HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 5 LT 5Onsite File
m
ft 1
k f:
77-71L, 7775,
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904
Re
ON-SITE WASTEWATER INSPECTION REPORT �.
OSP181212 20
Permit Number: PID Number: 015.-123=52_. '�
Dwelling: Single Family (SF) ❑ w'ith ADCJ4❑ Dupl�iCE� ❑ TwaSiile�Famrfy Prplect ❑New D lJp9 rade
Name
Robert and Donna Lee
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ound
Site Address
6601 Crooked Tree Dr.
❑ Other'
Phone
907-240-0380
Number of Bedrooms
4
Soil Rating'
Total depth fr original grade
GPDISF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Subdivision Block Lot
Valli Vue Estates #2 5 5
Ft.
Fill added above origi
nal gr
Gravel length
Township Range Section
Ft.
Ft.
Gravel width
Beds: Number of Lines
Distance between lines
SEPARATION DISTANCES
Ft.
Ft.
To
Septic
AbsorptionHolding
Lift Station
;Sewer
Total a rption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank j Line
Ftz
Ft.
Well
100+
TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1250 Gal.
Surface Water
100+
Material
Number of compartments
Lot Line
5+
NA
Steel
2
Foundation
10+
j
LIFT STATION
Manufacturer
Capacity
Remarks BioMicrobics RetrOFAST installed
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 'Tank to
drainfield 3034
ARM Services
Drainfield CO/MT3034
Inspector Crewdson Engineering LLC
BENCH MARK (Assumed elevation) 100 ft
Inspe tion 15` 8-23-2018 2�� 8-27-2018
Location and description
3m 41h
bottom of siding at "A-BM" on plan view
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
AL
Conditional
l
Approval: Date
,f,��
�Q'�.
---
%i.4 ........
Septic System
James A: Crewdson ., ,4C,_0
Approved f�� Date a8 1
1311527 �
1�1` ,p ' .-ate.1•Cl
Note: this
approval does not include well permit requirements.its\\ROF\E'S`O_IZ-
I.AU
(Rev 05/02/18)
yF /
PLAN
SCALE: I"=30' ti /
0
Lot 3 /
/ a
/ Lot 5
/
/ C1
/ RetroFAST
/ BLOWER
/
1
/ MH
/ C2 DC
/ NIT (E) CRIB
LEGEND
(E) existing
BM - bench mark
BR - bedroom
C# - cleanout
DC - double cleanout
EG - existing ground
ELEV - elevation
FG - finish grade
INV - invert
Lot 4
Lot 6
air✓ �, ��ti
4 BR SFH
G
A -BM a�
s•
ti
F B Q
S1
2 1250 GALLON
STEEL SEPTIC TANK
W/RetroFAST0.375 O��O BENCH MARK
O BOTTOM OF SIDING AT "A
ASSUMED ELEV 100'
ELEV
o`er EG 99.1'
FG 99.4'
S1 S2 MH RFB DC
MH - manhole
MT - monitor tube
OH - overhang
RFB - RetroFAST blower
S# - septic tank cleanout
SFH - single family home
TOT - top of tank
SWING TIES (feet)
A
B
FC
16.8
9.2
S1
18.7
23
S2
24.4
27.7
MH
25.9
29.2
DC
33.2
36.6
C1
16.7
38.8
C2
52.8
63.6
MT
53.5 1
63.9
Valli Vue Estates #2, Block 5, Lot 5
Septic Tank Upgrade
Record Drawing
Plan & Profile Views
SEPTIC TANK
STEEL, 1250 GALLON
W/RetroFAST 0.375
ELEV:
TOT 94.88'
INLET INV 94.32'
OUTLET INV 94.17'
PROFILE
Civil & Environmental Engineering Prepared for: Robert Lee Date: 3-22-19
Box 671389 ChugiakAK 99567 . celic.l@outlook.com Permit: OSP181212 Page: 1 of 1
Cell/Text:907-280-9493 . Fax:907-688-2295
ALL INFORMATION SHOWN ON THIS DOCUMENT IS THE PROPERTY OF CREWDSON ENGINEERING. LLC AND SHALL NOT BE USED FOR
ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREWDSON ENGINEERING, LLC
NOT TO SCALE
CO -V I
;W1 . TH :`
James A. Crewdson .
C1 1527
�¢ �c�`�rF,�•�-ate l y. •�c����.
�A,®�p�OFES510NP ..�'
ALLC #112279
Chain link fence (typl_ " Wood fence (typ)
/
00,
c 09
Lot 3 / a3 ;.
ZJ
0�
j o � �y�
Lot 5
-
// h f a�+
3
/ e° 0 260
/ Septic tank",-
ank °
/
/ g
/ Septic vent (typy\ ti %
99
00
Lot 4
H
SCALE: V= 30'
r
D�
gyp`
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLATARE NOT SHOWN HEREON FB 18-6, pg 57
UNLESS OTHERWISE NOTED. FB 74-10, pg 38 BE
wall
6650
Lot 6
,7
.00
00
4f ®► 0 �
Ab A4
pz 49th W* *00
Elizobeth L. Walatka : F0,
$� ATF • 8036 - LS • •�e�
P d ofess�ont+L V, o
/AS-BUILT
ECERTIFIED 9-19 18 ' � •' v
NO CORER
ST THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
IDI the foiiowing described PTope,1Y: LQT 5 5=K 5
VALLI VUE ESTATES UNIT No 2
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements an said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 16th day of October 1974.
FRED WALATKA & ASSOCIATES, L.L.C.
907-248-1666 Engineers and Surveyors
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
Dcpartmc nt
4:C;_;;Gtt
On-Site Wastewater Disposal System Permit
Permit Number: OSP181212 Effective Date: 7/23/2018
Work Type: SepticTank Upgrade Expiration Date: 7/23/2019
Tax Code Number: 01512352000
Site Legal Address: VALLI VUE ESTATES#2 BLK 5 LT 5 G:2539
Site Mailing Address: 6601 CROOKED TREE DR, Anchorage
Owner: LEE ROBERT A & DONNA R Lot Size in Sq Ft: 20488
Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: NI Date: _C)? / ‘/C
Issued By: ��''R 1 � , Date: ®I'
MUNICIPALITY OF ANCHORAGE
7)Development Services Department \ Phone: 907-343-7904
On-Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 015-123-52
Property owner(s) Robert & Donna Lee Day phone
Mailing address PO Box 111338
Site address 6601 Crooked Tree Dr.
Legal description (Sub'd., Block & Lot) Valli Vue Estates #2, Block 5, Lot 5
Legal description (Township, Range & Section)
Lot Size 20,488 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field I Initial ❑ Single Family (SF) 0
(w/wo ADU)
Septic Tank X Upgrade n Duplex (D)
Holding Tank Renewal n Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that t•e above information is correct. I further certify that this is in accordance with
applicable :unicipal Codes.
-(7
LI
(Si 2 na re of property owner or authorized agent)
Permit/Rush Fees: 2-15 Waiver Fees:
Date of Payment: 7-2-0-18 Date of Payment:
Receipt Number: MSS 16) Receipt Number:
Permit No. 05f(.g 12.12_ Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Crewdson Engineering0, C
, :, e,.,, *General Contactor James"Jay" Crewdson, P.E.
V' F Email: CELLC.1@outlook.com
44 ties.
Cell/Text: (907)280-9493
Fax: (907)688-2295
CMI&Environmental Engineering
July 17,2018
Plan Reviewer
On-site Water&Wastewater Program
Municipality of Anchorage
4700 Elmore Road
Anchorage, AK 99519-6650
Reference: Valli Vue Estates#2, Block 5, Lot 5
Septic Tank Upgrade
Crewdson Engineering LLC is requesting a septic tank upgrade permit for the four bedroom home. The
scope of work for the project is:
1. Decommission the existing septic tank in accordance with the code.
2. Install a new Infiltrator IM-1530 two chamber septic tank and post tank double cleanouts.
3. Install BioMicrobics RetroFAST septic treatment system.
4. Repair or replace the damaged sump located at the southwest end of the existing drainfield.
There are no probable adverse impacts to adjacent properties if installed in accordance with the design.
Please feel free to contact me if you have any questions.
/
Thanks,
, / ......%.,..N.NAN‘t
J "Jay" Crewdson, P.E. /"*.** �, '1911
+,'•� . Crewdson, •j
���o' C11527 ,•' j/
\‘\\FE'S`pN=
ALLC { I21
PO Box 671389 • 18368 Amonson Road • Chugiak,Alaska 99567
vRLLZ Vu E ESTATES 4- 2 bLl< 5 LT 5
0 'E r,RAM 48how kJ ° APROX.SCALE: 1"=20' 3r t t.tout>(�.
o� eiy.water Waive..% .)
mimosin111,14i m I ,,i 1. Decommission existing septic
1 tank in
:cord:once with
,�,,,,,111111e.
uIaV4r1uIiUNFAuuI 2 InnfistItarlaltnoerwIM-
111111111,151111111111111wwill11111101
1530 two chamber septic
111111 lrillNUJIIIIIIIIIIIIMnmmpr tank double
M _I fAmpoom 3. Install uts.
ansuin
.ilibritrifemzei,
air BioMi AST septic
BioMicrobics
arsunsa
treatm
* _ systement
51E� 0 NPR 4. Repair or replace
lir the damaged
P�mr *, �A� sump located at
VIIII=I4115E307"!tahhigi'l-11111111111111111111
'! the southwest
end of the
� existing
awiimarinw w� � a■ ' drainfield.
111111P11111111202111kEtilM
iiilaiiiiiiilifilltibmill11111111E111
111111111111111111164
11111111111111111111111 lifillirill
INIIPE "1EW
11112:2111P1 ' . 01111111! NNW"!
1111111132111 �.�_ ">� 'IMI
. ...._.
/I,•Imes A Crew,son, ' / t .
1‘00FE`SO
`L-
MUNICIPALITY OF ANCHORAGE '
DEPARTMENT OF HEALTH AND HUMAN SERVICES Flattop Techn]ca! Services
Environmental Health Division '14530 Echo Street
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720~;dc~orc[ge, Al~sk~ 995~6
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ .... DISTANCES ~/~- /
Address~( ~ Tre~ Dr;~ ~c~ ~¢~1~ ~~ SEPTICTANK ABSORPT[ONFiELD WELL
Phone{s)~¢ --~ Per mlt~oNo I~ NO. of Bed~ ...... WELL
L~*~ m~.,.~,o~ LOT LINE
r
~ F0~N~ATION I
Township, Range, Section
~ E ( ~ ¢ ¢ /~ ~/ ¢ ~ ~/ ~' ~* drlveway,AS-BUILTwaterDIA6bodies.RAMetc{Sh°w) location of w¢l, septic system, property lines, Ioundahon,
TANKS
~ SEPTIC ~ HOLDING
M~nulactufer Capacity m gallons
, /
~TRENCH ~ BED ~ W. DRAIN ~ OTHER
Depth to p~pe bottom from Total depth from original grade
Total absorpt,on area 18,mhD. betwee, hnes
SOF, FT /
C~tFI~ ~c~ WELLS~/~/~
~ PRIVATE ~ OTHER fldenlifv)
co~el,~~ o/~ ~*~ erm~e~ ~.~ ~,~m J/Y/aY ~:'4ov~ "L~
72 013 (3/85)
Depar'Lmen'L of' Healt:.h & Human Set'vices
825 L Stree'L, Anchc)rage, A:l. aska 99501 :;:.;43.....4'720
P E R f"l ]: "1"
Owner Name: GEF~ALD & JANICE SMITH
,Owner. Address: 66():1. CF~OOI<ED "f'REE DI:?.IVE
AIxlC)HC~RAGE~. AK 995 16
Day F:'h clr"~e:
269-5638
I::'a r ¢: e ]. ][ d: 015- :[ ;i'.3-'5;=]:
I.o'L Legal: ,'.3ubdivi~;:i. on: VALLI VUE ESTATES t~2 Lot: 5
S~.%:t,:Lon~ 14 Township: ].~N Range: 3W
Lot Size) 2'.0.q-8l~1 (SCl, f'L,, or acpc)s)
Bedr'oc)ms: Tl'~i.s Perm~.'L: 5 'Fora]. Capacil. y~ 5
]81ock: 5
SIEF"T:i.C "FANK~ I"hi.r'~imum tota:!, sep'Lic: 't'.ank c:apac:Lty= 1,5C~()
1'.arik must have at ]r.~as'[:. ,'.?, coml:)aPtm,~.:,rl'kf,~. D~pth to top of ~eptic
f'(ae'(', requ:i.r*(?.)s :J.r~su].a'L:L(::)n over tar'lk (s) .
Eac:h septic
tarik(s) < 4..()
INF:[)RM D,H..H,,S,, PRIOR TO );NSPIEC]"]:ON BY ENGINIEIER~. ]:Fr AI::TER OFF:!:CE
liOtJF~S;, CC)Iq'TACT 34;~;.-..468]. AND !,..lEAVE A MIZSSAGE..
CONST'RUCT F'ER ENGINEERS ATTACHED APPROVIED DESIGN,,
'fl-{IS F:'ERMIT EXF'IRES :1.;?./31/89 AND VALID F:'OR A SZIqGLE F:'AMILY HOHE.
SOII...S L.OG/WATER M[]NITOR MUST BE SLJBMITTED WITH AS-.-BLJ:[L.T,
:[ CI!:RI'Ii::rY THAT:
:[,. :i: afr. fam:i~lial', w:Eth 'Lhe i".(.~)qLt:i, reml¢:~.!r]'L,s Fop on.-..sil:.e sew(ars al'id we].Js as set
for'U] by the I%~n:Lcipality of Anchorage (MI]A) and the State of Alaska.
:7.,, :[ ~,i:i.] ]. :i. nsta].l the system in ac;cordanc:e with a].l MOA codes and regH].a'L:EcH'~s,
and J.n 'comp].is.n(::e t*~ith the cle2sJ, gfl cpJ. tepia
:.:S,, ][ ~.~J.]l][ adhE,)p(,~.) tel all MOA al'id Sl'.ate oF Alaska requir'em(:)nts for the ~et. back
dis'Lances from any existing well~ wastewateP disposal, system or publ%c
s~a)~wc:,rag~,,) s'ysi'.em on 'Lhis cJP ar't}/ ad.ja(::er'lt op Fi(~eal"by IE!'[:.,
][ Lu'ii:lepstaFld tha'L '[.his pel"m:['[:. J.~:5 valid for' a max:i, mum of'
aiscl understand 'Lhat'. 'Lhc,e capaci'Ly c:H' the 't:.otal system :i.s 5 bedrcx:)ms and
any en].~u"gemer'd:, will require an a(:ldit, iona! permit~
~:h,~ner > (.,1~.,1..[ ....... IAI I.t ...,L ,.~l II tll
/
/
I~07- 6-
~lattop TechnlcaI Services
14530 Echo Street
Anchorage, Alaska 99516
/..07 ¥
!
S l T~ p~41V
NOT6: TtH.~ u NoT
APF~OKt UtAT~.
i~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAl.. PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 254-4720
ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELl- INSPECTION REPORT
~,~.~.~,.o: IW~'' I ~o~,,io.~ro. Dwelling P E R B I~'S~
~ ~'ST~"~*°: ~°"¢~muni,[~ 14'1~' ~n' ~:~¢~
I L~n,~h Of each I'~ ' Total length of~ Trench wi~ '.~ho~
NO. Ot lines Distanc~ between
~-- Topoftiletofinishgrade ~ /Z Materialbeneathtile 7~ inches Totaleffectiveabsorptionarea
OTHEB
Pvc, 0~
~E~A~KS I0 ~
~r~ ~
72-013 (Rev. 3/78)
PERMI'I" NCL
DEF'RF;:'TMENT HEFiLTH RNL':, EN',.,*IRONMENTF!L X:OTECTION
E!:;2L-', -"L"' :~TREE:T., FINCHC~RRGE., RI-:::.
;264-4720
,:: 8206]:4 )
FIPF'L I L7 FiN T
L 0 C ['-:I T Z 0 N
L. EGFlL
P.'E R Fd... [:, P
.....!f~ ~?],.~ ',,,'FtLLI ',.,'liE. _ E.=,F?
I ~ F [.. OP ....... '~q'rl HE,_,df4.1: I' .[I..[i',! , ~ _,.._.,, TRENC:H
MFlXIMUM i",!Uf'IE:ER OF EE£:,tq'OOhlL:; = 4-
'_--O'I.~L RRTING ,::LqL::! ! ],.,..,[ ..... :LOE~
THE F~'F"::LIF.':ED SZ;ZE OF 'THE Eh]IL REC-;ORP-FION ._,,_,TE I ..
THE LENGTH D!MEN'E. ION IE:: THE LENGTH (iN FEET) OF' THE TRENCH OR [:,RRiNFIELD.
THE [:,EPTH OF Fl TRENCH OR PIT IS THE [:,i5:TFINCE E[ETi4EEN THE 5;URFRCE OF THE
GROi. JN[:, RND THE E:O"FTOM OF THE E;:.:',CR',/RTtON (tN FEET).
THE:RE IE; NO SET tq!E:,Tl.-I FOR TRENCHES.
THE GRR',/EL [:,EF'TFI IS THE MIN:[MUM DEPTH OF GRFIVEZL 8ETI.4EEN "FHE OUTFRLL PIPE
BND TFlE BOTTOM OF THE E::.::CFI'¢WTtON ,::IN FEE'1').
~-!h_-, "'- "- ' '" ._ FriZz ..........
PERHZ'T FIPF'LIE:FIN] ...... FHE RE..:,F_NcJ. E, ILI¥~ TPI ZNFORf'i '' '"" [:,EPRR"H'"!EN-F f",IIRTi'.JR
.u,!::,]!',L;.?Ff Z E f,. IhL':,FE... '[ _,C., OF RN"r' 14ELLE; FiI':,.TFIF:EN'r TO TH'i':; PR--PERT"/ RND THE
F,iUMBER O? RESIDENCE'.2, THFlT TFlE k!ELL HILL ~;ER',,,'E.
8F!CKF'iLLIN(:~ if RF,IL¢ ,.-.~.¢c-r~:- klI]"HOLIT FINI::IL. II"i'~;PEf'-:TZON P.i'tr'* h.-Ff ....... LL :, THT':;
[:,EPFIR]"i','!ENT I.,i i L.L E~E E; JBJEC:T TO F'ROSECUT 10.N.
MINIMLIf,i E:,I:~,TFINC:E BETI4EEN FI NELL..FIN[;, R,N'?' ON-SITE SE!.4FIGE DISPO.SRL SYSTEM IS
100 FEET FOR Fl F'RI',/FI"FE 1.4EL.L OR ::LSE~ TO 20G FEE]" FROId fa PUBLIC I-,.!EL..L DEPENDING
UPON THE T"¢PE OF PUBLIC WELL.
MINIMUM D!STF!NE:E PROM R PRZ',/FfTE 1.4ELL 'TO R PRIVF. ITE SEI4ER LINE IS 2.5 FEE]" FiND
-FO R COMi'ILINIT'?' E;EI.qER LINE l:5 75 FEET.
OTHER RE:.C!I.JiREi'iENT:~ !"'IF!'T' RF'PL'¢. :E;PECIP!CRTIONS FINE) CONE;TRUCTION DZ6!ORRMS RP.E
FI',,,'RILFIBLE TO Zi',i'_-T.,URE F'ROPER IN:E;TFILLFITION.
i 7 E',B.':T Z F"T' THFlT
F'ORTFI F" . .........
'2: I F]IL..L iN:E;TRLL. THE E;?E;TF]'"I IN 8Z:CORE:,FiI',!CE HZTH THE icE,Fic
ZE:: ] IJN£:,E:,?.E:T,CFF,E:, THRT THE ON-'-GITE :SEklER E,"r'STEPi Mfl'¢ RE:C!JZRE EblL,:Lf;..GEf!EI,FF if 'THE
'_5: I GNED : .................................................
.,/ GRE ER ANCHORAGE AREA BOP UGH
Department ;~3E;~irs~rnen~ntal Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURE~'~-~ MATERIAL ~--~ NUMBER OF
COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH __.LIQUID CAPACITY. //~ GALLONS.
SEEPAGE PIT:
NUMBER OF PItS / DIAMETER OR WIDTH LENGTH DEPTH // /
LINING MATERIAL' ~- lb SIZE: DIAMETER__DEPTH ~ ! DISTANCE FROM: WELL
BUILDING FOUNDATION ~ /f NEAREST LOT LINE 2-~ I'~- TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WE-,:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL OTHER SOURCES
APPROVED / DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK , SYSTEM
REMARKS
DISTANCES:
INSTALLED BY: ~
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
APPROVED ~ ~'~
G.A.A.B.
- /
G~R ANCHOPf~GE AREA BOROUGH
Depart, ,it of Environmental Quality
3330 "C" Street
Anchorage, Alaska 99503
;epth
eet
torm reports: Soils log ./ , Percolation test
ground water encountered?
If yes, at what depth? ' ' '
~eadin9 Date
-colation r~ te
,posed installation:
,th of Inlet
i:[!itTS:
Gross Time
m~nute
Seepage Pit '
Net Time
Depth to H20
.Drain Field '
Depth to bottom of pit or trench
Net Drop
f'ormed By: Certified
ANCHORAGE/WESTERN DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
563-6775
DATE: Auqust 31, 1989
PWSID: 210605
Requested By: Flattop Technical Services
According to the records on file in this office, the Valli
Vue Water System is in compliance with
State of Alaska Drinking Water Regulations.
the
Sincerely,
Cindy Thomas
Environmental Engineer
' ~-~UNICIPALITY OF ANCHORAGE
'DEPARTMEN] J~F HEALTH AND. ENVIRONMENTA~L ,~ROTECTION
825 L Street, Anchorage. Alaska~ 99501
264-4720
Date R~ceived: October 27, 1977
#1: Time
#2: Time
Date !~-~-~Q ~. Date
Insp ~ ~ Insp
Time
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Lomas and Nettleton Company
Mailing Address: 4449 Busines~ Park Boulevard Phone: 274-7661
2. Property Owner: Employees Transfer Company
Mailing Address:
Phone:
Legal Description:
Lot 5 Block.5 Valli Vue Estates Subdivision
6601 Crooked Tree Drive
Single Family Residence: ~
Multiple'Family Residence: (
Number of Bedrooms: /
Number of Bedrooms:
Three
5. Individual well
Depth of Well
6. Sewage Disposal System: On-site System
Permit # ~/~ Installed ~/7 ~
Well System:
Permit ~
Construction
Septic Tank Size
Absorption Area
( ) Community/Public System ~)
Well Log on File
Bacterial Analysis ~
Public Utility ( )
Installer ~~ *
Manufacturer ~~,
Soils Rate ~/~ ~ Material ~
Distances: Well to Septic Tank ~_ to Absorption Area~_~__~
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
e
3
MUNIcIPALITy OF ANCHOP, AG~
DEPT. OF HEALTH
'~'~IUN I C ! PAL ! TY oF ANCHORAGE i~-~
Depar~:ment of Health and Environmental Protection
825 L Street, Anchorage, Alaska 99501
. 279-2511, ex~. 224, 225
Property Owner:
Mailing Address:
Employees Transfer Company
Unknown
Phone
Name of Buyer:
Mailing Address:
Teddy R. Story
2204 Cleveland St,, Anchorage
Phone:
277~0231
The Lomas and Nettleton Company
Lending Institution:
Mailing Address: 4449 Business Park Blvd,
Phone: 274-76'61
5°
Realtor/Agent: Kenneth Boggs
Mailing Address: Colonial Realty 1709 Bragaw
Phone :Bus, 276-2766
Hm. 69C-9 / b~/
Legal Description: Lot 5 Block 5 Valli View s/d
c,- 6601 Crooked Tree Dr.
otreet Location:
' Single Family Residence:
Multiple Family Residence:
(x) Number of Bedrooms:
( ) Number of Bedrooms:
3
o
Water Supply: * Individual Well ( )
If Individual Well, we].l depth
If Co~mnunity System, name of system
Public/Community System (x
Sewage Disposal System: On-site System (x) Public System
If On-site Si'stem, date of installation: Unknown
( )
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77
P%ge ~w,o
~" Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 5 Block 5 Valli Vue Estates Subdivision
Comments:
Af fadavit Attached
Approved :~/~~
Disapproved:
Letter Attached: )
Date:
Date:
Department Worksheet:
~ovember 1, 1977
Kenneth Boggs
Colonial Realty
1709 Bragaw
Anchorage, Alaska
99504
Lot 5 Block 5 Valli Vue Estates Subdivision
The On-site sewer system on the subject property must
have an adequacy test conducted.
Enclosed is an instruetion sheet. The responsibility
of the test dates, correlati°nwith the pub%per and this
department is yours.
If there are any further questions, please contact
~is office at 264-4720.
Sincerely,
Los N. Buchho~zr
Sanitarian
cc: Lomas and Nettleton Company
4449 Business Park Boulevard
99503
....... :, -'r-,.:5-T-r ......
certify that
Anchorage Recording Precinct, Alaska. and that the
improvements situated thereon are within the propert'y
lines and do not overlap or encroach on the property
acent thereto, that no improvements on prop-
g adjacent thereto encroac}~ on the premises m
and that there are no roadways, transmission
other visible easements on said property except
as indicaled hereon. ~'
Dated at Anchorage, Alaska
this '/~_~ day of ~'f-~)~'~:) , 19
FRED WALATNA & ASSOCIATES
Engineers and Surveyors.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY ~&(~C~
264-4744
Application Date ..~
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Property Owner ~'ec'a(~4- ,~,,~)~h Telephone:Home ~/~¥7 Business
Mailing Address ~'~'¢:71 ~foo[~ ~Cdd ~d., ~c/~. ~ ~1~
(c) Lending Institution ~
Mailing Address ~ ~.
(d) Real Estate Company and Agent
Address ~( ~, ~¢~¢~cr~ ~¢'~
Telephone ~ 77 ~
(e)
Mail the HAA to the followino address: or: Check here ~, if hold for pick up.
List contact person and day phone number below.
TYPE OF RESIDENCE
Single-Family []
Number of Bedrooms
,/
WATER SUPPLY
Individual Well [] Community [] Public []
Note: If com m unity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [] Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 fRev 8/861 Front
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A. WELL D~C'¥A'~'~'
Well Classification
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit(Y/N)
MUNICIPALITY
Health Autl
CHECKLI.~
Date Complete(
Depth of
OF ANCHORAGE (MOA) .(~'~'
~orily Approval (HAA)
T - FEBRUARY 1984
343-4744
Legal Description: /..~,{- ~ /~t'c~C A' ~
Grouting
If A, B, C, D.E.C. Approved (Y/N)
Yield
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments DE~.~ [.~/-~¢r' Of
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/'-¢'/'~'9 size 12-,.¢~v9'~( Nc
Standpipes (Y/N) ["' Air-tight Caps
Depression over Tank (Y/N)
Pumping/Maintenance Contact an File (Y/N)
Holding Tank High-Water Alarm (y/N)
SEPARATION DISTANCES FROM SEPTIC/HOL
To Water-Supply Well ~ TOo'
To Property [.ine
To Water Main/Service line ~ ~ '
To Stream, Pond, Lake or Major Drainage Cours
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public SeWer Cleanout/Manhole
; Date
of Compartments '~
'Y/N) )" Foundation Cleanout (Y/N)
Date Last Pumped ~, ~t. ~r~..o)
h/,/~, ; for
N.,~. Temporary Holding Tank Permit (Y/N)
DING TANK:
To Building Foundation t ~ ~
To Disposal Field i5' ~
~ ~00'
Comments
72-026 (Rev. 7/88) Front 'age 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area
Depression over Field (Y/N)
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well ~, 'Eoo '
To Building Foundation /8
Lot 8¢' ¢-0 ~f¢.-~
To Water Main/Service Line ~'
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
63' /~¢(¢-/r, Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness ~',
Stat'ndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~" ,7~' '
To Cutback (if present)
~ fO0 '
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA gu...L~C~i,f~e,~e, ffect on the date of this
inspection. 4.~'.'~ OF..~ ~1~,,.
Signed ~~ ¢ ~ ~ ~ ...... "~
Company
Date ~¢f~ ~
MOA No,
Receipt No.
Date of Payment ~-- ~" ~ Waiver Fee: $
Amount: $ / ~' ~ Date of Payment
~2~026 (Rev. 7/88) Back Page 2 of 2