HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 33Valli Vu
states
lock 6
Lot 33
lrcev Uaivu 1 a/
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP201009
PID Number: 015-123-19
Dwelling: ❑ Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
Allen Hippler
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
6730 Crooked Tree Circle
Anchorage,AK 99516
❑ Other
Phone
Numb er of Bedrooms
Soil Rating
Total depth from original grade
907-830-9995
4
1.0 GPD/SF
2.0/2.1 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.5/1.5 Ft.
Gravel depth beneath pipe
.6/.5 Ft.
Subdivision
Block Lot
Valli Vue Estates #2
6 33
Fill added above original grade
2.25/2.8 Ft.
Gravel length
60/60 Ft.
Township Range Section
Gravel width
5/5 Ft.
Beds: Number of Lines
Distance between lines
+ Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer.
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
600 Ft2
2
>6 Ft.
Well
>100'
>100'
N/A
N/A
>25'
TANK ❑o Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer Capacity
Greer 1,250 Gal.
Surface Water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
N/A
NA
Plastic
2
Foundation
>10'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank D3034Tank to D3034
drainfield
Installer
A+ Home Services
Drainfield D3034 Co/MT D3034
Inspector L. Tidwell/J. Millette
.
BENCH MARK (Assumed elevation) 100.0 ft
Inspeection 151 9/8/20
9/9/20
Location and description
ction
3'd 9/10/20
2nd
4'"
Bottom of siding at SW corner of Home.
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
� SOF �����
""'`.•q##
Conditional Approval:
Date
P•..••"""
•049th
°
�
't' n•• uu... a Suu.�
............................................
�� �•°°r1,fCHAEL E. ANDERSON :
CE -4381 �Approved
Septic System
01Y12,r,41
411'tA,0_No.
Date 1 ,W
## p%.. 12/30/20 •.•°''°`S"�
Note: this approval does not include well permit requirements.��������
��OFCS51C�aP��4t�
lrcev Uaivu 1 a/
EXISTING SEEPAGE PIT REMAINS IN
SERVICE FOR FUTURE USE.
100500
FEET
1"=50'4-BDRM HOMECO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
FD - FLOW DIVERTER
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
TH#1
PERMIT # OSP201009 PID # 015-123-19
VALLI VUE ESTATES #2, BLOCK 6 LOT 33
A B
FCO 17.3
MH1 36.0
SV1 38.5
A
B
C
C
2CO 39.7
FD1 40.3
C01 42.0 82.8
MT1 40.3 82.4
14.7
14.4
19.2
20.8CROOKED TREE CIRCLE12/3/20
1250-GAL SEPTIC
TANK w/ 20" MANWAY
CO3
2CO
MT110' UTILITY EASEMENTCOMMUNITY WATER
SERVICE LINE
FD1
*THIS LOT & ADJACENT
LOTS ARE ALL SERVED
BY A COMMUNITY WELL.
*CONTOURS ARE IN
INTERVALS OF 5'.
2-60' LONG x 5' WIDE x .5' EFF
DEPTH ABSORPTION TRENCHES w/2'
MOA APPROVED SAND FILTER.
MT3
MT2MT4
CO1
MH1
SV1
CO2CO4
FCO
PLAN AS-BUILT
CO2 40.2 35.8
MT2 41.5
C03 59.45
MT3 59.2
38.3
97.5
97.8
CO4 49.6 51.9
MT4 51.4 53.5
21.8
FS
PROFILE AS-BUILT
(NO SCALE)
97.3
92.3
97.9
101.9FCOMH1 SV1PERMIT # OSP201009 PID # 015-231-19
VALLI VUE ESTATES #2, BLOCK 6 LOT 33
12/3/202CO97.2
1250 GAL
SEPTIC TANK
OF.ACgl11 // E
r����'• '191 /
T /
TH
�� • •�• � Jeremy, A. urst • '0.0e
L 17.96 •i tv /
AIW
ROffSSIONk�
/
IL0 it 3�3)
Lot , Block (6)
4 /
49th /Stir
J
Surveying
�0.
1s
�0-1;.
3.0'
R �
4 I p
/ 2 -Story
0 / House'q�
/
Conc.
0
/
/
Lot 34
Vol -POO,
�
® A120.52'
R405.00'
0 15 30 A17*03'00"
US SURVEY
FEET Lot 32 il� /
0
NOTES 111;F /
-All dimensions shown are grid bearings and ground distances, Record boundaries are per Plat No. 71-285.
-49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under
no circumstances should any data hereon be used for establishment of property lines.
-It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear
on the recorded subdivision plat.
AS BUILT SURVEY
LEGEND
49th Star Surveying in1;_.L_
gWater Service Valve
321 Fireoved Drive
Lot 33, Block 6,
0 Septic C/0 -Vent Pipe
Anchorage, AK 99508
Valli Vue Estates Unit No. 2,
(907)891-6111
Anchorage, AK
(S) septic Manhole
Jeremy@49th5tarSurveying.com
As Tele -comm Pedestal
W.O. 19036 DATE: 1/20/21
��� Electric Pedestal
SCALE: 1-=30'
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PQ Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http:llavww.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP201009
Work Type: Septic Upgrade
Tax Code Number: 01512319000
Site Legal Address: Vl LL -1 \Xt E ESTATE -S
Site Mailing Address: �'73a
Owner: RIPPLER ALLEN,
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date
-'� 2 S u< (o LT --S'-,'
UK CLC) AN CH
Lot Size in Sq Ft
Total Bedrooms:
I epartmc nt
1/30/2020
1/29/2021
0(, T1
4
C,71 Disposal Field 7 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: MAW/
Issued By:
Date: -)
Date 30 6
MUNICIPALITY OF
Community Development Department
Development Services Division QD
On -Site Water & Wastewater Program
EP&PNS
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWERIWELL PERMIT APPLICATION
Parcel I.D. 015-123-19
Property owner(s) Christine L. & Allen M. HipplerDay phone 830-9995
Mailing address 6730 Crooked Tree Circle Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Valli Vue Estates #2, Block6, Lot 33
f
Legal description (Township, Range & Section)
Lot Size 22,677 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑X
Initial El
Family (SF)
1Z
1Z(w/wo
ADU)
Septic Tank
❑X
Upgrade 0
Duplex (D)
ElHolding
Tank
❑
Renewal ElMultiple
Dwellings
❑
Privy
❑
(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.
f
i
(Signature of property owner or authorized agent)
Permit/Rush Fees: 0- ql�5- Waiver Fees: _
Date of Payment: 110`�02� Date of Payment:
Receipt Number: ���Receipt Number:
Permit No. %icy P 961009 Waiver No.
Permit App_.;- : • :-'.,r_
PO BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
January 29, 2020
MOA Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Valli Vue Estates #2, Block 6, Lot 33 – 6730 Crooked Tree Circle
Septic System Design
Dear On-Site Services Engineer:
The existing septic system on the subject lot has failed and must be replaced. We are submitting
this permit application for the construction of a new septic system to serve the four-bedroom home
on the lot. The attached site plan identifies the location of the home and the existing and proposed
septic system. This lot and the subdivision are currently served by a community water system. No
conflicts exist between this proposed system and any other well, water services or septic systems
on this lot or adjacent lots.
The ground surface on the lot slopes toward the northwest in the area of the proposed absorption
trenches. There are slopes greater than 25% within 50 feet down slope of the new absorption
trenches. The trenches have been designed to meet the steep slope requirements of the Municipal
Code. The distribution lines are more than 3’ below the surface. Ground surface contours are
shown on the site plan indicating the grade and direction of flow. Storm water drainage will not
impact this septic system. The new trenches will be constructed parallel to the slope as much as
possible.
The Valli Vue Subdivision is served by a community well more than 200’ away. No private wells
are in the area. The new system will be a minimum of 100’ from surface water and more than 5’
away from the septic tank.
Please refer to the attached test hole logs and plan and profile sheets for the septic design. If this
design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, PE
1/29/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201009, Rebecca Carroll, 01/30/20
EXISTING SEEPAGE PIT TO REMAIN
IN SERVICE FOR FUTURE USE.
100 50 0
FEET
1"=50'4-BDRM HOMENOTE:
SLOPES >25% ARE WITHIN 50' OF THE ABSORPTION TRENCHES. THE
TRENCHES HAVE BEEN DESIGNED TO MEET THE STEEP SLOPE
REQUIREMENTS OF THE MUNICIPAL CODE. NO SURFACE WATER
WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
FD - FLOW DIVERTER
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
TH#1
VALLI VUE ESTATES #2, BLOCK 6 LOT 33
CROOKED TREE
CIR
CL
E
1/29/20
DECOMMISSION EXISTING TANK
IN ACCORDANCE w/ MOA CODE.
INSTALL NEW 1250-GAL
SEPTIC TANK w/ 20" MANWAY
INSTALL 2-60' LONG x 5' WIDE x .5' EFF.
DEPTH ABSORPTION TRENCHES w/ 2'
MOA APPROVED SAND FILTER.
CO
CO
CO
CO
2CO
MT
MT
MT
MT10' UTILITY EASEMENT
COMMUNITY WATER
SERVICE LINE
FD
FS
*THIS LOT & ADJACENT
LOTS ARE ALL SERVED
BY A COMMUNITY WELL.
*CONTOURS ARE IN
INTERVALS OF 5'.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201009, Rebecca Carroll, 01/30/20
VALLI VUE ESTATES #2, BLOCK 6 LOT 33
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: <1 MIN/IN
APPLICATION RATE: 1.0 GPD/SF
5' WIDE SHALLOW TRENCH SYSTEM
1250-GAL SEPTIC TANK
TYPICAL TRENCH SECTION
(NO SCALE)
4" PERFORATED PVC
(HOLES DOWN)
DRAINFIELD ROCK
5'
6"
6"
4'
6"
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
BOTTOM OF TRENCH: 5' BELOW GRADE
FLOW LINE ELEVATION: 4.5' BELOW GRADE
TOP OF TRENCH: 0.5' ABOVE GRADE
600 GPD / 1.0 GPD/SF /5' WIDE = 120 LF TRENCH REQUIRED (120 LF SPECIFIED)
1/29/20
MOA APPROVED SAND
GEOTEXTILE FABRIC
2'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201009, Rebecca Carroll, 01/30/20
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TEST HOLE 1
SLOPE
SLOPE
SITE PLAN
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
VALLI VUE ESTATES #2 B6 L33
9/13/19
J. WILLIAMS
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING:
IF YES @ WHAT DEPTH? -
<1 6
4 5
015-123-19
Allen Hippler
11:28
9/13/19
1
2
3
4
5
6
0 0
16 / 6 0
16
11:31
11:35
11:40
11:43
11:50
1' OB
Professional Engineers Stamp:
1/23/20
2:15
NO
NONE
9/25/19
WELL GRADED SANDY GRAVEL
GW
2:15
2:15
2:15
2:15
2:15
6 0
16
0 0
16 / 6 0
16 6 0
16
0 0
16 / 6 0
16 6 0
16
0 0
16 / 6 0
16 6 0
16
0 0
16 / 6 0
16 6 0
16
0 0
16 / 6 0
16 6 0
16
SEE SITE PLAN
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201009, Rebecca Carroll, 01/30/20
MUNICIPALITY OF ANCHORAGE
'& ~ ' · DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
~ 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
Address ~- ~a ~ SEPTIC ADSORPTION
Phone(s) Pe~mil NO. No.o rooms WELL
~ ~ ~ O~l ~d LOT LINE
LEGAL DESCRIPTION
Township, Range, Sec[ion
I ~ J ~ ~ I ~ ~ dPveway,AS-BUILTwaterDIAGRAMbodies, etc)(Sh°w location of well, septic system, prope.y lines, founda,io..
m~.~s IN
~ SEPTIC D HOLDING
Manulacturer Capacity ia gallons
M~terial u NO. of CompaRmen s
TYPE OF SYSTEM (~
~TRENCH ~ BED ~ W. DRAI. ~OTHE.
oggin~lOepth to ~ipe bmtom 'mmgrade FT Total depth from odgina, grade FI
Gravel length Gravel width -
FT FT ~,~ c ~"'~ /1'/,// I I
Total absorptio~ area Distance between lines ~
~ ~.~/ !,'/I // /
SQ FT FT /
. ~5 / //~
~ PRIVATE ~ OTHER (Identify}
~ ~ ~0~ /
Classification (A,B,C) Total Depth F~ Cased to
Installer Date Installed:
REMARKS:
MunicipalandStateDuidelinesJnellectonlhisdat~ ~J~J~ / /
72-013 (3/85)
Depaptm~:r'~t. c)f Health & Human Sepv:Lces
,825 I.. St.r'e)~'L, Anc:hc~r'age!~, A].a!~,ka 99501 J;4J:.....~)
D N -. S I T E f3 E P T i C T A N K F:' E R I*1 ]; T
:, ~ Upg p acl~
F?.O B [ii:F;lT J.
6730 CF:d:)I::)KE):) TF?.Fi:E
A N E;H'E)I::~ A[!}ti!:, AK 995
Day
549"'4A08
Block:
SEPTIC 'rANI<: Minimum t, crLa], s{~pt, ic i',anl.::
'k.~;u"~k mt,ust ho. ye at ].,.'<,o.~_~t. 2. cc)mpa, r.t. merU_'.s,,
feet. p~)quipe!s: iri~iL~].~d:.:i, on OVi~SH" 'i:.ar'iJ,:: (s).,
c:apac:i.t.¥: 1.,250 ga:l. lc)ns. Each ~sept. ic:
D~p'Lh 'Lis top Df ss~pt, ic
]:NS'T'AI..,L. PE!:;~ I~:N[.~INIEEF~S DESI6N. TH]i~3 F:'IEF.'.M ]: ]" EXPIREB 12 /:5 :!. /87 AND
:1: S i SSU!i!:i) FI)t::;.' THE E X I S']" I NE-; 4 BEDI.:;tOEIN S I Nt3LE FAM I L_Y DNIEL.[.. I N[~) ONL. Y
S i gnc, d:
((3wnep)
CEIRTIFY THAT:i
:l.,. Zi: am fam:i, liap ~-~:Ltlq t.l'%'.:, pequ:i.l, em~nt~ f(:m cln.-~ii'L~ set~Je)l-s arid we~].].s a~, set,
fopt. l'i by '1:i~6~ I~tunic:i.l:}a].i'Ly of Anc:l-lclpag~ (MOA) and t. he State cif A:l. asl.::a.
): will ins!fLail 'l'.,l"lce syst.~,~m in ac:cc~pdanc:e with a:l. 1 MOA c;clc:!6o~ and pegulat.;i, cirls~
arid iH c:C, ml)].J.o, nc:e wit, h the d~s:i, gn crit. epia of t:hi~ pe~,rmi'L,,
I ~:i. ll adhepe t.o a].l MOA and St.~,c~e of A1asl<a r'equi~-ements {(:m t.he set back
distances fl-c:mi any e>:isting wce].l, w~ast, e~,~at.e~r' di~q:c)sa] system of public:
se~wi,(,p,s:~ge~ ~sys;t.e~m or'l t. hif~; ~;:)1' al"!y ad.jac:en'i:, or nc~apby
I uridep~st, and t.l"la'L '!:.his per'mit, J.s valid for al/ maximtim of 4.
also und~r'st, ar~d t,l'lat, t. hc~ Cal::iac:it.y of t, het. otal sy~illt, a,m :i.z~ 4. Izl~dpc:ic)nis arid
arty e~r'ilar'gern~,n'L ~t~i].J_ Pe)qLt:i,i"ce an addit,;LCllia.],
I::i'.i3BEi::iT J,, i::iEIOD
MOUNTAIN ENGINEERING
10251 ORESTVI~::W EAST
EAGLE RIVER, ALASKA 92577
[907] 696-1700
[800] 478-0101
MOUNTAIN ENGINEERING
(~RESTVI~W EAST
EAGLE RIVER, ALASKA 89577
[SOO} 478-0101
GRE, , ER ANCHORAGE AREA BOII',%IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~}g-~.-- ~'- ~-~-~,/-¢,.-¢/,~ MAILING ADDRESS
LOCATION ~D~ ~&--Z>
SEPTIC TANK:
DISTANCE ~/
FROM W/~.~ ~[O1¢' MANUFACTURER
LEGAL DESCRIPTION
PHONE
gL
MATERIAL
NUMBER OF
COMPARTMENTS'
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH __
_LIQUID CAPACITY / 2- ~~O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION ~;~
ADDITIONAL ABSORPTION
[ DIAMETER __. OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE ~O /¢'-
LENGTH DEPTH ~--~/~ a'
DEPTH //,~/DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA),~t:~-~;~/4,~;~-~? SQ. FT.
WELL: ~'g,~-~-~ ~.
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION ~I~9~)d~D
NEAREST NEAREST
LOT LINE SEWER LINE
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEPTIC ~_~ H-
TANK '"" ~¢" ,
DISTANCE FROM:
SEEPAGE /¢.,
SYSTEM ,~ 0
DISTANCES:
INSTALLED BY: ~'~-Z ~'
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE ~¢./-27./~$ APPROVeD/z"] .... ~ ~'. ~:
G.A.A,B.
NO. LQ-D31
GREATER ANCHORAGE AREA BorOUGH
PERMIT NO,
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ ~ , DRAIN FIELD ., OTHER
TYPE A{4D SIZE OF FACILITY TO BE SERVEEi ~7/~~~ ~ ~'
FINANCED THROUGH TO BE INSTALLED BY
comPletiOn DATE ANTICIPATEd /~ ~ ~ ~~ '
WELL TO SEPTIC TANK ,//~ '
DRAIN FIELD //~-~ !
WATER MAIN TO SEPTIC TANK .~) / DRAIN FIELD 10 ~
SEPTIC TANK, _/UU/ SEEPAGE PIT /~ '
TO RIVER, LAKE· STREA~.
· SEEPAGE PIT ?/-~0 ~
, ALSO CONSIDER AREA WELLS.
DRAIN FIELD
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURE~ED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTight REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT [ AM FAMILIAR WITH THE REQI
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
FORM NO. EO-016
ORDINANCE NO. 28-68 AND THAT THE ABOVE
TEST HOLE NO. I 'DATE,., 8-7.1-73
PROJECT Te,st Hole For Seepage . W.O.
Pit
EL~. TOP OF HOLE CLI~T Earl Clabo
~.~ ' 'Li~ght B~ow~_..$i I,ty.and.~QBd ~nd..GFa~.l yLi~h Sm
__ .Occasior~al Roc.k 6"
Est., ..[/2 _&.i_l ±..I/2, Grav. e£
-- ' GM. ±o .SH. 243.25.. ' -....~ .........
__ Loose Sa~.d _~J~d OrTavel .... ·. ..................... '
.Gravel.l.y_.Sand. Yery. Ll±t e S ±
-- (Damp) N.,F,S, ........................ '-
~ Occasional Cobb les.8'!- Maximum
..... GW 85 ................
Bottom of Ho I e ~/'
-- ' Bottom' of 'HoIo.I~2 I/2'..''i "".'", '.]-'.].'.]']'5
~ No Free Water Observed .... '.' ..........
1 1
f~L[..Bock (Pea Grave L-
".. .3 ...................... =-:-~ ............. 3
5 5
.... 8 8
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Municipality of Anctterage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON.SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-123-19
1. GENERAL INFORMATION
Complete legal description
Valli Vue Estates No. 2, Block 6, Lot 33
COSA #
Expiration Date: _/"~ - ',,,~ -'//~..
Location (site address) 36730 Crooked Tree Circle Anchorage, AK 99516
Current Property owner(s) Robert J. Rood
Mailing address 2440 E. Tudor Road Anchorage, AK 99507
Day phone 619-417-3614
Lending agency
Mailing address
Rea Estate~A. gent
Mailing Add(ess
Unless.otherwise requested, CQSA will be held by DSD for pickup.
NUMBER ':
OF BEDROOMS: Four (4)
Day phone
Day phone
TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well [] Individual On-site []
Individual Water Storage [] Individual Holding Tank []
Community Class A Well [] Community On-site []
Public Water System [] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. 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.
Name of Firm Anderson Engineering Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E.
DSD SIGNATURE
~ Approved for J~
Disapproved.
Conditional approval for
bedrooms.
Date 5/27/2011
bedrooms, with the following stipulations:
By:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
(Rev. 11/05)
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Lot 33, Block 6, Valli Vue Estates No. 2
Parcel ID: 015-123-19
A. WELL DATA
Well type Class A
IfA, B, orC provide PWSID #210605
Well Log (Y/N)
Date completed
Sanitary seal (Y/N)
Wires properly protected (Y/N)
Total depth ft. Cased to ft.
FROM WELL LOG
Casing height (above ground)
AT INSPECTION
in.
Date of test
Static water level ft. ft.
Well production
WATER SAMPLE RESULTS:
g.p.m.
g.p.m.
Coliform
colonies/100 mL Nitrate
mg/L
Other bacteria
__ colonies/100 mL
Arsenic: mg/I
Date of sample: __
Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Tank size 1,250 gal.
Foundation cleanout (Y/N) Y
Date of pumping 5/4/11
Date installed 919/89
Number of Compartments Two Cleanouts (Y/N)
Depression over tank (Y/N) N High water alarm (Y/N)
Pumper Denali Pumping and Water workS,',LLC
Y
N
C. ABSORPTION FIELD DATA
Date installed 9/27/73 Soil rating (g.p.d./~ or ~/bdrm) 85 SF/BDRM
Length 12. ft. Width 12- ft.
Total depth 11.5 ft. Eft. absorptiOn area >340 ~ Monitoring tube
Date of adequacy test .~ I~"/.~ I.,'/,,~tt Results (Pass/Fail) Pass
~ I
Fluid depth in absorption field before test I ~.~ in. Water added.~=.~ gal.
Elapsed Time: !?)~_ min. Final fluid depth ~),~' in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) ~
System type Absorption. Pit
Gravel below pipe 6+
Y Depression over field N
For 4 bedrooms
NeW depth ~,~,~'
Abs0rpt0n rate >= 6o0
If yes, give date
in.
g.p.d.
LIFT STATION ~J/li~('
Date installed Size in gallons
"Pump on" level at ~ in. "Pump off" level at ~ in.
Datum Cycles tested
E. SEPARATION DISTANCES
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
Absorption field >5'
Surface water >100'
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5' Property line >5'
Water main N/A Water service line >10'
Wells on adjacent lots >200'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10' Building foundation >10'
Water Service line >10' Surface water >100'
Curtain drain None Noted Wells on adjacent lots >200'
Water main >10'
Driveway, parking/vehicle storage >25'
in.
F. COMMENTS: Exact dimensions of absorption pit are unknown. Information from Municipal files does not specify exact
measurements. Absorption pit size is adequate for four bedroom home.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Michael E. Anderson, P.E.
Date 11/02/2010
COSA Fee $
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
UNDER NO CIRCUMSTANCES SH~LO AN AS-BUILT ~E USED F~ C~S~UC~ ~ F~ ESTABU~ING BOUNDARY OR FEN~ UNES.
THE SUR~YOR TAKES RESPONSIBIUTY FOR THE INI3AL ~ANSAC~ON ~LY AND ASSUMES ~N~AL UABIUTY ONLY F~ ~E COST ~ ~E SUR~Y,
LIS~D DISTAN~S PREVAIL O~R SCALING. REPR~UC~ MAY CAU~ ~R~S IN SCA~.
LO~ ~ SURVEY TYPE ~ SYMBOLS
"~ F~NDA~ AS~BUILT
~ F,NAL S~UC~RE AS-~iLTJ o SET REBAR ~ ~ DRAINAGE ~ ASPHALT
~ PLOT ~ . . . AS-BUILT . . LOT ~R~Y . . T~HY ~ O F~ND REBAR ~ ~NCE ~ C~CRE~
~ AS-BUILT . . . NO C~S ~T ~ ~CA~ ASn~I.LT NO C~N~S ~T ~ ASSUMED E~V. X X X METAL ~NCE ~ ~OD DECK
PLOT PLANS ~ LOT SUR~YS NOTE:
IT IS ~E RESPONSIBILITY OF THE BUILDER OR O~E~. PRIOR TO ONLY THOSE IMPRO~MENTS ABO~ ~OUND AND ~Si~LE ~LL BE
CONS~UCTION, TO ~RIFY PROPOSED BUILDING GRADE RELATIVE SHO~. FENDS. ~S, SEP~C C~AN~TS, SIDEWALKS, DRI~WAYS,
TO FINISHEO O~AOE AND UT[LI~ CONNEC~ONS AND TO DE~RMINE ETC.. ARE SHO~ IN ~EIR APPROXIMA~ LOCA~ON, ONLY. SNOW
THE EXIS~NCE OF ANY EASEMENTS, CO~NANTS OR RES~IC~ONS MAY PRE~NT SOME IMPRO~MEN~ FROM BEING SEEN ~0 L~A~D.
~t..~H D.0' NOT A~pEAR ON THE RECORDED SUBDIVISION PLAT. AL~....DISTANCES A~E RECO~D UNLESS OTHE~[ NORD.
SURLY CERT~nCA~ON T .......... Prepared by
Robert E. Johns, Jr. Assoc.
RNAL S~UC~RE AS-BUILT -- ," o~ Legel De~ri~ti~:
~ ..... ~ ..... .~,-~ Lot 33 Block 6