Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
VALLI VUE ESTATES #2 BLK 1 LT 60
Valli Vue Estates Block ! Lot 60 #015-311-34 () Municipality of'Anchorage :,.., Development Services Department ?" ~: Building Safety Division .,~ On-SRe Water and Wastewater Program, 4700 S. Bragaw SL P.O. Sox 196650 Anchorage. AK 99519-6650 Page J of www.ci, anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:. .,~ I,v' 0100~8 PID Number:. O t ~' -3 II - 3 ~1 "'"" I~.~,,,n Pl. fV~ ,~ WastewaterSystem: [] New [] Upgrade ~ 'Z3o Ro~,,~,/.. "F~¢ p,~.~ A^cA 795~' ABSORPTION FIELD LEGAL DESCRIPTION -... ~.p~o Well: [] New [] Upgrade n. *'A " ~,. n.- n' p -30 $ ¥ n A+ Fro~ ~rv, e~ q II~/Z~OI I v,~: I ~": ~~ TANK SEPARATION DISTANCES ~ septic ~ Holding ~ S.T.E.P, ~ O~e~ Sep~c ~so~tior ~ HoMing Pubti~afl Tank Field Sta~on Tank S~e ~ ~O~d~ / ,I F~ ~i */ / ~ E~ ~',~,,~ ~ BENCHMARK Engineers Stamp Inspections pedormed by: ~(~ ~ ~ Dates: 1" ~/1~/O( ~w.~'~nt~l~/:~ Development Se~ices Depa~ment Approval f'"t.~ . ........... ~,~o,~ ~." D "'~ ';" . : ~; .~ ~.~. % Reviewed and approved ate ?' / ~' O/ ,, ~& . CE- 358g PERMIT NO: SW010068 PID NO: 015-311-34 SWING TIES FROM: COR."A" COR."B" TO: FDN C.O. "C" 11' S.T, C.O. "D" t4,5' 47' S,T. C.O. "E" 18.$' 52.5' DBL C.O. "F" 20.5' $5.5' S.P.C.O. "G" 24' 66' TR. C.O. "H" 47.5' 26.5' / / / / / / / / / / / / / EXISTING SEEPAGE PIT PAVED DRIVE DECK LOT 60, BLOCK 1,'""'"'-..,, VALLI VUE EST. #2 PLAN VIEW SCALE: 1" = 30' PAGE 2 OF 2 NEVV 1000 GAL. SEPTIC TANK EXISTING TRENCH INV. __~ 89.4' ~__GROUND ELEV. 95.4' 1100O GALLON !SEPTIC TANK~ I-INN 89,1' PROFILE VIEW SCALE: 1" = 5' LOT 60, BLOCK 1, VALLI VUE ESTATES #2 SEPTIC TANK REPLACEMENT AS-BUILT INSPECTION REPORT FLATTOP TECIINICAL SERVICES ]SCALE: AS NOTED 14530 ECHO STREET IDRAWN BY TFM ANCI IOP. AGE, AJ. ASKA 99516 APRIL, 2001 MUNICIPALITY OF ANCHORAGE Development Sen/ices Depa/lment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 13, 2001 Expiration Date: Apr 13, 2002 Permit Number: SW010068 Legal Description: ,VALLI VUE ESTATES #2 BLK I LT 60, Design Engineer: 0019 Flattop Technical Services Owner Name: DEVIN M. NIX Owner Address: 6730 ROUND TREE DR ANCHORAGE, AK 99516-6817 Parcel ID: 015-311-34 Site Address: 006730 ROUND TREE DR Lot Size: 20100 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage 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 Alaska Wastewater Disposal Regulations ( 18MC72 ) and Drinking Water Regulations ( 18MC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: "~-~ ~ Issued By: ~ ~ Date: ~// IX t/Of Date: '~-/3--0/ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SWOlO068 Property owner(s) Mailing address (1) Mailing address (2) Legal description (Lot, Black & Sub'd.) Legal description (Section, Township & Range) Lot Size 20~/OD Acres/~ THIS APPLICATION IS FOR: Day phone ~y~-I Zip Code '~,~-¢ ~" - ~gr~' Number of Bedrooms Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage [] Jacuzzi I'-I [] Water Softening Unit [] [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 1Z/00) Waiver Fees: Date of Payment: Receipt Number: -' ~' ~ ~ ~ LOT 11, BLOCK6 / / EXISTING "-. / / ~EPA~ PiT INSTALL N~ LC T Eg // -1000 GALLON / SEPTIC T~K ~.~ / / PAVED / DRIVE ~ 1000 G~LON S,T. / ~ ~ISTING / ~ o SOIL ~S, TRENCH / / / / / / / / / / '-~ / / '-. / / '-.. / / - / ~ / LOT 60, BLOCK 1, "'"' / VALLI VUE EST, ~2 LOT NOTES' ~ ' ' ' ' ' ' '... (1) ~L'RESIDENCES IN THIS ' ' - . . S~ ARE SERVED BY A ".. C~SS "A" COMMUNI~ WELL ' '.. LOCATED 200'+ FROM SEPTIC TANK ' ' -. (2) ALL CONSTRUCTION AND MATERIALS SHALL COMPLY WITH M.O.,~ REQUIREMENTS ,-?,?..." ..'., ,,~,,~.. CE 3589 LOT 60, BLOCK 1, VALLI VUE ESTATES #2 SEPTIC TANK REPLACEMENT SITE PLAN FLATTOP TECIINIC^L S£P. VICES 1 INCH = 40 FEET [4530 £CllO STIU~ET DRAWN BY TFM ANCI IOP~(]£' ALA$1r'A 99516 APRIL, 2001 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEMt~iII~ INSPECTION REPORT NAME '-~Ot V't ~- MAILING ADDRESS b'7 PHONE [] NEW LEGAL DESCRIPTION Lin- &O LOCATION. DISTANCE TO: Manufacturer Liq. capacitv in gallons DISTANCE TO: Well IF HOMEMADE: Well Well DISTANCE TO; No. of lines ,f tile to finish gr Type of crib Absorption area Dwelling Material Insidelength Width Foun~ -- INearest lot line ~, of lilies J Tre.n. ch width inches NO. OF BEDROOMS PERMIT NO. Liquid depth PERMIT NO. ~ci{y in gallons PERMIT NO, fl~/(~ Distance between lines Class Width Well Depth Crib depth Building foundati Total effective absorption inches ptlon area Nearest lot line DISTANCE TO: Building foundation Driller Sewer line Distance to lot line PERMIT NO. Septic tank Absorption area(s) OTHER PIPE MATERIALS REMARKS APPROVED 72-0~3 {Rev. 3/78} DATE LEGAL Applicant Location: Legal Description: L~ ~ ~k I Type of soil Absorption System Is: Trench: ~ Drainfield: Maximum Number of Bedrooms: ~ ,/-~INICIPALITY 0P ANCHORAGF Department 03'Health and Environment 825 L Street, Anchorage, AK. 264-4720 * * * HANDWRITTEN PERMIT WELL AND/OR ON-SITE SEWER PERMIT ~ Mailing Address: Phone Nu er: Seepage Bed: __Holding Tank: soil Rating(sq.ft/br) ~k~ The Required Size of the Soil Absorption System Is: DEPTH. /,~_ LENGTH .:~-"7 . GRAVEL DEPTH ~1. WIDTH The length dimension is tMe length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = O GALLONS * * Permit applicant has the responsibility to inform th~s department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more t~hat 3 b~oo~s.- ~%~ L~ ~ Issued by: Date: SWP/024 (1/81) 'CONSTE ICTION TEST LAB 1806 ,W. 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 9950:3 248-1:3:33 PERFORMED FOR! BETT.~TF. LAWER LEGAL DESCRIPTION: Lot 60 Block THIS FORM REPORTS: [3Visual Soils Examination DEPTH SOIL . FEET DESCRIPTION 16' BROI,~ SILTY - GM SANDY GRAVEL BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED IF YES, WHAT DEPTH LEGEND ~ -- Perc zone , ®S- Sample token I -- Frozen zone · -- Water table No DATE PERFORMED: June 16, 1981 Subdivision Valley View Percolation Test 81-1570 NOTES ~ III II I I'* IIII ~ ~' Illl t I I I I I 1,1 FI I I ! I I I t I I I I t I I I / I I I I I ~1 I i I I I I I I I! I I I%111 I I 1fl llll Yrlll,,lt,,,,,,,,, I I~ III III I I I I I IIIIIII GENERAL SITE SLOPE READING DATE GROSS TIME : NET TIME DEPTH 'TO H20 NET DRAINAGE 6/16/81 2:00 p.m. - 1" " 2:15 p.m. 15 min. 4 1/8" 3 1/8" " 2:30 p.m. 15 min. 6 3/4" 2 5/8" i, 2:45 p.m. 15 min. 8 1/4" 1 1/2" " 3:00 p.m. 15 min. 9 3/8" 1 1/8" " 6:00 p..m. 3 hours 18 1/4 8 7/8" PERCOLATION RATE: 20 rain/inch DRAINAGE REQUIREMENTS: 225 sf/bedroom PROPOSED INSTALLATION: [3 SEEPAGE Pit ~) DRAIN FIELD ID OTHER COMMENTS: TEST PERFORMED BY: Kevin Braun KINNEY R. BAXTER DATA CERTIFIED BY: DATE: June 17, 1981 GRE/ ER ANCHORAGE AREA BOF ',JGH Department ~)~3E2;irs~er~;ntal Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~///// /~'~//J~-~//~ MAILING ADDRESS //~,~,/~7~ ~'~<~'/? PHONE LOCATION ~'z~'~ //~'{-g; ~:?/, LEGAL DESCRIPTION /~/~ J~] /'/'/'/'/'/'/'~/ /~/////'~/~//J SEPTIC TANK: DISTANCE /~ FROM W E L L/J~,~'/~ INSIDE LENGTH NUMBER OF MANUFACTURER ~¢"/~ MATERIAl ~-g~X'~' COMPARTMENTS ~ INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY /'~/ GALLONS. SEEPAGE Pit: NUMBER OF PITS / DIAMETER -- OR WIDTH /7,~ LENGTH//?, DEPTH LINING MATERIAL~/-~'~'~g~/'/~/--/CRIB SIZE: DIAMETER '~'/DEPTH ~'/ DISTANCE FROM: WELL ./ /g~/~'//. TOTAL EFFECTIVE BUILDING FOUNDATION ~/¢, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ~'--"~'~ SQ.,,. ADDITIONAL ABSORPTION WELL: TYPE ~/~//~'/7¢~ / BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH SEPTIC TANK DISTANCE F'~O M: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: ../"/,~./V'/~//~'/~¢~/F/~/ PIPE MATERIAL; .~/~"/ DATE DIAGRAM OF SYSTEM "7',', GRE;-EER, ~ ANCHORAGE AREA BOROUGH ~'-~ Depar JP, t of EnvSronmental Quality 313~0 "C" Street Anchorage, Alaska 99503 r;orf6rr.!ed fcr ~ ~~ Date performed ~,~ai DescriDti~: ~~ ~' ~ 7?.is ~.~ r~,orts: Soils log ~ Percolation "~e~."~- Feet '~:~s ground water encountered? If yes, at ~,/hat depth? ~-u?ing J Date I GrOss Time Net Time L Depth to !t20 X, et Drep EPLAWS • ;r Municipality of Anchorage On-Site Water&Wastewater Proaram ` (907)343-7P" -.t s. S,. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-311-34 Expiration Date: v—( r -Z0Z 0 1. GENERAL INFORMATION Complete legal description VALLI VUE ESTATES#2;BLOCK 1,LOT 60 Location (site address) 6730 ROUND TREE DRIVE;ANCHORAGE,AK 99507 Current Property owner(s) SIDNEY SHAW Day phone 406-203-2150 Mailing address 5820 BELLAMAH AVE NE;ALBERQUERQUE,NM 871100 Real Estate Agent DAR WALDEN TEAM Day phone 865-6406 2. TYPE OF DWELLING: Ill Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. 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 ❑ WalverNanance request for N/A Distance: - Received by: Date: COSA to be released to the engineer,unless otherwise requested by The engineer. COSA Fee$ Waiver Fee$ Date of Payment 10030 Date of Payment Receipt Number OQ K')(7 Receipt Number COSA# (in J4/2413 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. 1 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 GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 •ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 6v it t34 .7 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the ��•!&‘‘A guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the ♦♦"S.t, 0...F.. .t ,�� condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. ♦♦•P ,•.•• .................................... +�� Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during ♦ �� • (••• �� the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system's.These ' • g ��\ s* �� conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the ra• •• „•• „ • ,• / / system's;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. • 0 GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 1 current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the 0 '• r c!,•A. a rn-.s : ch.,= information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not 0 C, -79 . I authorized.in short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. •• ->'•. •� .41 4 . Ic.tv-4.- 6. DSD SIGNATURE ♦'4t 'ROFESS\�P4 X LICENSE ,�tim""��� System#1 Approved for 3 bedrooms. aaecceaa System#2 Approved for bedrooms. OW\ U((((I f �` 1� grrY OF f '( Q4f Disapproved. `��A C P Conditional approval for bedrooms, with the following stipiz att ns: ON 0, wAT . •o WASTER A. m - i COSA Checklist Legal Description: VALLI VUE ESTATES #2; BLOCK 1, LOT 60 Parcel ID: 015-311-34 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. LL DATA COMMUNITY WATER SYSTEM ❑Well log I -. with Onsite (or attached) Well production at time of test •pm Date drilled Water storage tank volu •- gallons Total depth ft Well disinfect-• • coliform test? ❑Yes ❑No Cased to ft ❑ - orm bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL(ND) ❑Wires are properly protected •ic ug/L ❑Arsenic less than MRL(ND) Casing height(above ground) in. Collected b Date of flow test for COS: Date of Sample Static water le - - beginning of test ft. Co • - is B. TANK DATA . T STATION Age of tank(s) <18 years ❑ Requir-• ,.aintenance complet-- Tank type/material STEEL Age of lift station El Standpipes/foundation cleanout per record drawing Lift station mated- Date of pumping 6/17/2019 Comment • NOTE:47.5"OF L.L. IN ST2 ON 6/14/2019 D. ABSORPTION FIELD DATA SEEPAGE PIT/DEEP TRENCH Which system tested (date installed).5/1974 Adequacy test date 6/14/19 ❑Q ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 13/16.8 ft(max) Fluid depth prior to test 11.75 in Measured depth to pipe invert from grade 4.8110.5 ft(min) Water added 678 gal ❑ N/A—pressurized field ••16.5 New depth in [I] Monitor tubes go to bottom of drainfield. If not. state Elapsed time 10min depth into effective CRIB APPEARS TO/MT FOR TRENCH p MAY NOT GO TO BOTTOM Final fluid depth 12.5 in ❑� Code-required soil cover over nela ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) N/A date of test) Gallons introduced NONE gallons If yes, enter date Comments/Deficiencies:'TESTED SEEPAGE PIT ONLY.DEEP TRENCH(BOTTOM OF SUMP 201.5"BELOW GRADE)REMAINED DRY TROUGHOUT TEST. '•527 GALLONS ADDED TO SEEPAGE PIT WITH NO CHANGE TO LIQUID LEVEL. COSA Checklist yellow sheet qL E. SEPARATION DISTANCES COMMUNITY WATER SYSTEM From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic - '4 Station on Lot> 100' Community Sewer Manhole/Cle-•=• _100' ❑Yes if No ft ❑Yes if No ft Neighboring Tank> 100' I e • o ft Pri - - ' -wer/Septic Line>25' ❑Yes if No ft Absorption Field on Lot> 100' ❑Yes if No Holding Tank> 100' ❑Yes if No ft Neighboring Absorption Fields> ;• Animal Con -. -•- t> 50' ❑Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storag- •ll' C:•• r ity Sewer Main>75' ❑Yes if No ft E]Yes ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required)' Building Foundations > 10' ❑Yes if No •5 ft Surface Water> 100' ❑✓ Yes if No ft Property Line> 5' Yes if No ft Driveway/Parking> 0' ['Yes if No, comment Absorption Field > 5' ['Yes if No ft Wells on Adjacent Lots: Water Main > 10' ['Yes if No ft Private Wells > 100' ['Yes if No ft Water Service Line> 10' ['Yes if No ft Community Wells >200' ['Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation> 10' ['Yes if No ft Driveway/Parking> 0' Q Yes if No, comment ** Property Line > 10' n Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑Yes if No ft Private Wells > 100' ✓❑Yes if No ft *** Water Service Line> 10' ❑✓ Yes if No ft Community Wells>200' Z Yes if No ft Surface Water> 100' [' Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION.5'-9"FROM EDGE OF ST1 TO CLOSEST EDGE OF SONOTUBE FOR DECK •8'PER 1981 INSPECTION REPORT.VERFIED ON ATTACHED AS-BUILT SURVEY. "'10'+ASSUMED PER PREVIOUS HAA AND COSA. G. ENGINEER'S CERTIFICATION o,`� 9...•. 4 ioi I certify that l have determined through field inspections and review 0 of Municipal records that the above systems are in conformance with i • `9 a•p0 MOA COSA guidelines in effect on this date. i 4 1. .... .... fiI........ ......� 0 '•Je f c Gcrnes..- 0/)13 .P • J79 ti0 �C' 'L• I • /:cf,°o N04ro f ess�°o COSA Checklist yellow sheet MECC884 �OO`��o ANT ilt ,.. %/ ') \�'�ti • / • `\ • 4, o ; LOT 59 ^�� _ ; .c.., I I: / / • -,,,....... : 74/ /'0.,-.--, `••/ i.ru n .`,<!il'�%�."~`\`�� � / / 1 .„; -.. . / •,4,/ LOT 61A I /` 00000pp0 ti` _..,0,(1?-..- G•" O4� o���FA�q� peo:`49THit -.-yv p� 4 r. Oli • SHANE A.HOLT . II VQ LS-6914 . • o`0 pia a o , krO/es Siena\kph %pppo��o • AS-BUILT SURVEY 1" =30' • SURVEY ORDERED BY: NS;;a.cuy; NO CORNERS SET THIS DATE ,H:i.t':.a.s:g I HERESY CER":=Y THAT I HAVE PERFORMED A SAVEY OF THE =OLLOWING DESCRIBED FROPERTP- WI'64SSGCCI vALU WE ANCHDRAGE RECORDING alSTRICT, ALASKA, AM) THAT ME rnS :At)RR'A:iSN HEREON iiT Cf. CnE 'vs: -P :C:i ":C i ..t,L,. . ,, %RT _ •d%°'.I'.TF SE14E Eti Et2STih33'A � Vt•uR'33 AND :.:x.,/$, > : A'i.�. , C etsEt'eltTS: shy ,> VIS:SLE IMPROVEMENTS SITUATED THEREON ARE :Trnii% C %,`T SC 45E ?OR POSIT:AU:XS ADei )RAL 7AD,':.A3S, tx>RQ oss,,s, u EEN E.4:AEs. THE PROPERTY LINES AND NO VISIBLE ENCRCACHAEN'S EA:EMiNrs RE.DR: .)THER T(D) Tt:SL• R4?_ARENS ,AA T i R3,,,, ,tea, . ARE K}_ s>`.:ta EXIST OTHER THAN NOTED. KERE:x ;. ,.:ELE5$ VOI:ATED DATED �' ANCHORAGE,ALASKA AS:A THIS rf7h DAV C= a4CE;: F,NC LiN;S THAI' HA:' APV.-1U ^8 "pis )RA.:rd i¢E \:•" T. ._.. ‘WE, ••?STEcxR: AN/ . Z@Zp PR.TSaT' 'teS .:RTOSV:AO\ .�OJSTidA4:_ imp A.),s•EM S. Asl P.t:iY� $4,:,4% !cc REOT RST OS APPR):t:Ri TE DUE :. :i:oiS:'.° iCii AN: :.:.i. SURVEs7POG 9309 GROVER DRIVE ANCHO AAGE..LK 39507 ui?S is 'i.47 345S5t3 • 0 9 10tl 72 �'cE ev. Municipality of Anchora c On-Site Water and Wastewater Progra �, (907)343-7904 "'( 0 2.�1� 3 SAFETY „ s \°\'‘" Certificate of On-Site Systems A vaI 0,4\ 015-311-34 015-311-34 ' 11 °` `0_2 - w, Parcel I.D. Expiration Date-- I! 1. GENERAL INFORMATION Complete legal description Valli Vue Estates #2, Block 1 , Lot 60 Location (site address) 6730 Round Tree Drive Anchorage, AK 99507 Current Property owner(s) Devin Nix & Ronald Gehres Day phone Mailing address P.O. Box 593 Desert Center, CA 92239 Real Estate Agent Brittany Moses Day phone 351-1319 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Il Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. Distance: Received by: V5-W.A1I 1q-- Date: 07/7 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ S >40 Waiver Fee $ Date of Payment S I 31 111 Date of Payment Receipt Number ot5�G1 Receipt Number COSA# f5 Cr1 1-2.03 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. Name of Firm Anderson Engineering Phone 522-7773 Address PO Box 240773, Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 5/31/2017 .• - •••-L.QS�e? •• T *• 49 b 6. DSD SIGNATUREelf:�'••° ••••• g •°°°••y ' • ore e•.or• ° System #1 Approved for bedrooms te^�MlCHAEI tc A15�ER50N :44 n System #2 Approved for bedrooms O`3• CE- 331 .•_`` • Disapproved ��b�$�aESS\ Conditional approval for bedrooms, with the following stipulations: oN-S/TE W47 ER AND _ WASTEbVAT %�. ` ROGRAM By: Original Certificate Date: C7— l ' 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 c If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Valli Vue Estates # 2, Block 3, Lot 45 Parcel ID:015-311-34 A. WELL DATA Well type A If A, B, or C provide PWSID # 210605 Well Log (Y/N) Date completed Sanitary seal (YIN) Wires properly protected (YIN) 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/10D mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/SteelDate installed 4/16/01 Tank size 1 ,000 gal. Number of Compartments 2 Cleanouts(YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 4/21/17 Pumper A Plus Home Services C. ABSORPTION FIELD DATA Date installed 8/4/81 Soil rating (g.p.d./ft2 or ft2/bdrm) 225 SF/BORN System type Deep Trench Length 60 ft. Width Unknown ft. Gravel below pipe 6 ft. Total depth 11-17 ft. Eff. absorption area 720 ft2 Monitoring tube Y Depression over field N Date of adequacy test 5/25117 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.)(Y/N & type) N If yes, give date A 17' Wide x 19' Long Absorption Pit was constructed in May of 1974. It remains in service along wi the absorption trench. Total Effective Depth including the pit is 1,152 SF. D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "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 NA On adjacent lots NA Absorption field on lot NA On adjacent lots NA Public sewer main NA Public sewer manhole/cleanout NA Sewer/septic service line NA Holding tank NA Animal containment areas NA Manure/animal excrete storage areas NA SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >5 Absorption field >5 >10' >10' >100' Water main Water service line Surface water Wells on adjacent lots >200' ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main >10 >10' >100' Water Service line Surface water Driveway, parking/vehicle storage Curtain drain None Noted Wells on adjacent lots >200' F. COMMENTS Lot is Served by a Public Water System. G. ENGINEER'S CERTIFICATION �.� ��`��\01 1 certify that I have determined through field inspections and ��.... ••'a�.q Sir` review of Municipal records that the above systems are in ,•�P•• -Ilk- ..4- , M ..fP conformance with MOA COSA guidelines in effect on this date. m ?;' ti , .y f Michael E. Anderson, P.E. '• +•• t�-•.�• Engineer's Printed Name ` j��= ' Date 5/31/2017 /to�,.MIICCHAEL E. ANDERSON " y. CE-Ant ..". .s # `>,•. s--31-0 •• �V,o, COSA brown sheet 10-10-12.doc ill' , • GRAPHIC SCALE. 1 Inch = 30 Feet .,� �� .1. ' 610 j ► r - e (i i ,fk , . . RAE � Va ' QRS li ' /. y ' : :� X 34D(/' p! 4' ''. tof• WALAINING D - v/• `�• i ' SEPTIC(, ~ )Oo� n7p a 'Md ` SEPTIC gyp' I e• . ' A if/ ,� • /i....„\ttti h Co4' ,1 \,.:IFIED , ,: i 1.1 in 0 / ,,,,--"' \'. fe . / Y ,'• /�/�� Tyy "') ii -4"/ A. I �00a FrORr N tJ f�I H° Rq,yYF ?3 p _ / �d /� 4BZf a /1( • 0 ��. .„,,,i22.3 0 - ,!.., / swooa,N r=EUCF; (v O t0 ry"� 6 i S ' " DD NOTE: Water service is by community well. Bobby F. Burnett 2941 Uarriage Drive Anchorage, Alaska 99507 (907) 350-5541 .11s.`+`` Date Scale Legal Description ` OF AT 5/11/2017 1" = 30' Lot 60 Block 1 • t� Grid AS-BUILT /cCy� ^ SW 2539 VALLI VUE SUBDIVISION �.. • > •.' Drawn by Field Book SECOND ADDITION '!r.: -c - '� BFB ASB-2017 PLAT #71-2859. / I hereby certify that the property described hereon has been surveyed u :•BBY F. BURNE"IT / by me, or at my direction, and that the improvements situated thereon ifs x_5484 are within the property lines and do not overlap or encroach on the • property lying adjacent thereto unless otherwise shown. That no +, '.b! /2 /). Air improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission ` SSIOI3A�t' Air or other easements on said property except as shown. \1111h.:401111,-,.. 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~/,5-- ,~ II - 3~ HAA # 1. GENERAL INFORMATION Complete legal descr pti.on Location (site address or directions) Property owner Mailing address Day phone ¢Cd..,- ,3 ¢/~ Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: "~ "' TYPE OF WATER SUPPLY: Individual well Community well Public water >4 NOTE: 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, provide written confirmation from State ADEC attesting to the legality and status of system. 72~025 (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, t further verify that based on the information obtained from the Municipality of Anchorage files and from my inves_ti_gation 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. Alaska Water & Was ew¢ Name of Firm_ ,~ ...... ~ f~.8 ,/¢~,~]~~ Phone Address "f'~"O~O ~ '~z~.~e'i' Engineer's signature A~j ~/~¢~a~?,~~ ~ ALASKA WATER & WASTEWATER INC~ IS TO BE PAID 400.00 AT CLOSING FOR ENGINEERING SERVICES PERFORMED. 6. DHHS SIGNATURE ~ Approved for '7-'/'//~ E F~ bedrooms, Date ~'/4-/¢ ¢ Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date _~ ' / ..G~- ? ~ 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 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. RECEIVEp Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES'"' 0 8 1998 Environmental Services Division MUHiCIPALI'I'Y OF ANCHOP, AG 825 L Street, Room 502 · Anchorage, Alaska 99501 ° Health Authority Approval Checklist Legal Description: ~,o"~ ~ z?~/~/~- /~ F~ -////g~- =/~ Parcel I.D.: A. WELLDATA /' cC~ ~.' .... Well type (~ ~f'~ ~B, or C. attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to Casing height (above ground)_~ Sanitary seal (Y/N) __ Wires pro~ __ FROM WELL LOG ~SPECTION ~t'ec°fwt~tr level -- --~ -- Well production _J g.p.m. __ g.p.m. ~mSAM P~'-' '~' Nitrate ___ Other bacteria_ e~'~of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed. ,~--;zc~_-74L Tank size ,/, ~2~'~ Number Of Compartments 2- Cleanouts (Y/N) Foundation cleanout (Y/N)" y.. , Dep~;ession-(Y/N) ,' /~ High water alarm (Y/N) Date of Pumping ~-//-"'/' ~_~ Pumper /~ '/- /~,~/~- ~/~//~ C. ABSORPTION FIELD DATA ~-,~¢~.- '7',/- ~- Date installed 9' ~ ~/- ~-/ Soil rating (g p d/fF or. ft~/bdrm). Length ~,o ~ Width ~ / Gravel thickness below pipe Effective absorption area~ ~ ~ ~ D = I1~ ' , Monitoring Tube present (WN) ~ Depression over field (Y/N) ~ Date of adequacy test ~-- /~ ~ ~ Results (Pass/Fail) ~ ~ For ~ bedrooms ~'~ F~id depth in absorption field before test (in.);..~ z~ Immediately affer/~al, water added (in.): / ~- ~ Fluid depth [~, ~" (ins) Minutes later: ~ Absorption rate = ~ ~ _g.p.d. Peroxide treatment (past 12 months) (Y/N) /t,] If yes, give date -- 72-026 (Rev. 3/96)* D. LIFT STATION Date installed ~ Manhole/Access (Y/~~ High wa~trm level at* Qyeles~tested E. SEPARATION DISTANCFS SEPARATION DISTANCES/FROM W~.N-~ TO: On a~ sot~'~"~ Septic/holding tank on lot Absorption field on lot / ~l:Fa~djacent lots __ / Public sewer manhole/cleanout . Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~'-~/ ~ ~-- cq, Properly line ~' f/- Absorption field ~'/' Water main/service line d¢Y"'c°~'¢lurface water/drainage /0-o / ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~ t ~ Building foundation /O / ¢' Property line Surface water Water main/service line / EO/"¢ Driveway, parkin, g/vehicle storage area Cudain drain ~¢~ ¢- /¢-/t ~ ¢¢ '3 Wells on adjacent lots ' ceflify that,~ *spections and rewew of Municipal recor¢ in conform~ce ~th/~A~A~uid es in effect on this date. / Signature ~/W~/~TM k~ . : ate ¢ ~ ~ HAA Fee $ Date of Payment ~/~"/~o¢' Receipt Number ~)/~/('~ r:/~ (,~"' 0 ¢-/~-) 72-026 (Rev. 3/96)* Waiver Fee $ \ Date of Payment Receipt Number Rick Mystrom, ,Wayor M -dcipaliU, of M choragc Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage. Alaska 99519-6650 AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Cgarness, P. E. 7320 East Chester Heights Circle Anchorage, AK 99504-0000 September 15, 1998 Subject: Waiver Request for VALLI VUE ESTATES #2 BLK 1 LT 60 Waiver # WR980057 Lot Line Request for Parcel 1D 015-311-34 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 8 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Jeff`Poet Engineering Technician III On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR9 WR980057 PID~ 015=311-34 HA# HA980270 Date Received: Sept 10, 1998 Legal Description: Lot 60 Block 1 Valli Vue Estates '#2 Engineer: Permit Jeff Garness, P. E., Alaska Water & Wastewater Consultants, Inc 7320 East Chester Heights Circle, Anchorage, Alaska 99504 Applicant: Gerald Cox Waiver Requested: absorption field. Lot line waiver of 8 feet from the property lime to the Criteria: 1~ Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver List Conditions or Reasons for above: is NOT Granted: Date: Rec #: 04049/5133 Amount: $ 115.00 N~ efof P~viewer Date Paid: Sept i0, i998 Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle -~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 September 9, 1998 . Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 RECEIVED SEP 10 1998 MUniC~palfly ot Anc;~orage Dept. Health & btuman Services REFERENCE: Lot 60; Block 1; Valli Vue #2 Property line waiver request Request you issue an eight foot property line waiver for the on-site wastewater disposal system on the referenced property. We do not anticipate any adverse effects to neighboring properties with the issuance of this waiver. The lot line is adjacent to a road right-of-way (Round Tree Drive). The 1981 inspection report was approved with only an eight foot separation distance to the property line. If you require additiona~formation, please contact us. JAG/gk '"'"- / NBTI~: ~-- /' ': ~/ ?~ls As-buil~: sl~al! not oe us~ far ~~_ ' / ~ should m~y data herBon ~ used far .~.~ -· - . ' J ~ JJ?~'~"~., ,..,':~g~- · ' D~ted ~t ~ch~ ~ - ~--I WASTEWATER SYSTEM ADEQUACY/~ FIELD REPORT Date Site Address ~ 7 ~c.~ ]/~.~-/_ ~ Bedrooms SFD '~ MFD If MFD, # units Tank size /~l~t~o LS Size__ Bedrooms X 150 gpd ITL~ INITIAL READINGS: T.D.Field ~>~L~ .U..S~. Water depth Depth to water Depth to invert bottom S.U. Water depth Pumping Da~--~_ Pumper ~ A~'~-- ~-~w-~_.~ Weu otat~ -'-~asing TIME METER CUM GAL/CUM TIME STATIC / ~ q ~ ~ ~ ~- /,/'/~ M. T .~EVEL./K/wr~z- NOTES TECHNICIAN WELL FLOW, GPM ADEQ (P/F) FOR BDRMS__ , .~. ~ ~ ~/~-~ L'E-,~- ~b ~ .~.-'"~. ' ' YELL 8~ :p.UMP HOU8[ 59 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING HAA # ~ ~-~o~c~(__~ %'~tC~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) LOT 60; Block I; Valli Vue Estcu~es #2 Location(address ordirections) 6730 Round~ree Drive (b) Property owner Judy Hart Mailing Address 6730 Roundtree Drive. (c) Lending Institution Te ephone (home).. 346-3398 Anchorage. AK 99516 Telephone Business ~-"/? - Z.~' '71 Mailing Address (d) Real Estate Company and Agent ¢o.6dwe.2Z B~.;~ks.t/,~,r&a Address Telephone (e) Mail the HAA to the following address: (or check here [~xif hold for pick up.) List contact person and day phone number below: 17034 Eagle River Loop- Road No. 204 ~-agle t~iver, AJaska 2. TYPE OF RESIDENCE Number of bedrooms Single-Family,~ 3. WATER SUPPLY Individual Well [] Commuqity~( Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site [~X 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. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is Health Authority Approval 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 Telephone S & S ENGINEERING Address i/u-~4 Eagl~ Rlyei' L~p R~,~ No. 204 Date Eagle River, Ala,ka 99~177 6. DHHS APPROVAL Approved for '-~'__ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot -"",2.~.~:~,::> 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 ~ (o ~ ~ '/L'/L,qc_~ ~ MUNICIPALITY OF ANCHORAGE (MOA) /~-¢~,Li~;y OF ^~'~l~l~uthority Approval (HAA) Eh~TAL SERVIC(~I~'~T - FEBRUARY 1984 ~ 343-4744 Legal Oes~r~tJon: RECEIVED Date Oompleted If A, B, C, D.E.C. Approved ¢i~N) )' Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~br ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed /~,~)~t" Size /LoO,o ,~,~,l Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ Pumping/Maintenance Contact on File (Y/N) dm Holding Tank High-Water Alarm (Y/N) ~/~ No. of Compartments K Foundation Cleanout (Y/N) Date Last Pumped ~- ~ ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ,~ CO ' -I' To Building Foundation TO Property Line /~O r ~- To Disposal Field To Water Main/Service Line /-~ 0 ~ To Stream, Pond La~ke or Major Drainage Course /'~otu~ /~)o ~ (J 72-028 (Rev. 7/88) Front Page 1 of 2 C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata Uatelnstalled_ 4 ~-t~t $1 Width of Field ~2} _ Square Feet of Absortion Area Depression over Field (Y/N) Type of System Design Length of Field (9© / Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test ___ Results of Last Adequacy Test /O /4,,,1~dr:,'.J _~? SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ?O© 'l- To Building Foundation To Water Main/Service Line / To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line ~ To Existing or Abandoned System on ;On Adjoining Lots %(~ ¢ To Cutback (if present) D. LIFT STATION Date Installed Dimensions Size in Gallons % Manhole/Access (Y/N) "Pump On" Level at j.~%% ~I '%"~ "Pump Off" Level at High Water Alarm Level at Vent (Y/N) _ Tested for y/;/ ~ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes ( Comments ", '~Check Pormitted Bodroom ~atin~ A~ainst HAA ~oquost' I cortffy that I have chockod, vorifiod, or conformod to all MOA an0 HAA ~u~delmos m otfec~ ~to of th~ ' 0 inspection. Signed .... ~O?,~ERING 17034 Eagle River Loop Road No. 2~ Corn Receipt No. ~/~ J~ Receipt No. Date of Payment __ ~ ~ ~- ~ Waivor Feo: $ Amount: $ / 7~ (~ Oate of ~ayment 72 026 (Rev. 7/88) Back Page 2 of 2 ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 DATE: August 25, 1989 PWSID: 210605 Requested By: s&s EngineerinE According to the records on file in this office, the Valli Vue Subdivision Water System is in compliance with State of Alaska Drinking Water Regulations° the Sincerely, Cindy Thomas Environmental Eng inee'r ~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR ~ INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & .) ENVIRONMENTAL SANITATION DIVISION ~¥1AY ~, 9 1981 Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES PROPERTY RESIDENT (If different from above} ' PHONE 2, BUYER PHONE MAI LING ADDR ESS 3. LENDING INSTITUTION I PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTI N , '~ . iTR EET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two E] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY [] I NDIVI DUAL* * 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 ]~] INDIVIDUAL/ON-SITE** ~c~'~4~ ,~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. ~/79)-- [ ~ ~/~ /.~ _ /~.~ ..... ~.d~-t..~ -- U~ ¢3, /.th. -., ' " THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE ~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL ~ COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] IN[~IVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY G '-- '~- L. Connection Verified INSTALLER E3Septic Tank or []Holding Tank Size: ! ~.) (~0(') If Tank is homemade SOILS RATING give dimensions: TOTAL ABSORPTION AR EA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line ~ WELLTO: Absorption Area to nearest Lot Line 5. COMMENTS [J~c"-APPROVED FOR ~.~ . BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 10, 1976 BE SURE TO TAKE A WATER SAMPLE FROM THIS AS THE SYSTEM IS NOT BEING REGULARLY SAMPLED. Time of Inspection Date of Inspection · ,~, ,~ REQUEST FOR APPROVAL OF ~,lS~q~u~' ~ ~3~sa~ INDIVIDUAL SEWER & WATER FACILITIES o~> %~ - FOR ]. App~0val requested by: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 2. Property Owner: F.E. Vanclnz Phone: Phone: 279-4481 x 470 344-6976 Mailing Address: Star Rou.te A 32V 99507 3.. Legal Description: 4. Location: 5. 6. Lot 60 Block 1 Valli Vue Estates #2 6730 Round Tree Type of facility to be inspected Single Family Wel 1 Data: ~ c)c-r~c~ ~lSrr~ A. Type B. Depth No. of bedrooms C. Construction Sewage Disposal System: A. Installed D. Bacterial Analysis B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank ~, Absorotion area , Sewer Lines __ Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req~-~t for Approval of Individual S(~ & Water Facilities Legal Description Lot 60 Block 1 Ualli Vue Estates #2 Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ¸7, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALI1 Y OF b, NCHORAG~ DEPT. OF HEALTH ENVIRONMENTAL PROI'ECTION SEP 0 1976 RECEIVED 1. Type of Inspection: CMRO 2. Property Owner: F.E. Vancini VA FHA CONV.×× Mailing Address: SRA 32V, Anchorage, Alaska Name of Buyer: David A. and Betsy Lawer Day Phone 344-6976 Mailing Address: 540 L St., Apt. 404 Day Phone 4. Name of Lending Institution: The First National Bank of Anchorage Mailing Address: P. O. Box 720, Anchorage, Ak Phone 5. Name of Realtor or Agent: Area Realty o,/~ Mailing Address: 3300 C Street, Anchorage, Ak Phone 279-4481 x 428 279-4481 x 470 278-2525 6. Legal Description: Location: Lot 60~ Block 1~ Valli Vue Estates # 2 6730 Round Tree, Anchorage~ Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility X~m~X~.~Z If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Community If Individual, date of installation single family residence No. Bdrms. 1 Individual Private Individual (on-site) EQ-037 (1/74) GREATER ANCHORAGE AREA BOROUGH' Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection 4. 5~ 6. Approval 'requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Phone: Phone: Well Data: A. Type ~-~ , -~f,- B. Depth C. Construction D. Bacterial No. of bedrooms Analysis Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: ~x~/m ~ _/~ ~ B. Installer / 1. Size//-~'-<1 :->-~.~, 2. Manufacturer ~ . 1. Absorption Area ~-~ 2. Material~!~ Total length of lines Distances: A. Well to: Septic tank , Absorption area /~/~ , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank Z , Absorption area C. Absorption area to nearest lot line ~/~, / ~ / ' EQ-034 (1/74) Page 1 of two page~ Page 2 of two pages - R~ :st for Approval of Individualf ~er & Water Facilities ~Legal Description ~7/~ m //~ ! Comments Approved ~~~sapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 3330 GREATER ANCHORAGE AREA BOROUGH Departmen~ of Environmental Quality "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACiLITiES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: CMRO .TOH~ ARMSTRONG VA FHA CONV xx P,0, Box 4-2657 Da_~ Phone 344-1646 FRANCIS E. VANCINI 6730 Round Tree Drive DaM Phone 277-2416 4. Name of Lending tnstittltion: NATIONAL BANK OF ALASKA [~qzdel/ Mailing Address: P.O. Box 3-3858 Phone 279-2506 5, Name of Realtor or Agent: AREA REALTORS--PATTI ENGEL Mailing Address: 3300 "c" Street Phone 278-2525 6. Legal Description:' Lot 60, Blk. 1, VALLI VUE ESTATES S/D #2 location: near Abbott Loop Road 7. Type of Facility to be inspected: 8. Water Supply Type of S~pply: Public Utility single family NO. Bdrms, 2 xx individual presently served If Individual, numoer of dwellings if individual, depth of Sewage Disposal'System Type of System: Public Utilizy Individual (on-site) If Individual, date of installation' Spectic Tank---your inspection report on-site sewage disposal system dated-~/26/74.