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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 6 LT 16 , ~ t~._/ IVIUNICIPALITY OF ANCHORAGE ~ /' [~ ~ '~ ENVIRONMENTAl. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELl_ INSPECTION REPORT LOCATION~ ¢O [ ~ O ~ ~%~~ N O.O~DROOMS ~ ~ Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth ~ O ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ ~ DISTANCE TO: Well~ . Foundation~ INeares~li~ PERM~ -~. No. of ,ines~. Length of e~. ~. ]ine~ Total length~e, Trenc,~ inches Distan~7~ween lines ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well ~uilding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS REMARKS 72-013 (Rev. 3/78) F'ERH~T NO. , I I.., Nr L O C Fi T ! 0 N LEGRL. E:, I RNE GR :[ FF' I 'f'H 58,3':_ ROL!NDTREE E E . !E ,, OF: HE~L.TH FIND EN',/IRCff-~MENTFtL F'ROTECT!ON ,_,:' ",: . ~ ". ...... '" L "' STREET., FSi 'IN "F~F 3F RK. 995Ct~ d. 2~3Ei N POINT T'¢F'E {::iF SC'fL F!DSORF'T:[ON L:'¢':j:'FE]','. ]'E: ~ HA'.:.:'.IM.M HI. MEEF.': '.*P' E~Ef)ROC~h!9 .... J L~(,5 .~ TRENCH THE REQUIRE[:, ':'":~F OF THE ':]IL :"'--':' "'" ': ".-:'"~--"', .............. HI .....R! Z .l! -,~' ..,!~.,!.t'"'-::, THE LEN~3TF'i D,EHENSION iS THE LENGTH ,:::£N FEET) OF THE TRENCH OR DRF~INFIELE). THE E:,EPTH OF Fl 'TRENC:H CIR PIT :IS; THE DiST~NC:E BET!.qEEN THE SURFFIC:E OF THE GROUND laND THE 80TTOM OF THE E',":X]F!',/F4TZON 4!N FEET). THERE IS NO SET HIOTH FOR 'TREENCHEE;. THE GRW./EL DEPTH ~S THE MIN~MUN DEF'TH OF GRf~k,'EL E~ETHEEN THE OUTFRL, L PiPE FIND -f!aE E:OTTOH OF THE EXC:W,,,'FFFZON (Xf',l FEE:T). HI, LI,.,HNT,.r,.::, TF!E F J: ........ I~,...,J. F3ILZ T 'T'O INFOF.:H THIS [:'EF'F!RTMENT E:'URZNG THE T~.IqTI~t L FITTF'¢ '[J'.IC'~:,D'"'-FT'-kl .......... . .... . ~ ..... PR]F'ERT'¢ ~NE:, THE: ..................... ~.,-~ .~...,~:, UI"' H~',?¢ HELLE; R",T~REqT TO NLfHDER OF RES!DENC:E!~: THFF[' !nE HELL PJIL_L E:FICKFILLING OF Fp.l',.' -',"'"'~'"'l - - ~':":""-"-'" ..... ::, ::,,E,1 i.,J'[TH'3 T F!I"~FI[. ThSPFZ':T'[Ef..! t~'~[:, ,r r E.d,,,k'fL. "[HZ~; MZ,k!lML!M D!S;TRNCE BETHEEN R HE:LL. F!ND FJN'¢ ON-SITE E;ENRGE ~9~i FEET FOR R F'RIVRTE HEL. L OR iSEI 'FEi 2¢EI FEET FROH Ff PUE:L..IC HELL. DEF'ENDZNC~ UPON THE TVPE OF PUBI.]C HELL. HIN!MUH E:,ZSTFINCE FROH ia F'R:[VRTE HELL TO ~ PR:[',,,'RTE %EHER LZNE I5 25 FE:ET FIND TO FI COMML~N:[T'¢ SEHER LINE IS 75 FEET. O'f'HER RECiUIREMENT'S HW¢ F!PPL..'T'. SF'EC!FICF~TZONS RNE:, CONS-FRUCTZON [:,IF~GRF~H:S F~RE R',,,'RZLFIDLE TO iNSURE PROPER INSTF&.L:FI]"iON. i C:ERTIF'.r' THWr ::L,: I F$I F:Fm~I '[FE' !4tTH T,,r c,'.:'n ~rp=.,p.n-,:: c-, ...... '--,'-' ,n~:. N,~.~ ...... --.~--L ~ :., FF~? ON-SZTE .:,~:l..~:.k::, FIND ~' ':' F~'::; :SET FORTH r ".L'% :.. '2 _ 7' :' '~ _ '1"'¢ . . ..,T THE id.,,'~ r T~H[ T ElF F~NCHORRGE. ~: Z ~.4ZL.. ZNS'TF4LL THE ::,'¢STEH ZN Rcr::cE;?[,F~H:[:' I,.!:[TH T:-.E' _..Ek..,E::,. ~::_f UNE:,ERSTRN[:, THFrT THE ON-SZTE S;Eb. IER.:,-'~'-'"-F': I ._.~ '~, hiFtM F'F:C._.. ._TF'E. .F'~'~ ........ ::-:,r;[ ........ f'c',,_.. !'"¢ ~.~"':' THE: RES ~ BE '4 Z E Z :5 RE.'". ].[)E-E.} ~ I h. :::_ .. [: E M.3RE 'THF, N ]: BED R.).],,",S. S I GNEE:, . .......................................... :ER ANCHORAGE AREA H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: - NUMBER OF COMPARTMENTS INSIDE LENGTH -~' INSIDE WIDTH ---- LIQUID DEPTH ~ ,LIQUID CAPACITY//(-)(~ f") GALLONS, SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL ADDITIONAL ABSORPTION DIAMETER OR WIDTH CRIB SI Z E: ~SA'L/~IAM ET E R NEAREST LOT LINE ,'~/~'~ LENGTH DEPTH ? / DEPTH '~ DISTANCE FROM: WELL ~(w)1..~. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION -- LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS. DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: PiPE MATERIAL:4~// REMARKS: Form No. EQ~031 DIAGRAM OF SYSTEM GREATER ANCHOrAgE AREA Borough //~/~ PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK FINAL INSPECTIOn: ~ HOUR NOT~EE ReQUiRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPEOTIO~ BY THE D~PARTMENT Of ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE~, REQUIREMENTS FOUNDATION TO SEPTIC TANK~ ~l CAST IRON INTO AND OUT Of SEPT]C TANK AND INTO CRIB CROSSING GAP Of DIAGRAM OF SYETEM SEPT,C TANK TO SEEPAGE p,T WALL / 9I SE~T,~ T^~X t E~ I WATER MAIN TO SEPTIC TANK ~ ~J SEEPAGE PIT J CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQU[REMENTS OF CREATE NCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE ? / ~¢ ~.a/ '-~..0 i ' ',,,,v~ .6.'z,. ! // \. ..Y',, iC~:t ~ I ~ / / ~ ~'~ ~-/ ~. : ' ~'' ~ ~:?~:~'~ ~oK~~ o. / ~ ~ . ~ Steel Pin ~__ - ~ m Surw~ Hub ~ ~..'..~: ,' .., ,~ ~-~~~ ~ ~- ~ ~- _~ _._: Anchorage Ne.or~m~ Precinct, alaska ~ er¢~z~ ay: ~;&~d~ON'O.~'~Y~L~ ~ P~R~I~HB~ Residence of: ~:-~.',t;'.. ~ ~'~ ~ ~'._,_ .~ .... J ........ .- ~~ · R&M Civil Engineers ENCq EERING & GEOLOGICx L CONSULTANTS 22g EAST $'lst. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA gg§03 TELEPHONE 907--279-0483 TELEX 090-35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES H. WELLMAN, P.E. SEP '7 19'/'8 September 25, 1973 R & M No. 36664 RALPH R. MIGLIACCIO Engineering Geologist Mr. Ulane Finn Po O. Box 2027 Andhorage, Alaska Re: Test H°le and Soil Log Report for Sanitary System, Lot 16, Block 6, Valli-Vue Subdivision Dear Mr. Finn: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of September 15, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 16 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 14 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS James W. Rooney JWR:ph xc: GAAB F/ ANCHORAGE FAIRBANKS JUNEAU T.II. 1 9-15-73 O~ga~ics Trace Sand with Cobbles (ML) 0.5' Silty Sands Trace Gravel' (S~O 4.0' Gravelly Sand (SP) NOTE: Trace Sand & Gravel Dense (ML) 11.0' No Water Table 14.0 T.Di ' Test hole excavated with tractor-mounted backhoe. Sand seam encountered 13.0 to 13.5 feet. F-ngineering ~ Geological Consultants UL~E FI~ LOG OF TEST ROLE Anchorage . Alaska IPROJ' NO' ~ ~666~ ~v~ ,~o A 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. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 16, Block 6, Valli Yue Estate #2 Location (site address or directions) 6801 Roundtree Drive, Anchorage, AK 99516 Property owner Mailingaddress Lending agency Mailing address Agent Address Ervin Moore Day phone 6~01 Roundtree Drive, Anchorage, AK 99516 346-8213 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 ~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ~ 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site xxx 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 se~l affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the omsite 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 s 8, $ ENGINEERING Phone. I/U~4 Eagle River Loop Road No, 204 Address Eagle River, Alaska 99577 Engineer's signature , · _...-.-.--- Date DHH,(~ SIGNATURE Approved for "r"/?t,~ E~¢' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upoh 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 pu rchasem of homes and their lending institutions in order to satisfy certain federa~ 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. RECEIVED Municipality of Anchorage JUN DEPARTMENT OF HEALTH & HUMAN SERVICES t~UNICIPAUTYOFANf Environmental Services Division ENVI~N~NrN.~P. VI~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: ~]'/[~;~bOC.~,~,,VAL].,.I VzL...~ ~-~-t-~lT-(_..~__~ Parcel I,D,: d) I .~- -- $ I/--z./7 A. WELL DATA Well type IfA, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Date completed Cased to Casing~ove'~'~und) Wires~prolSerly protected (Y/N) FROM WELL LOG ./~_ AT INSPECTION ~,~ ~""- g.p.m. WATER SAMPLE RESULTS: g.p.m. Coliform Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed ~/*~-~ Tank size ( Collected by: Number of Compartments ] __. Cleanout,~ (Y/N) /~-.-~ Foundation qleanb~i(Y/N) ~/~--.-% Depression (Y/N) /~/O High water alarm (Y/N) .. .[ · Pumper,:.~-, ~ .... --,~,~S~-~.~:~ Date of P~mPing . -~d~c~-,~., ~ ,' , .- C. ABsoRPTiON FIELD DATA Date ,nstaJl~d ~/~ ~5~So,, rating (g.p.d./ff~o~ ~ ~ System~pe Length ~' Width ~' Gravel thickness below pipe ~ Total depth Effective absorption area ~ '~ Monitoring Tube present ~N) ~/~5 Depression over field (Y~ .a,eo, e.uao.,e t ; Fluid depth in absorption field before test (in.); ~ / J ~# Immediately affer~ ~ga[. water added (in.): ~ ~ ~'fx" Fluid depth ] ~ ~'~ (ins) Minutes later: 3D Absorption rate = ff~*O ~ .g.p.d. Peroxide treatment (past 12 months) (Y/N) ~0~ ~ 0~ If yes. give date 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested _ Size in gallons "Pump on" level at* ~f" level at* SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on 10t "~C)d) Absorption field on lot Public sewer main ,~? / Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation I 0/ 'f~ Property I ne. '~E~ /~ Absorption field /~ × '-/- Water main/service line ~ ~/¢~ Surface water/drainage / ~)¢'~-/- Wells on adjacent lots, Z¢O % _ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line _ Surface water_ Curtain drain Building foundation ~--~Y~/'j- Water main/service line Driveway. parking/vehicle storage area _ .~A/~)/~//x,/ Wells on adjacent lots ~-~ / F. ENGINEER'S CERTIFICATION Engineer's Name __ Date I certify that I have determined thrufield inspections in conformance with MOA HAA gj~jctelinCs in effect on this date, and review of Municipal rec~,~ff'~e al:}r~f,'s:,,~, ~,s are HAA Fee $. Date of Payment _ ~//~¢//? F Receipt Number ".~.-~'~)/~ F~'6- ~'~.~ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* 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. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 16; Block 6; Vall~ Vu¢ Estates #2 Location (site address or directions) 6801 Round Tree Drive Property owner John Burke & Patricia Patrick Day phone Mailing address 6801 Round Tr~e D~ive, Anchorage, Alaska Lending agency Mailing address_ Day phone Agent Charlene Mc Lean 200Z REALTY 2600 De.eCL Address L~'%J'Ze. D~.ndJ~% Towe. r SuJ. Ze. 400 Anchorage, Alaska 99503-2785 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: NOTE: Day phone 2762001 individual well Community well XX Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. XX 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. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature 17034 Eagle River Loop Road No. 204 .._,~ ~:,,~,- '~l'~.d.m 9957'7 Phone DHHS SIGNATURE ^ roved ,or ( ) eOroome. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Se~ices (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. Legal Descr pt on , [- ,~"~ ~ '~::::~Y--, ~ A, WELL DATA Well type "~"--' If A, B, or C, attach ADEC letter. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D 0 / '~'~ ADEC water system number Log present (y/N) Total depth Date completed ; Driller Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level MUNJCIPAUTY OF ANCHORAGE E.HV!RONMEJ'EAL SFRVICES DIVISION Well flow g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot ' ; On adjacent lots On adjacent lots RECEIVED Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~l /~ Cleanouts~[~.'~N) ~f' High water alarm (Y/N) Date of pumping Tank size \ ~ Compartments Foundation cleanout ¢5q',1) "/ Depression ~;~N) Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~ fA" On adjacent lots TO property line "~-~C~ Absorption field Surface water/drainage Foundation ~ Water main/service line 72-026 (Rev. 7/91)Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed _.. , Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacentlots Surface water D. ABSORPTION FIELD DATA Date installed ~-/~"Z. - CP~/~J;;;~ Soil rating Length ~¢f'zi' Width "~ Gravel thickness. Total absorption area ~'~"~'~ Depression over field (Y~.? Resuftsd~l/fail) _ Peroxide treatment (past 12 months) (Y~[~ Jc~,---~.~~ SEPARATION DISTANCE .I/. Well on lot N/~ System type Total depth Cleanouts present(~N) ;~ Date of adequacy tes~t'' ;z~... for bedrooms ~--~¢ V,-~ ~--~ If yes, give date ..... FROM ABSORPTION FIELD TO: ~. J'Aq"~ On adjacent lots ~ I.+. Property line To building foundation On adjacent lots __~'~ ~' Surface water _.. ~. ~c:~Ot"~ Curtain drain ¢,~ ¢~k~. t~J~.Jt.J E. ENGINEER'S CERTIFICATION ~;2~ To existing or abandoned system on lot \\ ~ Cutbank r4 /~, Watermain/serviceline_ \ mi"~ __ Driveway, parking/vehicle storage area I certify that I haw; checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. 5 & $ IitNGINEERING 1 7;3:14 ~.Bg!e Rivet' Loop Road No. 204 Signature ~,~u; ~i,,.~. ;\h,~k.~ 99577 Engineer's Name No. 8215 HAA Fees //?0 0 Date Of Payment Receipt Number 72-028 (Rev. 3/91 ) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 WALTER J. HICKEL, GOVERNOR (907) 349-7755 September 17, 1992 Mr. Roger Shafer S & S Engineering SUBJECT: Valli Vue Subdivision Class "A" Public Water System, PWSID 210605 Dear Mr. Shafer: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on August 10, 1992. This does meet the provisions of 18 AAC 80.200(a) of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on August 13, 1992. This does meet the provisions of 18 AAC 80.200(a). The last Radioactive Contaminants Sample results were submitted to the Department on October 12, 1988. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemicals were submitted to this Department on November 12, 1991. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Enviornmental Eng. Asst. II 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 Parcel I,D. # (~ \~/~-~ ~ ,-~ \ \ - I'-I ] 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ~8ol Ro~ N.I~ TR£E (b) Property owner Mailing Address (c) Lending Institution C Ff"f ~O~T~fiGE Telephone Mailing Address /COS' ~'. ,~ fo '~' /} k~C 14. (d) Real Estate Company and Agent ~./~* (~..~~ ~' ~t/~ ~ C~X'] ,,)o~ ~URNE//PA.I" ~/~Tt~lclc.Teleph°ne: (home)3~-2328. Business 27c/° 5'z/~¢/ ,gGg- o7oo Address Telephone (e) Mail the HAA to the following address: (or check here~, if hold for pick up.) List contact person and day phone number below: 'T~b Mooe~- 2. TYPE OF RESIDENCE Single-Family ¢ Number of bedrooms 3. WATER SUPPLY Individual Well [] Community'lj~ Public [] .. Note: f,c0mmuRity well system, must have written confirmation from the State Department of Environmental "'Conservation attesting to th legality and status. 4, SEWAGE DISPOSAL On-site'¢ Public [] Community [] Holding Tank [] Note: If community well system, must'have written confirmation from the State Departmeqt of Environmental Conservation attesting to the legailty and status. 72*025 (Rev. 7/881 Page 1 of 2 ~ Jo ~ e6ed iBAoJddv IeUO!l!puoo Jo swJe.L I8UO[~jpuoo peAoJdd~s!a ~ peAoJddv 'lYAOiJcld¥ SHHa '9 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 To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot WaterSample Collected by WaterSample Test Results Comments. M N,C,PA.TY OF ANCHORAGE MOAI Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984343-4744 Legal Description: L I~B, C, D.EmCm Approved (Y/N) Yield Date Completed Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~/'73 Size /000 Standpipes (Y/N) "/ Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ Pumping/Maintenance Contact on File (Y/N) HA Holding Tank High-Water Alarm (Y/N) ~ A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage C.ourse No. of Compartments Y Foundation Cleanout (y/N) Date Last Pumped Io/23/<:/0 ~DE. NALI ; for HA Temporary Holding Tank Permit (Y/N) To Building Foundation }1 ~'l~oP1 ('.0, To Disposal Field ¢,0. To C.e ~ I oo r Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Ab,,sC~'¢tion Strata 200 ¢'/BDR~I Type of System Design 'T[~E-kIC Date I~nvsJall~d ~/~,g U ¢~,~ ~, e~ ¢' Length of Field ~' ~ ,,~,4¢.v~;~q~dth of FieJ, CA~__ Depth of Field 10 ~ , tc~j~,3 2 c~ 7'~,~/.) . Gravel Bed Thickness Squa~ ~Fe~t~A~rtion Area 52,% ~ -~-5-¢¥ /~' Statndpipes Present (Y/N) De~e~s'i'8~over Field (Y/N) tq Date of Last Adequacy Test Results of Last Adequacy Test PA$S£b Fot~ 3 Bb~r~, SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well _ ~ I00' To Property Line IO p&g To Building Foundation 2o' F~ C..O · To Existing or Abandoned System on Lot II ~ I:~0~'1 ~,o. ; On Adjoining Lots ~ ~D ~ To Water Main/Service Line ~ 75' / To Cutback (if present) N To Stream, Pond, Lake, or Major Drainage Course ~. /cO To Driveway, Parking Area, or Vehicle Storage Area I O Comments~..O~lGl~L /_06 CRIB t~.$T,%t, gb ~/73 H/f$ ,S0'~ ~/ ~-~ D. LIFT STATION N ONE Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy "l'est. **Check Permitted Bedroom Rating Against HAA Request** .:, I certify that I have checked, verified, or conformed to all MOA and HAA g.u. ideJi~¢sJn effect on the date of this inspection. ,>:; ,~.?~ ~4h Signed .~.. - ~ ~ .... - A Company ~(¢z/~p ~ ~¢ · ":~. ', ' ~ u~-.~" ~ ' %'?., ''~ ,. .......................... ¢ Engineer s Seal Date ¢ / ~_'z[¢ f ~"~~: .. ~o~ MOA No. ~d -~/¢ ?" Receipt No. o~. ~.. ~ ~,)~ ~(~ ,,'~'(~ ) Date of Payment '""/* ''~-~ - Amount: $ Receipt No, Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 WALTER J. HICKEL, GOVERNOR 563-6775 April 16, 1991 FOR: Chris Flattop Technical Services PWSID -,-¢210605 Valli Vue S/D My review of the records on file in this office reveals that~the Valli Vue S/D Class A Public Water System is .in compliance with the provisions of' 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, Timothy A."Karnowski Environmental Engineer -[~ MUNICIPALITY OF ANCHORAGE ~ ~ DMSIUN OF Ekrv~RONMENTAL HEAL%Xq DEPARTMENT OF HEALTH AND ~;IRONMENTAL PROTECTION ApPLi Ti ovAL 1. Ger~e~al Information Application Date ~ (a) Legal Description (include lo,t, b. lock, sub~diyision, section, township, range) Location (add~ess o~ directions) Applicants Address 3~O[ ~. %~;/3/~.~ q3 /~//A~'~/~- ~'~4%~ (c) Applicant is (check~o~ Lending Institution ~-~ ; Owner/builder ~; Buyer ~_1 ; Other ~z~ (explain); ~_~_ ______ (d) Lending Institution Telephone Address Address Te le phone 2. Type._ of Fesidenoe Single-Family ~/ Numbe~ of Bedrooms 3. Wate~ Su_~_~ Multi-Family Other describe) Individual Well ~ Conm~nity [~ Public ~-~ Note: If cc~munity w~I1 system, must have written confirmaticn from the State Depa=tment of Envirop~ntal Conservation attesting to the lega].it!; and status. Is the well adequate fo~ the number of bedrooms specified in this HAA ~/N) ~Se wage Di ~_pos a 1 Onsite ~ Public ~--~ Conmmnity ~ Holding Ta~ ~ · Is tJ~e wastewater disposal system adequate for the numbe~ of b~drc<~m ~/N) [Page 1 of 2] 2-15-84 5. E__ngineer'ing Firm Providl~9_Inspebt.ions, Tests, Data and~formation · I r~rtJ..fy 'chat I have cl~cked, vorified, or' confo~a~d to all VDA [-IAA C~lidelims in effect on the date of this inspeetiOno of mrm Si~d Date 6. DHEP Approval Approved for Approved ~ (ENGINEER SEAL) Telephone v~_~f~ Disapproved ~ Conditional Terms of Conditional AptS~oval ~ne Municipality of Anchorage Eepa~tment of F~alth and Environmental P~otection does not guarantee the continued satisfactory performance of the water supply and/or the wastewater' disposal system. This approval indicates that, as of tbe validation date sheen above, based on the data and information furnished by an engineer ~egistered in the State of Alaska, the wate~ supply and wastewater disposal system is safe and funcm tional for the number' of bedrooms and type of structure indicated° (DHEP SEAL) 7. Mail the HAA to the following address: · KB2/..~5/.~,.7~ , [Pa~ 2 of 2] 2-15-84 ae MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH MUNICIPALITY OF kNCHOP~GE (MOA) ENVIRONMENTAL PROT£CrlOM APR 1 9 CHEC%LIST - FEBRUARY 1984 Well Classific Well Log P~esent (Y/N) Total Depth ~ Cased to Statie Water Level /L///~.- Casing ~,~ight Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~cm Well: To Septic/Holding Ta~2~ on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~J//~ Cle ancut/Manhole ~//~ Water San~le Collected By Water SanTple Test Results __ If A, B, c~ C, D.E.Co Approved(Y/N) ~' Date .,C~gleted J~;/~. Yield ~gth of G~outing. Sanit~y ~al on Casing ;Cn Adjoining Lots t%//~ ~7~L_; On Adjoining Lots /~/~ To Nearest Public Sewer To Nearest Sewe~ Service Line on Lot '~J/,~' Dats C~nts Bo SEPTIC/HOLDING TANK DATA Date Installed °//~/3' Size /~O No. of Ccmpa~tm~nts / Standpipes ~/N) Ai~-tight Caps ~ Foundation Clea~cut ~) ~p~ession o~ Ta~ JY~ Date ~st P~ ~~_ ~' P~ing/t~intenan~ ~n~a~ on File ~~, for ~ Holding Tank High-Water ~la~m (Y~ Separation Distances f~om Septic/Holding To Wate~.-Supply ~11 To ~o~ty Li~ TO ~ter Msin/Se~vi~ Li~ Co~se Temporary Holding Tank Permit Tank: To ~Jilding Fcundation__~(~ ' ~ To Disposal Field __._~/~ TO Stze&m, Pond, Lake¢ c~ Major D~ainage LPage 1 of 2] 2-15.-84 Ce ABSORPTION FIELD DATA Soils Rating in Absorption St~ata ~/~//m, Type of System Design Date installed ~+~&--/~ ~_. ' / Width of Field ~_~/_ Depth of Field /~! ~, ______~GGravel Bed Thickness ~ / Square Feet of Absorption A~ea ~ ~ Standpipes P~esent Depression ove~ Field (Y~ / Da~of Last Ad~.quacy~'~/~ Results of Last Adequacy~ /~%.~,~~ $ ~ ~/.~/~ To Water-Supply Well ~//~ To P~operty Line To Building Foundation p~/~/ To Existing or Abandoned System cn Lot /~! ~ ' ; On Adjoining Lots ~O! To Wate~ Main/Service Line m2~' To Cutbank(~f p~esent) To Stream/Pond/Lake/c~ Majo~ D~aina~e Course To D~iveway, Pa~king A~ea, or Vehicle Storage A~ea D. LIFT STATION Date I~stalled Size in Gallons "Pump On" Level at High WeterAlarmLevel at Tested fo~ '~ , Elect~ical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" revel at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MDA Cc~ents ** Check Permitted Bedroom Rating Against HAA R~quest I certify that I have checked, verified, or conformed to all MOA on the date of this inspection. Signed .~.~~ Date KB1/d5/s [Page 2 of 2] 2-15-84 ALASKA ENVIRONMENTAL CONTROL SERVICEi ~NC. 1200 West 33rd Avenue~uite B ANCHORAGE, ALASKA 99503 Phone 276-1361 1. Property Owner MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Sanitation Division 825 L Street o Anchorage, Alaska 99501 · Telephone 264-4720 CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES Robert B. Mailing Address 2. Legal Description 4200 North Point Drive Anchorage, Alaska 99502 Lot 16, Block 6, Valli Vue 3. Type of Dwelling 5. Sewage Disposal [] Single Family Individual E3 Multiple Family Public Utility [] Other Holding Tank APPROVAL FOR 4. Water Supply [] Individual [~ Community [] Public Date Title 3~ .... BEDROOMS ~ CONDITIONAL []DISAPPROVAL This Approval not valid Without Departmental Seal Property Owner Mailing Address Buyer Address Lending Institution AlasKa State-B~K Address 310 E Nthn. Lights Blvd. Realty Co. & Agent Diane Grit~£th-C~-~po~qS-E~ Address Legal Description Lot 16, BLOCK b, Valll~Vue Street Location 6801 Roundtree Drive APPLICANT FILLS OUT LOWER HALF ONLY Robert B. Gillam 4200 North Point Drive Anchorage, Ak. 99502 B. G. & ~irgmnmao-J-6h~§ 277-6512 Phone Anchorage, Ak. 99503 277-5661 Phone 274-1631 Type of Residence ~3 Single Family [] Multiple Family [] Other No. of Bedrooms Water Supply [] Individual ~ Community [] Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.)_ Sewage Disposal I~ Individual E] Public Utility O Holdin~),~ank Year Individual Installed: ............ When Connected to Public Utility: RECEI E, 3/8/82 DIANE GRIFFITH 4200 NORTH POINT ANCHORAGE AK 99502 SRIZ,RR - ROBERT B GILLAM SUBDIVISION-VALLI VUE BLOCK-6 BUYER-B G JONES LOT-16 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTKM IS A PIT WITH AN AREA OF 504 SQFT. THE SYST~4 IS CAPABLE OF ACCEPTING 150 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYST~b{ IS 32 GALLONS. THE SYSTEM IS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS TH_AN 75 GALLONS. THE SYSTtRM IS NOT CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SEPTIC TANK WAS PUMPED ON 8/19/81 . SEPTIC TANK ADEQUACY 5liE EXISTING SEPTIC TANK VOLUME OF THIS 2 B~DROOM HOUSE. 1000 IS ADEQUATE FOR 1220 LUest 25th Aucnue ', Anchorage, AJc~ska 99503 ,J (907) 216-1361 [~,areh 9, 1982 Mr. Robert t{. Gzllam ?,,,oztn Point Drive 4200 ~ - ' Anchorage, AK 99502 Subject: Lot 16, Block 6, Valli Vne Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ~ 'l~ae adequacy test performed on your sewer system indicates the system is not functionin~ properly and an u~)grade will be necessary. Prior to the upgrade, a permit will need %o be issued by this Department. The s~%ecifications for the upgrade are as follows: 1. 35' of leach line backfilled with 6' of screened ~2 "- 2 ~2" gravel. 2. Total depth 10' 3. The existing seepage pit must be connected to tile new leaching area. Approval will be granted v/hen the above work has been completed. Conditional approval may be granted if mollies are escrowed, and the upgrade completed by June 1, Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further quest_ions, please call this office at 264.-4720. .:~lncerely, Robert C. Pratt Associate ~nvmronmeata! Specialist P. P53/p/EH M~. Diane Griffi%h C-21 ~etropolit an 523 W. g~th Ave. Anchorage, A~-- 9f~501 Subject~ Approve ! be Block 6, Valli Vue for the individnal se,~(~-r and water facilities cannot granted until the followin~ i'ten:s have been The s~e~uacy test perforated on your sewer systen~ indicates the syshe~ is no% 7functioning properly and an upgrade will be necessary. Prior to the upgra61~, a permit will need to l:e issue~9 tl~is The specifiea%io~is for tho upgrade are as follows: 1. 35' of leach line bac'kfilled with 6' of screened ~2 "- 2 ~2" ~ravel. 2. Total depth 3. The ~xisting seepage pit r~ust be connected %o the new leaching area. Approval wi3.1 be granted when the above ~-~ork has been colnpleted. Conditional approval may be qranted if ~:onies are escrowed., an~ %he upgrade co~uplehed by June 1~ noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Robert C. Pratt Associs~.e !,lnvironr~ental Specialist .... February 22, 1982 Robert B. Gillam 4200 North Point Drive Anchorage, AK 99502 Subject: Lot 16, Block 6, Valli Vue Dear Mr. Gillamz Approval for the individual sewer and water facilities cannot be granted until the following items have been coIapleted~ ~ The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to Nation]al Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this department for a relnspectlo when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. ~ Sincerely, Robert Co Pratt Associate Environmental Specialist Enclosure