HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 20
Municipality of Anchorage Page / of ..2,,
DEC 0 l 1997 DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
R CE
, 966 0 · Anchorage, ·
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~ ~ ~ ~/ PID Number:
Name:~Upf~__ /~ Wastewater System: ~New Q Upgrade
~ ~/ ~..~ ~a~ ~,;. ~. ABSORPTION FIELD
No. of Bedrooms: ~OeepTrench ~ Shallow Trench ~ Bed ~Mound ~Other
LEGAL DESCRIPTION /.~ Gpo~sq. ~. /7.
~ ~ [~//,' ~ ~, ~ ~ Ft. /~'~ '~t.
TownshJp: I Range: I Section: Fill added above original grade: Gravel length:
/ / Ft. ~' Ft.
I
I
WELL: ~'~Ne¢~T'4 ~ Upg~ Gravelwidth: Number~flines: IOis,ancebetweenlines:
SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E.P.
t
Sudace
~/~ ~/~ } '+/~ LIFT STATION
Water
LiReL°t ~/ ~ / ~ ~ Size in gallons:~ Manufacturer: ( ~/
"Pump on' lc' '~t: ~¢~e I arC__High water alarm
Curtain Pu~el ~Eiectricat I~spections performed by:
Drain ~ ~
BENCH ~ARK
Remarks: /¢¢ ~ ~ ~¢~ ~
Inspections performed by: ~f/c ~,'~ ~?~ates: 1st//-~¢-¢? ~ ~~~,
Department of Health and Human Services approval '~]~Z*,..
Reviewed and approved by: ~' Date: / '~ '~ -~"~-"~" --~
.4VIg~
72~013 (Rev 9/91} MOA 25
Permit No, SW970231
Page 2 oF 2
Municipctity oF Anchoro9e
DEPARTMENT ElF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650. Anchorage, ALaska 99519-6650 .TeLephone', 343-4744
0n-Si1;e Wost;ewot;er Disposct Sys1;em Grid/or WeLL Inspect;ion Repot1;
Legal Description:Va[Li Vue #2 Lo1; 20 BLk 6
PlO No,: 015t2332
/
/
S~¥INGTIES.
A-C = 70.5'
B-C = 61.7'
A-D = 40.7'
B-D = I03,9'
500 GAL
SEPTIC TANK.
HOUSE
LOC.
~OUND
T~P-E
CIRCLE
[] - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEANOUT
~- - KEYBOX
:::::::::::- PROPOSED LEACHFIELD
EASEMENT
SCALE 1'=40'
ELEVATIONS
(NOT TO SCALE)
ORIGINAL
GROUND
LEVEL AT:
97,6
,5.,/l ,ANK h'5. h,,.,' X,,,.,
TOP OF CBNC BLOCK FOUNDAT[ON
ASSUMED ELEV = lOO, O0
0
ND GWT
11/26/97
ENGINEER'S SEAL
, N..' 49~ '.,% ~
[&:. LOU~S *. 8uma* ."&¢
V0~i'.... CE-6736 ...-'~
PAGE 1 OF
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMBN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970231
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:LEE ROBERT LESLIE & DIANE
OWNER ADDRESS:6841 ROUND TREE CIR
ANCHORAGE, AK
DATE ISSUED: 7/31/97
EXPIRATION DATE: 7/31/98
PARCEL ID:01512332
LEGAL DESCRIPTION:
VALLI VUE ESTATES ~2 BLK
6 LT 20
LOT SIZE: 25118 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION 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 ALASRA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED i~D CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
1
SPECIAL PROVISIONS:
RECEIVED BY: '~ ~~
DATE:
Ea le River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
JULY 24, 1997
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
,JUL 28 1997
RECEIVED
Re: Valli Vue Estates #2 Lot 20 Blk 6
Narrative & Permit Application
Dear Mr. Cross:
The proposed and septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1997~97-041 -N~m. DOC
~ 5P-PTIC + 100'
~-- A,~ W~,L~ +~oo' / '
%.~PTlC +~o' / / ~
/ ~~ / ; h~"'-/~ ~~ ~ouNo
/ / DF~v~I/tU IA,NE / U.)U\ / %
ALL ~ELL5 + 100 / v NO ~ELL
SEPTIC +~' ~C +30
~ - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEANOUT
~ KEYBOX
EASEMENT
NO SURFACE WATER PROPOSED LEACHFIELD
NO KNOWN CURTAIN DRAINS ~- EXISTING LEACHFIELD
WELL/SEPTiC S~TE PLAN
LEGAL: VALL, VUB ~2 LOT 20 BLK 6
CL, T:
CONTRACTOR: ~ ~
JOB~ 97-041 DATE: 7/24/97I SCALE 1" = 40' ~-~¢.. ,.¢¢¢_..~,
~ · LOUIS A. BUTERA
EAGLE RIVER, AK. 99577 ~?o~ss~o~
(907) 694-5195 FAX: (907) 694-3297
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
LEGAL:
A.
1.
SPECIFICATIONS FOR ON~SITE SEPTIC SYSTEM
Valli Vue Estates #2 Lot 20 Blk 6
7/24/97
GENERAL
The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State
Department of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent rhulti-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
9. Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK
1. Septic tank shall be a minimum size of 1500 gallons and of approved MOA design.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 13' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 13' GRAVEL DEPTH = 10' under pipe, 2" over pipe
TRENCH LENGTH = 31' TRENCH WIDTH = 3'
SOIL RATING = 1.2 GPD/ftt BEDROOM CAPACITY = 5
SEPTIC TANK = 1500 Gallon
Twenty-four (24) hours notice required for all inspections.
\1997~97-041-spc.doc
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:'
LEGAL DESCRIPTION: 'X/A'~ L~ W'IIF. L-~-O
1
5-
10
'11
12
13
WAS GROUND WATER
ENCOUNTERED?
Depth to Water Alter
Monitoring? ,g/~ ,~
Township, Range, Section:
SLOPE
SITE PLAN
14
16
17
18
19
20-
Reading Date G~oss Net Depth to Net
Time Time Water Drop
4 ~:0D ~o~,~ ~'/,~ ~'~/~
PERCOLATION RATE
TEST RUN BETWEEN
'~,-~ (minutes/inch) PERC HOLE DIAMETER --
~- FTAND '~ FT
COMMENTS
PERFORMED BY: /W~,T~J'A E'w' '% ~/ N~O.'~' I /E ~ E ~ , .'~'~~ERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCEWITHALLSTATEANDMUNICIPALGUtDELINESINEFFECTdNTHISDATE. DATE:' O~-%A-,~-~
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 97-041
Calculated By: LB
Date: 7/24/97
Legal: Valli Vue Estates #2 Lot 20 BIk 6
Single Family $ Bedroom Dwelling
TEST HOLE
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 750 gallons
Percolation rate = 3.5 minutes perinch
Wastewater application rate = 1.2 gallons per day per square foot
Required absorption area = 625 square feet
Trench width (IA/) = 3 feet
Gravel depth (D) = 10 feet
Required length = Required absorption area / 2 / D
Required length = 625 / 2
Required length = 31 feet
Total Excavation Depth = 13.0 feet
/ 10
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. #
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA # ~ t~~'~.{~-~ ~
Location (site address or directions)
Property owner
Mailing address
/'7'J~ ~_~4 ~ Day phone
Lending agency
Day phone
Mailing address
Agent
Day phone
Address
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER sUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well
Community well
Public water ~,/X'~
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of System.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
724)25 (Rev. 1/91) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
P.O. Box 773294, Eagle River, AK 99577-3294
Phone
Engineeds signature
DHklS SIGNATURE
J Approved for
bedrooms.
Disapproved.
Conditional approval for
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 registe red in the State of Alaska. The DH HS 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.
72-025 (Rev. 1/91) Back MOA
~I'IftICiPA[ITy OF .
Municipality of Anchorage AP,~ 1 1998
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907)
Health Authority Approval Checklist
Legal Description: ~/// ~/~'~ ~-'~ ~'-~ /'~' /~' ~' Parcel I.D.: ~:;It'~r'/~-'~'~-'
A. WELL DATA'
Well type
Log present (Y/N). x'~/-~ Date completed
Total depth ' =/'~/,'~ Cased to
Sanita~ seal (WN)
{/v/~ T~-~ If A, B, or C, attach ADEC letter. ADEC water system number
Casing height (above ground).
Wires properly protected (Y/N)
FROM WELL LOG
AT INSPECTION
Nitrate
g.p.m.
Other bacteria
Date of test
Static water level
Coliform
Date of sample:
Collected by:
g.p.m.
B. SEPTIC/HOLDING TANK DATA
Date installed
Foundation cleanout (Y/N)
Date of Pumping
Tank size 15-~'~ ?~/ Number of Compartments ~ Cleanouts (Y/N)
Depression (Y/N) ,~' High water alarm (Y/N)
Pumper
C. ABSORPTION FIELD DATA
Date installed ~/- ~'~ -- ~'~
Length. ~'~ / Width -~
Effective absorption area ~/~'~ /~z
Date of adequacy test //~,~
Fluid depth in absorption field before test (in.);
Fluid depth /~-'4f (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
Soil rating (g.p.d./fF or fF/bdrm) /' System type ,,~>~-~
Gravel thickness below pipe ~ ~? ~ Total depth ! ~
Monitoring Tube present (Y/N) ~ $ Depression over field (Y/N)
Results (Pass/Fail) /'~/'~ For .~' bedrooms
Immediately after/~ gal. water added (in.):
Absorption rate = ,x~' g.p.d.
If yes, give date /~"/~
72-026 (Rev. 3/96)*
D, LIFT STATION
Date installed
Manhole/Access
High water alarm level at*
Cycl?~.~ed~
£. $£PARATION DISTANC£S
SEPARATION DISTANCES FROM WELL ON LOT TO:
Size in gallons
"P u m p~.o,q~leveT~.t *
*Datum
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line ~,.'/.~4
"Pump off" level at*
On adjacent lots
On adjacent lots ////,.,~
Public sewer manhole/cleanout /4,/,~
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation / ~ /
Property line -/'.~-"
Absorption field
Water main/service line ~'~- ' Sudace water/drainage -~/c¢~' ' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line ~...C r
Surface water -h,/~ /
Curtain drain /~'/-~
Building foundation ~ ) Water main/service line
Driveway, parking/vehicle storage area ~'~
Wells on adjacent lots +//_.2~ r
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and revie~
in conformance with MOA HAA guidelines in effect on this date.
Signature ~~ --
Engineer's Name
Date
HAA Fee.$ 0200
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number