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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