HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 2 LT 9Onsite File
#015-322-49
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 GQeb"'F
ON-SITE WASTEWATER INSPECTION REPORT
OCT �Z 20
OSP191287
Permit Number: PID Number: 015-322-49 i�9
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New *Upgrade
Name
KIMBERLY BYBEE
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ound
Site Address
6310 WEST TREE DRIVE *ANCHORAGE, AK
El Other
Phone
Number of Bedrooms
Soil Rating
Total depth f original grade
907-244-8310
4
. GPD/SFJ
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
VALLI VUE ESTATES #2; BLOCK 2, LOT 9
Fill added above original gr a
Ft.
Gravel length
Ft.
Township Range Section
-
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total sorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft2
Ft.
Well
*50'+
_
*50'+
_
_
TANK El Septic 9 S.T.E.P. El Holding El Other
Manufacturer
ANCHORAGE TANK
Capacity
1500 Gal.
Surface Water
*50'+
_
*50'+
_
Material
Number of compartments
Lot Line
51+
-
10'+
-
NA
EPDXY COATED STEEL
2
Foundation0'-F
_
10'+
_
LIFT STATION
Manufacturer
ANCHORAGE TANK
Capacity
500 Gal.
Remarks *CAT III IDSF SYSTEM WITH
SJE RHOMBUS MYSPY MONITORING SYSTEM
Alarm location
LAUNDRY ROOM
Electrical installed by
MOA
PIPE MATERIAL House to tank D3034 drainfieldTank to
D1785
Installer
JR SEPTIC
Drainfield EXISTING CO/MTD3034
Inspector
BENCH MARK (Assumed elevation) 100.00 ft
Inspection15` 8/16/2019 _
Location and description
nd
BACK DOOR THRESHOLD
3`d _ 4°i _
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's S mp
0600
OF
Conditional Approval: Date
�............. ....... ......�
.... • .. •• . • • 0
Septic System 1
n�
Approved x ill C�CiI �, �L"t its Date
Q •• J fGarn
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r� t
Note: this approval does not include well permit requirements.
000
�4���oOoo���o
#nett
(Rev 05/02/18)
PERMIT NUMBER:
OSP191287
WEST TREE DR.
RECORD DRAWING
A B
MH1 20.7 28.3
MH2 26.3. 33.3
APPROXIMATE LOCATION OF 50' SETBACK OF •z' •:
SURFACE WATER; WAS NOT SURVEYED IN BY +`. •: •. - ,
CONTRACTOR PRIOR TO CONSTRUCTION
d*IVEWw .:�•.
VALLI VUE ESTATES #2; BLOCK 2, LOT 10 W i
CW7
_2
EXISTING 4
BEDROOM
o r HOUSE
B
NEW 1500 GALLON EPDXY
COATED STEEL SEPTIC TANK
A
ci
Uv.=\! -1 S
PARCEL ID NUMBER:
015-322-49
VALLI VUE ESTATES #2;
BLOCK 2, LOT 8
APPROXIMATE LOCATION OF EXISTING
SEPTIC TANK; FILLED WITH PEA
GRAVEL AND MORTAR MIX THROUGH
THE 4" CLEANOUT - SEE ATTACHED
EMAIL
r
• APPROXIMATE LOCA OF
RETAINING LL
VALLI VUE ESTATES #2;
BLOCK 2, LOT 7A
EXISTING 18'X
20' IDSF
DRAINFIELD
10' UTILITY EASEMENT
lr& At
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING-_SALESCONSULTING = ---- -- --- ---
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 -PHONE (907) 337-6179 -FAX (907) 336-3246 • WEBSITE:-gamessengineenng.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
KIMBERLY BYBEE 907-244-8310 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
VALLI VUE ESTATES #2; BLOCK 2, LOT 9 D.J.G.
TYPE OF WORK: DATE:
STEP TANK RECORD DRAWING SITE PLAN 10/1/2019
P.
BOOK 3267,
PAGE 701
1"=40'
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AV
LIC ENSE'�tt;; ESS\ �•
#AECC884 /
PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER:
OSP 191287 015-322-49
TOP OF MANHOLE = 100.25 FINAL GRADE= 100.1-101.0
TOP OF MANHOLE = 101.31
MH1 MH2
TOP OF TANK
AT INLET = 94.50 TOP OF TANK
AT OUTLET = 94.51
INVERT OF BUNG
AT INLET = 93.75 NEW 1500 GALLON EPDXY
COATED STEEL STEP TANK
RATED FOR 10' BURIAL
••.
GARNES S ENGINEERING GROUP, Ltd ........... 4 �
-__- -
3701E.TUDOR ROAD. SUITE 101'ANCHORAGE, AK99507-PHONE (907)337Li79 -FAX (907)33&3246'WEBSITE:-gamessengineering.com ,,,,,,, ................. 0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �0, � A. •• mess : W w
KIMBERLY BYBEE 907-244-8310 3 OF 3 �jG'i C -7 53 •° _�
N
LEGAL DESCRIPTION: DRAWN BY: ����� ••., f*� ��
VALLI VUE ESTATES #2; BLOCK 2, LOT 9 D.J.G. �j'QFQ••'•••. �, ��''•� ���
TYPE OF WORK: DATE: LICENSE♦11,;:;`S`;:.t •
STEP TANK PROFILE 8/30/2019 #AECC984
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Municipality of Anchorage
License/AP#:
Development Services Department
O.C1 C
P.O. Box 196650 - 4700 Elmore Road
��,_ _ L•
Anchorage, Alaska 99519-6650
Type:
Info and Help: (907) 343-8211
�'Y�HORP�E
INSPECTIONS:
Address:
Voice: (907) 343-8300 Fax: (907) 249-7777
9/24/2019
Inspection Report
License/AP#:
RETROE191349
Parent AP#:
Inspection #:
583491
Type:
DPRETRO
Status:
Closed
Address:
6310 WEST TREE DR
Parcel:
01532249000
Inspector:
M.Green
Project:
Resp Party:
Descr:
Lift Station Reconnect
Inspection
Electrical (Electrical Inspection)
Item:
EvaluatioApproved
Result Notes:
rground to reconnect existing
septic approved.
Inspection Item
Item Description Evaluation
9/20/2019
Correct following Item Corrected
Code Ref:
Location:
External j-box(s)
Notes:
At least one does not have ground wire
connection to box.
9/20/2019
Correct following Item Corrected
Code Ref:
Location: Megger test.
Notes: Leave megger test report in j -box.
Jeff Garness
From: Jeff Garness
Sent: Friday, October 11, 2019 1:03 PM
To: Carroll, Rebecca M.
Cc: David Garness
Subject: 6310 West Tree - Valli Vue #2, B2, L9 - Setpup of MySpy unit
Hello Becca. See email below from Mike at Jr's indicating that the MySpy unit for the IDSF at 6310 West Tree is
operational.
Jeffrey A. Garness, P.E., M.S.
President
Garness Engineering Group, Ltd.
3701 E. Tudor Road, Suite 101
Anchorage, Alaska 99507-1259
Phone: (907) 337-6179
Mobile: (907) 244- 9612
Fax: (907) 338-3246
Website: www.garnessengineering.com
GARN SS ENGINEERING GROUP, Ltd
EUGINEERING -SALES-
From: JR's Septic Customer Service <jrsseptic@gmail.com>
Sent: Friday, October 11, 2019 12:24 PM
To: Jeff Garness <Jeff@garnessengineering.com>
Subject: 6310 West Tree
Jeff,
The MySpy unit has been setup and tested to ensure that we get an email notification on any alarm events. LEt me know
if you need anything else.
,.Q"i�MMIT:3T
David Garness
From: JR's Septic Customer Service <jrsseptic@gmail.com>
Sent: Thursday, September 26, 2019 10:29 AM
To: David Garness
Subject: Re: FW: Valli Vue Estates #2; Block 2, Lot 9
David,
1. Yes, the myspy unit was installed,
2. The alarm is located just inside the back door of the dwelling in the laundry area.
0 spoke with a plus and they are not sure of the report that needs to be provided. Do you have an example of this
report?
-mike
On Thu, Sep 26, 2019 at 10:22 AM David Garness <David@garnessengineering.com> wrote:
Mike,
Looking over the emails you sent looks like items 3, 5, and 6 were resolved. Do you have information regarding the
remaining items?
From: David Garness
Sent: Thursday, August 29, 2019 2:51 PM
To:'irsseptic@gmail.com' <irsseptic@gmail.com>
Subject: Valli Vue Estates #2; Block 2, Lot 9
Mike,
We had spoken this morning about items I need for COSA completion from you. They are as follows:
1. Was the SJE Rhombis Myspi monitoring system installed
2. Where is the interior alarm location
3. 1 need a copy of the electrical inspection report
4. Was the maintenance service provider notified for system startup? If not, they need to be contacted and we
need a copy of the report
5. Email resolving the existing tank decommissioning with the MOA onsite department
6. Was the required HP -1001-1- Linear septic air pump with alarm installed
1
David Garness
From: JR's Septic Customer Service <jrsseptic@gmail.com>
Sent: Wednesday, September 25, 2019 9:08 AM
To: David Garness
Subject: Fwd: Capstone Electric West Tree Electrical Inspection
Attachments: InspectionSummary_583491.pdf, SepticSolutionsOrder Confirmation.pdf
The electrical inspection should be attached, and the linear air pump is installed in the garage, on top of a shelf. The
order confirmation from septic solutions should also be attached. Is there anything else that needs to be done?
-mike
Forwarded message
From: Curtis Faulkner <Curtis@capstoneak.com>
Date: Tue, Sep 24, 2019 at 11:45 AM
Subject: Capstone Electric West Tree Electrical Inspection
To: irsseptic@gmail.com <irsseptic@gmail.com>
Hello,
Attached is the inspection for West Tree. Sorry again for the delay.
Thanks,
Curtis
Get Outlook for iOS
From: Green, Michael L. <michael.green@anchorageak.gov>
Sent: Tuesday, September 24, 2019 12:01:23 PM
To: Curtis Faulkner <Curtis@capstoneak.com>
Subject: InspectionSummary_583491.pdf
David Garness
From: JR's Septic Customer Service <jrsseptic@gmail.com>
Sent: Tuesday, September 17, 2019 3:27 PM
To: David Garness
Subject: Re: Valli Vue Estates #1; Block 2, Lot 9
Hey David,
Sorry we've be n so tardy in this. In answer to your questions we have completed grading (the lines were confirmed
intact and hot sheared), installed the new hp100 LL air pump, and decommissioned the existing tank per UPC with a
mortar mispected and confirm this).
As far as I re the only thing left for JR's to produce is the inspection report on the wiring. I've been told by Curtis
at Capstone Electric (they did the wiring) to expect the inspection report later this week no later than this Friday.
Is there anything else we need to produce or is that it?
-mike wehr
On Wed, Aug 21, 2019 at 12:21 PM David Garness <David@garnessenginee ring.com> wrote:
Mike,
Wanted to follow up on your conversations from yesterday regarding 6310 West Tree Drive *Anchorage, AK. As
discussed yesterday, there are a few items that i need from you to complete the COSA and record drawings:
MOA electrical inspection report
Email stating how the old tank was decommissioned
Notification when the grading is complete so we can perform an additional site visit
When completing the grading, it would be prudent to confirm the lines have not "sheared" or seperated.
Sincerely,
David Garness, P.E., M.S.
Civil Engineer
�'""A y). MUNICIPALITY OF ANCHORAGE
�°.�"'`of
On-Site Water&Wastewater Program ., ,,Tye-)1!,,_S.
I , PO Box 196650 4700 Elmore oad :..:-..,.!:_,,,---:t.,,..,;.',..
.
Anchorage,Alaska 99519.6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsite ti "f"--, A"'
s.,
Department
44cHORot
On-Site Wastewater Disposal System Permit
Permit Number: OSP191287 Effective Date: 7/12/2019
Work Type: SepticTank Upgrade Expiration Date: 7/11/2020
Tax Code Number: 01532249000
Site Legal Address: VALLI VUE ESTATES#2 BLK 2 LT 9 G:2538
Site Mailing Address: 6310 WEST TREE DR,Anchorage
Owner: BYBEE STANLEY M & KIMBERLY J Lot Size in Sq Ft: 20219
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field Q Septic Tank 0 Holding Tank. 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation.The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907)343-7904(24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. Prior to Inspection Report approval, please submit the tank manufacturer's warranty.
2. Prior to Inspection Report approval, please send a statement from the maintenance provider acknowledging
x that he will be the contact for the MySpy remote monitoring.
y'M1
441
ix.. .
7/zi�
Received By: , , Date:
Issued By: A, / //l/, a,/ �- Date: 7f�Z/9
E s
MUNICIPALITY OF ANCHORAGE
Community Development Department - Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-322-49
Property owner(s) Kimberly Bybee Day phone 244-8310
Mailing address 6310 West Tree Drive *Anchorage,AK 99516
Site address 6310 West Tree Drive *Anchorage,AK 99516
Legal description (Sub'd, Block& Lot) Valli Vue Estates#2; Block 2, Lot 9
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(®all that apply) Initial ❑ Single Family(SF)
Absorption Field ❑ (w/wo ADU)
Septic Tank ® Upgrade Duplex(D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A Distance: -
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: E,925•00 Waiver Fees:
Date of Payment: i J S iPt ti Date of Payment:
Receipt Number: 0(Q °5 Receipt Number:
Permit No. OS P 111283- Waiver No.
(Rev.01/11)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191287, Deb Wockenfuss, 07/12/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191287, Deb Wockenfuss, 07/12/19
m
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,�\,°fession3
THEINFORMATION HEREON 15 FOR THE USE OF LF_ NDING INSTITUTIONS SPECIFICAL L Y TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURESAND PLATTED LOT LINESAND./OR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD, OTHER THAN I-HOSEAPPEARING ON T HE -RECORD PLAT, A,'?ENOTSf-JOWN
HFREON ( UNLESS INDICATED)
NOTE- FENCELINES THAT MAYAPPEAR ON THIS DRAWINGARE NOT TO BE USED TO DETERMINE
PROPERTYLINES OR POSTTIONADDITIONAL IMPROVEMENTS.
ANYPA VING SHOWN HEREON MA YBE APPROXIMATE DUE TO EXCESSIVE SNOWAIVD/OR ICE
- EAS'EMEM
FD AT L700R'3267, PAGE 707
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
107-U BLOCK Z, VALLI VUEFSFA L_-UN17-
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED ,AT ANCHORAGE,;`LASKA THIS 24TH DAY OF
,'L`NE , 2823
FB 1?;' -6
HOLT LAND SURVEYING
9309GROVER DRIVE
ANCF-IORAGE,AK 99507
345-5513
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL'SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
,~.: N~ ~V~ WastewaterSystem: ~New ~Upgrade
Address:
~/~ ~ ~P_E~ ABSORPTION FIELD
Phone: ~No. of Be~oms: ~ Deep Trench ~ Shallow Trench ~Bed BMound ~Other
LEGAL DESCRIPTION S°il Rating: Total Depth from original grade:
~ GPO/Sq. Ft.
LOI: Block: Subdiv~Jon: ~ Depth ~o pipe bottom from original grade: Gravel depth beneath pipe
Township: I Range: I Section: Fill added above original grade: Gravel length:
I
Number of lines: ~ Distance between lines:
I
WELL: D New D Upgrade Gravelwidth: 1~ Ft. f~
Classification (Private. A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: OateDrilled: StabcWsterLevekFt. Installer: A + Date installed:
SEPARATION DISTANCES ~ Septic ~ Holding '~ S.T.E.P.
To Septic AbsoCption La[ Ho~ding ~ublic/Privale Manufacturer: Capacityin gallons:
From Tank Field Stalion T~nk Sewer Lines
Well' i~/~ Material: ~1 ~ Number of Compadments:
Surface
w~t~, t ¢ o LIFT STATION
LOt Size in gallons: ~ Manufacturer~
Line
Foundation
Curtain ~ Pump Make & Model ~ectrical Inspections peHormed by:
Drain
/
Re~a~ks: BENCH MARK
~,~..~ Location and Description:
Assumed Elevat'on:
~ ~ ENGINEER'S SEAL
Inspections performed by: ~ Dates: 1st tO/%]~ ,
Department o~ Health and Human Services approval :~"
Reviewed and approved by: 0~ ~, ~ Date: /~4/-0o
72-013 (Rev 9/91) MOA 25
~ ~ ~ \ 100' CREEK OFFSET
I~11, ~ \ .-'"X ~ '.,--
/ ~. I / ........
~8X20 BOTTOMLESS SANe FILTER SWINO TIES:
N
AB 22.5 FT
AC 56
BC 32
AD 49.5
ED 46.7
kiT 40,5
MT 41
SP 46.5
SP 50.5
AE ILS
S£AL~' /" = 50 FT,
TOBBEN SPURKLAND P.E.
205 W 15TN. AVENUE
ARCH. AK. 99501
(907) 279-591g
LOT 9 BIT 2 VAL£/ FUE ESTATE
NORMAN AND GAlL REEVES
6510 WEST TREE
SEPTIC SYSTEM AS BUILT
DATE: OCT. 6, 2000
SHEET: 2/5 GRID: 2555
PERMIT ti SIK0000402 P/B # gL5 32~-49 VVEO~Og£.D~/5
i05~
101.6
100.6
100. 1
98.6
WA TER MONITOR
SAMPLING PORT
SLOPED TO DRAIN
96~
~ 5.00' ~ PVC LINER
BENCH MARK DOOR SILL
ASSUMED ELEVATION. 100.00 FT
SCALE:
= NOR
1'~ 2'
= VER
TOBBEN SPURKLAND P.E.
205 I'Y 15TN. AVENUE
ARCH. Al(. 99501
(907) 279-5916
INTERMITTENT SAND FILTER
SECTIONAL VIEW
SEPTIC SYSTEM AS BUILT
DATE: OCL 6, 2000
SHEET: 4/6 GRID: 2538
PEf~P/IT # SW000402 PIB # 0f5-522-49 VVEO~O94, DVG
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box '196650, Anchorage, AK 995'19-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 27, 2000
Expiration Date: Sep 27, 2001
Permit Number: SW000402
Legal Description: VALLI VUE ESTATES #2 BLK 2 LT 9
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Norman Reeve
Owner Address: 6310 West Tree
Anchorage, AK 99516-
ParcellD: 015-322-49
Site Address: 006310 CORNER TREE DR
Lot Size: 20219 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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 ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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.
Date:
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
F~x (907)-276-6013
SEPTIC SYSTEM UPGRADE DESIGN
LOT 9 BLOCK 2 VALLI VUE ESTATE S/l)
NORMAN AND GAIL REEVE
Municipality of Anchorage
Department of Health and Social Services
825 L Street
Anchorage, Alaska 99501
September 5, 2000
We are submitting an application for the upgrade of the septic system for this lot. The submittal
consists of five (5) drawings showing the present improvements on the lot and the adjoining
properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is
subject to this permit application, (sheet 2/3), and schematics of the septic system, (sheets 3-4-and
5). This property was upgraded in 1989 when a pressurized bed was installed. Due to limited space
caused by a creek running along the west lot line and a multitude of utility easements, a bottomless
sandfilter has been found to be the most practical solution. This proposed filter has been located
where the present bed is. Copies of the soil reports utilized to design the existing are enclosed.
Testhole/ti indicates a soil strata between 3 and 7 feet with a pemolation rate of 8 minutes per inch.
The existing bed was installed with a total depth of 4 feet. Assuming that one foot ofinsitu material
must be removed, due to accumulation of biomass, there is still 2 feet of acceptable material under
the proposed filter. The acceptable load on this soil is 5 gallons per square foot per day. The total
loading rate for the proposed 18 x 20 filter is therefore 1,800 gallons per day, far in excess of the 600
gallon expected from as 4 bedroom residence.
The installation of this septic system will not prevent development of adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or
concentration of surface runoff will not result from this installation.
Lilt
~PUR~L
I~o, CE-2~
$0 0
N
Lilt
$0 100 150 £00
S£/~LE; Y' = 100 F~
I /
I /
"
II
I
I
250 300
TOBBEN SPURKLAED P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
(907) 279-3916
[ LOT 9 BI( 2 FALLI VUE ESTATE
NORMAN AND GAlL REEVES
65i0 WEST TREE
SEPTIC SYSTEM DES/GE
DATE: SEPT. 5, 2000
SHEET; I/5 GRID: 2558
PER~IT # SWOOOOOXX
PI~ # 015 3~ XX
VVEO2OgLDw6
I
I
I
I
III ~1
//
I I
~XISF 500 GAL STEP
JREPALCELRUIgP- ¢ONTflOL$
[;41Lt~EW 18K2oPRE$SURI?D
SAND FILTER
25 0 ~5
EX/ST.
SEPTIC
I00' CREEK OFFSET
&& EI_EC~
\
\
N
$0 75 100 125
SCALE; 1" = 50 FI,
TOBBEfl SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
(907) 279-$916
LOT 9 BK 2 VALLI VUE ESTATE
NORtWAfl AND GAlL REEVES
6510 WEST TREE
SEPTIC SYSTE~,I DESIGN
DATE: AUG. 21, 2000
SHEET; 2/5 GRID: 2558
PERMIT # SW?9OOOXX PIP # 015 322-XX VVEO£O92DW5
DISCHARGE FROM RESIOENCE 0
B,
lq?
18 X 18 ORENCD BOTTOMLESS SAND FILTER
TOBBEN SPURKLAND P.E.
203 W 15TH. AVENUE
ANCH. AK. 99501
(90Z) 279-$916
LOT 9 BI( 2 VALLI VUE ESTATE
BO?TOML£SS FAND FII_?£R
SYSTEM SCHEMAHC
SEPTIC SYSTEM DESIGN
DATE: SEPt. $, 2000
SHEET: 5J5 OR/D: 2538
PERMIT # S~/O00XXX PID # 015-322 XX VVEO2093,~IZ6
WA ~ER MONI?OR
'-~[//////////////.
SAMPLING PORT
SLOPE TO DRAIN,
5.00' ~ PV¢ LINER
SCALE:
!" = 4' HOR
1" = 2' VER
[OBBEN SPURKZAND P.E. II
205 W ISTH. AVENUE
ANCH. AK. 99501
(907) 279-5916
LOT 9 BI( 2 VALLI FUE ESTATE
INTERMITTENT SAND FILTER
SECTIONAL VIEW
SEPTIC SYSTEM DES/ON
OATE: SEPT. 5, 2000
SHEET.. 4/~ OR/D: 2558
PERMIT # SWOOOXXX PID # 015-$22-XX VVEO£O94, DVO
AND
2.0 ..~- !
"INFILTRATORS" 15 TOTAL
4
SURE GAGE
CLEANOUT
AND
FLUSHING VALVE
TOBBEN SPURKLAND P.E.
20J W I5TN. AVENUE
ARCH. AK. 9950!
(9OX) Zm-SgI~
LOT 9 BI( 3 VALLI VUE ESTATE
INTERMITTENT SAND FILTER
PLAN YIEY/
J l SEPTIC SYSTEM DESIGN
DATE: SEPT. 5, 2000
SHEET: 5/.~ CRIB: 2538
PE£MIF # swoooxxx PID # OI$-$22-XX
PERFORMED FOR:
Flatto~ Technlc~l Se~rvic~s
14530 Echo Street
Anchorage, Alaska 99516
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: L~/ ~ e, (/",j;~ [/, .~/~' ~ Township, Range1 Section:
· ' SLOPE
10 ~:;t[ C~ m/~ ) ENCOUNTERED?
S
1 1 IF YES, AT WHAT
DEPTH? i~? _~ lc (~p
Depth to Waler Alter
13 MoniLoring? I~-~ Oate:
Gross Net Depth to Net /, ~ J
Reading Date Time Time ~l~n) Water Drop (.Ir~ J
~"Pre.~o,r~t ~'/l~ II:~l ~7
14
15
16
17-
18-
19-
PERCOLATION RATE ~] (m,nutes/mch) PERC HOLE DIAMETER
"~ ~ ~ ~ TEST RUN BETWEEN ~'~ FTANO ~'~ FT
PERFORMED BY: F/aP~' ~C~. ~S. I ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ / ~ / ~
;2-o08 (Rev. 41851
T.SPURKLAND P.E.
203 W15TH. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
(907) 276-6013 Fax
SPECIFICATIONS FOR WASTE WATER DISPOSAL SYSTEM INSTALLATION
1.0 GENERAL
YALLI VUE ESTATES BK 2 LOT 9
NORM AND GAlL REEVE
1.1 Owners are Norm and Gail Reeves, 6310 West Tree Drive Anchorage, Alaska 99516.
1.2 Engineer is Tobben Spurkland P.E. 203 W 15th. Suite 203, Anchorage AK. 99501. (907) 279-3916
1.3 Contractor is the person or entity hired by the Owner to install this project. Contractor must be certified
by DHSS to install septic systems.
1.4 The Drawings, sheets 1 through 5, shall be part of this specification.
1.5 All materials and workmanship shall meet the requirements of these specifications, the conditions of the
permit, and all applicable rules and regulations currently in effect.
1.6 All excavation depths are advisory, and are to be verified and may be modified in the field by the
Engineer.
1.7 It is the responsibility of the Owner or the Contractor to adhere to the approved design, to verify that
the specified separation distances are met, and that the required inspections am performed.
1.8 The Contractor or the Owner shall report to the Engineer any observed condition which would put the
septic system in violation of State or Municipal regulations.
2.0 SEPTIC TANK
2.1 Lift station / septic tank shall be as manufactured by Anchorage Tank and Welding The tank shall be
a UPC approved two compartment tank, constructed of 12 gage steel, with a screened pump vault and 1 -inch
discharge
2.2 The septic tank shall be a minimum of 100 feet from any well serving a single residence; 100 feet from
any body of water, creeks or drahmge ditches with flowing water; 150 feet from Class "C" wells, and 200 feet from
Class A or Class B wells.
2.3 All pipe connections to thc tank shall be mechanical watertight couplings. Cleanouts shall be installed
and capped with air-tight caps.
2.4 Effluent Pump shall be P20 OSI 05 HHF. ½ hp 115V.
Specifications for septic system installation
Valli Vue Estates Block 2 Lot 9
pg.1
2.5 Control Panel shall be eSI Simplex control panel with Elapsed Time Meter, Counter, and
Programmable Timer,
Level control float assembly shall provide alam~ for high water conditinn and pump on/offsignal to
timer and event counter.
Discharge line shall be I-inch HDPE coiled conduit.
3.0 AIR SUPPLY
3.1 Air Compressor shall be Thomas Industries Linear Compressor.
3.2 Flowmeter shall be Dwyer Series RM Rate Master Model RRC 104 Range 40-400 CFH. 1/2" NPT
3.3 Air line shall be 1/2-inch HDPE coiled conduit.
3.4 Air diffuser shall be made from polyethylene and be wastewater and -bacteria resistant. Air emitters shall
be evenly spaced at 12" with an orifice area of 0.053 in. square. Each orifice shall have an airflow of 0.01CFM
at a pressure of 0.25 psi.
4.0 SAND FILTER
4.1 Gravel shall be 3/8" washed pea gravel.
4.2 Sand shall be shall be washed with less than 4 % passing the # 100 screen and less than 2% passing the
//200 screen. Sand shall be obtained from a Municipal approved source.
4.3 Pressure distribution pipe shall be Schedule 40 PVC or ABS.
4.4 4-inch pipe shall be ASTM D3034.
4.5 Monitor standpipes shall be installed as shown. That section of the pipe penetrating the gravel shall be
perforated, either by drilling 0.5" holes on 6-inch centers or by joining a section ofF810 perforated pile to a solid
section of pipe.
4.6 Geotextile shall be Mirafi I40.
4.7 Infiltrators as furnished by INFILTRATOR SYSTEMS INC.
5.0 INSTALLATION
5.1 Locate all underground utilities, property lines, fi~ture driveways, existing or proposed water wells, water
ways, surface and sub surface drainage facilities, lakes, ponds, and all other facilities requiring separation distances
from the proposed septic system. Notify Owner or Engineer of any observed possible conflict.
5.2 Stake alignment of system with markers showing the protective distances from wells and water bodies.
5.3 Establish an elevation benchmark. This BM shall be easily identifiable, stable and permanent. An
arbitrary elevation of 100 can be assigned.
5.4 Excavate the filter site to one foot below bottom of existing bed.. Bottom of excavation shall be level
and scarified. Construction equipment shall not operate on the floor of the excavation. Any material compacted
by the operation of the construction equipment shall removed and replaced with uncompacted materials.
Specifications for septic system installation
Valli Vue Estates Block 2 Lot 9
pg.2
5.6 Place the materials to the depths specified. Do not contaminate materials with native materials or spoils
from the excavation. Do not stockpile pea gravel or sand on site. Move directly from track to filter. Level the
sand surface (+- 1") before placing the pea gravel. Level the pea gravel before installing the perforated
distribution pipe. Solvent weld the joints.
5.7 Pressure test distribution pipe before placing infiltrators. Each orifice should have a stream 4 feet or
higher.
5.8 Cover the distribution pipe with the infiltrators and place pea gravel between the infiltrators. Cover the
excavation with geotextile before backfilling.
6.0
INSPECTIONS
6.1 A minimum of five inspections are required. The first inspection will be to lay out the installation and
establish with the proper separation distances from the adjoining wells. The second inspection will be of the
existing septic tank. A third inspection will be at the excavation of the filter. At this time the soil conditions will
be observed and compared to the design assumptions.
The installation of the filter will be under continuous inspection. The pressure test will be witnessed by the
Engineer. A f'mal inspection will be conducted afier placement oftopsoil and cleanup. Any deficiencies wili
be noted and the Contractor notified. Such deficiencies shall be corrected within ten days.
6.2 Notify Engineer at least 24 hours in advance of beginning any work.
Specifications for septic system installation
Valli Vue Estates Block 2 Lot 9
pg.3
. MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES ~'lattop Technical Services
, Environmental Health Division 14530 Echo Street
'/~("f ~'¢,/~;) ~;> 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 Anchora e, ~lask~ 99516
" ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION RE~RT
N~.~ ~ DISTANCES
~ ~TO SEPTIC ABSORPTION
Addressr~Uill ~ TANK FIELD WELL
Phonets) Pern]it NO NO of Be~oo .... WELL
~ ~ Subdiv,mon
Lot ~ Block~ V~llt ~ ~¢. ~ FOUNDATION
Townsbip, Range, Section
AS-BUILT DIAGRAM (Show [ocahon o~ w~ll, septic system, property hnes, Ioundaho~,
~ I~ N/ R ~ ~C re dr,veway, water bodies, etc)
TANKS ~ HOLDING ~ ~ ~
SEPTIC
Matedal NO ol Compadmenls
~TRENCH ~ BED ~ W. DRAIN ~OTHER
original grade FT FI
Fill added above original grade Gravel depth beneath pipe
FT FT ~-~)RI
Total absorption area Distance between lines '~
FT
~ PRIVATE ~ OTHER {Idenlifv}
Health Depadment Approval: Date: ¢~A
72 013 (3/85)
,' ' ' ~J INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
3500 EAST TUDOR ROAD
I NS P E, CTf,.,Ol~ ~'¢907) 56,9-~4~4
STREET ADDRESS
LOT / q
ADMINfSTRATfON (907~ 786-8301
FOOTING E ELEC, TEMP. D PLBG. UNDGR.
FOUNDATION ~ ELEC. SERVICE~ ~ PLBG. ROUGH
BOND BEAM ~ ELEC. ROUGH~ ~ GAS TEMP. __
FRAMfNG ~ ELEC. FINAL __ ~ GAS
iNSULATION ~ OTHER ~ MECHANICAL¢
SHEETROCK ~ MECH. FINAL
STRUCT. FINAL ~ FIRE FINAL ~ PLBG. FINAL
OTHER ~ ZONING ~ OTHER
NO NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS
EXPLAINED BELOW
[] WILL REEXAMINE AT NEXT INSPECTION ~ DO NOT CONCEAL UNTIL REINSPECTED
COMMENTS
/~/HEN CORF~'ECTIONS ARE MADE, PLEASE CALL FOR INSPECTION
DO NOT REMOVE THIS NOTICE
Date
T E S E.:,
890 108 Lip I:] r' ade
06/27/89
MARY YANCEY MOSS
6310 WES] ]'REE DRIVE
ANCHORAGE:: AK 995~.6
PaPcel Id: 0:[5-322-49
I...ot Legal: ,"Subdivision: VALLI VUlii!: ESllATE,"i!i
Section= :!.4 'T'cm~nsh:[p',', 12N
Lo[:. Si:ze ~SA (sq. f'L. (::m acr'es)
Max .Script:iotas= 'l-hi:~ F'ermi'L~ 4 Total
tank Int..~+-',lt;. have at le:,as'L ~}'l c~:)mpai-tmenls,, ;.)epth to 'Lc~p o£ sept:i.c tank (s) <1 4.0
ilec-',)'lL, t',eclu:i, pe!~,; il"l~[iLli:[~:~!'J'.icifl Ovel' 'Lank (s) ,,
INI::OFiI"t D.:H.I'~.S,, PF:;:IOR TO :!.S'T & 21',ID Ih!SFIECT]:ONS BY [ENGINEER:, :Il::
AFTER OI:::'F'ICE HOLJRS~ CAL.L 343'"468:L AND LIEAVE A MESSAGE:,
C:ONSTF?.LICT PER lENGth!lEERS A"f]~.~C:HI:ED AF'I::'ROVED DESIGN.
TH:IS PIERIqIT E×F:'IRIES :[;?./:]!;1/S9 AND VAI..ID I::rOR h SINGI..E FAMIL.Y HOME,,
CERT :i: I:::'Y ['HPFIF =
1:'ch-th by the Mur~ic:ipality c)f Aritho?age (MOA) and the State c~ Alaska,,
][ [,kiilJ :i.l"~i~F[llal]. 'Lhe system :in accc)r'dal]c::e w:i. Ch all MOA cc:ides ar'id r'egu].atioris,
arid in (::of?Ip].i~,r'lce ~:[1'..h the d~:i. gi~ c:['iCer, ia o{ this per'mit.
d:[s'[.anc]ceE~ fpc]i'f~ any exis'L:i, ng we!l,
a].~[[~o ur'ldep~y[larld ~:ha'[, 'Lh(~'~ capac:ity of 'Lhe t. Ei'[.a]. s~f![i~.Eam :L![i 4 b~:)cJPiDC)[?l~i~ ancJ
any erl].ar'gemenlL :NJ. il r'eC]LULPe aYi addit:,igFia[L peer, mi'L,,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502. Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
SEPTIC ABSORPTION WELL
Phone[s) ---- Peim,I NO. No. of Beo~oms WELL
~ I~N, R S~/ ~c I¢ dr,veway, walerbod,es, etcJ
~1~ ~ HOLDING
~ SEPTIC 5T~(O~
M~nu~ac[u~er Capacity ,n gagon5
TYPE OF 8YSTE~
X
~TRENCH ~ BED ~ W. DRAIN ~OTHER '''t
Orave, lengm ~ ~ FT arave~w,oth 8~ FT ~ ff ~ ~h
NumOet o~ hnes Soft raang P~pe ma/erie /~ ·
~ PRIVATE ~ OTHER fldentifvl " ~'
Dale msm,leU: ~ [ [
I
REMARKS:
, ~ ~ ~ cedilythallhisinspacgo, was pedermed accordi"g to all
I Health Depadmen, Approval:~ Oa,~ ~ - 2 -~ ~ ~ ~~'~rr°fess[u"~;~..
Owner
Day' F:'hon e:
l.::'arc:e}l I1_t: 01L5.-::!!;22-....49
L,.o'L I...,~;~gal= Subd:Lvisic:~n: VAI_I..I VLJE ES]-A'TES :~2 L. ot.: 9
S~ct:i.c,n: 14 Townsh:i.p: :I. 2, N Range: 3W
Lot S:i.;-~e .SA (SCl,, ~.l;.. or' ac:r(z)~O
Block~
~.,,aJll-:: mus'L hav~ a'L least, '2 c:ompart, merit, s. DeFrl:.h t.o '-~
I ,'.F.'iE'~. PE!qLiil"-~i]!!~J insuia't'.ioc~ over t. al'lk (~i;i) ,,
INF:'ORM D,,H,,I!.S,, PRIOR 'FO :I, IBT 8~ 21qD ]:NSF'I!!CI'.[ONS BY t!~NGINEEF(:~ J:i::
AI:::'TIER CII:::FICE t.I[]URS, CAI.,.I_.. :?;4:3.,..4,M31 AND I.IEAVE. A Mtiii%~SA(.ilE.
C;ONS'IRUCT PIEF?. IEIqGINE]ERS A'I"TACI~tE'iD APPFi:OVED bESIBI~I.
1'HIS F:'IERM]:]' EXI:::']:I::tES !;?,/;3!/89 ANiD V;:~I,..ID I:ITiR A SIIql:il_,.E FAMILY I{OMIE.
CER]' ! F:'Y 'I-I,,~A'f ~
J'opU"i by t,h~ JvJL.il"iiC:ipa]Lity 6;)¢ Anchor'age (Mi]A) arid the State of Alaska.
! w:i, ll ins'Lall the system in accopdanc:e w:i.t.l-i ali, MOA coc:tes and reglulatic:ins,
and in (::l]li'lp],iE~r~c:e ~/¢it, h 'Lhe desi(]l'l cpi'f, epi~ o~' 'Lhi% permit..
! w:i. ll adh((~re t.o a].i MOA and State of Alaska r, equiremer'lt, si for Lite set. back
d:i. starlc:es Cpom any ex:ist.:ing wel].~ wastewateP disposal, sys'l:.em OP I;;II.IDiic
s~ewer'age system on t.l"~:i.s or any adjac::ent, or' i'leapby lo{.
~ Lil']del'S'Lal']cJ t. hatt. his permit is valJ. ct f'op a ma~{ifiiL.tfll Of' 4 J:)edl"OOlll~,, ]]
a].~go t. tf'ldepst¢~:/nd t.h¢;zt, t.l'l(e c:apacity Elf the to'La], s;:,yst.(¢:~lfl is 4 J;:x~.~dpoolil~ arH:J
any' en].ar'gement w:i. ll require an additLional permi'L.
MAXEY CONSTRUCTION
7111 Spruce Street
Anchorage, Alaska 99516
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
1988
RECEIVED
TO WHOM IT MAY CONCERN:
In September, 1984, I was asked to bid on a septic system upgrade
involving the residential property described as Block 2, Lot 9,
VALLI VUE ESTATES. The owner's name was Milton L. Moss.
The job was based upon a plan prepared by' Alaska Environmental
Control Service, Inc., which called for an elevated bed and lift
station. The plan for this alternative system was filed and
approved by the Municipality of Anchorage on August 30, 1984.
When I excavated around the tank already in place, it was
apparent that the outflow from the tank was not even remotely
connected to the drain field. Before going any further with the
project, I advised the owner of the situation I had discovered.
I told him that in my opinion all of his past septic problems
would be largely solved by properly connecting the system. I
installed an additional 500 gallon tank which had' already been
purchased for the initial project. I connected the existing tank
to the new 500 gallon tank and hooked them into the drain field
at an apprpriate location.
On several subsequent occurrences, I checked with the owner and
was told that the septic problems had been corrected by the
action taken.
· MAXEY /
Torn Fink,
Mayor
Ntun c pahty of AnchQra e
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 27, 1989
Ted Moore, P.E.
Flattop Technical Services _
14530 Echo Street
Anchorage, Alaska 99516
Subject: Waiver Request for Lot 9 Block 2 Valli Vue Estates #2
Waiver Request ~WR890029, PID ~015-322-49
Permit ~ SW890108 Upgrade
Dear Mr. Moore:
Your request for waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 5 foot to the northeast property line.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
DJR/ljw#7
Flattop TechnlcaI Services
14530 Echo Street
Anchorage, Alaska 9g~
Lot 9, Block 2, Valli Vue S/D #2
6310 West Tree Drive
Septic System Upgrade
Specifications and Design Notes
1. The design of the soil absorption bed is based on a measured perc rate of
8 minutes per inch, which was adiusted by the design engineer to arrive at a soil
rating of190 square feet per bedroom. The total required area for this 4 bedroom
residence is thus (4) x (190) x (1.5) = 1140 square feet, which is accomplished by
the configuration shown on the plans.
2. A lot line waiver is needed allowing construction up to the vicinity of the
northeast property line in order to obtain enough suitable area on the lot for ,
construction of the soil absorption bed outside of the 100 foot setback from the
creek. There is no conflict with the existing septic systems on either of the
adioining lots, or with the ability to replace them in the future.
3. The shape of the system shall be as shown on the plans, except that minor
modifications may be allowed or required by the engineer conducting the
inspections.
4. It is the responsibility of the property owner to provide the necessary
survey identification of applicable property lines, and to arrange for underground
utility locates, as well as any necessary utility coordination during construction.
5. All material specifications and construction practices shall be in
conformance with M.O.A. regulations.
6. The existing soil absorption trench shall be abandoned in place.
7. A new 500 gallon steel septic tank, equipped with an "Orenco" lift station
package (or equal), shall be installed at the approximate location shown, after the
existing septic tanks and outside the 100 foot offset from the creek. An 8 foot high
access manhole riser will be needed. The lift station shall be equipped with a 1/2
hp. submersible pump capable of delivering 34 gpm at an effective head of 20 feet.
The on/off float shall be set to provide a 123 gallon effluent dose, with an
independent float set to trigger an alarm mounted in the residence when there is
111 gallons of reserve capacity remaining in the tank. The contractor is
responsible for obtaining the necessary electrical permits and inspections. The lift
station supplier shall provide applicable operating, service and warranty
information to the installer for subsequent transmission to the property owner.
8, The soil absorption bed shall be created by excavating the surface soils
down to the sandy silty gravel stratum beginning approximately 3 feet below the
original ground surface, A level surface shall be created in this stratum at an
average depth of 4 feet, with no part of the excavation deeper than 5 feet below
the original ground surface. If necessary, sand shall be imported to bring any
naturally low points up to a grade level with the remainder of the bed.
9. A total of 1 foot of approved sewer gravel shall then be placed on top of'
the excavation, with the bottom of the manifold and lateral distribution pipes
located 8 inches above the bottom of the gravel.
10. The manifold shall be 2" dia schedule 40 PVC pipe, and the pressure
distribution lateralsshall be 1.25" dia schedule 40 PVC pipe with 3/16" alia holes
drilled in the bottom on a 3 foot spacing.
11, The supply line running from the lift station to the manifold shall be
non-perforated 1,25' dia schedule 40 PVC pipe. Special care shall be taken to
thoroughly compact the soil under the pipes leading into and out of the lift station.
12, The ends of all laterals shall be capped, and all pipe connections in the
pressure distribution system shall be glued.
13, Monitor tubes extending to the bottom of the sewer gravel shall be
installed in the locations shown. Filter fabric shall be placed over the sewer gravel.
The unclassified soil cover shall have a minimum depth of 3 feet over the filter
fabric, and the sides sloped down at no steeper than 3:1. The final ground surface
shall be contoured to provide surface drainage around the south and east sides of
the bed.
14. At least four inspections will be required: (1 } Initial stakeout, (2) after
the excavation is complete but before placement of any sand or gravel, (3) after
the gravel is placed, the lift station is installed, and all pipes are laid and connected,
and (4) after backfill is complete.
~latto~ Technical Services
.... 14530 Echo Street
Anchorage, Alaska 99Rlq
0
l- 9,
SEPTIC SYSTSM
5 ITE PI. AN
t~oT~2 'THai tg 1~107
A g~RuOy~ pleAT
PERFORMED FOR:
Flattop Technlc&! S~-rvic6s
14530 Echo Street
Anchorage, Alaska 99518
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: _L~f ~ ~... U'afl, &'~e -~.~ Township.
-- PP SLOPE
Section:
11
~2--- 8. hL
13-
14-
15-
16-
17-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT OL
DEPTH? IO' -e~t~ p
E
Depth to Water Alter i~
Net Depth to Net
Reading Date Gross Time ~/'h~ ~) Water
Time Drop
PERCOLATION RATE t~ (minutes/inch) PERC HOLE DIAMETER
'"~ ~'~ ~ ~J TEST RUN BETWEEN ~-0 FTANO ~'~- FT
PERFORMED BY: ~&e6? m~6. S~,,, ' ~~ CERTJFY THAT THIS TEST WAS PERFORMED IN
~ORDANCE WITH ALL STATE ANB MUNIClPAL GUIDELiNES iN EFFECT ON THIS DATE. DATE: ~/~ /~
4185) ';
PERFORMED FOR:
Flattop Technical Services
14530 Echo Street
Anchorage, Alaska 99518
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
Township, Range, Section:
4
5
6
7
8
9
10
11
12-
13-
14-
15-
16-
17-
18-
19-
20
-Poct~el' o£ ~'
SLOPE
\
WAS GROUND WATER
ENCOUNTERED? N
s
IF YES, AT WHAT ~)
DEPTH? p
E
Depth Io Water Alter
Monitoring? ~)/ Date: ,~',/?-3/",~
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __
~ ~ ~J~ '~ TEST RUN BETWEEN FT AND __ FT
COMMENTS I~'~g*"l['~l' 1~ Itt4'~11~*~ ~ $ ~P~ ~ ~[~ ~/~r
PERFORMEOBY: ~/~eL. ~. S~,,_ ' ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA~E. DATE: ~ ~ ~ /~
72-008 (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME /fl ~LTOk) ~O~ PHONE EZ] NEW
MAILING ADDRESS
LOCATION NO. OF BEDROOMS
~ ~ Manufacturer Material No, of compartments
DISTANCE TO: WeN Dwelling PERMIT NO.
OTHER
PiPE MATERIALS
TOTAL o F I w )~0 G4L,
Derm'~t ~ ~ON-SITE SEWF. R PERMIT
Location: ~~/~ ~ ?~/~Phone Number:
MUNICIPALITY OF ANCHORAGE
Department~ Health and Environmenta%-~rotection
825 Street, Anchorage, AK. ,501
264-4720
* * * HANDWRITTEN PERMIT * * *
Type of Soil Absorption System Is:
Trench: Drainfield:
Maximum Number of Bedrooms: ~
The Required Size of
DEPTH LENGTH
Legal Description: ~ ~) ~ ~ V~ I,//.,.~. ~ LOt Size:
Seepage Bed: Holding Tank:
the Soil Absorption System Is:
GRAVEL DEPTH WIDTH
The length dimension is the 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). /~dd .
* * REQUIRED SEPTIC(i.~)~?~J~J) TANK SIZE = GALLONS
Permit applicant has the responsibility to inform this 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 * *
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
he r s'dence is remodeled to
Signe~:
Applicant
Co N~3 Irlo~l ? :
include more
Issued by:
Date:
that 3 bedrooms.
ALASKA I ilLIIROFImEIT^L CONTROL Sd UlCl S,
~ncli,eeri.q $ ~nukonmenlal $1udies
ir/c.
Department of Health and
Environmental Protection
825 L Street
Anchorage, Alaska 99503
Subject:
August 28, 1984 ~ /z~w, MUNICIPALITY OF
! ,, /~'~- b./ ENVIRONMENL"~L PROTEC1 ION
Lot 9, Block 2 - Valli Vue Subdivision Nine Waiver
Dear Keith,
We request a lot line waiver from l0 to 2 feet. Our justification for
the waiver is as follows:
1)
2)
The system needs an upgrade.
There is a stream which flows less
from some portions of the lot. The pla
as a drainage easement, but in reality
round stream.
3) It is not possible to fit the upgrade ~ the lot
unless encroachment on the lot line ~aived.
100 feet
shows it
is a year
The diagram submitted by this office needs updating.
locations are not correct. We have located the corner
provide a corrected drawing.
lot line
and will
If you have any questions, please contact this office a 561-5040.
Sincerely,
God, sn
Operations Ma .ager
1200 U~¢sl ~rd Ao~nu¢.
ALASKA .,iUIROrlmel]TAL CONTROL SehdlCE!S.
InC.
SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM
- VALLI VUE SUBDIVISION LOT 9 BLOCK 2
1.0 GENERAL
1.1 THE DRAWINGS, SHEETS 1 THRU 6, SHALL BE A PART OF THIS
SPECIFICATION.
1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE
REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND
ENVIRONMENTAL PROTECTION PERMIT.
1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE
VERIFIED OR MODIFIED IN THE FIELD BY THE ENGINEER.
1.4 IT IS THE RESPONSIBILITY OF THE OWNER TO OBTAIN ALL
NECESSARY PERMITS OR EASEMENTS.
2.0 THE LIFT STATION
2.1 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE EITHER
GALVANIZED STEEL (ASTM A-4444-76), OR ALUMINUM CULVERT,
CAPABLE OF BURIAL TO 10 FT.
2.2 THE 36" DIAMETER PIPE FOR THE LIFT STATION SHALL HAVE A
WELDED WATER TIGHT BOTTOM OF THE SAME THICKNESS AND
COMPOSITION AS THE CULVERT.
2.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE WELDED
AND WATER TIGHT. ALL WELDS SHALL BE CLEANED OF SLAG.
WELDS ON GALVANIZED STEEL WILL BE SPRAYED WITH. ZINC
RICH PAINT OR COATED WITH BITUMASTIC.
2.4 THE~TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED
WITH SCREWS. A TWO INCH LAYER OF POLYURETHANE FOAM
SHALL BE GLUED TO THE INSIDE OF THE TOP CAP.
2.5 ALL ELECTRICAL FITTINGS AND CONNECTIONS IN THE LIFT
STATION SHALL MEET THE REQUIREMENTS FOR A WATER TIGHT
SERVICE.
2.6 THERE SHALL BE A HIGH LEVEL ALARM, PEABODY BARNES 6147
OR EQUAL SET AT THE LEVEL OF THE SOIL PIPE FROM THE
SEPTIC TANK. THE BUZZER SHALL BE LOCATED NEAR THE
ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED
BY THE HOMEOWNER.
2.7 THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT
A HEAD OF 20 FEET.
2.8 PROVIDE A CALDER COUPLING AT THE CONNECTION OF THE 4"
SOLID PVC INFLUENT PIPE AND 4" STEEL NIPPLE.
2.9 THE PUMP SHALL BE CONTROLLED BY A DIFFERENTIAL MERCURY
FLOAT SWITCH, ADJUSTED TO ALLOW A TWO FOOT SPAN BETWEEN
'ON' AND 'OFF', AS SHOWN IN THE DRAWING. ALL RELAYS
AND ELECTRICAL CONTACTS SHOULD BE LOCATED OUTSIDE THE
CHAMBER TO PROTECT THEM FROM CORROSION, PREFERRABLY
IN A DRY LOCATION WITHIN THE HOME.
2.10 COAT THE INTERIOR OF THE CHAMBER WITH BITUMASIC PAINT
OR TAR TO APROXIMATELY 3.5 FEET ABOVE THE BOTTOM.
2.11 MOA BUILDING CODES: WHEN LIFT STATIONS ARE INSTALLED
WITHIN THE MUNICIPALITY, AN ELECTRICAL PERMIT AND
INSPECTION ARE REQUIRED. IN AREAS NOT COVERED BY MOA
BUILDING CODES, THE SYSTEM SHALL BE INSPECTED BY A
LICENSED ELECTRICIAN TO INSURE THAT THE ELECTRICAL
INSTALLATION IS IN ACCORDANCE WITH APPLICABLE CODES
AND REGULATIONS.
1200 Wgsl 33rd ~uenue. Suite B" Anthoruqe. Aloske 99503.(907] 561-50~10
MUNICIPALITY OF ANCHOP, A(~I~
DEPT. OP HEALTH &
ENVIRONMENTAL
'AU6 3 0 IgtR4
RECEIVED
3.0 SEEPAGE BED
3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES
INDICATED.
3.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM
AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4.
3.3 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF
IMPERMEABLE MATERIAL~ AND ON A SLOPE OF 1 FOOT VERTICAL
PER 3 FOOT HORIZONTAL.
3.4 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE
BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN
COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL
BE PLUS OR MINUS 2".
3.5 TWO OBSERVATION PIPES SHALL BE PLACED AS SHOWN IN THE
DRAWINGS. THEY SHALL BE RIGID PVC, ASTM 3033 D-3034.
THE SEGTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5"
HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE
OR A SECTION OF PERFORATED SEWER PIPE MAY BE CLAMPED
TO THE SOLID SECTION WITH A NO HUB COUPLING OR
SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL)
SHALL BE PLACED ON THE TOP OF THE PIPE.
3.6 THE INSULATION REQUIP~ED SHALL BE DOW EXTRUDED
BLUE STYROFOAM INSULATION BOARD OF THE THICKNESS
SHOWN ON THE DRAWINGS.
3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A
WHITE CLOVER AND RED FESCUE MIX.
, ALASKA ENVIRONMENTAL
CONTROL SERVIa?"; INC.
1200 West 33rd Avenu Suite B
ANCHORAGE, ALASKA 99503
Phone 276-3.363.
SHEET NO OF
C^LCUL^~-EO BY ~'- ' ~' c^~
CHECKED BY. DATE
· ALASKA ENVIRONMENTAL
CONTROL SERVICr'~'~ INC.
1200 West 33rd Avenu~ Suite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
CALCULATED 8Y ~ '~'~ y DATE
ALASKA ENVIRONMENTAL
· ' CONTROL SERVICr~, INC.
1200 West 33rd Aven[ ~Suite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
CHECKED BY. DATE
SCALE
ALASKA ENVIRONMENTAL
CONTROL SERVICe% INC.
1200 West 33rd Aven~ ' Suite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
JOB
SHEETNO ~ OF
CHECKED BY DATE
ALASKA I[flVIH(JNMP-fl I ~L
· CONTROL SERVICES, INC,
]200 West 33rd Aven.u,~-'Suite B
ANCHORAGE, ALASK~ . =)503
Phone 276-1361
JOB
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE
DATE
ALASKA ENVIRONMENTAL
CONTROL SERVI~% INC.
1200 West 33rd Aven~ Suite B
ANCHORAGE. ALASKA 99503
Phone 276-1561
SHEET NO OF
CALCULATEDLY. DATE
CHECKEO BY DATE.
SCALE tT~
ALASKA ~]UIROnm~I1TAL CONTROL S~,,~,JIO,~S, InC.
~noineerin0 6 (~nuironm~ntol
CLIENT
ADDRESS
~PERCOLATION TEST DATA SHEET
ZIP CODE
LEGAL LOCATION
ZONE TESTED
ft
READING ~ CLOCK TIME NET TIME DEPTH TO NET DROP RATE (min/in)
DATUM
FINAL PERCOLATION P~TE
PERFORMED BY O}'~d
(min/in)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchora§e, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
TEST
PERFORMED FOR:
4 -
LEGAL DESCRIPTION:
3
4-
5-
8
DATE PERFORMED: ,
SITE PLAN
10-
11
13-
14
15
16
17
18
19
20
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
/o ,.,,.. o.%o o.ro
~.~. 0.~
~-~ fi:z5
(minutes~nch)
P~RCOLATION RATE 1,:~5 ~.~ 0 ~ ~'~
~EST RUN BE~EEN ~_O . FTAND ~' ~ FT
PERFORMED
m~,4- sq-o~q
CERTIFIED BY:
(6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT~0F HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[~SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED: '~"~'~ ~-~Y
LEGAL DESCRIPTION:
1 NL
2
3
4
5
6
7
8
9
~' 10
11
12
13
14
-I
15
16
17
2O
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER yff~ '1~
ENCOUNTERED? ~ pO
IF YES, AT WHAT
DEPTH? .0
Gross Net Depth to Net
Reading Date Time Time Water Drop
72-008 (6/79)
PERCOLATION RATE
,TE T R N ETWEEN
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~'"-SOIL$ LOG
PERCOLATION
TEST
PERFORMED FOR:
11
12
13-
14-
15-
16-
17-
18-
19-
20-
~L $~tT
SLOPE
WASGROUNDWATER
ENCOUNTERED?
IF YES, AT WHAT iO.01~ ~-~ E
DEPTH?
DATE PERFORMED: ~--'~¢-'~/
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Crop
+'l~ ?:q? /:9'6
; 6to~ /0 /:36 0,10
'qaO it 5'c9 I:~
~ ~:~ff I0 /:37 0,09
PERCOLATION RATE
COM"E.T~ ~',~ ~.;~ 4.~, ,'~t¢/E;~?"" %~'}",.'~
c~)~ ~ (minutes/inch)
~9-¢2 .TAND .q-q' FT
afoA~'gq- Oaqq CERTIFIEO BY:
72-008 (6/79)
\
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99601 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
~IAI LING ADDRESS
LEGAL DESCRIPTION
LOCATION
] . ]Well~ I Absorption area
DISTANCE TO'
~ Z Manufacturer
~ ~ ~ Manufacturor
~= DISTANCE TO: WOI~o~ ~ F°unOati°n ~I
~<~--'~;~-- No. oflines. . . ,~engthof'eachline Total~o ,length of lines
~ ~ Top of tde to hn!sh gra Je Mater~al beneath tile
~ Length Width Depth
~ ~ Type of crib Crib diameter Crib depth
~ Well Building foundation
~ DISTANCE TO:
~ Class Depth Driller
~ foundation Sewer line
Dwelling
Material
Width
Material
Nearest lot line
Trenc~w~th
PHONE
~ .~/~ [] UPGRADE
NO. OF BED~.OMS
PERMIT NO,
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance between lines
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line
Septic tank
OTHER
PIPE MATERIALS
SOl L TEST RATING
I S'
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/78)
DATE LEGAL
F'EF.'.M I T
DEPRRTMENT L, HERLTH RND ENVIRONMENTRL. ~ ,!3TECTION
* 825 'L' STREET, RNCHORRGE, RK. 99501
264-4728
0~-~--~ ~'TE "~.EP~E~= Pf~£~:r~ IT'
( 788542 )
flF'PL I CANT
LOE:RT I ON
LE J,l-lL
L I NC: CONSTRUCT I ON
',,,'RLLI ',,,'UE S,'"D
L9 E,,-- 'v'RLLI VUE q,."[:'
. _ _Rf~'rM CIF.:I_-:,LE
LOT _-,I~E
22000 SQURRE FEET
T"r'PE 8F =,OIL RBC;ORBTION _'r.=,TEM IS: TRENCH
' -'-- '= / ~--~..:,uIL RRTING '"q¢') FT,. BR.- {27]
MRXIMUM NUMBER OF' E, EE.F..uUM.., = '-- - .... " "¢- - -'
THE F.:E6!UIRED _,I~E OF THE SOIL ~E,..,uRFTIu6~,~-_,TErt IS:
[:,EP-FH: :10 L El-.IG TH:: ~_. i]FqR%.'EL [:.EF" T F~:
5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIEL.[).
THE DEPTH OF R TRENCH OF.! PIT IS THE DISTRNCE 8El'WEEN ]'HE SURFRCE OF THE
GR8UND RN[:, THE BOTTOM OF THE E~-',C~VRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN '[HE OUTFRL. L PIPE
RND THE BOTTOM OF THE EP;CRk,'RTION (IN FEET).
' I"- ' ' ~' ] ~ '
PERMIT RPFLI_.HNI' HRS '[HE RE:,PLN_IBILIT? TO INFORM THIS DEPRRTMENT [;,.RING THE
IN:.-THLLHFIEN INSPEC'rlONS 8F RN'¢ WELL_-] RDJRCENT TO THIS PF.:GPERT¥ RN[:, THE
NI_IMBER OF RESIDENCES THRT THE WELL WILL ...,ER/E.
T~4fl~ < 2 ;:, ][ [-tSF"E,]:T I ~]~ f-~ S:;. RRE RE~;!~J I F~:E[:
BRCKFILLING OF RN'¢ S'¢STEM WITHOUT FINRL INSPECTION RND RPPROVRL BM THIS
[:,EPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R WELL RND RN¥ ON-SITE SEWRGE DISPOSRL S'¢STEM IS
188 FEET FOR R F'RI'¢RTE WELD OR
±58 TO 288 FEET FR0M R PUBLIC WELL DEPENDING UPON THE T'¢PE OF PUBLIC WELL
OTHER REQUIREMENTS MR¥ RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIFIGRRMS RRE
RVRILRBL. E TO INSURE PROPER INSTRLLRTION.
F'ER~'I I T' E~-::P I lq:Es----. [:.E~:i:[~Z f-1BER 3:1.. iL=~- }"~:--TM
I CERTIFY THRT
:L: I 8M I--RMILIBR WITH THE REC,!UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'¢ THE MI..INICIPRLIT¥ OF RNCHOR8GE.
2: I WILL INSTRLL THE S'.tSTEM IN RCCORDRNCE WITH THE CODES.
~: I UN. DERSTRND TNBT THE ON-SITE SEWER S'¢STEM MFI~ RE[qUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS.
S I GNED: , ..............
RPPL I ~NT ~t~C E:ONSTF~CT 18N
IS;S;IJED B¥_~ .... L:: ..................... [:,RTE .................... ',,,'2:. 2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONNIENTAL PROTECTION
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG -- PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
4-
5-
6-
7
8
10-
11
13-
14-
15-
16-
17
18
19
2O
SLOPE
SITE PLAN
~F YES,^TW"AT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
, .~. //. , TEST RUN BETgWEEN FTAND FT /
COMMENTS /o~-~,, ~,: -& ~, 9,:,:_..:...:~:,~,>~ ....
72 008 (7/76)
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
Parcel 1. D. 015-322-49
1. GENERAL INFORMATION:
Expiration Date: 0 CA 1 LI , a 0 D 0
Complete legal description VALLI VUE ESTATES #2; BLOCK 2, LOT 9
Location (site address) 6310 WEST TREE DRIVE *ANCHORAGE, AK
Current Property owner(s) KIMBERLY BYBEE Day phone 244-8310
Mailing address
Real Estate Agent DOUG JOHNS Day phone 296-932-5367
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
Individual Well ❑
Individual Water Storage ❑
Community Class A Well
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual
Holding Tank
❑
Community
❑
Public Sewer
❑
WaiverNariance request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 5 0 Waiver Fee $
Date of Payment 7'3 `� G Date of Payment
Receipt Number �(� 0�'1 G 08 5� ) G Receipt Number
COSA # n SC 1 3 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: j t7 (, R
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and �000Op
industry practices. The reported results describe the condition of the system/s on the date/s of the _o OF q X04
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or o �s00o
encroachments may exist that were not identified during the evaluation. The operational life of all wells p '
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and* g
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and • • • • • • • • • • . • • •
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of . ... • , . • . • • , •
the well or septic system. GEG makes no representation whether an alternative well or septic system J f Garne s:
can be installed on the property in the event either of the current systems fail to perform adequately in CE -79
the future. The content of this report is for the sole benefit of the person/party that retained GEG to O 9 c�G
perform the evaluation. Reliance upon the information provided in this report by any other person orll1
party (including subsequent property purchasers) is not authorized, nor will it confer any legallj�flit(((((((((�4eaes
profst���o�
whatsoever.l�/0�0p o
OF AAA4C 1 �oo�i�ka8#
6. DSD SIGNATURE
System #1 Approved for `i bedrooms
System #2 Approved for bedroomsWATER A z
WATER a^
Disapproved fl WASTE AM
PROGR
Conditional approval for bedrooms, with 81lowing stipule
By: _U_w 0, Qa, U g Original Certificate Date: 1 `4
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 Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
•
Legal Description: VALLI VUE ESTATES #2; BLOCK 2, LOT 9 Parcel ID: 015-322-49
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for
Static wa el at beginning of test ft.
B. TANK DATA
Age of tank(s) NEW years
Tank type/material STEEL
Measured operating fluid level in septic tank -
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA IDSF
Which system tested (date installed) ?000
❑ ALL standpipes present per record drawing
Total measured depth from grade 4.25 ft (max)
Measured depth to pipe invert from grade ft (min)
❑ NIA — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 3.78"
OR Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced N/A gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Well production at time of test _ m
Water storage tank volu gallons
Well disinfec r coliform test? E] Yes ElNc
orm bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date of Sample
C. LIFT STATION
FOR Required maintenance completed
Age of lift station NEW years
Lift station material STEEL
Comments: SEE ATTACHED RECORD DRAWINGS
Adequacy test date 7212019
Results ❑✓ Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 765 gal
New depth 1.5 in
Elapsed time 10 min
Final fluid depth 0 in
Absorption rate 600+ gpd
Any rejuvenation treatment (past 12 months) N/A
If yes, enter date N/A
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑✓
Yes
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
❑ Yes ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Se t• _ 5' ❑ Yes if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
g Tank > 100' ❑ Yes if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' ❑ Yes if No ft
es
if No
ft
Yes
if No
ft
Community Wells > 200'
Manure/Animal Excreta Storage > 100'
Com wer Main > 75' ❑ Yes
if No
ft
❑ Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑✓
Yes
if No
ft
Surface Water > 100'
❑ Yes if No 50'+ ft
Property Line > 5'✓❑
Yes
Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓
Yes
if No
ft
Private Wells > 100'
❑✓ Yes if No ft
Water Main > 10'✓❑
ft
Yes
if No
ft
Community Wells > 200'
❑✓ Yes if No ft
Water Service Line > 10'
❑✓
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
❑✓
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
❑✓
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
Surface Water > 100'
❑
Yes
if No
50'+ ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
1 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:
COSA Checklist yellow sheet
r,: .... ...................
e G QOI rness.
E— C 5 ` ` ` s •• j �'•• c�G
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MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this � Day of �IjN� of 20 26 , by and between
herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as 63 (� ll�C—� Tr�-� jY��,, i` r Tn, fir . 4 -
located at (Iegal description)
VPa42 V v_l~ -# Z Lam( L2 _
2. Maintenance. Repairs and Alterations.
(Owner is required to read, understand and initial each section)
Z-6 Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
7 It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Z+ --g Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Pagel of 3
,Zkb Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Z Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Zr� Q Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
7 Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
2e4 Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
7N"" Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: (signature) Date:
L (print name)
STATE OF -AL JL�o-h o v0 )
CO V+I)io� bevi n v (-)4 ) ss.
sTR1C_T1 )
The foregoing instrument was acknowledged before me this 2,9 day of
NOTARY PU9LIC FOR �ah 0 v0
My Commission expires: 0 l� - 6 $ -U 2�v
MUNICIPALITY:
(signature)
0PN,DAY,.
N07ARYPUBLIC
MYCOMMISSION
EXPIRES
STATE OF
IDAHO : �y
/ , '•........ �L
NNUMV�P.
Date:
name) Title:
(rev. 05/18/2018) Page 3 of
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
Completelegaldescription Lo T~ ~ ~,~ ,~ ~/,~L~-i ~/~j~. ~_~- ~Z_-
Location (site address or directions)
Property owner
Mailing address
Lending agency
t'~ ~.¢,.~,~ ~---¢.¢2,.., .~--- Day phone
Day phone
Mailin. g address
Address
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
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 flies 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.
Nameof Firm l--'~(,/o~;~i ~u ~-~'--l~'"~-'~- "~ Phone
Engineer's signature ~ ,. ~t~.~ ~,~x~.,,~. Date
/
DHHS SIGNATURE
[-//' Approved for ~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: ~~ /-(~/', /:::2::)c'¢~/"-~ Date / O -//- OO
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
conduot 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.
Municipality of Anchorage
Department of Health and Human Se~i~ E ~ V E D Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box 196650 Anchorage, AK 99519-6650 OCT ~- 0 ~.D00
www.ci.anchorage.ak.us
(907) 343-4744 MUNtCiPAL~ OF ANCHORAGE
^ F.J~ViRONMENTAL ~E~,VICES DIVISt0N
HEALTH AUTHORITY APPROVAL L~HECKLIST
Legal Description: L,~ q, ~V~ ,0.2 t//%-LI ~/~.)~- t~5'~ .H~_
Parcel I.D.: o/~'-3,zp_- 7
A. WELL DATA
Well type '/-~'
Date completed __
Total depth
Date of test
ft
FROM WELL LOG
If A, B, or C provide PWSID # ,~-/3E,~ ~/ Well Log
Sanitary seal Wires properly protected __
Cased to ft Casing height (above ground) __
AT INSPECTION
in,
Static water level ft ff
Well production
WATER SAMPLE RESULTS:
g.p.m
g.p.m
Coliform colonies/100 mi Nitrate__ mg/I Other bacteria__
colonies/100 mi
Date of sample:
Collected by:
B. SEPTIC/HOLDING TANK DATA
TankType/Material ~?~;~ 5'~ ~'~ (
Date installed 0~/¢.~/~? ' Tanksize /~..~o gal
Cleanouts '~/ Foundation cleanout ~ Depression
Date of Pumping ~ ia/~ ] z,-o
over tank
Pumper A- 4-
Number of Compartments ~
/',/ High water alarm
C. ABSORPTION FIELD DATA
Date installed JO/~//~ Soil rating (g.p.d./ft2 or ft2/bdrm)
System type
Length ¢0..0 ft Width 1 ¢ ft Gravel below pipe ~Z~ ft
Total depth .~'~ ft Effective absorption area ~,¢,6) ft2 Monitoring tube "-/
Date of adequacy test t-/-,//_~ Results (Pass/Fail) Cf
Fluid depth in absorption field before test ~ in Water added
Elapsed Time: v/'- min Final fluid depth '-'/' in
Any rejuvenation treatment (past 12 mo.) (Y/N & type).
Depression over field /'~
For ~ bedrooms
~ gal. New depth ~ in.
Absorption rate >=__~"/g-p-d-
If yes, give date
72-026 (Rev. 01/00)*
LIFT STATION
Date installed ~/'~/'/~/ Size in gallons
"Pump on" level at ~ ~ in "Pump off" level at
Datum r~ Jr7/,~,l Cycles tested
Manhole/Access ~/
High water alarm level at ,~ c// in
Meets alarm & circuit requirements ~X"
Public sewer manhole/cleanout
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL~ LOT TO:
Septic tank/lift station on lot /'On adjacent lots
/
Absorption field on lot J On adjacent lots
Public sewer main
Sewer/septic servic, c.c.c~e Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
Water main
Drainage
Property line
Water Service line
Curtain drain
COMMENTS
Property line ~..'>/o
Water service line ~>
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation 2-
Surface water 'I,~P +
Wells on adjacent lots
Absorption field
Surface water
Water main '~ ~ ¢
Driveway, parking/vehicle storage
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 HAA guidelines in effect on this date.
Engineer's Printed Name ~ ~ ~o.~ ~-~ i) ~' ¥~.-L~. ,,,- ~
Date lO- lO- ~O
HAA Fee $ "~,¢-)E).
Date of Payment -~-~-,~
Receipt Number /9
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 01/00)'
PROPERTY OWNER AGREEMENT
FOR TI~ MALNTENANCE OF AN
ON-SITE WASTEWATER DISPOSAL
SYSTEM
This a~eement, dated (~- ~:~.5- t99- , is made between the Municipality of
Anchorage Department of ~-Iealth and Human Se-~vices (DHH$) and the property
owner(s) of:
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property.
The property owners agree to th, e following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This kmpection and
operation statement shall verify that the engineer has inspected all effluent and air
pumps, timers, and alarms, md that any deficiencies have been repaired and that the
system is functioning as designed.
(Signature)
(Printed Name) (Printed Name)
............................... N.,,:ar±za Hera ::':.ZTZ .................................
State of ~x~_~x On th.'.s ~ day of. ~.O~r ,
G~i~ ,~. ~-e.',~'~:_ pe-sonally appeared before me,
__ who is personally kno~ to me
~ whm~e identity I proved on the basis of ~
__ whose identity, I proved on the ~ath/affirmation of , a credible witness
to be the signer of the a]
and he/she ackn~ged that he/she signed
~- ~t~ ~ lic
commission expires /b/~
MUNICIP~,LITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I,D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions)
(b) Property owner tlil/o/~ J'f¢,¢.~ Telephone: (home)~Yd'/d¢O-Business
Mailing Address ~(0 ~/ %~¢ ~r-2 ¢
(c) Lending Institution ~,~, Telephone
Mailing Address
(d) Real Estate Company and Agent
Address ,~ SOl' " C" ~¢,
Telephone ~ - ~O
/He ¢ 95-0_3
(e) Mail the HAA to the following address: (or check here [], if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family [] Number of bedrooms
3. WATER SUPPLY
Individual Well [] Community ~ 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 ~ 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 flies 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.
NameofFirm ~[~p/.~/~ ~¢~/~;¢~/ _~/~_c Telephone -~',5"- /-~"v~-
Address / ~ ~ ~ ~ ~o~, ~ ~/~
Date ~ ~ ~ /~/ I~
Engineer's Seal
6. DHHS APPROYAL
Approved for
Approved
- Disapproved Conditional
Terms of Conditionai Approval
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.
72~25 (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
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
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
~u" o? / MC,~K~IST -343.4744FEBRUARY 1984
ENVI,~MEixh,~L $~RViCES D'I'VI$ION
Legal Description: ~¢~
R[CEJVED
Date Completed
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
If A, B, C, D.E.C. Approved (Y/N)
Yield
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/~/8~ Size I 2o-~af No. of C'ompartments
Standpipes (Y/N) Y' Air-tight Caps (Y/N)
Depression over Tank (Y/N) At
Pumping/Maintenance Contact on File (Y/N) /q, 4.
Holding Tank High-Water Alarm (Y/N)
Foundation Cleanout (Y/N)
Date Last Pumped At,,4,
; for
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM sEPTIC/HOLDING TANK:
TO Water-~upply Well ~ '~o~'
To Property Line ~o ~
To Water Main/Service Line :> ~¢' ~
To Stream, Pond, Lake or Major Drainage Course
To Building Foundation
To Disposal Field
Comments
72-026 {Rev. 7/88) Front Page ! of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 7
Width of Field ,
Square Feet of Absortion Area / I-y.~'
Depression over Field (Y/N)
Results of Last Adequacy Test N, ,4.
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well ~ 8oo'
To Building Foundation SE, '
Lot l¢' '
To Water Main/Service Line ~' ~.¢'
/~ ~"~ Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness !
Sta~'ndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line ~-'
To Existing or Abandoned System on
; On Adjoining Lots ~' :Y¢ /
To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level
Tested for
Dimensions 5-'o¢' ~¢/ /]-,'~c4 T~.~/r
Manhole/Access (Y/N) Y,,
~t,~ ~ ~
"Pump Off" Level at ~¢ ~/¢ ~ ~'~
Vent (Y/N) ~
Pumping Cycles during Adequacy Test,
Meets MOA Electrical Codes (Y/N)
Comments ~-~? o,~/ <>~ ~'-,~l~,',,~ I~
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HA~._,~.,~?..e.~.'.~,c~t on the
date
of
this
inspection. ~... ~ ..~
Signed
Company I:{~ ~;~( ~z~ ~ ...........................
Encn r'
MOA NO.
.......
, oe,p, No.
Amount: $
72-026 (Rev, 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
ANCHORAGE/WESTERN DISTRICT OFFICE
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
563-6775
DATE: August 31, 1989
PWSID: 210605
Requested By: Flattop Technical Services
According to the records on file in this office, the V~lli
Vue Water System is in compliance with
State of Alaska Drinking Water Regulations.
the
Sincerely,
Cindy Thomas
Environmental Engineer
MUNICIPALITY OF ANCHORAGE ~UNICIPALITY OF ANCHO[~AGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIq~pT. OF V,~ALTH &
825 L Street - Anchorage, Alaska 99501 FNVIRONMENTAL pi;OTECTIO~
ENVIRONMENTAL ENGINEERING DIVISION JU[~ 2 8 1979,
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be procf~ssed. Please allow ten (10) days for processing.
MAILING ADDRESS
PROPERTY RESIDENT (If different from above)
t K. qqSI I
PHONE
PHONE
PHONE
3, LENDING INSTITUTION
MAILING ADDRESS
MAI LIN G ADDR ESS
PHONE
PHONE
5. LEGAL DESCRIPTION
~TREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four [] Other
~ SINGLE FAMILY
[] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
[] INDIVIDUAL* * ATTACH WELL LOG. A well Icg is requ'ired for all wells drilled
~ COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
· *If individual/on-site, give installation date ~'"-/~1/
~..~ I NDIVI DUAL/ON-SITE**
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
M U N lC i pA Li;T,E,p~. FoUr ~f~'~ -
THIS SiDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
NSPECTOR I NSP ECTOR 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 OFWELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~' ~ ~"~
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURE (~ ~, ~.,._.~
4. DISTANCESwELLTO: p 'el olding ~ank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~"~APPROVEDFOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title~,~
72-010 (Rev. 3/78)
825 "L' STREET
ANCHORAGE, ALASKA 99501
(907) 264 4111
GEORGE M. SULLIVAN,
MAYOR
DEPAR'f'MENT OF HEAl TH AND ENVIRONMENTAL PROTECTION
June 27, 1979
Carol Nielsen
Construction Loan Processor
Alaska Statebank
310 East Northern Lights Boulevard
Anchorage, Alaska 99503
Subject: Lot 8 Block 2 Valli Vue Estates Subdivision
Lot 9 Block 2 Valli Vue Estates Subdivision
In reference to your letter of June 22, 1979, the following
is the procedure for request for approval of on-site s'ewer
and water facilities for lending agencies.
(1) A request form(see attached is submitted to this
office.
(2)
An appointment~for on-~iite {~nspections is made. We
also review our files ~or information on the sewer
system.
(3)
After everything has been reviewed and inspected we
are then able to send a certificate of approval to
the lending agency.
In this case, the systems were installed last year, so the
request forms needed to be filled out and submitted to this
office. We will review our files and will be able to send
a certificate of approval to you. One(l) request for each
individual property. Do not send the fee as this will not
require a field inspection.
For you further information, Valli Vue Estates Subdivision is
not served by public sewer. The entire subdivision is served
by on-site septic systems. Public sewer is not available and
will not be available for several years.
If there are any further questions, please contact this office
at 264-4720.
Sincerely,
Laura J. Ward
Sewer and Water Section