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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 2 LT 16Onsite File Valli Vue Estates #2 Block 2 Lot 16 #015-322-42 2000 permit indicates that 1977 trench is in groundwater. 1977 trench cannot be reused unless separation to seasonal high groundwater confirmed. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone! (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201145 Work Type: Septic Upgrade Tax Code Number: 01532242000 Site Legal Address: VALLI VUE ESTATES #2 BLK 2 LT 16 G:2538 Site Mailing Address: 6221 CORNER TREE DR, Anchorage Owner: HAUPT-CHRONISTER CHRISTOPHER J Effective Date Expiration Date m DS- v Department 5/19/2021 5/19/2022 Lot Size in Sq Ft: 22261 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: —5 This permit is for the construction of: RMQ Il Disposal Field I(Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing -C, 1 Special Provisions: If it is determined that the STEP tank needs to be replaced, a change order shall be submitted to show tank location in order to confirm code required separations can be met. Please note, existing tank's proximity to deck supports shall be assessed to ensure tank collapse would not affect structural integrity of the deck, which would need to be addressed prior to future COSA approval. On tk +0 ---fie r� ��I �Oa t Received By: Date: > Issued By: Date: Jr �0, 1 MUNICIPALITY OF ANCHORAGE lJft�� Development Services Department 1 Phone: 907-343-7904 On -Site Water & Wastewater Section^-' Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-322-42 Property owner(s) CHRIS HAUPT-CHRONISTER Mailing address 6221 CORNER TREE DR, ANCH AK Site address SAME r Day phone Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2 BLK 2 LT16 Legal description (Township, Range & Section) Lot Size 22,261 Sq. Ft. Number of Bedrooms 4 i APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field 0 Initial ❑ Single Family (SF) El (w/wo AD U) Septic Tank ElUpgrade 0 Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: r I certify that the above information is correct. I further certify that this is'in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ��� Waiver Fees: Date of Payment: to `;L/V ;2,j Date of Payment: Receipt Number: 1000/576 Permit No. ©15 P Vl1114 Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc COVID-l9 2570. DISCOUNT APPLIED CO# 1 June 3, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic Permit (OSP201145) Legal: VALLI VUE ESTATES #2 BLK 2 LT 16, CHANGE ORDER To Whom it may concern: This is a request for a change order on the approved permit. The owner wants to have a 5 -bedroom system. Two tanks (1500 +1000) with a pump basin have been shown, plus the field has been increased from 6.5' effective to 7.5' effective. For the reserve area a Class III system has been shown with an effective application rate of 2GPD/SF. The secondary trench has been shown, see the site plan. This change order will not impact any of the surrounding neighbors. Sincerely i�; Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 May 19, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic Permit Legal: VALLI VUE ESTATES #2 BLK 2 LT 16 To Whom it may concern: This is a request for a septic permit on the above referenced lot. One test hole was excavated and found silty sands (SM) for the entire depth with no water during or after the 7 day monitoring period. The original test hole had the same material, but an old test hole to the north did have water at 9 feet? This water did not show-up in the other two test holes? Our new test hole had no water during the October high water period. The perc rate was 10 minutes almost the same as the original test hole done in 2000. All of the lots in the area are serviced by AWWU water service. The lot slopes to the southeast at about 2 percent. The existing STEP tank will be inspected and replaced with a new plastic 1500 STEP if it is found to have corroded, see note on the site plan. The old trench has been shown per the MOA records with 13 feet separation between the new and old, but the exact location of the old system is difficult to pin-pint. This new system will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201145, Rebecca Carroll, 05/19/21 DESIGN CRITERIA: 5 BDRM X 150 = 750 GPD SOILS = 750/0.8 = 938 SQ FT REQ'D 938/2(7.5) = 62.5', USE 63' (1) TRENCH 8.5' DEEP 7.5' EFFECTIVE 2.0' WIDE 63' LONG ram -18' MOUND OVER b GRADE FILTER FABRIC & INSULATION 4"0 PIPE SEWER ROCK DRY, OCT 2020 SEPTIC FIELD SECTION \ I \ II O� I EXISTING SEPTIC I I — \ I L _ — — _ ' TRIBUTARY OF \� \ r — —SOUTH g 3 SOUTH LITTLE \ \� I I�^N� \ ` 1g CAMPBELL CREEK r \ \ L--- PROPERTY LINE I �� EXISTING HOUSE L I I I --- ------ --� --- I -O'MALLEY ROAD- t NOTE: ADJACENT PROPERTIES SERVED I \ BY COMMUNITY WATER. ( I Septic Design Prepared for CHRISTOPHER & AMANDA HAUPT-CHRONISTER ®®®®�E 0F VALLI VUE ESTATES #2, BLOCK 2, LOT 16 ®.: 49 , ;"— Anchorage, Alaska Michael N. Anderson, • • DATE: 3/17/2021 7 *-..Ml HAELN. ANDERSON.- Aj MF 4601 NATRONA AVE DRAWN: DJR 3-3m�� No. CE 9469.'•,: ® 0-21 ANCHORAGE, ALASKA 99516 ®��'Co•''''•........ (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 "=200' ����®® OR zo SM n 8.5' 2.0' FILTER FABRIC & INSULATION 4"0 PIPE SEWER ROCK DRY, OCT 2020 SEPTIC FIELD SECTION \ I \ II O� I EXISTING SEPTIC I I — \ I L _ — — _ ' TRIBUTARY OF \� \ r — —SOUTH g 3 SOUTH LITTLE \ \� I I�^N� \ ` 1g CAMPBELL CREEK r \ \ L--- PROPERTY LINE I �� EXISTING HOUSE L I I I --- ------ --� --- I -O'MALLEY ROAD- t NOTE: ADJACENT PROPERTIES SERVED I \ BY COMMUNITY WATER. ( I Septic Design Prepared for CHRISTOPHER & AMANDA HAUPT-CHRONISTER ®®®®�E 0F VALLI VUE ESTATES #2, BLOCK 2, LOT 16 ®.: 49 , ;"— Anchorage, Alaska Michael N. Anderson, • • DATE: 3/17/2021 7 *-..Ml HAELN. ANDERSON.- Aj MF 4601 NATRONA AVE DRAWN: DJR 3-3m�� No. CE 9469.'•,: ® 0-21 ANCHORAGE, ALASKA 99516 ®��'Co•''''•........ (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 "=200' ����®® VALLI VUE ESTATES #2 BLOCK 2, LOT 18 SECONDARY SYSTEM, ADVANTEX, APPLICATION RATE 2GPD/SD, 6' EFF X 32' LONG EXISTING 4 BEDROOM ABSORPTION FIELD — 1 EXISTING SEPTIC PROPERTY LINE VALLI VUE ESTATES #2 BLOCK 2, LOT 15 \'l?iFS QTR F ' I � I � VALLI VUE ESTATES #2 I C� BLOCK 2, LOT 17 I I REMOVE EXISTING STEP TANK, INSTALL (2) TANKS/W// NO BAFFLES (1500 + 1000) W/ STEP, 10' FROM BLDG AND 5' ROM DECK PILINGS. EXISTING ? M HOUSE / \ / TN� It I j APPROX LOCATION OF THE OLD SYSTEM PER MOA RECORDS. MAINTAIN 13' SEPARATION TYP. VALLI VUE ESTATES #2 BLOCK 2, LOT 10 1 ij l 2% PREVIOUSLY jjABANDONED ABSORPTION FIELD VALLI VUE ESTATES #2 (/T BLOCK 2, LOT 16 4� i 2 VO VALLI VUE ESTATES #2 BLOCK 2, LOT 11 COMMUNITY WATER SUPPLY KEY BOX i� VALLI VUE ESTATES #2 \ BLOCK 2, LOT 12 r NOTE: ADJACENT PROPERTIES SERVED BY COMMUNITY WATER. Septic Design Prepared for CHRISTOPHER & AMANDA HAUPT-CHRONISTER AV �?:�' # VALLI VUE ESTATES #2, BLOCK 2, LOT 16 ® 49.:•®�® AnchorageAlaska TH 9 — �...........................................e Michael N. Anderson, • ® DATE: 3/17/2021 !It'. MICHAEL N. ANDERS( 6 4601 NATRONA AVE 0.CE 21469 DRAWN: DJR ANCHORAGE, ALASKA 99516 SCALE®�'C0'''`••...... (907) 727-8864 / FAX: (907) 345-1391 : 1 "=50' ®41, SS\ Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201145, Rebecca Carroll, 05/19/21  Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Slreet Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 Page ,~.--of www.ci.anchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~-~ [O O(~ --O//"2) PID Number: 0¢~' -- '~ZZ- - ~ ~.- Nam,: '~'~'th,.a --~'&lO.~ h~.-4" Wastewater System: [] New ~Upgrade A~d'~ D--/ qCdY) /2~ ~ ~)? ~L /'~ . ABSORPTION FIELD L~G~L DESCRIPTION ~lRa~ng: O, ~ GPO~e ~/~ / Ft. Well: ~ New ~ Upgrade ~, O F~. /[ ' Cla~ ~[ ~n P~te, A.~B, C): To~l Oep~:~ ~Ft, TO~I ab~rptmon area~ P~ Pipe Matenal: ~ OPM P.~pSetat Ft. CasingH*gh, A~eOround;~, TANK SEPARATION DISTANCES ~eptic C Holding ~ S.T.E.P. D Other: To Septio ~ Absorption Li~ Holding Publi~Priva~e Tank Field Station Tank S~r Line ~ ~ O ~ /~O Gal. Engine~$ Depa~ment of Health and Human Se~ices approval ~,~.. CE~469 Permit No. 2 2 Poge of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchora9e, Alaska 99519-6650 Telephone: 545-4744 On-Site Wostewoter Disposol System ond/or Well Inspection Report Legol Description: LOT 16, BLOCK 2, VALLI VUE ESTATES #2 PID No.: 015-,322-42 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 19, 2000 Expiration Date: May 19, 2001 Permit Number: SW000113 Legal Description: VALLI VUE ESTATES #2 BLK 2 LT 16 Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: Tony Wagner Owner Address: 6221 Corner Tree Dr. Total Bedrooms: 4 Anchorage, AK 99516-6716 Parcel ID: 015-322-42 Site Address: 006221 WEST TREE DR Lot Size: 22261 SQ. FT. 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. Michael N. Anderson, P.E. 4640 Shoshorfi Avenue Anch. Ak 99516 Ph 345-3377 Fax 345-1391 May 15, 2000 Department of Health and Human Services On-Site Services Section P. O. Box 6650 Anchorage, AK 99519-6650 Re: Lot 16 Block 2 Valli View #2 Dear To Whom It May Concern: The above property has an existing system in failure. Two test holes were excavated to determine the soil types and best location for an upgrade. Test hole one near the existing system had gxound water at 8 feet; this might explain way the old system was in failure. The second test hole is behind the house with no water, and sandy silt the entire depth on the hole. The perc was 12 minutes per inch at 4.5 feet below grade. This makes the system 60 feet long and 6.5 feet effective with a lift station to assist the flow up to the back yard as the plan shows. The systems on the neighboring lots have new systems in the back yards. None of the surrounding lots will be effected by this new system as the plan shows. The drainage is to the North, and the back yard is fiat making it ideal for a new system. A valve will not be added to the old system due to the high gound water table. Please feel free to call me if you have additional questions. You may reach me at 345- 3377. Michael Anderson, P.E. · ~----MOU ND OVER I ~ X ~ > ~ ~ ) TO BE ABANDONED ~~ 80~ ~ DESI~ CRITERa: ' . .... / / ~ ~ X ~0 = 500 GPD ~~ / ~OIL~ 600/.B ~ 750 SQ ~ REQ'D ~~-;-~,, use ~o' 5~ / ~ ~.E .~.~[CT.~ SEPTIC DESIGN PREPARED FOR " TONY AND PATRICIA WAGNER LOT 16, BLOCK 2 VALLI VIEW ESTATES ~2 MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENWEW DRIVE ~:.. C~-~4~ .,~ (907) 545-~577 / FAX (9O7) 545-~591 SCALE: 1"=80' MAY 12, 2000 ''----~' ............~-T""-"-"-'---~----'"-~--." %. NEW ~. ~~ \, IJFT STATION-~ !' SEPTIC DESIGN PREPARED FOR TONY AND PATRICIA WAGNER VALLI VIEW ESTATES PREPARED BY MICHAEL N. ANDERSON, P.E. 1~250 N. GOLDENVlEW DRIVE (go7) 545-5~77 / FAX (g07) 545-~9~ SCALE: 1"=50' MAY 12, 2000 Municipality of Anchorage ' ' ' ........... . ·. · DEPARTMENT OF H~LTH & HUMAN SERVICES ~~ .... 825 "L" Street. Anchorage. Alaska 99502-0650 ~ ~../~CHA~[ N. ~,~[~SeN .'p~, SOILS LOG -- PERCEPTION TEST ~ ~2'-'. ~ .' {:~:}~ LEGAL DESCRIPTION: L[~ ~.{ (~ ~''~ ~ ~ Towns,ip. Range. Section: SLOPE SITE PLAN -I N WAS GROUND WATER ENCOUNTERED? 12 13 14 ~5 18- 19- 20- 30MMENTS ~'~ Le~ ~'¥t' ' IF YES. AT WHAT DEPTH? PERCOLATION RATE ( ?'''' (mlnuteshnc~l PERC HOLE DIAMETER TEST RUN OETWEEN ~ FT AND ~- Gross Net Deoth to Net Reading Date Time Time Water Oro13 PERFORMED BY: ~'/{t ~ ~- ~'~. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL STATE ANO MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. DATE: ~'J'.~.r~O 72-008 (Rev. Municipality ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: '~On~ ~.J ~.~ ~ e t,~' LEGAL DESCRIPTION: L[~t~ 1 2 3- 4- 6- 7- 8- 9- 10- ~q[~' ~Jt-e~j Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN I N 11 IF YES, AT WHAT DEPTH? 13- 14- 15- 16- 17- 18- 19 20 PERCOLATION RATE -- Im~nutes/mci~) PERC HOLE DIAMETER ;OMMENTS TEST RUN BETWEEN ---- FT AND FT H-,.~h w,,.k-..c ~,,H~ ~4,...¢~.,..~.,,.,.,., b,, I-/-- ;'.,., PERFORMED BY: /V~t I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/851 CERTIFY THAT THIS TEST WAS PERFORMED DATE: t/' /oo GRE ER ANCHORAGE AREA BOk,..UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PHONE LOCATION SEPTIC TANK: INSIDE LENGTH ./INSIDE WIDTH LIQUID DEPTH ./LIQUID CAPACIT~ALLONS. TILE DRAIN FIELD~ ~ ~A ~' TOTAL LENGT~ DISTANCE FROM WE ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILDE TYPE _ DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE__ SEWER LINE ., TANK__ SYSTEM ((~IN. ABOVE TILE ~IN. DISTANCE FROM: CESSPOOL , OTHER SOURCES APPROVED D SAPPROVE? REMARKS DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL LOT SLOPE: ~~'~ Form EQ-032 DIAGRAM OF SYSTEM ...... ?,,,' [:,EPRRTHENT'x'''':' I.-IERLI'H FIN.F;, EN',,,'IROI'.,IMENTFII.."~'ROTEC]'LON x ' ' ' 825 "L'" STREET, RNCHORFIGE., RK. :~::.....~O:L ~ -/~- ~/ , Lr" :' F)']" )~ ON C~:I'.,IER TREE LEGFIL L::L6 82. 'Y'F:ILL..I ',/UE E~;T L. OT TYPE OF SOIl_. FIS$ORE:TION SYSTEM IS: TRENC:H I','IFIXZMLII'I IqUHE:ER OF:' BEDROOHST, = 4 SOIL. RR'FING ,::SQ F"F/DR)= t25 THE RE:QUIRE]} SIZE OF '['FIE: SOIL. ~BSORPTION 'E, YSTEM IS: THE L..ENGTH B, IHENSION tS THE LENGTH (IN FEE]'') OF ']'HE TRENCH OR DRFIINFtEL. E:,. T'HE DEPTH OF FI TRENClY orr PI-f' IS THE DZSTi:II'.,ICE 13ET'I.,.IEEN THE :E;I.JIRF'FiCE OF ]"HE Gl:%ll..llq[::, FIND THE BO-I-"FOM OF' THE EXCFIYFITIO~'.,~ (Zf-,] FEET). THERE 'IS NO SET I.,.I:[DTH FOR 'TREIqCHES. ]'HE L3RR'v'EL DEF'TH :IS -['lYF..-_ M'I:NZHLIH DEP]"H OF diF.'.F:IVEL. BE'TI.,.IEEN THE OU]-FFII...L. PZF'E FIND THE 80"r]"OH OF ']'lYE E::XCFi'v'FITIOI'-,i ,:.'IN FEET). BRCKFILLING OF FINY SYSTEH HtTFIOLIT FINRL. INSPECTION RI"YD RPF'ROVRL BY ].'HZS [::,EPRR]"HENT HILl.. BE SUBJECT 1-0 PROSECU].'ION. I',tlBI:I:P'IL.II','I DISTFINCE BETWEEN FI I.YEL. L FIN[:, FINY ON-SITE SEI.,.IFIGE I}tSF'O:~;FII.. SYS'T'EH SSS tOO FEET I--OR R PRtYFITE 14ELL OR 2.00 FEET F:OR FI PUBLIC I.,.tEL. L. SPECIFIC/¥FIONS:; RND CONS-';TRUC]'ION [:,IRGRRMS RRE Wv'RIL. RBLE TO INSURE F'I:'.OPER. i I',IS T F'~ L L.I:¥1' ]: ON. I CERTIF:'Y THFI].' :L: I FIi','I FFIi',tILIFIR I-,.t:["I'H THE IRE:QU]:REI',IFZNTS: FOR ON-::SI]"E SE:I.,.IER:::; RI'-,II} I.,IEL[..:% Fl% L::ET FOF::TH E,'Y THE HUNIC:[F'FILI]"Y OF F]NC:FIORFIGE. 2:: I NILL INS]"RL_L TFIE S'¢S'T'EM IN FICCOR[)FINCE IdI]'H -['HE CODES. 3:: I UNI}ERS]-IaN[:, THFFI" ]'FIE ON-SITE SENER L:;'-r"..T.'.TESM MFIY I:~E6!UIRE ENLF:IRCYEMEN]" IF' ].]YE I:;;:ES, II}E:NCE ]:S REMO[:,ELE[:, TO INCI_I.J[:,E MOF~:E 'T'HFIN 4 BEDROOH':'~;. S I GNED: .................................................................................................................................... laF'F'L..ICFIN].' JOHN L. :.:.;UL. LI',,,'FIN 1%'.:.Ii E L':, D"r'. ........................................................................................ Dla ].'E ................................................. GRE,-..ER ANCHORAge AREA bo';~'~Ugh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM .- APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION ~/~/~l //~ /~/~ /~ INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FAC~L]TY TO BE SERVED FINANCED THROUGH SEEPAGE PIT TO BE INSTALLED BY DRAIN FIELD NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED _~'~U /~'~"*/J'~ ',-~'/~'J' ~' ~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUAL[TY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS CAST lEON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ..SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK ., SEEPAGE PIT . DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT GRAVEL BACKFILL I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 20-60 AND THAT THE ABOVE EO*016(3-75) MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection SOILS LOG- PERCOLATION TEST Performed for John Sullivan Date Performed 6/3 - 6/4/76 Legal Description Lot 16, Block 2, Valley View Estates Subdivision (See attached sheet for hole location) Gray-brown, silty, sandy gravel (GM) Perc rate = 225 ft.2/bdrm. 4 Soil grading clearer with depth. Gray-brown, well-graded gravel (GW) Perc rate = 85 ft.2/bdrm. Gray-brown sand w/gravel (SW) Perc rate = 125 ft.2/bdrm. No water table encountered. AVERAGE PERC RATE FROM SOILS LOG = 164 ft.2/bdrm. Date 6/4/76 .. 6/4/76 __ 6/4/76 __.6_/4/76 6/4/76 Net Time 0 min. 40 min. 55 min. 76 min. Depth 19 in. Net Drop 39 in. 20 43 in. 24 in. 61.5 in. 42.5 in. 218 min. 70.5 in. 51.5 in. minute s/inch- 90 ft.2/bdrmo Percolation Rate 4.2 • • ?GE @(, ' O •, Municipality of Anchorage ` On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval I.D. 015-322-42 Expiration Date: 2q— Parcel ate. 1. GENERAL INFORMATION Complete legal description VALLI VUE ESTATES #2 B2 L16 Location (site address) 6221 CORNER TREE DRIVE Current Property owner(s) CAROLAN LAUDON & ERIC LEONARD Day phone Mailing address 2499 S NEWCOMBE ST, LAKEWOOD, CO 80227 Real Estate Agent Day phone 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class A Well El Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: 4$ ! rReceived by: Date: if I I cg COSA to be released to the engineer,unless otherwis;requested by the engineer. COSA Fee $ 52. (o Waiver Fee $ Date of Payment OP]a Date of Payment Receipt Number 61705-7 Receipt Number COSA# 0.5C,12 gia I 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. In conducting an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 1/19/2018 ~�0E A`QSl r�P� �4 r # *•49_Ti •* / 6. DSD SIGNATURE %.... ••. rois �_ /� System #1 Approved for 1'� bedrooms - '•.•S even••2. 15aririorie:' System #2 Approved for bedrooms �O# c�9�, CE-8149 • �� Disapproved i�k -ARO SSo.,,- Conditional approval for bedrooms, with the following stipulations: _\QP�,�Y OF,t y ON-SITE • .;• WATER AND 'n'- o WASTEWATER . PROGRAM - 1 V"` \---4:-L---- Original Certificate Date: 1 -9-Q- 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: VALLI VUE ESTATES #2 B2 L16 Parcel ID:015-322-42 A. WELL DATA Well type A If A, B, or C provide PWSID# 210605 Well Log (Y/N) Y Yp Date completed Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL/STEP Date installed 05/28/2000 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N YES High water alarm (Y/N) Date of pumping 6/12/17 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date installed 5/28/2000 Soil rating (g.p.d./ft2 or ft2lbdrm) 0.8 GPD/SF System type DEEP Trench Length 60 ft. Width 2.5 ft. Gravel below pipe —7 ft. Total depth 11 .0 ftEff. absorption area 840 ft2 Monitoring tube Y Depression over field N Date of adequacy test 01/18/2018 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 415(of 600)* gal. New depth 44 in. Elapsed Time: 20(OBS) min. Final fluid depth 40 in. Absorption rate >= 60 + g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) N If yes, give date *Test run for 80min introducing —415g into system maintained depth of 43in+/- for 50min. Depth dropped to 40in in 20min. 4in / 20min=12in / hr = 48in / 4 hr ==>Greater than 600g/day D. LIFT STATION Date installed 5/28/2000 Size ingallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 43 in. "Pump off' level at 41 in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested 3 Y y Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain UNKNOWN Wells on adjacent lots 200+ F. COMMENTS G. ENGINEER'S CERTIFICATION +�������\ I certify that I have determined through field inspections and �AN'kr:' OF Al.,,ZIkk •• ••'�.��� review of Municipal records that the above systems are in 0*: 49 i `)'• ..*, conformance with MOA COSA guidelines in effect on this date. % r • f\•}• Steven Pannone "�� ` 0 Engineer's Printed Name :S1even •.•Pannone . Date 1/19/2018 rl�fig.. CE-8149 Al r +R1\\' ois 0P`•4 COSA canary sheet_2-6-15.doc Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com January 26, 2018 Municipality of Anchorage Development Services Department On-Site Water &Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: VALLI VUE ESTATES #2 B2 L16 COSA Test Comments Response Ladies and Gentlemen: I am writing to address comments regarding the adequacy test for the subject property conducted on January 18, 2018. PES received the test Order on January 12, 2018. We researched the record and found previous adequacy test had inconsistencies in results and notes regarding monitor tube in the field. The Owner Noted that the high water alarm had triggered from the lift station. PES conducted our Investigation and Test on January 18, 2018. The issues found regarding monitor tubes appear to have been addressed. The alarm on the lift station had been disabled. We did not observe any obvious issues with the lift station. The lift station pump did not activate after introducing 55 gallons of water into the lift station. We stopped adding water to the lift station and began introducing water directly into the drain field. A-Plus Home Services was called to service the lift station. The drain field was dry at the beginning of the test. PES added water to the drain field at a rate of 5.5 gallons per minute. The water level in the monitor tube rose to 44 inches with the introduction of 110 gallons in 20 minutes. The water level in the monitor tube maintain a depth of 44 inches for the next 50 minutes while flowing at a rate of 4.6 gallons per minute. At approximately 60 minutes into the test, the lift station was repaired and introduced an additional 90-100 gallons into the system. The liquid levels did not change while the lift station was discharging into the drain field. A total of approximately 415 gallons were introduced into the drain field. Note,this portion of the field (the 44 inch level) is able to absorb water at a rate of 4.6 gallons per minute, extrapolated that's 600 gallons in 130 minutes, or 6,624 gallons per day. The test was stopped and water level in the monitor tube was observed. The level in the monitor tube dropped 4 inches (12 gallons per 4 inches in the lower section of the drain field) in the next twenty minutes. Extrapolating th.at drop equates to 36 gallons per hour, or 864 gallons per day. P.O. Box 1807, Palmer, Al< 99645-1807 Telephone: (907) 745-8200 FAX: (907) 745-8201 Page 2 of 2 This system has the apparent beginnings of a bio mat in the bottom 44 inches of the drain field as indicated by the slower, yet still acceptable absorption rate. The upper 40 inches have an absorption rate in excess of 4.6 gallons per minute. Based on the test results, this drain field is able to absorb in excess of 600 gallons per day, which exceeds the minimum requirements of Title15.65. If you have any questions or concerns, please contact me at 272-8218. Sincerely, 4k J ,.: I i % Steven R.Pannone 40 °•. pp��..874'97 . ♦��O•°••/ �GCs i 11:1,1:.._~\ ..�• Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 615 East 82'd Ave, Suite B6, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. · P.O. Box 196650 Anchorage,'AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 015-322-42 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address , :; Real Estate Agent Expiration Date: L/t. _. ~ _ (~..~'- VALE VUE ESTATES SUBDIVISION #2; LOT 16~ BLOCK 2 6221' CORNER TREE DRIVE * ANCHORAGE~ AK 99516 DAVID BIOKERSTAFF 6221 CORNER TREE DRIVE Day phone ,344-1953 ANCHORAGEf AK 99516 Day phone. Day phone Mailing address Un/ess otherwise requested, HAA will be heId by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well r-"l Individual Water Storage r-J Community Class "A" Well ~. Public Water System J-'J TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank J-'J Community On-site Public Sewer I The Municipality of Anchorage Development Services DePartment (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registeredin the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between Spouses) for properties served by a single-family on-Site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Cedificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipaliiy of Anchorage is not responsible for errors or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY EN~iNf=ER As ce/lifted by 'my seal affixed hereto ah~f a,J of the v~iidati~n ~f~ie shown baldw, I v~r~fY that my · investigation, based On procedures outlined in the Health Authority 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 ali applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm OAI~NESs ENGINEERING GROUP, LCd. -Address 370i E. TUDOR ROAD, SUffE 101 * ANCHOiS, A~E, AK 99507 Engineer's P~inted Name JEFFREY A. GAi~NESS, P.E. P~one 337-6179 Date .Engineer's. Comrfiehts: In conducting this evaluation, GEG, Ltd. aff&~n~ted t6 provid~ a thorough,. conscientious engineering analysis of the system in accordance with ADEC and MOA' DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encodntered at the time of the test, and ~eparation distances measured to readily identifiable features. The operational life of ali wells end septic systems depend on the local soils condition, groundwater levels tha! may fluctuate during the year, and the water usage of the family being served by the syste~n. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future' performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty orfuture estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content o~ this report is for the sole benefit of the owner listed above. Any reliance.upon or use of this report by any other person Or party is not authorized, nor wi//it confer any legal right whatsoever. ~DSD'SIGNAYUiS, E- - ~ ApprOved for bisa~)l~i'oved. L~ bed'i:boi~is. ConditioNal appi'oval for bedrooi, ns, With the fllowing stipulations: ~.- .WATERAND : m Attachments: HAA Ch6cklist Septic System Advisory Well Flow Advisory (Rev. 17JO1) Other Original Certificate Date: ~ - 8" 0 ~ MunicipalitY of Anchorage DevelOpmeht Services Department'ii .. · Building Safety Division :' on-site Water & Wastewater Prog ram 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 WWW.ci.anchorage.ak.us : ~ ~ (907) 343-7904 ; ~'., , 015'322-42 Total h. I~!i i~, ~ ~ 'Ir Daie ,test .,1 ': !.; ' level ~,~. - g.p.m. E.S,. WATER SAMPLE R ULTS:' - ,. Coliform ~ ~. ,. co~onies/-~uu mi. Nitrate - ~ '. rog.IL. Arsff*nic: ~',- ~,, mg./L~. Date of sample: - B. SEPTIC/HOLDING TANK DATA Casir . AT INsPEcT'ION ,, gal,... [ NUmber ~f ~ompart---Tnts ',2 YES Depression over tank (Y/N) ground) .ft. Jn, NO Ta ;~: 'STEEL/,S.T.E.P ' 5/,,28/,2000 Ii , of Pumper ;" MCDONALDS i PUM PING C. ABSORPTION IELD DATA , . ~ ,,., I'BELOW EXISTING GRADE] ,, [~, , ,I; I i ' ~ ~ · · ~ '2 ~ ~/ i Date ~nsta~led :._] ~ Sod rating ~r ft 7bdrm) 0.8 System type DEEP TRENCH ,~ * ~ ~ ' ' * . ' ~',.."2~-----"~, :*. ~. : * {'. ~ -- Length ~i~!ff: · . - ' iW~dth, ' ': :2 ff. Gravel below pipe* 7 Total depth ~'~3.~3 '.fl ~ Eft abso tion a~a 840.~ ff~ Monitorino tube YES ~ ) Den~ession over fi-~ NO . Date of ad~q~a~ teSt ?: ~/2~/2oo4 ,,~.- Results ~{Pass/Fail3 PASS ' '.,. ~ ~ For 4 bedrooms ;:;~:;p;~ i~ ~Tt~n ;el~ before test',:.'69 in. 8;~' water added ,' 021g~'~ ?' ::', : ~' Newdept~ 110 in. 'P m :;,.' ~.'~; ;~ ~Fi'nalfldi~depth .' in..'' ;:' 'Abso~p{i~n~at~;= 600+' gpd Any rejuvenatio~'treatmeht (past 12 mo.) (WN & type), .,' NONE KNOWN' ',, [ ~ , ~lf ~es o ve date - '[]**MONEORING ~BE IN~D 2.2' TOO DEEP.~ ]DEP~ ~RIRED BY E~A~ON'SHOTS ON 4/2/04. MONffORING ITUBE, BEING R~D WffH,S~ER:.ROCK ~BY MIC~L N. ANDERSON,T i~.E.~ TO SHOW THE EFFECTNE ,~ ,,~ , [;:;., ~ :,.. : ::, :.~;~. DEPTH~0 7.0'. . .: , g.p.m. Other bacteria - colonies/lO0 mi. Collected Y!i Date installed ' Cleano~ts!(Y/N) High water alarm (Y/N) ' YES ;Date inStalled 5/:~B/'~000 Datu~ Bo'FrOM OF TANK E. ~$EP/~RATI~i~I DI~fA~iCEs sizein [~,'flon~ :' '1~o~(J ' Manhole/,~(~6~s~'(Y/N) YES' ", "Pfirhp Off" Iowl at 41 im ,~,., High ~at~r ~l~'levbl at '46 ~in. Cycles (e~e~ ,' 3, .'~'~e'ts ald~ & ~i~c'b~t requirements? YES CO'Mri 'U'Nity SEPARATION DI 'I:, ,NcEs 'I ROM WELL Ok LOT.fO: , .; se'~tic {~nk/li~t statioh on 16t on ~lj~C~ht 10is '~bS0~pti6n fi~id 6n i0t ' ' """" "' :"' '" · ~ Public Sewer ~Ain' ' ,. ' ~ Public'sewer mah~0~e/cieafibut SEPA~TION DISTANCES FROM SEPTIC/HOL N TANK ON LO~o: Fi W) TER Buiidir{g fou~iS'Afi0h , 5'+ 'lS~°~y iine" ' 5'-F wa;~er main 10;'~ water ~vi~e line '1 AIssor'~ti6n 'iiei8 ' ' Su'r~b, bb W~{er. 'SISiSARATI6~ I~}~f/~C~ FROM ABSORPTION FIELD ON LOT TO: Property 'line Water service 'line , lO'+ Cu~ain drain ' :NONE 'K'~I0W'N ,CoMMENT~ Building fOuhSati(~r~ 1 '0'-,L. Surface watei. '1 b~3'+ 'Weils on adjaceht lOtS. 2dO'+ '10'+ 100'+ DrivewaY, Pai-kih~'/vehicle Storage G. 'ENGINEER'S CERTIFICATION I ce~t~Y tha't i hav~ d~'eFfinihed throu~gh 'field' in~e'c'~i~)ns and, 'review of Municipal 'reco'rds that the abOVe Systems are in donformance With MOA HAA guidelines i~ effect on this ~iate. Engineer's'Printed 'Nai-ne JE~I~Y A. GA~I~E§~; D~te ' ' ' "' ~r/.~'~/~4~' ' Re~,eipt Nu~b(~r '(Rev. 12/01 Waiver ee Date of Pa~,rh'~ht ~ R~'c,~ipt Number Har' 09 04 08:20p I hursday, February 26, 2004 11:48 AM 5' e~,' o~'os~ David Bickerstaff 907-85B-4973 -I'/- g&4-. $8 p.09 -15 - N, OT£~. ~4 ~f'tlALr J. oc~gTto~t I$ .. i i. I "--.&O ' Q :'ASEMENTS OF RECORD. OTHER THAN 'HOSE SHOWN ON THE RECORDED ~AT ARE NOT SHOWN HEREON. AS-BUILT NO CORNERS SET THIS DATE I hereby certify Iha! I have pe~ormed a Mortgaqee's inspection Lo-r' ?,:, of the following described properly:. / ~ Anchorage Recording Preclncl. Alaska. and that the improvaneflts situated thereon am witrtln the property lines and do not overlap or encroach on the property lying adjacent thoreto, that no improvements on property lying adjacent thm'olo encroach ol3 the premises in question and that there are no road~n~js, Iransmlsslon lines or other vlslbte easemonts on said property except as indicated hereon. Dated at Anchorage. Alaska ~ FRED WALATKA & ASSOCIATES (907) 248-1666 ' Eng~eers m'~d Survoyors Municipality of' Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O/5'- - Expiration Date: GENERAL NFORMATION Completelegaldescription Lot 16, Block2, Valli V~' Estates Location (site address Or directions) 6221 Corner Tree Drive #2 Current Property owner(s) Anthony & Patty Wagner Day phone 278-2551 6221 Corner Tree Dr., Anchorage, AK 99516 Mailing address Lending agency Mailing address Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: individual Well Individual Water Storage Community Class /4- Public Water System Well 4 TYPE OF WASTEWATER DISPOSAL: [] individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev 01/00)' 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 Health Authority Approval Guidelines for the Health Authority Approval application show 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address S & $ ENGINEERING Eagle River, Alaska 99S27 Phone Engineer's Printed Name Robert C. Cowan Date ...... ~ ~0 p~7:"'.' -. "- ~' -~. ,,:~.~.,.' ~.. bedrooms, with the following stiPulations. DHHS SIGNATURE J.-"'"'" Approved for ~ bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Expiration Date: ~' ~ ~ Oo ' d~]) / Original Certificate Date: Reissue Date: 75 025 (Rev 01/00)' ~-~ Municipality k._J . : ~¢~,' · /~ of Anchorage f{ ~1~~ Department of Health and Human Services Division of Environmental Services AU(~ ,,°2 ~000 On-Site services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 MUNIOP^L~ Of ^NCHOP, AGE www.ci.anchorage.ak.us '*df~ONMENTC~.$ERVICE$ DIVIS~- (907) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L_~ A. WELL DATA Well type Date completed Total depth Date of test Static water level Well production WATER SAMPLE R~S~~.' Coliform .,,c'81onies/100 mi Nitrate Date o~¢~e:. Collected by: B. SEPTIC/HOL;D!NG TANK DATA TankType/Material $~pr,¢ ,//£T'¢,~, L D~te installed 5" Tank size ) 3"'0 0 f.~?. leanouts '"/6.$ j~8~hd~tion cleanout D.ate"of pumping~)'''¢'} '~- ' C. AE~SORPTION FIELD DATA If A, B, or C provide PWSID # ~ ~ o f¢~5-- Well Log ~ Sanitary seal ~y protected __ ft Cased to ft C.~s~ height (above ground) FROM WELL LOG ~' AT INSPECTION ff ft ,.--~g.p.m g.p.m mg/I Other bacteria in. colonies/100 mi gal Number of Compartments ~ Depression over tank ~'0 High water alarm Pumper Date i"Stalled 'P']~-~'' Soi/l~!ip~ t~f~or ft2/bdrm) _0. ~* System type Length ~0 ft WiCtH: - ~] ft Gravel below pipe ~ff Total depth ~1 ff Effective absorption are~ ~0 fF Monitoring tubeW~J Depression over field__ Date of adequacy tes{:>~¢~ -~ e¢ Re~,~ For V bedrooms Fluid depth in absorption field b~ ~ Wa~r ~ded gal. New depth Elapsed Time: ~ Fi~l fbid d~th in Absorption rate >= · Any rejuv~men~2 mo.~N & type) .If yes, give date __ in. __ g.p.d. 72-026 (Rev. 01/00)* D. LIFT STATION Date installed ~'-./¢-~t./o~ "Pump on" level at qff. ~ in Datum~-o/' ~,~ ,'~,.-,~.4_ E. SEPARATION DISTANCES Size in gallons ).~-o "Pump off" level at Cycles tested JR Manhole/Access "/,~ 5 High water alarm level at 95'.. I in Meets alarm & circuit requirements SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sew~ On adjacent Iots~_~ Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .¢' /~ Property line Water main / ~ -/- Water service line ,/o '-'-k Drainage ~ / 4 Wells on adjacent lots '%0 o '.+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ) 0 -J- Building foundation )0 Water Service line I o 4-- Surface water / ,~ *~ Curtain drain po~ /4~'~ Wells on adjacent lets g--co F. COMMENTS 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 ~0 Date Absorption field '~- '~- Surface water / o ¢ ~ Water main Driveway, parking/vehicle storage HAA Fee $ ~ ~h%', ~-'~ Date of Payment '~/2"~% / Receipt Number ~ ~_/c-~, Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 01/00)* 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 Location (site address or directions) ~'~'~'¢~'/ C¢~-,,.,z,4/ -7,,'~.~ Property owner Mailing address Lending agency Mailing address Agent ~.~',*--~ Address '~. (::~ ~'~ Day phone Day phone ~.~ m Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: Y If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 IVlunicipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm "~o ~,~ ~ ~ u ~.L~' "~-- Phone Address ,2,0 ~ Lc/ /~- ~ Engineer's signature '~. ~(~,u~.~ Date DHHS SIGNATURE '/¢~_ Approved for Disapproved. Conditional approval for bedrooms. 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 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 (Re,/. 1/91) Bsck MOA ¢!21 · ' ~ Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: V II; Parcel I.D. A. WELL DATA Welltype (~- /i~ Log present(Y/N) If A, B, or C, attach ADEC letter. Date completed ADEC water system number~"/'*¢~'~ I D ,~t..~/O~¢ O._~ Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot g.p.m. AT INSPECTION ; On adjacent lots ; On adjacent lots g'p'm'r~lr,o~u ~z 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 Cleanouts (Y/N) High water alarm (Y/N) Date of pumpir~g Tank size /¢~-~0 Compartments Foundation cleanout (Y/N) / ~" Depression. (Y/N) h'l/A ,Alarm tested (Y/N) f4CjA t '~l ~'~'i~ Pumper ]~c~-c/~: ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots 1'///~ Foundation Absorption field I/o "~ Water main/service line 72-026 {Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION ~-I/~, //-1 Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~.~ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) Soil rating /~ System type Gravel thickness ~ Total depth Cleanouts present (Y/N) xr/ Date of adequacy test ~//~/¢ for ,~ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~///A, On adjacent lots ["//-~'% Property line To building foundation ~ ,,¢-c~ To existing or abandoned system on lot On adjacent lots '~ ~-~ O Cutbank /")'/~' ~(~ Water main/service line Surface water Curtain drain Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAAFee$ / 7¢) Date of Payment Receipt Number 72-028 (Rev. 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number S~NT BY;ABB6 ANOHORA~E ; 4-24-92 ; 2151P~ ;ANOHORA~E/~ESTERN 00~ 2485095~# 2 ~EM~-T, 0W' ~'}~%'IRONMENTAL CONSERVATION ANGHORAGF_' MSTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCFIORAGE, AI..ASKA 99503 WALTER J. HICK'EL, ~OVERNOR (907) 349-7755 April 24, 1992 FOR; Im:)L',en ~pu~kland PWSID # 210605 My review of the record~ on fife in this office reveals that the Valli Vue SubdJvk.: Class "A" Public Water System, Is In compliance with the routine coliform sampling requirements listed in Table O, and with the Inorganic sampling requh listed in Tabie B of 18 AAO 80.200. Sincerely, Byron Roys Project Engineer BR/cf APPLI FILLS OUT UPPER ONLY Property Qwner Guido Sordelli Phone Mailing Address P.O. BOX 1689, Valdez, Alaska Zip Code 996R~ Buyer ' Weldon Opp Address 415 W- llth Avmnll~: A~.~n-,'n~; Alm~m Z{pCode Lending InstitutiorFir$t ~a.t:i0~a[ ~ank of Ancho~a§e Phone Address 6/46 ~.. /4th Avenue, Anchorage, Alaska z~p Code 99501 276-6300 Realty Co. & A~ntColdwel[ Ba~ker/Jack White Co. (L:L~t:zn~) Gary ~arshall ~CaI'l List±~ a§e~t iE any questions. Address 320~ C, Ri-reef-_ A~,n~'~E~; Al~e~-~, Zip C°de99503 277--155:3 Legal DescriptionLo~: ~.~ Bloc~ 2~ ~a].li Vue sEE MAP ATTACHED Street Location 6221 Corner Tree. Annhormge. [] Other Water Supply [] Individual A3q'ACH WELL LOG. A well Icg is required for all wells drilled since June 1975. ;;~ Community For wells drilled prior to that date, give well depth (attach Icg if available). [] Public Utility Sewer Disposal ~] Individual Year Indivklua[ Installed: ]978 [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date D at ~2- ,~ 3~OD- Inspector Insp~tor Insp~tor Insp~tor MUNICIPALITy OF ANCHORAGE ~~ DEPT. OF HEALTF, ,*~ ENVIRONMZNTAL PROTECTION ~ APPROVED BEDROOMS ·CONDITIONS OF APPROVAb ~ ~ ~ I ~ E U ( ) DISAPPROVED ( ) CON~IT[ONA~APPROVA~ ~ ~ Well to Tank Septic T~k Size ~ ~- 72-023 CONSULTING ENGINEER 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 April 22, 1983 Gerry Marshall Coldwell Banker Jack White Company 3201 "C" Street Anchorage, AK 99503 SEWER ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER: SEWER: DATE OF TEST: TEST PROCEDURE: Lot 16, Block 2, Valli View 6221 Corner Tree Four-bedroom, single family Public water system From Municipal Records: Tank - 1,250 gallon Greet Steel, two compartments Absorption System - trench 5 x 53 feet Absorption Area - 530 square feet Soil Rating - 125 Installation Date - May 1977 April 20 and 21, 1983 System was inspected on April 15, 1983. The sump for the drainfield was 6 inches in diameter, 13 feet deep with 10 inches of wet sludge and the 4 inch cleanout was dry. Tank has two standpipes, liquid level 48 inches. On April 20, water was introduced into the system via the 4 inch cleanout at a rate of 5.5 gallons per minute. The water level in the sump did not rise, by listening at the tank it was obvious that the water was entering the tank. A total of 600 gallons was added. The water ,Tobben Spurkland P.E. TEST RESULTS: level in both the tank and the sump remained station- ary. The tank was pumped in the p.m. of April 20. On April 21, the tank was filled up with water from a pumper truck. After adding 1,500 gallons to the tank, the liquid level in the tank reached 53 inches and water was flowing through the outlet and into the field. The water level in the sump rose to 55 inches. For the remainder of the filling, 500 gallons, the water level remained the same. Five minutes after filling was completed, the tank level was 48 inches, sump 55. This residence has been vacant for three months. Dur- ing this period, the soil around the septic system drained and aerated. Liquid is draining from the tank under and around the discharge pipe. The 6 inch sump is not hydraulically connected to the drainfield because of sludge build-up. Because of the three month rest period, the soil adja- cent to the tank was able to absorb the fluid added to the tank on April 19. When the system was shock loaded on April 20, the drainfill received most of the liquid. Based on the amount of liquid added to the system within a 24-hour period, I recommend that this system be approved. ~4arch 25~ ,~ u::o Sordeilt Po O. Box 1689 Valdez, Alaska Subject: Lot 16, Block 2, Valii Vue Approval for the ~ndlvld lal sewer and water facilities cannot be granted until the followin<3 items have been completed: [ Tile septic tank pumped with a receipt submitted to ti~is ,,i° An adequacy test needs to be performed on the existing leaching area. This test ~ill determine if the system is adequate according to National Standards. A listing of private ~irms performing the test is enclosed° This report ~eeds to be submitted to this ot/fice for our review° Please notify thJ.s Departme! t for a :'einspection ¥;hen t~:e noted(Jlscrepancles' have been cor:':ected_ . l~ there are any further questions, please call this of J2ice at 264-4720. Sincerely, JR214/ej/E1 Enclo.~ jim Roberts Associate Enviroumenta! Specialist DAT~ RECEIVED " INSPECTION APPOINTMENTS TIME w TIME TIME DATE DATE DATE ~NI DEPT. OF HEALTH & ~UNIClPALITY OF ANCHOflA~E ENVIRONMENTAL P;~OTECTION  DEPARTMENT OF HEALTH & ENVIROBMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts o. page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing. MAI LING AD DR ESS PROPERTY RESIDENT (If different from above) PHONE PHONE 3, LENDING INSTITUTION PHONE 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 log is required for ail wells drilled 'J~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if a~ailable.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** /~¢. / ~'/~/'~YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] POUR [] SIX PERMIT NUMBER 2, WATER SUPPLY E~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLEO [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER ~]Sept_i~c Ta.~or [] Holding Tank Size:~ if Tank is homemade SOl LS HATING give dime 6~i-d~s:' TYPE OF TANK MANUFACTURER 4. DISTANCESwELL TO: Septic/Holding Tank Absorption, Area Sewer; Line Nearest Lot Line 5. COMMENTS I]~APPROV ED FOR ~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79) April 21, ].98]. 825 "L." STREET ANCIIORAGE ALASKA 99501 (907) 264-41 ~ 1 GZ:ORO£ 74i. SULLII/AN. DEPAE¥[MFNT OF kiFAL'£ t AND ENVIRONMEN~'AL PROTECTION James L./Frances Swartz % Dale Murphy Jack White Company / 3201 C Streen Suite 101 Anchorage, Alaska 99503 ./ Subject: Lot 16 Block 2 Valli Vue Estates Subdivision ~2 Approval. for the individual sewer and water facilities cannot be granted un~il the following {tems have been completed: (1) An adequacy test needs to be performed on the exlsting leaching area. This test will determine if the system is adequane according ao National Standards. A listing of private ~irms performing the test is enclosed. This report needs to be submitted to this office for our review. The application shows the number of bedrooms exceeds the number the sewer system was originally designed for. A 500 gallon septic 'tank will need to be added to the existing system. Prior to any upgrade~ a permit needs to be obtained from this office. If there are any further questions, please call this off~ce at 264-4720~ Sincer~lf, · Robert C.. Pratt, Associate Specialist RCP/tjw cc: First National Bank of Anchorage Post Office Box 4-2090 99509