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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 4 LT 33Valli Vu states lock 4 Lot 33 01§-341 -63 MUNICIPALITY OF ANCHORAGE i~lth and Environmental Pr~ /ction Fourth Floor ~est ~x 825 L Street Anchorage, Alaska 99501 264-4720 SF[ 1 IC -JldlK: t IOUiD DEPTH ...... L ©UID Tit E DFiAII'q FIELD: TOTAL LENGTH Log Crib Rings ION AREA (WALL AREA) WELL ......... _SQ. FT. (:].ass d~_..,~. _ Depth: :,;tell Distanc:¢ '['o: Lot Line Bldg: Sewer Line: Pipe N~-~rla I. s: {~ of Bedrooms: installer: ~3~ PO E 'Z;:':; "~ ?.l PERHIT NO. < ?'8E~t±8 ) FIP F'I.... I C FII"$f' I}E N N I 'L"q CONLE"r' LOCFtT]:ON HEST TREE LEGRL L]:]~: E:4 'v'FILL. I VLIE ES'T' L.O-f' T"r'F'E OF S'3:[L FIE:SORE:'T'ZOi"~ :_,~_,IEII -L,. TRE]qCH I"IF!XIHUM I"dJJ"IE:EIE: OF' E:E[:,ROO["155 = 3: 5;OIL I:.H] INa ]"PIE RE)..':]LIIRE[:, SIZE OF THE SOIL I:lB~l~~ THF I ENGTH [:,IMENE;ION ]:S THE L. ENG]~"I") OF ]"HE TRENCFI OR [:,RFI]:NF.T_EL.[:,. .. :.: :. .. - ,-. -', .... , :'- "- '; ....... :' THE THE [:,EF"¥H Eft: FI I I..E.I'I_.I-I qR' F'IT Il:, THE [:,I:E;TRNCE E, E II.]E. Ei',I THE :,I.JI..FH_.L ":il::' . 3F'OLIN[:, FIN[:' THE E:OTTOH OF THE Et:--',C:FIVR]"ION ,::Il",! F'EET). THERE ~; NO _.,L.] HI[:,TH F'"'F.'. rREIq_.HE:,. THE' GRRVEL E:,[_::PTH lb THE H]:NZMUf'I [:,EPTH CIF -.r,,-,,,,'-I FF"['HEEN TI-IF CdJ"I-FF:ILL. F'¥F'E FINE:, THE E '-TTOM OF' THE EXE:ffI'¢FCFIC~N ,:: IN FEET). PE:F::'i):T F-IPF'LZC:fflNT FIRS ]"HE RE'_.E;PONSIE',!LIT"r' TO ZNF'ORM III_, [:,EPFIRTHEN]' [,_F'"NG THE ". 19:;TFILI._FIT_ ]: ON ...... .1. I', :,t:-'EL. ..... I ]. UI'4_':: OF FIN"r' 14ELL2; R[:,JFICENT TO TH ]: :5 PROF'ERT"r' FIN[) THE NIJHE',ER OF RESII}ENCE5; THRT THE HELL HILL ~;ER',,,'E. -"F' P,.!! "]2:~ ,,:" ""'::" ':. % B..!I ::~];; IF" E.C C: -IF ~ L" ~ a ..:_:.~ FH iF~: E:] F~: EZ ~]:~ L..U ]1[ ~'q:" F' E":. ............... ::,~._"IEI1 I.,.IITF{OLIT FINFIL IH'::;-,PE'-:TTf]N F:tJ'.4D F:!F'F'R()',/F:iL .- 'l]qI':5 E~RCKF' ILI. Z '4G OF FIN"r' -.., ,,- ....... . ..... UE ..I'E.... I TO F'F'-':-;E DIEPF!RTMENT HIL. L E,E HII",!]:MUH ['ISTFIN]E BETHEEN FI I.,.!ELL FINI} F*IN? -,-::,~ ~ ..... :':: -'¢'-' :" -;':' '_l.'L:'lC~ FEE"r FOR FI PRI',,,'RTE !,IELL.~ "F' ±DO TO 2¢a[.:~ FEET F'RC¢1 R F'_F.'L'Zr': HELL L],EF'EN[:,INEi LIF'3N THE T'T'PE CF P.B[_ZC HEL.L. ,- , - - ¢ ...... ,:: FIRE u[H-[. RF_.'E:!U:[REME'N]"'-:i; MFI%' FIPF'L'.?. :,FE. CZFZ-." I.tuN... FIND -"'I'.'::]T,'JCT!ON DIFIGRFII"IS FI',,,'RILFIE~LE TO INSLtRE I:-IJ~FEI~ INSTFIL. LFfT'ICd',L ~4u ~::_ --_.., FZ- E_ L- E-- ~ lj L" DL. E;-. L::':: ::il. ..... ::E_ :bq-~ 'F* ~i2~,~ F" EF-Z Fi: E"I ]E "Ir" I[FZ :=..:,1F::' I -......- ,.= .... [ .ER'T IF r THFIT :1.: I FIM FI::!f'liL:[FIR I.,.IITH THE: REL.]UIREHENT:~; FOR CI'-4-.SZTE ~;EI.,.!ERL"-:, F:IN[:, HELL:E; F!5 '.E;ET FORTH E,¢ THE f _N.[ ,IF-LI] OF · -,- 'i' UTI fi~l::lLI. T-E '~'.?'-'-:TEM IH :CI:OI::::[:,::hE:E WITH THE CODE~5. :": T IINE',E;":"~:i:il'~, '"4F- T'-E OI',F...SITE: :SE:HER '.:.79:5]"EH MFt":' RE~2UiF. E E. hlLI]I..bEIIENI IF' THE RE:E;I [:,ENCE :~ E: F~t-_]',IO[:,EL.E[:, TO I NCLU[:,[:£ MORE THFIN 2.: EE:.[.:,RuuM::,. Fff:'P. tf':F" '1' I':,EhtN ~'Z .... hL..E 'r ISSUED B PLA"Y R VENTURES CONSULTING GEOLOGIST SOILS LOG Performed for ~ ~ Date 3 /~'h ~ 2 4 6 ,~ ~o ,u 12 ¢n 14 16 2O Soil Type Water Level Remarks Total Depth Of Excavation Groundwater ~ot Reached Depth, if Reached Classification Method Visual ( ) Sieve Analysis () Material at Total Depth Bedrock ~Not Reached Depth, if Reached Gary F. Player, Consulting Geologist i MUNICIPALITY O~ ANCHORAGF He~th and EnviZonmental Prot~zion Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME _ LOCATION MAILING ADDRESS LEGAL DESCRIPTION_ __ PHONE SEPTIC TANK: FROM WELL NUFACTURER MATERIAL INSIDE LENGTH INSIDE WID1H DEPTH TILE DRAIN FIELD:~ DiSTANCe: FROM WELL~/v' FOUNDATION tOI ~: NEAREST LOT LINE NUMBER OF COMPARTMENTS TOTAL LENGTH OF LINE # of Lines DISTANCE BETWEEN LINES __TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO F,N]SH GRADEV(~(~A~fR~EATH TILE SEEPAGE PIT: Log Crib Rings BUILDING FOUNDATION ., DIAMETER OR WIDTH LENGTH DEPTH Crib Size: DIAMETER___DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE___ ABSORPTION AREA (WALL AREA) SQ. FT, Class: ~ Depth: Well Distance To: Lot Line__ i Bldg: Sewer Line: __ Pipe Materials: # of Bedrooms?~ Remarks: L/fl DATE APPROVED j ~ ~ i I !I I t ~ , i-T l-l'qq- DEPRRI"MENT OF HERL. TH RND EN'v'IRONMEN'FRL PROTECTION :5:2.=; "L" STREET., RNCHORRGE., RK. 264-4720 PERHIT NO. 77t048 ) FIF'F'L ]: CRNT LOCRT I ON I_.EGRL DENNI~'-~ CONLE"r' P.O. B ..... :~:6E~ RNCH WEST TREE PR OFF LONE I.EE L:~:]: E:4 ',,,'R[...L.i "11~' '- ' - ,- Ec, THTE .... LCT .:,"' I ,::,c_ TN'F'E I]IF L--.OIL REL.~ORE$TII}f~ L~,'T'SFEM IS. FF..E. NCH THE LENGTH B, ZMENSZON ZS THE LENGTH ,::IN FEET) C~¢4E TRENCH OR DRRINFIEL. C,. THE DEPTH OF' R TRENCH OR F'ZT Z% THE [:,ZE;'fRP~ BETI.4EEN THE ';It[~'F'¢IF:E I]F 'T'HF I~ROUN[:, RNB, THE BC'TT:I"I OF THE E.._H HTZEIN ,::IN FEET). THERE I% NO ._,El klI[:,TH F3~' TRENL. HE .... I'HE GRRVEL DEF'I"H I~] THE "IINIMUM DEPTH OF GRRVEL BEI"MEEN THE OUTFRI..L PiPE RND THE E:OTTOM _F THE E,.'.,L.H,H]IuN ..IN FE~ O_ PFiCKRGE F'LRNT MR'¢ E,E. IfLTPIL. L.E[ RT THE :MITTEE"S ~'~'" - ' .... - _ F'OLLOW I NG CON[:, I T t Of-,IS: 2L EI'fHER R E:L,R_L-:]S I OR II NL:;F RPF'RO',~D F'LRNT MR'¢ E:E !N:STRLLED. '2:. R CONTINLll]US MRINTENt--1NCE RGREEM~-(~ If.C, RE6¢JIRED. ZF R HFIINTENRN]E RGREEMENT Z$ NOT K_F:PT CURRENT,~U t'"IWT' 8E RE'F~tlZREF:, T~q E'Nt RF'L-iE THEi: :,_.IL RBL~F~RPTIEff.,I :~"r'~l"EM FiNE:,,-'OR 'T'L]U ~ BE SUBJECT TO PRC~SECLI"FZON. ' :FHENT WILL 6E SUE, JECT TO Pf4~,ECUTION. (MUH DI'-N.:TRNCE E~ETI-'.IEEN FI t.,IEL~ND RN"r' ON-:..-T, ITE L-NEI.4RGE [) I SFu'3SflL F_';'¢STEH O'F HER ~ EL;ILl I REMENTS MR'r RF F ~_ 'r'f'~ ?SF ECI F I C~T IONS RND CON'.':mTRUCT I ON D '( RGRFIH:5 RRE I I=tvRILR6t_E' I'll INSURE F'R. OF'ER~RLLRTII:]N. I E:ERTIF¥ THRT ±: I RM F:RHtLIRR MITH THE REL.--!UIREHENTS FOR ON-'.:mITE '--:EI,.IERS RND [4ELL:-] RS SET ! FORTH B"r' THE MUNIC'IPRLtT"F E!F RNCHORRGE. 2: I I.'-IILL INSTRLL THE '}.;"r':STEM IN RCCORDRNCE ['.IITH ]'HE CODES. ' ':-':: I UN[:'ERBTRND THRT THE ON-'-'7, I']'E '-:.;EWER S'¢STEM HR'T' RE6)UIRE ENLRRGEHENT IF THE RESIDENCE Z% REMODELED TO INCLUD[:-' HORE THRN 4 8EDROOPIS. .6 £/ :.-/, :-.-.) /90 SOILS LOG 0 2 4 6 ~'~ 14 16 Soil .... ~ ±5. p= 14at er Level 18 20 ~,'(;~.'ml l)epth of Excavation /~ !'!aterial at Total Depth Not Reached Bedrock ~ Not Reached / cntn~ if k_ammd Depth, if Reached Classification Method Visual S2eve Analysis Gary F. Player, Consulting Geologist Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 E!more Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onSite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEI"'IS APPROVAL FOR A SINGLE F'AI"'llLY DWELLING Parcel I.D. 015-34-1-63 1. GENERAL INFORMATION COSA# O~~'~,.~ III Expiration ate: -- Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ~ ~, , Mailing address VALLI VUE ESTATES S/D #2; BLOCK 4, LOT 33 6201 WEST TREE DRIVE * ANCHORAGE, AK * 99507 DAVID STEWART Day phone 274-8287 6201 WEST'TREE DRIVE * ANCHORAGE, AK * 99507 Day phone Day phone Un, less otherwise requested, COSA will be held by DSD for pickup. TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] NUMBE~*OF , BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class A Well · Public Water System [] 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 samples. (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 !NSPECT]ON BY ENGINEER val;ouuon oa~e s¢~ow¢? ue~ow, ! .... :~" ~h~L As ce~ified by my sea/affixed hereto and as of tt~e ..................... vu~,y investigation, based on procedures outlined in the CeRificate of On-Site ~ystems Approval Guideiines for this appfication, shows ~ ~' '~ .... ~'~ t, ~ ~, ~~,,-~,~. water supply and/or wsstewater disposal, cystem is (are) safe, functional and _ for the number of bedrooms and type of structure indicated herein. I fuRher verify that based on the iiifof,~aEof~ obtained ~m the Municipality of Anc,ffor~ge files and ~m 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 instaflation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone Date 337-6179 Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and t,ffe water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for .6,~':~,'' , · ·. ,- bedrooms. ~ ~ ON-SITE ~; ~ATER AND ~ : WASTEWATER bedrooms, with the following stipulations: ~ ~%. PROG ~JJ))) ] ~} ) )1!¢ ~vSA Checklist Septic System Advisory Well Flow Advisory By: (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~--~' ,~ ..~ ~/// Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPROVAL CHECKLIST Legal Description: VALLI VUE ESTATES S/D #2; BLOCK 4, LOT 55 Parcel ID: 015-341-65 A. WELL DATA I COMMUNITY WELLI Well type CLASS 'A' Date completed Total depth Date of test Static water level Well production WATER SAMPL~ Coliform ~ colonies/lO0 mi. Acs~nic: __ ug./L. If A, B, or C provide PWSID# 210605 Well Log (Y/N) Sanitary seal (Y/N) Wires properly protected,), J Cased to __ft. Casing he__round) in. FROM WELL LOG ~.~.~PECTION .~~.p.m. g.p.m. Nitrate __mg./L. Collected by: Date of sample: B. SEPTIC/HOLDING TANK DATA Co Tank Type/Material Tank size 1250 gal. Foundation cleanout (Y/N) YES Date of pumping ABSORPTION FIELD DATA Date installed 4//10/1978 Length 70 ft. SEPTIC/STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper ',/-~ ~ c, ~,~ c I S I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 225 Width 2 ft. Total depth '11.25 ft. Eft. absorption area 700 ft2 Monitoring tube YES Date of adequacy test 6/15/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0.5 in. Water added 660 gal. Elapsed Time: - min. Final fluid depth 0.5 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN Date installed 4/10/1978 Cleanouts (Y/N) YES High water alarm (Y/N) N/A System type TRENCH Gravel below pipe 5 ft. Depression over field NO For 3 bedrooms New depth 0.5 in. 450+ g.p.d. If yes, give date - D. LIFT STATION Date installed "Pump on" level at Size in gallons Manhole/Access ~ ~ in. "Pump off" level.~. High water alarm level at in. ~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Meets alarm & circuit requirements~ ICOMMUNITY WELL Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line ~as On adjacent lots On adjacent lots ~eanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *2' Water main N/A Wells on adjacent lots 200'+ Property line 5'+ Absorption field Water service line. **UNKNOWN Surface water. 5'-t- 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line **UNKNOWN Curtain drain NONE KNOWN Building foundation. UNKNOWN Surface water 100'+ Wells on adjacent lots 200'+ Water main N/A Driveway, parking/vehicle storage 10'+ F. COMMENTS *APPROVED PER 1999 H.A.A. **REFER TO AKWWC LETTER 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 JEFFREY A. GARNESS Date ~ / ~f //t DATED 6/21/1999, ON FILE AT MOA. COSAFee$ ~-/O/~) Date of Payment o~/~c9..//! Receipt Number O L(/~-¢,~ ~',.~2 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Page 1 of 1 Poet, ,Jeff W. From: Jeff Garness [Jeff@garnessengineering.com] Sent: Monday, June 27, 2011 9:32 AM To: Poet, Jeff W. Subject: Valli Vue Estates #2, B4, L33 - COSA # OSC 111051 Good morning Jeff. In regards to Valli Vue Estates #2, B4, L33 - COSA # OSC 111051 Would you be kind enough to note in the file that we (Garness and MOA Onsite) had discussed the fact that the septic tank in the driveway only has 2 feet of soil cover, but agreed to allow it to remain in place for the subject COSA with an advisory letter. As we discussed, the septic tank has been in its current location (in the driveway) since before the 1999 HAA was issued and to the best of my knowledge has not been problematic for the property owner. Putting a copy of this email into the MOA file should suffice to document this issue. Best Regards ................ jeff Jeffrey A, Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Ph: 907-337-6179 Fax: 907-338-3246 emaih jeff@garnessengineering.com website: www.garnessengineering.com 6/27/2011 ADVISORY The septic tank is currently not in an MOA approved location. At the time of septic tank replacement, the location for the new tank shall be in an MOA approved site. 15 b Z LOT 55 1 EXISTING HOUSE 3.4 CENTERL!N~ OF CREEK 16 Lot 7 N. Lot 1 5 Z Z CENTERLINE OF CREEK Lot 8 LOT 33 Lot 16 18.4 · 3.1 Existing 25.1 ~ HoUse 3.4 3.1 18.4 8" Dia. Sewer cap Lot 32 L WEST NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: AS-BUILT Lot 33, Block 4, Valli Vue Estates Unit No. 2 Ordered By: David Stewart Legend: Septlc Standpipe ~) ~-~. , · · ' Water Well ~) ~ ..... ~"-'~ .... Fence--X X~ ~ec~ LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEER.~ 440 West Benson Boulevard, Suite 200 Phone: 562-5291 Anchorage, Alaska 9950.3 Fax: 561-6626 Plat: 77-296 IGrid: 2538 wo~ Orde~. 2011-L-197 I"ef: 99-L-316 & 2010-L-152 SURVEY CERTIRCATION: LANTECH has conducted a ph~icol survey of the property as shown on this drawing and certifies that the Improvements situated thereon ore within the property lines and no encroachments exist other than noted. EXCLUSIONARY NOTE: It is the owners' responsibility to determine the existence of any easements, covenants, restrictions or right-of-way takings which do not appear on the recorded subdivision plot· Under no circumstances should any data hereon be used for construction. for estcblishing property lines, or for plot-plan purposes. Dote: June 16, 2011 Drown By: PL Scale: 1":50' Checked By: dMZ 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 FOR A SINGE E FAMILY DWELLING Parcel I.D. 015-341-65 1 ' GENERAL INFORMATION COSA Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address VALLI VUE ESTATES #2; BLOCK 4, LOT 3...~ 6201 WEST TREE DRIVE * ANCHORAGE, AK * 99507 DAVID STEWART Day phone 6201 WEST TREE DRIVE * ANCHORAGE, AK * 99507 Day phone 274-8287 MIKE MCLANE W/ PRUDENTIAL Day phone 227-1533 5801 CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 99503 Unless othe~i~e requested, COSA will be held by DsD for pickup. 2. NUMB:ER'OF~BEDROOMS: 3 3; 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 r-i 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 samples. (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 respons'ible 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 GARNESS ENGINEERING GROUP, Ltd. 'Phone 557-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results donor guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEO or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of th(s report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD'SIGNATURE '~'/'" Approved for. Disapproved. Conditional approval for bedrooms, ..... ......... f ess..' '~, ~'..(~ff~ e~ .. ~ ~ '.. . .... .¢~ ... WATERAND m= . STEWAT .. bedrooms, with the fllowing stipulations: ~% y"O~..~ ~ Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11105) ~, o=nk. Advisory Maintenance Agreements Supplemental Engineer's Report' Other /''~ Original Certificate Date: 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: VALLI VUE ESTATES #2; BLOCK 4, LOT 53 A. WELL DATA [COMMUNITY WELL] Well type CLASS A IfA, B, or C provide PWSID# 210605 Well Log (Y/N) Date completed Total depth ~ .ft. Date of test Static water level Well production ::::: SA.. Sanitary seal (Y/N) Wires properly protected/ Cased to .ft. Casing he__round), in. FROM WELL LOG AT I~SPECTION .ft.~ ft. .~~.p.m. g.p.m. ~ ug./L. Date of sample: Collected by: Nitrate ~ mg./L. Other bacteria __ colonies/100 mi. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tanksize 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date installed 4/10/1978 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Date of pumping 6/5/2010 Pumper ISAACS PUMPING ABSORPTION FIELD DATA I'BELOW EXISTING GRADEI Date installed 4/10/1975 Soil rating (g.p.d./ft2o~ 225 System type TRENCH Length 70 .ft. Width 2 ft. Gravel below pipe 5 Total depth '11.25 ft. Eft. absorption area 700 ft2 Monitoring tube YES Depression over field__ Date of adequacy test 7/27/2010 Results (Pass/Fail) PASS For NO 5 bedrooms Fluid depth in absorption field before test 1 in. Water added 495 gal. New depth 1 in. Elapsed Time: - min. Final fluid depth 1 in. Absorption rate>= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at Size in gallons Manhole/Access ~ ~ in. "Pump off" leve~High water alarm level at in, ~ ~ Cycles tested E. SEPARATION DISTANCES Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots ~eanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots *2' 10'+ 200'+ Property line 5'+ Absorption field Water service line ~~' '~Urface water. 5'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10',1, Building foundatid~~~Nater main 10'+ Water service line ~~ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 200',1, COMMENTS : *APPROVED PER 1999 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 JEFFREY A. GARNESS Date ~,/'-//l, Driveway, parking/vehicle storage 1 '.1. COSA Fee $ /.../L. ~) Date of Payment ~' ~-' -~--j // Receipt Number ~) /-~ "'~ ~ ~._~_ _~ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 15 LOT 55 ,1 EXJSTtNG ~ HOUSE / / ,/ 32 16 JOHN LEVY · h~¢h ~o not O~peor o~ ~ne recorded ~ubd~v~ion p~at. ~OTE~ Undcr no c;rcum~o~ ~h~uld any d~t~ hereon b~ ~ed ~or ~R~Y CER'rTFICA~ON: LANT~CH ho~ conducted a ond ~hot the [mproveme~ ~ituoted there- Lhe properly lines and n~ e~C?oo~h- ~Lher ~hon no,ed. 440 WEST BENS0N BLVD, # 103 (fox) 561-6626J gg_~_~~m~,~.~.,.~ ~ ~*~-~-~ VALU VUE ESTATES UNIT NO. 2 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. # 015_341/.63 'V 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Lot 33; Block 4; Valli Vue EStates #2 Location (site address or directions) 6201 West Tree Drive Anchorage, AK Property owner Mailing address Lending agency Mailin. g address Agent Address Terrie Gottstein 6201 West Tree Drive Dayphone 346-4682 Anchorage, AK Day phone John Levy/ Realty Executives Day phone 561-2220 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 NOTE: Individual well Community well ×× Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: . NOTE: Individual on-site XX 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. 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 Anchoragefiles 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)t_his inspection. Name of Fir J~l~8 m. W,~l~ r2¢ ~-O~u'~'~'~';~ ~ Phone Address _ ,z~, /~,a ~ ~ ' / '"~/' =CE'- ~/-- ' EngineeYs signature / ~/.~j y~;¢ : ~ Date.. Alaska Water & Wastewater Consulta_~n~_~s, 8hall be PAID $ ~:2~ ~t~"'_ al, or prior to, closing for the Engineering Services Provided, DHHS SIGNATURE Approved for ~bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date - The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ECEIVEu Municipality of Anchorage JUN £ 1 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES ....... MUN C P^UT¥ OF ~-nv~ronmenta~ ~erwces ulvls~on i~NViRONMENTALSERV CES L~r~] 825 L Street, Room 502 · Anchorage, Alaska 99501 · (g07) 343-4744 Health Authority Approval Checklist Legal Description: [JokJJ; JJ~t~'J F~J'~; Lo, J- ~ 4-' Parcel I.D.: (biB' 54'!- 6,_5 A. WELL DATA Well type ~ IfA, B, Log present (Y/N) - Date completed Total depth - Cased to - Sanitary seal (Y/N) or C, attach ADEC letter, ADEC water system number Casing height (above ground) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test - Static water level Well production ' g,p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~,/~/?o° Foundation cleanout (Y/N) Date Of Pumping Tanksize I~.~ Number of Compartments ;~ Cleanouts (Y/N) Y Depression (Y/N) N High water alarm (Y/N) Pumper ~1!' Jllewl~ C. ABSORPTION FIELD DATA Date installed ~,//O/7~ Length ~' ~¢ Width ~, Effective absorption area ~ ~ Date of adequacy test 4'J~jcjCj Results (Pass/Fail) ~)c.x,5.5, Fluid depth in absorption field before test (in.); ~u Immediately after8'~0 F u d depth. ~.~ (ins) Minutes later: ~/A Absorption rate = Peroxide treatment (past 12 months) (Y/N) ~J~'~ Li ¥ 72-026 (Rev. 3/96)* "~ Soil rating (g.p.d./ft~ or ft~/bdrm) .-.~.~.~ System type ~ ~ ~s,Jc. ' h Gravel thickness below pipe ,5 i~c Total dept ~ ~., ;"si). rel~ff Monitoring Tube present (Y/N) ] Depression over field (Y/N) If yes, give date N/~ For ~) bedrooms gal. water added (in.): ~'~:) ~' g.p.d. riFT aT'Ti0. Manhole/Access ~/~)~~ High water alarm level at* Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons "Pump on" level at* "Pump off" level at* Septic/holding tank on lot Absorption field on lot ~l~J/~ Public sewer main /1~/A Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ Property line ,..~ Absorption field ,~ Water main/service line j~%_Surface water/drainage IOo'~ Wells on adjacent lots ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line~ Building foundation ~O~ Water main/se~iceline Sudace water /~'~ Driveway, ~ parking/vehicle storage area ' Cudain drain ~ K~m Wells on adjacent lots ~/~ ENGINEER'S CERTIFICATION ~ ~ io / ~ ~&¢* ~P~ I ce~i~ that l ha~ete~in~ field inspections and review~ in conforman~i~]~~~sineffect on this date. /~~1' Signature ~ 7~ Enginee['s Name ~ ~~ ~ ~J HAA Fee $. ~ ~r'O, ~ Date of Payment Receipt Number ~_-~e?~q C'~7'~'~' ) 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B - Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers June 21, 1999 RECEIVED Municipality of Anchorage Department of Health & Hunmn Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 dUN 2 1 1999 Municipality of Anchorage Dept. Health & Human Services Subject: Septic System Inspection at Lot 33, Bk 4, Valli Vue Estates #1 S/D. To whom it may concern: Per the request of the homeowner we performed an adequacy test on the septic system which serves the subject property. The results of the field investigation and adequacy test are summarized as follows: SEPTIC SYSTEM ADEQUACY TEST: Per the 1978 MOA inspection report, the septic system consists ora single trench that is 70 feet long, and a 1250 gallon steel septic tank. Based upon the house configuration shown on the 1978 MOA inspection report drawing, it appears that the septic system was installed prior to the construction of the garage. Attached is a copy of the current as-built survey which shows the location of the creek (north end of lot), septic clean-outs, and the general location of the water key box. · Per the survey, the separation distance from the septic system to the creek is greater than 100 feet. Based upon our field measurements (along the slope) the separation distance is 105+ feet. The water key box is located near the southeast comer of the lot. The location of the water service line to the house is unknown. If the garage was added after the house, it is likely that the water line follows a direct path from the key box to the southeast comer of the house. Since the installation was inspected by the MOA it is assumed that they verified that the necessary separation distances were maintained. · The separation distance from the absorption field to the property line and foundation is uncertain and it is possible that a portion of the trench is beneath the garage. · Given the location of the creek, water service line, structure, and utility easement (west lot line) there is very limited space on the property for a future upgrade. page 1 of 2 NOTE: The adequacy of a septic system ia' influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee ia' made regarding the future performance of this septic system If you have any questim Sincerely, /?~/' ~ ~ please contact us at 337-6179. page 2 of 2 : APPLI¢ HT, FILLS OUT UPPER HAl ONLY i~operly Owner.. ~ ~,~ ~ v~, ! ~ ~ ?)w~ ! r' ~/ Phone Buyer Address Zip Code Lending Institution Phone Address Zip Bode Realty Co. & A~nt Phone Address Zip Code Type of si~nce ~ Multiple Family No. of Bedrooms '~~ 1 ~ I~idual ~al Year Individual ~nstalled: Time Time Time Time Date Date Dale Date Inspector Inspector Inspector Inspector Field Notes: -~ 0 ENVIRONMENTAL PROT~:C/ION RECEIVED_ ( (, ( ) CO.DmO~AL.A~OWL' q ~ q~ Well to Tank Septic T~k Size ALASKA I =,ROFlmeI TAL COFITROL StaRry. eS, I lC. ~n§in~erinq $ ~nuironrn~nlol $1u~lies DENNIS CONLEY BOX 11-1403 ANCHORAGE AK 99507 SELLER - DENNIS CONLEY SUBDIVISION-VALLI VUE BUYER- BLOCK-33 LOT-4 ADEQUACY TEST FOR SEWER SYSTEM JUNE 24 1983 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 700 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 675 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE ,EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. ~ .......... .4.~, I ~,/~' .' ~ ",T~ · '~.." ~ '..'~ , 1250 IS ADEQUATE FOR 1200 UJesl 33rd ~tmnue, 5uile ~ · Anchor~qe, Alasko 99503 · (907) 276-1361 ALASKA et dlROFImeFITAL COFITROL $¢0'CeS, IFIC. JUNE 24 1983 DENNIS CONLEY BOX 11-1403 ANCHORAGE AK 99507 SELLER - DENNIS CONLEY SUBDIVISION-VALLI VUE BUYER- BLOCK-33 LOT-4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 700 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 675 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS.  ED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A BEDROOM HOME. SEPTIC TANK ADEQUACY THE ~X~TtINO SEPTZC TA~K VO~,~ OF THIS ~ 4 O/BEDROOM HOUSE. ~ ?~i'.~/ ...... .': ¢2~ 1250 IS ADEQUATE FOR ~200 ~¢st 33rd ~ucnus, Suite ~ · ~nchor~§e, Al~sk~ 99503 * (907) 2764301 · APPLII~ NT FILLS OUT UPPERHAI,.~ ONLY '' Phone Pr°perry Owne.~7 ~ ~;~ ~ ~'/~ Address Zip Code Code Realty Co.&~ t Address~-~/~ B Code ~ Multiple Family No. of Bedroo~ W~ter Supply A~ACH WELL LOG. A v ~1 log is required for all w~ illed since June 1975. ~ Individual ~ ~ For wel led prior to~ at date, give well depth ~ch log if availabie). ic Utility NOTE: THE INSPECTION FEE MUST ACC'~Y~xx ~ EACH RE~ST BEFORE ~OCES~G CAN BE INITIATED. Time Time '~, '~ Time / Time DAte Date, ~te / Date L~ MUNICIPALITY OF ANCHORAGE Field Notes:~~/ , ¢~ APR 2 "? ?33 ',, RECEIVED 72-023 DATE: TO: FROM: SUBJECT: MEMORANDUM April 29, 1983 Laura Crow Health and Ehvironment[ll Protection Request for Refund - Account ~ 2460 Please make arrangements for the following refund. The property owner called this morning ~nd has cancelled the entire application request. Thank you Dennis Conley Post Office Box 360 Anchorage, Alaska 99510 Receipt #235377 Amount $25.00 Account ~ 2460 Lot 33 Block 4 Valli Vue Estates subdivision Laura J. Ward Senior Office Assistant Sewer and Water Program attachements MUNICIPALITY OF ANCHORAGE /VIUNICIPALITy OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OE HEALTH & 825 L Street - Anchorage, Alaska 9g501 ENVIRONMENTAL P~OT~CTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 NOV 6 1978 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW.~F6~!I~II~(~D DIRECTIONS: Complete ail parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days foF processing. 1. PROPERTY OWNER I MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION Il,' )TREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVI 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 UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE'* **If individual/on-site, give installation date ') f'71--~',~,'I If system is over two (2) years old an adequacy test is reqd~red [] PUBLIC UTILITY by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 7~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY. DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 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 -EEl COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER "[~INDIVlDUAL/ON -SITE , DATE INSTALLED [~PUBLIC UTILITY~ ~, Connection Verified. INSTALLER ~E]Septic Tank or [] Holding Tank ~ Lh/~ Size:~ If Tank is homemade SOILS RATING give dimensions: TYPE OO~[AN K MANUFACTURER TOTA,ABSORPTIONAREA MATER ^' iL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COM~IENTS ~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78)