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VALLI VUE ESTATES #2 BLK 5 LT 2
Val 110 Vue Estates #2 Block 5 Lot 2 #015-123-55 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231117 PID Number: 015-123-55 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name Lisa Haugen A ORPTION FIELD [EllD Trench ❑Wide Trench El Bed El Mound Site Address 10015 Main Tree Dr other Phone (907)748-2774 Number of Bedrooms Four (4) Soil Rating Total depth from original grade IS Ft. LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Ft. Subdivision Block Lot Valli Vue Estates #2 5 2 Fill added above original grade Ft. rG ngth Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist a between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between ches From Tank Field Tank Line Ftz Well >100' N/A N/A N/A >25 TANK ❑� Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Greer 1,250 Gal. Surface Water > 100' N/A N/A N/A Material Plastic Number of compartments 2 Lot Line >5, N/A N/A N/A NA Foundation > 10' N/A N/A N/A tW4,$TATION Manufacture Capacity Remarks Tank located >10' away from private water line Gal. Alarm location Elects Iled by Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 A+ Home Services Drainfield D3034 CO/MTD3034 Inspector B. Schiller BENCH MARK (Assumed elevation) 100 ft Inspection 15t 7/18/23 Location and description dates: 2 th m Lower back door threshold 3rd 4 ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp v\®\� w o� �C ill Conditional Approval: Date ���P . • 49 ...--�. ki Ben / Septic System Approved Date /2 �- ?0Z3 a rvSchiller �+ �F� • CE 2592 • ����� �sTF • •'�� . ,8i8iz3 . ,W pROFESSIQ0 �+-� Note: this approval does not include well permit requirements. trcev Uoiuu 1 a) ���� � V 0 ��U U�� ESTATES ��^� BLOCK �� LOT ^� �����U �»�U� ��"� U �� K U�"� ff�� 8������K� �� ��� U �� PERMIT ^ ^~^^' `-^'' ' '' ��|[l�O1�-1���_�r� . .^~ " ^' . `' .'-`^�"`~ PLAN AS -BUILT A w �m FEET 111=5O LEGEND CO-CLEANOUT 2C0'DOUBLE CLEANOUT FCO-FOUNDATION CLEANOUT FS'FLOW SPL|TTERVALVE MH-MANHOLE MT - MONITORING TUBE SV'SEPTIC VENT TH-TESTHOLE � VALLI VUE ESTATES #2. BLOCK 5 LOT 2 PERMIT # OSP231117 PROFILE AS -BUILT (NO SCALE) ENGINEERING PI D #0 15-123-55 99 90015-ii'm BenCQS92iller /23tc.OFE V 1 /. / Lot 1 3Q0 // / N 85'33'11"E 186.96' - -� L— Tol� o 0 o �I / SEPTIC rri PIPES Lot 2 I MANHOLE20,463 S.F. 43 0. NI ti o 1 STORY S / I LOt 7 N RESIDENCE w/ V- / WALKOUT BSMT. CIV o Ll N j WOODEN ASPHALT' FENCE / DRlVEWgy RETAINING WALL ��,1 / At 68' / / w 9S8 / Lot 6 / Lot 3 �`/ / 10' UTILITY EASEMENTS CHAIN —LINK / FENCE / \ NOTE: THIS LOT IS SERVED BY A PUBLIC WATER SYSTEM. PLOT PLAN AS BUILT X_ SCALE 1" = 40' GRID _ SW 2539 Project No 23-13VA3 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone ken®langsurvey.com Professional Land Surveyors jonathanQlangsurvey.com . F � OF At, travis®langsurvey.com � I hereby certify that I have surveyed the following described property: %c •• '9 LOT 2, BLOCK 5, VALLI VUE ESTATES — UNIT No. 2 (PLAT No. 77-296) *; •491H •.* �� Anchorage Recording District, Alaska, and that the improvements situated thereon are • • • • • • • • • • • ... within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed J• • • • • • • • • • •� • • • • • • . • premises and that there are no roadways, transmission lines or other visible r �•• KENNETH G. LANG ,• easements on said property except as indicated hereon. fr `��• No. • 100, Dated this the Z`JtL� Day of _` �T Zu'I. at Anchors a Alaska `����`c'pFDp'`�r��r�'� 5����" 9 il, ROFfSSDUVA \\. It is the responsibility of the owner to determine the existence of any easements, ��\\`1�� covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 O ins'±t unicipality of Anchorage _ I)r. rirtmenT P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231060 COSA#:OSP231117 P I D#: 015-123-55 Legal Description: VALLI VUE ESTATES #2 BLK 5 LT 2 Engineer: Ben Schiller Your request for a waiver of the required 10 feet horizontal separation between the existing absorption field and the water service line has been approved. The approved separation distance is 0 feet. This waiver approval applies to the proposed absorption field. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Date: / Z ( 5 20 Z ? Waiver is not Granted: Approved by: Name of Reviewer ............................................... ■ ............................. ■ 1 **** VARIANCE/WAIVER REVIEW **** PO BOX 240773 ANCHORAGE, AK99524 522-7773 677.7766 (FAX) FORGECIVIL.COM August 24, 2023 MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Valli Vue Estates #2 Block 5 Lot 2 - 10015 Main Tree Drive Septic Tank Replacement Dear On -Site Services Engineer: During the installation of the septic tank on this lot, it was discovered by electromagnetic tracing that the private water line did not run according to the existing record drawings, but instead run directly underneath the existing septic field and tank. After discussion with your office, we were able to adjust the tank location and confirm during insulation that the septic tank maintained a 10' separation to the water line. However, it was unfeasible to dig up the septic field with the intent to relocate the water line. We have discussed the situation with the DEC and they confirmed that they do not regulate that. The home owner is aware of the situation and the lack of separation will be clearly documented with these record drawings We request a waiver for 0' separation from the existing septic field to the water line. Sincerely, �- Benjamin Schiller, PE �f MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box'196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231117 Effective Date: Work Type: SepticTank Upgrade Expiration Date: Tax Code Number: 01512355000 Site Legal Address: VALLI VUE ESTATES #2 BLK 5 LT 2 G:2539 Site Mailing Address: 10015 MAIN TREE DR, Anchorage Owner: HAUGEN MICHAEL & LISA ALASKA Lot Size in Sq Ft: Design Engineer: FORGE ENGINEERING Total Bedrooms: This permit is for the construction of: 1»cnr I Depal'tillent 6/7/2023 6/6/2024 20463 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: ' �� % %ti �— G, Issued By: A All— Date: Date: 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-123-55 Property owner(s) Lisa Haugen Day phone (907) 748-2774 Mailing address 10015 Main Tree Drive, Anchorage, AK 99507 Site address 10015 Main Tree Drive Legal description (Sub'd., Block & Lot) Valli Vue Estates #2 Block 5 Lot 2 Legal description (Township, Range & Section) Lot Size 20,463 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank 19Upgrade ❑X (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: _# Z /ZS Waiver Fees: Date of Payment: G / t ZO 2 3 Date of Payment: Receipt Number: n n-00 0 Receipt Number: Permit No. 05 P 2 -3 1117 Waiver No. Permit App__- : ,'-.,:c: May 30, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Valli Vue Estates #2 Block 5 Lot 2 - 10015 Main Tree Drive Septic Tank Replacement Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the septic location. This lot and all surrounding lots are on a public water system. We are replacing the septic tank with the same size designed for 4 bedrooms. Please refer to the attached plan for the septic design. If this design is followed, there will b e no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231117, Curtis Townsend, 06/07/23 // // // // // // // // // // // // // // // // // x x x x x // Benjamin Schiller CE 12592REGISTEREDPROFE S S I O N A L E N GINEER 1"=50' DECOMMISSION EXISTING 1250-GAL SEPTIC TANK PER UPC CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND VALLI VUE ESTATES #2, BLOCK 5 LOT 2 FEET 0 50 100 NOTE: ALL SURROUNDING LOTS ARE ON A COMMUNITY WATER SYSTEM MA I N T R E E D R I V E 4-BDRM HOME SEPTIC PLAN 5/29/23 CO CO MT FCO 2CO 10' UTILITY EASEMENTS EXISTING 50' TRENCH TO REMAIN IN SERVICE NEW 1250 SEPTIC TANK. MAINTAIN 5' SEPARATION FROM EXISTING FIELD AND 5' SEPARATION FROM DECK WATER SERVICE PER RECORD DRAWINGS- MAINTAIN 10' SEPARATION Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231117, Curtis Townsend, 06/07/23 V, / 300, / / / N 85'33 Q� io / SEPTIC / PIPES 0340 s. Apj, 1 STORY Q ' RESIDENCE w/ V / N ,jo WALKOUT BSMT. ry ASPHALT / DRIVEWAY RETAINING WALL / Lot 3 / CHAIN-LINK FENCE Lot 1 11"E 186.96• n 0 at I I r m Lot 2 J o I 20,463 S.F. o I Lot 7 Li J WOODEN „ ryNk / FENCE / Lot 6 10' UTILITY EASEMENTS NOTE: THIS LOT IS SERVED BY A PUBLIC WATER SYSTEM. PLOT PLAN ___ AS BUILT _X_ SCALE __1" = 40__ GRID _ SW 2539__ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone kenOlongsurvey.com Professional Land Surveyors jonothanOlangsurvey.com OF At,gk> travisOlangsurvey.com WA�_ , I hereby certify that 1 have surveyed the following described property: LOT 2, BLOCK 5, VALLI VUE ESTATES — UNIT No. 2 (PLAT No. 77-296) j*: 4 Anchorage Recording District, Alaska, and that the improvements situated thereon are � • • • • • • • • within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visibleKENNETH G. LANG ; o easements on said property except as indicated hereon. Fsf, 202 ,•���/ Dated this the __19} _ Day of __�- ___ '' _, at Anchorage, Alaska /1 F9FDpy23 AOS Aw ll` ROFESSIONN`\Y It is the responsibility of the owner to determine the existence of any easements, �� covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 Municipality of Anchorage Page I of 33 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal SysternsimMoidiffieK Inspection Report Permit Number: 91/0 3g—,5 PID Number: Name: Wastewater System: ❑ New VUpgrade Address: t vtZG T+4CoL.t2"� ABSORPTION FIELD S�1lT'Yt.� ' -. c'iU0`3 Z Phone:L; No. of Bedrooms: rCDttt� )(Deep Trench ❑Shallow Trench L1 Bed ❑Mound ❑Other LEGAL DESCRIPTION aG Soil Rating: 1-2- Total Depth from original grade: u FS GPD/Sq. . Ft. 10 i C j � Lot: Block: Subdivision: Z Depth to pipe bottom from original gra de: "To Gravel depth beneath pipe VAti i \j"n 4/ f3'—�" _P7-4 Township: V Range:Section: Fill added above original grade: Gravel length: L• El New ❑ Upgrade Gravel depth: _ Fr Number of lines: 1 Dist ancebtweenlines: � N% Ft. Classification ' ate B, C): Total Depth: Cased To: Total absorption area: Pipe material: n 1 C'CMi'" L;N Ft. Ft. x.470 SG. Ft. ��% -3Et; Driller: Date Drilled: Static Water Lev el: Installer: �/ P Ll,{, Date installed: C (� 7— Ft. Yield: Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCE Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding PWIM /Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines�.t-t' Well ! »"L1 J �Z(:%(�/�- 1 Material: Number of Compartments: Surface NIA N/A N/Q= LIFTSTATION N ! Water LotI / e {I ft Size in gallons: Ma r. Line Foundation 10 , li,Ae t Pump on" level at: "Pump off' level at: High water alarm at: Curtain aj/ Pump Make &Model Electrical Inspections performed by: Drain A Remarks: BENCH MARK t. DCIF OF 1✓ iS `lam l= t Location -rc)nd Description: P OF r 'e% p t �y Ph4H�fz. j Lvdam , 00 I1HPAc717 CN is wuv---,m—� uNoEQ- PECK � Is R175L�INI�� t''2U\��� a (7 t�VF� VIS16�E \jEQe— KCtM) Assumed Elevation: 'JF-ZM— iW(zc)VAL CJ20rf DAI,-, 1"-4)T+1 L3N 1<-//7/-/Z 6c_, ENGII'Ns'RSSEAL, Inspections performed by: Dates: 1st t/ 2ndj•Y& w �� Department of Hea and Human Services approval I,���F9* CE--7953 Xod'�.\u� Reviewed and approved by: Date: d' 9-9Z 72-013 (1/91) MOA 25 J Perm� Permit No. `o ��Page 2 of J Municipality of Anchorage DEPARTMENT OF HEALTH 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 Description: bk�_ 5, \/P -L1_( VU.t ti: PID No.: 72-013 A (2/91) MOA 25 Permit No. �1038 3 Page 3 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH 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 Description: L-0 1 2) 6K Ea VALt_ IyuE—_ &�-; PID No.: 9h,2h @ was` 94.97 @ cc c T N9 `I-I2C,1c+J Of rp-EsC: i of -r CCJCH '�7buNv>a..M'( CI-E,AN'auT �--C_V. UND f--Ef-=V = qq,2. ' 1 IIL I A _s uo-r-bMP 1C. -rAr1K lV'^II Fie–nl 4, � piPti RC1. p 72-013 A (2/91) MOA 25 91•fs - INV HOUSE I9 UN`GPlowl'j M7053 100.0 e r.P d/O ' MON ITOR.iNc : O !PF_2(7_1. YE -"-r l;17r)L-.r--_ W P� P,Pfh-�`<I Nr-� =i f ! �/ � @ , 7 e N o V,fa--Y� v✓�3 PF'l'F ani 106/91 n 13 0 - 72-013 A (2/91) MOA 25 91•fs - INV HOUSE I9 UN`GPlowl'j M7053 100.0 e r.P d/O MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 PAGE 1 OF 1 1 1 by (o- 1-,1--1012 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910383 DATE ISSUED:12/31/91 i3 la DESIGN ENGINEER:JEFFREY A. GARNESS EXPIRATION DATE:12/31/92 OWNER NAME:TANGHE GERALD G OWNER ADDRESS:18307 NE 126TH COURT ANCHORAGE, ALASKA 98052 PARCEL ID:01512355 LEGAL DESCRIPTION: VALLI VUE ESTATES #2 BLK 5 L T 2 LOT SIZE: 20463 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL P] RECEIVED ISSUED BY DATE:, % ZZ?.A DATE:/2-_3/-/o/ Alaska Water 8c Wastewater Services "Preserving the Last Frontier" December 23, 1991 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section P=0 Box 196650 Anchorage, Alaska 99519-6650 Ref= Application for a Leachfield Replacement= Lot 2, Block 5, Valli Vue #2 To whom it may concern: Attached is the application, site plan and design/drawings for the subject leachfield replacement. Comments regarding the proposed system are as follows: 1. The west- end of the new trench is located less than 50 feet (approximately 20 feet) from a slope which drops at 50% down to Maintree drive. The elevation of the drain pipe in the trench will be located several feet higher than the toe of the slope_ However, due to the fact that the soil percolation rate is less than 5 minutes per inch there is reason to believe that it will migrate downward rather rapidly and not travel horizontally and surface at the slope. For this reason, as well as the fact that there is no other suitable place on the lot to put a trench, I am requesting that you wave the 50 foot separation requirement. 2. The location of buildings and septic systems on lots 1 & 2, block 5, Valli Vue #2 were estimated due to the Fact that as-buil.ts were not on record with local title companies. The general location of the septic systems on the subject lots were obtained from DHHS records, There does not appear to be any septic systems from which the separation distances can't be maintained. There are no wells on any of the lots in Valli Vue #2 to be concerned with. The well on lot 1, block 1, Four ways subdivision was not located; however, in order for the new trench to be less than 100 feet from this well, the well would have to be located less than 10 feet from the septic system on lot 1, block 5, Valli Vue #2. In short, it is reasonable to assume that the separation distance is greater than 1.00 feet. 71+E A'OE�✓�,7 � l CA.# "3 rte, t 6x1spJb CRW? Telephone - Fax 338-3246 • 8471 Brookridge Drive • Anchorage, Alaska 99504 p � t of=6 3. The trench is designed based upon a percolation rate of 4.5 minutes per inch. This corresponds to an application rate of 1.2 GPD/ft2_ Since the home has four bedrooms, the total design flow is 600 GPD. Based upon this, the minimum amount of absorption area is 500 ftz. The subject design provides a total absorption area of 550 ft2. 4. As a -Final note, it will be difficult to insure that the separation distance is maintained between the existing crib and the new trench. The primary reason for this is that the boundary of the crib is unknown. I am not aware of any impacts that this installation would impose on adjacent wells, or septic systems. There, however, will be minimal Suitable area on the property for a future replacement field. If you have any questions or comments please call me. Sincerely, r VtA.�- Je ¢r yess, P.E. owner/Consultant JAG/jag maintree.wps �PROF:SS��N®® PA&£ 2 0f= 6 Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: L^7 Afay TANG4F. DATE I L O T Z / BLOC -Y- Ei' LEGAL DESCRIPTION: VALLI VU E S -f -la 1F,S #ZTownship, Range, Section: N /A- — I SLOPE SITE PLAN (FEET)I - �ji1JV'1 2 �RA�f NnTE'. E�rnr-r= t07- No'r SI-towt-3 ahl 3 -rF- PL -AA - �-- LAV FjL OF of'-, !>r,JAL -Mp uIL Q 10 11 12- 13 14 500 0A� 15 Al b� 16 17 EM 19 20 Woo --E . I,% SENEOt- q"*>•G SOIL tkP eAnED 'To '(Sr= T=A' i rw-1 VrlFoiam T;4a0N6Hor.1T -"t -7-EST I -+'n c-1--- le2A Et- w r'41 1 O T' No�L Go 86�' goYt'aM OF lAorr-- h17 (3E02�(L' O� InvE�r+r_��t Lny FSS ErJ�a�r✓rC--PLD WAS GROUND WATER N0 ENCOUNTERED? S L IF YES, AT WHAT A f4 0 DEPTH? P E Depth to Water Alter Monitoring? 1111161 Dafe; lah0 91 Reading Date Gross Time L In) Net TimeLmtn), Depth to Water Net Drop I to 10 N A 235 z 70 1n A / 3 s0 10 A 5 J/ii 40 ID N A 3/9 5V 10 N Z t/46 60 ID NIA 2 V4 n PERCOLATION RATE 4 • b (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -7'0 FTAND 15 FT 'OMMENTS ��51 LJAe� pas -$OA's -p LAI-fse- r"`"v� II FOfPr 7C"i 14o Fool wp,2 -Ty veilAY 5u, iL lit SD F/2pj`1 4- Fno' ?a 9• S Fte-roo- PERFORMED BY: - G4-Qjj . I J f3•� GA1enr6S5 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: I?- 11-7 /91 72-008 (Rev. 4/85) - � 3 or- to ra 61.IEP.A6- wcanoro 6F SEPTLG SyS 1 i JJ So of WEL1- m N 41 sw m fV p � J -Z > J J J )� �lSTIK p2ivA � E wEU- OII TH\S Lip -r WA -S NOT wELL- LOG/+'TED - PR1VAlE LoT 1 B,.,ry 1 LoT 2, BLo,�KI =out' wAY`� ���• FouR W"6 sks — Sr. ul LvT 13 BK S $ VALLI VuE. #2 Lor I, BK5 "Y�•F" VA�U vv.E tt2 LAT 2Z, BLOC -K. 3 \4m.0 Vf1Fe 0 Z IAG� LO'1-+, B,,-r%:)K 5 vA.Lw JOE # 2 MDTr= : ALI_ L07S IN tfALLI V U E i�L2 APJIF 5E7-qFa.7 1�a A PUBLIC WELL-. Ge,EPAL WeXnDN OF 00-sITO SEPT"' 5v SsrG M5 o� oN-StT� Sf°i�TtC. 54 S'Tf=1-�• pN-stTE 5sp1elc. �4 �'TF-P•f G SFpTIC Sy-sZf-=14 UPGr2ADE lAi2/ BKS \jXU I VUE�:� I YM I'� d V• r � I..*. is Pr��PnC',x is ��f� Crp �e\l 7AN&+S�,..:a rl. rey A. GaCE-7953 ua wn(2 4 l /qI DeAwrl Igo �aO�I sv pP, E ¢ or- (b W z NEW TeehX'A - TOTAI- LV 6R -u = so' ��-EE pE'TAIL oat PAS 6. No¢.R.r. p. L• - - LoCPt1oN of PPC -c�,T Z �0 30 i C/o 20 C�0 r-elo To Flew Z�AL. SEPTIC'TANK %ON1TbRIf6T "rV6E cPz-;\ QEMOJE EI:�STlr1(s"1].L.lk-�. BE. —J�FP�XIML=T£ 'PE21M. OF " EXISTIatl� C.[?.Ig. )=.XISTIa1� CL'IB lS "IV �E 1=1L1.E7> W 1714 (oQJiV El- .. �IVEw'y NoTEs: 1. ALL MAT EP-IAL•S SUALL. BE IAI COMPL1pA1Cc� Wt-rR "ST4NVAaDS4 sP6cir-16�rmws"Fop, COM- PoNF�TS� PA 2 -'Ts, .� USED 114 Q005,TR.)1cnd4 of D�-SITE Was-TEvfA fg t>D SPos/ L SYS'i�MS ; PGBusr+ED aV K O•A a �ANUArzy. MC10, 2. wv--W TREj-7=� SuAu- BE CoNS'1`2U vED AS PEK tA.B• A wasrewa D sPosaL eE6 • 56GncN 15 •.:657. O(oo SEPTIC SyS'i'1=M UPG��= LOT-:2� gK 5'; vaLLl vuE #�2 pREPA4�a Fol � GARY TAh1L-�+� p¢ePa aeD gy : AlasA WArEZ \N Ar. s vg s 12 z1�al PP : I;a4,rss scaL� : i"=moo' ol� - 'OF 44 -%% 11 o Cp(E........•..40, •..,i i'. • •u •u . •. . IM f e A. Gayness • ,4� pFFC�r 5 or- � ot= C�EAnt-OUTS MONlT02JNG Fol iota tont PAG9 5) TUBES 5FF AYTRLI4{A C % lT� PIAN F F i �KFILL W I'i",•1 Z NATIVE SOIL^1 a 0 3 r^O it , c _NATE D2AIN PCx>T. I�2.INCk1.... -22/z INUA sC2Ea=NSD ROCK IU----rAlL : L.oT 2) BK 5) VAu-% vuE ik2 P12EPAasr> Folz.:' •TA"J&%- E I -Io UND SACV—FIIA.�--D 501L.. FlLx F-( For6RIC SILT BA9424e• ofZ INSULAmot-' SoA�,P> -410 PEPFoPM, -D D2RIN) PLPS, wr14 I-LVLaS DOW0, (N- ST+aI,Lr--D LEvEI-• WE1LS MUST � sCP2� F�E� P21°Q. TD 2I I.IS ITU So IL^ -2 _ F2EP/42ED gW : ALASKA Wa'TEI; i WA8'�A'reP- S62 -\"C" I : M/-zI /q 1 I DQAWO : C�Aeti1=s5 I SCY� : N'rS ;E of A44%1 �r� e 1..• .0 e. ..j .. e e r y A. Gorness" S' CE -7953 'R4le� 6 of (p uAu�Qo 4 0 pd� . e4 _ -`oTAL 'r2Ea�N LEN VT!•4 = 50 _ aSsotsT'lor� PQM = 550 Frz Q J c�t4 o ' -j4 . ew`w, Z. 2 aQ�ed• Q., ITIA Sall,• � (� �F DRAIn1 ROCK ., ,�• "oGo 4 `. o�e a• ,D 3 r^O it , c _NATE D2AIN PCx>T. I�2.INCk1.... -22/z INUA sC2Ea=NSD ROCK IU----rAlL : L.oT 2) BK 5) VAu-% vuE ik2 P12EPAasr> Folz.:' •TA"J&%- E I -Io UND SACV—FIIA.�--D 501L.. FlLx F-( For6RIC SILT BA9424e• ofZ INSULAmot-' SoA�,P> -410 PEPFoPM, -D D2RIN) PLPS, wr14 I-LVLaS DOW0, (N- ST+aI,Lr--D LEvEI-• WE1LS MUST � sCP2� F�E� P21°Q. TD 2I I.IS ITU So IL^ -2 _ F2EP/42ED gW : ALASKA Wa'TEI; i WA8'�A'reP- S62 -\"C" I : M/-zI /q 1 I DQAWO : C�Aeti1=s5 I SCY� : N'rS ;E of A44%1 �r� e 1..• .0 e. ..j .. e e r y A. Gorness" S' CE -7953 'R4le� 6 of (p GREE�)R ANCHORAGE AREA BOR' IGH tlll�� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 %n% INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Poy, K45A64 MAILING ADDRESS 7Za7- /77/7PHONE LOCATION e!�'l K Vo /( 1A '7 - SEPTIC TANK: Li ' 170 5457 - DISTANCE ` NUMBER OF FROM WELL MANUFACTURER "� %�e'e✓ MATERIAL S 'e'e / COMPARTMENTS INSIDE LENGTH / INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/ GALLONS. SEEPAGE PIT: l3 X /I K Z I >< 2G_ / r NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH 89 LINING MATERIAL CRIB SIZE: DIAMETER—DEPTH S DISTANCE FROM: WELL (' TOTAL EFFECTIVE BUILDING FOUNDATION % D , NEAREST LOT LINE. ABSORPTION AREA (WALL AREA) /& SQ. FT. ADDITIONAL ABSORPTION WELL: ('_ p yn Y)7 M y) ) TYPE BUILDING FOUNDATION CESSPOOL APPROVED DISTANCES: INSTALLED BY: _CONS,TRUCTION NEAREST LOT LINE OTHER SOURCES- DISAPPROVED— INSTALLED OURCES_DISAPPROVED PIPE MATERIAL: 9 /I casf I LOT SLOPE: REMARKS: Form No. EQ -031 NEAREST SEWER LINE :721Vi►_1 DEPTH SEPTIC TANK_ DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM d a v ism, 1/?�4, " GREATER ANCHORAGE AREA BOROUGH U-su PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 A Je_. 1 �I� GCl li(/ 2S ✓ i SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT % bn� JVq-SSLC/3E 20Z � 33-0/SY NAME OF APPLICANT MAILING ADDRESS PHONE INSTALLATION LOCATION A,/ LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SnEnE PAGE PIT , DRAIN FIELD . OTHER ", / SJNI & LIF -- "y TYPE AND SIZE OF FACILITY TO BE SERVED S'o/_ FINANCED THROUGH TO BE INSTALLED BY A4Fx)0/A)4' NOTE: THIS PERMIT IS NOT ITHOUT T SOIL TEST RESULTS % 6e �n M • '* COMPLETION DATE ANTICIPATED 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 7v_�TYPE SEEPAGE AREA SIZE TYPE _ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK C,o N/M /4�YQ DIAGRAM OF SYSTEM FOUNDATION TO SEEPAGE PIT / r , DRAIN FIELD /0 / SEPTIC TANK TO SEEPAGE PIT WALL // SEPTIC TANK SEEPAGE PIT DRAIN FIELD / TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT — DRAIN FIELD, ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, SEEPAGE PIT DRAIN FIELD / TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 41NCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I DESCRIBED SYSTEM 1 AM FAMILIAR WITH THE REQUIREMENTS GREATER A IfA�+E /AREA BOROUGHNC -68 AND THAT THE ABOVE DESCRIBED SYSTEM�JIS IN ACCORDANCE WITH SAID CODE. DATE �_/ APPLICANT'S SIGNATURE Perfsrd for 2 Legal Description: This form reports: Depth Feet G27�TER ANCHORAGE AREA BOROUGH Dept dent of Environmental Quality 3330 "C" Street Anchorage,. Alaska 99503 Date performed 5- . �o w Ls zJ� ilos log �( Percolation test 2- 3 611 4- 5 6 7- 8- 9 10 - 11 _ 12 - 13 - 14 - Was ground water encountered? NG If yes, at what depth? ... Reading Date Gross Time - I Net Time I Depth to H2OI Net Drop Percolation rate minute Proposed installation: Seepage Pit Drain field Depth of Inlet Depth to bottom of pit or.trench ' COMMENTS: Dater Performed By: /� t- r> Certified By: I "'artment of Environmental Quality' vdater and Sewer Questionnaire 3 3 a c� c, S'1= n Date Time 7,� 9 6 (P Subdivision V AL L I/ V V L Block � Lot � Owner's Name: �l %%7e � / Mailing Address: ���!9/ njL s0xf Questions: 1. How many bedrooms are now in your house? 2. How many bedrooms were in the house at the time of purchase? 3. Were the basement bedroom walls "roughed in" at the time of purchase? � 4. Was the basement bathroom plumbing "roughed in" at the time of purchase? - 5. Did the realtor or builder inform you that you would have to enlarge the existing sewer system if you finished the basement bedroom(s)? 6. If on a public water supply, do you always have an adequate supply water? 7. Is the pressure always adequate?6 S. Who was the builder? 7 9. Who was the home purchased from? OTHER COMMENTS: M Parcel I.D. 015-123-55 Certificate of On -Site Systems Approval Expiration Date: 2 Z Legal description VALLI VUE ESTATES #2 BLK 5 LT 2 Site address 10015 MAIN TREE DR Anchorage AK Current property owner(s) HAUGEN MICHAEL X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 12/20/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE ort�: Development Services Department p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-123-55 Complete legal description Valli Vue Estates #2 Block 5 Lot 2 Location (site address) 10015 Main Tree Drive, Anchorage, AK 99507 Current property s Haugen Alaska Community Property Trust (907) 748-2774 p p Y owner(s) Day phone 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑■ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑■ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age <1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed X Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $550 Date of Payment / Z�S/7,3 COSA # () SG 23 / u 7 7 Waiver Fee $ Date of Payment Waiver # COSA Application —June 2022 N/A N/A N/A Benjamin Schiller, P.E. (907) 522-7773 MUNICIPALITY OF ANCHORAGE • ^� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services law On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 015-123-55 HAA# 1. GENERAL INFORMATION Complete legal description Lot 2; Block 5; Valli Vue Estates #2 � Location (site address or directions) 10015 Main Tree Drive Anchoraae. AK Property owner William J. & Debra. Kirk Day phone Mailing address 10015 Main Trnr- Drive Anc•horacrP, AK 99S16 Lending agency Day phone Mailing add Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 \{ 3. TYPE OF WATER SUPPLY: Individual well Community well XX Public water Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOAN21 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 ( ordinances, and regulations in effect on the date Alaska dater &'WastO'vl Name of Firm at(ifl.-InCL Address 7320 Engineer's signature nce with all Municipal and State codes, inspection. ALASKA WATER & WASTEWATER CONSULTANTS INC IS TO PAID $800.00 AT CLOSING FOR SERVICES & ®HHS SIGNATURE PERFORMED. v Approved for FQ Ute_ bedrooms. Disapproved. Conditional approval for Additional Comments Cid Phone ?37`6>9 Date F A. Garne•s �FESS\0 'ESS .0 � ,o+ ©O�ao.®oma bedrooms, with the following stipulations: Date C7-' � ` q `a 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 orderto 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. 72-M(Rw.1M) Beck MOAe21 RECEIVED Municipality of Anchorage SEP 03 1998 DEPARTMENT OF HEALTH & HUMAN SERVICE NICIPAurvOFANCHO Environmental Services Division /IRONMFn1T.Al SERVICEs , 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L -c 1 Zt mg, \]A -L t✓i 'V uE__4Z Parcel l.D.: O 15-- /Z3— 55- A. WELL DATA Well type ](313, B, or C, attach ADEC letter. ADEC water system number D �� Lo resent (Y/N) Date completed Total depth Cased to Casing height (above nd) Sanitary seal (Y/N) Wires properly tected (Y/N) FRO ELL LOG SPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESUL Coliform Nitrate Other bac ria D of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 2 Tank size /2-5D Number of Compartments Cleanouts (Y/N)� S �� L!�✓S N6 Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) , i Date Pumping Pumper C9 L-0 t`9e'00da-L4'S of 3 C. ABSORPTION FIELD DATA U Date installed 6h z Soil rating (g.p.d./W ori) �° 2 System type '� Cg' rQ Length SI Width 2 !t Gravel thickness below pipe Q" Total depth / Z. 3 M9' Effective absorption area 5-c—;b Monitoring Tube present (Y/N)'Y Depression over field (Y/N) N10 Date of adequacy test 9 A A Results (Pass/Fail) A&S For 4- bedrooms 3 !r Fluid depth in absorption field before test (in.); 3+ It Immediately after! gal. water added (in.): 5Z f/ Fluid depth 31 (ins) Minutes later: 104-6 Absorption rate = 6f�6g.p.d. Peroxide treatment (past 12 months) (Y/N) N� r� If yes, give date IGvoLAI ,J 72-026 (Rev. 3/96)* D. LIFT STATION Date Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Septic/holding tank on lot Absorption field on lot Public sewer main service line Size in gallons "Pump on" level at* FROM WELL ON LOT TO: On adjacent lots Public sewer Lift station off' level at* SEPARATION DISTANCES FROM SEPTIC/HOLDING TANKONLOTTO: / I Foundation l0 Property line 1 % Absorption field Water main/service line 101'f- Surface water/drainage 1W f- Wells on adjacent lots aOD +' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: / r Property line Q ° ✓- 4 Building foundation i(::,. 4- Water main/service line Surface water 114. Curtain drain NL)riP, F. ENGINEER'S CERTIFICATION I certify that 1 in conforman Driveway, parking/vehicle storage area Wells on adjacent lots '2-0()14— w(� `2-()030 =ctions and review of Municipal re effect on this date. Signaturer � Engineer's Name 11,�A- moi '55 Date c) L�,1!2 HAA Fee 1TV Date of Payment 1 Receipt Number �` l� 1 /041) 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number 10 Pa - 02 5'4 - 1 v s are Cr ,ffrey . Garnafs j / 7953 O �e :fin �O• ....... MUNICIPALITY OF ANCHORAGE • t DEPARTMENT OF HEALTH & HUMAN SERVICES 1 Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.## 014- - 1ea�-�z�Q 1. GENERAL INFORMATION Complete legal description LC)I Z) QLocK 5 VALLI Vu� ES1 YS 2 Location (site address or directions) I CO l5 �-w ( ) TQ_ Dy ---', \/E , AJc40a*ebE) ACA-Sf�4 99sl(f Property owner `�� s ya M (,'in nr hsI_ Day phone NIA el 3. 9 Mailing address Lending agency "4 Day phone Mailing, add ress/A Agent Nn � &AB K � - 2-r-4 LTy Day phone Address -7 24 E . (5-11-H AVG , , "CH ' � Ak Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water Fa U f2. X a-72-05-71 99 So/ 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: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (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 furtherverify 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 ALA -$V A -INS', wnSl wat Sr-pvlc'f-4s 337-G/79 Phone Address '04-11 Engineer's signature 6. DFIFIS SIGNATURE Approved for bedrooms. Date -9 // 9/ Disapproved. X_ Conditional approval for 4 bedrooms, with the following stipulations: f1'1�:-re /Z .S L�lci-eZ.-L�' lS T r Additional Comments 0 DateM-A-7. r 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. 7M25 (Rev. 191) Back MOA M21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT Z) aocy— 5 Parcel I.D. vALLi vul; s✓ST*gB%*2. A. WELL DATA Well type oMMUrot If A, B, or C, attack ADEC tette. ADEC water system number f O�pOs Log present (Y/N) 14 /A Date completed)) 4 Driller XZ Total depth t' Cased to a/ - 4 Casing height Sanitary seal (Y/N) N� LA Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION X23 Date of test Jy A AV 1A F) z Static water level /V GY z (tel Well flow g.p.m. g. m o � N Pump level A- C a 1 r� 0 Con.aunslT'► wF.t.l.. SEPARATION DISTANCES FRO WEL O: Septic/holding tank on lot N �p' ; On adjacent lots N /`f' Absorption field on lot J /V ; On adjacent lots Public sewer main �/A Public sewer manhole/cleanout W/A Public sewer service line NL Petroleum tank WATER SAMPLE RESULTS: / Coliform N/& Nitrate q A Other bacteria 1v Date of sample: A(M Collected by: W14 11 B. SEPTIC/HOLDING TANK DATA AA � W �) 9 /Z)'MA Date installed 531 Tank size �Zr�O Compartments 01J6 Cleanouts (Y/N): pFoundation cleanout (Y/N)yF1s Depression (Y/N) �O High water alarm (Y/N)' / A '< Alarm tested (Y/N) 4 lA Date of pumping :. NIA-.. 7)JqK i, he Co46 7a 9F_ Pr -PV a — SEPARATION.:blSTANCES FROM SEPTIC/HOLDING TANK TO: Well (s)onlot K i Onadjacentlots /vZA Foundation# S )o,.,l�alrfio oN i i To property lineFt6LD OWAFAVARLPAbsorptionfield* Water main/service line '� /0 Surface water/drainage N 1A Ht NIHUH 5696QA10N 72-026 (Rev. 3/91)Front MOA 21 SAS pep, /NITIAL- P62 -"IP CONTINUED ON BACK PAGE 4/19/91 • CAN poT FIELDV6ZIFY RFra.ttSE 5VS74l5A1 IS BUZI(Sp C. LIRT STATION Date insta ed �'/ t Manufacturer Size in gallons Vent(Y/N) High water alarm level Meets MOA electrical cod "Pum'"a" level at X SEPARATIONIJ:3fSTANCE FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface water Date installed 5_A//74 Soil rating /5'0 w/SUAL) System type S6 -'MAGE Plr Pak -Length N A Width 1�2v x Z(/x N A CRrs I Cd F£1 { g Gravel thickness Total depth Total absorption area ��� Fre Cleanouts present (Y/N) YE S Depression over field (Y/N) NO Date of adequacy test & Results (pass/fail) for FOLU2 bedrooms Peroxide treatment (past 12 months) (Y/N) �%�� �IJO If yes, give date 14LA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot N %A On adjacent lots N /A Property line 4 12, i To building foundation IPJ To existing or abandoned system on lot LA On adjacent lots 55 Cutbank N IA" Water main/service line ' /d Surface water f: /A Driveway, parking/vehicle storage area a 32 Curtain drain N L p,S pr=R- IN6P&5717orJ RE.PvaV t7A'IPE0 5/at/74 • eowLD No -r FIOLP VEntFd E. ENGINEER'S CERTIFICATION 05Ca UC£ tysre"j Js (BVPNEA • Auo WSAO I0r.QfJ ra 1014 rU4 ppputaa7DN /J/TE�i 4�l9/74 1 certify that I have checked, verified, or confopoed to all MOA and HAA guidelines in effectkgq{(ate of this inspection. 4 Signature m� /`" v Engineer's N ,�� Date % // /C11 JoZy A.Guml: �f �A .� Ct. HAA Fee $ / -X,) i, Date of Payment y `/ lam/ Receipt Number 1�9 �( /�L) 72-026 (Rev. 3/911 Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number Municipality of Anchorage Department of Health and Human Services r15 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 23, 1992 Jeffrey A. Garness, P. E. Alaska Water & Wastewater Services 8471 Brookridge DRive Anchorage, Alaska 99504 Subject: Waiver Request for Lot 2 Block 5 Valli Vue Estates #2 Waiver Request #WR920030, PID #015-123-55, SW910383 Dear Mr. Garness: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 8.5 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljw#7 Concur: hnSmit J5 E. rogram Manager On-site Services I MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR920030 PID# #015-123-55 HA# HA920208 Permit Date Received: June 23, 1992 SW910383 Legal Description: Lot 2 Block 5 Valli Vue Estates #2 Engineer: Jeffrey A Garness, P. E. Alaska Water & Wastewater Services 8471 Brookridqe Drive, Anchoraqe, Alaska 99504 Applicant: Gerald G. Tanche Waiver Requested: Lot line waiver - 8.5 feet. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: SFS A2%i�L/c /7 /_ x`77 ►�/� Date: 1 -2 3- 22 By Rec #: 23796/2710 Amount: $ 70.00 Date Paid: June 23, 1992 Alaska Water 8c Wastewater Services "Preserving the Last Frontier" p9rL.CE VE June 22, 1992 JU^1 2 � 139? N}ur;cipul.:; ui „ncirorage Municipality of Anchorage Dept. l-SealtSi' ViumanServiees Department of Health and Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Request for Waiver of Separation Distance (Absorption field to Lot Line) for Lot 2, Block 5, Valli Vue Estates #2. Attn: Dan Roth Dear Dan: During the installation inspection of the subject septic system, I noted that the "trench" had been located only 8.5 feet from the property line. The installer had inadvertently done this while trying to maintain a reasonable separation distance from the deck foundation, so as not to compromise its structural integrity. I can see no impact that this installation would have on the adjoining property (Lot 1, Bk 5, Valli Vue #2); therefore, I am requesting a waiver of this separation distance. If you have any questions regarding this system please call me at 337-6179. Thank you. Sincerely, Y A. `QArne Consultant JAG/jag Baer3.wps (Z�"- a -5--n(0! a-)�0 , P. E. LCA u-ro. %-w,00 Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 Alaska Water 8c Wastewater Services "Preserving the Last Frontier" March 28, 1992 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99516-6650 Ref: Conditional Health Authority Approval (HAA) Application for Lot 2, Block 5, Valli Vue Estates #2. To whom it may concern: Attached is the HAA paperwork I did following an inspection of the subject system on 9/11/91. The home is on community water, so an adequacy test was only run on the septic system. The septic system was only able to absorb 250 gallons in 24 hours, consequently, it was deemed to be inadequate for a four bedroom house. A design for a new tank and absorption field was prepared by Alaska Water & Wastewater Services (AWWS), and approved/permitted by your office; however, the new system has yet to be installed. We are requesting at this time that a conditional HAA be approved_ so that a pending sale on the home can be completed. If you have any questions regarding this system please call me at 337-6179. If all goes well, please mail the HAA directly to the real estate agent. Thank you. Sincerely, n s� Je-/f�rey A. Garness, P.E. �_-G} -7/• Owner/Consultant I,t//-SCS �rrtn Pow JAG/jag Baer2.wps Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 FOR: Totem Realty March 12, 1992 PWSID # 210605 WALTER J. NICKEL, GOVERNOR (907) 349-7755 My review of the records on file 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, Byron Roys Environmental Engineering Assistant BR/cf "- DATE r1ECEIVED INSPECTION APPOINTMENTS ' TIME TIME TIME aLoDATE DATE .SINGLE FAMILY DATE aal—INSPECTOR ❑ Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* INSPECTO ,� COMMUNITY INSPECTOR - DEPT. OF HEA TH &RAGE MUNICIPALITY OF ANCHORAGE ����I����pp PROTECTION'ONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL 825 L Street - Anchorage, Alaska 99501 • DEC 1 71979 ENVIRONMENTAL SANITATION DIVISION - 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 (10) days for processing. 1. PROPERTY OWN - PHONE MAILING ADDRESS G 7 c� AIL 1 PROPERTY RESIDENT (If different from above) ,/j //r� ��.y PHONE /> C`i/�V ` /`��'��ry g /y[yt PHONE 2. BUYER _ -47 Jriill" i'6v/UM Gt3 //�/I/"/ y� /� 333—lob MAILING ADDRESS a �1_,5N/V olu e, A/vc 312 /V L.i Ll 3. LENDING IN TITUTION PHONE MAILING ADDRESS `� �-�/! J/1.,� KCL 1N-J/1�1 4. REALTOR/AGENT ^Ta A4S DA) PHONE q4 4 MAILINGADDRESS h 5. LEGAL DESCRIPTION //// STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OFIREDROOMS ❑ One P!�, Four ❑ Other .SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ,� COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM SYSTEM WAS INSTALLED. INDIVIDUAL/ON-SITE** YEAR ON-SITE t� ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONL-. 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED �� T T INSTALLER ❑Septic Tank or ❑ Holding Tank Size: I ]..5o If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL n d 4. DISTANCES WELL TO: Septic/Holding Tank Absorption A a Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 6- APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE -- O�N BY (?.v 72-010 ( Rev. 6/79) WA 330, �•Yit3'tttti"1��f?; %:7 •"4 S;!:<� °.7'jl`i'/ DAVID A. SLENKAMP MECHANICAL ENGINEER 6945055 Devorber 11, 1971) ROBERT A. SHAFER CIVIL ENGINEER 6940979 1. never nggton py7t:41ilay is;L U,'3 n*:. aeil'i7. Go t.°lt? '�zl �s'.li1 ji➢".1ny'Pij on the 4' nP,'ene z =:t+[inortvr w i;np in,1:?xct '•T s � - '� s ai`li3 toot any 11 i31 OF" (14 '?` the `l !r1r;d Pe or,.tt ,4' 07 tb u i'.i"CS')ntar 31, 3.1rti • {�#i e=},7f �'`` tqqk yyy =7airi:py PA 9=0 to C%p uO Sft1 pil i i .r 3ttn 101 ifty Thin f,e 30i.°` i iTri _aw t sIMM ixp, _r rt lYl,i t: v' Qa3 "'-'is•`:k' _}"Ind- at rix, nth Of_ A Ur nr,lrIwl mnd {1t. 1x.T ,., 1, thq ,,Yn n W Y ixT ,jnll`-i, ,fiet.:; ,j3 't 0 , - t' . .....,d An fd f 1 3'r a '<". it^ t fis; toot it can .101 003 US UK .3:7rffl".i (se•+Hr• tr no and rsir7.,..t{ pit) ws e? o.v txr torso r A-',. On v al. (' n e. It wo py In or , rthn S1e;,,sao, nz un :. not vo,itnt, to n, S. pinnorAyp A Jun i act Totem 1jq&Y Aix } '3' N x.u{rov V000t, a t, _ 3ipq^r {7A,42"tiL°ent of ,''r ,tth nnd %iE'?.i1 n vnQ1 Prupmw SRB 196X EAGLE RIVER, ALASKA December 20, 1979 Don Kassube SRA Dox 30K Anchorage, Alaska 99507 Sebject: Lot 2, Block 5, Valli Vue Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed; (1) The septic tank pumped with a receipt submitted to this office. (2) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private farms performing the test is enclosed. if there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/kas cc: Alaska Mutual Savings Dank Mortgage Loan Section P. o. Dox 1120 99510 Totem Realty, Inc. c/o Audrey Mason 724 E. 15th Avenue 99501