HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 4 LT 22Valli Vue Estates Block 4 Lot 22 #015-322-25 Cry Municipality of Anchorage .r Development Services Department Bultding Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page I of3 www cLanchorage.ak us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5W6g0 PID Number: ©I5-3� — S N— Keh `/ er Wastewater System: ❑ New ❑ Upgrade 10 10 !7� litho e Kq l6 6 ABSORPTIO LD �7 [•� P'— 3 . / 6 — 1755 / S *—o- or a"boam -3 O DNP« 7'OVTr OB MoundO Om«, SodRM,rq Tar Depmban«gr arses LEGAL DESCRIPTION P �� elod,q Lot/l� S,eevisim� II.V I uQf f4* De01 m PSP. bma«b rwWrnd FI. C b«r.mtiw FI -( I� Townav Rarge Sedgn Fe asses shwa;rani pees \ a L pm. FI. FI. Well: ❑ New ❑ Upgrade Granl,wgk \ FI. Numbers s Di«anp Meaeen Mea' FI DIN«ec•uon (PMN! AA B, 01 TdM DNer C Taa W N P Mum" 'EX pear NMe . s__W«« leM MUesr Date Inst e F, nae FunosmW" r.«na TANK DPM Ft, it SEPARATION DISTANCES 1 aseptic ❑ Holding ❑ s.T.E.P. ❑ Other. To Septic Absorption Lift Holding PubBUPrNat A1«" f " lank From Tank Fietd Station Tank Sewer Line .7 LY1� de Wee app+ + -- ^ r cR5 f' Ma«ul S+ &4ci e a DPmPanneae' s�narawvor UFT STATION ` L ,Ie Me,MBUVN La Lne 13 Da l« «a« N a« Hgbwi«a«m« Found~ I� in In K�aay Pure MaFe ENdntAl Fepecl,mspMarmeebr cua. D,� �- one R«nar.a E LSft/1 SP 0 a BENCH MARK a d 46��do PSP.• lerseen «.a DesaFluR So / / Of 5 I •1r -Ir N ed 1001, o;/I'1- 0 OF At `" !/" .sP 4C VA —SKNOINKgRiw 17034 Lagle Rlwar Loop Read, No. 2a es: —1'441 Inspections performed by: 1" Zogly ' z y- a 1 -oy � ._ R ... ,.. 7a G COWAN f Developknt ervicesDepartmentApproval p Y06ERT epCE•8801Reviewed and approved by50A Date: tl�a.�.....ftv'c ,,,.,_,1D �o� %5 �b�Oa�C t -Jo . • :. PERMIT NO. SW040289 PAGE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HE4UH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.0 Box 196650 • Anchorage, Alaska 99519-6650 • Te'lephone; 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 22 BLOCK 4 VALLI VUE ESTATES #2 P.I.D. No. 015-322-25 .iLOT 23 DBL1 & LOT 45 SCALE V \ 40' y ROBERT C. COWAX `g CE -8801 "" \\ LOT 21 \ " PATH OF POTENTIAL SURFACING EFFLUENT -WOULD10TORIWEL MORE 1\\ CE_NAiEVZ 88. TO SURFA EXISTING_ TRENCHES 1\ WOOD RETAINING WALL \\ 1fl\ N \ \V3o.� iz\ LOT 27 a .iLOT 23 DBL1 & LOT 45 SCALE V \ 40' y ROBERT C. COWAX `g CE -8801 PERMIT NO. SW040289 PACE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 22 BLOCK 4 VALLI VUE ESTATES #2 P.I.D. NO. 015-322-25 ST1 S 99.3' FINA170 ADE 90.9' NEW 1000 90.7' GALLON SEPTIC TANK N. T. S. �.��Qfrt AL% »..., ti S�9 t?� •- y�,••�ROBERi G COWAN L c ce-saol lj A B FCO 2.5 24.5 ST1 29.0 15.0 -§T _2 35.0 18.0 DBL1 42.5 24.0 DBL2 44.0 25.0 48.0 27.5 MUNICIPALITY OF ANCHORAGE Cj'0 Iho Development Services Department l Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW040289 Legal Description: IVALLI VUE ESTATES #2 BLK -4 LT -22'1 Design Engineer: 0003 S & S Engineering Owner Name: KEN HILFIKER Owner Address: 10510 LONE TREE DRIVE ANCHORAGE. AK 99516-6722 Date Issued: Jul 26, 2004 Expiration Date: Jul 26, 2005 Parcel ID: 015-322-25 Site Address: 010510 LONE TREE DR Lot Size: 20222 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of. ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Z Date: -7IA-7/p y Issued By 'n Date: 3lu Municipality of Anchorage Mark Degich, Mayor Buildillg Safety Diit'ision P.O. Box 1196650 • 4700 Bragaw Street Anchorage, Alaska 1J0o19-C- 0 • (907) 343.8301• Pax (907) 343.800 1ittp://m xw.nn,nt.org 7/22/2004 Bob Cowan S&S Engineering Subject: Waiver Request for Valli Vue Estates 42 Block 4 Lot 22 Waiver Request #WR040048 Parcel ID #015-322-25 Dear Bob Cowan: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to surface water has been approved. The approved separation distance is 88.0 feet. This waiver approval applies to the existing absorption field to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, rocGoodall Civil Engineer On -Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: 040048 PID#: 015322-25 HAM_ Permit#: Date Received: 7122fO4 Legal Description: Valli Vue Estates #2 Block 4 Lot 22 Engineer. Bob Cowan Applicant: Ken Hllfiker Waiver Requested: W separation to surface water Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: By. Name of Reviewer ........................................... .... ..... ...... ..... ..... man ... ..... Rec#: — Amount: $_ Date Paid: 712312004 Municipality of Anchorage �. Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907)343.7904 ON-SITE SEWERMELL PERMIT APPLICATION FORFOR A SINGLE FAMILY DWELLING Parcel I.D. X15 - 3a ^ - a Permit Number SW Property owner(s) Keki L r I t-1 ker- Day phone /b' 1 755 Mailing address (1) 16 Mailing / Mailing address (2) / 4'_-1V n5P n p Zip Code r5-lI `T g50 Legal description (Lot, Block & Sub'd.) LO��� u 06k- Ua V 1e G odei ng ROBERT C. COWAN, P.E. July 15, 2004 IEALTHAUTHOTSTY I MUNICIPALITY OF ANCHORAGE CML ENGINEERS (907)694-2979 FAX(907)694-1211 'PPWN S Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER I WATER WUNC(TEIS1)P8 REFERENCE: Lot 22, Block 4, Vallivue Estates #2 6EWER&WATER It is requested that you issue a permit to replace the 1000 gallon septic tank currently mncnm serving the existing three bedroom dwelling on the referenced property with a new 1000 gallon septic tank. Also requested is a surface water waiver from the leachfield trench to the creek at 88'. ENGINEERRIOSTUMS AND REPORTS The travel distance of any potential surfacing effluent would exceed 100'. Surfacing effluent would be slowed and treated by topsoil and lawn. Any absorbed effluent would be treated by an underlying sandy silt. Due to the depth of the leachfield trench, sewage WEU INSPECTION would likely backup into the house before surfacing on the ground. I PICAYCW?EST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank or by the granting SITES of the surface water waiver. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. ROADDESIG„ Sincerely, SOL TEST/���� Robert C.Cowan,/P� E �— PERCOLATION RCC/bjj TOT Enclosure STRUCTURAL& WCHWdCAI INSPECTIONS CN SITE WASTEWATER CGPOSALSYrTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 1" = 40' DESIGN I SITE -PLAN .y 1c> A q \\ ` O OHO z�w O onp Oy2 m r OAOm r • T ^ Oi >u ANN x W jNjjsi)(3 \ lV \ Oft ` \ V✓ r LCA pms �Zr m-� �4 w \ \O, \ .r \G ` ~mtiD me po EXISTING TRENCHZI- o_'amo xpD� tirnm 2 Om _ 7� l V \�C^ \? DESIGN I SITE -PLAN G� Lp3W3Stl3 A11'111I -06 / 3 3c)d / I Z / : x Z m VI / F," .y 1c> i �nng r NV; >cx� =x O onp Oy2 m r OAOm r • T ^ Oi < x W jNjjsi)(3 mmpZ r+miZ G� Lp3W3Stl3 A11'111I -06 / 3 3c)d / I Z / : x Z m VI / F," .y 1c> a r >cx� =x O onp Oy2 m r OAOm r • T ^ Oi < x W jNjjsi)(3 mmpZ r+miZ T1 lV r LCA pms �Zr m-� �4 r .y a 0 3SnO" I £ r O r • T ^ Oi x W jNjjsi)(3 lV �4 w cil .r ~mtiD me po EXISTING TRENCHZI- o_'amo xpD� tirnm 2 Om _ ZDSX �iJCy / ppFZ � xpn Z O wOO�� O / .y r O r • T ^ Oi o do cil m 0 n I� En9IneeRInG ROBERT C. COWAN, P.E. CMLENIGINEERS (907)694-2979 FAX(907)694-1211 TEXTHAUTHCRITY ON-SITE WASTEWATER DISPOSAL SYSTEM APPRUYNS CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS SEWERSWATER LVM E7(TEM*NS REFERENCE: Lot 22, Block 4, Vallivue Estates 42 July 13, 2004 SEWERSWATER "SPE`TXW GENERAL: 1. The scope of this project includes the replacement of the existing 1000 EN WERNCST MS gallon septic tank with a new 1000 gallon septic tank to serve the existing AWREPORTS three bedroom residence located on the referencedro c P P rtY• 2. Construction shall be in accordance with the approved site plan and design WEUMPECTRCN drawings, Municipal permit with any special provisions or conditions, and AFLOWTEST all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary &TEP AM underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil AWCESId, settling. . 5. Contractors installing wastewater disposal systems must be certified by the 6CILTEST Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PERCOLATION TEST SEPTIC TANK INSTALLATION: STFOUCTI 1. A septic tank is to be constructed by a certified septic tank manufacturer. M& MECKAPaM Construction shall include two 4" cleanouts for pumping access. CNSTE WASTEWATER DMPOMSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 Page 2 Lot 22, Block 4, Vallivue Estates #2 July 13, 2004 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam FII or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). Page 3 Lot 22, Block 4, Vallivue Estates #2 July 13, 2004 INSPECTIONS: Typically there will be a minimum of two (2) inspections required during the installation of the septic tank. These inspections will occur as follows: The first inspection must be conducted after the septic tank is set in place, but may not be backfilled until after this inspection. 2. The final inspection is to occur upon final grading of the property. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the ownces representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineerins s inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER ~'~ MUNICIPALITY OF ANCHORAGE ,, Y~1 ~,.~ DEPARTMENT OF HEALTH & ENVIRONNIENTAL PROTECTION ( ENVIRONMENTAL ENGINEERING DIVISION ~ 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] NEW ALI G A SS ~ DISTANCE TO: ~Well ~ AbsorPtion area Dwelling PERMIT NO. ~ Z Manufacturer Material No. of compartments  Liq. capacity in gallons Inside length Width ' Liquid depth IF HOME.DE: . ~ WeJ] Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallo~s ~ DISTANCE TO: ~ length~ ~es Trench wld~ Distance between lines No. of lines Length each line Total Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer llne Septic tank Absorption area(s) OTHER ~ ~ SOlE TEST RATING ~ /I,~ ~' INSTAELER ~ REMARKS ~ APPROVED D~TE LEGAL 72-013 (Rev. 3/78) ! 264-4720 '" * * * HANDWRITTEN PERMIT * * * permit ON-SITE SEWER PERMIT Applicant: ~~ ~->~ c% Mailing Address: Location: ~ Phone Number: MUNICIPALITY OF ANCHORAGE Department~f Health and Environmenta~rotection 825 [ ~ Street, ~nchorage, AK. 3501 Legal Description: ~o~ ~ ~/~ ~ Type of Soil ~sorption System Is: Trench: ~./ Drainfield: Maximum Number of Bedrooms: ~ Lot Size: Seepage Bed: __ Holding Tank: Soil Rating(sq.ft/br) /~A~ The Required Size of the Soil ~bsorption System Is: ' DEPTH /~,A-/ LENGTH ~ GRAVEL DEPTH 3< WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall ~ipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /DO~D GALLONS * * Perm/it applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimura distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days Of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells set forth by the Municipality of Anchorage. (2) I will install (3) I understand as the system in accordance with codes. that the on-site sewer system may require enlargement if the residence is remodeled to Applicant / sw /024 include more that 3 bedrooms. Date: y/~/~ ~3 ALASKA el dlROnmellTAL COIqTROL SE!RuICeS, ~n§ineeHn~ ~, ~nuh'onm~tol $rudie$ June 23, 1983 Ed Lodwig SRA Box 28 L Anchorage, Alaska 99507 Subject: Soils and perc Test results for Ed Lodwig, Valli Vue Block 4 Lot 22 Dear Mr. Lodwig: The results of the soils and percolation rate tests on this property indicates that the septic system failed because it was located in inadequate soil. The test holes dug adjacent to the existing system showed a tight, silty soil which would not percolate. Test holes were dug in excess of 20 feet and no groundwater was encountered, therefore groundwater has been eliminated as a cause of problems. A test hole dug to the north of the house showed a more favorable soils horizon and several options exist for putting a system in that area. These possibilities are listed below: A deep trench with 3 feet of gravel 18.5 feet deep, 3 feet wide, and 75 feet long. A deep trench with 3 feet of gravel 18.5 feet deep, 5 feet wide, and 58 feet long. A shallow bed system with a lift station, 45 feet by 22 feet and 5 feet deep. A shallow trench with a lift station, consisting of three 37 feet lengths, 6 feet deep, 3 feet wide, with 3 feet of gravel. If a deep trench system is used, the system can be added to the end of the existing system. Whichever system is selected, it will have to go through the driveway. Also, since it will have to pass under the water service line special protection and separation requirements must be met per state code. I recommend speaking with an excavator concerning the relative costs of each of the proposed systems. If there are any questions please feel free to contact us. Sincerely, Margaret Lang Civil Engineer Presiden7 1200 UJcsl 39r~I Au~,~u¢, Suil¢ [~ · Anchore§e, Alaska 99503 · [907) 276-1361 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST DATE PERFORMED: SLOPE SITE PLAN I~_L_I I I I "Il,aid II I I II I III I¢~11~ III I I1~'11 I Ill fl III°11 I 10 11 12 14 15- 16- 17 18- 19- 20- COMMENTS WAS GROUND WATER N SL ENCOUNTERED? () O P E IF YES, AT WHAT DEPTH? ve,c,,,t ~ne,Sand 72-008 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop ~'HzO) bJl/t~ /z'-~ ion,,;,,. PERCO LATIO N RATE (minutes/inch) TEST RUN BETWEEN I~' FT AND I ~"%~" FT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, A{aska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST .*EORMEO ,OR: 6d LEGAL DE~DR,PTIO": DATE PERFORMED: SITE PLAN 12 broLon, ~lsf 13 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 14- 15 16 17 18 19 20- -- c::iC Vcrl ,~ ¢c S~d COMMENTS PE.PO.MED.¥: 72-008 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop ~:o'q 10mm. q.q~ , PERCOLATION RATE TESTRUN BETWEEN ql/z FTAND d F CERTI FI ED BY: ~' '~'~ (minutes/inch) DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ' SOILS LOG [] PEF{COLATION TEST PERFORMED EOF{: LEGAL DESCRIPTION: § 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20- SLOPE ~CaGtor~c~ j~AS ~F{OUN~ ~ATER ENCOUNTEF{ ED? DEPTH? DATE PEF{FORMED: S L O P E SITE PLAN ~11~' ,4~a~?l IJ ~ o 0 Lero¥ (; Re)d, Jr, ~ Gross Net Oepth to Net Reading Date Time Time Water Drop ,.'~!! PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT CERTI FI ED 13Y: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST SLOPE 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20- PERFORMED BY: 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /.o¢: 7-// SITE PLAN /:~½~kJ~ER Ce LAT~O N ~ATE TEST RUN BETWEEN Gross Net Depth to Net Reading Date Time Time Water Drop ,V.'o~ · L? trio ~ ,/o CERTIFIED BY: / ~;~,'~ (minutes/inch) ~/~ FT AN , ANCHORAGE AREA BORO,.. H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME SEPTIC TANK: INSIDE LENGTH MANUFACTURER t/~'~'-~ MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS L IQU I D CAPACITY //(-'~2~2 GALLON S. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA ~'~ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE TOTAL LENGTH OF LINES TRENCH WIDTH~~ IN. TOTAL EFFECTIVE IN. ABOVE TILE IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST SEPTIC LOT LINE__ SEWER LINE TANK__ OTHER SOURCES DISAPPROVED REMARKS DEPTH SEEPAGE , SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY~ SEWER LINE DEPTH: F'ERMIT NO. FII:'F'L. I CRNT LOCFIT I ON LEGRL DEFFtRTMENT ~:~ HEFII..TH FIN[:, EN',,,'IRONMENTF!L I JTEC:TION :::2'~ "'L '" ':;TREET, FINF'HF~RFIGE, RH:' 99~F~.~ ~ ~ Em j,.., E, RLTZ_. BI._[:,~ P Cm L]]NE TREE -,-' :,UE,[ LOT ._,~.E :l.97'4m~) SQUlaRE FEET L22 E, 4 ',,,'RLLI YUE '- "" c-'=,- · '"'":::' ', IS: ' ' ' -' T'¢PE OF S]i]'I.. FIE:L.--.,ORE:TION =,T...TEfl TI~EN_.H · -,-. ,--,,: "-- FT,.-"BR)= t50,./~ BEDF..ULIfl_, = SL-ItL RFtTING ,..:,l;.. THE F.'.ELT-!UIRED _,I,~E OF TNE :,uIL FIBSORPTtON _,r_TEfl IS: THE LENGTH DIMENSION IS TFIE LENGTH (IN FEET) OP ]''HE TRENCH OR DRRINF:IEL. E:'. THE DEPTH OF R TRENCH OR PIT IS 'THE DISTFINCE BETI-'.IEEN THE SURFFIE:E OF' ]'HE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',/EL DEPTH IS THE MININUM DEPTH OF GRRVEL BETNEEN ]"HE OLITFRLL PIPE RND TNE BOTTOi'd OF TI-IE EXC:R'¢FITION (IN FEET). BFICKFILL. ING OF RN'¢ S'¢STEH P~ITHOUT FINRL INSPECTION RND RPF'RO',,,'RI._ B'¢ THIS [:,EPFIRTMEI,,rT I.,~IL.L BE SUBJECT TO PROSECUTION. HINIMMM DISTRNCE 8ETP.IEEN FI HEL. L FiND FiN'¢ ON-SITE SEWFIGE DISF'OE;FIL. S'¢STEM IS FEE]' FOR Fl F'RI',/RTE P.IELL OR 2:~9e~ FEET FOR. FI F'UBL. IC NELL. SPECIFICRTIONS RND CONSTRUCTION .F.)IRGRF:IH::'5 FiI~:E R'¢RILFIBLE TO INSUI~'.E PROF'ER NSTFILLRT I ON. I CERTIF'¢ THFlT :1.: I FIM FFlMILIFlR NITH THE REC!UtREMENTS FOR ON-SITE SEI.dERS FIN[:) 1.4ELLS RS SET FORTH B'¢ THE: MUNICIF'RLIT¥ OF RNI]:HORFIGE. 2: t !.dILL INS'BaLL THE S'~-'STEM IN RE:COR[:,FINCE NITFI THE C:O[:,ES. ~: I UNDERSTRND THFI'f' THE ON-SITE SEPjEF.: S'~'STEM i"tFI'¢ REC!UIRE EN[..FIIR. GEMEI",I'¢ IF THE RESI[:,ENCE IS REHE~DEI_ED TO INCLUDE MORE TNFIN :2: BEDROOMS. RPF~ICFINT" -'8F~LTIC E,L[:,G 'cci'" . .................. [:,FITE__ I.:,_, . ED E:'¢ .......... RECEIV,' ? SE? 3 0 1975 ,4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: f~07-27c)-2581 September 22, 1975 WO 17509 Mr. Carl Pruett Valli-Vue Estates P.O. Bo 4-1141 Anchorage, AK 99509 Re: Subsurface Investigation for On-Site Sewer System Lot 22, 23, 24, & 25, Block 4; Valli-Vue Estates Dear Mr. Pruett: Transmitted herein are the results of the subsurface investi- gation and percolation tests performed on the above referenced lots on September 3, 1975. The drilling was accomplished with a Mobile Drill B-50 drill rig mounted on a Flextrack-Nodwell tracked vehicle, owned and operated by Denali Drilling Inc. The test holes were logged and the drilling supervised by Mr. Pete Herstek, staff technician with Alaska Testlab. The locations of the test holes are sketched on the attached Figure 1. Table A is the logs of the test holes drilled. Standard explanatory information is contained in the back of this report and should prove helpful in interpretting the data contained on the test hole logs. The test holes drilled on Lots 22 and 23 showed permeable material that should accept a septic tank/seepage system. Classification of the soils was by visual means. Both holes were percolated. After having been saturated overnight, the test hole on lot 22 percolated at a rate of 2.1 minutes per inch, while the test hole on lot 23 percolated at a rate of 3.1 minutes per inch. These rates were maintained for 60 minutes. Utilizing the data published in Table A "Area Requirements for Individual Residences" on page 8, 0f the "Manual of Septic Tank Practice", published by the U.S. Department of Health, Education & Welfare, the absorption of the area requirements for seepage pits placed on these two lots are 90 square feet per bedroom and 105 square feet per bedroom respectively. Mr. Carl Pruett -3- September 22, 1975 It should be noted that all of the water levels listed in the test hole logs were for the date of exploration only, and are subject to fluctuation wfth seasonal and climatic changes. We hope this data is adequate for your present needs. If there are any questions that we can answer or clarifications that we may make, please do not hesitate'to contact us. Very truly yours, Approved: f ALASKA TESTLAB blelvin R. Nichols, CE Laboratory Supervisor MRN:mm Enclosures O P~r~O ~o ~o o ~o o ~o Lot 22 TABLE A WO#17509 Depth in Feet From To SOIL DESCRIPTION 0 9.0 F-2, tan Gravelly Silty Sand, SM, damp, medium density. 9.0 14.0 'F-2, tan Silty Fine Sand, SM, density. 14.0 ~16~0 F-2, tan Gravelly Silty Sand, · ~ ~ medium density. Bottom of Hle: 16.0 ft. Frost Line: None observed Free Waterlevel:. None observed damp, medium SM, damp to wet, ~o o ~o o 22 2/ 4 2O /8 ' '/2' 29 28 :-":' 27 C.~ /4, 3..'1 C) 2O 21 '~ :: Oo 24 0 % / · // ] ~ ~' i' .... LJ i~'!!~ . ': v DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 (907) 349-7755 February 26, 1993 Scott S & S Engineering SUBJECT: Valli-Vue Subdivision Class "A" Public Water System, PWSID 210605 De~r Scott: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on February 4, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on August 13, 1992. This does meet the provisions of 18 ,&AC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on December 2, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on November 12, 1991. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst· II MUNICIPALITY F ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-322-25 Expiration Date 1. GENERAL INFORMATION Complete legal description VALLI VUE ESTATES #2 BLOCK 4, LOT 22 Location (site address) 10510 LONE TREE DRIVE, ANCHORAGE, AK 99507 Current property owner(s) CAMERON & BROOKE SMITH Day phone Mailing address Real estate agent 10510 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: Private Well ❑ Private Septic Water Storage ❑ Holding Tank ❑ Community Well ® Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Waiver Fee $ Date of Payment Receipt Number COSA # 0.SG?,2_I0y 2 Date of Payment Receipt Number Waiver # Distance: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 02/09/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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 •�f(� well and septic system. Therefore, any estimate of how long a system will function satisfactory ��P• • . �) for current or future occupants or guarantee that no unseen encroachments, deficiencies or ��g••• •� `�j discrepancies exist can be given by First Water Consulting & *•,-49 TH •'* rJ 6. DSD SIGNATURE �'•• •'•' •"" • • Curtis Huffman System #1 Approved for 3 bedrooms ��F���•. CE 128991 .• ' AiW e� - Q2/09122' \\ System #2 Approved for bedrooms i1lkF�pROFESSOo Disapproved Conditional approval for bedrooms, with the following stipulations: 014-S �jA ND STI'-v�ATER o PROG J�JIJ�p�FNT By: Original Certificate Date: z '• Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: VALLI VUE ESTATES #2 BLOCK 4, LOT 22 Parcel ID: 015-322-25 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA – COMMUNITY WATER ❑ Well log is filed with Onsite (or attached) Date drilled Total depth _ft Cased to _ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) — in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA Age of tank(s) 18 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Stand pipes/fou ndation.cleanout per record drawing Date of pumping 2/8/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 1983 ® ALL standpipes present per record drawing Total measured depth from grade *11.7 ft (max) Measured depth to pipe invert from grade *8.3 ft (min) ❑ N/A – pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective —ASSUMED PER ELEVATIONS... of _ Structure served by this system _ Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate _mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 2/8/2022 Results M Pass For 3bedrooms Fluid depth prior to test 4 in Water added 650 gal New depth 20 in Elapsed time 1380 min ®Code -required soil cover over field Final fluid depth 4 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: *AT GRADE 1983 MT & 1977 CO **MT IS 7.3' BELOW CO ELEVATION PER SHOTS SEE MOA RECORD DOCS. FRES 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/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E] Yes if No ft ❑ Yes if No 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 Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells >' 100 _ ®Yes if No Water Main >.._1.0" ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes Property Line > 10' ® Yes Water Main > 10' ® Yes Water Service Line > 10' ® Yes Surface Water > 100' ❑ Yes F. ENGINEER'S COMMENTS if No *** ft If absorption field is under driveway comment below if No ft Wells on Adjacent Lots: if No *** ft Private Wells > 100' ® Yes if No ft if No *** ft Community Wells > 200' ® Yes if No if No **88 ft *MET CODE AT TIME OF INSTALL. ***ASSUMED PER MOA RECORD DOCS. **MOA WAIVER. G. ENGINEER'S CERTIFICATION 1 certify that / 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. low TM �.... .... .........fid • Curtis Huffman CE 128991 ,,•�`vs�f }�lOF�F�pROFESS � ,MW ft ft ft ft ft ft ft ft ePLAPALS 4 BG • Municipality of Anchorage Qh On-Site Water and Wastewater Program <' (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 015-322-25 Expiration Date: I E'Z2'1 l 1. GENERAL INFORMATION: Complete legal description VALLI VUE ESTATES#2; BLOCK 4, LOT 22 Location (site address) 10510 Lone Tree Drive*Anchorage,AK 99507 Current Property owner(s) Ken Hifiker Day phone 240-3788 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: 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 the engineer,unless otherwise requested by the engineer. COSA Fee $ 6-56.(41 Waiver Fee $ Date of Payment I 1 i(olj9 Date of Payment Receipt Number ,37-7Cq Receipt Number COSA# 6509 I O U i 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: (Z/7 Ji 3 ,000000 In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system oo OF A,\ `14 in accordance with the guidelines and regulations established by the Municipality of Anchorage and K-,.•. �Q c1t O industry practices. The reported results describe the condition of the system/s on the date/s of the i . •'... 0 O evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ; - • 9 �' '• O encroachments may exist that were not identified during the evaluation. The operational life of all wells D and septic systems depend upon a variety of variables, including but not limited to, soil conditions, g Q 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 �a • J: -y '. Gorr,- s.: a system/s; therefore, GEG makes no warranty(express or implied)regarding the future performance of (/ m 't CE---,79p3 ' Q the well or septic system. GEG makes no representation whether an alternative well or septic system O`sj �j.:6,Q can be installed on the property in the event either of the current systems fail to perform adequately in CQfP,P .'t 7x 1,f//`•'6'.�°A� the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4Q °,0r 0fess+°°°\c�Q perform the evaluation. Reliance upon the information provided in this report by any other person or %�00000�.::, party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Jr,\\ 4r,rvg.,hk Conditional approval for bedrooms, with the following s,$pul TE 11/,�v z \i plk- WA ER o ° *IN R�GRPM i 'Jba ur S v\C' --........"..."- Q By: -4.`�1i ." Original Certificate Date: /— /7— / The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.dot 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 22 Parcel ID: 015-322-25 A. WELL DATA Well typecoMMUNIrY If A, B, or C provide PWSID# 210605 Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height(abo - .round) in. FROM WELL LOG AT I _. CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES . Coliform colonies/100 ml. Nitrate mg./L. Collected by: enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA 52 INCHES OF LIQUID IN TANK ON 10/31/18 Tank Type/Material SEPTIC/STEEL Date installed 9/14-21/04 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES OFoundation cleanout(YIN) YES Depression over tank(YIN) NO High water alarm (Y/N) N/A S Date of pumping 11/28/18 Pumper A+ HOME SERVICES ) "' C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE IN 1983 TRENCH 1977/1983 ct Date installed 1977/1983 Soil rating (g.p.d./ft2o ftZ/bdrr ) 150 System type TRENCH/TRENCH Length 47/93 ft. Width 4.0/3.0 ft. Gravel below pipe 5.0/2-3 ft. Total de thUNKf 11.2+ft. Eff. absorption area470/490 2 t p p ft Monitoring tube**YES Depression over field NO Date of adequacy test 10/31/18 Results (Pass/Fail) PASS For 3 bedrooms 4 • t� q• Fluid depth in absorption field before test 0 in. Water added 1509 gal. New depth 15 in. Elapsed Time: 120 min. Final fluid depth 5 in. Absorption rate>= 450+ g.p.d. ' `^ Any rejuvenation treatment(past 12 mo.) (Y/N & type) NO If yes, give date - -TESTED NORTHWEST TRENCH ONLY L.__ 3 " OT EH Al- BW T TRENCH.MONITORING BASEDTUBE ON THISINNINFORMATIONRTHWESTRITNCIS REASONABLEEXTENDS93 TOINCSSES UME BELOW THATTHE THE INVERT MONITORINGOFHE TUBE IS SET TO A DEPTH THAT ALLOWS THE CONDITION OF THE NORTHWEST TRENCH SEGMENT TO BE ASSESSED. -1977 TRENCH AND TWO 1983 TRENCHES MAKE UP 1 SYSTEM -CONDITION OF 1977 TRENCH AND THE FOOT LONG SEGMENT OF THE 1983 TRENCH ARE UNKNOWN BECAUSE THERE IS NO MONITORING TU ES OR CLANOUTS 3� .'1k D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at_._... . in. "Pump dflevel at_..____,•._ .. wa er-alarm level at In _-- f' _-._. ■ Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main '.• ' sewer manhole/cleanout Sewer/septic service line Holding tank s - containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 'S'+ Property line 5'+ Absorption field 5'+ (ASSUMED) Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+TO PVT&200'+TO COMM SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation'""UNKNOWN Water main ""'UNKNOWN Water service line ""'10' Surface water -88+ Driveway, parking/vehicle storage 0' Curtain drain NONE KNOWN Wells on adjacent lots100'+TO PVT&200'+TO COMM F. COMMENTS `MET CODE AT TIME OF INSTALLATION ""WR#040048 -*PER 1983 INSPECTION REPORT IN MOA RECORDS IT IS LIKELY THAT ANY FUTURE SEPTIC SYSTEM ON THIS LOT WILL REQUIRE USE OF AN ADVANCED TREATMENT SYSTEM ****RECORD DRAWINGS ARE UNCLEAR) ZNT 2.�.MteJA.. - pc, /3,.CSuMra- to/a l- ' ....witi%it G. ENGINEER'S CERTIFICATION `•,`P•..••• ""'1,.•.. •.• I certify that/have determined through field •inspections and • *1• 4' �' /\ •* �• • review of Municipal records that the above systems are in • •• • conformance with MOA COSA guidelines in effect on this •••• • • • • • date. • .. - r: A. Gar.ess:: Engineer's Printed Name JEFFREY A.GARNESS #,'f .. CE- .• . -7z r .. ':p •••.,,1 z 7 .10S0'.?.. Date 1.2/ 1 J i$ *.s°P .. ..SIONP:••. / LICENSE 4IIlium e�e•• ttAECC884 (Rev. 10/12112) lc LOT 21 ' \U I 30 S8�•2r 48'W las 4r } N. I 1 \ RETAINING WALL - i 1\ --- - ,z `� 1'+�n, 1\ \ LOT 22 i3 11 lm N p a 41 \ a '/% EXISTING j eel 1 LOT 27 W .1 `` \ °� \ /�4d HOUSE �� o l r _ x 177 C %a, i• to CENTER ` \ to \ 1�` } OF CREEX ‘ 1 \ \ 0 D a 0:,o \ \ 30 11 1 Or 2T 48.E 137.35 LOT24 LOT 23 1 OF /44. gS ,oP � ,f ` 49fv,,, 1/ / Nis �� STEVEN CALLA,' AN NOTES: I,,• 1J�1h203,4a .Ja O 1) THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN I,Nro. jY��l +Y a dl' WITHOUT THE E)DESSED WRITTEN CONSENT OF LCC LANTECH. ,, p( e`\'�r•esiono,qd' 2) SNOW AND ICE MAY CONCEAL MINOR SURFACE FEATURES. ORDERED BY: KEN HILFI103L PARCEL 0:015322-2-000 MAMMY tSTFICATSON:LCD eA+new.ac HAS COACUCTEDA werscx SURVEY OF TIE PR016RY AS SIIOrNON nes ORAERNO WITHIN tlATI TFIES THAT LEGAL DESCRIPTION: ADDRESS:10510 LONE TREE DR. IMPROVEMENTS STN® ETR T1NEI ON ARE TIE PROPERTY UANESAND NO AS-BUILT ENGREJ pA •3015 eTOMERONO NDTED. LOT 22,BLOCK 4, ExsECCUOF AN ARY NOTE RKT�C RS ROPOPaeEfIYes DET61N TS. OR mow-or-war Tamen Irmo)DO NDTAPPE W DNIAT.DINO VALLI VUE ESTATES UNIT NO.2 CIRCUMSTANCES SHOW ANT DATA HEREON SE USED FOR CONSTRUCTION.FOR FASTASUivp PROPERTY UNES,OR FOR SLOWLY.PURPOSED. 250 H Street MOMS R®MSTANOPPE O AnC110rsgq Alaska 99501 MAIEe RIM ® i ds ::� ....'::ASN..,...::: 1::]ffill&N›..,) SUMO),Department TALE x ' . ONwM.. Phone 562-5291 ()ME 11/29/2018 WORK ORDER:18158 antech InC Mainline DRANK BY: ADS PLAT. 77.296 Phone amiuleD6aae•Aylfne eint•4.40e544Af CCs a-8985 CF+EL1a�eY: SC GRID: sm5,96 SCALE 1',30' FBIPG:611/71 REF:931155 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 22; Block 4; Valli-Vue~Subdivision Location (site address or directions) 10510 Lone Tree. Drive. Property owner Ed,/, Lodwi~ Mailing address 10510 Lone Tree Drive. Day phone 346-3115 267-4965 (~) Lending agency Mailing address Day phone Agent Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well ××× '~ Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XXX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-O25(Rev. 1/91) Front MOA#21 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 of this Health Authority Approval application 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 Engineer's signature S & S ENGINEERING 17034 Eagle River Loop Rood No, 204 Ea_~le River: Ala~lca 99~77 Phone DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms, bedrooms, with the following stipulations: Additional Comments 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. 72q)25 (Rev, 1/91) Back MOA ~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type A If A, B, or C, attach ADEC letter, Parcel I.D. ADEC water system number '~'-I ~ L,.O S-- Log present (Y/N) Date completed Driller Total depth .Cased to Casin~e.~r~- Sanitary seal (Y/N) Wires properl~cted (Y/N) FROM WELL LOG~ MUNIC!gA!.ITY 'qF Ah CH©RAGE AT NSPEOT O~IVIkCNMEN[ALM SERVICES DIVISION . / Date of test Static water leve~ g.p.m, I%.E EIVED SEPARATION DISTANCES FROM WELL TO: .~.~o Septic/holding tank on lot ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer main Public sewer manhole~TJeah~0~u~ Sewer service line ~ tank WATER SAMPLE RESULT~ Coliform / Nitrate Other bacteria Collected by: SEPTIC/HOLDING TANK DATA Date installed · '72 ~ Cleanouts~N) X//' High water alarm (Y~_~ Date of pumping Tank size Compartments Foundation cleanout(~N) },/ Depression, (/'~ ~ Alarm tested (Y/N) '~' - ~. ~.Z Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~.~ To property line l0 Surface water/drainage Foundation Water main/service lide /¥- 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DI~E FROM LIFT STATION TO: WelLocr' oti'6~ On adjacent lots "Pum_p_~evel at tested Surface water D. ABSORPTION FIELD DATA Date installed ~2 ~' Length ~'3 ' Width ~ L~" Total absorption area Depression over field (Y~ Results~il) Peroxide treatment (past 12 months) (Y~ Soil rating ,/:~o ¢//Z,¢-- System type "~-~.E-/./d.._p/ Gravel thickness. ~-' ' ~ Total depth Cleanouts present~/N) Date of adequacy test for 1'"/4'~. &:E- ~' 7'2 bedrooms /Jc~/¢~ ~'/,--//~ cd~J' If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: // Well on lot ~--o o i + On adjacent lots /.../~/~. Property line / To building foundation /o /'/- To e,xi~sting or abandoned system on lot On adjacent lots ~' / ¢' /"",//~ Cutbank Water main/service line_ Surface water / ~ ~ / ¢'- Driveway, parking/vehicle storage area Curtain drain /t.//,~ E. ENGINEER'S CERTIFICATION ~¢~ ~ ~¢c- ¢A ¢--~--~, 5~- of: c,~ss I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date $ & S ENGINEERING 17034 .F, agls River koop Road No. 204[ Eagle River, Alaska 99577 HAA Fee $ '/'7 Date of Payment '-'~//-,,~--~ Receipt Number ~ Waiver Fee: $ Date of Payment Receipt Number 72 026 (Rev 3/91) Back MOA 21