDTH
MATERIAl
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY__ GALLONS.
DISTANCE FROM WELL¢~/II///IgX~*/~/~NDATION /-~--/
/
NUMBER OF LINES // DISTANCE BETWEEN LINES
ABSORPTION AR EA __(~/7~'-'~/
DEPTH: TOp OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE OF LINES ~//-~ /
TRENCH WIDTH ~>~, IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE F'~ /
DEPTH OF FILTER
MATER,AL BENEATH TI.E ?~ ,N. A~OVE TILE ~/--~ ',N.
WELL:
TYPe t~-;(~/Ph 14,3 b~/L2, F~/ CONSTRUCTION
/
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE
DEPTH
SEPTIC SEEPAGE
TANK __ SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE:
REMARKS:
Form EQ-032
PERMIT NO~
RPPLICRNT
LOCRTION
LEGRL.
~_~._R2¢ELLE HARRISON
LONE TREE DR
L2i B4 VRLLI VUE EST ~2
520± C ST
LOT SIZE
276-555i
2007~ SQURRE FEET
T~.'PE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MRXIMUM NUMBER OF BEDROOMS = -%'
SOIL RATING (SD FT,'"BR)= 2t5
THE REQUIRED SIZE OF THE SOIL ABSORPTION SgSTEP'I IS:
[:"EF'TH--- i2 LEf~"]TH= ' 5j4 ,]RA%."EL [:,F.~F"]-H= ~EZ;
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURF'RCE OF THE
GROUND AND THE BOTTOM OF THE E~CAVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
F"AL-.:F-:A _¢--~E PLRf~T RE -¢;--~L] I D:E[:"
EITHER R CLASS I OR II NSF APPROVED PLANT MR'¢ BE INSTRLLED.
R CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRE[:,. IF R MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT '¢OU MA9 BE REQUIRE[) TO ENLARGE THE SOIL.
ABSORPTION S'¢STEM AND/OR '¢OU MRS' BE SUBJECT TO PROSECUTION.
IF A CLASS I S~'STEM IS USED THE LENGTH IS --'.'.:B~ 0 FEET.
IF 8 CI_RC;S II SYSTEM IS USED THE LENGTH IS 49. 0 FEET.
BACKFILLING OF AN'¢ S'¢STEM WITHOUT FINAL INSPECTION AND APPROVAL B'¢ THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL S~¢STEM IS
i00 FEET FOR A PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE RVRILRBL. E TO INSURE PROPER
INSTALLATION.
F'EF-:~'I I T k-'AL I [:, FCIF-: C~4E ~"ER~: FF::()P,1 I
I CERTIFb' THAT
t: I FIM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH B'¢ THE MUNICIPALIT'.r' OF ANCHORAGE.
2: I WILL INSTALL THE S'¢STEM IN ACCORDANCE WITH THE CODES.
Z.:: I UNDERSTAND THAT THE ON-SITE SEWER S'¢STEM MA~' REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN -~: BEDROOMS.
APPLICANT HRRVELLE HRRRI SON
,, .
Performed For
Leaal ~escrintion:
This form Renorts
.Date. Performed
Lot. /Block Sub,iris,on
Soils Loq
"One lest is worlh a thousand opinionJ"
2204 CleVeland Anchorage, Alaska 99503'
Harvelle - Harrison
9-1 1
Percolation Test_ yes
Penth
Feet
Soil Characteristics
8__
10--
12--
14--,
16--
18--
20--
12" of Topsoil
Sandy Silty Gravel (GM) moist
Silty Gravelly Sand
Moist
(sP-s )
Sandy Silt (ML) moist
Bottom of Test Hole3
Was Ground Water Encountered? NO
I~ Yes, At what Death?
NO BEDROCK ENCOUNTERED
Readinq Date Gross Time Net Time Depth to H20 Net Dron
, ~ 9-10-76 0 hours ~" 0"
j 9-11-76 2~ Hour Sat~urate Period
I 9-11-76 0 hours 3~" O "
I
Percolation Rate 1"/ 20 Hinutes
Prnposed Installation: Seenaoe Pit Drain Field
Deoth of Inlet Depth To Bottom Of Pit Or Trench
Cn~ENTS: pi~ Sq~ Feet of p?aina~e Area Required Pa~ Raa~nnm
Test Performed B¥~ Data Certified B~: Jim
M~ck
Date: 9-15-76
I~.
Tri. L e¢e/
3o'
SCALE
ELEVATIONS BASED ON Uff~X ~d ~d[ VS DATUM OR OWNER TO VERIFY THAT
PLOT
PLAN
:~ ' ~ ~'~'i ~ MUNICIPALITY OF ANCHORAGE ,,~'~'~ : : ~
·~ -'-' .... DEPARTMr-NT OF HEALTH AND ENVIRONMENTAL Pn~)TECTION
'i~- :, ' : DIVISION OF ENVIRONMENTAL HEALTH
:i i i ::: CERTIFiCAT~ oF INsPECTioN FOR HEALTH AUTHORITY APPROVAL
: . ~1; ;il at ivironmental conse'rv~ti~)'n :~
NO LLn¥O
'3AoJddV I~UOl].lpuoo Jo SUJJO/
I~UO j!puoo Da^oJddBs!(] ~
p@AoJddv
'9
I~eS s,Jeau[§u~
ua 1Della u! suoBelnSe~ pub 'saoUBUlpJo 'sapoo elelS pub led!a!unl/N lib ql!M eoue!lduJoo u! si uJalsAs I8sods!p JOtBMe].SBM
JO/pUB A ddns JalBM m~S-UO eq~ 'UO!lOadsu! Due uoBeiD!lse^u! /~LU LUOJ~ pUB SaI!J eSeJoqauv Jo AlflBd!o!unR eq~ moji
peu!~lqo UO!IBLUJOJU! @ql UO pasBq leql AJ!Ja^ Jeqlanj I 'u!eJ@q pelBo!pu! eJnlonJls ¢o adA1 pue SLUooJpeq JO Jequinu aq~, Jo~,
elBnbaDB pue leUO!lOunj 'e~es s! UJelSAS lesodsiP,letBMelSBM JO/pue Alddns Je:IBM eyS-UO eqlleql SMOqS IBAoJddv AllJoqlnv
qllBeH s!ql ~o uoBeS!~se^u! ALU ~eLIJ Ajpa^ I 'Moleq UMOqe e~ep UOBeP!IB^ eLt~ JO se pub oleJeq pax!Jla IBes ALU/~q pe!j!Pea sV ..... ,,-*
-' NOIJ.¥1NI~O=INI aNY ¥.LYa 'HOEI¥:i9 ~]114 'S.LS:I.L '$NO IJ.O~clSNI !DNII:]I^OEIcl IN~II=I DNII~:I=INION~ 'g
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
WELL DATA 9
.Well Classification ~A~..~/,_,,.,~..~(,-~( ifA, B, C, D.E.C. Approved (Y/N) .
Well Log Present (Y/N) DaLe'Completed Yield
Total Depth Cased to Depth of Grouting
Static Water Level , Pump Set At /
Casing Height Above Ground Sanitary Seal ~-
~ // ; On Adjoining Lots
ToSeptic/HoldingTankon Lot--°n-J"et'"//~ ;OnAdjoining Lots
To Nearest Edge of Absorption Field
To Nearest Public Sewer Line / To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Cleanout/Manhole /
Water Sample ~y
Water Sa.~r'Test Results
Comments
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N) ~'~ Air-tight Caps (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
To Water Main/Service Line ~ d,~ !
Course '7~ ~
Comments
Size ~'/~' ~ No. of Compartments
~ Foundation Cleanout (Y/N)
Date Last Pumped ~7./~., ///4~ 7
~/~ ;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field ,.~ I
To Stream, Pond, Lake, or Major Drainage
Page I of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well '~/.'~ ~ ~OO/ To Property Line
~/"~/<!Y /~ _~ Type of System Design
Length of Field -.~ /
Depth of Field ~ t'/~' ~ /
Gravel Bed Thickness ~ 5 /
¢ /'~) '~- Standpipes Present (Y/N) "~
/'/ , D~te of Last Adequacy Test ~ff,/~- //8 ~'
TO Building Foundation / ~" /
To Existing or Abandoned System on
Lot ~ d'c,C/4/'t.~'¢C"J ; On Adjoining Lots ~ "¢,~ /
To Water Main/Service Line ~' r/'~ / To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course 7,~' ~
To Driveway, Parking Area, or Vehicle Storage Area //~. /
Comments
D1 LIFT STATION
Date Installed Dimensions~.~
Size in Gallons :~,.~ ~s (Y/N)
"Pump On" Level at ~ "Pump Off" Level at
High Water Alarm Level at Vent (Y/N)
Tested for ~ Pumping Cycles during Adequacy Test. Meets MOA
** Check itted ~¢.~ m Rating Against HAA Request **
I certify t hC~t ~/Have cbC/clOd, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed /~/~ ~ Date ~
Receipt No.
Date of Payment
Amount: $ ,//~") ~--~ ¢ ~ Engineer's Seal
Page 2 of 2
: .:7"?~
DEPT. OF ENVIRONMENTAL CONSERVATION /
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
I SI'EVE COWPER, GOVERNOR
Telephone: (007)
Address:
274-2533
To Whom it May Concern:
According to records on file in this office the \/~, : !/,~, ~
Water System is in compliance with the State Drinking
Water Regulations
Sincerely,
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received March 4, 1977
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
:OR
Cony.
1. Approval
Mailing Address: Post Office Box 420
2. Property Owner: Ric!~ard Matthews/Roger Bates
Mailing Address:
3. Legal Description: Let 21 Block 4 Valli Vue Estates
4. Location: 10500 Lone Tree Drive
requested by: Alaska Pacific Bank % Sue La Mont
Phone: 276-3110
Phone: 276-5551
277-1553
#2
5. Type of facility to be inspected
6. Well Data:
A. Type Community
C. Construction
Sewage Disposal System:
A. Installed 1976
Single Family
No. of bedrooms 3
C. Septic Tank:
D. Seepage Pit:
E. Disposal
Distances:
A. Well to:
B. Depth
D. Bacterial Analysis
On-site.system, Permit ~76548
B. Installer
1. Size 2. Manufacturer
1. Absorption Area 2. Material
Field: Total length of lines
Seotic tank
· Absorption area
, Other contamination
, Absorption area
, Sewer Lines
Nearest lot line
B. Foundation to septic tank
C. Absorgtion area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages '- Ret. it for Approva~¥of Individual S ~r & Water Facilities
Legal Description Lot 21 Block 4 Valli Vue Estates #2
Comments
Approved ~< ~ Disapproved
/
Approval
Greater Anchorage Area Borough, Department of Environmental Quality
Valid for one year from date signed
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ~034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MU/V/CIPALiTY
~' PROzECFiOAi
1977
1. Type of Inspection: CMRO VA
2. Property Owner: ,.~,',--_~,t ~/ /'~ )z/-~z,c~,~' ~-
Mailing Address:
Name of Buyer: /~/.
a. o//
J!
Mailing Address:
4. Name of Lending Institution: F~r~/--..~-~ P.~ i ~'~'~
Mailing Address:~'~ ' ~ ~ ¢3~
5. Name of Realtor or Agent: (~ ~ ~m~
Mailing Address:
6. Legal Description: /~ ~ / ,~ ¢ /9~ [/,'
FHA CONV.
C)
Day
Phone:
Day Phone:
Type of Facility to be Inspected:
No. Bdrms. ~
Water Supply
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well ~
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site~rt-----~
72-OO3(3/76)