HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 13Onsite File
u
· GREAI'ER ANCHORAGE AREA Bok JUGH
~ Department ;~3E0n~irs~2;ntal Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK,,~,,~,~ ~
DISTANCE ~/~ ' ,,'"- . ~-.'~
FROM WELL~/' M AN U FACT U R E R~-")~C'~<~V' ~'~' MATERIAl
INSIDE LENGTH /;2~ INSIDE WIDTH LIQUID DEPTH
NUMBER OF /
COMPARTMENTS
/
LIQUID CAPACITY /~ GALLONS,
SEEPAGE PIT: /
NUMBER Of Pits / DIAMETER OR WIDTH ~ ,
LINING MATERIAL ~- CRIB SIZE: DIAMETER
BUILDING FOUNDATION2/; ,~ NEAREST LOT LINE /;? /.
LENGTH~(~, DEPTH
DEPTH DISTANCE FROM: WELL ~ ~ .
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) , , SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~ . ~-~-~ CONSTRUCTION
/ ~
BUILDING NEAREST
FOUNDATION __ LOT LINE
NEAREST
SEWER LINE
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED REMARKS
DISTANCES:
INSTALLED b Y: c~'~ ~ ~C~ ~-~ ~
LOT SLOPE: ~C ~0 /~/]
REMARK5:
DATE
DIAGRAM OF SYSTEM
APPROVED (/~ ~ //~0
G~.A.B.
ORe/' '~R ANCHORAGE ~D-'ID' ~
PERMIT NO.
DEPARTMENT~OF ENVIRONMENTAL QUALITY
$£WAGE DiSPOSaL SYSTEM -- APPLICATI~A~D PERMIT
LEGAL DESCRIPTION ~0~/~ /''~ '~
TYPE AND ~IZE OF FACILITY TO BE SERVED
SOIL TEST RESULTS
~OMPLETION DATE ANTICIPATED
SEEpagE PIT ~ , DRAIN FIELD ., OTHER .
TO BE INSTALLED BY
NOTE: THIS PERMIT IS NOT VA'ID WITHOUT SOIL TEST
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.
MINIMUM DISTANCES, REQUJ~£MENTS
FOUNDATION TO SEPTIC TANK ~'~ t
FOUNDATION TO SEePAGE'J~I~r
SEPTIC TANK TO SEEPAGE ~L ~
SEpTiC TANK ~ ~1 SEEPAGE PIT
TO NEARES~LOT LINE.
DRAIN FIELD
SEPT{C TANK, Cb r , SEEPAGE PIT
· DRAIN FIELD
SEEPAGE AREA SIZE
SEEPAGE PIT
aLSO CONSIDER AREa Wel~.
SEEPAGE PiT
¢
TYPE
DIAGRAM OF SYSTEM
CAST I~ON INTO AND OUT OF SEPTIC TANK AND/ INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL../
4 INCH DIAMETER CAST IRON SIPHON PIPES ON ~EPTIC TANK AND SEEPAge PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
NO. 28-68 AND~.~'HAT THE ABOVE
REATER ANCtlORAG£ AREA BoROUun ~
Performed for
Legal Descri p~-6}~
lhis form reports: Soils log _~./"
Department of Environmental Quality
3330 "C" Street
Anchorage, Alaska 99503
SOILS I,OG PEROI,ATION TEST
Date Perfonm~d
Percolation Lest
Depth
Feet
1
3-
7-
8-
13- uJ-S O too
14-
Was ground water encountered?
If yes, at what depth?
Reading Date Gross Time Net Time
Percolation rate mnute.
Depth to Water Net Orop
-Proposed 'installation: Seepage Pit Drain Field
Depth of I~t, _ t . [~eptl~-6--b-oX-t~n-b~--pit~or tr~nch +_,____~_ ....................
~¢orme, ~:~ ~~ Certified By~ Date:_{
EQ 040 (6/74)
GREATER ANCtlORAGE AREA BOROUGii:
Department of Environmental Quality
3330 "C" Street
Anchorage, Alaska 99503
SOILS LOG PEI~.OI,ATION 'FI']ST
Perforaled for /~, ~'~t~-¢_¢'~'/ .... ~
Legal Uescrip~-i-oh? -~-:~-'--~-~ ~ ~ '~
This form reports:-~So~ lo~ .~
Depth
Feet
6~
Percolation test
10 -:.,--4~-~ '~ ?op
]2-
13-
If yes, at what depth?
Reading Date Gross Time Net Time Depth to Water Net Drop
Percol ati o~Fa~-e-- -- ~ ....... i~[i-nu t e-.~ .... ,
-Proposed installa~q-o-n-:--~-~.qe Pit Drain Field
Depth of Inlet '. DeptlS-~-o'~6~t~a~oY-i, it or t~re~h
N(HI,S IA)ti I~I';ROI,/VI'IOr Ti';NT
|his to~'111 reports:
Del)
Feet
1
3 -
5--
8
Percolation Le ~J-t ................
/C/o
yes, at wnac deuLh?
i?a__dil]~ ........ t/~at_e__ Gross Time Net l'ime __l_OepU'l to Water 'let iJrey
Porcol ali on Pa [e mi nute,
Prul]osed installaZiGi'~: '~)~ge Pit urai Fi.lo
tJcdLll of Inlet , Depth t~ bo~toal,oF ~it or [r'euch
r.3b7 8• e
Municipality of Anchorage i
On-Site Water and Wastewater Program z
9 a r.:11/11
(907) 343-7904 11ZOIC 2.
va . SpiCertificate of On-Site Systems Approval
6 8 Lg
Parcel I.D. 015-311-50 Expiration Date: I 31 — 17
1. GENERAL INFORMATION
Complete legal description Valli Vue Estates #2 Block 6 Lot 13
Location (site address) 6751 Round Tree Drive
Current Property owner(s) Floyd Smith Day phone
Mailing address 6751 Round Tree Drive
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: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual El
Individual Water Storage ❑ Holding Tank ❑
Community Class A Well Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received b�1i ` st " 1 k QV Date: I�
COSA to be released to the engineer,unless otherwise requested b the ng' eer.
COSA Fee $ 5 a L Waiver Fee $
Date of Payment a,/IViaDate of Payment
Receipt Number CNIariff1 Receipt Number
COSA# 05U'81°'/ 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.
In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 2/9/2018
Nkx
cOFA••.
�
6. DSD SIGNATURE
1 49 •.* /
System#1 Approved for c- bedrooms :Seven k. Pannone:
System #2 Approved for CE-8149
Y pp bedrooms }i ,,
Disapproved 4% •A.\` '4'
Conditional approval for bedrooms, with the following stipulations:
C �- r t YeeLe$
O
ON-SITE ��G,
WATFR AM-) m'
R, WASTEWATER z
oPROGRAM U
O
�''c'lir RFR\1\-)
Original Certificate Date: - / - 1 el
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_f c
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system 1
Certificate of On-Site Systems Approval Checklist
Legal Description: Valli Vue Estates #2 Block 6 Lot 13 Parcel ID:015-311-50
A. WELL DATA
Well type Class A If A, B, or C provide PWSID# Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected (Y/N)
Total depth ft. Cased to ft. Casing height(above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Sunset/PlasticDate installed 10/13/1975
Tank size 1500 gal. Number of Compartments 1 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A
Date of pumping 1/31/2018 Pumper Isaac's Pumping Service
C. ABSORPTION FIELD DATA
Date installed 10/13/1975 Soil rating (g.p.d./ft2 or ft2/bdrm) 126 SF/BORN System type Trench
Length 48 ft. Width 3 ft. Gravel below pipe 7 ft.
Total depth 17 ft. Eff. absorption area 672 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 2/2/2018 Results (Pass/Fail) PASS For 5 bedrooms
Fluid depth in absorption field before test 0*/58 in. Water added 750 gal. New depth 3*/61 in.
Elapsed Time: 240 min. Final fluid depth 0*/58 in. Absorption rate >= 750+ g.p.d.
N
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer/septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
*PES installed new monitor tube at start of field for better monitoring.
G. ENGINEER'S CERTIFICATION �4�~"`v
I certify that I have determined through field inspections and ,Ag . .
'<.•• ` - .t
fit
review of Municipal records that the above systems are in 0*:4g /\ •*.I}9
conformance with MOA COSA guidelines in effect on this date. I �,i� i
Steven Pannone
Engineer's Printed Name Steven K. 'annone ••/
Date 2/9/2018 �1,+19. CE-8149 .,��i
COSA canary sheet_2-6-15.doc
Lot 19 Lot 18 /
i -
—
i / Lot 17
i
i S 8038'02"E 90.6p,i -
i
i
10' UTILITY EASEMENTS i i
i _
i
i
ti
Lot 13
26,561 s.f.
h SEPTIC
^47' PIPES
Lot 12 44/ / .\ RETAINING WALL
.F.1.) /� N
«
fp
#0400 « O
2� 4S 0' ,,,o1-
�"1 \' Lot 14
yo s�"P`-.1 r' DECKS«\
•o, ,o ,
�, fie)/- ) .(14'
�� 6 F 42.g' «
\\ 8.0'x24.0' PORCH ®\t 7.
N us. X02 V
66.,3so 1y � *\7°. { 2.0'x4.2' CANT CHAIN-LINK FENCE
•
‘2'5-00. e0- • •
. rn
N
....-.-"-....-------..„.........„.........1.11°P Ca168 13' R,370.00'
w
O
Ro OND ---
_ _ o
REE DRiVE
NOTE: LOT IS SERVED BY A COMMUNITY WATER SERVICE
PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 1233 Project No. 18-026/A1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lana & Associates inc .. (907) 522-6476 Phone
J (907) 522-4625 Fax oo�mp044
Professional Land Surveyors kenOlangsurvey.com v OF A� 9�
jonathanOlangsurvey.com D' .• ' . kat O
I hereby certify that I have surveyed the following described property: v �\
LOT 13, BLOCK 6, VALLI VUE ESTATES UNIT No. 2 (Plat No. 71-285) p* 49TH /\ '• *�0
Anchorage Recording District, Alaska, and that the improvements situated thereon are 0 VA
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 / KEN H G
premises and that there are no roadways, transmission lines or other visible � o
easements on said property except as indicated hereon. °04.•••• 2(aj t2 p0
tl� o 4 P,•••.LS-5202.••' cp,"
Dated this the `YDay of F��)�L.4m4 , L 615 , at Anchorage, Alaska Qt ,o •••••••' �Oo
O x?PESSIONA1-�Q
It is the responsibility of the owner to determine the existence of any easements, DOppoo��
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
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 Lo-r
Location (site address or directions)
Property owner F/o¥.'b + gA/~BARA
Mailing address SAblE
FIor , ,Al< qff
SH FrH Day phone
Lending agency FIRST NATionAL g/iNK OF ~Nd..J/ Day phone 27~,-~3oo
Mailingaddress Gq& L/Eg'¢ /¢'¢~ AYE , /~t4¢F( ct~ol
Agent klo,~e ~ R~2~n~nc ~) Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
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.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, p~ovide written confirmation from State ADEC
attesting to the legality and status of system.
72-025(Rev. 1/91) Front MOAtf21
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 ~'/-A'rT0(~ -¢-EC¢ S'¢C£, Phone_
Address I~r5~o ECHo S"F, A~CH. ./~1~.
Engineer's signature ~-~ ~. ~ Date
DHHS SIGNATURE
,,~ Approved for ,/~ m~ ~//~-~
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.
72~5(Rev. 1/91) Back MOA#21
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lo-r 13, ~LK (o. ~'/~ttl ~/uE '~2 Parcel I.D.
A. Well Data
Well type CL/}Ss A
Log present (WN)
Total depth
Sanitary seal (WN)
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed Driller
Cased to Casing height
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
Wires properly protected (Y/N)
AT INSPECTION
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manho e/c eanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate
Collected by:
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed lo/
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping
Tank size ~ 50o
Foundation cleanout (Y/N)
Compartments I
Depression (WN)
Alarm tested (Y/N) /V ,,Z] .
Pumper I 5,~ fl C. 5
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot H.~. On adjacent lots
To property line ~'0 ~ Absorption field
Surface water/drainage ~- toO
72-026 (3/93)* Front
Foundation I..~ p',~0t~ ~'. O,
Water main/service line ~ :Z o
CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons
Manhole/Access (Y/N)
Vent(Y/N)
"Pump on" level at
"Pump off" Level at
High water alarm level
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Sudace water
Total absorption area
Date of adequacy test
D. ABSORPTION FII=LD DATA
Date installed Io[ 13/'15'
Length ~ ' Width 3
~,72 ~
Water level in absorption field before test
Soil rating (GPD/FF) L2. 67b/~' System type
Gravel thickness 7 Total depth
Cleanout present (WN) ~ Depression over field
Results (pass/fail) F~ for
~ ~.,ff" After test ~ '
Bedrooms
Peroxide treatment (past 12 months) (Y/N) h[~)~¢ ~'~4ow~ If yes, give date N',~, ~; ,~e ~,,/ov
SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ~q¢"~' ~'~ ~'~"~'
Well on lot N, ~ ,
To building foundation 2
On adjacent lots "',> 2o
Sudace water '.~ ~o
Curtain drain ~
On adjacent lots N,/~ . Property line
c.o. To existing or abandoned system on lot
Cutbank N, A , water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in ~ ~ the date of this inspection.
Engineer's Name
HAA Fee $ /'7
Date of Payment
Rsceipt Number
72-026 (3/93)* Sack
Waiver Fee $
Date of Payment
Receipt Number
~'?* DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE
INSPECTOF~ INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION .,
Telephone 264-4720 /
/
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AN[;t/SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
Duane and Christine Epton 349-4213
MAILING ADDRESS ,
PROPERTY RESIDENT {If different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION I PHONE
MAILING ADDRESS
4. REALTOR/AGENT I PHONE
Elliot C. Lawson, JACK WHITE COMPANYI 277-1553
MAILING ADDRESS
3201 "C" St., Suite 100, Anchorage, AK 99503
/¢ 0T~ Please send ill information & reports to Elliot Lawson, Jack White Co. at above address.
5. LEGAL DESCRIPTION
LOT 13, BLOCK 6, VALLIVUE #2
STREET LOCATION
~7~1 Round TrR~ Drive
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] 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 UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
J~0{ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDI VI DUAL/ON -SITF.
[]PUBLIC UTILITY
Connection Verified
[~]Septi_c~Tank or []Holding Tank
Size: ISOC) If'rank is homemad
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4, DISTANCES
WELLTO:
Absorption Area to nearest Lot Line
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL~,,~ ..~
t ,AJ--~¢..· '
Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
5. COMMENTS
[~'~,~,PP R OV E D FOR 5/~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED //~
DATE BY
72-010 (Rev. 6/79)
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
? WALTER J. HICKEL, GOVERNOR
/ (907) 349-7755
June 2,1993
Mr. Scott Swenor
S & S Engineering
SUBJECT: Lot 45, Block 1, (6510 Crooked Tree Drive); Valli-Vue #2
Class "A" Public Water System, PWSlD 210605
Dear Mr. Swenor:
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 April 1, 1993. This does meet the provisions o! 18
AAC 80.200(a), of the State Drinking Water Regulations..
The last inorganic Chemical Contaminants sample results were submitted
to this Department on May 7, 1993. This does meet the provisions of 18
AAC 80.200(a), of the State Drinking Water Regulations.
The last Radioactive Contaminants Sample results were submitted to the
Department on December 23, 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. Unless
otherwise noted, this letter is valid for 30 days and is for the specified legal description
noted above only.
If you have any.questions on the above information, please do not hesitate to contact this
office at 349-7755.
Michael Lu
Environmental Eng; Asst. II
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
June 21, 1982
Elliot Lawson '- ~-~
Jack White Co.
3201 "C" Street
Anchorage, AK 99503
SEWER ADEQUACY TEST
LEGAL:
Lot 13, Blk. 6, Valli Vue Estates.
LOCATION:
6751 Roundtree Drive.
RESIDENCE:
5-bedroom single-family.
WATER:
Community System.
SEWER:
From Municipal Records:
Tank: Sunset Plastic, 1500 gal, one compartment.
Absorption System: 48 foot trench, 7 feet of rock,
6-inch sump - holes up.
Total Absorption Area: 672 sq. ft.
Soil Rating: 126.
Installation Date: Oct. 1975.
DATE OF TEST: June 21, 1982.
TEST PROCEDURE:
System was inspected on June 18. Both cleanout for tank and
absorption line were 6 inches below ground surface. Sump was
full of very black septic waste.
On June 21, 750 gal. of water was added to the tank. Water
depth in the tank remained stationary at 50-1/2 inches. No
signs of distress were observed.
The 4-inch cleanouts were extended to above ground level,
and the tank pumped.
o
~, This system accepted 750 gal. in a time period of 10 minutes.
'"~;~-~..~.~?~ No signs of distress were observed. This system meets the
~.. ~ ';.~unicipal requirements for a 5-bedroom house.